Ukujongana neMibandela emininzi
I-Fibromyalgia , isifo esingapheliyo sesifo kunye ne-cystitis (IC). Abasetyhini bangaba ngamaxesha angama-10 amathuba ngaphezu kwamadoda ukuyihlakulela.
Ukuba ne-IC yedwa inokumisela imithintelo emininzi kwimpilo yakho kwaye, njenge-fibromyalgia (FMS) kunye nesifo esingapheliyo sokugula (i-CFS okanye i- ME / CFS ), idibene nokuxinezeleka .
Kwakhona kufana neFMS kunye ME / CFS, IC ingaba nzima ukuxilonga, ukuphatha nokulawula. Abanye abantu banenhlanhla kunye neenguqu zonyango kunye neenguqu zokutya, ngelixa abanye bangadinga unyango olunzulu okanye utyando.
Sibanzi
I-cystitis ye-interstitial (IC) isisu esiswini okanye intlungu ye-pelvic enxulumene nesisu sakho esipheleleyo, esivame ukuhamba kunye neminye impawu ye-urinary , kodwa kungenasifo okanye ezinye izifo ezibonakalayo. Isizathu se-IC asiyazi. Ngokuqhelekileyo, oogqirha abayifumanisi kakuhle njenge- infection tract , kwaye abaninzi abantu bane-IC malunga neminyaka engama-4 ngaphambi kokuba bafumaneke kakuhle.
Iimpawu
- Ubume bee-Urinary (ngaphezulu kwama-8 ngamaxesha)
- Ukunyanzeliswa kwe-Urinary
- Ukungahambi kakuhle kwe-Urinary
- Ubuhlungu ngexesha okanye emva kokulala
- Ubuhlungu bepelvic
Unako ukuphuhlisa i-IC yakho kwi-30s okanye kwi-40 yakho, kodwa kunokwenzeka ukuba uyifumane kwangaphambili okanye kamva.
Kutheni i-overlap? Umbuzo omuhle! Ingxaki kukuba, asinayo impendulo. Abaphandi bazama ukuphazamisa izizathu kunye neendlela eziphantsi kwazo zonke ezi meko, baze bafikelele, mhlawumbi asiyi kuqonda ukuba kutheni bahamba.
Ezinye zikhona, kuquka:
- Abaphandi abakholelwa ukuba unesifo esingapheliyo unokuthatha indima kuzo zonke izifo ezintathu
- Intlungu yazo zonke i-3 ikholelwa ukuba ivela kwiimbilini
- Ubuhlungu obungapheliyo obuvela kwi-IC bubangakhokelela ekuvezweni okukrakra kwi-FMS kunye ne-ME / CFS
- Uphando olukhishwe ekuqaleni kuka-2009 lubonisa ukuba ezinye izigulane ezine-IC zinesi-systemic syndrome kwaye ayikho enye efihliweyo kwi-bladder
Ngenxa yokuba zonke iimeko ezi-3 zixhaphake kakhulu kwabesifazane, ama-hormonal okanye ama-anatomiki ahlukeneyo angabasebenzi.
Ixesha eliphumayo leemeko ezibandakanya iimeko ezibandakanya ukukhuthaza ukukhulisa i -syndromes .
Ukuxilongwa
I-IC ifunyanwe ngokuyinhloko ngokusekelwe kwiimpawu. Ngaphambi kokuba ufumane i-IC, ugqirha wakho uya kufuna ukulawula ezinye izizathu ezibangelwa iimpawu zakho. Uvavanyo luquka:
- I-bladder biopsy
- I-Cystoscopy ( endoscopy ye-bladder )
- Uhlalutyo lwe-Urine kunye nenkcubeko
- I-urine cytology (yokufumana umdlavuza kunye nezifo ezivuthayo kwiphepha lomchamo)
- I-urodynamics yevidiyo (ebonisa ukuba umthamo omninzi uthatha ukwenzela ukuba uzive ufuna imfuneko yokuchama)
Ukuqinisekisa ukuxilongwa kwe-IC, ugqirha wakho angenza i-hydrodistention, apho i-bladder yakho igcwele ngamanzi. Oku kunceda ugqirha wakho abone iindonga zakho zebhanti ngenxa yeemeko eziqhelekileyo eziqhelekileyo kubantu abane-IC.
I-IC ayibonakali kakuhle okanye ifumaneke lula, ngoko ke ukuba ucinga ukuba unayo, khankanya kulo ugqirha wakho.
Unyango
Akukho nonyango ye-IC, kwaye unyango lufuneka lufane nomntu ngamnye. Ingathatha ininzi yesilingo kunye nephutha phambi kokuba ufumane ukudibanisa okulungileyo kwezonyango kunye neenguqu zokuphila.
