Methods to relieve hydronephrosis in pregnant women

It is generally believed that it is related to the compression syndrome caused by the expansion of the uterus during pregnancy. This can usually be observed again and adjusted by appropriate activities. Don't maintain the same posture and do a kidney function test. If there is no obvious abnormality, it can be observed again. In addition, it can be treated after giving birth and the condition of stones can be checked.

First, the cause of hydronephrosis should be found out to distinguish whether it is physiological water retention or physiological water retention in pregnant women. If pregnant women have hydronephrosis or associated symptoms, it is necessary to first determine whether pain relief treatment can be sustained. If the pain recurs and is unbearable, and the pain reaches mild to moderate or above, simple drug pain relief will not be sustainable and aggressive treatment is required.

Hydronephrosis of pregnant women is the main manifestation of physiological changes during pregnancy. That is, in the middle and late stages of pregnancy, after the pregnant woman's uterus enlarges, the urethra and retroperitoneum are compressed. In addition, the increase in estrogen causes smooth muscle relaxation, thereby causing mild hydronephrosis. Generally, the retained water will dissipate after the pregnant woman gives birth.

The pain of physiological hydronephrosis is generally not obvious, and it can be relieved by lying on the affected side. It often occurs on the right side. It is best to sleep on the left side of the pregnant woman when sleeping, which can effectively relieve the burden on the kidney function. Physiological hydronephrosis causes severe pain.

Treatment of hydronephrosis during pregnancy: choose according to the cause of the disease, and also to determine whether the pain relief treatment can be maintained. If the pain recurs and is unbearable, general medication cannot be sustained. If the condition is very bad or the cause is complicated, percutaneous nephrostomy and drainage should be performed first to remove the kidney function; for severe hydronephrosis or pyonephrosis, if the function of the ipsilateral kidney is good, nephrectomy should be performed; those who cannot undergo surgical removal can choose to place a double "T" tube or a stent tube.