What is diffuse renal parenchyma? To begin with, you should know that the kidneys are involved in the process of cleansing the body and the allocation of certain vital products of people. The most important role in this process is played by the parenchyma. If its functioning is impaired, immediate therapy is necessary.
The concept
Diffuse changes in the renal parenchyma. What it is? By parenchyma, the kidneys mean a system of tissues that cover and fill the organ. It includes several substances: cerebral and cortical. The structure of parenchymal tissues is a collection of capsules that are intertwined with a vascular network. It is here that urine is produced. Due to the full functioning of the paired organ, the following processes occur:
- the amount of salts in the body is normalized;
- blood composition improves;
- metabolism.
If a person is healthy, then the thickness of the kidney parenchyma is approximately 20 mm. This indicator varies from 14 to 26 mm. So what is it - diffuse changes in the kidney parenchyma?
Not everyone knows that in old age this tissue can thin out to 11 mm. In this case, this is not a pathological process, but a physiological reaction of the body to aging.
How to determine the presence of a pathological change?
If there is no kidney disease and they are fully functioning, then the body has the following indicators:
- length - up to 12 cm;
- width - up to 5-6 cm;
- thickness - 4 cm;
- the total mass of one pack is up to 200 g.
If a diffuse change in the organ parenchyma occurs, the structure is transformed. Under such circumstances, the general health of the patient worsens, as the organ increases. With a decrease in kidney size with diffuse changes in the parenchyma, immediate treatment should be started, this phenomenon often acts as a sign of an advanced disease. The disease may be:
- congenital;
- age;
- chronic
- acquired due to an infectious disease.
Only a doctor can determine the form of pathology.
The main causes of the development of pathology
Diffuse changes in the renal parenchyma. What is it and for what reasons? Such changes develop most often in the elderly or with advanced disease of the organs. There are several reasons that can provoke the appearance of such a pathology. Of these, there are:
- urolithiasis;
- disorders in the urinary tract;
- inflammatory process in the tubules;
- the presence of fatty plaques in the pyramids.
Why are calcifications dangerous? Due to the accumulation of calcium salts, diffuse changes in the parenchyma can occur. In case of their appearance, severe pains appear in the lumbar region, which intensify in the process of spontaneous excretion of stones through the urinary tract. The concept of pathological diffuse transformation of parenchyma tissue is not a clinical diagnosis. This is not an independent disease, but only a consequence of another serious disease.
If the kidneys have increased, it is necessary to carefully examine the patient. The results obtained after diagnosis will help determine the nature of the changes.
Features of thinning parenchyma
Such a pathology can appear not only in older people. If you do not heal the disease or self-medicate, then parenchymal tissue may thin. Sometimes the symptoms of diffuse changes resemble signs of renal failure. When the parenchyma becomes thinner, nephrons die off due to disturbances in the peripheral vascular resistance. Under such circumstances, the full functioning of the body is disrupted. This is often expressed in a change in urine excretion products. In addition, diuresis may decrease, and the disease will become chronic. For this reason, doctors recommend that when one of the symptoms of a diffuse change in the parenchyma of the right kidney (or left) appears, seek the help of a specialist and not self-medicate at home.
For what reasons does a cyst appear in the parenchyma?
This pathological condition is observed if the nephrons will retain fluid for a long time. Cystic masses are sometimes found in both kidneys. Pathology can be either congenital or acquired. Most often, an acquired form of pathology is found in older people. Diffuse changes in the kidney parenchyma in children is a rare occurrence. The cyst has the form of a bubble with a thin wall, which is filled with a liquid substance. A neoplasm can be either single or multiple. The cyst can grow to 9.5 cm. With a more global size, nearby tissues are compressed, which lead to paired organ dysfunction. Among the main signs of cystic formation are:
- the presence of blood clots in the urine;
- hypertension
- soreness in the lumbar region.
In some cases, the symptoms may not appear at an early stage in the development of the pathology. To remove small formations, apply a puncture. With the advanced stage, abdominal surgery.
Symptoms of the development of neoplasms
In the tissues of the parenchyma, various tumors often occur. They can be either benign or malignant. The first category includes adenoma and angiomyolipoma. If untreated treatment of benign neoplasms, then they develop into a cancerous tumor. If there is a suspicion of the occurrence of cancer, then the doctor prescribes the patient an ultrasound scan and computed tomography. Additional examinations may be needed to make an accurate diagnosis. You should be aware that diffuse changes in kidney parenchyma in children are extremely rare.
