I-cystitis ye-Hemorrhagic ukuvuvukala kwesibindi esenza intlungu kunye ne-hematuria, okanye igazi kumchamo. Kukho izizathu ezibangela ukuba umntu one- leukemia okanye i-lymphoma asemngciphekweni wokuphucula i-cystitis.
Izizathu
Iklasi eqhelekileyo ye-chemotherapy agents eyenza i-cystitis ephazamisayo yi-agents e-alkylating, i-cyclophosphamide kunye ne-ifamidide.
Ezi zezidakamizwa eziqhelekileyo ezisetyenziselwa unyango lwegazi kunye nomdlavuza wemrola, njenge-leukemia kunye ne-lymphoma. Ezinye ii-agent eziqhelekileyo ziquka i-temozolamide, i-bleomycin kunye ne-doxorubicin. I-hemorrhagic cystitis inokunye nezinye izizathu, kungekhona ngenxa yee-agent ezithintela ukunyanga komhlaza.
Xa umzimba uqhekeza i-cyclophosphamide okanye i-ifum, i-acrolein iveliswa, ehlanjululwayo egazini ngeentso kwaye iqhutywe kakhulu emcinini ngaphakathi kwesikhumba. Oku kuyacaphukisa umgca we-bladder, ekhokelela ekungathandeki kwe-cystitis kwakunye nezilonda ezingabangela ukuphuma kwegazi. Isiganeko se-cystitis esiyingozi kakhulu malunga neepesenti ezithandathu kubantu abaphantsi kokutsalwa kwethambo lomnxeba kunye nokufumana i-high-dose cyclophosphamide. Ifosphamide iye yadibana neemeko eziphezulu ze-cystitis kwezinye izifundo.
Ezinye iintsholongwane , ezifana ne-adenovirus, intsholongwane ye-BK, kunye ne-JC virus, nazo zingabangela i-cystitis eyingozi.
Abantu abanesistim somzimba esinciphileyo basengozini ephezulu yale miqathango, ingakumbi abo bahlaselwa emnxeni wethambo okanye ukutshintshwa kwe-cell stem .
Ekugqibeleni, ukucaphuka kwe-vestile kwi- exposure to radiation therapy kwakhona kubangelwa i-cystitis ephazamisayo kwizigulane zomhlaza.
Iimpawu
Ukuba uke wabuya uhlaselwe yintsholongwane enkulu yokuthintela umchamo, unalo uluvo lwezinye zeempawu ze-cystitis.
Ezi zimpawu ziquka:
- I-Hematuria (igazi kumchamo)
- Ukukhathazeka kwamathumbu
- Ubuhlungu okanye ukutshisa xa udlula umchamo wakho
- Uvakalelwa ngathi awukwazi ukukhupha ibhanti yakho
- Ukulahlekelwa kolawulo lwe-bladder (ukungathinteki)
- Ukuhlala rhoqo okanye imfuneko esiphuthumayo ukukhupha isilwanyana sakho
- Ukunyuka amaxesha amaninzi ngobusuku ukudlula umchamo wakho
Unokuba nezinye iimpawu ezifana nokukhathala kwi-anemia, okanye intlungu engacacanga kwisisu esezantsi, ngaphaya kwendawo ye-pubic yesifo se-pelvic.
Izinto zobungozi
Kukho izizathu ezimbalwa zokuba kutheni abantu abane-leukemia okanye i-lymphoma bangakwazi ukufumana i-cystitis ephazamisayo. Ezi zinto zibeka ingozi:
- Ukufumana i-cyclophosphamide okanye ifosphamide njengenxalenye ye-regotheen yakho ye-chemotherapy
- Ukufumana unyango lwe-radiation kwindawo ye-pelvic
- Ukunyusa amajoni omzimba okwenza ube neengxaki zokusulela izifo okanye iigciwane
- Ukusetyenziswa rhoqo ngamayeza
- I-platelet ephantsi ibala (thrombocytopenia)
Unyango
I-hemorrhagic cystitis ingakhokelela ekulahlekelweni kwegazi kwaye ithathwa kakhulu. Izilonda ezivulekileyo kwi-bladder zinganika i-portal ibhaktheriya ukuba idlule kwigazi lakho. Kwakhona kunokukhokelela ekubanjeni ngokusisigxina kwebhanki, okungabangela ukucinywa kwephepha lomchamo okanye ukunyanzeliswa kwesisu. Ngoko ke, unyango olukhawulezayo le meko luyimfuneko.
