Ingabe kukhona igazi emchameni wakho? Ingabe kungaba yi-Hemorrhagic Cystitis? Ake sixoxe!

Wake wazizwa ubuhlungu ngesikhathi uchama, futhi mhlawumbe igazi emchameni wakho? Noma ingabe lokhu kwenzeke kothile omaziyo? Kungaba yinto eyesabekayo, kodwa kubalulekile ukuqaphela. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Hemorrhagic Cystitis , esibangela ukopha nokuvuvukala kwesinye.

Kuyini i-Hemorrhagic Cystitis? Kalula nje...

Kulungile, ake siqale sibheke ukuthi leli gama lisho ukuthini, yize liyinkimbinkimbi kancane. I-Hemorrhagic isho ukuphuma kwegazi. I-Cystitis isho ukuvuvukala kwesinye, okusho ukuvuvukala nokubomvu. I-Hemorrhagic Cystitis isho ukuthi udonga lwangaphakathi lwesinyi sakho luyavuvukala bese luqala ukuphuma igazi.

Manje usuyazi, isinyi siyisitho esincane esifana nesikhwama emzimbeni wethu. Sitholakala esiswini esingezansi. Siqoqa futhi sigcine umchamo, owenziwe ngamanzi noketshezi esiluphuzayo, futhi uma isikhathi sifika, ukhishwa emzimbeni ngalesi sinyi. Ngakho-ke, uma kukhona umonakalo olwelwesini lwangaphakathi lwalesi sinyi, khona-ke isimo esibizwa ngokuthi i-Hemorrhagic Cystitis singavela.

Ubani onamathuba amaningi okuthola i-Hemorrhagic Cystitis?

Nakuba lesi simo singakhula kunoma ubani, abanye abantu banamathuba amaningi okuba naso, ikakhulukazi:

• Abantu abathola ukwelashwa komdlavuza: Eminye imithi yokulwa nomdlavuza, njenge-cyclophosphamide noma i-ifosfamide, noma ukwelashwa ngemisebe esiswini kungalimaza udonga lwesinye.
• Izimo ezithathelwanayo: Lesi simo singabangelwa namagciwane athile noma izifo ezibangelwa amagciwane.
• Ukufakelwa umnkantsha wethambo: Lokhu kungenzeka ngezinye izikhathi ngemva kokuhlinzwa okunjalo.
• Ukuchayeka kumakhemikhali: Abantu abasebenza ngamakhemikhali anjenge-`(Aniline)` kanye ne-`(Toluidine)` asetshenziswa kwamanye amafektri nabo bangaba sengozini.

Lesi simo asivamile kubantu abaphilile, kodwa kubikwa ukuthi sithinta u-10% kuya ku-35% , futhi mhlawumbe ngisho nangaphezulu, kulabo abathola ukwelashwa komdlavuza.

I-Hemorrhagic Cystitis ikhula kanjani? Ziyini izimbangela?

Kalula nje, lokhu kuphuma kwegazi nokuvuvukala kwenzeka lapho udonga lwangaphakathi lwesinyi, okungukuthi, imithambo yegazi ethambile lapho, lonakele. Kunezizathu eziningana eziyinhloko zokuthi kungani lokhu kulimala kungenzeka:

• Ukutheleleka ngamagciwane noma ngamagciwane: Ngezinye izikhathi ukutheleleka komgudu womchamo kungabhebhetheka futhi kuthinte esinyeni.
• Ukufakelwa komnkantsha:Eminye imithi enikezwa ngalezi zinqubo zokuhlinzwa nayo ingaba nomthelela.
• Ukwelashwa ngamakhemikhali: Njengoba kushiwo ngaphambili, imithi efana ne-Cyclophosphamide noma i-Ifosfamide ingabulala amangqamuzana omdlavuza, kodwa ingathinta namaseli anempilo.
• Ukuchayeka emsebenzini kumakhemikhali: Amakhemikhali anjenge-"Aniline" kanye ne-"Toluidine", asetshenziswa ekwenziweni kopende oluthile kanye nemikhiqizo yerabha, angalimaza isinyi uma egwinywa.
• Ukwelashwa ngemisebe: Uma ukwelashwa ngemisebe kunikezwa umdlavuza endaweni yesisu, ikakhulukazi eduze kwesinye, imisebe ingashaya futhi yonakalise udonga lwesinye.

Ziyini izimpawu zalesi simo? Uzibona kanjani?

