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12.385 30"></path></g></svg></span></a></div></div><hr class="d5c7y9-0 jAAhhm"/></div></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Définition</h3><p>La pyélonéphrite est une infection bactérienne des voies urinaires avec atteinte du parenchyme rénal. Elle est généralement provoquée par une infection bactérienne se propageant au rein à partir des voies urinaires basses (de l`urètre à la vessie, puis à l`uretère jusqu`au rein).</p> <p>Plus rarement, la transmission de l`infection se fait par voie sanguine. On distingue deux formes de pyélonéphrite: une forme aiguë et une forme chronique. Les femmes en sont touchées nettement plus souvent que les hommes</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Causes</h3><p>Généralement les bactéries Escherichia coli (E. coli ou colibacille) sont responsables de la maladie. Les entérocoques, staphylocoques, proteus ou klebsiella peuvent également être à l`origine de pyélonéphrite.</p> <h3>Facteurs favorisant une pyélonéphrite:</h3> <ul> <li>Syndromes obstructifs urinaires (calculs rénaux, hypertrophie prostatique, tumeur, grossesse, etc.) </li> <li>Maladies métaboliques avec susceptibilité aux infections (diabète, goutte) </li> <li>Malformations des voies urinaires </li> <li>Reflux vésiculo-urétéral </li> <li>Les cathéters au niveau de la vessie favorisent les infections des voies urinaires </li> <li>Système immunitaire affaibli </li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Troubles (symptômes)</h3><h3>La pyélonéphrite aiguë entraîne des symptôme suivants:</h3> <ul> <li>Sensation intense de maladie </li> <li>Fièvre élevée et frissons </li> <li>Douleurs au niveau des flancs et du dos </li> <li>Mictions fréquentes et douloureuses</li> </ul> <h3>En cas de pyélonéphrite chronique, les symptômes sont plus atténués et moins caractéristiques et s`installent progressivement:</h3> <ul> <li>Fatigue </li> <li>Douleurs abdominales </li> <li>Céphalées </li> <li>Nausées </li> <li>Douleurs sourdes au niveau du dos </li> <li>Hypertension et anémie peuvent s`observer au cours de l`évolution</li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Examens (diagnostic)</h3><ul> <li>Anamnèse avec prise en compte des symptômes </li> <li>Analyses urinaires (cultures d`urine) </li> <li>Analyses sanguines </li> <li>Ultrasons et radiographie des voies urinaires (détection d`un obstacle sur les voies urinaires comme calculs rénaux, rétrécissement des voies urinaires ou reflux vésico-urétéral)</li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Options thérapeutiques</h3><p>Avec l`instauration d`un traitement approprié, la pyélonéphrite aiguë guérit dans la majorité des cas. La pyélonéphrite chronique se développe sur plusieurs années et doit faire l`objet d`un contrôle médical régulier. La survenue de crises aiguës nécessite un traitement approprié.</p> <h3>Mesures générales:</h3> <ul> <li>Repos au lit </li> <li>Boire beaucoup </li> </ul> <h3>Médicaments:</h3> <ul> <li>Antibiotiques </li> <li>Spasmolytiques et antalgiques si nécessaire </li> </ul> <h3>Chirurgie:</h3> <p>L`intervention chirurgicale vise à éliminer l`obstacle à l`écoulement d`urine (hypertrophie prostatique, malformations congénitales chez l`enfant).</p></div></div></div><div class="kw3gvu-1 cqHIiz"><div class="riphwg-1 kw3gvu-2 fycNAX"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="kw3gvu-0 eUIIhe"><h1 class="kw3gvu-3 dxKopd">Egalement susceptible de vous intéresser</h1></div></div></div></div><div class="ulmjm-1 fbgsh"><div class="riphwg-1 ulmjm-0 hHrAfN"><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/cancer_du_poumon_dans_quelque_85_pour_cent_des_cas_le_cancer_du_poumon_est_du_au_tabagisme"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg?ratio=0.5625&width=425" alt="Cancer du poumon" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Cancer du poumon : dans quelque 85 pour cent des cas, le cancer du poumon est dû au tabagisme</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">13.01.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Au stade précoce, le cancer du poumon est difficile à reconnaître, car les symptômes sont souvent atypiques et communs à d’autres maladies plus bénignes des voies respiratoires et des poumons...