Kodi mumakhala ndi ululu wam'mimba pafupipafupi? Kodi mumakhala ndi chilakolako chofuna kupita kuchimbudzi pafupipafupi? Izi zikunena za Interstitial Cystitis (IC/BPS).

Kodi mufunikanso kupita kuchimbudzi kangapo patsiku? Kodi mumakodza pang'ono chabe? Kodi mumangomva kupweteka kwachilendo m'mimba mwanu? Mwina mukuganiza kuti iyi ndi matenda a mkodzo (UTI), koma ngakhale kumwa mankhwala sikungakuthandizeni? Ndiye vuto ili lomwe tikukamba lero, Interstitial Cystitis, lingakukhudzeninso. Izi ndi zovuta pang'ono, komanso nkhani yomwe anthu ambiri saidziwa bwino. Tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.

Kodi Interstitial Cystitis (IC/BPS) ndi chiyani kwenikweni?

Mwachidule, uwu ndi ululu wosatha kapena kusapeza bwino m'chikhodzodzo chanu . Tsopano madokotala amatcha izi kuti Chikhodzodzo Chopweteka (BPS). Tiyeni tifotokoze tanthauzo la dzinali pang'ono.

• Mawu oti "interstitial " amatanthauza "m'malo pakati pa minofu."
• Cystitis amatanthauza "kutupa kwa chikhodzodzo," zomwe zikutanthauza kuti ndi vuto lomwe limayambitsa kutupa.

Ndiko kuti, ndi kutupa ndi ululu womwe umachitika kwa nthawi yayitali pakati pa minofu ya chikhodzodzo. Munthu amene ali ndi vutoli amafunika kukodza pafupipafupi kuposa momwe amakhalira. Ndipo akamamva kuti akufuna kukodza, zimakhala zovuta kwambiri kuti asalowe m'mimba, ndipo amafunika kupita kuchimbudzi mwachangu. Izi timazitcha kuti pafupipafupi (kukodza pafupipafupi) ndi kufulumira (kufunika mwachangu) .

Pali mitundu iwiri ikuluikulu ya vutoli.

Inde, sizikhudza aliyense mofanana. Zingagawidwe m'magulu awiri akuluakulu. Mitundu iwiriyi imadziwika kudzera mu mayeso (Cystoscopy) pomwe dokotala amaika kamera mu chikhodzodzo chanu kuti achiyang'ane.

Kodi Gawo 4 la IC/BPS ndi chiyani?

Mwina munamvapo za magawo a matendawa. Gawo lachinayi ndi gawo loopsa kwambiri, pomwe zizindikiro zakhalapo kwa zaka zoposa ziwiri. Pakadali pano, minofu ya chikhodzodzo yakhala yolimba kwambiri komanso yolimba. Chifukwa cha izi, chikhodzodzo sichingathe kusunga mkodzo wochuluka monga kale. Matendawa amapezeka kwambiri mwa anthu omwe ali ndi zilonda za Hunner.

Kodi zizindikiro za IC/BPS ndi ziti?

Zizindikiro zimatha kusiyana malinga ndi munthu. Kwa ena, zimatha kukhala zofatsa, pomwe kwa ena, zimatha kukhala zopweteka kwambiri. Kwa ena, zizindikiro zimakhala zosatha, pomwe kwa ena, zimabwera ndi kutha.

Zinthu zazikulu ndi izi:

• Ululu, kupanikizika, kapena kusasangalala m'mimba yapansi (komwe kuli chikhodzodzo). Ululuwu ukhoza kuwonjezeka pamene chikhodzodzo chikudzaza.
• Kufunika kukodza pafupipafupi. Kungakhale nthawi 15, 20, kapena ngakhale 40-50 patsiku.
• Mukayamba kukodza, mumadzimva kuti mukufunikira kukodza mwachangu.
• Mkodzo wochepa kwambiri umatuluka nthawi imodzi.
• Kwa akazi, zizindikiro zimatha kukulirakulira panthawi ya msambo.

N’chifukwa chiyani chinthu chonga ichi chimachitika?

