Unyango lweCystitis

Umxholo

• 1.Iintsholongwane
• 2. I-Antispasmodics kunye ne-analgesics
• 3. Izinto ezibulala iintsholongwane
• Unyango lwe-cystitis yangaphakathi

Amayeza asetyenziswa kakhulu ukunyanga i-cystitis zii-antibiotics, kuba esi sisifo esibangelwa zii-microorganisms. Amayeza okubulala iintsholongwane kufuneka asetyenziswe kuphela xa emiselwe ngugqirha kwaye eminye yemizekelo ebekiweyo yi-nitrofurantoin, fosfomycin, trimethoprim kunye ne-sulfamethoxazole, ciprofloxacin okanye levofloxacin.

Ukongeza, amayeza okubulala iintsholongwane anokuncediswa ngamanye amachiza akhawulezisa ukuphilisa kunye nokunceda ukukhulula iimpawu ezinje nge-antiseptics, analgesics, antispasmodics kunye namanye amayeza esintu.

I-cystitis yintsholongwane edla ngokubangelwa yintsholongwane E. Coli, ezifuduka ukusuka emathunjini ziye kwi-urethra kunye neempawu zayo kubandakanya ukungxamiseka kokuchama, iintlungu kunye nokutsha xa uchama. Fumanisa ukuba ngaba unentsholongwane ye-urinary ngokuthatha uvavanyo lweempawu kwi-intanethi.

1.Iintsholongwane

Ezinye zezibulala-ntsholongwane ezifanelekileyo ukunyanga i-cystitis, enokuthi iboniswe ngugqirha kwaye ithengwe kwikhemesti, zezi:

• I-Nitrofurantoin (iMacrodantina), ene-dosi eyi-1 ye-100 mg, rhoqo kwiiyure ezi-6, kangangeentsuku ezi-7 ukuya kwezi-10;
• I-Fosfomycin (Monuril), idosi yayo ekucetyiswa kuyo ngokubanzi ukuba yi-1 sachet ye-3 g kwidosi enye okanye iiyure ezingama-24 ngeentsuku ezimbini, ekufuneka ithathwe, ngokukhethekileyo kwisisu esingenanto nakwisinyi, ngokukhethekileyo ebusuku, ngaphambi kokulala phantsi;
• I-Sulfamethoxazole + trimethoprim (iBactrim okanye iBactrim F), idosi yayo ekucetyiswa ukuba icwecwe yi-Bactrim F okanye iipilisi ezimbini ze-Bactrim, rhoqo ngeyure ezili-12, ubuncinci iintsuku ezi-5 okanye de iimpawu ziphele;
• I-Fluoroquinolones, njenge-ciprofloxacin okanye i-levofloxacin, idosi yayo ixhomekeke kumayeza amiselweyo ngugqirha;
• I-penicillin okanye ezinye izinto, ezifana ne-cephalosporins, ezifana ne-cephalexin okanye i-ceftriaxone, idosi yayo iyahluka ngokwamayeza amiselweyo.

Ngokwesiqhelo, iimpawu ze-cystitis ziyanyamalala kwiintsuku nje ezimbalwa zonyango, nangona kunjalo, kubalulekile ukuba umntu athathe iyeza lokubulala iintsholongwane ngexesha elimiselwe ngugqirha.

2. I-Antispasmodics kunye ne-analgesics

Kwiimeko ezininzi, i-cystitis ibangela iimpawu ezingathandekiyo ezinjengentlungu kunye nokutsha xa uchama, ukunqwenela rhoqo ukuchama, iintlungu zesisu okanye uvakalelo lobunzima emazantsi esisu kwaye, ke ngoko, ugqirha unokudibanisa amayeza e-antispasmodic anjenge-flavoxate kunye ne-antibiotiki ( Urispas), scopolamine (Buscopan kunye neTropinal) okanye i-hyoscyamine (iTropinal), umzekelo, ezizindlela zokunciphisa zonke ezi mpawu zinxulunyaniswa nomchamo.

Ukongeza, nangona ingenayo inyathelo le-antispasmodic, i-phenazopyridine (i-Urovit okanye i-Pyridium) ikwanciphisa iintlungu kunye nokutsha kwesifo se-cystitis, kuba sis analgesic esebenza kumchamo wokuchama.

3. Izinto ezibulala iintsholongwane

I-Antiseptics, enje nge-methenamine kunye ne-methylthionium chloride (Sepurin), nazo zinokunceda ekuthomalaliseni iintlungu kunye nokutsha xa uchama, ukunceda ukuphelisa iintsholongwane kumngxunya wokuchama nokukhusela izifo ezenzeka rhoqo.

Izongezo zinokusetyenziselwa ukukhupha i-cranberry ebomvu, eyaziwa njenge i-cranberry, ezinokudityaniswa namanye amacandelo, enza ngokuthintela ukunamathela kwebhaktheriya kwindawo yokuchama, enegalelo kulondolozo lwe-microflora yamathumbu efanelekileyo, ukudala imeko engalunganga kuphuhliso lwe-cystitis. Fumanisa ezinye izibonelelo zeephilisi ze-cranberry.

Ukongeza, kukho isitofu sokuthintela usulelo kumchamo, i-Uro-Vaxom, enamacandelo akhutshwe kuyo Escherichia coli, esebenza ngokukhuthaza ukukhuselwa kwendalo komzimba, isetyenziselwa ukunqanda ukosuleleka komchamo rhoqo okanye njengesihlanganisi kunyango lwezifo zomchamo. Funda ngendlela yokusebenzisa eli yeza.

Jonga le vidiyo ilandelayo ngokhetho olwenziwe ekhaya ukulwa nosulelo lwe-urinary tract:

Unyango lwe-cystitis yangaphakathi

I-cystitis yangaphakathi, ekwabizwa ngokuba yiPainful Bladder Syndrome, kukudumba okungapheliyo kwesinyi okubangela iintlungu noxinzelelo kwisinyi. Amayeza asetyenziswa kunyango asebenza kuphela ukunciphisa iimpawu zesifo:

• Iziyobisi ezingezizo-steroidal ezichasayo, ezinje nge-ibuprofen okanye naproxen, ukunciphisa iintlungu kunye nokudumba;
• I-antihistamines efana ne-loratadine, ecutha ukungxamiseka kunye nokuhamba rhoqo komchamo kunye nokunciphisa ezinye iimpawu;
• I-Pentosan sodium polysulfate, ethi nangona indlela yayo yokusebenza ingaziwa ngokuqinisekileyo, kucingelwa ukuba ikhusela iindonga zangaphakathi zesinyi kwizicaphukisi ezikhoyo kumchamo;
• I-Tricyclic antidepressants efana ne-amitriptyline kunye ne-imipramine, enceda ekuphumleni isinyi kunye nokuthintela iintlungu.

Enye indlela yonyango kukusetyenziswa kwamayeza ngokuthe ngqo kwisinyi njenge-dimethyl sulfoxide, i-heparin okanye i-lidocaine, ehlala iphantsi kwengcebiso zonyango.