I-cystitis yangaphakathi

I-cystitis yangaphakathi yingxaki yexesha elide (engapheliyo) apho iintlungu, uxinzelelo, okanye ukutshisa kubakho kwisinyi. Ihlala inxulunyaniswa nokuhamba rhoqo komchamo okanye ukungxamiseka. Ikwabizwa ngokuba sisifo esibuhlungu sesinyi.

Isinyi lilungu lomngxuma elinomaleko obhityileyo wemisipha egcina umchamo. Xa isinyi sakho sigcwalisa umchamo, sithumela umqondiso kwingqondo yakho, sixelela izihlunu ukuba zikhame. Kwiimeko eziqhelekileyo, le miqondiso ayibuhlungu. Ukuba une-cystitis ye-interstitial, imiqondiso esinyini ibuhlungu kwaye inokwenzeka nokuba isinyi asigcwele.

Imeko ihlala ivela phakathi kweminyaka engama-20 ukuya kuma-40, nangona ixeliwe kubantu abancinci.

Abasetyhini banamathuba angama-10 okuba ne-IC kunamadoda.

Oyena nobangela wale meko akaziwa.

Iimpawu ze-IC zihlala zingapheliyo. Iimpawu zihlala zifika kwaye zihambe kunye nexesha elincinci okanye elibi kakhulu. Iimpawu eziqhelekileyo zibandakanya:

• Uxinzelelo lwesinyi okanye ukungonwabi (kubumnene ukuya kubukhali)
• Khuthaza ukuba uchame rhoqo
• Ukutsha kweentlungu kwindawo ye-pelvic
• Intlungu ngexesha lokwabelana ngesondo

Abantu abaninzi abane-cystitis yexesha elide banokuba nezinye iimeko ezinje nge-endometriosis, i-fibromyalgia, isifo sengqondo sesibindi, ezinye iintlungu ezinganyangekiyo, uxinzelelo, okanye uxinzelelo.

Umboneleli wakho wezempilo uya kujonga ezinye izizathu zempawu zakho. Oku kubandakanya:

• Izifo ezosulela ngokwabelana ngesondo
• Umhlaza wesinyi
• Usulelo lwesinyi
• Izintso okanye amatye okubeletha

Uvavanyo lwenziwa kumchamo wakho ukukhangela usulelo okanye iiseli eziphakamisa umhlaza ngaphakathi kwesinyi. Ngexesha le-cystoscopy, umboneleli usebenzisa ityhubhu ekhethekileyo enekhamera encinci ekugqibeleni ukujonga ngaphakathi kwesinyi sakho. Isampulu okanye i-biopsy yelining ye-bladder yakho ingathathwa.

Uvavanyo kwiofisi yomboneleli wakho lunokwenziwa ukubonisa ukuba isinyi sakho sigcwalisa njani kwaye siphuma njani.

Akukho lunyango lwe-IC, kwaye akukho nonyango luqhelekileyo. Unyango lusekwe kulingo kunye nephutha de ufumane isiqabu. Iziphumo ziyahluka kuye ngomntu.

UKUTSHINTSHA KWEZENDLELA NOKUPHILA

Abanye abantu bafumanisa ukuba ukwenza utshintsho kwindlela abatya ngayo kunokunceda ukulawula iimpawu. Zama ukuthintela ukutya kunye neziselo ezinokubangela ukucaphuka kwesinyi. Yeka ukutya ukutya okuthile, ngexesha, ukubona ukuba iimpawu zakho ziba ngcono. Nciphisa okanye uyeke ukutya icaffeine, itshokholethi, iziselo ezinekhabhonikhi, iziselo zeecitrus, kunye nokutya okuqholiweyo okanye okuneasidi (njengaleyo inezinga eliphezulu levithamini C).

