Pyelonephritis in women in different age

Pyelonephritis in men: Symptoms and Treatment

Pyelonephritis - a pathology of inflammatory disorders in which suffering pyelocaliceal renal system. The illness often occurs in women due to the anatomical features of the structure of the urogenital sphere.

Pyelonephritis men rarely confirmed - the male urethra is long and curved, which hampers the introduction of pathogens into the bladder and kidneys.

However, to completely eliminate the development of disease in men is not possible - there are many other negative factors causing inflammation CHLS and bladder. Pyelonephritis develop at any age, but in the group - those over 50-60 years.

Risk factors

Pyelonephritis men always have bacterial origin. After contact with pathogenic microorganisms in the renal tubules is activated by inflammatory processes, in the course of which affects the kidneys and the whole of the urogenital area. Factors that increase the risk of developing the disease in men:

• age over 50 years;
• disorder of metabolic processes;
• a weakened immune system.

The causative agents of pyelonephritis in men - E. coli, Enterobacteriaceae, Klebsiella, Staphylococcus - can get into the genitourinary tract with poor personal hygiene. But more inflammation in the kidneys develops as a complication of diseases of background:

1. urological chronic pathology of the prostate (prostatitis);
2. urolithiasis disease;
3. vesicoureteral reflux;
4. tumors in the urinary tract.

Diseases transmitted through unprotected sex acts (chlamydia, bacterial vaginosis) may be the starting point for the development of pathology. When genital infections in men the urethra is affected, there is a stagnation of urine with the formation of pus. By urethral canal infection readily goes to renal parinhemu causing acute catarrhal process.

Occasionally cause pyelonephritis men are secondary foci of infection localized in other organs - the throat and lungs. When purulent angina, carious teeth, inflamed tonsils pathogens to the current carried by the blood throughout the body. When injected into the kidney microbes are deposited on the mucosa parinhemy forming secondary infectious focus.

pathological form

Classification of pyelonephritis in men is based on inflammation localization features, the root cause factor, phase and intensity of inflammation. Based on the methods ingress of pathogenic microbes into the body, pyelonephritis divided into:

1. primary - inflammation of the renal system without failures urodynamics;
2. secondary - inflammation caused by bacteria getting into the genitourinary system, features urodynamics disorders pronounced; common cause of secondary pyelonephritis in men - the presence of sand and stones in the kidneys.

Another classification of disease based on clinical features:

• acute pyelonephritis - a kind of inflammation with severe and purulent lesions of the renal pelvis and tubular system; symptoms are clearly expressed and deliver a lot of suffering to the patient; kidney during acute inflammation swells and increases in volume;
• chronic pyelonephritis - a kind of disease with clinical manifestations of blurred, negative symptoms are mild or absent, but catarrhal process in the kidney remains; the risk of the chronic form is associated with the risk of progressive renal failure.

symptoms

When inflammation of the renal pelvis system in men develop specific features:

1. pain in the lumbar area of ​​a blunt or shooting character, due to a significant tension renal capsule; pyelonephritis pain worse by coughing and deep breathing;
2. temperature rise to high readings (38,5-40 °), accompanied by chills; slight decrease in temperature occurs after the act of urination;
3. discomfort during urination (burning), severe pain occurs in the completion of the act of urination;
4. false desires to excretion of urine;
5. nocturia - increased diuresis at night;
6. changing the appearance of urine - the transparency disappears, it appears muddy sediment and peculiar smell; during the acute phase in urine visible blood clots;
7. malaise and a state of apathy;
8. positive symptom Pasternatskogo on one or both sides.

Typical pyelonephritis men act the symptoms of intoxication, which is associated with the rapid growth of pathogenic microorganisms and diffuse inflammation of the renal parinhemy. Products of vital activity of microbes and toxins enter the bloodstream, poisoning the body. Signs of intoxication with pyelonephritis:

• weakened condition;
• headaches until the migraine and vertigo;
• nausea and vomiting;
• loss of appetite;
• frustration of a chair.

In the absence of proper treatment of acute suppurative destructive process in the kidney flows into the chronic stage. Symptoms of chronic pyelonephritis in men:

• pain become less pronounced, but acquire a permanent character;
• Temperature is kept within subfebrile readings (37-37,3 °);
• discomfort at the end of urination stored at each emptying mochevika.

