As you know, the bladder is considered to be a unpaired hollow organ, which is presented in the human body in the form of a tank. The main function is in the accumulation and retention of urine in the body.

The size and capacity of the bladder varies depending on its fullness and gender. However, dimensions may vary in connection with pathological processes.

What does the enlarged bladder say

An enlarged bladder speaks of urinary system diseases, for example, urine delay (Ihhuria), hydronephrosis, and when it is a palpation, it is mistaken for tumor education in the abdominal cavity, cyst, intestinal turn.

In some cases, during ultrasound diagnostics, a pregnant woman has an increased bladder from the fetus. If the size of the organ increases over 8 mmthen the doctor diagnoses about megazistis. But to accurately determine the disease, a woman is offered to undergo a study of the Vezikocentsis, in which through the placenta pierce the wall of the bladder to examine the urine of the child. Early detection of the disease prevents its further development.

The urinary system of the fetus is located in the lower body of the body, resembles a pear or a circle. The size increases as the child grows and it reaches the long term up to 30 ml. The emptying of the child occurs once every 30 40 minutes. If it is not detected or increased by the baby, prescribe a re-ultrasound.

The bladder is formed by the embryo for 25-27 days of pregnancy, finally on December 21-22. Vices occur against the background of chromosomal deviations.

Factors affecting an increase in the body

The genetic factor (deviations in the gene pool of the fetus leads to underdevelopment of the fetus organs)

Diseases of an infectious nature of the mother during the tooling of a child, for example, rubella, syphilis.

Professional influence, environmental factors.

Abuse of alcohol and narcotic substances of a pregnant woman.

What is dangerous an increase in the bladder in the fetus

The diseases of the urethra and bladder in the fetus are detected in rare cases, distinguish:

• Extrafia bladder.
• Atresia urethra.
• Valve rear urethra.
• Prune-belly syndrome

Under the disease extrophy Understand the absence or underdevelopment of the front wall of the bladder, which leads to the defectivity of the lower abdominal wall. The disease is detected due to the lack of an image of a scanogram, while the structure of the kidneys and their dimensions do not change. The defect is diagnosed for 16 weeks, treat surgical way.

At the end of pregnancy, research detects ureterocelecharacterized by the expansion of the ureter, diseases accompany cystitis, pyelonephritis, urethritis. The newborn is sent to a special medical institution for therapy.

Atresia Urethra - Call a rare disease, discover for 14 weeks. In the pictures, the bladder of significant sizes in a child are revealed, which leads to an increase in the abdomen of the fetus, and the mother has no oil-free waters.

It is characterized by the thickening of the walls of the organ due to the inferiority of the muscular layer. In the picture, the doctor defines a cystic formation of a circular or shaft. Plok meets more often in boys. Large formations are removed operational.

Prune Bella Syndrome It combines 3 pathologies: congenital hypoplasia or insufficiency (absence) of the muscles of the abdominal wall, megazistis, dilatation of the ureter and the prostatic department of the urethra (abnormal phenomena) and bilateral cryptorchism. Each category is manifested in all patients in varying degrees, the defeat of the peritoneum varies.

Anomalous development of urinary tract prevents the normal functioning of the entire urinary system in the baby, the disease may end with a fatal outcome for the fetus.

Diagnostic methods

Ultrasound Research Available, a modern way to identify the deviations of the fetus during pregnancy. It does not require additional preparation conditions. There are two types: Abdominal, through the genital paths of a woman (vagina).

To clarify the exact diagnosis of the patient, surveys are prescribed: excretory urography, cystoscopy, chromocystoscopy.

Treatment of ailment

With inflammatory diseases, antibacterial drugs are prescribed, in more complex situations, the interruption of pregnancy.

Despite the favorable outcome, doctors are observed by the girlfriend, the development of the urinary system of the child. Heavy complications negatively affect the general state of the fetus and women. To save the life of the baby, experts apply surgical intervention.

Prevention

In medical practice, preventive measures are not found to prevent an enlarged bladder syndrome by the embryo. Doctors advise women who are planning to conceive a child, to fully prepare: to pass all the tests, to be examined by all narrow specialists, put the complex of vitamins. If any disease is detected, be sure to begin treatment.

For boys during ultrasound diagnostics, it is possible to observe such a phenomenon as a jet of turbulence into amniotic fluid. Due to the crowded bladder, the fetus easily take it for hydronephrosis, ovarian cyst, multi-storey, megazistis. Repeated examination gives an accurate description of the organ.

Stones kidney fetal - very rare pathology. In an adult man on scanograms, they are defined as a hyperhehohennga formation of oval shape, giving an acoustic shadow if their thickness exceeds 5 mm. The fetus, due to the small sizes, the acoustic flow for them is never observed. On scanograms in the fetus, they are defined as oval forms of hyperechogenic formations, the length of which is usually 3-5 mm, the thickness is 2-3 mm.

The bladder of the fetus on scanograms begin to identify in 12-13 weeks of gestation. On transverse scanograms, it is defined as a round, and on longitudinal - as an echonegative formation of an oval form with clearly smooth circuits, fully deprived of internal echostructures.

The magnitude of the bladder is subject to significant individual oscillations and depends on the degree of its filling. The emptying of the bladder is completely or fractionally, i.e. in parts. In some cases, the appearance of a turbulent flow can be observed in the location of the turbulent flow at the location site, the occurrence of which is due to the emptying of the bladder.

The anomalies of the bladder and the urethra are rare. In the antenatal period, the following varies of their development are mainly observed: Extrophopia of the bladder, ureterocele, atresia urethra, rear urethra valve, PMNE-BUY.

Extrophy of the bladder is a congenital disease characterized by a defect of the lower abdominal wall and the absence of the front wall of the bladder. This malformation is extremely rare - 1:45,000 newborns. For boys, this vice is often combined with a total epispyatia, and in girls - with the anomalies of the development of the uterus and vagina. The main echographic sign of the urinary bubble echrochetia is the absence of its image on scanograms, while the sizes and structure of the kidneys remain normal.

The number of accumulating waters is also not changed. The diagnosis of Extrophy can be supplied already in 16-18 weeks. Treatment only surgical. Taking into account a large number of unsatisfactory long-term results, the question of the feasibility of further pregnancy is necessary to solve together with specialists working in the field of children's urology.

