Kutaya magazi kwa cystitis

Zamkati

• Chidule
• Zimayambitsa hemorrhagic cystitis
• Chemotherapy
• Thandizo la radiation
• Matenda
• Zowopsa
• Zizindikiro za hemorrhagic cystitis
• Kuzindikira kwa hemorrhagic cystitis
• Kuchiza hemorrhagic cystitis
• Maonekedwe a hemorrhagic cystitis
• Kupewa hemorrhagic cystitis

Chidule

Hemorrhagic cystitis ndi kuwonongeka kwa mkatikati mwa chikhodzodzo ndi mitsempha yamagazi yomwe imapereka mkati mwa chikhodzodzo chanu.

Kutuluka magazi kumatanthauza kutuluka magazi. Cystitis amatanthauza kutupa kwa chikhodzodzo. Ngati muli ndi hemorrhagic cystitis (HC), muli ndi zizindikilo za kutupa kwa chikhodzodzo pamodzi ndi magazi mkodzo wanu.

Pali mitundu inayi, kapena masukulu, a HC, kutengera kuchuluka kwa magazi mumkodzo wanu:

• kalasi I ndikutuluka pang'ono (sikuwonekere)
• Gulu lachiwiri likuwonekera magazi
• Gulu lachitatu likutuluka magazi ndi kuundana pang'ono
• Gulu IV limatuluka magazi ndi matumbo akulu mokwanira kutchinga mkodzo ndipo amafunika kuchotsedwa

Zimayambitsa hemorrhagic cystitis

Zomwe zimayambitsa HC yoopsa komanso yokhalitsa ndi chemotherapy ndi radiation. Matenda angathenso kuyambitsa HC, koma izi zimayambitsa matendawa, sizikhala motalika, ndipo ndizosavuta kuchiza.

Chifukwa chachilendo cha HC chikugwira ntchito m'makampani komwe mumapezeka poizoni wochokera ku aniline utoto kapena tizirombo.

Chemotherapy

Zomwe zimayambitsa HC ndi chemotherapy, yomwe imatha kuphatikizira mankhwala a cyclophosphamide kapena ifosfamide. Mankhwalawa amagwera mu poizoni wa acrolein.

Acrolein amapita ku chikhodzodzo ndipo amawononga zomwe zimabweretsa HC. Zitha kutenga chemotherapy pambuyo poti zizindikiro zikule.

Kuchiza khansa ya chikhodzodzo ndi bacillus Calmette-Guérin (BCG) kungayambitsenso HC. BCG ndi mankhwala omwe amayikidwa mu chikhodzodzo.

Mankhwala ena a khansa, kuphatikiza busulfan ndi thiotepa, sizomwe zimayambitsa HC.

Thandizo la radiation

Kuchiza kwa radiation kumalo am'chiuno kumatha kuyambitsa HC chifukwa kumawononga mitsempha yamagazi yomwe imapereka zotchinga za chikhodzodzo. Izi zimayambitsa zilonda zam'mimba, zipsera, ndi magazi. HC imatha kuchitika miyezi ingapo ngakhale zaka zitatha chithandizo cha radiation.

Matenda

Matenda omwe amatha kuyambitsa HC ndi ma virus omwe amaphatikizapo adenoviruses, polyomavirus, ndi mtundu wachiwiri wa herpes simplex. Mabakiteriya, bowa, ndi majeremusi sizimayambitsa zambiri.

Anthu ambiri omwe ali ndi HC yoyambitsidwa ndi matenda ali ndi chitetezo chamthupi chofooka kuchokera ku khansa kapena chithandizo cha khansa.

Zowopsa

Anthu omwe amafunikira chemotherapy kapena mankhwala a radiation m'chiuno ali pachiwopsezo chachikulu cha HC. Thandizo la radiation pamimba limathandizira prostate, khomo pachibelekeropo, ndi khansa ya chikhodzodzo.Cyclophosphamide ndi ifosfamide amachiza khansa yambiri yomwe imaphatikizapo khansa ya m'mawere, m'mawere, ndi ma khansa.

Chiwopsezo chachikulu cha HC chiri mwa anthu omwe amafunikira mafupa kapena ma cell a stem. Anthuwa angafunike kuphatikiza mankhwala a chemotherapy ndi ma radiation. Mankhwalawa amathanso kuchepetsa kukana kwanu kutenga matenda. Zonsezi zimawonjezera chiopsezo cha HC.

