Kidney during pregnancy

Kidney during pregnancy

Why do kidneys work in intensive mode during pregnancy?

Because, in addition to their permanent tasks, they perform new ones: now there is a need to further process and output the products of the fetus that enter the blood of the woman through the placenta. Now the amount of excreted urine increases and a day is an average of 1200-1600 ml. At the same time under the influence of the hormone progesterone, the tone of the bladder decreases, and this can lead to stagnation of urine. As a result, the process of infection is facilitated, which leads to diseases. For example, pyelonephritis. Sometimes pregnancy provokes & ldquo; sleeping & rdquo; disease, and it manifests itself.

Kidney disease - is pregnancy impossible?

Unfortunately, there are situations in which pregnancy is really impossible. But this is determined only by a doctor and only after a thorough examination. That is why before planning a child you need to undergo a complete examination in order to exclude pathology. With some kidney diseases, pregnancy is possible, but only after correct and timely treatment. Nevertheless, it happens that the doctor diagnoses such changes in the function of the body that do not allow neither to bear nor to give birth to the baby. For example, pregnancy is contraindicated for those women who have pyelonephritis accompanied by high blood pressure or kidney failure.

The most common kidney diseases in pregnancy

The most common inflammatory diseases that occur in pregnant women are: asymptomatic bacteriuria, cystitis and pyelonephritis.

The diagnosis of asymptomatic bacteriuria is exhibited when a large number of bacteria are detected in the urine (per 1 milliliter of urine 100,000 microbial cells). At the same time, the woman absolutely does not experience any discomfort and does not notice any symptoms of a urinary tract infection. Determine the disease by blood and urine tests. Asymptomatic bacteriuria is dangerous because in 40% of cases, acute pyelonephritis develops against it.

Many of the women know first hand what cystitis is. This disease is a consequence of a variety of pathological conditions of the urinary tract and genitals. It can be the first manifestation of pyelonephritis or other urological diseases. Cystitis has obvious signs: frequent and painful urination, accompanied by cutting pain, discomfort in the suprapubic region, which increases with the filling of the bladder. Sometimes (at first), these symptoms are absent. In most cases, an increase in body temperature to 37, 5 degrees.

Cystitis is treated with tableted antibiotics. The average course of treatment is a week.

Pyelonephritis in pregnant women can first manifest itself during the carrying of the baby. In this case, they speak of & ldquo; pyelonephritis of pregnant women & rdquo; or, as it is also called & ldquo; gestational pyelonephritis & rdquo; . Most often it manifests itself in the second half of pregnancy. If the disease has already manifested itself before the onset of pregnancy, then with its development it often reminds of itself with redoubled force. Such women constitute a high-risk group, as it threatens with miscarriage, the appearance of gestosis, intrauterine infection and fetal malnutrition. The most terrible complication of pregnancy with pyelonephritis is acute renal failure. In this condition, the kidneys partially or even completely stop their work.

In order to correctly treat pyelonephritis during pregnancy, it is necessary to identify the pathogen.

Treatment of all kidney diseases is done in order to help a woman, but at the same time, do not harm the baby. If during pregnancy the woman has pain in the kidneys, she urgently needs consultation of the urologist and obstetrician-gynecologist.

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