The kidney pelvis is enlarged in the child

Such a violation, when a kid has a dilated kidney (pyeloectasia), often causes panic in moms. Let's consider this disease in more detail and tell you about the reasons for its development and the main areas of therapy.

Because of what develops pyeloectasia?

The main reasons for the fact that the baby has an enlarged pelvis is:

• the effect of toxic compounds and harmful substances on the woman's body in the situation;
• genetic predisposition to disruption;
• narrowing of the ureters, because of which the urine does not completely leave the kidney, but accumulates inside the organ, increasing it in size;
• vesicoureteral reflux (disruption of the valve, which normally does not produce a reverse urine flow from the bladder to the renal pelvis);
• megourater - expansion of the canal located in the ureter itself;
• increased pressure in the bladder.

How is the enlarged kidney in the child diagnosed?

The establishment of this disorder occurs most often with ultrasound during pregnancy, at 16-18 weeks. If this parameter exceeds the permissible parameters, the doctor at each subsequent ultrasound carries out the monitoring of this body.

For more detailed diagnosis of the disorder, children born already have cystography, intravenous urography, a general blood and urine test.

How is this disorder treated in children?

Treatment of pyelonectasia in children is carried out taking into account the severity, severity of the disorder. Regardless of whether the pelvis of the left or right kidney is enlarged (enlarged) in the child, or both, 3 degrees of impairment are distinguished.

So when the first baby is only observed, spend a monthly laboratory monitoring of urinalysis, ultrasound.

At the second, a complex urological examination is carried out with the establishment of the causes of the disorder. At this stage, there is a high probability of infection, therefore, the actions of doctors are aimed at preventing it through continuous monitoring and the appointment of diuretics in a small dose (Aldakton, Urakton, Spironolactone).

At the third degree, when the disease is complicated by pyelonephritis, the tactics of therapy depend on the extent of the lesion. The basis of treatment are antibacterial drugs (Zinatsef, Ketotsef, Klaforan), uroantiseptics (Nevigramon, Palin).