He mamae tō tōku pūkahukahu i ngā wā katoa? (Interstitial Cystitis/Bladder Pain Syndrome) - Me kōrero tātou mō tēnei!

He maha ngā wā ka mamae, ka kore rānei e pai tō puku o raro, te wāhi kei reira te pūhā? He poto noa iho te hiahia ki te mimi , engari he maha tonu ? Mena koinā, he mea nui pea tēnei ki a koe. Ka kiia tēnei mate ko te "Interstitial Cystitis" ko te "Bladder Pain Syndrome" (BPS) rānei. He māmā noa iho, he mamae mau tonu, he kore rānei e pai tō mimi.

He aha te Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS)?

He whakarāpopototanga noa iho, ko te interstitial cystitis he mate e tohu ana te kupu "interstitial" i tētahi mea e pā ana ki ngā āputa i waenganui i ō tātou kiko, i ō tātou whekau rānei. Ko te tikanga o te kupu "Cystitis" he mumura. Nō reira, ko te mea ka tupu ko te mamae e puta mai ana me tētahi momo mumura i roto i ngā pakitara o tō pūkahukahu.

Mena kei a koe te IC/BPS, me mimi pinepine atu pea koe (auau) i te tikanga. Tērā pea ka pāngia koe e te hiahia ohorere ki te mimi (whakaohooho) . E kiia ana hoki tēnei ko:

• Te mamae o te pūkahukahu
• Te mate auau-whakaoho-dysuria
• Te mamae pūmau o te hope

E rua ngā momo matua o te IC/BPS.

E wehea ana tēnei e ngā tākuta kia rua ngā momo matua:

1. IC/BPS Whewhe: I roto i tēnei, ka puta ngā whewhe mamae e kiia nei ko ngā "Hunner's ulcers" ki te pakitara o te tōngāmimi. Heoi, he onge ake tēnei, e pā ana ki te 5% me te 10% o te hunga whai IC/BPS.

2. IC/BPS kore-pupuhi: Koinei te momo tino noa. Tata ki te 90% o te hunga whai IC/BPS he momo tēnei. I roto i tēnei momo, ka kitea ngā toto iti rawa, he rite ki ngā marō iti (glomerulations) , i roto i te pakitara o te pūkahukahu.

Whakaarohia he rite tō pūkahukahu ki tētahi poihau iti. Ka nui haere ina kī ana i te mimi , ā, ka iti haere anō ina mimi koe. Ināianei, me te IC/BPS, me te mea kua pakaru te arai o roto i taua poihau, ā, ka tairongo.

He aha tēnei IC/BPS "Taumata 4"?

Kua rongo pea koe i te "Wāhanga 4" IC/BPS. He mea tēnei mā te hunga kua pāngia e ngā tohu o te IC/BPS mō ngā tau neke atu i te rua. I tēnei wā, ka tino pakari te kiko o te pūkahukahu, ā, kāore e taea te pupuri i te nui o te mimi pērā i mua. He maha ngā wā ka kitea tēnei āhuatanga i roto i te hunga whai "mate pukupuku Hunner" kua whakahuatia ake nei.

He pēhea te noa o tēnei āhuatanga?

He mate noa ake te IC/BPS i tō whakaaro. Hei tauira, i te Hononga o Amerika anake:

• I waenganui i te 1 me te 4 miriona tāne
• E ai ki te whakatau tata, e 3 ki te 8 miriona ngā wāhine e pāngia ana e tēnei mate.

E whakaatu ana tēnei he mea tēnei e kitea pinepinetia ana i roto i ngā wāhine, engari ka taea hoki te whanake i roto i ngā tāne.

He aha ngā tohu o te IC/BPS?

Ka rerekē pea ngā tohu i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi e te mamae iti noa iho, ko ētahi ia ka pāngia e te mamae nui . Waihoki, tērā pea ka noho tonu ēnei tohu, ka haere mai, ka haere atu rānei i ētahi wā.

Koinei ngā tohu e kitea whānuitia ana:

• Te mumura o te pūkahukahu (cystitis)
• Te mamae i roto i tō puku o raro, arā, i te wāhi kei reira tō mimi.
• Te pēhanga, te mamae rānei ina kī te pūkahukahu i te mimi .
• Te mimi pinepine me te hiahia ohorere ki te mimi .
• He iti noa iho te mimi e tukuna ana i te wā e mimi ana .

Tērā pea ka kino ake ēnei tohu i te wā o tō paheketanga , inā koa he wahine koe.

