Cystitis or inflammation of the membranes of the bladder is a phenomenon that is common in women. Anatomical feature of the structure of the female body contributes to more frequent development of infection in the urinary tract. Cystitis injections help in the short term to stop the course of the disease and get rid of the accompanying painful symptoms.
Indications for treatment of cystitis in women with injections
Every second woman had cystitis at least once in her life. The short and wide urethra, its close proximity to the vagina and anus are factors that trigger infection of the urinary system and the entry of pathogenic bacteria into it.
Circumstances contributing to the development of bladder inflammation:
- stressful situations
- excessive enthusiasm for diets and sports loads
- consuming large amounts of alcohol and spicy foods,
- weakening of immunity, hypothermia,
- hormonal disorders (thyroid gland diseases, insulin metabolism disorders, etc.),
- inflammatory diseases of the kidneys or organs of the small pelvis.
Separately, it is worth noting the occurrence of cystitis in pregnant women. All other factors in this case are joined by a specific decrease in the body's response to infections and bacteria, as well as changes in hormonal levels. This is especially pronounced in the first trimester during a radical restructuring of the body and preparing it for carrying a child.
The cause of cystitis can be sexually transmitted infections. One of the partners may be sick in a latent, not pronounced form. At the same time, the second person in a pair with a decrease in immunity increases susceptibility to pathogens and infection occurs.
Uncomplicated cystitis with mild symptoms of the disease can be treated at home by taking the medicine orally in the form of tablets. In situations where the inflammation is severe with severe pain and there is a threat of deterioration of the patient's condition, the treatment must be carried out in a hospital. In this case, the most rapid and stable result is observed when using the complex of pricks used for the treatment of cystitis:
- additional inflammation of the kidneys, i.e. pyelonephritis,
- a pronounced manifestation in the urine of blood impurities and purulent contents,
- thinning of the bladder walls with the risk of perforation,
- prolonged rise in body temperature above 38.5-39 degrees.
Advantages and disadvantages of using cystitis injections
Use for the treatment of cystitis drugs in the form of intramuscular or intravenous injections have their own advantages and disadvantages. When choosing a strategy for treating the inflammatory process, the doctor, analyzing the patient’s condition, age, state of health, course of the disease, assesses the need for using injections in the form of drugs.
When injections are prescribed
In the mild form of the disease use is shown:
- antibacterial drugs
- a special diet with the exception of foods that can irritate the urinary tract,
- drink plenty of fluids (2-3 liters of fluid daily) to remove pathogens from the bladder,
- rejection of sexual activity for the entire period of treatment.
If you do not use antibiotics, the disease can become chronic, as well as cause various complications.
For an uncomplicated form of cystitis, pills are used for treatment. In severe cases, the patient is prescribed injections of drugs. Injections for cystitis make it possible to quickly achieve a pronounced therapeutic effect and cope with the disease.
In such cases, the doctor will prescribe:
- antibacterial drugs
- anti-inflammatory drugs.
The name of the medicine should be chosen by the doctor based on the nature of the course of the disease and the condition of the patient.
If an increased resistance of the pathogenic pathogen to other antibiotic groups is detected or the patient has contraindications to their use, the doctor will prescribe drugs from the cephalosporins group:
- Cefuroxime. The drug has proven to be effective in combating the main causative agents of cystitis, including staphylococcus, Escherichia coli and enterococcus. Its use is indicated in the case of chronic pathology. Injections are given three times a day, intravenously or intramuscularly.
- Ceftriaxone. Injections of the drug are prescribed when a high concentration of pathogenic microorganisms is detected in the urine or in the presence of concomitant pathologies (pyelonephritis, etc.). The agent is resistant to penicillinases (enzymes produced by bacteria to destroy antibacterial drugs) and has a wide range of action.
- Cefotaxime. The active ingredients of the drug effectively fight most gram-positive and gram-negative bacteria. The drug is resistant to penicillinase. The drug can be administered intravenously or intramuscularly.
