Ese ukunda kubabara mu nda yo hasi? Ese ukunda kujya mu bwiherero? Ibi ni ibijyanye na Interstitial Cystitis (IC/BPS).

Ese ukeneye kujya mu bwiherero kenshi ku munsi? Ese unyara gato gusa? Ese ufite uburemere budasanzwe cyangwa ububabare mu nda yo hasi? Wenda utekereza ko iyi ari indwara y'inkari (UTI), ariko no gufata imiti ntacyo bizagufasha? Noneho iyi ndwara tuvuga uyu munsi, Interstitial Cystitis, ishobora no kukugiraho ingaruka. Ibi ni ibintu bigoye gato, kandi ni ingingo abantu benshi batazi neza. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Interstitial Cystitis (IC/BPS) ni iki mu by'ukuri?

Mu magambo make, ubu ni ububabare budakira cyangwa kubabara mu ruhago rwawe . Ubu abaganga bita ububabare mu ruhago (BPS). Reka dusobanure gato icyo iri zina risobanura.

• Interstitial bivuga "mu mwanya uri hagati y'uturemangingo."
• Cystitis bisobanura "kubyimba k'uruhago," bivuze ko ari indwara itera kubyimba.

Ni ukuvuga ko ari ububabare bw'igihe kirekire bugaragara hagati y'ingingo z'uruhago. Umuntu ufite iyi ndwara agomba kunyara kenshi kurusha uko bisanzwe. Kandi iyo yumvise akeneye kunyara, biragoye cyane kuyifata, kandi agomba kujya mu bwiherero vuba. Ibi tubyita inshuro nyinshi (guhagarika inkari kenshi) n'ubushyuhe (gukenera byihutirwa) .

Hari ubwoko bubiri bw'ingenzi bw'iyi ndwara.

Yego, ntabwo bigira ingaruka ku bantu bose kimwe. Bishobora kugabanywamo ubwoko bubiri bw'ingenzi. Ubwo bwoko bubiri bugaragazwa binyuze mu isuzuma (Cystoscopy) aho muganga ashyira kamera mu ruhago rwawe kugira ngo ayirebe.

Icyiciro cya 4 IC/BPS ni iki?

Ushobora kuba warumvise ibyiciro by'iyi ndwara. Icyiciro cya kane ni cyo cyiciro gikomeye cyane, aho ibimenyetso bimaze imyaka irenga ibiri. Kuri iyi ngingo, uturemangingo tw'uruhago tuba twaruzuye kandi tumeze nk'udukomeye. Kubera iyo mpamvu, uruhago ntirushobora kubika inkari nyinshi nk'uko byari bimeze mbere. Iyi ndwara ikunze kugaragara cyane ku bantu bafite ibisebe bya Hunner.

Ni ibihe bimenyetso bya IC/BPS?

Ibimenyetso bishobora gutandukana bitewe n'umuntu ku giti cye. Kuri bamwe, bishobora kuba byoroshye, mu gihe ku bandi, bishobora kubababaza cyane. Kuri bamwe, ibimenyetso birahoraho, mu gihe ku bandi, biza bigakomeza.

Ibintu by'ingenzi ni ibi:

• Ububabare, igitutu, cyangwa kutamererwa neza mu nda yo hasi (aho uruhago ruri). Ubu bubabare bushobora kwiyongera uko uruhago rwuzuye.
• Gukenera kunyara kenshi cyane. Bishobora kuba inshuro 15, 20, cyangwa ndetse 40-50 ku munsi.
• Iyo wumvise ukeneye kunyara, wumva ikintu cyihutirwa udashobora kwifata.
• Inkari nke cyane zirarekurwa icyarimwe.
• Ku bagore, ibimenyetso bishobora kwiyongera mu gihe cy'imihango.

Kuki ikintu nk'iki kibaho?

