What to do if your child has hydronephrosis

As parents, we should pay attention to children's hydronephrosis because these diseases have a great impact on children's health. If we want to treat them effectively, we must eliminate the causes and solve the problem fundamentally, especially for severe hydronephrosis. Sometimes it is necessary to consider surgical treatments, but before carrying out the treatment, we must consult a professional doctor.

1. Treatment methods

1. Remove the cause and relieve the obstruction.

2. If the condition is too bad or the cause is complicated, percutaneous nephrostomy can be performed to drain the kidney.

3. Severe hydronephrosis or pyonephrosis, nephrectomy is performed if the contralateral kidney function is good.

4. For those who cannot undergo surgical resection, double "T" tubes or stents should be placed.

5. The purpose of medication is mainly to prevent and control infection before and after surgery. Use drugs that have no or little damage to renal function as much as possible.

2. Pathological Causes

1. Ureteral obstruction: This is a common disease that causes hydronephrosis of the kidney. The reason is that a small section of the ureter becomes narrow and causes obstruction, which makes it difficult for urine in the kidney to flow to the bladder and stagnate in the kidney. Usually, hydronephrosis can be improved by simply removing a narrow section of the ureter and reconnecting it to keep the ureter open.

2. Urine reflux: Under normal circumstances, urine flows from the kidneys through the ureters to the bladder and then is excreted from the body; urine reflux is an abnormal phenomenon in which urine flows back from the bladder into the ureters and even flows back into the kidneys. At this time, the kidneys will have urine ready to flow into the bladder, as well as urine flowing back from the bladder. At this time, there will be too much water in the kidneys, causing hydronephrosis.

complication

Symptoms

Because urine reflux in children is a congenital disease, most patients have no symptoms and do not feel pain, but by the time symptoms appear, the kidneys may have been infected; and the age of infection ranges from a few months old to teenagers. However, kidney damage does not occur only when there is infection. Even if there is no infection, the kidneys may still be slowly damaged. Children's kidneys are not very mature. Each infection will destroy part of their kidney function, and the damaged kidney function will never recover. For example, this infection may destroy 10% and the next one may destroy 20%. By the time they grow up, they may only have 50% of the normal function left.