Hemorrhagic Cystitis

Zvemukati

• Mhedziso
• Zvinokonzera hemorrhagic cystitis
• Chemotherapy
• Radiation kurapa
• Zvirwere
• Njodzi zvinhu
• Zviratidzo zvehemorrhagic cystitis
• Kuongororwa kwehemorrhagic cystitis
• Kurapa hemorrhagic cystitis
• Maonero ehemorrhagic cystitis
• Kudzivirira hemorrhagic cystitis

Mhedziso

Hemorrhagic cystitis kukuvadza kumukati wemukati wedundira rako nemidziyo yeropa inopa mukati mechidzitiro chako.

Hemorrhagic zvinoreva kubuda ropa. Cystitis zvinoreva kuzvimba kwedundira rako. Kana iwe uine hemorrhagic cystitis (HC), iwe une zviratidzo nezviratidzo zvedundira kuzvimba pamwe neropa mumurini rako.

Kune mhando ina, kana mamakisi, eHC, zvinoenderana neropa reropa rako.

• giredhi I kubuda ropa kushoma (kusingaonekwe)
• grade II inoonekwa kubuda ropa
• giredhi III irikubuda ropa nezvidonhwe zvidiki
• giredhi IV iri kubuda ropa nemahembe akakwana kukwana kuvhara kuyerera kweweti uye inoda kubviswa

Zvinokonzera hemorrhagic cystitis

Zvinonyanya kukonzera HC yakaoma uye inogara kwenguva refu ndeye chemotherapy uye radiation radiation. Zvirwere zvinogonawo kukonzera HC, asi izvi zvikonzero zvishoma zvakanyanya, hazvigare kwenguva refu, uye zviri nyore kurapa.

Chikonzero chisingawanzo HC iri kushanda muindasitiri uko iwe unowoneswa kune chepfu kubva kune aniline dhayi kana zvipembenene.

Chemotherapy

Chikonzero chakajairika cheHC chemotherapy, iyo inogona kusanganisira mishonga cyclophosphamide kana ifosfamide. Iyi mishonga inoputsika kupinda mune chepfu fuma acrolein.

Acrolein inoenda kudundira uye inokonzeresa inotungamira kuHC. Zvinogona kutora mushure memakemikari ekuratidzira zviratidzo.

Kurapa gomarara redundiro ne bacillus Calmette-Guérin (BCG) kunogona kukonzera HC. BCG imushonga wakaiswa mudundira.

Mimwe mishonga yegomarara, inosanganisira busulfan uye thiotepa, hazvinyanyo kukonzerwa neHC.

Radiation kurapa

Radiation kurapwa kunzvimbo yepelvic kunogona kukonzera HC nekuti inokuvadza tsinga dzeropa dzinopa kumhara kwedundira. Izvi zvinotungamira kune ulceration, vanga, uye kubuda ropa. HC inogona kuitika mwedzi kana kunyangwe makore mushure mekurapwa nemwaranzi.

Zvirwere

Zvirwere zvakajairika zvinogona kukonzera HC hutachiona hunosanganisira adenoviruses, polyomavirus, uye mhando 2 herpes simplex. Hutachiona, fungi, uye zvipembenene hazviwanzo kukonzera zvikonzero.

Vazhinji vanhu vane HC inokonzerwa nehutachiona vane immune system isina simba kubva kugomarara kana kurapwa kwecancer.

Njodzi zvinhu

Vanhu vanoda chemotherapy kana pelvic radiation kurapwa vari pangozi yakanyanya yeHC. Pelvic radiation kurapwa inobata prostate, cervix, uye kenza yedundira.Cyclophosphamide uye ifosfamide inorapa kenza dzakasiyana siyana dzinosanganisira lymphoma, zamu, uye testicular cancer.

Njodzi yepamusoro yeHC iri muvanhu vanoda mwongo wepfupa kana stem cell yekuisazve. Vanhu ava vangangoda mubatanidzwa wechemotherapy uye radiation radiation. Uku kurapwa kunogona zvakare kudzikisa kuramba kwako kutapukirwa. Zvese izvi zvinhu zvinowedzera njodzi yeHC.

