I-Cystitis yangaphakathi

-Delile

• Ziyini izimpawu ze-IC?
• Yini ebangela i-IC?
• Ihlonza kanjani i-IC?
• Izinkinga ezingaba khona ze-IC
• Yelashwa kanjani i-IC?
• Imithi
• ISEXWAYISO
  
• Ukuhlukaniswa kwesinye
• Ukufaka isinye
• Ukukhuthaza imizwa kagesi
• Ukudla
• Ukuyeka ukubhema
• Ukuzivocavoca umzimba
• Ukuqeqeshwa kwesinye
• Ukwehliswa kwengcindezi
• Ukuhlinzwa
• Umbono wesikhathi eside

Yini i-interstitial cystitis?

I-Interstitial cystitis (IC) yisimo esiyinkimbinkimbi esibonwa ukuvuvukala okungapheli kwezingqimba zemisipha yesinye, okuveza lezi zimpawu ezilandelayo:

• ubuhlungu be-pelvic nesisu kanye nengcindezi
• ukuchama kaningi
• ukuphuthuma (uzizwa ngathi udinga ukuchama, noma usuqedile ukuchama)
• ukungasebenzi (ukuvuza ngengozi komchamo)

Ukungakhululeki kungahle kusuka ekuzweleni okushisayo okuncane kuya ebuhlungu obukhulu. Izinga lokungaphatheki kahle lingaphikelela noma lingavamile. Abanye abantu banezikhathi zokuxolelwa.

Ngokwe-Interstitial Cystitis Association, i-IC ithinta abantu abangaphezu kwezigidi eziyi-12 e-United States. Abesifazane kungenzeka kakhulu ukuthi bahlakulele i-IC, kepha izingane nabantu abadala bangayithola nayo.

I-IC yaziwa nangokuthi i-pain bladder syndrome (PBS), i-bladder pain syndrome (i-BPS), kanye nobuhlungu obungapheli be-pelvic (CPP).

Ziyini izimpawu ze-IC?

Ungahle uhlangabezane nesinye sezimpawu ezilandelayo:

• ubuhlungu obungapheli noma obuphakathi okhalweni
• ingcindezi okhalo noma ukungakhululeki
• ukuphuthuma komchamo (ukuzwa ukuthi udinga ukuchama)
• ukuchama njalo imini nobusuku
• ubuhlungu ngesikhathi sokuya ocansini

Izimpawu zakho zingahluka usuku nosuku, futhi ungahle ube nezikhathi lapho ungenazimpawu. Izimpawu zingase zibe zimbi kakhulu uma uthuthukisa ukutheleleka komgudu womchamo.

Yini ebangela i-IC?

Isizathu esiqondile se-IC asaziwa, kodwa abacwaningi bathi izinto eziningana zingalimaza ulwelwesi lwesinye ngakho-ke kubangele lesi sifo. Lokhu kufaka phakathi:

• ukuhlukumeza ulwelwesi lwesinye (isibonelo, kusuka ezinkambisweni zokuhlinzwa)
• ukwelula ngokweqile isinye, imvamisa ngenxa yezikhathi ezinde ngaphandle kwekhefu lokugezela
• imisipha yaphansi ye-pelvic ebuthakathaka noma engasebenzi
• ukuphazamiseka komzimba
• ukutheleleka okuphindaphindiwe kwamagciwane
• hypersensitivity noma ukuvuvukala kwezinzwa ze-pelvic
• ukuhlukumezeka komgogodla

Abantu abaningi abane-IC nabo bane-irritable bowel syndrome (IBS) noma i-fibromyalgia. Abanye abacwaningi bakholelwa ukuthi i-IC ingaba yingxenye yesifo sokuvuvukala esijwayelekile esithinta amasistimu amaningi omzimba.

