Chronic cystitis is a "special" disease that every tenth woman suffers.It often has new problems after 1-2 weeks.After an antibiotic course.
What's the problem, and how to overcome the disease?To get a clear answer to these questions, it should be understood what chronic cystitis is provoked and what happens in the bladder.
Chronic cystitis - truth lies in the cause of inflammation
Chronic cystitis is a collective concept, which is only the result of several diseases.At the same time, the inflammation process develops for more than 2 months and affects not only the mucous membranes of the bladder (such as acute inflammation), but also the inner layer.
It is not useful in treating the disease exclusively with antibiotics, such as acute inflammation.To relieve pain - just to deceive yourself, agree to relax temporarily.Meanwhile, the disease will continue to develop, and sooner or later the pain will be "rejecting" life.We offer a rational approach to understanding the disease.
In the process of chronic inflammation, pathogenic microflora develops rapidly in the bladder.It is not just bacteria, but also mushrooms, and protozoa, and viruses.Therefore, taking antibiotics is not always allowed.
IMPORTANT!Treatment of chronic cystitis with drugs from antibiotics groups is only advised if urine is detected in the analysis of sensitive microorganisms.
Patients with chronic cystitis always have pathologies that support inflammation:
- Bladder neck leukoplakia (not true!) Or vaginal metaplasia - chronic cervical cystitis causes mucous deterioration, caused by several acute attacks of cystitis or sexual infections, including hidden (urplasmosis, chlamydia, and others);
- Bladder diverticula, polyps, urolithiasis - a great place for bacterial and fungal spread;
- Kidney inflammation, hydronephrosis, kidney disease - kidney infection with urine always enters the bladder;
- The deep arrangement of the opening of the uretral that was revealed during intercourse, - causing postcoachic cystitis;
- Reducing local immune protection - occurs during hormone damage (insufficient estrogen synthesis is observed during pregnancy, during menopause, with ovarian pathology), genital diseases, diabetes mellitus;
- The focus of chronic infections (caries, chronic tonsillitis, sinusitis, and others) - pathogens spread with blood.
IMPORTANT! The disease is the true cause of chronic cystitis.Therefore, the disease should be considered in conjunction with the pathology of the causal.For example, the right diagnosis sounds like this: "bubble polyposis. Chronic bacterial cystitis."
Increased chronic cystitis can be provoked:
- a small amount of intoxicated water;
- intake of spicy foods, alcohol;
- hypothermia, acute respiratory infection;
- "Greenhouse" effect - wearing dense synthetic linen, narrow jeans;
- Elementary non -opplantasi with personal hygiene.
Symptoms of chronic cystitis in a woman
Chronic cystitis gives symptoms less clear than acute inflammation.With the severity of clinical symptoms and repeated frequency, the following options for chronic cystitis travel are distinguished:
- Stably latent - absence of complaints and laboratory changes in urine, diagnosis is only confirmed by endoscopic examination;
- Latent with rare relapse - an acute picture of cystitis occurs no more than 1 time a year;
- Latent with frequent relapse - exacerbations 2 or more times a year;
- Slow inflammation of the current, certified laboratory and endoscopy;
- Interstitial - the symptoms mentioned, the Syndrome Syndrome.
IMPORTANT!Chronic cystitis from chronic pelvic pain should be distinguished.In the last pathology of most cases, there is no change in urine analysis, no endoscopic verification of inflammation.
Changes in the bladder wall vary from catarrhal, to ulcerative and necrotic.
Symptomatic picture of chronic cystitis:
- Pain is an almost persistent pain in the lower abdomen (above the pubis), growing while filling the bladder and with periodic hardness.Pain during urination - before, after, but more often at the end of the bladder.
- Frequent urine - in reviews of chronic cystitis treatment reviews, women note that often does not allow you to do without a long time, ending with the release of a little urine and incomplete emptying.There are usually nicturia (campaign to the toilet at night) and stressed urinary incontinence.
- Changes in urine - with ulcerative lesions and the onset of necrotic processes, blood appears in the urine.
IMPORTANT!Unlike urethritis, pain in chronic cystitis is not always associated with urinary tract.
If the symptoms of chronic cystitis in women after treatment have worsened (after 1-2 weeks), inflammation is triggered by the activation of a type of microorganism.Release, which arises a few weeks after therapy, shows repeated infections with other types of pathogens.Together with the signs of chronic cystitis, women also note symptoms of underlying disease -vaginal discharge with gynecological pathology, back pain or colic pathology during kidney pathology.