In chronic pyelonephritis in women in adulthood often develops resistant hypertension - excess fluid from the body excreted by the kidneys are not fully implemented, which leads to swelling and improve pressure.

survey tactics

For suspected pyelonephritis man should consult a urologist. In the primary treatment physician interviewed on complaints and examination of the patient, finds out information about available urogenital diseases and other somatic pathologies. Valuable information about the presence of acute and latent catarrhal processes in the kidneys produce results of standard laboratory tests - urine and blood.

Analysis of urine in pyelonephritis detects typical signs of kidney inflammation system:

• increasing the number of leukocytes;
• appearance of fresh erythrocytes more than 2 in the field of view;
• detection of total protein;
• identification of squamous cells in large quantities;
• presence cells Shterngeymera-Malbina (reliable indication pyelonephritis);
• an increase in the acidity of urine.

The results of the blood count note accelerated ESR, leukocytosis, increase in the number of band neutrophils. Biochemistry Blood shows an increase in concentration of creatinine and urea, which is associated with the loss of its functionality glomerular apparatus.

Be sure to spend bakposev morning urine from bladder to detect pathogens. Bakposev needed for determining the sensitivity of bacteria to antibiotics. To clarify the diagnosis carried Zimnitsky sample to determine the concentration of kidney function.

To confirm pyelonephritis men enough laboratory diagnostic results, but in certain situations, a survey complement precision instrumental methods:

1. sonography kidney and retroperitoneal region reveals the presence of edema and degree of renal injury CHLS;
2. X-ray contrast-introduction indicates thinning renal parinhemy, deformation canalicular system;
3. excretory urography is needed to assess the degree of disorder of urodynamics.

medical therapies

In the treatment of pyelonephritis in men account for the form of the disease, the intensity of destructive changes in the kidneys, the pathogen type. disease treatment is organized in 3 areas:

• conservative therapy;
• surgery (indication);
• organization of dietary nutrition.

The acute form of pyelonephritis with signs of intoxication and severe pain serves an indication for hospitalization.

The main goals of treatment - relief of negative symptoms, normalization of urination, fighting infection. Under stationary conditions the bladder catheterization is performed if necessary.

For pain medications are shown with antispasmodic effect - Drotaverinum, Baralgin, Spazmolgon.

Antibiotic therapy is necessary to suppress the focus of infection, drug selection is based on the bacterial inoculation test and identify the sensitivity of the pathogen to the antimicrobial agents. But often prescribe antibiotic therapy until bakissledovaniya results on nutrient media in order to avoid complications.

For the treatment of pyelonephritis men used antibiotics with extended spectrum of activity:

• cephalosporins - ceftriaxone, cephalothin;
• Medicaments based on the clavulanic acid - Augmentin, Flemoklav;
• macrolides - Clarithromycin, Azithromycin.

After decrease in acute phase to prevent relapse appoint:

• vitaminoterapiyu - reception of B vitamins, ascorbic acid;
• antioxidants course - selenium preparations tocopherol;
• uroseptic with herbal and diuretic effect - Kanefron, Monural.

For surgical treatment of pathology resort in exceptional circumstances - when running course and a high probability of renal failure. Types of operations with pyelonephritis:

1. renipuncture:
2. pielostomiya;
3. nefropielostomiya;
4. nephrectomy (for extensive suppurative destructive lesion).

Diet

To speed up the recovery, along with conservative treatment organize food diet. The purpose of the diet with pyelonephritis men - to minimize the load on the urinary system, and support the immune system. Optimal dining options - a specialized diet number 7. Basic principles:

• fractional diet, up to 5 times a day;
• exception meals rich in extractive substances;
• rejection of fried and spicy food;
• restriction of salt and protein;
• Preferred embodiments of cooking - Cooking, roasting, quenching.

ethnoscience

Traditional medicine offers a treat pyelonephritis using herbal medicine. Admission herbal infusions in combination with drug therapy helps relieve the unpleasant symptoms, normalize urination, eliminate toxins from the body. Kidney fitosbory available over the counter or make yourself. Effective popular recipes of pyelonephritis in men:

1. decoction of cornflower - 20g petals cornflower meadow added 250 ml of boiling water, heated to simmer for 15 minutes, after cooling filter and drink 100 ml twice a day;
2. milfoil tincture - 10 g of raw material were added a glass boiled water, 2 chasa; the cooled drink drink in small portions a day;
3. oat broth - on glass oats added liter of boiling water and boiled for 30 minutes, the prepared mixture is filtered; drink slimy broth from 100 ml to 4 times a day;
4. infusion bearberry - 20 g of raw material is poured 250 ml of boiled water in a thermos 4 chasa; taking 50 ml three times a day before meals.

