Loaʻa iā ʻoe ka ʻeha pinepine o ka ʻōpū lalo? Loaʻa iā ʻoe ka makemake pinepine e hele i ka lua? E pili ana kēia i ka Interstitial Cystitis (IC/BPS).

Pono anei ʻoe e hele i ka lua i nā manawa he nui i ka lā? He mimi iki wale nō kāu? He kaumaha a ʻeha paha kou ma kou ʻōpū haʻahaʻa? Manaʻo paha ʻoe he maʻi ʻaʻai mimi kēia (UTI), akā ʻaʻole e kōkua ka lawe ʻana i ka lāʻau lapaʻau? A laila hiki i kēia kūlana a mākou e kamaʻilio nei i kēia lā, ʻo Interstitial Cystitis, ke hoʻopilikia iā ʻoe. He mea paʻakikī iki kēia, a he kumuhana i ʻike ʻole ʻia e ka poʻe he nui. No laila e kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka Interstitial Cystitis (IC/BPS)?

I ka ʻōlelo maʻalahi, he ʻeha mau kēia a i ʻole ka ʻoluʻolu ʻole i loko o kou ʻōpū mimi . I kēia manawa, kapa nā kauka i kēia ʻo Bladder Pain Syndrome (BPS). E wehewehe iki kākou i ke ʻano o kēia inoa.

• ʻO ke ʻano o ka interstitial "ma ka hakahaka ma waena o nā ʻiʻo."
• ʻO ke ʻano o Cystitis ʻo "ka mumū o ka ʻōpū mimi," ʻo ia hoʻi he ʻano ia e hoʻoulu ai i ka pehu.

ʻO ia hoʻi, he mumū lōʻihi a me ka ʻeha e kū mai ana ma waena o nā ʻiʻo o ka ʻōpū mimi. Pono ke kanaka me kēia maʻi e mimi pinepine ma mua o ka maʻamau. A i ka wā e manaʻo ai lākou i ka pono e mimi, he mea paʻakikī loa ke kāohi iā ia, a pono lākou e hele koke i ka lua. Kāhea mākou i kēia he alapine (mimi pinepine) a me ka wikiwiki (makemake wikiwiki) .

ʻElua ʻano nui o kēia maʻi.

ʻAe, ʻaʻole ia e hoʻopilikia like i nā kānaka a pau. Hiki ke hoʻokaʻawale ʻia i ʻelua ʻano nui. Ua ʻike ʻia kēia mau ʻano ʻelua ma o kahi hoʻāʻo (Cystoscopy) kahi e hoʻokomo ai ke kauka i kahi kāmela i loko o kou ʻōpū mimi e nānā iā ia.

He aha ka IC/BPS Pae 4?

Ua lohe paha ʻoe i nā pae o ka maʻi. ʻO ka pae 4 ka pae koʻikoʻi loa, kahi i loaʻa ai nā hōʻailona no nā makahiki ʻelua a ʻoi. I kēia manawa, ua mānoanoa loa a paʻa ka ʻiʻo o ka ʻōpū mimi. ʻO ka hopena, ʻaʻole hiki i ka ʻōpū mimi ke paʻa i ka nui o ka mimi e like me ka wā ma mua. ʻO kēia kūlana ka mea maʻamau i ka poʻe me nā ʻōpū maʻi ʻo Hunner.

He aha nā hōʻailona o ka IC/BPS?

Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka. No kekahi, he akahai paha lākou, a no kekahi poʻe, he ʻeha loa paha. No kekahi, mau nā hōʻailona, ​​a no kekahi poʻe, hele mai a hele aku.

