How does infant kidney hypoplasia do?
summary
Renal hypoplasia means that the volume of the kidney is less than 50% of the normal, but the development and differentiation of the nephron is normal, and the ureter is also normal. Renal dysplasia can be unilateral or bilateral, and the contralateral kidney is often compensatory hypertrophy in unilateral cases. Let's share my experience with you.
How does infant kidney hypoplasia do?
In patients with bilateral renal hypoplasia or unilateral renal hypoplasia and contralateral kidney, renal failure, dehydration and developmental disorder may occur. In patients with unilateral renal hypoplasia and contralateral normal kidney, there may be no symptoms. Patients without symptoms can not be treated, such as renal insufficiency can be treated with diet guidance, dialysis or renal transplantation.
Segmental renal hypoplasia is usually characterized by hypertension. If it is unilateral, nephrectomy or partial nephrectomy is feasible; If bilateral lesions with renal insufficiency, drug control should be considered. Sometimes dialysis and kidney transplantation can be used. Control of reflux can prevent further renal damage, but may not be effective in controlling blood pressure.
Renal hypoplasia combined with ectopic ureteral orifice, urethral obstruction or piriform abdominal syndrome can be treated by small nephrectomy or corresponding reconstruction according to the specific situation.
matters needing attention
This is quite a contradiction. Protein is the most important nutrient for children's growth and development. If it is limited too early or strictly, it is not good for children's growth. Therefore, we should grasp the opportunity according to the clinical symptoms and blood urea nitrogen level. Limiting protein intake is mainly to limit plant protein (low biological price). High quality animal protein should be supplied appropriately. For moderate renal dysfunction, 1-2g protein per kilogram of body weight per day is recommended (2-3g for normal children). For severe renal insufficiency, the daily weight per kilogram was 0. 6-1g.
