Chronic cystitis is a "special" disease suffering from every tenth woman.Often encountered in a new irritation after 1-2 weeks.After the course of antibiotics.
What is the matter and how to overcome the disease?To get a clear answer to these questions, it must be understood 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, which 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 with deep layers.
It is useless to treat the disease exclusively with antibiotics, such as acute inflammation.To relieve pain - just to deceive yourself, agreeing on temporary relief.Meanwhile, the disease will continue to progress, and sooner or later the pain will "reject" life significantly.We offer a rational approach to understanding the disease.
In a chronic inflammatory process, pathogenic microflora is developing rapidly 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 by the antibiotic group is only advised if the urine is detected in the analysis of sensitive microorganisms.
A patient with chronic cystitis always has a pathology that supports inflammation:
- Bladder neck leukoplakia (not true!) Or vaginal metaplasia - chronic cervical cystitis provokes a benign degeneration of the mucosa, which is the result of some acute cystitis attacks or sexual infection, including hidden (ureaplasmosis, chlamydia, etc.);
- Bladder diverticula, polyps, urolithiasis - a great place for the spread of bacteria and fungi;
- Kidney inflammation, hydronephrosis, renal disease - kidney infection with urine constantly enters the bladder;
- Deep arrangement of the opening of the urethra discovered during intercourse, - provokes postcodeic cystitis;
- Reducing local immunity - occurs during hormonal dysfunctions (insufficient estrogen synthesis is observed during pregnancy, during menopause, with ovarian pathology), genital diseases, diabetes mellitus;
- Chronic focuses of infection (caries, chronic tonsils, sinusitis, etc.) - the pathogen spreads with blood.
Important! These diseases are the true cause of chronic cystitis.Therefore, the disease should be considered together with a causal pathology.For example, the correct diagnosis sounds like this: "bubble polyps. Chronic bacterial cystitis".
Chronic cystitis determination can be provoked:
- Sprinkle of drunk water;
- receiving spicy foods, alcohol;
- hypothermia, acute respiratory infections;
- "Greenhouse" effect - coated with dense synthetic linen, tight jeans;
- Elemental disrespect with personal hygiene.
Symptoms of chronic cystitis in a woman
Chronic cystitis gives less pronounced symptoms than acute inflammation.According to the severity of the clinical symptoms and the frequency of the relap, the following options for the course of chronic cystitis are distinguished:
- Sustainable latent - the lack of complaints and laboratory changes in the urine, the diagnosis is confirmed only with an endoscopic examination;
- Late with rare relapses - an acute appearance of cystitis does not occur more than once a year;
- Latent with frequent relapses - exacerbations 2 or more times in one year;
- Slow current inflammation, which is confirmed by laboratory and endoscopically;
- Interstitial - pronounced symptoms, persistent pain syndrome.
Important!Chronic cystitis from chronic pelvic pain should be distinguished.In the latest pathology in most cases, there are no changes in urine analysis, no endoscopic confirmation of inflammation.
Changes in the bladder walls vary from catarral, ulcerative and necrotic.
Symptomatic photograph of chronic cystitis:
- Pain is an almost persistent painful pain in the lower abdomen (above pubis), growing when filling the bladder and with a severe periodic painful periodic.Pain during urination - before, after, but most often at the end of bladder emptying.
- Frequent urination - in chronic cystitis treatment reviews, women notice that frequent incentives do not allow you to do without a toilet for a long time, end with the release of a small amount of urine and a feeling of incomplete emptying.Often there is nicturia (a toilet campaign at night) and a stressful urinary incontinence.
- Changes in the urine - with ulcerative lesions 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 are deteriorated (after 1-2 weeks), inflammation is driven by activation of a type of microorganism.Relapse, which was raised a few weeks after therapy, indicates repeated infection with another type of pathogen.Along with signs of chronic cystitis, women also mark the symptoms of the underlying disease - discharge from the vagina with gynecological pathology, lower back pain or colic pathology during kidney pathology.
