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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