First, what is renal atrophy , and how to determine renal atrophy
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. China's population
according to the survey , the adult kidney diameter is approximately 10 ~ 12cm,
width 5 ~ 6cm; kidney volume older age increments narrowed investigation found
that elderly kidney diameter of 9.2-11.8cm, less than 9.2cm kidney atrophy ,
greater than 11.8cm kidney increases.
Adult renal parenchymal thickness of about 1.5 ~ 2cm, no significant
differences in the elderly , <1.5cm to narrow ,> 2.0cm is thickened.
Generally diameter plus kidney renal 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 .
Second, a clear understanding of "what is renal atrophy ," analysis " to
generate renal atrophy reason ."
Left kidney renal atrophy usually occur atrophy, atrophy of the right kidney
and renal atrophy symptoms. Generally caused by renal atrophy following reasons
:
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, severe 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, there are two reasons for renal atrophy : renal tuberculosis (
unilateral renal narrow , with contralateral hydronephrosis or compensatory
increase ) , renal artery stenosis and congenital hypoplasia.
Conclusion : In general, renal atrophy and prolonged kidney disease are
closely related, because the kidney diseases lead to renal units , especially in
glomerular damage, the entire kidney appeared smaller in size . Renal atrophy
and renal function are complementary, when patients with renal atrophy when
bound to have renal insufficiency or renal failure until - uremia. In the hope
of the disease in patients with renal atrophy attention early in time to be a
systemic examination to exclude the possibility of renal failure , so as not to
delay the disease.
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