Monday, February 10, 2014

Can pregnant patients with pyelonephritis?

Pregnancy can increase the kidney burden
In patients with pyelonephritis may question, and is now a lot of female friend concerns, because do not understand the disease in some cases, a lot of female patients also did not dare to fertility.Urinary tract infection is a common problem, women pyelonephritis is one of the important disease, if you can control in a stable condition, no symptoms, renal function is normal, can consider to
children.

Before decided to pregnancy, need to check understanding with and without urinary tract malformation, obstruction, such as stones, polyp, diverticulum lesions, and inflammation of department of gynaecology disease, these are the important cause of recurrent urinary tract infection.Check whether the renal function is normal, if uremia have occurred, should has a family.

Expert says, chronic pyelonephritis not only has a long history of recurrent urinary tract infections, as well as changes in the structure of the kidney, renal tubular damage, such as the renal cortex of scar, calyces deformation, nocturia increased, decreased urine specific gravity, confirmed to make relevant inspection to the hospital.

Pyelonephritis patients condition of pregnancy
By understanding that pyelonephritis patients if you want to be pregnant is not can't, but must comply with the relevant conditions can, pregnancy women of renal blood flow was significantly increased, glomerular under high perfusion, high filtration, coupled with the presence of water sodium retention, high condensation state of patients, increased kidney volume on the anatomical structure, pyelitis calyces and ureter expansion, these changes may cause chronic nephritis or primary kidney increase and worsening, appear even renal insufficiency.

If only the urine sediment in a patient with chronic pyelonephritis is unusual, process can smoothly through the pregnancy, but even if only proteinuria, complications of pregnancy and the incidence of stillbirth also is higher than normal pregnant women, it is best not to pregnancy in a patient with chronic pyelonephritis.To birth, must be the doctor's consent, namely must meet the following conditions to allow, chronic nephritis is stable in more than two years, two years gross hematuria, albuminuria is less than 0.5 grams per day.Normal renal function.Without urinary tract infection, high blood pressure.


Lighter pathological type, such as small lesions and mild lesion, mesangial proliferation and viscosity of the early membranous nephropathy.Chronic nephritis patients should be more rest after pregnancy, regularly check the blood pressure and urine routine, renal function, etc., active prevention and treatment of gestational hypertension status.Late pregnancy should be hospitalized treatment, closely observe kidney condition, if a deterioration in kidney function, should immediately stop the pregnancy.

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