Abaphenyi baphenya nokuthi kungenzeka yini ukuthi abantu bathole ifuzo lokuthambekela kofuzo ku-IC. Yize kungajwayelekile, i-IC ibikwe ezihlotsheni zegazi. Amacala abonwe kumama nendodakazi kanye nakodade ababili noma ngaphezulu.

Ucwaningo luyaqhubeka ukuthola imbangela ye-IC nokuthuthukisa izindlela zokwelashwa ezisebenza kangcono.

Ihlonza kanjani i-IC?

Azikho izivivinyo ezenza ukuxilongwa okucacile kwe-IC, amacala amaningi e-IC awatholakali. Ngoba i-IC yabelana ngezimpawu ezifanayo zezinye izifo zesinye, udokotela wakho udinga ukuzilawula kuqala. Lezi ezinye izinkinga zifaka:

• izifo zomgudu womchamo
• umdlavuza wesinye
• i-prostatitis engapheli (emadodeni)
• isifo esibuhlungu se-pelvic syndrome (emadodeni)
• i-endometriosis (kwabesifazane)

Uzotholakala une-IC uma udokotela wakho enquma ukuthi izimpawu zakho azibangelwa esinye salezi zinkinga.

Izinkinga ezingaba khona ze-IC

I-IC ingadala izinkinga eziningi, kufaka phakathi:

• kunciphise umthamo wesinye ngenxa yokuqina kodonga lwesinye
• izinga eliphansi lempilo ngenxa yokuchama kaningi nobuhlungu
• izithiyo ebudlelwaneni nokusondelana ngokocansi
• izingqinamba zokuzethemba nehlazo emphakathini
• ukuphazamiseka kokulala
• ukukhathazeka nokudangala

Yelashwa kanjani i-IC?

Alikho ikhambi noma ukwelashwa okuqondile kwe-IC. Iningi labantu lisebenzisa inhlanganisela yezindlela zokwelapha, futhi kungadingeka ukuthi uzame izindlela eziningi ngaphambi kokuhlala ekwelashweni okunikeza ukukhululeka okukhulu. Okulandelayo ezinye izindlela zokwelapha ze-IC.

Imithi

Udokotela wakho angakunikeza eyodwa noma ngaphezulu yale mithi elandelayo ukusiza ukuthuthukisa izimpawu zakho:

• I-Pentosan polysulfate sodium (I-Elmiron) ivunyelwe yi-Food and Drug Administration ukuthi yelaphe i-IC. Odokotela abazi kahle ukuthi i-pentosan isebenza kanjani, kepha kungasiza ukulungisa izinyembezi noma ukukhubazeka odongeni lwesinye.

ISEXWAYISO

• Akufanele uthathe i-pentosan uma ukhulelwe noma uhlela ukukhulelwa.

• Ama-anti-inflammatories angasebenzi, kufaka phakathi ibuprofen, naproxen, aspirin, nezinye, kuthathwa izinhlungu nokuvuvukala.
• I-Tricyclic antidepressants (njenge-amitriptyline) isiza ukukhulula isinye futhi ivimbele nobuhlungu.
• Ama-antihistamine (njengeClaritin) kunciphisa ukuphuthuma komchamo nobuningi.

Ukuhlukaniswa kwesinye

Ukuhlukaniswa kwesinye kuyinqubo elula isinye usebenzisa amanzi noma igesi. Kungasiza ukukhulula izimpawu kwabanye abantu, mhlawumbe ngokwandisa umthamo wesinye nangokuphazamisa amasignali obuhlungu adluliswa imizwa esinyeni. Kungathatha amasonto amabili kuya kwamane ukubona ukuthuthuka kwezimpawu zakho.

Ukufaka isinye

Ukufaka isinye kufaka ukugcwalisa isinye ngesixazululo esine-dimethyl sulfoxide (Rimso-50), ebizwa nangokuthi yi-DMSO. Isixazululo se-DMSO sibanjwa esinyeni imizuzu eyi-10 kuya kwengu-15 ngaphambi kokuba sikhishwe. Umjikelezo owodwa wokwelashwa uvame ukufaka ukwelashwa okubili ngeviki amasonto ayisithupha kuya kwayisishiyagalombili, futhi umjikelezo ungaphindwa lapho kudingeka.

