Pyelonephritis - what it is, symptoms, first signs, treatment and consequences. Acute pyelonephritis (acute tubulointerstitial nephritis, pyelitis) Differences between chronic pyelonephritis and acute inflammation

Pyelonephritis is an inflammation of the kidneys that mainly affects women. The danger is that acute pyelonephritis can develop into a chronic form and provoke kidney failure. With this disease, you should not delay going to the doctor. Treatment is carried out at the medicinal level with the use of antibiotics, anti-inflammatory and antibacterial agents.

Chronic pyelonephritis appears as a result of neglect of therapy acute form illness.

Chronic and acute pyelonephritis: what are the differences?

Accompanied by an inflammatory process that occurs in the renal parenchyma. Sometimes this form is accompanied by the presence of pus in the kidney tissues and on the surface of the organ. Chronic pyelonephritis is a consequence of the acute form of the disease. It has less pronounced symptoms and therefore often goes unnoticed. The danger is that chronic pyelonephritis can lead to significant deformations of organ tissue and renal failure.

Causes of the disease

The causes of pyelonephritis can be:

Pyelonephritis develops due to infections, injuries, hypothermia, and urolithiasis.

• bacterial infections, entering the body through the urinary tract, lungs and oral cavity;
• E. coli;
• kidney mobility;
• urolithiasis disease;
• BPH;
• weakened immune system;
• chronic cystitis;
• hypothermia;
• colds;
• congenital atony Bladder.

At large quantities pustules on the surface of the kidney, they merge into a single abscess.

Symptoms of the disease

Depends on the patient’s age, gender and form of the disease. The main symptoms of acute pyelonephritis are:

• increased body temperature up to 38-40° degrees, chills, fever;
• pain syndromes in the lower back, which are acute;
• discomfort when urinating;
• increased sweating;
• dehydration of the body;
• gastrointestinal tract disorders;
• malaise;
• headache.

Pyelonephritis is a source of lower back pain, frequent enuresis, weakness, and fever.

Chronic pyelonephritis most often occurs due to the lack of proper treatment for the acute form of the disease. Symptoms of the chronic form are:

• aching pain in the lower back;
• feeling of heaviness in the lower back;
• constant feeling of cold;
• increase in body temperature up to 37°;
• frequent urination, especially at night;
• weakness, headache and dizziness;
• swelling of the face, limbs;
• decrease in hemoglobin in the body.

Distinctive table of acute and chronic pyelonephritis

Treatment of the disease

When manifested primary signs You should consult a doctor immediately. Antibiotics, uroantiseptics, as well as drugs that improve kidney blood flow are required. Symptomatic therapy is carried out with painkillers (“No-shpa”, “Platifillin”, “Papaverine”). Methods will also be effective traditional medicine reception-based medicinal plants. You should definitely adhere to diet 7a, which excludes the consumption of spicy, salty, fatty, smoked foods, but with an amount of liquid per day of 2-2.5 liters.

Treatment of pyelonephritis includes medication, diet, and auxiliary traditional medicine.

It is important to comply bed rest and completely eliminate physical exercise. Difference in treatment different forms in that in acute cases an intensive course is prescribed, it may be necessary to install a catheter, conduct infusion therapy with sodium bicarbonate for persistent acidosis. In chronic cases, drugs are prescribed alternately, and herbal remedies are taken after a break in the drug regimen.

Treatment of the acute form with nausea and vomiting is carried out in a hospital under the supervision of a doctor. Exacerbations chronic pathology- at home in the absence of complications in the form of disturbances in urodynamics, uncontrolled arterial hypertension.

Pyelonephritis is a nonspecific infectious-inflammatory process that affects the renal pelvis and interstitium of the kidneys (tubules).
Apart from Koch's bacillus, all other infections can penetrate the pelvis. Women are more likely to get pyelonephritis, since women have a shorter urethra, so the infection spreads more easily upward path from lower sections urogenital system to the upper sections.

Routes of entry of infection.

• Ascending pathway (urinogenic) from the urethra, bladder , for prostatitis, etc.
• Hematogenous, from any source of infection.

