{"id":569722,"date":"2025-09-15T09:20:34","date_gmt":"2025-09-15T09:20:34","guid":{"rendered":"https:\/\/liveutifree.com\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/"},"modified":"2025-10-23T13:26:10","modified_gmt":"2025-10-23T13:26:10","slug":"infecao-cronica-do-trato-urinario-vs-uti-recorrente","status":"publish","type":"post","link":"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/","title":{"rendered":"Infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio vs. UTI recorrente"},"content":{"rendered":"\n<p>Uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio \u00e9 a mesma coisa que uma UTI recorrente? O que significa se tiveres infec\u00e7\u00f5es frequentes do trato urin\u00e1rio ou se tiveres sintomas cont\u00ednuos de UTI? H\u00e1 alguma coisa que possas fazer se continuares a ter UTIs?  <\/p>\n\n<p>Estas s\u00e3o apenas algumas das perguntas que nos fazem diariamente. Abaixo, respondemos-te da melhor forma poss\u00edvel. Esperamos que, depois de leres isto, compreendas melhor o que pode estar a acontecer no teu corpo. E, melhor ainda, que te sintas mais preparado para o enfrentar de frente.   <\/p>\n\n<p><strong>Salta para a sec\u00e7\u00e3o:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>UTI persistente vs. UTI recorrente ou frequente: qual \u00e9 a diferen\u00e7a?  <a href=\"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/#UTIdefinitions\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Porque \u00e9 que estou sempre a ter UTIs?  <a href=\"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/#frequentUTI\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Os diferentes tipos de infe\u00e7\u00e3o urin\u00e1ria cr\u00f3nica.  <a href=\"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/#UTIterms\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>O que causa a infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio (tamb\u00e9m conhecida como UTI frequente)?  <a href=\"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/#biofilms\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Podes fazer o teste para UTI cr\u00f3nica ou frequente?  <a href=\"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/#biofilmtesting\">&gt;&gt;&gt;&gt;<\/a><\/li>\n\n\n\n<li>Quando deves consultar um m\u00e9dico para uma infe\u00e7\u00e3o urin\u00e1ria cr\u00f3nica.  <a href=\"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-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>UTI persistente vs. UTI 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>Atualmente, \u00e9 geralmente aceite que as UTI recorrentes ocorrem devido a uma reinfe\u00e7\u00e3o ou a uma infe\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 UTI podem, na verdade, ser causadas por uma infe\u00e7\u00e3o da bexiga subjacente que surgiu devido a um tratamento inicial ineficaz.<\/p>\n\n<p>As UTI frequentes causadas por uma infe\u00e7\u00e3o persistente da bexiga s\u00e3o tamb\u00e9m designadas por cistite cr\u00f3nica ou infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio.<\/p>\n\n<p>Tem em aten\u00e7\u00e3o que, embora os termos utilizados para v\u00e1rias doen\u00e7as do trato urin\u00e1rio possam parecer diferentes, podem referir-se \u00e0 mesma coisa. V\u00ea a nossa <a href=\"https:\/\/www.youtube.com\/watch?v=zpqMiaN1NdI\" target=\"_blank\" rel=\"noreferrer noopener\">entrevista com a Dra. Lindsey Burnett<\/a> que partilha ideias sobre a diferen\u00e7a cl\u00ednica entre UTI aguda, recorrente e cr\u00f3nica. <\/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 UTI recorrente neste site, geralmente queremos dizer infec\u00e7\u00f5es persistentes; tamb\u00e9m chamadas infec\u00e7\u00f5es cr\u00f3nicas do trato urin\u00e1rio.