Effective methods and measures for preventing pyelonephritis

Fast passage:
Pyelonephritis is one of the most common infectious urological diseases. In some cases, it takes on a chronic, recurrent nature, brings a lot of trouble to the patient, and in some cases threatens to develop serious complications.

Both adults and children are susceptible to this disease. Moreover, pyelonephritis is the most common pathology during pregnancy.

In this regard, it is important to know about the measures of primary and secondary prevention of pyelonephritis.

general information

Before turning to aspects of prevention, you should first formulate what kind of disease this is and how to treat chronic pyelonephritis. The disease is especially common in children. Some believe that this medical problem has very strong social implications. The relevance of diagnosing the disease in children is associated with an increased risk of early irreversible changes in the tissues that form organs. It is known that in the case of pyelonephritis, a person in the future faces increased dangers of phosphate kidney formations. Speaking of pyelonephritis, we mean a nonspecific kidney infection that provokes an inflammatory focus. It affects the parenchyma of the organ, mainly interstitial, renal pelvis, calyces.

As you can learn from theses devoted to the development, treatment, and prevention of chronic pyelonephritis, this disease in most patients is caused by intestinal pathological forms of life. Often, kidney inflammation is associated with coli bacteria and cocci of various types. Escherichia, staphylo-, strepto-, enterococci, Proteus are diagnosed. Approximately half of the patients have mixed pathological microflora. With prolonged development of the disease and frequent use of antibiotics, the case may be aggravated by fungal invasion.

Standard prophylaxis

To prevent pyelonephritis in yourself, children, and close relatives, simple preventive measures are important:

  • observe the rules of personal hygiene;
  • strengthen the immune system, especially in spring and autumn;
  • prevent sexually transmitted infections;
  • treat any infections in a timely manner;
  • maintain a daily routine;
  • Healthy food;
  • have enough rest and sleep for at least 7 hours;
  • forget about bad habits.

Rejection of bad habits

In the summer, it is important to drink more fluids, and in the fall and winter, make sure that the body does not become overcooled. People are used to suffering from colds and flu on their feet without resting at home, and this is a big mistake. It is important to treat any infection to the end and undergo regular vaccinations and medical examinations.

Any medical professional will tell you that you cannot tolerate the urge to urinate, it is dangerous with serious consequences.

Any woman can also observe the rules of personal hygiene and regularly change her underwear.

All these recommendations and the main rule - maintaining cleanliness - are the standard prevention of pyelonephritis. They effectively prevent the disease and prevent relapses.

How to prevent relapse

To minimize the rapid re-acute period during relapse, the patient should adhere to bed rest. There is less chance of complications with proper nutrition. If a child or an adult has chronic pyelonephritis, it is necessary to eat well and constantly alternate between protein-enriched foods and plant products. The first acidifies the gastric environment, the second alkalizes the contents of the stomach and intestines. It is recommended to alternate meals with an average frequency of about four days. This will create conditions that are not comfortable for bacterial growth and reproduction. If possible, completely avoid spicy foods, exclude excess salt and foods that are likely to provoke an allergic reaction.

If the course of chronic pyelonephritis is complicated by the acute phase, treatment with antimicrobial drugs is necessary. Sulfonamides are used. Sometimes the use of nitrofurans and nitroxoline is indicated. If the patient is under twelve years of age, fluoroquinolone pharmaceutical products are not used, as they have a strong toxic effect on the body. For older people, medications from this class can be used. Antibacterial agents are selected, focusing on the specifics of the case, the characteristics of the symptoms and the individual nuances of the patient’s body condition. Much is determined by the results of laboratory examinations aimed at clarifying the specifics of the pathological microflora inherent in the patient.

chronic pyelonephritis prevention

Primary and secondary prevention: how to avoid pyelonephritis?

Type of preventionWhat do we have to do?
PrimaryMaintain personal hygiene
Go to the toilet on time
Maintain diet and drinking regime
Strengthen immunity
Avoid hypothermia
Timely treatment of existing diseases of the genitourinary system
Preventative urine test
Healthy and active lifestyle
SecondaryConduct regular urine tests for bacteria
Take appropriate medications according to the regimen prescribed by your doctor

Treatment with different means

Secondary prevention of chronic pyelonephritis involves taking medications in intermittent courses. If the inflammatory process has transformed into a chronic type, the doctor will determine with what frequency antibacterial pharmaceutical products should be used. Treatment lasts for months, years. From time to time, the doctor sends the patient for tests to check what the patient’s condition is. It is necessary to regularly study the quality of urine. Pathological processes are possible due to the abnormal structure of the genitourinary system. In this case, surgery is possible. The feasibility of such an event is determined by a consultation of doctors, followed by obtaining the patient’s consent.

Among the relevant recommendations for chronic pyelonephritis is the use of herbal remedies. Among pharmaceutical products, it is especially necessary to highlight a special renal collection. The products “Urolesan” and “Fitolysin” enjoy a good reputation. All medications of this class are good both in treating the disease and when it is necessary to exclude relapse in chronic cases. The use of homeopathic compounds is widespread. For chronic disease, immunomodulatory pharmaceutical products are indicated. They normalize the functionality of the immune system, therefore effectively preventing the transition of inflammation to the acute phase.

secondary prevention of chronic pyelonephritis

Prevention of primary type

Types of preventive measures to prevent the onset of the inflammatory process in the kidneys are divided into: primary and secondary.

The primary ones are: treatment of pathological processes that can cause inflammation in the renal structures.

Diseases that require response and timely treatment are inflammation of the prostate gland, infections of focal lesions, the presence of stones in the urinary organs and other types of diseases characterized by impaired outflow of urine from the kidneys.

A complex approach

To minimize the risk of relapse, a multicomponent course of prevention is practiced. Chronic pyelonephritis in adults and children can be brought under control if you regularly receive treatment in specialized sanatoriums and visit medical resorts. “Svalyava” and “Truskavets” are especially popular and famous. Such preventive measures are not indicated for very young children, but at high school age they can already undergo similar treatment. It is also good for adults of any age group. When choosing a destination for a trip, you need to clarify the profile of the resort or complex you like. If it practices measures aimed at improving kidney health, you can safely go.

Another measure to prevent exacerbations is primary prevention of chronic pyelonephritis, which involves monitoring the patient’s condition. If the process of inflammation has already begun, if it occurs in the form of a chronicle, the patient is registered. It is necessary to regularly visit a therapist (pediatrician), urologist, and get tested. Information obtained through laboratory testing will help determine how the disease develops. To clarify the condition of the kidneys, an ultrasound examination of the diseased organ is performed every six months or a year. Urine is checked for the inclusion of leukocytes. It is important to regularly check your blood pressure readings. Such observation is the most reliable way to start a treatment course on time in order to exclude another exacerbation and minimize the risk of long-term consequences of infection. These include bladder stones, persistent high blood pressure, and weak kidney function.