Ugqirha wakho unokumisela enye yeyeza ezininzi ze-IC:
- Elmiron (pentosan)
- I-opioid painkillers, njenge-Vicodin (i- hydrocodone-acetaminophen ) okanye iPercocet (oxycodone-acetaminophen)
- I-Tricyclic antidepressants, njenge-Elavil (amitriptyline)
- IVistaril (i-hydroxyzine)
Ezinye iindlela ziquka:
- Uqeqesho lwe-Bladder (ubuchule bokuphucula ukuqeqesha isilwanyana ukuba uhambe kuphela ngexesha elithile)
- Amachiza afakwa ngqo kwi-bladder
- Ukwelapha okwenyama kunye ne-biofeedback (ekujoliswe ekunciphiseni ama-muscle spasms)
- Ukuhlinzwa
Utshintsho lwezondlo lunokunceda ukulawula i-IC. I-Interstitial Cystitis Association ineenkcukacha malunga neenguqu zokutya ezinokukunceda.
Ukudibanisa amayeza amaninzi
Ukuba unyango lwe-IC kunye ne-FMS okanye i-ME / CFS, kufuneka uxoxe nogqirha kunye nekhemistiki malunga naluphi na ukusetyenziswa kweziyobisi.
Ngokomzekelo, akufanele uthabathe i-SSRI / SNRI-uhlobo lokuxhatshazwa kwamagama, oluqhelekileyo unyango lwe-FMS kunye ne-ME / CFS, kunye ne-tricyclic anti-depressants ezisetyenziselwa i-IC. Kwakhona, unyango lwe-FMS uLyrica (pregabalin) aludibanisanga kakuhle kunye namayeza okuphuza imithi.
Nangona kunjalo, i- tricyclic antidepressants echazwe i-IC isebenze kakuhle kubantu abathile abane-FMS okanye i-ME / CFS, kunye nezinye iinkqubo ze-IC ezifana nokunyanga komzimba kunye ne-biofeedback inokubonelela ngenzuzo. Unokuba novelwano lokutya olwandisa ngaphezu kweyodwa imeko, ngoko kukutya okunokukunceda kunokukunceda.
Ngenxa yokuba iintlungu ezivela kwezinye iimeko zingenza iimpawu zeFMS zibi nakakhulu, uya kuzuza ngokwenene ekufumaneni i-regimen yonyango ye-IC.
Ukujamelana
Naliphi na le miqathango kunzima ukuhlala kunye nayo, ngoko xa ubenayo ngokudibeneyo inokuthabatha inkulu enkulu ebomini bakho. Imingcele ebekwe ebomini bakho ngenxa yentlungu, ukukhathala, kunye nokuvuthwa mhlawumbi ezininzi ngezihlandlo ngokuqhelekileyo kunokukhokelela ekudakaleni, ukulahlekelwa yintlalo, ukungaqeshwa, kunye nezinye iingxaki.
Kubalulekile ukufumana nokulandela imigaqo yonyango esebenzela wena, kwaye ufuna inkxaso evela kubantu ebomini bakho okanye kumaqela enkxaso , kwi-intanethi okanye kwindawo yakho.
Nazi ezinye izixhobo zokukunceda ufunde ngoku, uphathe, uphinde uphile ne-IC:
- I-Cystitis Basics ye-Interstitial Basics: Izibonakaliso, ukuxilongwa kunye nokunyangwa okuvela kuMary Kugler, uRN, oNgcaciso kwiZifo eziPhezulu.
- I-Cystitis ye-Interstitial: Imibuzo & Izimpendulo kwi-Expert kwiMpilo yabasetyhini, Tracee Cornforth
- I-Interstitial Cystitis Association
Imithombo:
Hanno PM. I-Painful Bladder Syndrome / i-Cystitis ye-Interstitial kunye neengxaki ezichaphazelekayo. Ku: Wein AJ. Wein: Campbell-Walsh Urology. 9th. Philadelphia, Pa: Saunders Elsevier; 2007: isahluko 74.
ULeslie A. Aaron, Ph.D., MPH; UMary M. Burke, MD; UDedra Buchwald, MD Arch Intern Med. 2000; 160: 221-227.
Moldwin RM. Izindlela ezinengqiqo zokunyanga izigulane ezine-cystitis. Urology. 2007: 69: 73-81.
Urology. 2009 uJan; 73 (1): 52-7. Ama-syndromes angenayo i-non-folaromes kwi-case-control study of interstitialcystitis / intlungu yesifo se-bladder syndrome
I-Webster, DC "Ubulili, Amanga, kunye nama-Stereotypes: Abasetyhini kunye ne-Cystitis ye-Interstitial" I-Journal ye-Sex Research Volume 27, Issue 3 (1996): 197-204.