Izixazululo zeCystitis

-Delile

• 1. Imithi elwa namagciwane
• 2. Ama-Antispasmodics nama-analgesics
• 3. Izibulala-magciwane
• Izixazululo ze-interstitial cystitis

Izindlela ezisetshenziswa kakhulu ukwelapha i-cystitis yimithi elwa namagciwane, ngoba lesi yisifo esibangelwa amagciwane amancane. Ama-antibiotic kufanele asetshenziswe kuphela uma enikezwe udokotela futhi ezinye zezibonelo ezibekiwe kakhulu yi-nitrofurantoin, fosfomycin, trimethoprim ne-sulfamethoxazole, ciprofloxacin noma i-levofloxacin.

Ngaphezu kwalokho, ama-antibiotic angangezelelwa ngeminye imithi esheshisa ukwelashwa nokusiza ukuqeda izimpawu, njenge-antiseptics, analgesics, antispasmodics neminye imishanguzo yamakhambi.

I-cystitis yisifo esivame ukubangelwa amagciwane E. Coli, esuka emathunjini iye urethra nezimpawu zayo zifaka ukuphuthuma ukuchama, ubuhlungu nokushisa lapho uchama. Thola ukuthi ngabe unesifo se-urinary tract ngokuhlola izimpawu eziku-inthanethi.

1. Imithi elwa namagciwane

Amanye ama-antibiotic afanele kakhulu ukwelapha i-cystitis, engakhonjiswa ngudokotela futhi ithengwe ekhemisi, yile:

• I-Nitrofurantoin (Macrodantina), isilinganiso sayo esinconywe ngokuvamile yi-1 capsule ka-100 mg, njalo emahoreni ayisithupha, izinsuku eziyi-7 kuya kwezingu-10;
• I-Fosfomycin (Monuril), isilinganiso sayo esinconywa kakhulu yi-1 sachet ka-3 g ngomthamo owodwa noma njalo ngamahora angama-24 izinsuku ezimbili, okufanele ithathwe, okungcono esiswini esingenalutho nesinye, okungcono ebusuku, ngaphambi kokulala phansi;
• I-Sulfamethoxazole + trimethoprim (i-Bactrim noma i-Bactrim F), isilinganiso sayo esivame ukunconywa yithebhulethi elilodwa le-Bactrim F noma amaphilisi ama-2 eBactrim, njalo emahoreni ayi-12, okungenani izinsuku ezinhlanu noma kuze kuphele izimpawu;
• Ama-Fluoroquinolones, afana ne-ciprofloxacin noma i-levofloxacin, isilinganiso sayo sincike emuthini owunikezwa udokotela;
• I-penicillin noma ama-derivatives, njenge-cephalosporins, njenge-cephalexin noma i-ceftriaxone, umthamo wayo nawo uyehluka ngokuya ngemithi ebekiwe.

Imvamisa, izimpawu ze-cystitis ziyanyamalala ezinsukwini ezimbalwa zokwelashwa, kepha kubalulekile ukuthi lowo muntu athathe i-antibiotic ngesikhathi esinqunywe ngudokotela.

2. Ama-Antispasmodics nama-analgesics

Ezimweni eziningi, i-cystitis idala izimpawu ezingathandeki ezinjengobuhlungu nokushisa lapho uchama, ukulangazelela njalo ukuchama, ubuhlungu besisu noma ukuzizwa usinda ngaphansi kwesisu ngakho-ke, udokotela angahlanganisa amakhambi we-antispasmodic afana ne-flavoxate ne-antibiotic ( I-Urispas), i-scopolamine (i-Buscopan ne-Tropinal) noma i-hyoscyamine (iTropinal), ngokwesibonelo, okuyizindlela zokwelapha ezinciphisa zonke lezi zimpawu ezihambisana nomgudu womchamo.

Ngaphezu kwalokho, yize ingenaso isenzo se-antispasmodic, i-phenazopyridine (i-Urovit noma i-Pyridium) ibuye iqede ubuhlungu kanye nesici esivuthayo se-cystitis, ngoba iyi-analgesic esebenza emgudwini wokuchama.

3. Izibulala-magciwane

Ama-antiseptics, afana ne-methenamine ne-methylthionium chloride (Sepurin), angasiza futhi ekuqedeni ubuhlungu nokushisa lapho uchama, asize ukuqeda amabhaktheriya asemgodini wokuchama nokuvikela izifo eziphindaphindayo.

Izithasiselo zingasetshenziswa futhi nge-cranberry ebomvu ekhishwe, eyaziwa njenge i-Cranberry, engahlotshaniswa nezinye izinto, ezisebenza ngokuvimbela ukunamathela kwamagciwane epheshaneni le-urinary, okunikela ekugcinweni kwe-microflora yamathumbu elinganiselayo, ukudala indawo engemihle yokuthuthukiswa kwe-cystitis. Thola ezinye izinzuzo zamaphilisi we-cranberry.

Ngaphezu kwalokho, kukhona nomuthi wokugomela ithebhulethi wokutheleleka ngomgudu womchamo, i-Uro-Vaxom, enezakhi ezikhishwe Escherichia coli, esebenza ngokuvuselela izivikeli zemvelo zomzimba, isetshenziselwe ukuvikela izifo eziphindaphindayo zomgudu womchamo noma njengenhlanganisela ekwelapheni izifo ezibukhali zomgudu womchamo. Funda ukuthi uwusebenzisa kanjani lo muthi.

Bheka le vidiyo elandelayo ngezinketho ezithile ezizenzele ukulwa nokutheleleka ngomgudu womchamo:

Izixazululo ze-interstitial cystitis

I-interstitial cystitis, eyaziwa nangokuthi i-Painful Bladder Syndrome, ukuvuvukala okungapheli kwesinye okubangela ubuhlungu nengcindezi esinyeni. Amakhambi asetshenziswa ekwelashweni asebenza kuphela ukunciphisa izimpawu zesifo:

• Izidakamizwa ezingezona ukuvuvukala, njenge-ibuprofen noma i-naproxen, ukudambisa izinhlungu nokuvuvukala;
• Ama-antihistamine afana ne-loratadine, anciphisa ukuphuthuma nobuningi bomchamo futhi aqede ezinye izimpawu;
• IPentosan sodium polysulfate, okuthi noma indlela yokwenza kwayo ingaziwa ngokuqinisekile, kucatshangwa ukuthi ivikela izindonga zangaphakathi zesinye ezintweni ezicasulayo ezikhona emchameni;
• I-Tricyclic antidepressants efana ne-amitriptyline ne-imipramine, esiza ukukhulula isinye nokuvimba izinhlungu.

Enye indlela yokwelashwa ukusebenzisa amakhambi ngqo esinyeni njenge-dimethyl sulfoxide, i-heparin noma i-lidocaine, njalo ngaphansi kweseluleko sezokwelapha.