Ingabe udinga ukuya endlini yangasese kaningi ngosuku? Ingabe uchama kancane nje? Ingabe umane unesisindo esingajwayelekile noma ubuhlungu esiswini sakho esingezansi? Mhlawumbe ucabanga ukuthi lokhu kuyisifo somgudu womchamo (UTI), kodwa ngisho nokuphuza imithi ngeke kukusize? Khona-ke lesi simo esikhuluma ngaso namuhla, i-Interstitial Cystitis, singase sikuthinte nawe. Lokhu kuyinkimbinkimbi kancane, futhi kuyisihloko abantu abaningi abangasazi ngokugcwele. Ngakho ake sixoxe ngakho kalula, ngendlela ongayiqonda.
Iyini ngempela i-Interstitial Cystitis (IC/BPS)?
Kalula nje, lokhu ubuhlungu obungapheli noma ukungakhululeki esinyeni sakho . Manje odokotela babiza lokhu ngokuthi i-Bladder Pain Syndrome (BPS). Ake sichaze incazelo yaleli gama kancane.
- I-Interstitial isho ukuthi "esikhaleni esiphakathi kwezicubu."
- I-Cystitis isho "ukuvuvukala kwesinye," okusho ukuthi yisimo esibangela ukuvuvukala.
Okusho ukuthi, ukuvuvukala nobuhlungu obuhlala isikhathi eside obuvela phakathi kwezicubu zesinye. Umuntu onalesi simo udinga ukuchama kaningi kunokujwayelekile. Futhi uma ezwa isidingo sokuchama, kunzima kakhulu ukukugcina, futhi kudingeka aye endlini yangasese ngokushesha. Lokhu sikubiza ngokuthi ukuvama (ukuchama njalo) kanye nokuphuthuma (isidingo esiphuthumayo) .
Into ebalulekile ukuthi, lokhu akuyona igciwane elivamile lendlela yomchamo (UTI). Igciwane lendlela yomchamo libangelwa amagciwane afana namagciwane. Kodwa-ke, i-IC/BPS ayibangelwa amagciwane. Ngakho-ke, ukuthatha ama-antibiotic ngeke kuyelaphe.
Kunezinhlobo ezimbili eziyinhloko zalesi simo.
Yebo, akuthinti wonke umuntu ngendlela efanayo. Kungahlukaniswa ngezinhlobo ezimbili eziyinhloko. Lezi zinhlobo ezimbili zitholakala ngokuhlolwa (i-Cystoscopy) lapho udokotela efaka ikhamera esinyeni sakho ukuze asibheke.
| Uhlobo lwe-IC/BPS | Kalula nje... |
|---|---|
| I-IC/BPS yezilonda | Lokhu kubangela izilonda ezibuhlungu (izilonda) odongeni lwesinye. Lezi zibizwa ngokuthi izilonda zikaHunner . Lolu hlobo aluvamile, luthinta abantu abaphakathi kuka-5% no-10% abane-IC/BPS. |
| I-IC/BPS engeyona eyezilonda | Lolu uhlobo oluvame kakhulu. Cishe abantu abangu-90% abane-IC/BPS banalolu hlobo. Kulolu hlobo, ungabona ukopha okuncane kakhulu (ukopha) odongeni lwesinye. Lokhu kubizwa ngezokwelapha ngokuthi ama-glomerulation . |
Kuyini i-IC/BPS yeSigaba sesi-4?
Kungenzeka ukuthi uke wezwa ngezigaba zalesi sifo. Isigaba sesi-4 yisigaba esibi kakhulu, lapho izimpawu sezikhona iminyaka engaphezu kwemibili. Kuleli qophelo, izicubu zesinye seziqine kakhulu futhi ziqinile. Ngenxa yalokho, isinye asikwazi ukugcina umchamo omningi njengoba sasinjalo ngaphambili. Lesi simo sivame kakhulu kubantu abanezilonda zikaHunner.
Ziyini izimpawu ze-IC/BPS?
Izimpawu zingahluka kuye ngomuntu nomuntu. Kwabanye, zingase zibe mnene, kanti kwabanye, zingase zibe buhlungu kakhulu. Kwabanye, izimpawu zihlala njalo, kanti kwabanye, ziyafika zidlule.
Izici eziyinhloko yilezi:
- Ubuhlungu, ingcindezi, noma ukungakhululeki esiswini esingezansi (lapho kukhona khona isinyi). Lobuhlungu bungakhula njengoba isinyi sigcwala.