Outcomes chronic pyelonephritis -- wrinkled kidney may cause unilateral pyelonephritis.
If there is a 2-sided wrinkled kidney, then chronic renal failure develops (CRF) with impaired renal function as a result of sclerosis.

Causative agents of infections.

• Escherichia coli,
• Enterococci,
• Klebsiela,
• Staphylococcus aureus,
• Proteus vulgaris,
• Pseudomonas aeruginosa,
• Mixed infection
• Atypical alpha form.

Etiology.

• Pyelonephritis can be caused by bacterial infections,
• Kidney mobility
• (anatomical defects),
• Decreased immunity,
• Colds,
• Spinal patients (with injury, lesion spinal cord),
• Congenital atony of the bladder.

Classification.
By prevalence:
1. Unilateral
2. Double sided

According to the nature of the flow.
1. Spicy ( interstitial,serous, purulent).
2. Chronic latent.
3. Chronic recurrent.
4. Complicated pyelonephritis (urolithiasis and pyelonephritis, anatomical disorders and pyelonephritis).

ACUTE PYELONEPHRITIS.

Clinic.
The disease begins acutely, the temperature rises, tremendous chills, sweating, pain in the lumbar region and upper abdomen. Often there is no fever (chills, temperature) in the morning, but then it appears again in the afternoon.
In many patients, pain does not appear immediately, but on the 3-5th day of illness, in some patients - after 10-14 days.
On the side of the affected kidney, tension in the anterior abdominal wall, sharp pain in the costovertebral angle. Urination may be difficult or painful. When intoxicated they appear general weakness, headache, nausea, vomiting, muscle and joint pain.

Objectively .
Tachycardia, blood pressure is often low due to fluid loss, vesicular breathing in the lungs, palpation in the kidney area is asymmetrically painful and sensitive. Pasternatsky's symptom is positive most often in complicated pyelonephritis.

Analysis of urine : moderate proteinuria, leukocyturia, bacteriuria, general analysis blood with a shift to the left, leukocytosis, ESR is high, NB is normal or high. Zemnitsky test - specific gravity is high, diuresis decreases, Rehberg test - normal.

Sonography: The size of the kidneys is normal, the contours are smooth, not deformed, the outflow is not impaired, in the inflamed side there is swelling of the parenchyma, hydrophilicity.

Acute pyelonephritis It happens: interstitial, serous or purulent.

CHRONIC LATENT PYELONEPHRITIS.

Clinic.
Chronic pyelonephritis can be a consequence of untreated acute pyelonephritis (more often) or primary chronic, i.e. it canhave an undercurrent.
Basically there are no complaints, only general weakness, fatigue, a tendency to colds, discomfort in the lumbar region, feeling of chilliness. During periods of exacerbation, the temperature may rise.

Objectively.
Hypertension.

General urine analysis : moderate proteinuria, may be leukocyturia, bacteriuria, functional sample- sample Zemnitsky will show a decrease in concentration function, the Rehberg test is generally normal for 2-sided pyelonephritis, and if the disease is long-standing, then for unilateral pyelonephritis functional tests normal.

Sonography : can give confirmation, asymmetry in the size of the kidney, uneven contours, tuberous, pyelocaliceal system, deformation., the parenchyma is unevenly thinned.

Diagnoses could be, for example, the following:
Chronic pyelonephitis on the right. Chronic pyelonephritis with predominant damage (shrinkage) of the left kidney.
Active phase (in the presence of leukuria, bacteruria). Latent active phase(if there is no leukuria, bacteruria).
Chronic renal failure 1st phase. Acute pyelonephritis against the background of chronic.

TREATMENT OF ACUTE PYELONEPHRITIS.

Acute pyelonephritis with high fever, nausea, vomiting.

