Who is affected pyelonephritis
Pyelonephritis can get sick of any age, but more often they are ill:
- children up to 7 years, in which the disease associated with the development of anatomical features;
- girls and women 18-30 years old who have the appearance of pyelonephritis due to the onset of sexual activity, pregnancy or childbirth;
- older men suffering from BPH.
In addition to the above, one of the most common causes of pyelonephritis is urolithiasis and frequent bouts of colic.
For all these diseases and conditionsIt disrupted the flow of urine from the kidney, which makes it possible to multiply it microorganisms. Also contribute to the development of pyelonephritis factors such as the total decrease immunity, diabetes, chronic inflammatory diseases. In its current pyelonephritis may be acute or chronic.
How does acute pyelonephritis
The disease begins suddenly rises sharplythe temperature to 39-40 degrees, there are weakness, headache, sweating, nausea and vomiting. Simultaneously with the temperature appear pain, usually with one hand. The pains are dull in nature, but their intensity may vary. If the disease develops on the background of urolithiasis, pyelonephritis the attack is preceded by an attack of colic. Urination is not violated when uncomplicated pyelonephritis.
What does a urologist when handling patients with pyelonephritis
Held blood, urine, andstudies that show the general condition of the urinary tract (ultrasound, X-ray studies). The diagnosis of acute pyelonephritis usually presents no difficulty.
What happens if you do not contact the doctor
If untreated, the disease either goeschronic, suppurative or develop processes - apostematoznaya form of pyelonephritis, abscess or carbuncle kidney. Suppurative processes manifest deterioration in the patient's condition, sharp jumps of temperature (from 35-36S 40-41S morning to evening).
How is acute pyelonephritis
Patients with acute pyelonephritis musttreated in a hospital. Uncomplicated pyelonephritis treated conservatively, held antibacterial, detoxification and immunostimulatory therapy. Treatment is carried out as long as the urine of sick germs disappear completely. Normally it takes 2-3 weeks. When suppurative complications of operation is shown. By surgery is sometimes necessary to resort also in urolithiasis, if the stone does not leave on their own, and it can not bring down the instrumental methods.
How does chronic pieloneforit
Chronic pyelonephritis, is generallyconsequence undertreated acute pyelonephritis, when it was possible to remove the acute inflammation, but was unable to either completely destroy all pathogens in the kidney, or to restore the normal outflow of urine from the kidney. Chronic pyelonephritis may permanently disturb the patient dull aching pain in the lower back, especially in damp cold weather. In addition, chronic pyelonephritis, acute occasionally, and then the patient has all the hallmarks of the acute process. Treatment of chronic pyelonephritis is fundamentally the same as acute, but more time-consuming.
Prophylaxis of pyelonephritis
The main recommendation for preventionpyelonephritis is the treatment of the underlying disease, which can lead to its development in the first place - urolithiasis and benign prostatic hyperplasia, as well as all the diseases associated with violation of the outflow of urine from the kidney. Pregnant women, especially with multiple pregnancy, polyhydramnios, with large fruit and a narrow pelvis must be at least 1 time per month to conduct a bacteriological urinalysis and urodynamics study.