Cystitis can be acute or chronic. Acute cystitis - a disease that often goes alone. Chronic cystitis also requires long-term treatment and examinations prescribed by a doctor - urologist. Often the main cause of cystitis is a violation of immunity.
Why start cystitis
Cystitis or bladder infection is a very common disease that is more common in women because of the structural features of the urethra: in women it short and wide, so the infection can get into the bladder.
When injected into the bladder infection inflammatory process often does not develop, because the bladder has great defensive abilities. But if there is hypothermia and decreased against this background that local immunity, infection, into the bladder to the external genital organs and of the anus will be free to multiply and cause inflammation. So begins an acute cystitis, which after the restoration of immunity is usually held their own.
If, however, a significant decrease in immunity, or in the urinary tract is an obstacle to the flow of urine (such as narrowing of the urethra), acute inflammation can become chronic with constant relapses.
Occasionally inflammation of the bladder is a non-infectious nature, and develops as a result of injury to the bladder wall a sharp stone or a medical instrument during the procedure.
When violations of the outflow of urine infection can spread to the upper urinary tract - ureters, pelvis, as well as kidney tissue.
Symptoms and course of acute cystitis
The first symptoms of acute cystitis are frequent painful urination. The urine is released at the same time in small portions, murky, sometimes mixed with blood. Acute cystitis can also be accompanied by pain in the abdomen.
The general condition of the patient with acute cystitis often does not suffer, however, if the inflammatory process temperature can be raised, accompanied by fever and general malaise.
In general, the analysis of urine and you can find signs of acute inflammation: a large number of white blood cells and fresh red blood cells. If a person has a normal immune system, all the phenomena of acute cystitis are alone a few days. To speed up the healing process is how to bundle up and comply with bed rest.
Symptoms and course of chronic cystitis
If the patient has a significant decrease in immunity and obstacles to the flow of urine from the bladder, the acute cystitis becomes chronic. Chronic cystitis occurs in different ways: with rare exacerbations, with frequent exacerbations or chronic inflammation sluggish. Chronic cystitis symptoms during exacerbation such as during acute cystitis, but less pronounced.
Chronic inflammation of the bladder infection may spread to the ureter, renal pelvis and kidney. Complication seen a sharp rise in temperature, deterioration of general condition, and low back pain
Back pain: Causes of chronic low back pain
.
How it is detected and treated cystitis
Diagnosis of acute cystitis is not difficult - the characteristic symptoms of the disease confirmed by urine analysis. But chronic cystitis requires examination. First of all it is necessary to identify possible violations of the outflow of urine. To identify anatomical defects spend cystography (x-ray) of the bladder.
If you want to explore the state of the wall of the bladder, cystoscopy is performed - research with a special optical equipment.
Laboratory tests include urinalysis, urine culture to culture medium to determine the pathogen, general blood test (detects the presence and degree of inflammation in the body). If you want to make an immunogram (identified impaired immunity), and renal function tests in order to avoid reducing the function of the body.
Treatment of chronic cystitis is conducted on the basis of the survey. If the identified violations of the outflow of urine, they should be treated with conservative methods (for example, in violation of motor activity of the bladder wall) or removed with the help of surgery.
Antibiotics are appointed only after a urine culture, to identify infectious agent and its sensitivity to antibacterial agents. Actively restorative treatment is carried out, if necessary, shall be appointed by immunomodulators.
Locally appointed bladder irrigation with antiseptic and anti-inflammatory solutions instillation (instillation) of drugs into the bladder. Assigned courses physiotherapy, reflexology
Reflexology: restoring the body's bio-energy
and so on.
Galina Romanenko
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