{"id":90930,"date":"2018-02-10T22:04:00","date_gmt":"2018-02-10T22:04:00","guid":{"rendered":""},"modified":"2023-01-06T20:44:50","modified_gmt":"2023-01-06T20:44:50","slug":"pielonefrita","status":"publish","type":"post","link":"https:\/\/cvnextjob.com\/index.php\/2018\/02\/10\/pielonefrita\/","title":{"rendered":"PIELONEFRITA"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><h3 class=\"post-title entry-title\" itemprop=\"headline\" style=\"background-color: white; color: #333333; font-family: Oswald, sans-serif; font-size: 20px; font-stretch: normal; font-variant-east-asian: normal; font-variant-numeric: normal; font-weight: normal; line-height: 1.1; margin: 0px 0px 10px; padding: 0px; position: relative;\"><\/h3>\n<div class=\"post-body entry-content\" id=\"post-body-791502570507425331\" style=\"background-color: white; color: #555555; font-family: Roboto, Arial, Helvetica, sans-serif; font-size: 13px; line-height: 1.7; margin: 0px; overflow: hidden; padding: 0px; width: 615px;\">DEFINI\u0162IE:Pielonefritele sunt inflama\u0163ii acute sau cronice care afectez\u0103 \u0163esutul intersti\u0163ial renal (spa\u0163iul dintre nefroni). Importan\u0163a lor se datore\u015fte frecven\u0163ei mari \u015fi \u00een continu\u0103 cre\u015ftere a infec\u0163iilor urinare (cauza obi\u015fnuit\u0103 a infec\u0163iilor intersti\u0163iale), gravit\u0103\u0163ii lor (20-60-60% conduc la R.C.de 3-4 ori mai mult dec\u00e2t G.N.A.).Circa 15-20% din cadravele autopsiate prezint\u0103 leziuni de pielonefrit\u0103. V\u00e2rfurile de frecven\u0163\u0103 a pielonefritei intereseaz\u0103 nou-n\u0103scutul, copii mici p\u00e2n\u0103 la v\u00e2rsta de 2 ani. Inciden\u0163a este de 3 ori mai mare la femeie comparativ cu b\u0103rbatul. ETIOPATOGENIE:Germenii cei mai frecven\u0163i \u00eent\u00e2lni\u0163i sunt: Escherichia Colli (85-90%), Proteus, Klebsiella, Piocianic, Stafilococ, Levuri. La pacien\u0163ii sonda\u0163i domin\u0103 Klebsiella \u015fi Proteus, \u00een timp ce Piocianicul este \u00eentotdeauna semn de suprainfec\u0163ie. \u00cen formele cronice se \u00eent\u00e2lnesc adesea asocieri microbiene care agraveaz\u0103 prognosticul.Obi\u015fnui\u0163ii factori favorizan\u0163i sunt obstacolele de la nivelul c\u0103ilor excretoare renale: afec\u0163iuni renale congenitale, tumorile pelviene, la femei (fibrom, chist de ovar), tumorile prostatei la b\u0103rba\u0163i, hidronefroza, cistita, litiaza urinar\u0103, unele manevre urologice (sond\u0103 a`demeure, cateterisme repetate). ANATOMIE PATOLOGIC\u0102:\u00cen pielonefrita acut\u0103, mucoasa c\u0103ilor uterine este inflamat\u0103, rinichii sunt mari \u015fi congestiona\u0163i, iar \u00een spa\u0163iile intersti\u0163iale se g\u0103sesc limfocite polinucleare, edeme \u015fi microabcese.\u00cen formele cronice, rinichii sunt mici, atrofici. Leziunile sunt ini\u0163ial tubulare. Ulterior, cuprind tot nefronul \u015fi sistemul s\u0103u vascular.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>DEFINI\u0162IE:Pielonefritele sunt inflama\u0163ii acute sau cronice care afectez\u0103 \u0163esutul intersti\u0163ial renal (spa\u0163iul dintre nefroni). Importan\u0163a lor se datore\u015fte frecven\u0163ei mari \u015fi \u00een continu\u0103 cre\u015ftere a infec\u0163iilor urinare (cauza obi\u015fnuit\u0103 a infec\u0163iilor intersti\u0163iale), gravit\u0103\u0163ii lor (20-60-60% conduc la R.C.de 3-4 ori mai mult dec\u00e2t G.N.A.).Circa 15-20% din cadravele autopsiate prezint\u0103 leziuni de pielonefrit\u0103. V\u00e2rfurile de frecven\u0163\u0103 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/posts\/90930"}],"collection":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/comments?post=90930"}],"version-history":[{"count":0,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/posts\/90930\/revisions"}],"wp:attachment":[{"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/media?parent=90930"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/categories?post=90930"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cvnextjob.com\/index.php\/wp-json\/wp\/v2\/tags?post=90930"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}