Zviratidzo zvehemorrhagic cystitis

Chiratidzo chekutanga cheHC iropa mumuti wako. Muchikamu chekutanga cheHC, kubuda ropa kune microscopic, saka haugone kuzviona. Mumatanho ekupedzisira, iwe unogona kuona weti-yakasungwa weti, weti ine ropa, kana kuwonda kweropa. Muchikamu IV, kugwamba kweropa kunogona kuzadza dundira rako uye kumisa weti kuyerera.

Zviratidzo zveHC zvakafanana neizvo zvehutachiona hwehutachiona hutachiona (UTI), asi dzinogona kunge dzakanyanya uye dzakareba. Zvinosanganisira:

• uchirwadziwa kana uchipfuura weti
• kupfuudza weti kakawanda
• kunzwa kudiwa kwekukurumidza kupfuudza weti
• kurasikirwa ne bladder control

Taura nachiremba wako kana iwe uchinge uine chero zviratidzo zveHC. UTIs haiwanzo kukonzera weti yeropa.

Iwe unofanirwa kubata chiremba wako ipapo ipapo kana uine ropa kana kugwamba mune yako weti. Tsvaga kurapwa kwekukurumidzira kana iwe usingakwanise kupfuudza weti.

Kuongororwa kwehemorrhagic cystitis

Chiremba wako anogona kufungidzira HC kubva kune yako zviratidzo uye zviratidzo uye kana iwe uine nhoroondo ye chemotherapy kana radiation radiation. Kuti uongorore HC uye utonge zvimwe zvikonzero, senge bundu redundira kana matombo edundira, chiremba wako anogona:

• kuraira kuongororwa kweropa kuti utarise hutachiona, kupererwa neropa, kana chirwere chekubuda ropa
• kuraira weti miedzo kuti utarise ropa rishoma, masero ekenza, kana hutachiona
• ita zvidzidzo zvekufungidzira zvechironda chako uchishandisa CT, MRI, kana imaging ye ultrasound
• tarisa mudundira rako kuburikidza neteresikopu nhete (cystoscopy)

Kurapa hemorrhagic cystitis

Kurapa kweHC kunoenderana nechikonzero uye negiredhi. Kune nzira dzakawanda dzekurapa, uye dzimwe dzichiri kuyedza.

Mishonga inorwisa mabhakitiriya, antifungal, kana antiviral mishonga inogona kushandiswa kurapa HC inokonzerwa nehutachiona.

Kurapa sarudzo yekemotherapy kana radiation radiation ine chekuita neHC inosanganisira zvinotevera:

• Kwekutanga-nhanho HC, kurapwa kunogona kutanga nemvura inopinza kuti iwedzere weti kuburitsa uye kuburitsa bladder. Mishonga inogona kusanganisira marwadzo ekurapa uye mishonga yekuzorodza mhasuru yedundira.
• Kana kubuda ropa kwakakomba kana kuvharika kuri kuvharira dundira, kurapwa kunosanganisira kuisa chubhu, inonzi catheter, muchivharo kuti ubudise magadzi uye kudiridza dundira. Kana kubuda ropa kukaenderera, chiremba anovhiya angashandisa cystoscopy kutsvaga nzvimbo dzekubuda ropa uye kumisa kubuda kweropa nemagetsi emagetsi kana laser (kuzadza). Mhedzisiro mhedzisiro yekuzadza inogona kusanganisira kupora kana kupora kwedundira.
• Iwe unogona kugamuchira kuwedzerwa ropa kana kubuda kwako ropa kuchiramba uye kurasikirwa kweropa kuri kurema.
• Kurapa kunogona zvakare kusanganisira kuisa mishonga mudundira, inonzi intravesical therapy. Sodium hyaluronidase imushonga yekurapa mushonga unogona kudzikira kubuda ropa nekurwadziwa.
• Chimwe mushonga intravesical - aminocaproic acid. Rutivi mhedzisiro yemushonga uyu kugadzirwa kweropa clots iyo inogona kufamba nemuviri.
• Intravesical astringents mishonga yakaiswa mudundira inokonzeresa kutsamwa uye kuzvimba kwakatenderedza tsinga dzeropa kumisa kubuda ropa. Iyi mishonga inosanganisira sirivheri nitrate, alum, phenol, uye formalin. Mhedzisiro yemhedzisiro inogona kusanganisira kuzvimba kwedundira uye kudzikira kwerini kuyerera.
• Hyperbaric oksijeni (HBO) kurapwa kunosanganisira kufema 100 muzana okisijeni iwe uri mukati mekamuri yeoksijeni. Uku kurapwa kunowedzera okisijeni, iyo inogona kubatsira kupora uye kumira kubuda ropa. Iwe ungangoda kurapwa kwezuva nezuva kweHBO kusvika kumasekondi makumi mana.