For the treatment of women during pregnancy, they can be used only if the doctor decides that the drug's drug effects will be higher than the perceived risk for the child. If they are prescribed for nursing women, then for the period of treatment should stop breastfeeding. To preserve lactation during this period, it is recommended to regularly express.
Preparations of this group are indicated in the case of complicated infections in combination with other antibacterial drugs. These include Gentamicin and Amikacin.
Injections for cystitis in women are administered:
Aminoglycosides are distinguished by the fact that their active components are rapidly absorbed, are not decomposed into metabolites, do not accumulate and are eliminated from the body in an unchanged form along with urine.
Due to the fact that during their excretion from the body, an increased level of active substances is created in the urine, these medicines are considered very effective in treating cystitis, urethritis and other infectious pathologies of the urinary system.
The pathological effect of aminoglycosides on the development of the fetus (damage to the tissues of the kidneys and the middle ear) has been proven. Therefore, in the treatment of pregnant women such drugs are not used.
Antispasmodic drugs and anti-inflammatory injections
This group of medications helps to relax the smooth muscles of the bladder, so it is used to relieve pain. At the same time, the number of urge to urinate in a patient decreases. Among the antispasmodic drugs, the most prescribed are Drotaverinum and No-shpa.
Medications in the form of tablets are mainly used, but in case of intense pain syndrome or the presence of complications, injections can be used. After the injection of the drug in the form of an injection, it begins to act faster and has a more pronounced effect on the body.
Cystitis is a disease associated with inflammation of the walls of the bladder. Therefore, for treatment, it is necessary not only to eliminate spasm and get rid of pathogenic microorganisms, but also to reduce inflammation. This effect can be achieved using non-steroidal anti-inflammatory drugs.
After entering the body of the active components of NSAIDs, it begins the synthesis of prostaglandins - substances that cause inflammation and pain. In addition to the anti-inflammatory effect, NSAIDs have analgesic and antipyretic effects, as well as improve blood circulation in the tissues.
The most prescribed drugs from this category are:
Injections for cystitis nonsteroidal anti-inflammatory drugs prescribed in case of severe pathology to achieve rapid and maximum effect.
NSAIDs can adversely affect the condition of the digestive tract and, with long-term use, contribute to the development of an ulcer or gastric bleeding. Therefore, patients with a predisposition to such pathologies are better not to take pills that can be replaced by injection.
The treatment of cystitis should deal with a doctor. Self-prescribing can aggravate the course of the disease and cause various complications. Injections for the treatment of cystitis prescribed in severe cases and in the presence of various complications.
In which cases prescribed injections
Most often, cystitis therapy involves taking medication in the form of tablets. However, in some cases, instead of the usual pills, experts recommend giving preference to injections. This happens in the following cases:
- With the general serious condition of the patient. As is well known, injected drugs begin to act much faster than tablets. This advantage of injections makes it possible to normalize a person’s condition much faster and to reduce the risk of serious complications.
- If you have problems with the digestive tract. Sometimes taking these or other pills is contraindicated to the patient, so the patient is given injections that do not have side effects on the stomach and liver.
In addition, the decision on the appointment of injections is made in some other cases after conducting a comprehensive survey and identification of the causative agent of cystitis.
Penicillins are effective against a wide range of pathogens of cystitis. Drugs in this group are considered the safest. Their main advantages include:
- possibility of use for the treatment of cystitis in children, as well as pregnant and lactating women,
- highly effective, penicillins are effective in complex therapy and interact well with a number of other drugs.
Unlike most other antibiotics, penicillin treatment involves a longer course of therapy. In addition, in some cases, the doctor may recommend increasing the dosage of the drug.
This group of antibiotics is most often prescribed for the treatment of cystitis. This is due to their high efficiency, which reaches 70-100%. The main features of this group of drugs include:
- A wide range of effects. Fluoroquinolones effectively affect the most common pathogens of cystitis, including those that are resistant to most other antibiotics.
- The duration of the therapeutic effect. Drugs in this group have the ability to accumulate in the urine and persist for a long time in the bladder in therapeutic doses, which has a positive effect on the result of therapy.
Fluoroquinolone drugs are not prescribed to persons younger than 18 years old, as well as pregnant and lactating women. The use of injections of this group is carried out exclusively in the hospital.
