Pyelonephritis - infectious and inflammatory kidney disease. According to statistics among infectious diseases, it is in second place after ARVI.
Content
Many know what pyelonephritis - «it's something with kidneys». Determine
we are that «Something with the kidneys», bags under the eyes and advise
he drink a brusal leaf blade.
How infection penetrates the kidneys? Who is most susceptible to this disease?
Women are more vulnerable due to anatomical features. How
Fits kidney infection? Women have a short urethra,
on which the infection in the upward path penetrates into the bladder and
Causes an inflammatory process. Light urination disorders,
soreness on which they did not pay attention in time can lead
To the development of pyelonephritis. In fact, pyelonephritis in women is a complication
Unsheten cystitis. If you explore microorganisms that cause
Pyelonephritis, then in the first place will be an intestinal flora (intestinal wand,
Klebsiella, fecal enterococci, protea and t. D.).
The same ascending path of infection and in children:
chronic vulvovaginitis, hygienic events that
incorrectly spend the girls (not in front of the back, but on the contrary),
lead to the development of pyelonephritis. Boys extremely rarely suffer from
Disease.
Often the development of pyelonephritis can be provoked by such
Diseases as defloracy cystitis and cystitis «honeymoon».
Sexually transmitted infections (chlamydia, ureaplasma,
mycoplasma) may cause damage not only genital, but also
Urinary sphere.
Another «dangerous» Period - Pregnancy. Hormones, which
produced during pregnancy (progesterone), possess property
reduce the tone of the urinary tract. In addition, the growing uterus begins
squeeze the ureters, a violation of urine outflow. Where there is
impaired urine outflow, infection easily develops because urine -
very favorable environment for its reproduction. In more sensitive women
Pyelonephritis can be maintained due to climbing the bladder,
Changes its contractile function and violation of urine outflow.
People have a senior generation in the first place in the frequency of occurrence
Pelonephritis overlook men. Many in adulthood appears
Benign prostatic hyperplasia (adenoma) - most
Frequent urological disease in which in prostate gland
A benign tumor is formed, which, slowly increasing,
Begins to squeeze the urethra. Again (as in women)
There are difficulties in the empty of the bladder, appears
Residual urine - environment for the development of infection.
And in men, and in women violating urine outflow from the top
Urinary tracts also contribute to developmental anomalies. On the
The urinary system falls the lion's share of all anomalies of development -
Doubling the kidneys, doubling of ureters, narrowing, inflection, dysplasia
Ureterals and T. NS. Secondary pyelonephritis can develop in
As a result of urolithiasis: the presence of even a small stone
contributes to the preservation of infection and maintain inflammatory
Process.
Infection can get into the kidneys and hematogenic way, that is, with
blood. The most formidable form of pyelonephritis - purulent - usually,
It has such an origin.
How does the pyelonephritis manifest?
All symptoms can be divided into local and general. To local
Symptoms include urination disorders (painful, frequent),
Pain in the lumbar region. Another symptom that happens, however, not
always, is a change in the appearance of urine - it becomes muddy for
The score of the impurities.
General symptoms are symptoms of intoxication: chills, fever,
temperature that rises to 38-39 degrees in the evening and passes to
morning. If we talk about ascending pyelonephritis (when infection from
Bladder «rises" To the kidneys), then the sequence
The manifestations of the disease will be as follows: impaired urination, turbidity
urine, pain in the lumbar region, chills, elevated temperature.
If we talk about hematogenous pyelonephritis, then first place
The symptoms of intoxication are output: fever, temperature. Water can be
perfect, urination disorder is missing. Therefore B
The first-second day of the disease doctors is difficult to make a diagnosis:
Temperature and chills can be symptoms of anything: Orz, pneumonia,
Inflammation of any localization. In a day or two, local pain appear.
Some believe that bags under the eyes - a sign of patients kidney...If we talk about bags under the eyes like swelling, then this is a sign
fluid delays in the body, but not the only one. If there
fluid delay, then swells all face, legs, genitals. Cause
Liquid delays may be chronic renal failure,
However, the percentage of people with chronic renal failure
Incoming with the number of people having bags under the eyes.
Bags under the eyes - this is, as a rule, adipose tissue, content
Periorbital hernia that successfully eliminate cosmetic surgeons.
In addition, if a person drinks a lot of fluid before bedtime, of course,
in the morning his face will be edema, but exclusively because of the horizontal
body positions during sleep, it has nothing to do with the kidney.
