I-interstitial cystitis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ingabe i-cystitis yangaphakathi ingalimaza ukukhulelwa?
• Yini ebangela i-cystitis yangaphakathi
• Yelashwa kanjani

I-interstitial cystitis, eyaziwa nangokuthi i-sore bladder syndrome, ihambelana nokuvuvukala kwezindonga zesinye, okudala ukuthi ikhulise futhi inciphise amandla esifuba okuqongelela umchamo, kubangele ubuhlungu obukhulu nokungaphatheki kahle komuntu, ngaphezu kokuchama njalo, yize umchamo ususwa ngamanani amancane.

Lolu hlobo lwe-cystitis luvame kakhulu kwabesifazane kunabesilisa, futhi luvame ukukhuthazwa yisikhathi sokuya esikhathini, ngokwesibonelo, futhi ukwelashwa kuhlose ukuqeda izimpawu, nokusetshenziswa kwemithi, izinguquko ekudleni noma kumasu akhuthaza ukuphumula isinye.

Izimpawu eziyinhloko

Izimpawu ze-interstitial cystitis azikhululekile futhi zihlobene nokuvuvukala kwesinye, okungenzeka:

• Ubuhlungu noma ukungakhululeki okuba kubi kakhulu lapho isinye sigcwele;
• Isifiso esivamile sokuchama, kepha ukuqedwa kwamanani amancane omchamo;
• Ubuhlungu nobumnene bendawo yangasese;
• Ubuhlungu ngesikhathi sokuchama emadodeni;
• Ubuhlungu obukhulu ngesikhathi sokuya esikhathini;
• Ubuhlungu ngesikhathi sokuya ocansini.

Izimpawu ze-interstitial cystitis ziyehluka kuye ngomuntu, zingahluka ngokuhamba kwesikhathi futhi ziqiniswe lapho kunezinto ezithile, njengokuya esikhathini, kwabesifazane, ukuhlala isikhathi eside, ingcindezi, ukuvivinya umzimba nokuya ocansini. Ngaphezu kwalokho, ezimweni ezinzima kakhulu ze-interstitial cystitis, ikhwalithi yempilo yesiguli ingathinteka, okudala izimo zokudangala, isibonelo.

Ukuxilongwa kwe-cystitis yangaphakathi kwenziwa wudokotela wezifo zomzimba, udokotela wezifo zabesifazane noma udokotela ojwayelekile osuselwa kwizimpawu ezethulwe, i-urinalysis, ukuhlolwa kwe-pelvic ne-cystoscopy, okuwukuhlolwa okuhlola umgudu womchamo. Ngakho-ke, udokotela uzokwazi ukuqinisekisa ukuxilongwa futhi akhombise ukwelashwa okuhle kakhulu.

Ingabe i-cystitis yangaphakathi ingalimaza ukukhulelwa?

Ukuba ne-cystitis yangaphakathi ngesikhathi sokukhulelwa akunayo imiphumela emibi empilweni yengane noma ekutholeni kowesifazane. Abanye besifazane abane-interstitial cystitis ngesikhathi sokukhulelwa bakhombisa ukuthuthuka ezimpawu zesifo, kanti kwabanye abesifazane kungahle kube kubi kakhulu, kungabikho ubudlelwane obuqondile phakathi kwe-cystitis nokukhulelwa.

Uma owesifazane ene-interstitial cystitis futhi ehlose ukukhulelwa, kufanele akhulume nodokotela kusengaphambili ukuze ahlole kabusha imishanguzo ayisebenzisayo ukulawula lesi sifo njengoba kungenzeka ingaphephi enganeni ngesikhathi sokukhulelwa.

Yini ebangela i-cystitis yangaphakathi

Isizathu esithile se-interstitial cystitis asikaziwa, noma kunjalo, kunemibono ethile ezama ukuchaza ukuvuvukala kwesinye, njengokuthi kukhona ukungezwani komzimba, ukuguqulwa kwamasosha omzimba noma inkinga ngemisipha yaphansi yezitho zangasese, ngokwesibonelo. Kwezinye izimo, lolu hlobo lwe-cystitis lungabonakala futhi ngokuhambisana nenye inkinga yezempilo efana ne-fibromyalgia, isifo sokukhathala okungamahlalakhona, i-lupus noma amathumbu acasulayo.

Yelashwa kanjani

I-interstitial cystitis ayinalo ikhambi, ngakho-ke ukwelashwa kwenziwa ngenhloso yokuqeda izimpawu, futhi ezinye izinketho ezisetshenziswa kakhulu zifaka:

• I-hydrodistension yesinye, lapho udokotela akhulisa kancane kancane isinye ngokugcwalisa uketshezi;
• Ukuqeqeshwa kwesinye, lapho kusetshenziswa khona amasu ukukhulula isinye;
• Ukufaka isinye, lapho kwethulwa khona izidakamizwa ezifana ne-hyaluronic acid noma i-BCG ukusiza ukunciphisa isifiso sokuchama;
• Ukusetshenziswa kwemithi njenge-antihistamine, i-antidepressant amitriptyline noma i-cyclosporine;
• Izinguquko zokudla, ukuqeda ukuphathwa kwekhofi, iziphuzo ezibandayo noshokoledi;
• Yeka ukubhema.

Uma izindlela zokwelashwa zangaphambilini zingasebenzi futhi ubuhlungu busalokhu bukhulu impela, kungadingeka ukuthi ubhekele ekuhlinzweni ukukhulisa usayizi wesinye noma, ezimweni ezinzima kakhulu, ukususa isinye.