Ðe wò ƒodo ƒe akpa si le anyime veam enuenua? Ðe wòdzroa wò enuenu be yeayi nugododeƒea? Esia ku ɖe Interstitial Cystitis (IC/BPS) ŋu.

Ðe wòhiã hã be nàyi nugododeƒe zi geɖe gbesiagbea? Ðe nèɖea aɖuɖɔ vi aɖe koa? Ðe wò ƒodo ƒe akpa si le anyime la ƒe kpekpeme alo vevesese wɔnuku aɖe koe le ŋuwòa? Ðewohĩ èsusu be esia nye aɖuɖɔtoedɔléle (UTI), gake atikewo nono gɔ̃ hã makpe ɖe ŋuwò oa? Ekema nɔnɔme sia si ŋu míele nu ƒom tsoe egbea, si nye Interstitial Cystitis, hã ate ŋu akpɔ ŋusẽ ɖe dziwò. Esia sesẽ vie, eye wònye nyati si ŋu ame geɖe menya nyuie o. Eyata mina míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nuka tututue nye Interstitial Cystitis (IC/BPS)?

Kpuie ko la, esia nye vevesese alo vevesese atraɖii le wò tsinyegoe me . Fifia ɖɔktawo yɔa esia be Tsinyegoe me Vevesese ƒe Dɔléle (BPS). Mina míama gɔmesese si le ŋkɔ sia ŋu me vie.

• Interstitial gɔmee nye "le teƒe si le lãkusiwo dome."
• Cystitis gɔmee nye "tsinyegoe me dɔdzẽ," ​​si fia be enye nɔnɔme si nana wòvuvu.

Eyae nye be enye abi kple vevesese si nɔa anyi didi si dzɔna le tsinyegoea ƒe lãkusiwo dome. Ele be amesi ŋu nɔnɔme sia le naɖe aɖuɖɔ zi geɖe wu alesi wòle dzɔdzɔmee. Eye ne wose le wo ɖokui me be ehiã be yewoaɖe aɖuɖɔ la, esesẽna ŋutɔ be woalée ɖe eme, eye ehiãna be woayi nugododeƒe kaba. Míeyɔa esia zi geɖe (aɖuɖɔtoe enuenu) kple nuwɔwɔ kpata (hiahiã kpata) .

Nɔnɔme sia ƒomevi vevi evee li.

Ẽ, mekpɔa ŋusẽ ɖe amesiame dzi le mɔ ɖeka nu o. Woate ŋu amae ɖe ƒomevi vevi eve me. Wotoa dodokpɔ (Cystoscopy) si me ɖɔkta tsɔa fotoɖemɔ̃ dea wò tsinyegoe me be yealé ŋku ɖe eŋu me dea dzesi ƒomevi eve siawo.

Nukae nye Afɔɖeɖe 4 lia ƒe IC/BPS?

Ðewohĩ èse alesi dɔlélea dze egɔmee kpɔ. Afɔɖeɖe 4 liae nye afɔɖeɖe si nu sẽ wu, afisi dzesiawo dzena le ƒe eve kple edzivɔe nye sia. Le ɣeyiɣi sia me la, tsinyegoea ƒe lãkusia va le ƒoƒom ŋutɔ eye wòsẽna. Esia wɔe be tsinyegoe mete ŋu léa aɖuɖɔ geɖe abe tsã ene o. Nɔnɔme sia bɔ ɖe amesiwo ŋu Hunner ƒe abi le la me wu.

Nukae nye IC/BPS ƒe dzesiwo?

Dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Le ame aɖewo gome la, woate ŋu anye esiwo mefa o, evɔ le ame bubuwo gome la, woate ŋu ave wo vevie. Le ame aɖewo gome la, dzesiawo nɔa anyi ɖaa, evɔ le ame bubuwo gome la, wovana hedzona.

