August
12
19:53
Urinology

Cystitis: Overview for pain and inflammation

Cystitis - inflammation of the bladder - a disease which is characterized by a bright clinical picture, diagnosis difficulty that causes neither a doctor nor a person with sufficient experience.Frequent painful urination, sometimes accompanied by severe pain and the appearance of blood in the urine - this is his characteristic features.

walk with the disease to work, live and work is impossible: it is completely knocks out of the rut.In this situation, it concerned only the question of treatment: what can be done to stop this unbearable cramps during urination?

Content

  • 1 Destinations therapy cystitis
  • 2 Features causal treatment
  • 3 Features symptomatic treatment: eliminate signal «SOS» or assist?
  • 4 drugs for the treatment of cystitis
    • 4.1 Nonsteroidal anti-inflammatory drugs (NSAIDs)
    • 4.2 Spazmolitiki
    • 4.3 Herbal preparations
    • 4.4 Immunotropic means
    • 4.5 Other means

It should be said at once that fluid restriction is unacceptable!I do not think that inflammation i

s docked, if you do not urinate.On the contrary, a large amount of acidic liquid (such as cranberry juice Cystitis: Overview for pain and inflammation) - is, as they say, what the doctor ordered.The acid reaction of urine helps to create unfavorable conditions for bacterial adhesion (attachment) to the walls of the bladder and urine flow washes them away.

This method is required, but the auxiliary.How to quickly eliminate pain and cope with a bladder infection?This will tell more.

Every disease are two parallel directions:

Despite the tremendous achievements in medicine, not all diseases the cause is known, respectively, is not always possible to conduct etiological therapy.

Cystitis: Overview for pain and inflammation cystitis is not concerned.It is proved that cystitis pathogens - bacteria, so the main means of causal treatment of cystitis - is antibiotics.However, no one can tell at once what type of bacteria (or association) has provoked the development of cystitis in each case.

This requires an individual to carry out research: a urine culture.It involves growing the bacteria in special environments, define their type, and then, if necessary, to study their sensitivity to antibiotics.Such research expensive and, unfortunately, is not always informative, as there is its technical complexity.

conduct such diagnosis only in certain situations, clearly defined algorithms of diagnosis and treatment.Usually it complicated, recurrent cystitis and nosocomial form.In addition, analysis requires time: typically up to six working days.

During this time, bacteria can to flourish, so the first course of therapy administered immediately, without waiting for the results.It is clear that the efficacy of antibiotics prescribed in such a situation is in the nature of statistical probability.The choice of drug is carried out on the basis of standards: there is a list of prescribed antibiotics, which act on most of the bacteria in the majority of patients with cystitis.

therefore recommended antibiotic for the treatment of cystitis should a doctor, based on modern standards.Choosing the most effective and safe antibiotic will help eliminate pathogens were not affecting the normal microflora, and unauthorized taking the drug on a "most powerful" or "that helped a neighbor" - could be a blow to the immune system without exerting the desired effect.

should not be considered illiterate doctor or substandard medicine, if the first course of causal treatment was ineffective.From the foregoing, it is clear that this can happen.Here comes to the rescue of the second area of ​​treatment: symptomatic.

Cystitis: Overview for pain and inflammation role symptomatic therapy is twofold:

And so it is!The turning point in the standards for the treatment of uncomplicated cystitis was a comparative study of antibiotics and anti-inflammatory drugs.In it a group of patients treated with the antibiotic ciprofloxacin and the other - symptomatic medication from the group of NSAIDs (non-steroidal anti-inflammatory drugs), ibuprofen.On the seventh day of the disease felt completely healthy 75% of the patients of Group 1 and 60% from the second.Recurrence of the disease originated in a third of patients taking the Ibuprofen.

Based on these data, in the first episode in the life of uncomplicated cystitis and recurrent uncomplicated cystitis recommend the first day of treatment symptomatic means.If they do not help, then the doctor will recommend antibiotics.

If a patient has kidney stones, urinary tract stricture, tumor, conducted any surgery, antibiotics are appointed from the first day of the disease.

Given the growing resistance (stability) to antibiotics and potentially possible side effects to their destination were treated more carefully.

So, before immediately recommended by prolonged courses of therapy with low doses in the treatment of complications and recurrent and postcoital cystitis (occurring in women after sexual intercourse).Now resort to antibiotics only when the inefficiency of other methods of prevention.

asymptomatic bacteriuria (if the bacteria found in the urine culture, but no symptoms do not disturb), according to the standards of 2014, are treated with antibiotics only in pregnant women and those who have an operation on the pelvic organs and the urinary system.In other cases, use alternative means.

Thus, symptomatic therapy is a powerful tool.Benefit or harm it will bring?It depends on how they will use.The uncontrolled use of painkillers for a long time Monurel (" Zambon ", Italy ) - a preparation containing a high concentration of cranberry extract and vitamin C. It is recommended to use 1 tablet at night for a long time .In pregnancy, the drug is contraindicated . masks disease and competent comprehensive symptomatic treatment may promote healing without antibiotics.

This complex includes:

NSAIDs inhibit prostaglandins (mediators and activators of inflammation), thereby inhibiting the inflammatory process.

goal of therapy of these funds - arresting major signs of inflammation:

This vast group of drugs, especially the action which depends on the chemical structure.For example, the maximum anti-inflammatory activity of indomethacin have expressed, and the minimum aspirin and ibuprofen.On the other hand, better eliminate pain ketorolac and ketoprofen, and less influence it ibuprofen and naproxen.

