Ukuthi yini i-Interstitial Cystitis? Izimpawu, Izimbangela, kanye Nokwelashwa

I-Interstitial cystitis yisimo esingapheli somthamo we-bladder esibangela ubuhlungu kanye nokucindezeleka endaweni yakho ye-bladder, kanye nokuphuma kwesisu njalo. Cabanga ngakho njengomthamo wakho we-bladder oqala ukuba nomuzwa omkhulu futhi ucasulekile, ngisho noma kungekho ukutheleleka okukhona.

Lesi simo sithinta izigidi zabantu emhlabeni jikelele, ngabesifazane abaningi abakhombiswa kunabesilisa. Nakuba kungase kuzwakale kukhulu ekuqaleni, ukuqonda ukuthi kwenzekani emzimbeni wakho nokwazi izindlela zakho zokwelapha kungakusiza ukuphatha izimpawu nokuthuthukisa ikhwalithi yokuphila kwakho.

Ukuthi yini i-Interstitial Cystitis?

I-Interstitial cystitis (IC) yisimo esingapheli somthamo we-bladder esibangela ubuhlungu obuphindaphindayo, ukucindezeleka, nokungakhululeki emthamweni wakho we-bladder nasesifundeni sakho se-pelvic. Udonga lomthamo wakho we-bladder luqala ukuba luqabukile futhi lucabuke, lukwenza uzizwe njengokuthi udinga ukuphuma njalo.

Ungase futhi uzwe odokotela bebiza lesi simo ngokuthi "ubuhlungu bomthamo we-bladder" noma "ubuhlungu bomthamo we-bladder." La magama achaza iqembu elifanayo lezimpawu ezenzeka uma umthamo wakho we-bladder ungasebenzi ngendlela okufanele.

Ngokungafani nokutheleleka okuvamile komthamo we-bladder, i-IC ayinamabhaktheriya. Kunalokho, ukugqoka komthamo wakho we-bladder kulimala noma kuqala ukuba nomuzwa omkhulu, kuthumela izimpawu zobuhlungu ngisho noma umthamo wakho we-bladder ungagcwalisiwe.

Zithini Izimpawu ze-Interstitial Cystitis?

Izimpawu eziyinhloko ze-IC zibandakanya ubuhlungu bomthamo we-bladder kanye nezinguquko zendlela ojwayele ukuphuma ngayo. Lezi zimpawu zingase zihluke kumuntu ngamunye futhi zingase ziye ziye ngezigaba.

Nawa izimpawu ezivamile ongazihlangabezana nazo:

• Ubuhlungu bomthamo we-bladder noma ukucindezeleka okuqala ukuba kubi njengoba umthamo wakho we-bladder ugcwala
• Udinga ukuphuma ngokushesha, ngisho noma umthamo wakho we-bladder ungagcwalisiwe
• Ukuphuma njalo (ngezinye izikhathi kuze kube izikhathi ezingama-60 ngosuku ezimweni ezinkulu)
• Ubuhlungu ngesikhathi noma ngemva kokuziphatha ngokobulili
• Ubuhlungu be-pelvic obungase buhanjiswe emhlane wakho ophansi noma emilenzeni
• Ukuvutha lapho uphuma khona, ngaphandle kokutheleleka
• Ukuvuka izikhathi eziningi ebusuku ukuze uphume

Abanye abantu abane-IC bahlangabezana nokungakhululeki okuncane okuza nokuhamba, kanti abanye bahlangabezana nobuhlungu obuqhubekayo, obukhulu. Izimpawu zakho zingase ziqale ukuba zimbi ngezikhathi zokucindezeleka, ukudla okuthile, noma ngaphambi kwesikhathi sakho sokuya esikhathini uma ungowesifazane.

Yini ebangela i-Interstitial Cystitis?

Imbangela eqondile ye-interstitial cystitis ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi izinto eziningi zisebenza ndawonye ukuze ziqalise lesi simo. Ukugqoka komthamo wakho we-bladder kungase kulimale, kuvumela izinto ezicasulayo eziminyeni yakho ukuthi zifinyelele ezinhlanganweni ezinzima ngaphansi.

