Chronic cystitis is a "special" disease from which each tenth woman suffers.Often encountering a new exacerbation after 1 to 2 weeks.After the course of antibiotics.
What is the problem and how to overcome the disease?To get a clear answer to these questions, you must understand what chronic cystitis is caused and what is happening in the bladder.
Chronic cystitis - Truth lies in the cause of inflammation
Chronic cystitis is a collective concept, which is only a consequence of a certain number of diseases.At the same time, the inflammatory process develops for more than 2 months and affects not only the mucous membrane of the bladder (as with acute inflammation), but also deep layers.
There is no need to treat the disease exclusively with antibiotics, such as acute inflammation.To relieve the pain - only to go wrong, by accepting temporary relief.Meanwhile, the disease will continue to progress and, sooner or later, the pain will clearly "refuse" life.We offer a rational approach to understand the disease.
In a chronic inflammatory process, pathogenic microflora develops quickly in the bladder.It may not only be bacteria, fungi, protozoa and viruses.Therefore, taking antibiotics is not always justified.
Important!The treatment of chronic cystitis with drugs from the antibiotic group is only advised if urine is detected in the analysis of sensitive microorganisms.
A patient with chronic cystitis always has a pathology that supports inflammation:
- Leukoplakie of the bladder of the bladder (not true!) Or a vaginal metaplasia - chronic cervical cystitis causes benign degeneration of the mucosa, which is the result of several acute cystitis or sexual infection crises, including hidden (uraaplasmosis, chlamydia, etc.);
- Diverticula of the bladder, polyps, urolithiasis - an excellent place for the spread of bacteria and fungi;
- Inflammation of the kidneys, hydronephrosis, kidney diseases - kidney infection with urine constantly enters the bladder;
- The deep arrangement of the urethral opening revealed during sexual intercourse - causes post -caryic cystitis;
- The reduction of local immune protection - occurs during hormonal dysfunctions (insufficient synthesis of estrogens is observed during pregnancy, during menopause, with ovarian pathology), genital diseases, diabetes mellitus;
- Chronic infection households (cavities, chronic tonsils, sinusitis, etc.) - The pathogen spreads with blood.
Important! These diseases are the real cause of chronic cystitis.Therefore, the disease should be considered with a causal pathology.For example, the correct diagnosis looks like this: “Bulle polyposis.Chronic bacterial cystitis ”.
The exacerbation of chronic cystitis can be caused:
- small amount of drunk water;
- Proceeding of spicy foods, alcohol;
- Hypothermia, acute respiratory infections;
- "Greenhouse" effect - wearing a dense synthetic cloth, narrow jeans;
- Elementary non-compliance with personal hygiene.
Symptoms of chronic cystitis in a woman
Chronic cystitis gives less pronounced symptoms than acute inflammation.By severity of clinical symptoms and the frequency of relapses, the following options for the course of chronic cystitis are distinguished:
- Stable latent - the absence of complaints and laboratory changes in the urine, the diagnosis is only confirmed with an endoscopic examination;
- Latent with rare relapses - an acute table of cystitis does not occur more than a time per year;
- Latent with frequent relapses - exacerbations 2 times or more per year;
- Soft current inflammation, which is confirmed in the laboratory and endoscopy;
- Interstitial symptoms - pronounced, persistent pain syndrome.
Important!Chronic cystitis from chronic pelvic pain should be distinguished.In the last pathology in most cases, there is no change in urine analysis, there is no endoscopic confirmation of inflammation.
The changes in the walls of the bladder vary from the catarrhale to ulcerative and necrotic.
Symptomatic image of chronic cystitis:
- Pain is almost constant painful pain at the bottom of the abdomen (above the pubis), growing when filling the bladder and with painful periodic hardness.Pain during urination - before, after, but more often at the end of the bladder emptying.
- Mirin Frequent - In journals of the treatment of chronic cystitis, women note that frequent desires do not allow you to pass you toilets for a long time, ending with the release of a small amount of urine and a feeling of incomplete emptying.Often there is nicture (campaigns in the toilet at night) and stressful urinary incontinence.
- Changes in the urine - With ulcerative lesion and the beginning of the necrotic process, blood appears in the urine.
Important!Unlike urethritis, pain in chronic cystitis is not always associated with the act of urination.
If the symptoms of chronic cystitis in women after treatment have aggravated (after 1 to 2 weeks), inflammation is triggered by the activation of a type of microorganism.The relapse, which occurred a few weeks after treatment, indicates a repeated infection by another type of pathogen.With the signs of chronic cystitis, women also note the symptoms of the underlying disease - the flows of the vagina with gynecological pathology, lower back pain or colic pathology during kidney pathology.