Nu vevi siwo le emee nye esiawo:

• Vevesese, nyaƒoɖeamenu, alo vevesese le ƒodo ƒe akpa si le anyime (afisi tsinyegoea le). Vevesese sia ate ŋu adzi ɖe edzi ne tsinyegoea le yɔyɔm.
• Alesi wòhiã be nàɖe aɖuɖɔ enuenu ŋutɔ. Ate ŋu anye zi 15, 20, alo zi 40-50 gɔ̃ hã gbesiagbe.
• Ne èse le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ la, èsena le ɖokuiwò me be ehiã kpata si màte ŋu axe mɔ na o.
• Aɖuɖɔ sue aɖe ŋutɔ dona le ɣeyiɣi ɖeka me.
• Le nyɔnuwo gome la, dzesiawo ate ŋu agblẽ ɖe edzi le dzinukpɔkpɔ me.

Nukatae nane si le abe esia ene dzɔna?

Esia nye kuxi si le ame geɖe ŋu. Ne míagblɔe tututu la, ɖɔktawo gɔ̃ hã mete ŋu gblɔa nusi hea IC/BPS vɛ kple kakaɖedzi 100% kokoko o. Gake nu ʋɛ aɖewo li siwo wosusu be woawoe na wòdzɔ:

• Gbɔdzɔgbɔdzɔ le tsinyegoe ƒe akpa si le tsinyegoea me: Ametakpɔnu aɖe le míaƒe tsinyegoea ƒe eme. Esiae kpɔa tsinyegoe ƒe gli ta tso nusiwo gblẽa nu le aɖuɖɔ me ŋu. Ne ƒuƒoƒo sia gblẽ la, nu gbegblẽ mawo ate ŋu age ɖe tsinyegoea ƒe gli me eye wòana ame nase veve eye wòaxɔ abi.
• Dɔlélenutsiŋutete ƒe kuxiwo (Autoimmune diseases):Ametia ƒe ametakpɔnu ate ŋu adze eya ŋutɔ ƒe tsinyegoe me lãmenugbagbeviwo dzi vodadatɔe.
• Nulɔdɔ: Wosusui hã be lãmenugbagbevi aɖewo (mast cells) siwo le ŋutilãa me siwo hea nulɔdɔ vɛ ƒe dɔwɔwɔ do ƒome kple esia.
• Dɔlékui siwo womekpɔ dze sii o: Ɣeaɖewoɣi la, dɔlékui aɖe si woxɔ va yi si ŋu womewɔ atike na nyuie o la ate ŋu agblẽ nu le lãmeka siwo le tsinyegoea me ŋu, si ana ame nase veve ɣeyiɣi didi.
• Nusiwo mesɔ o le aɖuɖɔ me: Le kpɔɖeŋu me, protein ƒe agbɔsɔsɔ si nɔa aɖuɖɔ me atraɖii (proteinuria).

Amekawoe le afɔku gã me be woaxɔ esia?

• Nyɔnuwo le afɔku me wu ŋutsuwo.
• Ame siwo xɔ wu ƒe 30 mee wòbɔ ɖo wu .
• Amesiwo ŋu vevesese atraɖii ƒe nɔnɔme bubuwo le, abe fibromyalgia kple irritable bowel syndrome (IBS) ene hã ate ŋu axɔ IC/BPS.

Ðɔkta, aleke nèwɔna dea dzesi esia?

Dodokpɔ ɖeka aɖeke meli si ate ŋu aɖo kpe IC/BPS dzi o. Wò ɖɔkta agbe nɔnɔme bubu siwo ate ŋu ahe wò dzesiawo vɛ. Esia ate ŋu abia be woadoe kpɔ zi geɖe. Mègatsi dzi o, na míakpɔ nusiwo wonye ɖa.

Nukawoe nye atike siwo wozãna na esia?

Esiae nye akpa vevitɔ kekeake. Gbã la, womekpɔ atike aɖeke na IC/BPS haɖe o. Gake mègatsi dzi o. Atikewɔwɔ nyui geɖe li siwo ate ŋu akpe ɖe ŋuwò nàkpɔ wò dzesiwo gbɔ ahanɔ agbe si sɔ.

