Pregnancy will increase kidney burden
Urinary tract infection is the common problems of female ,pyelonephritis is the most important disease ,if can control well the disease ,have no symptoms .renal function is normal ,women patients can consider to pregnancy .
Before deciding to pregnant ,patients should check whether there is urinary tract malformation 、obstruction 、stones 、polyps 、perticulum and other lesions and inflammation of department of gynaecology disease , which are the main factors of causing urinary tract infection repeated .Checking whether the renal function is normal ,if patients have ready occurred uremia ,they are not suitable to pregnancy .
Expects said that chronic pyelonephritis not only has the history of long-term repeated urinary tract infection ,but also has the changes of kidney structure ,kidney tubules interstitial lesions ,such as kidney cortex scar 、calyces deformation 、nocturia increased 、urine specific gravity decreased ,which need to go to the hospital to have an examination .
The conditions of pyelonephritis patients pregnant
The renal blood flow of women during pregnancy is significantly increased ,the glomerular in a high perfusion 、high filtration state ,and the patients exist water and sodium retention and hypercoagulable state ,thus making the kidney volume increase in the anatomical structure ,pyelonephritis calyces and expansion of the ureters ,these changes will cause chronic nephritis or primary kidney disease even occur renal insufficiency .
Such as pyelonephritis patients only have abnormal urinary sediment ,pregnancy can smoothly through the process ,but even if only have the proteinuria ,the occurrence rate of complications and stillbirth in pregnant stage is higher than normal pregnant women ,so it is better for chronic pyelonephritis patients to pregnancy .If chronic pyelonephritis patients want to pregnancy ,must have a doctor’s consent ,that is patients must accord with chronic nephritis stable more than two years and have no blood urine ,the proteinuria less than 0.5g a day .Renal function is normal and without urinary tract infection and high blood pressure .
Chronic nephritis patients should have a good rest after pregnancy ,regular check blood pressure and routine urine test 、renal function and so on ,actively prevent gestational hypertension status .In the late pregnancy stage ,patients should be observed treatment in hospital ,closely observe the renal function conditions ,if patients occur renal function deterioration ,should stop pregnant immediately .