Yonke into ofuna ukuyifumana malunga nobuhlungu besinye

Umxholo

• Intlungu yesinyi ibangela
• Usulelo lwe-Urinary tract
• Iimpawu zosulelo lomchamo
• Ukuchonga usulelo lomchamo
• Unyango losulelo lomchamo
• I-cystitis / isifo esibuhlungu sesinyi
• Iimpawu zecstitis yangaphakathi
• Ukuchonga i-cystitis yangaphakathi
• Unyango lwe-cystitis yangaphakathi
• Umhlaza wesinyi
• Iimpawu zomhlaza wesinyi
• Ukuchonga umhlaza wesinyi
• Unyango lomhlaza wesinyi
• Intlungu yesinyi kwabasetyhini nakumadoda
• Intlungu yesinyi kwicala lasekunene okanye lasekhohlo
• Uza kubona nini ugqirha?
• Ukulawula iintlungu
• Ukuthatha

Ushwankathelo

Isinyi sisiphako, imisipha emile okwebhaluni embindini wesinqe sakho. Iyanda kwaye ineekhontrakthi njengoko igcwalisa kwaye ikhupha umchamo wakho. Njengenxalenye yenkqubo yakho yokuchama, isinyi sakho sibambe umchamo odluliselwe kuwo usuka kwizintso zakho ngeetyhubhu ezimbini ezincinci ezibizwa ngokuba yi-ureters ngaphambi kokuba ukhululwe ngomchamo wakho.

Intlungu yesinyi inokuchaphazela amadoda nabasetyhini kwaye ibangelwe ziimeko ezimbalwa ezahlukeneyo - ezinye zibaluleke kakhulu kunezinye. Siza kuphonononga izizathu ezahlukeneyo zentlungu yesinyi, zeziphi ezinye iimpawu ekufuneka uzijongile, kunye nokhetho lonyango.

Intlungu yesinyi ibangela

Intlungu yesinyi yalo naluphi na uhlobo ifuna uphando kuba inezizathu ezininzi ezinokubangela, ukusuleleka kwintsholongwane yokuchama ukuya kwisifo esinganyangekiyo sesinyi.

Usulelo lwe-Urinary tract

Usulelo lwe-urinary tract (UTI) yintsholongwane yebhaktheriya kunye nayiphi na inxalenye yendlela yakho yokuchama, kuquka i-bladder. Amadoda nabasetyhini banokufumana ii-UTIs, kodwa zixhaphake kakhulu kwabasetyhini. Ii-UTIs zibangelwa ziibhaktheriya ezingena kwisinyi ngokusebenzisa urethra. Xa ushiywe unganyangwa, i-UTIs inokusasazeka kwizintso zakho kunye nokuhamba kwegazi kubangele iingxaki ezinzulu.

Iimpawu zosulelo lomchamo

Kanye kunye nentlungu yesisu, i-UTI inokubangela naziphi na ezi mpawu zilandelayo:

• ukuchama rhoqo okubuhlungu
• iintlungu ezisezantsi esiswini
• iintlungu ezisezantsi
• isinyi / uxinzelelo lwethanga
• umchamo onamafu
• igazi kumchamo

Ukuchonga usulelo lomchamo

Ugqirha wakho unokuchonga usulelo lomchamo usebenzisa uvavanyo lokuchama ukujonga isampulu yakho yomchamo kwiiseli ezimhlophe ezibomvu, kunye neentsholongwane. Ugqirha wakho unokusebenzisa inkcubeko yokuchama ukumisela uhlobo lweebhaktiriya ezikhoyo.

Ukuba unayo i-UTIs ephindaphindiweyo, ugqirha wakho unokucebisa ukuvavanywa okuqhubekayo ukujonga ukungahambi kakuhle kwi-bladder okanye kwi-urinary tract. Olu vavanyo lunokubandakanya:

• Ultrasound
• IMRI
• Ukuskena i-CT
• icystoscope

Unyango losulelo lomchamo

Ii-UTIs ziphathwa ngamayeza okubulala iintsholongwane. Ugqirha wakho unokukunika amayeza eentlungu ukuba aphelise iintlungu kunye nokutsha. Ukuhlala u-UTIs kunokufuna ikhosi ende ye-antibiotics. Ii-UTIs ezinzima kunye neengxaki zinokufuna i-antibiotics enikwe nge-IV esibhedlele.