The ureterocele is more often detected only at the end of pregnancy and mainly with the expressed expansion of the ureter. Due to the fact that this pathology is almost always accompanied by pyelonephritis, ureterite and cystitis. In the coming period after the birth of a child, it is necessary to send to a specialized hospital for further surveys and treatment.

Atresia of urethra is an extremely rare malformation. The main echographic sign of this pathology is a sharply expressed increase in the bladder with the complete absence of spindle water. The increase in the bladder begins to identify from 14-15 weeks of pregnancy.

By the end of the II and the beginning of the III trimester of pregnancy, the bladder increases so much that it can fill in the entire abdominal cavity. In turn, this leads to a significant increase in the abdomen.

In most cases, the hydronephortic transformation of the kidneys and the expansion of the ureters are noted at the same time. With the atresia of urethra and bilateral pronounced hydronephrosis, the interruption of pregnancy is shown.

The diverticulus of the bladder is blindly ending the absorption of its wall. Diverticulus can be solid and multiple. The wall of the diverticulus consists of the same layers as a bubble, a muscular layer of hypoplasis. Pathogenesis explain the congenital inferiority of the muscular layer. On scanograms, it is defined as a small round or, less often, oval cystic absorption of the bladder.

More often, the disease is found in male patients. Small asymptomatic diverticulus usually do not require treatment, larger to be excised.

In most observations, this vice defense is possible to identify an extended proximal part of the urethra, which is depicted on scanograms as a small tubular structure located in the lower bladder departments. In many cases, megaureter and hydronephrosis are observed. Given that the urethra valve is the cause of intra-dispersion, leading to severe urodynamics, and in most observations is accompanied by a bubble ureteral reflux, with severe form of vice, it should be considered advisable to interrupt pregnancy.

Prune-Belly syndrome is a combination of muscle hypoplasia of the anterior abdominal wall, obstruction of urinary tract and cryptorchism. It is manifested by hypotension and muscle atrophy of the front wall of the abdomen, a large atonic bladder, the expansion of ureters and cryptorchism.

Frequency of occurrence of vice: one case per 40,000 newborns. The boys watch it about 15 times more often than girls.

In the diagnosis of this pathology, it should be borne in mind that, in contrast to the atresia of the urethra, in the prune-belly syndrome, the oily water is determined. Ultrasonic diagnosis of syndrome is already possible with 15 weeks of pregnancy.

The human body is a reasonable and fairly balanced mechanism.

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Pig (scientific name - epidemic vapotitis) is called an infectious disease ...

The hepatic colic is a typical manifestation of gallstone disease.

The edema of the brain is the consequences of excessive loads of the body.

There are no people in the world who have never been sick orvi (acute respiratory viral diseases) ...

A healthy human body is able to assimage as many salts obtained with water and food ...

Burst of the knee joint is a widespread disease among athletes ...

The bladder presses on the fruit

Why during pregnancy the fruit presses on the bladder?

Literally from the first days of pregnancy in the body of a woman, changes begin to occur to prepare her body to long-term having a child and childbirth.

Pregnancy

This is a psychological restructuring, changes in a hormonal background that affect the work of almost all organs and systems, anatomical changes.

With the course of pregnancy, the fruit grows, and the increasing uterus presses on all nearby organs, especially on the bladder.

Structure of the women's urogenital system

The functions of blood plasma and urine formation are performed. Outside, they are covered with a capsule from connective tissue, and under it there is a so-called parenchyma.

It consists of functional cells - nephron. Through their glomeruli and tubuine system is plasma, toxic products of metabolism are filtered off.

As a result, the urine is formed. It is in the system of cups and lochanks kidneys enters the ureter.

Then, due to the reflex periodic cuts of its walls, the watering of the kidneys falls into the bladder, and it is released from the body from it from the ureas.

The bladder is an organ for urine accumulation. Its average amount averages 700ml. It is located at the bottom of the abdomen, in the cavity of a small pelvis.

In women, the rear surface of the bladder comes into contact with the uterus and vagina.

In the anatomical structure of the bladder allocate such departments:

• the top that is in front of the top;
• the body is the middle and most of the largest;
• bottom, located below behind;
• the neck (or uroep-discovered triangle), which is located on the bottom of the bubble and connects with the ureter.

The wall of the bladder consists of three layers. Inside it is lined with mucous membrane, which is covered with transitional epithelium cells.

On average, three layers of smooth muscle muscles are located - two longitudinal and one circular. And the outer layer partly consists of connective tissue.

On the inner surface of the bubble, except for the neck of the epithelium forms well-pronounced folds. As they fill, they are straightening, and the shape of the bladder becomes oval or pear.

Changes in pregnancy

With the development of the fetus, a number of factors have an impact on the organs of the urinary system.

It is now working with a high load, withdrawing from the mother of the mother not only the products of its metabolism, but also the products of the metabolism of the fetus.

Special period in women's life

The expansion of kidney cups and pelvis, spasm, or vice versa, atony of ureters and bladder are due to several reasons.

The placenta surrounding the fruit additionally produces progesterone. The concentration of this hormone is ten times more than its quantity before pregnancy.

It affects the work of the smooth muscular muscles of the gastrointestinal tract and the urogenital system.

In addition, due to the anatomical location of the uterus as the size of the fetus increases, it presses on the bladder and ureterals located in the immediate vicinity.

With mechanical squeezing, the outflow of urine is disturbed, the pressure in the renal cups and the pelvis is increasing. Since the uterus presses on the bubble, urine can "throw" back to the kidneys.

Diseases of the urinary system

With the development and growth of the fetus, the uterus is fattened more than the nearby organs.

Problems in pregnant women

The risk of developing the inflammatory process in the kidneys is increasing. This is especially dangerous for women with transferred or chronic diseases of the urinary system.

The focus of infection can be localized in the kidney parenchyma (glomerulonephritis) or in a cup-laughter system (pyelonephritis).

Symptoms of these diseases:

• increased temperature, subfebrile is observed when glomerulonephritis, high - with pyelonephritis;
• looking pain in the field of the lower back;
• overall deterioration of the state, fast fatigue, low performance, drowsiness;
• student urination;
• an increase in blood pressure;
• edema.

Also, the changes appear in the clinical analysis of urine. Bacteria, leukocytes, protein, possibly red blood cells appear.

Analysis of urine

Antibacterial drugs are prescribed for the treatment of these diseases, which are not harmful to the fetus, constructing, immunostimulating agents, vitamins.

Particular attention should be paid to the bacterial inflammation of the bladder - the Catest. In women, this disease is found quite often.