Important!Urine analysis in chronic cystitis does not always reveal signs of inflammation and detects the pathogen.The only guaranteed study to confirm the diagnosis is cystoscopy.Sometimes the urography is required.
How to properly treat chronic cystitis?
Most women suffering from chronic cystitis have tried all antibiotics and homeopathic remedies know what therapeutic injection in bladder and ionophoresis is.And why then, it seems that the correctly prescribed complex treatment does not help?The answer is simple - the cause of inflammation is not eliminated.Effective treatment of chronic cystitis is carried out 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, the laser removal of the leukoplakie and polyps, etc.Almost all operations are carried out through the urethra, do not leave scars on the skin.The patient performs vertebral or intravenous anesthesia.
Trans urethral operations (for example, elimination of stones) are often carried out during cystoscopy.Examinations of women on the treatment of chronic cystitis often indicate pain in endoscopic examination.Cistoscopy should be carried out with anesthesia so that the patient does not feel pain.After transureral operations, a woman is in a hospital for only 1 day, the second day she can go to work.
- The fight against infection
Depending on the type of pathogen detected, patients are prescribed an antibiotic course, antiviral or antifungal agents.With bacterial cystitis, drugs with bactericidal action (non -bacteriostatic!) With a price of 7 to 10 days are prescribed.
- Treatment of chronic symptoms of cystitis in women
Most often, NSAIDs are used for rapid leveling of pain syndrome.After 2-3 weeks.Ains, the effect persists up to 3 months. At the same time, antihistamines are prescribed.
- Immunosotum stimulation
Simultaneously with antibiotic therapy, the use of immunostimulants can replace preventive courses over the next 6 months.
- Elimination of tissue hypoxia
To improve the nutrition of the bubble mucosa and prevent the formation of adhesions, anti-agents are prescribed.
The preparations that restore microcirculation and have an immunostimulating effect are also widely used for prostatitis in men and are prescribed for chronic cystitis in women.
- Prevention of the epithelium substitute
Recently, hormonal drugs have been actively used for this purpose.Estrogens and progesterone accelerate the development of the protective layer on the bubble mucosa.The widely used drug Odivin is produced in tablets and candles.
- Local therapy
For local exposure to the inflammatory process, they use installations (injections) in the bladder of dioxidine, heparin, colloidal silver solution (bacteria, viruses, simple and fungi).However, this treatment is only used in extreme cases to exclude infection.
- Physiotherapy
Physiotherapy - Drug electrophoresis, ultrasound, laser treatment, electrical stimulation, magnetotherapy - prevent additional replacement of the bladder epithelium and have a resorption effect.The drug treatment is actively supplemented by physiotherapy exercises to normalize blood circulation and strengthen pelvic muscles.
- Treatment with folk remedies
It is possible to treat chronic cystitis at home with baths and decorations of medicinal herbs only with the approval of the attending physician!Most of them have a diuretic and antiseptic effect.In addition, the stomach activates the regeneration of the tissues, the burning fights with a fungal infection, the chamomile and the ivy eliminate muscle spasms (take advantage of the pain), the echinacea has an antiviral effect.Treatment with medicinal herbs lasts at least a month, the best effect is obtained with a combination of several herbs.
Important!In chronic cystitis, it is necessary to consume enough water, to exclude sharp and salty dishes, smoked meats and food containing preservatives and chemical dyes of the diet.
What are the forecasts?
The duration of treatment and the prognosis of the disease depends on the degree of damage to the epithelium of the bladder, the nature of concomitant pathology and the state of immunity.To avoid relapse, doctors advise to comply with the following recommendations:
- 10 days.drink a plant -based decoction;
- The next 10 days are antibiotic;
- another 10 days.A decoction of other medicinal herbs.
A similar diagram used for 3 to 6 months.After the main treatment, practically eliminates the exacerbation of chronic cystitis.
The most unfavorable forecasts for the formation of scars in the bladder and urethra.In such cases, there is a need for surgical excision of the foci of connective tissue.
It should also be recalled that a chaotic drug without prescription from a doctor can eliminate acute symptoms, but it will not restore the mucous membrane of the bladder and will not relieve causal disease.Only a doctor, having a clear idea of the cause of the disease, will individually prescribe an effective treatment scheme and will help get rid of exhausting symptoms of chronic cystitis!