[000:00:00;00] and to serious complications, so cystitis is an inflammation of the bladder wall and they will help us learn more about it and figure it out . today's guests are benedikt gavrylyshyn , a urologist and doctor of medical sciences, professor of obstetrics and gynecology, vyacheslav kaminsky. i welcome you today to our broadcast. i you, dear doctors, let's figure it out. this is why it is less common in men than in women . what is it connected with? rent of women, it is 4-5 cm there, a man, we know it is 17 cm 18 cm, that is, the peculiarity is that it is much easier for infections to get into the bladder

of a woman than with a man. that's the whole reason is that the anatomical features of the length of the tips women, mr. vyacheslav, do you support your colleague, is there anything else to add ? yes, absolutely yes, i absolutely agree. yes, there are certain anatomical features that, unfortunately , contribute to the fact that cystitis occurs most often . well, there are other circumstances, they live, give birth, too carrying a pregnancy, there are also certain points related to this, and urine output in pregnant women also differs from the way it happens in non-pregnant women and differs from the way it happens in men, so there are certain points that contribute to the fact that we observe cystitis more often most often if you also believe the statistics and

the research, this occurs in women precisely in the average age. here you can somehow comment on why this particular age is 35-45 years old, if well, i cannot say that only in 35-45 years cystitis occurs, it occurs in women at different ages, it also occurs in childhood, that is, such a feature that cystitis really differs from militia 35-45 years, there is no er here, i would probably deny it, that is, it occurs in different at different ages categories, mr. vyacheslavovich, what can you add? i absolutely agree with my colleague, because we encounter this phenomenon and disease at any age, well, of course , there

are fewer children. be different, it can be somewhere that an infectious factor prevails, somewhere an anatomical factor can prevail, there are manifestations with age in women that are accompanied , for example, by a shift in the monotomy of the bladder, which can also contribute to urinary stasis and urinary retention and be manifested by some inflammatory processes, so i would not limit myself to age categories, etc. let's go then, since you have already started talking about ana vyacheslav about the factors that probably contribute to the manifestations of cystitis in women, so please tell me in more detail what these factors could be. i think that my colleague mr. benedik can better tell this as a professional lesson, but i, as a midwife, have also never encountered it in my practice, and it is very important because he never and for the patient who applied to differentiate what

symptoms, eh, she has this patient, which with such with symptoms, you should contact a urologist, and with other symptoms that are not completely characteristic, not completely characteristic of cystitis, you need to contact an obstetrician, then i think that maybe you can still e p vyacheslave maybe you can say whether any complications can develop because women as an obstetrician-gynecologist, you may have been approached by women who confused cystitis with some other disease . yes, it is. er pulling- pulling- pulling goals , it can be discomfort in the pelvic area, it can be

white unpleasant sensations during sexual intercourse, so the symptoms can be on weekends, but if, for example, there are clear signs of inflammation, if it is, for example, erosive cystitis, which urine it is painted red there, then it is definitely necessary to go to the urologist, if it is tight from the field in the lower abdomen, and i say if it is unpleasant sensations during the state of intercourse, then you can start with the spread of the gynecologist , conduct a general urinalysis, look during a local examination, and then you can differentiate gynecological problems from urological and direct to urologists, mr. benedikt so, after all, since you were handed such a baton, let's tell you about the factors that probably contribute to the manifestations of cystitis in women. as far as i understand, there are many of them

in fact, there are a lot of them, it can be, uh, some kind of freezing, for example, spending time in some basements or shelters in connection with military operations in our country , also due to the sinfulness of the diet, that is, drinking alcohol, or uh, for example, some uh, salty reason or spicy food can also cause symptoms of cystitis, but the main problem is that it is caused by a bacterial infection, that is , it also has clear laboratory changes, that is, cystitis is accompanied by changes there in general urine analysis and of course it would be good to perform an ultrasound of the bladder with the determination of residual urine this would give us, if hmm, a suspicion that a woman has cystitis

