One of the options for the inflammation of the urinary tract - cystitis - this 80% disease is considered a female disorder, due to the anatomical characteristics of the female body.
In women, the bladder must be more often empty than in men and is also more susceptible to the attacks of various microbes, bacteria and viruses that can cause cystitis in women.
The symptoms and treatment of this disease depend directly on a series of factors, the nature of the process, the location, the pathogen of the infection and are classified by:
- According to the location of the inflammatory process in the urinary system - there may be damage to the mucous, muscle or submucous layer of the bladder.
- By nature of the course of the disease - acute or chronic.
- According to morphological changes - phlegm, cystic, ulcer, hemorrhagic, granulomatous, tumor -shaped, etc.
- According to the pathogen, it can be bacterial (E. coli, staphylococci, streptococci, ureapaplasma, micoplasma, gonorrhea, mycobacterium of tuberculosis, etc.), viral, fungal and non -bacterial (allergic, drug, toxic, radiation, radio).
With cystitis - which doctor contact?
The cystitis proceeds painfully enough, with rapid urination, burning and acute pain after emptying, with a constant feeling of pitfall of the bladder, low body temperature, sometimes even with a mixture of blood and mucus in the urine.If the woman has the symptoms listed, which doctor to contact?
With cystitis in women, to clarify the diagnosis, first of all, it is necessary to contact the urologist, since it is this doctor who is engaged in the diagnosis and treatment of cystitis, for the examination it is necessary to take the analysis of the urine - general analysis, for the bacterial sowing by NeciCorenko, to conduct an acision of the bladder and cystoscopy.
In addition, a gynecologist must be visited, since cystitis can often be caused not only by trivial bacteria, but also to be combined with sexual transmission infections, therefore the gynecologist's examination and the yield of a strip for the study of the vaginal microflora are also needed.With cystitis in women, the treatment includes both antibiotic and urgentic and sometimes the doctor can be prescribed by the invasion of the bladder and physiotherapy.
Cystitis causes in women
Very often, the cause of cystitis in women is infectious agents, since the narrow position of the vagina, the anus, the short and quite large urethra is found to penetrate various pathogenic microorganisms in the bladder along the ascending paths.However, there are other ways to penetrate bacteria in the urinary system:
- The path upwards is urethral, that is, from the urethra
- Descending path - on the contrary, from the upper urinary tract
- lymphogen - from other small pelvic organs
- Hematogens is a rare way to penetrate the infection by remote organs.
When a woman has cystitis symptoms, you should not cars -medic, since the causes of cystitis, pathogens are a large number and for the correct successful treatment, you should first determine them, clarify their sensitivity to antimicrobial drugs and only therefore to prescribe a complete treatment.
Cystitis in women is very rarely an isolated process, when hygiene, constipation, cold, abuse of sharp or alcohol products, the use of panties - strings, a change in a partner, a rare emptying of the bladder, etc.Causes the reproduction of banal pathogenic bacteria.In 80%, these are E. coli, in 15% of staphylococcus, 5% of other bacteria, such as Pseudoscan, Klebsiella, Proteus.
- Very often, cystitis occurs against the background of inflammatory processes in the vagina or for the diseases of the female genital organs, such as bacterial vaginosis, lily of the lily, diseases are transmitted (gonorrhea, mycoplasmosis, chlamidia, ureplasmosis), sometimes accompany the cystitis of the genital.Many hidden infections and tuberculosis for a long time are asymptomatic, imperceptibly, a woman only periodically experiences a certain discomfort, a subfebral temperature, weakness, does not visit the doctor and does not apply to diagnostic centers to study the causes of slight ailments.
- Further provocative factors in the development of cystitis include pyelonephritis, the stones in the bladder, the stagnation of diverticula urine.
- Very often, cystitis occurs in pregnant women, this is explained by a change in the microflora and vaginal, and the urological trait, under the influence of endocrine and hemodynamics renovation in the body in a pregnant woman.
- If a woman has diabetes mellitus, frequent manifestations of allergic reactions, is subject to constant toxic effects or leads the treatment of cancer using radiotherapy - these are also risk factors for cystitis.
- Sometimes, after surgical manipulations, operations, endoscopic examination, the mucosa is injured, which contributes to the development of cystitis in women.