IMPORTANT!Urine analysis in chronic cystitis does not always reveal the signs of inflammation and detect pathogens.The only study guaranteed to confirm the diagnosis is cystoscopy.Sometimes urography is needed.
How to properly treat chronic cystitis?
Most women suffering from chronic cystitis have tried all antibiotics and homeopathic medicines know what therapeutic injections are into the bladder and ionofhoresis.And why, it looks like it is properly prescribed, complex treatment doesn't help?The answer is simple - the cause of inflammation is not eliminated.Effective treatment for chronic cystitis is performed in the following areas:
- Elimination of causal pathology
Depending on the diagnosis, the urethra (plastic) is carried out with an abnormal arrangement of the urethra, laser leukoplakia and polyps, and others.Almost all operations are carried out through the urethra, do not leave the scars on the skin.Patients perform spinal anesthesia or intravenously.
Trans uretral operation (for example, stone removal) is often performed during cystoscopy.Women's reviews of chronic cystitis treatment often show pain in endoscopic examination.Cistoscopy should be performed with anesthesia so that the patient does not suffer from pain.After the Transurethral operation, a woman was in the hospital for 1 day, on the second day she could go to work.
- The struggle against the infection
Depending on the type of pathogen detected, patients are prescribed antibiotic courses, antiviral agents or antifungal.With bacterial cystitis, drugs with bactericidal (not bacteriostatic!) Action with a 7-10 day course is prescribed.
- Treatment of chronic cystitis symptoms in women
Often, NSAIDs are used to level the pain syndrome fast.After 2-3 weeks.The NSAIDs course, the effect continues for up to 3 months. At the same time, antihistamines are prescribed.
- Immuno stimulus
Simultaneously with antibiotic therapy, the use of immunostimulants may replace preventive courses over the next 6 months.
- The removal of tissue hypoxia
To improve the nutrition of bubble mucosa and prevent the formation of adhesion, anti -agen is prescribed.
Preparations that restore micro circulation and have immunostimulating effects are also widely used for prostatitis in men and prescribed for chronic cystitis in women.
- Prevention of epithelial replacement
Recently, hormone drugs have been actively used for this purpose.Estrogen and progesterone accelerate the development of the protective layer on the bubble mucosa.Odivin drugs are widely used in tablets and in candles.
- Local therapy
For local exposure to the inflammatory process, they use the installation (injection) in the bladder dioxide, heparin, colloidal silver solution (battle bacteria, viruses, simplest and fungus).However, this treatment is only used for extreme cases to exclude infections.
- Physiotherapy
Physiotherapy - drug electrophoresis, ultrasound, laser treatment, electrical stimulation, magnetotherapy - prevents further replacement of the bladder epithelium and has a resorption effect.Drug treatment is actively supplemented by physiotherapy exercises to normalize blood circulation and strengthen the pelvic muscles.
- Treatment with folk medicine
It is possible to treat chronic cystitis at home with a bath and medical herbal decoctions only with the approval of the attending physician!Most of them have diuretic and antiseptic effects.In addition, the stomach activates tissue regeneration, burdock fights with fungal infections, chamomile and ivy eliminates muscle cramps (utilizing pain), echinacea has antiviral effects.Treatment with herbal medicine lasts at least a month, the best effect is achieved by a combination of several herbs.
IMPORTANT!In chronic cystitis, it is necessary to take enough water, excluding sharp dishes, salts, smoked meats and foods containing preservatives and chemical dyes from the diet.
What is his prediction?
The duration of treatment and prognosis of the disease depends on the degree of damage to the bladder epithelium, the pathological properties of the same and the state of immunity.To prevent relapse, doctors advise adhering to the following suggestions:
- 10 days.Drinking herbs;
- The next 10 days are antibiotics;
- 10 days left.Boil the grass of another drug.
A similar scheme used for 3-6 months.After the primary treatment, practically eliminates the severity of chronic cystitis.
The most unprofitable predictions for the formation of scars in the bladder and urethra.In such cases, there is a need for connective tissue surgery.
It should also be noted that a chaotic drug without a doctor's prescription can eliminate acute symptoms, but it will not restore the bladder mucous membranes and will not relieve causal disease.Only a doctor, who has a clear idea of the cause of the disease, will individually prescribe effective treatment schemes and will help eliminate the symptoms of chronic cystitis!