During pregnancy

The disease most often occurs in women due to the structural features of the genitourinary system, so prevention is of great importance for those who have suffered from diseases of the urinary excretory organs. In addition to general measures, some points should be noted for women carrying a child. In the second half of the term, compression of the increasing size of the uterus, urine excretory organs - the ureters and bladder occurs, which leads to complications in the outflow of urine, as well as the creation of a favorable environment for the proliferation of dangerous bacteria in the kidneys and the appearance of pyelonephritis. If late toxicosis joins this process, the possibility of serious complications, including the onset of renal failure, is likely, which threatens the health of the mother and child.

Recommended topic:

Treatment of pyelonephritis with folk remedies

In order to diagnose the disease in a timely manner and take urgent measures for treatment, you should be regularly observed at the antenatal clinic and constantly undergo laboratory tests, especially for patients who have previously suffered from gynecological diseases.

The development of pyelonephritis during pregnancy occurs without visible symptoms, but can subsequently lead to acute renal failure.

Gymnastics for expectant mothers

Preventive measures to prevent the development of pyelonephritis in pregnant women are extremely important due to the negative impact of the disease on the health of the mother and the development of the unborn child. Professionals recommend the use of special gymnastics to relieve tension in the pelvic organs and strengthen the vaginal muscles.

Let us briefly describe the exercises used to prevent the disease during pregnancy:

  • In a lying position, you should bend your knees and place your feet wider. We perform slow lifts of the pelvis upwards, stopping in the uppermost position.
  • Maintaining the starting position, inhaling, we stretch our head towards our legs, and as we exhale, we lie down on our back again.
  • In a position lying on your side, you should bend your legs, bring your free leg towards your back, then return it back.
  • In a lying position, you should perform the “scissors” exercise.

Risks and factors

As part of the treatment and prevention of chronic pyelonephritis, it is necessary to take into account the fact that the disease is more often diagnosed in minors who have some kind of infectious, inflammatory focus in the body. The cause is inflammation of the upper respiratory tract or other organs of the body. There are frequent cases against the background of tonsillitis, adenoids, and gastric diseases. To minimize the risks of kidney inflammation, you need to treat all other diseases in a timely manner, preventing the infectious agent from spreading throughout the body.

Pyelonephritis and its consequences

Kidney inflammation is usually caused by a urinary tract infection and can be successfully treated with antibiotics. The disease occurs in two different forms: acute and chronic. The first is associated with high fever and pain. The second occurs unnoticed and over a long period of time. If left untreated, pyelonephritis can cause serious kidney damage.

The acute form of the disease is based on bacterial infection. Patients present with high fever and severe unilateral flank pain. Both kidneys are affected at the same time. Chronic pyelonephritis is caused by a congenital malformation or narrowing of the urinary tract. Over time, bacteria accumulate in tight spaces. If many pathogenic microorganisms are formed, this leads to inflammation.

A thorough approach

It is known that against the background of influenza, many people need treatment for chronic pyelonephritis. Prevention in this case is considered to be timely fight against influenza. It is necessary to eliminate the disease in time so that it does not affect the kidneys. In the presence of a chronic process, the risk of relapse is higher if the immune system is weakened by the need to fight a viral disease. Sanitation of infectious foci in a child’s body, which is especially susceptible to pathology, is the responsibility of parents. This makes it especially important to treat influenza under the supervision of a qualified doctor. The treatment program in the presence of chronic renal disease may include additional drugs that prevent relapse of the pathology. If acute pyelonephritis has been suffered, the problem has become chronic, you need to responsibly monitor the condition of your teeth. With kidney diseases, the risk of caries is higher, and each focus of such pathology is a potential provocateur of a chronic relapse. If a child has adenoids, if the tonsils are prone to frequent inflammatory processes, current medical practice favors surgery in order to prevent serious complications.

chronic pyelonephritis treatment prevention

What is pyelonephritis

Pyelonephritis is an inflammatory infectious disease of the kidneys that occurs due to the penetration of various pathogenic bacteria. It comes in two forms - acute and chronic. Almost 70% of patients in the urology department come to doctors with this disease. Unfortunately, when the chronic form develops after the acute stage, many people believe that the disease has receded and stop treatment. This can be very dangerous, as it threatens the emergence of various complications, such as renal failure, sepsis, abscess, etc. Since the chronic form of pyelonephritis can often be asymptomatic, in many patients it is detected during preventive examinations or when undergoing tests urine.


Due to the penetration of infection into the kidneys, an inflammatory process begins, which leads to pyelonephritis

There are many reasons that can lead to pyelonephritis.

  1. Features of the anatomical structure in children can provoke the formation of pyelonephritis in preschool children.
  2. Polycystic kidney disease disrupts the blood supply to this organ and promotes congestion, which increases the risk of developing pyelonephritis.
  3. Prostate adenoma often leads to urinary tract obstruction. Due to a violation of the outflow of urine, stagnation occurs, which promotes the proliferation of pathogenic microorganisms that gradually reach the kidneys.
  4. In girls, pyelonephritis can occur after the onset of sexual activity, during pregnancy or after childbirth. It is especially important for them to monitor their health, since the majority of patients with this serious disease are female.
  5. Poor personal hygiene can also contribute to the spread of infection in the urinary tract.
  6. Injuries in the lumbar region and surgical interventions can become a provoking factor for the spread of infection.
  7. Various purulent processes in the body can lead to the onset of acute pyelonephritis.
  8. Urolithiasis complicates the outflow of urine, creating a favorable atmosphere for the growth of bacteria.
  9. Cystitis, hypothermia, chronic inflammation of the genitourinary tract can also lead to pyelonephritis.

Since the kidneys secrete a special hormone, renin, which is responsible for purifying the blood and blood pressure, patients with pyelonephritis may suffer from hypertension and diseases of the cardiovascular system.

Some doctors believe that in some patients, pyelonephritis may begin due to various psychosomatic disorders. If a person accumulates any negative emotions within himself for a long time and is unable to get rid of them, then this is reflected specifically in the kidneys. In people who are open, inclined to talk about their feelings and express them freely, pyelonephritis is extremely rare. Conversely, in patients with neuroses and various emotional stress, various internal organs, including the kidneys, often suffer.

Video about pyelonephritis in the program “Secrets of Health”

Causes and consequences

If you know what provokes acute processes and prevent the influence of such factors in time, you can effectively prevent exacerbations of chronic pyelonephritis. From medical statistics it is known that in many cases the cause of the disease is enterobacteria, cytobacteria, Klebsiella, Pseudomonas aeruginosa, Escherichia coli, and Proteus. There is a possibility of penetration of tuberculous mycobacteria, entero-, and staphylococcus. Therefore, in order to eliminate the risk of an acute process, it is necessary, if possible, to lead a lifestyle that does not allow pathological microorganisms to penetrate the vulnerable organ. To do this, you should adhere to general hygiene rules, treat all diseases in a timely manner, maintain a high level of immunity, resorting to official medicine and folk recipes.

Since prevention of exacerbations of chronic pyelonephritis is especially important for diabetics, careful monitoring of this disease is one of the methods to avoid relapse. To do this, you need to eat, minimizing the intake of carbohydrates into the body, and also adhere to a therapeutic program selected by an endocrinologist, regularly checking blood sugar levels.