Treatment in hospital

• Easily digestible diet, table No. 7a, drinking plenty of water, up to 2-2.5 liters per day.
• They give Antispasmodics(no-spa, platiphylline, papaverine, etc.) ,
• They put catheter to restore urine outflow, correct urine passage,
• Antibiotics wide range actions (until the results of bacterial urine culture are obtained), 8-10 days, until the temperature is completely normalized,
• Uroantiseptics, 10 days until urine analysis normalizes.
• Infusion therapy 3 liters minimum up to normal temperature, in case of severe intoxication - intravenous drip infusion hemodesa, neocompensan.
• During development metabolic acidosis appoint sodium bicarbonate IV 40-60 ml of 3-5% solution or orally.

Exodus.
With timely and proper treatment Maybe full recovery(if after 1 year the tests are normal).
Must be taken uroantiseptics every 4 months, for 10 days, for 1 year, with drugs to which the sensitivity of the causative agent of the disease was previously revealed.
Absolutely not Spa treatment.

TREATMENT OF CHRONIC PYELONEPHRITIS.

Can be treated on an outpatient basis, with severe exacerbation, signs of chronic renal failure, impaired urodynamics, difficultCorrectable arterial hypertension must be treated in a hospital.

In case of exacerbation, use:

• Easily digestible diet, table No. 7a, drinking plenty of water, up to 2-2.5 liters per day.
• Bacteriological culture of urine with antibiotic sensitivity testing (required),
• Antibacterial drugs . Apply 1, 2, 3 drugs, 10 days each, alternately.
• Uroantiseptics .
• Then take a break, after which you can apply Herbal medicine.

Symptomatic therapy.

• General strengthening treatment, multivitamin complexes;
• Antianemic drugs;
• Cardiac therapy;
• Spa treatment is possible, if not
  - high arterial hypertension;
  - severe anemia;
  - CRF.

Treatment antibacterial agents for chronic pyelonephritis it is carried out systematically and for a long time.
Initial course antibacterial treatment ranges from 4 to 6-8 weeks. After the patient reaches remission, antibacterial treatment should be continued in intermittent courses.
For chronic pyelonephritis, it is necessary to take 1-2 courses a year. Comprehensive treatment is carried out.
Repeated courses of antibacterial treatment are carried out for 8-10 days with drugs to which the sensitivity of the causative agent of the disease was previously revealed, since there is no bacteriuria in the latent phase of inflammation and during remission.

Antibacterial Drugs for the treatment of Pyelonephritis.

• Penicillins.
  Ampicillin, Amoxicillin + Clavulanate, Amoxicillin, Ampiox (ampicillin + oxacillin).
• Cephalosporins.
  Cefuroxime, cefexime, ceftriaxone, cefepime.
• Fluoroquinolones.
  Nalidixic acid (Nevigramon), Pipemidic acid (Palin), Oxolinic acid (Gramurin),Ciprofloxacin (Ciprinal, Tsiprobay, Lomefloxacin (Maksavin), Pefloxacin (Abalak, Peflacin), Ofloxacin, Nolitsin.

• Nitrofuran compounds.
  Furagin, Furadonin.

• Quinolines (8-hydroxyquinoline derivatives)
  Nitroxoline (5-noc)
• Sulfonamide drugs. Prescribed less frequently.
  Sulfadimethoxine, Sulfalene, Sulfapyridazine, Biseptol, Urosulfan.

• Combined drugs:
  Trimethoprim with sulfamethoxazole (co-trimoxazole, septrin, biseptol), Sulfaron (sulfonamide with trimethoprim).
• Aminoglycosides
  Gentamicin, Netilmicin, Tobramycin, Amikacin.
  Used in the treatment of severe complicated pyelonephritis, nosocomial infections, are the means of choice and when Pseudomonas aeruginosa.
• Carbapenems.
  Imipinem + Cilastatin.
  Imipinem is a reserve antibiotic and is prescribed for severe infections caused by multi-resistant strains of microorganisms, as well as for mixed infections.

Drugs of choice In the treatment of pyelonephritis in adults and children, cephalosporins are used. Least nephrotoxic and safer for CNP are drugs of the penicillin group, semisynthetic penicillins, carbenicillin, cephalosporins.

