Nephrosis of the kidney - what is it? In modern medicine, this term is used to refer to degenerative changes in the kidneys. With this disease, the renal tubules are primarily affected. As a result, the paired organs cease to perform their main function, which is to derive the decay products of vital activity.
Such a disease can be acute and chronic. Acute diseases include necrotic and febrile nephrosis. With regard to chronic lesions, it includes lipoid, as well as lipid-amyloid nephrosis.
The disease under consideration is dangerous because it causes irreversible changes in the human body. However, his timely treatment can lead to the full recovery of the patient and restore the quality of his life.
The Institute of Urology, where the treatment of such pathology is carried out, made observations, as a result of which it was found out that renal nephrosis occurs not only in the elderly and people of mature age, but also in children 2-7 years old. Also, this disease can develop during adolescence and after a difficult birth.
The main reasons for the development
Nephrosis of the kidney - what is it? According to specialists, this is a multifactorial disease. The most common causes of its development are the following:
- getting serious injuries, including kidney contusion,
- intestinal obstruction
- poisoning the body with such heavy metals as chromium, lead, mercury, etc.,
- extensive burns on the body,
- infectious diseases in the form of dysentery, cholera, diphtheria, malaria,
- blood incompatibility after its transfusion,
- chemical intoxication with methyl alcohol, brake fluid, antifreeze,
- compression compression of internal tissues.
Another name for the disease
Kidney damage, in which they dystophic change, is sometimes called a toxic-infectious kidney. This term more fully reflects the causal essence of the disease. It is formed against the background of intoxication and various kinds of poisoning. In most patients, this pathology develops after ethylene glycol poisoning.
It should also be noted that intoxication with sulfa drugs was widespread 15-25 years ago when they were actively used to treat sexually transmitted infections, including syphilis and gonorrhea. However, some microorganisms are capable of causing such damage on their own. These include cholera, plague, malaria, diphtheria.
In some women, the cause of this disease is aseptic necrosis, which occurs after childbirth.
We can not say about the genetic predisposition of man. If both parents had a primary nephrotic syndrome, then it is highly likely that this disease will also appear in their children.
This form of the disease is the rarest. It is characterized by dystrophic lesions of the tubules of the kidneys. Most often, this disease is acquired. It usually occurs on the background of the development of any infectious process.
The main reason for the occurrence of such a lesion is a sharp disruption of fat and protein metabolism, which cause changes in the permeability of the capillaries of the glomeruli. Getting through the walls of blood vessels, blood protein molecules poison the tissues of the renal tubules, thereby causing serious changes in them.
Many experts claim that lipoid nephrosis occurs as a result of autoimmune processes occurring in the human body.
What is this form of the disease? According to the doctors, this is an acute toxic infectious disease. With such a pathology, the damage to the organ occurs against the background of a malfunction and blood supply with a further die-off of the tubules. This causes the development of acute failure, a decrease in the amount of urine, up to its complete disappearance, as well as a violation of the filtration of the liquid.
This disorder is observed along with acute impaired blood flow in the kidneys. When reverse absorption of fluid in the lumen of the tubules increases the number of toxic substances. Thus, the course of the disease is further complicated by damage to the renal tubules by harmful elements.
The symptoms of these pathological disorders depend on the effect of toxins on the cells and tissues of the kidneys. At the same time the syndrome of a shock kidney can develop.
The considered form of the disease develops against the background of amyloidosis, that is, a severe failure of protein metabolism, which is characterized by excessive accumulation of amyloid in the tissues.
Amyloid nephrosis can occur due to genetic disruptions in protein synthesis. Acquired defeat usually occurs due to disorders of protein metabolism with prolonged infectious diseases. Thus, the infection acts as a trigger for the production of modified proteins that cause the body's immune response. Proteins together with antibodies form amyloid. The latter accumulates in the internal organs, including the urinary system. At the same time, blood vessels are damaged in the kidneys and urine filtration is disturbed, which causes the development of amyloidosis.
This disease is a variant of necrotic nephrosis. The latter appears as a complication during the transfusion of inappropriate blood. This process contributes to the intravascular destruction of red blood cells. At the same time, shock and acute renal failure develop.
One type of this lesion is febrile nephrosis. This disease occurs with various infections, but it has no obvious manifestations. The only symptom of febrile nephrosis is an increased amount of protein in the urine. It does not require special treatment and disappears along with the infection.
How to treat?
Now you know what kidney nephrosis manifests. What it is, we also told above. An experienced doctor should tell you how to treat this disease.
