Zvese zvaunoda Kuti Uzive Nezve Bladder Pain

Zvemukati

• Kurwadziwa kwedundira kunokonzera
• Urinary turakiti hutachiona
• Zviratidzo zvehutachiona hwehutachiona hutachiona
• Kuongorora hutachiona hutachiona
• Kurapa kwehutachiona hweutachiona
• Interstitial cystitis / inorwadza bladder syndrome
• Zviratidzo zveiyo interstitial cystitis
• Kuongorora interstitial cystitis
• Mishonga yekurapa cystitis
• Gomarara redundira
• Zviratidzo zvegomarara redundira
• Kuongorora kenza yedundira
• Kurapa kwegomarara redundira
• Dundira kurwadziwa kwevakadzi nevarume
• Kurwadziwa kwedundira kurudyi kana kuruboshwe
• Nguva yekuona chiremba?
• Kugadzirisa kurwadziwa
• Kutora

Mhedziso

Dundira iburi, mhasuru yakaita kunge bharumu iri pakati pechiuno. Inowedzera uye inobvumirana sezvo ichizadza uye inodurura weti yako. Sechikamu chehurongwa hwako hwekuvhenekera, dundira rako rinobata weti inopfuudzwa kwairi kubva kuitsvo dzako kuburikidza nemaviri machubhu anonzi ureters usati waburitswa kuburikidza neurethra yako.

Kutambudzika kwedundira kunogona kukanganisa varume nevakadzi uye kukonzerwa nemamiriro mashoma akasiyana - mamwe akakomba kupfuura mamwe. Tichaongorora zvakasiyana zvikonzero zvekurwadziwa kwedundira, ndezvipi zvimwe zviratidzo zvekutarisa, uye sarudzo dzekurapa.

Kurwadziwa kwedundira kunokonzera

Kurwadziwa kwedundira kwerudzi rupi zvarwo kunoda kuongororwa nekuti kune zvikonzero zvinoverengeka zvinogona kuitika, kubva kuhutachiona hwehutachiona kuenda kuzvirwere zvechirwere chedundira.

Urinary turakiti hutachiona

Utachiona hwehutachiona (UTI) hutachiona hwehutachiona pamwe chete nechimwe chikamu cheweti yako, kusanganisira dundira. Varume nevakadzi vanogona kuwana UTI, asi ivo vanowanzoitika kune vakadzi. UTIs inokonzerwa nehutachiona hunopinda mudundira kuburikidza nerethra. Kana ikasiiwa isina kurapwa, UTI inogona kupararira kuitsvo dzako uye kuyerera kweropa zvichikonzera matambudziko akakomba.

Zviratidzo zvehutachiona hwehutachiona hutachiona

Pamwe pamwe nekurwadziwa kwedundira, UTI inogona zvakare kukonzera chero cheanotevera zviratidzo:

• kugara uchirwadza weti
• kurwadziwa kwepazasi kwepamuviri
• kurwadziwa kwepashure
• dundira / pelvic kumanikidza
• weti ine makore
• ropa mune weti

Kuongorora hutachiona hutachiona

Chiremba wako anogona kuongorora hutachiona hwehutachiona uchishandisa urinalysis kuti utarise yako weti sampu yemachena uye matsvuku masero eropa, uye mabhakitiriya. Chiremba wako anogona zvakare kushandisa weti tsika kuona rudzi rwehutachiona huripo.

Kana iwe uine UTI inodzokororwa, chiremba wako anogona kukurudzira kuenderera mberi kuyedzwa kuti utarise kusagadzikana mune rako dundira kana urini turakiti. Iyi bvunzo inogona kusanganisira:

• Ultrasound
• MRI
• CT scan
• cystoscope

Kurapa kwehutachiona hweutachiona

UTI inorapwa nemuromo mishonga inorwisa mabhakitiriya. Chiremba wako anogona zvakare kunyorera marwadzo ekudzora marwadzo uye kupisa. Kazhinji UTI inogona kuda nzira refu yemishonga inorwisa mabhakitiriya. Yakakomba UTI uye matambudziko anogona kuda maantibayoti anopiwa kuburikidza neIV muchipatara.

