Pyeloectasia is an enlargement of the renal pelvis. The disease is usually found in newborns or in the fetus in prenatal development, that is, this disease has a congenital nature. Such a pathology occurs unilateral, when the pelvis of the right kidney is broken, and then the diagnosis of "right kidney pyeloectasia in a child" is made. When a neighboring pelvis is affected, pyeloectasia of the left kidney develops in the child. With the expansion of both paired organs, there is talk of bilateral pyeloectasia. By the way, in newborn boys, the disease occurs 3-4 times more often than in girls.
Kidney pyeloectasia: causes
The renal pelvis is a cavity in which urine pressure is collected in the kidneys. Then it enters the ureters and into the bladder. It happens that there is an obstacle in the way of the outflow of urine, and then the pressure rises in the kidney, and because of this, the pelvis widens. Thus, to pyelonectasia of the kidneys in newborns there are obstacles to outflow of urine, the cause of which can be:
- narrowing of the ureters or their blockage with stone, pus, swelling;
- increased pressure in the bladder;
- reverse urine incubation from the bladder, which often results in bilateral pyeloectasia in the child;
- urinary tract infections;
- general weakness of the premature baby, or neurological problems;
- the location of the pelvis beyond the kidney, which is rare, but normal.
In general, abnormal development of the urinary system is the result of a genetic factor or harmful effects on the mother and fetus.
Kidney pyelonectasia in children: symptoms
The disease usually proceeds asymptomatically. The baby only shows signs of a disease that caused the pyelonectasia of the kidneys.
Pyeloelectasia of kidneys in children: treatment
Quite often the disease is found in the fetus on ultrasound from the 16th week of pregnancy. With a mild degree of pyelonectasia, the woman will continue to explore until the very birth, and the baby after birth - every 3 months.
Treatment of the disease consists, first of all, in the elimination of the disease, which led to the expansion of pelvis. Most often, surgical intervention is prescribed to correct congenital obstructions for urinary outflow, stones are removed, a skeleton is introduced into the narrowed ureteral region. In some cases, recovery without surgery is possible, when the urinary system of the child will mature. Physiotherapeutic procedures and medications are prescribed, as well as periodic examinations of ultrasound.