Ukubhekana nezimo eziningi
I-Fibromyalgia , isifo esingapheliyo sokukhathala kanye ne-cystitis yangaphakathi (IC) - isimo esibuhlungu besisu - sivame ukuhlangana ndawonye. Abesifazane bangase babe namathuba angaphezu kuka-10 kunamadoda ukuyihlakulela.
Ukuba ne-IC yedwa kungenza imingcele eminingi ibe yindlela yokuphila futhi, njenge-fibromyalgia (FMS) nesifo esingapheliyo sokukhathala (i-CFS noma i- ME / CFS ), ixhunywe nokucindezeleka .
Futhi njengeFMS ne-ME / CFS, i-IC ingaba nzima ukuyihlola, ukuphatha nokuphatha. Abanye abantu banenhlanhla ngezokwelapha eziyisisekelo kanye nezinguquko zokudla, kanti abanye bangase badinge ukwelashwa okunamandla noma ngisho nokuhlinzwa.
Sibutsetelo
I-cystitis yangaphakathi (IC) ibuhlungu besisu noma i- pelvic ehlobene nesisu sakho sokugcwala, okuvame ukuhambisana nezinye izimpawu zomchamo , kodwa ngaphandle kokutheleleka noma ezinye izifo ezisobala. Isizathu se-IC asikwazi. Ngokuvamile, odokotela bayazibonela njenge- infection ye- urinary tract , futhi abantu abaningi bane-IC iminyaka engaba ngu-4 ngaphambi kokuba bahlolwe kahle.
Izimpawu
- Imvamisa ye-Urinary (ngaphezu kwezikhathi ezingu-8 ngosuku)
- Ukuphuthuma kwe-Urinary
- Ukunganaki kwe-Urinary
- Ubuhlungu ngesikhathi noma emva komzimba
- Ubuhlungu be-pelvic
Uyakwazi ukuthuthukisa i-IC emashumini angu-30 noma ama-40, kodwa futhi kungenzeka ukuthi uyithole ekuqaleni noma kamuva.
Kungani kuhlangana? Umbuzo omuhle! Inkinga, asikho impendulo. Abacwaningi basamazama ukuphazamisa izimbangela kanye nezinqubo ezingaphansi kwazo zonke lezi zimo, futhi baze bakwazi, mhlawumbe ngeke sizwisise ukuthi kungani behamba.
Amanye amathuba akhona, kufaka phakathi:
- Abacwaningi abasola ukuthi ukutheleleka okungapheli kungaba nengxenye yazo zonke izifo ezintathu
- Ubuhlungu babo bonke abathathu bukholelwa ukuthi buvela emithanjeni
- Ubuhlungu obungapheli obuvela ku-IC bungabangela ukuzwela okuphakathi okusolakala ku-FMS naku-ME / CFS
- Ucwaningo olukhishwe ekuqaleni kuka-2009 lukhombisa ukuthi ezinye iziguli ezine-IC zinesifo se-systemic futhi asikho esinye esivinjelwe esiqandisini
Ngenxa yokuthi zonke izimo ezintathu zivame kakhulu kubantu besifazane, ama-hormonal noma ama-anatomiki angase asebenze.
Isikhathi sevulethi esiphuthumayo sezimiso ezibandakanya ukuzwela okuphakathi kuphakathi kokuzwela kwe-syndromes .
Ukuxilongwa
I-IC itholakale ngokuyinhloko isekelwe ezimpawu. Ngaphambi kokuthola i-IC, udokotela wakho uzodinga ukulawula ezinye izimbangela zezimpawu zakho. Izivivinyo zihlanganisa:
- I-biopsy yesinye
- I-cystoscopy (i- endoscopy yesambiso )
- Ukuhlaziywa kwe-Urine & isiko
- I-cytology ye-urine (yokuthola umdlavuza nezifo ezivuvukalayo emgqeni we-urinary)
- Ividiyo ye-urodynamics (ebonisa ukuthi kungakanani umchamo kuthatha ukuba uzizwe isidingo sokuvota)
Ukuqinisekisa ukuxilongwa kwe-IC, udokotela wakho angenza i-hydrodistention, lapho isikhumba sakho sigcwele amanzi. Lokho kusiza udokotela wakho ukuba abuke izindonga zakho zesibindi ngenxa yegazi elivamile elivamile kubantu abane-IC.
I-IC ayitholakali kahle noma ayihlolwe kalula, ngakho uma ucabanga ukuthi unayo, yisho ngodokotela wakho.
Ukwelapha
Ayikho ikhambi ye-IC, futhi ukwelashwa kudinga ukulungiswa kumuntu ngamunye. Kungathatha eziningi zezilingo ngaphambi kokuthola inhlanganisela efanele yezokwelapha kanye nezinguquko zokuphila.