Kana mamwe marapirwo asiri kushanda, maitiro anonzi embolization ndeimwe sarudzo. Munguva yekuita embolization, chiremba anoisa catheter mumudziyo weropa uyo unotungamira mukubuda ropa mudundira. Iyo catheter ine chinhu chinovhara iyo yeropa tsinga. Unogona kurwadziwa mushure meiyi nzira.

Nzira yekupedzisira yeiyo yepamusoro-giredhi HC kuvhiya kubvisa dundira, inonzi cystectomy. Zvikanganiso zve cystectomy zvinosanganisira kurwadziwa, kubuda ropa, uye hutachiona.

Maonero ehemorrhagic cystitis

Maonero ako anoenderana nedanho uye chikonzero. HC kubva kuhutachiona ine maonero akanaka. Vanhu vazhinji vane hutachiona HC vanopindura kurapwa uye havana matambudziko kwenguva refu.

HC kubva pakurapwa nekenza inogona kuva nemaonero akasiyana. Zviratidzo zvinogona kutanga mavhiki, mwedzi, kana makore mushure mekurapwa uye zvinogona kutora nguva refu.

Kune nzira dzakawanda dzekurapa HC dzinokonzerwa nemwaranzi kana chemotherapy. Muzviitiko zvakawanda, HC inopindura kurapwa, uye zviratidzo zvako zvichavandudza mushure mekurapa kenza.

Kana mamwe marapirwo asingashande, cystectomy inogona kurapa HC. Mushure me cystectomy, pane sarudzo dzekuvaka patsva kuti dzore weti kuyerera. Ramba uchifunga kuti kuda cystectomy yeHC hakuwanzoitika.

Kudzivirira hemorrhagic cystitis

Iko hakuna nzira yekudzivirira zvachose HC. Zvinogona kubatsira kunwa mvura yakawanda uchirapwa nemwaranzi kana chemotherapy kuti urambe uchiita weti kakawanda. Inogona zvakare kubatsira kunwa rimwe girazi hombe rekranberry muto panguva yekurapwa.

Yako kenza yekurapa timu inogona kuyedza kudzivirira HC munzira dzinoverengeka. Kana iwe uine pelvic radiation kurapwa, kudzikisira nzvimbo uye huwandu hwemwaranzi kunogona kubatsira kudzivirira HC.

Imwe nzira yekudzikisa njodzi kuisa mushonga muchiropa inosimbisa mbichana mbichana usati warapwa. Mishonga miviri, sodium hyaluronate uye chondroitin sulfate, yakave nemimwe mibairo yakanaka.

Kuderedza njodzi yeHC inokonzerwa nekemotherapy inovimbika. Chirongwa chako chekurapa chinogona kusanganisira matanho ekudzivirira aya:

• hyperhydration panguva yekurapa kuchengetedza dundira rako rizere uye kuyerera; kuwedzera diuretic kunogona kubatsira
• kuenderera kwedundira kudiridza panguva yekurapa
• kutungamira kwemushonga usati uye mushure mekurapwa semuromo kana IV mushonga; mushonga uyu unosunga kuacrolein uye unobvumira iyo acrolein kuti ifambe nepadundira pasina kukuvara
• kurega kusvuta panguva yekemotherapy ne cyclophosphamide kana ifosfamide