In addition to all the above, sometimes hot injections are prescribed to patients with bladder inflammation. Such injections are composed of organic salts and are introduced exclusively into the vein.
Antibacterial drugs are necessary to combat pathogenic microflora, provoking an inflammatory process. Cystitis injections are prescribed in cases where the disease takes a pronounced form, the patient has severe pain, body temperature rises, and the condition is alarming for the doctors.
In a hospital, injections are used in ongoing practice, this dosage form allows you to achieve a quick effect and alleviate the patient's condition.
Self-treatment with antibacterial drugs is unacceptable, the type of antibiotic, the form and dosage is chosen by the doctor depending on the causative agent, the severity of the disease, history and condition of the patient, his age and weight, and the presence / absence of allergic reactions to medications.
The preparations of this group have pronounced antimicrobial activity and are widely used in medicine for the treatment of inflammatory processes, including cystitis.
First generation: Pefloxacin - very effective in the treatment of urinary tract infections, Ofloxacin - indicated for the treatment of inflammatory processes in the kidneys, bladder, urinary tract, administered intravenously in the hospital, Ciprofloxacin is considered the most effective for the treatment of inflammatory diseases, widely used in medical practice Injections for cystitis in women are given intravenously in the hospital.
Second generation: Lomefloxacin - intravenously, for the treatment of uncomplicated and complex infections of the urogenital system, and their prevention during surgical manipulations on the bladder,
It should be borne in mind that drugs of the fluoroquinolone group are carefully prescribed to people with diseases of the cardiovascular system, nervous and mental disorders, children under eighteen years of age.
They are contraindicated in pregnant and lactating women.
Cephalosporins Group Substances
The preparations of this group are widely used in the treatment of cystitis, due to the wide range of effects on microorganisms and low levels of toxicity.
Cefuroxime is used to treat inflammation of the urinary tract, bladder, and kidneys. Contraindications include childhood, kidney failure, diseases of the gastrointestinal tract, exhaustion. It is appointed in the form of injections intramuscularly or intravenously.
Ceftriaxone is used to treat infections in the urogenital area. Appointed in the form of injections intravenously / intramuscularly, the doctor selects the dosage taking into account the patient's condition and neglect of the disease.
Preparations of the cephalosporins group are not recommended for pregnant and lactating women. Such therapy is acceptable if the risk to the life and health of the mother exceeds the possible risk of the drug acting on the fetus.
Aminoglycoside Group Substances
Aminoglycosides are bactericidal antibiotics, they are used to kill the microorganisms that cause the pathological process. Unlike other bactericidal drugs, they have a quick effect, their work does not depend on the patient's immunity. Aminoglycosides are prescribed in severe cases, helping to cope with the advanced course of the disease. In the treatment of diseases of the kidneys and urinary tract, it is necessary to provide an alkaline urine environment for more effective effects on the pathological flora.
Preparations of this group are well absorbed when administered intramuscularly, but do not accumulate in the body, but are excreted by the kidneys in unchanged form. Thanks to the development of drugs by the kidneys, the concentration of the drug in the urine increases several times, which contributes to quick and successful treatment.
Aminoglycosides include Gentamicin, Amikacin. The harmful effects of this group of drugs on the fetus and the body of premature babies have been proven; for this reason, aminoglycosides are not prescribed to pregnant women, and children under 3 years old (especially premature babies) - with great caution, having assessed the possible risk.
Thanks to the use of antispasmodic drugs, it is possible to relax the muscles of the bladder and remove / reduce pain. For this reason, the number of urge to urinate is reduced. Injections allow to achieve the effect faster, therefore in case of severe pain, injections are recommended.
The main drug for pain relief has long been considered No-Shpa and its analogue - Drotaverin, as well as Papaverine, Platyphyllin.
Most antispasmodic drugs are contraindicated in pregnancy. These are conditionally safe, but they should be taken with caution, because at the same time the uterus muscles relax, which can provoke the risk of miscarriage.
