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Это происходит, когда связки, которые удерживают орган, слабеют [1](https://www.k31.ru/service/urologiya/nephroptosis.html). \n\nВыделяют три степени нефроптоза в зависимости от выраженности смещения почки [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/): \n1. **Первая** — нижний полюс почки смещается вниз более чем на 1,5 поясничных позвонка [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). \n2. **Вторая** — почка сдвигается вниз на высоту, равную или превышающую два позвонка [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). \n3. **Третья** — нижний полюс опускается на высоту более трёх поясничных позвонков [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). \n\n\n\n## Причины\nНефроптоз — приобретённое состояние, развивается на фоне воздействия патологических факторов [2](https://centr-hirurgii-spb.ru/diseases/nefroptoz/)[6](https://mc21.ru/articles/nefroptoz/). Некоторые причины: \n* **Врождённые особенности** — аномалии строения почечного ложа, слабость фиксирующего аппарата, аномалии почечных сосудов [6](https://mc21.ru/articles/nefroptoz/). \n* **Приобретённые факторы** — быстрое и значительное похудание, беременность и роды, тяжёлый физический труд, травмы поясничной области, оперативные вмешательства на органах брюшной полости [6](https://mc21.ru/articles/nefroptoz/). \n\n## Симптомы\nВыраженность симптомов зависит от степени опущения [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). Некоторые признаки: \n* **На начальной стадии** — периодические тупые, ноющие боли в проекции почки, обычно они быстро проходят в горизонтальном положении [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). \n* **В более тяжёлых случаях** — нарушения уро- и гемодинамики [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). Например, если орган при смене положения сдавил мочеточник, возникает задержка мочи и болевой синдром [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). \n* **В моче** по мере прогрессирования заболевания возможно появление примеси крови [4](https://alfazdrav.ru/zabolevania/urologiya/nefroptoz/). \n\n## Диагностика\nДля диагностики нефроптоза используют УЗИ почек в положении стоя и лёжа, экскреторную урографию (рентген с контрастом) и другие методы, такие как КТ или МРТ для более детального изучения [5](https://www.OnClinic.ru/nefroptoz/). \n\n## Лечение\nЛечение зависит от тяжести симптомов и степени опущения почки [1](https://www.k31.ru/service/urologiya/nephroptosis.html). В некоторых случаях нефроптоз не вызывает существенных проблем и не требует терапии, но необходим контроль состояния [1](https://www.k31.ru/service/urologiya/nephroptosis.html). Однако если есть болевые ощущения, нарушена функция почек или есть другие проблемы, применяются следующие методы [1](https://www.k31.ru/service/urologiya/nephroptosis.html): \n* **Наблюдение** — небольшой нефроптоз не вызывает симптомов, но необходим контроль состояния [1](https://www.k31.ru/service/urologiya/nephroptosis.html). \n* **Медикаментозная терапия** — применяются препараты для тонуса связок, улучшения кровоснабжения почек, снижения воспаления и боли [1](https://www.k31.ru/service/urologiya/nephroptosis.html). \n* **Физические упражнения** — направлены на укрепление мышц брюшного пресса и задней брюшной стенки, помогают удержать почки в их естественном положении [1](https://www.k31.ru/service/urologiya/nephroptosis.html). \n* **Использование бандажей** — специальный бандаж помогает удерживать почки в правильном положении [1](https://www.k31.ru/service/urologiya/nephroptosis.html). \n* **Оперативное вмешательство** — при тяжёлых случаях нефроптоза, которые не могут быть устранены консервативными методами [1](https://www.k31.ru/service/urologiya/nephroptosis.html). 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