Konke Odinga Ukukwazi Ngobuhlungu Besisu

-Delile

• Ubuhlungu besinye bubanga
• Ukutheleleka ngomgudu womchamo
• Izimpawu zokutheleleka ngomgudu womchamo
• Ukuhlonza izifo zomgudu womchamo
• Ukwelashwa kwezifo zomgudu womchamo
• I-cystitis yesibindi / isifo esibuhlungu sesinye
• Izimpawu ze-interstitial cystitis
• Ukuhlonza i-cystitis yangaphakathi
• Ukwelashwa kwe-cystitis yangaphakathi
• Umdlavuza wesinye
• Izimpawu zomdlavuza wesinye
• Ukuhlonza umdlavuza wesinye
• Ukwelashwa komdlavuza wesinye
• Ubuhlungu besinye besifazane nabesilisa
• Ubuhlungu besinye ngakwesokunene noma ngakwesobunxele
• Ubona nini udokotela?
• Ukuphatha ubuhlungu
• Ukuthatha

Ukubuka konke

Isinye siyisigaxa esingenalutho, esimise ibhaluni maphakathi nesinqe sakho. Iyanweba futhi isebenze njengoba igcwalisa futhi ichitha umchamo wakho. Njengengxenye yohlelo lwakho lomchamo, isinye sakho siphethe umchamo odluliselwe kuwo kusuka ezinso zakho ngamashubhu amabili amancane abizwa ngokuthi ureters ngaphambi kokukhishwa ngomchamo wakho.

Ubuhlungu besinye bungathinta abesilisa nabesifazane futhi budalwe yizimo ezimbalwa ezahlukile - ezinye zibucayi kakhulu kunezinye. Sizohlola izimbangela ezahlukahlukene zobuhlungu besinye, yiziphi ezinye izimpawu okufanele uzibheke, nezindlela zokwelashwa.

Ubuhlungu besinye bubanga

Ubuhlungu besinye noma buphi uhlobo budinga uphenyo ngoba bunezimbangela eziningi ezingaba khona, kusuka ekuthelelekeni ngomgudu womchamo kuya ekuvuvukeni okungapheli kwesinye.

Ukutheleleka ngomgudu womchamo

Ukutheleleka kwe-urinary tract (UTI) ukutheleleka kwamagciwane kunoma iyiphi ingxenye yomgudu wakho wokuchama, kufaka phakathi isinye. Abesilisa nabesifazane bangathola ama-UTIs, kepha ajwayelekile kakhulu kwabesifazane. Ama-UTIs abangelwa amagciwane angena esinyeni nge-urethra. Uma ushiywe ungelashwa, ama-UTIs angasakazeka ezinso zakho nasekusakazeni kwegazi kubangele izinkinga ezinkulu.

Izimpawu zokutheleleka ngomgudu womchamo

Kanye nobuhlungu besinye, i-UTI nayo ingadala noma yiziphi zalezi zimpawu ezilandelayo:

• ukuchama okubuhlungu njalo
• ubuhlungu besisu obuphansi
• ubuhlungu obuphansi emuva
• ingcindezi yesinye / yokhalo
• umchamo onamafu
• igazi emchameni

Ukuhlonza izifo zomgudu womchamo

Udokotela wakho angaxilonga ukutheleleka komgudu womchamo usebenzisa i-urinalysis ukuhlola isampula yakho yomchamo ngamaseli egazi abomvu namhlophe, namagciwane. Udokotela wakho angasebenzisa futhi isiko lomchamo ukuthola uhlobo lwama-bacteria akhona.

Uma unama-UTIs aphindaphindiwe, udokotela wakho angancoma ukuhlolwa okuqhubekayo ukuze kubhekwe okungajwayelekile esinyeni sakho noma emgodini we-urinary. Lezi zivivinyo zingafaka:

• i-ultrasound
• I-MRI
• Iskena se-CT
• i-cystoscope

Ukwelashwa kwezifo zomgudu womchamo

Ama-UTI aphathwa ngemithi elwa namagciwane ngomlomo ukubulala amagciwane. Udokotela wakho futhi angakunikeza umuthi wezinhlungu ukudambisa izinhlungu nokushisa. Ama-UTIs avamile angadinga inkambo ende yama-antibiotic. Ama-UTIs amakhulu kanye nezinkinga zingadinga ama-antibiotic anikezwe nge-IV esibhedlela.

