Main »
Neurology
» The defeat of the nervous system in renal diseases
17:59
The defeat of the nervous system in renal diseases
The defeat of the nervous system in renal diseases
When kidney disease may be a variety of neuro-psychiatric disorders - the defeat of the peripheral nerves and the brain (encephalopathy and neuropathy), paralysis, uremic coma. The most common causes of neurological complications of renal origin - urolithiasis, chronic glomerulonephritis and pyelonephritis. The defeat of the nervous system in renal disease due mainly to intoxication. Decompensation of renal function leads to insufficient blood cleansing of toxins and, therefore, the accumulation of nitrogen in the blood, urea and its derivatives.
In addition to the accumulation of toxic substances, and the observed disruption of the normal absorption and excretion of electrolytes - potassium, calcium, magnesium and chlorine. Due to the redistribution of their concentrations in the body, observed changes in blood pressure and cerebrospinal fluid, which leads to increased vascular permeability. This, in turn, causes the development of edema of the brain and spinal cord, as well as the emergence of small hemorrhages in the brain tissue. As a result of these pathological changes develop clinical symptoms.
Thus, because of the appearance of toxic edema and compression of the lumbar ganglia of the vegetative them, you may experience pain. The pain is localized in the kidneys, on the one hand (renal colic), or symmetrically on both (nephritis), the pain is constant or paroxysmal in nature, are not always going down in a prone position and can spread to the inner surface of the thigh and groin crease. In addition, you may experience pain in the abdomen or even in the heart, simulating disease of the liver, stomach, pancreas, and angina. Typically, gastric and cardiac symptoms in these cases, combined with low back pain, which allows suspected renal disease. It must be remembered that renal failure may cause a worsening of lumbar degenerative disc disease with the development of sciatica and lumbago, respectively, developed a clinical picture of these diseases.
General intoxication causes the development of neurotic syndrome - irritability, temper, mood instability, and sleep disorders. In the future, these displays are replaced by symptoms of "exhaustion" - fatigue, distraction, excessive touchiness with watery eyes. All violations usually develop on the background of lower back pain, swelling, urination disorders. General intoxication can also lead to the development of polyneuritis, which is characterized by the appearance of pain in various parts of the body, burning sensation or numbness of the skin at different sites.
Treatment of neuropsychiatric disorders depends on the treatment of primary renal disease. Usually, treatment is directed primarily to compensate for kidney failure with courses hemosorption, plasmapheresis, hemodialysis. These measures may be necessary preparatory to surgery - removal of kidney stones or tumors, or in severe cases - and the removal of a kidney transplant. In the future course of conservative therapy are needed - taking anti-inflammatory, diuretic, sedative, and bracing means.
