He aha te Interstitial Cystitis? Tohutohu, Take, me te Maimoatanga

Ko te interstitial cystitis tetahi āhuatanga pupuhi roa e pā ana ki te pūngāwerewere, e pāngia ai te mamae me te pehanga ki tō rohe pūngāwerewere, me te maha o te mimi. Whakaarohia he tino pāngia me te whakahekehia tō pūngāwerewere, ahakoa kāore he mate ka puta.

Ko tēnei āhuatanga e pā ana ki te miriona o te iwi puta noa te ao, ā, ko ngā wāhine te nuinga o te tāngata e whakatauhia ana. Ahakoa ka tino āwangawanga i te tīmatanga, ko te mārama ki te mea kei te puta i roto i tō tinana, me te mohio ki ō kōwhiringa maimoatanga ka taea te awhina i a koe ki te whakahaere i ngā tohu me te whakapai ake i tō kounga ora.

He aha te Interstitial Cystitis?

Ko te interstitial cystitis (IC) he āhuatanga pūngāwerewere roa e pāngia ai te mamae, te pehanga, me te kore ngāwari i roto i tō pūngāwerewere me tō rohe upoko. Ka mumura me te whakahekehia te pakitara o tō pūngāwerewere, ka meinga ai te ahua kei te hiahia tonu koe ki te mimi.

Ka rongo pea koe i ngā tākuta e karanga ana i tēnei āhuatanga ko te "painful bladder syndrome" (rāhui mamae pūngāwerewere) rānei ko te "bladder pain syndrome" (rāhui mamae pūngāwerewere). Ko ēnei kupu katoa e whakaatu ana i te rōpū kotahi o ngā tohu e puta ana ina kore e mahi tika tō pūngāwerewere.

Kāore i rite ki te mate pūngāwerewere noa, kāore te IC e whakauru i ngā pūtau. Engari, ka pakaru te papanga o tō pūngāwerewere, ka tino pāngia, ka tuku tohu mamae ahakoa kāore i ki tonu tō pūngāwerewere.

He aha ngā Tohutohu o te Interstitial Cystitis?

Ko ngā tohu matua o te IC e pā ana ki te mamae o te pūngāwerewere me ngā huringa i te maha o te mimi. Ka rerekē ēnei tohu mai i te tangata ki te tangata, ā, ka puta mai pea i ngā ngaru.

Koinei ngā tohu tino noa ka pāngia koe:

• Te mamae pūngāwerewere, te pehanga rānei e kaha ake ana i te whakaki tonu o tō pūngāwerewere
• Te hiahia nui ki te mimi, ahakoa kāore i ki tonu tō pūngāwerewere
• Te maha o te mimi (i etahi wā tae atu ki te 60 i te rā i ngā take kino)
• Te mamae i te wā, i muri rānei i te moe wahine
• Te mamae o te upoko e horapa atu ana ki tō tua raro, ki ō huha rānei
• Te tahumaero ina mimi, kāore he mate
• Te oho ake i ngā wā maha i te pō ki te mimi

Ko ētahi o ngā tāngata e pāngia ana e te IC e pā ana ki te kore ngāwari ngawari e puta mai ana, ā, ko ētahi e whakahaere ana i te mamae kino tonu. Ka puta pea ō tohu i ngā wā o te ahotea, etahi kai, i mua rānei i tō wā, ki te wahine koe.

He aha ngā Take o te Interstitial Cystitis?

Kāore i tino mōhiotia te take tika o te interstitial cystitis, engari e whakapono ana ngā kairangahau he maha ngā take e mahi tahi ana ki te whakaoho i tēnei āhuatanga. Ka pakaru pea te papanga o tō pūngāwerewere, ka tukuna ai ngā mea whakaheke i roto i tō mimi ki ngā kiko ngawari i raro.

He maha ngā whakaaro e whakaatu ana i te mea ka arahina ai ki te IC:

• Te pakaru o te papanga tiaki i roto i tō pūngāwerewere
• Te whakautu aunoa i te wa e whakaeke ai tō tinana i ngā kiko pūngāwerewere hauora
• Te mumura roa e kore e ora tika
• Ngā raruraru ki ngā tohu io i waenganui i tō pūngāwerewere me tō roro
• Ngā taumata rerekē o ētahi mea i roto i tō mimi
• Ngā mate pūngāwerewere o mua i whakaoho ai te whakaheke tonu
• Ngā take ira e meinga ai etahi tangata kia tino pāngia

I te kōrero atu, ka tupu pea te IC me te kore he whakaoho marama. He maha ngā tāngata e pāngia ana e tēnei āhuatanga he pūngāwerewere hauora rawa i mua i te tīmatanga o ngā tohu, ka meinga ai te whakatau i te ahua whakapohehe, whakaongaonga rānei.

