Renal atrophy usually left renal atrophy occurs , resulting in the formation
of the main renal atrophy following reasons :
Renal atrophy and renal volume is based on the person's age , gender and body
height and weight compared with each other . Shijiazhuang Kidney Disease
Hospital has been advocating the use of B -mode ultrasound examination kidneys ,
it is the most simple and convenient , and economical. B -mode ultrasound method
for measuring the size of the kidney including renal poles diameter and
thickness of the renal parenchyma . Kidney diameter according to ethnicity,
height, age and there are some differences , the left kidney slightly longer
than the right kidney , males slightly larger than females. Adult renal
parenchymal thickness of about 1.5 ~ 2cm, no significant differences in the
elderly , <1.5cm to narrow ,> 2.0cm is thickened. Generally kidney
diameter plus parenchymal thickness measurements to identify acute and chronic
renal failure , in line with rate of 92.6%. Suffering from chronic kidney
disease , kidney size measured regularly , can help monitor disease progression
.
First to be considered that renal atrophy congenital renal hypoplasia ,
followed by consideration of end-stage renal disease, ie renal failure, uremia ,
or some acute illness. Such as: acute renal disease, diabetes, renal cirrhosis ,
kidney transplant rejection , chronic glomerulonephritis, renal cortical
necrosis , Alport syndrome, acute tubular necrosis , hypertensive
nephrosclerosis .
Bilateral renal or kidney narrow side more than the cause of chronic
pyelonephritis , which is also a common cause of renal atrophy .
Generally the development of chronic kidney disease kidneys shrink to renal
insufficiency, especially renal failure, uremia , serum creatinine, blood urea
nitrogen increased, serious kidney damage, renal parenchymal injury , kidney
will be reduced . So be sure to remind patients of renal atrophy great attention
to this , a strong occult renal disease , if the glomerular filtration rate
below 50 %, that is a serious clinical symptoms of kidney damage was
consequential . Renal atrophy after diagnosis must actively find reasons to
troubleshoot the condition.
In addition, renal atrophy reason there are two things : renal tuberculosis (
unilateral renal narrow , with contralateral hydronephrosis or compensatory
increase ) , renal artery stenosis and congenital hypoplasia.
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