The problem of chronic latent pyelonephritis, the prevention of relapse are quite relevant issues of modern medicine. Doctors are well aware of the features of this disease. Several means and methods for its treatment at the time of exacerbation have been developed. Since relapses are tolerated by patients rather hard, measures to prevent them come to the fore. Consider the basic rules.
general information
Before addressing the aspects of prevention, you should first formulate what kind of disease it is, how to treat chronic pyelonephritis. Especially often the disease is observed in children. Some believe that this medical problem has a very strong social significance. The relevance of diagnosing the disease in children is associated with an increased risk of early irreversible changes in the tissues that form the organs. It is known that in the case of pyelonephritis, a person in the future is faced with increased dangers of phosphate renal formations. Speaking of pyelonephritis, they mean non-specific renal infection, which provokes an inflammatory focus. It affects the organ parenchyma, mainly interstitial, renal pelvis, calyx.
As you can learn from theses dedicated to the development, treatment, prevention of chronic pyelonephritis, this disease in most patients is caused by intestinal pathological forms of life. Renal inflammation is often associated with coli bacteria, cocci of various types. Diagnosed with Escherichia, staphilo-, strepto-, enterococci, protea. Approximately half of the patients have pathological microflora mixed. With prolonged development of the disease and frequent use of antibiotics, the case of fungal invasion may be aggravated.
How to prevent relapse
To minimize the rapid repeated acute period during relapse, the patient should adhere to bed rest. Less likely to cause complications with proper nutrition. If a child or an adult has chronic pyelonephritis, it is necessary to fully eat and constantly alternate protein-enriched food and plant products. The first acidifies the gastric environment, the second alkalizes the contents of the stomach, intestines. It is recommended to alternate meals with an average frequency of about four days. This will form conditions that are not comfortable for bacterial growth and reproduction. If possible, they completely refuse spicy food, exclude excess salt and foods that are highly likely to provoke an allergic reaction.
If the course of chronic pyelonephritis is complicated by the acute phase, antimicrobial treatment is necessary. Use sulfonamides. Sometimes nitrofurans, nitroxoline are indicated. If the patient is younger than twelve years old, fluoroquinolone pharmaceutical products are not used, as they have a strong toxic effect on the body. For people older, you can use medicines from this class. Antibacterial agents are selected, focusing on the specifics of the course 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.
Treatment by various means
Secondary prevention of chronic pyelonephritis involves taking medications with intermittent courses. If the inflammatory process has transformed into a chronic type, the doctor will determine the frequency with which antibacterial pharmaceutical products should be used. Treatment lasts for months, years. From time to time, the doctor directs the patient for analysis in order 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 urinary system. In this case, operation is possible. The advisability of such an event is determined by a consultation of doctors with the subsequent receipt of the consent of the patient.
Among the relevant recommendations for chronic pyelonephritis is the use of herbal remedies. Among pharmacy products, special renal collection is especially necessary. Good reputation is enjoyed by the products "Urolesan", "Fitolizin". All medicines of this class are good in the treatment of the disease, and if necessary, the elimination of relapse in the chronicle. The use of homeopathic formulations is widespread. In chronic disease, immunomodulatory pharmaceutical products are indicated. They normalize the functionality of the immune system, therefore, effectively prevent the transition of inflammation into the acute phase.
A complex approach
In order to minimize the risk of relapse, a multicomponent course of prevention is practiced. Chronic pyelonephritis in adults, children can be taken under control if you regularly receive treatment in specialized sanatoriums, attend medical resorts. Especially popular and famous are Svalyava, Truskavets. Such preventive measures are not shown to very young children, but at a senior school age, you can already undergo such treatment. It is good for adults of any age group. When choosing a direction for a trip, you need to clarify the profile of the resort, the complex that has attracted you. If measures are practiced in it, means aimed at improving the health of the kidneys, you can safely go.
Another measure that excludes exacerbations is the primary prevention of chronic pyelonephritis, which involves monitoring the patient's condition. If the process of inflammation has already begun, if it proceeds in the form of a chronicle, the patient is registered. It is necessary to regularly visit a therapist (pediatrician), a urologist, and take tests. Information obtained as part of a laboratory study will determine how the disease develops. To clarify the condition of the kidneys, an ultrasound examination of the diseased organ is done every six months to a year. Urine is checked for the inclusion of white blood cells. It is important to regularly check the pressure indicators. Such an observation is the most reliable way to start a treatment course in time in order to exclude another exacerbation, to minimize the risk of long-term consequences of infection. These include stones in the bladder, persistent high blood pressure, weak kidney function.
Risks and factors
As part of the treatment and prevention of chronic pyelonephritis, it is necessary to take into account the fact that more often the disease is diagnosed in minors who have some kind of infectious, inflammatory focus in the body. The causes are inflammatory processes of the upper respiratory tract or other organs of the body. Cases against tonsillitis, adenoids, and stomach diseases are frequent. In order to minimize the risks of renal inflammation, all other diseases must be treated in time, preventing the infectious agent from spreading throughout the body.
Thorough approach
It is known that against the background of influenza, many have a need for the treatment of chronic pyelonephritis. Prevention in this case is considered timely control of the flu. 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. Remediation of infectious foci in the children's body, especially prone to pathology, is the responsibility of parents. This makes the treatment of influenza under the supervision of a qualified doctor a particularly significant aspect. In the treatment program in the presence of chronic renal disease, additional drugs that prevent a relapse of the pathology can be included. If acute pyelonephritis was transferred, the problem turned into a chronic form, you need to carefully monitor the condition of the teeth. In renal diseases, the risk of caries is higher, and each focus of such a pathology is a potential provocateur of chronic relapse. If the child has adenoids, if the tonsils are prone to frequent inflammatory processes, current medical practice approves the operation in order to prevent serious complications.
Causes and consequences
If you know what provokes acute processes, and in time to prevent the influence of such factors, you can conduct effective prevention of exacerbations of chronic pyelonephritis. From medical statistics it is known that in many cases the cause of the disease is entero-cytobacter, Klebsiella, Pseudomonas aeruginosa and Escherichia coli, Proteus. There is a chance of penetration of tuberculous mycobacteria, entero, staphylococcus. Therefore, in order to eliminate the risk of an acute process, it is necessary to lead a lifestyle that does not allow pathological microorganisms to penetrate into a vulnerable organ. To do this, you should adhere to general hygiene rules, treat all diseases in time, maintain immunity at a high level, resorting to official medicine and folk recipes.
Since the prevention of exacerbations of chronic pyelonephritis is especially important for diabetics, accordingly, careful control of this disease is one of the methods for eliminating relapse. To do this, you need to eat, minimizing the intake of carbohydrates in the body, and also adhere to the therapeutic program selected by the endocrinologist, regularly checking the blood sugar level.
Factors and reasons
In the case of chronic pyelonephritis, prevention involves controlling sexual behavior. Messy communication is 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 means of protection. Bacteria penetrate the urinary system, spread to different organs, tissues, including the kidneys. This can cause acute relapse with an atypical course, which will complicate the diagnosis.
The prevention of chronic pyelonephritis is very important if the anatomically urinary system is different from normal. This is more common in women. The channel of the urine duct is wider, already normal, so infections are easier to penetrate into the kidneys. To minimize the risk of an exacerbation of a chronic disease, you need to be responsible for everyday life, use suitable clothing, follow the doctor’s recommendations, and take preventive medications prescribed by your doctor taking into account the characteristics of the body.
Infection, away!
The likelihood of developing an acute process is high if there is a focus of inflammation in the urinary system. To prevent the recurrence 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 stones in the bladder. The doctor will explain what drugs need to be treated for these diseases. If you start taking funds immediately, during treatment adhere to a gentle regimen, the risk of exacerbation of kidney disease is minimized.
Note
The problems of the prevention of chronic pyelonephritis, relapses of this disease are extremely 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 monitoring the condition. A comprehensive course of treatment for the endocrine glands is possible. Getting rid of hormonal imbalance, a person will significantly reduce the risk of a relapse of renal inflammation.
Regular practice under the supervision of a doctor is needed to prevent the recurrence of chronic pyelonephritis, prevention, including the exclusion of gynecological, urological diseases. It is equally important to monitor the state of immunity. Its stabilization, increasing immune status are good ways to exclude acute infectious renal process. You may need to take immunomodulators. In other cases, preventive measures include drinking herbs, multivitamin and mineral complexes, instead of tea, to increase the activity of the body's defense system.
Features of preventive measures
As you can learn from specialized sources, in order to minimize the risk of an exacerbation of an existing chronic disease, you need to monitor the frequency and quality of bladder emptying. It is necessary to regularly and often visit the toilet. It is equally important to control how much fluid a person drinks per day. To reduce the risk of illness, dress warmly and eliminate hypothermia. If possible, they refuse non-hormonal anti-inflammatory drugs or reduce the frequency of their intake if such drugs are strictly necessary for a 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-nutritive fluid. It is recommended to drink from two liters of water per day. True, you first need to consult a doctor in order to exclude contraindications to such a drink. For a healthy person, the drinking norm is calculated based on weight: 25 ml / kg. It is strictly forbidden to endure for a long time if there is a urge to use the toilet. Doctors recommend that you empty your bladder shortly before bedtime. It is necessary to do this after each intimate contact. It is equally important to monitor the purity of the genitals. Each act of cleansing the intestinal tract must be accompanied by ablution of the perineum or cleansing of the integument with a moistened napkin.
Nuances of risk elimination
To minimize the risk of exacerbation of the current chronic inflammatory process, it is necessary to avoid placing a catheter in the bladder if possible. If there are abnormalities in the outflow of urine, such problems should be corrected. In men, prostate diseases are possible. Such increase the risk of exacerbation of chronic pyelonephritis. To reduce the risk of acute renal disease, it is necessary to timely and adequately treat prostatitis, hyperplasia and other problems identified in the body.
In the general case of chronic pyelonephritis, the prognosis worsens over the years. Development can be aggravated with nosocomial infection, lack of immunity or purulent complication of the underlying pathology. The deterioration of the prognosis is due to obstruction of the pathways of urine. Certain significant risks are associated with the appearance of superinfection that is resistant to antibiotics used in modern medicine. On average, in 1-2 out of ten patients with chronic disease, a weak kidney function is formed in a chronic form, the body is wrinkled. In approximately one in ten patients with pyelonephritis, against the background of increased pressure, the pathology becomes malignant. To eliminate such risks, it is necessary to responsibly prevent exacerbations and control the process.