Ili ndi vuto lomwe anthu ambiri ali nalo. Kunena zoona, ngakhale madokotala sanganene motsimikiza 100% chomwe chimayambitsa IC/BPS. Koma pali zinthu zingapo zomwe zikuganiziridwa kuti zimayambitsa vutoli:

• Kufooka kwa mkati mwa chikhodzodzo: Chikhodzodzo chathu chili ndi gawo loteteza mkati. Izi ndi zomwe zimateteza khoma la chikhodzodzo ku zinthu zoopsa mu mkodzo. Gawoli likawonongeka, zinthu zoopsazo zimatha kulowa mu khoma la chikhodzodzo ndikuyambitsa kupweteka ndi kutupa.
• Mavuto a chitetezo chamthupi (matenda a autoimmune):Chitetezo cha thupi chingawononge maselo ake a chikhodzodzo molakwika.
• Matenda a ziwengo: Akukayikiridwanso kuti ntchito ya maselo ena (mast cells) m'thupi yomwe imayambitsa ziwengo ikugwirizana ndi izi.
• Matenda osapezeka: Nthawi zina matenda omwe sanachiritsidwe bwino amatha kuwononga mitsempha ya m'chikhodzodzo, zomwe zimapangitsa kupweteka kwa nthawi yayitali.
• Zinthu zosazolowereka mu mkodzo: Mwachitsanzo, kuchuluka kwa mapuloteni m'mkodzo nthawi zonse (proteinuria).

Ndani ali pachiwopsezo chachikulu chotenga izi?

• Azimayi ali pachiwopsezo chachikulu kuposa amuna.
• Ndi yofala kwambiri kwa anthu azaka zopitilira 30 .
• Anthu omwe ali ndi matenda ena opweteka nthawi zonse, monga fibromyalgia ndi irritable bowel syndrome (IBS), nawonso ali ndi mwayi waukulu wopeza IC/BPS.

Dokotala, mumazindikira bwanji izi?

Palibe mayeso amodzi omwe angatsimikizire IC/BPS. Dokotala wanu adzachotsa matenda ena omwe angayambitse zizindikiro zanu. Izi zingafunike mayeso angapo. Musadandaule, tiyeni tiwone zomwe zili.

Kodi mankhwala ochizira izi ndi otani?

Iyi ndi gawo lofunika kwambiri. Choyamba, palibe mankhwala a IC/BPS pakadali pano. Koma musadandaule. Pali mankhwala ambiri othandiza omwe angakuthandizeni kuthana ndi zizindikiro zanu ndikukhala moyo wabwinobwino.

Dokotala wanu ayamba ndi chithandizo chimodzi, kuona ngati chikukugwirani ntchito, kenako n’kusankha ngati akufunika kusinthana ndi mankhwala ena kapena kuphatikiza mankhwala angapo. Iyi ndi njira yoyesera ndi kulakwitsa. Zingatenge nthawi kuti mupeze chithandizo choyenera kwa inu.

1. Kusintha kwa zakudya

Anthu ambiri amapeza kuti zakudya ndi zakumwa zina zimapangitsa kuti zizindikiro zawo ziwonjezeke. Timazitcha kuti 'zimayambitsa'. Mutha kulemba tsiku ndi tsiku ndikulemba zomwe mumadya ndi kumwa komanso nthawi yomwe zizindikiro zanu zikukulirakulira. Pakapita nthawi, mudzadziwa zakudya zomwe zimayambitsa zizindikiro zanu.

Zakudya zomwe zimawonjezera zizindikiro kwa anthu ambiri:

• Mowa
• Kafeini (tiyi, khofi, chokoleti)
• Zakumwa zokhala ndi kaboni
• Tomato
• Zipatso za citrus (malalanje, mandimu)
• Zakudya zokonzedwa
• Chakudya chokometsera

2. Kuchita Maseŵera Olimbitsa Thupi ndi Kuchiritsa Thupi

• Maseŵero Olimbitsa Thupi: Maseŵero olimbitsa thupi ofatsa monga kuyenda ndi kukwera njinga angathandize kuchepetsa ululu.
• Kuchiza ndi Kulimbitsa Thupi la Pansi pa Chifuwa: Izi ndizofunikira kwambiri. Minofu ya m'mimba ya m'munsi (minofu ya pansi pa chifuwa) ndiyo imasunga ziwalo monga chikhodzodzo. Kulimba kwa minofu imeneyi kungapangitsenso kupweteka. Katswiri wa zamaganizo angakuphunzitseni masewera olimbitsa thupi oyenera kuti mupumule ndikulimbitsa minofu imeneyi (maseŵero a Kegel).

3. Kuchepetsa Kupsinjika Maganizo

Kupsinjika maganizo ndi chinthu chachikulu chomwe chimawonjezera zizindikiro za IC/BPS. Kuphunzira njira zothanirana ndi kupsinjika maganizo kungapereke mpumulo waukulu. Zinthu monga kuchita masewera olimbitsa thupi opumira kwambiri, kusinkhasinkha, ndi yoga zingathandize. Muthanso kupempha thandizo kwa mlangizi wa zaumoyo wamaganizo ngati pakufunika kutero.

