Signs of cystitis in women: symptoms and treatment at home

Cystitis and a pathology characterized by the development of the inflammatory process, damaging the wall of the bladder as a result of exposure to an including bacteria.

Statistics cystitis , one of the most common urological diseases. Much more to the appearance of the inflammation of the predisposition of women, because of their morphophysiological characteristics.

The penetration of agents to the bacteria in the cavity of the bladder, and possible in three ways:

1. The upward way — through the urethra (the urethra). The main role in this embodiment, the penetration of microorganisms belongs to the anatomical-morphological peculiarities of the urinary tract: short and wide urethra, located near near the anus and the vagina.
2. The way downward – from the kidneys. This option is developed, inflammation renal for, such as, for example, chronic pyelonephritis.
3. Called hematogenous route the most of the rare variant of the is fixed on the incidence of cystitis original work of art immediately of infectious diseases, or in the detection of another source of infection purulent in the body of the woman. There is also a possibility of bacterial flora in the bladder due to anatomical anastomoses (connections) between the vessels of the lymphatic genital organs and of the bladder, subject to the occurrence of changes in inflammatory conditions in the previous.

The most frequent and the agent causing the inflammatory process of the bladder is considered to be E. coli (ca 4 5 of the cases, which is associated with the above-mentioned anatomical and morphological characteristics and the presence of microflora in the gut).

Less disease of the cystitis associated with staphylococcal, streptococcal enterococcal and microorganisms. Gram-negative rods cause inflammation of the bladder due to the instrumental and operative interventions.

In the past time, the augment of the incidence of cystitis associated with fungal pathogens, protozoa and viruses.

The mere skidding of microorganisms infectious not sufficient for the development of a full inflammatory response in the bladder because the body has to work mechanisms of resistance to the action of pathogenic agents.

The factors in the development of cystitis

Thus, in addition to the etiological factors en formacio de la cystitis factors involves such as:

• disorder haemodynamic function (blood circulation) of the pelvis, organs, and, in particular, of the bladder;
• excretory disorder of the function of the bladder (stagnation of The urine);

• the inhibition immune of different parts of the body (vitamin deficiency, exposure to low temperatures, stress, fatigue, etc.);
• the harmful effects biochemical agents and products of metabolism that are excreted urine ca l ca l structure of the wall of the bladder;
• the impact of x-ray beams;
• poor cleaning of the genitals externs sex and casual;
• pathology of the gastrointestinal tract, the presence of which s accumulates and increases its activity microflora, subsequently, the ex: urinary tract;
• regular shifts of metabolism hormone, which leads to the lack of in the urethra and creates the best conditions for the infection.

The first symptom manifestations of cystitis in women

Clinics for the cystitis acute in women is characterized by the sudden and marked the beginning of symptoma-the complexwith:

• The appearance of frequent urination d (pollakiuria), which is characterized by the frequency of at least once every 60 minutes and small amounts of urine; with a development of frequent imperative urges patients become unable to control and contain the urine;
• Dysuria (urinary disorders) accompanied by pain in the area hypogastric (lower abdomen). With the degree of development of inflammatory process in the wall of the bladder these symptoms are progressive: developed the most, more likely to have desire d and the urinating pain;
• Itching in the urinary tract, produced during'acte of urination. Develops as a result of the effects on the mucosa of the urinary tract metabolic products of microorganisms, causing inflammation of the bladder;
• The appearance of blood falls to the end of the urination;
• The appearance turbidity of urine l', because the penetration in a large number of cell dl·lules of the blood (leukocytes and erythrocytes), the microflora bacterial, the cell dl·lules of the epithelium of the surface of the interior of the wall of the bladder;
• For this type of change towards patients feature in the General condition. Patients Temperature are characterized by is or slightly elevated (low gradu) numbers. Scientists attribute this to the fact that the membrana mucosa of the bladder is not practically absorb metabolic products of microorganisms, which get into the blood usually lead to the intoxication and the development of the symptoms of the characteristic inflammation.

Important and the connection suddenly appeared symptoms and the previous exposure of the body of the woman. The phenomenon of the acute inflammation can sometimes occur 2-3 days disappear and therapy sense.

However, in the majority of cases, this process occurs over 6 days, sometimes up to 15 of the dies. The presence of the disease in one of the data later, subject to the prior therapy requires the use of methods of examination additional to detect pathologies concomitant of the body.

Characteristics of the syndrome of pain in cystitis women

In patients with cystitis acute there are un different degree of severity of the pain:

• When the lung during the inflammatory process, patients feel un slight heaviness or pain in the lower part of the abdomen. Mild Pain at the end of urination accompany moderate pollakiuria. With the development of the inflammatory process, the intensity of the pain increases. In the subsequent period, this syndrome is accompanied by a principle or the whole of a law of urination. The pain becomes not related to'acte and takes almost a constant of nature, and accompanied by very painful palpation with more of the projection of the bladder.
• In a situation in which I developed severe cystitispatients have to urinate at least 2-3 times an hour, which is accompanied by significant pain and the appearance of blood discharge from the urethra, at the end of'acte. Significantly Pain affects the patient's quality of life, as that won't fade throughout the day.

The presence of cell dl·lules of the blood and the blood of The urine, cystitis (a syndrome of hematuria)

When the wall of the bladder inflammation develops, it affects the areas of tissue near the confluence of the ureters and exit of urethra. The tissue becomes loose and bleeding.