The infection falls into the bubble through the urethra. When pregnancy, the risk of the occurrence of this disease is very high, as the fruit in the uterus presses on the bladder, as a result of which urodynamics are disturbed.

The main symptom of cystitis is a sharp staging pain at the bottom of the abdomen, frequent, sometimes false, urge to urine. It is possible a small increase in temperature.

With a laboratory examination of urine, in addition to bacteria and leukocytes, transitional epithelium cells appear, which are covered with the inner surface of the bladder.

Sometimes for the therapy of cystitis, it is enough to adhere to worryptics. Antibiotics are prescribed only in severe cases. The main thing in treatment is its timely beginning. The launched cystitis will result in the infection raises up into the kidneys.

When an enlarged uterus presses on the bladder, a urolithiasis can be acted. Stones can differ in shape, size, composition.

Before pregnancy, a woman could not suspect his illness. But changes in the contours and the size of the bubble with the growth of the fetus will necessarily let it know about it.

Large stones are more often in the kidneys. Small fragments or crystals reach the bladder. But they injure its walls with their sharp edges, as well as the inner mucous membrane of the urethra.

This causes strong burning and sharp pain. Especially they are enhanced during urination. Blood appears in urine analysis (sometimes it is noticeable and naked eye), the cells of the epithelium of the mucous bubble and urethra, salt.

The situation is worse when the fruit presses on the ureter, and the stones are in the kidneys. In such cases, due to the blockage or spasm of the ureter, kidney colic can begin.

Acute pain

Antispasmodic preparations are prescribed to facilitate the release of stone from the bladder (for example, but-shp is absolutely safe for the fetus) and painkillers.

To control and timely diagnose pathological processes in the urinary bubble in the development of the fetus, it is necessary to regularly pass the overall analysis of urine. Several times during pregnancy also make bapposev.

This is necessary, since some inflammatory processes can proceed asymptomatic. Also during the ultrasound of the fetus, ultrasounds of the bladder and kidneys are usually made to assess their condition.

Pregnant women who have a history of urinary system diseases, pay special attention. For them, a list of mandatory analyzes is much wider.

Prevention

With the normal course of pregnancy, when the magnified uterus presses on the bladder, the woman feels permanent urge to urination.

At the same time, the volume of the urine allocated is very small. This is especially felt when the fruit grew up in the third trimester.

Preventive inspections

If the uterus is very increased (with multiple pregnancy, large fruit), it crushes so much on the bladder that it can even lead to urinary incontinence.

An irregular pain in the urinary bubble area may also appear. It may be no longer, or vice versa, harsh and strong, but short-term.

The fruit is constantly moving, turns, presses on the organs located nearby or weaker.

To prevent inflammatory processes, in no case may not try to endure the urinary call.

Since the sizes of the uterus in after 27-30 weeks are significantly increased, it presses on the bladder more and more. Its volume over the course of pregnancy is reduced.

When urine accumulation, the risk of developing bacterial inflammation increases.

In addition, it is necessary to strictly adhere to the recommendations of the gynecologist and to take all analyzes in a timely manner and to undergo surveys.

And of course, with the appearance of disturbing symptoms, it is not worth postponing to the doctor.

It is also necessary to observe a balanced diet, follow the amount of salt. And the most important is the sufficient volume of the fluid consumed.

It is necessary to limit the use of coffee and other beverages containing caffeine. In addition to harming the cardiovascular system, it takes out calcium from the body, increases diuresis and dulls the feeling of thirst. The best choice is pure drinking water, mineral contributes to the deposition of salts and the formation of stones. It is also worth introducing a compote, freshly squeezed vegetable and fruit juices into the diet.

The decoction of richness is very useful (due to the high content of vitamin C and immuno-fixing actions) and cranberry juice (it has a strong antibacterial effect).

promoipochki.ru.

Pain in the bladder during pregnancy

The fact that during pregnancy in the body of a woman occur a variety of changes - the absolute norm and even the need. After all, now its main task is to create the most favorable conditions for the baby to wear, so that it is in time and as best as possible. In addition, in the body of the future mother there are changes associated with the growth of the fetus. For example, the child increasing in the amount puts mom on the bladder, often by having delivering her a lot of inconvenience. By the way, let's talk about it more specifically.

A little anatomy

The bladder can be called a bag. It is very elastic and contains smooth muscles. Simple words, the bladder is a reservoir where urine is going. From the bubble urine is derived from the urethra. This becomes possible thanks to special muscles, called sphincters that are functionally connected with the muscles of the bladder. When the muscles of the bladder begin to decline involuntarily, and the sphincters relax, urine is displayed out. Together with her, the body leaves the metabolic products.

Changes bladder during pregnancy

During the toddler period, each woman sooner or later notes the changes that occur in the urogenital system and, in particular, the bladder. For example, in the early period of pregnancy, almost everyone increases the frequency of urination. It is so frequent that some people tend to attribute this symptom to signs of coming pregnancy. Next, the woman also marks urination. This is due to the fact that the growing uterus and the fruit in it are put on the bladder. Also, the pregnant woman can observe the accumulation of mucus in the bubble.

In addition, during pregnancy, a woman occurs changes and other organs relating to the urinary system. This, in particular, the kidneys and ureters.

Separately, I would like to talk about such an unpleasant phenomenon as inflammation of the bladder. This disease is called cystitis. It is characterized by strong pain and thumbs during urination, after which there is often a sense of incomplete emptying of the bladder. A woman suffering from cystitis feels frequent urge to urination, but by going to the toilet, understands that this is a false challenge.

As a rule, cystitis bacteria. In addition, the inflammation of the bladder is possible as a result of damage to its inner shell. As an "aggressor" can perform acute uricat, chemicals, as well as as a result of medical manipulations, thermal and chemical burns. During pregnancy, cystitis can be both chronic and sharp, that is, which arose for the first time. If you do not take the necessary measures, inflammation can climb up, hit ureters and kidneys, thereby creating a real threat to life as a fetus and a woman who is carrying it.

For the treatment of cystitis during pregnancy, some measures must be observed. For example, the woman will register peace (not just sex, and with a complete ban to move around the apartment). The next step is a special diet and the reception of drugs (services, antispasmodics and, in particularly severe cases, antibiotics). Pregnant women need to be very carefully related to his health, because in the early stages the disease can be defeated with the help of grandmother's recipes: warm bath, cranberry and lingonberry plates, and so on. It is very important to protect yourself from supercooling so as not to provoke the occurrence and development of the disease. Do not forget that during pregnancy, not every medication is shown to a woman, because it can adversely affect the child's health state. For example, during pregnancy, sulfanylamide drugs or tetracycles cannot be taken. Therefore, it is very important not to engage in self-treatment, but to contact a competent specialist, which will have qualified assistance in a short time.