Prediction and prevention

With early treatment to the urologist and adequate treatment of pyelonephritis in men can be successfully treated for 2-3 weeks. Untreated, the acute form is complicated pathology purulent melting the appearance of renal tissue abscesses. In severe cases, it develops sepsis. Threatening complication - kidney failure, the likelihood of which increases with the bilateral pyelonephritis.

The leading goal of preventing pyelonephritis men - elimination of the factors that increase the risk of infection in the renal system. Preventive measures include:

• early diagnosis and treatment of chronic diseases of the urogenital sphere;
• personal hygiene;
• maintain an active lifestyle with the rejection of alcohol and nicotine;
• rejection of one-time sexual intercourse;
• tempering procedures.

When the disturbing symptoms of the renal system (pain in the lower back and lower abdomen, problems with emptying bladder, clouding of urine) can not engage in self - confirm the diagnosis "pyelonephritis" can only urologist. Self-prescription of antibiotics and other medicines for the disease worsens and leads to disastrous consequences.

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A source: http://nefrol.ru/bolezni/pielonefrit-u-muzhchin.html

Pyelonephritis in men, symptoms and treatment

Problems of the urogenital system in men - nasty pathology that affects the reproductive function. To such manifestations should be treated seriously. This article will discuss the causes and symptoms of pyelonephritis in women, and methods of treating disease.

What is Pathology

Pyelonephritis - inflammation in the renal pelvis and calyces. As a rule, this ailment often affects women, but they are characterized by the male body.

Pyelonephritis in men is infectious in nature, can be caused by streptococci, staphylococci, E. coli, Mycoplasma, and other opportunistic pathogens and is accompanied by breach of isolation urine.

The infection gets into the kidneys in the following ways:

• Through the blood stream - hematogenous;
• through the lymphatic system (nodes) - lymphogenous;
• through the urinary tract infection enters the kidney - ascending method.

Distinguished primary and secondary forms of pyelonephritis. The first is typical for children 7 - 8 years of age and people with weakened immune systems. In older men, renal pathology is secondary in nature, arising on a background of inflammatory processes.

That provokes the development of pyelonephritis

7 the main causes of primary renal inflammation are in men:

1. hypothermia;
2. beriberi, provoking a weakened immune system;
3. high blood sugar;
4. many stressful situations;
5. excessive exercise;
6. bad habits;
7. active breeding of harmful bacteria.

With regard to the secondary form pyelonephritis, it may occur as a result of destruction of the bladder area, whereupon exposure to harmful bacteria switches to the kidney. The main causes of the disease include:

• Inflammation of the prostate gland;
• BPH (disturbance process outflow of urine due to prostate compression urinary canal);
• urolithiasis (it has the ability to induce the formation of stagnation);
• more rarely as a complication after excretion of urine via a catheter.

Another contributing factor is considered to be inflammation of the kidneys of elderly patients and infection with sexually transmitted diseases of the body. Pyelonephritis in women in this case develops in the present ills, as implemented reduction of protective functions of the organism as a whole.

How does the pathology

The initial stage of pyelonephritis in males is characterized by constant aching pain in the lower back. The pain is worse when heavy exertion. In the acute form of kidney disease, the following symptoms are observed in a patient:

• High body temperature, and it may be reduced after each emptying of the bladder;
• disruption of the functioning of the gastrointestinal tract, often accompanied by sweating, chills, dehydration or headache;
• in the urine, which becomes turbid, it can be detected by blood clots;
• body swelling (especially under lazami and lower limbs);
• constant morbid manifestations in the kidneys;
• fatigue and weakness;
• sudden changes in blood pressure;
• increased erythrocyte sedimentation rate, detectable by analysis of blood;
• at the time of urine in a patient often fixed discomfort, growing into a sharp pain.

