Acute pyelonephritis of the kidney- treatment methods and diagnostics

Acute pyelonephritis is a nonspecific purulent inflammation of the kidneys, which is characterized by damage to the bowl-pelvic system and interstitial kidney tissue. In such a process as acute pyelonephritis, clinical manifestations occupy an important place in diagnosis.

Clinical manifestations of the acute form of pyelonephritis

The onset of the disease can be characterized by a sharp rise in temperature to 38-39 degrees and chills. After some time, dull, aching pains appear in the lumbar region, which can be quite intense. In some cases there is a painful rapid urination, which usually indicates the attachment of urethritis and cystitis.

In order to adequately diagnose acute renal pyelonephritis, it is necessary to consider:

• the dynamics of symptoms of
• onset of the disease;
• character.

During the collection of patient history, it is necessary to clarify whether he had any purulent or infectious diseases, including diseases of the urinary tract and genitals.

All manifestations of acute form of kidney pyelonephritis can be divided into two types: local and general.

• Common symptoms include:
• Chills;
• Fever;
• sweating,
• dehydration;
• intoxication( malaise, headache);
• dyspeptic phenomena( diarrhea, decreased appetite, abdominal pain, nausea, vomiting).

To local symptoms:

• Pain syndrome in the lumbar region on the affected side, which is permanent, blunt and intensified by palpation and movement;
• muscle tension of the abdominal wall;
• is a positive symptom of Pasternatsky.

It is accepted to distinguish such clinical forms of this disease:

• acute( severe general condition, high fever, severe chills, which is repeated 2-3 times during the day, in other words, a picture typical for sepsis with the presence of meager local manifestations);
• acute( chills, moderate intoxication, pronounced local symptoms, dehydration);
• subacute( there are local signs of pyelonephritis or none at all);
• latent( : this form does not pose an immediate threat to life, but leads to a chronic course with frequent relapses and development of a condition such as a wrinkled kidney).

When diagnosing, the form of acute pyelonephritis should be established: therapy depends on the nature of the manifestations.

An accurate diagnosis can be made only in a hospital, after a comprehensive examination of the patient.

This is important! If you experience any of the above symptoms, seek medical attention immediately. Without timely treatment, acute pyelonephritis entails the development of sepsis, leads to chronic course, acute renal failure and other complications.

Therapy for acute pyelonephritis

Treatment of this pathological process is carried out in a stationary environment where a patient's history is established: pyelonephritis can be attributed to such conditions that lead to a number of complications in the presence of untimely or inadequate treatment.

Therapy of this pathological condition includes:

• compliance with bed rest;
• sparing diet;
• drug therapy.

Treatment consists of the use of antibacterial drugs, physical therapy methods, and the observance of a proper diet.

The diet for acute kidney pyelonephritis has two purposes:

Creating a gentle for the kidney tissues of acid-base level of liquid media. In accordance with this, it is necessary to consume a large amount of liquid and discard salty, spicy, spicy and acidic dishes.

Diet of the patient:

• digestible food;
• the exclusion of spicy food products that contain extractives( onions, dill, onions, garlic).
• Strengthening the outflow of urine( and with it the causes of inflammation-bacterial agents).

Depending on the form of the disease( acute or chronic) and its phase( remission or exacerbation), the specific menu varies considerably. It is necessary to take into account the individual characteristics of each individual patient and the presence of concomitant diseases.

The main role in the therapy of pyelonephritis is played by medication, namely the use of antibacterial agents.

The use of broad-spectrum drugs is shown.

When choosing medicines, preference should be given to those that are excreted by the kidneys( urine) in high concentrations. Quite often, antibiotics are used in conjunction with uroseptics.

In addition, you need to consume vitamins, as well as immunomodulating agents.immunocorrecting agents.

In the presence of the sharpest form of pyelonephritis, hemodialysis and plasmapheresis are indicated.

In those cases when there is a difficulty of outflow of urine or there are large purulent foci, operative surgical intervention is indicated.

As the acute phase subsides, phytotherapy is added to the main treatment. It is recommended to use decoctions and infusions of plants with antimicrobial, diuretic and anti-inflammatory effects.

This is important! It is forbidden to engage in self-treatment of acute form of kidney pyelonephritis, as improperly prescribed treatment can aggravate the disease or lead to complications and difficulties in diagnosis. Correctly to establish the diagnosis and to appoint or nominate effective treatment in view of the form of illness or disease can only the qualified expert.

Overall, the prognosis in the presence of uncomplicated acute pyelonephritis and timely treatment is favorable.

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