Especially for Beremennost.net - Elena Kichak

beremennost.net

How the fruit presses on the bladder

Causes of uterus pressure on the bladder

Myoma

The uterus has several important functions. In addition to the nucleation of the embryo and tooling the fetus, it performs menstrual function and endocrine, producing sex hormone - relaxing.

Everything that is connected with the female genital organs should be under personal careful attention and under the control of doctors.

One of the unhealthy situations that causes unpleasant sensations in the female body, as well as the mass of the resulting issues related to the pressure of the uterus on the bladder.

There are only two reasons for such a phenomenon. The first is directly related to the period of pregnancy, and the second to the fact that the uterine has formed fibromyoma.

Myoma is a benign tumor, fibrous nodules, which are formed from the muscle tissue of the uterus.

Moma can be completely different in size, and by quantity, and at the place of growth. They can be located on the walls of the uterus, inside them and germinate even in the cavity if there is a leg.

The dimensions of the moman neoplasm can be completely different, ranging from 1 mm and reaching more than twenty centimeters in diameter.

Such a large mioma can completely file the uterus, as a result of which the uterus increases in size and reaches almost such a magnitude that corresponds to a six-month pregnancy.

Fibromyoma, located on the walls of the uterus, or having huge sizes, provokes impacts on neighboring organs, begins to put pressure on the bladder.

This is explained by the fact that the uterus is in close proximity to the bladder, located right under it, and at one point they even come into contact.

Naturally, the enlarged uterus lacks the place and it begins to put pressure on neighboring organs to get the necessary space.

For this reason, the risk of an uncontrolled urine outlet arises, and urinary urges are significantly expressed.

Even a strong laughter and cough can provoke an uncontrolled process of urination, which in medicine received a stress incontinence of urine. It occurs precisely because of the fact that one body presses on the second.

Pregnancy

When pregnant, the uterus also has to increase in size to create full-fledged conditions for navigating the fetus. Moreover, she presses on the bladder with the same force as Mioma.

The result of the pressure of the grew up by the urinal urinary urinary bodies is frequent urinary urinary bodies, which in the period of tooling the fetus do not refer to pathological disorders.

A growing uterus requires additional space to avoid squeezing it by itself, as a result of which irreparable harm to the fetus can be caused.

Frequent urinary bubble urges Most doctors consider the most first symptoms of pregnancy.

Long-term urine holding in the bladder, despite frequent urge, undesirable, so pregnant women recommend visiting the toilet every twenty minutes even in the absence of urges.

Otherwise, the reverse reaction may occur when it will press for a childbearing organ that the urinary, increasing its tone, and provoking the threat of miscarriage.

Frequent urinary bubble urges are also explained by the fact that the sphincter controlling urine removal is very often relaxing under the influence of progesterone highlighted in the body of a pregnant hormone responsible for preservation of pregnancy.

Frequent urge to urination

A woman is obliged to follow his state of feeling, behind the symptoms that can manifest themselves.

Frequent urination without discharge, without pain, without discomfort in the bladder region should not cause concerns, because they relate to natural changes.

But when alarming symptoms appear, a woman is obliged to notify the doctor's suspicions. The outcome of pregnancy depends on the systematic control of the health of health.

Diagnosis and treatment

When a woman complains that something presses on the area of \u200b\u200bthe bladder location, the doctor necessarily sends it to a consultation to the gynecologist and diagnostic study.

When confirming pregnancy and the absence of other symptoms, a pregnant woman is not prescribed by a pregnant woman.

If pregnancy is excluded, then diagnose the presence of neoplasms in the uterus.

When it is discovered, the endometrium biopsy must be carried out in order to take the tissue of the uterus fabric for the study.

Positive feedback during diagnostics have such types of research as hysteroscopy, hysterosalpingography and laparoscopy.

Laparoscopy applies to the category of surgical interventions that allow the sparing method to remove Misa, if there are indications.

It is extremely rare to remove mioma uterus. Many ladies can live all their lives, absolutely not guessing that she had them until she starts to put pressure on neighboring organs.

Invasive therapy resorts mainly only the third part of women.

To reduce the risk of fibromy in the uterus, a woman should control the body weight, since excess weight provokes an increase in estrogen, which is one of the causes of such formations.

Estrogen subsequently favors their growth, as a result of which they begin to put pressure on the organs of the urogenital system.

A visit to the gynecologist, observation and fulfillment of all recommendations will allow a woman to avoid serious problems.

What sensations when the uterus grows during pregnancy

Immediately should take into account the fact that the uterus itself is stretched and grows painlessly, that is, you do not feel pain when it is magnified. The receptors that are responsible for pain are located on the inner surface of the organ and signal the pathological process, for example, when the placenta detachment begins, or the receptors may be irritated by the inflammatory process, with pregnancy pathology. The incomprehensible sensations may appear when the uterus is spasked and enters the hypertonus state. At the same time you can feel like light insignificant pain and severe grasp. It will help you to distinguish such a state of the uterus, if it is solid, and you feel pain, you need to seek help to the doctor.

By increasing in size, the uterus presses on the organs nearby. In the first months of pregnancy, you will feel unpleasant sensations from the bladder, which will be accompanied by frequent and sharp urges to urine. Such symptoms will be held by you by the end of the first trimester of pregnancy and will appear again in the last time when the fetus head is beginning to fall into a small pelvis and put pressure on the bladder. The uterus with a large fruit can be located not entirely correctly and squeeze the ureter - an organ connecting the kidney and a bladder. In this case, you will feel the pain with the right or on the left side of the back. The exact diagnosis and the cause of such pain can install a specialist after you surrend all the necessary analyzes, then it will appoint you appropriate treatment.

Gradually increasing, the uterus presses on the intestines, and then on other organs of the gastrointestinal tract. You can break the intestine function - slow down its peristalsis and stop constipation. In this case, be sure to include products that are rich in fiber - fruits, vegetables, cereal porridge in the daily diet. If your condition has not improved, you can make pharmacological preparations safe for pregnant women, such as duphalak or normalolact.