He aha te āhua o tēnei?

He rerekē te āhua o tēnei mō ia tangata. Tērā pea ka pāngia ētahi e te taumaha, te kore rānei e pai ki te puku o raro. Ko ētahi atu ka pāngia e te mamae nui, me te mea kei te pēhia rātou e tetahi i roto, kei te werohia rānei ki te maripi. Haunga tēnei, he tino whakarihariha te hiahia tonu ki te mimi , me te hiahia anō ki te mimi ahakoa he iti noa te mimi.

He aha ngā take o te IC/BPS?

Ki te pono, kāore anō kia kitea e ngā tākuta me ngā kairangahau hauora te tino take o te IC/BPS. Heoi, e whakapae ana rātou he hononga pea tēnei ki ētahi o ngā āhuatanga hauora e whai ake nei:

• Ngā mate pūnaha ārai mate: Arā, ngā mate e whakaekea ai e te pūnaha ārai mate o tō tātou tinana ō tātou ake pūtau.
• Mate pāwera: He mate pāwera ētahi tāngata ki ngā momo mea.
• He hapa kei roto i te arai o tō pūkahukahu.
• Ngā mate toto / vasculopathy .
• Ngā āhuatanga rerekē o ngā "pūtau mast", he momo pūtau e puta ai ngā tohu mate pāwera.
• Kei roto i tō mimi ngā matū rerekē. Hei tauira, he nui tonu te pūmua i roto i te mimi (proteinuria) .
• Ngā mate urutā kāore i te mōhiotia.

Tērā pea tētahi, ētahi rānei o ēnei āhuatanga e whai wāhi ana ki tēnei āhuatanga.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ka taea e te tangata katoa te pāngia e te IC/BPS. Heoi, tera pea ka nui ake tō tūponotanga ki te pāngia e tēnei mate mēnā:

• Ki te mea he wahine .
• 30 tau te pakeke, neke atu rāneiKi te mea he tangata.
• Mena kei te pāngia koe e tētahi atu mate hauora e pā ai te mamae roa (hei tauira, te Irritable Bowel Syndrome, te Fibromyalgia).

Me pēhea te tautuhi tika i te IC/BPS? (Tautuhinga)

Kāore he whakamātautau motuhake hei whakaatu tika mēnā kei a koe te IC/BPS. Heoi, ka whakahau te tākuta i ētahi whakamātautau hei whakarite kia kore koe e pāngia e ētahi atu mate, āhuatanga hauora rānei. Kei roto i ēnei whakamātautau ko:

• Hītori hauora: Ka pātai atu tō tākuta ki a koe mō ō tohumate. Tērā pea ka tonoa koe kia pupuri i tētahi pukapuka rātaka, tae atu ki ō tohumate, te nui o te inu e inuhia ana e koe, me te nui o te mimi e mimihia ana e koe. Mā tēnei ka āwhina i tō tākuta kia mārama ake ai koe ki tō āhua.
• Te tātaritanga mimi / te whakamātautau mimi: Ina tukuna he tauira mimi , ka tirohia i raro i te karuārai hei tirotiro mēnā he toto kei roto i te mimi (hematuria) me ngā tohu o te mate (huakita, pūkahukahu, toto toto mā). Mēnā he mate, ka tohua e te tākuta he rongoā paturopi . Mēnā kāore he mate kei roto i tō mimi i muri i te maimoatanga, engari ka mau tonu ō tohu, ka whakapae pea tō tākuta kei a koe te IC/BPS.
• Biopsy: Ko te tikanga o tēnei ko te tuku i a koe ki raro i te mate whakamoe (arā, kei te moe koe) me te whakamahi i tētahi ngira angiangi hei tango i tētahi tauira iti o te kiko mai i te pakitara o te pūkahukahu me te urethra. Ka mahia tēnei hei whakarite kia kore he mate kino kē atu, pērā i te mate pukupuku pūkahukahu.
• Cystoscopy: I tēnei tikanga, ka tirohia e te tākuta te roto o tō urethra me tō pūhā. Ka mahia tēnei mā te whakamahi i tētahi ngongo angiangi, ngāwari me te kāmera me te mārama i tētahi pito (cystoscope) . Ka whakaurua tēnei mā roto i tō urethra ki roto i tō pūhā. Kāore koe e hiahia ki te rongoā whakamoe mō tēnei tikanga. Heoi, ki te whakatau tō tākuta me whai koiora me te cystoscopy, ka hoatu pea he rongoā whakamoe ki a koe.
• Te tirotiro i raro i te mate whakamoe me te hydrodistension: I ētahi wā ka mahia anō tēnei whakamātautau e ngā tākuta. I te wā o te tirotiro i raro i te mate whakamoe, ka whakakīia te pūkahukahu ki te wai, ā, ka whakapūpūtia ki tōna rahi nui rawa. Ka taea e tēnei tikanga te tirotiro mō ngā whara, ngā pakaru rānei i roto i te pūkahukahu. He mamae, nō reira ka mahia i raro i te mate whakamoe. Heoi, he maha ngā tāngata ka kite i te whakaoranga wā poto mai i ō rātou tohu IC/BPS i muri i tēnei.