</p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/en_cas_d_arthrose_chaque_kilo_compte"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg?ratio=0.5625&width=425" alt="Arthrose" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE"> « En cas d’arthrose, chaque kilo compte ! »</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">08.01.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Professeur Thomas Hügle, Chef du service de rhumatologie du CHUV, Lausanne.</p></div></a></div><div width="12,12,12,6,4" offset="0" class="riphwg-2 sc-19awdbg-24 kqEFGe"><a class="sc-19awdbg-0 jjdiuF" href="/fr/maladies_et_symptomes/osteoporose_le_calcium_et_la_vitamine_d_sont_importants_pour_le_developpement_osseux"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25&y=49&ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25&y=49&ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25&y=49&ratio=0.5625&width=425" alt="Dr. med. 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Bernard Chappuis" class="tczn0p-2 ktQGfO"/></picture><div class="tczn0p-3 hkgsDp"><div class="tczn0p-4 dAaRrr"></div></div></div></div><p class="sc-19awdbg-5 fAelDZ">Maladies & symptômes</p><div class="sc-19awdbg-2 fOolCd"><div class="sc-19awdbg-19 ibawSj"><div class="sc-19awdbg-20 gXqnAH"><h5 class="sc-1qyt53r-4 bqPmWm sc-19awdbg-3 jnFMKE">Ostéoporose : le calcium et la vitamine D sont importants pour le développement osseux</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">16.12.2020</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Les Dr Catherine Lamm et Dr Bernard Chappuis, service de diabétologie / endocrinologie de l’hôpital Emmental, répondent à nos questions sur l’ostéoporose...</p></div></a></div></div></div><section class="qxqpcn-0 eehpjO"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 qxqpcn-1 eDaGiC"><div class="qxqpcn-2 jlFskx"><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="no1smy-0 cNYBch"><p style="margin-left:0cm; margin-right:0cm">Ce site web utilise des cookies. 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Mediscope","tags":[]},"children":[{"type":"Headline","props":{"type":"h1","content":"Pyélonéphrite"}}]},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eDéfinition\u003c/h3\u003e\u003cp\u003eLa pyélonéphrite est une infection bactérienne des voies urinaires avec atteinte du parenchyme rénal. Elle est généralement provoquée par une infection bactérienne se propageant au rein à partir des voies urinaires basses (de l`urètre à la vessie, puis à l`uretère jusqu`au rein).\u003c/p\u003e\n\u003cp\u003ePlus rarement, la transmission de l`infection se fait par voie sanguine. On distingue deux formes de pyélonéphrite: une forme aiguë et une forme chronique. Les femmes en sont touchées nettement plus souvent que les hommes\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eCauses\u003c/h3\u003e\u003cp\u003eGénéralement les bactéries Escherichia coli (E. coli ou colibacille) sont responsables de la maladie. Les entérocoques, staphylocoques, proteus ou klebsiella peuvent également être à l`origine de pyélonéphrite.\u003c/p\u003e\n\u003ch3\u003eFacteurs favorisant une pyélonéphrite:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eSyndromes obstructifs urinaires (calculs rénaux, hypertrophie prostatique, tumeur, grossesse, etc.) \u003c/li\u003e\n \u003cli\u003eMaladies métaboliques avec susceptibilité aux infections (diabète, goutte) \u003c/li\u003e\n \u003cli\u003eMalformations des voies urinaires \u003c/li\u003e\n \u003cli\u003eReflux vésiculo-urétéral \u003c/li\u003e\n \u003cli\u003eLes cathéters au niveau de la vessie favorisent les infections des voies urinaires \u003c/li\u003e\n \u003cli\u003eSystème immunitaire affaibli \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eTroubles (symptômes)\u003c/h3\u003e\u003ch3\u003eLa pyélonéphrite aiguë entraîne des symptôme suivants:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eSensation intense de maladie \u003c/li\u003e\n \u003cli\u003eFièvre élevée et frissons \u003c/li\u003e\n \u003cli\u003eDouleurs au niveau des flancs et du dos \u003c/li\u003e\n \u003cli\u003eMictions fréquentes et douloureuses\u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eEn cas de pyélonéphrite chronique, les symptômes sont plus atténués et moins caractéristiques et s`installent progressivement:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eFatigue \u003c/li\u003e\n \u003cli\u003eDouleurs abdominales \u003c/li\u003e\n \u003cli\u003eCéphalées \u003c/li\u003e\n \u003cli\u003eNausées \u003c/li\u003e\n \u003cli\u003eDouleurs sourdes au niveau du dos \u003c/li\u003e\n \u003cli\u003eHypertension et anémie peuvent s`observer au cours de l`évolution\u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eExamens (diagnostic)\u003c/h3\u003e\u003cul\u003e\n \u003cli\u003eAnamnèse avec prise en compte des symptômes \u003c/li\u003e\n \u003cli\u003eAnalyses urinaires (cultures d`urine) \u003c/li\u003e\n \u003cli\u003eAnalyses sanguines \u003c/li\u003e\n \u003cli\u003eUltrasons et radiographie des voies urinaires (détection d`un obstacle sur les voies urinaires comme calculs rénaux, rétrécissement des voies urinaires ou reflux vésico-urétéral)\u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eOptions thérapeutiques\u003c/h3\u003e\u003cp\u003eAvec l`instauration d`un traitement approprié, la pyélonéphrite aiguë guérit dans la majorité des cas. La pyélonéphrite chronique se développe sur plusieurs années et doit faire l`objet d`un contrôle médical régulier. La survenue de crises aiguës nécessite un traitement approprié.\u003c/p\u003e\n\u003ch3\u003eMesures générales:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eRepos au lit \u003c/li\u003e\n \u003cli\u003eBoire beaucoup \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eMédicaments:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eAntibiotiques \u003c/li\u003e\n \u003cli\u003eSpasmolytiques et antalgiques si nécessaire \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eChirurgie:\u003c/h3\u003e\n\u003cp\u003eL`intervention chirurgicale vise à éliminer l`obstacle à l`écoulement d`urine (hypertrophie prostatique, malformations congénitales chez l`enfant).\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}}]},{"type":"Area","children":[{"type":"Wrapper","children":[{"type":"Pe009TeaserGridHeader","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"headline":"Egalement susceptible de vous intéresser"}},{"type":"Pe008TeaserGrid","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"teaserCount":3},"children":[{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"13.01.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Arzt_Lungenkrebs.jpeg","loadingIndicator":false,"alt":"Cancer du poumon","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/cancer_du_poumon_dans_quelque_85_pour_cent_des_cas_le_cancer_du_poumon_est_du_au_tabagisme"}},"text":{"type":"Text","props":{"type":"normal","content":"Au stade précoce, le cancer du poumon est difficile à reconnaître, car les symptômes sont souvent atypiques et communs à d’autres maladies plus bénignes des voies respiratoires et des poumons..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Cancer du poumon : dans quelque 85 pour cent des cas, le cancer du poumon est dû au tabagisme"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"08.01.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Arthrose.jpeg","loadingIndicator":false,"alt":"Arthrose","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/en_cas_d_arthrose_chaque_kilo_compte"}},"text":{"type":"Text","props":{"type":"normal","content":"Professeur Thomas Hügle, Chef du service de rhumatologie du CHUV, Lausanne."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":" « En cas d’arthrose, chaque kilo compte ! »"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"16.12.2020"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Netzwerk/Dr.-med.-Catherine-Lamm-und-Dr.-med.-Bernard-Chappuis--Spital-Emmental.JPG?x=25\u0026y=49","loadingIndicator":false,"alt":"Dr. med. 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Bernard Chappuis","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/osteoporose_le_calcium_et_la_vitamine_d_sont_importants_pour_le_developpement_osseux"}},"text":{"type":"Text","props":{"type":"normal","content":"Les Dr Catherine Lamm et Dr Bernard Chappuis, service de diabétologie / endocrinologie de l’hôpital Emmental, répondent à nos questions sur l’ostéoporose..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Ostéoporose : le calcium et la vitamine D sont importants pour le développement osseux"}}}}]}]}]},{"type":"Area","children":[{"type":"Pe007Comments","props":{"componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"enabled":false}}]},{"type":"Area","children":[{"type":"Pe012CookieNotice","props":{"acceptText":"J’accepte"},"children":[{"type":"RichText","props":{"content":"\u003cp style=\"margin-left:0cm; margin-right:0cm\"\u003eCe\u0026nbsp;site web utilise des cookies. 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