2015年1月9日星期五

Pyelonephritis Home Care Highlights

There are two stages of acute pyelonephritis and chronic phase. Occurs in women, male to female ratio of 1:10, with the highest incidence of women of childbearing age. In addition, preschool girl, baby girl, older women and elderly men are also common. Mainly for low back pain and bladder muscle irritation, acute phase with fever, and even fever.
     1. General rapid onset of acute pyelonephritis, fever, chills, body temperature more in between 38 ~ 39 ℃, also up 40 ℃, accompanied by headache, body aches, nausea and vomiting. Often the symptoms of urinary tract infection, back pain, dull pain and soreness in the main, the kidney area percussion pain and tenderness. Urinary frequency, urgency, dysuria and other bladder irritation jump, every day and night to urinate more than 10 times.
     2. Mild symptoms of chronic pyelonephritis, urinary tract irritation symptoms associated with fever, back pain, kidney area percussion pain. Urine culture bacterial growth. Often characterized by recurrent or prolonged healing. The latter can cause high blood pressure, anemia, and even develop into uremia.
     Home Care Highlights
     1. Emphasis on maternal and child health, women should keep the vulva clean, caution tub. Menstrual period, pregnancy and infant pay special attention to hygiene to prevent ascending infection. Women with acute pyelonephritis, within one year after treatment should contraception to avoid pregnancy and worse.
     2. Acute pyelonephritis or acute exacerbation of chronic pyelonephritis should drink more water, the daily intake of 2500 ml or more. Aim to increase urine output, promote bacterial toxins and inflammatory secretions discharged. At the same time pay attention to strengthening nutrition and physical exercise.
     3. Observe whether the fever and urinary tract irritation. Chronic pyelonephritis late, watch for symptoms of kidney damage, such as high blood pressure, anemia, uremia.
     4. After drug treatment, watch for side effects of drugs, such as oral feeding Gap Dan Ding can cause nausea, vomiting, loss of appetite. Please respond doctor before switching to other medications.
     5. If you need to do a urine culture should be prepared to do the following ① should disable the use of antibiotics or antibiotics before 5 days stay in urine specimens. ② morning to collect urine. To ensure that urine remaining in the bladder intramuscular 6 to 8 hours. ③ before leaving urine specimen to fully clean the perineum, keeping the urine is not contaminated. When you want to stay in urine specimens placed in a sterile test tube urine. ④ stay good urine specimens for culture and want to count the number of colonies within two hours, in order to avoid bacteria growth, the impact of the judgment result. If special circumstances require urine refrigerated at 4C below the refrigerator.
     6. Special attention is paid not to urinary tract catheterization or equipment checks, to prevent infection.

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