Prevention of acute pyelonephritis

To avoid having to treat the acute phase of the inflammatory process in the kidneys, the following points must be followed:

  • Individuals at risk are advised to undergo regular urine and blood tests.
  • Eliminate chronic infectious foci in a timely manner. Particular attention should be paid to streptococcal.
  • At the first signs of cystitis or urethritis, you should go to the hospital and not try to self-medicate at home.
  • It is important for women to visit a gynecologist from time to time to rule out infectious diseases, which are often asymptomatic.

Factors and reasons

In the case of chronic pyelonephritis, prevention involves control of sexual behavior. Promiscuous connections are one of the factors that can provoke the penetration of a pathological microorganism into the human body. This is especially likely if a person does not use barrier protection. Bacteria penetrate the urogenital system, spread to various organs and tissues, including the kidneys. This may cause an acute relapse with an atypical course, which will complicate the diagnosis.

Prevention of chronic pyelonephritis is very important if the anatomical urinary system differs from normal. This is more common in women. The urine duct can be wider, narrower than normal, so it is easier for infections to penetrate the kidneys. To minimize the risk of exacerbation of a chronic disease, you need to be responsible for your daily routine, wear appropriate clothing, follow your doctor’s recommendations, and also take preventive medications prescribed by your doctor, taking into account your body’s characteristics.

prevention of chronic pyelonephritis in adults

Recommendations for preventing pyelonephritis

General recommendations for the male and female population are measures to reduce and prevent the risk of complications:

  1. Get rid of bad habits, especially smoking and drinking alcohol.
  2. Prevention of pyelonephritis includes eliminating foci of infectious lesions throughout the human body. This is necessary to prevent the infection from entering the bloodstream, and from there into the kidney structures. Experts advise conducting diagnostic examinations with attending physicians to identify and subsequently treat dental problems (caries), problems with the digestive tract (colitis, gastritis, ulcerative lesions), diseases of the hearing and throat organs (sore throat, tonsillitis, laryngitis, pharyngitis).
  3. To prevent pyelonephritis for all segments of the population at risk, both women, men and children, it is necessary to take blood and urine tests.
  4. To minimize the risk of developing kidney inflammation, it is necessary to adhere to a daily routine that includes rest and proper sleep. An organism that is in the stage of exhaustion will not be able to fight pathogenic microorganisms. In this case, it is impossible to avoid the occurrence of pathology.
  5. When carrying out preventive measures, it is important to take into account proper, nutritious nutrition. The diet should be multi-component, containing many mineral and vitamin complexes that will help the immune system create a barrier to foreign harmful microorganisms.
  6. When prescribed treatment, it is important that the composition of medications includes many components of natural origin.
  7. To protect the body, you need to follow the correct drinking regime. This will help normalize the excretion of urine from the kidneys. It is necessary to protect yourself from hypothermia, maintain personal hygiene, and this is especially true for the female half of the population. It is important to remember that you don’t have to endure it and go for a little while when your body requires it. Prolonged abstinence leads to urine stagnation in the canals, creating conditions for the proliferation of bacteria.

Infection, be gone!

There is a high probability of developing an acute process if a focus of inflammation appears in the urinary system. To prevent a relapse of chronic pyelonephritis, prevention is carried out in the context of quick and effective treatment of urological pathology. Most often you have to deal with cystitis, urethritis and bladder stones. The doctor will explain what medications need to be used to treat these diseases. If you start taking the medications immediately and adhere to a gentle regimen during treatment, the risk of exacerbation of kidney disease is minimized.

Who needs prevention

To protect the body from pyelonephritis, there are several common main points of action that unite different groups of people. Primarily at risk:

  • women with abnormalities in the anatomical structure of the genitourinary system;
  • elderly men with prostatitis and urolithiasis;
  • children under 7 years old;
  • pregnant women during a period when the growing uterus puts pressure on the kidneys and bladder;
  • patients who have undergone surgery on the genitourinary organs.

Note

The problems of preventing chronic pyelonephritis and relapses of this disease are exclusively relevant for people with hormonal disorders. To reduce the risk of an acute process, it is necessary to undergo a full examination to determine the root cause of the hormonal imbalance. The doctor will select synthetic hormones if there is no more effective and safe method of controlling the condition. A comprehensive course of treatment of the endocrine glands is possible. By getting rid of hormonal imbalance, a person will significantly reduce the risk of relapse of kidney inflammation.

Regular practice under the supervision of a physician is necessary, aimed at preventing the recurrence of chronic pyelonephritis, prevention, including the exclusion of gynecological and urological diseases. It is equally important to monitor the state of the immune system. Stabilizing it and increasing the immune status are good ways to exclude an acute infectious renal process. You may need to take immunomodulators. In other cases, preventive measures include drinking drinks with medicinal herbs, multivitamin and mineral complexes instead of tea, which increase the activity of the body's defense system.

chronic pyelonephritis recommendations

General recommendations for women and men

Specialists have put together the main points of preventive measures, some of which can also prevent the risk of developing complications with pyelonephritis:

  • The first thing to do is to eliminate bad habits, namely smoking and alcohol abuse.
  • To prevent pyelonephritis, it is important to eliminate infectious foci throughout the body to prevent infected cells from entering the blood, and from it into the kidneys. Thus, doctors strongly recommend prompt treatment of caries, gastritis, ulcerative lesions, colitis and ailments of the ENT organs.
  • To prevent the occurrence of pyelonephritis in women, men and small children who are at risk, it is necessary to regularly conduct laboratory tests of blood and urine.
  • An organized daily routine that includes adequate rest and sleep will minimize the risk of developing pyelonephritis. An exhausted body will not be able to fight bacteria and viruses, so it will be almost impossible to avoid inflammatory kidney disease.
  • To prevent pyelonephritis, it is important to eat properly. The diet should contain a large amount of vitamins and nutrients that will strengthen the body's defenses and help it resist illness.
  • If treatment has been prescribed, it is better to carry it out with medications that contain natural ingredients.
  • To protect the body from pyelonephritis, it is recommended to consume a sufficient amount of fluid per day - this normalizes the outflow of urine. In addition, you should avoid hypothermia, observe personal hygiene rules and do not hold urination for a long time.

Primary prevention

Measures that can prevent the development of pyelonephritis are divided into primary and secondary. Primary prevention includes the treatment of pathological processes that can lead to an inflammatory process in the kidneys. Diseases that require timely treatment include prostate adenoma, focal infections, urolithiasis and other ailments characterized by the outflow of urine from the kidneys. In addition, measures are taken to improve the immune system.

Secondary

Secondary preventive measures are based on detecting bacteria in the urine during medical examinations and prescribing special treatment that will prevent relapse of pyelonephritis. The therapeutic regimen is as follows:

  • The first 7 days of the beginning of each month is a therapeutic pause during which rosehip decoction is consumed.
  • Weeks No. 2 and No. 3 involve the use of herbal diuretics and antiseptics.
  • The fourth week includes taking antibacterial agents.

Preventive measures to prevent relapse of a chronic disease are carried out twice - three times a year. The need for clinical examinations of patients with subsequent treatment increases to 3-4 times a year, and in some cases, visits to a specialized specialist are required 4-6 times every 12 months.

