I-cystitis eyophayo

-Delile

• Ukubuka konke
• Izimbangela ze-cystitis eyophayo
• Ukwelashwa ngamakhemikhali
• Ukwelashwa ngemisebe
• Izifo
• Izici zobungozi
• Izimpawu ze-cystitis eyophayo
• Ukuxilongwa kwe-cystitis eyophayo
• Ukwelapha i-cystitis eyophayo
• Umbono we-cystitis eyophayo
• Ukuvimbela i-cystitis eyophayo

Ukubuka konke

I-hemorrhagic cystitis ilimaza ulwelwesi lwangaphakathi lwesinye sakho nemithambo yegazi ehlinzeka ingaphakathi lesinye.

Ukopha kusho ukopha. I-cystitis isho ukuvuvukala kwesinye sakho. Uma une-hemorrhagic cystitis (HC), unezimpawu nezimpawu zokuvuvukala kwesinye kanye negazi emchameni wakho.

Kunezinhlobo ezine, noma amamaki, we-HC, ngokuya ngenani legazi kumchamo wakho:

• Ibanga I ukuphuma kwegazi (akubonakali)
• u-grade II ubonakala ukopha
• u-grade III wopha ngamahlule amancane
• Ibanga IV liyopha ngamahlule amakhulu ngokwanele ukuvimba ukuphuma komchamo futhi lidinga ukususwa

Izimbangela ze-cystitis eyophayo

Izimbangela ezivame kakhulu ze-HC enzima futhi ehlala isikhathi eside ukwelashwa ngamakhemikhali nokwelashwa ngemisebe. Ukutheleleka nakho kungadala i-HC, kepha lezi zimbangela azinzima kangako, azihlali isikhathi eside, futhi kulula ukuzelapha.

Isizathu esingajwayelekile se-HC sisebenza embonini lapho uvezwa khona ubuthi obuvela kudayi we-aniline noma ama-insecticide.

Ukwelashwa ngamakhemikhali

Isizathu esivamile se-HC yi-chemotherapy, engafaka phakathi izidakamizwa i-cyclophosphamide noma i-ifosfamide. Le mithi yehlela ku-acrolein enobuthi.

I-Acrolein iya esinyeni bese idala umonakalo oholela ku-HC. Kungathatha ngemuva kwe-chemotherapy ukuze izimpawu zikhule.

Ukwelapha umdlavuza wesinye nge-bacillus Calmette-Guérin (BCG) nakho kungadala i-HC. I-BCG isidakamizwa esifakwa esinyeni.

Ezinye izidakamizwa zomdlavuza, kufaka phakathi i-busulfan ne-thiotepa, yizimbangela ezingavamile kakhulu ze-HC.

Ukwelashwa ngemisebe

Ukwelashwa ngemisebe endaweni ye-pelvic kungadala i-HC ngoba kulimaza imithambo yegazi enikezela ulwelwesi lwesinye. Lokhu kuholela ekulimaleni kwezilonda, ekunqandeni nasekuphumeni kwegazi. I-HC ingenzeka izinyanga noma ngisho neminyaka ngemuva kokwelashwa ngemisebe.

Izifo

Ukutheleleka okuvamile okungadala i-HC amagciwane afaka i-adenoviruses, i-polyomavirus, nohlobo 2 lwe-herpes simplex. Amagciwane, isikhunta nezinambuzane yizimbangela ezingavamile kakhulu.

Abantu abaningi abane-HC ebangelwa ukutheleleka banamasosha omzimba abuthakathaka avela kumdlavuza noma ekwelashweni komdlavuza.

Izici zobungozi

Abantu abadinga i-chemotherapy noma i-pelvic radiation therapy basengozini enkulu ye-HC. Ukwelashwa kwemisebe ye-pelvic kwelapha i-prostate, umlomo wesibeletho, nomdlavuza wesinye. I-Cyclophosphamide ne-ifosfamide yelapha izinhlobo eziningi zomdlavuza ezibandakanya umdlavuza we-lymphoma, webele nowesende.

Ingcuphe enkulu ye-HC ikubantu abadinga umongo wethambo noma ukufakelwa ama-stem cell. Laba bantu bangadinga inhlanganisela yamakhemikhali nokwelashwa ngemisebe. Lokhu kwelashwa kunganciphisa nokumelana kwakho nokutheleleka. Zonke lezi zinto zandisa ubungozi be-HC.

