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Manifestations and degrees of renal ptosis how to choose the right treatment

Kidney pathology omission by another name nephroptosis. Generally the disease affects the right side. In medicine it is known three degrees of ptosis of the body. Of affected kidney becomes highly mobile and moves about 10 - 12 cm, and the...

Manifestations and degrees of renal ptosis how to choose the right treatment

Aug 10, 2017 by Kidney Disease Expert

Kidney pathology omission by another name nephroptosis. Generally the disease affects the right side. In medicine it is known three degrees of ptosis of the body. Of affected kidney becomes highly mobile and moves about 10 - 12 cm, and the displacement rate of healthy should not exceed 12 cm.


The disease is often found in women aged 25 to 45 years, performing heavy physical work. In addition pathology occurs against a background of past infection, trauma or lumbar when a rapid decrease in body weight.

For what reasons can develop ptosis

The main reasons for the development of Nephroptosis should include:

  • The dramatic reduction in weight.
  • Genetic predisposition.
  • Defeat ligament apparatus - the abdomen and lower back injuries, weight lifting, or hernia.
  • Hematoma formation in the tissue around the kidneys.

According to medical statistics, kidney ptosis often diagnosed in women due to the influence on the body following etiological factors:

  1. The composition of the ligamentous apparatus includes connective tissue, which in the female is more extensible.
  2. Weaker muscles of the abdominal wall.
  3. The stretching of the abdominal wall after delivery that leads to a reduction in intra-abdominal pressure.
  4. Fatty kidney capsule in women is wider and shorter than the male body.

The extent and symptoms of the disease

Depending on the severity of pathology and clinical symptoms classified three degrees of omission:

Opuschenie1 extent - it is already detectable at 1/3. At the height of inspiration when committing palpable kidney bottom of that exhale goes into hypochondria. This is the first step, distinct flowing without clinical manifestations. With the development of the omission of the body for seven or more centimeters they may occur carryover pain radiating to the lumbar region. Such pain developed due to expansion of the renal fascial capsule.

It is important! The pain appears mostly only under heavy physical exertion and do not bother the patient at rest or completed after the adoption of the horizontal position of the body when the kidneys are located in his bed. Sign of omission on the right side becomes a feeling of heaviness in the right upper quadrant.

 Omission of 2 degrees - when the kidneys entire kidney is entirely out of the arc under the ribs, and is available for probing 2/3 if the patient takes a vertical posture. In the horizontal position of the kidney returned to his own place.

By increasing the degree of displacement of the kidneys become more intense and the clinical signs of disease. The pain intensified and become similar to the symptoms of renal colic. Pain arises during exercise, and at sharp change of posture. At this stage of pathology changes begin urine composition - improved protein concentration and erythrocytes. All this testifies to the stagnation of blood in the kidney due to violation of the outflow of venous blood.

Omission of 3 degree - thus bud beginning to emerge from the costal arch and gradually descends to the pelvis. The pain becomes constant and may radiate to the groin area. In this situation, the pain is complemented by nausea with vomiting.

With the development of the third degree prolapse kidney pain intensity does not depend on the posture. By this time, it begins the development of complications such as pyelonephritis, hypertension, kidney hydronephrosis transformation. Pronounced pain syndrome - is not the only sign of organ prolapse.

It is important! In the second and third degree prolapse occurs fornikalnoe bleeding during urination that develops due to impaired blood flow long and progressive renal hypertension.

In addition to the main features of the omission of the kidney patients often complain of some mental disorders:

  • neurasthenia;
  • sleep disturbance;
  • high degree of excitability;
  • lack of appetite;
  • depression;
  • great fatigue;
  • dizzy spells.

How is the diagnosis of ptosis


The diagnosis of this disease in the early stages may be based on information from the clinical history and information about the clinical signs. Patients often complain of pain in the lumbar region during exercise. Urinalysis is characterized by an increased concentration of proteins and the presence of blood - which is also correlated with a strong physical exertion.

The main diagnostic method of the disease - a X-ray examination using contrast injection, which is realized in a vertical or horizontal position of the body. The degree of mobility of the body is determined in relation to the vertebrae in the lumbar spine.

Organization of effective treatment


Conservative therapy is used if there are no indications for surgical intervention. Such treatment is the use of the band, which in the morning is put on the lumbar region in the supine position. Properly wear a bandage during exhalation. If a small body mass, the doctor prescribes a diet for its increase in order to accumulate sufficient volume of fat in a protective capsule of the kidney.

In severe pain illustrates reception antispasmodic drugs, analgesics. It advised to take warm baths, to sleep in a position with a slightly raised legs.

Operation is required when there are serious indications for its conduct. Serious disruption of the functioning and strong omission causes severe pain that interferes with normal life. Pressure is also constantly increasing.

Surgery is recommended, and in the development of pyelonephritis, which is not amenable to treatment with the help of anti-inflammatory drugs, or with the appearance of blood in the urine due to the omission.

It is important! In the absence of indications to the operation at the first - second degree of disease as an adjunct to primary therapy applied effective traditional medicines.

What can cause ptosis


Omission of this body is a pathology that requires mandatory treatment. Otherwise, the increased risk of adverse events. The omission is a violation of a discharge of urine - it causes a large increase in blood pressure. Even when the disease does not manifest itself, complications may begin in the kidney parenchyma.

Improper discharge of urine causes the development of pyelonephritis, which violates the usual symptoms of the vital activity of the person.

The omission of the kidneys often causes symptoms of hypertension - which increases the risk of strokes. In addition, the high mobility of the kidneys causes the formation of stones in the kidney. And women in the position can occur spontaneous miscarriage. For timely treatment is required to clearly know the signs of the disease and the time to go to the doctor.



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