Zizindikiro za hemorrhagic cystitis

Chizindikiro chachikulu cha HC ndi magazi mkodzo wanu. Pachigawo choyamba cha HC, kutuluka magazi kumakhala kochepetsetsa, kotero simudzawona. M'magawo amtsogolo, mutha kuwona mkodzo wokhala ndi magazi, mkodzo wamagazi, kapena kuundana kwamagazi. Pa gawo IV, kuundana kwamagazi kumatha kudzaza chikhodzodzo ndikusiya mkodzo kutuluka.

Zizindikiro za HC ndizofanana ndi zomwe zimayambitsa matenda amkodzo (UTI), koma amatha kukhala owopsa komanso okhalitsa. Zikuphatikizapo:

• kumva kupweteka mukamadutsa mkodzo
• kudutsa mkodzo pafupipafupi
• akumva kufunika kofulumira kupititsa mkodzo
• kutaya chikhodzodzo

Lankhulani ndi dokotala wanu ngati mukudwala matendawa. Ma UTIs samayambitsa mkodzo wamagazi nthawi zambiri.

Muyenera kulumikizana ndi dokotala nthawi yomweyo ngati muli ndi magazi kapena kuundana mkodzo wanu. Funani chithandizo chamankhwala mwadzidzidzi ngati mukulephera kupatsira mkodzo.

Kuzindikira kwa hemorrhagic cystitis

Dokotala wanu akhoza kukayikira HC pazizindikiro zanu komanso ngati muli ndi mbiri ya chemotherapy kapena radiation. Kuti muzindikire HC ndikuchotsa zifukwa zina, monga chotupa cha chikhodzodzo kapena miyala ya chikhodzodzo, dokotala wanu atha:

• kuyitanitsa kuyezetsa magazi kuti muwone ngati alibe matenda, kuchepa magazi m'thupi, kapena vuto lakutaya magazi
• kuitanitsa mayeso amkodzo kuti muwone ngati mulibe microscopic magazi, ma cell a khansa, kapena matenda
• Phunzirani za chikhodzodzo chanu pogwiritsa ntchito CT, MRI, kapena kujambula kwa ultrasound
• yang'anani mu chikhodzodzo chanu kudzera mu telescope yopyapyala (cystoscopy)

Kuchiza hemorrhagic cystitis

Chithandizo cha HC chimatengera chifukwa komanso kalasi. Pali njira zambiri zamankhwala, ndipo zina zimayesabe.

Mankhwala a maantibayotiki, antifungal, kapena antiviral atha kugwiritsidwa ntchito kuchiza HC yoyambitsidwa ndi matenda.

Njira zochiritsira chemotherapy kapena HC yokhudzana ndi radiation ndi izi:

• Kwa HC koyambirira, mankhwala amayamba ndi madzi amkati olowetsa mkodzo ndikutulutsa chikhodzodzo. Mankhwala atha kuphatikizira mankhwala opweteka komanso mankhwala opumitsa minofu ya chikhodzodzo.
• Ngati magazi akutuluka kwambiri kapena kuundana kwa chikhodzodzo, chithandizo chimaphatikizapo kuyika chubu, yotchedwa catheter, mu chikhodzodzo kuti atulutse zotundazo ndi kuthirira chikhodzodzo. Ngati magazi akupitilirabe, dotolo angagwiritse ntchito cystoscopy kuti apeze malo otuluka magazi ndikuletsa kutuluka kwa magazi ndi magetsi kapena laser (kukwaniritsidwa). Zotsatira zoyipa zakukwaniritsidwa zimatha kuphatikizira zipsera kapena kufooka kwa chikhodzodzo.
• Mutha kuthiridwa magazi ngati magazi anu akupitilirabe ndipo kutaya magazi ndikolemera.
• Chithandizo chingaphatikizepo kuyika mankhwala mu chikhodzodzo, otchedwa intravesical therapy. Sodium hyaluronidase ndi mankhwala osokoneza bongo omwe amachepetsa magazi ndi kupweteka.
• Mankhwala ena intravesical ndi aminocaproic acid. Zotsatira zoyipa za mankhwalawa ndikupanga magazi omwe amatha kuyenda mthupi lonse.
• Intravesical astringents ndi mankhwala omwe amaikidwa mu chikhodzodzo omwe amayambitsa kupsa mtima ndikutupa mozungulira mitsempha yamagazi kuti asiye magazi. Mankhwalawa amaphatikizapo nitrate ya siliva, alum, phenol, ndi formalin. Zotsatira zoyipa zakuthambo zingaphatikizepo kutupa kwa chikhodzodzo ndikuchepetsa kutuluka kwa mkodzo.
• Hyperbaric oxygen (HBO) ndi mankhwala omwe amaphatikiza kupuma 100% ya oxygen mukakhala mkati mwa chipinda cha oxygen. Mankhwalawa amawonjezera mpweya, womwe ungathandize kuchiritsa ndikusiya magazi. Mungafunike chithandizo cha HBO tsiku lililonse mpaka magawo 40.