, such a factor as pre-vital cystitis , for example, is often accompanied by young women. that is, it is the one that e- e discomfort appears in women after sexual intercourse e-e practically according to statistics almost every woman at least once in her life e-e such cystitis e-e if she felt therefore this is a fairly common disease there are usually women who often experience cystitis after intercourse of the act, it is also an anatomical feature of the female body, so if it is necessary to make a correct diagnosis, it is necessary to collect an anamnesis , that is, to clearly understand what complaints the woman has , to clearly ask what she relates the data to, say and if after what she feels er if the cystitis worsens well, i would recommend, of course, in addition to the general analysis of urine, an ultrasound of the bladder and also a bank

of urine seeds to be performed at do women know what cystitis is and what are its symptoms? our journalist ulyana hryshchuk went out into the streets of the city and talked with passers -by. look further and then we will discuss. fortunately , i did not have such a problem, but i know some of my friends who suffer from this ailment and it is very difficult to overcome it now. she also has certain difficulties with pregnancy because of this cystitis, because if i knew from the conversations of my own friends , of course, the feet are cold, do you wet your feet? well, i already know just what treatment if you do it right away, it will go away easier, that's all and it's not so painful to show that i don't suffer, thank god, but i've never heard of such a problem from my colleagues i know, well, i've heard that

there is a folk method like this, er, of mistakes , millet must be steamed. yes, it's a very popular problem, you know, it's not yet it's scary, it's scary when the klipsiella bacterium gets into retro, for example, it's very difficult to get rid of it when i went to china to work with me , the climate changes, there was food , maybe there was cystitis. take care health has not been this good since i was young, i don't know well, i heard what it is, i think you need to go to the doctor, of course , and dress warmly, go to the doctor, get treatment and take care of yourself , if you don't know what to do, then you go to the doctor . if there is an opportunity, of course, a consultation is better. it is possible to show it as a national one. well, i don't think that it gives results

. it is necessary to be very careful so that in the future the reproductive function of women will be as good as possible, well, in good condition , because we need to give birth to more ukrainians well, this is the kind of knowledge our ukrainian women have about cystitis. actually , vyacheslav, the last sentence was about the fact that it can affect women's health and the reproductive function of women. how do you support it ? do you agree with it? well, this is a myth, but i thank you, but first of all, i would like to warn our uh, potential patients against self-medication, i want to say that they are all symptoms that are accompanied by cystitis and are not one hundred percent uh, in the use of strong

drugs, for example, there are antibiotics and so on i would be very wary of such a person symptomless is incorrect and unsystematically, it is more correct to use strong drugs, therefore, in the event of the appearance of intents, which are the ones that we are talking about again today, according to my colleague, if this is the reason, then it is better to consult a doctor to carry out a differential diagnosis, first of all, to determine what it is - the second is to determine whether treatment is necessary, and if treatment is necessary, what kind of treatment is needed for this particular patient regarding the general impact of cystitis on the ability of our pregnant patients they say that if chronic cystitis is accompanied by these symptoms that we talked about today, then the ability of this patient to become pregnant decreases because if untreated or not treated correctly

, cystitis continues to turn into a chronic form and can pass to adjacent organs with cause inflammation of other organs, which are already dealt with by a gynecologist , so it is better to be treated if you need to be treated by a qualified doctor concern the quality of life, that is, not quite so that it is threatening from the point of view of life itself, but the quality of life comes first to the fore today, that is, from the manifestation of cystitis and cystitis itself and the symptoms we are talking about, they affect the quality of life, that is, accelerated urination and pain during sexual intercourse, that is, it prevents people from living, so that it does not interfere, it is necessary to apply on time, listen to the advice

of the doctor, follow them clearly, and be beautiful, healthy, and give birth to healthy children, sir vyacheslava, that is, i understood you correctly on my own at home, for example, it is impossible to determine cystitis or some other gynecological problem, it can only be done by a doctor. maybe that's why it's better to undergo an examination, contact specialists and only then start treatment. i want to thank you , mr. yacheslavy why did you join our broadcast today, and for your advice, we were contacted by the doctor of medical sciences, professor of obstetrics and gynecology vyacheslav kaminskyi and we are with mr. benedict gavrylyshyn urologist

