How is terminal hydronephrosis of the kidney?
Not everyone knows that terminal hydronephrosis of the kidney is already the third stage of the disease( terminal) and is characterized, first of all, by the fact that they almost lose their functions or are completely "switched off".A healthy kidney ceases to cope with the needs of the human body, which leads to the fact that renal chronic failure begins to progress. This condition, in the absence of proper treatment, inevitably leads the patient to a fatal outcome.
How does terminal hydronephrosis of the kidney proceed?
The most stable sign of this disease is the constant pain of a dull, aching character, which is localized in the lower back. Painful sensations in hydronephrosis can disturb a patient regardless of the position of his body at any time of the day. Their localization on the left or right depends directly on which kidney is affected. Thus, the hydronephrosis transformation of a patient with a right kidney can manifest itself in the right abdominal region, as in cholecystitis or liver disease.
During a painful attack, sometimes there is:
- bloating;
- nausea;
- increased pressure( arterial);
- vomiting.
There may be a temperature increase, which, in turn, indicates that the disease has an infection support. But sometimes the only sign of the disease is the discharge of urine from the blood. Approximately twenty percent of patients reveal the so-called machematuria, and even more often - microhematuria. This symptom is characteristic in those cases of the disease, when its cause is urolithiasis: the walls of urinary tracts are traumatized by concrements.
In the last stage of the disease, especially in the presence of bilateral hydronephrosis, there are signs of renal chronic insufficiency:
- sharply decreases the amount of urine withdrawn from the body;
- appears edema;
- has anemia;
- arterial hypertension occurs.
Operation in terminal hydronephrosis of the kidney
In most cases, physicians perform organ-preserving operations. Their goal is to eliminate the cause of the disease and restore the kidney function. It is desirable to do the operation in the early stages of hydronephrosis, when the kidney changes are still reversible. But recovery is possible even with terminal hydronephrosis of the kidney. Surgical treatment is aimed at restoring the patency of the urinary tract, as well as on plastic pelvis and the subsequent restoration of its normal size.
The terminal stage of hydronephrosis can also be characterized by the growth of not the lower and middle segments, but only the lower segment. It is this segment at the terminal stage of the disease that is most affected by growth. And if you believe some testimonies of the studies, the most accurate assessment of all the results of surgical intervention can be given only 3 years after the operation. If a person for three years, there will not be any deterioration in general condition at all, it means that the treatment can already be considered successful and fully completed. During these 3 years, both the ureter and the pelvis manage to restore their functions and work capacity.
The same amount of time is required for the newly formed / formed pyeloureteral segment, in order to restore its former capacity for work. In the event that the patient was observed before the operation of hypertension, then after the surgical treatment, as well as through the use of certain pharmaceutical products, it is still possible to get rid of this condition. Even if during the terminal stage of hydronephrosis due to the operation it will not be possible to completely get rid of the current problem, significant changes will still be achieved.
This is important! Its features have hydronephrosis of the right kidney, since the treatment of the disease by surgery is associated with a risk of damaging the walls of the pancreas.
Doctors use nephrectomy only in neglected cases - if the kidney has completely lost its function, and its further preservation may turn into an inflammatory complication.
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