Abesifazane beminyaka yobudala bangase babone ukuvuvukala kwesibindi semvelaphi engeyona ye-microbial kuhlangene nokwehla kwevolda.
Iyini i-cystitis yangaphakathi?
Lesi sifo sachazwa njengasekuqaleni kuka-1914, kodwa izimbangela ezibangelwa ukuthi azange zinqume ukuphola. Izizathu ezingenzeka zokuthuthukiswa kwe-cystitis yangaphakathi zihlanganisa:
- ukwanda kwe-mucosa yezingxenye zomchamo ngenxa yokungabi khona kwe-glycosaminoglycans kuyo, okuholela ekuvukeni kwezingxenye ezincane zodonga lwesibindi;
- ukwephulwa kwezinqubo zokuvikelwa koqweqwe olunamanzi lwesisu;
- ukuphazamiseka kwamanzi lymphatic kusuka kwesinye;
- ukuphazamiseka kwe-autoimmune;
- ukuvutha kwamagciwane nesibindi ngeklasi elide nokuphulwa kobuqotho be-mucosa nokuvuselelwa kwayo okuvamile;
- ukucindezeleka kwe-endocrine (ikakhulukazi ngokuntuleka kwe-estrogen);
- ukuphazamiseka kwegazi kanye nokuhlinzeka ngegazi kwesisindo, okwenza i-hypoxia yayo;
- ukuphazamiseka kwengqondo, ukuphazamiseka kwengqondo kwabesifazane.
I-cystitis ye-interstitial - izimpawu
Okuchazwe ikhulu leminyaka edlule odokotela, isilonda sikaGanner sesibindi nge-cystitis yangaphakathi asitholakali manje. Ngokuvamile ukuhlolisisa i-cystitis yangaphakathi, uma kunezibonakaliso ze-cystitis, futhi lapho ukwelashwa kwesibindi kungekho mphumela. Ngokujwayelekile, i-cystitis yangaphakathi iyindlela engapheliyo, izimpawu zazo:
- ukuvuthwa njalo (ngezinye izikhathi kuze kube izikhathi eziningana ngehora nganoma isiphi isikhathi sosuku, kodwa hhayi ngaphansi kwezikhathi ezingu-8 ngosuku);
- iziphakamiso ezibalulekile - ukuzwa okungazelelwe kokuchichima kwesihenqo ngezikhalazo zokuvuthwa ngokushesha kuhambisane nobuhlungu;
- ubuhlungu ngesisindo esigcwele, ukuxhaswa ekuthumeni, ukunikeza isikhumba esincane noma urethra;
- i-nocturia - isifiso esivela ngaso sonke isikhathi sokuvuthwa;
- ubuhlungu ngesikhathi socansi, ukukhungatheka kobuhlungu ngaphambi kokuya esikhathini, ubuhlungu esifubeni esincane, okuyinto eqinisa ngokugcwalisa isisu.
Ukuxilongwa kwe-cystitis ye-interstiti akusekelwe kuphela ezimpawu zomtholampilo, okumele kuhlale okungenani izinyanga ezingu-9 ngaphandle kokuthuthukiswa ngaphansi komthelela we-antibacterial therapy, kodwa futhi ne-cystometry. Isici esiyingxenye ye-cystitis yangaphakathi yomzimba ihlala isinciphisa ekutheni isisindo esingaphansi kuka-300 ml, futhi ngokugcwaliswa kwayo ngokusheshayo ngesikhewu ngesikhathi senqubo yevolumu ye-100 ml, kunesidingo sokugunyaza ukuchama. Ukwenza ukuxilongwa kubandakanye nezinye izifo zesibindi, kufanelekile ukukhumbula ukuthi lesi sifo asikhulumi kwabesifazane abangaphansi kweminyaka engu-18.
I-cystitis ye-interstitial - ukwelashwa
Ngokunciphisa okukhulu kwevolda yesibindi kanye nokuba khona kwesilonda sikaGanner, ukwelashwa okuhlinzekwayo kusetshenziselwa ukuthengiswa kwe-transurethral kanye nokuhlinzekwa kweplastiki kwesikhumba. Kodwa izindlela zokwelashwa ezivame ukwenziwa njalo, okunye okubalulekile okuqhubekayo nokudla okhethekile - nge-cystitis yangaphakathi engqinelana nezitsha ezimbi, ushokoledi, imikhiqizo emihle, ukudla okulinganiselwe kwe-potassium.
Ezokwelapha izidakamizwa ezinconywe ukwelashwa okuphawulekayo - ama-antispasmodics, ama-analgesics nezidakamizwa eziphikisayo, ohlelweni lokuzimela - ama-antihistamines. Faka isicelo se-hydro-boring (ukwandiswa kwesibhado ngokufakwa kwe-nitrate yesiliva, i-heparin, i-dimethylsulfoxide, i-lidocaine).
Ukuze ubuyisele ukusebenza okuvamile kwe-mucosa yesibhanzana, i-pentosan sodium polysulphate 100 mg izikhathi ezintathu ngosuku ngezinyanga ezintathu kuya kwezingu-9 isetshenzisiwe, nakuba ukuthuthukiswa kwemitholampilo kungenzeka ngenyanga. Kusukela ku-physiotherapeutic izindlela zokwelashwa, i-electrostimulation ye-vesifire isetshenziswa.
Ukwelashwa ngamakhambi omuntu uma i-cystitis engaphakathi ifundwa ingasetshenzisiwe, kodwa ukusebenzisa ukuqeqeshwa kwesinye isisindo sokuzibophezela kwesikhashana phakathi kokuvuthwa ukuze kuvinjelwe ukwehla okusheshayo emandleni alo.