Okunye ukutya uManyano lweCystitis Association olunoluhlu olunokubangela ukucaphuka kwesinyi yile:

• Iitshizi ezindala
• Utywala
• Izinto zokuthambisa ezingezizo
• Fava kunye neembotyi zelima
• Iinyama eziphilisiweyo, ezicutshungulwayo, ezitshaywayo, ezinkonkxiweyo, ezindala, okanye ezinee-nitrites
• Iziqhamo ze-Acidic (ngaphandle kweeblueberries, i-honeydew melon, kunye neepere, ezilungile.)
• Amandongomane, ngaphandle kweeamangile, iicashews, kunye namandongomane ompayini
• Itswele
• Isonka seRye
• Iziqholo eziqukethe i-MSG
• Ikrimu emuncu
• Isonka seSourdough
• Soy
• Iti
• Tofu
• Utamatisi
• Yogurt

Wena nomboneleli wakho kufuneka nixoxe ngeendlela eninokuzisebenzisa kuqeqesho lwesinyi. Oku kunokubandakanya ukuziqeqesha ukuba uchame ngamaxesha athile okanye usebenzisa unyango lomgangatho weplavic kunye ne-biofeedback yokunciphisa uxinzelelo lomzimba we-pelvic kunye ne-spasms.

AMAYEZA NEENKQUBO

Unyango oludibeneyo lunokubandakanya amayeza anje ngala:

• I-Pentosan polysulfate sodium, ekuphela konyango oluthathwe ngomlomo oluvunyiweyo kunyango lwe-IC
• I-Tricyclic antidepressants, enje nge-amitriptyline, yokuphelisa iintlungu kunye nokuhamba rhoqo kwe-urinary
• IVistaril (i-hydroxyzine pamoate), i-antihistamine enokunceda ukunciphisa ukudumba. Inokubangela ukulala njengempembelelo esecaleni

Olunye unyango lubandakanya:

• Ukuzalisa ngaphezulu isinyi kunye nolwelo ngelixa uphantsi kweanesthesia ngokubanzi, ebizwa ngokuba yi-bladder hydrodistention
• Amayeza abekwe ngqo kwisinyi, kubandakanya i-dimethyl sulfoxide (DMSO), heparin, okanye lidocaine
• Ukususwa kwesinyi (cystectomy) yamatyala anzima kakhulu, ekunqabileyo ukuba kwenziwe kwakhona

Abanye abantu banokuxhamla ngokuthatha inxaxheba kumaqela enkxaso ye-cystitis, anje nge-Interstitial Cystitis Association: www.ichelp.org/support/support-groups/ nabanye.

Iziphumo zonyango ziyahluka. Abanye abantu baphendula kakuhle kunyango olulula kunye notshintsho kwindlela otya ngayo. Abanye banokufuna unyango olunzulu okanye utyando.

Fowunela umnikezeli wakho ukuba uneempawu zecystitis yangaphakathi. Qiniseka ukuba uyayikhankanya into yokuba uyarhana ngesi sifo. Ayibonakali kakuhle okanye ifunyanwe lula. Ihlala ididekile kukusuleleka ngokuchaphazeleka komchamo.

Cystitis - phakathi; NDIYABONA

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

IGrochmal SA. Uvavanyo lweOfisi kunye nokhetho kunyango lwe-cystitis yangaphakathi (isifo esibuhlungu sesinyi). Ku: Fowler GC, ed. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 98.

Hanno PM. I-bladder pain syndrome (i-cystitis yangaphakathi) kunye nokuphazamiseka okunxulumene noko. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 14.

Hanno PM, Erickson D, Moldwin R, Faraday MM, et al. Ukuchongwa kunye nonyango lwe-cystitis / isifo sesinyi esibuhlungu: Isikhokelo sokulungiswa kwe-AUA. J Urol. Ngo-2015; 193 (5): 1545-53. IINKCUKACHA: 25623737 www.ncbi.nlm.nih.gov/pubmed/25623737.

I-Kirby AC, iLentz GM. Umsebenzi ophantsi womchamo kunye nokuphazamiseka: i-physiology ye-micturition, ukuvala ukungasebenzi kakuhle, ukungasebenzi komchamo, usulelo lomchamo, kunye nesifo esibuhlungu sesinyi. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.