Abasetyhini beminyaka yobudala banokufumana ukuvutha kwesibindi sokungabonakali kwemvelo kunye kunye nokunciphisa umthamo webladder.
Yintoni i-cystitis yangaphakathi?
Esi sifo sachazwa ngowe-1914, kodwa izizathu ezibangela ukuba zingakhange zizimisele ukutshatyalaliswa. Izizathu ezinokwenzeka zokuphuhliswa kwe-cystitis phakathi kwamanye amazwe ziquka:
- ukunyuka kwe-mucosa kwiimpawu zomchamo ngenxa yokungabikho kwe-glycosaminoglycans kuyo, ekhokelela ekuvukeleni kweziqulatho ezincinci zodongeni lwebladder;
- ukuphulwa kweendlela zokukhusela umgca we-bladder;
- ukuphazamiseka kwamanzi e-lymphatic kwi-vestile;
- iziphazamiso ezizenzekelayo;
- ukuvutha kwamagciwane kunye ne-bhakteria ngekhosi eqhubekayo kunye nokuphulwa kobugqwetha be-mucosa kunye nokuhlaziywa kwayo ngokuqhelekileyo;
- iingxaki ze-endocrine (ngokukodwa ngokusweleka kwe-estrogen);
- ukuphazamiseka kwegazi kunye negazi ukuphazamiseka kwesibindi, kubangela i-hypoxia yayo;
- ukuphazamiseka kwengqondo, ukuphazamiseka kwengqondo kwabasetyhini.
I-cystitis ye-interstitial - iimpawu
Ukuchazwa kwekhulu leminyaka edlulileyo ngabagqirha, isilonda sikaGanner sesilonda kunye ne-cystitis yangaphakathi ayifumanekanga ngoku. Ngokuqhelekileyo ukuxilonga i-cystitis yangaphakathi, xa kukho iimpawu ze-cystitis, kwaye unyango lwe-bladder alinamiphumo. Ngokuqhelekileyo, i-cystitis yangaphakathi yinkqubo engapheliyo, iimpawu zazo ezi:
- ukuvuthwa rhoqo (ngamanye amaxesha ukuya kwiihlandlo eziliqela ngeyure nayiphi na imini, kodwa kungekho ngaphantsi kwama-8 ngamaxesha emini);
- Iimfuno ezifunekayo - umvakalelo wokukhawuleza we-bladder kunye nezibongozo zokuhamba ngokukhawuleza kunye neentlungu;
- intlungu nge-vesti egcweleyo, ukuxhaswa ekukhutshweni, ukunika i-pelvis encinci okanye i-urethra;
- i-nocturia-isithwathwa sokuhlwaya ngokukhawuleza ukuhamba;
- intlungu ngexesha lesini, ukunyanzeliswa kwentlungu ngaphambi kokuya esikhathini, intlungu kwi-pelvis encinci, eyomeleza ngokuzaliswa kwesitya.
Ukuxilongwa kwe-cystitis ye-interstiti ayisekelwe kuphela kwiimpawu zeklinikhi, ezimele zenze okungenani iintsuku ezili-9 ngaphandle kokuphucula ngaphantsi kwefuthe le-antibacterial therapy, kodwa ne-cystometry. Isici esichaphazelekayo se-cystitis esihlala ngaphakathi sihlala sinciphisa ubunzima bebladder engaphantsi kwama-300 ml, kwaye ngokuzaliswa kwayo ngokukhawuleza kunye ne-liquid ngexesha le nkqubo ukuya kwi-100 ml, kukho ukunyanzeliswa ukunyanzelisa. Ukwenza ukuxilongwa kungabandakanyi ezinye izifo zesibindi, kuyafaneleka ukuba sikhumbule ukuba lesi sifo asihlakuli kwabasetyhini abangaphantsi kweminyaka eyi-18.
I-cystitis ye-interstitial-treatment
Ngokunciphisa kakhulu umthamo wesibindi kunye nobukho besilonda sikaGanner, unyango olusetyenziswayo luyasetyenziswa - ukuchithwa kwe-transurethral kunye nokuhlinzwa kweplastiki. Kodwa iindlela ezininzi zonyango ziyasetyenziswa, enye yezona zinto zibalulekileyo ezihlala zizinto ezikhethekileyo zokutya - kunye ne-cystitis yangaphakathi kunye nezitya eziphambili, i-tshokolethi, iimveliso ezinamacidi, ukutya okuncinci kwe-potassium.
Kwilonyango lonyango linconywe unyango olusisigxina - i-antispasmodics, i-analgesics kunye nezidakamizwa ezichasayo, kwinkqubo yokuzimela - i-antihistamines. Faka isicelo se-hydro-boring (ukwandiswa kwe-bladder ngokufakela kwe-nitrate yesilivere, i-heparin, i-dimethylsulfoxide, i-lidocaine).
Ukubuyisela ukusebenza okuqhelekileyo kwe-bladder mucosa, i-pentosan i-polysulphate ye-100 mg ephindwe kathathu ngosuku malunga neenyanga ezi-3 ukuya kwe-9, nangona ukuphuculwa kweekliniki kunokwenzeka ngenyanga. Ukususela kwiindlela zokwakheka kwe-physiotherapeutic zonyango, i-electrostimulation ye-bladder isetyenziswa.
Unyango kunye namayeza omntu xa i-cystitis ephakathi ifunyaniswa ingasetyenziswanga, kodwa ukusetyenziswa koqeqesho lwe-bladder kukunyanzeliswa kwenkqubo yesikhawu phakathi kokungcungcutheka ukwenzela ukukhusela ukukhawuleza ngokukhawuleza kwisakhono sayo.