What can trigger pyelonephritis?
It occurs because of violations of the outflow of urine and the accumulation of infections in the urinary tract. What prevents the normal operation of the urinary tract? First and foremost, the hormone progesterone, which begins to be intensively produced in the body of a pregnant woman. It is thanks to him that the ureters "grow" - that is, they lengthen and expand and are more tortuous. By the end of the first trimester of pregnancy their muscular tone decreases, they decrease less. This contributes to easier penetration of the infection into the body. And the uterus grows and presses more and more on the ureters. Because of this, urination may become difficult or, on the contrary, a woman runs to the toilet every five minutes. All this leads to stagnation of urine and the development of infection. In a future mother, these are severe forms of toxicosis, eclampsia or miscarriage, as well as pathologies in the development of the fetus - hypoxia or hypertrophy, and even fetal death. With acute pyelonephritis, there are pains in the lumbar region, temperature rises sharply, urine becomes unclear. Most often it develops against the background of cystitis (inflammation of the bladder), and therefore there may be painful emanations and pains in the lower abdomen.
Do not forget that the painful sensations in pregnant women in the lower back and in the lower abdomen are not only the result of pyelonephritis, but also simply "accompanying" sensations due to the squeezing of the internal organs by the growing uterus. Therefore, the final diagnosis can only be made by a doctor and only after appropriate tests. Chronic pyelonephritis is almost asymptomatic, typical signs are manifested only during the period of exacerbation. Therefore, if in time to reveal pyelonephritis and begin the right treatment, then it will not interfere with your pregnancy.
What tests should I take:
- General and biochemical analysis of blood - an increased number of leukocytes and an increased rate of erythrocyte sedimentation suggest the presence of inflammatory processes.
- The general analysis of urine - about inflammation will indicate an increased number of white blood cells, bacteria and protein.
- Analysis of urine by Nechiporenko - on inflammation of the urinary tract indicates an increased content of leukocytes.
Whether to treat pyelonephritis during pregnancy - so the question is not even worth it. Of course, treat! Even the risk of taking antibiotics is much less than the risk that this disease brings to the mother and her future child. In the first trimester, as a rule, semisynthetic penicillins are prescribed. If jade is on time and begin the right treatment, then it will not interfere with your pregnancy. Now we know what pyelonephritis is in pregnancy, the risk for the baby and for the mother.