Nōhea te Tiro atu ki te Tākuta mō te Interstitial Cystitis?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te pāngia koe e te mamae pūngāwerewere tonu, te maha rānei o te mimi e whakawehi ana i tō oranga o ia rā. Ko te aromatawai wawe ka taea te awhina i te whakakore i ētahi atu āhuatanga me te tīmata i a koe ki te maimoatanga tika.

Kaua e tatari ki te rapu awhina ki te kite koe i ēnei tohu whakatūpato:

• Te mamae pūngāwerewere e roa atu ana i te torutoru rā
• Te mimi atu i te 8 i te rā i ia wā
• Te oho ake atu i te rua i te pō ki te mimi
• Te mamae i te wā o te moe wahine
• Te toto i roto i tō mimi
• Te kirika me ngā tohu pūngāwerewere
• Ngā tohu e pāngia nui ana tō mahi, tō hononga rānei

Ka taea e tō tākuta te mahi whakamātautau hei wehewehe i te IC mai i ētahi atu āhuatanga pūngāwerewere penei i ngā mate, i ngā kohatu whatukuhu rānei. Ko te whiwhi i te whakatau tika te taahiraa tuatahi ki te rapu whakaora mai i ō tohu.

He aha ngā Take Pāngia mō te Interstitial Cystitis?

Ka piki pea ētahi take i tō tūponotanga ki te whanake i te interstitial cystitis, ahakoa ko te whai i ēnei take pāngia e kore e whakamana ka whanake koe i te āhuatanga. Ko te mārama ki ēnei take ka taea te awhina i a koe me tō tākuta ki te aromatawai i tō āhuatanga kia tino tika.

Ko ngā take pāngia tino noa e whakauru ana:

• Ko te wahine (ko ngā wāhine te 5-10 wā te tino pāngia ki te whanake i te IC)
• Te tau neke atu i te 30, me te whakatau i te pito i ngā tau 40
• Te whai i ētahi atu āhuatanga mamae roa penei i te fibromyalgia
• Te hītori o ngā mate mimi maha
• Te hītori whānau o te IC, ētahi atu raru pūngāwerewere rānei
• Ētahi āhuatanga aunoa
• Te pokanga upoko o mua, te whara rānei
• Te mate puku ngāwari, ētahi atu raru kai rānei

Ko ngā take pāngia iti ake pea ka whakauru i te whakamahinga ki ētahi matū, te ahotea ngākau nui, te whai rānei i ngā rerekētanga ira motuhake. Heoi, he maha ngā tāngata e whanake ana i te IC me te kore he take pāngia marama, na kaua e whakahe ki a koe ki te kore e taea e koe te tautuhi i te take marama.

He aha ngā Hua Ka Pāngia o te Interstitial Cystitis?

Ahakoa kāore te interstitial cystitis i te mate kino, ka taea te arahi ki te maha o ngā hua e pā ana ki tō oranga katoa. Ko te āhuatanga roa o tēnei āhuatanga te tikanga ka pāngia ngā āhuatanga maha o tō oranga i te wā.

Ko ngā hua tinana ka pāngia koe e whakauru ana:

• Te whakaiti i te kaha o te pūngāwerewere mai i te mumura roa
• Te whakararu moe mai i te maha o te mimi i te pō
• Te ngenge roa mai i te kounga moe kino
• Te mahi kino o ngā uaua papa upoko mai i te mamae tonu
• Te mahi moe kino na te mamae i te wā o te hononga
• Ngā raru whatukuhu i ngā take kino rawa, onge rawa

Ko te pānga ngākau me te pāpori ka rite te wero. He maha ngā tāngata e pāngia ana e te IC e pā ana ki te awangawanga mō te rapu wharepaku, te pouri mai i te mamae roa, te ahotea hononga rānei na te raruraru moe.

Tukua kia wehewehea e tatou te tikanga mōu: kāore ēnei hua e kore e taea te karo, ā, ka taea te aukati, te whakahaere rānei i te nuinga me te maimoatanga tika me te tautoko. Ko te mahi tata atu ki tō rōpū hauora ka awhina i te whakaiti i ēnei tūponotanga.

Me pēhea te aukati i te Interstitial Cystitis?

Aroha mai, kāore he huarahi kua whakamāramahia ki te aukati katoa i te interstitial cystitis, no te mea kāore i tino mōhiotia e tatou te take. Heoi, ka taea e koe te tango i ngā mahi hei tautoko i tō hauora pūngāwerewere katoa, me te whakaiti pea i tō tūponotanga ki ngā whakaoho mena kei a koe kē te āhuatanga.