I-cystitis yesibindi / isifo esibuhlungu sesinye

I-interstitial cystitis, ebizwa nangokuthi yi-bladder pain syndrome, yisimo esingelapheki esidala izimpawu ezibuhlungu zomchamo. Ithinta kakhulu abesifazane, ngokusho kweNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Imbangela yalesi simo ayaziwa okwamanje, kepha izici ezithile zingadala izimpawu, njengokutheleleka, ukucindezelwa ngokomzimba noma ngokomzwelo, ukudla, ukulimala kwesinye, noma imishanguzo ethile.

Izimpawu ze-interstitial cystitis

Izimpawu zingahluka kusuka kumnene kuya kokubi futhi ziyahlukahluka kuye ngomuntu nomuntu. Izimpawu zingafaka:

• ukuphuthuma okukhulu ukuchama
• ukuchama kaningi
• ukushisa noma ubuhlungu ngesidingo sokuchama
• ubuhlungu besinye
• ubuhlungu be-pelvic
• ubuhlungu besisu
• ubuhlungu phakathi kwesitho sangasese sowesifazane kanye nendunu (abesifazane)
• ubuhlungu phakathi kwesikhwama samasende nesindunu (amadoda)
• ucansi olubuhlungu

Ukuhlonza i-cystitis yangaphakathi

Udokotela wakho angasebenzisa izivivinyo ezilandelayo ukuthola i-cystitis yangaphakathi:

• umlando wezokwelapha, kufaka phakathi izimpawu
• idayari yesinye yokudla kwakho uketshezi nomthamo womchamo owudlulayo
• ukuhlolwa kwe-pelvic (abesifazane)
• ukuhlolwa kwendlala yesinye (amadoda)
• ukuhlolwa komchamo ukuhlola ukutheleleka
• cystoscopy ukubuka ulwelwesi lwesinye sakho
• ukuhlolwa komsebenzi womchamo
• ukuhlolwa kobuzwe be-potassium

Udokotela wakho angenza ezinye izivivinyo ukusiza ukukhipha umdlavuza njengembangela yezimpawu zakho, njenge-biopsy, evame ukwenziwa ngesikhathi se-cystoscopy noma i-cytology yomchamo ukuhlola amaseli womdlavuza emchameni wakho.

Ukwelashwa kwe-cystitis yangaphakathi

Akukho ukwelashwa okukodwa kwe-cystitis yangaphakathi. Udokotela wakho uzoncoma ukwelashwa ngezimpawu zakho ngazinye, ezingafaka:

