Urinary diathesis of the kidneys, how it manifests itself and how it is treated
Urinary diathesis of the kidney is not an independent pathology. This is the so-called borderline state, manifested by the accumulation of uric acid in the body. One of the main manifestations of this deviation is the isolation of uric acid salts along with urine.
The disease can be diagnosed in both children and adults.
It turns out that the uric acid diathesis of the kidneys develops as a result of a disturbance in the exchange of purines in the human body, which manifests itself as a cluster of uric acid. Urate or in a different way the salts of uric acid can accumulate in the tissues of the body. The main forms of manifestation of urine acid diathesis are: gout urolithiasis and uric acid infarction. All forms are succesful in treatment, and the latter passes on its own and does not require any medical manipulations and interventions.
Causes and mechanisms of the disease
The main reason that uric acid renal diathesis is formed in women or men is a quantitative or qualitative change due to a violation of protein metabolism in the body. Most often, this process is correlated with excessive consumption of protein products - cheese, meat, fish, with improper nutrition.
Because of the violation of metabolic processes in the human body, uric acid crystals begin to precipitate in the kidneys and are excreted along with the urine. In its consistency, the sediment in the urine is similar to the reddish-colored sand.
Symptoms of the disease
This condition is supplemented by special clinical manifestations in the central nervous system, joints and kidneys, and in the later stages of development during the pathology, respiratory organs and organs of the cardiovascular system are involved.
The earliest manifestations of urine acid diathesis are changes in the work of the nervous system. This specific feature of the symptomatology is explained by the fact that urates irritate the central nervous system, provoking the excitation and increase in its activity. In this case, diathesis is accompanied by constant processes of overexcitation of the central nervous system. In a child under the age of one year, this is manifested by frequent incessant cries, the kid constantly asks for his parents. Poorly sleeping or not sleeping at all in the absence of parents.
The positive side of such manifestations is the acceleration of the child's mental development in comparison with peers, that is, he starts talking faster, reads early, has a good memory, shows curiosity and is actively interested in the surrounding world.
Negative side of urine acid diathesis in the child is considered a strong emotional mobility, which can sometimes take some features of the symptoms of neuroses. The child does not sleep well, is unnecessarily anxious, besides it can develop incontinence or night terrors. Children with this diathesis slowly gain weight, and they have a persistent decrease in appetite.
In addition to CNS with urine acid diathesis, joints and kidneys can be affected. An increase in the concentration of uric acid salts provokes an increase in their excretion by the kidney canals, which causes an increase in the urate concentration in the urine and the formation of crystals.
Uric acid salts damage the joints. Children in the tissues of the joints do not show stable morphological changes, and diathesis is manifested by pains in the joints, to which children complain at night. Somewhat less often with urine acid diathesis, there are signs of involvement in the pathological process of the respiratory system, digestive system or manifestations of allergic dermatitis.
To laboratory manifestations of urine acid diathesis of the kidneys can be attributed a high concentration of urate in the urine, a tendency to acidosis and an increase in blood concentrations of ketone bodies and acetone. Such violations of metabolic processes are considered very dangerous, because against the background of malnutrition, intense mental and physical exertion in children, acetonemic vomiting may begin.
Acetoneemic vomiting is characterized by a high intensity and is able to quickly cause dehydration of the body and a disturbance of the water-electrolyte balance, and in advanced cases vomiting is supplemented with convulsions and the development of meningeal symptoms.
This is important!
Urinary diathesis of kidneys in adults can cause gout, which develops as a result of a decrease in the volume of kidney secreted uric acid, which turns into urate and accumulates in the tissues of the body. Most gout is diagnosed in people in adulthood, in men after forty years, and in women, usually after menopause.
To risk factors for the appearance of gout should be attributed:
- Incorrect food.
- Consumption of fish, meat, peas, cocoa, alcoholic beverages in large quantities.
- Conducting chemotherapy.
- Autoimmune pathologies.
- Kidney failure.
Not always listed factors provoke the appearance of gout, but they significantly increase the risk of developing this disease.
Treatment of
disease There is no drug therapy for the treatment of urinary renal diathesis, except for symptomatic treatment. In this case, the doctor appoints the patient some recommendations related to a change in lifestyle related to the diet. The patient needs to follow a special diet.
Treatment of urine acid renal diathesis is based on proper nutrition. Uric acid is a product from the disintegration of purines. In accordance with this, limiting the consumption of purines entering the human body with food, it turns out to stop the progression of the disease.
Purines are a part of products of animal origin - meat, fish, poultry, therefore it is recommended to consume them in limited quantities and only in boiled form not more than twice a week. In dairy products purines are not contained, so they are allowed to consume in unlimited quantities. There are few purines in the eggs, so they are also allowed to eat.
To prevent protein deficiency in the human body, it needs to be consumed, but in a limited amount, cheese, eggs, cottage cheese, and calcium medicines. The consumption of nuts and oils is also acceptable. And the caloric content of the diet should correspond to the age group and the amount of physical exertion on the body.
To prevent gout attacks, the drug colchicine is used, which affects the metabolism and can soon alleviate the condition of the patient. But it is important to remember that colchicine is capable of producing a large number of side effects and has many contraindications.
For the treatment of urolithic pathology, several methods are implemented, namely:
- Lithoextraction - removal of stones by surgical intervention.
- Lithotripsy is the crushing of stones by means of a laser or ultrasound, and the formed fragments are excreted together with the urine.
- Litholysis - the process of dissolution of stones with the help of medications.