Kodi Trigonitis ndi chiyani?
Zamkati
- Zizindikiro za trigonitis
- Zimayambitsa trigonitis
- Kuzindikira kwa trigonitis
- Chithandizo cha trigonitis
- Trigonitis motsutsana ndi cystitis yapakati
- Maganizo a trigonitis
Chidule
Trigone ndi khosi la chikhodzodzo. Ndi kachidutswa kakang'ono katatu kamene kali kumapeto kwa chikhodzodzo chanu. Ili pafupi kutsegulira mkodzo wanu, ngalande yomwe imanyamula mkodzo kuchokera m'chikhodzodzo chanu kunja kwa thupi lanu. Dera ili likatupa, amadziwika kuti trigonitis.
Komabe, trigonitis sikuti nthawi zonse imakhala chifukwa cha kutupa. Nthawi zina zimakhala chifukwa cha kusintha kwama cellular mu trigone. Zachipatala, kusintha kumeneku kumatchedwa nonkeratinizing squamous metaplasia. Izi zimabweretsa vuto lotchedwa pseudomembranous trigonitis. Zosinthazi zimachitika chifukwa cha kusamvana kwama mahomoni, makamaka mahomoni achikazi estrogen ndi progesterone.
Zizindikiro za trigonitis
Zizindikiro za trigonitis sizili zosiyana ndi zina za chikhodzodzo. Zikuphatikizapo:
- kufunika kokodza mwachangu
- kupweteka kwa m'chiuno kapena kukakamizidwa
- kuvuta kukodza
- ululu pokodza
- magazi mkodzo
Zimayambitsa trigonitis
Trigonitis imayambitsa zifukwa zosiyanasiyana. Zina mwazofala ndi izi:
- Kugwiritsa ntchito katemera kwa nthawi yayitali. Catheter ndi chubu chosalowetsa mu chikhodzodzo kuti muthe kukodza. Amagwiritsidwa ntchito nthawi zambiri atachitidwa opareshoni, pambuyo povulala msana, kapena pamene mitsempha mu chikhodzodzo yanu yomwe imalengeza kuti kutuluka kwavulala kapena kusokonezeka. Catheter ikadakhala m'malo mwake, zimachulukitsa chiopsezo chakukwiya ndi kutupa. Izi zimawonjezera mwayi wa trigonitis. Ngati muli ndi catheter, lankhulani ndi dokotala wanu za chisamaliro choyenera.
- Matenda opitilira kwamkodzo (UTIs). Matenda pafupipafupi amatha kukwiyitsa ma trigone, omwe amatsogolera ku kutupa kosatha ndi trigonitis.
- Kusamvana kwa mahomoni. Amaganiziridwa kuti mahomoni achikazi estrogen ndi progesterone atha kutenga nawo gawo pakusintha kwama cell komwe kumachitika ndi pseudomembranous trigonitis. Ambiri mwa anthu omwe ali ndi trigonitis ndi azimayi azaka zobereka komanso amuna omwe amalandira chithandizo cha mahomoni pazinthu monga khansa ya prostate. Malinga ndi kafukufuku, pseudomembranous trigonitis imapezeka mwa 40 peresenti ya akazi achikulire - koma ochepera 5% mwa amuna.
Kuzindikira kwa trigonitis
Trigonitis ndizosatheka kusiyanitsa ndi ma UTI wamba potengera zizindikilo. Ndipo pamene kuyeza kwamkodzo kumatha kudziwa mabakiteriya mumkodzo wanu, sikungakuuzeni ngati trigone yatupa kapena kukwiya.
Kuti mutsimikizire kupezeka kwa trigonitis, dokotala wanu azichita cystoscopy. Njirayi imagwiritsa ntchito cystoscope, yomwe ndi chubu chowonda, chosinthika chokhala ndi kuwala ndi mandala. Imaikidwa mu mtsempha wanu ndi chikhodzodzo. Mutha kulandira mankhwala oletsa ululu am'deralo omwe amagwiritsidwa ntchito pa mtsempha usanachitike.
Chidacho chimalola dokotala wanu kuwona mkati mwa mkodzo ndi chikhodzodzo ndikuyang'ana zizindikilo za trigonitis. Izi zikuphatikiza kutukusira kwa trigone ndi mtundu wamiyala yamiyala pamiyendo yomwe imayikapo.
Chithandizo cha trigonitis
Momwe trigonitis yanu imathandizidwira zimadalira zizindikiritso zanu. Mwachitsanzo, mutha kulembedwa:
- maantibayotiki ngati muli ndi mabakiteriya mumkodzo wanu
- mankhwala ochepetsa nkhawa, omwe angathandize kuchepetsa ululu
- otsegula minofu kuti athetse vuto la chikhodzodzo
- anti-zotupa
Dokotala wanu amathanso kulangiza cystoscopy yokhala ndi kukwanira (CFT). Iyi ndi njira yochitidwira kuchipatala chifukwa cha mankhwala ochititsa dzanzi. Zimagwiritsa ntchito cystoscope kapena urethroscope kuti ipsere - kapena kuwotcha - minofu yotupa.
CFT imagwira ntchito poganiza kuti ngati minyewa yowonongeka imamwalira, imalowedwa m'malo ndi minofu yathanzi. Pakafukufuku wina, azimayi 76 pa 100 aliwonse omwe anali ndi CFT anali ndi vuto la trigonitis.
Trigonitis motsutsana ndi cystitis yapakati
Interstitial cystitis (IC) - yomwe imadziwikanso kuti chikhodzodzo chowawa - ndichikhalidwe chomwe chimabweretsa kupweteka kwambiri ndi kutupa mkati ndi pamwamba pa chikhodzodzo.
Momwe IC imayambidwira sichidziwika bwino. Lingaliro lina ndiloti kuchepa kwa mamina omwe amayala khoma la chikhodzodzo kumalola zinthu zoopsa kuchokera mkodzo kukhumudwitsa ndikupsereza chikhodzodzo. Izi zimapangitsa kupweteka komanso kufunikira kukodza. IC imakhudza anthu 1 mpaka 2 miliyoni aku America. Ambiri mwa iwo ndi akazi.
Ngakhale amagawana zofananira, trigonitis imasiyana ndi IC m'njira zingapo:
- Kutupa komwe kumachitika ndi trigonitis kumangowoneka mdera la trigone la chikhodzodzo. IC imatha kuyambitsa kutupa mu chikhodzodzo.
- Ululu wochokera ku trigonitis umamveka mkatikati mwa mafupa, kutulutsa urethra. IC imamvekera m'munsi mwamimba.
- Malinga ndi kafukufuku wofalitsidwa mu African Journal of Urology, trigonitis imatha kuposa IC kupweteketsa mkodzo.
Maganizo a trigonitis
Trigonitis imapezeka mwa amayi achikulire. Ngakhale imatha kutulutsa zowawa komanso zosasangalatsa, imathandizanso kuchipatala choyenera.
Ngati mukuganiza kuti muli ndi trigonitis kapena vuto lina lililonse la chikhodzodzo, pitani kwa dokotala wanu kapena urologist kuti mukambirane za matenda anu, kuti mufufuze bwinobwino, ndi kulandira chithandizo choyenera.