Kupindirana cystitis

Interstitial cystitis idambudziko renguva refu (risingaperi) marwadzo, kumanikidza, kana kupisa zviripo mudundira. Iyo inowanzo kuve yakabatana neiyo weti frequency kana kukurumidza. Iyo inonzi zvakare inorwadza bladder syndrome.

Dundira inhengo inemhango ine nhete nhete yemhasuru inochengeta weti. Kana dundira rako rizere neweti, inotumira chiratidzo kuuropi, ichiudza tsandanyama kuti dzisvike. Pasi pemamiriro ezvinhu akajairwa, aya masaini haarwadzi. Kana iwe uine interstitial cystitis, zviratidzo zvinobva mudundira zvinorwadza uye zvinogona kuitika kunyangwe kana dundira risina kuzara.

Mamiriro acho anowanzoitika pakati pemakore makumi maviri kusvika makumi mana, kunyangwe zvataurwa kune vechidiki.

Vakadzi vane kagumi mukana wekuve neIC kupfuura varume.

Chikonzero chaicho chemamiriro aya hachizivikanwe.

Zviratidzo zveIC hazvirarame. Zviratidzo zvinowanzo kuuya nekuenda nenguva dzediki kana zvakanyanya kuomarara. Zviratidzo zvakajairika zvinosanganisira:

• Kumanikidzwa kwedundira kana kusagadzikana (zvinyoro kusvika kune zvakanyanya)
• Kurudzira kuita weti kakawanda
• Kupisa kurwadziwa munzvimbo yepelvic
• Marwadzo panguva yekusangana

Vanhu vazhinji vane kwenguva yakareba interstitial cystitis vanogona zvakare kunge vaine mamwe mamiriro senge endometriosis, fibromyalgia, anogumbuka ura hwehurwere, mamwe maronda ekurwadziwa asingaperi, kushushikana, kana kushushikana.

Anopa hutano hwako anotarisa zvimwe zvikonzero zvezviratidzo zvako. Izvi zvinosanganisira:

• Zvirwere zvepabonde
• Gomarara redundira
• Utachiona hutachiona
• Itsvo kana ureteral matombo

Miedzo inoitwa pane yako weti kuti utarise hutachiona kana maseru anoratidza cancer mukati medundira. Munguva ye cystoscopy, mupi anoshandisa yakakosha chubhu ine diki kamera kumucheto kuti utarise mukati medu dundira. Muenzaniso kana biopsy yemubhedha wedundira rako rinogona kutorwa.

Kuyedza kuhofisi yemupi wako kunogona kuitwawo kuratidza kuti dundira rako rinozadza sei uye kuti rinodurura zvakadii.

Hapana mushonga weIC, uye hapana marapirwo akajairika. Kurapa kunoenderana nekuyedzwa uye kukanganisa kusvikira wawana zororo. Mhedzisiro inosiyana pamunhu nemunhu.

ZVOKUDYA NEZVEMUPENYU ZVINOCHINJA

Vamwe vanhu vanoona kuti kuita shanduko mukudya kwavo kunogona kubatsira kudzora zviratidzo. Edza kudzivisa chikafu uye zvinwiwa izvo zvinogona kukonzeresa kutsamwa kwedundira. Regedza kudya zvimwe zvekudya, imwe panguva, kuti uone kana zviratidzo zvako zvave nani. Deredza kana kurega kunwa caffeine, chokoreti, zvinwiwa zvine kabhoni, zvinwiwa zvemucitrus, uye zvinwiwa kana zvinwiwa zvine acid (sevaya vane vhitamini C yakawanda).