This is manifested by the appearance of micro - and gross hematuria (or blood) in the urine, and often observed that at the end of urination (terminal hematuria).

The un of the most serious forms of acute hemorrhagic cystitis is considered. This type of inflammation occurs with an important penetration of red blood cells (rbcs) from the blood stream Group from the arteries into the cavity of the bladder.

This option and possible in the case of the object the increase of the permeability of vessel walls (a condition of anemia, deficiency of vitamin, clotting in disorders of the blood system) or to the destruction of the aforementioned walls of the cell dl·lules bacterial (usually streptococcal flora). Trapped in the cavity of the bladder of urine red blood cells blood-tinged color.

The appearance of hematuria syndrome doctor should carefully conduct the differential diagnosis between cystitis acute acute complicated and hemorrhagic cystitis. To do this, to appoint additional methods of examination, it turns out that the injury and select the most correct scheme of treatment.

Peculiarities of acute and chronic cystitis in women

Cystitis acute

Sound and Synthesis of the information above, and it is possible to assign specific cystitis acute abrupt onset of the disease and the presence of a specific symptom complex:

• frequent urination in small portions,
• pain syndrome of various types,
• itching that is associated with the act of urination,
• the appearance of drops of blood at the end of'acte,
• sense any alteration of the General conditions of women.

In the case of the correct and timely diagnosis, the disease can be cured within 6-10 days. If there isn't, improvement, original work of art 15º day of the disease s should consider the chronic inflammatory changes.

In addition to bleeding, there are two forms of complicated cystitis acute:

• The Gangrenous. Gangrenous form and rare occurs and is a cause of deterioration of blood supply or innervation of the bladder. Clinically this is manifested cystitis, difficult urination, pain accompanied by fever high, pain in the sacral region. And very The process of developing a dangerous serious complications such as peritonitis require quick action in relation to the treatment.
• Phlegmonous. Phlegmonous form there is a significant intoxication, the high temperature of the body and is accompanied by the release of small amounts of urine (oliguria). The urine ca difficult this course becomes putrid smell, cloudy in nature, the flakes of fibrin formations, the blood of impurities.

The duration of the course of the disease in case of development of the forms complicated and significantly greater.

There is another form of cystitis – interstitial. It is characterized by the urine inflammation d-vesico shells. In the clinic dominated by the strong frequent urination, getting up to 180 times per day, active complaints of severe pain in the hypogastric region when filling of the bladder and of its regression original works of art de l'acte urination. Bladder to reduce The capacity significantly, resulting in arise symptoms of the previous one.

Cystitis chronic

Chronic pain, unlike acute, rarely presents as a primary disease in the majority of cases, a complication secondary to already existing abnormalities of the bladder, the kidneys, the urethra.

Of Given this fact, and necessary to carefully examine the body for the presence of the above-mentioned pathological changes, and also to exclude or confirm a specific origin bacteria tuber Bacillus, Trichomonas infestation.

Clinically, cystitis, chronic seen in moderate differences in continuous course in the complaints, and the analysis d clinical urine or recurrent periods of disease exacerbation (similar to the clinical treatment of cystitis acute) and complete regression (with any absence of manifestations of a pathological process).

Therefore, the objective manifestations chronic cystitis with those of the acute process. Correlate total with the protective properties of the organism, etiology bacterial agent that caused the infectious process and the severity of the inflammation. Pain, frequent urination, itching, presence of blood and urine turbidity are less pronounced with a constant current and which correspond to the acute phase of the process in patients with recurring cystitis chronic.

Due to the injuries of the inflammatory reaction of the mucosa, edema of all layers of The urine, the, the wall and increase the pressure intravesical are all the conditions for the formacio of vesico-ureteric reflux, and a say, the liquid reflux from the bladder back into the ureter (Rose of the winds WITH the kidney and the bladder).

The verification of the diagnosis and treatment prescribed by the un of the cystitis makes the doctor-urologist.

For a un correct diagnosis of inflammatory bowel disease that should clearly define the patient's complaints and anamnesis (which precedes the development of the disease).

The clinical manifestations are very specific and can immediately indicate the presence of this disease, however, should be carefully differential diagnosis between all types of cystitis, I bladder diseases and other diseases of the abdominal cavity.

From the history it will be useful on the transferred data of the stress and the exposure to low temperatures, drugs and other injuries, located in the pelvis, the organs and the urinary system.

Original works of art of the clarification complaints file and medical history to verify the diagnosis of can clinical (Marta) of urine – will be revealed high levels of white and red of the cell dl·lules of the blood (leukocytes and erythrocytes, respectively).

For the identification of species of pathogenic bacteria that caused the inflammatory process, and urine in a special culture medium nutrients, original works of art that can be used to select the more you antibacterial drugs.

Before the urine to collect the bacteriological examination should be processed area of the genitals of directors with an antiseptic solution. The realization of the cystoscope in the presence of acute reactions inflammatory is contraindicated.

To diagnose cystitis, chronic, along with the collection of complaints and anamnesis helps to perform a cystoscopy remission. This s install all the necessary characteristics of inflammatory diseases. While this manipulation may do a biopsy – urine-gallbladder mucosa. As for the identification of cystitis chronic it is recommended to carry out two rays of sunshine x examination with contrast.