The bladder diabetes: symptoms, treatment
In diabetes disturbed carbohydrate metabolism, which affects all organs and systems, in particular, on the urinary. Often develops diabetic cystitis and bladder cystopathy. At ― risk women (because of a shorter urinary flow than men), and elderly people that have urine not completely, because of the accumulation of sugar-rich environments are created conditions for reproduction of pathogens and subsequent inflammation.
The types and nature of the bladder involvement in diabetes
In diabetes often suffer urinary system. Observed urinary bladder dysfunction, which negatively affects the quality of life of the patient. Complication of diabetes is the damage to the nerves that control urinary function of the bladder. The condition may occur in two clinical pictures:
- The first option there is more frequent urination in the toilet, incontinence of urine at night.
- In the second case ― a decrease in the volume of secretions until the complete or partial urinary retention.
On the background of diabetes develops symptoms of overactive bladder, characterized by a neurogenic urinary bladder.
Not less rare are cases when diabetes is complicated by the infectious defeat of majevica and other parts of the urinary tract. Usually infection triggered by the bacterial flora present in the gastrointestinal tract. With the development of bacterial inflammation in the urethra with a further spread in mocevic talking about urethritis and cystitis. With further propagation affects the kidneys, which causes the development of pyelonephritis, glomerulonephritis. Often develop chronic infections of the urinary ducts. However, the most common complications of diabetes considered diabetic cystopathy and cystitis, which will be discussed below.
Description, symptoms and treatment of diabetic cystopathy
In diabetic cystopathy disturbed function responsible for the accumulation and excretion of urine from the bladder. This condition is characterized by the development of neurogenic bladder that affects blood vessels that nourish the nerve receptors. The result is a normal motor regulation (excretory), sensory, autonomic functions of the affected organ.
The disease is characterized by slow current, can develop within 10 years from the time of diagnosis of diabetes. Initially see:
- the increase in the size of majevica;
- the presence of residual volumes of urine in it (90-1000 ml);
- the weakness of the jet when going to the toilet;
- reducing the number of impulses up to 1-2 $ /day.
If untreated, cystopathy complicated by a secondary infection with the development of pyelonephritis, sepsis, azotemia. Diagnosed by:
- echography of the affected organ;
- test for residual urine.
Treatment of cystopathy
In the treatment apply two schemes, which include:
- the elimination of the increased amount of residual oils in mocovice;
- compensation reduced gallbladder sensitivity.
This is a conservative methodology based on the systematic voiding at a certain time no orientation to the sensations of the patient. Required from the patient 5-6 times urination per day, or once every 4 hours. Thus the need to defecate with a voltage of abdominal muscles to create the necessary pressure which will ensure complete emptying of the bladder. For this the patient must at once urinate three times at intervals of 3-5 minutes.
If there is an increased residual urine volume (300 ml) is assigned to pharmacological treatment alpha-blockers. But the treatment is conducted short courses. When exceeding the volume of biofuels detained more than 500 ml are shown catheterization of up to 3 times a day. If diagnosed symptomatic bacteriuria (secondary infection), is chemotherapy.
With the ineffectiveness of conservative methods, surgery will be scheduled with the expansion of the urinary tract. These measures are necessary to prevent obstruction.
Description, causes, and treatment of diabetic cystitis
Cystitis ― inflammation of majevica developing on the background of diabetes. Reasons for inflamed bladder, the following:
- the damage to small blood vessels (microangiopathy);
- pathological changes in the blood supply to the body due to hypertension (macroangiopathy);
- decreased immunity, resulting in the mucosa of majevica not able to adequately protect the bladder.
Symptoms of cystitis with diabetes is characterized by persistent recurrent course and is manifested by the following features:
- frequent and painful urination;
- urinary incontinence;
- the presence of impurities of blood in the secretions;
- the insistence of urination in the toilet.
The diagnosis is made on the results:
- lesnichestvo of testirovanie urine;
- bacteriological analysis of biofuels;
- Ultrasound bladder;
The aim of therapeutic schemes in diabetic cystitis is to eliminate the root causes of the emergence of the inflammatory process in mocovice. Compulsory correction of blood sugar with the maintenance of this indicator at a constant level. This shows a consultation with an endocrinologist. To fight infection antibiotics are appointed. To speed up the breeding of pathogens are shown plentiful drink and the diuretics with an herbal composition.