- Isidingo sokuchama njalo. Kungaba izikhathi ezingu-15, 20, noma ngisho nezingu-40-50 ngosuku.
- Uma uzizwa udinga ukuchama, uzizwa uphuthuma ongenakukwazi ukuzibamba.
- Inani elincane kakhulu lomchamo likhishwa ngesikhathi.
- Kwabesifazane, izimpawu zingase zibe zimbi kakhulu ngesikhathi sokuya esikhathini.
Abanye abantu bachaza lobu buhlungu njengokuzwa nje kokushisa noma ukugwazwa esiswini esingezansi. Kuvamile futhi ukuthi ubuhlungu buphele isikhashana ngemva kokuchama, bese bukhula njengoba isinyi siqala ukugcwala futhi.
Kungani kwenzeka into efana nale?
Lena inkinga abantu abaningi abanayo. Uma sikhuluma iqiniso, ngisho nodokotela abakakwazi ukusho ngokuqiniseka okungu-100% ukuthi yini ebangela i-IC/BPS. Kodwa kunezinto ezimbalwa okusolwa ukuthi zinegalelo kuyo:
- Ubuthakathaka embotsheni yesinye: Isinye sethu sinongqimba oluvikelayo ngaphakathi. Yilokhu okuvikela udonga lwesinye ezintweni eziyingozi emchameni. Uma lolu ngqimba lonakele, lezo zinto eziyingozi zingavuza odongeni lwesinye futhi zibangele ubuhlungu nokuvuvukala.
- Izinkinga zesimiso somzimba sokuzivikela (izifo ezizenzakalelayo):Uhlelo lokuzivikela lomzimba lungase luhlasele ngephutha amangqamuzana alo esinyeni.
- Ukungezwani komzimba: Kusolwa nokuthi umsebenzi wamaseli athile (amaseli e-mast) emzimbeni obangela ukungezwani komzimba uhlobene nalokhu.
- Izifo ezingakatholakali: Ngezinye izikhathi ukutheleleka kwangaphambilini okungelashwanga kahle kungalimaza imizwa esinyeni, kubangele ubuhlungu besikhathi eside.
- Ukungahambi kahle komchamo: Isibonelo, amazinga aphezulu amaprotheni njalo emchameni (i-proteinuria).
Ubani osengozini enkulu yokuthuthukisa lokhu?
- Abesifazane basengozini enkulu kunabesilisa.
- Kuvame kakhulu kubantu abaneminyaka engaphezu kwengu -30 .
- Abantu abanezinye izimo zobuhlungu obungapheli, njenge-fibromyalgia kanye ne-irritable bowel syndrome (IBS), nabo banamathuba amaningi okuthola i-IC/BPS.
Dokotela, ukuxilonga kanjani lokhu?
Akukho ukuhlolwa okukodwa okungaqinisekisa i-IC/BPS. Udokotela wakho uzokhipha ezinye izimo ezingase zibangele izimpawu zakho. Lokhu kungadinga ukuhlolwa okuningana. Ungakhathazeki, ake sibone ukuthi ziyini.
| Ukuhlolwa | Wenzani ngalokhu? |
|---|---|
| Umlando wezokwelapha kanye nedayari yezimpawu | Udokotela uzokubuza ngezimpawu zakho. Uzokubuza nokuthi ubhale phansi izinto ezifana nokuthi uphuza ini, ukuthi uphuza malini, nokuthi uchama kangaki futhi ukhipha malini izinsuku ezimbalwa. Lokhu kuzokusiza ukuthi uqonde indlela oziphatha ngayo. |
| Ukuhlolwa komchamo | Kuthathwa isampula yomchamo bese kuhlolwa ukuthi amagciwane, ubomvu, kanye negazi (i-hematuria). Uma kukhona ukutheleleka kwebhaktheriya, kuyelashwa. Uma izimpawu ziqhubeka ngemva kokwelashwa, kungase kusolwe ukuthi i-IC/BPS iyasebenza. |
| I-Cystoscopy | Lokhu kuhilela ukufaka idivayisi encane efana nethubhu (enekhamera) nge-urethra ukuze kuhlolwe ingaphakathi lesinye. Lokhu kungasiza ekuvimbeleni ezinye izimo ezimbi, njengomdlavuza. |
| I-Cystoscopy ene-Hydrodistension | Lokhu kwenziwa ngaphansi kwe-anesthesia. Njengoba kushiwo ngaphambili, ngenkathi ubheka ngaphakathi kwesinye, esinyeni sigcwele uketshezi olufana namanzi futhi sinwebeke kancane. Lokhu kukuvumela ukuthi ubone ngokucacile izinto ezifana nezilonda zikaHunner noma imifantu emincane odongeni lwesinyeni. Abanye abantu bathola ukukhululeka kwesikhashana kwezimpawu ngemva kwale nqubo. |
| Ukuhlolwa kwebhayoloji | Ngesikhathi sokuhlolwa kwe-cystoscopy, kuthathwa ingxenye encane kakhulu yezicubu odongeni lwesinyi bese ithunyelwa elabhorethri ukuze ihlolwe. Lokhu kungasiza futhi ekuvimbeleni ezinye izimo, njengomdlavuza. |
Yiziphi izindlela zokwelapha lokhu?
