Pyelonephritis in children - kidney infection

Pyelonephritis

1. Pyelonephritis Translated from Russian to English - www.onlinedoctranslator.com

2. Pyelonephritis - non-specific inflammatory process with predominant damage canalicular kidney system, mainlybacterial etiology, characterizedrenal failurepelvis,cups and parenchymakidneys. Pyelonephritis is dangerous because it often occurs asymptomatically, without affecting a person’s well-being, so some patients take their problem lightly. The most common of the non-specific inflammatorydiseases «upper urinary tract" , amounting to about 2 /of all urological diseases is acute and chronic pyelonephritis.

3. Pyelonephritis Maybe be sharp And chronic . starts suddenly the temperature rises sharply to39-40°С weakness headpain abundantsweating possiblenausea and vomiting. painin the lower back, usually on one sidesides,wearbluntcharacter Urinationin uncomplicated pyelonephritis it is not disturbed. Symptom Pasternatsky positive is a consequence untreated acute pyelonephritis General weakness lack of appetite frequent urination Dull aching pain in the lower back The skin is pale and dry.

4. Etiology and pathogenesis E. coli Proteus Enterococci Pseudomonas aeruginosa Staphylococci Penetration of the pathogen into the kidney in acute pyelonephritis most often occurs through the hematogenous route from any source of infection in the body due to the development of bacteremia. Less often, the infection penetrates the kidney urinogenic from the lower urinary tract (urethra, bladder) along the wall of the ureter (in this case, the disease begins with the development of urethritis or cystitis

5. Reasons urolithiasis frequentattacks of renalcolic decreased general immunityorganism diabetes mellitus chronicinflammatorydiseases phypothermia presence of saltsor stones inkidneys

6. Complications Acuterenal failure Chronicrenal failure Paranephritis Urosepsis

7. Diagnostics Laboratorymethodsresearch Complete blood count ( general inflammatory changes: leukocytosis , acceleration of ESR , atsevere inflammation-anemia. Blood biochemistry ( increased urea levels, creatine) Analysisurine General urine analysis ( leukocyturia ; erythrocyturia ) Bacteriologicalurine test used to accurately determine the pathogen and its sensitivity toantibiotics

8. Instrumental research methods ultrasound examination. X-ray examination methods: - overviewand excretoryurography. Onan overview image may reveal an increase in the size of the kidney, a bulging of its contour (with a carbuncle andabscess -retrograde pyeloureterography . is being executedin the absence of excretory urograms renal function or if for some reason excretory urography cannot be performed (serious condition of the patient, presence of acute or chronic renal failure).

9. Treatment Antibacterial therapy infusion-detoxification , anti-inflammatorytherapy, physiotherapy. Functional-passiveKidney gymnastics (1-2 times a week, 20 ml of furosemide is prescribed). catheterization of the ureter on the affected side in order to restore the outflow of urine from the affected kidney.

10. Treatment

11. prevention ToTo prevent the occurrence of pyelonephritis, it is necessary to: consume enough fluid to ensure normal urine flow; do not delay urination for a long time if you feel the urge; treat any infectious diseases promptly and completely; avoid hypothermia; observe the rules of personal hygiene; lead a healthy lifestyle, regularly undergo general strengthening therapy: moderate physical activity, hardening, a balanced diet, and the diet must include fruits, vegetables, and greens; periodically take multivitamins; Men suffering from prostatitis need to regularly monitor the health of the urinary system; Pregnant women are advised to have their urine tested more frequently.