Kidney Disease - Kidney disease

Kidney Disease

Kidney pain (Photo: bbc.co.uk)

Kidney disease (Pyelonephritis) is caused by kidney infection. When this disease occurs, the bacteria go from the bottom up and eat into the kidneys. Patients with hip pain with high fever and sometimes accompanied by bladder symptoms such as urination many times, painful urination ., in very tired people.

Bring the test urine to have germs. Patients often have to be hospitalized to transmit sea water and antibiotics via IV. After the treatment is complete, it is important that the kidney function is monitored by taking an IVP scan to make sure the kidney has returned to normal and especially without kidney stones.

Kidney disease

Kidneys come from urine-insoluble mineral salts such as calcium (calcium), oxalate or phosphate.

Most radio-opaque kidneys mean that on XRay often, (unlike gall bladder usually does not contrast, it is not possible to see on Xray). In patients with familial, parents or siblings are susceptible. This disease is also common in patients with Parathyroid disease (blood calcium control gland, thyroid gland), thyroid disease, bone disease such as Paget's disease, small intestinal disease (Ilium disease), disease about fiber muscle (sarcoidosis), tubular acidosis .

Some patients with grief due to bacteria containing urea extract urea in the urine make magnesium-ammonium-calcium, which closes the hotel. This is usually very big, can occupy all kidneys (staghorn calculus).

A small number of patients with malignant Urate, do not contrast. This is usually in patients with gout (gout) or genetics. Drinking less water is not the cause of kidney stones, but when you have a past, kidney stones have to drink a lot of water to avoid kidney failure.

How to know I have kidney stones:

Kidneys, especially small ones, when they get into the tube that leads urine from the kidney to the bladder cause severe abdominal pain and episodes of pain, the patient suddenly becomes sore with vomiting (many patients describe this pain even More pain than abdominal pain!). The patient may have symptoms of urinary tract infection such as fever, painful urination, frequent urination, hip pain in the pelvis or genital area.

Some patients have no symptoms and do not know they have kidney stones. Can only be found by accident such as an uterine scan or abdominal ultrasound due to another disease, etc.

The urine of a person with kidney stones usually has blood or germs. IVP is the most sure test to find hotels, especially unobstructed hotels or small hotels. It is also a test to see if kidney function is lost

ESWL ultrasound breaks the kidney
(photo: uchpa.org)

in the usual small hotels clog the path. CT scans are sometimes used to find kidney stones.

How to treat kidney disease:

When patients have severe abdominal pain because the hotel is often hospitalized for painkillers and sea water infusion if vomiting is a lot. Diuretics must be avoided in this case because it may increase urinary tract congestion. 80% of small hotels will be peeed out naturally. Small hotels of 4mm or less will be peeed without doing anything but when the hotel is larger than 6mm, it should be treated with a surgical procedure, especially if there is an infection or obstruction of the urinary tract from the kidneys.

Urate is dissolved by chemolysis. Urine is kept at pH = 7. Allopurinol is given after drinking the Urate Hotel to prevent it again.

Large hotels are often cracked with ultrasound (ESWL: extracorporeal shock wave lithotripsy) before giving diuretics to expel. The method of kidney surgery to remove the hotel has been less and less used. Another method is that the hotel can use basketry net when the hotel is located far away. The specialist will use a cystoscopy to remove the bed. When the bed is in the urinary catheter that blocks the kidney, sometimes the doctor uses a wire (stent) to insert it into the urinary tube to push the bed up from the narrow area to clear the blockage.

In short, kidney stones that cause symptoms of kidney function due to congestion or pain can be removed. The small hotel is in a harmless position, so the doctor only monitors it. Drink plenty of water to avoid constipation that can cause urinary tract infections.

Dr. Tran Thi Xuyen