Lena yingxenye ebaluleke kakhulu. Okokuqala, alukatholakali ikhambi le-IC/BPS okwamanje. Kodwa ungakhathazeki. Kunezindlela eziningi zokwelapha ezisebenzayo ezingakusiza ukuphatha izimpawu zakho futhi uphile impilo evamile.
Udokotela wakho uzoqala ngokwelashwa okukodwa, abone ukuthi kuyasebenza yini kuwe, bese enquma ukuthi badinga yini ukushintshela kwezinye izindlela zokwelapha noma ukuhlanganisa izindlela zokwelapha eziningana. Lena inqubo yokuzama nokulungisa. Kungathatha isikhathi ukuthola ukwelashwa okufanele.
1. Izinguquko ekudleni
Abantu abaningi bathola ukuthi ukudla neziphuzo ezithile kwenza izimpawu zabo zibe zimbi kakhulu. Lokhu sikubiza ngokuthi 'izimbangela'. Ungabhala phansi idayari bese ubhala phansi ukuthi udlani futhi uphuzani nokuthi izimpawu zakho ziba zimbi kangakanani. Ngokuhamba kwesikhathi, uzofunda ukuthi yikuphi ukudla okubangela izimpawu zakho.
Ukudla okwenza izimpawu zibe zimbi kakhulu kubantu abaningi:
- Utshwala
- I-caffeine (itiye, ikhofi, ushokoledi)
- Iziphuzo ezine-carbon
- Utamatisi
- Izithelo ze-citrus (amawolintshi, ulamula)
- Ukudla okucutshunguliwe
- Ukudla okunongiwe
2. Ukuzivocavoca Komzimba kanye Nokwelashwa Komzimba
- Ukuzivocavoca: Ukuzivocavoca okuthambile njengokuhamba nokuhamba ngebhayisikili kungasiza ekunciphiseni ubuhlungu.
- Ukwelashwa Komzimba Kwesitho Sangaphansi ...
3. Ukunciphisa Ukucindezeleka
Ukucindezeleka kuyisici esiyinhloko esikhuphula izimpawu ze-IC/BPS. Ukufunda izindlela zokuphatha ukucindezeleka kunganikeza impumuzo enkulu. Izinto ezifana nokuzivocavoca okujulile, ukuzindla, kanye ne-yoga kungasiza. Ungafuna futhi usizo lomeluleki wezempilo yengqondo uma kudingeka.
4. Ukuqeqeshwa Kabusha Kwesinye
Ngenxa yobuhlungu, ujwayela ukuya endlini yangasese uma isinye sakho sigcwele kancane. Lokhu kuvumela isinye sakho ukuthi sijwayelane kancane kancane nokubamba inani elincane lomchamo. Ukuqeqesha kabusha isinye kuhilela ukwandisa ngamabomu isikhathi phakathi kokuya endlini yangasese. Uqala ngemizuzu emi-5-10 bese ukhulisa kancane kancane isikhathi sibe amahora ama-2-3.
5. Imithi Yomlomo
- Ama-antidepressant: Amanye ama-antidepressant, njenge-amitriptyline, uma enikezwa ngemithamo ephansi kakhulu, angasiza ekunciphiseni ubuhlungu besinye kanye nesidingo sokuchama njalo.
- Ama-Antihistamine: Imithi efana ne-Hydroxyzine ingalawula ukungezwani komzimba futhi inciphise ubuhlungu.
