Ingaba kukho igazi kumchamo wakho? Ngaba yiHemorrhagic Cystitis? Masithethe!

Ngaba wakha waziva iintlungu ngelixa uchama, mhlawumbi igazi emchameni wakho? Okanye ngaba oku kuye kwenzeka kumntu omaziyo? Kunokuba yinto eyoyikisayo, kodwa kubalulekile ukuba uqaphele. Namhlanje siza kuthetha ngemeko ebizwa ngokuba yiHemorrhagic Cystitis , ebangela ukopha kunye nokudumba kwesinyi.

Yintoni iHemorrhagic Cystitis? Ngamafutshane...

Kulungile, masiqale sijonge ukuba eli gama lithetha ukuthini, nangona liyinkimbinkimbi kancinci. Igama elithi "hemorrhagic" lithetha ukopha. Igama elithi "cystitis" lithetha ukudumba kwesinyi, oko kuthetha ukudumba nokuba bomvu. Emva koko igama elithi "hemorrhagic cystitis" lithetha ukuba udonga lwangaphakathi lwesinyi sakho luyavuvukala luze luqale ukopha.

Ngoku uyazi, isinyi sisitho esincinci esifana nengxowa emzimbeni wethu. Sikwisisu esisezantsi. Siqokelela kwaye sigcine umchamo, owenziwe ngamanzi kunye nolwelo esiluselayo, kwaye xa ixesha lifika, ukhutshwa emzimbeni ngesinyi. Ngoko ke, ukuba kukho nawuphi na umonakalo kwingaphakathi lesinyi, imeko ebizwa ngokuba yiHemorrhagic Cystitis inokwenzeka.

Ngubani onokuba nethuba elikhulu lokufumana i-Hemorrhagic Cystitis?

Nangona le meko inokuvela nakubani na, abanye abantu banamathuba amaninzi okuba nayo, ingakumbi:

• Abantu abafumana unyango lomhlaza: Amanye amayeza okulwa nomhlaza, anjenge-cyclophosphamide okanye i-ifosfamide, okanye unyango lwemitha esiswini lunokonakalisa udonga lwesinyi.
• Iimeko ezibangela usulelo: Le meko inokubangelwa ziibhaktheriya ezithile okanye usulelo lwentsholongwane.
• Ukufakelwa komongo wethambo: Oku ngamanye amaxesha kunokwenzeka emva kotyando olunjalo.
• Ukuvezwa kwiikhemikhali: Abantu abasebenza ngeekhemikhali ezifana ne-`(Aniline)` kunye ne-`(Toluidine)` ezisetyenziswa kwezinye iifektri nabo banokuba semngciphekweni.

Le meko ayiqhelekanga kubantu abaphilileyo, kodwa kuthiwa ichaphazela i-10% ukuya kwi-35% , kwaye mhlawumbi nangaphezulu, kwabo banyangwa ngumhlaza.

Ikhula njani i-Hemorrhagic Cystitis? Zithini izizathu?

Ngamafutshane, oku kuphuma kwegazi kunye nokudumba kwenzeka xa udonga lwangaphakathi lwesinyi, oko kukuthi, imithambo yegazi ethambileyo apho, lonakele. Kukho izizathu ezininzi eziphambili zokuba lo monakalo unokwenzeka:

• Usulelo lweentsholongwane okanye iintsholongwane: Ngamanye amaxesha usulelo lwendlela yomchamo lunokuba mandundu kwaye luchaphazele isinyi.
• Ukufakelwa komongo wethambo:Amanye amayeza anikwa ngolu tyando nawo anokuba nefuthe.
• Unyango lweKhemotherapy: Njengoko bekutshiwo ngaphambili, amayeza afana neCyclophosphamide okanye i-Ifosfamide anokubulala iiseli zomhlaza, kodwa anokuchaphazela neeseli ezisempilweni.
• Ukuchatshazelwa ziikhemikhali emsebenzini: Iikhemikhali ezifana ne-"Aniline" kunye ne-"Toluidine", ezisetyenziswa ekwenzeni iipeyinti ezithile kunye neemveliso zerabha, zingonakalisa isinyi ukuba zityiwe.
• Unyango ngemitha: Xa unyango ngemitha lunikwa umhlaza okwindawo yesisu, ingakumbi kufutshane nesinyi, imitha inokubetha kwaye yonakalise udonga lwesinyi.

Zithini iimpawu zale meko? Uyibona njani?