During pregnancy, the uterus grows, and its weight increases unusually quickly for the body. The muscles of the back and the spine do not have time to get used to increasing the loads, and you feel the laundering pain in the lower back. Usually these feelings are enhanced with each month of pregnancy and deliver great discomfort, especially if you have scoliosis or osteochondrosis of the spine. To strengthen the muscles during pregnancy you can special exercises, just do not overdo it in order not to harm your state.

In the last months of pregnancy, the bottom of the uterus with a large fruit rises very high and begins to put pressure on the diaphragm. At the same time, it is hard for you to breathe in full breasts and a feeling of a shortage of air appears. Try to walk more, with the severity of the abdomen naturally shifts down and the fetus is less pressing, the blood circulation is also improved and it becomes easier for you to breathe.

Cystitis during pregnancy: the causes of occurrence, complications, treatment

Pain with emptying bladder # 8212; Very unpleasant condition. And during pregnancy, this problem, to all other inconvenience, creates a danger to the baby. Cystitis when entering the fetus: why arises, what threatens mom and the fetus?

It would seem that only it is unpleasant to go to the toilet: often, grinding, and at the end of urination there is a thread. It had already happened, and earlier, before pregnancy, went by itself. It seems - trifles, maybe you do not need to pay attention to this? But the inflammatory process in the urinary bubble can cause formidable complications. Custitis may occur during pregnancy for the first time, and an aggravation of a previously existing dormant infection can occur. In any case, if symptoms of cystitis occur, it is necessary to talk about this to the doctor in order to identify the cause and begin treatment in time.

Causes of cystitis

1. Infection

A small proportion of bladder inflammation can be toxic or allergic nature. But in the overwhelming majority of cases cystitis occurs in cases where infection appears. Microbes penetrate the bladder and cause inflammation there. In women, microorganisms are easier than in men, are recorded up by the ureage channel, because its length is only about 4 cm. An additional predisposing factor is the proximity of the entrance to the urethra (that is, in the urethra) to the vagina and the rectum, where there are always microorganisms . It is the intestinal wand most often and becomes the cause of cystitis.

2. Contributing factors

Only the presence of infection does not always lead to illness. Still need factors that create conditions for the reproduction of microbes in the bladder. The most common of them:

• supercooling, when a woman was wet and frozen in the rain or a long sat on a cold stone. This sometimes is quite enough to make painful and frequent urination;
• weakening immunity against the background of physical fatigue or poor-quality nutrition;
• inflammation in the vagina caused by any infection or arising against the background of bacterial vaginosis;
• diseases of the small pelvis organs in which blood flow in the bladder region is disturbed;
• any medical interventions on the bladder (cystoscopy, the introduction of the catheter, the use of drugs causing irritation of the inner surface of the bubble).

3. Pregnancy

The extension of the fetus can contribute to the occurrence of cystitis. The causal relationship is simple: against the background of changes in the hormonal status and the mandatory reduction in the immunity of the microbes is easy and simply can get up the urethra in the bladder. A growing uterus can put pressure on the bladder, contributing to the impaired blood flow in its wall. For large periods of pregnancy, the uterus begins to squeeze the ureters, leading to stagnant phenomena in the urinary tract. Against this background, the reproduction of microbes begins, which leads to ascending infection and the development of pyelonephritis.

About pyelonephritis for future mothers read here

How cystitis is manifested

Symptoms of inflammation in the bladder is well known:

• frequent desire to visit the toilet;
• painful sensations of any nature (sharp pain, discomfort, burning sensation) associated with urination;
• small urine number every visit to the toilet;
• unusual in the form of urine (muddy, dark, with an unpleasant smell or with blood);
• dull or graceful pains in the lower departments of the abdomen.

Quite often, a pregnant woman will not be pronounced manifestations of cystitis. On a large period of pregnancy, when the head of the fetus, and so presses the abdomen, all the manifestations of cystitis will explain to his condition. And in this case, the doctor only by analyzes will be able to learn about the presence of an inflammatory process in the bladder.

How cystitis is diagnosed

If in general analysis of urine, which a pregnant woman gives before every visit to the doctor, the manifestations of inflammation (protein in the urine, an increased number of leukocytes, the presence of red blood cells, a large number of epithelium, mucus and bacteria), then the doctor first will suspect the infection in the urinary tract. For a full examination before appointing treatment, the following tests must be made:

• vagina smear to the degree of purity;
• urine analysis in Nechiphenko;
• urine sowing with the definition of sensitivity to antibacterial agents;
• ultrasonic renal research.

All methods of surveys that may be needed for conception and for pregnancy, read here.

The main task of an additional examination is to make sure that the inflammation did not spread above the urinary tract towards the kidneys. Most often, it is cystitis that causes the inflammatory process in the kidneys. # 8212; pyelonephritis.

How to treat cystitis during pregnancy

For the treatment of acute inflammation in the bladder, antibiotics should be used. Amoxiclav or amoxicillin is the safest and efficient drug, which in the required doses will appoint a doctor according to the results of the survey. In addition to the antibacterial agent, it is necessary to use vegetable types, which include such drugs like a canofron or rogure. A good effect on the urinary tract is phytogram - a lonely sheet, birch kidneys, kidney tea. You can use phytolysin paste, but not everyone will like the taste of this medicine. The most optimal when cystitis # 8212; Clearly and correctly fulfill the recommendation of the doctor.

In chronic cystitis, the main thing # 8212; Prevent exacerbation of the inflammatory process. If you do everything correctly, you can safely fulfill the entire pregnancy to carry out preventive measures and prevent the manifestations of the disease. In particular, it is necessary to take plant warehouses. Do not forget about the elementary rules of personal hygiene. Starting from 25 weeks you need to perform positional therapy: get up in a knee-ulnash position 5-6 times a day for 10-15 minutes. In this posture, the growing uterus disperses and does not put pressure on urinary pathways, preventing congestive phenomena that contribute to exacerbation.

Read on stockNancy details about drugs allowed for use for the treatment of cystitis in pregnant women: Kanefron during pregnancy

Amoxicillin during pregnancy

www.dolgojiteli.ru.

Urinary bubble during pregnancy

The organs and systems of the female organism are reacting in varying degrees to its preparation for motherhood. Discomfort in the bladder area during pregnancy begins to be felt one of the first and more or less intensively manifests itself during the entire period of tolerance. The future mother needs to distinguish such symptoms, since some of them are purely physiological, but others may indicate the presence of serious health problems.

Why is the bladder hurt during pregnancy?

