ICystitis yangaphakathi

Umxholo

• Ziintoni iimpawu ze-IC?
• Yintoni ebangela IC?
• Ichongwa njani i-IC?
• Iingxaki ezinokubakho ze-IC
• Inyangwa njani i-IC?
• Amayeza
• ISILUMKISO
  
• Ukuchithwa kwesinyi
• Ukufakwa kwesinyi
• Ukuvuselela amandla ombane
• Ukutya
• Ukuyeka ukutshaya
• Zilolonge
• Uqeqesho lwesinye
• Ukunciphisa uxinzelelo
• Ugqirha
• Umbono wexesha elide

Yintoni i-cystitis yangaphakathi?

I-cystitis ye-interstitial (IC) yimeko entsonkothileyo echongwa kukudumba okungapheliyo kwamathambo emisipha yesinyi, evelisa ezi mpawu zilandelayo:

• iintlungu zangasese kunye nesisu kunye noxinzelelo
• ukuchama rhoqo
• ukungxamiseka (ukuziva ngathi ufuna ukuchama, kwanasemva kokuchama)
• ukungalawuleki (ngengozi ukuvuza komchamo)

Ukungakhululeki kunokusuka kwimo yokutsha etshisa ukuya kwiintlungu ezibuhlungu. Umgangatho wokungahambi kakuhle unokuqhubeka okanye ungafane kwenzeke. Abanye abantu banamaxesha oxolelo.

Ngokwe-Interstitial Cystitis Association, i-IC ichaphazela abantu abangaphezu kwezigidi ezili-12 eUnited States. Abasetyhini kunokwenzeka ukuba baphuhlise i-IC, kodwa abantwana kunye nabantu abadala banokuyifumana nayo.

I-IC ikwabizwa ngokuba sisifo esibuhlungu sesinyi (PBS), isifo sesinyi (BPS), kunye nentlungu engapheliyo ye-pelvic (CPP).

Ziintoni iimpawu ze-IC?

Unokufumana enye okanye ezingaphezulu kwezi mpawu zilandelayo:

• iintlungu ezingapheliyo okanye ezinqamlekileyo kwi-pelvis
• uxinzelelo lwe-pelvic okanye ukungathandeki
• ukungxamiseka komchamo (uziva ukuba kufuneka uchame)
• ukuchama rhoqo imini nobusuku
• iintlungu ngexesha lokwabelana ngesondo

Iimpawu zakho zingahluka imihla ngemihla, kwaye unokufumana amaxesha xa ungenalo uphawu. Iimpawu zinokuba zibi ngakumbi xa usenza usulelo lomchamo.

Yintoni ebangela IC?

Isizathu ngqo se-IC asaziwa, kodwa abaphandi bathi izinto ezininzi zinokonakalisa ulungelelwaniso lwesinyi kwaye oko kubangele ukuphazamiseka. Oku kubandakanya:

• umothuko kwilaphu le-bladder (umzekelo, kwiinkqubo zotyando)
• ukuzolula ngokweqile kwesinyi, ngesiqhelo ngenxa yexesha elide ngaphandle kwekhefu lokuhlambela
• buthathaka okanye ukungasebenzi kakuhle kwezihlunu zeplavic
• Ukuphazamiseka komzimba
• usulelo oluphindaphindiweyo lwegciwane
• hypersensitivity okanye ukudumba luvo zangasese
• umgogodla womothuko

Abantu abaninzi abane-IC banesifo sesibindi esibuhlungu (IBS) okanye i-fibromyalgia. Abanye abaphandi bakholelwa ukuba i-IC inokuba yinxalenye yesifo esiqhelekileyo sokudumba okuchaphazela iinkqubo ezininzi zamalungu.

Abaphandi baphanda nokuba kungenzeka ukuba abantu bazuze ilifa lemfuza ku-IC. Nangona ingaqhelekanga, i-IC iye yaxelwa kwizalamane zegazi. Amatyala abonwe kunina nakwintombi yakhe nakoodade ababini okanye nangaphezulu.

Uphando luyaqhubeka ukumisela unobangela we-IC kunye nokuphuhlisa unyango olusebenzayo.

Ichongwa njani i-IC?

Akukho luvavanyo luchaza ngokuqinisekileyo i-IC, iimeko ezininzi ze-IC azifunyanwa. Ngenxa yokuba i-IC yabelana ngeempawu ezifanayo zokunye ukuphazamiseka kwesinyi, ugqirha wakho kufuneka azilawule kuqala. Ezi ezinye iingxaki zibandakanya:

• usulelo lomchamo
• umhlaza wesinyi
• i-prostatitis engapheliyo (emadodeni)
• isifo esinganyangekiyo se-pelvic syndrome (emadodeni)
• i-endometriosis (kubafazi)

Uya kufunyaniswa une-IC nje ukuba ugqirha wakho amisele ukuba iimpawu zakho azikho ngenxa yezi ngxaki.

Iingxaki ezinokubakho ze-IC

I-IC inokubangela iingxaki ezininzi, kubandakanya:

• ukunciphisa umthamo wesinyi ngenxa yokuqina kodonga lwesinyi
• umgangatho ophantsi wobomi njengesiphumo sokuchama rhoqo kunye nentlungu
• izithintelo kubudlelwane kunye nokwabelana ngesondo
• Imiba yokuzithemba kunye neentloni ekuhlaleni
• ukuphazamiseka kokulala
• unxunguphalo kunye noxinzelelo

Inyangwa njani i-IC?

Akukho lunyango okanye unyango lwe-IC. Uninzi lwabantu lusebenzisa indibaniselwano yonyango, kwaye kuya kufuneka uzame iindlela ezininzi ngaphambi kokuba uzinze kunyango olubonelela ngoncedo olukhulu. Ezi zilandelayo zonyango lwe-IC.

Amayeza

Ugqirha wakho unokumisela enye okanye ngaphezulu kwezi ziyobisi zilandelayo ukunceda ukuphucula iimpawu zakho:

• IPentosan polysulfate sodium (I-Elmiron) yamkelwe nguLawulo lokutya kunye noLawulo lweziyobisi ukunyanga i-IC. Oogqirha abazi ngqo ukuba ipentosan isebenza njani, kodwa inokunceda ukulungisa iinyembezi okanye iziphene eludongeni lwesinyi.

ISILUMKISO

• Akufanele uthathe i-pentosan ukuba ukhulelwe okanye uceba ukukhulelwa.

• I-anti-inflammatories ezingasebenziyo, kubandakanya ibuprofen, naproxen, aspirin, kunye nezinye, zithathwa njengeentlungu kunye nokudumba.
• I-Tricyclic yoxinzelelo (ezinje nge-amitriptyline) inceda ukhulule isinyi sakho kunye nokuthintela iintlungu.
• AmaNtsholongwane (ezinje ngeClaritin) ukunciphisa ukungxamiseka komchamo kunye nokuhamba rhoqo.

Ukuchithwa kwesinyi

Ukugcinwa kwesinyi yinkqubo eyolula isinyi ngokusebenzisa amanzi okanye igesi. Inokukunceda ukukhulula iimpawu kwabanye abantu, ngokunokwandisa amandla esinyi nangokuphazamisa imiqondiso yeentlungu ezithunyelwa yimithambo-luvo esinyini. Kungathatha iiveki ezimbini ukuya kwezine ukuqaphela ukuphucula iimpawu zakho.

Ukufakwa kwesinyi

Ukufakwa kwesinyi kubandakanya ukuzalisa isinyi ngesisombululo esine-dimethyl sulfoxide (Rimso-50), ekwabizwa ngokuba yi-DMSO. Isisombululo se-DMSO sigcinwe kwisinyi kwimizuzu eli-10 ukuya kweli-15 ngaphambi kokuba ichithwe. Umjikelo omnye wonyango uquka ukuya kunyango ezimbini ngeveki kangangeeveki ezintandathu ukuya kwezisibhozo, kwaye umjikelo unokuphindwa njengoko kufuneka.

