Gestational pyelonephritis in pregnant women: causes, treatment and prevention of the disease.
A woman’s body undergoes many transformations during the pregnancy. And the development of the fetus and the condition of the woman depend on the work of each organ. Therefore, a woman should closely monitor her health, take action at the slightest deviations, and, of course, consult a doctor.
Kidney disease – a frequent disease the women experience during pregnancy. The work of kidney increases during pregnancy, and if the infection also penetrates the body it can be dangerous
Among diseases of the urogenital system during pregnancy, the doctors distinguish gestational pyelonephritis, when the infection of the renal pelvis and kidney tubule occurs. Gestational pyelonephritis affects from 3 to 10% of pregnant women. The disease most often develops in those who has the pregnancy for the first time. This happens due to insufficient adaptation mechanisms inherent in the body of a woman in this serious period. The fact is that the anterior abdominal wall in women who did not give birth is more elastic. Therefore, a large uterus resistance is created, the ureter is compressed, and, as a result, a persistent increase in the upper urinary tract occurs. During pregnancy the size and function of the kidneys have some changes. The kidney slightly increase. There is also an expansion of the renal pelvis, cups and ureters, especially in the right side. This is due to the action of progesterone and some pressure of the ureters of the uterus. During pregnancy the weakening of the motility of the ureters and bladder tone is typical . There is an increase in glomerular filtration rate by two times.
Pyelonephritis is caused by various pathogens: bacteria, viruses, fungi, protozoa. But these cases are usually rare s, most often, the disease is caused by escherichia coli, enterococci, proteus, staphylococcus and streptococcus. The main route of infection is through the blood, and also through the ureter into the pelvis of the bladder and urethra. Gestational pyelonephritis during pregnancy most often occurs in pregnant women who have previously had urinary tract infections, urolithiasis, inflammatory diseases of the female genital tract, especially colpitis. Also one of the risk factors are malformations of the kidneys and urinary tract.