In the presence of Chronic Kidney Failure (CRF) antibiotics must be chosen carefully.
Not recommended prescribe aminoglycosides, tetracyclines, nitrofurans, co-trimoxazole, nalidixic acid.
These drugs are the most nephrotoxic.
With the development of chronic renal failure, adjustment of the dose of antibiotics is necessary; the intervals between drug doses increase, depending on creatinine levels and the degree of kidney damage.
If it is impossible to determine the causative agent of chronic pyelonephritis or before obtaining antibiogram data, it should be prescribed antibacterial drugs wide spectrum of action: ampiox, carbenicillin, cephalosporins, quinolones.

Remember! Nephrotoxicity of antibiotics increases with use diuretics. It is not recommended to combine loop diuretics with cephalosporins and aminoglycosides!

PHYTOTHERAPY FOR CHRONIC PYELONEPHRITIS.

Herbal diuretics and antiseptics.
Bearberry, Sage, Rosehip, St. John's wort, Chamomile, Horsetail, Birch buds and etc.

Collection No. 1
Sage -- 1 tsp.
Bearberry -- 2 tsp.
Horsetail -- 3 tsp.
Chamomile -- 2 tsp.

Mix, leave 4 teaspoons of the mixture for 30 minutes. in 400 ml of boiling water, strain. Drink the infusion warm, 100 ml 3 times a day before meals. Courses last 2 months with a 2-week break.

Collection No. 2
Dandelion (root) -- 1 tsp.
Birch buds -- 1 tsp.
Chamomile (flowers) -- 1 tsp.
Nettle (leaves) -- 1 tsp
Lingonberry (leaves) – 2 tsp.

Mix, Leave 4 teaspoons of the mixture for 30 minutes. in 400 ml boiling water, leave for 30 minutes in 400 ml of boiling water. Drink 100 ml before meals 3 times a day for 2 months, warm. Decoctions are prepared at the rate of 1 tsp of dry herb per 100 ml of boiling water.

Collection No. 3
Nettle Leaves --- 5 tbsp. l.
Marshmallow root --- 3 tbsp. l.
Mint leaves -- 1 tbsp. l.
Violet tricolor herb --- 5 tbsp. l.
Chamomile Flowers --- 4 tbsp. l.
Juniper fruits --- 3 tbsp. l.
Flax seeds -- 2 tbsp. l.

Grind the collection, mix, 2 tbsp. spoons of the collection pour 1 liter of boiling water, then boil for 10 minutes, leave in a thermos for 12 hours, strain

With the onset of spring, all the benches in the parks are occupied. Young people come on a date, older people just bask in the sun. Wonderful time! But as a nephrologist, in the spring I have special reasons to worry about my patients. Sitting on a bench for a long time and the deceptive feeling of warmth pose a threat, especially for women. This threat is pyelonephritis

Pyelonephritis is an infectious and inflammatory kidney disease that primarily affects renal pelvis, although often the process also involves kidney tissue. Most often one kidney is affected, but with a long course of the disease, the other often becomes inflamed.

This disease is more typical for women, due to anatomical and physiological characteristics female body and changes hormonal levels during pregnancy or during menopause. In men, pyelonephritis is most often associated with urolithiasis and prostate adenoma, so it usually occurs in them after 40-50 years.

There are acute and chronic pyelonephritis. Acute disease is characterized by a very rapid onset of the disease, which is usually triggered by hypothermia. Symptoms - heat, severe chills and fever, heavy sweating, unilateral aching pain in the lumbar region, increased blood pressure, nausea, increased frequency, and sometimes painful urination.

These symptoms may appear for several hours, and then suddenly disappear, just as they appeared. The person feels normal again and sees no reason to see a doctor, considering his severe malaise to be something accidental.

What makes pyelonephritis so insidious is that, despite external well-being, bacteria continue to multiply in the kidneys and the disease becomes chronic. In chronic pyelonephritis, relapses periodically occur - exacerbations with similar acute course symptoms, and if the disease is not treated, then after a few years the inflammatory process begins in the other kidney. Over time, the kidneys become sclerotic and decrease in size - renal failure occurs, in which the kidneys are no longer able to fully remove toxins. The body is poisoned by decay products, in particular urea.

Such a sad course of the disease can be avoided if treatment is started on time, after the first attack. Reliable signs the occurrence of an inflammatory process in the kidneys - the appearance of a small amount of protein in the urine and an increase in the number of leukocytes (more than 20 in the field of view). In this case, it is necessary to do a special urine test - culture to identify bacteria in order to detect the specific causative agent of the disease and select a drug that can destroy it.

The most common causative agents of pyelonephritis are bacteria of the intestinal group - Escherichia coli, enterococci, Proteus, Klebsiella, and less commonly it is caused by streptococci. IN Lately cases have become more frequent when the causative agent of various urinary infections becomes staphylococcus.

Among the risk factors, in addition to hypothermia, the most significant are the already mentioned urolithiasis and prostate adenoma, as well as diabetes (glucose in the urine is a good breeding ground for bacteria), chronic intestinal infections, injuries and constipation. Infectious diseases(sore throat, acute respiratory infections, flu) can also cause inflammation of the kidneys - bacteria are carried there with the blood.

Knowing the risk factors for pyelonephritis, you can take preventive measures. First of all, it is necessary to get rid of all foci of infection in a timely manner to prevent it from spreading to the kidneys. We must beware of hypothermia, especially in the off-season, when it is possible sharp drop temperatures Finally, it is very important to strictly observe the rules of personal hygiene: every morning and evening, wash the external genitalia (especially for women) and the anus after defecation, as is customary among mountaineers and Muslims.

Treatment of chronic pyelonephritis is conventionally divided into two stages - relief of exacerbation (practically it does not differ from the treatment of acute pyelonephritis) and anti-relapse (preventive) therapy.

The causative agents of pyelonephritis are located in the kidneys, and only a doctor, depending on the nature of the bacteria and their sensitivity to medicines can prescribe to the patient effective treatment. In case of exacerbation, antibiotics are usually selected, most often semisynthetic penicillins (ampicillin, ampiox, oxacillin), which actively affect coli - main reason (80 %) acute infections urinary system. Nitrofurans - furadonin, furagin - have an effect close to antibiotics. In addition, the doctor’s arsenal includes Nevigramon, Negram, 5-NOK - these drugs have a moderate therapeutic effect, they are usually used at the end of the course of treatment or to prevent exacerbations.

The duration of treatment may vary, depending on the course of the disease and individual characteristics sick. But usually, after eliminating the symptoms (this takes 7-14 days), preventive therapy is carried out: 2- or 3-month intake of nitrofurans, nevigramon, 5-NOK and mandatory herbal medicine. For patients over 65 years of age, the duration of antibacterial therapy should be minimal - approximately 5 days, the dose of medication should be half.

If you have pyelonephritis, you cannot do without herbal medicine. During the period when the process subsides, herbal medicine has a pronounced anti-inflammatory and preventive effect.

The main advantage of medicinal plants is that they simultaneously have antimicrobial, anti-inflammatory and diuretic properties. This is especially valuable for chronic processes in the kidneys and urinary tract. The leaves and fruits of lingonberries, cranberry fruits, elderberry flowers and roots, juniper fruits, calendula flowers, tansy and chamomile, lilac flowers and leaves, birch and sage leaves, grass have the greatest antibacterial and anti-inflammatory activity. horsetail, cornflower flowers.

During the first year of the disease, in order to prevent it from becoming chronic, I recommend constant herbal treatment, changing them every two to three months. Now pharmacies sell good herbal mixtures - for example, Uroflux. It includes willow bark, birch leaves, bearberry, horsetail grass, roots of rudbeckia, licorice, steelweed and some other herbs. The collection is infused and drunk 3-5 cups per day. Kidney tea has long been known to patients and is effective.