Izimpawu ze-Hemorrhagic Cystitis zingahluka kumuntu nomuntu. Ziyahlukahluka kuye ngokuthi isimo sibucayi kangakanani. Kodwa-ke, nazi ezinye izimpawu ezivamile:

• Igazi emchameni (i-Hematuria): Lolu uphawu oluyinhloko. Umchamo ungase ubonakale upinki, ubomvu, noma ube nsundu.
• Amahlule egazi emchameni: Ngezinye izikhathi amahlule egazi angakheka futhi aphume nomchamo njengamahlule amancane.
• Ubuhlungu ngesikhathi sokuchama (i-Dysuria): Ungase uzwe ukushisa noma ubuhlungu lapho uchama.
• Umkhuhlane: Ungathola umkhuhlane ngoba kukhona ukutheleleka noma ukuvuvukala emzimbeni.
• Ukudinga ukuchama njalo: Ungase uzizwe sengathi udinga ukuchama ngokushesha, noma ngabe unenani elincane lomchamo.
• Ubunzima bokuchama noma ukungaphumi komchamo: Ngezinye izikhathi, ihlule legazi lingavimba i-urethra futhi libangele ukuthi umchamo uphume. Lokhu kuyisimo esiphuthumayo.
• Ukulahlekelwa ukulawula isinyi: Abanye abantu bangase babe nobunzima bokulawula ukuchama kwabo.

Okubalulekile: Ezinye zalezi zimpawu zifana nalezo ezibonakala kokubili ezifweni ezivamile zomgudu womchamo (ama-UTI) kanye namatshe esinyini. Ngakho-ke, uma unanoma yikuphi kwalokhu, kungcono ukubona udokotela ukuze uthole ukuthi yini ngempela engalungile.

Odokotela basithola kanjani ngokunembile lesi simo esibizwa ngokuthi i-Hemorrhagic Cystitis?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho, bangase benze izivivinyo ezithile ukuqinisekisa isimo.

• Ukuhlolwa komchamo: Lokhu kuhlola umchamo ukuthi awuboni yini amaseli egazi, izinto ezithelelanayo, noma izinto ezifana namaseli omdlavuza.
• Ukuhlolwa kwegazi: Lokhu kusiza ukuthola ukuthi kukhona yini ukutheleleka noma esinye isimo sezokwelapha emzimbeni.
• Ukuhlolwa kwezithombe:Lokhu kusetshenziselwa ukuthatha izithombe zesinyi. Ukuhlolwa okufana ne-`(CT scan)`, `(MRI)` noma `(Ultrasound scan)` kungasetshenziswa kulokhu.
• I-Cystoscopy: Lokhu kuhilela ukufaka ithuluzi elincane elifana nethubhu (elinekhamera nokukhanya ekugcineni) nge-urethra ukuze ubheke ngqo esinyeni. Lokhu kukuvumela ukuthi ubone kahle isimo sodonga lwesinyi kanye nanoma yikuphi ukuphuma kwegazi.

Ngokusekelwe emiphumeleni yalezi zivivinyo, udokotela wakho angakunikeza amamaki ngokusekelwe ebunzimeni besimo sakho se-Hemorrhagic Cystitis:

• Ibanga I: Ukopha okuncane kakhulu. Kubonakala kuphela ngaphansi kwe-microscope.
• Ibanga lesi-2: Ukopha okubonakalayo ngamehlo enyama, kodwa okuncane kakhulu.
• Ibanga lesi-3: Ukopha kuhambisana nokuqhekeka kwegazi okuncane.
• Ibanga lesi-IV: Ukopha okukhulu. Kungase kwakheke amahlule egazi amakhulu ngokwanele ukuvimba ukugeleza komchamo. Lesi yisimo esidinga ukwelashwa okuphuthumayo.

Kuphathwa kanjani lokhu?

Kubalulekile ukwelapha i-hemorrhagic cystitis ngokushesha ukuze unciphise ubuhlungu futhi uvimbele umonakalo wesinye isikhathi eside.

Kunezindlela eziningi zokwelapha. Kuncike ezintweni ezifana nembangela yesifo kanye nobukhulu besimo. Ezinye zezindlela zokwelapha yilezi:

• Ukukhipha umchamo esinyeni: Kufakwa i-"catheter", ipayipi, ukuze umchamo uqoqeke esikhwameni.
• Ukushintsha imithi: Uma uthatha imithi yomdlavuza, udokotela wakho angase anqume ukushintsha uhlobo lomuthi noma ukunciphisa umthamo.
• Ukususwa kwamahlule egazi: Amahlule egazi esinyeni asuswa nge-catheter noma ngesikhathi se-cystoscopy.
• Ukunisela ngokuqhubekayo ngesinyi: Lokhu kuhilela ukufaka isixazululo esifana nosawoti esinyeni bese usihlanza njalo. Kufana 'nokukhipha' isinyi ngaphakathi.
• Ukufakwa kwegazi: Lena inqubo ekhethekile. Umthambo wegazi obangela ukopha uyatholakala futhi uvaliwe.
• Ukwelashwa nge-hyperbaric oxygen: Indlela ekhethekile yokwelapha enikeza i-oxygen ngaphansi kokucindezeleka okuphezulu.
• Ukwelashwa nge-intravesical: Imithi efana ne-sodium hyaluronidase kanye ne-aminocaproic acid ifakwa ngqo esinyeni.
• Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Uketshezi olufana nosawoti lufakwa emthanjeni ongalweni ukuze kwandiswe ukukhiqizwa komchamo futhi kukhishwe esinyeni.
• Imithi yokutheleleka: Kunikezwa ama-antibiotic okutheleleka ngamagciwane, kanti ama-antiviral anikezwa ukutheleleka ngamagciwane.

