Atenção dobrada a quadros repetitivos de infecção urinária
Autor: Dr. José Bertoni | Publicado: 2011-10-07T18:32:00-07:00

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Uma queixa muito comum no consultório são sobre repetitivos quadros de infecção urinária. Algumas pacientes já chegam com o diagnóstico feito em função dos sintomas presentes que comparam com episódios anteriores.
Queixas de aumento de número de micções (vezes que urina),ardência e até incontinência aos esforços de tossir, rir, espirrar, são frequentes. Calafrios, picos febris ou mesmo febre alta e persistente podem ocorrer. Comuns também é a perda de apetite e náuseas, que eventualmente são os sintomas únicos no inicio do quadro. Sensação constante de bexiga cheia, ou mesmo dor no baixo ventre, geralmente são referidos.
Com um quadro rico em evidencias como o descrito acima, o médico tem como fechar o diagnostico e iniciar tratamento específico com antibióticos. Normalmente é pedido um exame de urina I e urocultura para ser realizado pós termino da antibioticoterapia, para confirmação da cura.
Fala-se em infecções urinárias de repetição quando temos acima de três episódios ao ano.&nbsp;
Nestes casos é obrigatório investigação detalhada do sistema urinário para identificar possíveis causas e por ser mais frequente nas mulheres, um exame ginecológico meticuloso é muito importante. Em algumas mulheres, o uso de pílulas anticoncepcionais,infecções vaginais(corrimentos)e principalmente reter urina (por dificuldade de acesso ou restrições de banheiros em condições de uso ),são causas muito usuais. Ingestão diminuída de líquidos e cálculos renais propiciam infecções recorrentes. Em certas pacientes o uso de alimentos com acidez acentuada podem trazer alterações da acidez urinária, favorecendo infecções.
Pacientes com quadros de infecções urinárias de repetição devem ser tratadas com muita atenção porque podem gerar sequelas para o aparelho urinário, comprometendo a saúde e a qualidade &nbsp;de vida.
Atualmente o uso de vacinas específicas e &nbsp;de cranberry (fruta, também conhecida como oxicoco) na forma de suco ou cápsulas tem ajudado a diminuir a incidência desta patologia.<!--EndFragment-->