Features of preventive measures

As you can learn from specialized sources, in order to minimize the risk of exacerbation of an existing chronic disease, you need to monitor the frequency and quality of emptying the bladder. It is necessary to visit the toilet regularly and often enough. It is equally important to control how much liquid a person drinks per day. To reduce the risk of illness, you should dress warmly and avoid hypothermia. If possible, avoid non-hormonal anti-inflammatory drugs or reduce the frequency of their use if such drugs are strictly necessary for the person. Another significant aspect is compliance with hygiene requirements and rules.

Daily diuresis should be increased if possible. This is achieved by consuming more non-caloric fluid. It is recommended to drink at least two liters of water per day. True, you first need to consult a doctor in order to exclude contraindications to such drinking. For a healthy person, the drinking rate is calculated based on weight: 25 ml/kg. It is strictly forbidden to endure for a long time if there is an urge to visit the toilet. Doctors recommend that you empty your bladder shortly before bed. This must be done after every intimate contact. It is equally important to keep your genitals clean. Each act of cleansing the intestinal tract should be accompanied by washing the perineum or cleansing the integument with a moistened napkin.

Secondary prevention for pyelonephritis

Quick transition:
Pyelonephritis is one of the most common infectious urological diseases. In some cases, it takes on a chronic, recurrent nature, brings a lot of trouble to the patient, and in some cases threatens to develop serious complications.

Both adults and children are susceptible to this disease. Moreover, pyelonephritis is the most common pathology during pregnancy.

In this regard, it is important to know about the measures of primary and secondary prevention of pyelonephritis.

Before we begin to describe preventive measures, it is necessary to once again recall the risk factors that contribute to the development of this disease. After all, it is precisely the elimination of risk factors that underlies most measures to prevent the inflammatory process in the kidneys. Let's list them:

  • hypothermia
  • immunodeficiency states;
  • violation of the outflow of urine from the kidneys;
  • the presence of infectious processes in other parts of the urinary system: cystitis, urethritis, prostatitis.
  • concomitant diseases that disrupt blood flow in the renal parenchyma: diabetes mellitus, renal prolapse, renal vascular pathology;
  • carrying out instrumental and endoscopic methods of diagnosis and treatment: catheterization, retrograde urography, cystoscopy, ureteroscopy.
  • kidney damage.

This is a set of measures that reduce the likelihood of the primary development of infectious inflammation in the kidneys.

This is a set of measures that can reduce the likelihood of relapse of a chronic inflammatory process.

As we said at the beginning of the article, pyelonephritis is the most common complication of all that develops during pregnancy.

In this regard, prevention of pyelonephritis during pregnancy is not just desirable, but mandatory. All of the above preventive measures, with the exception of medication, are recommended for pregnant women. Moreover, the management plan for a pregnant woman in the antenatal clinic already includes basic preventive measures.

The use of medications is possible only as prescribed by a doctor. Register with the antenatal clinic on time. Take care of your health and the health of your baby.

source

Among the huge number of infectious diseases, pyelonephritis occupies a special place.

This pathology contributes to damage to the renal parenchyma and its collecting system.

If not treated in a timely manner, the pathology causes unpleasant troubles to a person, posing a serious danger to the body.

To prevent pyelonephritis infection, you need to know its symptoms.

Pyelonephritis affects different age groups: in children, its incidence is slightly inferior to respiratory diseases; in older age, patients are girls, young women and elderly men.

The disease is often caused by urine backflow into the kidneys (VUR) - Vesicoureteral Reflux. It is caused by an overfilled bladder or obstructed urine flow, an abnormality in the structure of organs, stones, or an enlarged prostate gland.

The causative agents of this pathology are most often staphylococci, enterococci, Escherichia coli, Proteus, and Pseudomonas aeruginosa. Exacerbations lead to the death of kidney tissue, thereby reducing the functionality of the kidney parenchyma (tissue). Damage to both kidneys can cause chronic renal failure.

To protect the body from pyelonephritis, there are several common main points of action that unite different groups of people. Primarily at risk:

  • women with abnormalities in the anatomical structure of the genitourinary system;
  • elderly men with prostatitis and urolithiasis;
  • children under 7 years old;
  • pregnant women during a period when the growing uterus puts pressure on the kidneys and bladder;
  • patients who have undergone surgery on the genitourinary organs.

Pyelonephritis belongs to the category of pathologies that are easier to prevent with the help of preventive measures than to treat later.
Protecting the body consists of organizing and maintaining such fairly simple actions that depend only on the responsibility of each person. To do this you need:

  • balance your diet with 2 or more liters of fluid;
  • reduce the consumption of salt and spicy foods;
  • protect the body from overwork and hypothermia;
  • adhere to general hygiene standards;
  • timely eliminate the cause of infection - gastritis, colitis, ulcers, caries, ENT diseases;
  • undergo regular preventive examinations, follow doctor’s prescriptions if medication intervention is necessary;
  • get rid of bad habits.

Pyelonephritis occurs much less frequently in males than in females. The source of the disease is the consequences of:

  • urodynamic disorders;
  • chronic processes of the urinary tract;
  • prostate adenoma;
  • injury to the lower back and perineum;
  • age over 60 years.

Symptoms of the pathology are characteristic manifestations of intoxication of the body, high body temperature, muscle pain, chills, vomiting, and severe sweating. The disease often occurs secretly, without showing typical symptoms, which makes it difficult to make a timely diagnosis.

Frequent exacerbations of the chronic form are difficult to treat and therefore disease prevention is especially important:

  • promptly treat pathologies of the genitourinary system and prostate;
  • strictly follow the rules of personal hygiene;
  • avoid hypothermia;
  • lead a healthy lifestyle - giving up alcoholic beverages and smoking;
  • use folk remedies in treatment.

Taking into account the structure of the female genitourinary system (short urethra located next to the genital tract and intestine), pyelonephritis occurs more often in women than in men. This happens at a younger reproductive age who are sexually active

up to 50 years old. The cause of the disease can be:

  • insufficient personal hygiene;
  • cystitis;
  • acute respiratory infections;
  • pregnancy;
  • long menstrual cycle, pathologies of the ovaries and uterus, gastrointestinal tract.

In children, the disease pattern is determined by their age.
Manifested by general symptoms: weakness, body temperature, decreased appetite, vomiting. Common symptoms: pain in the lumbar region, anxiety and pain when urinating.

Among newborns, this disease affects boys more, and in adulthood, girls get sick more often.

The background of the disease is: sore throat, influenza, acute respiratory infections, acute respiratory viral infections. Primary prevention of childhood pyelonephritis is:

  • regular emptying of the bladder and bowels;
  • proper hygiene of the external genitalia;
  • timely implementation of preventive vaccinations;
  • prevention of dysbacteriosis;
  • compliance with the drinking regime according to age.

During pregnancy, one of the most common (up to 12%) complications is pyelonephritis. It occurs during pregnancy (2-3 trimester), during childbirth and in the near future

up to 12 days after them.

