Mute kidney: modern treatment options

To date, we can talk about a number of methods that differ from each other, contributing to the timely detection of problems with the kidneys and the establishment of an accurate medical diagnosis. The main method, which contributes to the detection of impaired renal function, is excretory urography.

This X-ray examination of the urinary system, by introducing contrast to a person intravenously. This option is based on the ability of the kidneys to isolate and concentrate X-rays, which are injected before the examination. As a result, on the photos receive a contrast image of pelvis, kidney cups, bladder and ureters.

Contrast substances containing iodine( urographine, urotrast, etc.) are used for the examination. If a person has an allergic reaction or hypersensitivity to iodine, you should immediately inform the doctor about it. In this case, this examination will be prohibited. The doctor will choose another method to determine the function of the kidneys.

X-ray images are taken at 5-7, 12-15, 20-25 minutes. If at this time the contrast material has not yet been released, then another delayed photograph is taken at the 45-60 minute. If this time also the contrast substance on the film is not visible, then we can say that the kidney is dumb.

With the help of such a study it is possible to obtain data on the location of the kidneys, their anatomical shape, size and contour of the organ, the functional state, size and shape of the ureters, bladder. Also, you can get information about the presence of stones in the cavity of the body, the bladder and ureters.

This is important! Do not do urography to patients with severe stages of kidney failure, because contrast is a toxic substance for them.

Why, the kidney is called "mute"

The term "mute kidney" was invented by doctors-radiologists. Such a phrase is used by specialists in cases when, following the results of excretory urography, one of the organs does not function, and, naturally, does not cope with the main task - isolation of toxic substances and liquid from the body.

Clinically, the mute kidney does not show itself at all. She can for a long time be in the body, and the patient does not even guess that he has only one. In many cases, a mute kidney is a random finding, during a survey for another reason.

It should be noted that the mute kidney is not a disease, but only a complicated consequence of it. This condition can provoke various congenital and acquired diseases of excretory system.

What is the danger?

If a person does not have one kidney and the other is absolutely healthy, then, in principle, there is no danger. A healthy body takes its load on itself and perfectly copes with the function and task of its "neighbor".

There is a danger of infection( cystitis, pyelonephritis), which can get into the hollow part of the dead kidney. As a result, her purulent inflammation can develop. It also happens that there is a complete purulent melting of the kidney tissues with the appearance of a large abscess, which at any time can burst and pus will infect the organs and cellular tissue of the abdominal cavity, as well as, retroperitoneal space. Such a condition requires urgent surgical intervention to save a person's life.

The decision to remove this body is required only by the doctor. If the risk of developing an infection is small, it is not affected, it can stay in the body for a long time without causing harm. If the patient has a fairly high level of infection, the mute kidney, in this case, is eliminated by surgery, so that there are no complications.

Methods and methods of treatment depend on the cause that caused the pathology, the presence of risk factors for infection, the state of the second kidney.

It is necessary to understand for myself that it is simply impossible to cure an idle organ. The only exception is the cases when very little time has passed from the loss of her working capacity. Then a surgical operation that eliminates the cause can still save the organ. For example, a trauma of the organ with a violation of its integrity or a stone is clogged by the ureter.

This is important! A mute kidney is useless to treat if it does not function for a long time. In such situations, there are two options: first, the surgical removal of the dumb kidney with a prophylactic goal, and secondly, a wait-and-see tactic with constant medical examinations.

If a person stops working both organs, then the only chance of saving life is a surgical operation to transplant the donor organ.

Elimination of a dumb kidney is called a nephrectomy. The operation can be performed in several ways:

1. Laparoscopic surgery is a minimally invasive surgical method that helps to remove the organ through three small punctures that are made on the anterior abdominal wall.
2. Lumbar access - make a cut in the lumbar region and eliminate the kidney, bypassing the abdominal cavity.
3. Cavity - cut the front abdominal wall and eliminate the organ.

How to maintain a healthy functioning kidney

If it happened that a person has one non-functioning kidney found, do not go into a depressed state, you should take care of the health of the second( healthy) kidney to live a full life. Therefore, it is very important to keep the functioning kidney healthy. You should follow some rules.

It is necessary to protect yourself from colds, take a specially selected complex of vitamins, antiviral medicines during epidemics. Do not forget about the vaccination against the flu. If the first signs of a cold appear, you should stay at home and keep bed rest, not to endure the disease "on your feet".

If you suddenly had such a misfortune, and you learned that one of the kidneys is not working, do not lose heart. After all, the possibilities of the human body are endless. Many people live a full life with one body. And there are people who do not even know about this problem of their own organism, if the second is healthy.

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