Ngaba kufuneka uye kwindlu yangasese amaxesha amaninzi ngemini? Ngaba uchama kancinci nje? Ngaba unentlungu engaqhelekanga okanye ubunzima esiswini sakho esisezantsi? Mhlawumbi ucinga ukuba olu lusulelo lomchamo (UTI), kodwa nokusela amayeza akuyi kunceda? Ke le meko sithetha ngayo namhlanje, i-Interstitial Cystitis, isenokukuchaphazela. Oku kuyinkimbinkimbi kancinci, kwaye ngumbandela abantu abaninzi abangawaziyo ngokupheleleyo. Ngoko masithethe ngayo ngokulula, ngendlela onokuyiqonda.
Yintoni kanye kanye i-Interstitial Cystitis (IC/BPS)?
Ngamafutshane, oku kukubandezeleka okungapheliyo okanye ukungakhululeki kwisinyi sakho . Ngoku oogqirha babiza oku ngokuba yiBladder Pain Syndrome (BPS). Makhe sihlalutye intsingiselo yale gama kancinci.
- Igama elithi "Interstitial " lithetha "kwisithuba esiphakathi kwezicubu."
- I-Cystitis ithetha "ukudumba kwesinyi," oko kuthetha ukuba yimeko ebangela ukudumba.
Oko kukuthi, kukudumba okuhlala ixesha elide kunye nentlungu eyenzeka phakathi kwezicubu zesinyi. Umntu onesi sifo kufuneka achame rhoqo kunesiqhelo. Kwaye xa evakalelwa kukuba kufuneka achame, kunzima kakhulu ukuyibamba, kwaye kufuneka aye kwindlu yangasese ngokukhawuleza. Oku sikubiza ngokuba yi-frequency (ukuchama rhoqo) kunye ne-emergency (imfuneko engxamisekileyo) .
Into ebalulekileyo kukuba, olu ayilosulelo oluqhelekileyo lwendlela yomchamo (UTI). Usulelo lwendlela yomchamo lubangelwa ziintsholongwane ezifana neebhaktheriya. Nangona kunjalo, i-IC/BPS ayibangelwa ziintsholongwane. Ke ngoko, ukuthatha amayeza okubulala iintsholongwane akuyi kuyinyanga.
Kukho iintlobo ezimbini eziphambili zale meko.
Ewe, ayichaphazeli wonke umntu ngendlela efanayo. Ingahlulwa ibe ziintlobo ezimbini eziphambili. Ezi ntlobo zimbini zichongwa ngovavanyo (iCystoscopy) apho ugqirha efaka ikhamera kwisinyi sakho ukuze ayijonge.
| Uhlobo lwe-IC/BPS | Kalula nje... |
|---|---|
| I-IC/BPS enezilonda | Oku kubangela ukuba kubekho izilonda ezibuhlungu (izilonda) eludongeni lwesinyi. Ezi zibizwa ngokuba zizilonda zikaHunner . Olu hlobo aluqhelekanga, luchaphazela phakathi kwe-5% kunye ne-10% yabantu abane-IC/BPS. |
| I-IC/BPS engeyiyo eyesilonda | Olu lolona hlobo luxhaphakileyo. Malunga nama-90% abantu abane-IC/BPS banalo olu hlobo. Kolu hlobo, unokubona ukopha okuncinci kakhulu (ukuvuza kwegazi) eludongeni lwesinyi. Oku kuthiwa yi -glomerulations ngokwezonyango. |
Yintoni iSigaba sesi-4 se-IC/BPS?
Usenokuba ukhe weva ngezigaba zesifo. Inqanaba lesi-4 lelona nqanaba linzima, apho iimpawu bezikho kangangeminyaka engaphezu kwemibini. Ngeli xesha, izicubu zesinyi ziye zaba nkulu kakhulu kwaye zaqina. Ngenxa yoko, isinyi asikwazi ukugcina umchamo omninzi njengoko besinjalo ngaphambili. Le meko ixhaphake kakhulu kubantu abanezilonda zikaHunner.
Zithini iimpawu ze-IC/BPS?
Iimpawu zingahluka kumntu nomntu. Kwabanye, zinokuba buthathaka, ngelixa kwabanye, zinokuba buhlungu kakhulu. Kwabanye, iimpawu aziguquki, ngelixa kwabanye, ziyafika zidlule.
