Akazi a msinkhu wobereka akhoza kumva kutupa kwa chikhodzodzo chosachokera ku tizilombo toyambitsa matenda kuphatikizapo kuchepa kwa vola ya chikhodzodzo.
Kodi zimakhala zotani pakati pa cystitis?
Matendawa adanenedwa kale kumbuyo kwa 1914, koma zifukwa zomwe zimayambitsa kuti zisakonzedwenso kukhala ndi chibwenzi. Zifukwa zotheka kuti chitukuko cha cystitis chikhale chophatikizapo:
- Kuwonjezeka kwa chiwerengero cha mucosa chifukwa cha kusowa kwa glycosaminoglycans mmenemo, zomwe zimayambitsa kutupa kwa zigawo zazing'ono za khoma la chikhodzodzo;
- Kuphwanya njira zothandizira chitetezo cha chikhodzodzo;
- kusokonezeka kwa madzi a mitsempha yotuluka m'khodzodzo;
- zovuta;
- Kuwopsa kwa mavairasi ndi bakiteriya ndi maphunziro a nthawi yaitali komanso kuphwanya kukhulupirika kwa mucosa ndi kukonzanso kwachibadwa;
- Matenda a endocrine (makamaka ndi kusowa kwa estrogen);
- mankhwala osokoneza bongo ndi magazi omwe amatsitsa chikhodzodzo, kuchititsa hypoxia yake;
- matenda okhudza ubongo, matenda a maganizo m'maganizo mwa amayi.
Makhalidwe a cystitis - zizindikiro
Atafotokoza zaka mazana apitalo ndi madokotala, chilonda cha Ganner cha chikhodzodzo ndi khungu la cystitis sichipezeka tsopano. Kaŵirikaŵiri amadziwika kuti interstitial cystitis, pamene pali zizindikiro za cystitis, ndipo ndi chithandizo cha kutupa kwa chikhodzodzo sikukhala ndi zotsatira. Kawirikawiri, maseŵera a cystitis ndi njira yachilendo, zizindikiro zake ndi izi:
- kusamba nthawi zambiri (nthawi zina kangapo pa ola nthawi iliyonse ya tsiku, koma osachepera 8 pa tsiku);
- zofuna zofunikira - kutengeka kwadzidzidzi kwa chikhodzodzo ndi zolimbikitsana kuti mutenge mkodzo pamodzi ndi ululu;
- ululu ndi chikhodzodzo chodzaza, kuperewera pa kutaya, kupatsa mu pepala laling'ono kapena urethra;
- nocturia - kawirikawiri amafuna kuthamanga;
- ululu pa nthawi ya kugonana, kuwonjezereka kwa ululu musanapite kumsana, ululu m'mphuno yaing'ono, yomwe imakula ndi kudzaza chikhodzodzo.
Kuzindikira za pakati pa cystitis sikungokhala ndi zizindikiro zachipatala, zomwe ziyenera kukhalapo kwa miyezi 9 popanda kupindula chifukwa cha antibacterial therapy, komanso cystometry. Mbali yamakono ya interstitial cystitis imakhalabe kuchepa kwa chikhodzodzo chonse chochepa kuposa 300 ml, ndipo pakadzaza madzi mwamsanga pamtundu wa 100 ml, pali chilolezo chofuna kukopa. Pofuna kuti matendawa asaphatikize matenda ena a chikhodzodzo, ndibwino kukumbukira kuti matendawa sakula mwa amayi osapitirira zaka 18.
Makhalidwe a cystitis - mankhwala
Chifukwa cha kuchepa kwa chikhodzodzo ndi kukhalapo kwa chilonda cha Ganner, mankhwala opaleshoni amagwiritsidwa ntchito - transurethral resection ndi opaleshoni ya pulasitiki ya chikhodzodzo. Koma njira zamakono zochiritsira zimagwiritsidwa ntchito, chimodzi mwa zinthu zofunika kwambiri zomwe zimakhalabe chakudya chapadera - ndi interstitial cystitis yomwe imatsutsana ndi zakudya zamtengo wapatali, chokoleti, mankhwala osakaniza, zakudya zochepa za potaziyamu.
Pa mankhwala ochizira mankhwalawa analimbikitsa chithandizo chowopsa - antispasmodics, analgesics ndi anti-inflammatory drugs, mu njira yokhayokha - antihistamines. Gwiritsani ntchito kuwonjezereka kwa madzi pogwiritsa ntchito siliva, heparin, dimethylsulfoxide, lidocaine).
Pofuna kubwezeretsa chizoloŵezi cha chikhodzodzo mukhosa, pentosan sodium polysulphate 100 mg katatu patsiku kwa miyezi 3 mpaka 9 amagwiritsidwa ntchito, ngakhale kuti chithandizo chachipatala n'chotheka mwezi. Kuchokera kuchipatala cha physiotherapeutic, electrostimulation ya chikhodzodzo imagwiritsidwa ntchito.
Chithandizo ndi mankhwala ochiritsira pamene interstitial cystitis imapezeka siigwiritsidwe ntchito, koma kugwiritsa ntchito chikhodzodzo ndi chizoloŵezi chokhazikika cha nthawi pakati pa kukodza kuti zitha kuchepa mofulumira.