ʻO nā hiʻohiʻona nui kēia:

• ʻEha, kaomi, a ʻoluʻolu ʻole paha ma ka ʻōpū lalo (kahi o ka ʻōpū mimi). Hiki ke hoʻonui ʻia kēia ʻeha i ka wā e piha ai ka ʻōpū mimi.
• ʻO ka pono e mimi pinepine. Hiki ke 15, 20, a i ʻole 40-50 mau manawa i ka lā.
• Ke manaʻo ʻoe e pono e mimi, manaʻo ʻoe i kahi wikiwiki e hiki ʻole iā ʻoe ke kāohi.
• Hoʻokuʻu ʻia kahi liʻiliʻi loa o ka mimi i ka manawa hoʻokahi.
• No nā wahine, hiki ke ʻoi aku ka ʻino o nā hōʻailona i ka wā o ka menstruation.

No ke aha lā e hana ʻia ai kekahi mea e like me kēia?

He pilikia kēia i loaʻa i nā kānaka he nui. ʻO kaʻoiaʻiʻo, ʻaʻole hiki i nā kauka ke ʻōlelo me ka maopopo 100% i ke kumu o ka IC/BPS. Akā aia kekahi mau mea i manaʻo ʻia e kōkua i ia mea:

• Ka nāwaliwali o ka uhi o ka ʻōpū mimi: He papa pale ko loko o ko kākou ʻōpū mimi. ʻO kēia ka mea e pale ai i ka paia o ka ʻōpū mimi mai nā mea ʻino i loko o ka mimi. Ke hōʻino ʻia kēia papa, hiki i kēlā mau mea ʻino ke komo i loko o ka paia o ka ʻōpū mimi a hoʻoulu i ka ʻeha a me ka mumū.
• Nā pilikia o ka ʻōnaehana pale (nā maʻi Autoimmune):Hiki i ka ʻōnaehana pale o ke kino ke hoʻouka hewa i kona mau hunaola mimi ponoʻī.
• Nā Allergies: Ua manaʻo ʻia hoʻi e pili ana ka hana o kekahi mau cell (mast cells) i loko o ke kino e hoʻoulu ai i nā allergies i kēia.
• Nā maʻi i ʻike ʻole ʻia: I kekahi manawa, ʻo kahi maʻi ma mua i mālama pono ʻole ʻia e hōʻino i nā aʻalolo i loko o ka ʻōpū mimi, e hōʻeha ai i ka ʻeha lōʻihi.
• Nā mea ʻē aʻe i loko o ka mimi: No ka laʻana, nā pae kiʻekiʻe mau o ka protein i loko o ka mimi (proteinuria).

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

• ʻOi aku ka nui o ka pilikia o nā wāhine ma mua o nā kāne.
• ʻO ka mea maʻamau ia i nā poʻe ma luna o 30 mau makahiki.
• ʻO ka poʻe me nā maʻi ʻeha mau loa, e like me ka fibromyalgia a me ka maʻi ʻeha huhū (IBS), ʻoi aku ka nui o ka hoʻomohala ʻana i ka IC / BPS.

E ke kauka, pehea ʻoe e ʻike ai i kēia?

ʻAʻohe hoʻokolohua hoʻokahi e hiki ke hōʻoia i ka IC/BPS. E kāpae kāu kauka i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona. Pono paha kēia i kekahi mau hoʻokolohua. Mai hopohopo, e nānā kākou i ke ʻano o ia mau mea.

He aha nā lāʻau lapaʻau no kēia?

ʻO kēia ka ʻāpana koʻikoʻi loa. ʻO ka mea mua, ʻaʻohe lāʻau lapaʻau no IC/BPS. Akā, mai hopohopo. Nui nā lāʻau lapaʻau kūpono e hiki ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a ola i kahi ola maʻamau.

E hoʻomaka kāu kauka me hoʻokahi lāʻau lapaʻau, e ʻike inā kūpono ia iā ʻoe, a laila e hoʻoholo inā pono lākou e hoʻololi i nā lāʻau lapaʻau ʻē aʻe a i ʻole e hoʻohui i kekahi mau lāʻau lapaʻau. He hana hoʻāʻo a me ka hewa kēia. Hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono iā ʻoe.