Iki ni ikibazo abantu benshi bafite. Mu by'ukuri, ndetse n'abaganga ntibashobora kuvuga neza 100% impamvu itera IC/BPS. Ariko hari ibintu bike bikekwa ko bishobora kubigiramo uruhare:

• Intege nke mu rukenyerero rw'inkari: Urukenyerero rwacu rufite urukenyerero imbere. Ibi nibyo birinda urukuta rw'inkari ibintu byangiza mu nkari. Iyo uru rukenyerero rwangiritse, ibyo bintu byangiza bishobora kwinjira mu rukuta rw'inkari bigatera ububabare no kubyimba.
• Ibibazo by'ubudahangarwa bw'umubiri (Indwara z'ubudahangarwa bw'umubiri):Ubwirinzi bw'umubiri bushobora kwibasira uturemangingo tw'inkari mu buryo butari bwo.
• Allergie: Bikekwa kandi ko imikorere y'uturemangingo tumwe na tumwe (uturemangingo twa mast) mu mubiri itera allergie ifitanye isano n'ibi.
• Indwara zitaramenyekana: Hari igihe ubwandu bwabayeho mbere butavuwe neza bushobora kwangiza imitsi yo mu ruhago, bigatera ububabare bw'igihe kirekire.
• Ibitagenda neza mu nkari: Urugero, poroteyine nyinshi mu nkari (proteinuria).

Ni nde uri mu kaga gakomeye ko kugira ibi?

• Abagore bari mu kaga gakomeye kurusha abagabo.
• Bikunze kugaragara cyane ku bantu barengeje imyaka 30 .
• Abantu bafite ubundi bubabare budakira, nka fibromyalgia na irritable bowel syndrome (IBS), nabo bafite amahirwe menshi yo kurwara IC/BPS.

Muganga, ni gute usuzuma ibi?

Nta kizamini na kimwe gishobora kwemeza IC/BPS. Muganga wawe azakuraho izindi ndwara zishobora gutera ibimenyetso byawe. Ibi bishobora gusaba ibizamini byinshi. Ntugahangayike, reka turebe ibyo ari byo.

Ni ubuhe buryo bwo kuvura ibi?

Iki ni cyo gice cy'ingenzi cyane. Mbere na mbere, nta muti wa IC/BPS uraboneka kugeza ubu. Ariko ntugahangayike. Hari uburyo bwinshi bwiza bwo kuvura bushobora kugufasha kwihanganira ibimenyetso byawe no kubaho ubuzima busanzwe.

Muganga wawe azatangirana n'uburyo bumwe bwo kuvura, arebe niba bugufitiye akamaro, hanyuma afate umwanzuro niba akeneye guhindura ubundi buryo bwo kuvura cyangwa guhuza uburyo butandukanye bwo kuvura. Ubu buryo ni uburyo bwo kugerageza no kwibeshya. Bishobora gufata igihe kugira ngo ubone uburyo bwo kuvura bukubereye.

1. Impinduka mu mirire

Abantu benshi basanga ibiryo n'ibinyobwa bimwe na bimwe bituma ibimenyetso byabyo birushaho kwiyongera. Ibyo tubyita 'ibintu bitera'. Ushobora kwandika mu ikaye ukandika ibyo urya n'ibyo unywa n'igihe ibimenyetso byawe birushaho kwiyongera. Uko igihe kigenda gihita, uzamenya ibiryo bitera ibimenyetso byawe.

Ibiribwa birushaho kuba bibi ku bantu benshi:

• Inzoga
• Kafeyine (icyayi, ikawa, shokora)
• Ibinyobwa birimo karubone
• Inyanya
• Imbuto z'imitobe (amacunga, indimu)
• Ibiryo byatunganyijwe
• Ibiryo biryoshye

2. Imyitozo ngororamubiri n'ubuvuzi bw'umubiri

• Imyitozo ngororamubiri: Imyitozo ngororamubiri yoroshye nko kugenda n'amaguru no kugendera ku igare ishobora kugabanya ububabare.
• Ubuvuzi bw'umubiri bwo mu gifu: Ibi ni ingenzi cyane. Imitsi yo mu nda yo hasi (imitsi yo mu gifu) ni yo ifata ingingo nk'uruhago. Gukomera muri iyi mitsi nabyo bishobora kongera ububabare. Umuganga w'inzobere mu by'umubiri ashobora kukwigisha imyitozo ngororamubiri ikwiye yo kuruhuka no gukomeza iyi mitsi (imyitozo ngororamubiri ya Kegel).

3. Kugabanya stress

Stress ni ikintu gikomeye gituma ibimenyetso bya IC/BPS byongera. Kwiga uburyo bwo gucunga stress bishobora gutanga ihumure rikomeye. Ibintu nk'imyitozo ngororamubiri yo guhumeka cyane, gutekereza cyane, na yoga bishobora gufasha. Ushobora kandi gusaba ubufasha bw'umujyanama mu by'ubuzima bwo mu mutwe niba bikenewe.

