What is reflux nephropathy?
Reflux nephropathy (RN) is a condition in which the kidneys are damaged due to chronic back flow of urine into the kidneys. It may cause one -sided or bilateral reflux and damage by scarring or atrophy may include one kidney or both, leading to chronic renal insufficiency. It can be congenital or may occur with the conditions obtained that lead to the obstruction of the urine flow. Risk factors for reflux nephropathy include personal history or family history of urine reflux, urinary tract abnormalities and recurrent urinary tract infections. The treatment of this condition varies with the severity of reflux and kidney damage. It occurs in young children due to supercised urinary tract infection on congenital intraneal reflux and vesicoureteral reflux. When severe obstruction occurs, vesicoureteral reflux can sometimes cause reflux nephropathy even in the absence of infection. Obtained Condi that leads to obstruction of urine flow and finally reflux nephropathy if not treated momentItee, bladder stones, bladder obstruction and neurogenic bladder. The ureter or ureter swelling can also cause reflux nephropathy.
An individual with this condition may be asymptomatic or symptomatic. Symptomatic individuals have symptoms similar to symptoms of chronic kidney disease or urinary tract infection. Symptoms of chronic kidney disease vary depending on the degree of severity and are usually non -specific, but most individuals with this disease have high blood pressure. Urinary tract infection usually causes symptoms of painful urination, blood in the urine, back and urine pain, urgency and hesitation. Children with recurrent urinary tract infection should be suspicious of reflux nephropathy.
Several tests are required to confirm this status. These inlude tests for blood and urine, as well as imaging modalities. Blood and urinary tests JSouh nitrogen urea in the blood (bun), serum creatinine, creatinine clearance, urine analysis and urine culture. Imaging modalities that can be performed to prove reflux are ultrasound of the kidneys, simple or delayed cystography, cystogram radionuclide or discharge cystyrethrogram.
Treatment of conditions that cause urine reflux can prevent reflux nephropathy. Mild reflux can be treated medically. The physician prescribes antibiotics to prevent infections and antihypertensives, namely the enzyme and angiotensin receptor blockers with angiotensin to delay the kidney damage by controlling blood pressure. Individuals undergoing medical therapy should be regularly monitored and have regular urine cultures and annual kidney ultrasound. People with severe reflux and those who do not respond to medical therapy are treated surgically through ureteral implantation or reconstruction repairs.