Renal crisis is a bad memory of pregnancy almost for every mother. Many women joke that after severe renal crisis, the fear of birth disappears.
What are the causes of renal crisis in pregnant women?
Kidneys during pregnancy are loaded more as urinary tract of the woman handle larger volumes of fluids. Progesterone relaxes the muscles of the urinary tube (channels that connect the kidneys to the bladder). As a result of hormonal changes vessels dilate, and abdominal organs, including the urinary tract, are pressed by the growing uterus. The flow of urine from the kidneys to the bladder is slowed down. All this leads to urinary retention, more likely to develop infections in the urinary tract, and in the case of kidney stones can be obtained from renal crisis ureteral obstruction during the passage of stone off from the kidney through it.
How to recognize that the pain stems precisely from renal crisis and not due to some other problem?
There is no way to do that. It is a specialist’s opinion on whether the abdominal pain is a case of renal crisis. For pregnant women it is very important to get the opinion of the gynecologist and the intervention of an experienced urologist if renal crisis is a prerequisite for serious risk of premature birth.
How is it diagnosed by a specialist?
Pain in renal crisis and present hydronephrosis, ie the basin and cups of kidneys swell from the retained urine can be easily diagnosed in ultrasonographic examination of the kidneys during the crisis.
What diagnostic methods are used when the specialist has doubts about the causes of the particular pain?
Ultrasound can be applied during pregnancy and to diagnose renal crisis. The disadvantage of this method is that it can not be used to find the stones in the lumbar area of the urinary tract, since this place is covered by the intestines. Ultrasound images should be interpreted carefully, since the release of diagnostic errors are few and are mostly subjective.
What risks hides renal crisis to the fetus?
Any problems that may arise are related to the onset of uterine contractions, as in the worst case can lead to premature birth.
What is the treatment and how long does it take?
Treatment of renal crisis requires quickly and efficiently stop of the pain with painkillers and overcoming the spasm of smooth muscle with antispasmodics. Use basic painkillers if a woman constantly experiencing kidney pain that do not pass, you need a ureteral stent placement or if the stone is more than 8 mm, is almost certain to require the involvement of its removal through the ureter through ureteroscopy. In this method in the external opening of the urethra consistently in the bladder and urethra (urinary tube) is introduced special instrument optics atop called ureteroscope. Through this tool visually determine the location of the stone in the urinary tract through the laser energy is crushed and removed.
What measures are still recommended for definite diagnosis of renal crisis?
To reduce the likelihood of renal crisis during pregnancy, it is recommended at this time for women to have a balanced diet without too much salt and canned foods and liquids that agree to have a low mineralization and in reasonable quantities.
In what month of pregnancy women most often complain of similar gripes and more vulnerable you are expectant mothers to renal crisis?
Pregnant women often suffer from renal crisis and general kidney problems of any kind due to the above stated facts, and more than 90% of renal crises occur in the second and third trimester of pregnancy.