Kuphatikizana kwa Cystitis

Zamkati

• Kodi zizindikiro za IC ndi ziti?
• Kodi chimayambitsa IC ndi chiyani?
• Kodi IC imapezeka bwanji?
• Zovuta zina za IC
• Kodi amathandizidwa bwanji?
• Mankhwala
• CHENJEZO
  
• Kutsekemera kwa chikhodzodzo
• Chikhodzodzo instillation
• Kukondoweza kwamagetsi
• Zakudya
• Kusiya kusuta
• Chitani masewera olimbitsa thupi
• Maphunziro a chikhodzodzo
• Kuchepetsa kupsinjika
• Opaleshoni
• Kuwona kwakanthawi

Kodi interstitial cystitis ndi chiyani?

Interstitial cystitis (IC) ndichikhalidwe chovuta kwambiri chomwe chimadziwika ndikutupa kwakanthawi kwaminyewa ya chikhodzodzo, komwe kumabweretsa izi:

• m'chiuno ndi m'mimba kupweteka ndi kupanikizika
• kukodza pafupipafupi
• kufulumira (kumverera ngati mukufuna kukodza, ngakhale mutatha kukodza)
• kusadziletsa (kutuluka mwangozi mkodzo)

Zovuta zimatha kuyambira pakumva kutentha pang'ono mpaka kupweteka kwambiri. Kukula kwake kumakhala kosalekeza kapena kosavuta. Anthu ena amakhala ndi nthawi yokhululukidwa.

Malinga ndi Interstitial Cystitis Association, IC imakhudza anthu opitilira 12 miliyoni ku United States. Amayi amakhala ndi vuto la IC, koma ana ndi akulu akulu amatha kulipezanso.

IC imadziwikanso kuti chikhodzodzo chowawa (PBS), matenda a chikhodzodzo (BPS), ndi ululu wam'mimba (CPP).

Kodi zizindikiro za IC ndi ziti?

Mutha kukhala ndi chimodzi kapena zingapo mwa izi:

• kupweteka kosalekeza kapena kwakanthawi m'chiuno
• kuthamanga kwa m'chiuno kapena kusapeza bwino
• Kufulumira kwa mkodzo (kumva kuti muyenera kukodza)
• pafupipafupi pokodza usana ndi usiku
• kupweteka panthawi yogonana

Zizindikiro zanu zimatha kusiyanasiyana tsiku ndi tsiku, ndipo mutha kukhala ndi nthawi yomwe mulibe chizindikiro. Zizindikiro zitha kukulirakulira mukakhala ndi matenda amukodzo.

Kodi chimayambitsa IC ndi chiyani?

Zomwe zimayambitsa IC sizikudziwika, koma ofufuza akuti pali zinthu zingapo zomwe zingawononge chikhodzodzo ndipo zimayambitsa matendawa. Izi zikuphatikiza:

• zoopsa za chikhodzodzo (mwachitsanzo, kuchokera ku opaleshoni)
• Kutambasula kwambiri chikhodzodzo, nthawi zambiri chifukwa chakanthawi kopanda kusamba kosambira
• minofu yofooka kapena yosagwira ntchito ya m'chiuno
• Matenda osokoneza bongo
• mobwerezabwereza matenda a bakiteriya
• hypersensitivity kapena kutupa kwamitsempha yam'mimba
• msana msana

Anthu ambiri omwe ali ndi IC amakhalanso ndi vuto la m'mimba (IBS) kapena fibromyalgia. Ofufuza ena amakhulupirira kuti IC itha kukhala gawo la matenda otupa omwe amakhudza ziwalo zingapo.

Ofufuzawa akufufuzanso kuti mwina anthu akhoza kulandira chibadwa cha IC. Ngakhale sizachilendo, IC idanenedwa kuti ndi abale amwazi. Milandu yawonedwa mwa amayi ndi mwana wamkazi komanso mwa alongo awiri kapena kupitilira apo.

Kafukufuku akupitilirabe kuti adziwe chomwe chimayambitsa IC ndikupanga chithandizo chothandiza kwambiri.

Kodi IC imapezeka bwanji?

Palibe mayeso omwe amachititsa kuti munthu azindikire kuti ali ndi IC, milandu yambiri ya IC sadziwika. Chifukwa IC imagawana zofananira zambiri zamatenda ena a chikhodzodzo, dokotala ayenera kuwunika kaye. Matenda enawa ndi awa:

• matenda opatsirana mumkodzo
• khansara ya chikhodzodzo
• matenda a prostatitis (mwa amuna)
• matenda opweteka a m'chiuno (mwa amuna)
• endometriosis (mwa akazi)

Mudzapezeka ndi IC pomwe dokotala wanu atazindikira kuti zizindikilo zanu sizomwe zimachitika chifukwa cha zovuta izi.

Zovuta zina za IC

IC imatha kubweretsa zovuta zingapo, kuphatikiza:

• Kuchepetsa mphamvu ya chikhodzodzo chifukwa cholimba kwa khoma la chikhodzodzo
• moyo wotsika chifukwa chodzikodza pafupipafupi komanso kupweteka
• zopinga ku maubwenzi ndi kugonana
• zimayambitsa kudzidalira komanso manyazi pagulu
• kusokonezeka kwa tulo
• nkhawa ndi kukhumudwa

Kodi amathandizidwa bwanji?

Palibe mankhwala ochiritsira IC. Anthu ambiri amagwiritsa ntchito mankhwala osiyanasiyana, ndipo mungafunike kuyesa njira zingapo musanagwiritse ntchito chithandizo chomwe chimakupatsani mpumulo. Nazi zina mwa mankhwala a IC.

