Treatments for hydronephrosis 20, Treatments for hydronephrosis

No matter what kind of hydronephrosis patients receive, on the basis of the elimination of hydronephrosis, it is necessary to remove obstruction, improve kidney function, relieve symptoms, eliminate infection, and repair its normal anatomy as much as possible.

How to hydronephrosis**.

1.Guard**.

1) Hydronephrosis is mild, the disease progresses slowly, and the renal function has reached a balanced and stable state can be observed, but the progress of hydronephrosis should be checked regularly.

2) Obstruction that can be relieved spontaneously, such as physiological hydronephrosis in pregnant women.

2) Principles of Surgery**:

If there is severe hydronephrosis resulting in total loss of renal function on the affected side or severe infection of empyema, but the contralateral kidney is functioning well, nephrectomy may be performed.

If the kidney function of the affected side is very poor due to hydronephrosis, and the function of the opposite kidney is poor due to other diseases, or even uremia, the hydronephrosis should be performed first, and the renal function should be restored before further treatment of the obstruction.

Bilateral hydronephrosis, care should be taken to rule out the cause of lower urinary tract obstruction. Generally, the side in good condition is first, and then the side with serious condition is dealt with after the situation improves. A nephrostomy is usually done first.

Hydraucalyceae and infundibular obstruction are mostly caused by stones, and surgery is generally not necessary if there are no clinical symptoms.

Hydronephrosis diet.

1. In the daily diet of hydronephrosis, pay attention to eating less or no salty and high-protein things. For example, salty eggs, potatoes, soybeans, etc., can be eaten appropriately white radish and honey and other foods that are conducive to dredging waterways.

2. Do not eat fried, pickled foods, cola, hamburgers, milk, sugar, nuts, beans, meat dishes, etc. Drink plenty of water (this must be done, provided that there is no edema, and after edema, the urine output is changed to 80%), and you can eat rice and whole grains. However, the dishes should be based on green vegetables, with green vegetables in the meal, supplemented by other vegetables.

3. The daily diet of hydronephrosis increases energy intake, but in order to avoid increasing the burden on the kidneys with hydronephrosis, it is not advisable to eat too much protein-rich food. Energy intake is mainly based on carbohydrates and fatty foods. If there is unilateral hydronephrosis, it is not necessary to limit the amount of water intake, and if there is bilateral hydronephrosis and renal dysfunction, the daily water intake should be limited.

The Nephrology Expert Consultation Center of the General Hospital of the General Staff of the People's Liberation Army (309 Hospital) has achieved good results in kidney disease by adopting the "integration of traditional Chinese and Western medicine", which is suitable for acute glomerulonephritis, chronic glomerulonephritis, IgA nephropathy, nephrotic syndrome, diabetic nephropathy, hypertensive nephropathy, lupus nephritis, purpura nephritis, hepatitis B-related nephritis, acute and chronic pyelonephritis, occult nephritis, interstitial nephritis, drug-induced kidney damage, acute or chronic renal failure, etc.

**When hydronephrosis, it is necessary to consider the patient's age and all aspects of the body. For the treatment of hydronephrosis caused by urinary tract obstruction, it is necessary to take the best method of surgery, dredge the obstructed part or remove a section of ureteral stricture, and then reconnect it to keep the ureter open, which can improve the condition of hydronephrosis. Hydronephrosis should be considered according to its acute onset, whether there is infection and the degree of renal damage, combined with the patient's age and cardiopulmonary function.

If the condition of hydronephrosis is severe, and the function of the kidneys cannot be restored by simply draining the hydronephrosis, nephrectomy** may be considered. If hydronephrosis is severe, the remaining renal parenchyma is too small, or if there is a severe infection (pyometra), the diseased kidney can be removed if the contralateral kidney is functioning well. The method of surgery depends on the nature of the procedure, for example, pyeloplasty can be performed for congenital ureteroperope junction stenosis, and lithotripsy or lithotomy can be performed for kidney and ureteral stones, which can be performed endoscopically in recent years.

Fluid accumulation and kidney function will improve after surgery. Now, the latest method of hydronephrosis is biological cell transplantation, which has successfully affected nearly 10,000 patients.

Ureteral strictures cannot be administered with medication.

Surgery is still needed to place a catheter or remove part of the ureter.

The urinary system is a continuous system of ducts starting from the kidneys to the urethral meatus. The passage of urine depends on the patency of the urinary tract and the normal function of urination. Narrowing or blockage of the duct in any part of the urinary tract and the normal function of the nerve and muscular, the passage of urine can be impaired, resulting in urinary flow obstruction, and the pressure gradually increases due to poor urine discharge in the obstruction above the site, and the lumen expands, which eventually leads to renal hydrops, dilation, thinning of the renal parenchyma, decreased renal function, and if bilateral obstruction, the consequences of uremia are serious.

There are many causes of urinary flow obstruction, which can be congenital, such as narrowing of the kidney, ureteral junction, urethral valves, horseshoe kidneys, etc., acquired diseases such as stones, tumors, prostatic hyperplasia, bladder neck contracture, etc. It can also be caused by the compression of fibrous bands or masses outside the urinary tract, such as retroperitoneal fibrosis, lymphoma, etc. It can also be a neuromuscular disorder of the urinary tract, such as megaureterosis.

