
Cistitis is one of the most common diseases of the genitourin system.During the pathological process, for one reason (other reason (infecting agents, chemical and traumatic injuries) the inflammation of the mucus mucosa appears.
Cistitis is considered typically female disease.According to medical statistics, 80% of all cases of cystitis are women.This is understandable from the anatomical point of view: women's urinary tractors are much shorter than men, which means that pathogens (which are mostly cystatis causes) encounter less resistance and faster bubble travel.Therefore, women should empty their bladder more often, and if the urine retention occurs, the risk of developing cystitis is significantly increasing.
Cistatis affects not just a bladder bladder.In general, this is a fairly complex disease that implies a lot of complications and discomfort.
Symptoms, diagnosis and treatment strategies depend on many factors:
- The nature of the pathological process;
- Localization of inflammation;
- Type of pathogen.
CISTESTIS is divided in the species according to several criteria:
- Based on the type of pathogen: bacterial cystitis, gonorrhea, other pathogens sexually transmitted diseases, as well as staphylococci, streptococci, E. coli and others) and non-bacterial cystitis (toxic, caused by medicines, allergies);
- According to the nature of the course of the disease: Acute cystitis (which occurs in an acute phase with the manifestation of typical symptoms) and chronic (occurring in latent form or repetition);
- Depending on the presence and type of organic (morphological) changes in the body: Ulcerat, Katarhal, cystic;
- Based on the localization of the pathological procedure: the cystitis of the bladder mucosa, affects submucosa that affects the muscle layer.
Symptoms of cystitis in women
Pain with cystitis
The nature and intensity of pain and discomfort during cystitis are a pure individual and depend on the threshold of pain, as well as the degree of damage on the damage itself.
It is generally accepted that with cystice pain is also localized in the field of bladder.This is not quite true.Often pain can radiate (wander) in nature.Pain from cystitis moves to a lumbosacral spine and patients feel like it hurts back.Sirome pain can also be localized in the coccix area.
Pain is often accompanied by general symptoms of body intoxication: headache from different intensities (localized in the forefront), weaknesses and fatigue, hyperthermia (increase in body temperature) to 37.5 - 38 degrees.Pain and intoxication manifestations are considered a single symptom of pathology and are inseparable from each other, although with impaired immunity may not have hyperthermia.
Cystitis with blood in women
In some cases, women with cystitis may notice that urine has a pale pink or intense red shade.There may be two reasons for that: or talk about acute cystitis or about his much heavier form - hemorrhagic cystitis.It is relatively easy to distinguish them;With acute cystitis, urine acquires reddish shades at the end of urinence;With complicated cystitis, urine is red throughout the act and retains its shade over all the following toilet excursions.
Also among the causes of cystitis:
- Injuries of bubble walls and urethal facilities;
- Lack of muscle tone of bladder;
- Bladder congestion, leading to the development of degenerative changes;
- Anatomical disorders (stenosis of the uric canal, compression structure of the excreted system according to oncologically neoplasms).
Therefore, the most common cystitis with blood in women secondary pathology caused by certain factors.
Acute cystitis with blood and, especially, hemorrhagic cystitis is difficult:
- An intense pain that is permanent and persistent is observed.
- Frequent false urine urge;
- The main manifestation of such forms of cystitis bleeds.Despite the fact that the blood begins to go out only a few hours after the beginning of the acute phase, the intensity of bleeding can be so high that blood will, influenced by specific substances contained in urine, coagulates, forming large blood clots.The blood cut, clogging Lumen urethra, lead to delay in the outflow of urine and, as a result, further complicate the patient's condition.
Itching and ignition with cystitis
Itching and ignition may be the most common symptoms of cystitis in women after pain.Usually both of these manifestations are respected by allergies or contagious nature of cystitis.
Itching and ignition also often occur with the allergic origin of cystitis.Allergen recognizes the patient's immune system as an antigen, as a result that the immune system produces certain antibodies to combat "hazardous intruders".As a result of the reaction, the anti-antibodic complex settles at the mast cells (basophiles) located in the area of urethra and urethra.Under the influence of the complex, basophiles are destroyed, releasing large amounts of histamine substances, which is an intermediate for it and causes an unbearable sense of itching and ignition.
For similar reasons, inflammatory lesions, itching and ignition: infectious agents and toxic products of their metabolic activity (with bacterial origination) or specific substances accumulate in large quantities in urine.When released, these substances affect surface nervous endings.