1. Nā loli i ka ʻai

Ua ʻike ka poʻe he nui e hoʻonui ana kekahi mau meaʻai a me nā mea inu i ko lākou mau hōʻailona. Kāhea mākou i kēia mau mea 'nā mea hoʻoulu'. Hiki iā ʻoe ke mālama i kahi puke pai a hoʻomaopopo i nā mea āu e ʻai ai a inu ai a me ka wā e ʻoi aku ai ka ʻino o kāu mau hōʻailona. I ka hala ʻana o ka manawa, e aʻo ʻoe i nā meaʻai e hoʻoulu ai i kāu mau hōʻailona.

ʻO nā meaʻai e hoʻonui ai i nā hōʻailona no nā poʻe he nui:

• ʻAila
• Kafeina (kī, kofe, kokoleka)
• Nā mea inu kalapona
• ʻŌmato
• Nā hua citrus (ʻalani, lemona)
• Nā meaʻai i hana ʻia
• Meaʻai ʻala

2. Hoʻoikaika Kino a me ka Hoʻōla Kino

• Hoʻoikaika Kino: Hiki i nā hoʻomaʻamaʻa mālie e like me ka hele wāwae a me ke kaʻa paikikala ke kōkua i ka hōʻemi ʻana i ka ʻeha.
• Lapaʻau Kino Papahele Pelvic: He mea nui loa kēia. ʻO nā ʻiʻo ma ka ʻōpū haʻahaʻa (nā ʻiʻo papahele pelvic) nā mea e hoʻopaʻa ai i nā ʻōpū e like me ka ʻōpū mimi. Hiki i ka paʻa ʻana o kēia mau ʻiʻo ke hoʻonui i ka ʻeha. Hiki i kahi mea lapaʻau kino loea ke aʻo iā ʻoe i nā hoʻomaʻamaʻa kūpono e hoʻomaha a hoʻoikaika i kēia mau ʻiʻo (nā hoʻomaʻamaʻa Kegel).

3. Hoʻemi i ke kaumaha

ʻO ke kaumaha kekahi kumu nui e hoʻonui ai i nā hōʻailona o IC/BPS. ʻO ke aʻo ʻana i nā ala e hoʻokele ai i ke kaumaha hiki ke hāʻawi i ka hōʻoluʻolu nui. Hiki i nā mea e like me nā hoʻomaʻamaʻa hanu hohonu, ka noʻonoʻo ʻana, a me ka yoga ke kōkua. Hiki iā ʻoe ke ʻimi i ke kōkua o kahi kākāʻōlelo olakino noʻonoʻo inā pono.

4. Hoʻomaʻamaʻa hou ʻana o ka ʻōpū mimi

Ma muli o ka ʻeha, hoʻomaʻamaʻa ʻoe i ka hele ʻana i ka lua i ka wā e piha iki ai kou ʻōpū mimi. ʻAe kēia i kou ʻōpū mimi e hoʻomaʻamaʻa mālie i ka paʻa ʻana i kahi liʻiliʻi o ka mimi. ʻO ka hoʻomaʻamaʻa hou ʻana i ka ʻōpū mimi e pili ana i ka hoʻonui ʻana i ka manawa ma waena o nā huakaʻi i ka lua. Hoʻomaka ʻoe me 5-10 mau minuke a hoʻonui mālie i ka manawa i 2-3 mau hola.

5. Nā lāʻau lapaʻau waha

• Nā Antidepressants: ʻO kekahi mau antidepressants, e like me ka amitriptyline, i ka wā e hāʻawi ʻia ai i nā haʻahaʻa loa, hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha o ka ʻōpū a me ka pono e mimi pinepine.
• Nā Antihistamines: Hiki i nā lāʻau lapaʻau e like me Hydroxyzine ke kāohi i nā maʻi allergies a hōʻemi i ka ʻeha.
• Pentosan Polysulfate Sodium (Elmiron®): ʻO kēia wale nō ka lāʻau lapaʻau waha i ʻāpono kūikawā ʻia no IC/BPS. Ua manaʻoʻiʻo ʻia e kōkua i ke kūkulu hou ʻana i ka uhi pale i hōʻino ʻia o ka ʻōpū mimi.

