Right-sided nephroptosis

Nephroptosis of the right kidney (wandering or mobile kidney) is a pathology that is characterized by excessive mobility of one or both kidneys. Basically, they are strongly displaced to the bottom, approaching the abdomen, sometimes the pelvis.

It is interesting that in 4 out of 5 cases nephroptosis of the right kidney is diagnosed. It is this type of disease that will be discussed in this article.

You will learn not only nephroptosis on the right what it is, but study its classification, causes and symptoms, as well as methods of treating pathology.

Classification

The existing classification of nephroptosis is used by doctors from all over the world. It is based on the difference in kidney prolapse in one case or another. Nephroptosis of the kidney (mobile kidney) on the right conditionally has three stages of development. True, very often it is very difficult, almost impossible, to establish the level of pathological mobility of the kidneys. This situation is due to the specific constitution of the patient's body. Normal kidneys can only be palpated in thin people.

Nephroptosis 1 degree of the right kidney.This stage is characterized by the fact that as the disease progresses, the kidney is palpable only during inspiration. The fact is that on exhalation, it hides in the area of ​​\u200b\u200bthe right hypochondrium. At the initial stage of nephroptosis, it is very difficult to accurately establish the diagnosis. This is especially true in cases where a person has no problems with a lack of body weight.

Nephroptosis 2 degrees on the right. As practice shows, most often the prolapse of the kidney is diagnosed at this stage of the development of the disease. In this case, the kidney will come out of the hypochondrium only in those cases when the person is in an upright position. If you stand in a horizontal position, then the kidney instantly falls into place. In some cases, for this it needs to be corrected by hand.

With nephroptosis of the kidney (mobile kidney) on the right side of the III severe stage, the risk of developing complications and concomitant pathologies increases. The kidney comes out of the hypochondrium always, regardless of the position of the person.

What are the reasons for the development of right-sided nephroptosis?

The main causes of nephroptosis:

  • Pathology of the ligamentous apparatus of the kidney;
  • Low intra-abdominal pressure. As a rule, this condition occurs when the muscle tone of the anterior abdominal wall decreases. This can happen after multiple pregnancies;
  • Injuries in the abdomen or lower back. As a result, ligaments can be damaged and perirenal hemangiomas can form. In such a situation, the kidney can be forced out of place.
  • A sharp reduction in the thickness of the fat capsule. This occurs after a rapid and improper weight loss or after the transfer of an infectious disease.

These reasons conditionally affect the appearance of such a disease as nephroptosis (mobile kidney) on the right. Quite often, medicine cannot give clear explanations for the development of nephroptosis. In such situations, a person's genetic predisposition to this pathology is noted.

Nephroptosis: symptoms

Nephroptosis of the right kidney is characterized by discomfort in the right side. After a while, aching lingering pains appear, which can pass quite quickly. True, in a few years the disease will make itself felt, but more intensively and on an ongoing basis. Depending on the position of the body, such pain may either subside or intensify.

With the omission of the right kidney, diarrhea or constipation is often observed. Also, the patient may have cold sweat, and the skin changes its color to a pale pink color. Simultaneously with these symptoms, appetite disappears and the temperature rises.

The following additional signs are distinguished that a person has nephroptosis of the right kidney:

  • Cardiopalmus;
  • Apathy;
  • neurotic disorders;
  • Vertigo with attacks of nausea.

Remember, these signs are specific, they may not appear at the initial stages, so it is rather difficult to establish an accurate diagnosis. Accordingly, if you find yourself with several of these symptoms, you should immediately consult a doctor.

After that, the doctor will conduct all the necessary examinations that will help determine the cause of the deterioration.

The following examinations are carried out for nephroptosis:

  • Blood chemistry;
  • UAC and OAM;
  • radiography;
  • Ultrasound of the kidneys.

In some cases, the patient still needs to undergo an MRI or computed tomography.

Why is nephroptosis of the right kidney dangerous?

Due to the development of nephroptosis on the right, the normal outflow of urine is disturbed. As a result of this, intrarenal pressure rises, not to mention disruptions in blood supply. Be that as it may, this disease tends to be asymptomatic for a long time. This situation is associated with the special compensatory capabilities of the kidney. A person will think that everything is in order, but in fact, he develops a complex and dangerous disease.

During this period, hydronephrotic transformation may occur in the kidney. In addition, there is a risk of another dangerous complication of pyelonephritis, which provokes a violation of the normal outflow of urine from the structures of the kidney. Gradually, all the necessary conditions for the development of infection are created inside. After that, the patient with nephroptosis observe such symptoms as:

  • Increased fatigue;
  • Periodic fever;
  • Headache.

Pyelonephritis on the background of nephroptosis can sometimes be accompanied by renal colic. As a result, a pain syndrome appears, a person will not be able to cope with it without medical help. In this disease, aseptic inflammation of the perirenal tissue is often observed.