At the onset of the disease, a pregnant woman may experience sharp or dull pain in the lower back, especially when bending forward. Adequate treatment of pyelonephritis involves recovery in 10-20 days.

Inflammation of the renal pelvis is promoted by several reasons: decreased immunity, which promotes the proliferation of bacteria (usually E. coli), stagnation of urine, unfavorable environmental and social factors.

To prevent inflammation, doctors suggest taking special body positions and performing special exercises.

In nephrology, to prevent this disease, there is the concept of primary and secondary prevention.

Its role is to apply measures that will reduce the risk of developing an infection in the kidneys:

  • timely emptying of the bladder;
  • compliance with the rules of female intimate hygiene - regular change of underwear, proper washing;
  • consumption of large amounts of fluid;
  • not allowing hypothermia;
  • timely contact with an immunologist to determine the implementation of measures to improve the immune system;
  • undergoing annual preventive examinations. They will help identify inflammatory processes (kidney stones, urethritis, cystitis, prostate adenoma) that can delay the free flow of urine. To avoid pathogenic microbes from entering the kidneys in the blood, it is important to treat them promptly (caries, gastrointestinal tract, ENT diseases).
  • carrying out activities to improve the immune system.

If, during the next examination of a person who has previously had pyelonephritis, bacteria are found in the urine, then there is a danger of relapse of the disease.

In such cases, treatment is prescribed to prevent the possibility of exacerbation. It includes taking antiseptics, antibiotics and diuretics and is calculated

To prevent the possibility of exacerbation of the disease, you need to promptly seek help from specialists for any signs of urethritis or cystitis.

Women, for example, require a preventive visit to the gynecologist; this will help eliminate infection from asymptomatic diseases.

Keep chronic diseases under control through regular blood and urine tests.

It is important to remember that this form of the disease is characterized by waves and periodicity.

When transitioning from acute to chronic, pyelonephritis may occur for some time without obvious signs. With a repeated form, the urine acquires a cloudy red tint, an unpleasant pungent odor, general weakness, poor appetite, nausea, and chills with high fever appear.

Clinical observation with auxiliary courses of treatment for these patients should be carried out throughout the year.

Hard physical labor changes to lighter. The remaining points of prevention are the same as for acute pyelonephritis.

Kidneys are organs that are sensitive to various stimuli. Microorganisms provoke inflammatory processes in them. Doctors usually recommend drug treatment for acute cases. But it is very difficult to maintain regular use of antibiotics.

Medicinal plants can serve as an alternative to medicines:

Treatment with folk remedies in combination with a healthy diet will be of great benefit. By following the recommended preventive measures, you can save yourself from the problem of pyelonephritis forever.

source

Primary and secondary prevention of pyelonephritis plays an important role, as it reduces the risk of developing dangerous complications. This disease is one of the most common in urological practice; it can result in serious consequences, even death.

Pyelonephritis is an infectious disease and is a lesion of certain segments of the kidney: the pelvis, parenchyma or calyx. An advanced form of pathology can provoke tissue necrosis, as well as sepsis, which is often accompanied by the development of bacterial shock. The kidney may undergo purulent melting, which will lead to its death. For these reasons, it is so important to prevent the development of a dangerous disease.

Pyelonephritis is characterized by bacterial damage to the kidney

Pyelonephritis can be accompanied by severe intoxication, which is why many doctors attach special importance to the primary prevention of this disease.

Primary prevention is aimed at eliminating pathologies that can provoke pyelonephritis and preventing the development of the acute form of the disease.

For the purpose of primary prevention, medications are used that support the functional activity of the kidneys. These include diuretics: Canephron, Furosemide, etc. They help remove sand and prevent the formation of kidney stones. In addition, these drugs prevent stagnation of urine, as this is an unfavorable factor that can lead to the development of an inflammatory process.

If there are stones in the kidneys, medications are prescribed to help dissolve and remove the stones. These include: Urolesan, Phytolysin, etc. Such medications not only get rid of existing stones, but also prevent the appearance of new ones.

In addition to medications, herbs are used that improve the functioning of the urinary system. You can prepare effective products based on them using the following recipes.

  1. 2 tsp. raw materials pour 300 ml of boiling water.
  2. Then put on low heat and cook for 15 minutes.
  3. After this, let it brew for 3 hours and filter.

Take 100 ml 2 times a day a quarter of an hour before meals for 10 days. Erva woolly has a diuretic effect.

Erva woolly is a powerful diuretic, but does not cause rapid dehydration; used in the treatment of urolithiasis, has anti-inflammatory properties, strengthens the immune system

  1. Take 1 tbsp. l. herbs and pour 200 ml of boiling water.
  2. Infuse the liquid (best in a thermos) for an hour.
  3. Then filter the infusion.

Take 2 times a day, a quarter glass, half an hour before meals. The course of treatment is 14 days. Knotweed promotes the dissolution and removal of stones.

Knotweed turns kidney stones into sand, which is then excreted from the body in urine or bile; the herb is used in the treatment of inflammatory processes in the kidneys

  1. 200 ml vodka and 1 tbsp. l. The herbs should be mixed and placed in a dark place to infuse.
  2. After 15 days, filter the liquid.

Take 15 drops, dissolving in 1 tsp. water after meals 3 times a day. The course of treatment is 10 days. This remedy has an anti-inflammatory effect.

Bearberry is used in the treatment of kidney and urinary tract diseases; has diuretic, anti-inflammatory, antiseptic effects; has antipyretic properties

An important place is given to the diagnosis of initial pathological changes in the urinary system. For this purpose, it is recommended to undergo an ultrasound scan regularly (once a year).

Secondary prevention is aimed at preventing relapse of the acute form of the disease. To do this, the following rules are observed:

  1. In the first week of each month, you need to take herbal diuretics. These include rose hips, birch leaves, mint, linden, etc. These plants can be brewed instead of tea.
  2. For the next two weeks, it is recommended to use decoctions of anti-inflammatory herbs, which include horsetail, chamomile and nettle.
  3. In the fourth week, antibiotics and uroseptics are indicated. Most often prescribed are Furadonin, Furagin, etc.

A preventive course of treatment with uroseptics and antimicrobial drugs is prescribed only by a doctor.

To prevent the development of acute pyelonephritis, it is important to consult a doctor in time if there are first signs of unstable kidney function in order to stop the spread of the inflammatory process. To prevent the disease from becoming chronic, it is necessary to follow all the urologist’s instructions and not to shorten the course of treatment on your own, even if there are no symptoms.

Prevention of acute pyelonephritis includes:

  1. Elimination of chronic foci of infection. It is necessary to promptly treat tonsillitis, caries, cystitis and other bacterial pathologies that can provoke pyelonephritis.
  2. Proper nutrition. For normal kidney function, you should consume enough protein, avoid dry food and fast food containing large amounts of salt and spices.
  3. Timely emptying of the bladder. You can't hold back the urge. The organ should be emptied as soon as possible.
  4. Adequate fluid intake. You need to drink at least 1.5 liters of water per day. However, in case of kidney diseases, the amount of fluid is determined by the doctor and in each case individually.

