Methods for the treatment of cystitis during pregnancy. The main methods of treating cystitis during pregnancy: herbal medicine and medications Is it possible to do urinary bladder instillations for pregnant women

Turning to the statistics, we will see that about 80% of all pregnant women at different periods face the problem of bladder inflammation. An untimely treatment of acute cystitis will lead to a new phase - a chronic one, which is much longer and more difficult to treat. Therefore, it is especially important to start treatment of cystitis during pregnancy as early as possible, so that the disease does not give an impetus to the development of more serious diseases, for example, if the infection ends up in the kidneys, pyelonephritis is possible, which will adversely affect the development of the fetus.

Before figuring out how to treat cystitis during pregnancy with all available means, let's outline the main points.

What is this cystitis?

Cystitis is a variety of urinary tract infections that lead to inflammation of the bladder. This ailment, eight times more often affects the fair sex than men. And pregnant women are generally at risk. The reasons for the occurrence in pregnant women, as well as in women in general, lie in the anatomical structure of the female body and the genitourinary system in particular.

The urethra in men is on average 10-13 cm long, and in women it is not much more than two centimeters. Plus, a woman's urethra is located in the folds next to the genital and anus. As a result, favorable conditions are created for the ingress of bacteria. Urine is usually sterile, but the microflora of the rectum and vagina contains an incredibly large number of bacteria.

If the bacteria gets into the bladder, this does not mean that cystitis will begin immediately. But if there are predisposing factors, the risk increases. Such factors may include:

sedentary work,
sedentary lifestyle,
at a later date - pressure on the bladder,
lovers of sweets fall into an increased risk zone,
the most common way to catch cystitis is, of course, hypothermia,
reduced body defenses. Although nature has rewarded women with strong immune protection in the walls of the urethra, during pregnancy, immunity decreases in order to preserve the pregnancy itself.

Now let's list the main symptoms.

The main symptom is frequent and strong, unbearable with short intervals of up to five minutes, the urge to urinate. But emptying, as a rule, is ineffectual, the maximum that can be done is to squeeze out a few drops. And after leaving the toilet, there is a feeling that the emptying is not complete. The frequency of the urge usually increases up to 40-50 times a day. On top of that, urination causes severe discomfort due to its severe pain.

Cystitis also presents as a whitish sediment in the urine. By doing tests, you can identify an increase in protein. You can also see a significant amount of pus.

It is difficult for pregnant women to determine the initial stage, since pregnant women want a little one very often. Therefore, if you experience discomfort and pain when urinating, you need to get tested immediately. And if they are positive, immediately start treatment.

How and what to treat

Questions of how and how to treat cystitis during pregnancy are by no means idle, since the health of not only the expectant mother, but also the new life that has arisen in her, is under threat.

Treatment of cystitis during pregnancy is complicated by the fact that many drugs are contraindicated. How then can you be cured? Modern medicine offers collections of medicinal herbs and medications that will help you quickly get rid of the painful condition.

The main component in the treatment is antibacterial drugs. A pregnant woman is also indicated to take antibiotics.

Medications

Choosing how to treat cystitis in pregnant women, despite the fact that there are few general drugs that are most suitable for pregnant women. Most often, gynecologists prescribe or Monural.

Most importantly, when cystitis appears during pregnancy, treatment should be carried out with agents with minimal side effects and maximum effectiveness. It is to these that Monural belongs, which, when taken correctly and accurately followed by the dosage, does not have a negative effect on the fetus. In addition, in case of non-started forms of the disease, it is enough to take this drug only 1-2 times and all symptoms disappear.

Tablets for cystitis for pregnant women, refers to broad-spectrum antibiotics, used in inflammatory diseases of the female urogenital area. The dosage and the number of doses of the drug per day are determined by the attending physician, depending on the severity of the course of the disease, the body weight of the pregnant woman, the duration of pregnancy and the individual characteristics of the organism.

Instillation

In addition to oral administration of drugs, there is also - a procedure for injecting drugs directly into the bladder. The advantages of such an introduction are the rapid elimination of symptoms, such as frequent urge and pain during urination, as well as strengthening the walls of the bladder, which is important in light of future childbirth.

Instillations with antiseptic solutions can only be carried out in a hospital with careful observance of the rules of asepsis and antiseptics by the medical staff. A sterile catheter is inserted into the bladder, through which the cavity is washed with solutions of antibiotics, antiseptics, herbs and others. And although the procedure may cause some discomfort in the expectant mother, it will not in any way affect the development and health of the baby.

Phytotherapy for pregnant women

Dramatic remedies, in addition to medications, can help relieve pain faster and speed up recovery. They are only an auxiliary element that does not in any way cancel out the pills for cystitis during pregnancy, prescribed by a doctor.

Herbal medicine is widespread, however, before starting alternative treatment, it is important to consult a specialist. Some herbs, as well as medicines, are contraindicated for expectant mothers.

Natural antiseptic effect is possessed by:

rosehip broth,
lingonberry juice,
tea with raspberry leaves,
infusion of inflorescences and dill seeds.

Herbal preparations (chamomile, coltsfoot, sage) are very effective.

In addition, in pharmacies you can find a plant-based drug - kanephron, which enhances the excretory function of the kidneys and has a pronounced anti-inflammatory effect. Canephron also significantly relieves pain and has an antispasmodic effect. A contraindication to the use of this remedy is individual intolerance.

Prophylaxis

The main goal of prevention is to eliminate any delay in emptying the bladder at any stage of pregnancy.

The second, but no less important rule: after intercourse, a woman must necessarily go to the toilet on a small one, thereby preventing opportunistic microflora from entering the urethra.

Boost your immunity.

Eat foods rich in vitamin C, which acidifies your urine and prevents bacteria from multiplying. Good in this regard, for example, cranberry juice.

Expectant mothers, please do not postpone solving the problem until later. Go to your doctor right away and follow his advice.

Treatment for cystitis during pregnancy is very important for your and your baby's health.

During the carrying of a child, inflammation of the bladder develops in every 10 women. This is largely due to a decrease in the protective functions of the body and its greater susceptibility to infections. Treatment of cystitis during pregnancy should be carried out under medical supervision, since the intake of many medications, including antibiotics, is highly undesirable during this period.

Frequent urge to urinate with pain and burning is the main one. The disease not only brings discomfort, but also threatens with serious complications, for example, the spread of infection to the kidneys. Violation of their work leads to a deterioration in the condition, a lag in fetal development and other complications.

Treatment for acute cystitis in women during pregnancy is aimed at eliminating the infection and reducing symptoms. The disease occurs suddenly, develops quickly, accompanied by frequent painful urination, pain in the lower abdomen, fever, chills.

Timely and qualified medical assistance helps to eliminate cystitis, prevent its transition to a chronic form and the spread of infection to the kidneys.

Drug treatment

Drug therapy includes the use of drugs, the action of which is aimed at eliminating the cause of the disease - infection. During pregnancy, before treating cystitis with such drugs, the doctor sends a woman for examination to determine the pathogen.

Depending on the results, may be assigned:

... Most often, pregnant women are prescribed cephalosporins (Ceftriaxone, Cefazolin), penicillins (Ampicillin) or fosfomycin (Monural). They are relatively safe when carrying a baby, although they penetrate the placenta.
Antifungal drugs (Mikosept, Fluconazole, Lamisil).
Antiviral drugs. They are divided into 2 groups - increasing their own antiviral immunity (Interferon,) and destroying the virus ().
Antiprotozoal drugs (Metronidazole, Ornidazole).

You cannot start taking these medications on your own. Some of them are contraindicated in the first trimester of pregnancy, and in subsequent trimesters they can be used under medical supervision.

For severe pain, antispasmodics (, Papaverine) or non-steroidal anti-inflammatory drugs (from the 2nd trimester: Ibuprofen,) may be prescribed. It is also recommended to drink as much as possible, especially drinks with a diuretic effect. This allows the infection to be cleared from the body faster.

In no case should you take tetracyclines and sulfonamides. The drugs of these groups provoke pathologies of fetal development. In the acute form of cystitis, instillation into the bladder is contraindicated.

Treatment with folk methods

Treatment of acute cystitis during pregnancy with folk remedies is effective only in combination with medication. Herbal decoctions and infusions help to quickly eliminate inflammation, restore the mucous membrane, slow down the growth of bacteria, but do not destroy them. The course of treatment is quite long - from 1.5 to 2 months.

Decoctions of renal tea (staminate orthosiphon) and bearberry have a diuretic effect. Treatment of cystitis during pregnancy with chamomile, plantain, horsetail, calamus marsh, St. John's wort relieves inflammation and enhances the effectiveness of antibacterial drugs.

For the duration of treatment, it is necessary to exclude spicy, seasoned and very salty foods from the diet. It is recommended to consume large quantities of drinks from mountain ash, as well as tea with the addition of flowers, marshmallow roots, birch leaves, meadowsweet.

For home treatment of acute cystitis in pregnant women, warming procedures can be used, they quickly relieve acute pain and alleviate the general condition. But in some cases, warmth is contraindicated for expectant mothers, so it is imperative to consult a doctor.

Paraffin compresses are convenient and effective.

There are two ways to carry out the procedure.:

Heat the paraffin to 50 ° C, stir and apply with a brush to the lower back. Cover with gauze, wrap with a blanket. Lie warm for 30-35 minutes.
Melt the paraffin and moisten the base of the compress folded several times in it - gauze, cloth, bandage. Squeeze out a little, making sure the temperature is comfortable (about 50 ° C). Apply to the lower back, wrap with a blanket. The duration of the procedure is the same, 30-35 minutes.

Treatment of chronic cystitis in the expectant mother

Chronic cystitis during pregnancy develops after not completely cured acute, its symptoms are less pronounced, and treatment is aimed at preventing exacerbations, eliminating infectious and inflammatory processes.

Particular attention should be paid to strengthening the immune system, as this will reduce the risk of re-activation of the existing pathogen and infection with another species (bacteria, viruses, fungi or protozoa).

Drug treatment

Since it is very difficult to cure chronic cystitis during pregnancy, an integrated approach is required: the use of drugs, physiotherapy procedures, lifestyle correction, including adherence to the drinking regime and dietary rules. The main goal is to prevent repeated exacerbations.

Chronic cystitis often worries women in the early stages of pregnancy, when medication is extremely undesirable, but how can it be treated then? There is a method that allows you to avoid getting drugs into the blood and to the fetus - instillations... During the procedure, the doctor injects solutions directly into the bladder using a special syringe.

The most commonly used are boric acid (3%), methylene blue (1%), Rivanol, silver nitrate, Collargol, Dioxidine (1%), Chlorhexidine. If a bacterial infection is detected, bacteriophages are introduced - drugs for biological control of infectious agents. Unlike drugs taken orally, instillations can destroy bacteria that have penetrated deep into the thickness of the mucous membrane, which is characteristic of the chronic course of the disease.

The bladder must be emptied before the procedure. After that, the opening of the urethra is treated with an antiseptic solution. The drug is injected through the urethra. Its action is more local, due to which the mucous membrane is restored faster, inflammation decreases, pathogenic microflora is destroyed.

Immediately after insertion, the urethra must be clamped for a few seconds. For the medicine to work better, you should refrain from emptying your bladder for about an hour. The course of treatment consists of 5-8 instillations, with a frequency of 1 time per week.

Also, for the treatment of cystitis during pregnancy, plant-based anti-inflammatory drugs with a diuretic and antiseptic effect are used. The most common are Canephron N, Cyston, Fitolizin, Monurel (not to be confused with Monural). To prevent relapses, the doctor may prescribe vitamins and probiotics (Bifiform, Acipol, Hilak forte).

Local methods of treatment have some superiority over systemic ones.

They have a therapeutic effect only on the problem area, drugs are used in a low dosage, and the regeneration process is much more intensive.

Urological practice calls this method of treatment: instillation of the urethra and bladder.

With this method, the medicine is delivered directly to the problem area of the bladder, urethra or seminal tubercle using special medical devices.

In this case, the drug acts on the organ for more than 3 hours, and increases the effectiveness of treatment several times. Side effects from such treatment are excluded.

This procedure is carried out when the patient detects:

chronic, including interstitial cystitis;
chronic urethritis;
prostatitis;
during an infection of the genitourinary system.

How are instillations carried out?

Two analyzes must be collected before the patient is assigned to the procedure for instillation of the urinary system.

The first study: cystoscopy - a medical study, examination of the inner walls of the urinary system;
Study two: biopsy. Removal of a piece of tissue from the urinary system for the purpose of further examination under a microscope. Such a study increases the likelihood of a correct diagnosis.

Instillation of the organs of the urinary system should be carried out only by a urologist in a separate office. Patient safety should come first during treatment. For the installation of the urethra, you must use a sterile syringe.

A catheter is used to insert the posterior wall of the urethra in men.

The male urethra is much longer than the female urethra.

In order to carry out the procedure for installing the posterior urethra, it is necessary to take a long, but thin sterile catheter with the required amount of medication.

The patient must urinate before the procedure. The field of this is the inlet of the urinary system, treated with a special antiseptic and clamped the urethra. In this position, she should be for a few more seconds. The patient should not urinate for at least several hours.

To carry out the installation of the urethra, it will be necessary to inject 10 ml of the drug; in order to heal the urinary system, more drug must be injected, but not more than 90 ml. The patient may experience a slight burning sensation while the catheter is being inserted.

The choice of a medicinal product is selected strictly individually. The doctor recommends the most effective drugs to the patient, but their choice is left to the patient. The drug should kill the bacteria that caused the disease, have antiseptic properties, and promote rapid cell regeneration. In this case, the drug should be gentle on the mucous membrane.

Often, the affected area of the urinary system is exposed to an antibiotic solution and boric acid, ozonized acid, liniment or other drugs.

When to use

Instillation of the urethra in men

Chronic prostatitis, urethritis and cystitis can be cured by instillation. With inflammation, foci of the genitourinary system in men may have boundaries.

This is the physiology of the male sex. Oral antibiotics cannot pass through these boundaries.

In addition, an infection that has developed into a chronic form may not make itself felt for a long time and periodically cause severe pain.

This most often occurs with chlamydial prostate and urethritis. Such exacerbations can be avoided if the drug is immediately directed to the very focus of the disease.

Inflammation of the prostate is treated with instillation and therapeutic massage courses. In the lobules of the prostate, massage creates negative pressure, and the medicine from the lumen of the urethra begins to directly affect the focus of inflammation. This method of treatment is able to overcome the disease several times faster than taking a course of antibiotics.

According to customer reviews, instillation does not cause painful sensations at the very beginning of the procedure, however, after the injection of the drug, a burning sensation appears, which disappears after 5-10 minutes.

Treatment course: 5 sessions.

Instillation of the bladder in women

Infection of the urinary tract is an indication for installation procedures in women.

Women, as a rule, resort to such methods when classical treatment is no longer beneficial, and it is necessary to inject drugs directly into the site of inflammation.

The woman should sit on the gynecological chair. The urethra and groin area is treated with an antiseptic, then the remaining urine is released using a catheter.

The organ cavity should be washed with an antiseptic until the liquid that starts to flow out becomes transparent. The doctor then injects the drug, removes the catheter, and clamps the urethra for a few seconds.

Treatment course: 6 procedures.

In 70% of cases, women suffer from diseases such as cystitis and urethritis, and when a disease is detected, it is very important not to start the process and prevent acute cystitis from becoming chronic. In this topic, you will learn detailed information about the new generation drug Nevigramon, which is successfully used to treat the above diseases.

Medicines used

Collargol... Collargol is a drug that produces an antiseptic effect on the affected or infectious area. The preparation is based on silver substances. Pharmacology: the components of Collargol have a healing, bactericidal and astringent effect. The preparation contains 70% silver and albumin, which helps to hold the silver components together and maintain their activity.
Protargol... It is a drug that promotes healing, anti-inflammatory and astringent effects. A medicine based on silver, is widely used in the treatment of various diseases of the urological sphere. The drug can be used by both adults and children. Pharmacological action: the components that make up Protargol contribute to the formation of a barrier film, this happens as a result of removing the hydration shell and charging them with silver. The drug reduces the vulnerability of the skin and mucous membranes, promotes vasoconstriction, and suppresses inflammation. The silver components reduce the chances of spreading viruses and destroys them over time. Taking the medication does not cause intestinal upset.

When treating an infection that causes cystitis, most often doctors prescribe antibiotics, antiseptic Dimexidum, Furacilin.

If the virus is known, a bacteriophage is used - a virus (absolutely not harmful to humans), which affects only bacteria of a certain type.

There are bacteriophages that can cure Escherichia coli, Proteus, Staphylococcus aureus and other microbes.

Rosehip and sea buckthorn oil is ideal for mucosal healing.

At home

Doctors strictly forbid doing instillation of the urinary system at home. This procedure of a medical nature can only be performed by a urologist who has special knowledge and skills in this area. It is also necessary to have special sterile equipment.

Extremely negative health consequences can occur if a person decides to carry out this procedure on his own. Exacerbation of already existing purulent processes of the genitourinary system, bacterial infection of the urethra may begin.

Exceptions are possible only in some cases.

The doctor will allow you to carry out the procedure yourself, but only after:

determine the importance of this type of treatment;
will prescribe the appropriate medications, thanks to which the treatment will be carried out;
will acquaint the patient with a detailed description of the procedure.

With cystitis

During chronic cystitis, instillation will cope with the following tasks:

will destroy the infection;
relieve the inflammatory process;
heal the mucous membrane of the urinary system.

It is known that women suffer from cystitis much more often than men. An additional factor that significantly increases the risk of the disease is pregnancy. Statistics show that the disease develops in 4-10% of pregnant women. Thus, the treatment of cystitis during pregnancy often creates additional hassle during this period.

Treatment of cystitis, like any disease during pregnancy, must be carried out under the supervision of a physician. At the same time, there are a number of things regarding the regimen and diet that a woman can take care of on her own. It is necessary to drink more liquid - it can be plain water, tea, cranberry juice. The fluid helps flush bacteria and toxins out of the bladder. Irritating substances should be excluded from the diet - spicy, salty, smoked foods, carbonated drinks. Citrus fruits should also be avoided - they make the urine reaction more alkaline, which promotes the development of microbes. You need to refrain from coffee, sugar, muffins, chocolate. Hot sitz baths are contraindicated in the treatment of cystitis during pregnancy.

Drug treatment of cystitis during pregnancy

Drug treatment of cystitis during pregnancy also has its own characteristics. The choice of drugs is limited due to side effects, it often depends on the duration of pregnancy. During treatment by the doctor, constant monitoring of the condition of the fetus and the health of the pregnant woman is necessary.

Treatment of cystitis during pregnancy requires the appointment of antimicrobial drugs. First of all, these are antibiotics of the cephalosporin group and fosfomycin. Treatment is more often prescribed empirically, but after clarifying the sensitivity of bacteria to antibiotics (for this, a urine culture is taken), therapy can be adjusted. Nitrofurans are used less frequently during pregnancy, many of them are contraindicated in later periods.

Instillation is a treatment that works well during pregnancy. The drugs are infused directly into the bladder. This method of administration reduces the penetration of drugs into the bloodstream and reduces the possibility of side effects.

Herbal remedies for the treatment of cystitis during pregnancy

In connection with all the restrictions that pregnancy imposes on the treatment of cystitis, the use of herbal remedies is of particular importance. They play a huge role in the complex treatment of the disease and the prevention of its recurrence. It should not be forgotten that the use of medicinal plants also requires medical supervision.

Many studies have shown that cranberry juice is of great help in the treatment of cystitis. It increases urinary hippiuric acid and inhibits bacterial growth. It also protects the walls of the bladder and prevents Escherichia coli from adhering to them. Drinking 100% unsweetened juice is recommended. Foods low in cranberries and sweeteners are best avoided. Blueberries and blueberries are also useful - their active ingredients are anthocyanins.

