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Pyelonephritis in women: signs, symptoms and treatment, drugs

The most common disease of the genitourinary system in women is pyelonephritis. It is about 65% of cases of all urological pathology, several times ahead of the incidence of cystitis and urethritis. Therefore, any representative of the weaker sex is desirable to have an idea of ​​what pyelonephritis is.


Pyelonephritis - what is it?

The diagnosis of "pyelonephritis" implies the presence of an infectious inflammatory process in the interstitial tissue that forms the fibrous base of the kidney, as well as in the pelvis and tubules, but without affecting the renal vessels and glomeruli.

Pyelonephritis in women

In this regard, at the initial stages of the disease, the main function of the kidneys (urine filtration) does not suffer, but with prolonged flow or incorrect treatment, the inflammation can also cover the vessels with the glomerular apparatus.

Pyelonephritis takes place in acute or chronic form. More often one kidney is affected, but bilateral inflammatory processes also occur.

High occurrence of the disease in women is associated with the peculiarities of the structure of the urinary system in women:

  • The urethra is shorter than the male;
  • The urethra in women is located next to additional sources of infection - the anal opening and vagina, so that microbes penetrate faster and easier into the urethra.

Causes of pyelonephritis

In women, in connection with the above-mentioned anatomical features, the upstream (urinogenous) way of getting infection into the pelvis and kidney tissue comes first - due to cystitis, urethritis, colpitis, colitis, urolithiasis and abnormalities of the urinary system, long catheter for excretion of urine.

It is also possible to spread the infection with blood (blood flow), when a potential source can be any focus - transferred purulent mastitis, sore throat, panaritium, ear inflammation and even inflammation of the dental canal (pulpitis).

The main microbial that causes pyelonephritis is the E. coli (up to 75% of all cases).

The remaining 25% of cases are associated with the ingestion of Klebsiella, Proteus, Staphylococcus aureus, enterococcus, Pseudomonas aeruginosa, fungal infection, Chlamydia, Salmonella, etc. into the urinary tract.

Risk factors in the occurrence of pyelonephritis in women are all the long-term pathological processes of any localization that occur with a decrease in the overall immunity of the body: diabetes mellitus, bone marrow disease, neurological problems (multiple sclerosis), HIV infection, condition after chemotherapy or organ transplantation.

In addition, pregnancy can exacerbate the chronic form of the disease and trigger an acute inflammatory process due to compression of the growing uterus of the bladder and ureters.

Signs and symptoms of pyelonephritis in women

symptoms of pyelonephritis in women

Chronic inflammation often flattens and symptoms of pyelonephritis in women are virtually absent or manifested by blurred unspecified complaints of aching low back pain after hypothermia, increased fatigue and a mild general malaise.

Signs of acute pyelonephritis in women are usually more pronounced:

  1. Severe pain in the back or side more often from the side of the inflammation, but there may be diffuse pain under the ribs, in the lower abdomen or without a clear localization;
  2. High temperature (38-40 ° С);
  3. Nausea and vomiting;
  4. Changes in urine (darkening, the appearance of blood or pus, unpleasant odor);
  5. Painful urination;
  6. Appearance of swelling of the face and fingers;
  7. Severe weakness.

Diagnosis of pyelonephritis

To establish the diagnosis, a number of standard examinations are needed:

  • Inspection of a urologist or nephrologist with palpation of the abdomen and the definition of Pasternatsky's symptom (effleurage on the back in the projection of the kidneys).
  • Gynecological examination to eliminate problems in the female sexual sphere.
  • Analyzes of urine: general, according to Nechiporenko, according to Zimnitskii , a urine collection with the establishment of flora and sensitivity to antibiotics.
  • Blood tests: general, biochemical (definition of creatinine, urea, protein).
  • Kidney ultrasound.
  • In complex and severe cases, they resort to CT, MRI, excretory urography, radioisotope scanning and other methods.

Treatment of pyelonephritis in women, drugs

Treatment of pyelonephritis in women, drugs Treatment should be aimed at restoring the normal outflow of urine (removing stones, eliminating vesicoureteral reflux) and eliminating the focus of infection - in women with pyelonephritis antibiotics, chemical antibacterial agents and uroseptics are prescribed.

The acute form of the disease requires hospitalization and bed rest, with chronic form possibly outpatient treatment. A diet with a high content of light carbohydrates, fermented milk products, plentiful drink is prescribed.

Treatment terms for acute pyelonephritis are 10-14 days, chronic - from 6-8 weeks to 1 year. To strengthen the effect at the stage of recovery, an increase in the body's immune reactivity is recommended (immunomodulators, hardening).

Medical preparations for the treatment of pyelonephritis:

  1. Antibiotics - ciprofloxacin, cefuroxime, gentamicin, cefepime, meronem.
  2. Chemical antibacterial agents - furagin, nitroxoline, gemurin, nevigramon, palin, bactrim.

Medicines should be prescribed by a doctor, taking into account the form of the disease and the individual sensitivity of the flora sown from urine. In order not to develop the resistance of the infection to antibacterial agents, they need to be changed every 5-7 days.

Along with medicinal preparations with pyelonephritis, treatment with folk remedies is possible: they make infusions, decoctions and teas from medicinal plants that have anti-inflammatory and diuretic properties (chamomile, bearberry, St. John's wort, nettle, horsetail, elder, cranberry, cranberry).

Complications of pyelonephritis

If improper or untimely treatment of acute pyelonephritis can occur chronic disease, kidney abscess, blood infection, sometimes even hypotension and shock.

Chronic process is also more than dangerous - pathology gradually leads to the development of chronic renal failure. The most susceptible to the development of complications are pregnant women and women with co-morbidities.

Prophylaxis of pyelonephritis

To prevent the development of the disease, it is necessary not to overcool, to treat all inflammatory processes in a timely manner (from ARVI or caries to panaritium or vulvovaginitis), to ensure the normal emptying of the bladder, to observe the hygiene of the intimate zone, to practice safe sex, to eat properly and monitor the quality and quantity of fluid consumed purified water, teas, juices - up to 1.5-2 l / day, carbonated sweet drinks should be excluded).

But the crucial importance in the prevention of any disease of the genitourinary system is the correct diagnosis and the timely begun treatment, so when you have suspicious symptoms of pyelonephritis, described above, you need to consult a doctor.

2016-12-28 12:10:36
I had pyelonephritis as well as many, because of E. coli. Naturally, when I cured the cause of the disease, I began to work on pyelonephritis. Since it was not an acute form, I was prescribed an antibiotic for 4 days. The result the doctor decided to strengthen the action Nephrodesis, it is a herbal preparation in the form of drops. She took 15 days, then the doctor said that the tests were excellent, the disease receded. very glad that it all ended :)
2017-02-02 13:08:13
Pyelonephritis is a terrible thing, it's better not to run this question. by international means, I was not treated, I immediately went to see a doctor. To me have appointed or nominated an antibiotic Etazolum and to him on improvement of result Nefterode. I do not know what helped more, my strict diet or antibiotics, but a month later I got rid of pyelonephritis completely.

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