Interstitial cystitis / inorwadza bladder syndrome

Interstitial cystitis, inonziwo bladder pain syndrome, chirwere chisingaperi chinokonzeresa zviratidzo zvekurota. Inobata zvakanyanya vakadzi, sekureva kweNational Institute of Diabetes uye Digestive uye Kidney Zvirwere (NIDDK). Chikonzero chemamiriro acho hachizivikanwe parizvino, asi zvimwe zvinhu zvinogona kukonzera zviratidzo, sekutapukirwa, kushushikana mumuviri kana mupfungwa, kudya, kukuvara kwedundira, kana mimwe mishonga.

Zviratidzo zveiyo interstitial cystitis

Zviratidzo zvinogona kubva pane zvinyoro kusvika kune zvakakomba uye zvinosiyana kubva pamunhu kuenda kumunhu. Zviratidzo zvinogona kusanganisira:

• kukurumidza kwakasimba kuita weti
• kugara uchiita weti
• kutsva kana kurwadziwa nekudiwa kwekuita weti
• kurwadziwa kwedundira
• kurwadziwa kwepamuviri
• marwadzo emudumbu
• kurwadziwa pakati pemukadzi uye anus (vakadzi)
• kurwadziwa pakati peganda uye anus (varume)
• kusangana kunorwadza

Kuongorora interstitial cystitis

Chiremba wako anogona kushandisa anotevera bvunzo kuti aongorore interstitial cystitis:

• nhoroondo yezvokurapa, kusanganisira zviratidzo
• dhairidha dhayari rekudya kwako kwemvura uye huwandu hweweti yaunopfuura
• pelvic bvunzo (vakadzi)
• bvunzo yeprostate (varume)
• urinalysis kuongorora hutachiona
• cystoscopy kuona iyo lining yeya yako dundira
• weti basa rekuyedza
• potassium senitivity bvunzo

Chiremba wako anogona zvakare kuita mimwe bvunzo kuti ubatsire kudzora gomarara sechikonzero chechiratidzo chako, senge biopsy, iyo inowanzoitwa panguva yecystoscopy kana weti cytology kutarisa masero ekenza mumurini rako.

Mishonga yekurapa cystitis

Iko hakuna imwe yakatarwa kurapwa kweiyo interstitial cystitis. Chiremba wako anokurudzira kurapwa kwezviratidzo zvako, izvo zvinogona kusanganisira:

• Mararamiro anochinja. Iko shanduko inokurudzirwa ichave inoenderana neizvo iwe zvaunonzwa zvaunokonzeresa zviri. Izvi zvinowanzo sanganisira kurega kuputa, kunwa doro, uye shanduko pane zvekudya. Vamwe vanhu vanoona kuti kunyorovedza kurovedza muviri uye kudzikisira kushushikana kunobatsira kubvisa zviratidzo.
• Mishonga. Over-the-counter (OTC) mishonga yemarwadzo inogona kubatsira kubvisa marwadzo. Mishonga yekunyorera yakadai seTricyclic antidepressants inogona kubatsira kudzikamisa dundira rako uye kudzivirira kurwadziwa. Pentosan polysulfate sodium (Elmiron) inogamuchirwa neDFA kurapa mamiriro acho.
• Kudzidzisa dundira. Kudzidzisa dundira kunogona kubatsira kuti dundira ribate weti yakawanda. Izvo zvinosanganisira kuteedzera kuti kangani iwe weti uye zvishoma nezvishoma kuwedzera iyo nguva pakati pekuita weti.
• Kurapa kwepanyama. Chiremba wepanyama uyo anonyanya kubata mumapapiro anogona kukubatsira kutambanudza nekusimbisa mhasuru dzako dzepelvic uye kudzidza kudzikamisa, izvo zvinogona kubatsira kudzikamisa zviratidzo zvako, kusanganisira pelvic pasi mhasuru spasms.
• Kuisa dundira. Chishoma chemvura ine mishonga yekudzora kutsamwa inoiswa mudundira rako uye inobatwa mukati maminetsi gumi neshanu usati waiburitsa. Mushonga unogona kudzokororwa vhiki nevhiki kana biweekly kwemwedzi mumwe kana miviri.
• Dundira rinotambanudza. Dundira rinotambanudzwa nekurizadza nemvura. Iwe unozopihwa mishonga yekukubatsira iwe kubata iyo fluid uye kushivirira iyo inotambanudza. Vamwe vanhu vanowana kurerukirwa kwechinguva kwezviratidzo mushure mekutundira kwedundira.
• Transcranial magnetic kukurudzira. Chidzidzo chidiki che2018 chakawana kuti kudzokororazve transcranial magnetic kukurudzira kunovandudza maronda epelinha uye chirwere cheurinani chinosangana nevanhu vane bladder pain syndrome.
• Kuvhiya. Kuvhiya kunokurudzirwa chete kana mamwe marapirwo akakundikana kupa ruyamuro uye zviratidzo zvako zvakakomba. Kuvhiya kunogona kusanganisira kuwedzera bladder kana kuwedzera, cystectomy kubvisa bladder, kana kudzora kweurinary kuti utorezve weti yako kuyerera.

Gomarara redundira

Gomarara redundira rinoguma apo masero ari mudundira anokura asingadzoreki. Kune mhando dzakasiyana dzekenza yedundira asi urothelial carcinoma, inozivikanwawo seinoti transitional cell carcinoma, iyo inotangira mumasero eurothelial mumucheka wedundira rako, ndiyo mhando inonyanya kuzivikanwa. Gomarara redundira rinowanzoitika kuvarume kupfuura vakadzi uye rinoitika kazhinji mushure memakore makumi mashanu nemashanu. Zvakare zvakapetwa kaviri kana katatu zvakanyanya muvanhu vanosvuta zvichienzaniswa nevasingapute.

Zviratidzo zvegomarara redundira

Ropa risingarapadzi mumurini ndicho chiratidzo chinowanzozivikanwa chegomarara redundira. Kazhinji kazhinji, gomarara redundiro harina kurwadziwa kana zvimwe zviratidzo. Zvisinei, kana zviratidzo zviripo zvinogona kusanganisira:

• kuita weti kakawanda
• kurwadziwa kana kutsva paunenge uchiita weti
• kukurumidzira kuita weti kunyange kana dundira rako risina kuzara
• kunetseka kuita weti
• isina kusimba weti rwizi

Kenza yemudundira yepamberi inogona kukanganisa dzimwe nhengo uye masisitimu, saka zviratidzo zvinogona kusanganisira:

• kutadza kuita weti
• kurwadziwa kwepashure kumashure kune rumwe rutivi
• kurwadziwa kwepfupa
• dumbu kana kurwadziwa kwepamuviri
• kurasikirwa nenzara
• kushaya simba kana kuneta

Kuongorora kenza yedundira

Kuedzwa kwekenza yemukaka kunogona kusanganisira:

• nhoroondo yakazara yekurapa
• cystoscopy
• kuongorora urinal
• weti tsika
• weti cytology
• weti tumor marker bvunzo
• imaging bvunzo
• biopsy

Kurapa kwegomarara redundira

Kurapa kwegomarara redundira kunoenderana nerudzi rwegomarara redundira, danho rekenza, nezvimwe zvinhu. Kurapa kwegomarara redundira kazhinji kunosanganisira zvinopfuura imwe yeanotevera kurapwa.

