Tuesday, August 20, 2013

For chronic pyelonephritis, what do you think?

Chronic pyelonephritis is a bacterial infection caused by chronic inflammation, kidney main infringement of renal interstitial lesions, renal pelvis and calyces organization, so what are the effects of different types of patients with chronic pyelonephritis?
1. How to symptoms of chronic pyelonephritis often recurrence of acute episodes, ill can have systemic symptoms of urinary tract infection local performance and the change of urine are similar to acute pyelonephritis.
2. Low thermal type primarily in the long-term low thermal performance can be associated with weak waist acid loss of appetite, weight loss and so on.
Type (3) blood in the urine can be hematuria as the main performance in the microscopic or gross hematuria, ill with lumbago, lumbar acid, and urinary irritation symptoms.
4. Virus infection aslar-pacific perspective without any general or local symptoms of patients with chronic pyelonephritis only urine urine bacteria culture change can be positive, also known as asymptomatic bacteriuria.
Type 5. High blood pressure in the course of the development of high blood pressure I can rush of hypertension is often associated with anemia, but no significant proteinuria, edema, etc
In addition to the above type a few cases can be characterized by loss of renal disease of sodium potassium renal disease, renal tubular acidosis and chronic renal insufficiency.
Chronic pyelonephritis is a bacterial infection caused by chronic inflammation, kidney main infringement of renal interstitial lesions, renal pelvis and calyces. Due to ongoing inflammation or repeat renal interstitial injury, renal pelvis and calyces, scarring, and renal atrophy and dysfunction. Patients may only waist acid and (or) low thermal, but no obvious urinary tract infection of urinary pain, symptoms of urinary frequency and urgency, its main performance increased night urine and urine have a small amount of white blood cells and protein, etc. The patient has a long-term or a history of recurrent urinary tract infections, late can appear in uremia.
Chronic pyelonephritis is early renal dysfunction and GFR concentrate relatively intact. Since the beginning of bacteria in medulla widespread inflammation eventually appear scar renal tubular structure distortion, which interfere with the medulla transfer mechanism. These changes can cause multiple night urination urine kidney lesions involving cortex and diabetes insipidus electrolyte perforation, have extensive scarring lead to renal failure.
Easy to relapse again the clinical characteristics of is the symptom of chronic pyelonephritis attacks can be both different nature, the original disease recurrence or infection and treatment and prognosis of each different, must distinguish between refers to a recurrent pyelonephritis not cure disease just temporarily under certain factors contributed to latent bacteria cause inflammation and infection; Infection is the original disease has again, bacteria have been destroyed, caused by the new pathogenic bacteria invasion.
So, to chronic pyelonephritis, except that he completes the corresponding treatment, the symptoms of what should notice at ordinary times?
1, in dietary respect need to high quantity of heat, high vitamin, normal diet of semifluid or easy to digest. Want to drink more, into the amount shall not be less than 3000 ml per day, in order to increase urine output, is beneficial to flush the urinary tract, promote the bacteria, the excretion of toxins and inflammatory secretions.
2, pay attention to the vulva clean sanitation and urethral opening. Change underwear to frequently, especially in the women's menstrual period, pregnancy, or when the body resistance decline, such as do not pay attention to the vulva clean sanitation, bacteria can through the urethra into the bladder, and by the bladder, ureteral reflux power into the renal pelvis, and then invade and the essence, the formation of urinary system infection.
3, exercise to enhance physical fitness, improve the body's resistance to disease. Pay attention to rest and avoid fatigue and constipation.
4, women with acute period after cure, we should pay attention to birth control within a year.
5, women were banned bath, lest bath water flow into the bladder and cause infection.

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