If the neoplasm is located in the renal sinus, then it can be detected during a finger examination by a doctor. With kidney disease, body temperature can increase and swelling can occur. What is attributed to echoes of diffuse changes in the renal parenchyma?
Renal echogenicity
Echogenicity is the degree of reflection of a sound wave. To determine it, it is necessary to examine the density of the tissue. With a dense structure, a bright spot can be seen in the image, with a low density - a dark area. Normally, the tissues should be homogeneous. If the doctor after a ultrasound examination found a bright spot, then this indicates that the echogenicity of the kidneys is increased. Under such circumstances, there is little fluid in the kidney tissue. A similar diagnostic result may indicate the presence of the following diseases:
- development of a strong inflammatory process in the body;
- malfunctioning of metabolic processes and the endocrine system;
- pyelonephritis;
- glomerulonephritis;
- consequences of diabetes.
On ultrasound, signs of diffuse changes in the renal parenchyma are clearly visible to the specialist. The density of organ tissues increases with the development of a foreign neoplasm. It can be both stones and sand.
How to restore tissue?
How is the treatment of diffuse changes in kidney parenchyma? The main feature of organs is the ability to self-repair. Even with a relapse of the disease, parenchyma tissue regenerates. Much depends on the general health of the patient. A special role is played by the protective function of the patient's body and the speed of the metabolic process. During normal operation of the endocrine system, parenchymal tissues recover faster. To increase immunity, doctors recommend eating right, taking more walks in the fresh air, not abusing alcohol and cigarettes, playing sports and visiting a doctor regularly. This will help prevent the development of complications of pathology.
Therapy depending on the identified disease
You should be aware that the choice of treatment for diffuse changes in the renal parenchyma directly depends on the identified pathology. Namely:
- If urolithiasis is detected, the doctor uses the therapeutic method. Depending on the nature of the calcifications, the doctor selects the drug and diet. If the stones are small, then medication is enough. In the presence of large stones, ultrasonic crushing is often carried out. Children rarely have stones. In frequent cases, this is due to a congenital anomaly or infectious disease. It is forbidden to engage in self-medication, since it is impossible to diagnose pathology at home.
- If a cyst is found in one of the kidneys, it is necessary to regularly observe the patient. In the event that there is a large number of neoplasms of a huge size, it is important to begin immediate treatment. If there is a need to carry out a surgical operation, then laparoscopy is performed. During this procedure, the cyst is removed and drainage is established in the retroperitoneal region. In the process of puncture, a cyst is pierced and the substance is aspirated from the formation.
- With glomerulonephritis and acute pyelonephritis, the treatment process is based on taking antibiotics. If, after conservative treatment, the general well-being of the patient has not improved, then surgical intervention is necessary.
- When a tumor forms, the doctor prescribes an individual program. In the event that it is of a benign nature and does not progress, then the tumor is only observed. Otherwise, a resection or nephrectomy is prescribed.
- In the process of treating cancerous tumors, specialists prescribe chemotherapy.
Treatment of changes in diffuse renal parenchyma is determined by the severity of the pathology and the general health of the patient. The basis is often the antibacterial treatment of Ampicillin.
The duration of the course of treatment and medications is prescribed strictly by the doctor, depending on the general state of the patient’s health, the presence of other diseases, and the age category. After a full examination of the patient, the attending physician prescribes suitable medications that must be taken in accordance with the recommendations. Self-medication can harm. You should know that high body temperature is a frequent sign of diffuse changes in the parenchyma of both kidneys.
In the process of treatment, it is important to follow a diet that the doctor will prescribe, since therapy should be comprehensive. You can not do without proper nutrition, since medications will not give the desired effect if you lead an unhealthy lifestyle.
Doctors prescribe special nutrition not only in cases where diffuse changes in the structure of the kidney parenchyma are detected, but also with:
- cholecystitis;
- hepatitis;
- gallstone disease;
- chronic gastritis;
- chronic colitis;
- pancreatitis.
Proper nutrition positively affects the overall health of the patient and speeds up the healing process. In addition, it nourishes the body with useful elements, positively affects the stomach, normalizes the functioning of the liver, and positively affects the functioning of the intestine.
Most often, diffuse changes in the parenchyma and sinuses of the kidneys occur because:
- the patient is abusing alcohol;
- eating wrong;
- an infectious disease has occurred;
- there is a hereditary predisposition;
- the duodenum is inflamed;
- untimely treatment of diseases of the stomach;
- urolithiasis has occurred;
- fluid stagnation formed;
- prolonged treatment with certain medications occurred.
