Effect of pyelonephritis during pregnancy on mother and fetus.

Z Avar, G Gerö, E Hajagos
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Abstract

Pyelonephritis during pregnancy was found to have a higher incidence when the patient's history contained some indication of an earlier renal disease. Pregnancy associated with chronic nephritis has to be interrupted in the first trimester as the particular conditions of pregnancy predispose to pyelonephritis. Provided pregnancy pyelonephritis is diagnosed and treated early enough the incidence of intrauterine fetal death, premature, birth and perinatal fetal loss will not be higher than the average, but developmental retardation has a slightly higher incidence. The degree of renal disturbance not only increase the probability of pyelonephritis but also the damage suffered by the mother and fetus. The prevention of inflammatory renal and appropriate treatment of inflammatory renal diseases and the constant control of the patient is the task of prenatal and nephrological care, so as to avoid early and late complications.

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妊娠期肾盂肾炎对母胎的影响。
当患者有早期肾脏疾病的病史时,发现妊娠期肾盂肾炎的发病率较高。与慢性肾炎相关的妊娠必须在妊娠早期中断,因为妊娠的特殊条件易导致肾盂肾炎。如果妊娠肾盂肾炎得到足够早的诊断和治疗,宫内死胎、早产、分娩和围产期胎儿丢失的发生率不会高于平均水平,但发育迟缓的发生率略高。肾脏功能紊乱的程度不仅增加了肾盂肾炎的发生几率,也增加了母体和胎儿所遭受的损害。预防炎症性肾脏疾病,适当治疗炎症性肾脏疾病,并对患者进行持续控制,是产前和肾科护理的任务,以避免早期和晚期并发症。
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