This disease leads to adhesions between the kidney capsule, adipose tissue and nearby organs. With the development of the disease, the mobility of the kidney decreases, so it is fixed in the wrong place.

Excessive kidney mobility provokes the development of such diseases as:

  • Arterial hypertension;
  • Urolithiasis disease;
  • Spontaneous miscarriages.

Treatment

Nephroptosis (mobile kidney) on the right is treated both conservatively and with the help of surgical intervention. In the early stages, the symptoms of nephroptosis are almost invisible, so conservative treatment methods are suitable. If we talk about the later stages, where there is a high risk of complications, you have to use a surgical method to solve the problem.

conservative therapy. This technique is based on therapeutic procedures and the wearing of a special dugout, which must be put on in the morning and worn until the evening. The dugout is put on on the exhale, while not getting out of bed. Currently, a wide selection of orthopedic belts, corsets and other items. True, you need to buy such a product only with the recommendation of a doctor.

Conservative methods include:

  • belly massage;
  • Therapeutic gymnastics;
  • Spa treatment.

In addition, a fairly effective method of combating the development of nephroptosis is gymnastic physical education, aimed at:

  • Strengthening the muscles of the back and abdominals;
  • Restoration of normal intra-abdominal pressure;
  • Restriction of the mobility of the kidney.

Surgery. In cases where conservative methods are powerless, doctors have no choice but to use the surgical method. The main task of such an operation is to continue fixing the kidney.

Only an experienced urologist can undertake such a complex operation. During the operation, the kidney must be fixed in the renal bed, which is located at the level of the lower back, which is the normal and natural placement of this organ.

The modern development of medicine makes it possible to perform such an operation using laparoscopy. Thanks to this, several punctures are made in the abdominal cavity, through which special cameras and instruments are inserted. This method will help to overcome such a disease as nephroptosis (mobile kidney) on the right. This operation, compared with the traditional method, has a number of advantages:

  • The risk of complications is minimized;
  • Rehabilitation of patients is easier;
  • The method is less traumatic;
  • There is practically no bleeding.

Remember, with nephroptosis, in no case should you self-medicate. Firstly, this method gives a minimal result, it is ineffective. Secondly, there is a huge risk of harming your health, which can lead to rather sad consequences.
That is why it is recommended to contact a qualified specialist immediately. It is also necessary to follow all his recommendations for treatment, otherwise it will not be possible to achieve a positive result.

Treatment with folk remedies

With the diagnosis of nephroptosis of the right kidney, treatment with folk remedies is usually not prohibited, especially since the methods we have selected are absolutely harmless.

If people like to drink herbal preparations, then they can brew horsetail, sage, St. John's wort, cloves or lemon balm and consume them regularly instead of tea.

A decoction for a bath is made from oats (namely its straw), and I take it every other day in the mornings and evenings, for about half an hour. To do this, a kilogram of grass is boiled in twenty liters of water for one hour, after which they are allowed to brew in a warm place.

A ball of wool (about the size of a fist) can be effective if you lie on it with your stomach for a long time. The main thing is that it is located exactly in the umbilical region. Every day increase the time of the "procedure".

Gymnastics

There should be no dancing, jumping or sudden movements. Everything is done smoothly and at a slow pace.

Physiotherapy exercises are recommended to be done in the morning (on an empty stomach), after drinking a glass of water. Gymnastics should be carried out on the floor using a rug.

Exercises for nephroptosis of the right kidney are very simple and very well known. These are the so-called "Bicycle", "Scissors" and "Cat".

You need to turn the “bicycle pedals” on a hard surface, lying on your back and bending your legs at right angles to the body.

Standing on all fours with a straight back and parallel limbs, we take the “cat” pose, arching our back with a wheel and trying to touch our chin on the neck. Then we bend the back in the opposite direction, trying to stretch as much as possible (10 repetitions).

During the "scissors" position of the body on the floor on the back, with straight legs (raised by 20 cm) and straight arms (near the body). Cross legs alternately one on top of the other.

For those who want to strengthen their kidneys, they also recommend a pool, yoga and massages.

Diet

Despite the fact that when diagnosing nephroptosis on the right, the diet is prescribed to patients, nutrition is implied to be very diverse. The main thing is to exclude kidney irritants so as not to overload the weakened organ. It is very important to drink plenty of fluids, but not carbonated. It should be more than 1.5 liters per day. You need to eat little by little, but up to 6 times. The basis should be vegetable and fruit crops. Ban on beans, pickles, smoked meats, canned goods, cakes, meat broths, beer, peanuts, cocoa and dairy products.

You need to completely remove salt from your kitchen, in a few weeks you will get used to and learn to enjoy the true taste of each product.

Nephropexy - operation of fixation of the kidney in an anatomicallycorrect position

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