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Дата публикации: 06.05.2018
Дата проверки статьи: 09.12.2018
Пиелонефрит — воспалительное заболевание почек, возникающее вследствие бактериальной инфекции. Оно вызывает поражения почечных лоханок, паренхимы и чашечки почки. На развитие патологии оказывают влияние сниженный иммунитет, нарушение правильного кровоснабжения почки, травмы органов брюшной полости и спинного мозга, высокий уровень сахара в моче и другие факторы. Лечением пиелонефрита занимается врач-нефролог.
Острый пиелонефрит у женщин сопровождается такими симптомами:
Хронический пиелонефрит у женщин характеризуется следующими признаками:
Нередко пиелонефрит сочетается с циститом, при этом клиническая картина цистита более выражена. Пациентки жалуются на боль внизу живота, частые позывы к мочеиспусканию, жжение и дискомфорт при опорожнении.
Если пиелонефрит возникает во время беременности, то он может нанести вред будущему ребенку.
У мужчин заболевание встречается реже, чем у женщин. Оно развивается при затрудненном оттоке мочи из-за наличия камней в почках и мочеточниках, опухолей простаты.
Пиелонефрит у мужчин характеризуется такими симптомами:
Пиелонефрит возникает на фоне следующих причин:
Для выявления пиелонефрита врач проводит опрос пациента. Также потребуется сдача общего анализа мочи, посев мочи на стерильность, анализ мочи по Нечипоренко и общий анализ крови. Лабораторные методы исследования позволяют обнаружить белок в моче, повышение уровня лейкоцитов и эритроцитов, определить возбудителя при инфекциях мочевыводящих путей и определить его чувствительность к антибактериальным препаратам. Чтобы проверить состояние почек, врач проводит ультразвуковое исследование. Если оно не показало патологии, то дополнительно выполняют экскреторную урографию. Она демонстрирует изменение контуров пораженной почки и другие деформации. При подозрении на опухоль необходимо сдать компьютерную томографию.
Для диагностики пиелонефрита в сети клиник ЦМРТ применяют ряд методов:
При первых симптомах заболевания обратитесь к урологу. Он поставит диагноз, при необходимости назначит исследования для уточнения формы болезни, распишет грамотное лечение.
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При пиелонефрите пациент должен придерживаться диеты, исключив из рациона острые блюда, копченые изделия, консервы, мясные супы, кондитерские изделия, алкоголь, газированные напитки и кофе. Готовить блюда следует на пару или тушить. Больным необходимо употреблять много жидкости. Полезно пить клюквенный морс, ромашковый и земляничный чай.
Чтобы избавиться от боли, врач назначает спазмолитики и обезболивающие лекарства. В начале лечения могут применять антибиотики широкого спектра действия. При хроническом пиелонефрите антибиотикотерапия длится от 6 до 8 недель. Цель лечения заключается в снятии воспаления или гнойного процесса без появления рубцовых тканей в почках.
При пиелонефрите больному показан постельный режим. Также он должен избегать переохлаждений и принимать противовоспалительные препараты.
В курс лечения в комплексе с медикаментами входят физиопроцедуры. Их действие направлено на устранение воспалительного процесса и спазмов, восстановление оттока мочи. Хорошо себя зарекомендовали в борьбе с симптомами пиелонефрита углекислые и хлоридно-натриевые ванны, сверхвысокочастотная терапия, магнитотерапия, ультравысокочастотная терапия, лазерное лечение и электрофорез. При хронической форме заболевания показано санаторно-курортное лечение в период ремиссии.
В запущенных случаях требуется оперативное вмешательство для улучшения оттока мочи. Иногда при нарастающей почечной недостаточности врачи назначают удаление почки.
Для лечения пиелонефрита в сети клиник ЦМРТ используют разные методы:
При отсутствии лечения двухстороннего пиелонефрита у пациента развивается хроническая почечная недостаточность. Также он может провоцировать мочекаменную болезнь. Поражение тканей почек нередко приводит к почечной гипертензии. Конечная стадия пиелонефрита грозит пионефрозом, при котором орган полностью заполняется гноем.
Если не лечить пиелонефрит во время беременности, то у женщины могут развиться опасные осложнения. К ним относятся:
Также заболевание может провоцировать гесте и эклампсию. Если беременная женщина будет пытаться лечить пиелонефрит самостоятельно, то это чревато побочными эффектами для плода.
Для предотвращения пиелонефрита врачи рекомендуют соблюдать такие правила:
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Сергей Шнуров
Российский рок-музыкант, киноактёр, телеведущий и художник.
Ц. М. Р. Т. «Петроградский» спасибо!
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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.
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Русанова
Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!
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Кузнецов В.А.
Очень отзывчивый администратор. Вежливая, культурная, добрая.
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Храброва В.Е.
Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.
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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
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