Me pēhea te rongoā mō te IC/BPS?

Ko te mea nui, kāore e taea te whakaora katoa i te IC/BPS. Heoi, he maha ngā maimoatanga e wātea ana. Ko te whāinga matua o te maimoatanga he whakahaere i ō tohumate me te whakaora i a koe.Ka kōrero te tākuta ki a koe, ā, ka whakatau ko tēhea te maimoatanga pai rawa atu māu. I ētahi wā, ka taea te whakamahi i te huinga o ngā maimoatanga.

Kāore e taea e ngā tākuta te matapae i tō urupare ki tētahi maimoatanga. Nō reira, me whakamātau pea koe i ngā maimoatanga rerekē, kia kite ai koe i te urupare a tō tinana. Tērā pea ka ngaro rawa atu ō tohumate, ka kino haere rānei. Ahakoa ka ngaro ō tohumate, tērā pea ka hoki mai anō i muri mai.

Ko ngā maimoatanga IC/BPS pea ko:

Ngā huringa o tō kai

E ai ki ētahi tāngata whai IC/BPS, ko ētahi kai me ētahi inu ka puta ai ō rātou tohu. Nō reira, he mea nui kia pupuri i tētahi pukapuka kai mō ngā mea e kainga ana e koe, e inu ana hoki i te roanga o te rā, me te nui o te kai me te inu e kainga ana e koe. Mā te tuhi i ngā mea i kainga e koe, i inu ai koe i mua i te tīmatanga o ō tohu, i mua rānei i te putanga mai o te mate, ka taea e koe te tautuhi me te karo i ngā kai e puta ai ō tohu.

Ki te kitea e koe he kino ake ngā tohumate i ngā kai me ngā inu waikawa (pērā i te rēmana me te karaka, te pepa tiri, ngā inu warowaihā, te tōmato), ka tūtohu pea tō tākuta kia tangohia e koe he rongoā whakaiti waikawa i roto i ō kai. Ka mahi ngā rongoā whakaiti waikawa mā te whakaiti i te nui o te waikawa i roto i tō mimi .

He aha ngā kai me ngā inu ka pā kino ki a koe mēnā kei a koe te IC/BPS?

Koinei ngā kai me ngā inu ka kino ake ai ngā tohu o te IC/BPS:

• Waipiro
• Ngā mea reka horihori
• Kawheine (kei roto i te tī me te kawhe)
• Ngā inu warowaihā (pērā i te houra tunutunu)
• Tiakarete
• Tōmato
• Ngā wai hua (ina koa ko ngā mea he nui te waikawa)

Tērā pea ka tukuna koe e te tākuta ki tētahi tohunga kai, hei āwhina i a koe ki te whakawhanake i te kai pai hei whakaiti i ō tohumate IC/BPS.

Korikori tinana

Mā te whakakori tinana me te mahi ā-tinana ka āwhina i te whakamamae i ngā tohu o te IC/BPS. Kei roto i ēnei:

• Te hikoi
• Te eke paihikara
• Totoro mārie, yoga rānei

Te whakaiti i te ahotea

Ka taea e te ahotea te whakaputa i ngā tohu IC/BPS. Nō reira, mā te ako ki te kite me te whakahaere i te ahotea ka āwhina i te whakaiti i ō tohu. Mā te kōrero ki tētahi kaitohutohu hauora hinengaro (whakaora hinengaro) ka āwhina i te whakaiti i te ahotea.