At the very beginning of the dentition period, the fruit egg is still very small. However, the uterus is already preparing for future change: increases in size, thickened. The reproductive body at this time is located in the field of small pelvis and presses the surrounding authorities. In addition, the sphincter (locking muscle) of the bladder is partially relaxing under the action of progesterone - pregnancy hormone. A woman has a sense of discomfort, urination is rapidly. If there is no inflammatory process, all this happens painlessly. Future mom is just forced to go to the toilet more often.

As the fetus grows, the uterus begins to rise and partially goes into the abdominal cavity. The pressure on the bladder is reduced. In addition, the woman gets used to rapid urination and perceives it as a norm. Pain in the urinary bubble during pregnancy indicate a completely different situation. The reason may be:

• Inflammatory process (cystitis). The development of the disease provoke pathogenic microorganisms (staphylococci, streptococci, intestinal wand), penetrating urinary organs. Infection occurs quite often, since the immunity of women is weakened. Less frequently, the exacerbations of cystitis cause mechanical factors trauming the walls of the bladder (for example, sharp stones with urolithiasis). Symptoms of cystitis are well known. A woman complains about pain and burning in urination, frequent unsuccessful urge, feeling of incomplete emptying. Urine becomes muddy; The analysis shows the presence of erythrocytes, leukocytes and other deviations from the norm;
• Cystalgia. The disease is associated with a violation of the functioning of the urinary system due to improper innervation. Symptoms are similar to symptoms of cystitis, but urine characteristics remain normal, which indicates the absence of the inflammatory process;
• Urban overflow in late dates. The bladder during pregnancy is more than 28 weeks under the pressure of the growing uterus, changes its location and even the form. It is slightly bent, and its base rises above the level of pelvic bones. Ureterals are slightly stretched in length. These changes cause a sense of discomfort and pain in a suprapic area.

Student urination during the period of bearing can be considered the norm in the absence of other unpleasant signs. If the pain appears, the body temperature rises or the appearance of urine is raised, the woman should immediately consult a doctor.

Danger of discomfort in the bladder during pregnancy

Most often, the cause of problems in the work of the urinary system is pregnant is cystitis. It is impossible to ignore his symptoms. If the disease is not treated, the inflammatory process can go to the kidneys, and a situation that is dangerous for the life of a woman and her future child will arise. In addition, causative agents of infection can penetrate directly in the uterus, which is fraught with deviations in the development of the fetus.

The urgency of the visit to the doctor is determined by the specificity of the disease: cystitis in the initial stage can be heal with the help of relatively safe herbal preparations, without resorting to sulfonylaminamides, antibiotics and other means capable of harming the baby. Turning to help, the woman will receive recommendations on drug treatment of the bladder inflammation during pregnancy, as well as accurate indications regarding compliance with the time mode and diet, which is extremely important at such a disease. The exact following the Councils of the Doctor will help get rid of the ailment and prevent severe complications.

Yesterday I had a similar situation, but we were told that the stomach is small. And today, on a re-ultrasound, they said that all within the normal range. So do not be discouraged, everything should be good! And about the fact that on the pope sits up to 36 weeks you need to do the gymnastics that I found it on the Internet: the main principle of the exercise is a complex of exercises for the abdominal muscles, combining them with breathing, exercises for spine stretching,
Improving the overall tone of the cardiovascular system, exercises for the pelvic bottom, breast exercises.
1. Method I.F.Dican is used at a high tone of the uterus and the period of pregnancy 29-37 weeks.
Pregnant, lying on the bed, 3-4 times turns alternately on the left or right side and lies on each of them for 10 minutes. Such classes spend 3-4 times a day for 7-10 days.
2. Methodology V.V Fomicheva:
The introductory part: Walking the usual, on socks, on the heels, walking forward and backward with the rotation of the arms bent in the joints, walking with a high knee raising on the side of the abdomen.
Main part:
o Source position - standing, legs on the width of the shoulders, hands are omitted. Tilt to the side - exhalation, initial position - inhale. Repeat 5-6 times in each direction.
o Source position - standing, hands on the belt. Tilt back - inhale, slow tilt forward, flashed in the lumbar separation.
o Source position - standing, legs on the width of the shoulders, hands on the belt. Dilute your arms to the sides - inhale, with a turn of the body to the side of bringing the legs together - exhale. (3-4 times).
o Source position - standing face to the gymnastic wall, keeping with an elongated rack with the waist level. Raise the leg, bent in the knee and hip joint from the side of the belly with the knee of his arms lying on the rail - inhale; Having dropped his leg, get into the lumbar spine - exhale. Repeat 4-5 times each foot.
o Source position - standing sideways to the anthem. Wall, leg on 2 crossbars below, hands on the belt. Divide your hands on the sides - inhale, turning the body and the pelvis outside, the slow slope of the body with the lowering of the hand down in front of them - exhale. Repeat 2-3 times in each direction.
o Source position on your knees, leaning on elbows. Alternate lifting straight leg up. 5-6 times each foot.
o Source position is lying on the right side. Flexing the left foot in the knee and hip joint. Source position - exhalation. 4-5 times.
o Source position is the same. Circular movements with left foot 4 times in each direction.
o Source position on all fours. "Angry Cat." 10 times
o on the left side of the UPR. 6, 7.
o Source position - on all fours, legs with a support on the front of the foot. 4-5 times straighten your legs in the knee joints, raising the pelvis up.
o Source position - lying on the back, support on the heels and the back. Raise the pelvis up - inhale, starting position - exhale. 3-4 times. Final part - 3-5 slow exercises sitting and lying.
3. The Methodology of the Labing, I.I. Hyrischenko and A.E.Shuleshova:
Exercises are performed before eating 4-5 times a day.
o lie on the side, the opposite position of the fetus. Feet bent in hip and knee joints. Lying 5 min. Straighten up the top foot, then with a breath to press it to the stomach and straighten with the exhalation, slightly flexing forward and giving a light impetus towards the back of the child. Repeat this movement slowly 10 minutes.
O lying 10 minutes without movement.
o Accept the knee-elbow position and stay in it 5-10 minutes.
4. Additional exercises to the Fomicheye complex:
o Source position - standing on your knees, leaning on elbows. Knees dilute sewing to the sides. Touch the chin's hands - exhale, initial position - inhale. 5-6 times
o Source position is the same. Raise the right leg up, take toide, touch the floor, return to its original position3-4 times in both directions.
o Exercises for the muscles of the crotch.
o Source position - lying on the back. Legs on the width of the shoulders are bent in the knees. Lower the knee of one leg to the heel of another. Buttocks do not tear off.
o Source position - lying on the back, legs straight on the width of the shoulders. Straight feet we reduce inside, outward, trying to put them on the floor. 10 times
o Source position - on all fours. We go with palms on the carpet left, right. 6 times.
o Source position - sitting on the floor, hands in the stop behind. Going 3 steps with palms back, raise the pelvis, lower it and go palms forward until it will interfere with the belly.
o Diaphragm breathing, lying on the stomach.
o Breast exercises and shoulder belts.
Special exercises

We use gravity

The estimated effect of these exercises is that the strength of gravity pushes and turns the fetus head about the bottom of the uterus, and the child himself unfolds into the head preview.