Izimpawu ze-cystitis eyophayo

Uphawu oluyinhloko lwe-HC yigazi emchameni wakho.Esigabeni I se-HC, ukopha kuyimicroscopic, ngakho-ke ngeke ukubone. Ezigabeni zakamuva, ungabona umchamo onegazi, umchamo onegazi, noma amahlule egazi. Esigabeni IV, amahlule egazi angagcwalisa isinye sakho futhi ayeke ukugeleza komchamo.

Izimpawu ze-HC ziyefana nokutheleleka nge-urinary tract (UTI), kepha zingaba nzima kakhulu futhi zihlale isikhathi eside. Kubandakanya:

• ukuzwa ubuhlungu lapho udlulisa umchamo
• ukudlulisa umchamo njalo
• ukuzwa isidingo esiphuthumayo sokudlulisa umchamo
• ukulahlekelwa ukulawula isinye

Khuluma nodokotela wakho uma uhlangabezana nezimpawu ze-HC. Ama-UTI akuvamile ukuthi abangele umchamo onegazi.

Kufanele uxhumane nodokotela wakho ngokushesha uma unegazi noma amahlule emchameni wakho. Funa usizo lwezempilo oluphuthumayo uma ungakwazi ukudlulisa umchamo.

Ukuxilongwa kwe-cystitis eyophayo

Udokotela wakho angasola i-HC kusuka kwizimpawu nezimpawu zakho futhi uma unomlando we-chemotherapy noma i-radiation therapy. Ukuxilonga i-HC nokulawula ezinye izimbangela, njenge-tumor yesinye noma amatshe esinye, udokotela wakho anga:

• oda ukuhlolwa kwegazi ukuhlola ukutheleleka, i-anemia, noma ukuphazamiseka kokopha
• oda ukuhlolwa komchamo ukuhlola igazi elincane, amaseli womdlavuza, noma ukutheleleka
• yenza izifundo zokucabanga ngesinye sakho usebenzisa i-CT, i-MRI, noma i-ultrasound imaging
• bheka esinyeni sakho ngesibonakude esincane (i-cystoscopy)

Ukwelapha i-cystitis eyophayo

Ukwelashwa kwe-HC kuya ngesizathu kanye nebanga. Kunezinketho eziningi zokwelashwa, kanti ezinye zisazama.

Imithi elwa namagciwane, i-antifungal, noma i-antiviral ingasetshenziswa ukwelapha i-HC ebangelwa ukutheleleka.

Izinketho zokwelashwa kwe-chemotherapy noma i-radiation therapy ehlobene ne-radiation zifaka okulandelayo:

• Kwi-HC yesigaba sokuqala, ukwelashwa kungaqala ngamanzi afakwa emithanjeni ukukhulisa ukuphuma komchamo nokukhipha isinye. Imithi ingafaka imithi yezinhlungu nemithi yokuphumuza imisipha yesinye.
• Uma ukuphuma kwegazi kunzima noma amahlule avimba isinye, ukwelashwa kufaka ukufaka ipayipi, elibizwa ngokuthi i-catheter, esinyeni ukuze ukhiphe amahlule bese unisela isinye. Uma ukuphuma kwegazi kuqhubeka, udokotela ohlinzayo angasebenzisa i-cystoscopy ukuthola izindawo zokopha futhi ayeke ukopha ngamandla kagesi noma nge-laser (fulguration). Imiphumela emibi yokugcwaliswa ingafaka isikhumba noma ukubola kwesinye.
• Ungathola ukumpontshelwa igazi uma ukuphuma kwegazi kuqhubeka futhi ukulahleka kwegazi kusinda.
• Ukwelashwa kungafaka ukufaka umuthi esinyeni, okubizwa ngokuthi yi-intravesical therapy. I-sodium hyaluronidase ngumuthi wokwelapha ngemithambo yegazi onganciphisa ukopha nobuhlungu.
• Omunye umuthi we-intravesical yi-aminocaproic acid. Umphumela oseceleni walo muthi ukwakheka kwamahlule egazi angahamba emzimbeni.
• Ama-intravesical astringents yimithi efakwa esinyeni edala ukucasuka nokuvuvukala ezungeze imithambo yegazi ukumisa ukopha. Le mithi ifaka i-nitrate yesiliva, i-alum, i-phenol, ne-formalin. Imiphumela emibi ye-astringents ingafaka ukuvuvukala kwesinye nokuncipha kokugeleza komchamo.
• I-Hyperbaric oxygen (HBO) ukwelashwa okubandakanya ukuphefumula umoya-mpilo we-100% ngenkathi ungaphakathi kwegumbi le-oxygen. Lokhu kwelashwa kwandisa umoya-mpilo, ongasiza ekwelapheni futhi uyeke ukopha. Ungadinga ukwelashwa kwe-HBO kwansuku zonke kuze kube izikhathi ezingama-40.