In acute pyelonephritis and during exacerbation of a chronic disease, it is recommended to take infusions of herbs with anti-inflammatory and antimicrobial effects. You can make the following collection: blue cornflower flowers, speedwell grass, lingonberry, nettle and coltsfoot leaves (all in equal parts). Pour 10 g of powdered collection into a thermos, pour 0.5 liters of boiling water, leave for 8-10 hours, strain and take half a glass 4 times a day 20 minutes after meals.

The following collection is also good: fruits of anise and red rowan, leaves of lingonberry, lovage, knotweed grass, St. John's wort, motherwort, leaves of lovage, tricolor violet, oat straw. Prepare and take as the previous collection.

Between taking herbal infusions, you can drink infusions and decoctions of individual plants with anti-inflammatory properties. For example, a decoction of lingonberry leaves: pour 50 g of leaves with a liter of water, bring to a boil and keep in a water bath for 10 minutes. Take a warm glass 3 times a day 30 minutes before meals.

Or a steam of blue cornflower flowers: pour 10 g into 0.5 liters of boiling water, leave in a thermos for 20 minutes. Take half a glass 3-4 times a day before meals.

Or a decoction of birch leaves: pour 40 g into a liter of water, bring to a boil and keep in a water bath for 20 minutes. Take 1 glass warm 3 times a day before meals.

Medicinal plants are a powerful force in the fight against disease, but along with substances that have therapeutic effect, they may also contain those that are undesirable for the patient. Therefore, I often prescribe to patients not infusions or decoctions, but special kvass prepared from herbs or infusions. The fact is that during the fermentation process, lactic acid bacteria process these unwanted compounds.

Making kvass is not difficult. Half a glass of any medicinal herb or herbal collection placed in a three-layer gauze bag with a weight and lowered to the bottom of a three-liter jar. Then add 0.5-1 glass of sugar, one tablespoon of loose (village) sour cream and pour filtered cooled boiled water. The jar must be covered with gauze folded in three layers and secured with an elastic band. Instead of water, it is good to use whey.

The jar is placed in a dark place, and after two weeks the kvass is ready. It is taken 0.5 cups 3 times a day 20 minutes before meals. After drinking 2-3 glasses from the jar, you should add the same amount of water with a spoonful of sugar, but there is no need to re-add sour cream. You can add water in this way for three months. After three months, a new kvass is prepared with different herbs.

In addition, during the treatment of chronic pyelonephritis, I recommend drugs and herbs that stimulate and regulate the work immune system organism: flowers, roots and leaves of dandelion, chamomile leaves, pharmacy tinctures ginseng root, Chinese magnolia vine, eleutherococcus, etc.

Nutrition for chronic pyelonephritis is normal - natural products with restrictions on smoked meats, sausages and confectionery products. Drinking liquids in acute period illness should be increased to 2 liters per day, natural juices are very useful.

It should be borne in mind that antibiotics and other drugs do not have the best effect on the intestinal flora, killing beneficial bacteria and promoting the proliferation of putrefactive microbes. Therefore, it is necessary to include kefir and biokefir in your diet daily (at least 0.5 liters per day), foods rich in fiber (vegetables, cereals from whole grain) and vitamins, especially group B (there are many of them in buckwheat, millet, oats). Eating sprouts is very beneficial grains of wheat and rye (two tablespoons are enough). IN as a last resort sprouts can be replaced with pharmaceutical brewer's yeast.

For patients with chronic pyelonephritis with sufficient renal function and without severe arterial hypertension (BP not higher than 170/100 mm Hg) without exacerbation, it is useful to undergo sanatorium-resort treatment (Krainka, Morshin, Zheleznovodsk, Truskavets, Southern Coast of Crimea).

In the treatment of pyelonephritis, the main thing is to prevent relapse acute process did not recur and the disease did not take over chronic course. For chronic pyelonephritis, you should take preventive measures to avoid exacerbation of the disease: treatment of foci of infection, periodic courses of herbal medicine.

And, of course, you need to remember about the danger of hypothermia, especially in the spring.

