Pyelonephritis is a urological pathology characterized by the development of an inflammatory process in the renal pelvis. It is this disease that often develops during pregnancy. It is quite simple to explain this: when carrying a child, the mother's body reduces the immune defense reactions, which is necessary for adequate perception of the developing fetus in the womb. In addition, the growing uterus affects neighboring organs and structures, resulting in congestion and favorable conditions for the development of infection. About the features of the diagnosis and treatment of pyelonephritis during pregnancy tells estet-portal.com.
Diagnosis, prevention and treatment of pyelonephritis during pregnancy
Effective treatment of pyelonephritis during pregnancy is very important not only for the maternal organism, but also for the life and intrauterine development of the fetus. Any pathological process that occurs in the body of a pregnant woman necessarily affects the condition of the child. Inflammatory processes, which is pyelonephritis, can threaten the development of serious complications of pregnancy, up to its miscarriage. Treatment of pyelonephritis during pregnancy should be comprehensive and individually selected, only in this case it is possible to achieve the maximum therapeutic effect.
Treatment of pyelonephritis during pregnancy:
- timely diagnosis is the key to successful treatment of pyelonephritis during pregnancy;
- treatment of pyelonephritis during pregnancy: topical methods;
- Methods for preventing pyelonephritis in pregnant women.
Timely diagnosis is the key to successful treatment of pyelonephritis during pregnancy
Timely and effective diagnosis of pyelonephritis allows you to clarify the nature and characteristics of the disease in each individual case, as well as to choose the right treatment regimen for pyelonephritis during pregnancy. For diagnostic purposes, the following studies are performed:
- blood test: leukocytosis, anemia, increased ESR;
- urinalysis: bacteriuria, pyuria, proteinuria less than 1 g/l, microhematuria;
- ultrasound examination of the kidneys: allows you to clarify the size of the kidneys and their pelvicalyceal apparatus, allows you to identify purulent-necrotic processes in them;
- chromocystoscopy: makes it possible to establish the degree of violation of the passage of urine, to clarify the localization of the inflammatory process.
Treatment of pyelonephritis during pregnancy: topical methods
Treatment of pyelonephritis during pregnancy should be comprehensive. First of all, the patient is shown a dietary regimen with the use of up to 2 liters. liquids per day, provided there is no edema. It is recommended to take herbal diuretics, with an increase in blood pressure, salt intake is limited. Drug therapy involves the appointment of antibacterial drugs. If pyelonephritis occurs in the first trimester of pregnancy, penicillins are prescribed, if in the second or third - cephalosporins or aminoglycosides. The duration of antibiotic therapy is at least 10 days. In the absence of the effect of conservative methods of treatment, it is necessary to use surgical ones - nephrostomy, decapsulation of the kidney, drainage of the retroperitoneal space is performed.
Methods for preventing pyelonephritis in pregnant women
As you know, any disease is much easier to prevent than to treat it. It is especially important to carry out preventive measures during pregnancy. Since pyelonephritis is one of the most common pathologies of this period, all pregnant women are examined during the first visit to the antenatal clinic to detect bacteria in the urine. If asymptomatic bacteriuria is detected, the patient is prescribed broad-spectrum antibacterial drugs. After 2 weeks, the urine test must be repeated, and if bacteria are repeatedly detected in the middle portion of the urine, a second course of antibiotic therapy is selected taking into account the sensitivity of the bacteria.
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