<\/p>\n\n<p>Se as tuas frequentes UTIs s\u00e3o realmente causadas por uma infe\u00e7\u00e3o cr\u00f3nica subjacente do trato urin\u00e1rio, tens de prestar aten\u00e7\u00e3o aqui:<\/p>\n\n<p><strong>O que quer que estejas a fazer para tratar cada ocorr\u00eancia de UTI provavelmente n\u00e3o est\u00e1 a funcionar.<\/strong><\/p>\n\n<p>O facto de as tuas UTIs continuarem a voltar deve ser prova suficiente disso. Mas talvez n\u00e3o saibas porque \u00e9 que as infec\u00e7\u00f5es cr\u00f3nicas do trato urin\u00e1rio s\u00e3o t\u00e3o dif\u00edceis de tratar adequadamente. Felizmente, podemos explicar-te atrav\u00e9s de uma ci\u00eancia super interessante.  <\/p>\n\n<div id=\"frequentUTI\">\n<h2>Porque \u00e9 que estou sempre a ter UTIs?<\/h2>\n<\/div>\n\n<p>Embora a maioria das UTIs n\u00e3o complicadas se resolva por si s\u00f3 ou com um curso de antibi\u00f3ticos, h\u00e1 um n\u00famero crescente de casos de infec\u00e7\u00f5es cr\u00f3nicas do trato urin\u00e1rio que causam sintomas cont\u00ednuos.<\/p>\n\n<p>Tens uma UTI, tomas os antibi\u00f3ticos que te deram, os sintomas desaparecem e tudo parece normal. Depois, de repente, tens outra UTI&#8230; Tomas os antibi\u00f3ticos que te deram, os sintomas desaparecem e tudo parece normal, at\u00e9 que&#8230; <\/p>\n\n<p>Pode parecer um disco riscado, mas esta \u00e9 a situa\u00e7\u00e3o em que cada vez mais mulheres se encontram. Para ouvires relatos pessoais em primeira m\u00e3o, ouve a estrela brit\u00e2nica de reality TV <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/marnie-simpson-sobre-utis\/\" rel=\"noopener\">Marnie Simpson falar sobre a sua experi\u00eancia de UTI<\/a> e o facto de ter sido mal diagnosticada com UTIs 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 UTIs frequentes<\/h3>\n\n<p>Embora as estat\u00edsticas sobre infec\u00e7\u00f5es cr\u00f3nicas 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\">30-44%<\/a> das mulheres com uma IU inicial ter\u00e3o uma segunda IU. E com cada UTI, o risco de outra UTI aumenta. <\/li>\n\n\n\n<li>As UTI 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> em simult\u00e2neo.<\/li>\n\n\n\n<li>Uma propor\u00e7\u00e3o significativa dos nossos inquiridos sofreu 7+ UTIs, com uma recorr\u00eancia a cada 1-3 meses.<\/li>\n\n\n\n<li>Os nossos pr\u00f3prios dados indicam que a maioria das mulheres que sofrem de UTIs recorrentes fazem-no 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\">Os testes e as diretrizes de tratamento<\/a> para as infec\u00e7\u00f5es cr\u00f3nicas do trato urin\u00e1rio s\u00e3o inadequados ou n\u00e3o existem na maior parte do mundo. Isto significa que mesmo quando os m\u00e9dicos querem ajudar, geralmente n\u00e3o t\u00eam os recursos ou a orienta\u00e7\u00e3o de que necessitam para o fazer. <\/li>\n\n\n\n<li><a target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4708543\/\" rel=\"noopener\">Um estudo<\/a> revelou que 74% das mulheres diagnosticadas com Cystitis Interstitial tinham sido previamente diagnosticadas com UTIs recorrentes. A Cystitis Interstitial (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 tinham recebido resultados de teste negativos depois de terem feito uma cultura de urina (mais sobre isto nos nossos <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/porque-e-que-o-teu-teste-de-uti-pode-ser-negativo-mesmo-quando-tens-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 suma, um n\u00famero significativo de mulheres passa por fases crescentes de diagn\u00f3stico, uma vez que o tratamento com antibi\u00f3ticos n\u00e3o consegue cur\u00e1-las e os testes n\u00e3o conseguem encontrar uma causa.