Koinei ētahi rautaki hauora pūngāwerewere whānui:

• Noho pai te wai me te wai ma puta noa te rā
• Whakahaere i ngā tikanga wharepaku pai mā te kore e pupuri roa i te mimi
• Whakahaere i te ahotea mā ngā tikanga whakangāwari, te tohutohu rānei
• Whakarite i te pūnaha mate hauora me te kai tōtika
• Whakaora i ngā mate mimi i te wa tika me te tino
• Kaua e whakamahi i ngā mea whakaheke pūngāwerewere penei i te caffeine nui
• Whakahaere i te moe haumaru hei aukati i ngā mate mimi

Mena kei a koe kē te IC, ko te tautuhi me te karo i ō kai whakaoho whaiaro, ngā mahi rānei ka taea te awhina i te aukati i ngā whakaoho tohu. Pupuri i te tātai tohu hei aroturuki i te mea ka kaha ake ai tō āhuatanga.

Me pēhea te Whakatau i te Interstitial Cystitis?

Ko te whakatau i te interstitial cystitis ka roa pea no te mea kāore he whakamātautau kotahi e whakamana ana i te āhuatanga. Me whakakore e tō tākuta ētahi atu raru pūngāwerewere i mua, katahi ka titiro ki te tauira motuhake o ngā tohu e whakaatu ana i te IC.

Ka whakauru pea tō haerenga whakatau ki te maha o ngā mahi. Tuatahi, ka arotakehia e tō tākuta tō hītori hauora me te ui i ngā pātai taipitopito mō ō tohu, tae atu ki te wā i tīmata ai rātou me te mea e pai ake ai, e kino ake rānei.

Muri iho, ka tino whai koe i ēnei whakamātautau noa:

• Te tātai mimi hei tirotiro i te mate, te toto rānei
• Te whakatō mimi hei whakakore i ngā mate pūtau
• Te whakamātautau upoko hei tirotiro i ētahi atu āhuatanga
• Te tātai pūngāwerewere hei aroturuki i ngā tauira mimi
• Te whakamātautau mā te pānga o te pāhare pāporo (iti ake te whakamahi inaianei)
• Te cystoscopy hei titiro ki roto i tō pūngāwerewere
• Te biopsy pūngāwerewere i te wā o te cystoscopy (mena e hiahiatia ana)

Ka ahua wehi pea te cystoscopy, engari i te nuinga o te wā ka mahia me te rongoā rohe hei whakaiti i te kore ngāwari. Ka taea e tō tākuta te kite mena kei te mumura te papanga o tō pūngāwerewere, mena he iti ngā tohu toto e kiia nei ko ngā glomerulations.

Na, he aha te tikanga mōu? Ko te tukanga whakatau e hiahia ana ki te manawanui, engari ko te whiwhi i te whakatau tika he mea nui mō te maimoatanga whai hua. Kaua e pouri ki te roa o ngā hui ki te whiwhi i te whakautu marama.

He aha te Maimoatanga mō te Interstitial Cystitis?

Ko te maimoatanga mō te interstitial cystitis e arotahi ana ki te whakahaere i ō tohu me te whakapai ake i tō kounga ora. No te mea ka rerekē te pānga o te IC ki te katoa, ka whakamātau pea tō tākuta ki te maha o ngā huarahi hei rapu i te mea e pai ana mōu.

Ko te nuinga o ngā mahere maimoatanga e tīmata ana me ngā huarahi māori i mua i te neke atu ki ngā kōwhiringa nui ake. Ka tīmata pea tō tākuta me ngā huringa kai me te whakahaere ahotea, katahi ka tāpiri i ngā rongoā mena e hiahiatia ana.

Ko ngā maimoatanga rārangi tuatahi e whakauru ana:

• Ngā whakarerekētanga kai hei karo i ngā kai whakaoho
• Ngā whakangungu pūngāwerewere hei whakanui i te kaha
• Te rongoā tinana papa upoko
• Ngā tikanga whakaiti ahotea penei i te whakaaroaro
• Ngā kai whakaora mamae-kore-utu mō te kore ngāwari ngawari
• Te rongoā wera mō te whakaora mamae upoko

Mena kāore ēnei huarahi e tuku i te whakaora nui, ka tukuna pea e tō tākuta ngā rongoā. Ko te pentosan polysulfate (Elmiron) te mea kua whakamanahia mō te IC ā, e awhina ana i te whakatikatika i te papanga pūngāwerewere, ahakoa ka roa pea etahi marama hei whakaatu i ngā painga.

