I-cystitis yangaphakathi

I-interstitial cystitis yinkinga yesikhathi eside (engapheli) lapho ubuhlungu, ingcindezi, noma ukushisa kutholakala khona esinyeni. Imvamisa kuhlotshaniswa nobuningi bomchamo noma ukuphuthuma. Ibizwa nangokuthi kubuhlungu esinyeni syndrome.

Isinye isitho esingenalutho esinengqimba encane yemisipha egcina umchamo. Lapho isinye sakho sigcwala umchamo, sithumela isignali ebuchosheni bakho, sitshele imisipha ukuthi ikhame. Ngaphansi kwezimo ezijwayelekile, lezi zimpawu azibuhlungu. Uma une-cystitis yangaphakathi, izimpawu ezivela esinyeni zibuhlungu futhi zingenzeka noma ngabe isinye asigcwele.

Isimo sivame ukwenzeka phakathi kweminyaka engama-20 kuya kwengama-40, yize kubikwe kubantu abasebasha.

Abesifazane banamathuba aphindwe kalishumi okuba ne-IC kunabesilisa.

Imbangela ngqo yalesi simo ayikaziwa.

Izimpawu ze-IC azilapheki. Izimpawu zivame ukuza zidlule ngezikhathi ezinzima noma ezimbi kakhulu. Izimpawu ezivamile zifaka:

• Umfutho wesinye noma ukungaphatheki kahle (okuncane kuya kokubi)
• Nxusa ukuchama kaningi
• Ukushisa ubuhlungu endaweni ye-pelvic
• Ubuhlungu ngesikhathi sokuya ocansini

Abantu abaningi abane-cystitis yesikhathi eside bangaba nezinye izimo ezifana ne-endometriosis, i-fibromyalgia, isifo samathumbu esicasulayo, amanye ama-syndromes obuhlungu obungapheli, ukukhathazeka noma ukucindezeleka.

Umhlinzeki wakho wokunakekelwa kwezempilo uzobheka ezinye izimbangela zezimpawu zakho. Lokhu kufaka phakathi:

• Izifo ezithathelwana ngocansi
• Umdlavuza wesinye
• Ukutheleleka kwesinye
• Izinso noma amatshe okubeletha

Ukuhlolwa kwenziwa emchameni wakho ukubheka ukutheleleka noma amaseli aphakamisa umdlavuza ngaphakathi kwesinye. Ngesikhathi se-cystoscopy, umhlinzeki usebenzisa ithubhu ekhethekile enekhamera encane ekugcineni ukubheka ngaphakathi kwesinye sakho. Isampula noma i-biopsy yolwelwesi lwesinye sakho ingathathwa.

Ukuhlolwa kwehhovisi lomhlinzeki wakho kungenziwa futhi ukukhombisa ukuthi isinye sakho sigcwalisa kanjani nokuthi siphela kahle kanjani.

Alikho ikhambi le-IC, futhi azikho izindlela zokwelapha ezijwayelekile. Ukwelashwa kusekelwe ekuzameni nasephutheni uze uthole ukukhululeka. Imiphumela iyehluka kumuntu nomuntu.

UKUDLA NOKUPHILA KWEZINDLELA

Abanye abantu bathola ukuthi ukwenza izinguquko ekudleni kwabo kungasiza ekulawuleni izimpawu. Zama ukugwema ukudla neziphuzo ezingadala ukucasuka kwesinye. Yeka ukudla ukudla okuthile, ngakunye, ukuze ubone ukuthi izimpawu zakho ziba ngcono yini. Nciphisa noma yeka ukudla i-caffeine, ushokoledi, iziphuzo ezine-carbonated, iziphuzo ze-citrus, nokudla okubabayo noma okune-acid (njengalezo ezinamazinga aphezulu kavithamini C).