To improve kidney function and prevent acute pyelonephritis, you can take rosehip decoction daily instead of tea. Preparation: 1 tsp. pour two cups of boiling water over the fruit and cook for 15 minutes, then let the liquid stand for about an hour and filter. Take 3 times a day for 10 days, half an hour before meals, 1 glass.

Rosehip decoction has a beneficial effect on kidney function

To prevent exacerbation of chronic pyelonephritis, it is necessary:

  1. Follow diet No. 7 once a month for a week.
  2. Drink cranberry or lingonberry juice 2 days a month. During the day you need to drink at least 1.5–2 liters. Mors has a diuretic effect and prevents urine stagnation.
  3. Perform an ultrasound of the kidneys at least once every 3 months to monitor the condition of the urinary system.

At the first signs of exacerbation: pain, problems with urination, it is recommended to immediately consult a urologist.

The diet includes 4 meals a day and is aimed at reducing salt intake and increasing daily diuresis (the volume of urine produced per day). The menu should include more natural products, abandoning spices and semi-finished products. It is necessary to observe a drinking regime, which provides for the consumption of up to 2 liters of liquid: lightly brewed tea, fruit drink, jelly and clean water.

Cranberry juice will help prevent exacerbation of chronic pyelonephritis

It is advisable to steam or bake food, but under no circumstances should you fry it. First courses should be prepared only from dietary meat. It is recommended to give preference to chicken, turkey and fish.

Non-drug prevention
  • drinking enough fluid (especially important in summer);
  • always dress warmly and avoid hypothermia;
  • if you have a disease that potentially reduces immunity (for example, influenza), do not “carry it on your feet”, take care of your health;
  • If you have immunodeficiency conditions, seek help from an immunologist in a timely manner.
  • “don’t tolerate it” - empty your bladder on time;
  • It is very important for women to follow the rules of intimate hygiene: wash only from front to back, change your underwear regularly, do not constantly wear thongs, tight underwear and trousers.
  • do not neglect the annual preventive examination (OAM, OAC).
Drug prevention
  • herbal medicines (canephron, phytolysin, monurel.) can be prescribed in the presence of risk factors for the development of pyelonephritis: kidney prolapse, urolithiasis, abnormalities of the genitourinary system;
  • antibacterial agents are advisable in the presence of infectious diseases in other parts of the urinary tract (cystitis, urethritis, prostatitis), and in other infectious processes that can serve as a source of pathogen spread: gynecological diseases, pathology of the rectum, ENT organs.
Timely detection of bacteriuria
  • preventive laboratory diagnostics: OAM, urine culture with determination of sensitivity to antibacterial agents.
Anti-relapse treatment
  • herbal remedies: canephron, monurel;
  • bacteriophages;
  • antibacterial agents.

An example of an anti-relapse course scheme: the first week of the month - rosehip decoction, the second and third weeks - herbal medicines that have a diuretic and antiseptic effect, the fourth week - an antibiotic.

Allowed foods and drinksProhibited foods and drinks
MilkSausages and sausages
Cottage cheese and low-fat cheeseMarinades
Sour creamSpicy and salty sauces
FishFast food
Wholemeal breadSalo
VegetablesCoffee and strong tea
FruitsSoda
Chicken, turkeyFried cutlets
CerealsAlcohol

Prevention of pyelonephritis in pregnant women involves performing a special set of exercises that allows you to relax the pelvis and reduces the load on the kidneys. The gymnastics are quite simple to perform and will not take more than 5 minutes. You need to lie on your back and bend your knees, resting on your feet. Slowly raise and lower your pelvis. No more than 5 repetitions in total.

Raising the pelvis improves blood circulation in the kidneys

Lying on your side, slowly move back one or the other leg. Only 10 times.

During pregnancy, it is important not to stay in one position for too long. You should sit, stand and walk periodically.

During the period of bearing a child, physical inactivity should be avoided, which can cause problems with the kidneys. Hiking and light exercises are recommended.

One of the main methods of preventing pyelonephritis during pregnancy is the knee-elbow position. This position prevents the development of congestion in the kidneys. If you stand in this position every day, the risk of pyelonephritis is reduced several times.

Pyelonephritis is dangerous at any age. The disease is not always easy to treat, so it is sometimes easier to prevent than to eliminate it. To this end, it is enough to follow simple rules of prevention that will protect the kidneys from dangerous consequences. If you have already had pyelonephritis once, then it is important to reduce the risk of relapse of the disease.

source

We should never forget about preventive measures taken to prevent the development of the disease or its transition to a chronic condition. Pyelonephritis, like any disease, is easier to prevent than to treat. In modern nephrology, there are a variety of measures designed to minimize the risk of a primary disease or relapse of a pre-existing disease.

Pyelonephritis is one of the common urological diseases, consisting of inflammation of the renal pelvis and cups. Mostly young women suffer from it. Most often, the disease begins after microorganisms enter the kidneys from the bladder through the ureters, that is, through the ascending route.

The majority of patients (about 70%) who consulted a doctor for pyelonephritis for the first time were girls who fell ill shortly after the onset of sexual activity.

It is difficult to overestimate the prevention of this renal pathology. Firstly, pyelonephritis is characterized by a wave-like course with periodic exacerbations and subsidence of the inflammatory process, often asymptomatic, ultimately leading to irreversible changes in the kidneys. Secondly, it often becomes chronic and torments the patient for years. Therefore, taking measures to prevent this disease is extremely important.

Pyelonephritis most often affects young women

In nephrology there is such a thing as primary and secondary prevention of renal diseases. In other words, measures to prevent the occurrence of pyelonephritis are divided into so-called primary and secondary.

Primary prevention measures include a set of actions aimed at preventing pyelonephritis if the patient has never had it before.

Timely treatment of inflammatory processes in the body, which can be complicated by pyelonephritis, means a lot in primary prevention. First of all, these are diseases of the lower parts of the urinary system, leading to difficulty in the free outflow of urine:

  • cystitis (inflammation of the bladder);
  • urethritis (damage to the urethra);
  • prostate adenoma;
  • kidney stones, etc.

Inflammatory disease of any organ of the urinary system can be complicated by pyelonephritis

In addition, to prevent the penetration of pathogenic microbes into the kidneys through the bloodstream, it is necessary to eliminate foci of infection in other places in the body. Therefore, experts strongly advise to treat in a timely manner:

  • caries;
  • diseases of the ear, nose and throat;
  • gastritis;
  • peptic ulcer of the stomach and duodenum;
  • enterocolitis and other diseases of the digestive system.

In parallel with the treatment of the above pathologies, measures are being taken to strengthen the body's defenses. The patient must carefully reconsider his lifestyle. The daily routine must be organized so as to have the opportunity for a full night and day rest. If you have bad habits - for example, addiction to tobacco or alcohol - you need to get rid of them immediately.

To help your body fight bacteria, you need to eat well. You should limit your salt intake. It is not necessary to adhere to a special diet, but the diet should contain sufficient quantities of foods rich in vitamins and microelements.

To successfully resist infection, the patient's food must be nutritious and varied.