Akuvamile kakhulu, uma kukhona ukopha ngokweqile, ukumpontshelwa igazi kungadingeka. Noma, uma kungekho okunye ukwelashwa okusebenzayo, kungadingeka i-cystectomy. Kodwa-ke, lokhu akuvamile kakhulu.

Ingabe ingozi yokuthola i-Hemorrhagic Cystitis ingancishiswa?

Uma welashwa umdlavuza, ungabuza udokotela wakho noma umhlengikazi ngezinto ongazenza ukuze uvikele isinyi sakho futhi uvimbele lesi simo. Nazi ezinye izibonelo:

• Phuza amanzi amaningi kanye noketshezi: Abanye abantu bathi ukuphuza ijusi le-cranberry kuhle empilweni yesinye. Kodwa-ke, kubalulekile ukuphuza amanzi amaningi nokugcina isinye sakho sihlanzekile ngaso sonke isikhathi.
• Chama njalo: Ungawuvali umchamo wakho, chama ngokushesha nje lapho uzizwa udinga.
• Hlola umchamo wakho njalo: Hlola umchamo wakho ukuthi awuboni yini ukuthi kukhona igazi elingakanani, ikakhulukazi uma welashwa umdlavuza.
• Izinyathelo Zokuqapha Ngesikhathi Sokwelashwa Ngemisebe: Nciphisa indawo yokuchayeka kwemisebe ngangokunokwenzeka.
• Ukuthatha umuthi obizwa ngokuthi iMesna: Lo muthi unikezwa kanye neminye imithi yokulwa nomdlavuza ukuvikela isinyi.
• Ukunisela isinyi njalo ngesikhathi sokwelashwa komdlavuza: Lokhu kwenziwa nakwezinye izimo.

Ingabe lokhu kuyingozi? Ingabe kungaba yingozi empilweni?

Ubunzima balokhu buxhomeke embangela kanye nobunzima besimo. Ezimweni eziningi, i-hemorrhagic cystitis, ikakhulukazi uma ibangelwa ukutheleleka, iphela kahle ngokwelashwa futhi ayibangeli izinkinga zesikhathi eside.

Kodwa-ke, ezimweni ezingavamile kakhulu nezinzima, kungaba yingozi empilweni.

Abantu abaningi abathola lesi simo ngenkathi bethola ukwelashwa komdlavuza bayakwazi ukuqhubeka nokwelashwa komdlavuza. Odokotela bazohlela ngokufanele.

Kufanele ufune nini iseluleko sezokwelapha? Yiziphi izimpawu okufanele zikushukumisele ukuthi ubonane nodokotela?

Uma unezimpawu ze-Hemorrhagic Cystitis, kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngokushesha.

Ngokuqondene,

• Uma kukhona amahlule egazi emchameni,
• Uma uqunjelwe kakhulu kangangokuthi awukwazi ukuchama,

Esimweni esinjengalesi, ungalibali. Into engcono kakhulu ongayenza ukuya esibhedlela ngokushesha okukhulu.

Masikhumbule lokho esikhulume ngakho njengesifinyezo (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono i-Hemorrhagic Cystitis esikhulume ngayo namuhla.

• I-hemorrhagic cystitis ukuvuvukala kodonga lwangaphakathi lwesinyi okubangela ukopha.
• Imbangela eyinhloko yalokhu ukwelashwa komdlavuza (izidakamizwa noma imisebe). Ngaphezu kwalokho , izifo kanye namakhemikhali athile nakho kungawubangela.Kungathinteka.
• Izimpawu ezivame kakhulu igazi emchameni, ubuhlungu lapho uchama, kanye nesidingo sokuchama njalo .
• Lokhu kungahlolwa ngokunembile kuphela ngokuhlolwa komchamo, ukuhlolwa kwegazi, ukuskena, kanye ne-cystoscopy .
• Kunezindlela eziningana zokwelapha, ezihlukahluka kuye ngokuthi isimo sibucayi kangakanani kanye nembangela yaso.
• Uma unegazi emchameni wakho, ikakhulukazi uma lihambisana namahlule egazi, noma uma ungakwazi ukuchama kahle, funa iseluleko sezokwelapha ngokushesha.

Akuyona into okufanele uyesabe, kodwa uma ubona noma yiziphi zalezi zimpawu, ungazinaki. Into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu bese uthola ukwelashwa okudingekayo. Ngikufisela impilo enhle!

I- cystitis ephuma igazi, ukopha kwesinye, i-cystitis, ukwelashwa komdlavuza, ukutheleleka komgudu womchamo, i-hematuria, i-cystoscopy