To reduce and eliminate the source of inflammation, the patient should take special anti-inflammatory drugs: Voltaren, Movalis, Meloxicam. Injections allow you to achieve a fast pronounced effect.
Inflammation of the bladder must begin to heal when the first disturbing symptoms appear:
- increased urination,
- sore, pain, burning during emptying the bladder,
- pains in the lower abdomen and in the back.
Self-treatment of cystitis is dangerous with complications and the transition of inflammation to the chronic form.
During the inflammatory process in the bladder, the patient needs to revise his diet, enriching it with greens, cereals, vegetables and fruits, whole-grain bread. It is necessary to refuse salty food, marinades, smoked meats, fatty foods, alcohol, but drink daily at least two liters of pure non-carbonated water.
Recommended products with diuretic effect. Thus, urine does not stagnate in the bladder, and along with it, infection is removed from the body.
It is recommended to carefully observe intimate hygiene, wear comfortable underwear made of natural materials, move more, do not overcool.
When it is advisable to inject
In severe forms of cystitis with a bacterial etiology, injections are given with an antibacterial effect.
Так как заболевание мочевыделительного органа сопровождается воспалительным процессом и болевыми ощущениями, наряду с антибиотиками могут быть показаны обезболивающие, спазмолитические и противовоспалительные инъекции, предназначенные для симптоматического лечения.
The presence of high temperature in a patient above 38.5, the suspicion of pyelonephritis and the presence of blood in urine are the main indications for parenteral administration of drugs during an infectious-inflammatory process in the bladder.
The following is a table that indicates which injections are prescribed for women with cystitis.
Injections from cystitis Cefazolin is a first generation cephalosporin antibiotic that has a fairly wide spectrum of action. The active substance of the drug blocks the biosynthesis of microbial cell walls, which inevitably leads to the death of bacteria. Most pathogenic microorganisms affecting the urinary organs are sensitive to the drug.
Due to poor absorption from the gastrointestinal tract, Cefazolin is used exclusively for parenteral administration.
With intramuscular administration of the drug, the powder is diluted with injection water. For these purposes also use a solution of sodium chloride. The use of novocaine is also possible. The dosage of the drug for adults varies from 1 to 6 g per day, depending on the severity of the disease. Injections are done twice a day. In severe cases, the daily administration can be increased up to three times. Therapy lasts 1-1.5 weeks.
Intravenous injections are carried out exclusively in the hospital.
Third-generation cephalosporin can disrupt the synthesis of bacterial cell walls. For the preparation of injections used powder. It is active against pathogens such as E. coli, staphylococcus, Klebsiella, etc.
In patients with a weakened immune system before surgery for pelvic organs, Ceftriaxone is used for prophylactic purposes.
Injections are given intramuscularly 1-2 times a day, 1-2 g, depending on the severity of the disease. The duration of therapy is determined by the attending physician. On average, it is 5 days.
The powder is diluted with lidocaine or water for injection. It is preferable to use the first type of solution, since the injections are quite painful. Dilution with novacaine is not recommended because of its ability to reduce the antibacterial activity of Ceftriaxone.
The antibiotic should not be combined with nonsteroidal anti-inflammatory drugs, as this may lead to the development of internal bleeding.
Treatment Scheme Cefipime
The fourth generation cephalosporin is available in powder form for the preparation of intravenous injection. It has the same principle of action as Ceftriaxone.
The antibiotic shows the highest antibacterial activity compared with third-generation cephalosporins and aminoglycosides. Effective against all bacteria that affect the urinary system.
These injections for cystitis in women prescribed for the disease, occurring in moderate or severe.
Used in the dosage of 0.5-1 g up to two times a day with the same time interval between injections. In severe illness, the dosage may be increased to 2 grams. The course of treatment is 1-1.5 weeks.
To dilute the powder, use a 0.9% sodium chloride solution or 5% dextrose solution.
Cefipim is incompatible with antimicrobial agents, heparin and metronidazole.
With antibiotic treatment, diarrhea, abdominal pain, constipation and other gastrointestinal disorders may develop.
Belongs to the first generation aminoglycosides with a broad antibacterial spectrum.