To stimulate normal urine flow, it is recommended to drink at least 2 liters of fluid per day. This can be either pure water or tea, juice, or compote.

You should visit the toilet at the first urge to urinate. Under no circumstances should you suppress or tolerate them.

Among other things, it is recommended to avoid drafts and hypothermia, and also keep the body clean.

If a person who has had pyelonephritis had bacteria found in it during a routine urine test, then such a person has a high risk of relapse of the disease. In this case, the patient is prescribed special treatment aimed at preventing recurrent kidney inflammation, which is called secondary prevention. Measures to prevent relapse of pyelonephritis are carried out 2-3 times a year. To monitor the filtering function of the kidneys, the patient needs clinical observation by a nephrologist. A preventive examination with urine and blood tests is performed every 2–3 months.

Experts have developed a monthly therapeutic regimen for secondary prevention of pyelonephritis. During this period, the patient takes herbal diuretics (diuretics) along with antiseptics and antibiotics.

Both ready-made medications (Canephron, Phytolysin, Cyston) and self-prepared decoctions and herbal infusions can be used as herbal medicines to increase diuresis.

Examples of folk diuretics:

  • rose hip tea. This universal drink has both a diuretic and vitaminizing effect. It is very simple to prepare - to do this, you need to pour boiling water over the fruits at the rate of 1 liter of water per 10 berries and let it brew for 2-3 hours;
  • decoction of flaxseed. Pour 1 tablespoon of seeds into 1 liter of hot water, boil and cook for another 15 minutes. Let the broth stand for 2 hours. Take the drink warm 6–7 times a day;
  • Bearberry infusion is one of the most potent diuretics. Pour a teaspoon of dry raw material into a glass of boiling water, cover with a towel and hold until it cools. Drink 2 tbsp. l. 3-4 times a day with meals.
Days of the monthEvents
1–7Therapeutic break - drink only rosehip decoction
8–23Taking sulfonamides (Streptocide, Norsulfazole, Sulfadimethoxine, etc.) and herbal diuretics
24–31Taking antibacterial drugs (Flemoklav Solutab, Ofloxacin, Tsiprinol, etc.)

To prevent the infectious agent from penetrating the kidneys and causing acute inflammation of their pyelocaliceal system, people at risk are recommended to take the following preventive measures:

  • fight foci of infection in the body, especially those that are staphylococcal and streptococcal in nature (for example, tonsillitis). Any inflammation must be treated promptly and very carefully;
  • regularly visit a doctor and take laboratory tests of blood and urine in order to early detect changes in the biological fluids of the body characteristic of pyelonephritis;
  • in case of any urination disorders, pain and cramping during this process, you should immediately contact a urologist to prevent the spread of infection up the ureters;
  • Women should undergo a preventive examination by a gynecologist every six months to identify diseases of the genital area, which often do not manifest themselves in the initial stages.

Regular preventive examinations of women by a gynecologist are extremely important in the prevention of pyelonephritis

Interestingly, after studying the medical histories of more than 100 women with pyelonephritis, doctors found that about 45% of patients had gynecological pathologies or surgical interventions on the genital organs in the past. In 80% of all patients, the infection entered the kidneys from inflamed appendages or the uterus. And only in 20% of cases pyelonephritis developed regardless of the condition of the female reproductive system.

After treating acute pyelonephritis, it is very important not to give it a chance to recur and take a chronic course. Most often, the disease recurs in the cold, damp season. This is quite natural, since during this period, as a rule, food is poor in vitamins and immunity decreases. That is why doctors strongly recommend not to stop treatment when there seems to be recovery, but to complete the prescribed course completely. If you stop taking medications ahead of time, the risk of relapse and transition of pyelonephritis to a chronic form will significantly increase.

Patients who have suffered acute kidney inflammation require clinical observation over the next year with regular testing. Workers in heavy physical labor are transferred to lighter types of employment.

Since acute pyelonephritis becomes chronic quite often, for preventive purposes, all those who have recovered from the disease must undergo auxiliary courses of treatment on an outpatient basis or in a hospital, consisting of alternately taking antibiotics and sulfonamides.

Otherwise, prevention of exacerbations of chronic kidney disease is similar to that for acute kidney disease. The patient is advised to drink plenty of fluids, limit salt intake, and easily digestible foods high in vitamins. You should monitor the timely emptying of your bladder, lead a healthy lifestyle, maintain good hygiene, strengthen your immune system and avoid colds.

As already mentioned, pyelonephritis is mainly a female disease: representatives of the fair sex, due to the peculiarities of the anatomical structure of the genitourinary organs, suffer from it 6 times more often than men. Prevention of pyelonephritis is especially important for women who have suffered from diseases of the genitourinary organs.

In addition to the above general preventive measures, it is worth giving separate recommendations for those who are expecting a child. After all, starting from the second half of pregnancy, mechanical compression of the ureters by the actively growing uterus occurs. And this leads to difficulty in the free outflow of urine, which creates favorable conditions for the proliferation of pathogenic microbes in the kidneys and the development of pyelonephritis. And if this is also accompanied by late toxicosis, from which no expectant mother is immune, then the kidneys simply will not be able to work in such conditions. And then the life and health of the woman and the fetus will be in serious danger.

In order to promptly diagnose inflammation in the kidneys and take urgent measures to eliminate it, careful systematic monitoring of pregnant women in the antenatal clinic is necessary. Women who have had gynecological diseases are recommended to undergo urine tests regularly both before and after childbirth. Pyelonephritis that begins during pregnancy may be asymptomatic, but after a few years it will lead to severe renal failure.

Pyelonephritis during pregnancy can cause life-threatening complications for the mother and fetus, so its prevention is very important

In addition to the preventive measures common to all, doctors recommend that expectant mothers in late pregnancy take special poses as often as possible to free the ureters:

  • knee-elbow position (on all fours);
  • on the side opposite to the one to which the fundus of the uterus faces. You can ask the observing gynecologist about the location of this female organ.

While a woman remains in these two positions, the pressure of the uterus on the excretory organs decreases, and the normal outflow of urine is restored.

The knee-elbow position reduces the pressure of the growing uterus on the ureters, so pregnant women should take it as often as possible

In the absence of contraindications, pregnant women can perform special exercises at home designed to relieve tension in the pelvic muscles, free the ureters and prepare the vaginal walls for childbirth.

An approximate set of preventive exercises for expectant mothers:

  1. Starting position: lying on your back. Place your hands on your stomach, stretch your legs. With an inhalation, raise your shoulders and head, with an exhalation, relax and return to the original position. Repeat 10 times.
  2. The starting position is the same. Raise your straight legs up and perform the well-known “scissors” with them, alternately crossing them and spreading them apart. Do 5-10 times.
  3. Starting position: lying on your side. Stretch both legs in front of you, then bend them at the knees. Without straightening, move the upper leg backward and return it to the front. Perform 5-6 such swings. Then turn over to the other side and do the same with the other leg.
  4. Starting position: lying on your back. Extend your arms along your body, place your hands on the mat with your palms down. Place your knees bent at shoulder width. With an exhalation, raise the pelvis, with an inhalation, lower it back, holding for a few seconds in the upper position. Do 5 lifts.