Kucingelwa ukuba isisombululo se-DMSO sinokunciphisa ukudumba kodonga lwesinyi. Inokuthintela nokuqaqamba kwemisipha okubangela iintlungu, ukuphindaphindeka kunye nokungxamiseka.

Ukuvuselela amandla ombane

I-transcutaneous electrical nerve stimulation (TENS) ihambisa iimpompo zombane ezincinci kulusu ukukhuthaza imithambo-luvo kwisinyi. I-TENS inokunceda ukukhulula iimpawu ngokwandisa ukuhamba kwegazi kwisinyi, ukomeleza izihlunu ze-pelvic ezinceda ukulawula isinyi, okanye ukubangela ukukhutshwa kwezinto ezithintela iintlungu.

Ukutya

Abantu abaninzi abane-IC bafumanisa ukuba ukutya okuthile kunye notywala kwenza ukuba iimpawu zabo zibe mandundu. Ukutya okuqhelekileyo okunokuba mandundu ngakumbi kwe-IC kubandakanya:

• utywala
• iitumato
• iziqholo
• itshokholethi
• nantoni na ene-caffeine
• Ukutya okune-asidi njengeziqhamo zesitrasi kunye neencindi zazo

Ugqirha wakho uya kukunceda ubone ukuba ngaba unovakalelo kuyo nayiphi na into yokutya okanye yotywala.

Ukuyeka ukutshaya

Nangona kungekho lungelelwaniso luqinisekisiweyo phakathi kokutshaya kunye ne-IC, ukutshaya ngokuqinisekileyo kunxulunyaniswa nomhlaza wesinyi. Kungenzeka ukuba ukuyeka ukutshaya kunokunceda ukunciphisa okanye ukunciphisa iimpawu zakho.

Zilolonge

Ukugcina umthambo kunokukunceda ulawule iimpawu zakho. Kuya kufuneka uguqule indlela yakho yesiqhelo ukuze uphephe ukusebenza okunempembelelo ephezulu ebangela ukuvela. Zama oku kusebenza:

• iyoga
• ukuhamba
• tai chi
• iimpembelelo ze-aerobics okanye iiPilates

Ingcali yezomzimba ingakufundisa ukuzilolonga ukomeleza isinyi kunye nemisipha ye-pelvic. Thetha nogqirha wakho malunga nokudibana nonyango.

Uqeqesho lwesinye

Iindlela ezilungiselelwe ukwandisa ixesha phakathi kokuchama kunokunceda ukukhulula iimpawu. Ugqirha wakho unokuxoxa ngezi ndlela kunye nawe.

Ukunciphisa uxinzelelo

Ukufunda ukujongana noxinzelelo lobomi kunye noxinzelelo lokuba ne-IC kunokubonelela ngesiqabu seempawu. Ukucamngca kunye ne-biofeedback kunokunceda.

Ugqirha

Kukho iindlela ezininzi zotyando zokwandisa ubungakanani besinyi kunye nokususa okanye ukunyanga izilonda kwisinyi. Ugqirha kunqabile ukuba kusetyenziswe kwaye kuthathelwa ingqalelo kuphela xa iimpawu zinzima kwaye ezinye iindlela zonyango ziye zasilela ukubonelela ngoncedo. Ugqirha wakho uza kuxoxa nawe ngezi zinto unokukhetha kuzo ukuba ungumgqatswa wotyando.

Umbono wexesha elide

Akukho lunyango lwe-IC. Inokuhlala iminyaka okanye ubomi bonke. Eyona njongo iphambili yonyango kukufumana indibaniselwano yonyango olubonelela ngoncedo lweempawu zexesha elide.