Obstruction is divided into acute and chronic, with acute obstruction causing a complete loss of kidney function in a short period of time, while hydronephrosis is not obvious. Chronic obstruction can cause hydronephrosis to be greater than 1000 ml. Once hydronephrosis is complicated by infection, if the obstruction is not relieved in time, the infection is difficult, and the infection accelerates the destruction of the kidneys, forming a vicious circle, and even forming a purulent kidney.

Hydronephrosis** Principle:

1.Removal of ** and removal of obstruction. 2.

If the condition is too poor or complicated, percutaneous nephrostomy can be used to drain the kidney. 3.In severe cases of hydronephrosis or empyema, nephrectomy is indicated if the contralateral kidney is functioning well.

4.If it cannot be surgically removed, a double "T" tube or stent tube will be placed. 5.

The main purpose of medication is to prevent and control infection before and after surgery. Whenever possible, drugs that do not harm kidney function or have little damage are used.

Therefore, the methods of hydronephrosis are different for different reasons, and I don't know how you found hydronephrosis, which means that you must first clarify the method before you can choose the appropriate method.

In general, the symptoms of hydronephrosis are some soreness in the kidneys, and severe hydronephrosis can cause stones, nephritis, kidney cysts, etc

Prolonged hydronephrosis can seriously affect the function of the kidneys, and when the kidney function is less than 20%, it can trigger uremia ......It is recommended to do B-ultrasound, as well as photography, to find out the specific cause of hydronephrosis in order to prescribe the right medicine.

The function of the affected kidney should be carefully evaluated to see what is causing it and what methods are needed to deal with it. You'd better bring ** and other inspection materials to see.

Every Wednesday morning special needs outpatient clinic (the treatment and ** locations are on the 12th floor of the outpatient and emergency building, and you can contact the special needs outpatient department if you need to see a doctor at other times), and every Wednesday afternoon expert outpatient clinic.

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The presence of hydronephrosis should be determined first, followed by the presence of hydronephrosis, the location and extent of the lesion, the presence of infection, and renal impairment. The possibility of hydronephrosis should be noted in the differential diagnosis of an abdominal mass.

What should I pay attention to when hydronephrosis? Comprehensively understand and ensure the physical condition.

See what causes it and what methods are needed to deal with it. You'd better bring ** and other inspection materials to see.

What is needed to deal with it. You'd better bring ** and other inspection materials to see.

The discharge of urine from the renal pelvis is blocked, and after accumulation, the intrarenal pressure increases, and the renal pelvis dilates and causes the renal parenchyma to atrophy and decrease function, resulting in hydronephrosis, which is called massive hydronephrosis when the volume of hydronephrosis exceeds 1000 ml or the total amount of urine in children exceeds 24 hours. There are many causes of hydronephrosis, and the specific plan should be formulated according to different causes. Nowadays, most people do not pay attention to rest, resulting in frequent problems with their kidneys, hydronephrosis is a relatively common type of kidney disease, common causes of hydronephrosis are ureteral stone obstruction, inflammatory hydronephrosis and prostatic hyperplasia.

Different causes of hydronephrosis need to be formulated differently, so let's talk about how to prevent hydronephrosis in detail.

1. Hydronephrosis caused by stones can be treated with a lithotripsy** or surgery. If your hydronephrosis is caused by a stone and the stone is not too big, then you can take a lithotripter**, which has little risk and quick recovery, but only for small stones. If you are caused by relatively large stones, then it is best to have surgery**, so as to completely remove the stones in the body and achieve the effect of ** as soon as possible**.

The specific ** plan can only be determined after a detailed discussion with the doctor in the hospital.

2. Hydronephrosis caused by inflammation can be carried out by taking cephalosporins**. If you go to the hospital for testing and determine that hydronephrosis is caused by inflammation, then taking cephalosporins can solve hydronephrosis, and in severe cases, it can also be supplemented with other drugs**, which should be implemented according to the doctor's instructions, and the hydronephrosis will be solved after the inflammation is generally good.

3. If you want to prevent kidney diseases such as hydronephrosis, you should pay attention to your daily diet and rest. Our regular rest and reasonable diet play a very important role in the prevention of kidney disease, irregular work and rest and indiscriminate eating and drinking will lead to an increased risk of kidney disease.

Patients tend to be asymptomatic for long periods of time and are not noticed until they develop an abdominal mass and a feeling of distension in the lower back. Masses are mostly found inadvertently, and there are usually cysts**. The pain is generally mild or even complete**.

However, in cases of intermittent hydronephrosis (due to ectopic vascular compression or renal prolapse), renal colic may occur, with severe pain that radiates along the costal margin and ureters. It is often accompanied by nausea, vomiting, bloating, and oligouria. It usually resolves within a short time or hours, followed by the passage of a large amount of urine.

On examination, the enlarged kidney may be palpable. In the case of massive hydronephrosis, the tension is not very large.