, let's continue our conversation, mr. benedict well , now i want to hear from you about the comments of the women you heard. of course well, self-medication , as i voted, in this case , of course, it is better to consult a specialist, in fact, it does not take much time, that is, you need to perform an ultrasound and a general analysis of urine - these are the simplest methods for determining cystitis and in fact the treatment of cystitis is quite simple and most likely already in 1-2 days eh you will see improvement from the start of treatment so that ’s it there is such a thing as asymptomatic bacteriuria, i.e. the presence of bacteria in urine cultures, it turns out to be bacteria , but it does not affect the quality

of life of a woman in any way. that is, she does not feel any symptoms, that is, she does not feel cuts bogols during urination, frequent urges to urinate, nocturnal urges to urinate, this is all absent, just an existing bacterium that does not affect women in any way in life, and this is precisely the symptomless bacteriuria, and it is not necessary to treat it in all other cases, if the quality of life suffers, that is, there are existing pains there are different things that release the feeling of incomplete contraction of the bladder eh, of course it is better eh to apply eh hmm treatment because it can come into a clinical form and then actually cure everything will be a little more difficult and can be if more negative consequences for a woman's health benedict there are different types of cystitis

how important is it in general to know and understand it is very important because the method of treatment depends on it and the further depends heavily on the company that is, we need to clearly define what kind of cystitis you have. what is causing you? if we know a clear, clearly problematic issue, then accordingly we will prescribe the correct treatment and i think the treatment will be successful and women bear positive dynamics of their condition. that is, it is very an important moment, then can you please tell us what types there are and what it depends on, well, first of all, there is acute and chronic, that is, acute is accompanied by an acute condition expressed by severe pain in the lower abdomen, a feeling of incomplete emptying of the urinary tract, chronic, it's so stupid there aching pains, for example, in the lower abdomen , periodically, often, healing or discharge, feeling

of incomplete emptying, can also be noted , there is also such a type of cystitis as a cystitis , it is also very often found in women and in fact, it is necessary to understand that it is not only the command of bacterial drugs, but it is very difficult to cope with this type of cystitis , because, uh, if the mechanism of this infection , which gets into the bladder, passes, it is ascending , that is, practically all cystitis in women is ascending, which means weekend that is, an infection from the vagina enters the speaker of the isolator, the bladder as a result causes uh-uh , inflammatory changes, we rest the bladder, and with such recurring types of cystitis, as a rule , uh-uh, you can apply immunotherapy, as well as its recommendations have already appeared and vaccinations are carried out for such types of cystitis, which is often recurrent, there are strains of various microorganisms that cause stomatitis and

, accordingly, they act like a normal vaccination, that is, they immunize the body against the possibility of re-infection and re-infection if this representative of the situation were to occur again in almost 70-80% of cases, it is caused by what is in their circle, it is an infection that spreads in women, i’m talking about 80%, even up to 90% of all ... drugs that contribute to the formation of special antibodies in the wall of the urinary bladder, and at the same time, if this bacterium gets into us again in that way, the proverb i told earlier , the body immediately reacts and it helps the body

fight the infection in the initial stages, that is, as far as i understood that i very much depends on the immunity of the woman itself, as well as on the way of life, on the correct and there are improperly developed recommendations, in which if the woman follows them, then, accordingly, the possibility of repeated formation of cystitis decreases and you can build it not only with antiviral drugs and tablets, but also there are many behavioral ones that women should use for cystitis, this is a feature of the female body, and by the way , i wanted to ask you about recurrent disease because ah well, it is also possible myths , you are now debunking it, there is such an opinion that if a woman has already had cystitis once , found out what it is and, for example, lacked it, then it

can periodically return. there are women who have suffered from cystitis once in their life and never encounter it again, it's all individual and here. if i didn't say that the cause is some deficiency or chronic chronic some problem, the cause is, as a rule , again, there are anatomical features of cystitis systems, that is, well, they are the cause, as a rule , of frequently treated cystitis at home today, heating pads or some kind of uh-uh warm van, something else, it may not help, it may even harm, because if there is a uh-e pronounced large number of infections in the bladder, that is, it is exactly inflammation and

the inflammatory process , we, by heating, will only contribute to the improvement of the blood supply to the pelvic organs, and in this way. if for the reduction of symptoms, it is just ordinary some painkillers and all this is the only thing that can be recommended impartial well , i don't know, not steroid anti-inflammatory i think it is the name well, can it be called or not, mr. benedict, and let's summarize our conversation because there are a lot of factors that you talked about today and that i read about. and there were, for example, stressful situations about not being hypothermic, and we understand that now we all live in stressful conditions and understand that people can spend a lot of time in in cold rooms

