Kupindirana kweCystitis

Zvemukati

• Ndezvipi zviratidzo zveIC?
• Chii chinokonzera IC?
• IC inoonekwa sei?
• Zvinogona kuitika kuIC
• IC inorapwa sei?
• Mishonga
• Yambiro
  
• Dundira kudzikisira
• Kuisa dundira
• Magetsi tsinga kukurudzira
• Kudya
• Kurega kusvuta
• Rovedza muviri
• Kudzidzisa dundira
• Kushushikana mupfungwa
• Kuvhiya
• Maonero kwenguva refu

Chii chinonzi interstitial cystitis?

Interstitial cystitis (IC) mamiriro akaomarara anoonekwa nekuputika kusingaperi kwedunduru tsandanyama, izvo zvinoburitsa zvinotevera zviratidzo:

• pelvic uye kurwadziwa kwepamuviri uye kumanikidzwa
• kugara uchiita weti
• kukurumidzira (kunzwa sekunge iwe uchida kuita weti, kunyangwe uchangobva kuita weti)
• kusagadzikana (kubuda netsaona kweweti)

Kusagadzikana kunogona kubva pakutsva kwakapisa kusvika pakurwadziwa kukuru. Chiyero chekusagadzikana chinogona kuenderera kana kushomeka. Vamwe vanhu vane nguva dzekuregererwa.

Sekureva kweInterstitial Cystitis Association, IC inobata vanhu vanopfuura mamirioni gumi nemaviri muUnited States. Vakadzi vanowanzo kuve neIC, asi vana nevarume vakuru vanogona kuzviwana futi.

IC inozivikanwawo seinorwadza bladder syndrome (PBS), bladder pain syndrome (BPS), uye kurwadziwa kwepelvic kusingaperi (CPP).

Ndezvipi zviratidzo zveIC?

Unogona kusangana nechimwe kana zvimwe zvezvinotevera zviratidzo.

• kurwadziwa kusingaperi kana kupindirana muchiuno
• kumanikidzwa kwepamuviri kana kusagadzikana
• kukurumidza kukurumidza (kunzwa kuti iwe unoda kuita weti)
• kugara uchiita weti masikati neusiku
• kurwadziwa panguva yepabonde

Zviratidzo zvako zvinogona kusiyana zuva nezuva, uye iwe unogona kusangana nenguva paunenge usina chiratidzo. Zviratidzo zvinogona kuwedzera kana iwe ukaita urinary turakiti hutachiona.

Chii chinokonzera IC?

Chikonzero chaicho cheIC hachizivikanwe, asi vaongorori vanofungidzira kuti zvinhu zvinoverengeka zvinogona kukuvadza mutsetse wedundira uye zvichikonzera kusagadzikana. Izvi zvinosanganisira:

• kushungurudzika kumubhedha wedundira (semuenzaniso, kubva pakuvhiya)
• kunyanyisa kutambanudza dundira, kazhinji nekuda kwenguva refu isina kuzorora kwekugezera
• kushaya simba kana kusashanda kwemhasuru yepelvic pasi
• autoimmune kusagadzikana
• inodzokororwa hutachiona
• hypersensitivity kana kuzvimba kwepelvic tsinga
• musana wekushungurudzika

Vanhu vazhinji vane IC zvakare vane chirwere chinoshungurudza ura (IBS) kana fibromyalgia. Vamwe vaongorori vanodavira kuti IC inogona kunge iri chikamu chehurwere hwakawanda hwehutachiona hunokanganisa masisitimu mazhinji emitezo.

Vatsvagiri vari kuongororawo mukana wekuti vanhu vagare nhaka yekugara kune IC. Kunyangwe zvisiri zvakajairika, IC yakataurwa kune hama dzeropa. Mhosva dzakaonekwa muna amai nemwanasikana uye zvakare mune vaviri kana vanopfuura hanzvadzi.

Kutsvagurudza kuri kuenderera mberi kutsvaga chikonzero cheIC uye kugadzira marapiro anoshanda.

IC inoonekwa sei?

Iko hakuna bvunzo dzinojekesa kuongororwa kweIC, saka kesi zhinji dzeIC dzinoenda dzisingazivikanwe. Nekuti IC inogovera akawanda ezviratidzo zvakafanana zvehumwe kusagadzikana kwedundira, chiremba wako anoda kutonga izvi kunze kutanga. Aya mamwe matambudziko anosanganisira:

• Urinary turakiti hutachiona
• gomarara redundira
• chisingaperi prostatitis (muvarume)
• chisingaperi pelvic pain syndrome (mune varume)
• endometriosis (muvakadzi)

Iwe unozobatwa uine IC kana chiremba wako aona kuti zviratidzo zvako hazvikonzerwe nechimwe chezvinetso izvi.

Zvinogona kuitika kuIC

IC inogona kukonzera matambudziko akati wandei, kusanganisira:

• yakaderedzwa bladder kugona nekuda kwekuomesa kwedundira rusvingo
• yakaderera hupenyu hwehupenyu semhedzisiro yekugara uchiita weti uye kurwadziwa
• zvipingaidzo kuhukama uye kusangana pabonde
• nyaya nekuzviremekedza uye kunyadziswa munharaunda
• kukanganiswa kwekurara
• kufunganya uye kuora mwoyo

IC inorapwa sei?

Hakuchina mushonga kana mushonga chaiwo weIC. Vanhu vazhinji vanoshandisa musanganiswa wemishonga, uye iwe ungatofanira kuyedza nzira dzinoverengeka usati wagadzika pane iyo kurapa iyo inopa runyararo rukuru. Anotevera mamwe marapirwo eIC.