Cystitis: Overview for pain and inflammation NSAIDs is not recommended for a long time due to the high risk of severe adverse reactions.Erosion and ulceration of the digestive tract on the background of NSAIDs even a separate category of diseases: NSAID-gastropathy.The great danger in this direction has indomethacin, ketoprofen, and least likely to appeal such a side effect of diclofenac and ibuprofen.Anti-inflammatory agents selective action (meloxicam, nimesulide, celecoxib) can help significantly reduce the risk of such complications.

NSAID can trigger the development of stroke, thrombosis, bleeding, hypertension and other adverse reactions.

doctor will choose the right drug is safe and effective, taking into account individual clinical situation and related diseases.

long as the self-development of dangerous side effects or ineffective treatment of the underlying disease and related complications.

antispasmodics - a large group of drugs used in the treatment of various diseases.The action of these agents is to eliminate smooth muscle spasm, which, in contrast to the striated, contracts and relaxes involuntarily.Employment agencies, consisting of smooth muscle is controlled by the autonomic nervous system.

Under the influence of antispasmodic drugs bladder spasm that occurs in cystitis, cramps during urination associated with overactive bladder contraction, eliminated direct action.Drugs myotropic action change the balance of the cell membranes in the muscle tissue, reducing the contractility of the cells.This group includes drotaverine, papaverine, bentsiklan, bendazol.

Nospanum and papaverine are the most popular drugs in this group.

Cystitis: Overview for pain and inflammation Nospanum issued in the form of solution, and 40 mg tablets.The average daily dose is 120-240 mg.Contraindications are severe heart, kidney and liver failure, and idiosyncrasy.Nursing mothers Nospanum is not recommended during pregnancy, you can use the drug on prescription.

role of herbal medicines in the treatment of cystitis is auxiliary.On the one hand, they are not included in the international standards of treatment in relation to the fact that do not correspond to the two principles of evidence-based medicine:

Cystitis: Overview for pain and inflammation On the other hand, herbal products are so attractive because of its apparent safety and the intended effect, that without them does not do anyOne regimen.

in the Russian standard therapy of recurrent uncomplicated urinary tract infections in 2014 herbal medicines listed among the alternative (ie minor, perhaps) therapies.

Virtually all herbal products offer similar effects in cystitis:

Thus, it seems that herbal medicines replace the results of treatment of all symptomatic of other groups.At the same time adverse reactions during treatment with these agents is not marked.

Usually, however, herbal medicine is not enough for fast and effective relief of symptoms and prevention of relapse, so this group of drugs used in the absence of fever, severe pain, or in conjunction with other therapies.Here are some of the products based on plant extracts.

Cystitis: Overview for pain and inflammation Kanefron H ("Bionorica CE", Germany) - a drug that contains a special extract centaury, lovage and rosemary.Adults are recommended to use 2 tablets 3 times a day.The drug is also produced in the form of a solution, it is possible to use 50 drops three times a day.Russian Society of Obstetricians and Gynecologists has conducted a comparative study of the use of kanefron H and antibiotics in the treatment of cystitis in pregnant women.It showed that the symptoms quickly arrested in the group treated with Kanefron N.

Cystone ("Himalaya", India) - combined herbal remedies, consisting of seven plant extracts.Used 2 tablets, 2 times a day, but in acute pain it can not be used.Pregnancy is not a contraindication to receiving.It is recommended that long-term treatment, it is possible litholytic effect (ie the components of the preparation are capable of dissolving the stones).


Monurel ("Zambon", Italy)
- a preparation containing a high concentration of cranberry extract and vitamin C. It is recommended to use 1 tablet at night for a long time.In pregnancy, the drug is contraindicated.

Phytolysinum ("Herbapol", Poland) containing aqueous extracts of leaves and fruits of parsley, horsetail, birch and essential oils.It produced product in the form of a paste, and applied in the form of a suspension.Before use, be sure to read the instructions you need, as the drug has a list of contraindications.tsistoit

Tsistoit GF (Russia) - safe homeopathic remedy, rendering and anti-inflammatory effects sanifying.It is recommended for combination therapy for the treatment of acute exacerbations of chronic cystitis.Absorbable 5 granules 3 - 4 times a day for 20 minutes before or one hour after eating.1 month course of treatment.

Since the disease is always defines the relationship aggressive microbe and protective forces of the human body, increase immunity is one method of symptomatic therapy.

Immunomoduljatory allow arrest cystitis in the early stages of inflammation by altering the immune response.In this group, occupy a special place alpha interferons (AIFN), which act only on the untenable links of immunity, without affecting the normal parameters.One of the representatives of this group is Genferon.

Genferon (JSC "Biocad", Russia) contains, in addition AIFN, aktioksidant amino acid taurine and topical anesthetic benzocaine.Available in the form of rectal suppositories and vaginal (candles) for 500 thousand or 1 million IU.It is recommended to use in combination with an antibiotic 2 times per day in the treatment of cystitis within 10 days, then once a day every other day for 40 days in order to prevent recurrence.A large study in Russia showed good effect in the treatment of chronic cystitis and high security.Pregnant women are allowed to use in the 2-3 rd trimesters.

Probiotics and estrogenic drugs recommended for cystitis associated with disruption of the normal gut microbiota and vagina, as well as the age of estrogen deficiency.

Group vaktsinopreparatov will be detailed in an article on prevention of cystitis.

specialists also recommended for the treatment of cystitis follow a special diet.

Use cystitis antibiotic or symptomatic therapy do?To answer this question and to help avoid undesired consequences for the organism can only be a doctor.That he will choose the appropriate range of products, allowing to stop symptoms of the disease, without offering side effects and prevent complications and relapses.

Our video with tips on diet cystitis: