Pyelonephritis in pregnancy and the need for timely treatment

  • Pyelonephritis in pregnancy and the need for timely treatment

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    Pyelonephritis of kidneys during pregnancy is a rather dangerous pathology, but usually in a situation where the acute period of the disease has remained untreated. In this situation, the next phase of the development of the disease, provoked by pregnancy, can cause spontaneous abortion.

    Timely treatment of pyelonephritis is not at all dangerous for a woman and for a future child. But in the absence of necessary therapy, the risk of losing a child increases. In medical practice, there are more cases of termination of pregnancy in the second trimester, in addition, the death of the fetus may occur.

    This is important! If a woman gave birth to a baby, then afterwards he may have symptoms of intrauterine infection - from ordinary conjunctivitis and to severe infectious pathologies of the kidneys, lungs and other organs. Also, pyelonephritis can become causative manifestations of toxicosis in later periods and severe anemia.

    As pathology manifests during pregnancy

    Pyelonephritis is a process of inflammation developing in the kidneys, and more specifically in their pelvis. The disease can be triggered by the action of pathogenic microorganisms - E. coli, Pseudomonas aeruginosa, streptococcus, etc., which multiply when there is a violation of urinary diversion and the presence of a foci of infection in the body.

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    The focus of infection can be any purulent-inflammatory process - it is furunculosis of the skin, tooth decay, sexual infections, infections of the respiratory tract, gallbladder.

    Infection penetrates into the urinary canals in several ways:

    • ascending - in the direction of the bladder;
    • descending - in the direction of the intestine;
    • hematogenous - when affected by various infectious pathologies.

    Pyelonephritis can be primary, when manifested for the first time during pregnancy, or secondary - when he worried a woman before the moment of conception, and the aggravation occurred against the background of pregnancy.

    The inflammatory process in the body of a pregnant woman can be provoked by an increase in the uterus, which in turn starts to push out the nearby internal organs. It turns out that the increasing uterus compresses and presses on the kidneys, so it is complicated by the passage of urine through the ureters. Often, chronic kidney pyelonephritis in pregnancy is exacerbated, with a marked increase in body temperature, faster pulse, chills, pain in the lower back, and sharp pain during urination. Symptoms of poisoning can also occur. Pain is usually worse at night, but there are situations when the disease is asymptomatic and the woman is unaware of the danger and threat to their health.

    In the chronic form of pyelonephritis, it can only be diagnosed by passing blood and urine tests.

    The essence of treatment of pathology during pregnancy

    Treatment of pyelonephritis should not be postponed. Take concrete measures as soon as possible. It is forbidden to engage in self-medication, as there are no national recipes for getting rid of the symptoms and causes of pathology.

    Usually, with the development of pyelonephritis in a pregnant woman, the doctor prescribes antibiotics. In this situation, their use is justified and brings much less harm than the serious consequences of the disease. During the period of bearing the child for admission, oxacillin, ampicillin, methicillin in the first trimester of pregnancy, kanamycin, gentamicin are used in the second trimester of pregnancy.

    Do not use antibiotics such as tetracycline, streptomycin, levomycitin, and biseptol and long-acting sulfonamides, furazolidol. If the recommendations are violated, serious deviations in the state of the child's health can start - damage to the skeleton, organs of the circulatory system, hearing aid, vestibular apparatus. Antibacterial treatment can be organized only in a hospital environment under the strict supervision of a specialist. Each patient, despite the degree of defeat, is prescribed the use of antispasmodic and analgesic agents. Sometimes, acupuncture is prescribed, which makes it possible to reduce the number of medications or completely refuse to take pain medication.

    This is important! Also in the organization of treatment for pyelonephritis, a pregnant woman is prescribed a uroantiseptic technique, positional treatment, ureteral catheterization and physiotherapy procedures. Sometimes surgical intervention is required - nephrectomy, suppression of suppuration, nephrostomy, etc.

    General restorative therapy is to take vitamins and sedatives. In combination with other drugs, they effectively help in the treatment of phytopreparations of kanferon, which have anti-inflammatory, diuretic and antispasmodic effects.

    The process of treatment of pregnant women in hospital is carried out only under the supervision of a gynecologist and nephrologist. The main task is to restore the violation of urinary diversion. To do this, and conducted a positional treatment, when the woman is located on her side, opposite the diseased kidney and presses her knees to the stomach. One end of the bed rises with the goal that the legs are located above the head - thus, the uterus is moved back and pressure on the ureters decreases. If after a day the situation does not improve, then catheterization of the ureter in the injured organ is indicated.

    This approach, as a rule, gives the expected results and helps to facilitate pregnancy. If the method is ineffective, urine drainage from the kidney is administered using a catheter that connects directly to the injured organ. These are extreme methods, realized in the absence of results from more sparing techniques.

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