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-the-absence-of-recurrent-uti-guidelines\">Orienta\u00e7\u00f5es sobre a aus\u00eancia de UTI recorrente<\/h3>\n\n<p>Como n\u00e3o existem diretrizes sobre o tratamento de UTI complexas ou recorrentes, os m\u00e9dicos de cuidados prim\u00e1rios n\u00e3o est\u00e3o geralmente em posi\u00e7\u00e3o 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 progridem de uma \u00fanica UTI, para uma UTI recorrente ou infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio, ou para um diagn\u00f3stico de Interstitial Cystitis, tem havido historicamente muito pouca esperan\u00e7a de um tratamento eficaz. Esperamos ajudar a mudar esta situa\u00e7\u00e3o. <\/p>\n\n<div id=\"UTIterms\">\n<h2>Diferentes tipos de infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio<\/h2>\n<\/div>\n\n<p>Dependendo do pa\u00eds em que te encontras, dos teus sintomas e da terminologia com que o teu m\u00e9dico est\u00e1 familiarizado, podes ter ouvido os seguintes termos para descrever diferentes doen\u00e7as do aparelho 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\u00f3nicas do aparelho 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 fizeres um pouco de pesquisa, rapidamente descobrir\u00e1s que tamb\u00e9m existem subcategorias dentro destas doen\u00e7as, com sintomas e n\u00edveis de les\u00e3o vari\u00e1veis no trato urin\u00e1rio.<\/p>\n\n<p>N\u00e3o \u00e9 nossa inten\u00e7\u00e3o sugerir aqui que estas doen\u00e7as cr\u00f3nicas do aparelho urin\u00e1rio s\u00e3o iguais ou que afectam as pessoas da mesma forma. Mas t\u00eam uma coisa importante em comum &#8211; na maioria dos casos, n\u00e3o foi identificada qualquer causa, pelo que a doen\u00e7a n\u00e3o tem cura. O tratamento centra-se na redu\u00e7\u00e3o dos sintomas e n\u00e3o na resolu\u00e7\u00e3o do 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, porque \u00e9 que mencionamos estas doen\u00e7as cr\u00f3nicas do trato urin\u00e1rio?<\/p>\n\n<p>H\u00e1 fortes ind\u00edcios de que muitos foram mal diagnosticados com doen\u00e7as incur\u00e1veis, quando na verdade sofrem de uma infe\u00e7\u00e3o cr\u00f3nica da bexiga que <em>pode<\/em> ser identificada com testes adequados e tratada eficazmente ao longo do tempo.<\/p>\n\n<p>Deixa-nos explicar&#8230;<\/p>\n\n<div id=\"biofilms\">\n<h2>O que causa a infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio?<\/h2>\n<\/div>\n\n<p>\u00c9 aqui que a ci\u00eancia se torna um pouco mais complicada. (Mas tamb\u00e9m fascinante!) <\/p>\n\n<p>J\u00e1 fal\u00e1mos noutros artigos sobre <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/o-que-causa-uma-infecao-do-trato-urinario\/\" rel=\"noopener\">as causas das UTIs<\/a>. E acima, explic\u00e1mos que as UTIs recorrentes podem ser atribu\u00eddas a uma infe\u00e7\u00e3o persistente da bexiga que n\u00e3o \u00e9 devidamente erradicada pelo tratamento. <\/p>\n\n<p>Uma infe\u00e7\u00e3o da bexiga persistente pode durar anos sob a forma de uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio. Para muitas mulheres, o ciclo de per\u00edodos agudos e sem sintomas nunca \u00e9 quebrado, e algumas passam a ser diagnosticadas com as doen\u00e7as mencionadas acima, como a Interstitial Cystitis (IC) ou a S\u00edndrome da Bexiga Dolorosa (PBS). Fala mais sobre isso mais tarde.  <\/p>\n\n<p>Porque \u00e9 que tem sido t\u00e3o dif\u00edcil detetar e tratar estas infec\u00e7\u00f5es?<\/p>\n\n<p>H\u00e1 aqui um culpado, por isso vamos ver mais de perto. Por detr\u00e1s dos diagn\u00f3sticos errados de centenas de milhares (potencialmente milh\u00f5es) de pessoas, est\u00e3o as infec\u00e7\u00f5es cr\u00f3nicas do trato urin\u00e1rio que envolvem Biofilmes. <\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-biofilms-and-persistent-uti\">Biofilmes e UTI 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=\"Infe&#xE7;&#xE3;o cr&#xF3;nica do trato urin&#xE1;rio - Percurso simplificado da UTI\" 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>Este escudo pegajoso torna o diagn\u00f3stico e o tratamento muito dif\u00edceis. E enquanto as bact\u00e9rias estiverem contidas no seu escudo, \u00e9 menos prov\u00e1vel que o corpo reaja eficazmente \u00e0 sua presen\u00e7a. <\/p>\n\n<p>Quando as bact\u00e9rias s\u00e3o periodicamente libertadas ou escapam do Biofilme, o corpo reconhece uma amea\u00e7a. Isto desencadeia uma resposta inflamat\u00f3ria, aumentando os sintomas de uma UTI. Esta situa\u00e7\u00e3o pode ser vivida como um ciclo de sintomas agudos, seguido de per\u00edodos com menos ou nenhuns sintomas.  <\/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 referirem-se a esta doen\u00e7a como um ciclo de &#8220;crises&#8221; ou &#8220;epis\u00f3dios&#8221;. Isto significa que acreditam que se trata de um problema cont\u00ednuo e cr\u00f3nico, com fases agudas e fases sem sintomas. As provas mostram que provavelmente t\u00eam raz\u00e3o. <\/p>\n\n<p>Para quem sofre de uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio, os sintomas e a dor cont\u00ednua podem ser debilitantes, afectando de forma dram\u00e1tica e adversa a sua vida di\u00e1ria, bem como a sua sa\u00fade f\u00edsica e mental 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 \u00e9 que os Biofilmes podem fazer com que os teus sintomas de UTI apare\u00e7am e desapare\u00e7am<\/h3>\n\n<p>Comparemos a ci\u00eancia dos Biofilmes com os sintomas que uma pessoa que sofre de uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio pode ter, usando a E.coli como exemplo de agente patog\u00e9nico:<\/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>Devemos tamb\u00e9m notar aqui que os Biofilmes podem ser tanto f\u00fangicos como bacterianos, e pode haver mais do que um agente patog\u00e9nico presente na bexiga em qualquer altura. De facto, os biofilmes podem ser comunidades complexas e diversas de m\u00faltiplos agentes patog\u00e9nicos. <\/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>Por uma quest\u00e3o de simplicidade, e porque as infec\u00e7\u00f5es bacterianas do trato urin\u00e1rio s\u00e3o muito mais comuns do que as f\u00fangicas, vamos limitar-nos \u00e0s bact\u00e9rias nos nossos exemplos. Mas n\u00e3o te esque\u00e7as, <a href=\"https:\/\/liveutifree.com\/pt-pt\/o-que-causa-uma-infecao-do-trato-urinario\/\" target=\"_blank\" rel=\"noreferrer noopener\">o que causa uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio<\/a> numa pessoa \u00e9 muito provavelmente diferente da outra pessoa. <\/p>\n\n<p>Os Biofilmes bacterianos tamb\u00e9m podem ser encontrados DENTRO das c\u00e9lulas da parede da bexiga, formando Intracellular bacterial communities (IBCs). De facto, foi encontrada <a target=\"_blank\" href=\"http:\/\/www.mdpi.com\/2076-0817\/5\/2\/36\/htm\" rel=\"noopener\">evid\u00eancia de IBCs<\/a> em cerca de um quinto das amostras de urina de mulheres com UTIs sintom\u00e1ticas agudas n\u00e3o complicadas. <\/p>\n\n<p>Fascinado? Uma equipa de investiga\u00e7\u00e3o do Reino Unido elaborou um estudo mais aprofundado sobre a <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/wp-content\/uploads\/2018\/12\/Chronic-urinary-infection-biofilm-and-IBCs-in-pictures-1.pdf\" rel=\"noopener\">forma\u00e7\u00e3o de Biofilmes e IBCs <\/a>para que possas ver. <\/p>\n\n<div id=\"biofilmtesting\">\n<h3>Podes testar a presen\u00e7a 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 infe\u00e7\u00e3o humana tenha sido aceite na medicina durante d\u00e9cadas, foi muito mais recentemente que a aten\u00e7\u00e3o se voltou para o seu envolvimento na UTI cr\u00f3nica.<\/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 teste de agentes patog\u00e9nicos que flutuam livremente. Se os agentes patog\u00e9nicos flutuantes forem identificados, a sua suscetibilidade aos antibi\u00f3ticos \u00e9 tamb\u00e9m testada enquanto se encontram num estado flutuante. <\/p>\n\n<p>Uma vez testada a suscetibilidade, \u00e9 poss\u00edvel prescrever o tratamento correto.