Issue №5-93, 2019

Мedical rehabilitation after surgical treatment of hydronephrosis in children

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1 Pogonchenkova I. V., 1,2 Khan M.A., 1,2 Novikova E.V., 3 Menovshchikova L.B.

1 Moscow Scientifi c Practical Center of Medical Rehabilitation, Restorative and Sports Medicine, Moscow, Russia
2 I.M. Sechenov First Moscow State Medical University, Moscow, Russia
3 Filatov Moscow Pediatric Clinical Hospital, Moscow, Russia


ABSTRACT

The article presents modern technologies of medical rehabilitation of children operated for hydronephrosis. The importanceof medical rehabilitation of children with hydronephrosis is associated with a high frequency of occurrence, thepossibility of developing chronic kidney disease, and early disability of these patients. After surgery on the ureter, it is importantto use medical rehabilitation technologies aimed at preventing disorders of the urodynamics of upper and lowerurinary tract, stimulation of reparative processes. In recent years, particular attention has been paid to high-intensity pulsedmagnetic therapy, which has a more signifi cant and long-term stimulating eff ect compared to various types of electricalstimulation. Clinical studies conducted in 80 children operated for hydronephrosis, aged 3 to 15 years. The positive eff ect ofhigh-intensity pulsed magnetic therapy on the urodynamics of the urinary tract (reduction in the size of the renal pelvis) andrenal blood fl ow (restoration of blood fl ow to the renal cortex) were revealed.This method helped to reduce infl ammationin the renal parenchyma (reduction of proteinuria, leukocyturia) in children operated on for hydronephrosis; A signifi cantlyhigher eff ectiveness of medical rehabilitation with the use of high-intensity pulsed magnetic therapy was proved (86,6%).


KEYWORDS: hydronephrosis, medical rehabilitation, high-intensity pulsed magnetic therapу, physical therapy, kinesitherapy, children.



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.

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