Лечение хронического цистита: основные направления и виды терапии

Treatment for chronic cystitis is done in an inpatient or outpatient setting. The choice of treatment conditions depends on the severity of the symptoms of the disease, the age of the patient, the results of diagnostic procedures, and the verification of the diagnosis. For example, the presence of severe and / or prolonged gross hematuria – This is an indication for emergency hospitalization in urology. On estet-portal.com, read about the intricacies of treatment chronic cystitis, as well as read the recommendations on nutrition during an exacerbation of the disease.

Drug treatment of chronic cystitis

Drug treatment – the most effective type of therapy in the treatment of cystitis occurring in a chronic form. Here is a table of drugs of choice, which are most often used in practice.

  1. Table of drug treatment of chronic cystitis

N

n/n

Pharmacological group

Drugs name and dosage

Note

1

Antibiotics

Ceftriaxone 1.0 ml once a day. The course of therapy is from 7 to 10 days

Macrolides are indicated for Ceftriaxone intolerance

2

Nitrofuran preparations

Nitrofurantoin 100-150 mg thrice or four times a day

Furazidin 100-200 mg orally 2-3 times a day

Take only after meals with plenty of water. Maximum daily dose up to 600 mg.

3

Antifungal and antiparasitic agents

Fluconazole 150 mg single dose

Itraconazole 5 mg/kg/day

For the treatment and prevention of mycosis

Itraconazole is not prescribed for children under five years of age

Diet therapy and basic nutritional recommendations for chronic cystitis

In the treatment of chronic cystitis, spicy foods are excluded from the diet, including spicy seasonings, canned food, meat broths. It is important to drink plenty of fluids. Drinking water is replaced by:

  • juices;
  • fruit drinks;
  • non-sour jelly;
  • with decoctions of medicinal herbs (kidney collection, half-fallen, corn stigmas, chamomile, bearberry).

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The diet includes fortified meals, fermented milk products, unsalted cheeses and cottage cheese.

Watermelons and melons are of particular benefit to urological patients. These gourds have a diuretic effect, reduce intoxication, ease the course of the disease, and reduce the severity of the symptoms of the disease.

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Physiotherapeutic procedures for chronic cystitis

Any kind of thermal procedures is prohibited for metastatic and hemorrhagic cystitis. In the treatment of chronic cystitis of other forms, physiotherapeutic procedures are indicated.

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Physiotherapy – a serious type of treatment, therefore, to determine possible contraindications to the appointment of individual procedures, a consultation with a physiotherapist is required. In chronic cystitis, it is important to avoid aggressive procedures so as not to provoke an exacerbation of the disease.

A course of short-pulse electroanalgesia, laser or magneto-laser therapy, magnetotherapy is prescribed for the pubic joint.

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Treatment of chronic cystitis in pregnant women and children

Chronic cystitis during pregnancy is dangerous because of the anatomical proximity of the bladder and uterus. The inflammatory process is able to migrate from the main focus to the reproductive organs, harming the fetus. Therefore, the treatment of the disease begins immediately after the verification of the diagnosis, without waiting for the results of the analysis for the sensitivity of the flora to antibiotics.

The safest antibacterial drugs for pregnant women are becoming the drugs of choice. Therapy is carried out with great care.

The correct treatment tactics will improve the patient's quality of life. Compliance with nutritional recommendations and periodic courses of physiotherapy will help prolong the remission of the disease.

Chronic cystitis: etiology and clinical picture

 

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