6. Nā hoʻokomo ʻana o ka ʻōpū mimi

Ma kēia, hoʻokomo ke kauka i kahi ʻōmole lahilahi loa (catheter) i loko o kou urethra a hoʻokomo i kahi hui o nā lāʻau lapaʻau i loko o kou ʻōpū mimi. ʻO ka lāʻau lapaʻau maʻamau i hoʻohana ʻia ʻo dimethyl sulfoxide (DMSO). Waiho ʻia kēia lāʻau lapaʻau i loko o kou ʻōpū mimi no kekahi manawa a laila lawe ʻia ma o ka mimi ʻana.

7. Nā lāʻau lapaʻau ʻē aʻe

Inā ʻaʻole holomua nā lāʻau lapaʻau i luna, hiki i kāu kauka ke noʻonoʻo i kēia mau mea:

• Hoʻoulu ʻana i nā aʻalolo (Neuromodulation): He ʻano hana e kaohi ai i ka ʻeha o ka ʻōpū mimi a me ka wikiwiki ma ka hoʻouna ʻana i nā hōʻailona uila liʻiliʻi i kekahi mau aʻalolo i loko o ke kino.
• Nā Inikini Botox®: Hoʻokomo ʻia ʻo Botox i loko o nā ʻiʻo o ka ʻōpū mimi, e hōʻemi ana i kā lākou hana a kaohi i ka ʻeha.
• ʻO ke ʻoki kino: Hana ʻia kēia ma ke ʻano he koho hope loa, no ka poʻe wale nō me nā hōʻailona koʻikoʻi loa i pane ʻole i nā lāʻau lapaʻau ʻē aʻe. Pili kēia i ka wehe ʻana i kahi hapa a i ʻole ka ʻōpū mimi holoʻokoʻa (cystectomy).

Pehea e noho ai me IC/BPS?

ʻOiai he maʻi lōʻihi kēia, he mea nui e aʻo e noho me ia. E kōkua kēia mau ʻōlelo aʻoaʻo iā ʻoe e hoʻoponopono i nā ʻōhū.

• E inu i ka wai he nui: Ke hoʻoheheʻe ʻia ka mimi, e emi ana ka ʻeha o ka ʻōpū mimi.
• Nā ʻūmiʻi wela a anu paha: ʻO ke kau ʻana i kahi ʻōmole wai wela a i ʻole kahi ʻeke hau ma kou ʻōpū haʻahaʻa e hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.
• E ʻaʻahu i nā lole ʻoluʻolu: E hōʻalo i nā lole paʻa a me nā lole komo e hoʻopaʻa ai i kou ʻōpū.
• Nā Hana Hoʻomaha: Hiki i nā kūlana Yoga e like me ke kūlana 'happy baby' ke kōkua i ka hoʻomaha ʻana i nā ʻiʻo o ka papahele pelvic.
• Inā ʻeha ka moekolohe: E kamaʻilio me kāu kauka e pili ana i nā mea e like me ka lawe ʻana i nā mea ʻeha ma mua a me ka hoʻohana ʻana i nā lubricants.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, pono ʻoe e ʻike i ke kauka. Pono ʻoe e ʻike pono inā he maʻi ʻōpū mimi, IC/BPS, a i ʻole kekahi mea ʻē aʻe. Eia kekahi,

ʻAʻohe mea e hilahila ai kēia. Hiki iā ia ke loaʻa ka hopena nui i kou ola maikaʻi, no laila he mea nui e loaʻa ka lāʻau kūpono.