Chronic cystitis is a "special" disease that suffers every tenth woman.Frequently encountering new exacerbation in 1-2 weeks.After the course of antibiotics.
What is the question and how to overcome the disease?In order to get a clear answer to these questions, one must understand what chronic cystitis is provoked and what happens in the bladder.
Chronic cystitis - the truth lies in the cause of inflammation
Chronic cystitis is a collective concept that is only a consequence of a 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 in deep layers.
It is useless to treat the disease exclusively with antibiotics, such as acute inflammation.To relieve pain - just to be misleading, to agree to temporary relief.In the meantime, the disease will continue to progress and sooner or later the pain will noticeably "refuse" life.We offer a rational approach to understanding the disease.
In a chronic inflammatory process, the pathogenic microflora quickly develops in the bladder.It can be not only bacteria, but also mushrooms and protozoa and viruses.Therefore, taking antibiotics is not always justified.
Important!The treatment of chronic cystitis with drugs in the antibiotics group is recommended only if the urine is detected by the analysis of sensitive microorganisms.
A patient with chronic cystitis always has a pathology that maintains inflammation:
- Leukoplakia of the bladder neck (not true!) Or vaginal metaplasia - chronic cervical cysta provokes benign mucosal degeneration, which is the result of several acute attacks of cystitis or sexual infection, including hidden (ureaplasmosis, chlamyda, etc.);
- Bladder diverticulus, polyps, urolithiasis - a great place for the spread of bacteria and fungi;
- Kidney inflammation, hydronephrosis, kidney disease - urine infection constantly enters the bladder;
- The deep arrangement of the opening of the urethra revealed during sexual intercourse - provokes post -cost cystitis;
- Reduction of local immune protection - occurs during hormonal malfunctions (insufficient estrogen synthesis is observed during pregnancy, during menopause, with ovarian pathology), genital diseases, diabetes mellitus;
- Chronic foci of infection (caries, chronic tonsillitis, sinusitis, etc.) - the pathogen spreads with blood.
Important! These diseases are the real cause of chronic cystitis.Therefore, the disease should be considered with cause and effect pathology.For example, the correct diagnosis sounds like: "Bubble polyposis. Chronic bacterial cystitis."
It can provoke exacerbation of chronic cystitis:
- a small amount of water drunk;
- intake of spicy foods, alcohol;
- hypothermia, acute respiratory infections;
- The effect of "greenhouse" - wearing tight synthetic underwear, tight jeans;
- Elementary discrepancy with personal hygiene.
Symptoms of chronic cystitis in a woman
Chronic cystitis gives more pronounced symptoms than acute inflammation.The severity of clinical symptoms and the incidence of relapses distinguishes the following options for the course of chronic cystitis:
- Stable latent - lack of complaints and laboratory changes in the urine, the diagnosis is confirmed only by endoscopic examination;
- Latin with rare relapses - an acute picture of cystitis appears no more than 1 time a year;
- Latent with frequent relapses - exacerbations 2 or more times a year;
- Slow inflammation of the current, which is confirmed by a laboratory and endoscopic;
- Interstitial - pronounced symptoms, constant pain syndrome.
Important!Chronic cystitis from chronic pelvic pain should be distinguished.In the latter pathology, in most cases there are no changes in urine analysis, there is no endoscopic confirmation of inflammation.
Changes in the walls of the bladder range from Qatar to ulcerative and necrotic.
Symptomatic picture of chronic cystitis:
- The pain is almost constant pain in the lower abdomen (above the pubis), grows when the bladder is filled and with periodically painful raw.Soreness during urination - before, after, but more often at the end of emptying the bladder.
- Frequent urination - When examined by the treatment of chronic cystitis, women note that frequent urges do not allow you to do without a toilet for a long time, ending with the release of a small amount of urine and a feeling of incomplete emptying.Often there is NICTURIA (campaigns to the toilet at night) and stressful urinary incontinence.
- Changes in urine - with ulcerative lesion and the onset 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 worsen (after 1-2 weeks), inflammation is caused by the activation of one type of microorganism.Recurrence occurred several weeks after therapy shows a multiple infection with another type of pathogen.Along with the signs of chronic cystitis, women also note the symptoms of the underlying disease - discharge from the vagina with gynecological pathology, lower back pain or pathology of colic during kidney pathology.
