Cystitis in pregnancy: a common phenomenon
According to statistics, cystitis during pregnancy suffer from ten to fifty percent of women.This is due to many factors.Firstly, women are more likely to suffer male urogenital infections due to physiological characteristics (they have a short and wide urethra, which causes easy penetration of infection).Secondly, pregnant women reduced immunity, it is necessary to prevent rejection of the fetus as a foreign body in the body of the future mother.And, thirdly, during pregnancy there is hormonal changes the body.All these factors contribute to urinary tract infection and, in particular, the development of cystitis.
What is cystitis and its causes
Cystitis - an infectious disease that affects the mucous membrane of the urinary bladder.The causes of cystitis are opportunistic and pathogenic microorganisms, such as:
- E. coli;
- trichomonas and others.
clinical picture cystitis
cystitis symptoms must be distinguished from the clinic urethritis (inflammation of the urethra).If there are complaints of cystitis frequent, painful urination, with those cramps occur at the end of bladder emptying.In addition, if there is such a cystitis symptom as false urge to urinate (the patient feels a strong urge to urinate, but the urine is absent or stands out a little urine).False urgency and frequent urination (up to forty times a day and more) is reflected on the image of a woman's life, she can not leave the house even for a short period of time, because the acute attack is possible at any time.Also, acute cystitis Acute cystitis Cystitis: urgently take measures : Treat treated responsibly occurs with fever, sometimes very significant and abdominal pain Abdominal pain: when to sound the alarm? .But it is necessary to distinguish cystitis by frequent urination, which occurs in pregnancy is normal (the pregnant uterus presses on the bladder, thus irritating it).Chronic cystitis affects women who have had the disease before pregnancy.In chronic cystitis symptoms are less pronounced.A characteristic feature of cystitis is a change in appearance of urine, it is cloudy, sometimes mixed with blood and pus.
urethritis is characterized by painful urination and burning, or sharp pain when emptying the bladder.The frequency of urination normal.
In the case of cystitis, you must immediately seek medical attention.In no way is not permitted self, which aggravates the signs of disease and may result in such complications as pyelonephritis (infection, especially at standstill of urine permeates the ureter into the kidney).Treatment of pyelonephritis longer and more complex, and is carried out in a hospital.
Cystitis can lead to premature birth or low birth weight.
Treatment and diagnosis of cystitis during pregnancy
primarily for the diagnosis of the disease is collecting complaints, which are very typical in cystitis.Then appointed urinalysis and urine analysis of Nechiporenko.In urinalysis determined bacteria, which were the cause of the disease, a large number of white blood cells, hyaluronic cylinders and protein.Sometimes defined by red blood cells.After urine tests conducted its crop to determine the sensitivity of microbes to antibiotics.Equally important is the ultrasound of the genitourinary system, eliminates urolithiasis and the presence of a tumor.In difficult cases assigned cystoscopy and cystography.
in the treatment of cystitis in pregnant women in the diet should be restricted to acute and salty foods, but shown to increase the amount of fluid intake.It is better to use cranberry and cranberry fruit drinks that are rich in vitamin C. Pregnant contraindicated antibiotics tetracycline and sulfonamide series (effects on the fetus).Allowed appointment Nitroxoline and Phytolysinum.An effective treatment for cystitis during pregnancy treatment of cystitis in pregnancy - cautious therapy is a diagram of the bladder instillation.The essence of this method lies in the management of drugs directly into the bladder.Usually after by one to two treatments, patients report significant improvement.Bladder irrigation is absolutely safe for the fetus, the entire course of treatment is five procedures.