Mankhwala

Dokotala wanu akhoza kukupatsani mankhwala amodzi kapena angapo otsatirawa kuti akuthandizeni kusintha zizindikiritso zanu:

• Pentosan polysulfate sodium (Elmiron) wavomerezedwa ndi Food and Drug Administration kuti achiritse IC. Madokotala samadziwa momwe pentosan imagwirira ntchito, koma zitha kuthandiza kukonza misozi kapena zolakwika mu khoma la chikhodzodzo.

CHENJEZO

• Simuyenera kutenga pentosan ngati muli ndi pakati kapena mukukonzekera kukhala ndi pakati.

• Anti-anti-inflammatories, kuphatikizapo ibuprofen, naproxen, aspirin, ndi ena, amatengedwa chifukwa cha ululu ndi kutupa.
• Tricyclic antidepressants (monga amitriptyline) amathandizira kupumula chikhodzodzo komanso amaletsa kupweteka.
• Antihistamines (monga Claritin) amachepetsa kuchepa kwamikodzo komanso pafupipafupi.

Kutsekemera kwa chikhodzodzo

Kutsekemera kwa chikhodzodzo ndi njira yomwe imatambasula chikhodzodzo pogwiritsa ntchito madzi kapena gasi. Itha kuthana ndi anthu ena, mwina powonjezera mphamvu ya chikhodzodzo komanso posokoneza zizindikiro zopweteka zomwe zimafalikira ndi mitsempha ya chikhodzodzo. Zitha kutenga milungu iwiri kapena inayi kuti muwone kusintha kwa zizindikilo zanu.

Chikhodzodzo instillation

Kubzala chikhodzodzo kumaphatikizapo kudzaza chikhodzodzo ndi yankho lomwe lili ndi dimethyl sulfoxide (Rimso-50), yotchedwanso DMSO. Yankho la DMSO limasungidwa mu chikhodzodzo kwa mphindi 10 mpaka 15 lisanatsanulidwe. Njira imodzi yothandizira imaphatikizira chithandizo chamankhwala awiri pamlungu kwa milungu isanu ndi umodzi kapena isanu ndi itatu, ndipo kuzungulira kwake kumatha kubwerezedwa momwe zingafunikire.

Zimaganiziridwa kuti yankho la DMSO lingachepetse kutupa kwa khoma la chikhodzodzo. Zitha kupewanso kupindika kwa minofu komwe kumayambitsa kupweteka, pafupipafupi, komanso kufulumira.

Kukondoweza kwamagetsi

Kutulutsa kwamitsempha yamagetsi kwamagetsi (TENS) kumatulutsa timitengo tating'onoting'ono ta magetsi kudzera pakhungu kuti tithandizire mitsempha ya chikhodzodzo. TENS itha kuthandiza kuthetsa zizindikilo powonjezera kuthamanga kwa magazi kupita mu chikhodzodzo, kulimbikitsa minofu ya m'chiuno yomwe imathandizira kuwongolera chikhodzodzo, kapena kuyambitsa kutulutsidwa kwa zinthu zomwe zimaletsa kupweteka.

Zakudya

Anthu ambiri omwe ali ndi IC amazindikira kuti zakudya ndi zakumwa zinazake zimawonjezera matendawa. Zakudya wamba zomwe zingawonjezere IC zimaphatikizapo:

• mowa
• tomato
• zonunkhira
• chokoleti
• chilichonse chokhala ndi caffeine
• zakudya acidic monga zipatso ndi timadziti

Dokotala wanu adzakuthandizani kudziwa ngati muli ndi chidwi ndi zakudya kapena zakumwa zilizonse.

Kusiya kusuta

Ngakhale kulibe mgwirizano pakati pa kusuta ndi IC, kusuta kumalumikizidwa ndi khansa ya chikhodzodzo. N'zotheka kuti kusiya kusuta kungathandize kuchepetsa kapena kuchepetsa zizindikiro zanu.

Chitani masewera olimbitsa thupi

Kukhala ndi chizolowezi chochita masewera olimbitsa thupi kungakuthandizeni kuthana ndi matenda anu. Muyenera kusintha zochita zanu kuti mupewe zovuta zomwe zingayambitse mkwiyo. Yesani zina mwazochita izi:

• yoga
• kuyenda
• tai chi
• ma aerobics otsika kapena Pilates

Wothandizira zakuthupi angakuphunzitseni masewera olimbitsa thupi kuti alimbitse chikhodzodzo ndi minofu ya m'chiuno. Lankhulani ndi dokotala wanu za kukumana ndi wodwalayo.

Maphunziro a chikhodzodzo

Njira zopangira kutalika kwa nthawi pakati pa kukodza zitha kuthandiza kuthana ndi matenda. Dokotala wanu akhoza kukambirana nanu za njirazi.

Kuchepetsa kupsinjika

Kuphunzira kuthana ndi zovuta pamoyo komanso kupsinjika kokhala ndi IC kumatha kukupatsani mpumulo wazizindikiro. Kusinkhasinkha komanso biofeedback kungathandizenso.

Opaleshoni

Pali njira zingapo zopangira opaleshoni zokulitsa kukula kwa chikhodzodzo ndikuchotsa zilonda zam'mimbamo. Opaleshoni sagwiritsidwa ntchito kawirikawiri ndipo imangoganiziridwa pokhapokha ngati zizindikilo zikuwopsa komanso mankhwala ena alephera kupereka mpumulo. Dokotala wanu adzakambirana nanu zosankhazi ngati mungafune opaleshoni.

Kuwona kwakanthawi

Palibe mankhwala a IC. Zitha kukhala zaka kapena moyo wonse. Cholinga chachikulu cha mankhwalawa ndikupeza kuphatikiza njira zochiritsira zomwe zimapereka mpumulo wazizindikiro kwakanthawi.