Important!Urine analysis in chronic cystitis does not always detect signs of inflammation and detects the pathogen.The only study guaranteed to confirm the diagnosis is cystoscopy.Sometimes urography is required.
How to treat chronic cystitis correctly?
Most women who suffer from chronic cystitis have tried all antibiotics and homeopathic remedies know what the therapeutic injection in the bladder and ionophoresis is.And why then, it seems to be described correctly, the complex treatment does not help?The answer is simple - the cause of inflammation is not eliminated.An effective treatment for chronic cystitis is performed in the following areas:
- Elimination of causal pathology
Depending on the diagnosis, the urethra (plastic) is performed with an abnormal urethra adjustment, laser ablation of leukoplakia and polyps, etc.Almost all surgeries are performed through the urethra, do not leave wounds to the skin.The patient performs spinal or intravenous anesthesia.
Trans urethral surgeries (for example, removal of stones) are often performed during cystoscopy.Women's reviews about the treatment of chronic cystitis often show pain of endoscopic examination.Cystoscopy should be performed with anesthesia so that the patient does not experience pain.After transurethrale surgeries, a woman is in a hospital for only 1 day, on the second day she can go to work.
- The fight against infection
Depending on the type of pathogen detected, patients are prescribed a course of antibiotics, antiviral or antifungal agents.With bacterial cystitis, medicines with a bactericidal (non-bacteriostatic!) Have been prescribed with a course of 7-10 days.
- Treatment of chronic cystitis symptoms in women
Most often, NSAIDs are used for the rapid level of pain syndrome.After 2-3 weeks.The NSAIDs course, the effect persists for up to 3 months. At the same time, antihistamines are prescribed.
- Immuno
At the same time with antibiotic therapy, the use of immunostimulants can replace preventive courses in the next 6 months.
- Elimination of tissue hypoxia
To improve bubble mucosa nutrition and prevent the formation of adhesions, anti -agents are described.
Preparations that restore microcirculation and have an immunostimulant effect are also widely used for prostatitis in men and are prescribed for chronic cystitis in women.
- Prevention of the epithelial substitute
Recently, hormonal medicines have been actively used for this purpose.Estrogen and progesterone accelerate the development of the protective layer in 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 dioxide, heparin, colloidal silver solution (fighting bacteria, viruses, simpler and fungi).However, this treatment is directed only in extreme cases to exclude the infection.
- Physiotherapy
Physiotherapy - drug electrophoresis, ultrasound, laser treatment, electrical stimulation, magnetotherapy - prevents further replacement of the bladder epithelium and have a resorption effect.The treatment of medication is actively complemented by physiotherapy exercises to normalize blood circulation and strengthen the pelvic muscles.
- Treatment with popular remedies
Postebles possible to treat chronic home cystitis with baths and decoction of medicinal plants only with the approval of the attending physician!Most of them have a diuretic and antiseptic effect.In addition, the stomach activates tissue regeneration, Burdock fights with a fungus infection, chamomile and ivy eliminate muscle spasms (pain levers), Echinacea has an antiviral effect.Medicinal herb treatment lasts at least one month, the best effect is achieved with a combination of some plants.
Important!In chronic cystitis, it is necessary to consume enough water, exclude sharp, salty dishes, smoked meat and foods that contain preservatives and chemical colors 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 simultaneous pathology and the condition of immunity.To prevent relapse, doctors advise adhering to the following recommendations:
- 10 days.Drink herbal decoction;
- The next 10 days are antibiotics;
- 10 more days.A decoction of other medicinal grass.
A similar scheme used for 3-6 months.After the main course of treatment, virtually eliminates chronic cystitis irritation.
The most unfavorable forecast for the formation of wounds in the bladder and urethra.In such cases, there is a need for surgical removal of connective tissue seals.
It should also be remembered that a chaotic drug without a doctor's prescription can eliminate acute symptoms, but will not restore bladder mucosa 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 help to get rid of the grueling symptoms of chronic cystitis!