Iimpawu eziphambili zezi:
- Intlungu, uxinzelelo, okanye ukungakhululeki esiswini esisezantsi (apho kukho isinyi). Le ntlungu inokwanda njengoko isinyi sizala.
- Imfuneko yokuchama rhoqo. Inokuba yi-15, 20, okanye i-40-50 izihlandlo ngemini.
- Xa uziva ufuna ukuchama, uziva ungxamisekile ongenakukwazi ukuzibamba.
- Umchamo omncinci kakhulu ukhutshwa ngexesha elinye.
- Kwabasetyhini, iimpawu zinokuba zimbi kakhulu ngexesha lokuya exesheni.
Abanye abantu bachaza le ntlungu njengokutsha okanye ukuhlaba esiswini esisezantsi. Kuqhelekile ukuba intlungu iphele okwethutyana emva kokuchama, ize ikhule njengoko isinyi siqala ukuzalisa kwakhona.
Kutheni kusenzeka into enje?
Le yingxaki abantu abaninzi abanayo. Ukuba sithetha inyani, noogqirha abakwazi ukutsho ngokuqinisekileyo ukuba yintoni ebangela i-IC/BPS. Kodwa kukho izinto ezimbalwa ekucingelwa ukuba zinegalelo kuyo:
- Ubuthathaka kwi-bladder: I-bladder yethu inomaleko okhuselayo ngaphakathi. Yiyo le nto ikhusela udonga lwe-bladder kwizinto eziyingozi kumchamo. Xa le maleko yonakele, ezo zinto zinobungozi zinokuvuza eludongeni lwe-bladder zibangele iintlungu kunye nokudumba.
- Iingxaki zenkqubo yomzimba yokuzikhusela (Izifo ezichaphazela umzimba):Inkqubo yokuzikhusela yomzimba inokuhlasela iiseli zesinyi sayo ngempazamo.
- Ii-Allergies: Kukwacingelwa ukuba umsebenzi weeseli ezithile (ii-mast cells) emzimbeni obangela ii-allergies unxulumene noku.
- Izifo ezingafunyaniswanga: Ngamanye amaxesha isifo sangaphambili esinganyangwanga kakuhle singonakalisa imithambo-luvo yesinyi, nto leyo ebangela iintlungu ezinde.
- Izinto ezingaqhelekanga kumchamo: Umzekelo, amanqanaba aphezulu eeproteni kumchamo (i-proteinuria).
Ngubani osengozini enkulu yokuphuhlisa oku?
- Abafazi basengozini enkulu kunamadoda.
- Ixhaphake kakhulu kubantu abaneminyaka engaphezu kwama -30 ubudala.
- Abantu abanezinye iimeko zentlungu ezingapheliyo, ezifana ne-fibromyalgia kunye ne-irritable bowel syndrome (IBS), nabo banamathuba amaninzi okuba ne-IC/BPS.
Gqirha, uyixilonga njani le nto?
Akukho vavanyo lunye olunokuqinisekisa i-IC/BPS. Ugqirha wakho uza kuthintela ezinye iimeko ezinokubangela iimpawu zakho. Oku kusenokufuna uvavanyo oluninzi. Ungakhathazeki, makhe sibone ukuba zeziphi.
| Uvavanyo | Wenza ntoni ngale nto? |
|---|---|
| Imbali yezonyango kunye nedayari yeempawu | Ugqirha uza kukubuza ngeempawu zakho. Uza kukucela nokuba ubhale phantsi izinto ezifana nento oyiselayo, ukuba usela kangakanani, nokuba uchama kangaphi kwaye uchitha kangakanani iintsuku ezimbalwa. Oku kuya kukunceda uqonde indlela oziphatha ngayo. |
| Uhlalutyo lomchamo | Kuthathwa isampuli yomchamo ize ihlolwe ukuba akukho bhaktiriya, ubomvu, kunye negazi (hematuria). Ukuba kukho usulelo lwebhaktiriya, luyanyangwa. Ukuba iimpawu ziyaqhubeka emva konyango, i-IC/BPS inokukrokrelwa. |
| I-Cystoscopy | Oku kuquka ukufaka isixhobo esincinci esifana nombhobho (esinekhamera) kwi-urethra ukuze kuhlolwe ingaphakathi lesinyi. Oku kunokunceda ekuthinteleni ezinye izifo ezinzulu, ezifana nomhlaza. |
| I-Cystoscopy ene-Hydrodistension | Oku kwenziwa phantsi kwe-anesthesia. Njengoko bekutshiwo ngaphambili, xa ujonga ngaphakathi kwisinyi, isinyi sizaliswa lulwelo olufana namanzi kwaye lunwebeke kancinci. Oku kukuvumela ukuba ubone ngokucacileyo izinto ezifana nezilonda zikaHunner okanye imifantu emincinci eludongeni lwesinyi. Abanye abantu bafumana ukukhululeka okwethutyana kwiimpawu emva kwale nkqubo. |
| I-Biopsy | Ngexesha le-cystoscopy, kuthathwa iqhekeza elincinci kakhulu lethishu eludongeni lwesinyi lize lithunyelwe kwilebhu ukuze livavanywe. Oku kunokunceda ekuthinteleni ezinye iimeko, ezinje ngomhlaza. |
Zithini iindlela zonyango zoku?
