HYDRONEPHROSIS किडनी में सूजन | सम्पूर्ण जानकारी || Dr. Raj Kumar Sharma - Urologist
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- Опубліковано 13 жов 2024
- Two severe complications
1. Infection & Pyonephrosis
2. Kidney failure
01. Pyonephrosis is a severe infection of the kidney , This condition is a medical emergency requiring prompt treatment to prevent serious complications.
Clinical Evaluation:
History and Physical Examination: Assess symptoms like fever, flank pain, urinary symptoms, and signs of sepsis.
Laboratory Tests: Complete blood count (CBC), blood cultures, urinalysis, and urine culture to identify the infecting organism.
Imaging Studies:
Ultrasound: To detect hydronephrosis (swelling of the kidney due to urine build-up) and presence of pus.
CT Scan: More detailed imaging to assess the extent of the infection and identify any obstruction.
Medical Treatment
Antibiotics:
Broad-Spectrum Antibiotics: Initiated empirically to cover a wide range of potential pathogens. Common choices include fluoroquinolones, aminoglycosides, or a combination of beta-lactam antibiotics with beta-lactamase inhibitors.
Culture-Specific Antibiotics: Once culture results are available, antibiotics are adjusted based on the sensitivity profile of the isolated organism.
Supportive Care:
Intravenous Fluids: To maintain hydration and support blood pressure.
Analgesics and Antipyretics: For pain and fever management.
Surgical Interventions
Drainage Procedures:
Percutaneous Nephrostomy: Insertion of a catheter through the skin into the kidney to drain pus and relieve obstruction.
Ureteral Stent Placement: Insertion of a stent to allow urine to bypass the obstruction and drain from the kidney to the bladder.
Definitive Surgery:
Nephrectomy: In severe cases where the kidney is extensively damaged and not salvageable, surgical removal of the kidney might be necessary.
Follow-Up and Long-Term Management
Regular Monitoring:
Treatment of Obstructions: Such as kidney stones, strictures, or tumors that may have led to pyonephrosis.
Chronic Condition Management: Managing conditions like diabetes or chronic urinary tract infections that predispose individuals to pyonephrosis.
02. Kidney failure, how to manage and treat kidney failure:
Medical Treatments
Medications:
Blood Pressure Medications: To control high blood pressure and slow further kidney damage.
Diuretics: To help the kidneys remove excess fluid.
Erythropoiesis-Stimulating Agents (ESAs): To treat anemia by stimulating bone marrow to produce more red blood cells.
Phosphate Binders: To reduce phosphate levels in the blood, as kidneys cannot filter phosphate well in kidney failure.
Dialysis:
Hemodialysis: A machine filters wastes and water from your blood.
Peritoneal Dialysis: The lining of your abdomen (peritoneum) filters your blood inside your body.
Kidney Transplant: Surgical procedure to place a healthy kidney from a donor into your body. This is often considered the best long-term solution for kidney failure.
Lifestyle Changes
Dietary Modifications:
Low Sodium: To control blood pressure and reduce fluid retention.
Low Potassium: To avoid hyperkalemia, which can be dangerous.
Low Phosphorus: To prevent bone disease.
Adequate Protein: Balance protein intake to prevent malnutrition and reduce kidney workload.
Fluid Management: Regulate fluid intake to prevent overload.
Exercise: Regular physical activity to maintain overall health and manage blood pressure.
Avoiding Alcohol and Tobacco: Both can exacerbate kidney problems and overall health.
Monitoring and Regular Check-Ups
Regular Blood Tests: To monitor kidney function (e.g., serum creatinine, glomerular filtration rate (GFR)).
Urine Tests: To check for protein and other abnormalities.
Blood Pressure Monitoring: To ensure it remains within a healthy range.
Preventive Measures
Managing Underlying Conditions: Such as diabetes and hypertension, which are the leading causes of kidney failure.
Hydration: Maintaining adequate hydration to help the kidneys function properly.
