{"id":570624,"date":"2025-09-15T09:22:24","date_gmt":"2025-09-15T09:22:24","guid":{"rendered":"https:\/\/liveutifree.com\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/"},"modified":"2025-10-23T13:36:14","modified_gmt":"2025-10-23T13:36:14","slug":"infeccao-cronica-do-trato-urinario-vs-itu-recorrente","status":"publish","type":"post","link":"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/","title":{"rendered":"Infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio vs. ITU recorrente"},"content":{"rendered":"\n<p>Uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio \u00e9 a mesma coisa que uma ITU recorrente? O que significa se voc\u00ea tiver infec\u00e7\u00f5es frequentes do trato urin\u00e1rio ou sintomas cont\u00ednuos de ITU? H\u00e1 algo que voc\u00ea possa fazer se continuar tendo ITUs?  <\/p>\n\n<p>Essas s\u00e3o apenas algumas das perguntas que recebemos diariamente. Abaixo, respondemos a elas da melhor forma poss\u00edvel. Esperamos que, depois de ler isso, voc\u00ea entenda melhor o que pode estar acontecendo em seu corpo. E, melhor ainda, que voc\u00ea se sinta mais preparado para enfrent\u00e1-lo de frente.   <\/p>\n\n<p><strong>Ir para a se\u00e7\u00e3o:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>ITU persistente vs. ITU recorrente ou frequente: qual \u00e9 a diferen\u00e7a?  <a href=\"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/#UTIdefinitions\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Por que continuo tendo ITUs?  <a href=\"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/#frequentUTI\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Os diferentes tipos de infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio.  <a href=\"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/#UTIterms\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>O que causa a infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio (tamb\u00e9m conhecida como ITUs frequentes)?  <a href=\"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/#biofilms\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Voc\u00ea pode fazer o teste para ITU cr\u00f4nica ou frequente?  <a href=\"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/#biofilmtesting\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Quando consultar um m\u00e9dico para infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio.  <a href=\"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/#seeadoctor\">&gt;&gt;&gt;&gt;<\/a><\/li>\n<\/ul>\n\n<div style=\"height:39px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><a href=\"https:\/\/liveutifree.com\/uti-vaccine-clinical-trial\/?utm_campaign=gsk-vaccine&amp;utm_source=site&amp;utm_medium=article&amp;utm_content=EN\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"819\" height=\"1024\" src=\"https:\/\/liveutifree.com\/wp-content\/smush-avif\/2024\/12\/GSK-in-article-announcement-1-819x1024.png.avif\" alt=\"Five smiling women pose outdoors above text promoting a Uromune UTI vaccine clinical trial, with a &quot;Learn More&quot; button below.\" class=\"wp-image-571498\" style=\"width:481px;height:auto\" srcset=\"https:\/\/liveutifree.com\/wp-content\/smush-avif\/2024\/12\/GSK-in-article-announcement-1-819x1024.png.avif 819w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2024\/12\/GSK-in-article-announcement-1-240x300.png.avif 240w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2024\/12\/GSK-in-article-announcement-1-768x960.png.avif 768w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2024\/12\/GSK-in-article-announcement-1-100x125.png.avif 100w, https:\/\/liveutifree.com\/wp-content\/uploads\/2024\/12\/GSK-in-article-announcement-1.png 1080w\" sizes=\"auto, (max-width: 819px) 100vw, 819px\" data-smush-avif-fallback=\"{&quot;src&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/GSK-in-article-announcement-1-819x1024.png&quot;,&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/GSK-in-article-announcement-1-819x1024.png 819w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/GSK-in-article-announcement-1-240x300.png 240w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/GSK-in-article-announcement-1-768x960.png 768w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/GSK-in-article-announcement-1-100x125.png 100w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2024\\\/12\\\/GSK-in-article-announcement-1.png 1080w&quot;}\" \/><\/a><\/figure>\n<\/div>\n<p><\/p>\n\n<p><\/p>\n\n<div id=\"UTIdefinitions\">\n<h2>ITU persistente vs. ITU recorrente ou frequente: qual \u00e9 a diferen\u00e7a?<\/h2>\n<\/div>\n\n<table id=\"tablepress-31\" class=\"tablepress tablepress-id-31 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-definitions.jpg\" alt=\"A Defintion On Live UTI Free\" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-717\" \/><\/td><td class=\"column-2\"><em>A <strong>recurrent urinary tract infection<\/strong> is officially defined as three episodes of a UTI in the previous 12 months or two episodes within the previous 6 months.  <\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-31 from cache -->\n\n<p>No momento, \u00e9 geralmente aceito que as ITUs recorrentes ocorrem devido a uma reinfec\u00e7\u00e3o ou a uma infec\u00e7\u00e3o persistente.<\/p>\n\n<table id=\"tablepress-32\" class=\"tablepress tablepress-id-32 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-definitions.jpg\" alt=\"A Defintion On Live UTI Free\" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-717\" \/><\/td><td class=\"column-2\"><em><strong>Reinfection<\/strong> refers to an infection where the pathogen is eradicated by treatment, then the same or a different pathogen ascends the urinary tract to cause a new infection.<\/em><\/td>\n<\/tr>\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-definitions.jpg\" alt=\"A Defintion On Live UTI Free\" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-717\" \/><\/td><td class=\"column-2\"><em><strong>Persistence<\/strong> means the pathogen that caused the UTI is not completely cleared from the bladder by treatment, remains detectable in the urine, and after treatment returns to a level that once again causes symptoms of infection. This cycle of persistence can repeat indefinitely, feeling like a new infection each time. A persistent infection is also called a <strong>chronic urinary tract infection<\/strong>.<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-32 from cache -->\n\n<p><a target=\"_blank\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s00192-018-3569-7\" rel=\"noopener\">As evid\u00eancias<\/a> sugerem que muitas recorr\u00eancias de ITU podem, na verdade, ser causadas por uma infec\u00e7\u00e3o subjacente da bexiga que surgiu devido a um tratamento inicial ineficaz.