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  • Unilateral and bilateral pyelonephritis

    Pyelonephritis is an inflammatory disease that can be triggered by the influence of microorganisms on the kidney under adverse conditions. There is a unilateral and bilateral pyelonephritis of the kidneys.

    Pyelonephritis, affecting healthy kidneys, is primary. If pyelonephritis occurs against the background of already existing pathology, then it is secondary.

    The danger of developing pyelonephritis is that when it occurs often there are no symptoms, and the person does not feel the deterioration of overall health, therefore, many people lightly treat this pathology. Acute and chronic form of the disease is very common among inflammatory diseases of a non-specific nature, which damage the upper urinary tract.

    Signs and manifestations of pyelonephritis

    Often the acute form of pyelonephritis is characterized by an unexpected beginning - the body temperature rises sharply, sweat begins to emerge profusely, a feeling of weakness, nausea with vomiting. Simultaneously with the temperature, the patient complains of pain in the lumbar zone from one side. The pain varies in intensity, but all have a dull character.

    This is important! In uncomplicated forms of the disease there is no violation of urinary diversion. At the first stages of development of pyelonephritis in the blood, the concentration of nitrogenous slags can increase, in the urine protein, pus, erythrocytes, bacteria are found.

    The chronic form, as a rule, develops because of an incomplete acute pyelonephritis. Diagnosis of chronic course can be done by measuring blood pressure or by examining urinalysis. The patient complains of headaches, general weakness, frequent urination and lack of appetite.

    The patient may complain of not passing dull back pain, which usually bothers him in damp and cold weather. The skin becomes dry and pale, and as the pathology develops, the specific gravity of urine decreases. In many cases there is a hypertension. Two-sided form of the disease can provoke kidney failure. In addition, from time to time, exacerbation of chronic pyelonephritis begins, when symptoms that are characteristic of the acute form appear.

    Diagnosis and treatment of

    Diagnostic events usually do not cause any difficulties, since for the disease in most cases, similar manifestations are characteristic.

    The delivery of urine analysis makes it possible to detect bacteria, increasing the concentration of leukocytes and proteins in urine. To identify the type of bacteria that caused inflammation in the urinary canals, special sets of test samples are used.

    An important role in the diagnosis of the disease is played by the presence in the patient's anamnesis of traces of a recent acute purulent pathology or the presence of chronic pathologies. A very indicative sign is fever with frequent urination, which is supplemented by pain in the zone of the lumbar and changes in the composition of the urine.

    When you get a picture of an overview X-ray, you can see that the size of the kidney is markedly enlarged. Excretory urography indicates that in the process of breathing a diseased kidney severely limits its mobility. If a carbuncle is found in the patient, then it indicates compression of the calyx and pelvis, so one or even several cups can be amputated.

    The main methods of organization of the treatment process include the following:

    • Adherence to proper nutrition.
    • Medication Therapy.
    • Surgical operation.

    This is important! The duration of drug therapy leaves about one to two weeks - it all depends on the severity of the pathology. Most antibiotic drugs are administered intramuscularly or intravenously. To prevent exacerbations, doctors recommend the organization of preventive treatment.

    Operative intervention is realized only in neglected cases, when antibiotic therapy did not bring the expected effect.

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