Rus Articles Journal

Cystitis after the delivery

Cystitis - an inflammation of a mucous membrane of a bladder. This disease to familiarly vast majority of the women who were especially giving birth. The matter is that the female organism, owing to some of its features, is susceptible to cystitis more, than man`s. Therefore it is good if each woman knows by sight this artful “enemy“.

Most of women at least once in life felt such feelings as suddenly appearing frequent painful urination and pains in a bladder. These are the most characteristic symptoms of sharp cystitis - infectious - inflammatory process in a bladder wall (mainly in a mucous membrane) - one of the most widespread urological diseases.

Causative agents of a disease most often are colibacillus, staphylococcus, a streptococcus and other representatives conditionally - pathogenic flora (the bacterium showing the pathogenic properties only at influence of provocative factors). Quite often the cystitis connected with an ureaplasma, a mycoplasma, hlamidiya, trichomonads and mushrooms of the sort Candida meets.

cystitis occurs At women much more often than at men. The main reason consists in features of a female urinogenital path: the short urethra (about 5 cm), a close anatomic arrangement of a vagina and an anus to an external opening of an urethra (urethra) create favorable conditions for distribution conditionally - pathogenic microflora in a gleam of an urethra and bladder. The probability of cystitis increases in the postnatal period. As the reason for that serve the following circumstances:

At the time of delivery advance of a fruit on patrimonial ways leads

As shows cystitis


the Inflammation of a bladder is shown first of all by increase of an urination. At the same time the woman constantly has strong desires to visit a toilet which do not correspond to amount of the urine which is emitted at the same time. Often the woman notes pain at the end of an urination, sometimes in urine blood appears. Quite often pain (a burning sensation, gripes) can accompany all act of an urination. In that case speak about emergence of an uretrit - an urethra inflammation. At sharp cystitis pains in the bottom of a stomach develop. Due to the emergence of intolerable desires on an urination there can be a false incontience of urine - such state at which the woman feels a desire, but does not manage to reach a toilet. This state reversible, it passes after treatment of a disease.

Under adverse conditions the course of cystitis can be complicated by

of Complication of cystitis. At the same time activators get into a kidney that leads to development of sharp pyelonephritis - a nonspecific infectious inflammation chashechno - lokhanochny system and a parenchyma of kidneys. Microorganisms can get into a kidney in two ways:

  1. through blood vessels (a hematogenic way);
  2. at development / existence puzyrno - a mochetochnikovy reflux - the return throwing of urine from a bladder in a mochetochnik, a kidney - the ascending way of infection (a so-called reflux - pyelonephritis).

Characteristic displays of sharp pyelonephritis are sudden temperature increase of a body to 38 - 39 degrees and above, followed by a “tremendous“ fever. Quite often patients complain of pain in lumbar area, nausea, vomiting. It is important to remember that sharp pyelonephritis is the emergency pathology and the direct indication for hospitalization in a hospital. Therefore even at a single episode of temperature increase of a body to the specified numbers with the fever proceeding against symptoms of sharp cystitis, especially in the postnatal period it is necessary to be hospitalized in a hospital according to the emergency indications.

Diagnosis of cystitis

In most cases diagnosis of sharp cystitis does not cause difficulties as the symptomatology of a disease is very specific. However for confirmation of the diagnosis it is necessary to make the test of urine in which the increased quantity of leukocytes will come to light and identification of erythrocytes is possible. For purpose of the correct antibiotic treatment it is necessary to make the microbiological analysis of urine which allows to reveal sensitivity of the activator to this or that antibiotic (urine is placed on a special nutrient medium where the microorganisms causing cystitis grow after that investigate sensitivity of microbes to antibiotics). As tool methods of inspection at sharp cystitis ultrasonic inspection and a tsistoskopiya (research during which by means of the special device - the cystoscope - examine an eye a bladder and an urethra) can be applied. However most often inspection is limited to studying of these laboratory analyses.

It is very important

that during inspection the woman having cystitis made the tests allowing to judge a condition of microflora of a vagina and existence of infections, sexually transmitted.


Treatment of cystitis

To treatment of cystitis traditionally apply antibacterial preparations and uroseptik. The doctor will pick up such preparation which application does not exclude breastfeeding.


Also applies the local therapy consisting in instillations, i.e. in introduction to a bladder of the special solutions containing various medicinal substances having antimicrobic effect.


In parallel carry out treatment of a bacterial vaginosis and infections, sexually transmitted.

For prevention of repeated episodes of sharp cystitis at emergence of the first symptoms of a disease needs to visit the urologist and the gynecologist and to carry out the appointed treatment in full.

Prevention of cystitis