Those who are completely healthy and are ready to sit on a park bench for hours under the rays of the changing spring sun should not forget about this. The air has not yet warmed up, and as soon as the sun disappears into the clouds, the temperature will drop. A cooled bench will take away any remaining heat from you. Therefore, when going on a date in the spring, dear girls, wear not the shortest skirt, but one from under which warm (even thin, but woolen) panties will not peek out. For young mothers who take their children out to play in the sandbox in the spring, I advise them not to take off their leggings or trousers until it gets really warm. And I strongly recommend that older people take a mat with them to the park, which could be conveniently placed on a bench.

If these conditions are met, pyelonephritis, as well as inflammation of the appendages and bladder, will not threaten you.

Nina Samokhina, nephrologist

• Difference between chronic and acute pyelonephritis
• Therapeutic measures
• Nuances of kidney treatment folk remedies

Treatment of pyelonephritis with folk remedies is the most accessible and gentle method of treatment.

Traditional methods, tested on more than one generation, do not have so many side effects, how much pharmaceuticals. From the many traditional medicine recipes, it is always possible to choose the one that suits you best.

But you need to remember: traditional medicine is used only when a diagnosis of chronic pyelonephritis is made. Cases of acute pyelonephritis can only be stopped medications, and quite often in a hospital setting.

Acute pyelonephritis occurs when it invades the renal parenchyma pathogenic flora. It is characterized by an increase in temperature, painful sensations in the lumbar region, an increase or decrease in the amount of urine produced, and a change in its color to dark. The disease is easily diagnosed by the results of urine tests - they show leukocytosis.

Chronic pyelonephritis does not have such a characteristic clinical picture. Its symptoms:

• slight increase temperatures within 37.0 – 37.6ºС;
• aching pain in the lumbar region;
• a slight excess of leukocytes in urine analysis;
• an increase or decrease in the number of urinations and the volume of fluid released.

An exacerbation of the disease occurs:

• with hypothermia;
• when the state of the body changes, for example, pregnancy;
• in case of nutritional disorder.

Often chronic pyelonephritis manifests itself as concomitant disease against the background of other infectious and systemic diseases.

Condition requires compulsory treatment. A sluggish form of pyelonephritis can provoke the occurrence of renal failure.

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Therapeutic measures

How to treat pyelonephritis in the acute stage? Necessary therapy selected only by the attending physician. Self-medication is dangerous to health.

General measures, used to relieve an acute process, are as follows:

1. Anti-inflammatory drugs – antibacterial drugs – are prescribed.
2. Drugs that relieve pain, analgesics and antispasmodics are included.
3. In some cases, for example, when the ureters are blocked by pus or stones, surgical intervention is used.

At the first stage, medications are most often administered by injection.

Removal acute symptoms, which occurs within 2-4 days, does not mean that the disease has receded. Pathogenic flora cannot leave the body so quickly. If therapeutic measures are neglected at this stage, then treatment of chronic pyelonephritis will be necessary in the future.

Pharmaceuticals It is not advisable to take it for a long time. They have many adverse effects on the body. For example, they inhibit beneficial intestinal flora and cause dysbiosis. Therefore, it is rational at this stage to begin therapeutic treatment with folk remedies for pyelonephritis.

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Remedies from the arsenal of traditional medicine for kidney diseases

One of the most popular means Bearberry is used to flush out pathogenic flora from the body. This herb is more often called bear ears.

Brew the infusion in the following way.

1. 30 g of herbal raw materials are poured with 1 liter of boiling water.
2. Infuse in a thermos or in a glass container insulated with a towel for about half an hour.
3. Strain.

Drink 3 times daily, 150–200 ml at a time.

A decoction of corn silk is no less often used. It is brewed in the same proportion as the bearberry infusion. Just before insisting, the “leaf tea” must be boiled.

Honey therapy is good for kidney treatment.

Algorithm for making “medicine”:

1. In the evening, a handful of berries - viburnum, rose hips, sea buckthorn, pour 500 ml of water and infuse in a half-liter thermos.
2. In the morning add a tablespoon to the tincture natural honey.
3. Drink 3 times a day, like tea, after meals.

This product not only flushes out pathogenic organisms from the urinary system, but also fortifies the body and improves overall immunity.