Ko ētahi atu rongoā ka taea te awhina e whakauru ana:

• Ngā antihistamines hei whakaiti i te mumura
• Ngā antidepressants tricyclic mō te whakahaere mamae
• Ngā rongoā anti-seizure mō te mamae io
• Ngā whakauru pūngāwerewere (rongoā i whakanohoia tika ki te pūngāwerewere)

Mō ngā take kino e kore e whakautu ki ētahi atu maimoatanga, he maha ngā kōwhiringa nui ake. Ka whakauru pea ēnei ki ngā tukanga whakaoho io, ngā whakaurunga Botox ki te pūngāwerewere, te pokanga rānei, onge rawa.

Me pēhea te tango i te maimoatanga kāinga i te wā o te Interstitial Cystitis?

Ko te whakahaere i te IC i te kāinga e whakauru ana i te hanga i te taiao tautoko mō tō pūngāwerewere me tō oranga katoa. Ko ngā huringa iti, mau tonu i roto i tō mahi o ia rā ka taea te whakarite i te rerekētanga nui ki te ahua o tō ngākau.

Tīmata me ngā whakarerekētanga kai, e tuku ana i te whakaora tere. Ko ngā kai whakaoho noa e whakauru ana i ngā hua citrus, ngā tamati, te tiakarete, te kōhi, te waipiro, me ngā kai kawa, ahakoa he rerekē ngā whakaoho o te katoa.

Koinei ngā rautaki whakahaere kāinga mahi:

• Pupuri i te tātai kai me te tohu hei tautuhi i ō whakaoho
• Whakamahia he papa wera i tō puku raro mō te whakaora mamae
• Whakahaere i ngā tikanga whakangāwari penei i te manawa hohonu, te yoga ngawari rānei
• Kakahu kakahu huruhuru, ngāwari e kore e pehi i tō puku
• Horomia ngā kaukau mahana hei whakaora i te mamae upoko
• Whakaritea ngā wehenga wharepaku hei karo i te pupuri roa i te mimi
• Noho wai engari kaua e inu nui i te wa kotahi

I te kōrero atu, ko te whakahaere kāinga e pai ana ina honoa ki te tiaki hauora ngaio. Kaua e ngana ki te whakahaere i ngā tohu kino katoa i a koe anake.

Ko te hanga i te mahi wharepaku ngāwari ka taea hoki te awhina. Whakaarohia te whakamahi i te tuuru iti hei whakanui i ō waewae i te wā e mimi ana, ka taea te awhina i tō pūngāwerewere ki te whakaheke tino.

Me pēhea te Whakarite mō tō Hui Tākuta?

Ko te whakarite pai mō tō haerenga ki te tākuta ka taea te awhina i te whakarite ka whiwhi koe i te whakatau tika me te mahere maimoatanga whai hua. Ko te kohikohi i ngā korero tika i mua ka meinga ai te hui kia hua ake mōu me tō kaiwhakarato hauora.

I mua i tō hui, tīmata ki te pupuri i te tātai pūngāwerewere taipitopito mō te toru rā, te iti rawa. Tuhia te wā e mimi ana koe, te nui o te wai e inu ana koe, te mea e kai ana koe, me te wā e pāngia ana koe e te mamae, te hiahia rānei.

Kawe mai ēnei korero ki tō hui:

• Rārangi tino o ō rongoā me ō tāpiringa o nāianei
• Whakaahuatanga taipitopito o ō tohu me te wā i tīmata ai rātou
• Tō tātai pūngāwerewere me te inu wai me ngā tauira mimi
• Rārangi o ngā kai, mahi rānei e ahua ana e whakaoho ana i ngā tohu
• Ngā hua whakamātautau o mua e pā ana ki tō pūngāwerewere, tō ara mimi rānei
• Ngā pātai e hiahia ana koe ki te ui ki tō tākuta
• Ngā korero mō te hītori whānau o ngā āhuatanga pūngāwerewere, aunoa rānei

Tuhia ō tohu tino raruraru me te āhua o te pānga ki tō oranga o ia rā. Kia tino marama mō ngā taumata mamae, te maha o te mimi, me te pānga ki te moe, te mahi, te hononga rānei.

Tukua kia wehewehea e tatou ngā pātai hei ui: uiui mō ngā kōwhiringa maimoatanga, te wa e tumanakohia ana mō te whakapai ake, ngā whakarerekētanga oranga ka taea te awhina, me te wā hei whai ake, te rapu rongoā ringa rānei.

He aha te Tātaitanga Matua mō te Interstitial Cystitis?

