Chronic cystitis is a "special" disease that suffers every tenth woman.He often meets a new exacerbation after 1-2 weeks.After the antibiotic course.
What happens and how to overcome the disease?To obtain a clear answer to these questions, it should be understood what chronic cystitis is caused 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 series 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 the deep layers.
It is useless to treat the disease exclusively with antibiotics, such as acute inflammation.To relieve pain, just to deceive yourself, agreeing a temporary relief.Meanwhile, the disease will continue to progress, and sooner or later the pain will "reject" life.We offer a rational approach to understand the disease.
In a chronic inflammatory process, pathogenic microflora is quickly developing in the bladder.Not only can it be bacteria, but also fungi, protozoa and viruses.Therefore, taking antibiotics is not always justified.
Important!The treatment of chronic cystitis with drug medications is recommended only if urine is detected in the analysis of sensitive microorganisms.
A patient with chronic cystitis always has a pathology that supports inflammation:
- Leukoplakia of the bladder neck (not true!) Or vaginal metaplasia: chronic cervical cystitis causes a benign degeneration of the mucosa, which is the result of several acute attacks of cystitis or sexual infection, including inclusion (ureplasmosis, qulamidia, etc.);
- Bladder divaive, polyps, urolitiasis: a great place for the spread of bacteria and fungi;
- Renal inflammation, hydronephrosis, kidney disease: kidney infection constantly enters the bladder;
- The deep disposition of the urethral opening revealed during sexual intercourse, causes postcoith cystitis;
- Reduction of local immune protection: occurs during hormonal malfunction (insufficient estrogen synthesis is observed during pregnancy, during menopause, with ovarian pathology), genital diseases, diabetes mellitus;
- Chronic infection focuses (caries, chronic tonsillitis, 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 polyposis. Chronic bacterial cystitis."
Exacerbation of chronic cystitis can be caused:
- small amount of drunk water;
- spicy food intake, alcohol;
- hypothermia, acute respiratory infections;
- "Greenhouse" effect: use dense synthetic linen, narrow jeans;
- The elementary non -compound with personal hygiene.
Chronic cystitis symptoms in a woman
Chronic cystitis gives less pronounced symptoms than acute inflammation.Due to the severity of clinical symptoms and relapse frequency, the following options are distinguished for the course of chronic cystitis:
- Stable latent: the absence of complaints and laboratory changes in the urine, the diagnosis is confirmed only with an endoscopic exam;
- Latent with rare relapses: an acute image of cystitis occurs no more than 1 time a year;
- Latent with frequent relapses: exacerbations 2 or more times in a year;
- Slowly current inflammation, which is confirmed laboratory and endoscopically;
- Interstitial symptoms: pronounced, persistent pain syndrome.
Important!Chronic cystitis of chronic pelvic pain should be distinguished.In the last pathology in most cases, there are no changes in urine analysis, there is no endoscopic confirmation of inflammation.
Changes in the bladder walls vary from catarrhal, to ulcerative and necrotic.
Symptomatic image of chronic cystitis:
- Pain is an almost constant painful pain in the lower abdomen (above the pubis), it grows when filling the bladder and with a painful hard newspaper.Pain during urination: before, after, but more often at the end of the bladder emptying.
- Frequent urine: In chronic cystitis treatment reviews, women point out that frequent impulses do not allow them to do without a bath for a long time, end with the release of a small amount of urine and an incomplete emptying sensation.There are often Nicturia (campaigns in the bathroom at night) and stressful urinary incontinence.
- Changes in 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 urination.
If the symptoms of chronic cystitis in women after treatment have been aggravated (after 1-2 weeks), inflammation is triggered by the activation of a type of microorganism.The relapse, which emerged a few weeks after the therapy, indicates a repeated infection with another type of pathogen.Together with the signs of chronic cystitis, women also point out the symptoms of the underlying disease: discharge of the vagina with gynecological pathology, lumbar pain or colic pathology during renal pathology.
Important!The 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 urography is required.
How to correctly treat chronic cystitis?
Most of the women who suffer from chronic cystitis have tested all antibiotics and homeopathic remedies know what therapeutic injection in the bladder and ionoforesis is.And why then, it seems that a complex treatment prescribed correctly does not help?The answer is simple: the cause of inflammation is not eliminated.An effective treatment for chronic cystitis in the following areas is carried out:
- Elimination of causal pathology
Depending on the diagnosis, the urethra (plastic) is carried out with an abnormal arrangement of the urethra, the laser ablation of Leukoplakia and polyps, etc.Almost all operations are carried out through the urethra, do not leave scars on the skin.The patient performs spinal or intravenous anesthesia.
Trans uretales (for example, the elimination of stones) are often carried out during cystoscopy.Women's reviews about the treatment of chronic cystitis often indicate pain in the endoscopic examination.Cistoscopy must be carried out with anesthesia so that the patient does not experience pain.After transureral operations, a woman is in a hospital for only 1 day, the second day 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, medications are prescribed with bactericidal action (not bacteriostatic!) With a 7-10 days course.
- Treatment of chronic cystitis symptoms in women
Most of the time, NSAs are used for rapid leveling of pain syndrome.After 2-3 weeks.NSAID course, the effect persists up to 3 months. At the same time, antihistamines are prescribed.
- Immuno stimulation
Simultaneous with antibiotic therapy, the use of immunostimulants can replace preventive courses in the next 6 months.
- Elimination of tissue hypoxia
To improve the nutrition of the mucosa of bubbles and prevent the formation of adhesions, anti -agents are prescribed.
Preparations that restore microcirculation and have an immunostimulant effect are also widely used for prostatitis in men and are prescribed chronic cystitis in women.
- Epithelium substitute prevention
Recently, hormonal drugs 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 occurs in tablets and candles.
- Local therapy
For local exposure to the inflammatory process, they resort to facilities (injections) in the dioxidine bladder, heparin, colloidal silver solution (combat bacteria, viruses, simpler and fungi).However, this treatment is used only to extreme cases to exclude infection.
- Physiotherapy
Physiotherapy: drug electrophoresis, ultrasound, laser treatment, electrical stimulation, magnetotherapy) avoids a greater replacement of the bladder epithelium and has a reabsorption effect.Pharmacological treatment is actively complemented by physiotherapy exercises to normalize blood circulation and strengthen pelvic muscles.
- Treatment with popular remedies
It is possible to treat chronic cystitis in the home with bathrooms and medicinal herbal decoctions 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 tissue, Burdock struggles with a fungal infection, chamomile and ivy eliminate muscle spasm (take advantage of pain), equinacea has an antiviral effect.The treatment with medicinal herbs lasts 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, exclude sharp and salty dishes, smoked meats and foods that contain preservatives and chemical dyes of the diet.
What is the prognosis?
The duration of treatment and the prognosis of the disease depends on the degree of damage to the bladder epithelium, the nature of concomitant pathology and the state of immunity.To prevent relapse, doctors advise adhere to the following recommendations:
- 10 days.drink herbal decoction;
- The next 10 days are antibiotics;
- another 10 days.A decoction of other medicinal pastures.
A similar scheme used for 3-6 months.After the main treatment dish, it practically eliminates the exacerbation of chronic cystitis.
The most unfavorable forecast for the formation of scars in the bladder and urethra.In such cases, there is the need for surgical split of connective tissue spotlights.
It should also be remembered that a chaotic medicine without a medical recipe can eliminate acute symptoms, but will not restore the mucous membrane of the bladder and will not relieve causal disease.Only a doctor, who has a clear idea of the cause of the disease, will individually prescribe an effective treatment scheme and help get rid of the exhausting symptoms of chronic cystitis!