Kidney biopsy. Prices, reviews, ratings
General information
A kidney biopsy is usually performed when other methods of examining abnormalities in kidney function are insufficient. The effectiveness of this method is explained primarily by the ability to examine the tissue contents of the kidney microscopically.
Procedure
Preparation
Before this procedure, the necessary preparation is carried out:
- the doctor analyzes the patient's medical record in detail in order to identify possible contraindications for the patient to the procedure;
- the patient takes a blood and urine test to ensure the absence of any infectious diseases of the urinary system and signs an agreement to conduct the study, having previously familiarized himself with all its details;
- the patient informs the doctor of all his complaints and the tolerance of certain drugs;
- before the biopsy (1-2 weeks), the patient stops taking medications that thin the blood and affect the clotting function blood;
- it is not recommended to eat food 8 hours before the procedure;
- it is also forbidden to drink liquids immediately before the procedure.
The process of performing a kidney biopsy
This procedure is carried out in several stages:
- the patient undresses and lies down on his stomach on a special operating table;
- then the patient is put under local anesthesia;
- the doctor inserts a biopsy needle into the selected area (this is done under the direct control of an ultrasound examination, the patient is asked to hold their breath and not make any movements for some time);
- after taking the kidney tissue, the needle is removed;
- the bleeding is stopped and a special antiseptic is applied bandage.
Rehabilitation period
After this procedure, it is necessary to undergo a rehabilitation course:
- the patient is recommended to stay in bed all day, while drinking plenty of fluids;
- it is forbidden to take any anti-inflammatory drugs;
- during the first two days after the procedure, any physical activity is prohibited;
- for 2 weeks after the biopsy, it is recommended not to lift heavy objects or overexert yourself.
If the event went well, the patient can return home on the same day. If pain occurs, you can use a painkiller.
Indications
A biopsy is performed if:
- severe infectious processes in the urinary tract;
- glomerulonephritis (damage to the glomeruli of the kidneys);
- blood or protein products in the urine;
- abnormalities in the functioning of the transplanted kidney;
- suspicion of tumor formations in the kidney;
- impaired kidney function that is detected using ultrasound diagnostics and computed tomography.
Contraindications
A kidney biopsy is absolutely contraindicated for people with one functioning kidney, with blood clotting disorders, the presence of renal tumors, hydronephrosis, renal tuberculosis and renal artery aneurysm. Relative contraindications to the procedure include the following pathologies: severe hypertension, nephroptosis, abnormal renal mobility, atherosclerosis in the last stages of its development, nodular periarteritis, myeloma.
Complications
Complications after kidney biopsy are very rare, among them it is worth mentioning:
- accumulation of blood in the muscle or kidney;
- infectious inflammation of the skin at the injection site;
- neumothorax;
- rupture of the lower pole of the kidney;
- bleeding as a result of puncturing fairly large blood vessels;
- paranephritis (inflammation of the tissue around the kidney).
If the patient after the procedure, pain in the chest, abdomen or shoulder, severe shortness of breath, profuse bleeding in the injection area, fever, and blood is present in the urine after 24 hours after the biopsy, the patient should immediately consult a doctor.
Prices and clinics
This service is provided in many clinics. The price for the procedure depends on the chosen institution and ranges from 3,000 to 25,000 rubles.
In order to decide on the choice of a specialist, as well as to find out the location and features of the clinic's services, you can use the medical portal
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