Unyango lu no kuquka:
- Ukukhutshwa komqondiso kunye nokulawula ubuhlungu
- Ukuxilongwa kweplatelet ukukunceda ukulawula ukuphuma kwegazi
- Ukumpontshelwa igazi xa ukuphuma kwegazi kubangele i-anemia
- I-antibiotiki okanye unyango lwe-antiviral ukuba isisifo se-cystitis sisifo
- Ukunkcenkceshwa kwesitya kunye nesisombululo se-saline ukukhusela ama-clots, okanye imithi yokulawula ukuphuma kwegazi
Thintelo
Indlela eyona ndlela yokunyanga i-cystitis eyingozi kukukhusela ukuba kwenzeke kwindawo yokuqala. Ukuba uchongiwe njengomngcipheko ophezulu wokuphuhlisa le nkxalabo, iqela lakho lezempilo liya kuthatha amanyathelo amanyathelo okuthintela. Uninzi lwongenelelo lusebenza ngokunciphisa inani lexesha apho ubhedu bhakeni lwakho luvezwa kwi-acrolein okanye kwezinye izinto ezivuthayo.
Ba no:
- Ukulawula imithi ebizwa ngokuba yi-MESNA (i-2-Mercaptoethanesulfonate sodium), eyinceda ukukhusela isisu sakho kwimiphumo ye-acrolein. La mayeza anikezwa nge-intravenously, mhlawumbi kwisikhwama esithile okanye esongezwe kwi-bag yangempela ye-chemotherapy
- Nika amaninzi amaninzi e-intravenous ukuze ancede i-chemo idlule ngesantya sakho ngokukhawuleza
- Zama ukunika i-chemotherapy yakho kusasa ngemini ukuze ube nethuba lokulikhupha kwisisu sakho ngaphambi kokuba uphumule ubusuku
- Khuthaza ukuba uzame ukuvuthwa ubuncinane kwiiyure
- Ukulawula i-diuretics, ekunceda ukugcina umchamo ugeleza ukucima i-chemo kwi-bladder yakho
- Faka i-catheter ye-urinary ukuze i-chemo isuswe ngokuqhubekayo kwi-bladder phambi kokuba inethuba lokubangela isilonda
Nini ukuthetha noDokotela wakho
Kufanele udibanise neqela lakho lononophelo lwempilo ukuba:
- Unayo igazi kumchamo wakho
- Uhlakulela umkhuhlane okanye amaqhwa
- Unempawu zokuvota ezikwenza ukuba ungakhathazeki
- Unemibuzo malunga neempawu ozifumanayo
Okukwintsusa
I-hemorrhagic cystitis yimeko enokubangela ukuba umonakalo omkhulu wegazi kunye nokuhlala unobungozi obungapheliyo xa ungaphathwa. Kukho izinto ezininzi ezibeka i-leukemia kunye nezigulane ze-lymphoma engozini yokwanda kwe-cystitis. Ngethamsanqa, kukho iindlela zokuncedisa le meko ukuba ingabikho, kwakunye neendlela zokuyiphatha xa kwenzeka.
Njengaye nawuphi na uphawu oluxakekayo, kufuneka uthethe nomboneleli wakho wezempilo ukuba unenkxalabo malunga nendlela owela ngayo umchamo wakho.
> Imithombo:
> MESNA Iphakheji Faka. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/20-855_Mesnex_Prntlbl.pdf. Kufike ngoJulayi 2017.
> I-Oncology: Indlela eSebenzisiweyo; UAlfred E. Chang, uPatricia A Ganz, uDaniel F. Hayes, uTimothy Kinsella, uHarvey I. Pass, uJoan H. Schiller, uRichard M. Stone, uVictor Strecher. I-Springer yeSayensi kunye neMedia Media, ngo-Dec 8, 2007.
> Riachy E, Krauel L, Rich Rich, et al. Imiba yengozi kunye nokuqikelela kwinqanaba eliqinileyo kunye neengxaki ze-cystitis ezinomntwana. J Urol . 2014; 191 (1): 186-92.