Generally, a symptom like an outer older it indicates an allergic or infectious nature of cystitis, which means that the possible lesions of the vaginal mucosa are possible.
Can there be a fever with cystitis?
To answer the question correctly, you need to understand why the body temperature is growing.Hypertermia occurs as a result of an acute immune reaction to a substance or microorganism of foreign origin.At temperatures above 37 degrees, pathogens lose their previous activity, and the intensity of their vital activity is reduced abruptly.Almost always, contagious cystitis monitors the increase in body temperature ranging from 37.5 to 38.2 degrees.This normal occurrence indicates a powerful immune system that can resist infects.The height of the numbers largely depends on the direct causative-causal agent of the disease.
For this reason, even Careful in nature may not lead to increasing the temperature.For example, the caulifious tuberculosis agent in the first phases of the disease is not revealed by increasing temperature, while most sexually transmitted infections, and even adenovirus causes significant hyperthermia, up to the value of 39 degrees.
Causes of cystitis in women
As mentioned earlier, the disease in the large majority of cases is developed in women, which are in the immediate and wide canal of the urethra, in the immediate location of the anus and vagina (as well as the development of the urinary bladder, and often happens that pathogenic bacteria live on the mucous membranes).microorganisms that are not manifeled to a specified point).
In 85-90% of cases, clean in women develop precisely because of the penetration of pathogenic or opportunistic microorganism (contagious cystitis).The pathogen does not always enter the bladder from the vagina or anus.
Penetration routes can be different:
- Lowering the way.Infection can spread from kidney to the bladder;
- Ascending path.What has already been mentioned is outside outside through the urethra in the bladder;
- Hematogenic route.Relatively seldom, bacteria or virus enters the bladder through the bloodstream.The cause can be any focus of infectious lesions in the body, however, the chance that the pathogenic agent will receive, for example, from the tonsillness of the bladder, it is extremely small, but still exists.
- Lymphogenic path.Patogen enters the bladder from the pelvic authority that became inflamed.
However, in addition to contagious origin, cystitis can be developed due to:
- Taking certain medications.Among them, for example, cytostatic drugs used to combat malignant neoplasms;
- Allergic reactions.Allergies are quite often local in nature.In some cases, the bladder is affected.
There are several factors that increase the risk of developing cystitis:
- Inflammation of vagina (Kolpis) and sexually transmitted diseases.Given the anatomical proximity of the vagina and urethra, the appearance of cystitis is only a matter of time;
- The same can be said about prison and other intestinal problems (colitis, etc.).Microorganisms from the colon, also due to the anatomical proximity of the anus and external genitals, can cause acute cystitis formation;
- Nephrological diseases: renal stones, nephritis and pilonaphritis, urine retention.According to the descendant principle, the infection often descends from kidney to the bladder, and with stagnation of urine, very serious pathology and cystitis forms can be developed.
- Peak hormone states.Pregnancy, menstrual cycle, menopause.The reason is in the changes in hormonal levels and, as a consequence, microflore mucosa from the vagina and urethra;
- Predicting factors include endocrine diseases, especially diabetes;
- The risk group includes allergic suffering, as well as patients on cancer that subjected chemotherapy.
Notwithstanding the causes and source of the disease, cystitis includes a distinctive symptomatic complex:
- Frequent and painful urination.Ignition, nibbling pain in the bladder and urethra;
- Urination drive can be false;
- Urinary incontinence (sometimes);
- Increased urge at night without increased urine production.
- Constant pain in a pubic place and perineal surface, radiating to the lower back and neck.Pronounce pain at the beginning and end of urination;
- Dark colored urine or cloudy, with gnoi supplements;
- General events manifestations.
If the cause lies in allergy, painful iprugment and ignition in the urethal area may be developed.
Complications and consequences of cystitis
Castitis is by no means harmless disease, and the principles "drink something" and "go on its own" Don't work here.
If the course of the necessary treatment is not conducted on time, the consequences may be more than catastrophic:
- With ascending path, kidney damage occurs.According to medical statistics, in 95% of cases, untreated cystitis causes strong kidney disease;
- Women may suffer from the urine returning from the bladder back to the kidney.This happens extremely rarely;
- In the long run and at the same time inefficient treatment of cystitis can lead to organic changes in the tissue organ.The epithelium of degenerate and, as a result, the uracon loses elasticity, loses the ability to regenerate and decreases in size;
- If a specific treatment is not conducted in a timely manner, there is a high risk of a chronic disease.Chronic cystitis, especially contagious (and is most often happening) The source is permanent inflammation;
- Although it is difficult to call stress and depression of direct complications of cystitis, they are.If pathology is not treated on time, it becomes chronic.Relapse cystitis are common and can occur almost a few times a month.The disease sets extreme psychological pressure on a person, literally creates a healthy member of society as a hostage in the toilet.In addition, in the human mind is formed by dominant;
- The weakening of the malletrester with the sphincter.It can lead to the development of urinary incontinence.It is most often developed in older people.