Le yeyona nxalenye ibalulekileyo. Okokuqala, akukho nyango lwe-IC/BPS okwangoku. Kodwa ungakhathazeki. Kukho unyango oluninzi olusebenzayo olunokukunceda ulawule iimpawu zakho kwaye uphile ubomi obuqhelekileyo.
Ugqirha wakho uza kuqala ngonyango olunye, abone ukuba luyasebenza na kuwe, aze emva koko agqibe kwelokuba kufuneka atshintshele kolunye unyango okanye adibanise unyango oluninzi. Le yinkqubo yokuvavanya nokulungisa. Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe.
1. Utshintsho kwindlela yokutya
Abantu abaninzi bafumanisa ukuba ukutya okuthile kunye neziselo zenza iimpawu zabo zibe zimbi kakhulu. Ezi sizibiza ngokuba 'zizinto ezibangela oku'. Ungabhala phantsi idayari uze ubhale phantsi oko ukutyayo nokuselayo kunye nokuba iimpawu zakho ziba zimbi kangakanani na. Ekuhambeni kwexesha, uya kufunda ukuba zeziphi ukutya ezibangela iimpawu zakho.
Ukutya okwenza iimpawu zibe zimbi ngakumbi kubantu abaninzi:
- Utywala
- I-Caffeine (iti, ikofu, itshokolethi)
- Iziselo ezinekhabhoni
- Itumato
- Iziqhamo zeCitrus (iiorenji, iilamuni)
- Ukutya okucutshungulweyo
- Ukutya okunongwe
2. Ukuzilolonga kunye noNyango loMzimba
- Ukuzilolonga: Ukuzilolonga okuthambileyo njengokuhamba ngeenyawo kunye nokukhwela ibhayisekile kunokunceda ukunciphisa iintlungu.
- Unyango Lomzimba Lwesinqe: Oku kubaluleke kakhulu. Izihlunu ezisezantsi kwesisu (izihlunu zomgangatho wesisu) zezona zibamba amalungu anjengesinyi endaweni yazo. Ukuqina kwezi zihlunu kunokunyusa iintlungu. Ingcali yezonyango zomzimba ingakufundisa imithambo efanelekileyo yokuphumza nokuqinisa ezi zihlunu (imithambo yeKegel).
3. Ukunciphisa Uxinzelelo
Uxinzelelo yeyona nto iphambili eyonyusa iimpawu ze-IC/BPS. Ukufunda iindlela zokulawula uxinzelelo kunokubonelela ngesiqabu esikhulu. Izinto ezifana nokuzilolonga ngokuphefumla nzulu, ukucamngca, kunye neyoga zinokunceda. Ungafuna uncedo kumcebisi wezempilo yengqondo ukuba kuyimfuneko.
4. Ukuqeqeshwa kwakhona kwesinyi
Ngenxa yentlungu, uyaqhela ukuya kwindlu yangasese xa isinyi sakho sigcwele kancinci. Oku kuvumela isinyi sakho ukuba siqhele kancinci ukubamba umchamo omncinci. Ukuqeqesha kwakhona isinyi kubandakanya ukwandisa ngabom ixesha phakathi kokutyelela indlu yangasese. Uqala ngemizuzu emi-5 ukuya kweli-10 uze unyuse ixesha kancinci ukuya kwiiyure ezi-2-3.
5. Amayeza Omlomo
- Amayeza okudakumba: Ezinye izinto zokudakumba, ezifana ne-amitriptyline, xa zinikwa ngeedosi eziphantsi kakhulu, zinokunceda ekunciphiseni iintlungu zesinyi kunye nesidingo sokuchama rhoqo.
