Pregnant women with acute pyelonephritis

[Summary]
Acute pyelonephritis is a common complication of pregnancy. The incidence of all maternal 0.5-8%, the total treatment can be repeated if not attack, the development of chronic pyelonephritis, or even develop into renal failure. Physiological changes during pregnancy can be induced following pyelonephritis occur: (1) secretion of estrogen and progesterone increase in the number of estrogen to pelvis, kidney, ureter and bladder muscle hypertrophy and progesterone to the expansion weakened peristalsis (2) during pregnancy increasing oppression uterus and pelvic ureter, a different degree of mechanical obstruction, due to uterine D, expansion of the right ureter more obvious distortions; (3) increased after the pregnant uterus and bladder fetal head upward over, there are easy voiding difficulty, and urinary retention; (4) of glucose in urine during pregnancy, amino acids and other nutrients to increase the content is conducive to bacterial growth. As a result of these changes, coupled with the female urethral short urethra near the anus, bacteria-infected upstream along the urethra, production, post-natal infection caused catheterization is one of the reasons why. Gram-negative bacteria and pathogens The most common Staphylococcus aureus.
[Symptoms of the disease]
1. Mild had no obvious symptoms and signs, only slightly lower back pain, easy to be ignored. 2. Symptoms of renal pelvis sudden inspection found urine of urine disease, with low back pain, fever, chills, pain knocking kidney area, 3 percent in toxic shock. 3. Fetus can occur abortion, premature birth, or neural tube development obstacles.
[Diagnosis]
1. Pregnancy appear chills, fever, chills, lower back pain, kidney pain knocking District 2. Urine examination that bacteria, IL> 10 / high power-vision 3. Urine culture bacteria count> 105 / mk.
[Principle of]
1. Clear plot urine; lateral rotation around, the more water daily urine output> 2000 mk 2. Kill germs, according to urine culture and sensitivity test results used antibiotics 3. Prevent drugs on fetal damage
[Evaluation]
1. Recent cure: After treatment, paragraphs 2, six weeks review urine bacteria were negative. Symptoms and signs disappeared. 2. Cure: treatment after symptoms and signs disappeared, tracking six months without recurrence. 3. Recovered: no obvious symptoms and signs improved, urine checks still positive bacteria.
[Expert tips]
Acute pyelonephritis is a common complication of pregnancy, the general is not only pelvis inflammation, accompanied nephritis. Incidence rate of 0.5-8 per cent, of which some patients were asymptomatic of urine disease, easily missed. 3% of patients with toxic shock, if not complete treatment, repeated attacks can be transformed into chronic pyelonephritis, or even develop into kidney failure, life-threatening. Therefore, treatment is the key to timely complete and recommendations to hospitals with better conditions. According urine culture and sensitivity test results used antibiotics, antibiotics should be adequate dosage, but also consider drugs on gastric function and fetal damage, symptoms and signs disappeared after repeatedly to check urine were negative bacteria, yet to be six months follow-up governance more to the treatment of patients with a thorough explanation of the importance of co-operation, the formal treatment, the majority of patients with incurable, asymptomatic bacteriuria urine disease, 30% developed into symptoms pyelonephritis, it once found, needed time treatment. Most patients fetus can survive, but can be severe in miscarriage, premature labour, early pregnancy, the incidence of neural tube can cause fetal stunting.