- I-Pentosan Polysulfate Sodium (Elmiron®): Lona umuthi wodwa ophuzwayo ovunyelwe ngqo i-IC/BPS. Kukholakala ukuthi uyasiza ekwakheni kabusha ulwelwesi oluvikelayo lwesinyi olulimele.
6. Ukufakwa Kwesinye
Kulokhu, udokotela ufaka ipayipi elincane kakhulu (i-catheter) e-urethra yakho bese efaka ingxube yemithi esinyini sakho. Umuthi ovame ukusetshenziswa kakhulu yi-dimethyl sulfoxide (DMSO). Lo muthi ushiywa esinyini sakho isikhashana bese ukhishwa ngokuchama.
7. Ezinye izindlela zokwelapha
Uma ukwelashwa okungenhla kungaphumeleli, udokotela wakho angase acabangele okulandelayo:
- Ukuvuselelwa Kwemizwa (i-Neuromodulation): Indlela yokulawula ubuhlungu kanye nokuphuthuma kwesinyi ngokuthumela izimpawu zikagesi ezincane emithanjeni ethile emzimbeni.
- Imijovo yeBotox®: I-Botox ifakwa emisipheni yesinye, inciphisa ukusebenza kwayo futhi ilawule ubuhlungu.
- Ukuhlinzwa: Lokhu kwenziwa njengendlela yokugcina, kuphela kubantu abanezimpawu ezinzima kakhulu abangazange basabele kwezinye izindlela zokwelapha. Lokhu kuhilela ukususa ingxenye noma sonke isinyi (i-cystectomy).
Ungaphila kanjani ne-IC/BPS?
Njengoba lesi kuyisimo sesikhathi eside, kubalulekile ukufunda ukuphila naso. Lawa macebiso azokusiza ukuthi ubhekane nokuqhuma kwesifo.
- Phuza amanzi amaningi: Uma umchamo uncishisiwe, ukungakhululeki kwesinye kuyancishiswa.
- Ukucindezela okushisayo noma okubandayo: Ukubeka ibhodlela lamanzi ashisayo noma iphakethe leqhwa esiswini sakho esingezansi kungasiza ekunciphiseni ubuhlungu.
- Gqoka izingubo ezikhululekile: Gwema amabhulukwe aqinile nezingubo zangaphansi ezincipha isisu sakho.
- Amasu Okuphumula: Ukuma kwe-yoga okufana nokuma 'komntwana ojabulayo' kungasiza ekuphumuzeni imisipha yaphansi kwe-pelvic.
- Uma ucansi lubuhlungu: Khuluma nodokotela wakho ngezinto ezifana nokuthatha imithi yokubulala izinhlungu kusenesikhathi nokusebenzisa amafutha okugcoba.
Kufanele ngimbone nini udokotela?
Uma unezinye zezimpawu ezishiwo kulesi sihloko, kufanele nakanjani ubone udokotela. Udinga ukuthola ngokuqinisekile ukuthi ingabe ukutheleleka komgudu womchamo, i-IC/BPS, noma okunye. Futhi,
Uma ubuhlungu bakho bungabekezeleleki futhi kungekho mpumuzo naphezu kokwelashwa, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) .
Lokhu akumelwe ube namahloni ngakho. Kungaba nomthelela omkhulu ezingeni lempilo yakho, ngakho-ke kubalulekile ukuthola ukwelashwa okufanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Interstitial Cystitis (IC/BPS) yisimo esibuhlungu nesingapheli sesinye, hhayi ukutheleleka okuvamile komgudu womchamo (UTI).
- Izimpawu eziyinhloko ukuchama njalo, ubuhlungu besisu esingezansi, kanye nesidingo sokuchama ngokuzumayo.
- Nakuba imbangela eqondile yalokhu ingakatholakali, kunezindlela eziningi zokwelapha eziphumelelayo ezingalawula izimpawu.
- Izinguquko ekudleni, ukwelashwa ngokomzimba, kanye nokuphathwa kokucindezeleka kuyizingxenye ezibalulekile zokwelapha.
- Lesi simo ngeke sinciphise isikhathi sakho sokuphila, futhi ngeke siphenduke umdlavuza.
- Awuwedwa. Kukhona odokotela kanye nezindlela zokwelapha ezitholakalayo zokukusiza. Ngakho ungabi namahloni noma wesabe ukufuna iseluleko sezokwelapha.
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