Renal pelvic separation in newborns is mainly caused by ureteral malformations or stones, which will lead to the inability to excrete urine normally and the enlargement of the renal pelvis, thus causing this disease. Renal pelvic separation is prone to occur in the fetal period. This situation requires surgical treatment, which is relatively harmful to the child. Generally speaking, timely treatment will not pose a threat to the child's life. Symptoms of renal pelvis separation in newborns Generally speaking, if the renal pelvis separation does not exceed 10mm, it is within the normal range. If the fetus is no larger than 16mm at birth, there will be no problem. If it continues to grow, regular check-ups and treatment should be considered. The following treatments can be used as reference: (1) Intrauterine treatment: Transuterine puncture and catheterization for decompression to treat hydronephrosis (2) Postnatal surgical treatment: pyeloplasty. 90% of renal pelvis separation occurs in baby boys. For some babies, this problem is solved by peeing when they are born, while for others, due to congenital urinary tract problems (poor urination, backlog in the kidneys), they need surgery to solve the problem. The symptoms are low amniotic fluid, renal pelvic separation <= 7mm for mild, and renal pelvic separation >= 10mm for severe. However, it is necessary to understand whether the fetal bladder is full. If the bladder is full, it is necessary to wait until the fetus urinates before rechecking. Does the renal pelvic separation gradually increase with the increase of gestational age? Understand whether fetal hydronephrosis develops progressively, the size of the kidneys, and whether the renal cortex becomes thinner. If there is thinning of the renal cortex, it may have a certain impact on the fetus. On the contrary, the impact may not be significant. It should be checked at birth. First, an ultrasound is performed, and if necessary, intravenous pyelography is performed to clarify the kidney function and the location of the obstruction. The operation is somewhat difficult, but it has no impact on the child's life. What to do if your baby has renal pelvis separation 1 For renal pelvic separation, it is mainly because the connection between the kidney and the ureter is not normal, which leads to this disease. Generally, the symptoms are taken. If the baby is still in the fetus, in the womb, the baby can use some uterine puncture to reduce the phenomenon of hydronephrosis, thereby reducing the occurrence of other complications. It can also be obtained when the fetus or the baby is relatively young, surgical treatment can be performed, so that the renal pelvis can be formed normally. 2 For those who have already had abnormal renal pelvis, if the baby is still in the uterus, we can correct the fetal position to promote the remaining normal development, thereby reducing the separation of the renal points. The mother can use the knee-chest position while the fetus is in the uterus to promote the remaining normal development. This posture is usually performed around 30 weeks of pregnancy, or around seven and a half months, to correct the fetal position and achieve the therapeutic effect. 3 Parents should not be too worried if their baby has renal pelvis separation. This disease can be cured. It can be cured through uterine treatment or surgical treatment. However, it must be treated as early as possible. The younger the fetus, the better the treatment. If the baby is found shortly after birth, it should be treated in time to prevent the fetus from suffering from hypoxia and ischemia in the womb, or abnormalities after birth. |
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