Avoiding Over-the-Counter Medications: Especially nonsteroidal anti-inflammatory drugs (NSAIDs), which can damage the kidneys.
Support and Education
Patient Education: Understanding the condition, treatment options, and lifestyle changes.
Support Groups and Counseling: For emotional and psychological support.
Advanced and Alternative Treatments
Stem Cell Therapy: An emerging treatment under research.
Complementary Therapies: Such as acupuncture, which some patients find helpful.
Emergency Situations
Acute Kidney Injury (AKI): Requires immediate medical attention to address the sudden loss of kidney function.
Communication with Healthcare Providers
Maintain open and regular communication with nephrologists and other healthcare professionals to adjust treatment plans as needed.
Managing kidney failure is a complex process that requires a comprehensive approach involving medical treatments, lifestyle changes, and regular monitoring. Working closely with healthcare providers can help manage the condition effectively and improve quality of life.
Hello sir, my name is Ravi, as of now living in france with family, my mother recently diagnosed with right kidney stone size 10mmx6 mm, which is near PUJ(According to translation it is embedded in PUJ, i am not sure) , i also asked
a specialist here, he is suggesting me to go for operation, endoscopy and stent, my and my mother interest is to wait for some time and let the stone come out by it self, last 1 month only 4-5 time pain only and now no pain, no fever, no urine infection and nearly blood report are also nearly normal. Kindly suggest you opinion please. Me and my family is full in dilemma.
Size of stone is borderline, more than 10 mm stone may or may not come out so if she is having recurrent pain and chance of complications are high, don't wait beyond 1-2 months
@@drrajkumarsharma9409you mean to say operation is the last and only operation? My past experience with operation is not good, so scared, and how risky this operation? How many operation types available? Thank you sir.
large calculus is noted the left lower ureter just proximal to vesicoureteric junction without any significant hydroureteronephrosis means in hindi
Help sir
Large stone ureter mein fase hua hai, stone nikalwa lijiyega
Thanks
Welcome
Sir ,age29 ,mera vuj 9mm hidroneprosis . medicine se niklega sir.
Try medicine for 3 week agar nahi nikla to nikalwa Lijiyega
Sir recently I'm recoverd from hydronephrosis due to kidney stones when should I start my strength training and gym
Then stone should be removed
Sir mere misses ko fever or thand pus hai urine test me admit kiya hai dj strent dalneko kya stone ek sath nahi nikaliga uretor se..
Fever and infection mein aisa hi karna chahiye
Sir kidney infection ka test urea Creatine test mey pata chalega exactly?
CBC and urine culture mein
pelvis moderately dilated & bulged . ureter was adherent to the pelvis & high insertion
Sir is ke bare me aap bata sakte ho
Thank you so much
PUJ obstruction ho sakta hai, DTPA scan hona chahiye
*Summary:*
The renography report reveals:
*Left Kidney (Ectopic):*
1. Enlarged size
2. Located in the pelvis (anteriorly above the urinary bladder)
3. Hydronephrotic (fluid-filled)
4. Impaired perfusion (blood flow)
5. Moderately impaired parenchymal function (radiotracer uptake)
6. Significant tracer retention in the pelvicalyceal system (indicating obstruction)
*Right Kidney:*
1. Normal size, shape, and position
2. Good perfusion (blood flow)
3. Normal parenchymal function (radiotracer uptake)
4. Prompt clearance of radiotracer from the pelvicalyceal system
*GFR (ml/min):*
1. Left Kidney: 27.1
2. Right Kidney: 63.0
3. Total: 90.1
*Differential (%) (mean):*
Function: 30% (Left Kidney) vs. 70% (Right Kidney)
*Clinical Implication:*
The ectopic left kidney has impaired function and drainage, likely due to hydronephrosis and obstruction. The right kidney functions normally.