4. Kuphunzitsanso Chikhodzodzo

Chifukwa cha ululu, mumazolowera kupita kuchimbudzi pamene chikhodzodzo chanu chadzaza pang'ono. Izi zimathandiza kuti chikhodzodzo chanu chizolowere pang'onopang'ono kusunga mkodzo wochepa. Kuphunzitsanso chikhodzodzo kumafuna kuwonjezera nthawi pakati pa kupita kuchimbudzi. Mumayamba ndi mphindi 5-10 kenako pang'onopang'ono mumawonjezera nthawiyo kufika maola 2-3.

5. Mankhwala Omwe Amamwa

• Mankhwala Oletsa Kuvutika Maganizo: Mankhwala ena oletsa kuvutika maganizo, monga amitriptyline, akaperekedwa pang'ono kwambiri, angathandize kuchepetsa kupweteka kwa chikhodzodzo ndi kufunikira kukodza pafupipafupi.
• Mankhwala Oletsa Kutupa: Mankhwala monga Hydroxyzine amatha kuchepetsa ziwengo komanso kuchepetsa ululu.
• Pentosan Polysulfate Sodium (Elmiron®): Iyi ndi mankhwala okhawo omwe amamwa omwe amavomerezedwa makamaka kwa IC/BPS. Amakhulupirira kuti amathandiza kumanganso khoma loteteza la chikhodzodzo lomwe lawonongeka.

6. Kuika chikhodzodzo

Pankhaniyi, dokotala amaika chubu chopyapyala kwambiri (catheter) mu mkodzo wanu ndikubaya mankhwala osakaniza mu chikhodzodzo chanu. Mankhwala ogwiritsidwa ntchito kwambiri ndi dimethyl sulfoxide (DMSO). Mankhwalawa amasiyidwa mu chikhodzodzo chanu kwa kanthawi kenako nkuchotsedwa kudzera mu kukodza.

7. Mankhwala ena

Ngati mankhwala omwe ali pamwambawa sakugwira ntchito, dokotala wanu angaganizire izi:

• Kulimbikitsa Mitsempha (Neuromodulation): Njira yowongolera kupweteka kwa chikhodzodzo ndi kufulumira kwa ntchito potumiza zizindikiro zazing'ono zamagetsi ku mitsempha ina m'thupi.
• Majekeseni a Botox®: Botox imalowetsedwa m'minofu ya chikhodzodzo, kuchepetsa ntchito yawo komanso kuchepetsa ululu.
• Opaleshoni: Izi zimachitika ngati njira yomaliza, kwa anthu okhawo omwe ali ndi zizindikiro zoopsa kwambiri omwe sanayankhe chithandizo china. Izi zimaphatikizapo kuchotsa gawo kapena chikhodzodzo chonse (cystectomy).

Kodi mungakhale bwanji ndi IC/BPS?

Popeza vutoli ndi la nthawi yayitali, ndikofunikira kuphunzira kukhala nalo. Malangizo awa adzakuthandizani kuthana ndi kukwiya kwambiri.

• Imwani madzi ambiri: Mkodzo ukachepa, kusasangalala kwa chikhodzodzo kumachepa.
• Kupopera madzi otentha kapena ozizira: Kuyika botolo la madzi otentha kapena paketi ya ayezi pamimba panu kungathandize kuchepetsa ululu.
• Valani zovala zomasuka: Pewani mathalauza olimba ndi zovala zamkati zomwe zimakupangitsani kufooka m'mimba.
• Njira Zopumulira: Maseŵera a yoga monga momwe amachitira mwana wosangalala angathandize kupumula minofu ya pansi pa chiuno.
• Ngati kugonana kukupweteka: Lankhulani ndi dokotala wanu za zinthu monga kumwa mankhwala ochepetsa ululu musanayambe kumwa mankhwala ochepetsa ululu komanso kugwiritsa ntchito mafuta odzola.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa m'nkhaniyi, muyenera kuonana ndi dokotala. Muyenera kudziwa bwino ngati ndi matenda a mkodzo, IC/BPS, kapena china chake. Komanso,

Izi si zochititsa manyazi. Zingakhudze kwambiri moyo wanu, choncho ndikofunikira kupeza chithandizo choyenera.