Udokotela wakho angase anikeze omunye wemithi eminingi ye-IC:
- I-Elmiron (i-pentosan)
- Ama-painkillers e-opioid, afana no-Vicodin (i- hydrocodone-acetaminophen ) noma i-Percocet (oxycodone-acetaminophen)
- Ama-anti-depressant Tricyclic, njenge-Elavil (amitriptyline)
- I-Vistaril (i-hydroxyzine)
Ezinye zokwelashwa zihlanganisa:
- Ukuqeqeshwa kwesinye isisu (amasu okuphumula ukuqeqesha isisu ukuthi uhambe kuphela ngezikhathi ezithile)
- Imithi ibeke ngqo esiqandisini
- Ukwelapha ngokomzimba kanye ne-biofeedback (okuhloswe ngayo ekunciphiseni ama-muscle spasms)
- Ukuhlinzwa
Izinguquko zokudla nazo zingasiza ukuphatha i-IC. I-Interstitial Cystitis Association inolwazi mayelana nezinguquko zokudla ezingasiza.
Ukuhlanganisa Ukwelapha Okuningi
Uma uphathwe i-IC ne-FMS noma i-ME / CFS, kufanele ukhulume nodokotela wakho kanye nemithi mayelana nanoma yikuphi ukusebenzisana kwezidakamizwa.
Ngokwesibonelo, akufanele uthathe ama-antidepressants we-SSRI / SNRI, okuyizo zokwelapha ezijwayelekile ze-FMS ne-ME / CFS, ene-anti-depressants ye-tricyclic esetshenziselwa i-IC. Futhi, ukwelashwa kwe-FMS i-Lyrica (i-pregabalin) ayixubani kahle nemithi yokwelashwa kadokotela.
Kodwa-ke, ama-anti-compressant tricyclic anikezelwe i-IC asebenze kahle kubantu abathile abane-FMS noma i-ME / CFS, nezinye izifo ze-IC ezifana nokwelashwa ngokomzimba kanye ne-biofeedback zinganikeza inzuzo ewela phambili. Ungase ube nokukhathazeka kokudla okwandisa isimo esingaphezu kwesisodwa, ngakho ukudla kokuqeda kungakusiza ngempela.
Ngenxa yokuthi ubuhlungu obuvela kwezinye izimo kungenza izimpawu ze-FMS zibi nakakhulu, uzozuza ngempela ekutholeni umuthi omuhle wezokwelapha we-IC.
Ukubhekana
Noma iyiphi yalezi zimo kunzima ukuhlala nayo, ngakho-ke uma unayo inhlanganisela kungathatha umthwalo omkhulu ekuphileni kwakho. Ukulinganiselwa okufakwe empilweni yakho ngobuhlungu, ukukhathala nokuvuthwa okungenzeka izikhathi eziningi ngosuku kungadala ekucindezelekeni, ekulahlekelweni kokuphila komphakathi, ukungasebenzi, nezinye izinkinga.
Kubalulekile ukuthola nokulandela umuthi wokwelapha osebenzela wena, nokufuna usizo oluvela kubantu abaphila empilweni yakho noma amaqembu okusekela , ku-intanethi noma emphakathini wakho.
Nazi izinsiza eziningi ukukusiza ukuthi ufunde, uphathe futhi uphile ne-IC:
- I-Cystitis Basics yamazinyo: Izimpawu, Ukuxilongwa Nokunakekelwa Kuvela kuMary Kugler, RN, Uchwepheshe Wezinkinga Ezilula.
- I-Cystitis ye-Interstitial: Imibuzo & Izimpendulo ezivela ku-Expert on Health's Women's, Tracee Cornforth
- I-Interstitial Cystitis Association
Imithombo:
Hanno PM. I-Painful Bladder Syndrome / i-Cystitis ye-Interstitial kanye nezinkinga ezihlobene. Ku: Wein AJ. I-Wein: I-Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007: isahluko 74.
U-Leslie A. Aaron, Ph.D., MPH; UMary M. Burke, MD; UDedra Buchwald, MD Arch Intern Med. 2000; 160: 221-227.
Moldwin RM. Izindlela ezinengqondo zokwelapha iziguli ezine-cystitis yangaphakathi. Urology. 2007; 69: 73-81.
Urology. 2009 Jan; 73 (1): 52-7. I-syecromes engezansi ye-syndromes ekutadisheni kokulawula kwe-interstitialcystitis / isifo esibuhlungu besisu
I-Webster, DC "Ubulili, Amanga, Nezinkolelo: Abesifazane Nama-Cystitis Eminye" I-Journal ye-Sex Research Volume 33, Issue 3 (1996): 197-204.