Kuphatikizana kwa cystitis

Interstitial cystitis ndi vuto lalitali (losatha) momwe kupweteka, kupsyinjika, kapena kutentha kumapezeka mchikhodzodzo. Nthawi zambiri zimalumikizidwa ndi pafupipafupi kapena mwachangu. Amatchedwanso matenda opweteka a chikhodzodzo.

Chikhodzodzo ndi chiwalo chobowoka chomwe chili ndi minyewa yochepetsetsa yomwe imasunga mkodzo. Chikhodzodzo chanu chikadzaza ndi mkodzo, chimatumiza chizindikiro kuubongo wanu, ndikuuza minofu kuti ifinyike. Mumikhalidwe yabwinobwino, izi sizopweteka. Ngati muli ndi cystitis yapakati, zisonyezo za chikhodzodzo ndizopweteka ndipo zimatha kuchitika ngakhale chikhodzodzo chisanadzaze.

Matendawa amapezeka pakati pa zaka 20 mpaka 40, ngakhale adanenedwa kwa achinyamata.

Amayi ali ndi mwayi wochuluka ku IC kuposa amuna.

Zomwe zimayambitsa vutoli sizikudziwika.

Zizindikiro za IC ndizosakhalitsa. Zizindikiro zimakonda kubwera ndikupita ndi nthawi zochepa kapena zovuta kwambiri. Zizindikiro zodziwika ndizo:

• Kupsyinjika kwa chikhodzodzo kapena kusapeza bwino (pang'ono pang'ono)
• Limbikitsani kukodza pafupipafupi
• Kuwotcha kupweteka m'chiuno
• Zowawa panthawi yogonana

Anthu ambiri omwe amakhala ndi cystitis kwa nthawi yayitali amathanso kukhala ndi mavuto ena monga endometriosis, fibromyalgia, matumbo opweteka, matenda ena opweteka osatha, nkhawa, kapena kukhumudwa.

Wothandizira zaumoyo wanu ayang'ana zifukwa zina zomwe zimayambitsa matenda anu. Izi zikuphatikiza:

• Matenda opatsirana pogonana
• Khansara ya chikhodzodzo
• Matenda a chikhodzodzo
• Impso kapena miyala yoberekera

Kuyesedwa kumachitika mkodzo wanu kuti mufufuze matenda kapena maselo omwe akuwonetsa kuti ali ndi khansa mkati mwa chikhodzodzo. Pa cystoscopy, woperekayo amagwiritsa ntchito chubu yapadera yokhala ndi kamera yaying'ono kumapeto kuti ayang'ane mkati mwanu chikhodzodzo. Chitsanzo kapena chikhomo cha chikhodzodzo chanu chingatengedwe.

Kuyeserera kuofesi ya omwe amakupatsani kungapangidwenso kuti muwonetse momwe chikhodzodzo chanu chimadzazira komanso momwe chimasungunuka bwino.

Palibe mankhwala a IC, ndipo palibe mankhwala ochiritsira. Chithandizo chimakhazikitsidwa poyeserera mpaka mutapeza mpumulo. Zotsatira zimasiyanasiyana malinga ndi munthu.

KUSINTHA KWA MOYO NDI KUSINTHA

Anthu ena amawona kuti kusintha pazakudya zawo kumatha kuthandizira kuwongolera zizindikilo. Yesetsani kupewa zakudya ndi zakumwa zomwe zingayambitse chikhodzodzo. Lekani kudya zakudya zina, imodzi pa nthawi, kuti muwone ngati matenda anu akuchira. Chepetsani kapena siyani kumwa tiyi kapena khofi, chokoleti, zakumwa za kaboni, zakumwa za zipatso, ndi zokometsera kapena zakudya za acidic (monga omwe ali ndi vitamini C wambiri).

