How to check chronic pyelonephritis in women

Chronic pyelonephritis is a chronic kidney disease that can cause serious harm to the human body and permanent damage to kidney function. Therefore, it is necessary to understand the symptoms of chronic pyelonephritis. Chronic pyelonephritis is more common in women. Once women suffer from kidney disease, the damage to the body is also very great, and the female body mechanism cannot detoxify well. So, how to examine chronic pyelonephritis in women?

1. Urinalysis

It is the simplest and most reliable method for detecting urinary tract infection. It is advisable to keep the first urine in the morning for testing. Any urine with more than 5 (>5/HP) white blood cells in each high-power field is called pyuria.

2. Urine cytology

A clean midstream urine culture colony count >10/ml is clinically significant.

3. Localization examination without traumatic infection

(1) Urine concentration capacity

(2) Determination of uric acid

(3) Urine C-reactive protein measurement: Measuring the C-reactive protein (CRP) level every other day during the course of the disease helps to estimate the therapeutic effect. That is, a low CRP level indicates effective treatment, while a rising CRP level indicates ineffective treatment. CRP does not increase in acute cystitis. However, CRP may also increase in other infectious diseases, and the existence of false positives affects the positioning significance of this test.

(4) Analysis of urine antibody-coated bacteria: Immunofluorescence analysis confirmed that bacteria from the kidneys were coated with antibodies, which could bind to fluorescently labeled antibody IgG and show a positive reaction.

(5) Direct positioning method Among the direct methods, Stamey's ureteral catheter method has higher accuracy, but it must be examined by cystoscopy or percutaneous puncture of the renal pelvis with a Skinny needle to obtain urine. Therefore, it is a invasive examination method and is not commonly used. Fairley's bladder washing and sterilization urine culture method has high accuracy, is simple and easy to perform, and is commonly used in clinical practice.

The above is an introduction to the examination of chronic pyelonephritis in women. Women must pay attention to their physical condition, pay attention to kidney care, and avoid pyelonephritis. If symptoms of pyelonephritis occur, you should go to the hospital for examination and treatment in time, cooperate with the doctor for active treatment to avoid worsening of the disease.