Very often, the therapy of such a lesion is associated with some difficulties. It is determined by the form of the existing violation and the main symptoms.
The main focus in the treatment of renal nephrosis is:
- neutralization of the main cause of the disorder,
- reduction of edema
- normalization of the amount of proteins in the blood.
To achieve a positive therapeutic result, treatment is required, which will be aimed at eliminating the underlying cause of the disease. For example, for nephronecrosis, special attention should be paid to the removal of toxins from the body, as well as the fight against shock.
In the case of the lipoid form of the disease, it is very important to detect the focus of the existing infection. Only then should antimicrobial treatment be carried out, which will be aimed at neutralizing the causative agent of infection.
Therapy of amyloid lesions produced over a long period. Supportive treatment of this disease is the appointment of a strict diet. Nutrition of the patient should include a high content of vitamins.
In order to cure the disorder, which is in the acute stage, blood and plasma transfusions are performed. Also, diuretics are prescribed to patients and Albumin is prescribed.
Prevention and treatment of the disease
Kidney injury and other injuries very often cause the development of nephrosis. Therefore, you should be extremely careful during dangerous work and sports.
For the prevention of kidney diseases and diseases of the urinary system, experts recommend sticking to a salt-free diet, as well as limiting fluid intake. This will significantly reduce swelling. Diuretics such as Lasix, Novazurol and Novurit can be used for the same purpose. They contribute to the removal of salts and excess fluid.
In patients with lipoid disorder, positive changes are observed after the administration of immunosuppressants and corticosteroid drugs. This is due to the restoration of the structure of the glomeruli of the kidneys. The use of such drugs eliminates swelling and contributes to the onset of remission.
Nephrotic syndrome is known to be accompanied by a significant loss of protein. In this regard, the treatment of such a disease should be aimed at compensating for this loss. In acute conditions with severe edema, this effect is achieved by blood transfusion and diuretic administration. To restore protein reserves assigned a special diet. In the patient's diet should be present mainly protein products.
If the protein diet is contraindicated to the patient, then he is prescribed a high-calorie diet with the optimal amount of carbohydrates and fats. However, the amount of protein in food must be slightly greater than its loss with urine.
Thus, in the treatment of lesions of the interstitium of the kidney, there are several approaches. Powerful drug therapy during periods of exacerbation should reduce swelling and normalize the patient's condition. As for remission, in this case, a diet should be a supportive treatment, which consists of the following:
- reduced salt intake
- reduced fluid intake
- consuming enough protein
- consumption of adequate amounts of vitamins.
It should also be noted that in the case of the chronic form of the disease, the diet should not be adhered to constantly, and at certain intervals, so that no other complications arise.
Nephrosis treatment prognosis, surgery
How much is a kidney? This question can only answer experts. As a rule, they are given only to those people who develop serious pathology, causing a complete failure of the renal system. In this case, surgery is performed, during which the diseased organ is replaced with a donor organ. Unfortunately, the survival rate of the transplanted kidney in this case is not more than 75%.
According to doctors, the prognosis for recovery from nephrosis is uncertain. It depends on the specific clinical form of the disease. A timely and properly chosen treatment of necrotic nephrosis usually leads to the complete recovery of the patient. It should be noted that in the amyloid form of the disease, the prognosis of its therapy remains unfavorable.
In order not to be interested in how much a kidney costs, people with chronic types of nephrosis should regularly take a spa treatment. At the same time, it is only possible to talk about a person’s working ability during remission.
According to experts, any nephrosis of the kidneys requires immediate consultation with the doctor. Diagnosis of this disease poses no difficulty. But for his successful treatment, this is not enough.
Let's sum up
Due to the fundamental differences between the different forms of the pathology in question, it is very important to establish the true cause that caused the development of nephrosis. At the same time, it is equally important to choose the right treatment in time and prescribe it in time. A positive therapeutic result can be achieved only with an adequate approach and responsible fulfillment of all the requirements of the attending doctor.
Amyloid nephrosis or kidney amyloidosis
Amyloidosis of the kidneys develops against the background of a chronic disruption in protein metabolism and is characterized by deposition of amyloid complexes in tissues. Amyloid nephrosis is a consequence of amyloidosis.
In primary amyloidosis, the renal tubules suffer from genetic abnormalities during protein synthesis. In secondary amyloidosis, the kidneys lose the ability to function normally due to a failure in protein metabolism that occurs on the background of such infections as: osteomyelitis, tuberculosis, syphilis, actinomycosis.
