Nephrologist

The nephrologist – the specialist who is engaged in diagnosis, prevention and treatment of diseases of kidneys. The children's nephrologist is engaged in diseases of kidneys at children. Also competence of the children's nephrologist includes treatment of congenital anomalies of development of kidneys.

As a rule, to the nephrologist patients come to reception after find changes in analyses – the high content of protein in urine or blood cells, etc.

The doctor the nephrologist carries out out-patient treatment of chronic and acute diseases of kidneys, and also active medicamentous prevention. Depending on a disease, the doctor the nephrologist chooses individual dietary food for the patient, monitors observance of its mode. In particular, it is very important for patients with metabolic disturbances and with reduced function of kidneys.

The bladder, ureters, urethra, kidneys belong to bodies in which the doctor the nephrologist is engaged.

What does the nephrologist treat?

• Renal failure;
• Vascular a nephropathy, damage of kidneys at system vasculites;
• Acute and chronic pyelonephritis and glomerulonephritis;
• Amyloidosis of kidneys;
• Uratny, diabetic nephropathy;
• Damage of kidneys medicines;
• Urolithiasis;
• Chronic intersticial nephrite;
• Secondary glomerulonephritis and lupoid nephrite at patients with other general diseases of connecting fabric.

What the nephrologist children's treats?

First of all, the children's nephrologist studies a homeostasis and its renal regulation at the healthy child at different age, and also the disturbances of a homeostasis caused by the diseases of urinogenital system arising in the course of formation of the person. What the nephrologist at children treats? Treat these diseases:

• Dysplasia of kidneys;
• Children's pyelonephritis and glomerulonephritis;
• Family nephropathy;
• Tubulopatiya;
• Gemolitiko-uremichesky syndrome;
• Anatomic anomalies of bodies of uric system;
• Dizmetabolichesky nephropathy, including urolithiasis;
• Nephrite at a hemorrhagic vasculitis.

When it is necessary to register in reception to the nephrologist?

To the nephrologist it is necessary to register in reception at emergence of the following symptoms of nephrological diseases:

• Renal colic;
• Renal failure;
• Polyuria;
• Anury;
• Existence of tumors;
• Syndrome of an acute inflammation of kidneys;
• Arterial hypertension;
• Availability of protein or blood in urine;
• Oliguria.

When it is necessary to visit the children's nephrologist?

The nephrologist needs to see a doctor in the following cases:

• Complaints of the child to urodynias;
• Deviations in analyses of urine;
• Too frequent urination;
• When at ultrasonography diagnosis of a bladder and kidneys aberrations are found.

What analyses the neurologist will demand?

The nephrologist has the right to demand from the patient of delivery of the following analyses necessary for specification of the diagnosis:

• Biochemical analysis of blood on determination of level of uric acid, creatinine and urea;
• Triglycerides;
• Cholesterol;
• Crops of urine on flora;
• Research on Nechiporenko;
• Electrolytes;
• Daily urine;
• Zimnitsky and Reberg's tests;
• Arterial pressure in dynamics.

The children's nephrologist in addition can demand:

• Hromotsistoskopiya;
• Research of functional capacity of kidneys;
• The analysis of allocations from an urethra (an ejaculate, a prostate secret).

What types of diagnoses are carried out by the doctor the nephrologist?

• Biopsy and scanning of kidneys;
• Intravenous urography;
• ECG;
• Retrograde piyelografiya;
• Pneumoperitoneum;
• ULTRASONOGRAPHY;
• Survey X-ray analysis of kidneys;
• Radio isotope X-ray analysis.

Councils of the nephrologist

Councils of the nephrologist on food for the people having problems with kidneys are included below:

• Limit salt consumption as salt causes thirst and promotes a liquid delay in an organism. It leads to increase in pressure and emergence of hypostases. For people with sore kidneys the day norm of salt makes no more than 7 g;
• To reduce concentration in an organism of phosphorus and potassium, it is necessary to exclude from a diet all fried, dried fruits, canned food and vegetables. Reduce amount of the consumed fruit (except pears and apples), and also dairy products;
• The standard daily rate of protein should not exceed 300 g. It is more preferable to use the fowl and mutton steamed;
• It is necessary to exclude from a diet fish, the bean, containing large amounts of protein and rich broths;
• At a diet there shall be porridges, macaroni, kissels, olive oil and honey. It is possible to use coffee in small amounts;
• Pressure should be measured several times a day. Consider that not all drugs from pressure can be used at diseases of kidneys therefore before their use consult with the nephrologist;
• Each three months it is necessary to go to reception to the nephrologist and to make blood tests and urine.

Councils of the children's nephrologist

Is very important in time to reveal pathology at the child and to begin the corresponding treatment. It will help to avoid many serious complications. For this purpose parents have to:

• To watch closely a condition of the child and to note possible symptoms of a disease;
• Not to allow overcooling of the child;
• Not to neglect routine inspections at the pediatrician;
• As long as possible to nurse the child as it protects the child from an intestinal dysbiosis, so, less disease-producing microbes get to an organism;
• In case of fervescence in the absence of other symptoms of cold it is necessary to call the doctor in the child urgently.