Pregnancy. Pathology. Urolithiasis
Urolithiasis , as a pathology during pregnancy, often happens. Due to the fact that during pregnancy there are metabolic disorders of uric and oxalic acids, and phosphorus-calcium metabolism in a woman's body also changes, this is a provoking factor and gives an impetus to the development of this disease. Of no small importance in the development of this disease during pregnancy, and the formation of stones in the genitourinary system, is an infection in a woman's body. The inflammatory process, during the development of which decay products are released, in the form of epithelium, pus and mucus, are the main materials for the formation of the nucleus of the future kidney stone. During pregnancy, urolithiasis in most cases provokes pyelonephritis, which occurs on average in 80% of cases, and vice versa, chronic pyelonephritis in a pregnant woman can complicate, and as a result, lead to the formation of kidney stones. < / p>
In both cases, the formation of stones in the ureters and kidneys is accompanied by pain in the pregnant woman, and leads to her immediate hospitalization, which can lead to premature birth, as well as provoke a miscarriage in a woman. If, during pregnancy, a woman constantly experiences such attacks of renal colic, which are difficult to treat, doctors recommend early delivery.
Different forms of urolithiasis during pregnancy
In some cases, there is a asymptomatic course of urolithiasis during pregnancy , and, according to medical observations, this course of the disease is rarely accompanied by pyelonephritis. Since this disease in a woman does not cause abnormalities in the development of the fetus, this cannot, it is an indication for early termination of pregnancy. An exception may be cases of complications of the course of the disease with a urinary tract infection.
However, there are times when the course of the disease is severe, which can lead to kidney failure. It is also possible that the course of this disease worsens during pregnancy, which occurs in 30-40% of cases, and is accompanied by frequent attacks of renal colic, and ultimately can lead to emergency surgery during pregnancy or in the postpartum period. The indication for this operation can be severe pain that cannot be removed with narcotic drugs, analgesics and antispasmodics.
In most cases, the treatment of a pregnant woman takes place with the use of a certain diet, which depends on the nature of the violation of mineral metabolism, which provoked the development of urolithiasis, with the use of antibiotic therapy, if combined with pyelonephritis. This disease, according to doctors, rarely leads to complications of childbirth. And, observation of a patient with ICD during pregnancy takes place in a antenatal clinic, with regular visits to a urologist.
