Until a few decades ago, it was believed that the acute cystitis treated with antibiotics is not necessary: ​​it will be, and so subject to the regimen, diet, plentiful drink and strengthen the immune system Strengthening the immune system - help the immune system . But recent studies have led to completely change the tactics of treatment of acute cystitis Treatment of acute cystitis: an integrated approach As it is untreated acute cystitis is a cause of chronic process.

Antibiotic treatment of acute cystitis

If you do not treat acute cystitis Acute cystitis: Treat treated responsibly   antibiotics, the infection "Hidden" and after some time, be sure to show itself, which speaks about the transition of acute to chronic.

Acute cystitis Cystitis: urgently take action   It requires immediate assistance without prior examination of urine to identify the pathogen and its sensitivity to antibiotics. Previously, it has created a lot of problems, because not all infectious agents are sensitive to a particular antibiotics are prescribed. But today there is such a universal antibiotic to treat infections of the lower urinary tract as Monural.

Monural is a broad-spectrum antibiotic, it is active against most pathogens of acute cystitis (eg, E. coli, Proteus, Staphylococcus). Unlike other antibiotics, to Monuralu rarely develop resistance (immunity) of infectious agents. And one more unquestionable advantage: take Monural acute cystitis do not need a long time: just a single dose, after which the drug is rapidly absorbed into the blood and unchanged enters the kidneys. The high concentration of the urine Monural holds more than a day and completely destroys all pathogens. In severe cases (for example, when hematogenous cystitis) Monural appointed twice.

Monural mechanism of action is based on the fact that it blocks the action of the enzymes involved in the formation of the cell walls of pathogens. He did not have a toxic effect on the human body, so it is even allowed to take during pregnancy.

Do not use Monural when you are hypersensitive, significant renal impairment, children under 5 years and lactating mothers (it is highlighted with mother's milk).

After treatment obligatory in urine. Make a general analysis and urine culture to culture media to detect the presence of infectious agents (control of cure).

Antibiotic treatment of chronic cystitis

Treatment of chronic cystitis, on the other hand, begin with a complete survey and identify all the possible causes of the formation of a chronic process - different anatomic changes in the urinary tract. Furthermore, chronic cystitis never assigned to antibiotics without urine culture and sensitivity to detect them pathogens.

Monural in chronic inflammatory processes used much less frequently, as in these cases, the infection is so learned to hide, that one-two-single reception it is usually impossible to remove. Therefore, for the treatment of chronic urinary tract infections are most commonly used antibiotics fluoroquinolones (norfloxacin, ofloxacin, ciprofloxacin).

These drugs have a strong antibacterial effect against most bacteria, which cause infections of the lower urinary tract, and it almost does not generate resistance of these bacteria. The advantage of fluoroquinolones is the fact that they are able to destroy even such strong and neubiennogo pathogen as Pseudomonas aeruginosa, which was previously almost did not give the effects of antibacterial drugs.

Proper selection of the dose and duration of treatment with fluoroquinolones facilitates removal of urinary tract pathogenic bacterial flora. Like most antibacterials, fluoroquinolones inhibit the function of enzymes required for the construction of bacterial cells, with their action comes very quickly, not allowing microorganisms to "adapt" to these drugs.

Contraindications receiving fluoroquinolones in case of hypersensitivity to it the body, at the age of 15 years (this may affect the formation of skeleton) and in severe kidney disease. During pregnancy receiving fluoroquinolones allowed only for health reasons, that is, when life-threatening to a pregnant woman. Breastfeeding during treatment is better to interrupt and resume only after the course of treatment.

Any drugs of fluoroquinolones group can appoint a doctor, as they have a number of side effects that affect many internal organs and systems.

After the treatment of cystitis fluoroquinolones necessarily appointed laboratory control cure - without this control treatment will be defective.

Galina Romanenko

In the treatment of acute inflammation of the bladder Acute inflammation of the bladder - How big is the problem?   apply antibiotics in common action. In addition, the necessary medicines to relieve spasms and pain when urinating. In chronic cystitis the drug solution applied topically, for administration into the bladder.

Antibacterial drugs used in the treatment of inflammation of the bladder

Since the main cause of inflammation of the bladder is an infection of this disease are used antibacterial agents. In acute cystitis and acute exacerbations of chronic cystitis today mostly prescribe antibiotics, which quickly and effectively kill pathogens, often causing a urinary tract infection.

These drugs include, for example, Monural (active substance - fosfomycin). Monural is a broad-spectrum antibiotic with a bactericidal action against sensitive to his infectious agents. This antibiotic is usually taken once, twice, in rare cases, in order to secure the therapeutic effect. It is produced in the form of granules to prepare a solution, which is then ingested. Sensitivity to show monuralu infectious agents for which other antibiotics have no effect. This is the most common gram-positive (Staphylococcus and others) and gram (Proteus, E. coli) pathogens.

Monural can even be used during pregnancy because it can not be decomposed in the liver, it does not pass through the placenta to the fetus, and excreted in the urine in unchanged form. It does not take Monural during feeding baby Breastfeeding - a personal choice   feeding (it stands out with human milk), renal impairment, and children up to five years.

This group includes norfloxacin, ciprofloxacin, ofloxacin, take their three-day course. These drugs have a broad spectrum of antibacterial activity and bactericidal activity, that is, the ability to kill pathogens. They are well absorbed when taken orally and is distributed to organs and tissues.

Drugs for the treatment of cystitis that applied in the form of a series of tablets for three consecutive days. This is effective in killing the pathogenic microflora in the bladder.

Ftorzinolony not be used during pregnancy, breast-feeding the child, for the treatment of children and adolescents (can cause growth disorders), as well as certain types of metabolic disorders Metabolism: The basis of life of all living things   and viral infections.

Effective treatment for cystitis is also a combination drug tsifran, which includes a fluoroquinolone antibacterial drug ciprofloxacin and tinidazole.

Symptomatic treatment for cystitis

The main symptoms of acute cystitis and acute exacerbations of chronic cystitis are strong cramps during urination. Irritant effect on the mucous membrane of the bladder, even a small amount of urine is the spasm of smooth muscles of the bladder, severe pain and need to urinate. The pains are very strong, so their removal are used drugs, has antispasmodic and analgesic properties.

For antispasmodics (relieves spasms of smooth muscles) are drugs such as papaverine Papaverine - for pain caused by spasms of smooth muscles   and no-spa. Nospanum the treatment of cystitis usually take into one or two tablets (one tablet contained 0, 04 g of active principle) three times a day. Papaverine is more convenient to use in rectal suppositories (suppository contains one 0, 2 g of papaverine) in candle two to three times per day. Removing spasm of smooth muscles reduces pain.

As analgesics prescribed NSAIDs such as diclofenac in the candlelight.

Local products

Antiseptic preparations for topical use (injection into the bladder) are used only for the treatment of chronic cystitis. For this purpose, using solutions of silver (collargol, Protargolum, silver nitrate), aqueous solutions of aniline dyes (methylene blue) and some other solutions. Washing of the bladder can only be a urologist.

In order to avoid the transition of acute to chronic cystitis and chronic - a persistent bladder dysfunction, need to be treated by prescription and under medical supervision, carefully fulfilling all its recommendations.

Galina Romanenko