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"Sisters, does anyone produce hydronephrosis after radiotherapy? I have been troubled by hydronephrosis. How to solve it?" Some patients asked this.
Hydroninosis is a common complication in patients during radiotherapy. It may occur before, after, after radiotherapy, and during recurrence. Early hydronephrosis is not very harmful and can be cured by timely treatment. However, sometimes, hydronephrosis may develop rapidly in another direction , seriously harming our body and even leading to death.
What's going on? How to treat hydronephrosis?
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01, Ureteral obstruction and hydronephrosis
The ureter is a place connecting the kidney and the bladder. Under normal circumstances, our two kidneys produce urine, the ureter delivers urine, and the bladder stores urine . The three work together to help us excrete.
sounds completely unrelated to us, so why do tumor patients experience hydronephrosis?
For example: For cervical cancer patients: ureter and cervix are "neighbors" . If there is a problem with the cervix, the ureter is easily "continuous". For example, the cervix tumor becomes larger, and the first one is compressed is the ureter. During the cervical lesion, ureter damages . After surgery, scar hyperplasia will also block the ureter. Even edema caused by radiotherapy can cause to obstruct .
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The ureter is thin and long. Once blocked, the urine produced by the kidney cannot be excreted, and will naturally stay in the kidney , causing hydronephrosis.
If hydronephrosis is treated in time, most of them can be cured, but some patients have no symptoms and do not feel uncomfortable, so they will naturally not treat it. The condition is likely to develop in another direction.
02, Hydroneal nephrosis and renal failure
The kidneys are not like the bladder and can be used to store urine. Therefore, When the water in the kidney accumulates more and more, it will compress the kidney parenchymal (the part where the kidney works).
The kidney parenchyma is compressed and damage will occur. If the treatment is not done at this time, or the treatment is ineffective, allowing hydronephrosis to damage the kidneys for a long time and severely, will easily lead to renal failure in the patient.
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uremia is the end stage of renal failure. At this time, the patient's body is urotoxin aggregates, and the body's fluids and electrolytes are imbalanced. Then, serious complications such as modern metabolic acidosis, hyperkalemia , uremia pericarditis , uremia pneumonia and other serious complications may occur, and they need to be treated immediately.
Ureteral obstruction - hydronephrosis - renal failure - uremia - serious complications. This process is basically irreversible in the later stage. Therefore, if our tumor patients have hydronephrosis, try to detect, diagnose and treat as early as possible to prevent the situation from worsening.
03. How to detect and treat hydronephrosis in time?
There are many early hydronephrosis without symptoms, and some symptoms are usually not very obvious, so it is easy to mistakenly think that it is a symptom of the tumor itself. Therefore, if the patient experiences symptoms such as lower back pain, urination pain, fever, nausea and vomiting, , etc., you should also be vigilant against hydronephrosis.
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In addition, a large number of tumor patients will find hydronephrosis during B-ultrasound examination, so it is still necessary to check for regular ureteral ultrasound.
So how should we treat it after discovering hydronephrosis?
① Closely observe
If it is hydronephrosis caused by unilateral ureteral obstruction of in a short period of postoperative time, or just after radiotherapy, if there are no symptoms such as pain and normal renal function, you can not deal with it first and only observe closely.
is likely to recover with the recovery of surgical and radiotherapy injuries. If you are too anxious to deal with it, it will be more cost-effective.
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② Conservative treatment
Conservative treatment is actually not a "treatment", but helps symptomatic hydronephrosis patients reduce symptoms and complications, and is also preparing for subsequent surgery.
conservative treatment measures include pain relief, fluid replenishment and anti-infection , etc. For example, patients with pain due to hydronephrosis and spasm of the kidneys, can use medicine to relieve pain and reduce spasms; when hydronephrosis is complicated by urinary tract infection, penicillin can be used to treat it.
In addition, if hydronephrosis has caused serious renal function damage, then before surgery, you can do hemodialysis to reduce the burden on the body before treatment.
③ The first choice for surgery: Double J tube insertion
This surgery is actually to put a pipe for support in our ureter, so that the ureter will not be "squashed" due to tumor compression or other reasons, and lose the function of delivering urine.
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Because the pipe is inserted directly from the ureteral mouth, this operation does not cause much harm to us, but the effect is immediate, and it can immediately help excrete and relieve kidney pain.
However, this double J tube is a "foreign object" for the body, which will inevitably cause irritation to the ureter, and stones may also be attached to it to grow. Therefore, after the operation, we need to check regularly and replace the double J tube.
④ Surgery selection: Percutaneous nephrosis
If the patient fails to place the double J tube due to a tumor in the bladder, he can perform percutaneous nephrosis stomatology. An artificially creates a pipe from the kidney to the skin , which drains hydronephrosis, which is also very effective, but this treatment is traumatic and is difficult to care for nephrosis tubes.
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Epilogue:
Is the kidney function good or not, it is very important for our patients . If we can handle hydronephrosis correctly, it will be beneficial for quality of life, survival time, or for further radiotherapy and chemotherapy in the future.
However, if it cannot be handled properly, it will cause kidney damage and failure. Not only will the quality of life be greatly reduced, but if the tumor recurs later, it will also affect the treatment and thus affect the survival time.
Therefore, after hydronephrosis occurs, we still need to actively treat it and relieve the obstruction in time.
Editor in charge: Gynecological tumor mutual aid jun
Picture source: Photo Network
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