10 October 2002

Well, I went to see the obstetrician today, who rescanned and gave her opinion. The right kidney is definitely dilated, quite a lot, and she thinks the right ureter is dilated (swollen) as well. Left is fine, bladder is fine. This means that the obstruction is somewhere below the bladder, in the ureter vessel somewhere (apparently). Because of the amount of dilation, it is almost certain that the problem will not resolve itself before birth, and will need to be treated post-natally. So, when he's born, they'll check him out to see what's next. Scan him them and see how enlarged the kidney is, and so on. He'll go on antibiotics as a prophylactic, as the danger lies not so much from the actual obstruction (or urine reflux, if that's what it is - the urine flowing backwards) but from potential infection to the kidney. Repeated or consistent infection can mean permanent kidney damage. The likelihood is that they will be able to resolve the obstruction or reflux (which I think tends to simply fix itself) within the first few years of his life - the problems tend to go away as the child grows. As the absolute worst case scenario, he could lose the function of that kidney. However, should that happen, and it's only the worst case scenario, it wouldn't affect his quality of life, as humans are perfectly able to function with only one kidney. (People donate them to relatives with problems, for instance.)


Anyway, as he'll need to be seen postnatally, they are referring me on yet again, to a specialist, at a different hospital. (But at least we have a national health service). In cases where you'll need to see someone after the birth, they like for you to go in and meet them beforehand, and so on. So that's tomorrow. I don't imagine they'll tell me much that we don't know already, though they may be able to give some more precise idea of what the risk levels are. I shall post more later, but it's not something to be too worried about, so if you are reading this, don't worry. :)

It's hard to decide whether to tell everyone or not tell everyone - I've obviously told some people, and it's not a secret or anything, but then again, one does get tired of having the same conversations over and over. And if people are friends but not close friends, well, you don't really want them to worry. But on the other hand, if one is thinking about it all the time oneself...

No comments: