of the inferior
We will discard the
superior to occupy to us only of those of tracto
inferior (vejiga, uretra)
This type of
is very frequent.
Until the 60 years it is an essentially feminine
. From this age, also it affects the man.
Next, we will describe the picture of the acute
, without complication with any other affection.
He is more frequent in young women (it affects to 4% of the women of ages between 20 and 30 years) Nevertheless, also can suffer it the greater women, being more frequent conforms are aged, until reaching 20% to the 70 years and 30% to the 80.
The main signs are:
• Ardor during the micción, that can go from the simple annoyance to the unbearable pain.
• Poliaquiuria, that is to say, excessive desire to tinkle. It is the announcing sign of the
. The micciones are of little volume.
• vesical Pain, generally
and that persists during the micciones.
• Sometimes, is observed hematuria (presence of blood in tinkles it)
• the fever absence is
In 90 or 95% of the cases, the
is originated by Escherichia coli, followed by Proteus mirabilis. Both are enterobacterias. Also we have to mention Klebsiella and Enterobacter.
One is germs that normally live in the
anatomically takes place through the
meato little prote'ge' in the woman.
The factors that favor it well are known:
• Upheavals of the
transit: constipation (specially frequent) or diarrea.
• Insufficient ingestion of liquids.
• postmenstrual Periods pre and.
It tinkles it
the advantage of being easily analyzable. Its aspect must be observed: cloudy, sure hematúrico, etc.
inferior are detected by means of ECBU (Examen Cito Bacteriolo'gico Urinario)
The ECBU is not necessary for an isolated
. However, yes it is it in the recidivantes forms.
At the time of gathering it tinkles it, is not advisable the technique of the vesical drilling.
sample of the first micción must be obtained in the
washing of the
zone and after rejecting the first portion of it tinkles it.
In order to verify the presence of an
will take place. In order to speak of
the presence of 100, 000 is necessary (= 105) 10
. ml and one leucocituria clearly superior to leucocitos / mm3.
In case of recidivas, the investigation of the germ must go accompanied of antibiograma.
The case of
typical picture of
(ardor + poliaquiuria) not accompanied by bacteriuria can occur. In this case, one is cistalgias with you tinkle clear or "false cystitis".
Sometimes, the upheavals appear with the first
The "affective aggressions" also seem to influence in the appearance of this clinical picture.
1. Hygienic -
They seem simple,
they are fundamental. The young women who present / display recidivantes
not every day perceive their symptoms.
• Beber much. Abundant
, as minimum must interfere 1. 5 ls (it is understood, without
) to the day, even more, if it can. The total amount must be distributed regularly throughout the day. This allows not too much spaced regular micciones and.
It is important to remember that
caused and regular diuresis can restrain
crisis of incipiente
• Regularizar the
transit. The ingestion of liquids also avoids the constipation.
in addition, they exist laxative smooth (with mucílagos) adapted to the
treatments (for example
• Micciones postcoitales complete.
• perineal Hygiene:
to advise to the use of water and soap. The insufficient local hygiene, or the excess, is
• Advice in the indumentaria:
to avoid synthetic fiber underclothes and too much fit trousers, because they are irritation factors.
2. Treatment with anitibióticos.
Sulfamidas and the other
antibiotics like quinolonas, very are used.
The duration of the treatment varies:
long treatments (10 days) short (3 to 5 days) with daily unique dose.
The conduct varies based on which it is about an isolated
or recidivantes forms.
The complicated forms always need
treatment with antibiotics oriented by antibiograma
several plants xisten that have diuréticas properties at the same time and antiseptic
. Its paper is specially interesting in the case of cistalgia with you tinkle clear. We could recommend
, Brezo and
Plants adapted for this
Ginseng of Korea