- The symptoms of cystitis also occur during menopause, since with menopause atrophic changes in the body and the lack of estrogen are also reflected on the urogenital tract.
In addition to acute cystitis, many women suffer from a chronic inflammatory process against the background of slow infections listed above or chronic cystitis in women is associated with the omission of the uterus and vagina.
Symptoms of cystitis in women
After provocative factors, such as injuries, a cold, after an unprotected relationship, an infectious disease, etc., acute cystitis can occur in women, who always begin very clearly, suddenly:
- Dysuria - Quick ureation, rubberized in the bladder, burning and pain in the urethra, constant desire to empty the bladder.
- Before urination, a woman usually has to make efforts, pushing.The frequency of the impulse is so high that a woman has to visit the bathroom every 15 minutes, sometimes there is an involuntary urinary incontinence.
- Niccuria is the predominance of a night desire to empty the bladder.
- Pain usually accompanies the beginning and end of the urination process.Outside the emptying process, the pain is located only in the pubic and perineum part.The intensity of the pain can be different, from a slight discomfort to unbearable and strong attacks.
- Almost always with cystitis in women, urine is muddy, purulent.
- In acute cystitis, the temperature can increase respectively 38 ° C, the deterioration of general well -being.
- Very often, after the first acute process, recurrence of the disease occur if acute cystitis develops a month after the treatment, so this indicates the conservation of the infection.
- In chronic cystitis in a woman, the symptoms and treatment of the disease are identical, it is possible that the pain and frequency of urination are not expressed in such a clear way.During an exacerbation of the chronic process, a clinical picture of the acute cystitis is possible and during the remission period, nor laboratory data or symptomatic indicate an inflammatory process.
Treatment of cystitis in women
For the treatment of both acute and chronic cystitis in women, it is necessary to ask for advice both a gynecologist and a urologist.Usually in acute cystitis with adequate therapy, the cure literally occurs in a week.
If the infectious nature of the cystitis occurrence in a woman is confirmed, the treatment is mandatory aimed at destroying pathogenic microorganisms with antimicrobials, antibiotics to which pathogens are sensitive:
- Recently, Fluorochinoloni, such as Ciprofloxacin, Norfloxacin, phosphomycin, Nitrofuran, have been widely used in women in women.These drugs for the treatment of cystitis in women have side effects and have a series of contraindications, therefore their use is possible only as prescribed by a doctor.
- If there is a specific microflora based on analyzes, the treatment includes possible antiviral agents, antimicrobial agents.
- With severe pain, antispasmodic or non -system anti -inflammatory drugs are prescribed.
- If there are no allergic reactions to medicinal herbs, then you can use various variants of Lingonberry Phyto-One-A, Campo, UpS grapes.It is better to use herbs not in bags, but the form of collection, dust - produces and insist as any normal decoction of medicinal herbs.
- A native antiseptic is an effective remedy for cystitis, a quite one -off administration of this drug.
- There are also many drugs of plant origin made ready, which are used as auxiliaries when they attenuate from an acute inflammatory process, should be consumed for a long time, for a more persistent effect.Blueberries also help many,Blueberry fruit drinksWith cystitis or a compressed form of the drug containing blueberry extract.
- In the treatment of cystitis, women should increase the daily quantity of fluid drunk, for the rapid elimination of toxins from the body, it is also worth joining a diet by lowering.
Cystitis prevention - useful suggestions for women
- The defler cystitis and the transitory infection of the urinary tract associated with sexual life arise with a frequent change in the partners if a man does not observe hygiene and not condoms in sexual intercourse is not used.
- Respect for personal hygiene is the key to the lack of recurrence of the bacterial cystitis.Use vehicles with a neutral-base acid balance for intimate hygiene.
- Check the fullness and timely emptying of the bladder, do not allow prolonged stagnation of the urine.
- Smoping, in particular the colds wet in the cold, cause exacerbation.
- Drink at least 2 liters of water, freshly squeezed fruit juices or blueberry fruit drinks per day.
- Do not wear sheep panties if you have chronic cystitis, when you wear this linen, the intestinal wand is obtained very easily to the urethra.And they also do not wear too tight clothes, jeans, interrupt normal blood circulation in the pelvic area.
- The construction also causes cystitis recurrence, try to include dry apricots, plums, fresh cabbage and other fruits and vegetables in your daily diet.