I-cystitis / isifo esibuhlungu sesinyi

I-cystitis ye-interstitial, ekwabizwa ngokuba yi-bladder pain syndrome, yimeko engapheliyo ebangela iimpawu ezibuhlungu zomchamo. Ichaphazela uninzi lwabasetyhini, ngokweZiko leSizwe leSwekile kunye neDigestive kunye neZifo zeZintso (NIDDK). Unobangela wale meko awaziwa okwangoku, kodwa izinto ezithile zinokubangela iimpawu, ezinje ngokusuleleka, uxinzelelo lomzimba okanye lweemvakalelo, ukutya, ukwenzakala kwesinyi, okanye amayeza athile.

Iimpawu zecstitis yangaphakathi

Iimpawu zinokubakho ukusuka kubumnene ukuya kubunzima kwaye ziyahluka ukusuka komnye umntu ukuya komnye. Iimpawu zingabandakanya:

• ukungxamiseka okungxamisekileyo kokuchama
• ukuchama rhoqo
• ukutshisa okanye iintlungu ngesidingo sokuchama
• intlungu yesinyi
• iintlungu zangasese
• intlungu zesisu
• intlungu phakathi kwesini kunye ne-anus (abafazi)
• iintlungu phakathi kwesahlulo samatyhalarha kunye nempundu (amadoda)
• iintlobano zesini ezibuhlungu

Ukuchonga i-cystitis yangaphakathi

Ugqirha wakho unokusebenzisa ezi mvavanyo zilandelayo ukufumanisa i-cystitis yangaphakathi:

• Imbali yezonyango, kubandakanya neempawu
• idayari yesinyi yokutya kwakho ulwelo kunye nomthamo womchamo owupasileyo
• Uvavanyo lwe-pelvic (abasetyhini)
• Uvavanyo lweprostate (amadoda)
• uvavanyo lokuchama ukujonga usulelo
• cystoscopy ukujonga ulungelelwaniso lwesinyi sakho
• iimvavanyo zomsebenzi wokuchama
• Uvavanyo lweemvakalelo ze potassium

Ugqirha wakho unokwenza nolunye uvavanyo ekuncedeni ukulawula umhlaza njengonobangela weempawu zakho, ezinje nge-biopsy, edla ngokwenziwa ngexesha le-cystoscopy okanye umchamo we-cytology ukujonga iiseli zomhlaza kumchamo wakho.

Unyango lwe-cystitis yangaphakathi

Akukho nonyango oluthile lwe-cystitis yangaphakathi. Ugqirha wakho uya kuncoma unyango kwiimpawu zakho, ezinokubandakanya:

• Utshintsho kwindlela yokuphila. Utshintsho olucetyiswayo luya kusekelwa kwinto oziva ngathi zibangela zakho. Oku kuhlala kubandakanya ukuyeka ukutshaya, ukunqanda utywala, kunye notshintsho kwindlela otya ngayo. Abanye abantu bafumanisa ukuba umthambo omncinci kunye nokunciphisa uxinzelelo kunceda ukukhulula iimpawu.
• Amayeza. Amayeza eentlungu e-over-the-counter (OTC) anokunceda ekuthomalaliseni iintlungu. Amayeza amiselweyo anje ngeTricyclic antidepressants anokunceda ukukhulula isinyi sakho kunye nokuthintela iintlungu. IPentosan polysulfate sodium (Elmiron) yamkelwe yi-FDA ukunyanga le meko.
• Uqeqesho lwesinye. Uqeqesho lwesinye lunokunceda isinyi sakho ukuba sibambe umchamo ongaphezulu. Kubandakanya ukulandelela ukuba uchama kangaphi kwaye ngokuthe ngcembe wandise ixesha phakathi kokuchama.
• Ulungiso lwenyama. Umgqirha osebenza ngokukodwa kwi-pelvis unokukunceda ulule kwaye uqinise imisipha yakho ye-pelvic kwaye ufunde ukuyigcina ikhululekile, enokukunceda ukukhulula iimpawu zakho, kubandakanywa ne-pelvic floor spasms.
• Ukufakwa kwesinyi. Inani elincinci lolwelo elinamayeza okuphelisa ukucaphuka lifakwa kwisinyi sakho kwaye ligcinwe malunga nemizuzu eli-15 ngaphambi kokuba likhululwe. Unyango lunokuphindwaphindwa ngeveki okanye ngeveki kabini kwinyanga enye okanye ezimbini.
• Ukolula isinyi. Isinyi sisolulwa ngokugcwalisa ulwelo. Uya kunikwa amayeza okukunceda ubambe ulwelo kwaye unyamezele ukolulwa. Abanye abantu bafumana ukukhululeka okwethutyana kweempawu emva kokwolulwa kwesinyi.
• Ukukhuthaza amandla emagnethi. Uphononongo oluncinci lwe-2018 lufumanise ukuba ukuphindaphinda okuphindaphindayo okuvuselelekayo kukonyusa iintlungu ezingapheliyo zepelvic kunye nokunxibelelana kokuchama kubantu abanesifo sentlungu yesinyi.
• Ugqirha. Utyando luyacetyiswa kuphela ukuba zonke ezinye iindlela zonyango ziye zasilela ukubonelela ngoncedo kwaye iimpawu zakho zinzima. Utyando lunokubandakanya ukwandiswa kwesinyi okanye ukwandiswa, i-cystectomy ukususa isinyi, okanye ukuphambukisa umchamo ukubuyisela umchamo wakho.

Umhlaza wesinyi

Iziphumo zomhlaza wesinyi xa iiseli zesinyi zikhula zingalawuleki. Kukho iintlobo ezahlukeneyo zomhlaza wesinyi kodwa i-urothelial carcinoma, ekwabizwa ngokuba yi-transitional cell carcinoma, eqala kwiiseli ze-urothelial kumngxunya wesinyi sakho, lolona hlobo luqhelekileyo. Umhlaza wesinyi uxhaphake kakhulu emadodeni kunabafazi kwaye uxhaphake kakhulu emva kweminyaka engama-55. Kukwesihlandlo esiphindwe kabini ukuya kwesithathu esiqhelekileyo kubantu abatshayayo xa kuthelekiswa nabantu abangatshayiyo.

Iimpawu zomhlaza wesinyi

Igazi elingenabuhlungu kumchamo lolona phawu luqhelekileyo lomhlaza wesinyi. Rhoqo, umhlaza wesinyi awunantlungu okanye ezinye iimpawu. Nangona kunjalo, ukuba iimpawu zikhona zingabandakanya:

• ukuchama rhoqo
• intlungu okanye ukutshisa xa uchama
• ukungxamiseka kokuchama naxa isinyi sakho singagcwalanga
• ingxaki yokuchama
• umjelo womchamo obuthathaka

Umhlaza wesifo esiphakamileyo unokuchaphazela amanye amalungu kunye neenkqubo, ngenxa yoko iimpawu zinokubandakanya:

• ukungakwazi ukuchama
• iintlungu ezisezantsi kwicala elinye
• iintlungu zethambo
• iintlungu zesisu okanye zangasese
• Ukuphelelwa ngumdla wokutya
• ubuthathaka okanye ukudinwa

Ukuchonga umhlaza wesinyi

Ukuvavanywa komhlaza wesinyi kunokubandakanya:

• imbali yezonyango epheleleyo
• icystoscopy
• Uvavanyo lomchamo
• inkcubeko yomchamo
• umchamo wecytology
• iimvavanyo zokumakisha umchamo
• iimvavanyo zokucinga
• ingcaciso

Unyango lomhlaza wesinyi

Unyango lomhlaza wesinyi luya kuxhomekeka kuhlobo lomhlaza wesinyi, inqanaba lomhlaza, kunye nezinye izinto. Unyango lomhlaza wesinyi luhlala lubandakanya ngaphezulu kolunye lonyango olulandelayo:

• Ugqirha. Uhlobo lotyando olusetyenziselwa ukunyanga umhlaza wesinyi luxhomekeke kwinqanaba. Utyando lunokusetyenziselwa ukususa ithumba, ukususa inxenye yesinyi, okanye isinyi sonke.
• Imitha. Imitha ye-eneji ephezulu isetyenziselwa ukubulala iiseli zomhlaza. Ingasetyenziselwa ukunyanga amabala omhlaza wesinyi, njengenye indlela yabantu abangakwaziyo ukwenza utyando, kwaye baphathe okanye bathintele iimpawu zomhlaza wesinyi oqhubela phambili. Ihlala idityaniswa nekhemotherapy.
• Unyango ngamayeza. Amachiza e-Chemotherapy asetyenziselwa ukubulala iiseli zomhlaza. I-chemotherapy yenkqubo inikwa nokuba yeyiphi na ipilisi okanye nge-IV. I-chemotherapy ye-intravesical, esetyenziselwa kuphela umhlaza webala lesinyi kwangaphambi kwexesha, ilawulwa ngqo kwisinyi.
• Unyango lwe-Immunotherapy. I-Immunotherapy isebenzisa amayeza ukunceda amajoni akho omzimba aqonde kwaye abulale iiseli zomhlaza.

Intlungu yesinyi kwabasetyhini nakumadoda

Intlungu yesinyi ixhaphake kakhulu kwabasetyhini. Oku kunokwenzeka ngenxa yokuba izizathu ezibini eziqhelekileyo zentlungu yesisu-ukusuleleka kwintsholongwane kunye ne-cystitis yangaphakathi-ihlala ichaphazela abasetyhini kunamadoda. Kusenokwenzeka nokuba kungenxa yokuba isinyi sinxibelelana ngqo namalungu okuzala owasetyhini, anokubangela ukucaphuka kunye nokunyusa iimpawu.

Ukuya kuthi ga kwabafazi banokuba neempawu zokuqala ze-cystitis yangaphakathi. Uphando lubonisa ukuba ubuncinci ama-40 ukuya kuma-60 eepesenti yabasetyhini baphuhlisa i-UTI ngexesha lokuphila kwabo, uninzi lwazo lusulelo lwesinyi.

Umahluko kwi-anatomy yomfazi wonyusa umngcipheko wosulelo lwesinyi. Urethra omfutshane uthetha ukuba iintsholongwane zisondele kwisinyi somfazi. I-urethra yowesifazane ikufutshane nakwirhashalala kunye nelungu lobufazi apho usuleleko lwesinyi lubangela ibhaktiriya.

Amadoda anomngcipheko ophezulu wokuba nomhlaza wesinyi. Ngokwe-American Cancer Society, umhlaza wesinyi ngumhlaza wesine oqhelekileyo emadodeni. Ithuba lokuba amadoda afumane umhlaza wesinyi ebomini babo li-1 kwangama-27. Ithuba lokuphila kwabasetyhini limalunga ne-1 kuma-89.

Intlungu yesinyi kwicala lasekunene okanye lasekhohlo

Kuba isinyi sihleli embindini womzimba, iintlungu zesinyi zihlala zivakala embindini wesinqe okanye esiswini esisezantsi ngokuchasene necala elinye.

Uza kubona nini ugqirha?

Naliphi na intlungu yesinyi kufuneka ihlolwe ngugqirha ukunceda ukufumanisa unobangela kunye nokunciphisa umngcipheko weengxaki.

Ukulawula iintlungu

Oku kulandelayo kunokukunceda ulawule iintlungu zesinyi:

• OTC iintlungu zonyango
• iphedi yokufudumeza
• iindlela zokuphumla
• umthambo omnene
• iimpahla ezikhululekileyo (ukunqanda ukubeka uxinzelelo kwisinye)
• utshintsho kwindlela otya ngayo

Ukuthatha

Uninzi lweentlungu zesinyi lubangelwa zii-UTIs, ezinokunyangwa ngamayeza okubulala iintsholongwane. Jonga ugqirha wakho kwangoko ukuze akhuphe ezinye izizathu ezinzulu zentlungu yesinyi.