At a time when developing chronic pyelonephritis, some signs are beginning to significantly weaken or have hidden within. In this case, even the results of laboratory research record normal levels. However, it is possible the emergence of new and more dangerous signs of pyelonephritis. These include:

• Pain syndrome in the lower back significantly increases and becomes relatively frequent;
• as a result of reduced appetite the patient begins to lose weight and experience severe weakness, and headaches in migraine flow;
• constant urge to urination, even emptying of the bladder;
• blood in urine and odor, change in urine color;
• purulent inflammation at an advanced stage.

It should be noted that the symptoms of chronic pyelonephritis in many respects similar to the symptoms of other genitourinary diseases. That is why it is important to correctly diagnose kidney disease in a hospital setting, to continue to exclude the presence of other diseases, and plan for future treatment of the disease.

diagnosis of pyelonephritis

The manifestation of the first signs of the inflammatory process involves the immediate treatment for medical assistance. The main task - to establish the cause of inflammation of the kidneys.

Pyelonephritis men resorted to laboratory and instrumental diagnostics. After visual examination of the patient by palpation doctor prescribes clinical analyzes, paramount among which has urinalysis.

For the examination of the patient prescribe the following types of analyzes:

• Urinalysis reveals increased leukocyte content;
• Analysis of urine by Nechiporenko and Zimnitskiy;
• urine culture on a nutrient medium;
• general and biochemical blood tests.

Diagnostics is assigned in individual cases:

• Renal ultrasonography;
• tsistourografiya;
• excretory urography;
• radioisotope study.

The above mentioned research methods kidney disease will show the full picture.

How to treat kidney disease in men

If you have any initial symptoms of pyelonephritis it is recommended to visit the urologist or nephrologist, who after examination prescribe a course of therapy.

In general, a general method of treating a disease is as follows:

1. Removal of ureteral stones, cause kidney infection.
2. Pain relief and reduce inflammation.
3. Decreased activity of pathogenic microorganisms.

Depending on severity of the disease practiced both outpatient and inpatient treatment. The patient must comply with bed rest and taking the following medicines:

1. The use of drugs that stabilize blood pressure and reduce the temperature.
2. Acceptance of analgesic drugs, removing bouts of pain.
3. Removal of inflammation with drugs, for example, diclofenac or metamizole.
4. Normalization kidney via furadonina.
5. The use of antibacterial drugs for 7 - 14 days. Most ftorhinolovaya prescribed medication or tsefalsporinovaya group, e.g., ampicillin, ceftriaxone.
6. Appointment of immunostimulants course (amiksin, echinacea, Betaferon).
7. In some cases the resorting to reception relaxants (Nospanum, papaverine), and diuretics (veroshpiron, indapamin).

In the period of the disease should drink plenty of fluids, stay in a warm place, to avoid hypothermia.

When purulent abscess resort to surgical treatment. Acute pyelonephritis men often cropped by the appointment of intravenous infusions.

In general, the main thing - to eliminate the symptoms of acute and chronic pyelonephritis and avoid complications. Chronic pyelonephritis subsequently require long-term treatment (2-3 months) with vegetable uroseptikov, putting on a clinical account and the annual examination of the body.

A prerequisite for pyelonephritis in men is the observance of a special diet, including:

• Limited consumption of salted, smoked and fatty foods;
• constant excessive drinking herbal infusions;
• rejection of hot sauce, spices, strong tea and coffee, alcoholic beverages and tobacco.

The main diet during illness should include:

• cereals water-based;
• dairy products;
• vegetable puree;
• meat and fish boiled for a couple;
• roasted vegetables.

Adhere to proper nutrition should be for general treatment.

Traditional methods of treatment

In combination with drug therapy using recipes of traditional medicine, the main purpose of which is to remove the symptoms of acute inflammation and increase urination.

In the treatment of pyelonephritis efficiently act:

• cranberry broths;
• infusions of dried nettle leaves and black currant;
• bearberry broth;
• to enhance the diuretic effect of eating vegetables and fruit (watermelon, pumpkin, fresh juice new potatoes and carrots).

Under no circumstances shall a patient can not self-medicate. Before the use of any means necessary to consult a doctor to avoid side effects.

ways to prevent

Reduce the risk of pyelonephritis help preventive measures that involve:

• Rejection of bad habits;
• annual preventive check-ups;
• adherence to the principles of proper nutrition and a healthy lifestyle;
• prevention of hypothermia;
• carefully observe hygiene;
• Avoid frequent changes of sexual partners and use contraception;
• carry out hardening of the body;
• keep drinking regime;
• take vitamin and mineral supplements.