• Kuvhiya. Rudzi rwekuvhiya unoshandiswa kurapa kenza yedundira inoenderana nedanho. Kuvhiya kunogona kushandiswa kubvisa bundu, kubvisa chikamu chedundira, kana iro rose dundira.
• Radiation. High-energy radiation inoshandiswa kuuraya cancer maseru. Inogona kushandiswa kurapa kenza yekutanga yekenza yekenza, seimwe nzira kune vanhu vasingakwanise kuvhiyiwa, uye kurapa kana kudzivirira zviratidzo zvegomarara repamberi redundira. Inowanzobatanidzwa nekemotherapy.
• Chemotherapy. Chemotherapy mishonga inoshandiswa kuuraya cancer maseru. Systemic chemotherapy inopihwa chero fomu yepiritsi kana kuburikidza neIV. Intravesical chemotherapy, iyo inongoshandiswa chete kune yekutanga-nhanho kanzuru yekenza, inoendeswa yakananga mudundira.
• Immunotherapy. Immunotherapy inoshandisa mishonga kubatsira immune system yako kuziva uye kuuraya cancer maseru.

Dundira kurwadziwa kwevakadzi nevarume

Kutambudzika kwedundira kunowanzoitika kune vakadzi. Izvi zvinogona kunge zvichikonzerwa nekuti izvo zviviri zvinowanzo kukonzera maronda edundira - Urinary turakiti hutachiona uye interstitial cystitis - zvinowanzo bata vakadzi kupfuura varume. Zvinogona kunge zvakare zvichikonzerwa nekuti dundira rinosangana nekusangana nemitezo yekubereka yemukadzi, iyo inogona kukonzeresa uye kuwedzera zviratidzo.

Kusvika kune vakadzi vanogona kuve nezviratidzo zvekutanga zveiyo interstitial cystitis. Kutsvagurudza kunoratidza kuti makumi mana kusvika makumi matanhatu muzana evakadzi vanokudziridza UTI munguva yeupenyu hwavo, mazhinji acho ari hutachiona hwechirongo.

Misiyano yemaatomu emukadzi inowedzera njodzi yehutachiona hwechiropa. Urethra ipfupi zvinoreva kuti mabhakitiriya ari padyo nedundira remukadzi. Urethra yemukadzi iri padhuze nerectum uye nemukadzi panogara hutachiona-hunokonzera hutachiona.

Varume vane njodzi yakakwira yekubatwa negomarara redundira. Sekureva kweAmerican Cancer Society, gomarara redundiro ndiyo kenza yechina inonyanya kubatwa nevarume. Mukana wekuti varume vagowana gomarara redundira munguva yeupenyu hwavo unosvika 1 muna 27. Mukana weupenyu kuvakadzi ungangoita mumwe chete pa89.

Kurwadziwa kwedundira kurudyi kana kuruboshwe

Sezvo dundira rigere pakati pemuviri, kurwadziwa kwedundira kunowanzonzwika pakati pechiuno kana pasi peguvhu kupesana nerimwe divi.

Nguva yekuona chiremba?

Chero kurwadziwa kwedundira kunofanirwa kuongororwa nachiremba kuti abatsire kuona chinokonzera uye kudzikisa njodzi yezvinetso.

Kugadzirisa kurwadziwa

Izvi zvinotevera zvinogona kukubatsira iwe kugadzirisa kurwadziwa kwedundira:

• Mishonga inorwadza yeOTC
• kupisa pad
• nzira dzekuzorora
• kurovedza muviri
• nguo dzakasununguka (kudzivisa kuisa kumanikidza padundira)
• kuchinja kwekudya

Kutora

Mazhinji marwadzo edundira anokonzerwa ne UTIs, ayo anogona kurapwa nemishonga inorwisa mabhakitiriya. Ona chiremba wako ipapo ipapo kuti utonge zvimwe zvikonzero zvakakomba zvekurwadziwa kwedundira.