Sintomas de infeccion urinaria en la mujer

Before proceed with invading treatments as the surgery, it is advisable to confirm the presence or intensity of the urinary incontinence by one or more methods. The signs of the urinary incontinence are objective parameters of the loss of urine or the incontinence crisis and they can include a record of frequency, an effort test with cough, a sanitary towel test, the use of a colouring to dye the urine and to confirm the loss, or tests of urodynamic diagnosis. Also, the knowledge of the factors that favor the urinary incontinence is important to identify which is the type of component of the incontinence that affects to the patient, between those which are the effort incontinence and that of urgency. Though the urinary incontinence is a symptom of many disorders, define the risk factors is useful to identify persons of high risk the same as for an agreed effort of preventive type. To date, all the studies have been made in individuals of white race and data of different ethnic groups are required. Finally, R-UTI can also be effectively managed with self-start antimicrobial therapy in women with good adherence to medical indications.Directory of Open Access Journals (Sweden)ДЇull Text Available Little is known about the natural evolution of the urinary incontinence as the age of beginning, the incidence rates, the advancement and the spontaneous remission. The use of cranberries and ascorbic acid have not proven their effectiveness. The use of vaginal vaccine and vaginal lactobacilli are in development and its results are promising. The collateral damage caused by antimicrobial therapy should always be taken into account. Among the therapies for the prevention of recurrence of proven effectiveness are continuous and postcoital antimicrobial prophylaxis, oral vaccine and vaginal estrogen replacement in postmenopausal women, with antimicrobial prophylaxis showing the best results. No association has been found between uncomplicated R-UTI and renal scars, hypertension or progressive chronic kidney disease. Risk factors include frequent sexual intercourse, spermicide use, first UTI at an early age, maternal history of UTI and recent use of antimicrobials drugs. Women with R-UTI have an increased susceptibility to vaginal colonization with uropathogens due to a greater propensity for them to adhere to their epithelial cells. It generally occurs in patients without alterations of the urinary tract, so that contrasted imaging, endoscopic and / or functional tests of the urinary tract should be reserved for selected cases. Recurrent urinary tract infection (R-UTI) in women is a very common phenomenon that increases with age. Tanto el uso de arГЎndanos rojos como de ГЎcido ascГіrbico no han comprobado su efectividad.ДЇinalmente la ITU-R tambiГ©n puede manejarse con terapia antimicrobiana iniciada por la paciente en mujeres con buena adhesividad a las indicaciones mГ©dicas. El uso de vacuna vaginal y de lactobacilos vaginales se encuentra en desarrollo y sus resultados son promisorios. Siempre se debe tener en cuenta el daГ±o colateral que produce la terapia antimicrobiana. Dentro de las terapias para la prevenciГіn de la recurrencia de efectividad comprobada se encuentran la profilaxis antimicrobiana continua y postcoital, la vacuna oral y el reemplazoД®strogГ©nico vГa vaginal en la mujer postmenopГЎusica, siendo la profilaxis antimicrobiana la que muestra los mejores resultados. No se ha encontrado asociaciГіn entre ITU-R no complicada y cicatrices renales, hipertensiГіn arterial o enfermedad renal crГіnica progresiva. La historia materna de ITU y uso reciente de antimicrobianos son factores de riesgo. Las relaciones sexuales frecuentes, el uso de espermicidas, el antecedente de ITU a corta edad, Las mujeres con ITU-R tienen una mayor predisposiciГіn a la colonizaciГіn vaginal por uropatГіgenos que se adhieren mГЎs ГЎvidamente a sus cГ©lulas epiteliales. Generalmente ocurre en pacientes sin alteraciones del tracto urinario, por lo que los exГЎmenes de imГЎgenes contrastados, endoscГіpicos y/o funcionales del tracto urinario deben reservarse a casos seleccionados. La infecciГіn urinaria recurrente (ITU-R) en la mujer es un fenГіmeno muy frecuente que aumenta con la edad.

Sintomas de infeccion urinaria en la mujer