Kidneys could recycle all overnight...
Night is produced by antidiuretic hormone - Vasopressin, which prevents the active formation of urine.
Any person in the morning face a little edema, especially those who
Loves to sleep face down. Head, neck, shoulders are above the level
Hearts, the pressure in them is negative. When we sleep in a horizontal
position, it becomes positive, more accumulates in the tissues
Intercellular fluid. 20-30 minutes after you take
vertical position, swelling passes.
People who have problems with the kidneys suffer from the swelling, but,
First, not only the faces, and secondly, this is a sign already serious
renal failure, in this case the face will be edema for
Total days.
How quickly develops pyelonephritis?
It all depends on the state of the immune system and aggressiveness
Microorganisms. Acute pyelonephritis can develop in three days with
The moment of infection: today cystitis, and the day after tomorrow the temperature is 38.5
(when cystitis, the temperature never rises).
Antibiotics or grass?
Treatment of chronic pyelonephritis should be the same as
treatment sharp, but it is longer. Developed special
Anticious courses, the patient must be under supervision
Urologo doctor, constant urine studies for content in
It bacteria, nutritional compliance. In addition, you need to take care of yourself
from ARVI and influenza, as there is often an aggravation on their background
Pyelonephritis. Fortunately, chronic pyelonephritis does not matter how often
to serious complications, but if it leads, they are sufficiently significant -
Renal failure and arterial renal hypertension.
Based on what tests the doctor may diagnose?
First of all, you need to explore the blood and urine. In the blood increases
the number of leukocytes, which indicates the presence of inflammatory
the process and that the immune system has intensified on the struggle. IN
urine appears protein (no more than 1 gram per liter), leukocytes, and also
bacteria (normal urine should be sterile). Ultrasound allows you to evaluate
Dimensions of the kidneys, their structure, condition of cup-making systems,
the presence or absence of stones, signs of violation of urine outflow from
kidney.
Before you assign treatment, you must also hold
Bacteriological examination of urine to understand what the pathogen
led to the development of the disease and what antibiotics it should be struggling with him.
While this analysis will prepare (4-6 days), treatment starts
antibacterial preparations of a wide range of action to
block all possible options. Appointed projecteds should well
stand out with urine and not to have an nephrotoxic effect (that is, not
must adversely affect kidney functions). After ready
Results of bacteriological research of urine, refineed
Antibiotics. If pyelonephritis is accompanied by a violation of urine outflow
(for example, due to the presence of stone in the ureter), it is necessary in the first
queue to restore urine outflows, but only then assign
Antibacterial drugs. Otherwise may develop
Endotoxic shock with a resistant drop of blood pressure, acute
adrenal insufficiency and fatal outcome.
Antibiotics are always necessary? Is it possible to use medicinal herbs?
The main treatment is antibacterial because it is necessary
eliminate the cause - infection. Herbs here will not help. Can be
Sulfonamide preparations, nitrofuran-row preparations
(Furagin, Furadonin) and other antiseptics. The infection can be defeated
only antibacterial drugs, so they should be applied
always in sufficient doses. Phythetherapy takes place, but it is always
Wears an auxiliary, supporting, contradictional,
Preventive nature. Very helpful cruel and cranberry juice,
Leaves leaf brasters, bearish ears, tocheries, cleanliness, which
have not just a diuretic, but also an antiseptic action. but
if we treat only herbs, then at best we get
chronic pyelonephritis.
When there is an operational intervention?
If treatment with antibacterial drugs does not give results,
The temperature remains high, the patient does not exclude a purulent form
Pyelonephritis. Only medication does not cure it, it is necessary
Operation: kidney drainage, renal capsule dissection, removal
Pus with Azsessse.
Medical treatment of pyelonephritis - long-term process?
Depending on how quickly managed to recognize the disease and
Start treatment, as well as on the general condition of the patient. Positive
The results of treatment may appear on the 3-5th day, but antibiotics
can not be canceled, treatment with them in the case of pyelonephritis should be
Long - 3-4 weeks. After all, all chronic pyelonephritis forms are
The consequences of ineffective, ill-conceived treatment of acute
Pyelonephritis when the infection was not destroyed completely and illness
switched to chronic shape.
After the end of treatment in a month, three, half a year it is necessary
conduct urine study, including bacteriological. except
of that time it is necessary to observe gentle mode and
A diet that would exclude all sharp products, spices, marinades,
Preservatives, alcohol.
