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Pathological changes of the kidneys and urinary tract infections in athletes

Athletes can meet the acute and chronic diffuse glomerulonephritis, so-called focal nephritis, kidney stone disease, nephroptosis and other diseases.
As you know, over 80 % of patients with acute nephritis among the population are persons younger and middle age. In the etiology of acute nephritis play the main role of infectious diseases, which precede him (tonsillitis, scarlet fever, pharyngitis and others), essential factor cooling. Arising under the influence of these etiologic moments sensitization of the body leads to the development of allergic diseases of nature - acute nephritis.
The clinical picture of acute diffuse glomerulonephritis diverse and is characterized by rapidly increasing renal and vnepochechny symptoms. A typical picture of acute nephritis are oedema, arterial hypertension, oliguria, proteinuria and hematuria. It is believed that the earliest and unstable symptom of acute glomerulonephritis is hypertension, which is revealed before proteinuria, hematuria and swelling. As a rule, there aetiology (up to 50 beats/min). One of the most persistent symptoms of acute glomerulonephritis is proteinuria, which decreases rapidly, but completely disappears after a few months. Hematuria is the most common symptom of acute nephritis and is celebrated in almost all cases - from single red blood cells to macrohematuria.
However, in some cases, all the signs can be well defined, while in other individual symptoms transient or nonexistent. Finally, in some patients, the clinical picture is so worn that they don't notice sick and even doctors. Erased form, characterized fuzzy beginning and sluggish deployment disease, often there can be only one or two symptoms. Slight headache, transient hypertension, quickly disappearing hematuria and proteinuria may present the whole picture of the disease. In 6 % of all cases of acute nephritis is only urinary symptoms. All these oligosymptomatic or atypical forms of acute nephritis provide the basis for diagnostic errors that occur as a clinical and especially in sports medicine practice when pathological changes in the urine athlete always interpreted as a physiological. The possibility of a kind of acute nephritis due to differences athlete's body from persons not involved in sports, cannot be ruled out.
The outcome of acute nephritis with proper treatment usually favorable. Most of the symptoms disappear within 1 - 3 months from the onset of the disease, and the patient is fully cured. The dependence of a favorable outcome of the disease from early and correct treatment, and the ability, with full recovery resume sports undoubted.
However, a number of patients due to various reasons acute nephritis can take a chronic course. The transition of acute glomerulonephritis in chronic factors: unfavourable conditions of work and life, acute intercurrent infectious diseases and, especially, the presence of chronic infections (chronic tonsillitis, otitis, sinusitis, cholecystitis, dental caries, dental granulomas and others), Which are often the source of autouniversal of the body and helps adverse acute nephritis.
The clinical picture of chronic nephritis different known variety. Depending on the prevalence of certain symptoms distinguish several clinical forms of chronic nephritis - swollen-albuminurija, hypertension, mixed and hidden forms.
Data of dynamic monitoring athlete suffering from chronic nephritis.