Wò ɖɔkta adze egɔme kple atikewɔwɔ ɖeka, akpɔe ɖa be ewɔa dɔ na wò hã, eye emegbe wòatso nya me nenye be ehiã be woatrɔ ɖe atikewɔmɔnu bubuwo ŋu alo atsɔ atikewɔmɔnu vovovowo aƒo ƒui. Esia nye dodokpɔ kple vodada ƒe ɖoɖo aɖe vie. Ðewohĩ axɔ ɣeyiɣi aɖe hafi woate ŋu adi atike si sɔ na wò.

1. Tɔtrɔ siwo va le nuɖuɖu me

Ame geɖe kpɔnɛ be nuɖuɖu kple nunono aɖewo nana yewoƒe dzesiwo gagblẽna ɖe edzi. Míeyɔa esiawo be ‘nu siwo ʋãa ame’. Àte ŋu aŋlɔ ŋkekenyuigbalẽ eye nàde dzesi nusiwo nèɖuna kple nunono kpakple ɣeyiɣi si me wò dzesiawo nu sẽna ɖe edzi. Le ɣeyiɣi aɖe megbe la, àva nya nuɖuɖu siwo le wò dɔlélea ƒe dzesiwo hem vɛ.

Nuɖuɖu siwo nana ame geɖe ƒe dzesiwo gagblẽna ɖe edzi:

• Ahasesẽ
• Caffeine (tii, kɔfi, tsokolet) .
• Nunono siwo me carbon le
• Tomatre
• Citrus-kutsetsewo (akɔɖu, lime) .
• Nuɖuɖu siwo ŋu wotrɔ asi le
• Nuɖuɖu siwo me wodea nu ʋeʋĩiwoe

2. Lãmesẽfefewɔwɔ Kple Lãmesẽfefewɔwɔ

• Kamedede: Kamedede fafɛ abe azɔlizɔzɔ kple gasɔdodo ene ate ŋu akpe ɖe ame ŋu be vevesese dzi naɖe akpɔtɔ.
• Pelvic Floor Physical Therapy: Esia le vevie ŋutɔ. Lãmetsi siwo le ƒodo ƒe akpa si le ete (pelvic floor muscles) ye léa ŋutinuwo abe tsinyegoe ene ɖe wo nɔƒe. Lãmetsi siawo ƒe tete hã ate ŋu ana vevesese nadzi ɖe edzi. Lãmesẽŋutinunyala bibi ate ŋu afia kamedede nyuitɔ wò be nàɖe dzi ɖi ahado ŋusẽ lãmeka siawo (Kegel kamededewo).

3. Nuteɖeamedzi dzi ɖeɖe kpɔtɔ

Nuteɖeamedzi nye nu vevi aɖe si dzia IC/BPS ƒe dzesiwo ɖe edzi. Mɔ siwo dzi míato aɖu nuteɖeamedzi dzi sɔsrɔ̃ ate ŋu ana gbɔdzɔe geɖe mí. Nuwo abe gbɔgbɔ deto ƒe kamedede, ŋugbledede, kple yoga ate ŋu akpe ɖe ame ŋu. Àte ŋu adi kpekpeɖeŋu tso susumedɔléle ŋuti aɖaŋuɖola hã gbɔ ne ehiã.

4. Tsinyegoe ƒe Hehenaɖoɖo Gbugbɔgaxɔ

Le vevesesea ta la, ezu numame na wò be nàyi nugododeƒe ne wò tsinyegoe yɔ vie. Esia wɔnɛ be wò tsinyegoe te ŋu zua numame na wò be wòalé aɖuɖɔ sue aɖe ɖe asi vivivi. Tsinyegoe ƒe hehexɔxɔ ake bia be woaɖoe koŋ adzi ɣeyiɣi si le mɔzɔzɔ yi nugododeƒe dome ɖe edzi. Èdzea egɔme kple miniti 5-10 eye vivivi la, èdzia ɣeyiɣia ɖe edzi va ɖoa gaƒoƒo 2-3.