Diagnosis of cystitis
The primary diagnosis includes personal examination of specialized experts: urologist, nephrologist, gynecologist.
Specialists collect anamnesis and establish possible causes of the disease.
When collecting anamnesis, doctors pay special attention to risk factors:
- Unprotected sexual intercourse;
- Hypothermia;
- Excessive emotional stress;
- Taken medicine;
- Presence of simultaneous diseases and pathology (primarily in pelvic authorities).
Laboratory research
Include:
- Taking a general blood test;
- Taking a general urine test;
- Submission of urine urine test.
Among the instrumental methods, two main ones are used:
- Uredoscopy and cystoscopy.
- Ultrasonic bladder examination.
How to alleviate the cystitis attack?First aid at home
In severe cases, it is recommended to resort to drugs:
- The best solution would be to take antispasmodics;
- In addition to antispasmodics, pain relieves analgesics;
- Herbal preparations containing oregano herbal and hop cone also help reduce spasm and pain caused by cystitis;
- Under no circumstances should be taken by antibacterial drugs themselves.Taking antibiotics is guaranteed to lead to a change in image of laboratory tests, and the specialist will not be able to establish the source and cause of the disease;
- If the diagnosis is confirmed and already known to the patient, you can resort to taking antimicrobial medications.
In all other cases, it is better not to self-supportive.Attacks of complicated cystitis (with blood, hemorrhagic) are facilitated exclusively in the hospital environment.Otherwise, life-threatening bleeding can be developed.
How to treat cystitis in women
Since cleaning in women usually develops due to infectious lesions, specific therapy is aimed at destroying pathogens.
- In recent years, medications from the fluoroquinology group have proven their efficiency.These antibiotics can only be taken according to the instructions of experts;
- If diagnostic results reveal certain pathogens, appropriate antifungal, antimicrobial or antivirus drugs are prescribed;
- For removal of heavy pain, antispasmodics and analgesics, nonsteroidal anti-inflammatory drugs are recommended;
- In the absence of an allergy to healing herbs, plant teas are allowed to be based on Lingonberry, Horse mail and a brotherboat.The advantage should be given unpacked products;
- To quickly remove toxins from the body, it is recommended to increase the daily fluid intake.
PREVENTIS CITISTIS
The rules of personal hygiene must be observed.You must select products that are neutral in your acidic objects.Proper intimate care is the key to the absence of relapse.
It is recommended to empty the bladder as often as possible.The stagnation of urine is full of complications development.
Hypothermia should not be allowed.The feet must be kept warm and dry.
During the worsening of cystitis, it is worth increasing the amount of liquid spent on 2-2.5 liters per day: water, fresh natural juices, cranberry juice.You should refrain from drinking carbonated water and artificial drinks.
And in the case of acute cystitis and in the event of deterioration of chronic cystitis, you should avoid wearing firm synthetic laundry.
Prison indirectly affects the risk of developing cystitis.Therefore preventive measures also include methods of improving intestinal mobility.
Answers to popular questions
Which doctor should I contact for cystitis?
You should turn to three experts: urologist, nephrologists and gynecologists.
Is it possible to have sex with cystitis?Is it sexually transmitted?
CISTESTIS is an inflammatory bladder disease.Of course, it is simply impossible to contract cystitis through sexual contact.
However, there is a high probability of transmitting a partner for infectious agents that caused cystitis.But we need to book: the transfer of pathogenic microflora is only possible if the disease of contagious origin is.In all other cases, the partner is safe.
As for the second aspect of this question, everything is not that simple.Most competent experts recommend that women refrain from sexual activity in the duration of the disease.
However, if you can't without sexual contact, you need to follow recommendations:
- Just before sex, wash your body and clean your hands thoroughly;
- Avoid touching the vagina.During the cystitis, the mechanism is subject to increased stress, as it is impossible to fully protect against urine particles;
- If there is a doubt about the simultaneous damage of the uterus, turn off deep penetration;
- Finally, it is obliged to wash out the external genitania;
- Use a barrier contraception (condoms only).
Currents after intimacy, what are the causes?