It is important at the first sign of pyelonephritis immediately begin treatment that will quickly defeat the disease and avoid complications. Remember that the health of your kidneys into your hands.

A source: https://pochkam.ru/bolezni-pochek/pielonefrit-simptomy-u-muzhchin.html

Male pyelonephritis

Male pyelonephritis is an inflammation of the renal pelvis and renal tissue, which provoked all possible infections.

Pathogens can act enterococci, staphylococcus, E. coli and other gram-negative microorganisms.

Pyelonephritis men formed, as usual, in the elderly due to diseases of the prostate and ureters. Pyelonephritis: you need to know the patient?

Male pyelonephritis

varieties of pyelonephritis

Male pyelonephritis deprived of a clear and unified classification. This, however, is peculiar to women and pyelonephritis. Professionals prefer to use the classification of NA Lopatkin:

• given the nature of the disease - acute and chronic form of;
• given origin - primary (developed in an independent disease, with nothing connected) and secondary (occurs against a background of other diseases);
• taking into account whether covered pyelonephritis, both kidneys - two-way, when the wounded only one kidney - one-sided - right or left.

In a separate group also stands out:

• senile pyelonephritis;
• pyelonephritis pregnant;
• pyelonephritis of childhood;
• pyelonephritis, developing diabetes.

manifestations of the disease

Male pyelonephritis manifested in different ways, depending on the variety of the disease and the general state of the immune body. Among the most common symptoms of pyelonephritis distinguished:

• dizuricheskie problems (pain and stinging during urination, frequent urination, false desires);
• pain in the lumbar area, which is different in nature - can be a constant ache or sharp stabbing attacks that are more frequently observed during exacerbations, when an abscess;
• fever and fever, which usually occur in acute inflammation and in exacerbation of chronic forms of pyelonephritis;
• total body weakness, deterioration of health, due to its intoxication waste products of bacteria and toxins.

How to diagnose disease

Male pyelonephritis tends to malosimptomno and latent course of the disease. This can lead to what goes unnoticed, not only chronic, but acute form of pyelonephritis.

Accordingly, treatment or completely absent, or limited to the removal of some of the symptoms, not the infection. In this case, the acute form is not recognized, it becomes chronic.

As a result, it pyelonephritis often found quite by accident, or in the later stages of the disease. So even if the individual symptoms, it makes sense to pass laboratory diagnostics:

• urine culture;
• Analysis of urine;
• ultrasound examination.

Probable complications of pyelonephritis

Probable complications of pyelonephritis

Male pyelonephritis, symptoms of which are ignored at untimely seeking medical care or performing inadequate treatment leads to serious complications. Among the most common effects of the disease called:

• apostematozny nephritis with multiple ulcers formation - the certificates issued under the kidney capsule;
• abscess - focal purulent inflammation, which partially melts the kidney tissue;
• kidney carbuncle with the development of kidney tissue purulent necrotic lesion;
• pyonephrosis - the last stage of purulent pyelonephritis, which is characterized by a total meltdown of the renal parenchyma.

These conditions threaten the patient's life and require immediate medical care.

How to treat the disease

How to treat the disease

Male pyelonephritis not self-correct. Even if thoroughly delved into the theoretical sources on how to treat pyelonephritis. The case could end up worsening the chronic form of the disease.

Pyelonephritis therapy scheme is selected taking into account the severity of the disease, and chronic form - also on the phase of disease - acute or remission. It is important to try to restore normal urine flow, relieve symptoms of acute inflammation, try to destroy pathogens ailments.

It is necessary to eliminate the root cause, rather than fight its manifestations. Unsafe chronic pyelonephritis can and should be cured.

Home treatment or hospital

Mainly used home treatment option. The indications for hospitalization can be a serious aggravation:

• difficult correctable hypertension;
• severe intoxication;
• needs to specify the degree of renal function.

The disease extends parallel with the total decrease in immunity. So a great place in the treatment given to nutrition. Treat pyelonephritis appointment of a course of antibiotics (usually gentamicin), which is issued depending on the species of bacteria that triggered the inflammation.

Course duration - from two to six weeks or more. The patient will have to undergo a full course of cure these drugs to rid themselves of bacteria - completely. Note, even if the symptoms began to pass, you can not interrupt the course.

This will prove to you any urologist - please use the form for free online consultation.