Zakudya zina zomwe bungwe la Interstitial Cystitis Association limalemba kuti mwina zingayambitse mkodzo ndi:

• Zakudya zakale
• Mowa
• Zokometsera zopangira
• Fava ndi nyemba za lima
• Nyama zomwe zimachiritsidwa, kukonzedwa, kusuta, zamzitini, zokalamba, kapena zomwe zimakhala ndi nitrites
• Zipatso zamchere (kupatula ma blueberries, mavwende a uchi, ndi mapeyala, omwe ndi abwino.)
• Mtedza, kupatula amondi, ma cashews, ndi mtedza wa paini
• Anyezi
• Mkate wa rye
• Zokometsera zomwe zili ndi MSG
• Kirimu wowawasa
• Mkate wa Sourdough
• Soy
• Tiyi
• Tofu
• Tomato
• Yogurt

Inu ndi wothandizira anu muyenera kukambirana njira zomwe mungagwiritse ntchito pophunzitsa chikhodzodzo. Izi zingaphatikizepo kudziphunzitsa nokha kukodza nthawi inayake kapena kugwiritsa ntchito mankhwala opangira ziwalo ndi biofeedback kuti muchepetse kusokonezeka kwa ziwalo zapakhosi komanso kupuma.

MANKHWALA NDI NTCHITO

Mankhwala osakaniza angaphatikizepo mankhwala monga:

• Pentosan polysulfate sodium, mankhwala okhawo omwe amamwa pakamwa omwe amavomerezedwa kuchiza IC
• Tricyclic antidepressants, monga amitriptyline, kuti athetse ululu komanso kuchuluka kwamikodzo
• Vistaril (hydroxyzine pamoate), antihistamine yomwe ingathandize kuchepetsa kutupa. Itha kuyambitsa sedation ngati gawo lina

Mankhwala ena ndi awa:

• Kudzaza chikhodzodzo ndi madzimadzi podwala mankhwala oletsa ululu, otchedwa chikhodzodzo hydrodistention
• Mankhwala oyikidwa mchikhodzodzo, kuphatikizapo dimethyl sulfoxide (DMSO), heparin, kapena lidocaine
• Kuchotsa chikhodzodzo (cystectomy) pamavuto ovuta kwambiri, omwe samachitidwanso kawirikawiri

Anthu ena atha kupindula kutenga nawo mbali m'magulu othandizira ma cystitis, monga Interstitial Cystitis Association: www.ichelp.org/support/support-groups/ ndi ena.

Zotsatira zamankhwala zimasiyanasiyana. Anthu ena amalabadira chithandizo chophweka komanso kusintha kwa zakudya. Ena angafunikire chithandizo chambiri kapena opaleshoni.

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za cystitis. Onetsetsani kuti mwanena kuti mukukayikira vutoli. Sidziwika bwino kapena imapezeka mosavuta. Nthawi zambiri zimasokonezedwa ndikumakhala ndi matenda obwera mkodzo mobwerezabwereza.

Cystitis - yapakati; KODI

• Thirakiti lachikazi
• Njira yamkodzo wamwamuna

Grochmal SA. Kuyezetsa maofesi ndi njira zochiritsira ma cystitis (kupweteka kwa chikhodzodzo). Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 98.

Hanno PM. Matenda a chikhodzodzo (interstitial cystitis) ndi zovuta zina. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 14.

Hanno PM, Erickson D, Moldwin R, Faraday MM, ndi al. Kuzindikira ndikuchiza kwamitsempha yama cystitis / chikhodzodzo: kusintha kwa malangizo a AUA. J Urol. 2015; 193 (5): 1545-53. PMID: 25623737 www.ncbi.nlm.nih.gov/pubmed/25623737. (Adasankhidwa)

Kirby AC, Lentz GM. Ntchito yotsikira kwamikodzo m'munsi ndi zovuta: physiology ya micturition, kutseka kukanika, kusagwira kwamikodzo, matenda amikodzo, ndi matenda opweteka a chikhodzodzo Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 21.