Kucatshangwa ukuthi isisombululo se-DMSO singanciphisa ukuvuvukala kodonga lwesinye. Kungavimbela nokuphazamiseka kwemisipha okubangela ubuhlungu, imvamisa, nokuphuthuma.

Ukukhuthaza imizwa kagesi

I-transcutaneous electrical nerve stimulation (TENS) ihambisa imiphimbo kagesi emincane ngesikhumba ukuvuselela izinzwa esinyeni. I-TENS ingasiza ekunciphiseni izimpawu ngokwandisa ukugeleza kwegazi esinyeni, ukuqinisa imisipha ye-pelvic esiza ukulawula isinye, noma ukubangela ukukhishwa kwezinto ezivimba ubuhlungu.

Ukudla

Abantu abaningi abane-IC bathola ukuthi ukudla neziphuzo ezithile kwenza izimpawu zabo zibe zimbi kakhulu. Ukudla okuvamile okungenza i-IC ibe yimbi kakhulu kufaka phakathi:

• utshwala
• utamatisi
• izinongo
• ushokoledi
• noma yini ene-caffeine
• ukudla okune-acidic njengezithelo zama-citrus kanye namajusi

Udokotela wakho uzokusiza ukuthi unqume ukuthi ngabe uyazwela yini kunoma yikuphi ukudla noma iziphuzo.

Ukuyeka ukubhema

Yize kungekho ukuhlobana okuqinisekisiwe phakathi kokubhema ne-IC, ukubhema kuxhumene nomdlavuza wesinye. Kungenzeka ukuthi ukuyeka ukubhema kungasiza ekunciphiseni noma ekunciphiseni izimpawu zakho.

Ukuzivocavoca umzimba

Ukugcina inqubo yokuzivocavoca kungakusiza ukuphatha izimpawu zakho. Kungadingeka ukuthi ushintshe inqubo yakho ukuze uvikele umsebenzi onomthelela omkhulu odala ukuqhuma. Zama okunye kwalokhu kusebenza:

• i-yoga
• ukuhamba
• tai chi
• ama-aerobics anomthelela ophansi noma ama-Pilates

Umelaphi angakufundisa ukuzivocavoca ukuze uqinise imisipha yakho yesinye neyezitho zangasese. Khuluma nodokotela wakho ngokuhlangana nomelaphi womzimba.

Ukuqeqeshwa kwesinye

Amasu aklanyelwe ukwelula isikhathi phakathi kokuchama angasiza ekunciphiseni izimpawu. Udokotela wakho angaxoxa nawe ngalezi zindlela.

Ukwehliswa kwengcindezi

Ukufunda ukubhekana nezingcindezi zokuphila kanye nengcindezi yokuba ne-IC kungahlinzeka ukukhululeka kwezimpawu. Ukuzindla kanye ne-biofeedback nakho kungasiza.

Ukuhlinzwa

Kunezinketho eziningi zokuhlinzwa zokwengeza usayizi wesinye nokususa noma ukwelapha izilonda esinyeni. Ukuhlinzwa akuvamile ukusetshenziswa futhi kubhekwa kuphela lapho izimpawu zinzima kanti ezinye izindlela zokwelapha zehlulekile ukunikeza usizo. Udokotela wakho uzoxoxa nawe ngalezi zinketho uma ulungele ukuhlinzwa.

Umbono wesikhathi eside

Alikho ikhambi le-IC. Ingahlala iminyaka noma impilo yonke. Inhloso enkulu yokwelashwa ukuthola inhlanganisela yezindlela zokwelashwa ezinikeza ukukhululeka kwezimpawu zesikhathi eside.