Birch leaves and dandelion extract have a diuretic and analgesic effect. Marshmallow root inhibits the growth of microorganisms and helps to cleanse the bladder, it is recommended to drink about one liter of dry tea. Bearberry or bear ears is one of the most popular remedies for cystitis. The infusion of its berries has a mild diuretic and antiseptic effect. The effect of medicinal plants increases with their simultaneous use.

Modern combined herbal preparations are capable of providing a more reliable effect due to the fact that technologies allow accurate calculation of the doses of active substances. In addition, the possibility of their appointment during pregnancy is confirmed by clinical studies.

The drug Kanefron N can be prescribed for the treatment of cystitis during pregnancy by the decision of the doctor. It includes extracts of rosemary, lovage and centaury. The main effects are medications - diuretic, antiseptic and anti-inflammatory. In addition, it dilates the vessels of the kidneys and bladder, and has a protective effect on the kidneys. In addition to its own antiseptic effect, Kanephron N is able to enhance the effect of prescribed antimicrobial agents and make traditional cystitis therapy more effective.

It is known that chronic cystitis in remission during pregnancy is often exacerbated. Good tolerance of Kanefron N allows you to take it as a prophylactic agent.

Cystitis- an inflammatory process of the mucous membrane of the bladder, which can be caused not only by hypothermia of the body, but also by many infections that have got into it. According to statistics from the Ministry of Health, every tenth woman suffers from this disease, and at least once in her life, every fourth female individual suffers from this disease. our country. During pregnancy, a woman's body becomes weakened, due to a changeable hormonal background, additional stress. All this exposes him to additional risk.

The predisposition of women to this disease is explained by their anatomical structural features - it is a wide, but short urethra, where any kind of infection can easily get. Therefore, in ordinary life, girls are much more likely than boys to suffer from this disease.

Women are more likely to have cystitis than men

During pregnancy, every tenth lady faces this unpleasant disease. It can appear even if the expectant mother has never encountered it or was sick before pregnancy. In cases where a woman, being in a position, does not deal with the treatment of cystitis, then she may begin premature childbirth with major complications... Therefore, in spite of everything, its timely diagnosis and prevention is very important.

Varieties of cystitis during pregnancy.

In the course of the disease, both in pregnant women and in ordinary women, cystitis is spicy and chronic... The always acute form of this disease, with incomplete or incorrect treatment, turns into a chronic one.

For the reasons of the disease, cystitis is of two types:

Infectious cystitis Is a disease that can be caused by harmful bacteria or infections from the intestinal and vaginal microflora (streptococci, enterococci and pathogens of sexually transmitted diseases), which immediately enter the urethra, and then into the bladder.
Not infectious... It occurs after sudden hypothermia, due to the weakened immune forces of the female body, and even due to stress. It can also be caused even by medications or chemicals, as well as foreign bodies.

Cystitis can be infectious or non-infectious

Unfortunately, the types of cystitis in pregnant women do not end with the above options. The subsequent division of the types of cystitis is made on the basis of taking into account the reasons for its provocation. They are much less common in pregnant women, but they still exist. These include:

traumatic cystitis, the development of which occurs as a result of any scale of trauma to the bladder area. In cases where even micro cracks appear on it, then through it microbes or infection can penetrate into the bladder, and create their own environment there, which, over time, can cause this disease;

allergic cystitis becomes the result of irritating effects on the bladder mucosa of certain substances that act as allergens. Because of this, again, an inflammatory process occurs;

hypercalceuric cystitis - this form of cystitis can occur only in those pregnant women who have previously suffered from many kidney diseases in which a large amount of salt crystals were excreted. It is they who contribute to the onset and development of this ailment, since during their movement they injure the walls of the bladder.

Types of cystitis in pregnant women, judging by the morphological changes:

catarrhal;
acute hemorrhagic with bleeding;
gangrenous;
ulcerative and others.

The most common of these types is hemorrhagic cystitis, the main symptom of which is the presence of pink or brownish blood in the urine with an unpleasant odor.

Types of cystitis, judging by its localization:

trigonitis - when the inflammation passes in the area of the bladder triangle.
cervical is one of the varieties of trigonitis, the pathological process of which is localized only in the lower part of the bladder triangle.
focal cystitis.

