Nephroptosis

Nephroptosis

is a pathological condition, according to which the kidney has mobility, increased in relation to the norm. The female part of the population is slightly more vulnerable to nephroptosis.

Nephroptosis occurs in more cases on the right side. Nephroptosis can develop after severe weight loss, after pregnancy and childbirth.

The onset of development of nephroptosis is characterized by the presence of pulling and aching pains in the patient, which disappear in the position of the patient lying down, but as the disease develops, the pain intensifies and is often not eliminated in a horizontal position.

Nephroptosis is associated with increased mobility of the kidney.

If we talk about the norm, the kidney is capable of moving vertically by one to two centimeters. The state of nephroptosis is associated with a situation where the kidney is able to move from the lumbar region to the pelvis or abdomen. Sometimes, after the displacement, the kidney returns to its proper place, sometimes this does not happen.

Sharp weight loss is a factor in the development of nephroptosis.

This is indeed so. Nephroptosis can develop as a result of severe weight loss, for example, due to an infectious disease. However, a sharp weight loss is not the only factor in the development of nephroptosis, which also includes the following. Trauma in the abdomen and lumbar region can lead to damage to the ligaments, which provide localization of the kidney in a strictly established place. As a result of trauma, a near-hematoma can occur. The latter is able to “push out” the kidney with the place usually for her – nephroptosis develops. Pregnancy and childbirth can lead to the development of nephroptosis. This situation is due to the fact that the abdominal wall during pregnancy is weakened.

Nephroptosis is dangerous.

This is not quite true. In fact, the possible consequences of nephroptosis are more dangerous. However, one should understand what nephroptosis can lead to. The fact is that arteries and nerves are suitable for every kidney of the human body. The ureter leaves the kidney. All the vessels of the kidney are wide and short, so as a result of changes in the position of the kidney – its displacement – these vessels narrow and stretch. The processes of constriction and stretching of the vessels lead to a deterioration of the blood supply to the kidney tissue, and may also contribute to the kink of the ureter. The latter leads to a delay in urine in the kidney, that is, the normal outflow of urine is disrupted, which often leads to inflammation of the renal tissue, i.e., pyelonephritis.

The onset of development of nephroptosis is characterized by aching pain.

Aching and pulling pains are localized in the lumbar region. They are associated with a permanent displacement of the kidney: for the onset of the disease, it is common to move the kidney from a normal place four to six centimeters down when the person is in an upright position. As soon as the patient is in a horizontal position, the kidney returns to the usual place.

It should be noted that the patient with nephroptosis at the initial stage of the disease is concerned with pain (which are pulling and aching) only when it is in an upright position, that is, it stands; when the patient lies down (and the kidney returns to the lumbar region), the pain passes.

The development of nephroptosis is associated with an increasingly large displacement of the kidney.

The displaced kidney can even be felt in the navel area if the patient has a lean physique. When a person is in a horizontal position, the kidney is not always able to return to the lumbar region. Perhaps its return by the efforts of the patient (by hand). Pain in the progression of nephroptosis is intensified (especially if a person gives the body physical exertion, pain can be localized throughout the abdomen, they disappear if the patient, while in a horizontal position, returns the kidney to the lumbar region.

The kidney during nephroptosis can move even into a small pelvis .

If the disease reaches the kidney displacement in the small pelvis, the patient no longer has the possibility of returning the kidney to the lumbar region. This stage of nephroptosis is characterized by an even greater increase in the pains that the patient has constantly (of varying intensity) – the pain does not recede in the position of the patient lying down. Pain is given back and sharply increased with physical exertion, as a result of which blood may appear in the patient’s urine. This stage of nephroptosis in most cases leads to the development of complications, such as pyelonephritis, nephrogenic arterial hypertension, hydronephrosis.

Nephroptosis is an easily diagnosed disease.

After examination of the patient and familiarization with his complaints, the specialist directs the patient to make an analysis of urine and blood, as well as ultrasound examination of the abdominal cavity organs. Intravenous urography is often used. Based on the data of these studies, the doctor confirms the diagnosis of nephroptosis.

Nephroptosis is treated conservatively.

Only in cases of early stages of nephroptosis, when this disease has not yet led to the development of complications. Conservative methods include the use of a special bandage worn by patients from morning till night, performing a special complex of physical exercises for patients. The purpose of these exercises is to strengthen the abdominal muscles. If the factor of development of nephroptosis is a sharp weight loss to the patient, then a sufficient amount of food is required. The latter is aimed at ensuring that the patient can achieve the same weight.

Nephroptosis is treated surgically.

This treatment is necessary in the case of late stages of the disease. The kidney in these cases is localized in the small pelvis. She can not return to the lumbar region on her own. In this case, the patient is shown an operation – nephropexy. The essence of nephropexy is as follows: the kidney returns to its usual place and is strengthened there.

To the very operation of the patient, the nephroptosis is prepared for approximately fourteen days. This training in particular includes a course of anti-inflammatory treatment. Its goal is to prevent a possible risk of infection during the operation.

Preoperative preparation also includes the following measures: a few days before the scheduled operation (usually two to three days) the patient is treated with nephroptosis in a horizontal position with the leg of the bed raised at twenty centimeters – in fact, with the legs raised, the patient will be in the first days after the operation.

The postoperative period in the case of nephropexy is associated with the requirement to comply with bed rest for two weeks (the first few days in the position with the raised foot of the bed). The length of compliance with bed rest is due to the need to fix the kidney in her bed.

Surgical treatment of this disease is also necessary if the following complications of nephroptosis develop. This disturbance of the patient’s vital activity due to intense permanent pain, development of chronic pyelonephritis in the patient, detection of blood in the urine, the presence of persistent arterial hypertension, and a sharp decrease in the functionality of the kidney that has moved downward.

Nephroptosis can be prevented.

First of all, this applies to women who were recently pregnant. They really need to pay close attention to their health. It is recommended to perform light physical exercises. Especially these exercises should be aimed at strengthening the muscles of the abdominal press.

Affects everyone: if suddenly after a sudden weight loss or abdominal trauma (this may be a stroke) there are pulling pains in the lumbar region in the upright position of the body, which have the ability to miraculously disappear in the horizontal position of the body, then their disappearance should not be regarded as a miracle .It is necessary to address in this case to the urologist, in order to prevent the development of nephroptosis at its early stage. After all, we are responsible for our health.

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