The medical term hydronephrosis, commonly referred to as "kidney enlargement" in society, is usually detected when the baby is still in the womb. The problem of kidney enlargement often does not progress or disappear spontaneously, while others can progress and cause serious tabulations. The information that sprinkles water on the heart is that the vast majority of infant kidney enlargements can be detected at birth by ultrasonography during pregnancy .
Acıbadem Altunizade Hospital Pediatric Urology Specialist Prof.Dr. Dr. Dr. Jem Akbal, pointed out that diagnosis in the mother's womb also provides early treatment to prevent kidney damage, "All the kidneys can be examined after 20 weeks in the womb. If kidney enlargement is detected, it is very important for the baby to follow the childhood urology after birth. In this way, the development of life-threatening problems like loss of kidney function that can occur in the future can be prevented. "
There are many reasons
Professor of Child Urology. Dr. Jem Akbal points out that many factors can cause kidney enlargement. The problem of urinary excretion in the kidneys, which is called vesico ureteral reflux, can cause the enlargement of the kidneys. In addition, stenosis anywhere in the canal or urinary bladder can cause enlargement of the kidneys
Kidney failure can occur
For any reason, from the exit of the kidney to the outlet of the bladder, such as obstruction, backward urination, or impaired bladder dynamics, renal enlargement and decreased function are described as "hydronephrosis". The vast majority of kidney enlargements that are detected in the mother's womb do not progress or disappear spontaneously, and some may progress to damage the kidneys. Professor Dr. Cem Akbal emphasized that kidney enlargement is accompanied by feverish urinary tract infections and kidneys are more easily damaged, resulting in serious loss of function in the kidneys. "Besides this, problems such as high blood pressure in the later stages of infancy and growth retardation in infancy after frequent kidney infections can also occur"
Close follow-up in the first year is very important
Early diagnosis and treatment of renal enlargement is vital. Professor of Pediatric Urology Dr. Cem Akbal pointed out that it is very important to follow the baby in the first year after birth. "The baby's kidneys need to be examined with a ultrasound ultrasound on the third postnatal day. Then, the urine is done by ultrasound at 1,3,6 and 12 months. According to ultrasound findings, further investigations are planned if necessary. "
Beware if you have these symptoms!
Most kidney enlargements are detected in the mother's womb, while others are detected after a number of symptoms that develop in postpartum and childhood. Professor Dr. Cem Akbal says that it is vital to apply a physician without losing time in the following indications:
Newborn and in the first years,
Not enough nutrition,
Crying without reason,
Crying when urinating, bad smelling urine, blood coming from urine.
Very little amelia is needed
Professor of Pediatric Urology Dr. Dr. Cem Akbal states that the most commonly used ultrasound used today is an examination without radiation and does not hurt the child, indicating that methods such as cystography, diuretic kidney scintigraphy are used as needed. "A large part of the kidney enlargement in children is spontaneously regressed, and very little is needed for amelioration." Dr. Jem Akbal gives the following information about treatment: " As long as the kidneys are not in danger, it is enough for the baby to be in close watch, so no surgical procedure is needed. However, contrary to this, if the kidney is in danger, surgical procedures for underlying scarring are used. Today, high success rates can be achieved from the surgical methods applied and the child can continue to have a healthy life. "