Okunye ukudla i-Interstitial Cystitis Association ekubalayo njengokungenzeka ukuthi kubangele ukucasuka kwesinye yile:

• Ushizi osekhulile
• Utshwala
• Okokunandisa okufakelwayo
• Ubhontshisi beFava nelima
• Izinyama ezilaphekayo, ezicutshungulwayo, ezibhemayo, ezisemathinini, ezindala, noma eziqukethe ama-nitrites
• Izithelo ze-acid (ngaphandle kwama-blueberries, i-honeydew melon, namapheya, okulungile.)
• Amantongomane, ngaphandle kwama-alimondi, ama-cashews, namantongomane ephayini
• Anyanisi
• Isinkwa se-Rye
• Izinongo eziqukethe i-MSG
• Ukhilimu omuncu
• Isinkwa sesinkwa
• Soy
• Itiye
• Tofu
• Utamatisi
• I-yogurt

Wena nomhlinzeki wakho kufanele nixoxe ngezindlela ongazisebenzisa ekuqeqesheni isinye. Lokhu kungabandakanya ukuziqeqesha ukuthi uchame ngezikhathi ezithile noma usebenzisa i-pelvic floor therapy kanye ne-biofeedback ukukhulula ukungezwani kwemisipha ye-pelvic kanye ne-spasms.

IMITHI NEZINHLELO

Ukwelashwa kokuhlanganiswa kungafaka imithi efana nale:

• IPentosan polysulfate sodium, okuwukuphela komuthi othathwe ngomlomo ovunyelwe ukwelapha i-IC
• I-Tricyclic antidepressants, efana ne-amitriptyline, ukudambisa izinhlungu nobuningi bomchamo
• IVistaril (hydroxyzine pamoate), i-antihistamine engasiza ukunciphisa ukuvuvukala. Kungadala ukuthambisa njengomphumela oseceleni

Ezinye izindlela zokwelapha zifaka:

• Ukugcwalisa ngokweqile isinye ngoketshezi ngenkathi ungaphansi kwe-anesthesia ejwayelekile, ebizwa ngokuthi yi-bladder hydrodistention
• Imithi efakwe ngqo esinyeni, kufaka phakathi i-dimethyl sulfoxide (DMSO), i-heparin, noma i-lidocaine
• Ukususwa kwesinye (i-cystectomy) yamacala anzima kakhulu, okungajwayelekile ukwenziwa

Abanye abantu bangazuza ngokubamba iqhaza emaqenjini okuxhaswa kwama-cystitis, njenge-Interstitial Cystitis Association: www.ichelp.org/support/support-groups/ nabanye.

Imiphumela yokwelashwa iyahlukahluka. Abanye abantu basabela kahle ekwelashweni okulula nasekushintsheni kokudla. Abanye bangadinga ukwelashwa okukhulu noma ukuhlinzwa.

Shayela umhlinzeki wakho uma unezimpawu ze-interstitial cystitis. Qiniseka ukuthi usho ukuthi usola lesi sifo. Akubonwa kahle noma kutholakala kalula. Kuvame ukudideka ngokuba nokutheleleka okuphindaphindayo komgudu womchamo.

I-cystitis - ukuhlangana; IC

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

IGrochmal SA. Izinketho zokuhlolwa kwehhovisi nokwelashwa kwe-cystitis yangaphakathi (isifo esibuhlungu sesinye). Ku: Fowler GC, ed. Izinqubo zikaPfenninger noFowler zokuNakekela okuyisisekelo. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 98.

Hanno PM. I-bladder pain syndrome (i-cystitis yangaphakathi) kanye nokuphazamiseka okuhlobene nakho. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 14.

UHanno PM, u-Erickson D, uMoldwin R, uFaraday MM, et al. Ukuxilongwa nokwelashwa kwe-interstitial cystitis / bladder pain syndrome: Ukuchitshiyelwa komhlahlandlela we-AUA. J Urol. 2015; 193 (5): 1545-53. I-PMID: 25623737 www.ncbi.nlm.nih.gov/pubmed/25623737.

I-Kirby AC, i-Lentz GM. Umsebenzi ophansi womgudu womchamo nokuphazamiseka: i-physiology ye-micturition, ukuvala ukungasebenzi kahle, ukungasebenzi komchamo, ukutheleleka kwe-urinary tract, kanye nesifo esibuhlungu sesinye. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. I-Gynecology ephelele. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.