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2.032-6.25 3.242-10.035 3.242A17.52 17.52 0 0 1 0 26.598C3.576 28.746 7.821 30 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 cpBNPQ"><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 cpBNPQ"><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 cpBNPQ"><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 cpBNPQ"><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 cpBNPQ"><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="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 cpBNPQ"><h3>Complications possibles</h3><p>En l`absence de traitement, des abcès peuvent se former au niveau des reins, ce qui peut entraîner une insuffisance rénale. Dans les cas les plus graves, les bactéries peuvent causer une septicémie, mettant la vie du patient en danger.</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 cpBNPQ"><h3>Mesures préventives</h3><p>La mesure préventive essentielle est de boire beaucoup.</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/systeme-immunitaire-qui-exagere-peau-qui-demange"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Neurodermitis.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Neurodermitis.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Adobe_Neurodermitis.jpeg?ratio=0.5625&width=425" alt="Maladie auto-immune" 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">Système immunitaire qui exagère, peau qui démange</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">15.09.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Maladie auto-immune ou pas ? Pour la dermatite atopique, difficile de trancher. Points communs de la maladie avec le système immunitaire et possibilités de traitement...</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/l-echographie-couteau-suisse-du-diagnostic"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Ultraschall.jpeg?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Adobe/Adobe_Ultraschall.jpeg?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Adobe/Adobe_Ultraschall.jpeg?ratio=0.5625&width=425" alt="L’échographie" 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">L’échographie, « couteau suisse » du diagnostic</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">30.08.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Le Dr Hans-Jurg Bopp spécialiste de médecine interne générale FMH et formateur en échographie SSUM, nous parle de cette technique de diagnostic très utile, indolore et sans risques...</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/trouble-bipolaire-la-vie-entre-deux-extremes"><div class="sc-19awdbg-1 bJwRQS"><div class="tczn0p-0 dKRQIw"><picture><source media="(min-width: 1025px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Ch.-Imboden--Privatklinik-Wyss-AG.JPG?ratio=0.5625&width=600"/><source media="(min-width: 426px)" srcSet="/.imaging/focus/dam/MyMed/Netzwerk/Ch.-Imboden--Privatklinik-Wyss-AG.JPG?ratio=0.5625&width=600"/><img src="/.imaging/focus/dam/MyMed/Netzwerk/Ch.-Imboden--Privatklinik-Wyss-AG.JPG?ratio=0.5625&width=425" alt="Trouble bipolaire" 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">Trouble bipolaire : la vie entre deux extrêmes</h5></div><div class="sc-19awdbg-15 hylSwn"><div class="sc-19awdbg-16 dANDcP"><p class="sc-1i5rjev-2 ijwDhN sc-19awdbg-4 kTtqAE">25.08.2021</p></div></div></div><p class="sc-1i5rjev-1 hPaqSL sc-19awdbg-4 kTtqAE">Dans une interview accordée à TCS MyMed, Dr Christian Imboden, EMBA, directeur médical et président directeur général de la clinique privée Wyss AG de Münchenbuchsee...</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 hHbyRT"><p style="margin-left:0cm; margin-right:0cm">Ce site web utilise des cookies. 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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":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eComplications possibles\u003c/h3\u003e\u003cp\u003eEn l`absence de traitement, des abcès peuvent se former au niveau des reins, ce qui peut entraîner une insuffisance rénale. Dans les cas les plus graves, les bactéries peuvent causer une septicémie, mettant la vie du patient en danger.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eMesures préventives\u003c/h3\u003e\u003cp\u003eLa mesure préventive essentielle est de boire beaucoup.\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":"15.09.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Neurodermitis.jpeg","loadingIndicator":false,"alt":"Maladie auto-immune","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/systeme-immunitaire-qui-exagere-peau-qui-demange"}},"text":{"type":"Text","props":{"type":"normal","content":"Maladie auto-immune ou pas ? Pour la dermatite atopique, difficile de trancher. Points communs de la maladie avec le système immunitaire et possibilités de traitement..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Système immunitaire qui exagère, peau qui démange"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"30.08.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Ultraschall.jpeg","loadingIndicator":false,"alt":"L’échographie","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/l-echographie-couteau-suisse-du-diagnostic"}},"text":{"type":"Text","props":{"type":"normal","content":"Le Dr Hans-Jurg Bopp spécialiste de médecine interne générale FMH et formateur en échographie SSUM, nous parle de cette technique de diagnostic très utile, indolore et sans risques..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"L’échographie, « couteau suisse » du diagnostic"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"25.08.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Netzwerk/Ch.-Imboden--Privatklinik-Wyss-AG.JPG","loadingIndicator":false,"alt":"Trouble bipolaire","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/trouble-bipolaire-la-vie-entre-deux-extremes"}},"text":{"type":"Text","props":{"type":"normal","content":"Dans une interview accordée à TCS MyMed, Dr Christian Imboden, EMBA, directeur médical et président directeur général de la clinique privée Wyss AG de Münchenbuchsee..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Trouble bipolaire : la vie entre deux extrêmes"}}}}]}]}]},{"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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