Iimpawu zeHemorrhagic Cystitis zingahluka kumntu nomntu. Ziyahluka ngokuxhomekeke kubukhali bemeko. Nangona kunjalo, nazi ezinye zeempawu eziqhelekileyo:

• Igazi kumchamo (iHematuria): Olu luphawu oluphambili. Umchamo ungabonakala upinki, ubomvu, okanye umdaka.
• Amahlwili egazi kumchamo: Ngamanye amaxesha amahlwili egazi anokwakheka aze aphume nomchamo ube ngamahlwili amancinci.
• Intlungu ngexesha lokuchama (Dysuria): Usenokuziva utshisa okanye intlungu xa uchama.
• Umkhuhlane: Ungafumana umkhuhlane kuba kukho usulelo okanye ukudumba emzimbeni.
• Ukusoloko ufuna ukuchama: Usenokuziva ngathi kufuneka ukhawuleze uchame, nokuba unomchamo omncinci kuphela.
• Ubunzima bokuchama okanye ukungaphumi komchamo: Ngamanye amaxesha, ihlwili legazi linokuvala i-urethra lize libangele ukuba umchamo uphume. Le yimeko engxamisekileyo.
• Ukungakwazi ukulawula isinyi: Abanye abantu banokuba nobunzima bokulawula ukuchama kwabo.

Kubalulekile: Ezinye zezi mpawu zifana nezo zibonakala kwiintsholongwane zomchamo eziqhelekileyo (ii-UTI) kunye namatye esinyini. Ngoko ke, ukuba unayo nayiphi na kwezi, kungcono ukubona ugqirha ukuze ufumane ukuba yintoni kanye kanye ingxaki.

Oogqirha bayixilonga njani ngokuchanekileyo le meko ibizwa ngokuba yiHemorrhagic Cystitis?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko, banokwenza uvavanyo oluthile ukuqinisekisa imeko.

• Uvavanyo lomchamo: Olu vavanyo lujonga umchamo ukuba awunazo na iiseli zegazi, izinto ezibangela usulelo, okanye izinto ezifana neeseli zomhlaza.
• Uvavanyo lwegazi: Olu vavanyo lunceda ekufumaniseni ukuba kukho usulelo okanye enye imeko yezempilo emzimbeni.
• Uvavanyo lomfanekiso:Ezi zisetyenziselwa ukuthatha imifanekiso yesinyi. Uvavanyo olufana ne-`(CT scan)`, `(MRI)` okanye `(Ultrasound scan)` lunokusetyenziswa koku.
• I-Cystoscopy: Oku kuquka ukufaka isixhobo esincinci esifana netyhubhu (esinekhamera kunye nokukhanya ekupheleni) nge-urethra ukuze ujonge ngqo kwisinyi. Oku kukuvumela ukuba ubone ngokucacileyo imeko yodonga lwesinyi kunye naluphi na ukopha.

Ngokusekelwe kwiziphumo zolu vavanyo, ugqirha wakho angakunika amanqaku ngokusekelwe kubukhali bemeko yakho ye-Hemorrhagic Cystitis:

• Ibanga lokuQala: Ukopha okuncinci kakhulu. Kubonakala kuphela phantsi kwe-microscope.
• Ibanga lesiBini: Ukopha okubonakalayo emehlweni, kodwa okuncinci kakhulu.
• Ibanga lesi-3: Ukopha kuhamba namahlwili egazi amancinci.
• Ibanga lesi-IV: Ukopha kakhulu. Amahlwili egazi amakhulu ngokwaneleyo ukuthintela ukuhamba komchamo anokubakho. Le yimeko efuna unyango olungxamisekileyo.

Iphathwa njani le nto?

Kubalulekile ukunyanga i-hemorrhagic cystitis ngokukhawuleza ukunciphisa iintlungu nokuthintela umonakalo wesinye ixesha elide.

Kukho iindlela ezininzi zonyango. Kuxhomekeke kwizinto ezifana nesizathu sesifo kunye nobunzima bemeko. Ezinye zeendlela zonyango zezi:

• Ukususa umchamo kwisinyi: ``catheter'', ityhubhu, ifakwa ukuze umchamo uqokeleleke ebhegini.
• Ukutshintsha amayeza: Ukuba usela amayeza omhlaza, ugqirha wakho unokugqiba ekubeni atshintshe uhlobo lwamayeza okanye anciphise umthamo.
• Ukususwa kwamahlwili egazi: Amahlwili egazi esinyini asuswa nge-catheter okanye ngexesha le-cystoscopy.
• Ukunkcenkceshela ngokuqhubekayo ngesinyi: Oku kuquka ukufaka isisombululo esifana nesaline kwisinyi uze usihlambe rhoqo. Kufana 'nokukhupha' isinyi ngaphakathi.
• Ukufakelwa kwegazi: Le yinkqubo ekhethekileyo. Umthambo wegazi obangela ukopha uyafunyanwa uze uvalwe.
• Unyango lwe-oksijini e-hyperbaric: Indlela ekhethekileyo yonyango enika ioksijini phantsi koxinzelelo oluphezulu.
• Unyango lwe-intravesical: Amayeza anjenge-sodium hyaluronidase kunye ne-aminocaproic acid afakwa ngqo kwisinyi.
• Ulwelo olufakwa emthanjeni (ii-IV fluids): Ulwelo olufana ne-saline lufakwa emthanjeni osengalweni ukuze kwandiswe imveliso yomchamo kwaye kukhutshwe isinyi.
• Amayeza okunyanga izifo: Kunikwa amayeza okulwa neentsholongwane xa kukho izifo ezibangelwa ziintsholongwane, kwaye amayeza okulwa neentsholongwane xa kukho izifo ezibangelwa ziintsholongwane anikwa.