<\/p>\n\n<p>O problema com estes tipos de testes \u00e9 que n\u00e3o detectam especificamente a forma\u00e7\u00e3o de biofilmes na bexiga. E, por isso, n\u00e3o s\u00e3o \u00fateis para decifrar quais os tratamentos que podem ser eficazes contra os micr\u00f3bios de um biofilme. <\/p>\n\n<p>Para descobrir como tratar uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio que envolva biofilmes ou IBCs, seria necess\u00e1rio testar diferentes tratamentos em quaisquer agentes patog\u00e9nicos dentro de um biofilme ou IBC, em vez de em agentes patog\u00e9nicos 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 UTI<\/h4>\n\n<p>Foram feitos alguns avan\u00e7os nos testes. Os investigadores conseguiram identificar indicadores de Biofilmes e IBCs na bexiga. Estes incluem bact\u00e9rias filamentosas e IBCs esfoliados.  <\/p>\n\n<p>Isto n\u00e3o \u00e9 t\u00e3o complicado como parece. Tudo o que a primeira palavra realmente significa \u00e9 que as bact\u00e9rias assumiram uma forma alongada e\/ou ramificada como parte de uma comunidade bacteriana. IBCs esfoliados referem-se a c\u00e9lulas do revestimento da bexiga que cont\u00eam micr\u00f3bios e que foram libertadas da bexiga para a urina. Ambos s\u00e3o sinais de uma infe\u00e7\u00e3o da bexiga.   <\/p>\n\n<p>Infelizmente, esta \u00e1rea necessita de muito mais investiga\u00e7\u00e3o. De momento, n\u00e3o est\u00e3o dispon\u00edveis para o p\u00fablico em geral testes que permitam identificar especificamente uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio. <\/p>\n\n<p>Numa nota mais positiva, existem testes dispon\u00edveis que s\u00e3o mais precisos do que os m\u00e9todos de cultura padr\u00e3o.<\/p>\n\n<p>Os testes que utilizam m\u00e9todos de sequencia\u00e7\u00e3o de ADN, como os oferecidos pela <a href=\"https:\/\/liveutifree.com\/microgendx\/\" target=\"_blank\" rel=\"noopener\">MicroGenDX<\/a>, t\u00eam a capacidade de identificar microrganismos numa amostra de urina, independentemente de estarem a flutuar livremente ou fazerem parte de um Biofilme.<\/p>\n\n<p>Nas sec\u00e7\u00f5es seguintes, podes ler mais sobre os <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/porque-e-que-o-teu-teste-de-uti-pode-ser-negativo-mesmo-quando-tens-sintomas\/\" rel=\"noopener\">problemas com os testes padr\u00e3o de UTI<\/a> e como encontrar op\u00e7\u00f5es alternativas de <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/porque-e-que-o-teu-teste-de-uti-pode-ser-negativo-mesmo-quando-tens-sintomas\/#recurrent-UTI-test\" rel=\"noopener\">testes de UTI<\/a>.<\/p>\n\n<p>Existem protocolos de tratamento para a infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio, no entanto, os especialistas que os podem administrar s\u00e3o poucos e raros. E este tipo de tratamento requer uma monitoriza\u00e7\u00e3o regular para avaliar qualquer melhoria na infe\u00e7\u00e3o incorporada. <\/p>\n\n<p>Sabe mais sobre as abordagens <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/tratamento-de-utis-recorrentes-qual-e-a-abordagem-certa-para-ti\/\" rel=\"noopener\">de tratamento da UTI persistente<\/a> aqui.<\/p>\n\n<h2 class=\"wp-block-heading\" id=\"h-is-interstitial-cystitis-linked-to-frequent-utis\">A Cystitis Interstitial est\u00e1 ligada a UTIs frequentes?<\/h2>\n\n<p>Mencion\u00e1mos acima um <a target=\"_blank\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4708543\/\" rel=\"noopener\">estudo<\/a> que revelou que 74% dos inquiridos diagnosticados com Interstitial Cystitis tinham sido previamente diagnosticados com UTI recorrente.<\/p>\n\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00192-018-3569-7\" target=\"_blank\" rel=\"noopener\">A investiga\u00e7\u00e3o<\/a> tamb\u00e9m demonstrou que uma elevada percentagem de mulheres com Interstitial Cystitis pode, de facto, ter Biofilmes, IBCs, ou ambos, dentro da bexiga, e que esta \u00e9 a causa da sua infe\u00e7\u00e3o cont\u00ednua e dos sintomas recorrentes ou cont\u00ednuos.