Development of cystitis after sex is not far retrieved the problem.Postcoital cystitis (called "the" honeymoon syndrome ") occurs in about 45% of cases.As a rule, it is detected after the first sexual intercourse.
There are several reasons for this:
- The most common, but at the same time it is the most difficult to eliminate, an innate anomaly of the genitory system;
- Another common reason is the lack of proper hygiene.The partner may not be aware of that, while there are many microorganisms on the surface of the penis.As a result, the female urethra is attacked by an infectious agent.This group of reasons includes alternating vaginal and anal sex without changing or without a change of condom.In this case, the cizativ agent of cystitis is intestinal microflora (Bacillus);
- Vaginal dryness.Due to the excessive dryness of the vaginal mucosa, the tissue is coming.The result is a collapse that quickly causes the development of cystitis.In this case, cystitis becomes secondary disease.Therefore, you can't have sex if the woman's genitals are missing the desired and sufficient hydration;
- It is also worth remembering about sexually transmitted diseases.If the partner is ill or is a carrier, a woman is rapidly infected, and in this case there is a risk that not only developing sexually transmitted diseases, but also secondary cystitis.
Is it possible to play sports with cystitis?
In this case, everything is pure individual and depends on the patient's condition and weight of cystitis.However, a series of physical activities must be abandoned.
Avoid:
- Visit to fitness clubs.Aerobics and exercises can lead to mechanical irritation of urethra and bladder, as a result, symptoms will be significantly worsened;
- Swimming.Swimming is allowed but not longer than 10-20 minutes.Extended exposure to cold water (30-50 minutes) is guaranteed to local hypothermia.As a result of cooling, local immunity will be reduced, and in just a few hours, the symptoms of cystis will become more pronounced;
- Winter sports.Almost all winter sports include long-term exposure to cold.In such conditions, the risk of hypothermia development and the worsening of cystitis increases significantly.People who are desired in the skiing image are advised to be clothed more softer, cover the pelvic and perineal area and should never sit on ice;
- Active sports associated with increased physical activity and a sharply increase in intra-abdominal pressure are excluded: boxing, wrestling, cycling.
However, there are a number of sports that are recommended for cystitis.They strive the body muscles evenly and do not lead to significant fatigue.These are running, walking, basketball, volleyball.The dance is also allowed.It is important to remember that the clothes must be appropriate.It is harmful to wear firmly, narrow clothes.The tracksuit should not be firmly firmed;The advantage should be given to light, but at the same time a warm clothing made of natural materials.
Is it possible to take a hot bath if you have cystitis?
Generally, the question is very controversial.To answer that, we need to resume the current state of the patient and the flow of illness.You can take hot (warm but not hot) baths only in stage when cystitis still feels with specific symptoms.In this case, light heating is not only contraindicated, but also useful.
As soon as one of the following symptoms appears, thermal procedures are strictly contraindicated:
- Muscular cramps (sharp, cramping pain in the lower abdomen and puzzle area);
- Ignition and sting when urinating;
- Blood or pus in urine.
If we talk only about the initial stages of the disease, heating is allowed to warm up, but only must be used in reasonable restrictions:
- Heating with dry heat.The salt is heated in the tank at 38-40 degrees, pours into a bag of fabric and applied to a painful place;
- A foot bath.The pool is filled with warm water, after which you should take your foot bath for 10-20 minutes.Then the feet deleted dry and warm socks are located;
- Sitz baths.In the first phases of development of cystitis, you can take the baths of SITZ with the addition of medicinal herbs.In this case the water temperature should not be greater than 37 degrees, and the duration of the bath should be up to 10 minutes.Even a warm bath is prohibited in cases where other organs are affected except bladder;
- Warm shower.Optimal way of mitigating cystitis and execution of hygienic procedures during the disease;
- Heating hands with warm.Palm is located in the area of bladder a few hours;
- Heating compresses with eucalyptus oil.Effective in the absence of acute symptoms.But it is contraindicated for allergies.
Can the menstruation delay for cystitis?
There is no direct reasons and an effective relationship between cystitis and menstrual irregularities.However, as mentioned earlier, it is rarely cleaned in women only occurs with the bladder damage.As the infection rises, often affects genital organs, including the uterus and ovaries in the abdominal cavity.
The ovaries are responsible for the production of estrogen, a certain feminine hormone, which helps in itself in the normalization of the menstrual cycle.When the infection is spreading to the ovaries, estrogen production decreases.As a result, the cycle is disturbed, and then possible delays of menstruation.