<\/p>\n\n<p>As ITUs frequentes causadas por infec\u00e7\u00e3o persistente da bexiga tamb\u00e9m s\u00e3o chamadas de cistite cr\u00f4nica ou infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio.<\/p>\n\n<p>Observe que, embora os termos usados para v\u00e1rias condi\u00e7\u00f5es do trato urin\u00e1rio possam parecer diferentes, eles podem se referir \u00e0 mesma coisa. Confira nossa <a href=\"https:\/\/www.youtube.com\/watch?v=zpqMiaN1NdI\" target=\"_blank\" rel=\"noreferrer noopener\">entrevista com a Dra. Lindsey Burnett<\/a>, que compartilha insights sobre a diferen\u00e7a cl\u00ednica entre ITU aguda, recorrente e cr\u00f4nica. <\/p>\n\n<p><\/p>\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"x-resp-embed x-is-video x-is-youtube\"><iframe loading=\"lazy\" title=\"Pelvic floor disorders, UTI and other conditions: Dr. Lindsey Burnett\" width=\"1080\" height=\"608\" src=\"https:\/\/www.youtube.com\/embed\/zpqMiaN1NdI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n\n<p><\/p>\n\n<p>Quando nos referimos a ITU recorrente neste site, geralmente queremos dizer infec\u00e7\u00f5es persistentes, tamb\u00e9m chamadas de infec\u00e7\u00f5es cr\u00f4nicas do trato urin\u00e1rio.<\/p>\n\n<p>Se as suas ITUs frequentes forem realmente causadas por uma infec\u00e7\u00e3o cr\u00f4nica subjacente do trato urin\u00e1rio, voc\u00ea precisa prestar aten\u00e7\u00e3o aqui:<\/p>\n\n<p><strong>O que quer que voc\u00ea esteja fazendo para tratar cada ocorr\u00eancia de ITU provavelmente n\u00e3o est\u00e1 funcionando.<\/strong><\/p>\n\n<p>O fato de suas ITUs continuarem retornando deve ser evid\u00eancia suficiente disso. Mas talvez voc\u00ea n\u00e3o saiba por que as infec\u00e7\u00f5es cr\u00f4nicas do trato urin\u00e1rio s\u00e3o t\u00e3o dif\u00edceis de tratar adequadamente. Felizmente, podemos explicar isso por meio de uma ci\u00eancia superinteressante.  <\/p>\n\n<div id=\"frequentUTI\">\n<h2>Por que continuo tendo ITUs?<\/h2>\n<\/div>\n\n<p>Embora a maioria das ITUs n\u00e3o complicadas se resolva por conta pr\u00f3pria ou com um ciclo de antibi\u00f3ticos, h\u00e1 um n\u00famero crescente de casos de infec\u00e7\u00f5es cr\u00f4nicas do trato urin\u00e1rio que causam sintomas cont\u00ednuos.<\/p>\n\n<p>Voc\u00ea tem uma infec\u00e7\u00e3o urin\u00e1ria, toma os antibi\u00f3ticos que lhe foram receitados, os sintomas desaparecem e tudo parece normal. Ent\u00e3o, de repente, voc\u00ea se depara com outra ITU&#8230; Voc\u00ea toma os antibi\u00f3ticos que lhe foram receitados, os sintomas desaparecem e tudo parece normal, at\u00e9 que&#8230; <\/p>\n\n<p>Pode parecer um disco quebrado, mas essa \u00e9 a situa\u00e7\u00e3o em que cada vez mais mulheres se encontram. Para ouvir relatos pessoais em primeira m\u00e3o, ou\u00e7a a estrela de reality shows do Reino Unido <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/marnie-simpson-sobre-itus\/\" rel=\"noopener\">, Marnie Simpson, falar sobre sua<\/a> experi\u00eancia com ITUs e o fato de ter sido diagnosticada erroneamente com ITUs recorrentes. <\/p>\n\n<p><span style=\"font-weight: 400\">\n<table id=\"tablepress-35\" class=\"tablepress tablepress-id-35 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Recurrent-UTI-stories.jpg\" alt=\"A Quote On Live UTI Free About Recurrent UTIs\" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-714\" \/><\/td><td class=\"column-2\"><em>\u201cI\u2019ve had recurrent UTIs for around 15 years. I take antibiotics when it gets really bad, and it seems to help, but I always get another one, and I always anticipate getting another one. I try my best to prevent it, but it seems inevitable.\u201d<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-35 from cache --><\/span><\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-statistics-around-frequent-utis\">Estat\u00edsticas sobre ITUs frequentes<\/h3>\n\n<p>Embora as estat\u00edsticas sobre infec\u00e7\u00f5es cr\u00f4nicas do trato urin\u00e1rio sejam dif\u00edceis de encontrar, sabemos que:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><a target=\"_blank\" href=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2018\/11\/American_Urogynecologic_Society_Best_Practice.2.pdf\" rel=\"noopener\">De 30 a 44%<\/a> das mulheres com uma ITU inicial sofrer\u00e3o uma segunda ITU. E com cada ITU, o risco de outra ITU aumenta. <\/li>\n\n\n\n<li>As ITUs frequentes podem ser causadas por <a target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26962083?dopt=Abstract\" rel=\"noopener\">v\u00e1rios organismos<\/a> simultaneamente.<\/li>\n\n\n\n<li>Uma propor\u00e7\u00e3o significativa dos participantes do nosso question\u00e1rio sofreu mais de 7 ITUs, com uma recorr\u00eancia a cada 1-3 meses.<\/li>\n\n\n\n<li>Nossos pr\u00f3prios dados indicam que a maioria das mulheres que apresentam ITUs recorrentes o fazem apesar do tratamento antibi\u00f3tico padr\u00e3o.<\/li>\n\n\n\n<li><a target=\"_blank\" href=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2018\/11\/American_Urogynecologic_Society_Best_Practice.2.pdf\" rel=\"noopener\">As diretrizes de teste e tratamento<\/a> para infec\u00e7\u00f5es cr\u00f4nicas do trato urin\u00e1rio s\u00e3o inadequadas ou n\u00e3o existem na maior parte do mundo. Isso significa que, mesmo quando os m\u00e9dicos querem ajudar, eles geralmente n\u00e3o t\u00eam os recursos ou a orienta\u00e7\u00e3o necess\u00e1rios para isso. <\/li>\n\n\n\n<li><a target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4708543\/\" rel=\"noopener\">Um estudo<\/a> constatou que 74% das mulheres diagnosticadas com cistite intersticial j\u00e1 haviam sido diagnosticadas com ITUs recorrentes. A Cistite Intersticial (definida abaixo) \u00e9 um conjunto doloroso de sintomas do trato urin\u00e1rio sem causa identificada e sem cura conhecida. <\/li>\n\n\n\n<li>93% das mulheres inclu\u00eddas no estudo acima tamb\u00e9m receberam resultados negativos nos testes ap\u00f3s a cultura de urina (mais sobre isso em nossos <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/por-que-seu-exame-de-itu-pode-dar-negativo-mesmo-quando-voce-tem-sintomas\/\" rel=\"noopener\">guias de testes<\/a><span style=\"font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif\">).<\/span><\/li>\n<\/ul>\n\n<p>Em resumo, um n\u00famero significativo de mulheres passa por est\u00e1gios crescentes de diagn\u00f3stico, pois o tratamento com antibi\u00f3ticos n\u00e3o consegue cur\u00e1-las e os testes n\u00e3o conseguem encontrar a causa.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-the-absence-of-recurrent-uti-guidelines\">Diretrizes para a aus\u00eancia de ITUs recorrentes<\/h3>\n\n<p>Como n\u00e3o h\u00e1 diretrizes para o tratamento de ITUs complexas ou recorrentes, os m\u00e9dicos da aten\u00e7\u00e3o prim\u00e1ria geralmente n\u00e3o est\u00e3o em condi\u00e7\u00f5es de ajudar.