Amaxesha amaninzi, ukuba kukho ukopha kakhulu, utofelo-gazi lunokufuneka. Okanye, ukuba akukho nyango lusebenzayo, utyando lwe-cystectomy lunokufuneka. Nangona kunjalo, oku kunqabile kakhulu.

Ngaba umngcipheko wokufumana i-Hemorrhagic Cystitis ungancitshiswa?

Ukuba unyangelwa umhlaza, ungabuza ugqirha wakho okanye umongikazi ngezinto onokuzenza ukukhusela isinyi sakho nokuthintela le meko. Nazi ezinye zemizekelo:

• Sela amanzi amaninzi kunye nolwelo: Abanye abantu bathi ukusela ijusi ye-cranberry kulungile kwimpilo yesinyi. Nangona kunjalo, kubalulekile ukusela amanzi amaninzi kunye nokugcina isinyi sakho sicocekile ngamaxesha onke.
• Chama rhoqo: Musa ukuyibamba i-chamo yakho, chama kwangoko xa uziva ufuna.
• Jonga umchamo wakho rhoqo: Jonga umchamo wakho ukuba akukho naliphi na isuntswana legazi, ingakumbi ukuba unyangwa umhlaza.
• Amanyathelo okuzikhusela ngexesha lonyango lwemitha: Nciphisa indawo yokuvezwa kwemitha kangangoko kunokwenzeka.
• Ukusela iyeza elibizwa ngokuba yiMesna: Eli yeza linikwa kunye namanye amayeza okulwa nomhlaza ukukhusela isinyi.
• Ukunkcenkceshela isinyi rhoqo ngexesha lonyango lomhlaza: Oku kwenziwa nakwezinye iimeko.

Ingaba oku kuyingozi? Ngaba kungabeka ubomi esichengeni?

Ubunzima boku buxhomekeke kwisizathu kunye nobunzima bemeko. Kwiimeko ezininzi, i-hemorrhagic cystitis, ingakumbi ukuba ibangelwa lusulelo, iyaphela kakuhle ngonyango kwaye ayibangeli iingxaki zexesha elide.

Nangona kunjalo, kwiimeko ezinqabileyo kakhulu nezinzima, inokuba yingozi ebomini.

Abantu abaninzi abafumana le meko ngelixa befumana unyango lomhlaza bayakwazi ukuqhubeka nonyango lwabo lomhlaza. Oogqirha baza kucwangcisa ngokufanelekileyo.

Ufanele ufune nini ingcebiso kagqirha? Zeziphi iimpawu ezifanele zikukhuthaze ukuba uye kugqirha?

Ukuba uneempawu zeHemorrhagic Cystitis, kuya kuba bubulumko ukufuna ingcebiso kagqirha ngokukhawuleza.

Ukuthi ngqo,

• Ukuba kukho amahlwili egazi kumchamo,
• Ukuba uqunjelwe kangangokuba awukwazi ukuchama,

Kwimeko efana nale, musa ukulibazisa. Eyona nto ingcono onokuyenza kukuya esibhedlele ngokukhawuleza.

Masikhumbule oko besithetha ngako njengesishwankathelo (Umyalezo Wokubuyela Ekhaya)

Kulungile, ndiyathemba ukuba ngoku uyiqonda ngcono iHemorrhagic Cystitis esithethe ngayo namhlanje.

• I-hemorrhagic cystitis kukudumba kodonga lwangaphakathi lwesinyi okubangela ukopha.
• Eyona nto ibangela oku kunyango lomhlaza (amayeza okanye imitha). Ukongeza , usulelo kunye neekhemikhali ezithile nazo zinokubangela oku.Ingachaphazeleka.
• Iimpawu eziqhelekileyo ligazi emchameni, iintlungu xa uchama, kunye nesidingo sokuchama rhoqo .
• Oku kunokuxilongwa ngokuchanekileyo kuphela ngovavanyo lomchamo, uvavanyo lwegazi, iiskeni, kunye ne-cystoscopy .
• Kukho iindlela ezahlukeneyo zonyango, eziyahluka ngokuxhomekeke kubukhali bemeko kunye nesizathu.
• Ukuba unegazi kumchamo wakho, ingakumbi ukuba lihamba namahlwili egazi, okanye ukuba awukwazi ukuchama kakuhle, funa ingcebiso kagqirha ngokukhawuleza.

Akukho nto yokoyika, kodwa ukuba ubona naziphi na kwezi mpawu, musa ukuzityeshela. Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza kwaye ufumane unyango olufunekayo. Ndikunqwenelela impilo entle!

I- cystitis ephuma igazi, ukopha kwesinyi, i-cystitis, unyango lomhlaza, usulelo lomchamo, i-hematuria, i-cystoscopy