- Ii-Antihistamines: Amayeza afana neHydroxyzine anokulawula ii-allergies kwaye anciphise iintlungu.
- I-Pentosan Polysulfate Sodium (Elmiron®): Le yeyona mithi yomlomo evunyelwe ngokukodwa i-IC/BPS. Kukholelwa ukuba inceda ekwakheni kwakhona ulwelo olukhuselayo lwesinyi olonakeleyo.
6. Ukufakelwa kweSinyi
Kule meko, ugqirha ufaka ityhubhu encinci kakhulu (i-catheter) kwi-urethra yakho aze afake umxube wamayeza kwisinyi sakho. Iyeza eliqhelekileyo elisetyenziswayo yi-dimethyl sulfoxide (DMSO). Eli yeza lishiywa kwisinyi sakho okwethutyana lize lisuswe ngokuchama.
7. Ezinye iindlela zonyango
Ukuba unyango olungentla aluphumeleli, ugqirha wakho unokuqwalasela oku kulandelayo:
- Ukuvuselela imithambo-luvo (iNeuromodulation): Indlela yokulawula iintlungu zesinyi kunye nokungxamiseka kwayo ngokuthumela imiqondiso emincinci yombane kwiimithambo-luvo ezithile emzimbeni.
- Iinaliti zeBotox®: IBotox ifakwa kwimisipha yesinyi, inciphisa ukusebenza kwayo kwaye ilawule iintlungu.
- Utyando: Oku kwenziwa njengenyathelo lokugqibela, kuphela kubantu abaneempawu ezinzima kakhulu abangakhange baphendule kwezinye iindlela zonyango. Oku kuquka ukususa inxalenye okanye yonke i-bladder (cystectomy).
Ungaphila njani ne-IC/BPS?
Ekubeni esi sisifo esihlala ixesha elide, kubalulekile ukufunda ukuphila naso. La macebiso aya kukunceda ujongane nokuphazamiseka kwentliziyo.
- Sela amanzi amaninzi: Xa umchamo uncitshisiwe, ukungonwabi kwesinyi kuyancitshiswa.
- Ukucinezela okushushu okanye okubandayo: Ukubeka ibhotile yamanzi ashushu okanye iphakheji yomkhenkce kwisisu sakho esisezantsi kunokunceda ekunciphiseni iintlungu.
- Nxiba iimpahla ezikhululekileyo: Ziphephe iibhulukhwe eziqinileyo kunye neengubo zangaphantsi ezithintela isisu sakho.
- Iindlela Zokuphumla: Iindlela zokuma zeYoga ezifana ne-'happy baby' zinokunceda ekuphumzeni izihlunu zomgangatho we-pelvic.
- Ukuba isondo sibuhlungu: Thetha nogqirha wakho ngezinto ezifana nokusela iintlungu kwangaphambili kunye nokusebenzisa ii-lubricant.
Ndifanele ndimbone nini ugqirha?
Ukuba unayo nayiphi na kwezi mpawu zikhankanyiweyo kweli nqaku, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kufuneka uqiniseke ukuba ingaba lusulelo lomchamo, i-IC/BPS, okanye enye into. Kwakhona,
Ukuba intlungu yakho ayinyamezeleki kwaye akukho siqabu nangona unyango lukhona, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
Oku akumele ube neentloni ngako. Kunokuba nefuthe elikhulu kubomi bakho, ngoko ke kubalulekile ukufumana unyango olufanelekileyo.
Umyalezo Wokuya Ekhaya
- I-Interstitial Cystitis (IC/BPS) yimeko engapheliyo nebuhlungu yesinyi, ayilosulelo oluqhelekileyo lwendlela yomchamo (UTI).
- Iimpawu eziphambili kukuchama rhoqo, iintlungu zesisu esisezantsi, kunye nesidingo sokuchama ngequbuliso.
- Nangona unobangela woku ungakafunyanwa, kukho unyango oluninzi olusebenzayo olunokulawula iimpawu.
- Utshintsho kwindlela yokutya, unyango lomzimba, kunye nolawulo loxinzelelo zizinto ezibalulekileyo kunyango.
- Le meko ayizukunciphisa ubomi bakho, kwaye ayizukuba ngumhlaza.
- Awuwedwa. Kukho oogqirha kunye nonyango olufumanekayo ukukunceda. Ngoko ke ungabi neentloni okanye woyike ukufuna ingcebiso kagqirha.
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