<\/p>\n\n<p><span style=\"font-weight: 400\">\n<table id=\"tablepress-36\" class=\"tablepress tablepress-id-36 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-doctor-quotes.jpg\" alt=\"A Doctor Quote About Recurrent UTIs On Live UTI Free \" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-720\" \/><\/td><td class=\"column-2\"><em>\u201cMost UTI guidelines are aimed at management of simple uncomplicated UTI. It can be very difficult to successfully manage complex or recurrent UTI in primary care. If symptoms persist, or where there is diagnostic uncertainty GP\u2019s will need to make a referral for specialist assessment.\" <br \/>\n<p><a href=\"http:\/\/www.primarycareurologysociety.org\/\" target=\"_blank\">Dr Jon Rees, Chair, Primary Care Urology Society, UK <\/a><\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-36 from cache --><\/span><\/p>\n\n<p>Para as mulheres que evoluem de uma \u00fanica ITU para uma ITU recorrente ou infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio, ou para um diagn\u00f3stico de cistite intersticial, historicamente h\u00e1 muito pouca esperan\u00e7a de tratamento eficaz. Esperamos ajudar a mudar isso. <\/p>\n\n<div id=\"UTIterms\">\n<h2>Diferentes tipos de infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio<\/h2>\n<\/div>\n\n<p>Dependendo do pa\u00eds em que voc\u00ea se encontra, dos seus sintomas e da terminologia com a qual seu m\u00e9dico est\u00e1 familiarizado, voc\u00ea pode ter ouvido os seguintes termos para descrever diferentes condi\u00e7\u00f5es do trato urin\u00e1rio:<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-chronic-urinary-tract-conditions-different-names-for-the-same-family-of-problems\">Doen\u00e7as cr\u00f4nicas do trato urin\u00e1rio: Nomes diferentes para a mesma fam\u00edlia de problemas<\/h3>\n\n<table id=\"tablepress-113\" class=\"tablepress tablepress-id-113 data-table\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Acronym<\/th><th class=\"column-2\">Term<\/th><th class=\"column-3\">Definition<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"row-2\">\n\t<td class=\"column-1\">RUTI<\/td><td class=\"column-2\">Recurrent Urinary Tract Infection<br \/>\n(Specifically, persistent recurrent infections)<\/td><td class=\"column-3\">Three episodes of a UTI in the previous 12 months or two episodes within the previous 6 months. RUTI can be classified as a persistent infection or a reinfection. <br \/>\n<br \/>\nThe open nature of this definition means there is no logical end to this diagnosis. Even after twenty years of UTIs, this definition can still apply to you.<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\">cUTI<\/td><td class=\"column-2\">Chronic Urinary Tract Infection \/ Chronic Cystitis<\/td><td class=\"column-3\">A persistent infection of the bladder. <br \/>\n<br \/>\nAs with RUTI, many females are diagnosed with chronic cystitis indefinitely.<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">IC<br \/>\nPBS<br \/>\nBPS<\/td><td class=\"column-2\">Interstitial Cystitis<br \/>\nPainful Bladder Syndrome<br \/>\nBladder Pain Syndrome<\/td><td class=\"column-3\">An unpleasant sensation (pain, pressure, discomfort) perceived to be related to the urinary bladder, associated with lower urinary tract symptoms of more than six weeks duration, in the absence of infection or other identifiable causes.<p><a href=\"https:\/\/www.uptodate.com\/contents\/diagnosis-of-interstitial-cystitis-bladder-pain-syndrome-beyond-the-basics\" target=\"_blank\">The American Urological Association<\/a><\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\">HBS<br \/>\nHSB<\/td><td class=\"column-2\">Hypersensitive Bladder Syndrome<p>Hypersensitive Bladder<\/td><td class=\"column-3\">An umbrella term used in East Asia to cover conditions resulting in symptoms including, bladder pain, discomfort, pressure or other unpleasant sensation, <br \/>\nand is associated with disorders such as a frequent need to urinate day and night<br \/>\nand\/or an urgent need to urinate. It encompasses Bladder Pain Syndrome. <a href=\"http:\/\/www.painful-bladder.org\/pdf\/Hypersensitive_bladder.pdf\" target=\"_blank\">International Painful Bladder Foundation<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-113 from cache -->\n\n<p>Se voc\u00ea pesquisar um pouco, descobrir\u00e1 rapidamente que tamb\u00e9m existem subcategorias dentro dessas condi\u00e7\u00f5es, com sintomas e n\u00edveis de les\u00e3o variados no trato urin\u00e1rio.<\/p>\n\n<p>N\u00e3o \u00e9 nossa inten\u00e7\u00e3o aqui sugerir que essas doen\u00e7as cr\u00f4nicas do trato urin\u00e1rio sejam iguais ou que afetem as pessoas da mesma maneira. Mas elas t\u00eam uma coisa importante em comum: na maioria dos casos, nenhuma causa foi identificada e, portanto, a doen\u00e7a n\u00e3o tem cura. O tratamento se concentra na redu\u00e7\u00e3o dos sintomas em vez de resolver o problema subjacente.  <\/p>\n\n<p><span style=\"font-weight: 400\">\n<table id=\"tablepress-37\" class=\"tablepress tablepress-id-37 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Recurrent-UTI-stories.jpg\" alt=\"A Quote On Live UTI Free About Recurrent UTIs\" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-714\" \/><\/td><td class=\"column-2\"><em>\u201cAfter about 3.5 years of chronic urinary tract infections, two doctors said they couldn\u2019t help me further. A third said \u2018maybe you just have irritable bladder or IC.\u2019 That \u2018maybe\u2019 didn\u2019t feel like a diagnosis. Why did my test results tell them nothing?\u201d<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-37 from cache --><\/span><\/p>\n\n<p>Ent\u00e3o, por que mencionamos essas doen\u00e7as cr\u00f4nicas do trato urin\u00e1rio?<\/p>\n\n<p>H\u00e1 fortes evid\u00eancias de que muitos foram diagnosticados erroneamente com doen\u00e7as incur\u00e1veis, quando, na verdade, sofrem de uma infec\u00e7\u00e3o cr\u00f4nica da bexiga que <em>pode<\/em> ser identificada com exames adequados e tratada de forma eficaz ao longo do tempo.<\/p>\n\n<p>Vamos explicar&#8230;<\/p>\n\n<div id=\"biofilms\">\n<h2>O que causa a infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio?<\/h2>\n<\/div>\n\n<p>\u00c9 aqui que a ci\u00eancia fica um pouco mais complicada. (Mas tamb\u00e9m fascinante!) <\/p>\n\n<p>J\u00e1 falamos em outro lugar sobre <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/o-que-causa-uma-infeccao-do-trato-urinario\/\" rel=\"noopener\">o que causa as ITUs<\/a>. E acima, explicamos que as ITUs recorrentes podem ser atribu\u00eddas a uma infec\u00e7\u00e3o persistente da bexiga que n\u00e3o \u00e9 adequadamente erradicada pelo tratamento. <\/p>\n\n<p>Uma infec\u00e7\u00e3o persistente da bexiga pode durar anos na forma de uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio. Para muitas mulheres, o ciclo de per\u00edodos agudos e sem sintomas nunca \u00e9 interrompido, e algumas passam a ser diagnosticadas com as doen\u00e7as mencionadas acima, como a cistite intersticial (CI) ou a s\u00edndrome da bexiga dolorosa (SBS). Mais sobre isso adiante.  <\/p>\n\n<p>Por que tem sido t\u00e3o dif\u00edcil detectar e tratar essas infec\u00e7\u00f5es?<\/p>\n\n<p>H\u00e1 um culpado aqui, ent\u00e3o vamos dar uma olhada mais de perto. Por tr\u00e1s do diagn\u00f3stico incorreto de centenas de milhares (potencialmente milh\u00f5es) de pessoas, est\u00e3o as infec\u00e7\u00f5es cr\u00f4nicas do trato urin\u00e1rio que envolvem biofilmes. <\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-biofilms-and-persistent-uti\">Biofilmes e ITU persistente<\/h3>\n\n<p><span style=\"font-weight: 400\">\n<table id=\"tablepress-39\" class=\"tablepress tablepress-id-39 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-definitions.jpg\" alt=\"A Defintion On Live UTI Free\" width=\"100px\" height=\"100px\" class=\"alignnone size-full wp-image-717\" \/><\/td><td class=\"column-2\"><em>In the case of a <strong>chronic urinary tract infection<\/strong>, a <strong>biofilm<\/strong> is a community of bacterial cells that stick together and adhere to the bladder wall. These cells then produce a protective slime that shields the bacterial community from antibiotics and the natural defences of the body.<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-39 from cache --><\/span><\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"790\" height=\"938\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Pathway.png\" alt=\"Infec&#xE7;&#xE3;o cr&#xF4;nica do trato urin&#xE1;rio - Caminho simplificado da ITU\" class=\"wp-image-1052\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Pathway.png 790w, https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Pathway-253x300.png 253w, https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Pathway-768x912.png 768w, https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Pathway-600x712.png 600w\" sizes=\"auto, (max-width: 790px) 100vw, 790px\" \/><\/figure>\n<\/div>\n<p>Esse escudo viscoso dificulta muito o diagn\u00f3stico e o tratamento. E enquanto as bact\u00e9rias estiverem contidas em seu escudo, \u00e9 menos prov\u00e1vel que o corpo monte uma resposta eficaz \u00e0 sua presen\u00e7a. <\/p>\n\n<p>Quando as bact\u00e9rias s\u00e3o periodicamente liberadas ou escapam do biofilme, o corpo reconhece uma amea\u00e7a. Isso desencadeia uma resposta inflamat\u00f3ria, aumentando os sintomas de uma ITU. Isso pode ocorrer como um ciclo de sintomas agudos, seguido de per\u00edodos com menos ou nenhum sintoma.  <\/p>\n\n<p><span style=\"font-weight: 400\">\n<table id=\"tablepress-40\" class=\"tablepress tablepress-id-40 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Recurrent-UTI-stories.jpg\" alt=\"A Quote On Live UTI Free About Recurrent UTIs\" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-714\" \/><\/td><td class=\"column-2\"><em>\u201cI get a UTI every month or so. In between each really bad UTI I would feel mostly better, but I\u2019d often have sensations like another UTI was coming on. I was continually drinking water to try and prevent it, but, like clockwork, my symptoms would suddenly get much worse and I\u2019d end up with another full blown UTI.\u201d<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-40 from cache --><\/span><\/p>\n\n<p>Ouvimos muitas pessoas se referirem a isso como um ciclo de &#8220;crises&#8221; ou &#8220;epis\u00f3dios&#8221;. Isso significa que elas acreditam que se trata de um problema cont\u00ednuo e cr\u00f4nico com fases agudas e sem sintomas. As evid\u00eancias mostram que elas provavelmente est\u00e3o certas. <\/p>\n\n<p>Para as pessoas que sofrem de infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio, os sintomas e a dor cont\u00ednua podem ser debilitantes, afetando de forma dram\u00e1tica e adversa a vida di\u00e1ria, bem como a sa\u00fade f\u00edsica e mental em geral.<\/p>\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"x-resp-embed x-is-video x-is-youtube\"><iframe loading=\"lazy\" title=\"What do Bladder Biofilms Look Like? Imaging biofilms with Dr. Harry Horsley.\" width=\"1080\" height=\"608\" src=\"https:\/\/www.youtube.com\/embed\/pq1K1zBt7Ho?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n\n<h3 class=\"wp-block-heading\" id=\"h-how-biofilms-can-cause-your-uti-symptoms-to-come-and-go\">Como os biofilmes podem causar o surgimento e o desaparecimento dos sintomas de ITU<\/h3>\n\n<p>Vamos comparar a ci\u00eancia dos biofilmes com os sintomas que uma pessoa que sofre de infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio pode apresentar, usando a E.coli como exemplo de pat\u00f3geno:<\/p>\n\n<table id=\"tablepress-124\" class=\"tablepress tablepress-id-124 image-table tbody-has-connected-cells\">\n<tbody>\n<tr class=\"row-1\">\n\t<td colspan=\"2\" class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-1.png\" alt=\"Chronic Urinary Tract Infection - UTI Pathway Step 1\" width=\"200px\" height=\"200px\" class=\"aligncenter size-full wp-image-1021\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-1.png 560w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-1-150x150.png.avif 150w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-1-300x300.png.avif 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-1.png 560w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-1-150x150.png 150w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-1-300x300.png 300w&quot;}\" \/><\/td>\n<\/tr>\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Stage One<\/td><td class=\"column-2\"><b>THE SCIENCE:<\/b><br \/>\n\u2022 Infection and inflammation of urinary tract caused by invasion and multiplication of bacteria or other pathogen.