Ngati mankhwala ena sakugwira ntchito, njira yotchedwa embolization ndi njira ina. Pogwiritsa ntchito njira yophatikizira, dokotala amaika catheter mumtsuko wamagazi womwe umayambitsa kukha magazi mu chikhodzodzo. Catheter ili ndi chinthu chomwe chimatseka minyewa yamagazi. Mutha kumva kupweteka mutatha kuchita izi.

Njira yomaliza ya HC wapamwamba ndi opaleshoni yochotsa chikhodzodzo, chotchedwa cystectomy. Zotsatira zoyipa za cystectomy zimaphatikizapo kupweteka, kutuluka magazi, ndi matenda.

Maonekedwe a hemorrhagic cystitis

Maganizo anu amatengera gawo ndi zoyambitsa. HC kuchokera kumatenda amawoneka bwino. Anthu ambiri omwe ali ndi HC yopatsirana amalabadira chithandizo ndipo alibe mavuto kwakanthawi.

HC kuchipatala amatha kukhala ndi malingaliro osiyana. Zizindikiro zimatha kuyamba milungu, miyezi, kapena zaka mutalandira chithandizo ndipo zitha kukhala zazitali.

Pali njira zambiri zochiritsira HC zoyambitsidwa ndi radiation kapena chemotherapy. Nthawi zambiri, HC imayankha kuchipatala, ndipo zizindikilo zanu zidzasintha mukamalandira chithandizo cha khansa.

Ngati mankhwala ena sakugwira ntchito, cystectomy imatha kuchiritsa HC. Pambuyo pa cystectomy, pali njira zingapo zopangira opaleshoni yokonzanso kuti mkodzo utuluke. Kumbukirani kuti kufunika kwa cystectomy kwa HC ndikosowa kwambiri.

Kupewa hemorrhagic cystitis

Palibe njira yothetsera HC kwathunthu. Zitha kuthandizira kumwa madzi ambiri mukamalandira mankhwala a radiation kapena chemotherapy kuti mupitirize kukodza pafupipafupi. Zingathandizenso kumwa kapu imodzi yayikulu yamadzi a kiranberi nthawi yachipatala.

Gulu lanu lothandizira khansa lingayesetse kupewa HC m'njira zingapo. Ngati mukumwa mankhwala opatsirana m'chiuno, kuchepetsa malowa komanso kuchuluka kwa radiation kungathandize kupewa HC.

Njira ina yochepetsera chiopsezo ndi kuyika mankhwala mu chikhodzodzo omwe amalimbitsa chikhodzodzo asanalandire chithandizo. Mankhwala awiri, sodium hyaluronate ndi chondroitin sulphate, akhala ndi zotsatira zabwino.

Kuchepetsa chiwopsezo cha HC choyambitsidwa ndi chemotherapy ndikodalirika. Dongosolo lanu la chithandizo lingaphatikizepo njira zodzitetezera izi:

• kuperewera kwa madzi m'thupi nthawi ya chithandizo kuti chikhodzodzo chanu chizikhala chodzaza ndi kuyenda; kuwonjezera diuretic kungathandizenso
• ulimi wothirira chikhodzodzo nthawi zonse mukamalandira chithandizo
• Kupereka mankhwalawa musanalandire chithandizo mukamwa kapena ngati mankhwala a IV; mankhwalawa amamangirira ku acrolein ndipo amalola kuti acrolein adutse chikhodzodzo popanda kuwonongeka
• kusiya kusuta fodya pa chemotherapy ndi cyclophosphamide kapena ifosfamide