<\/p>\n\n<p>A Cystitis Interstitial e as doen\u00e7as associadas s\u00e3o consideradas incur\u00e1veis, no entanto&#8230;<\/p>\n\n<p>A Cystitis Interstitial \u00e9 um diagn\u00f3stico de exclus\u00e3o. Isto significa que a CI \u00e9 diagnosticada na aus\u00eancia de qualquer outra causa \u00f3bvia. Se n\u00e3o for identificada uma causa para os teus sintomas de UTI atrav\u00e9s de testes, pode ser dado um diagn\u00f3stico de CI.  <\/p>\n\n<p>V\u00ea a nossa s\u00e9rie de v\u00eddeos de especialistas para saberes mais sobre a liga\u00e7\u00e3o entre <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/ruth-kriz\/\" rel=\"noopener\">a UTI cr\u00f3nica e a IC<\/a>.<\/p>\n\n<h3 class=\"wp-block-heading\" id=\"h-reframing-a-diagnosis-of-interstitial-cystitis\">Reenquadra o diagn\u00f3stico de cistite intersticial<\/h3>\n\n<p>N\u00e3o devemos pensar na IC como uma doen\u00e7a espec\u00edfica, afinal de contas, as pessoas a quem foi diagnosticada a doen\u00e7a apresentam uma vasta gama 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 seja identificada uma causa espec\u00edfica.<\/p>\n\n<p>Um diagn\u00f3stico de exclus\u00e3o deixa muita margem para erros de diagn\u00f3stico. Alguns investigadores 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 IC. V\u00ea a nossa <a href=\"https:\/\/youtu.be\/1BktvCAYnoQ\" target=\"_blank\" rel=\"noreferrer noopener\">entrevista com o Dr. Roscoe Nelson<\/a>, que explica porque \u00e9 que um 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 isto n\u00e3o \u00e9 apenas te\u00f3rico. Centenas de mulheres anteriormente diagnosticadas com Interstitial Cystitis &#8211; ou seja, a aus\u00eancia de infe\u00e7\u00e3o &#8211; puderam receber melhores testes que <em>identificaram<\/em> uma infe\u00e7\u00e3o. <\/p>\n\n<p>Com a identifica\u00e7\u00e3o de uma infe\u00e7\u00e3o, estes indiv\u00edduos t\u00eam acesso a um tratamento a longo prazo que alivia os seus sintomas dolorosos e que, muitas vezes, conduz \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 para uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio<\/h2>\n<\/div>\n\n<p>Se j\u00e1 tiveste uma UTI anteriormente, est\u00e1s numa posi\u00e7\u00e3o muito melhor para reconhecer os sintomas e podes sentir-te confiante quanto \u00e0s medidas a tomar.<\/p>\n\n<p>Podes at\u00e9 ser capaz de tomar esta medida ao primeiro sinal de uma UTI e evitar que os sintomas se agravem. Isto n\u00e3o significa necessariamente que tenhas eliminado a infe\u00e7\u00e3o. Se leste a fascinante hist\u00f3ria acima sobre a infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio e os biofilmes, provavelmente j\u00e1 te apercebeste disso.  <\/p>\n\n<p>Para as mulheres com uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio, n\u00e3o se trata apenas de tratar sintomas isolados, mas sim 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 da UTI<\/h3>\n\n<p>O cen\u00e1rio ideal n\u00e3o envolveria de todo uma UTI, j\u00e1 percebemos isso. Mas quando estiveres na montanha-russa, tens de encontrar uma forma de sair dela em seguran\u00e7a. \u00c9 assim que a viagem deve ser&#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=\"Infe&#xE7;&#xE3;o cr&#xF3;nica do trato urin&#xE1;rio - Viagem simplificada de uma UTI\" 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 tido uma infe\u00e7\u00e3o urin\u00e1ria cr\u00f3nica pode dizer-te que nem sempre \u00e9 assim que acontece.