In 40% of cases, after the first episode of cystitis, you can expect a repeat episode.
Most often (in 85% of cases) the causative agent of cystitis is an E. coli. If the cause of E. coli cystitis in women and 55 relapses in the year occur in 36% of cases, and women over 55 - 53%.
In Ukraine annually 26-36 million cases of cystitis are recorded. Some women have recurrence more than 3 times a year. According to statistics, cystitis is accompanied by clinical manifestations for 6-7 days, and for 2-3 days a woman loses capacity for work.
Cystitis is a dangerous relapse
Statistics show that the percentage of chronic cystitis, its transition to a relapsing form is quite high. Doctors agree that two reasons - the peculiarities of inflammation of the bladder and inadequate treatment strategy.
During cystitis important role played by many factors: the strength of the immune system, pH urine, the presence or absence of additional damage (sand in urine, for example), the physiological features of the structure of the urethra, the presence or absence of gynecological diseases, diseases, sexually transmitted diseases, especially food patients etc.
If there are any of these adverse factors, plus enough to effectively treat or inadequate, chronic process almost inevitable.
Principles of modern cystitis treatment
What is effective cystitis treatment? This, above all, is adequate antibiotic therapy, and secondly - auxiliary agents.
Treatment of cystitis begins immediately, with the appearance of the first symptoms. It is impossible to postpone therapy, as it leads to delaying the disease. In the treatment, it is necessary to take into account the sensitivity of the main pathogen (E. coli) to antibiotics, as currently expands the antibiotic resistance of microorganisms.
Duration and frequency of antibiotics should be sufficient. Antibiotics should be taken within 3 days or once, depending on the drug. During this time there is a symptom, significantly reduces the amount of pathogen in urine.
However, the feature of the epithelial cells of the mucous membrane of the bladder is that only mature epithelial cells are able to withstand the attachment and harmful effects of pathogenic microorganisms, in particular the E. coli. And complete recovery of the epithelium (replacement of cells with new ones) after inflammation requires at least three weeks. It turns out that after the end of taking antibiotics, but until complete structural and functional restoration of the mucous membrane of the bladder cells are defenseless, and this contributes to the development of relapse.
That is why the treatment of cystitis is supplemented with drugs that protect the entirely restored epithelium. This drug is Monorel. Its main component - proanthocyanidins - substances derived from the extract of cranberries.
Cranberry is an old folk remedy for treating cystitis, and a mono can be called an extract of its beneficial properties in a convenient form.
Proanthocyanidins are not only the most powerful antioxidants (stronger than vitamins E and C), which improve the metabolic processes in the inflammatory cell. They damage the bacterial membrane, contributing to the destruction of the pathogen, block the fibrillation of the intestinal sticks and prevent it from clinging to the epithelial cells, and also prevent the bacteria from reproducing on the mucous membrane. As a result, the pathogen can not resist epithelium and is simply excreted in the urine. Monorel is taken within a month and protects epithelial cells during their recovery.
Addition of antibiotic therapy with Monorel helps to reduce the risk of recurrence of cystitis.
Prevents chronic cystitis and immunomodulatory therapy. Studies have shown that in 33% of patients with chronic cystitis there are certain deviations in the immune status. Such patients are prescribed immunomodulators in the treatment of cystitis.
In parallel, painkillers, antispasmodics, anti-inflammatory drugs are prescribed. No less important is a diet, drinking regime (drinking is needed as much as possible to avoid concentration of urine), as well as the mode of the day, a good rest and dismissal from work. It is unacceptable to carry the cystitis on the legs.
Consequently, in the treatment of cystitis, it is always necessary to take into account the high risk of chronicity of the process. Therefore, the obligatory scheme: antibiotic, Monorel, antispasmodics, anti-inflammatory, analgesic, drinking regime, diet.
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