Acceptance of non-prescription analgesics such as paracetamol, ibuprofen, aspirin can help reduce the temperature, facilitate the discomfort and pain. During the time of home treatment is important to monitor your condition.

You should be much better for one or two days after it started taking medicine.

But if the condition has been steadily deteriorating, you do not feel better for forty-eight hours after treatment is started, you should call a doctor.

A source: http://udoktora.net/muzhskoy-pielonefrit/

Pyelonephritis men - Symptoms and Treatment

Content

• Causes
• clinical symptoms
• Therapy

Pyelonephritis - an inflammation of the renal pelvis system of kidneys - common diseases of the urogenital area. Anatomical and physiological characteristics of the female body due to the greater its spread among the fair sex. Pyelonephritis occurs in men, although usually is secondary with concomitant diseases of the kidneys and urinary system.

The causes of the disease

Pyelonephritis is always associated with the infection.

The disease can cause streptococci, staphylococci, E. coli, Proteus, mycoplasma and other pathogenic and conditionally pathogenic (always present in the body, and is activated when a decrease in immunity) microorganisms. The pathogenesis of pyelonephritis is an acute or chronic disorder of the outflow of urine. Risk factors for the development of kidney inflammation in men:

• urolithiasis (impaired urination due to the formation of concretions);
• BPH and prostatitis (compression of enlarged prostate urethra);
• hypothermia;
• elderly age;
• metabolic disorders (diabetes mellitus, hypothyroidism);
• constant presence in a sitting position (for example, truck drivers, drivers etc.);
• urologic manipulations and surgical interventions on the pelvic organs;
• immunodeficiency;

clinical symptoms

Pyelonephritis men for a long time may be asymptomatic and detected only in laboratory tests. The initial symptoms of the disease manifest themselves in different ways, depending on the type of pathogen, the activity of the immune defense, the severity of inflammatory changes.

The main symptoms of pyelonephritis include:

• pain in the lumbar region is usually aching, nagging, single- or double-sided, independent of changes in body position;
• intoxication symptoms - weakness, lethargy, fervescence to subfebrile marks (37-38 ° C), loss of appetite, headache, aching joints;
• nausea, rarely vomiting;
• dizuricheskie symptoms - frequent urination, cramps, burning sensation during it, a change in urine color (it becomes dark, frothy, murky, sometimes with a brick tinge);
• high blood pressure (secondary hypertension) due to violation of urine and increase in the volume of circulating blood, as well as "breakage" in the renin-angiotensin-aldosterone system.

Acute pyelonephritis is characterized by fast-flowing: signs of the disease peak in a few days, and the patient's condition deteriorates rapidly. If an acute inflammation of the kidneys not treated, can cause complications such as:

• apostematozny Jade - multiple pustular lesions of the kidneys;
• renal abscess - appearance in kidney tissues bounded cavity filled with pus;
• carbuncle kidney - pyo-necrotic renal tissue, resulting in end-stage to complete melting of the body;
• acute renal failure - reversible damage of the kidneys.

Any of these complications characterized by a sharp degradation of: growing signs of intoxication, the body temperature reaches 40-41 ° C, leading become dizuricheskie pain and symptoms. With the development of acute pyelonephritis shows immediate hospitalization and treatment in a hospital.

Chronic pyelonephritis has long undulating course with exacerbations (marked clinical signs of renal inflammation), are alternated with periods of remission. Symptoms of intoxication expressed slightly, possible weak aching pain in the lumbar region.

CRF - irreversible condition, the treatment of which is in regular hemodialysis with the help of apparatus "artificial kidney".

Therapy

Treat pyelonephritis men should urologist or nephrologist. Depending on the current type of the disease and the leading symptoms, treatment strategy chosen individually. Basic principles of treatment of acute and chronic pyelonephritis in men:

1. Bed or polupostelny mode.
2. Lacto-vegetarian diet with restriction of heavy protein foods, fatty fried foods.
3. Therapy provoking pyelonephritis diseases: urolithiasis and prostate cancer - surgical treatment for prostatitis - the appointment of antibacterial, anti-inflammatory drugs.
4. Causative treatment - drugs directed against pathogen: fluoroquinolones (ofloxacin, levoloksatsin) cephalosporins IlI, IV generation (ceftriaxone, cefotaxime), protected penicillins (+ clavulanic amoksiklav acid).
5. If no anatomic obstruction of urine outflow - the appointment of a muscle relaxant for relaxing the smooth urinary tract muscle (Nospanum, papaverine and other drugs), diuretics (lazinks, indapamide, veroshpiron).
6. intoxication Removal - nonsteroidal antiinflammatory drugs (paracetamol, ibuprofen), under indications - intravenous infusion with saline.
7. Symptomatic treatment.

see also

On the role of physiotherapy in pyelonephritis.