Important!Urine analysis in chronic cystitis does not always reveal signs of inflammation and detects the pathogen.The only study guaranteed to confirm the diagnosis is cystoscopy.Urography is sometimes required.
How to treat chronic cystitis properly?
Most women suffering from chronic cystitis have tried on all antibiotics and homeopathic remedies to know what therapeutic injection into the bladder and iontophoresis is. And why does it seem to be prescribed properly, complex treatment does not help?The answer is simple - the cause of the inflammation is not eliminated.In the following areas, effective treatment of chronic cystitis is performed:
- Elimination of causal pathology
Depending on the diagnosis, the urethra (plastic) is performed with abnormal arrangement of the urethra, laser ablation of leukoplakia and polyps, etc.Almost all surgery is performed through the urethra, do not leave scars on the skin.The patient performs spinal or intravenous anesthesia.
During cystoscopy (such as stones removal), they are often performed during cystoscopy.Women's examinations for the treatment of chronic cystitis often show the soreness of endoscopic examination.Cystoscopy should be performed with anesthesia so that the patient does not experience pain.After Transuretraral's surgery, the woman is in hospital for only 1 day, on the second day she can go to work.
- The fight against the infection
Depending on the type of pathogen found, patients are prescribed a course of antibiotics, antiviral or antifungal agents.Bacterial cystitis prescribes drugs with bactericidal (not bacteriostatic!) With a course of 7-10 days.
- Treatment of chronic symptoms of cystitis in women
Most often, NSAIDs are used to quickly level the pain syndrome.After 2-3 weeks.The NSAID course, the effect lasts up to 3 months. At the same time, antihistamines are prescribed.
- Immune stimulation
Simultaneously with antibiotic therapy, the use of defects can replace preventive courses over the next 6 months.
- Elimination of tissue hypoxia
In order to improve the nutrition of the mucous membrane of the bubbles and to prevent the formation of adhesions, anti -agents are prescribed.
Preparations that restore microcirculation and have a deficiency effect are also widely used for prostatitis in men and are prescribed for chronic cystitis in women.
- Epithelian replacement prevention
Recently, hormonal drugs have been actively used for this purpose.Estrogen and progesterone accelerate the development of the protective layer on the mucous membrane of the bubbles.The widely used medicine is produced in tablets and candles.
- Local therapy
For topical exposure to the inflammatory process, they resort to installations (injections) in the bladder of dioxidine, heparin, colloidal silver solution (combat bacteria, viruses, simpler and fungi).However, this treatment is resorted to only extreme cases to rule out the infection.
- Physiotherapy
Physiotherapy - electrophoresis of the drug, ultrasound, laser treatment, electrical stimulation, magnetotherapy - prevent more and more replacement of the bladder epithelium and have the effect of absorption.Treatment with drugs is actively supplemented with physiotherapy exercises to normalize blood circulation and strengthen the pelvic muscles.
- Folk remedies
It is possible to treat chronic cystitis at home with baths and a decoction 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 tissue regeneration, Birdok fights a fungal infection, chamomile and ivy eliminate muscle spasm (use pain), echinacea has an antiviral effect.Treatment with medicinal herbs lasts for at least a month, the best effect is achieved with a combination of several herbs.
Important!In chronic cystitis, it is necessary to consume enough water, to exclude sharp, salted dishes, smoked meats and foods containing preservatives and chemical dyes from the diet.
What is the forecast?
The duration of treatment and the prognosis of the disease depends on the degree of damage to the bladder epithelium, the nature of the concomitant pathology and the state of immunity.To prevent relapse, doctors advise you to stick to the following recommendations:
- 10 days.Drink herbal decoction;
- The next 10 days are antibiotic;
- Another 10 days.Decoction of another medicinal grass.
A similar scheme used for 3-6 months.After the basic course of treatment, it practically eliminates the exacerbation of chronic cystitis.
The most favorable prognosis for the formation of scars in the bladder and urethra.In such cases, there is a need for surgical cutting of connective tissue focuses.
It should also be remembered that a chaotic medicine without a prescription can eliminate acute symptoms, but will not restore the mucous membrane of the bladder and will not relieve the cause and effect.Only a doctor who has a clear idea of the cause of the disease will individually prescribe an effective treatment regimen and help you get rid of the exhausting symptoms of chronic cyst!