Hydronephrosis is complicated by infection, with pyuria and systemic toxicity such as chills, fever, headache, and gastrointestinal disturbances. Some patients have urinary tract infection as the first symptom, and patients who do not have a good effect on urinary tract infection** must pay attention to the existence of obstructive factors. In severe obstruction, inflammatory exudate is not excreted in the urine, and there are no white blood cells in the urine, but in this case the local pain and tenderness are more pronounced.

Enlarged hydronephrosis is more susceptible to trauma, and minor injuries can cause rupture and bleeding. Urine flow into the retroperitoneal space or peritoneal space causes severe reactions, including pain, tenderness, and systemic symptoms.

Surgery for hydronephrosis in adults** should be done early. Rational application of plastic surgery to correct the abnormality of the renal pelveropelvic junction and strive for greater recovery of renal function. If hydronephrosis is severe and the renal function is very seriously damaged, nephrectomy can be performed.

The principle of surgery is that the obstruction is mild, and when the dilation of the renal pelvis and calyces is severe, simple orthopedic surgery is performed; If the dilation is obvious, the narrow segment of the lesion and the over-dilated renal pelvis should be excised, and then anastomosis; In more severe cases, nephrectomy is performed. The success rate of surgery varies from one company to another, depending on the degree of renal pelvis and calyceal dilation, the functional status of the kidney, and whether the surgical method is reasonable, generally in 80% to 90%.

Be more cautious with hydronephrosis** and do everything possible to preserve the kidneys. There are generally several situations: Severe water accumulation on one side, light on the other:

It can be ** severe side first. In this way, there is no concern about renal insufficiency during surgery, and a successful operation can be used to increase the safety of contralateral surgery. On the milder side, the indications for surgery should be carefully determined, and their development can be closely observed if necessary.

Severe water accumulation on both sides: can be staged**, but it is still better to treat the heavier side first. The accumulation of water on both sides is light, and it should be carefully analyzed to determine the indications for surgery.

If renal drainage is required before the obstruction is relieved (if there is severe infection or bilateral lesions that have renal failure), a renal puncture and renal drain can be placed. At present, percutaneous puncture and drainage tube placement can replace the nephrostomy method of open surgery.

For ureters that need to be drained for a long time due to serious surrounding lesions (eg, cervical cancer, colon cancer), percutaneous puncture can be inserted into a double "J" catheter (or double pigtail catheter). The catheter is a silicone product, which is inserted antegrade into the ureter through the renal pelvis and enters the bladder through the ureteral obstruction. In this way, the urine of the renal pelvis can enter the bladder through the catheter and be discharged on its own, eliminating the inconvenience of carrying a nephrostomy tube and urinary reservoir.

The catheter acts as an internal drain, which is a suitable method for patients with advanced cancer or other dying diseases.

The first way to achieve kidney function is to surgically cut the kidneys and release excess water, which is difficult to achieve. However, the specific hydronephrosis ** should be customized according to the specific situation** program, can not be generalized, in principle, it is necessary to preserve the function of the kidney, to avoid further loss of kidney function, but for the severe hydronephrosis non-functional kidney is still recommended kidney resection.

Sichuan Stone Disease Hospital-Department of Urology-Deputy Chief Physician-Yi Chengran-How to treat hydronephrosis?

You can take traditional Chinese medicine**, and Beijing can be dusty.

?The damage caused by hydronephrosis to the patient's life is very great, and the patient needs to pay more attention to it as soon as possible, so how to ** hydronephrosis? The following authoritative experts will help you answer, I hope it will be helpful to patients.

1. The best method of hydronephrosis, local treatment: local treatment can be used to solve the obstruction site, such as adhesion separation, fibrous cable severance, vascular displacement and anastomosis, stone removal, etc. When the local development of the ureter has been severely impaired due to excessive local compression, this ureteral excision should be re-anastomosis.

2. Drainage: For patients with severe obstruction and severe hydrops in the kidneys, ostomy drainage is required to relieve the patient's discomfort. 3. How to ** hydronephrosis?

Plastic surgery: The main point of plastic surgery is very important: keep the pelveropelvic anastomosis at the lowest point of the renal pelvis.

The ureteral anastomosis of the renal pelvis should be funnel-shaped. Surrounding fibers, adhesions, and scar tissue should be removed during repair, but the blood supply should not be damaged. The excess renal pelvis wall is removed to maintain a certain amount of renal pelvis tension.

If hydronephrosis is too large, the thinner renal cortex can be folded inward and fixed to reduce the volume within the kidney. To reduce urine leakage from the anastomosis, a double pig tail catheter can be placed. In order to avoid the formation of perianastomotic scar fibrosis due to urinary leakage and hemolytic stagnation, a negative pressure suction tube can be placed outside the anastomosis for adequate drainage.

There are many ways to perform plastic surgery, but from the perspective of pathology, it is believed that it is better to resect the disease section and re-anastomize. Regarding the first method of hydronephrosis, the above experts have helped you to introduce, I hope it will be helpful to patients, patients need to pay more attention, as soon as possible, our hospital has helped a lot of patients to stay away from the harm of the disease, and the reputation among patients is also very good.