Uma ezinye izindlela zokwelapha zingasebenzi, inqubo ebizwa nge-embolization ngenye indlela. Ngesikhathi senqubo yokuhlanganisa, udokotela ubeka ipayipi le-catheter emthanjeni wegazi oholela ekopheni esinyeni. I-catheter inento evimba umthambo wegazi. Ungabuzwa ubuhlungu ngemuva kwalenqubo.

Indawo yokugcina ye-HC esezingeni eliphakeme ukuhlinzwa kukhishwe isinye, esibizwa nge-cystectomy. Imiphumela emibi ye-cystectomy ifaka phakathi ubuhlungu, ukopha nokutheleleka.

Umbono we-cystitis eyophayo

Umbono wakho uncike esiteji nembangela. I-HC ekuthelelekeni inombono omuhle. Abantu abaningi abane-HC esithathelwanayo bayasabela ekwelashweni futhi abanazinkinga zesikhathi eside.

I-HC ekwelashweni komdlavuza ingaba nombono ohlukile. Izimpawu zingaqala amasonto, izinyanga, noma iminyaka ngemuva kokwelashwa futhi kungahlala isikhathi eside.

Kunezindlela eziningi zokwelashwa ze-HC ezibangelwa yimisebe noma i-chemotherapy. Ezimweni eziningi, i-HC izophendula ekwelashweni, futhi izimpawu zakho zizothuthuka ngemuva kokwelashwa komdlavuza.

Uma ezinye izindlela zokwelapha zingasebenzi, i-cystectomy ingaphulukisa i-HC. Ngemuva kwe-cystectomy, kunezinketho zokuhlinzwa okwakha kabusha ukubuyisa ukugeleza komchamo. Khumbula ukuthi ukudinga i-cystectomy ye-HC akuvamile.

Ukuvimbela i-cystitis eyophayo

Ayikho indlela yokuvimbela ngokuphelele i-HC. Kungasiza ukuphuza amanzi amaningi ngenkathi uthola ukwelashwa ngemisebe noma i-chemotherapy ukugcina uchama njalo. Kungasiza futhi ukuphuza ingilazi eyodwa enkulu yejusi ye-cranberry ngesikhathi sokwelashwa.

Ithimba lakho lokwelashwa komdlavuza lingazama ukuvimbela i-HC ngezindlela eziningi. Uma uthola ukwelashwa ngemisebe ye-pelvic, ukunciphisa indawo nenani lemisebe kungasiza ekuvikeleni i-HC.

Enye indlela yokwehlisa ubungozi ukufaka umuthi esinyeni oqinisa ulwelwesi lwesinye ngaphambi kokwelashwa. Imithi emibili, i-sodium hyaluronate ne-chondroitin sulfate, ibe nemiphumela emihle.

Ukunciphisa ubungozi be-HC obubangelwa ukwelashwa ngamakhemikhali kunokwethenjelwa. Uhlelo lwakho lokwelashwa lungafaka lezi zindlela zokuvimbela:

• ukungabi namanzi emzimbeni ngesikhathi sokwelashwa ukugcina isinye sakho sigcwele futhi sigeleza; ukwengeza isisu nakho kungasiza
• ukuqhubeka nokunisela kwesinye ngesikhathi sokwelashwa
• ukuphathwa kwemithi ngaphambi nangemva kokwelashwa njengomuthi womlomo noma we-IV; lo muthi ubophela i-acrolein futhi uvumela i-acrolein ukuthi ihambe ngesinye ngaphandle kokulimala
• ukuyeka ukubhema ngesikhathi se-chemotherapy nge-cyclophosphamide noma i-ifosfamide