Infection leads to the fact that protein synthesis is impaired, and they begin to be produced with certain disorders. The immune system with antibodies begins to attack these modified proteins. Proteins bind to antibodies and form amyloid. It begins to be deposited in various organs and tissues. With the accumulation of amyloid in the kidneys, the glomerular vessels suffer, filtration of urine is disturbed and nephrosis develops.
This type of nephrosis occurs due to the fact that a person was transferred blood that is incompatible with his group. As a result, red blood cells begin to break down inside the vessels, acute renal failure develops, which can lead to shock.
Separately, it should be noted nephrosis on the background of fever that accompanies any infectious disease. In this case, the patient does not feel the symptoms of nephrosis, and it can only be determined by urinalysis. It increases the amount of protein. As a rule, such nephrosis does not require specific therapy and passes on its own when the human body copes with the infection.
The main symptoms of renal nephrosis
The common symptoms of renal nephrosis are as follows:
The presence of dystrophic changes in the tubules of organs
Increase in permeability of vessels and capillaries of tubules,
Failure in metabolic processes against the background of enhanced output albumin from the body,
The drop in the level of protein in the blood by 3.5-5.5% with a drop in the oncotic pressure of blood plasma,
Since the oncotic pressure drops, the vessels can not fully prevent the penetration of fluid into the tissue and the patient swelling,
The volume of urine is reduced,
Urine becomes dark in color.
It is the darkening of the urine, and the reduction of its volume are early signs that can be suspected nephrosis of the kidneys.
Treatment of kidney nephrosis
Treatment of kidney nephrosis is a difficult task. Therapy should be based on the form of the disease.
Principles of treatment of necrosis:
Elimination of the cause of the disease.
Getting rid of edema.
Normalization of the amount of protein in the plasma.
For therapy to be successful, it is necessary to get rid of the cause that led to the development of nephrosis. To get rid of lipid nephrosis, it is necessary to determine what kind of infection provoked the development of the disease. Given this factor, antibacterial therapy is selected.
For the treatment of necrotic nephrosis, it is necessary to carry out detoxification therapy, as well as measures that will prevent the development of a shock state in a patient.
For the treatment of amyloid nephrosis, the patient is prescribed a special diet enriched in fruits, vegetables, vitamins and foods containing potassium. During the acute phase of the disease, the patient is transfused and diuretic and albumin preparations are prescribed.
To reduce the swelling that accompany any form of nephrosis, patients are advised to follow a diet with reduced salt and water. It is necessary to consume no more than 1–2 g of salt per day. In parallel, the patient is prescribed diuretic drugs. This may be Salirgan, Novazurol, Novurit, Lasix.
To reduce edema, you can use kidney tea, which has a pronounced diuretic effect. Patients with lipoid nephrosis are prescribed corticosteroids (Prednisone) in combination with immunosuppressants (Imuran). Conducting such therapy contributes to the normalization of the kidneys, reducing edema and achieving long-term remission.
Since all patients with renal nephrosis suffer from protein loss, it is necessary to restore its level. During an exacerbation of the disease, patients are prescribed blood transfusion, intravenous administration of albumin and diuretics.
In addition, a high protein diet is recommended for all patients. Emphasis is placed on eggs and meat dishes. The calculation of the daily dose of protein: 2-3 g / kg body weight.
Patients with glomerulonephritis, in which the protein diet is prohibited, increase the caloric content of dishes, enter into the menu foods rich in fats and carbohydrates. A patient should consume no less protein per day than lose it with urine.
Patients with any form of nephrosis are shown to have therapy that is designed to reduce swelling and bring the body to a normal state.
Upon reaching remission, the patient is prescribed a diet that is based on the following principles:
Limiting salt and fluid intake.
Increasing the content of protein products in the menu.
Receipt of vitamins from food.
If the disease has a chronic course, the dietary diet is not adhered to on an ongoing basis, but periodically.
Nephrosis of the kidneys is characterized by the development of a dystrophic process, as a result of which nephrotic syndrome, olirguria, and impaired filtration of the tubules occur.
In medicine, the disease is also called a toxic-infectious kidney. Pathology can develop both acutely and chronicly.
The resulting degenerative processes cause the thinning of the tissue of the tubules, which leads to the release of protein compounds of blood with urine.
Against the background of a decrease in renal volume, various symptoms are observed. Nephrosis of the kidneys is established most often in children and adolescents.
To the development of the dystrophic process lead poisoning with toxic substances. The reasons are also:
- burns affecting large areas of the skin,
- chronic infectious diseases
- autoimmune pathologies,
- congenital diseases, developing on the background of metabolic white substances,
- complications after transfusion associated with the wrong blood group
- inflammatory process that develops in the intestine, which leads to a violation of the patency of feces,
- the presence of cancer cells or metastases affecting the kidney tissue.
Of particular importance in the development of the disease is heredity. In the presence of pathology in parents, the risk of nephrosis in children increases significantly.
Types of disease
The disease is divided into several types, depending on the etiology of development. These include:
- Lipoid. It is diagnosed in rare cases. Pathology occurs as a result of damage to the organ tubules. This type is a consequence of syphilis, heavy metal poisoning malaria, dysentery, and tuberculosis.
- Necrotic. It is characterized by impaired blood circulation of the kidneys, which leads to the death of tissue cells. Among the main symptoms is anuria, there are signs of renal failure.
- Amyloid. The main cause of development becomes a chronic metabolic disorder of protein substances. It is the result of amyloidosis.
- Posttransfusion. The reason for the development becomes an incorrectly performed blood transfusion procedure, in which there is no coincidence of the groups. The result is the destruction of red blood cells, the development of acute renal failure.
The main objective is to alleviate the patient's condition.
The main symptoms of nephrosis of the kidney are swelling of the abdomen, lower limbs, a decrease in the volume of urine.
The color of the urine becomes dark. Regardless of the type of nephrosis of the kidneys, the disease proceeds in four stages, each of which is characterized by its own characteristics:
All types of nephrosis also have a certain duration of flow. Depending on the stage, a course of therapy is prescribed.
Also called albuminuric. Amyloid appears in the capillaries, pyramids and glomeruli of the organ. The development of atrophy and necrosis of the nephrons of the kidney is noted, stagnant processes are observed. The severity of symptoms depends on the activity and extent of the pathological process.
The duration of the stage is from 10 to 14 years and is the initial stage of the development of the necrotic process.
Amyloid penetrates the cortical and cerebral layers of the organ. Sclerotic changes in the stroma of the kidney are not established. The body grows in size.
Necrosis of tissues is observed in some areas. The amount of protein in the urine increases significantly, increases cholesterol in the blood, there is swelling of the abdomen and legs. The nephrotic stage can last for six years.
If nephrosis symptoms occur, consult a urologist. First of all, a specialist establishes patient complaints, conducts an external examination.
The doctor also studies the history and establishes the presence of the disease in the next of kin.
When diagnosing it is very important to distinguish nephrosis from nephritis. The first type of pathology manifests itself as a lesion of the organ canaliculi, leading to a dystrophic process.
In nephritis, the pathological process affects the glomeruli, as a result of which the inflammatory process develops.
To determine the cause and stage of development are assigned:
- Analysis of blood. Allows you to set the level of hemoglobin and the presence of inflammation.
- Analysis urine. Laboratory research helps to identify the density of urine, the number of proteins and white blood cells.
- Ultrasound. Conducted to visualize the body and establish the presence of stagnant processes.
- MRI. It is a modern and informative diagnostic method, which is assigned to determine the type, form and extent of the disease.
Based on the results, the doctor establishes an acute or chronic course of renal nephrosis, determines the type, and prescribes the necessary course of therapy.
When kidney nephrosis is the result of the development of another disease, therapy is carried out to treat the initial pathology.
In case of infection, antimicrobial and antibacterial drugs are prescribed.
Surgical intervention is indicated for purulent lesions. The operation is performed to remove pathological foci.
After the procedure, a complete rehabilitation and drainage.
But drugs of this group are strictly prohibited in the development of the amyloid form.
To slow down and stop dystrophic processes can be prescribed drugs with immunomodulatory effects.
In the early stages
At the initial stage of development of the disease is difficult to diagnose. But when establishing the presence of changes in the tissues of an organ, therapy is aimed at slowing them down and stopping the main cause.
In the case of the proteinouric and nephrotic form, treatment is carried out with the help of drugs of various groups. The patient is prescribed a certain diet.
In case of kidney failure, urgent surgical intervention is appointed, the purpose of which is to replace the organ. But the survival rate of the donor kidney is about 75%.
In case of nephrosis, when the acute stage is stopped, treatment can be carried out with the help of traditional medicine. The most popular recipes are:
- Rosehip tincture. A day should drink it less than 3 cups. Fruits are brewed in a thermos, pre-grinding them. In the finished decoction, you can add sugar or honey.
- Hypericum Tea. To improve the taste and healing qualities, you can add strawberries, lingonberries and currants. Drink daily for 2-3 months until the urine test returns to normal.
- Black radish. It is rubbed on a fine grater, juice is squeezed through gauze and mixed with honey. Consume two tablespoons at night and before meals.
Use of folk remedies should be only after consultation with the doctor and in combination with drugs.
When nephrosis is necessary to limit the amount of salt. In case of severe edema, it should be completely eliminated.
Meals should be cooked only steamed. When diagnosing nephrosis, experts recommend including a liver in the diet.
It is rich in proteins and antioxidants.
Lack of therapy for renal nephrosis, various complications can occur, resulting in impaired lung, brain, liver, and other organs.
With increased blood clotting increases the risk of blood clots in the deep veins of the lower extremities, which can affect the lungs, penetrating into them along with blood flow.
Prognosis and prevention
The prognosis of renal nephrosis depends on the form of the disease and the timeliness of therapy. An adverse outcome is established in the case of amyloid type development.
If symptoms of the disease appear, you should consult a doctor who will conduct a study and prescribe a course of therapy.
Kidney nephrosis is a serious disease that occurs for many reasons. A large role in the development of genetic predisposition plays. Special preventive measures do not exist and experts advise to follow general guidelines.
What is nephrosis and pyonephrosis
Nephrosis is a dystrophic change in the tissues of the kidney, which occur against the background of fat and protein metabolic disorders. A complication of this disease is the purulent fusion of an organ called pyonephrosis. This stage of the pathological process can be fatal. Nephrosis affects mostly the renal tubules, gradually encompassing other structures.
- lipoid - disturbances of cellular nutrition occur, capillaries become brittle, their wall becomes thinner. At the same time, protein and lipoid (fatty) particles accumulate in the urine, resulting in damage to the renal tubules, and, more precisely, their epithelial tissue. Often the cause of this form of the disease is the improper functioning of the immune system (when the defense cells attack their own tissues, taking them for alien),
- necrotic - is an acute impairment of the blood supply to the kidneys, resulting in the formation of persistent ischemia, leading to the death of tissues. Urine retention occurs, harmful substances accumulate in the body, causing intoxication,
- toxic - kidney damage occurs when exposed to toxic substances. These can be industrial chemicals or potent drugs that have a toxic effect.
- hydropic - occurs on the background of exhaustion, as well as tuberculosis and endocrine system diseases. Characterized by an increase in the size of the kidneys.
Nephrosis is one of the rarest diseases found in urological practice.
There are also primary and secondary forms of the disease. The latter arises against the background of any other pathologies. The primary form is a consequence of disorders of intrauterine development of the kidneys.
Changes in the kidney with nephrosis can be seen on the enlarged tubules
Causes and provoking factors
Causes of nephrosis:
- genetic predisposition
- intrauterine abnormalities,
- blood transfusion,
- work in hazardous conditions
- chronic diseases of the urinary organs,
- benign and malignant tumors,
- impaired blood supply to the kidneys due to low blood pressure,
- radiation exposure.
A provoking factor for nephrosis can be rejection of a transplanted kidney, while the paired organ is at risk. Pionephrosis occurs against the background of severe nephrosis, as well as pyelonephritis, its main cause is the addition of infection.
Symptoms of the disease
The main symptoms of nephrosis:
- increased puffiness
- reduction of urine volume while maintaining a normal drinking regimen,
- general unsatisfactory state of health and decreased performance,
- muscle and joint pain
- discomfort in the lower back.
Pionephrosis, as a complication of nephrosis, manifests as back pain, fever, chills, weakness and other symptoms of intoxication.
At the initial stage of development of the disease in children may be asymptomatic. The amount of urine and its color may gradually change. The child becomes restless, his appetite is getting worse. Babies do not sleep well, often waking up and showing anxiety. At the age of 5–7 years, the disease is characterized by a lack of activity, unwillingness to play, complaints of back pain.
Nephrosis is important to differentiate from pyelonephritis, glomerulonephritis and nephrocalcinosis. Diagnostic methods used:
- Analysis of urine. When nephrosis in urine accumulates a large amount of protein, which allows you to make a preliminary diagnosis. Urine rarely changes color, sometimes the number of leukocytes increases, but this is possible with pyonephrosis.
- Blood test. The ESR (erythrocyte sedimentation rate) and the number of lipoproteins can be used to judge the presence of nephrosis. Elevated rates are unfavorable and require ultrasound to confirm the disease.
- Ultrasound. It helps to determine the condition of the kidneys and abnormalities in their functioning. When nephrosis often increases in size the parenchyma of organs.
At a pyonephrosis in urine the increased amount of protein, erythrocytes and bacteria is found.
For nephrosis, the following groups of drugs are used for treatment:
- Diuretics - accelerate the excretion of urine and increase its volume. The most common treatment used is: Cystone, Canephron, etc. Such drugs should not be taken without a doctor's prescription, so as not to excrete potassium, calcium and sodium, which are so important for the human body, with the urine.
- Corticosteroids are steroid hormones that affect metabolism. Reduce the severity of symptoms, improve the condition of the kidneys by reducing edema. The most commonly prescribed prednisolone, hydrocortisone, etc.
- Anticoagulants - prevent blood clotting, preventing the formation of blood clots. The most frequently prescribed: Curantil, Aspirin, etc.
For the treatment of pyonephrosis, broad-spectrum antibiotics are always used to eliminate pathogenic bacteria. Most often these are such drugs as Furadonin, Furamag, Cefotaxime, and others.
Traditional methods of treatment
As an auxiliary method of treatment, you can use the following folk remedies:
- Tea, regulating the work of the kidneys. It will take equal amounts of lingonberry and strawberry leaves, as well as St. John's wort. 1 tbsp. l mix it is necessary to fill in 400 ml of boiling water and let it brew for half an hour. Then filter and take 150 ml 3 times a day 30 minutes before meals for two months.
- Anti Inflammatory Infusion. 1 tbsp. l bearberry must be poured 500 ml of boiling water. Let it brew for half an hour, filter and take 100 ml 3 times a day a quarter of an hour before meals. The course of treatment is 7–10 days.
- Decoction to improve the work of the kidneys. It will take 1 tbsp. l chopped aspen bark, which must be poured 400 ml of boiling water and cook on low heat for 5 minutes. Then let it brew for another half an hour and filter. Take 100 ml 4 times a day 15 minutes before meals for 10 days.
For the prevention of various diseases of the kidneys and for their purification, the author of these lines applies the melon pulp. This method stimulates the release of large amounts of urine. Natural and tasty remedy does not provoke excretion of potassium and calcium and promotes gentle cleansing of the kidneys. It is enough to choose 3 days during the summer season and consume 1 kg of watermelon pulp.
With nephrosis, it is important to reduce daily salt intake to 5 g. It is recommended to drink at least 2 liters of clean boiled water per day. It is necessary to exclude from the diet:
- fried and fat,
- fast food,
- semi-finished products
- carbonated drinks,
- cocoa and coffee,
The menu should be enriched:
- fiber: vegetables and fruits,
- dairy products: yogurt, cottage cheese and sour cream,
- dried fruits
- nuts and others.
Diet provides four meals. Food must be steamed, baked or boiled. Food should be eaten in small portions.
When nephrosis used the following types of physiotherapy:
- Magnetic therapy, which accelerates blood circulation in the problem area and tissue regeneration processes. This method is based on the influence of the electromagnetic field, which has a beneficial effect on the entire body.
- Ozokerite applications. Mountain wax impose a dense layer on the back. It has a therapeutic effect on the kidneys, contributes to the expansion of blood vessels and accelerate blood flow.
- Laser therapy This technique helps to improve the immune system and accelerate the healing of tissues. The laser beam of a certain pulse penetrates deep into the tissues, reaching the lesion.
When pyonephrosis physiotherapy methods are contraindicated, as they can provoke complications.
Surgical treatment is indicated in the case when the disease turns into a purulent form (pyonephrosis). This requires urgent intervention to prevent death. In most cases, an immediate kidney transplantation is shown, which is carried out with open access. A tissue incision is made in the back area. The doctor then accesses the kidney by applying special tools that hold the tissue. Immediately after the removal of the organ, a donor kidney transplant is performed.
Recovery after transplantation is long. It requires adherence to a strict diet and the admission of special medications that help the donor kidney not to reject when the human immune system is activated.
Treatment prognosis and consequences
With a timely approach to treatment, the prognosis is favorable. However, if nephrosis is started, the following dangerous consequences can be provoked:
- necrotic changes in the tissues of the body,
- renal failure
- organ loss
- kidney failure
- intoxication of the body.
In most cases, pionephrosis leads to irreversible effects in the kidney, therefore timely treatment of the pathology plays a crucial role.