Chronic cystitis is a “special” disease that every tenth woman suffers.Often encountering a new exacerbation after 1-2 weeks.After the course of antibiotics.
What is the matter, and how to overcome the disease?To obtain a clear answer to these questions, it should 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 deep layers.
It is useless to treat the disease exclusively with antibiotics, like acute inflammation.To relieve pain - only to deceive yourself, agreeing to temporary relief.Meanwhile, 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, pathogenic microflora is rapidly developing in the bladder.It can be not only bacteria, but also mushrooms, and protozoa, and viruses.Therefore, taking antibiotics is not always justified.
Important!Treatment of chronic cystitis with drugs from the group of antibiotics is advisable only if the urine is detected in the analysis of sensitive microorganisms.
A patient with chronic cystitis always has a pathology that supports inflammation:
- Leukoplakia of the neck of the bladder (not true!) Or vaginal metaplasia - chronic cervical cystitis provokes a benign degeneration of the mucosa, which is the result of several acute attacks of cystitis or sexual infection, including hidden (ureaplasmosis, chlamydia, etc.);
- Diverticula of the bladder, polyps, urolithiasis - a great place for the propagation of bacteria and fungus;
- Kidney inflammation, hydronephrosis, renal disease - infection from the kidney with urine constantly enters the bladder;
- The deep arrangement of the urethral opening revealed during intercourse, - provokes postcoithic cystitis;
- Reducing local immune protection - occurs during hormonal malfunctions (insufficient synthesis of estrogens 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 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 provoked:
- small amount of water drunk;
- intake of spicy foods, alcohol;
- hypothermia, acute respiratory infections;
- "Greenhouse" effect - wearing dense synthetic linen, 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 the severity of clinical symptoms and relapse frequency, the following options for the course of chronic cystitis are distinguished:
- Stably latent - the absence of complaints and laboratory changes in the urine, the diagnosis is confirmed only with an endoscopic examination;
- Latent with rare relapses - an acute picture of cystitis occurs no more than 1 time per year;
- Latent with frequent relapses - exacerbations 2 or more times in a year;
- Sluggishly current inflammation, which is confirmed laboratory and endoscopically;
- Interstitial - pronounced symptoms, persistent pain syndrome.
Important!Chronic cystitis from chronic pelvic pain should be distinguished.In the last pathology in most cases, there are no changes in the analysis of urine, there is no endoscopic confirmation of inflammation.
Changes in the walls of the bladder vary from catarrhal, to ulcerative and necrotic.
Symptomatic picture of chronic cystitis:
- Pain is an almost constant aching pain in the lower abdomen (above the pubis), growing when filling the bladder and with a periodic painful harsh.Soreness during urination - before, after, but more often at the end of the emptying of the bladder.
- Frequent urination - in the reviews of the treatment of chronic cystitis, women note that frequent urges 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 sense of incomplete emptying.Often there is Nicturia (campaigns to the toilet at night) and a 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 1-2 weeks), inflammation is triggered by the activation of one type of microorganism.Relapse, which arose a few weeks after therapy, indicates repeated infection with another type of pathogen.Together 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 colic pathology during kidney pathology.
Important!Analysis of urine in chronic cystitis does not always reveal 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 suffering from chronic cystitis have tried on themselves all antibiotics and homeopathic remedies know what therapeutic injection into the bladder and ionophoresis is.And why then, it seems like correctly prescribed, complex treatment does not help?The answer is simple - the cause of inflammation is not eliminated.An effective treatment for 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, 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 urethral operations (for example, removal of stones) are often carried out during cystoscopy.Reviews of women about the treatment of chronic cystitis often indicate soreness of endoscopic examination.Cistoscopy should be carried out with anesthesia so that the patient does not experience pain.After transurethral operations, 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 detected pathogen, patients are prescribed a course of antibiotics, antiviral or antifungal agents.With bacterial cystitis, drugs with a bactericidal (not bacteriostatic!) Action with a course of 7-10 days are prescribed.
- Treatment of chronic cystitis symptoms in women
Most often, NSAIDs are used for rapid leveling of pain syndrome.After 2-3 weeks.NSAIDs 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 bubble mucosa and prevent the formation of adhesions, anti -agents are prescribed.
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 substitute for the epithelium
Recently, hormonal drugs have been actively used for this purpose.Estrogen and progesterone accelerate the development of the protective layer on the bubble mucosa.The widely used drug Odivin is produced in tablets and in candles.
- Local therapy
For local exposure to the inflammatory process, they resort to installations (injections) in the bladder of dioxidine, heparin, colloidal silver solution (fighting bacteria, viruses, simplest and fungi).However, this treatment is resorted only to extreme cases to exclude infection.
- Physiotherapy
Physiotherapy - drug electrophoresis, ultrasound, laser treatment, electrical stimulation, magnetotherapy - prevent further replacement of the epithelium of the bladder and have a resorption effect.Drug treatment is actively supplemented with physiotherapy exercises to normalize blood circulation and strengthen the pelvic muscles.
- Treatment with folk remedies
It is possible to treat chronic cystitis at home with baths and decoctions 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, burdock fights with a fungal infection, chamomile and ivy eliminate muscle spasm (leverage the pain), the echinacea has an antiviral effect.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, 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 epithelium of the bladder, the nature of the 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 is antibiotic;
- another 10 days.A decoction of other medicinal grass.
A similar scheme used for 3-6 months.After the main course of treatment, 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 a need for surgical excision of connective tissue foci.
It should also be remembered that a chaotic medication without a doctor’s prescription can eliminate acute symptoms, but it will not restore the mucous membrane of the bladder and will not relieve the 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 to get rid of the exhausting symptoms of chronic cystitis!