Mishonga

Chiremba wako anogona kupa imwe kana yakawanda yemishonga inotevera kuti ubatsire kuvandudza zviratidzo zvako:

• Pentosan polysulfate yavaibvisa (Elmiron) yakagamuchirwa neKudya neDrug Administration kuti irape IC. Vanachiremba havazive chaizvo mashandiro anoita pentosan, asi zvinogona kubatsira kugadzirisa misodzi kana hurema mumadziro edundira.

Yambiro

• Iwe haufanire kutora pentosan kana iwe uri nepamuviri kana uri kuronga kuve nepamuviri.

• Nonsteroidal anti-inflammatories, kusanganisira ibuprofen, naproxen, aspirin, nevamwe, zvinotorwa nekuda kwekurwadziwa uye kuzvimba.
• Tricyclic antidepressants (senge amitriptyline) inobatsira kuzorodza dundira rako uyezve kudzivirira marwadzo.
• Antihistamines (senge Claritin) inoderedza urinary kukurumidza uye kuwanda.

Dundira kudzikisira

Bladder distension inzira inotambanudza dundira uchishandisa mvura kana gasi. Inogona kubatsira kubvisa zviratidzo kune vamwe vanhu, pamwe nekuwedzera kugona kwedundira uye nekukanganisa marwadzo anofambiswa nemitsipa mudundira. Zvinogona kutora mavhiki maviri kana mana kuti uone kuvandudzwa kwezviratidzo zvako.

Kuisa dundira

Bladder instillation inosanganisira kuzadza dundira nemhinduro ine dimethyl sulfoxide (Rimso-50), inonziwo DMSO. Iyo DMSO mhinduro inobatwa mudundiro kwemaminetsi gumi kusvika gumi nemashanu isati yadururwa. Imwe yekurapa kutenderera inowanzo sanganisira anosvika maviri ekurapa pasvondo kwemavhiki matanhatu kusvika masere, uye kutenderera kwacho kunogona kudzokororwa sekudikanwa.

Izvo zvinofungidzirwa kuti mhinduro yeDMSO inogona kudzora kuzvimba kwedundira rusvingo. Inogona zvakare kudzivirira mhasuru spasms inokonzeresa kurwadziwa, kuwanda, uye kukurumidza.

Magetsi tsinga kukurudzira

Transcutaneous magetsi etsinga inosimudzira (TENS) inounza zvinyoro nyoro zvemagetsi kuburikidza neganda kumutsidzira tsinga kuenda kudundira. TENS inogona kubatsira kudzikamisa zviratidzo nekuwedzera kuyerera kweropa kuchienda kudundira, kusimbisa mhasuru dzechiuno dzinobatsira kudzora dundira, kana kukonzera kusunungurwa kwezvinhu zvinodzivirira marwadzo.

Kudya

Vanhu vazhinji vane IC vanoona kuti zvikafu chaizvo uye zvinwiwa zvinoita kuti zviratidzo zvavo zvinyanye. Zvokudya zvakajairika zvinogona kuwedzera IC zvinosanganisira:

• doro
• madomasi
• zvinonhuwira
• chokoreti
• chero chinhu chine caffeine
• chikafu chine acidic semichero yemucitrus nemajusi

Chiremba wako achakubatsira iwe kuti uone kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitora

Kurega kusvuta

Kunyangwe pasina kuwirirana kwakaratidza pakati pekusvuta neIC, kusvuta kwakanyatso kubatana nekenza yedundira. Zvinogoneka kuti kurega kuputa kunogona kubatsira kudzikisa kana kubvisa zviratidzo zvako.

Rovedza muviri

Kuchengetedza maitiro ekurovedza muviri kunogona kubatsira iwe kubata zviratidzo zvako. Iwe ungatofanira kushandura maitiro ako kuitira kuti udzivise zvakakomba-zviito zviitiko zvinokonzeresa kuputika. Edza kumwe kwekudzidzira uku:

• yoga
• kufamba
• tai chi
• yakaderera-inobata maekisesaizi kana maPilates

Chiremba wepanyama anogona kukudzidzisa kurovedza muviri kuti usimbise dundira uye mhasuru. Taura nachiremba wako nezve kusangana nemurapi wepanyama.

Kudzidzisa dundira

Matekiniki akagadzirirwa kurebesa nguva iri pakati pekuita weti inogona kubatsira kubvisa zviratidzo. Chiremba wako anogona kukurukura newe maitiro aya.

Kushushikana mupfungwa

Kudzidza kubata nematambudziko ehupenyu uye kushungurudzika kwekuve IC kunogona kupa zororo zororo. Kufungisisa uye biofeedback kunogona kubatsira.

Kuvhiya

Pane nzira dzinoverengeka dzekuvhiya kuwedzera saizi yedundira uye kubvisa kana kurapa maronda mudundira. Kuvhiya hakuwanzoshandiswa uye kunoonekwa chete kana zviratidzo zvakakomba uye kumwe kurapa kwakundikana kupa zororo. Chiremba wako anozokurukura idzi sarudzo newe kana iwe uri mukwikwidzi wekuvhiyiwa.

Maonero kwenguva refu

Hapana mushonga weIC. Inogona kugara kwemakore kana kunyange hupenyu hwese. Chinangwa chikuru chekurapa ndechekuwana musanganiswa wemishonga iyo inonyanya kupa chiratidzo chenguva refu chiratidzo.