in basements in shelters in parking lots so how to avoid cystitis in short these are your tips what can you tell our viewers in short try not to hypothermia avoid if there is a possibility of hypothermia or if there is no in such an opportunity, of course, it is good to dress well in order not to provoke this style as well. well, it means that you can, what else can please you, follow the rules of hygiene, of course, and don't drink a lot of alcohol . it can also cause, in chronic forms, exacerbation of cystitis, well, follow a diet, do not eat food for the acute reason with olena. these are the recommendations, as i said, i gave. i want to thank you for being in touch with us today and for your advice and tell

our viewers that he advised us today to the doctor, urologist benedikt havrylyshyn and we are moving on with you and here mr. benedikt actually started this topic of nutrition and whether it is really necessary to follow a diet in case of cystitis and give up some products and whether, on the contrary, some products can , for example, cause cystitis, let's just talk about it now with a nutritionist general practitioner of family medicine nadia taras mrs. nadia i welcome you today on our broadcast good day thank you the first thing that happened to me is a disease of the mucous membrane

of the urinary bladder, which leads to a violation of the urinary function. research has shown that there are still certain products that can increase the symptoms of cystitis by changing the ph of the city of potassium or by activating pain receptors in the bladder. the biggest triggers are tomatoes, coffee, tea and products that contain large amounts of caffeine. e.e. chocolate candies as well as citrus oranges e.e. pineapple e.e. grapefruit and including juices from them should also be avoided alcohol should be avoided types of cuisine based on spicy food - this is thai indian mexican should be avoided spicy spices

e.e. horseradish vinegar ketchup processed meat this is jamon salami also soy products tofu and soybeans and should be avoided with cystitis food additives including monosodium glutamate and artificial sweeteners it should be noted that certain products have an ambiguous effect on all people. they can have different effects, so it is important to determine individually what is aggravating and aggravating your illness. in this case, we recommend following the elimination method diets based on which is based on the exclusion of certain foods for a week or two with their gradual introduction and observing the symptoms and condition of ms. nadiya , i understood you correctly, you told people about how to eat, exactly those who already have cystitis, who learned about it and if we talk about those products

that can cause cystitis. as our previous doctor said , what are such products that can actually cause cystitis ? it is necessary to eat all vegetables, seasonal fruits, berries, we will not forbid it to patients, but also monitor the condition, that is, the products are excluded for the prevention of cystitis. how come there are no such, uh, just patients with chronic cystitis. it is worth paying attention to these products, i want to thank you, ms. nadiya, for that you gave us a consultation and i think that everything is clear to our viewers nadiya taran, a dietician in the general practice of family medicine, was in touch with us well, i think that today we gave you

as much advice as possible so that you knew how to avoid cystitis, how to treat it, that it is absolutely necessary to consult a doctor and not self-medicate, that you need to undergo an examination and monitor your health, and also that you must listen to your body, i was iryna koval and the health program with you take care

, ladies. january , cystitis, orlesan begins to act from the first day of administration, relieves inflammation, facilitates urination. cluster munitions are already in ukraine, the armed forces of ukraine say how and where they are used. what other weapons received as part of the nato summit will strengthen the system from absurdity to good results, or how the rhetoric in the president's office changed regarding the results of the summit in vilnius, how ukraine evaluates the results of the meetings and what are the predictions for the signing of bilateral agreements with each individual country jason the full council took the first step towards the legalization of medical cannabis for the corresponding bill voted in the first reading what are the chances

document to be finally approved and how in ukraine they support the idea of ​​controlled circulation of hemp and we start with a report from the bakhmut direction where battles continue ukrainian anti-aircraft guns using the strela 10 sight cover ukrainian artillery from strikes and surveillance by russian drones and try to shoot them down as much as possible how is the hunt for russian drones and how the anti-aircraft fighters are trying to avoid retaliatory strikes at the front near bakhmut, the correspondent of the tv channel zivostvo vremya tse bakhmutskyi visited front anti-aircraft gunner ihor from the 80th airborne assault brigade of the armed forces of ukraine shows how the day before he shot down a russian drone together with his calculation, the hall was disturbed by a rocket - this is the second and the first failed to capture and

the target was destroyed ihor tells what they covered the ukrainian artillery from air targets unexpectedly they started in their direction russian shells are coming, the artillery is starting to work, we climbed into the trenches, er, that is, you saw the explosions, yes, here on the field , we raise our heads, we know that it doesn’t happen that easily and we see the target, i’m a mechanic i say well, what did they drive? he says, come on, let's jump off. once the second rocket, the second rocket is normal , and we succeeded. visual observation