A patient with chronic pyelonephritis taken on a clinical registration in the clinic in the residence and extends annual examination of renal function.

A source: http://pochk.ru/bolezni/pielonefrit-simptomy-i-lechenie-u-muzhchin.html

Pyelonephritis men

Pyelonephritis diagnosed in men of any age - suffer from very young boys and older people from it.

Unlike women, pathology arises from the strong sex resulting from the underlying disease, accompanied by the formation of one or more foci of infection.

After carrying out timely examination and appointment of medical therapy pyelonephritis quickly and successfully cured.

Causes of pyelonephritis

Pyelonephritis - Kidney diseases that are accompanied by inflammation pelvis, cups and the parenchyma. The pathology of bacterial origin, begins to develop in the renal tubular system. When biochemical analysis is most often found:

• E. coli.
• Enterococci.
• Staphylococci.
• Coli Pseudomonas.
• Proteus.

The disease appears first as a small center, but as the reproduction of pathogenic micro-organisms and the development of inflammation of the products of their metabolism, takes a diffuse character. Symptoms of pyelonephritis men also increase as the spread of infection in the body.

Infectious process developing rapidly, neighboring cells are involved in it. All fabrics are bean-shaped body perform different functions, and decreased activity of any of them will lead to disruption of the entire kidney. At the site of the inflammatory focus occurs pathological degeneration of the interstitial tissue. Forming a plurality of scars, a reduction in the flow of urine.

Frequent urination warn of the presence in the body of pyelonephritis

No treatment results in a complete replacement of cells and the kidney stops functioning at all. As the infection enters the body men:

• In diseases, sexually transmitted, often develops cystitis and urethritis, accompanied by urinary stasis, formation of pus. Pathogenic bacteria penetrate the kidney parenchyma on the uplink path through the ureters. And if you have the male anatomical features of the structure of the kidney or chronic illness, this process does not take much time.
• Germs can spread to the blood stream throughout the body. Settling in kidney tissues, they form secondary inflammatory focus. The primary focus may be in an untreated tooth, bronchioles, nasopharynx, lung and tonsils.
• In the treatment of malignancies in men reduced immunity as a result of irradiation or application of corrosive drugs. Against this background, pyelonephritis may occur caused by propagation of the yeast fungi.
• Prostatic hyperplasia occurs in older men with impaired flow of urine. Its stagnation provokes the development of foci of infection contributes to kidney stones.

Pyelonephritis has many classifications. He can be acute, chronic, one-sided and double-sided, apostematozny, serous, purulent.

Low back pain is a major symptom of pyelonephritis

When inflammation of any etiology renal parenchyma onset accompanied aching pain in the lower back with exacerbations during exercise. In acute pyelonephritis, the following symptoms occur in men during the process:

• During the day, the body temperature may rise to 38-40 ° C. temperature drop occurs after each urination.
• When hyperthermia there are signs of general intoxication of the organism: a disorder of the gastrointestinal tract, excessive sweating, vomiting, dehydration, severe headaches.
• The urine found small blood clots, it becomes muddy, there is an unpleasant smell.
• When urinating there are unpleasant sensations that upon its completion become the sharp pain.
• By clicking on the lumbar region of a man in pain.
• There is an increased drowsiness, lethargy, fatigue.

Diagnosis of pyelonephritis begins with patient survey

After the transition from the acute stage of the disease in some chronic symptoms subside, but there are new, more dangerous:

• Pain in the lower back and amplified frequent.
• Body temperature can not rise to or increases slightly to 37-37,5 ° C during the day.
• When urinating man always feels cutting pain.
• There is an increased renal blood pressure and hypertension, poorly treatable.
• Lack of appetite leads to increased weakness and weight loss.
• Nausea, heartburn, flatulence significantly reduce quality of life.
• Headaches may become a migraine.