<br \/>\n<br \/>\n<b>HOW IT FEELS: <\/b><br \/>\n\u2022 UTI symptoms, eg burning when urinating, urgency<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td colspan=\"2\" class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-2.png\" alt=\"Chronic Urinary Tract Infection - UTI Pathway Step 2\" width=\"200px\" height=\"200px\" class=\"aligncenter size-full wp-image-1022\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-2.png 560w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-2-150x150.png.avif 150w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-2-300x300.png.avif 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-2.png 560w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-2-150x150.png 150w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-2-300x300.png 300w&quot;}\" \/><\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\">Stage Two<\/td><td class=\"column-2\"><b>THE SCIENCE:<\/b><br \/>\n\u2022 Free-floating bacteria form a weak attachment to the bladder wall<br \/>\n\u2022 Antibiotics can still be effective during this stage<br \/>\n<br \/>\n<b>HOW IT FEELS: <\/b><br \/>\n\u2022 Without effective treatment, UTI symptoms remain as body continues to defend against the threat<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td colspan=\"2\" class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-3.png\" alt=\"Chronic Urinary Tract Infection - UTI Pathway Step 3\" width=\"200px\" height=\"200px\" class=\"aligncenter size-full wp-image-1023\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-3.png 560w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-3-150x150.png.avif 150w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-3-300x300.png.avif 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-3.png 560w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-3-150x150.png 150w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-3-300x300.png 300w&quot;}\" \/><\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">Stage Three<\/td><td class=\"column-2\"><b>THE SCIENCE:<\/b><br \/>\n\u2022 Bacteria establish a strong attachment to the bladder wall and a protective biofilm structure begins to form<br \/>\n\u2022 Protection from antibiotics increases; treatment becomes more difficult<br \/>\n<br \/>\n<b>HOW IT FEELS: <\/b><br \/>\n\u2022 Without effective treatment, UTI symptoms remain as body defends against the threat<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td colspan=\"2\" class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-4.png\" alt=\"Chronic Urinary Tract Infection - UTI Pathway Step 4\" width=\"200px\" height=\"200px\" class=\"aligncenter size-full wp-image-1024\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-4.png 560w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-4-150x150.png.avif 150w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-4-300x300.png.avif 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-4.png 560w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-4-150x150.png 150w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-4-300x300.png 300w&quot;}\" \/><\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\">Stage Four<\/td><td class=\"column-2\"><b>THE SCIENCE:<\/b><br \/>\n\u2022 Free-floating bacteria are flushed from bladder via treatment or natural body defenses<br \/>\n\u2022 Biofilm remains intact<br \/>\n<br \/>\n<b>HOW IT FEELS:<\/b> <br \/>\n\u2022 UTI symptoms decrease or disappear<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td colspan=\"2\" class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-5.png\" alt=\"Chronic Urinary Tract Infection - UTI Pathway Step 5\" width=\"200px\" height=\"200px\" class=\"aligncenter size-full wp-image-1025\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-5.png 560w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-5-150x150.png.avif 150w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-5-300x300.png.avif 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-5.png 560w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-5-150x150.png 150w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-5-300x300.png 300w&quot;}\" \/><\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\">Stage Five<\/td><td class=\"column-2\"><b>THE SCIENCE:<\/b><br \/>\n\u2022 Biofilm community formation continues<br \/>\n\u2022 Protection against antibiotics increases as the biofilm develops<br \/>\n<br \/>\n<b>HOW IT FEELS:<\/b> <br \/>\n\u2022 No UTI symptoms, or low level chronic symptoms<\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td colspan=\"2\" class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-6.png\" alt=\"Chronic Urinary Tract Infection - UTI Pathway Step 6\" width=\"200px\" height=\"200px\" class=\"aligncenter size-full wp-image-1026\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-6.png 560w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-6-150x150.png.avif 150w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-6-300x300.png.avif 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-6.png 560w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-6-150x150.png 150w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-6-300x300.png 300w&quot;}\" \/><\/td>\n<\/tr>\n<tr class=\"row-12\">\n\t<td class=\"column-1\">Stage Six<\/td><td class=\"column-2\"><b>THE SCIENCE:<\/b><br \/>\n\u2022 Biofilm detachment<br \/>\n\u2022 Bacteria escape biofilm and enter urine as free-floating bacteria<br \/>\n<br \/>\n<b>HOW IT FEELS: <\/b><br \/>\n\u2022 \u2018Recurrence\u2019 of UTI<br \/>\n\u2022 UTI symptoms return<\/td>\n<\/tr>\n<tr class=\"row-13\">\n\t<td colspan=\"2\" class=\"column-1\"><img decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-7.png\" alt=\"Chronic Urinary Tract Infection - UTI Pathway Step 7\" width=\"200px\" height=\"200px\" class=\"aligncenter size-full wp-image-1027\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-Pathway-Biofilm-7.png 560w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-7-150x150.png.avif 150w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/UTI-Pathway-Biofilm-7-300x300.png.avif 300w\" sizes=\"(max-width: 560px) 100vw, 560px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-7.png 560w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-7-150x150.png 150w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/UTI-Pathway-Biofilm-7-300x300.png 300w&quot;}\" \/><\/td>\n<\/tr>\n<tr class=\"row-14\">\n\t<td class=\"column-1\">Stage Seven<\/td><td class=\"column-2\"><b>THE SCIENCE:<\/b><br \/>\r\n\u2022 New biofilm attachments may begin to form<br \/>\r\n\u2022 Free-floating bacteria are flushed from bladder<br \/>\r\n\u2022 Without appropriate treatment, the process repeats<br \/>\r\n<br \/>\r\n<b>HOW IT FEELS: <\/b><br \/>\r\n\u2022 A cycle of \u2018recurrent\u2019 UTI as the biofilm fluxes over time<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-124 from cache -->\n\n<p>Tamb\u00e9m devemos observar aqui que os biofilmes podem ser tanto f\u00fangicos quanto bacterianos, e pode haver mais de um pat\u00f3geno presente na bexiga em um determinado momento. De fato, os biofilmes podem ser comunidades complexas e diversas de v\u00e1rios pat\u00f3genos. <\/p>\n\n<table id=\"tablepress-191\" class=\"tablepress tablepress-id-191 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2018\/11\/ruth_kriz_portrait.png\" alt=\"Ruth Kriz IC treatment\" width=\"130\" height=\"130\" class=\"aligncenter size-full wp-image-2313\" \/><\/td><td class=\"column-2\"><em>\u201cThese organisms like to live in communities. Biofilms are like apartment buildings, and the longer that you've had this chronic infection, the more likely it is that you have more and more residents that have come to join the party. And they like to support one another, they live synergistically. It's sort of like a ball of yarn. You have to start pulling somewhere if we're ever going to unravel this big, knotted up mess.