I-cystitis ene-hemorrhagic ukuvuvukala kwesisu esiholela ebuhlungu nase-hematuria, noma igazi emcimbini. Kunezizathu eziningi zokuthi kungani umuntu one- leukemia noma i-lymphoma engase abe engozini yokuthuthukisa i-cystitis enamandla.
Izimbangela
Iklasi elivame kakhulu lama-chemotherapy agents elibangela i-cystitis enamandla kakhulu yizithunywa ezi-alkylating, i-cyclophosphamide ne-ifamidhamide.
Lezi yizidakamizwa ezivame ukusetshenziselwa ukwelashwa kwegazi kanye nomdlavuza wamarrow, njenge-leukemia ne-lymphoma. Amanye ama-agent ajwayelekile ahlanganisa i-temozolamide, i-bleomycin ne-doxorubicin. I-cystitis ene-hemorrhagic ingase ibe ngezinye izizathu, hhayi ngenxa yezinhlaka ezithinta izifo emdlalweni.
Lapho umzimba wehlisa i-cyclophosphamide noma ifosphamide, i-acrolein ebizwa ngokuthi i-acrolein, ehlushwa egazini ngezinso futhi igxila kakhulu emcimbini ngaphakathi kwesinye. Lokhu kuyamcasula uhlaka lwe-vessie, okuholela ekungahambi kahle kwe-cystitis kanye nezilonda ezingabangela ukuphuma kwegazi okukhulu. Isimo se-cystitis enesifo somzimba singamaphesenti angaba yisithupha kubantu abawela ukufakelwa komnyoba we-bone kanye nokwamukela i-high-dose cyclophosphamide. Uma i -osphamide ibilokhu ihlotshaniswa nesigameko esiphezulu se-cystitis emangcwabeni kwezinye izifundo.
Amanye amagciwane , njenge-adenovirus, igciwane le-BK, ne-JC virus, futhi angabangela i-cystitis engavamile.
Abantu abanezivikeli zokuzivikela ezithintekayo basengozini ephezulu yalezi zimo, ikakhulukazi labo abaphulukako kusuka emasakeni noma ukufakelwa kwe-cell stem .
Okokugcina, ukucasula isisu kusuka ekuchaseni ukukhipha imishanguzo nakho kuyimbangela ye-cystitis enomdlavuza ezigulini zomdlavuza.
Izimpawu
Uma uke wabhekana nokuhlukumezeka kokutheleleka okukhulu kwe-urinary tract, unomqondo wemvelo yezinye zezimpawu ze-cystitis enegazi elimnandi.
Lezi zimpawu zihlanganisa:
- I-Hematuria (igazi emcimbini)
- Ukunganaki kwesisu
- Ubuhlungu noma ukuvutha uma udlula umchamo wakho
- Uzwa sengathi awukwazi ukukhipha isikhumba sakho
- Ukulahlekelwa kokulawula kwesisu (ukungahambisani)
- Isidingo esivamile noma esiphuthumayo sokukhipha isikhumba sakho
- Ukuvuka izikhathi eziningana ebusuku kudlule umchamo wakho
Ungase ube nezinye izimpawu ezifana nokukhathala kusuka ekukhuleni kwegazi, noma ubuhlungu obungacacile emathunjini aphansi, ngaphezu kwendawo ye-pubic esitokisini se-pelvic.
Izingozi Zezingozi
Kunezizathu ezimbalwa zokuthi kungani abantu abane-leukemia noma i-lymphoma bangase bathambekele kakhulu ekutholeni i-cystitis enamandla. Lezi zici zengozi zihlanganisa:
- Ukuthola i-cyclophosphamide noma ifosphamide njengengxenye yemithi yakho ye-chemotherapy
- Ukuba nomuthi wokushisa emisebeni endaweni yangasese
- Ukunciphisa amandla omzimba wokuzivikela ukwenza kube lula ukutheleleka kwezigameko zamagciwane noma amagciwane
- Ukusetshenziswa njalo kwama-antibiotics
- Ukubala okuphansi kweplatelet (thrombocytopenia)
Ukwelapha
I-cystitis ene-hemorrhagic ingaholela ekulahlekelweni kwegazi okunzima futhi ithathwa ngokungathí sina. Izilonda ezivulekile kwisisindo zinganikeza ingosi yebhaktheriya ukuthi idlulisele emzimbeni wakho wegazi. Kungase futhi kuholele ekugcineni kwesikhumba sesigcawu, okungabangela ukuvinjelwa komgudu wokuvuthwa noma ukuvinjelwa kwesibindi. Ngakho-ke, ukwelashwa okusheshayo kwalesi simo kuyadingeka.