Whatever the type of this disease during pregnancy, it is necessary to immediately undergo an examination and a certain course of treatment in the hospital. Because the slightest mistake or not treatment can damage not only the life of the fetus, but also the health of the expectant mother.

Causes and symptoms of cystitis during pregnancy.

As we already know, most often the causative agent of cystitis is opportunistic flora(infection, Escherichia coli, staphylococci, etc.) that has managed to get into the bladder. In particular, the infection quickly attacks the organism, the defenses of which are reduced for some reason - this is pregnancy. Also, the development of cystitis in women in the position contributes uterus, which is constantly growing, squeezing this bladder (stagnation of urine occurs). This can lead to a violation of the required outflow of urine and to the active reproduction of pathogens in it.

During pregnancy, the body's defenses weaken

Other possible causes of cystitis in pregnant women and their risk factors:

hypothermia the expectant mother as a whole or its individual parts, especially the pelvic region;
independent, incomplete or incorrect treatment of inflammatory or infectious diseases genitourinary system;
chronic inflammatory processes in a woman's body, caries;
wrong incomplete independent cystitis treatment ;
sedentary lifestyle;
secondary infection;
spermicides or vaginal diaphragm as a method of contraception;
improper nutrition during pregnancy (spicy, fried, spicy foods, little liquid);
changes in the microflora of the vagina due to the course of inflammatory diseases, hormonal disruption;
the presence of factors that contribute to weakening of immunity expectant mother (stress, insufficient sleep, poor nutrition, fatigue, etc.);
violation of the rules of sexual hygiene both partners;
violation of the rules of intimate hygiene pregnant;
non-compliance with the individual regimen of urination ;
d Intimate wearing of tight clothing, tights, underwear. As a result, the woman's genitals and bladder are compressed.
diseases of the upper respiratory tract in a pregnant woman(influenza, acute respiratory infections, sinusitis. The connection between the bladder and respiratory tract infections will pass through the blood circulation. Therefore, pathogenic microorganisms can easily become the causative agent of cystitis.
inflammatory processes associated with the intestines. So, as the connection between the bladder and the human intestine is quite close. Therefore, the presence in it of any pathological inflammatory process can cause the maturation of cystitis.
frequent constipation. Also, due to the close connection of the intestine with the bladder.
lack of vitamins.

Symptoms of cystitis during pregnancy.

In cases of the appearance of an inflammatory process in the bladder, a pregnant woman begins to show certain symptoms that will indicate a disease such as cystitis.

Symptoms of cystitis during pregnancy:

quite frequent and painful urination;
frequent false urge to urinate;
the urine that comes out is cloudy, possibly with blood or mucus;
feeling of pain in the genital area during intercourse;
temporary pulling pain in the suprapubic region;
feeling of constant pressure on the bladder;
high temperature is possible at times;
A burning sensation in the external genitalia .

Cystitis is accompanied by discomfort

Pregnancy is a very serious period for the expectant mother, for which she bears some responsibility. Therefore, at the first symptoms of cystitis, she must immediately go to the doctor so as not to harm the development of the unborn baby.

Diagnosis of cystitis in pregnant women.

Since the causes of cystitis in pregnant women are very diverse, in such cases, a fairly accurate diagnosis of this disease and the appointment of correct further treatment will be required. This ailment for the first time will always proceed in an acute form. Therefore, at the first symptoms of cystitis, a woman in a position should immediately go to a doctor.

Possible tests that a doctor should prescribe for a pregnant woman with cystitis:

pass an average portion of morning urine, for a general analysis according to Nechiporenko and for bacterial culture. Before that, it is necessary to conduct a thorough intimate toilet.
undergo PCR diagnostics, which will find out whether genital infections are the source of cystitis;
the doctor will take a swab from the vagina to examine its microflora;
undergo an ultrasound scan to exclude pathology of the upper urinary tract or kidneys;
undergo a cystoscopy of the bladder, which is filled with a special fluid. This procedure is prohibited for acute cystitis.
have a cystography - this is an x-ray of the bladder.

A complete diagnosis of cystitis is primarily aimed at eliminating all diseases with similar symptoms and establishing the exact cause of cystitis in a pregnant woman.