Ko te interstitial cystitis he āhuatanga roa e taea te whakahaere, ahakoa ka tino āwangawanga pea ina whakatauhia koe tuatahi. Me te whakakotahitanga tika o te maimoatanga hauora, ngā whakarerekētanga oranga, me te tautoko, ka taea e te nuinga o ngā tāngata e pāngia ana e te IC te whakapai ake i ō rātou tohu me te kounga ora.

Ko te mea nui hei mahara ko te rerekētanga o te pānga o te IC ki te katoa. Ko te mea e pai ana mō tetahi kaore pea e pai mō tetahi atu, na te rapu i tō mahere maimoatanga pai pea ka roa te wā me te manawanui.

Ko te mahi tata atu ki te kaiwhakarato hauora e mārama ana ki te IC he mea nui mō tō angitu. Kaua e whakaroa ki te rapu i tetahi atu whakaaro mena kaore e pai te whakautu i ō awangawanga.

I te kōrero atu, he maha ngā tāngata e pāngia ana e te IC e ora ana i te ora tino, mahi ina ako ana rātou ki te whakahaere i tō rātou āhuatanga. Ko ngā rōpū tautoko, i te tangata rānei, i te ipurangi rānei, ka taea te tuku i te whakatenatena nui me ngā tohutohu mahi mai i ētahi atu e mārama ana ki te mea kei te pāngia koe.

Ngā Pātai Uiui Noa mō te Interstitial Cystitis

Q.1 He rite te interstitial cystitis ki te mate mimi?

Kāore, kāore te interstitial cystitis e rite ki te mate mimi (UTI). Ko ngā UTIs e puta ana i ngā pūtau, ā, ka taea te whakaora me ngā rongoā, engari ko te IC he āhuatanga roa e whakauru ana i te mumura pūngāwerewere me te kore he mate pūtau. Heoi, ka rite pea ngā tohu, koia te take ka whakamātautau ai tō tākuta i tō mimi hei whakakore i te mate i mua i te whakatau i te IC.

Q.2 Ka taea te whakaora katoa i te interstitial cystitis?

I tēnei wā, kāore he rongoā mō te interstitial cystitis, engari ka taea te whakahaere pai i te āhuatanga i te nuinga o ngā tāngata. He maha ngā tāngata e whiwhi ana i te whakapai ake o ngā tohu me te maimoatanga tika me ngā whakarerekētanga oranga. Ko ētahi tāngata he wā kei te iti, kei te kore rānei ō rātou tohu, ahakoa ko te āhuatanga e whakaarohia ana he roa, ā, pea ka hiahia ki te whakahaere tonu.

Q.3 Ka pāngia e te interstitial cystitis tō kaha ki te whānau tamariki?

Ko te interstitial cystitis anō kāore i te tino pānga ki te momona, ki tō kaha rānei ki te hapu. Heoi, ko ētahi tohu IC pea ka kino ake i te wā hapu na te piki o te pehanga ki te pūngāwerewere. Ko te nuinga o ngā rongoā IC kāore i tūtohutia i te wā hapu, na me mahi tahi koe me tō rōpū hauora hei whakarerekē i tō mahere maimoatanga mena kei te whakaaro koe ki te hapu.

Q.4 Ka taea e ngā tāne te whanake i te interstitial cystitis?

Ae, ka taea e ngā tāne te whanake i te interstitial cystitis, ahakoa he iti rawa te noa atu i ngā wāhine. Ko ngā tāne e pāngia ana e te IC pea ka pāngia e ngā tohu rerekē, tae atu ki te mamae i te titi, ngā hua, te rohe prostate rānei. I te nuinga o te wā kaore i te whakatauhia te āhuatanga i ngā tāne no te mea ka titiro tuatahi ngā kaiwhakarato hauora ki ngā raru prostate, ētahi atu āhuatanga motuhake mō ngā tāne rānei.

Q.5 E hia te roa o te mahi a ngā maimoatanga IC?

Ko te wa mō te whai hua o te maimoatanga IC e rerekē ana kia tino nui kia whakawhirinaki ki te huarahi e whakamahia ana. Ko ngā whakarerekētanga kai pea ka tuku i te whakaora i roto i ngā wiki torutoru, ahakoa ko ngā rongoā penei i te pentosan polysulfate ka roa pea te 3-6 marama hei whakaatu i ngā painga katoa. Ko te whakangungu pūngāwerewere me te rongoā tinana e hiahia ana ki ngā wiki maha ki ngā marama o te mahi tonu. Ka awhina tō tākuta ki te whakarite i ngā tumanakohanga tika e whakawhirinaki ana ki tō mahere maimoatanga motuhake.