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Дитина з роками могла втратити частину органу! Команда лікарів-урологів нашого шпиталю врятувала 8-річного хлопчика з рідкісним діагнозом — важкою вадою розвитку частини підковоподібної нирки.

10 Січня, 2025 Новини Comments (375)

Ця вроджена вада характеризується тим, що в період ембріонального розвитку два зачатки майбутніх нирок зростаються посередині нижніми полюсами і, в результаті, формується одна нирка, що у вигляді підкови розташовується в заочеревинному просторі над найбільшими судинами організму — аортою та нижньою порожнистою веною.

Анатомічною особливістю таких нирок є аномальне кровопостачання. Кожна половина такого органу має своє власне кровозабезпечення, але якщо в нормальної нирки зазвичай є одна артерія, то в цьому випадку їх може бути від 2-3 до 5-6, і відходити вони можуть не лише від аорти, але і від її розгалужень та брижейкових судин кишківника.

❗️Вада зустрічається з частотою приблизно в однієї людини з 500, здебільшого у чоловіків.

Майже у 60% випадків підковоподібна нирка поєднується з вродженими вадами других органів. Анатомічні особливості цієї аномалії можуть привести до таких ускладнень, як пієлонефрит, гідронефроз, сечокам’яна хвороба, артеріальна гіпертензія.

🔎 Причиною гідронефрозу саме у Платона була компресія (стискання) лівого сечоводу великими судинами (артерією і веною), що живлять відповідний сегмент нирки, а це значно ускладнювало оперативне втручання. Здавлення сечоводу привело до затримки сечі і різкого розширення порожнистої системи лівої половини “підкови” та витончення її паренхіми. До того ж у хлопчика з’явилися перші прояви сечокам’яної хвороби.

Пересікання таких судин привело б до інфаркту (некрозу) частини ниркової паренхіми і , як наслідок, до різкого підвищення артеріального тиску у дитини. Тому під час операції сечовід було пересічено і приєднано новим анастомозом до безсудинної ділянки ниркової миски без пошкодження причинних судин.

🖇️ Родина з Хмельницької області. Платону – 8 років. Батьки звертались із сином до різних лікарень України, однак всюди їм відповідали, що не можуть допомогти при такому діагнозі. Погодились зробити втручання лише у київському “Охматдиті”, однак це було якраз перед ракетною атакою на шпиталь і операцію довелось скасувати. Тоді батьки з хлопчиком звернулись до фахівців нашого Центру.

👆Оскільки, наша команда урологів має величезний досвід оперативних втручань у найскладніших клінічних випадках та, навіть, дуже маленьким (новонародженим) діткам – одразу взялись за усі необхідні обстеження та підготовку до операції.

✅ Втручання пройшло успішно!

“Це була дуже складна і копітка операція, ювелірна. Поруч велика вена, артерії, які йшли до нижнього полюсу лівої нирки. Ще й підковоподібна нирка є нерухомою. Якщо вчасно не зробити при такій ситуації операцію, то гідронефроз би привів до втрати половини органу , що також би вимагало хірургічного лікування – резекції “підкови” та видалення її половини”, – пояснив лікар-уролог нашого Центру Данило Іваськевич.

“Ці неймовірні лікарі-урологи виконали надскладну операцію моїй дитині на нирці. Вони беруться за найскладніші випадки, та оперують дітей з усієї України. Вони наші справжні супер-герої. Ми тепер у їхньому фан-клубі. Багато прийшлося нам пройти шляху , щоб знайти саме цю лікарню. Дякуємо без винятку кожному, хто нам допоміг. Вдячні всім”, – сказала мама хлопчика Ольга.

👩‍⚕️👨🏼‍⚕️Операційна команда: лікарі-урологи Андрій Поцюрко, Данило Іваськевич, Ігор Гримак, Богдан Гижа, анестезіолог Віра Приймакова (Віра Приймакова), операційна медсестра Галина Ших.

📍Адреса: м. Львів, вул. Лисенка, 31.

📲 Контакти для запису на консультацію:

(067) 760 00 31 або (032) 236 81 55.

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