Zvimwe zvekudya izvo iyo Interstitial Cystitis Association inonyora sezvingangodaro zvichikonzera kutsamwa kwedundira ndeizvi:

• Akakwegura chizi
• Doro
• Zvigadzirwa zvinotapira
• Fava uye lima bhinzi
• Nyama dzinorapwa, dzakagadziriswa, dzakapfungaira, dzakakangwa, dzakakwegura, kana dzine nitrites
• Acidic michero (kunze kweblueberries, honeydew melon, uye mapeari, izvo zvakanaka.)
• Nutsu, kunze kwemaarumondi, mashewu, uye nzungu dzepaini
• Hanyanisi
• Rye chingwa
• Misiyamu ine MSG
• Kirimu yakasviba
• Sourdough chingwa
• Soy
• Tea
• Tofu
• Madomasi
• Yogati

Iwe nemupi wako munofanira kukurukura nzira dzamungashandisa pakudzidzisa dundira. Izvi zvinogona kusanganisira kudzidzira iwe pachako kuita weti panguva dzakatarwa kana kushandisa pelvic pasi kurapwa kwemuviri uye biofeedback kudzora pelvic pasi mhasuru kushushikana uye spasms.

CHEMA NEMAITIRO

Musanganiswa wekurapa unogona kusanganisira mishonga yakadai se:

• Pentosan polysulfate sodium, mushonga chete wakatorwa nemuromo unobvumidzwa kurapa IC
• Tricyclic antidepressants, senge amitriptyline, kubvisa marwadzo uye kuwota kwakawanda
• Vistaril (hydroxyzine pamoate), antihistamine iyo inogona kubatsira kudzikisa kuzvimba. Iyo inogona kukonzeresa sedation semhedzisiro mhedzisiro

Dzimwe nzira dzokurapa dzinosanganisira:

• Kuwedzera-kuzadza dundira nemvura paunenge uri pasi peanesthesia, inonzi bladder hydrodistention
• Mishonga yakaiswa yakananga mudundira, kusanganisira dimethyl sulfoxide (DMSO), heparin, kana lidocaine
• Kubvisa dundira (cystectomy) yezviitiko zvakaoma kwazvo, izvo zvisingawanzo kuitwa zvakare

Vamwe vanhu vanogona kubatsirwa nekutora chikamu mumapoka ekutsigira cystitis, senge Interstitial Cystitis Association: www.ichelp.org/support/support-groups/ nevamwe

Mhedzisiro yekurapa inosiyana. Vamwe vanhu vanopindura mushe pakurapa kuri nyore uye neshanduko yekudya. Vamwe vangangoda kurapwa kwakakura kana kuvhiyiwa.

Fonera mupiki wako kana iwe uine zviratidzo zveiyo interstitial cystitis. Ive neshuwa yekutaura kuti iwe unofungidzira kusagadzikana uku. Hazvizivikanwe zvakanaka kana kuongororwa zviri nyore. Inowanzo kanganisika nekudzokorora hutachiona hutachiona hutachiona.

Cystitis - yemukati; IC

• Yechikadzi weti turakiti
• Varume urinary turakiti

Grochmal SA. Kuongororwa kwehofisi uye nzira dzekurapa yeiyo interstitial cystitis (inorwadza bladder syndrome). Mu: Fowler GC, rakanyorwa. Pfenninger uye Fowler's Maitiro Ekutanga Kuchengeta. 4th ed. Philadelphia, PA: Elsevier; 2020: chap 98.

Hanno PM. Bladder pain syndrome (interstitial cystitis) nematambudziko akafanana. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 14.

Hanno PM, Erickson D, Moldwin R, Faraday MM, uye al. Kuongororwa uye kurapwa kweiyo interstitial cystitis / bladder pain syndrome: AUA nongedzo yekugadzirisa. J Urol. 2015; 193 (5): 1545-53. PMID: 25623737 www.ncbi.nlm.nih.gov/pubmed/25623737.

Kirby AC, Lentz GM. Yepazasi yeurinary turakiti basa uye kusagadzikana: physiology ye micturition, kuvhara kusagadzikana, kusagadzikana kweweti, urinary turakiti hutachiona, uye chinorwadza bladder syndrome. Mune: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Yakakwana Gynecology. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 21.