With intramuscular administration, a single dosage ranges from 1 to 1.7 g per kilogram of body weight. Injections do from 2 to 4 times a day. Treatment with injections lasts for 7-10 days.
Gentamicin is not recommended to be combined with cephalosporins, indomethacin and furosemide.
The second-generation aminoglycoside is used as an injection to treat an infectious-inflammatory process in the bladder. It is a semi-synthetic broad-spectrum antibiotic. Analogues of the drug are Hemacin and Selemecin.
Amikacin exhibits high antibacterial activity against Escherichia coli and moderate to streptococci.
When an uncomplicated infection is administered intramuscularly, 250 mg twice a day with an interval of 12 hours. The duration of therapy ranges from 1 week to 10 days.
Amikacin is not recommended to be combined with the use of indomethacin, other antibiotics and diuretics.
Phosphonic acid derivatives from cystitis
Injections for cystitis based on fosfomycin disodium are considered the most effective and safe. The medicinal substance is a derivative of phosphonic acid. It shows a high activity against most gram-positive and gram-negative bacteria, provoking an inflammatory process in the bladder.
The list of drugs for intramuscular administration on the basis of fosfomycin includes two names - Urofosbol, Fosmycin. Drugs are completely identical, have the same indications and contraindications to use.
Injections based on fosfomycin are prescribed for both acute and chronic form of the disease in the acute stage.
Intramuscular administration involves the dosage of 1-2 g, necessary for the preparation of a single injection. Injections set up to three times. The powder is diluted with water for injection and at the same time lidocaine to reduce the pain of the injection. The duration of therapy is determined by the attending physician.
The effectiveness of the treatment of cystitis injections
When inflammation of the urinary organs, especially in acute and severe form, drug therapy is required. Doctors have proven to have a high effect from the use of injections in the treatment of urological diseases Drugs are available in various forms - suspensions, powders, ready-made solutions.
The advantages of parenteral drug administration:
- The onset of antibacterial and anti-inflammatory effect in a few hours.
- High bioavailability. The active substances of the medication enter the blood immediately.
- Reduction of toxic effects on the digestive tract. Unlike tablets, cystitis shots have a lesser effect on intestinal bioflora and stomach walls.
Drugs administered by injection quickly act on the pathogens that caused the infection. Active substances do not allow inflammation to become chronic. The greatest antimicrobial effect has intravenous injection.
In practice, injections are used for acute cystitis and serious complications.
The list of drugs for the treatment of inflammation of the bladder is extensive, but the main place is occupied by antibacterial drugs. To increase the antimicrobial effect and relieve pain in the lower abdomen with cystitis, nonsteroidal anti-inflammatory drugs and antispasmodics are additionally used.
Depending on the state of health and concomitant diseases, the patient takes probiotics, they restore the intestinal flora disturbed during treatment with antibiotics. To improve immunity, vitamins and immunomodulators are prescribed. If necessary, drugs are used to improve renal and hepatic activity, as well as improve blood flow in the urogenital system.
Side effects of injections
When performing intravenous injections, the following negative effects may occur:
- The appearance of a hematoma at the site of a puncture of a vein. Occurs in patients with brittle vessels, in patients of old age, and due to improper performance of the needle fixation technique.
- The flow of the medicinal solution through the injection into the subcutaneous tissue, bypassing the bloodstream. Such a situation appears when a vein is missing, weakly pinning a needle, and abrupt movements of a patient. Problems with the injection of intravenous injection occur in violation of the central and peripheral circulation. The patient's veins fall down and it is difficult for the nurse to give the injection.
With the introduction of the drug intramuscularly, complications may also arise:
- The development of embolism in connection with the ingress of the solution (oil or suspension) immediately into the bloodstream.
- Painful seals at the injection site. For sucking cones it is good to do anti-inflammatory compresses, use special ointments and creams. (compress with
- Magnesia or Dimexide, Troxerutin gel, Heparin ointment, iodine net).
- Abscess. A serious complication occurs due to non-compliance with the rules of antiseptics. In this situation, surgery is required.