Drug treatment of cystitis during pregnancy.

In spite of everything, in no case is it forbidden to ignore any symptoms of cystitis during pregnancy. Although, to be honest, this ailment brings so many unpleasant sensations that it is simply impossible to endure its signs. However, the treatment of cystitis should be carried out competently and, most importantly, in a timely manner, in order to completely get rid of this disease, and not just eliminate one or another of its symptoms for a while.
Each type of cystitis is treated differently. Therefore, first of all, it must be correctly diagnosed in the hospital. After that, the doctor must prescribe an individual treatment. It is impossible to find out the exact cause of the appearance of cystitis on your own. Moreover, self-medication can only lead to the transition of this disease into a chronic form, which over time can cause serious and life-threatening complications for the fetus.

Only a doctor can choose the correct treatment for cystitis.

During the treatment of infectious cystitis, therapy should be directed against a specific pathogen.

Treatment of cystitis during pregnancy excludes the use of antibiotics, especially tetracyclines and sulfonamides. Therefore, as an alternative treatment for cystitis during pregnancy, doctors carry out a modern method of treatment - this is the instillation of the bladder - this is a procedure in which, with the help of catheters, the necessary drugs are injected into the very center of bladder infection.

This technique allows you to fully get rid of oppressive symptoms and after a couple of such procedures, the patient comes to complete recovery.

natural cranberry juice,
decoctions and tinctures of calendula, St. John's wort,
decoction of yarrow and horsetail.

In principle, any diuretic is suitable here, but only of plant origin.

Also, pregnant women are shown a certain diet, which excludes from the diet spicy foods, spicy foods, pickled or salted foods, and all fried. It is recommended to stay in bed. You can use a warm heating pad.

During cystitis, you need to stick to a diet.

During the period of bearing a child, it is not advisable to treat cystitis with folk remedies, so as not to harm the health of the expectant mother and fetus.

As for medications, most often doctors prescribe pregnant women to cure cystitis. onural, a moxiclav and anephron. These drugs act specifically on the focus of the disease, thereby reducing the load throughout the body. In no case should you self-medicate. Think about the baby first and go to the doctor right away.

Prevention of cystitis in expectant mothers.

First of all, being in a position, all women need to remember that it is best to warn yourself against some kind of illness, than then to wage a dangerous fight with it using various methods that can harm the formation and development of the unborn child. Therefore, as a prophylaxis of this disease, it is necessary to wear warm clothes in the cool and cold season, and to avoid hypothermia. Personal hygiene of the pregnant woman is also very important here. It is recommended for her to use cosmetics with a "ph" neutral environment as a soap for intimate hygiene, try to completely empty the bladder, and often change sanitary disposable pads.

For the prevention of cystitis, women in a position must avoid all possible causes of its appearance:

do not sit for more than one hour. You need to take frequent breaks from sedentary work;
drink a lot of cranberry juice (fruit drink) to acidify urine;
try to avoid constipation - you need to eat a lot of fiber, move more, drink enough liquid (up to 8 glasses of water a day, in the absence of contraindications);
completely abandon fried, too spicy and sweet;
get rid of foci of infection in the body (treat teeth, cure all chronic diseases);
wear non-synthetic fresh underwear every day;
it is forbidden to use products for intimate hygiene that can disrupt the flora of a woman;
you can not wear tight, uncomfortable underwear, tights and clothes;
try to urinate 5 times or more per day, while making sure that the bladder is completely emptied;
after each bowel movement, it is recommended to use toilet paper, starting from the vagina and ending with the anus, and not vice versa;
you can not quickly go from anal intercourse to vaginal intercourse;
before and after having sex, it is advisable to empty the bladder.

Why is cystitis dangerous during pregnancy?

This question, which concerns the influence of cystitis on pregnancy, is of interest to many female representatives. In healthy people, inflammation of the bladder - cystitis, causes a rather unpleasant burning sensation, and for women in a position whose immunity is weakened, this disease is a real serious test, during which they will be constantly worried and worried. Although during this period they will want to enjoy the most beautiful days - 9 months without various problems. Unfortunately, today things are not going the way we want them to.