DTPA REPORT
Sir recently im recover from hydronephrosis when should i start strength training in gym
Try to find out the cause of Hydronephrosis
@@drrajkumarsharma9409 due to kidney stones sir
Mild hydronephrosis due to pelvic calculus 9mm ka hai
Solution please
RIRS karna pad sakta hai
sir aapne jo pipe lgaaya h pet m wo khujli kr rha h ...
kya mujhe aake cheakup krwaane ki jarurt h
Agar jada problem ho to jarur mile
Mera Aaj ultrasound ka report aaya hai jisme left kidney me 10.2 mm ka stone Mila hai. Iske liye kya ilaz karna hoga please advice sir🙏
Mera name Shashi Bhushan hai
Please advice sir jee
Main Hatia singh more ke pass rahta hun mera age 54years hai
Yes , size bada hai
Hello sir kiya apse kidney problem ko discuss kar sakte h
Yes
Sir meri maa ko hydronephrosis huaa h aur 7mm ka stone h dr stant dalne ko kah rahe sir eska treatment kitne jaldi kra lena chahiye please sir😢
Kewal stent kyu , stone bhi nikalna chahiye
Sir i am rishabh, Sir apne hi mera treatment kia h medicines se, 5.5mm ka stone tha, sir wo peshab ke raste se 3mm ka stone nikla h
Dawa ka 15 days ka dose bacha hua h, wo lu ya band krdu,
Le lijiye
@@drrajkumarsharma9409 okay sir thank you so much for your valuable time 🙏🏼
Sir does kidney stones decrease lymphocytes
Not necessarily
Sir mera 6days hogaye urs hue and DJ stent dala hua but while doing urine baht pain ho ta hai , toilet ke baad pura thak jata hun aur pura abdomen dard ho jata hai pura ea continue hota hai bass pain killer thoda sambhal raha hai nhi to dard ho raha hai please suggest
Contact your doctor for medicine
सर हमको इस्तों था युरेटर में फस गई थी तो मैं अप्रेसन कराया है पर उसका gfr कम हो गया है 13 है पर दर्द करता है अभी भी दूसरी का gfr 50 है क्या करू में मेरी यूरिक एसिड 6.6 रहती है c 1.1 रहती है में क्या करू
Ab Kuch kar nahi sakte hai, uric acid control mein rakhna hai
@@drrajkumarsharma9409 क्या में यूरिक एसिड के लिए दवा ले सकता हु मेरा पेट भी फूला रहता है और पेट में भरी पान रहता है
Sir aapne hi mera operation kiya hai kidney ke nali ka 2 month ho gya hai pr mera strich pk gya kya kre kr btaiye please
Please visit clinic
Okk sir
Hello Sir aaj ki date mein out off Ranchi mein ho kya Agar ho to kab tak aaoge sir patient ka date tha Sir senior citizen hai emergency patient hai 😢
👉 Aur jo aap video mein Bata rahe hain sem problem hai sir ....please reply me sir
Monday se
Sir mild right hydronephrosis and hydroureter due to calculus 5.3 in right vuj and 7.5mm seen in upper pole can we cure with medicine
Probably yes,
Bhai kya hua nikla ya nhi
@@kanchanmala5111 Haa bhai
@@fit_kid4220bhai kaise nikla
Sir j mera 1time lejar opresan huya hai only 1 days dard huya hai dr ko dhikhaya dr ct scan kiya hai hyporosin huya 0.9cm stone hai
Medicine try kare agar nahi nikle to nikalwa le
@@drrajkumarsharma9409 ok sirj
stone nikalne ke bad Mild Hydronephrosis theek kaise hoga please btaiye sir
Kuch din baad apne thik hoga , DJ stent bhi helpful hota hai
Sar aap kaha se ho
Ranchi
Sar main aap ke saath practice karna chahta hu
Ok , send CV to drsharmaurologist@gmail.com
Sir mera papa ka urine ka sath whate sel, pus sel araha
evaluation karna chahiye
Meri age 20 + hai
Ok
Sar aap kaha se ho
Ranchi
Location sir