The combination of features of occurrence of pyelonephritis is similar to the symptoms of some diseases of the genitourinary system men: hemorrhagic cystitis, enlarged prostate, kidney stones, chronic renal failure. Therefore the main task of diagnosing pyelonephritis - differentiation from other disorders.

Diagnosis begins with a survey of the patient and his external examination. In case of complaints to a periodic increase and decrease of body temperature during the day, changes in color and smell of urine, frequent urination can be suspected pyelonephritis.

Pyelonephritis urine changes color and smell

To confirm the diagnosis conducted laboratory tests of urine and blood:

• The urine is detected increased leukocyte content. The concentration of proteins and their degradation products is usually within established norms. Sometimes sluggish chronic illness provocative tests are conducted for removing white blood cells from the inflammatory focus. Also present in the urine cells Shterngeymera-Malbina that right may indicate pyelonephritis.
• urine pH indicator is shifted to the acid side, and its relative density is reduced in acute pyelonephritis and being normally in chronic.
• The blood contains a large amount of leucocytes and proteins, indicating the presence of an infectious focus.
• Sowing into the culture medium from the urine of the morning urination allows to identify the pathogen. This study is a mandatory procedure at frequent raising the temperature of the patient.

Carrying urography to diagnose the pressure drop in the renal calyx and a decline in their functional activity. Ultrasound examination is often used for the detection of pyelonephritis.

On the obtained images clearly visible deformation of the renal pelvis, as well as degeneration of the connective tissue in the parenchyma to form multiple scars.

Using X-ray diagnostic method using the contrast agents visualized thinned parenchyma tissue and deformation of the structural elements of the kidneys.

medication

Treat pyelonephritis men begin to normalize the urination and eliminate disease symptoms. In the hospital applied ureteral catheterization as necessary. For anesthesia used spasmolytics - Spazmalgon, spazgan, drotaverine hydrochloride.

What are antibiotics to treat pyelonephritis may know only a doctor

Self antibiotic can only hurt, because the pathogens in disease abound, and each of them has a sensitivity only to a certain group of antimicrobial drugs. Upon detection of a pathogenic microorganism were treated with the following drugs:

• Cephalosporin antibiotics (Ceftazidime, Ceftriaxone, Ceftriaxone). Possess activity against Escherichia coli - the most frequent causative agent of pyelonephritis.
• Antibiotics with clavulanic acid (Amoksiklav).
• Clarithromycin.

Upon receiving broad-spectrum antibiotics for patients usually diagnosed dysbacteriosis. To restore the beneficial microflora of the gastrointestinal tract from the beginning of treatment it is necessary to take probiotics (Lactobacterin, Bifidumbacterin). The course of treatment is from one week to 10 days.

To prevent recurrence of inflammation of the patient should use synthetic uroantiseptiki (Nitroxoline, Nolitsin, Norbaktin) and herbal preparations with antimicrobial action (Cystone, Monurel, Kanefron). Diuretics are rarely - a violation of the outflow of urine triggered by other pathologies, so it is important to eliminate it first, and normal urination.

Purulent pyelonephritis kidney

When anesthesia and eliminate symptoms of inflammation, doctors recommend treating pyelonephritis in men with non-steroidal anti-inflammatory drugs:

• Nimesulide.
• Acetylsalicylic acid.
• Ibuprofen.
• Diclofenac.

These drugs have significant side effect: by acting on the mucous wall of the stomach, they may cause thinning and even ulceration. Therefore, they must be taken together with proton pump inhibitors (omeprazole, Ultop, Omez).

To treat kidney infection, you can use herbs. Uva Ursi, cranberry leaf, orthosiphon staminate, corn silk and Viburnum berries have anti-inflammatory, diuretic, antiseptic action. Prepare and adopt infusions must be in accordance with the instructions.

If after drug treatment, the symptoms do not disappear, and the patient's condition worsens, surgery is performed.

The physician evaluates the degree of destruction of renal parenchyma, and the survey method selects the operation.

When irreversible degeneration of tissue loss and functional activity of the bean-shaped body made nefroektomiya - removal of kidney completely.

Often the unpleasant symptoms of pyelonephritis help a person time to detect a dangerous pathology and start treatment on time. If you experience painful urination should not hope that this is a temporary phenomenon - should immediately contact the nearest medical facility for medical assistance.

A source: http://2pochki.com/bolezni/pielonefrit-muzhchin