Can female pyelonephritis heal itself?

Pyelonephritis is a common urinary tract infection, more common in women. Pyelonephritis is usually caused by bacteria invading the renal pelvis, calyx and kidney tissue, resulting in suppurative inflammation. If pyelonephritis can be treated promptly, the infection can be controlled, and proper rest is provided, most cases can be cured. Let's take a look at whether pyelonephritis in women can be cured.

Can women's pyelonephritis be cured?

Regardless of whether female patients have subacute pyelonephritis or chronic pyelonephritis, they cannot be cured and all require treatment. Especially for subacute pyelonephritis occurring in women, patients usually have many symptoms, such as shivering and fever, the body temperature can reach above 38.5℃, muscle pain, headache, nausea, in addition, there will be gross hematuria and significantly increased urination frequency.

If not treated, the patient's symptoms will become more serious and even septic shock will occur. The same is true for chronic pyelonephritis. If not treated, the condition will gradually progress and it is easy to develop into chronic renal failure and uremia. In addition, during the development process, the patient gradually develops anemia and high blood pressure. Therefore, effective treatment plans must be adopted for pyelonephritis based on the condition.

How is subacute pyelonephritis treated?

1. Anti-infection treatment

The main pathogens of subacute pyelonephritis due to urinary tract infection are Gram-negative bacteria, among which Escherichia coli is the main one. For the initial onset of subacute pyelitis, 2 tablets of spinosad sulfamethoxazole (SMZ-TMP) can be used twice a day, or 0.5g of pipemidic acid 3 to 4 times a day, or 0.2g of ciprofloxacin 3 times a day. The treatment course is 7 to 14 days. Intravenous administration is recommended for patients with severe infection and sepsis. Use more sensitive drugs based on urine culture results. For example, the comparative sensitivity rates of cefoperazone and amikacin endotoxin to Staphylococcus, Klebsiella, Proteus, Pseudomonas aeruginosa, and Escherichia coli are all above 90%. The former is 1-2 g, once every 8-12 hours, and the latter is 0.4 g, once every 8-12 hours. The sensitivity rate of fluoroquinolone drugs to Proteus, Streptococcus citrate and Klebsiella is over 80%. Piperacillin, ampicillin, and nitrofurantoin are 100% sensitive to group D enterococci. How to use: 1-2g for the first two, once every 6 hours, and 0.1g for the latter, 3 times a day. For bacterial infections, take ketoconazole 0.2 g, 3 times a day. Or fluconazole tablets 50mg, twice a day.

2. General treatment

The purpose is to alleviate symptoms, prevent recurrence, and reduce damage to the renal parenchyma. Patients should be encouraged to drink plenty of water and urinate frequently to reduce medullary plasma osmotic pressure, enhance the function of body tissue cells, and cleanse the cells in the bladder.