\u201d  <br \/>\n<p><a href=\"https:\/\/liveutifree.com\/interstitial-cystitis-treatment\/\" target=\"_blank\">Ruth Kriz, APRN<\/a><br \/>\n<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-191 from cache -->\n\n<p>Para simplificar, e como as infec\u00e7\u00f5es bacterianas do trato urin\u00e1rio s\u00e3o muito mais comuns do que as f\u00fangicas, vamos nos limitar \u00e0s bact\u00e9rias em nossos exemplos. Mas lembre-se de que <a href=\"https:\/\/liveutifree.com\/pt-br\/o-que-causa-uma-infeccao-do-trato-urinario\/\" target=\"_blank\" rel=\"noreferrer noopener\">o que causa uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio<\/a> em uma pessoa \u00e9 muito provavelmente diferente da outra. <\/p>\n\n<p>Os biofilmes bacterianos tamb\u00e9m podem ser encontrados DENTRO das c\u00e9lulas da parede da bexiga, formando comunidades bacterianas intracelulares (IBC). De fato, <a target=\"_blank\" href=\"http:\/\/www.mdpi.com\/2076-0817\/5\/2\/36\/htm\" rel=\"noopener\">evid\u00eancias de IBCs<\/a> foram encontradas em cerca de um quinto das amostras de urina de mulheres com ITUs sintom\u00e1ticas agudas n\u00e3o complicadas. <\/p>\n\n<p>Voc\u00ea est\u00e1 fascinado? Uma equipe de pesquisa do Reino Unido elaborou uma an\u00e1lise mais aprofundada de <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2018\/12\/Chronic-urinary-infection-biofilm-and-IBCs-in-pictures-1.pdf\" rel=\"noopener\">como os biofilmes e os IBCs se formam <\/a>para voc\u00ea ver. <\/p>\n\n<div id=\"biofilmtesting\">\n<h3>Voc\u00ea pode fazer o teste de biofilmes na bexiga?<\/h3>\n<\/div>\n\n<p>A presen\u00e7a de biofilmes na bexiga n\u00e3o \u00e9 uma ci\u00eancia rebuscada.<\/p>\n\n<p>O National Institutes of Health (NIH) estima que cerca de <a target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3530155\/\" rel=\"noopener\">80% de todas as infec\u00e7\u00f5es bacterianas em humanos envolvem biofilmes<\/a>.<\/p>\n\n<p>Embora a exist\u00eancia de biofilmes na infec\u00e7\u00e3o humana tenha sido aceita na medicina h\u00e1 d\u00e9cadas, foi muito mais recentemente que a aten\u00e7\u00e3o se voltou para o seu envolvimento na ITU cr\u00f4nica.<\/p>\n\n<table id=\"tablepress-190\" class=\"tablepress tablepress-id-190 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2019\/08\/Dr-Michael-Hsieh.png\" alt=\"Dr Michael Hsieh - recurrent UTI specialist\" width=\"201\" height=\"201\" class=\"aligncenter size-full wp-image-4107\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2019\/08\/Dr-Michael-Hsieh.png 201w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2019\/08\/Dr-Michael-Hsieh-150x150.png.avif 150w\" sizes=\"auto, (max-width: 201px) 100vw, 201px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2019\\\/08\\\/Dr-Michael-Hsieh.png 201w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2019\\\/08\\\/Dr-Michael-Hsieh-150x150.png 150w&quot;}\" \/><\/td><td class=\"column-2\"><em>\u201cIn my opinion it's pretty clear that biofilms and IBCs are a true phenomenon, and it would explain why a given patient can get what seems like a perfectly appropriate antibiotic based on antibiotic susceptibility testing from cultured bacteria. Then as soon they stop taking the antibiotic, the same exact bacterial isolate comes roaring back with the same antibiotic susceptibility. Why wasn\u2019t it wiped out? Well, I think sometimes it's IBCs, or biofilms. And then in other cases, it may be that they've reseeded themselves from their distal guts or their vagina as well.\"<br \/>\n<p><a href=\"https:\/\/liveutifree.com\/dr-michael-hsieh\/\" target=\"_blank\" rel=\"noopener\">Dr Michael Hsieh, MD, PhD<\/a><br \/>\n<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-190 from cache -->\n\n<p>Tradicionalmente, os laborat\u00f3rios de testes t\u00eam se concentrado na cultura e no teste de pat\u00f3genos que flutuam livremente. Se forem identificados pat\u00f3genos flutuantes, sua suscetibilidade a antibi\u00f3ticos tamb\u00e9m \u00e9 testada enquanto eles est\u00e3o em um estado flutuante. <\/p>\n\n<p>Uma vez que a suscetibilidade tenha sido testada, \u00e9 poss\u00edvel prescrever o tratamento correto.<\/p>\n\n<p>O problema com esses tipos de testes \u00e9 que eles n\u00e3o detectam especificamente as forma\u00e7\u00f5es de biofilme na bexiga. Portanto, eles n\u00e3o s\u00e3o \u00fateis para decifrar quais tratamentos podem ser eficazes contra micr\u00f3bios dentro de um biofilme. <\/p>\n\n<p>Para descobrir como tratar uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio que envolva biofilmes ou IBCs, seria necess\u00e1rio testar diferentes tratamentos em quaisquer pat\u00f3genos dentro de um biofilme ou IBC, em vez de em pat\u00f3genos flutuantes e f\u00e1ceis de atingir.<\/p>\n\n<h4 class=\"wp-block-heading\" id=\"h-newer-uti-testing-options\">Novas op\u00e7\u00f5es de testes de ITU<\/h4>\n\n<p>Foram feitos alguns avan\u00e7os nos testes. Os pesquisadores conseguiram identificar indicadores de biofilmes e IBCs na bexiga. Isso inclui bact\u00e9rias filamentosas e IBCs esfoliados.  <\/p>\n\n<p>Isso n\u00e3o \u00e9 t\u00e3o complicado quanto parece. Tudo o que o primeiro termo realmente significa s\u00e3o bact\u00e9rias que assumiram uma forma alongada e\/ou ramificada como parte de uma comunidade bacteriana. IBCs esfoliados referem-se \u00e0s c\u00e9lulas de revestimento da bexiga que cont\u00eam micr\u00f3bios e foram eliminadas da bexiga para a urina. Ambos s\u00e3o sinais de uma infec\u00e7\u00e3o da bexiga incorporada.   <\/p>\n\n<p>Infelizmente, essa \u00e1rea requer muito mais pesquisas. No momento, os testes para identificar especificamente uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio n\u00e3o est\u00e3o dispon\u00edveis para o p\u00fablico em geral. <\/p>\n\n<p>Em um aspecto mais positivo, h\u00e1 testes dispon\u00edveis que s\u00e3o mais precisos do que os m\u00e9todos de cultura padr\u00e3o.<\/p>\n\n<p>Os testes que usam m\u00e9todos de sequenciamento de DNA, como os oferecidos pela <a href=\"https:\/\/liveutifree.com\/microgendx\/\" target=\"_blank\" rel=\"noopener\">MicroGenDX<\/a>, t\u00eam a capacidade de identificar os microrganismos em uma amostra de urina, independentemente de estarem flutuando livremente ou fazerem parte de um biofilme.