5. Atike Siwo Wonona

• Blanuilélenutsitikewo: Blanuilélenutsitike aɖewo, abe amitriptyline ene, ne wona wo le agbɔsɔsɔ sue aɖe ko me la, ate ŋu akpe ɖe ame ŋu wòaɖe tsinyegoe ƒe vevesese kple aɖuɖɔtoe enuenu dzi akpɔtɔ.
• Antihistamines: Atikewo abe Hydroxyzine ene ate ŋu aɖu nulɔdɔwo dzi eye woaɖe vevesese dzi akpɔtɔ.
• Pentosan Polysulfate Sodium (Elmiron®): Esia koe nye atike si woano si dzi woda asi ɖo koŋ na IC/BPS. Woxɔe se be ekpena ɖe ame ŋu be wòagbugbɔ tsinyegoea ƒe ametakpɔnu si gblẽ la atu.

6. Tsinyegoe ƒe Atikedede

Le esia me la, ɖɔktaa dea mɔ̃ (catheter) si le tsɛ ŋutɔ wò tsinyegoe me eye wòdoa atike tsakatsaka ɖe wò tsinyegoe me. Atike si wozãna wue nye dimethyl sulfoxide (DMSO). Wogblẽa atike sia ɖe wò tsinyegoe me hena ɣeyiɣi aɖe eye emegbe woɖenɛ to aɖuɖɔtoe me.

7. Atikewɔwɔ bubuwo

Ne atikewɔwɔ siwo le etame medze edzi o la, wò ɖɔkta ate ŋu abu nusiwo gbɔna ŋu:

• Nerve Stimulation (Neuromodulation): Mɔnu si dzi woato akpɔ tsinyegoe ƒe vevesese kple nuwɔwɔ kpata dzi to elektrikŋusẽ ƒe dzesi suewo ɖoɖo ɖe lãmeka aɖewo le ŋutilãa me me.
• Botox® Dodo: Wodoa Botox ɖe tsinyegoe ƒe lãmekawo me, si wɔnɛ be woƒe dɔwɔwɔ dzi ɖena kpɔtɔna eye wòɖua vevesese dzi.
• Amekoko: Wowɔa esia abe mɔnu mamlɛtɔ ene, na amesiwo ƒe dzesiwo nu sẽ ŋutɔ eye womewɔ nu ɖe ​​atike bubuwo ŋu o. Esia bia be woaɖe tsinyegoea ƒe akpa aɖe alo wo katã ɖa (cystectomy).

Aleke woawɔ anɔ agbe kple IC/BPS?

Esi wònye be esia nye nɔnɔme si nɔa anyi didi ta la, ele vevie be nàsrɔ̃ alesi nànɔ agbe kplii. Aɖaŋuɖoɖo siawo akpe ɖe ŋuwò nànɔ te ɖe dzoxɔxɔ si nu sẽ nu.

• No tsi geɖe: Ne woɖe aɖuɖɔ la, tsinyegoe ƒe vevesese dzi ɖena kpɔtɔna.
• Nusiwo wotsɔna ƒoa tsi dzodzoe alo fafɛ: Tsi dzodzoe ƒe aŋetu alo tsikpegoe dada ɖe wò ƒodo ƒe anyime ate ŋu akpe ɖe ŋuwò nàɖe vevesesea dzi akpɔtɔ.
• Do awu siwo me nànɔ bɔbɔe: Ƒo asa na pantalon sesẽwo kple awu ʋlaya siwo xea wò dɔgbo.
• Ðiɖiɖeme Mɔnuwo: Yoga ƒe nɔnɔmewo abe ‘vidzĩ si le dzidzɔ kpɔm’ ƒe nɔnɔme ene ate ŋu akpe ɖe ame ŋu wòaɖe dzi ɖi le akɔta ƒe lãmekawo ŋu.
• Ne gbɔdɔdɔ vea ame: Ðo dze kple wò ɖɔkta tso nuwo abe vevesesenutsitikewo nono do ŋgɔ kple ami siwo wotsɔna ƒoa amie zazã ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne dzesi siwo míeyɔ le nyati sia me dometɔ aɖe le ŋuwò la, ele be nàkpɔ ɖɔkta godoo. Ele be nànyae kple kakaɖedzi nenye be aɖuɖɔtoedɔ, IC/BPS, alo nu bubu aɖee. Hã,

Esia menye nusi ŋu wòle be ŋu nakpe le o. Ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò agbenɔnɔ ƒe nyonyome dzi, eyata ele vevie be nàwɔ atike nyuitɔ.