How Can Women Determine if They Have Pyelonephritis?

Nov 08, 2024 Source: Cainiu Health
Dr. Yang Guang
Introduction
Under normal circumstances, the main methods for women to confirm pyelonephritis include urinalysis, blood routine test, urine bacterial culture, B-ultrasound examination, CT scan, etc. A detailed analysis is as follows: When women suspect they may have pyelonephritis, they should seek medical attention promptly and undergo examinations and diagnosis by a professional physician. At the same time, it is important to maintain good living and dietary habits.

Generally, the main methods for women to confirm pyelonephritis include urinalysis, blood routine test, urine bacterial culture, B-ultrasound examination, CT scan, etc. The specific analysis is as follows:

1. Urinalysis

By examining changes in the composition of urine, important diagnostic clues for pyelonephritis can be provided. This includes testing indicators such as urinary white blood cells, red blood cells, bacteria, and protein. A urinalysis of patients with pyelonephritis usually reveals increased white blood cells, positive nitrite, occult blood, and protein.

2. Blood Routine Test

This primarily observes indicators such as white blood cell count and neutrophil percentage. Blood routine tests in patients with pyelonephritis often show elevated white blood cell count and increased neutrophil percentage, accompanied by neutrophilic left shift.

3. Urine Bacterial Culture

Sampling the patient's urine for culture to observe bacterial growth. If the bacterial count in the urine is ≥10^5/ml, it indicates significant bacteriuria, suggesting a urinary tract infection. If bacterial counts reach 100,000 per mL in two or more cultures, and the same bacteria are isolated each time, acute pyelonephritis can be basically diagnosed.

4. B-Ultrasound Examination

B-ultrasound may reveal nonspecific findings such as mild enlargement of the kidney in cases of pyelonephritis. However, it should be noted that B-ultrasound alone cannot serve as the primary basis for diagnosing pyelonephritis and should be evaluated in combination with other tests.

5. CT Scan

A CT scan can clearly show the size, shape, position of the kidneys, as well as kidney stones, tumors, etc. However, it cannot directly visualize kidney inflammation and therefore cannot be used alone to diagnose pyelonephritis; it should be interpreted in combination with other tests.

Women who suspect they have pyelonephritis should seek timely medical attention and undergo examinations and diagnosis by professional doctors. At the same time, maintaining good living habits and dietary habits is important.

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