<\/p>\n\n<p>Voc\u00ea pode ler mais sobre os <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/por-que-seu-exame-de-itu-pode-dar-negativo-mesmo-quando-voce-tem-sintomas\/\" rel=\"noopener\">problemas com os testes padr\u00e3o de ITU<\/a> e como encontrar op\u00e7\u00f5es alternativas de <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/por-que-seu-exame-de-itu-pode-dar-negativo-mesmo-quando-voce-tem-sintomas\/#recurrent-UTI-test\" rel=\"noopener\">testes de ITU<\/a> nas pr\u00f3ximas se\u00e7\u00f5es.<\/p>\n\n<p>Existem protocolos de tratamento para infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio, mas os especialistas que podem administr\u00e1-los s\u00e3o poucos e raros. E esse tipo de tratamento requer monitoramento regular para avaliar qualquer melhora na infec\u00e7\u00e3o incorporada. <\/p>\n\n<p>Saiba mais sobre as abordagens <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/tratamento-de-itus-recorrentes-qual-e-a-abordagem-certa-para-voce\/\" rel=\"noopener\">de tratamento de ITU persistente<\/a> aqui.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-is-interstitial-cystitis-linked-to-frequent-utis\">A cistite intersticial est\u00e1 ligada a ITUs frequentes?<\/h2>\n\n<p>Mencionamos um <a target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4708543\/\" rel=\"noopener\">estudo<\/a> acima, que constatou que 74% dos participantes da pesquisa diagnosticados com cistite intersticial j\u00e1 haviam sido diagnosticados com ITU recorrente.<\/p>\n\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00192-018-3569-7\" target=\"_blank\" rel=\"noopener\">A pesquisa<\/a> tamb\u00e9m mostrou que uma alta porcentagem de mulheres com cistite intersticial pode, na verdade, ter biofilmes, IBCs ou ambos dentro da bexiga, e que essa \u00e9 a causa da infec\u00e7\u00e3o cont\u00ednua e dos sintomas recorrentes ou cont\u00ednuos.<\/p>\n\n<p>A cistite intersticial e as condi\u00e7\u00f5es associadas s\u00e3o consideradas incur\u00e1veis, por\u00e9m&#8230;<\/p>\n\n<p>A cistite intersticial \u00e9 um diagn\u00f3stico de exclus\u00e3o. Isso significa que a CI \u00e9 diagnosticada na aus\u00eancia de qualquer outra causa \u00f3bvia. Se n\u00e3o for identificada uma causa para os sintomas de ITU por meio de exames, voc\u00ea poder\u00e1 receber o diagn\u00f3stico de CI.  <\/p>\n\n<p>Assista \u00e0 nossa s\u00e9rie de v\u00eddeos de especialistas para saber mais sobre a conex\u00e3o entre <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/ruth-kriz\/\" rel=\"noopener\">ITU cr\u00f4nica e CI<\/a>.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-reframing-a-diagnosis-of-interstitial-cystitis\">Reformulando um diagn\u00f3stico de cistite intersticial<\/h3>\n\n<p>N\u00e3o devemos pensar na CI como uma condi\u00e7\u00e3o espec\u00edfica, afinal, aqueles que foram diagnosticados com ela apresentam uma grande variedade de sintomas diferentes. E ainda n\u00e3o foi identificada uma causa para o aparecimento desses sintomas.   <\/p>\n\n<p>Em vez disso, devemos pensar no termo como um espa\u00e7o reservado, enquanto esperamos que uma causa espec\u00edfica seja identificada.<\/p>\n\n<p>Um diagn\u00f3stico de exclus\u00e3o deixa muito espa\u00e7o para diagn\u00f3sticos err\u00f4neos. Alguns pesquisadores acreditam agora que a insensibilidade dos m\u00e9todos de teste padr\u00e3o pode ter levado a um grande n\u00famero de diagn\u00f3sticos desnecess\u00e1rios de CI. D\u00ea uma olhada em nossa <a href=\"https:\/\/youtu.be\/1BktvCAYnoQ\" target=\"_blank\" rel=\"noreferrer noopener\">entrevista com o Dr. Roscoe Nelson<\/a>, que discute por que o diagn\u00f3stico preciso \u00e9 crucial.  <\/p>\n\n<table id=\"tablepress-38\" class=\"tablepress tablepress-id-38 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/UTI-doctor-quotes.jpg\" alt=\"A Doctor Quote About Recurrent UTIs On Live UTI Free \" width=\"130\" height=\"130\" class=\"alignnone size-full wp-image-720\" \/><\/td><td class=\"column-2\"><em>\"...if the [dipstick] test is negative, the sensitivity is such that there is no justification for claiming you do not have an infection... if the culture is negative it is again wrong to claim this proves an absence of infection; the culture is too insensitive. For these reasons, negative tests are unhelpful and a cause of terrible suffering.\"<p><a href=\"https:\/\/health.spectator.co.uk\/botox-for-your-bladder-and-other-incontinence-treatments-that-work\/\" target=\"_blank\">Professor Malone-Lee, Whittington Hospital, UK<\/a><\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-38 from cache -->\n\n<p>E isso n\u00e3o \u00e9 apenas te\u00f3rico. Centenas de mulheres diagnosticadas anteriormente com Cistite Intersticial &#8211; ou seja, aus\u00eancia de infec\u00e7\u00e3o &#8211; puderam receber exames melhores que <em>identificaram<\/em> uma infec\u00e7\u00e3o. <\/p>\n\n<p>Com a identifica\u00e7\u00e3o de uma infec\u00e7\u00e3o, esses indiv\u00edduos recebem um tratamento de longo prazo que alivia os sintomas dolorosos e, muitas vezes, leva \u00e0 resolu\u00e7\u00e3o completa do problema.<\/p>\n\n<table id=\"tablepress-141\" class=\"tablepress tablepress-id-141 blog-icons-table\">\n<tbody>\n<tr class=\"row-1\">\n\t<td class=\"column-1\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2019\/08\/Dr-Michael-Hsieh.png\" alt=\"Dr Michael Hsieh - recurrent UTI specialist\" width=\"201\" height=\"201\" class=\"aligncenter size-full wp-image-4107\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2019\/08\/Dr-Michael-Hsieh.png 201w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2019\/08\/Dr-Michael-Hsieh-150x150.png.avif 150w\" sizes=\"auto, (max-width: 201px) 100vw, 201px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2019\\\/08\\\/Dr-Michael-Hsieh.png 201w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2019\\\/08\\\/Dr-Michael-Hsieh-150x150.png 150w&quot;}\" \/><\/td><td class=\"column-2\"><em>\u201cI am very careful about labelling patients with IC, I think a lot have occult UTI with difficult to culture organisms. By utilizing more accurate testing methods we are able to identify pathogens in many cases, and develop appropriate treatment.\u201d <br \/>\n<p><a href=\"https:\/\/liveutifree.com\/dr-michael-hsieh\/\" target=\"_blank\" rel=\"noopener\">Michael Hsieh, MD, PhD<\/a><br \/>\n<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-141 from cache -->\n\n<p><\/p>\n\n<div id=\"seeadoctor\">\n<h2>Quando consultar um m\u00e9dico por causa de uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio<\/h2>\n<\/div>\n\n<p>Se voc\u00ea j\u00e1 teve uma ITU anteriormente, est\u00e1 em uma posi\u00e7\u00e3o muito melhor para reconhecer os sintomas e pode se sentir confiante quanto \u00e0s medidas a serem tomadas.