Taste the pelvis. Perched on an empty stomach. You need to lie down with your back on the inclined surface, lifting the pelvis by 20-30 cm above the head. In the absence of a special simulator, you can use pillows folded on the floor in front of the low sofa.

Stay in this position at least 5 minutes, but not more than 15 minutes. Perform this exercise 2 times a day to 10 minutes within 2-3 weeks, starting from 32 weeks. Studies show that this method is effective in 88-96% of cases.

Knee-elbow position. Alternative to the previous exercise. Stand on your knees and elbows, at this time the pelvis is located above the head. Stay in this position for 15-20 minutes several times a day. Yoga. Used classic post "Rack on shoulders".

Pool. It is reported about the effectiveness of diving with the performance of racks in the hands. The last two approaches look quite exotic and require almost vocational training.
Although there is no scientific confirmation of the effectiveness of these techniques, their use does not bore harm and even allows you to devote more time to your future child.

Suggestion. Use the power of suggestion, tell the child that he should turn. You can ask to talk to your partner's child. Visualization. During deep relaxation, visualize the child's turn. Try to imagine not the turnover process, but already turned the child.

Shine. The location of the light source or music directly over the Lona encourages the fruit to turn towards the light or sound. Place the pocket flashlight near the crotch, while the child can turn towards the light.

Music. Position the headphones of the player with pleasant music under the clothes at the bottom of the abdomen, it will encourage the child to move towards music. This technique may be quite effective.

Water. There are confirmation that when swimming or just finding the fruit in the pool turns. Under caution, the pool visit is not associated with special problems.

How to keep the child in the head preview after successful turning?

Pose tailor. Promotes the head of the head deeper into the pelvis cavity. Sit on the floor, attach the soles of the legs to each other. Love your knees as close as possible to the floor, and the legs of the legs are attracted to yourself. Apply this posture 10-20 minutes 2 times a day before the occurrence of childbirth.

Today I will tell about one defect, which can show itself, and therefore, can be suspected already on the screening of 1 trimester.

Prune Belly. - syndrome includes a number of developmental anomalies, among which there are three main:

1. weakness, underdevelopment of the front abdominal wall
2. bilateral cryptorchism
3. anomalies of the urinary tract

In search of information about this syndrome, which only variations of translations and pronunciations were caught me! And on the Italian manner of Prune Balley, and with the French accent Prulyan Belli, creating the impression that this is the name and surname of some scientist. As well as the "Cropped Abdomen" syndrome and a "plum abdomen" syndrome, C-M Frelich (Frölich) and S-M Oborinsky.
Prune is an English word that is translated as a drain, although in this context was meant another value - prunes, due to the characteristic wrinkled type of front abdominal wall, Belly is translated as a belly.


In the Russian-language literature, the term "draft stomach" is not used, so in the future I will use his English version, I think it will be more correct.
For the first time, this type of typhoid wall defect described FRölich in 1839, and the term Prune Belly suggested Osler in 1901g.

Despite the fact that it is the characteristic kind of a child's tummy that is a distinctive feature of this anomaly, according to which, usually, the diagnosis of newborn, underlying the anomaly of the urinary tract is the most important factor determining the overall survival rate. There are a wide range of severity of manifestations inside the syndrome. Some children, with heavy respiratory and renal disorders die in the neonatal period, while other changes are moderate and can be corrected. The pronounced kidney dysplasia, lowland and, as a result, the lung hypoplasia in 20% of cases leads to the antenatal death of the fetus and 30% of the progressive renal failure in the first two years of the child's life. Associated with Prune Belly Anomalies of the urinary tract includes

• hydronephrosis
• winding extended ureterals
• various degrees of kidney dysplasia
• increased bladder

In addition, other systems can be involved: cardiovascular, musculoskeletal, respiratory, gastrointestinal tract.

In 95% of cases, it is found in boys, but similar changes, including the absence of muscles of the front abdominal wall in combination with the anomalies of the genitourinary system, are also described in girls.

As an illustration, I suggest a story found by me in free access at one of the forums:

"Girls who are interested in me born such a child with Plain Belli syndrome. I will start my story with the fact that neither I nor my husband is ill, the pregnancy proceeded well, I did not sniff my paint, I do not drink, I do not smoke, the reason for this situation was not found, nor in America. Yes, we certainly disappeared such a situation, and if for me on a period of 12 weeks, I would probably have interrupted pregnancy, now I have a wonderful child who has periodically spoil urine tests, it greatly affects the kidneys, the operation is required in the future on the abdominal wall, about the cryptorchism, as well as about the vice of the heart, he has a flatfoot, earlier it was kosolapie, but from 2 weeks of age we were dry on the Panseway method, the legs were corrected, he behaves like an ordinary child, he also climbs his teeth. Gets up, walks, Gulit, well, in general, a beautiful baby, the truth does it all late for 3-4 months. I know a child with the same diagnosis as we have done in England, the operation gathered about 4 million rubles and everything seems to be good, pah, ugh, pah.
1. We have a baby on a period of about 18 weeks started to pose (we thought that the urine decreased from the fact that he began to pose, but it was not there, it was a hole on the peritoneum from strong pressure so the bladder came to normal) we rejoiced immensely Jump and ran ... not long.
2. At 20 weeks found problems with kidneys (double-sided hydronephrosis), but immediately said, and that it is treated, do not worry
3. For 24 weeks found Kosolapiege (they said that everything is fine, the boys even say it goes)
4. At the 28th week, Cryptorchism ...
A set of all these indicators and is Planli Syndrome, but none of the uzers said. So, I found information on the Internet that someone for 12 weeks have already said that the child is Syndrome, Perune Belli, the ultrasound saw a thin wall of the abdomen from a child, no one has seen."