4. Kongera gutoza inkari

Kubera ububabare, umenyera kujya mu bwiherero iyo uruhago rwawe rwuzuye gato. Ibi bituma uruhago rwawe rumenyera buhoro buhoro gufata inkari nke. Gusubiramo imyitozo yo kongeramo igihe hagati yo kujya mu bwiherero bikubiyemo kongeramo nkana igihe hagati yo kujya mu bwiherero. Utangirana n'iminota 5-10 hanyuma ukongeraho buhoro buhoro igihe kikagera ku masaha 2-3.

5. Imiti yo kunywa

• Imiti igabanya ububabare: Imwe mu miti igabanya ububabare, nka amitriptyline, iyo itanzwe ku gipimo gito cyane, ishobora gufasha kugabanya ububabare mu ruhago no gukenera kunyara kenshi.
• Antihistamines: Imiti nka Hydroxyzine ishobora kugabanya allergies no kugabanya ububabare.
• Pentosan Polysulfate Sodium (Elmiron®): Uyu ni wo muti wonyine unyobwa wemejwe by'umwihariko kuri IC/BPS. Bikekwa ko ufasha kongera kubaka uruhago rwangiritse.

6. Gutera inshinge mu ruhago

Muri ibi, muganga ashyira umuyoboro muto cyane (catheter) mu muyoboro wawe w'inkari hanyuma agatera imiti ivanze mu ruhago rwawe. Umuti ukoreshwa cyane ni dimethyl sulfoxide (DMSO). Uyu muti usigara mu ruhago rwawe igihe gito hanyuma ukawukuramo binyuze mu kunyara.

7. Ubundi buryo bwo kuvura

Niba uburyo bwo kuvura bwavuzwe haruguru budatanga umusaruro, muganga wawe ashobora gusuzuma ibi bikurikira:

• Gukangura imitsi (Neuromodulation): Uburyo bwo kugenzura ububabare n'ubwihutirwe bw'uruhago binyuze mu kohereza ibimenyetso bito by'amashanyarazi ku mitsi imwe n'imwe mu mubiri.
• Inshinge za Botox®: Botox iterwa mu mitsi y'uruhago, ikagabanya imikorere yayo kandi ikagabanya ububabare.
• Kubagwa: Ibi bikorwa nk'uburyo bwa nyuma, gusa ku bantu bafite ibimenyetso bikomeye cyane batakiriye ubundi buryo bwo kuvura. Ibi bikubiyemo gukuraho igice cyangwa igice cyose cy'uruhago (cystectomy).

Nigute wabaho na IC/BPS?

Kubera ko iyi ari indwara y'igihe kirekire, ni ngombwa kwiga kuyihanganira. Izi nama zizagufasha guhangana n'ibibazo by'ihungabana.

• Nywa amazi menshi: Iyo inkari zigabanutse, kubabara mu ruhago biragabanuka.
• Imiti ishyushye cyangwa ikonje: Gushyira icupa ry'amazi ashyushye cyangwa agapaki k'urubura ku nda yo hasi bishobora kugabanya ububabare.
• Ambara imyenda igutuje: Irinde amapantalo n'imyenda y'imbere igufunga igifu.
• Uburyo bwo kuruhuka: Uburyo bwo gukora yoga nk'ubwo kwifata nk'umwana wishimye bushobora gufasha kuruhuka imitsi yo hasi mu kibuno.
• Niba imibonano mpuzabitsina ibabaza: Vugana na muganga wawe ku bintu nko gufata imiti igabanya ububabare mbere yo gufata imiti n'amavuta yo kwisiga.

Ni ryari ngomba kujya kwa muganga?

Niba ufite kimwe mu bimenyetso bivugwa muri iyi nkuru, ugomba kujya kwa muganga. Ugomba kumenya neza niba ari indwara yo mu nzira y'inkari, IC/BPS, cyangwa ikindi kintu. Nanone,

Ibi nta mpamvu yo kugira isoni. Bishobora kugira ingaruka zikomeye ku mibereho yawe, bityo rero ni ngombwa kubona ubuvuzi bukwiye.