Ukwelashwa kungase kuhlanganise:
- Ukukhululeka kwesifo nokulawula ubuhlungu
- Ukumpontshelwa kweplatelet ukusiza ukulawula ukuphuma kwegazi
- Ukumpontshelwa igazi uma ukuphuma kwegazi kudala i-anemia
- I-antibiotic noma i-antiviral therapy uma imbangela ye-cystitis isifo esithathelwanayo
- Ukunisela isilonda ngesisombululo saline ukuvimbela ama-clots, noma imithi yokulawula ukuphuma kwegazi
Ukuvimbela
Indlela engcono kakhulu yokwelapha i-cystitis enamandla ukuvimbela ukuthi ingenzeki okokuqala. Uma ubhekwa njengengozi enkulu yokuthuthukisa le nkinga, ithimba lakho lokunakekelwa kwezempilo cishe lizothatha izinyathelo ezimbalwa zokuvimbela. Iningi lalezi zingenelelo lisebenza ngokunciphisa isikhathi esithile lapho ubhejane benkinga yakho buvezwa ku-acrolein noma ezinye izimo ezicasulayo.
Bangase:
- Lawula imithi ebizwa nge-MESNA (i-2-Mercaptoethanesulfonate sodium), esiza ukuvikela isisu sakho emiphumeleni ye-acrolein. Le mithi inikezwa nge-intravenously, mhlawumbe esikhwameni esithile noma esongezwe esikhwameni sangempela se-chemotherapy
- Nika amanzi amaningi amanzi ukuze usize i-chemo idlule ngesibindi sakho ngokushesha
- Zama ukunikeza i-chemotherapy yakho ekuqaleni kosuku ukuze ube nethuba lokulikhipha esithombeni sakho ngaphambi kokuphumula ubusuku
- Khuthaza ukuthi uzame ukuvuthisa okungenani njalo ihora
- Lawula izidakamizwa, ezisiza ukugcina umchamo ugeleza ukuze usule i-chemo kusuka kwesinye isinye
- Faka i-catheter ye-urinary ngakho-ke i-chemo isuswa ngokusuka esithombeni sakho ngaphambi kokuba nethuba lokubangela isilonda
Nini Ukukhuluma Nodokotela Wakho
Kufanele uxhumane nethimba lakho lokunakekela impilo uma:
- Unegazi emcanyeni wakho
- Uhlakulela umkhuhlane noma izikhukhula
- Unayo izimpawu ze-urinary ezenza ungakhathazeki
- Unemibuzo mayelana nezimpawu ozizwayo
Ngaphansi
I-cystitis ene-hemorrhagic yisimiso esingabangela ukulimala okunomsoco nokugcina unomdlavuza wesibindi uma kungelashwa. Kunezici eziningi ezenza iziguli ze-leukemia ne-lymphoma zingene engozini yokwanda kwe-cystitis. Ngenhlanhla, kunezindlela zokusiza ukuvimbela lesi simo ukuthi singenzeki, kanye nezindlela zokwelapha uma kwenzeka.
Njenganoma yisiphi isifo esibucayi, kufanele ukhulume nomhlinzeki wakho wezempilo uma unenkinga mayelana nokuthi udlula kanjani umchamo wakho.
> Imithombo:
> MESNA Iphakheji Faka. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/20-855_Mesnex_Prntlbl.pdf. Ifinyelele ngoJulayi 2017.
> I-Oncology: Indlela Yokusekela Ebufakazi; U-Alfred E. Chang, uPatricia A Ganz, uDaniel F. Hayes, uThimothy Kinsella, uHarvey I. Pass, uJoan H. Schiller, uRichard M. Stone, uVictor Strecher. I-Springer Science & Business Media, Dec 8, 2007.
> Riachy E, Krauel L, Rich Rich, et al. Izici zengozi nokubikezela kokuqapha okunamandla kanye nezinkinga ze-cystitis eyingozi yengane. J Urol . 2014; 191 (1): 186-92.