There are three main embryological theories of this syndrome:

Obstruction of the weekend departments of the bladder
This theory, proposed in 1903, was later substantiated by the recreation of phenotypic changes, characteristic of the Prune Belly, during the obstruction of the urethra fetus the fetus of the sheep on the period of 43-45 days of gestation. According to this theory, all other changes are secondary. The absence of urine outflow from the bladder leads to a significant increase in its increase, stretching the anterior abdominal wall, impaired its blood supply and atrophy, and also violates the process of oval omnovation in the scrotum and leads to the formation of hydronephrosis and the expansion of ureters.
However, in humans, the obstruction of the urethra canal occurs in 10-20% of cases. Part of the scientists believe that obstruction can be passing, others argue that obstruction is found in the greatest forms of Prune Belly. According to the fetal embryography of a person, such changes should manifest themselves on a period of 13-15 weeks, as the urahhus begins to close and significantly increase the products of urine fruit.
Despite the fact that this theory is sufficiently convincing, it is not able to explain all the changes associated with Prune Belly.

Mesodermal Delay Delay Theory
It is assumed that disorders of the urinary tract can be explained by the abnormal development of the mesonfaros between the 6th and 10th weeks. Changes in the development of the Wolf of the duct lead to prostate hypoplasia, slowdown in the development of the prostatic part of the urethra and valve-like obstruction. However, this theory cannot include all anomalies encountered with this syndrome.

Theory of the yolk bag
There is a hypothesis that at Prune Belly, an excess volume of the yolk bag can lead to anomalies for the development of anterior abdominal wall, due to the involvement of most of the allantoms in the formation of the urinary tract.

How to suspect Prune Belly syndrome during ultrasound?

The first thing that rushes into the eyes is megazistis, i.e. Significant increase in the size of the bladder, as well as a thin, stretched and protruding front abdominal wall. In 10 -14 weeks of pregnancy, the diagnosis of megazistis is raised with the longitudinal size of the bladder exceeding conditional standard 7 mm. With dimensions of 8-12mm, in most cases there is independent normalization, but dynamic observation is required every 2 weeks. This, apparently, occurs due to the fact that the formation of smooth muscle muscles and the innervation of the bladder does not end in the 13th week of gestation and continues in the following days, which gives grounds for self-destruction of the problem in the next weeks of the intrauterine development of the fetus. Increasing the bladder size, the expansion of ureters and pyelectasia may occur with the syndrome of the megazistis-megaureter and at the rear urethral valve, but with these states the number of accumulating waters usually remains normal, and there is no such thinning and blowing of the anterior abdominal wall. The progression of megazistis and lowland is prognostically unfavorable signs, talking about the obstruction of the weekend departments of the bladder.

Definitely to diagnose the Prune Belly syndrome in 11-13 weeks is not possible, it can only be suspected, and the main diagnosis will be Megazistiswhich I have already said may be at different states.

What to do?

This is your child and choose, as always, have to do. But sometimes, it is very important that someone removed, accepted this burden of responsibility, the burden of choice that you have to do with your own, and not only your life. It is very important to feel that only the best of solutions will be accepted here and now.
Here are the recommendations published in the article "Prenatal counseling by a children's urologist and decision-making tactics in the diagnosis of Megazistis syndrome in the first trimester of gestation" http://www.lvrach.ru/2015/01/15436142/:
"Given that Megazistis in 25-40% is combined with chromosomal pathology, the results of genetic studies play a significant role for making a decision on prolongation or interruption of pregnancy. Most authors agree that the valves of the rear urethra, as well as the Prune-Belle syndrome are not genetically inherited pathology, but this does not exclude the possibility of chromosomal breakdowns. A. W. Liao states in 25% of cases, the presence of trisomy in the 13th and 18th chromosome with an increase in the size of the bladder from 7 to 15 mm in fruits 10-14 weeks of gestation.

The analysis of the diagnostic measures and the outcomes of the flow of pregnancies allowed to develop a diagnostic algorithm, which involves mandatory karyotyping of the fruit material in the presence of a bubble size in the range of 7-15 mm. If the karyotype disorder is confirmed, the interruption of pregnancy is advisable, otherwise dynamic observation before the appearance of convincing markers of the forecast of the diagnosed state.

A significant initial increase in bubble ≥ 20-30 mm unequivocally indicates a pronounced obstruction of the lower urinary tract and does not require dynamic observation, it is advisable to interrupt pregnancy.

The extension of the upper urinary tract does not always complement the Megazistis syndrome in the early period of gestation (11-13 weeks) and is most clearly determined in the second and third trimesters of gestation. However, in all cases, its presence is a factor that aggresses the forecast.
Thus, summing up the analysis of the literature data and the results of their own observations, several conclusions are obvious:

1. A set of activities included in the early prenatal screening of 11-14 weeks of gestation (molecular genetic and ultrasound markers of Arm and HA) does not allow to determine the likelihood of the presence of an industrial system in the fetus. The release of the risk group of fruits threatened by the presence of congenital pathology of the MVS is based on the diagnosis of increased longitudinal bladder size ≥ 7 mm, which is interpreted as the fetal megazis syndrome, and requires careful diagnostic measures to predict the outcome.
2. The fetal megazistis syndrome is considered as a manifestation of expressed violations of urodynamics of the lower urinary tract of anatomical or functional genesis underlying the development of obstructive violations of the upper urinary tract and dysplastic development of renal parenchyma, including its cystic dysplasia, which predetermines the decompensation of renal functions and adverse outcome.
3. A complex of diagnostic procedures specifying the forecast in the isolating group of fruits with megazistis syndrome includes carrying out the carotype of the fruit material (chorion naval) in the absence of expansion of the upper urinary tract and the size of the bubble ≤ 20 mm and the abortion of pregnancy in cases of detected chromosomal pathology.
4. The presence of an increase in the bladder ≥ 20 mm is isolated or in the presence of extensions of the upper urinary tract is an indication for interrupting pregnancy.
5. Prolongation of pregnancy is recommended in all cases of moderate bubble expansion within 7-15 mm in the absence of expansion of the upper urinary tract, the positive dynamics of observation in flow 2-3 weeks, the reduction of the bladder dimensions.
6. Conducting diagnostic measures and the choice of tactical decisions should be carried out with the participation of a children's urologist, including the ante and postnatal stage of dynamic observation and necessary treatment. "