<\/p>\n\n<p>Voc\u00ea pode at\u00e9 mesmo tomar essa medida ao primeiro sinal de uma ITU e evitar o agravamento dos sintomas. Isso n\u00e3o significa necessariamente que voc\u00ea tenha eliminado a infec\u00e7\u00e3o. Se voc\u00ea leu a fascinante hist\u00f3ria acima sobre infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio e biofilmes, j\u00e1 deve ter percebido isso.  <\/p>\n\n<p>Para mulheres com infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio, n\u00e3o se trata apenas de tratar sintomas isolados, mas de quebrar o ciclo e erradicar a causa subjacente.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-how-uti-treatment-should-look\">Como deve ser o tratamento de ITU<\/h3>\n\n<p>O cen\u00e1rio ideal n\u00e3o envolveria uma ITU, n\u00f3s entendemos isso. Mas, uma vez na montanha-russa, voc\u00ea realmente precisa encontrar uma maneira de sair dela com seguran\u00e7a. \u00c9 assim que voc\u00ea deve fazer a viagem&#8230;  <\/p>\n\n<p>Sintomas \u2192 Teste \u2192 Resultados \u2192 Diagn\u00f3stico \u2192 Tratamento \u2192 Cura<\/p>\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"788\" height=\"226\" src=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Journey.png\" alt=\"Infec&#xE7;&#xE3;o cr&#xF4;nica do trato urin&#xE1;rio - Jornada simplificada de uma ITU\" class=\"wp-image-1005\" srcset=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Journey.png 788w, https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Journey-300x86.png 300w, https:\/\/liveutifree.com\/wp-content\/smush-avif\/2017\/08\/Simplified-UTI-Journey-768x220.png.avif 768w, https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/Simplified-UTI-Journey-600x172.png 600w\" sizes=\"auto, (max-width: 788px) 100vw, 788px\" data-smush-avif-fallback=\"{&quot;srcset&quot;:&quot;https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/Simplified-UTI-Journey.png 788w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/Simplified-UTI-Journey-300x86.png 300w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/Simplified-UTI-Journey-768x220.png 768w, https:\\\/\\\/liveutifree.com\\\/wp-content\\\/uploads\\\/2017\\\/08\\\/Simplified-UTI-Journey-600x172.png 600w&quot;}\" \/><\/figure>\n<\/div>\n<p>Qualquer pessoa que tenha sofrido uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio pode dizer a voc\u00ea que nem sempre \u00e9 assim que acontece.<\/p>\n\n<p>Em vez disso, para muitas mulheres, partes da sequ\u00eancia est\u00e3o faltando e a cura est\u00e1 fora de alcance. H\u00e1 v\u00e1rios motivos para isso, que abordamos em nosso artigo sobre <a href=\"https:\/\/liveutifree.com\/pt-br\/por-que-seu-exame-de-itu-pode-dar-negativo-mesmo-quando-voce-tem-sintomas\/\" target=\"_blank\" rel=\"noreferrer noopener\">testes de ITU<\/a>, portanto, recomendamos que voc\u00ea leia esse artigo a seguir. <\/p>\n\n<p>Fazer exames para descobrir a causa dos sintomas de ITU \u00e9 o melhor caminho para uma solu\u00e7\u00e3o permanente.<\/p>\n\n<p>Voc\u00ea deve fazer o teste se:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Voc\u00ea teve mais de 2 ITUs nos \u00faltimos 6 meses, ou mais de 3 ITUs nos \u00faltimos 12 meses.<\/li>\n\n\n\n<li>Voc\u00ea tem sintomas cont\u00ednuos ou constantes de ITU, mas ainda n\u00e3o recebeu um diagn\u00f3stico.<\/li>\n\n\n\n<li>N\u00e3o se sente \u00e0 vontade para tomar antibi\u00f3ticos sem saber exatamente o que voc\u00ea est\u00e1 tratando.<\/li>\n\n\n\n<li>Voc\u00ea tem ITUs recorrentes e nunca fez o teste.<\/li>\n<\/ul>\n\n<p>E a melhor maneira de fazer o teste \u00e9 consultar um m\u00e9dico. Encontrar o m\u00e9dico certo, entretanto, tamb\u00e9m pode ser dif\u00edcil. Mas voc\u00ea deve come\u00e7ar pelo come\u00e7o.  <\/p>\n\n<p>Agora que convencemos voc\u00ea a fazer o teste, precisamos lhe dizer algo&#8230;<\/p>\n\n<p><strong>\u00c9 extremamente dif\u00edcil obter testes precisos para ITUs.<\/strong><\/p>\n\n<p>Portanto, no <a href=\"https:\/\/liveutifree.com\/pt-br\/por-que-seu-exame-de-itu-pode-dar-negativo-mesmo-quando-voce-tem-sintomas\/\" target=\"_blank\" rel=\"noreferrer noopener\">pr\u00f3ximo artigo<\/a>, compartilharemos alguns fatos frustrantes sobre o porqu\u00ea disso e forneceremos algumas dicas sobre como obter melhores testes de ITU. \u00c9 sempre melhor se munir de informa\u00e7\u00f5es antes de embarcar em uma jornada rumo a uma sa\u00fade melhor, e voc\u00ea est\u00e1 no lugar certo. <\/p>\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<p><em>Compartilhe suas perguntas e coment\u00e1rios abaixo ou <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/contato-luf\/\" rel=\"noopener\">entre em contato<\/a> com nossa equipe. Para obter respostas \u00e0s perguntas mais comuns sobre ITUs cr\u00f4nicas e recorrentes, <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-br\/faqs-luf\/\" rel=\"noopener\">visite nossa p\u00e1gina de perguntas frequentes<\/a>.   <\/em><\/p>\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Uma infec\u00e7\u00e3o cr\u00f4nica do trato urin\u00e1rio \u00e9 a mesma coisa que uma ITU recorrente? O que significa se voc\u00ea tiver infec\u00e7\u00f5es frequentes do trato urin\u00e1rio ou sintomas cont\u00ednuos de ITU? H\u00e1 algo que voc\u00ea possa fazer se continuar tendo ITUs? Essas s\u00e3o apenas algumas das perguntas que recebemos diariamente. Abaixo, respondemos a elas da melhor forma poss\u00edvel. Esperamos que, depois &#8230; <\/p>\n<div><a href=\"https:\/\/liveutifree.com\/pt-br\/infeccao-cronica-do-trato-urinario-vs-itu-recorrente\/\" class=\"more-link\">Read More<\/a><\/div>\n","protected":false},"author":7,"featured_media":570625,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"mc4wp_mailchimp_campaign":[],"wds_primary_category":0,"footnotes":""},"categories":[],"tags":[],"class_list":["post-570624","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"acf":[],"featured_image_src":"https:\/\/liveutifree.com\/wp-content\/uploads\/2017\/08\/3.-Chronic-Urinary-Tract-Infection-Vs.-Recurrent-UTI.jpg","author_info":{"display_name":"Melissa Kramer","author_link":"https:\/\/liveutifree.com\/pt-br\/author\/melissa-kramer\/"},"_links":{"self":[{"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/posts\/570624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/comments?post=570624"}],"version-history":[{"count":0,"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/posts\/570624\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/media\/570625"}],"wp:attachment":[{"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/media?parent=570624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/categories?post=570624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/liveutifree.com\/pt-br\/wp-json\/wp\/v2\/tags?post=570624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}