Acute Cystitis In Menopausal Women

Acute cystitis is a common disease caused by bacteria going upstream from the urethra into the bladder causing disease.
Reason
When women urinate, the flow of urine along the urethra wall can cause bacteria to hide around the outside of the urethra, then back into the urethra.
After urinating, the urethra closes from front to back, pushing urine droplets around the outside of the urethra into the bladder. Drinking plenty of water during the day will prevent acute cystitis.
In women during childbirth, under the support of female hormones, vaginal mucosa, urethral mucosa and bladder mucosa along with glandular systems such as skene, bartholine glands secrete mucus Lubricates the tube walls

.
Has an antibacterial effect that keeps the external genitalia always in balance, so bacteria cannot cause disease; at the same time urinating all the yards no longer has urine and urine residues.
Women during menopause due to low female hormones so the role of this substance is no longer so many ants for the wall of the urinary tract as well as the genital tract become dry and atrophic.
At the same time, the glandular cells of the tubular epithelium no longer produce a lot of slime This is the factor that bacteria have a chance to develop causing disease.




Acute cystitis can also be caused by other causes such as bacteria being introduced into the bladder through procedures such as urinary catheterization, cystoscopy, bacteria that travel from the kidneys to the bladder.
Signs of identification
People with diabetes like burning sensation when urinating, accompanied by pain behind the pubic bone. Urination, sometimes when urinating, indicates a few drops of urine or very little urine.
Pee many times, pee at night many times and may urinate at the end of the blood. Urine is often cloudy, has a faint odor and sometimes has blood. Systemic signs are less common, only when severe, chills, fever and pain behind the pubic bone when pressed.
Perform a total urine analysis, may appear many red blood cells, white blood cells, bacteria When culture urine can identify pathogenic bacteria.




Ultrasound in patients with acute cystitis: see thick wall of the bladder, uneven wall, may have sediment in the bladder.
Differential diagnosis
- Cystitis caused by tuberculosis: often recurrent disease, pus-related symptoms, urine culture, not finding bacteria, whereas TB can be seen. Treatment of conventional antibiotics, unresponsive.
- Interstitial cystitis: this is a form of bladder disease that is still unclear about the cause and mechanism. Symptoms of intermittent bladder pain, urination disorders. Cystoscopy may reveal ulcerative mucosa and fibrosis. Anti-inflammatory, analgesic and anti-inflammatory treatment. But the results are temporary.




- Bladder cancer: this condition is uncommon only in cases of metastatic bladder cervical cancer. Patients suffer from pelvic pain, flatulence hematoma and symptoms of cervical cancer.
Treatment
Using antibiotics through the urinary mainly oral drugs such as amoxicillin, augmentin, ciprofloxacin ... Use antibiotics on average 7-10 days. Combined with antispasmodics such as Spasmaverin, Spasless, Spasfon.
Need to eat a lot of vegetables, fruits, avoid using stimulants like tea, coffee, wine.



Drink plenty of water throughout the day.
Clean the vulva area clean, with gynecological toilet water as lactacyd FH solution, gynofar solution. Every time you urinate, you need to wipe with a toilet paper, avoid showering directly into the vulva, this helps bacteria hiding in the urethral hole have the opportunity to enter the urethra and then up the bladder washing water.
If 10 days of antibiotic treatment does not work, urine culture and antibiotic testing and antibiotic treatment can be performed.
Acute cystitis is a common disease caused by bacteria going upstream from the urethra into the bladder causing disease.
Reason
When women urinate, the flow of urine along the urethra wall can cause bacteria to hide around the outside of the urethra, then back into the urethra.
After urinating, the urethra closes from front to back, pushing urine droplets around the outside of the urethra into the bladder. Drinking plenty of water during the day will prevent acute cystitis.




In women during childbirth, under the support of female hormones, vaginal mucosa, urethral mucosa and bladder mucosa along with glandular systems such as skene, bartholine glands secrete mucus Lubricates the tube walls.
Has an antibacterial effect that keeps the external genitalia always in balance, so bacteria cannot cause disease; at the same time urinating all the yards no longer has urine and urine residues.
Women during menopause due to low female hormones so the role of this substance is no longer so many ants for the wall of the urinary tract as well as the genital tract become dry and atrophic.
At the same time, the glandular cells of the tubular epithelium no longer produce a lot of slime. This is the factor that bacteria have a chance to develop causing disease.
Acute cystitis can also be caused by other causes such as bacteria being introduced into the bladder.

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