Renal atrophy usually left renal atrophy. The causes of renal atrophy formed following main points:
Renal atrophy and kidney volume is based on the person's age, gender and body height and weight compared with each other. Most hospitals promoting the use of B-mode ultrasound examination of kidney, it is the most simple and economical. B-mode ultrasound kidney size measurement methods including renal poles of the long diameter and the thickness of the renal parenchyma. Kidney long diameter according to nationality, height, age and there are some differences, the left kidney is slightly longer than the right kidney, males slightly larger than females. Adults renal parenchymal thickness of about 1.5 ~ 2CM, the elderly no significant difference, 15CM = 2.0CM is thickening. In general, renal parenchymal kidney long diameter plus the thickness measurement to identify acute and chronic renal failure, in line with 93.6%. Suffering from chronic kidney disease, regular measurement of renal size, can help monitor the disease progress.
First, consider that after renal atrophy congenital renal hypoplasia, followed by consideration of end-stage renal disease, namely renal failure, uremia, or some acute illness. Such as: acute renal diseases, diabetic kidney cirrhosis, kidney transplant rejection, chronic glomerulonephritis, renal cortical necrosis, ALPORT syndrome, acute tubular necrosis, hypertensive nephrosclerosis.
Both kidneys or kidney narrow side are mostly the cause of chronic pyelonephritis, which is also a common cause of renal atrophy.
Generally kidneys reduce the development of chronic kidney disease renal insufficiency, especially kidney failure, uremia, serum creatinine, blood urea nitrogen increased, severe kidney damage, kidney parenchyma damage, kidney will be reduced. So to remind patients to renal atrophy attention to this cause, kidney disease occult strong, if the glomerular filtration rate below 50%, or kidney damage severe clinical symptoms only consequential. Renal atrophy after diagnosis must actively find out the reasons, in order 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.
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