Zithandizo za Cystitis

Zamkati

• 1. Maantibayotiki
• 2. Antispasmodics ndi analgesics
• 3. Mankhwala oletsa tizilombo toyambitsa matenda
• Zothetsera interstitial cystitis

Mankhwala omwe amagwiritsidwa ntchito kwambiri kuchiza cystitis ndi maantibayotiki, chifukwa ichi ndi matenda omwe amayamba chifukwa cha tizilombo. Maantibayotiki ayenera kugwiritsidwa ntchito pokhapokha ataperekedwa ndi dokotala ndipo zina mwazitsanzo zoperekedwa kwambiri ndi nitrofurantoin, fosfomycin, trimethoprim ndi sulfamethoxazole, ciprofloxacin kapena levofloxacin.

Kuphatikiza apo, maantibayotiki amatha kuwonjezeredwa ndi mankhwala ena omwe amafulumizitsa kuchira ndikuthandizira kuthetsa zizindikilo, monga antiseptics, analgesics, antispasmodics ndi mankhwala ena azitsamba.

Cystitis ndi matenda omwe amayamba chifukwa cha bakiteriya E. Coli, yomwe imachoka m'matumbo kupita ku mkodzo ndipo zizindikiro zake zimaphatikizapo kufulumira kukodza, kupweteka ndi kuwotcha mukakodza. Fufuzani ngati muli ndi matenda amkodzo potenga mayeso a pa intaneti.

1. Maantibayotiki

Ena mwa maantibayotiki oyenera kuchiza cystitis, omwe amatha kuwonetsedwa ndi dokotala ndikugula ku pharmacy, ndi awa:

• Nitrofurantoin (Macrodantina), amene analimbikitsa mlingo ndi 1 kapisozi wa 100 mg, maola 6 aliwonse, kwa masiku 7 mpaka 10;
• Fosfomycin (Monuril), omwe mlingo wake umalimbikitsidwa ndi 1 sachet ya 3 g muyezo umodzi kapena maola 24 aliwonse masiku awiri, omwe amayenera kumwedwa, makamaka pamimba chopanda kanthu ndi chikhodzodzo, makamaka usiku, asanagone pansi;
• Sulfamethoxazole + trimethoprim (Bactrim kapena Bactrim F), omwe mlingo wake umalimbikitsidwa ndi piritsi limodzi la Bactrim F kapena mapiritsi awiri a Bactrim, maola 12 aliwonse, kwa masiku osachepera asanu kapena mpaka zizindikirazo zitatha;
• Fluoroquinolones, monga ciprofloxacin kapena levofloxacin, omwe mlingo wake umadalira mankhwala omwe dokotala amakupatsani;
• Penicillin kapena zotumphukira, monga cephalosporins, monga cephalexin kapena ceftriaxone, omwe mulingo wake umasiyananso malinga ndi mankhwala omwe apatsidwa.

Kawirikawiri, zizindikiro za cystitis zimatha masiku angapo asanalandire chithandizo, komabe, ndikofunikira kuti munthuyo amwe mankhwalawa nthawi yomwe dokotala watsimikiza.

2. Antispasmodics ndi analgesics

Nthawi zambiri, cystitis imayambitsa zizindikilo zosasangalatsa monga kupweteka ndi kuwotcha pokodza, kufunikira kukodza, kupweteka m'mimba kapena kumva kulemera pansi pamimba, chifukwa chake, adotolo amatha kuphatikiza mankhwala a antispasmodic monga flavoxate ndi maantibayotiki ( Urispas), scopolamine (Buscopan ndi Tropinal) kapena hyoscyamine (Tropinal), mwachitsanzo, omwe ndi mankhwala omwe amachepetsa zizindikilo zonsezi zomwe zimakhudzana ndi thirakiti.

Kuphatikiza apo, ngakhale ilibe antispasmodic kanthu, phenazopyridine (Urovit kapena Pyridium) imathandizanso kupweteketsa mtima komanso kutentha kwa cystitis, chifukwa ndi mankhwala oletsa kupweteka omwe amagwira ntchito pamikodzo.

3. Mankhwala oletsa tizilombo toyambitsa matenda

Antiseptics, monga methenamine ndi methylthionium chloride (Sepurin), imathandizanso kuchepetsa ululu ndi kuwotcha mukakodza, kuthandizira kuthana ndi mabakiteriya am'mikodzo ndikupewa matenda obwereza.

Zowonjezera zitha kugwiritsidwanso ntchito ndikutulutsa kranberry kofiira, kotchedwa kiraniberi, zomwe zimatha kugwirizanitsidwa ndi zinthu zina, zomwe zimalepheretsa kulumikizana kwa mabakiteriya kumagawo amkodzo, zomwe zimapangitsa kuti matumbo a microflora azikhala bwino, ndikupanga malo osafunikira pakukula kwa cystitis. Dziwani maubwino ena a makapisozi a kiranberi.

Kuphatikiza apo, palinso katemera wa piritsi wamatenda amikodzo, Uro-Vaxom, omwe ali ndi zigawo zake Escherichia coli, yomwe imagwira ntchito polimbikitsa chitetezo chathupi, kugwiritsidwa ntchito popewa matenda opitilira mumikodzo kapena chothandizira pochizira matenda opatsirana amkodzo. Phunzirani momwe mungagwiritsire ntchito mankhwalawa.

Onani vidiyo yotsatirayi pazinthu zina zomwe mungachite kuti muthane ndi matenda amikodzo:

Zothetsera interstitial cystitis

Interstitial cystitis, yomwe imadziwikanso kuti Painful Bladder Syndrome, ndi kutupa kwanthawi yayitali kwa chikhodzodzo komwe kumayambitsa kupweteka ndi kupanikizika kwa chikhodzodzo. Zithandizo zomwe zimagwiritsidwa ntchito pochiza zimangothandiza kuchepetsa zizindikilo za matendawa:

• Mankhwala osagwiritsa ntchito zotupa, monga ibuprofen kapena naproxen, kuti athetse ululu ndi kutupa;
• Antihistamines monga loratadine, yomwe imachepetsa kuchepa kwamankhwala ndi kwamikodzo ndikuchepetsa zizindikilo zina;
• Pentosan sodium polysulfate, yomwe ngakhale sitidziwika bwino momwe imagwirira ntchito, imaganiziridwa kuti imateteza makoma amkati a chikhodzodzo kuchokera kuzinthu zomwe zimapezeka mkodzo;
• Tricyclic antidepressants monga amitriptyline ndi imipramine, omwe amathandizira kupumula chikhodzodzo ndikuletsa kupweteka.

Njira ina yothandizira ndi kugwiritsa ntchito mankhwala molunjika ku chikhodzodzo monga dimethyl sulfoxide, heparin kapena lidocaine, omwe nthawi zonse amalangizidwa ndi azachipatala.