Te whakaora tinana

Ko ngā uaua o te papa pelvic te mea e pupuri ana i tō pūkahukahu kia mau, ā, e āwhina ana i a koe ki te whakahaere i tō mimi . Te whakapakari i ēnei uaua (ngā mahi Kegel)Mā te totoro, me te whakangāwari i te tinana ka āwhina i te whakamamae i ngā tohu o te mate pukupuku interstitial/te mamae o te pūkahukahu. Ka taea e te tākuta te āwhina kia tika tāu mahi i ēnei mahi whakakori tinana. He maha ngā tāngata e mahi tahi ana me te kaiwhakaora tinana o te papa pelvic ki te ako me pēhea te whakangāwari i ēnei uaua.

Te whakangungu anō i te pūkahukahu

Ina mamae tō pūkahukahu, he māmā noa iho te whai tikanga ki te haere ki te wharepaku i te wā tonu ka pā te mamae, te hiahia rānei kia mimi wawe, ahakoa kāore anō tō pūkahukahu kia kī tonu. Mā tēnei ka āwhina i tō tinana kia taunga ki te haere ki te wharepaku i ngā wā katoa. Ko te whakangungu anō i te pūkahukahu ko te whakangungu i a koe ki te pupuri i tō mimi mō te wā roa, me te whakakore i tēnei tikanga.

Hei taunga ki tēnei, tuhia he pukapuka rātaka mō te auau o tō mimi me te auau o tō hiahia ki te mimi . Mā te whakamahi i tō pukapuka rātaka, ngana ki te whakanui haere i te wā i waenga i ngā haerenga ki te wharepaku.

Ngā rongoā ā-waha

Mā ēnei rongoā ā-waha e āwhina pea ki te rongoā i ngā tohumate IC/BPS:

• Ngā rongoā mō te ngaungau: Ka taea e ngā antacids ka taea te hoko kore-tohu (hei tauira, Tums®, Rolaids®) te āwhina ki te whakaiti i te nui o te waikawa i roto i tō tinana me ngā tohumate.
• Ngā rongoā ārai pouri: Ka taea e ngā horopeta iti o tētahi rongoā ārai pouri tricyclic pērā i te amitriptyline (Elavil®) te āwhina ki te whakaiti i te mamae me te mimi pinepine.
• Hydroxyzine: Ka taea e te matū e kiia nei ko te histamine te whakaputa i ngā tohu o te IC/BPS. He momo antihistamine te Hydroxyzine. Ka āwhina i te tango i te histamine mai i tō pūkahukahu.

Ngā whakaurunga pūkahukahu

I tēnei tikanga, ka whakaurua e te tākuta he ngongo kirihou angiangi (catheter) ki roto i tō urethra ka mirohia ki tō mimi. Kātahi, mā roto i te ngongo, ka whakakīia tō mimi ki te ranunga o ngā rongoā maha, tae atu ki te dimethyl sulfoxide (DMSO) , he steroid, me te rongoā whakangote. He rongoā wai te DMSO hei āwhina i te whakamamae i ngā tohu.

Te whakapūngao wai - hei rongoā

Ka whakakīia tō pūkahukahu e te tākuta ki te wai parakore, ka totoro atu. Mā tēnei ka āwhina i te pūkahukahu kia nui ake te mimi e pupuri.Ka nui haere te rahi. Waihoki, ka taea e te hydrodistension te whakamarie, te whakangaro rānei i ngā pito io e kaha rawa ana te mahi e kī ana ki tō roro kei te mamae tō pūkahukahu. Ka hoatu he rongoā whakamoe ki a koe i te wā o te hydrodistension, kia moe ai koe, kia kore ai koe e mamae i te wā o te mahi.

Te whakaohooho io

Ka whakahaere te rongoā neuromodulation i te mahi a tō pūkahukahu, ka whakaiti i te hiahia ki te mimi me te mimi pinepine. Ka whakamahia he whakaoho hiko hei whakaoho i ō io me te whakaputa urupare. I ētahi wā ka āwhina hoki ki te whakaiti i te mamae o tō pūkahukahu me tō puku.

Ngā werohanga paitini botulinum

Ka werohia e te tākuta te paitini Botulinum (Botox®) ki roto i te uaua o tō pūkahukahu mā te whakamahi i tētahi cystoscope. Mā te iti o te Botox ka pararutiki te uaua, ka whakamamae hoki i te mamae. Heoi anō, me werohia pea koe ki te Botox i ia whā ki te iwa marama.