• Izinguquko zendlela yokuphila. Izinguquko ezinconyiwe zizosuselwa kulokho ozizwa ukuthi izimbangela zakho ziyikho. Lokhu kuvame ukufaka ukuyeka ukubhema, ukugwema utshwala, nezinguquko ekudleni. Abanye abantu bathola ukuthi ukuzivocavoca okuncane nokunciphisa ukucindezeleka kusiza ekunciphiseni izimpawu.
• Imithi. Imithi yobuhlungu ye-Over-the-counter (OTC) ingasiza ekudambiseni izinhlungu. Imithi kadokotela efana ne-Tricyclic antidepressants ingasiza ukukhulula isinye nokuvimba izinhlungu. IPentosan polysulfate sodium (Elmiron) yamukelwa yi-FDA ukwelapha lesi simo.
• Ukuqeqeshwa kwesinye. Ukuqeqeshwa kwesinye kungasiza isinye sakho ukubamba umchamo omningi. Kubandakanya ukulandela umkhondo wokuthi uchama kangaki futhi unwebise kancane isikhathi phakathi kokuchama.
• Ukwelashwa ngokomzimba. Isazi somzimba esikhethekile esikhwameni singakusiza ukuthi welule futhi uqinise imisipha yakho yaphansi ye-pelvic futhi ufunde ukuyigcina ikhululekile, okungasiza ukukhulula izimpawu zakho, kufaka phakathi ukuphazamiseka kwemisipha yaphansi.
• Ukufaka isinye. Inani elincane loketshezi eliqukethe umuthi wokunciphisa ukucasuka lifakwa esinyeni sakho futhi ligcinwe cishe imizuzu eyi-15 ngaphambi kokulikhipha. Ukwelashwa kungaphindwa masonto onke noma kabili ngesonto inyanga eyodwa noma ezimbili.
• Ukwelula isinye. Isinye selulwa ngokugcwalisa uketshezi. Uzonikezwa umuthi ozokusiza ubambe uketshezi futhi ubekezelele ukuzelula. Abanye abantu bathola ukukhululeka kwesikhashana kwezimpawu ngemuva kokululeka kwesinye.
• Ukukhuthaza amandla kagesi kaTranscranial. Ucwaningo oluncane luka-2018 luthole ukuthi ukukhuthazwa okuphindaphindayo kwama-transcranial magnetic kuthuthukise ubuhlungu obungapheli be-pelvic kanye nokuphazamiseka okuhambisana nomchamo kubantu abane-syndrome yesinye.
• Ukuhlinzwa. Ukuhlinzwa kunconywa kuphela uma zonke ezinye izindlela zokwelapha zehlulekile ukunikeza usizo futhi izimpawu zakho zinzima. Ukuhlinzwa kungabandakanya ukwandiswa kwesinye noma ukwandiswa, i-cystectomy ukususa isinye, noma ukuphambukisa umchamo ukubuyisela ukugeleza kwakho komchamo.

Umdlavuza wesinye

Umdlavuza wesinye ubangelwa lapho amangqamuzana esinyeni ekhula ngokungalawuleki. Kunezinhlobo ezahlukahlukene zomdlavuza wesinye kodwa i-urothelial carcinoma, eyaziwa nangokuthi i-transitional cell carcinoma, eqala kumaseli e-urothelial asolwelweni lwesinye sakho, uhlobo oluvame kakhulu. Umdlavuza wesinye uvame kakhulu kwabesilisa kunabesifazane futhi uvela kakhulu emuva kweminyaka yobudala engama-55. Kuphindwe kabili noma kathathu kakhulu kubantu ababhemayo uma kuqhathaniswa nabangabhemi.

Izimpawu zomdlavuza wesinye

Igazi elingenabuhlungu emchameni yilona uphawu oluvame kakhulu lomdlavuza wesinye. Ngokuvamile, umdlavuza wesinye awunabo ubuhlungu noma ezinye izimpawu. Kodwa-ke, uma izimpawu zikhona zingafaka:

• ukuchama kaningi
• ubuhlungu noma ukushisa lapho uchama
• ukuphuthuma ukuchama noma ngabe isinye sakho singagcwele
• inkinga yokuchama
• ukusakaza komchamo obuthakathaka

Umdlavuza wesisu othuthukile ungathinta ezinye izitho nezinhlelo, ngakho-ke izimpawu zingafaka:

• ukungakwazi ukuchama
• ubuhlungu beqolo elincane ohlangothini olulodwa
• ubuhlungu bamathambo
• ubuhlungu besisu noma okhalo
• ukulahlekelwa isifiso sokudla
• ubuthakathaka noma ukukhathala

Ukuhlonza umdlavuza wesinye

Ukuhlolelwa umdlavuza wesinye kungafaka:

• umlando ophelele wezokwelapha
• cystoscopy
• Ukuhlolwa kokuchama
• isiko lomchamo
• umchamo cytology
• ukuhlolwa komaka we-tumor
• ukuhlolwa kwe-imaging
• i-biopsy

Ukwelashwa komdlavuza wesinye

Ukwelashwa komdlavuza wesinye kuzoya ngohlobo lomdlavuza wesinye, isigaba somdlavuza, nezinye izinto. Ukwelashwa komdlavuza wesinye ngokuvamile kuhilela okungaphezu kokukodwa kwalokhu okulandelayo:

• Ukuhlinzwa. Uhlobo lokuhlinzwa olusetshenziselwa ukwelapha umdlavuza wesinye kuncike esiteji. Ukuhlinzwa kungasetshenziselwa ukususa isimila, ukususa ingxenye yesinye, noma sonke isinye.
• Imisebe. Imisebe enamandla amakhulu isetshenziselwa ukubulala amangqamuzana omdlavuza. Ingasetshenziselwa ukwelapha umdlavuza wesigaba sokuqala wesinye, njengenye indlela yabantu abangakwazi ukuhlinzwa, futhi belaphe noma bavimbele izimpawu zomdlavuza wesisu osuthuthukile. Kuvame ukuhlanganiswa ne-chemotherapy.
• Ukwelashwa ngamakhemikhali. Izidakamizwa zeChemotherapy zisetshenziselwa ukubulala amangqamuzana omdlavuza. I-chemotherapy yesistimu inikezwa ngefomu lephilisi noma nge-IV. I-intravesical chemotherapy, esetshenziselwa kuphela umdlavuza wesinye esisekuqaleni kakhulu, inikezwa ngqo esinyeni.
• I-Immunotherapy. I-Immunotherapy isebenzisa imithi ukusiza amasosha akho omzimba abone futhi abulale amangqamuzana omdlavuza.

Ubuhlungu besinye besifazane nabesilisa

Ubuhlungu besinye buvame kakhulu kwabesifazane. Lokhu kungenzeka ukuthi kungenxa yokuthi izimbangela ezimbili ezivame kakhulu zobuhlungu besinye - izifo ezithinta umchamo kanye ne-cystitis yangaphakathi - zivame ukuthinta abesifazane kunamadoda. Kungenzeka futhi ukuthi iqiniso lokuthi isinye sithintana ngqo nezitho zokuzala zowesifazane, okungadala ukucasuka futhi kubhebhethekise izimpawu.

Kuze kube kwabesifazane bangaba nezimpawu zokuqala ze-interstitial cystitis. Ucwaningo luphakamisa ukuthi okungenani amaphesenti angama-40 kuye kwangama-60 abesifazane abahlakulela i-UTI ngesikhathi sokuphila kwabo, iningi labo okuyizifo zesinye.

Umehluko ku-anatomy yowesifazane unyusa ubungozi bokutheleleka ngesinye. I-urethra emfushane isho ukuthi amabhaktheriya asondele esinyeni sowesifazane. I-urethra yowesifazane nayo iseduze ne-rectum kanye nesitho sangasese lapho kuhlala khona amagciwane abangela isifo sesinye.

Abesilisa basengozini enkulu yokuba nomdlavuza wesinye. Ngokwe-American Cancer Society, umdlavuza wesinye ungowesine kakhulu umdlavuza emadodeni. Ithuba lokuthi abesilisa bathole umdlavuza wesinye esikhathini sabo sokuphila licishe libe ngu-1 kwabangu-27. Ithuba lokuphila kwabesifazane cishe liyi-1 kuma-89.

Ubuhlungu besinye ngakwesokunene noma ngakwesobunxele

Njengoba isinye sihlala maphakathi nomzimba, ubuhlungu besisu buvame ukuzwakala maphakathi nesinqe noma esiswini esingezansi ngokungafani nohlangothi olulodwa.

Ubona nini udokotela?

Noma yibuphi ubuhlungu besinye kufanele buhlolwe ngudokotela ukusiza ukuthola imbangela nokunciphisa ubungozi bezinkinga.

Ukuphatha ubuhlungu

Okulandelayo kungakusiza ukuphatha ubuhlungu besisu:

• Imithi yezinhlungu ze-OTC
• iphedi yokushisa
• amasu okuphumula
• ukuzivocavoca umzimba
• izingubo ezikhululekile (ukugwema ukufaka ingcindezi esinyeni)
• izinguquko zokudla

Ukuthatha

Ubuhlungu besisu obuningi bubangelwa ama-UTIs, angalashwa ngama-antibiotic. Bheka udokotela wakho khona manjalo ukuze unqume ezinye izimbangela ezibaluleke kakhulu zobuhlungu besinye.