OverviewPyelonephritis - an inflammatory disease in which affected pyelocaliceal system and renal parenchyma. pyelonephritis can get a person of any age and gender. But more often it affects children under 7 years old (which is associated with anatomical features of the structure of the urinary tract in children), girls and women aged 18-30 years (development of the disease contribute to the onset of sexual activity, pregnancy, childbirth), older men (suffering from BPH).
Factors contributing to the development of pyelonephritis may include obstruction of the urinary tract in urolithiasis, frequent renal colic, prostate cancer and other Pyelonephritis is divided into acute and chronic.
Chronic pyelonephritis is a consequence of ineffective treatment of acute pyelonephritis, or the presence of any chronic disease.
The reasonsCausative agents of pyelonephritis are the bacteria of the genus Escherichia, Proteus, Staphylococcus, Enterococcus, etc. There are rising (for urinary tract) and hematogenous (transfer of bacteria from the bloodstream of another source of infection) route of infection.
Symptoms of pyelonephritisThe clinical picture of acute or exacerbation of chronic pyelonephritis, usually takes place quickly, within a few hours. Characterized by fever up to 38-39 0C with chills, headache, aching muscles. After some time, joins pain in the lumbar region.
Complications- Acute or chronic renal failure;
- A variety of suppurative disease of the kidneys (renal carbuncle, renal abscess, etc.);
DiagnosisIn the diagnosis of acute pyelonephritis are important laboratory methods: a general analysis of urine, blood, urine testing for the presence of microorganisms and susceptibility of microorganisms to antibiotics. To clarify the status of the urinary tract carried ultrasound of the kidneys.
What you can do?When you see these symptoms as soon as possible to see a doctor. In the absence of a competent treatment, the disease can pass into the chronic form, which is much more difficult to cure. It is safest to call the doctor. Do not self. Symptoms of pyelonephritis are not specific, and you can easily make a mistake in diagnosis. In no case do not take antibiotics before the doctor arrived. Even a single dose of antibiotics can alter the performance of blood tests and urine tests.
What will help the doctor?Treatment of acute pyelonephritis is usually performed in a hospital. We recommend bed rest, diet, drinking plenty of fluids. Be sure to prescribe antibiotics or other antimicrobial drugs. When choosing a therapy guided by a sensitivity analysis of micro-organisms found in urine, to antibiotics. In order to prevent the transition of acute pyelonephritis in chronic, antibiotic therapy was continued for 6 weeks. With timely treatment within one to two weeks the patient's condition improves. However, antibiotics should be taken during the designated period.
If pyelonephritis developed in the context of another kidney disease or urinary system, be sure to assigned treatment for the underlying disease.