Pokanga

Mena he tino kino ngā tohumate IC/BPS kei a koe, ā, kāore koe e aro ki ētahi atu maimoatanga, ka tūtohu pea tō tākuta kia pokanga. Ko te tikanga o tēnei ko te tango i tētahi wāhanga, i te katoa rānei o tō pūkahukahu (cystectomy) . Engari ka mahia tēnei hei huarahi whakamutunga anake.

Ētahi atu whakaaro

Haunga te rongoā i tō pūkahukahu me te papa hope, ka whakaarohia hoki e te tākuta ētahi atu āhuatanga e pā ana ki tō mamae. Hei tauira:

• Ngā taurite kore o ngā homoni
• Endometriosis (te tipu o te kiko o te kōpū i waho o te kōpū)
• Ngā raruraru e pā ana ki tō whekau iti, whekau nui rānei

Ka ora katoa rānei te mate pukupuku interstitial/te mamae o te pūkahukahu?

He uaua ki te kī. Ko te nuinga o te hunga e pāngia ana e te mate pukupuku interstitial/te mamae o te pūkahukahu me rongoā mō te toenga o ō rātou oranga. Ki te kore rātou e whiwhi rongoā, ka hoki mai anō ō rātou tohu. Ka taea e rātou te piki haere o ngā tohu ahakoa kei te tango tonu rātou i tā rātou maimoatanga IC/BPS.

Heoi, he pai te urupare a ētahi tāngata ki te maimoatanga. Ka heke haere ō rātou tohumate, ā, i ētahi wā ka ngaro rawa atu.

He ara hei whakakore wawe i te IC/BPS?

Ko te mea pai ko te toro atu ki te tākuta i taua wā tonu . Māna e kī atu ki a koe ko ēhea maimoatanga hei whakaora tere i ō tohumate IC/BPS. He mea whakaaro nui te rapu tohutohu hauora, kaua e mahi noa i tāu e hiahia ana.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

Tērā pea ka roa pea ētahi wiki, ētahi marama rānei, kia tīmata ai te pai haere o ō tohu i muri i te maimoatanga IC/BPS. He mea nui kia manawanui koe ki tō maimoatanga.

Ka taea te aukati i te whanaketanga o te IC/BPS?

Kāore anō kia mōhiotia e ngā tākuta me ngā kairangahau hauora me pēhea te whakaiti i te tūponotanga o te whakawhanake i te mate pukupuku interstitial/te mamae o te pūkahukahu, me pēhea rānei te ārai i te hokinga mai o ngā tohu. Heoi, ka taea e koe te mahi i ēnei e whai ake nei hei āwhina i te ārai i te putanga mai o ngā tohumate:

• Puritia he rātaka kai, tautuhia ngā kai e whakararuraru ana i a koe, ā, karohia aua kai.
• Te haere tonu o tō maimoatanga ahakoa kua ngaro atu ō tohumate.
• E ngana ana ki te whakaiti i te ahotea i roto i tōu ao.

He aha ngā mea ka tumanakohia e au mēnā he IC/BPS tōku?

Mō te tini o te tangata, he mate roa te mate pukupuku interstitial/mamae pūkahukahu. Tērā pea he ngawari, he kino rānei ō tohu. Tērā pea ka puta i ētahi wā noa iho, ka mau tonu rānei.

He mea nui kia kōrero koe ki tētahi tākuta kia mōhio ai koe ki tō āhua me ngā kōwhiringa maimoatanga pai rawa atu.

He aha te roanga o te oranga o te tangata whai IC/BPS?

Ehara te mate pukupuku pūkahukahu/mamae pūkahukahu i te mate morearea. Kāore e puta ai te mate pukupuku pūkahukahu, kāore hoki e pā ki tō roanga o te ora. Heoi, ka pā ki te kounga o tō oranga.

Me pēhea taku tiaki i ahau anō mēnā he IC/BPS tōku?

Mā ēnei e whai ake nei ka āwhina i te whakaiti i te roa me te kaha o te putanga mai o te mate pukupuku interstitial cystitis/blodder pain syndrome:

• Kia rongo koe i te pikinga ohorere o ngā tohumate (te pupuhi), me tango he rongoā hei āwhina i te whakaiti i ō tohumate.
• Inumia he nui te wai hei whakamaene i tō mimi .
• Āta karohia ngā kai me ngā inu e whakanui ana i ngā tohu.
• Whakatakotoria he putea hukapapa, he papa whakamahana rānei ki tō puku, ki te wāhi rānei i waenganui i ō ira tangata me te nono (perineum) .
• Noho ki roto i tētahi peihana wai māhana (kaukau sitz) .
• Whakamātauria ētahi tū yoga hei āwhina i te whakangāwari i ngā uaua o te papa hope. Hei tauira, ka taea e koe te piko me ō waewae kia whānui te wehe ("goddess squat"), te takoto rānei ki runga i tō tuara me ō turi e anga ake ana ki tō uma, me ō waewae e anga ake ana, me te pupuri i te tuara o ō waewae ("happy baby").
• Whakamātauria ngā tikanga whakangā, pērā i ngā mahi manawa hōhonu, te whakaaroaro, te mirimiri rānei.
• Kaua e mau i ngā kākahu kikī (hei tauira, ngā tarau kikī, ngā tarau poto, ngā whitiki) e whakawhāiti ana i tō puku.
• Ki te kaha ake ngā tohu i te moe tāne me te wahine, me tango he rongoā mamae i mua i te moe tāne, ā, whakamahia he hinu whakahinuhinu hei whakaiti i te mamae.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te interstitial cystitis/te mamae o te pūkahukahu, whakaritea he wā ki te kite i te tākuta tonu . Ka whakahau te tākuta i ngā whakamātautau hei whakarite kāore he mate pāwera, he mate rānei e pā ana ki ō tohu IC/BPS. Tērā pea ka tohua e ia he rongoā, ka hoatu hoki he tohutohu ki a koe.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena he tino kino ō tohumate, kāore rānei e pai ake i muri i te maimoatanga, haere ki te rūma whawhati tata .

He aha ngā pātai me pātai atu ahau ki te tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• Me pēhea te mōhio mēnā kei a au te mate pukupuku interstitial/te mamae o te pūkahukahu?
• Mena kāore he mate pāwera/mamae pūkahukahu kei roto i ahau, he aha atu anō ngā mate ka pā mai ki ahau?
• He aha ngā momo whakamātautau ka mahia e koe hei whakaū i tāu whakatau?
• He aha te maimoatanga e taunaki ana koe?
• He pānga taha kei te maimoatanga e taunaki ana koe?
• Kotahi te maimoatanga e taunaki ana koe, kotahi rānei te huinga o ētahi maimoatanga?
• He aha te rārangi katoa o ngā kai me ngā inu me karo e au?
• He aha ngā huringa āhua noho ka āwhina i te whakahaere i aku tohumate?
• Me toro atu ahau ki tētahi tohunga kai, ki tētahi tohunga mimi, ki tētahi atu tohunga rānei?

He aha te rerekētanga i waenga i te mate pukupuku interstitial/te mamae o te pūkahukahu me te mate mimi (UTI)?

I ētahi wā ka pohehe te tangata i te mate pukupuku interstitial/te mamae o te pūkahukahu me te mate mimi (UTI) . Engari, ehara i te mea kotahi te IC/BPS me te UTI. Ko ngā iroriki (te nuinga o te wā he huakita, inā koa ko te E. coli ) ka puta mai i ngā UTI. Kāore anō kia mōhiotia e ngā tākuta te take o te IC/BPS. Heoi, ko ngā āhuatanga hauora e hono ana ki te IC/BPS ko ngā mate pūnaha ārai mate, ngā mate pāwera, me ngā raruraru ki ō oko toto.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ko te mate mamae o te puku/pūkahukahu (IC/BPS) he mate noa, he roa hoki e puta ai te mumura me te kore whakamarie i roto i tō pūkahukahu. Ka pā pea ki ō tikanga mimi – me mimi pea koe i ngā wā maha i te rā, ā, ki te hiahia koe ki te mimi , he mea nui rawa atu pea.

Ka taea e te mamae, te kore whakamarie, me ngā raruraru mimi te whakama me te mataku i a koe. Heoi, ki te mea he tohu tōu o te IC/BPS , kaua e whakamā ki te kōrero ki te tākuta. Ka taea e ia te whakahaere whakamātautau hei whakarite kāore he mate kē atu i a koe. Ka taea hoki e ia te mahi tahi me koe ki te whakawhanake i te mahere maimoatanga tino whai hua hei whakaiti i te roa me te kaha o ō mate, me te whakapai ake i te kounga o tō oranga.Kāore koe i te mokemoke, kei reira te āwhina mō tēnei.

Mamae tōngāmimi, Interstitial Cystitis, Mate mamae tōngāmimi, Mimi pinepine, Mate pāwera o te ara mimi, Ngā whara tōngāmimi, IC/BPS, Hauora Sinhala