Rational and timely implementation of measures to prevent pyelonephritis makes it possible to prevent a serious infectious and inflammatory process in the kidneys, destruction of the pelvicaliceal system and glomeruli of the organ. As a result, a person will be protected from kidney failure, death of the brain and cortex, as well as infection of nearby organs.

source

A very common disease among women is pyelonephritis. It is a bacterial inflammation of the areas of the kidneys responsible for excreting urine. Acute pathology often becomes chronic, which tends to recur periodically. Therefore, timely prevention of pyelonephritis occupies an important place in the treatment of the disease. Compliance with inflammation-preventive measures allows you to avoid primary kidney infection or exacerbation of the chronic form of the disease.

It is easy to prevent bacterial infection of the urinary system if you follow these recommendations:

  1. Avoid hypothermia.
  2. Drink about 2 liters of any liquid daily, including soups, drinks, vegetables, as well as at least 0.5 liters of clean filtered water without gas.
  3. Maintain personal hygiene.
  4. Monitor the health of your teeth, gums and oral cavity in general.
  5. Consume juices, fruit drinks and drinks rich in vitamin C.
  6. Treat runny nose and sore throat in a timely manner.
  7. At least once a year, undergo a routine medical examination including a urine test and kidney ultrasound.
  1. Organize a balanced diet with sufficient vitamins.
  2. Minimize salt intake.
  3. Observe general hygiene standards.
  4. Immediately eliminate any possible sources of infection (caries, gastritis, peptic ulcer, colitis and others).
  5. If necessary and as prescribed by the doctor, take repeated courses of antibiotics.

It is important to be examined regularly, once every 4-6 months: take a urine test and conduct an ultrasound of the kidneys and bladder.

Antibiotic therapy is considered the basis of drug prevention of relapse of the disease. Additionally, sulfonamides, nalidixic acid agents, and nitrofurans are used. The most commonly prescribed drugs are:

  • Levomycetin;
  • Sulfadimethoxine;
  • Urosulfan;
  • Negroes;
  • Furagin;
  • Furadonin.

Canephron, an anti-inflammatory and antispasmodic herbal medicine based on rosemary, centaury and lovage, is used as a maintenance medicine for the prevention of pyelonephritis.

source

Nuances of eliminating risk

To minimize the risk of exacerbation of the current chronic inflammatory process, inserting a catheter into the bladder should be avoided whenever possible. If there are disturbances in the outflow of urine, such problems should be corrected. Men may have prostate diseases. These increase the risk of exacerbation of pyelonephritis, which is in a chronic form. To reduce the risk of acute kidney disease, it is necessary to promptly and adequately treat prostatitis, hyperplasia and other problems identified in the body.

chronic pyelonephritis primary prevention

In general, with chronic pyelonephritis, the prognosis worsens over the years. Development may be aggravated by nosocomial infection, immune deficiency, or purulent complication of the underlying pathology. The worsening prognosis is due to obstruction of the urine flow path. Certain significant risks are associated with the emergence of superinfection that is resistant to the antibiotics used in modern medicine. On average, 1-2 out of ten patients with a chronic disease develop chronic kidney weakness and the organ shrinks. In approximately one in ten patients with pyelonephritis, due to high blood pressure, the pathology turns into a malignant form. To eliminate such risks, it is necessary to responsibly prevent exacerbations and monitor the progress of the process.

General information about the disease

Pyelonephritis affects different age groups: in children, its incidence is slightly inferior to respiratory diseases; in older age, patients are girls, young women and elderly men.

The disease is often caused by urine backflow into the kidneys (VUR) - Vesicoureteral Reflux. It is caused by an overfilled bladder or obstructed urine flow, an abnormality in the structure of organs, stones, or an enlarged prostate gland.

The causative agents of this pathology are most often staphylococci, enterococci, Escherichia coli, Proteus, and Pseudomonas aeruginosa. Exacerbations lead to the death of kidney tissue, thereby reducing the functionality of the kidney parenchyma (tissue). Damage to both kidneys can cause chronic renal failure.

Helpful information

Kidneys are organs that are sensitive to various stimuli. Microorganisms provoke inflammatory processes in them. Doctors usually recommend drug treatment for acute cases. But it is very difficult to maintain regular use of antibiotics.

Medicinal plants can serve as an alternative to medicines:

Treatment with folk remedies in combination with a healthy diet will be of great benefit. By following the recommended preventive measures, you can save yourself from the problem of pyelonephritis forever.

We should never forget about preventive measures taken to prevent the development of the disease or its transition to a chronic condition. Pyelonephritis, like any disease, is easier to prevent than to treat. In modern nephrology, there are a variety of measures designed to minimize the risk of a primary disease or relapse of a pre-existing disease.

Basic recommendations

Pyelonephritis belongs to the category of pathologies that are easier to prevent with the help of preventive measures than to treat later.

Protecting the body consists of organizing and maintaining such fairly simple actions that depend only on the responsibility of each person. To do this you need:

  • balance your diet with 2 or more liters of fluid;
  • reduce the consumption of salt and spicy foods;
  • protect the body from overwork and hypothermia;
  • adhere to general hygiene standards;
  • timely eliminate the cause of infection - gastritis, colitis, ulcers, caries, ENT diseases;
  • undergo regular preventive examinations, follow doctor’s prescriptions if medication intervention is necessary;
  • get rid of bad habits.

Prevention of secondary type

If a person has been diagnosed with kidney inflammation, then he should adhere to secondary type prophylaxis, which helps prevent relapse of the disease. For this, an anti-relapse course of treatment is prescribed, which looks like:

  • the first 7 days there is a therapeutic pause, during which you need to take a decoction of rose hips;
  • for 8-21 days, you should use herbal preparations that have a diuretic and anti-inflammatory effect. You can purchase pharmaceutical herbal remedies: Canephron, Cyston, or use folk diuretics, among which are flax seed decoction, rose hip tea, bearberry infusion;
  • the fourth week involves taking antibacterial drugs.

prevention of primary pyelonephritis

To prevent relapse, it is necessary to conduct preventive laboratory diagnostics, for which you need to submit a urine culture to determine sensitivity to antibiotics, as well as a general urine test. This is necessary for the timely detection of bacteriuria. Anti-relapse therapy is carried out twice a year, and medical examinations are carried out every few months.

Causes of the disease

The main pathogens are the following types of bacteria:

  • coli;
  • enterococcus;
  • staphylococcus

Factors that contribute to the development of kidney infection:

  • urinary obstructive syndromes (kidney stones, prostate hypertrophy, tumors, pregnancy);
  • metabolic diseases with susceptibility to infections (diabetes mellitus, gout);
  • urinary tract abnormalities;
  • ureteral reflux;
  • weakened immune system.

There are two forms of pyelonephritis: acute form and chronic form. Women are affected much more often than men. The chronic form appears as a consequence of the acute form. Although there is a variant of primary chronic pyelonephritis. The latter is much more common.

Rating
( 2 ratings, average 4 out of 5 )
Did you like the article? Share with friends: