Chronic pyelonephritis

Short characteristic of a disease

Chronic pyelonephritis is an inflammatory disease of an urinary system. At the moment it is considered the most widespread among infections of urinogenital systems and is diagnosed for 60-75% of the patients who came to hospital with complaints to difficulties with an urination. Inflammatory process affects not only a pelvis, but also tissues of kidneys, and at final stages of a disease the infection extends on balls and blood vessels of kidneys.

Children under 7 years and women – here that risk group which is most often affected by pyelonephritis. Treatment of a disease is required to women and children because of anatomic features of their organism - too short urethra through which the infection easier and quicker gets into an organism. At women the role is played also by proximity of a vagina where process of reproduction of harmful microorganisms proceeds especially intensively.

However, chronic pyelonephritis which symptoms are shown after the postponed acute pyelonephritis occurs also at men. Usually it is connected with infectious diseases, an urolithiasis, chronic prostatitis, and also with some features of men's uric ways and anomalies of development of kidneys. At a strong half of mankind a provocative factor of development of pyelonephritis is adenoma of a prostate which exerts impact on normal outflow of urine and facilitates penetration of an infection into an organism. That is why it is necessary to carry out effective treatment of adenoma of a prostate.

At children chronic pyelonephritis (treatment most often is required to girls) is a consequence of the postponed acute pyelonephritis or acute viral diseases (quinsy, flu, a SARS, otitises). Difficulties of treatment of an infection at children are explained by the fact that it quickly affects urinary tract and leads to aggravations of infectious process in kidneys.

Chronic pyelonephritis – symptoms

As a rule, symptoms of a disease are shown after undertreated acute pyelonephritis. Often doctors manage to remove an acute inflammation, and they stop on it, without having taken care of elimination of activators in a kidney and recovery of normal outflow of urine. Inadequate treatment leads to emergence of chronic pyelonephritis which constantly disturbs the patient the stupid, aching back pains. Especially strongly they exasperate people in wet, cold weather. Let's note that from time to time the disease becomes aggravated, and the patient has all symptoms of acute process: a fever, fervescence, a headache, and also pains in a waist, kidneys and hypochondrium.

Pyelonephritis – treatment and forecasts

The basic principles of treatment of inflammatory process can be reduced to implementation of several simple, but important rules:

• use of a large amount of unsweetened and not gassy liquid. An exception are cases when chronic pyelonephritis leads to pathologies of cardiovascular system and a lack of blood circulation;
• reception of infusions of diuretic plants. Leaves of cowberry or a cranberry, corn stigmas, a field horsetail, a ptarmigan-berry and birch kidneys are especially effective;
• the intensive antibacterial care which is carried out by results of an urine research regarding definition of an antibiotikochuvstvitelnost;
• in especially heavy and started cases pyelonephritis which treatment by conservative methods did not bring desirable results demands surgical intervention. As a rule, drainage of urinary channels for free outflow of urine (a puncture nephrostomy, a laparotomy, installation of a stent, decapsulation) is carried out.

Uncomplicated chronic pyelonephritis which symptoms are shown sometimes even at almost healthy women it is possible to treat in out-patient conditions by means of antibiotics. The complicated chronic pyelonephritis leads to a hyperthermia and intoxication. At such form it is reasonable to hospitalize the patient in a hospital as intravenous administration of antibiotics and liquids can be necessary for the person. Also in a hospital treatment of pregnant women is made. At the same time it is absolutely unimportant, poorly or disease symptoms because the aggravation can happen at mother almost at any time are strongly expressed and are better place her under constant observation of doctors.

At men chronic pyelonephritis most often proceeds with complications as in most cases arises against the background of infravezikalny obstruction and, respectively, demands not only antibacterial therapy, but also actions directed to achievement of a normal passage of urine (a trocar epicystostomy, alpha blockers).