What to do if the fetus has hydronephrosis in six months of pregnancy

When the pregnancy is six months, the fetus develops hydronephrosis. This is a relatively serious condition and should be promptly examined. There are two situations in which a child develops hydronephrosis. One situation is that the hydronephrosis can be absorbed by itself, which will not affect the child's health. The other situation is that the fetal condition will gradually worsen, and termination of pregnancy should be considered. Let's take a look at this aspect.

What to do if the fetus has hydronephrosis in six months of pregnancy

The collecting system of a normal fetal kidney may have mild separation, with a separation diameter of up to 6 mm. However, if the renal pelvis dilates ≥ 10 mm or the renal calyx dilatation is present after gestational age of more than 30 weeks, it is hydronephrosis.

There are two types of hydronephrosis. One is reversible: the width of the hydrops is between 1.01 and 1.63 cm, and the renal parenchyma is thicker, between 1.02 and 0.58 cm. The environment changes after the fetus is born and the hydrops disappears. It is common when the fetal bladder is filled with a large amount of urine or when the ureteral contraction rhythm is disturbed due to some reason. In addition, some cases may have certain anatomical abnormalities in the ureter. The other type is irreversible: the width of the hydrops is 2.15-2.56 cm, and the thickness of the renal parenchyma is 0.3-0.2 cm. It is common in congenital ureteral stenosis and often has changes in secretory function. It should be treated promptly after birth.

So in summary, it is particularly important to fully understand the outcome of fetal hydronephrosis and to follow up regularly. If you discover hydronephrosis in the fetus, don't worry too much and don't rush to terminate the pregnancy. You should have a follow-up check one hour or one week after the ultrasound discovery. If the width of fetal hydronephrosis is <1.63 cm or the thickness of renal parenchyma is >0.58 cm, it can be considered normal; if the width of hydronephrosis is >2.15 cm or the thickness of renal parenchyma is <0.2 cm, it is irreversible and the pregnancy can be terminated depending on the situation.

Nursing methods for fetal hydronephrosis

Children's hydronephrosis is mainly caused by obstruction at the junction of the kidney and ureter or obstruction between the ureter and bladder. So what are the usual care methods for fetal hydronephrosis? Let the editor introduce the care methods for fetal hydronephrosis to you and give your child a healthy future!

1. When the kidneys are damaged, the kidneys' ability to absorb protein will decrease. In order to reduce the burden on the kidneys, you should choose high-quality proteins, such as milk, eggs, lean meat, etc., to meet the needs of the body. Do not eat beans and their products.

2. Eat more light and easily digestible food. Avoid spicy, fried, raw or cold food to avoid increasing the burden on the kidneys.

3. Supplement some fresh fruits and vegetables appropriately, keep bowel movements and urination smooth, avoid overeating, and reduce the burden on the kidneys; arrange three meals a day reasonably and on time, and develop good eating habits.

4. Do not eat foods high in purine, such as animal offal, soybeans, lentils, spinach, etc. Do not eat foods containing oxalate, such as beets, celery, chocolate, grapes, green peppers, coriander, etc., so as not to aggravate the patient's condition.

5. If the patient has unilateral hydronephrosis, there is no need to restrict water intake. However, if it is bilateral hydronephrosis, water intake should be restricted.

6. Pay attention to rest and don't overwork your body; don't smoke or drink; don't do strenuous exercise, keep warm, and prevent colds to avoid damaging your kidneys.

7. Don’t take tonic medicine blindly. You need to get permission from your doctor. If you encounter any discomfort in your life, you should go to the hospital for examination and treatment as soon as possible to avoid serious consequences.