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The most important cause of hydronephrosis is ureteropelval junction obstruction. Because urine accumulates in the kidneys, the pressure increases, causing the renal pelvis and calyces to enlarge and the renal parenchyma to shrink. When the kidney tissue dies due to infection and the renal pelvis is filled with pus, it is called pyometraphrosis or purulent kidney.
The most common symptom of hydronephrosis is pain. Most of the pain is in the lower back or lower abdomen, and depending on how quickly the obstruction occurs, it can manifest as severe cramping, bloating, or dull pain. For example, hydronephrosis caused by urinary stones often has more severe renal colic.
Hydronephrosis caused by urinary tract tumors tends to be a dull pain that occurs gradually, sometimes without any symptoms.
If the site of urinary obstruction is below the bladder, there can be difficulty in urination, such as prostatic hypertrophy is often manifested as labored urination, thin urine line, intermittent, post-urination dripping, increased nocturia and other symptoms, and can also appear urinary frequency, urgency, urinary retention, urinary incontinence, etc. In addition, due to the presence of urinary obstruction, urinary tract infections can occur repeatedly. Many patients present with recurrent urinary tract infections and are found to have hydronephrosis upon further examination.
If it is hydronephrosis with urinary stones, the patient can first ** stones.
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Hydronephrosis is a symptom and it is necessary to see what causes it, and if it is caused by stones, it is necessary to have a lithotripsy. There are many reasons for this.
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It should be considered according to its **, the onset of the disease, the presence or absence of infection and the degree of renal damage, combined with the patient's age and cardiopulmonary function.
1.Ideally, hydronephrosis is removed and the affected kidney is spared. If the obstruction has not caused a severe, irreversible lesion, good results can be obtained after removal.
The surgical method depends on the nature of the procedure, for example, pyeloplasty can be performed for congenital ureteroperope junction stenosis, and lithotripsy or stone removal can be performed for kidney and ureteral stones, which can be performed endoscopically in recent years. Hydronephrosis and kidney function will improve after surgery.
2.If the condition of nephrostomy is critical or hydronephrosis** cannot be removed, drainage should be performed above the obstruction, and surgery to remove ** should be performed after the infection is controlled. If the cause of obstruction cannot be relieved, nephrostomy is used as a permanent ** measure.
3.Nephrectomy can be performed when hydronephrosis is severe, the remaining renal parenchyma is too little, or when there is a severe infection (pyometra), and the diseased kidney can be removed if the contralateral kidney is functioning well.
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Mild hydronephrosis is mainly caused by stones in the kidneys, so it is mainly based on stones in the kidneys, which can be carried out with nephrolithiasis granules. To hydrate, urinate more, and exercise more. Kidney stones** require a certain course of treatment, and medication may not be able to completely eliminate stones, especially stones at the lower pole of the kidney.
Therefore, at the same time, it is necessary to actively prevent the growth of stones, and the growth of new stones.
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Mild hydronephrosis is caused by poor drainage downstream of the fluid accumulation, which can be due to stones, or malformations. For symptoms**, unblock the ureter, and the water will naturally disappear and there will be no more hydrops.
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It is best to identify the cause of hydronephrosis first, and then target**.
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Mild hydronephrosis refers to fluid accumulation in which urine is blocked from the renal pelvis, resulting in increased pressure in the kidneys, dilation of the renal pelvis calyceses, and atrophy of the renal parenchyma. If there is an infection in the retained urine, it is called sensible hydronephrosis. This cannot be solved by self-healing.
Although mild hydronephrosis cannot be healed on its own, because there are many causes of hydronephrosis, it must be the cause**.
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1.The method of hydronephrosis in traditional Chinese medicine is: warm yang and improve water, invigorate qi and spleen, and replenish kidney yang.
Because traditional Chinese medicine believes that this disease is mostly due to spleen and kidney deficiency, and water and dampness are not lucky; or due to sand and gravel obstruction, affecting water flow; or damp heat scorching yin, unfavorable vaporization, and poor waterways. In addition, different parts of water accumulation will have different clinical manifestations, but the reason for this is that the lack of yang qi can not warm the water, and the water and liquid stop gathering and cause yang deficiency qi loss, while yang deficiency qi damage cannot warm water drinking.
2. The method of hydronephrosis in Western medicine is: to remove the hydronephrosis and relieve the obstruction; For **complex patients, in mild hydronephrosis**, percutaneous nephrostomy can be used to drain the kidneys; Severe hydronephrosis or pyometra, nephrectomy if contralateral renal function is good; If it cannot be surgically removed, a double "T" tube or stent tube will be placed. For asymptomatic and non-infected patients with hydronephrosis, B-ultrasound, CT and intravenous pyelogram can be re-examined every 6 to 12 months, and surgery can be temporarily avoided if there is no progression.
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Hello, according to what you said, the symptoms generally include hematuria, difficulty urinating, pain in the lower back, etc., and severe cases include chills, fever, pyuria, chronic renal insufficiency, uremia and other symptoms
Stones at the lower end of the left ureter, left hydronephrosis is caused by stones blocked in the ureter for a long time, and after the stones are discharged, the water accumulation will naturally disappear. Under normal circumstances, such a large stone requires extracorporeal lithotripsy, which can be used to dissolve fossilized stones and promote stone expulsion. If multiple lithotripsies fail to drain the stone, surgery should be considered if necessary**, and the damage from extracorporeal lithotripsy is relatively small.
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