Now it is clear what diffuse changes in the renal parenchyma mean. You should be aware that when belching, hiccups, heartburn, bloating and weakness occur, it is important to consult a doctor immediately and begin treatment. A special therapeutic diet will help relieve the liver and pancreas, and will positively affect the process of organ restoration. Due to the intake of the necessary substances in the body, the general well-being of the patient will improve.
The essence of diet
In the event that the patient has pronounced diffuse changes in the renal parenchyma, it is necessary to eat often in small portions. It is recommended to bake and cook foods. It is best to steam. It is important to thoroughly boil vegetables and cereals. It is advisable to consume no more than 8 g of salt per day.
Approved products include:
- Vegetarian Vegetable Soup
- low-fat dairy products;
- beef meat;
- turkey
- Chicken
- steamed vegetables;
- tea with lemon;
- jelly;
- rosehip juice;
- fruits;
- semolina, rice, oatmeal, buckwheat;
- butter;
- boiled vermicelli.
It is forbidden to include in your diet:
- fried foods;
- alcohol;
- spicy seasonings;
- fatty broth;
- fat;
- sweet and flour products;
- coffee;
- smoked products.
Patients know what diffuse changes in kidney parenchyma mean, but not everyone knows that during treatment it is equally important to monitor the water balance in the body and drink at least 2 liters of water per day. A detailed menu, which is scheduled for every day, can be checked with your doctor.
Treatment of renal failure with folk remedies
It is important to know that only the attending physician can prescribe a folk remedy, since self-medication can lead to complications. If the patient is diagnosed with renal failure, then treatment is often carried out using burdock root. To prepare a folk medicine, the ingredient must be ground, then prepare 250 g of boiling water. Water should be filtered. Then pour 1.5 tablespoons of the mixture with boiling water and leave to insist on the day. If urine does not flow away in the required amount, then swelling will occur. For this reason, the treatment process should be monitored by the attending physician.
Tincture Treatment
With the help of tincture of echinacea, the patient's condition can be improved. To do this, pour 100 g of grass with vodka and insist for 13 days. From time to time, the container must be shaken well. After a few weeks, the healing agent is drunk in 9 drops several times a day. Can be diluted with water.
Honey therapy
Walnuts with honey are a tasty and healthy remedy that will help not only strengthen immunity, but also cleanse the blood. To do this, you need to combine the ingredients in equal proportions and insist for 20 days. Take the medicine throughout the day for 1.5 tsp. Honey can cause allergies, so it is not recommended to use the prescription for those people who are prone to allergies. If during treatment the general health condition worsens or a side effect occurs, you must immediately go to the hospital and tell the doctor in detail about everything. Otherwise, the kidneys may fail.
With the help of horsetail, you can improve the patient's condition and normalize the kidneys. To do this, dry grass should be poured with boiling water in a ratio of 1: 2. Broth to insist several hours. Then strain and drink throughout the day.
Effective therapy
Using dill seeds, kidney dysfunction is treated. To do this, you need to prepare an infusion in the proportions of 1:19. Healing agent to drink 120 g several times a day. Thanks to this tool, the outflow of fluid is accelerated, inflammation and pain are relieved.
Specialists recommend using more iodine for kidney failure. Seaweed contains a large amount of this element, so you need to include it in your diet and prepare salads from it. But before you include this product in the diet, you need to consult a doctor.
Note to the patient
At home, it is impossible to identify the disease that provoked the development of diffuse changes. In such cases, an ultrasound is prescribed. If echoes of diffuse changes in the renal parenchyma appear, it is recommended to seek medical help. First of all, the specialist will prescribe a full examination of the patient. Based on the result of the study, he will prescribe a comprehensive treatment, during which it is necessary to lead a healthy lifestyle and not engage in heavy physical labor, eat properly, and avoid stress and anxiety.
There are several diseases that can trigger the occurrence of such a pathology. At the initial stage of the development of the disease, treatment is carried out more effectively with the help of drugs. With the advanced form, it is necessary to carry out surgical intervention. In such circumstances, the patient recovers much longer. To reduce the risk of pathology, experts recommend regular medical examinations, as there are times when there are no symptoms at the initial stage of diffuse changes in the parenchyma. If someone had a similar disease in their family, then they should visit the hospital once every six months.