- Allergic reactions. Before the administration of the drug, individual intolerance is necessarily taken into account.
For the treatment of acute and severe forms of cystitis, the use of drugs administered to the patient by injection is most effective. Using the parenteral method allows in the shortest possible time to achieve a therapeutic effect. The main direction in the treatment of the disease is the administration of antibiotics, some of their types are issued only for the staging of injections.
Therapy for uncomplicated forms of the disease is carried out on an outpatient basis. She suggests:
- treatment with drugs endowed with antibacterial properties
- drinking enough fluids
- adherence to a strict diet: it is necessary to exclude food that has an irritating effect on the urinary system from the daily menu,
- should abandon intimate relationships for 7 days.
If you refuse to use antibacterial drugs, the risk of adverse complications increases: the disease may become chronic.
In order to enhance the positive effect that injections are given in case of cystitis, it is necessary to carefully follow the rules of personal hygiene, to dress according to the season. Representatives of the fair sex, leading a sedentary lifestyle, need to move more, perform physical exercises: these methods will reduce the likelihood of urine stagnation.
Cystitis injections in women are prescribed for severe cystitis. Uncomplicated inflammation of the bladder is treated with drugs produced in the form of tablets. If the disease is neglected, the patient may need to be hospitalized.
Many people would like to know the answer to the following question: what shots should be given to patients suffering from cystitis? If the inflammation of the bladder is severe, the patient is prescribed treatment with the following drugs in the injections:
- Antibacterial drugs.
- Anti-inflammatory medicine.
The right to choose an injectable medication should remain with the doctor!
With antibacterial action
The antibiotic is selected individually after determining the type of pathogen that caused the cystitis. Quite often in the treatment of inflammation of the bladder in women use fluoroquinolones injections. These drugs have a wide range of applications: they are active against more harmful microorganisms, including bacteria that are resistant to other antibacterial drugs.
Fluoroquinolones are stored in the urine for a long time in high concentrations. These drugs are not recommended for women who are expecting a child and nursing mothers.
One of the representatives of fluoroquinolones is the drug Tavanic.
The main active ingredient of the drug is levoflaksatsin. Tavanic is an antimicrobial agent of synthetic origin. It comes in a variety of dosage forms: in the form of tablets or solution for injection. Tavanic need to be administered intravenously: the dosage of the drug is set by the doctor depending on the severity of the disease.
When using this drug for cystitis in injections, the following side effects occur:
- Lowering blood pressure.
- Sleep disturbance.
- Loss of clarity.
- Pain in the abdomen.
- Noise in ears.
- Allergic reaction.
- Increased sensitivity to ultraviolet rays.
Treatment of cystitis Tavanic can not be carried out with individual susceptibility to the components of the drug. The drug should not be used for epilepsy, tendon lesions. It is contraindicated for use during pregnancy: the fetus may experience cartilage damage. Tavanic injections can not be applied in the process of breastfeeding.
With anti-inflammatory effect
In cystitis, inflammation of the bladder walls is observed. Nonsteroidal anti-inflammatory drugs inhibit the activity of harmful bacteria, relieve pain in the lower abdomen, reduce the severity of the inflammatory process.
This group of drugs prevents the production of prostaglandins in the body. These substances are responsible for the occurrence of pain. Non-steroidal anti-inflammatory drugs have analgesic properties. They help to improve the blood supply to the tissues. Nonsteroidal medicines are produced in various forms: tablets, solutions for injections, suppositories.
These medicines can have an adverse effect on the body of the fair sex, so the treatment of cystitis with these drugs should be carried out under the supervision of a physician.
In the treatment of inflammation of the bladder can be applied infusion based on the seeds of dill. 10 grams of plant materials pour 200 ml of water. The drink must be poured into a thermos, it is insisted for two hours. Drug drink 0.1 l twice a day.
Dill seed decoction is prepared as follows:
- 10 grams of seeds pour 200 ml of boiling water,
- they need to be boiled in a water bath for at least 10 minutes,
- after the specified time the broth is filtered through several layers of dense gauze.
Broth take 100 ml three times a day. The duration of the treatment course is 7 days.