<\/p>\n\n<p>Em vez disso, para muitas mulheres, faltam partes da sequ\u00eancia e a cura tem estado fora de alcance. H\u00e1 uma s\u00e9rie de raz\u00f5es para isso, que abord\u00e1mos no nosso artigo sobre <a href=\"https:\/\/liveutifree.com\/pt-pt\/porque-e-que-o-teu-teste-de-uti-pode-ser-negativo-mesmo-quando-tens-sintomas\/\" target=\"_blank\" rel=\"noreferrer noopener\">testes de UTI<\/a>, pelo que te encorajamos a ler esse artigo a seguir. <\/p>\n\n<p>Fazer um teste para descobrir a causa dos teus sintomas de UTI \u00e9 o melhor caminho para uma solu\u00e7\u00e3o permanente.<\/p>\n\n<p>Deves fazer o teste se:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Tiveste mais de 2 UTIs nos \u00faltimos 6 meses, ou mais de 3 UTIs nos \u00faltimos 12 meses.<\/li>\n\n\n\n<li>Tem sintomas cont\u00ednuos ou permanentes de UTI, mas ainda n\u00e3o recebeu um diagn\u00f3stico.<\/li>\n\n\n\n<li>N\u00e3o te sentes \u00e0 vontade para tomar antibi\u00f3ticos sem saberes exatamente o que est\u00e1s a tratar.<\/li>\n\n\n\n<li>Tem UTIs recorrentes e nunca fez o teste.<\/li>\n<\/ul>\n\n<p>E a melhor maneira de fazeres o teste \u00e9 consultares um m\u00e9dico. Encontrar o m\u00e9dico certo, no entanto, tamb\u00e9m pode ser dif\u00edcil. Mas come\u00e7a pelo princ\u00edpio.  <\/p>\n\n<p>Agora que j\u00e1 te convencemos a fazer o teste, temos de te dizer uma coisa&#8230;<\/p>\n\n<p><strong>\u00c9 extremamente dif\u00edcil fazer testes precisos para as UTIs.<\/strong><\/p>\n\n<p>Por isso, no <a href=\"https:\/\/liveutifree.com\/pt-pt\/porque-e-que-o-teu-teste-de-uti-pode-ser-negativo-mesmo-quando-tens-sintomas\/\" target=\"_blank\" rel=\"noreferrer noopener\">pr\u00f3ximo artigo<\/a>, vamos partilhar alguns factos frustrantes sobre o porqu\u00ea disto acontecer e dar-te algumas dicas sobre como fazeres melhores testes de UTI. \u00c9 sempre melhor munir-se de informa\u00e7\u00f5es antes de embarcar numa viagem rumo a uma sa\u00fade melhor, e est\u00e1s no s\u00edtio certo. <\/p>\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<p><em>Partilha as tuas perguntas e coment\u00e1rios abaixo, ou <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/contacto-luf\/\" rel=\"noopener\">entra em contacto<\/a> com a nossa equipa. Para obter respostas \u00e0s perguntas mais frequentes sobre a UTI cr\u00f3nica e recorrente, <a target=\"_blank\" href=\"https:\/\/liveutifree.com\/pt-pt\/faqs-luf\/\" rel=\"noopener\">visita a nossa p\u00e1gina de FAQ<\/a>.   <\/em><\/p>\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Uma infe\u00e7\u00e3o cr\u00f3nica do trato urin\u00e1rio \u00e9 a mesma coisa que uma UTI recorrente? O que significa se tiveres infec\u00e7\u00f5es frequentes do trato urin\u00e1rio ou se tiveres sintomas cont\u00ednuos de UTI? H\u00e1 alguma coisa que possas fazer se continuares a ter UTIs? Estas s\u00e3o apenas algumas das perguntas que nos fazem diariamente. Abaixo, respondemos-te da melhor forma poss\u00edvel. Esperamos que, &#8230; <\/p>\n<div><a href=\"https:\/\/liveutifree.com\/pt-pt\/infecao-cronica-do-trato-urinario-vs-uti-recorrente\/\" class=\"more-link\">Read More<\/a><\/div>\n","protected":false},"author":7,"featured_media":569723,"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-569722","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-pt\/author\/melissa-kramer\/"},"_links":{"self":[{"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/posts\/569722","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=569722"}],"version-history":[{"count":1,"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/posts\/569722\/revisions"}],"predecessor-version":[{"id":573670,"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/posts\/569722\/revisions\/573670"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/media\/569723"}],"wp:attachment":[{"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=569722"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/categories?post=569722"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/liveutifree.com\/pt-pt\/wp-json\/wp\/v2\/tags?post=569722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}