Izindlela eziningi zisiza ekuchazeni ukuthi yini engase iholele ku-IC:

• Ukulimala kokugqoka okuvikelayo ngaphakathi komthamo wakho we-bladder
• Impendulo ye-autoimmune lapho umzimba wakho uhlasela inhlanganisela yomthamo we-bladder enempilo
• Ukuvuvukala okungapheli okuqala ukungapheli kahle
• Izinkinga ngezimpawu zezinzwa phakathi komthamo wakho we-bladder nobuchopho
• Amazinga angavamile ezinto ezithile eziminyeni yakho
• Ukutheleleka komthamo we-bladder okwakungaphambili okuqalise ukuvuvukala okuqhubekayo
• Izinto zofuzo ezenza abanye abantu babe sengozini enkulu

Kukhona lokho, i-IC ngokuvamile iqala ukukhula ngaphandle kwanoma iyiphi imbangela ecacile. Abantu abaningi abanesimo esinjalo banomthamo we-bladder ophilile ngaphambi kokuba izimpawu ziqale, okwenza ukuxilongwa kuzwakale kuyinkimbinkimbi noma okungalindelekile.

Nini Okufanele Ubone Udokotela Nge-Interstitial Cystitis?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nobuhlungu bomthamo we-bladder obuqhubekayo noma ukuphuma kwesisu okuhlala kuhlupha impilo yakho yansuku zonke. Ukubhekwa kwasekuqaleni kungasiza ukukhipha ezinye izimo nokukwenza uqale ukwelashwa okufanele.

Ungalindi ukufuna usizo uma uqaphela lezi zimpawu zezexwayiso:

• Ubuhlungu bomthamo we-bladder obuhlala isikhathi esingaphezu kwezinsuku ezimbalwa
• Ukuphuma izikhathi ezingaphezu kwezingu-8 ngosuku njalo
• Ukuvuka izikhathi ezingaphezu kwezi-2 ebusuku ukuze uphume
• Ubuhlungu ngesikhathi sokuziphatha ngokobulili
• Igazi emithamweni yakho
• Ukuqabuka kanye nezimpawu zomthamo we-bladder
• Izimpawu ezithinta kakhulu umsebenzi wakho noma ubuhlobo bakho

Udokotela wakho angenza ukuhlolwa ukuhlukanisa i-IC kwezinye izimo zomthamo we-bladder njengokutheleleka noma amatshe e-kidney. Ukuthola ukuxilongwa okuqondile yisinyathelo sokuqala sokuthola impumuzo ezimpawu zakho.

Zithini Izinto Ezifaka Engozini Ye-Interstitial Cystitis?

Izinto ezithile zingase zikhulise amathuba akho okukhula kwe-interstitial cystitis, nakuba ukuba nalezi zinto ezifaka engcupheni akusho ukuthi uzokhula lesi simo. Ukuqonda lezi zinto kungakusiza wena nodokotela wakho ukubheka isimo sakho ngokuphelele.

Izinto ezivamile ezifaka engcupheni zifaka:

• Ukuba owesifazane (abesifazane banethuba elingu-5-10 elingaphezulu lokuthola i-IC)
• Iminyaka engaphezu kwengu-30, ngokuxilongwa okuphezulu okuvela eminyakeni engu-40
• Ukuba nezinye izimo zobuhlungu obungapheli njenge-fibromyalgia
• Umlando wokutheleleka okuvamile komthamo we-urinary tract
• Umlando womndeni we-IC noma ezinye izinkinga zomthamo we-bladder
• Izimo ezithile ze-autoimmune
• Ukuhlinzwa kwe-pelvic noma ukulimala okwakungaphambili
• I-irritable bowel syndrome noma ezinye izinkinga zokugaya ukudla

Izinto ezifaka engcupheni ezingavamile zingase zifake ukukhombiswa kwezinto ezithile ezicasulayo, ukucindezeleka okukhulu komzwelo, noma ukuba nezinguquko ezithile zofuzo. Noma kunjalo, abantu abaningi bakhula i-IC ngaphandle kwanoma iyiphi imbangela ecacile, ngakho ungazisola uma ungakwazi ukubona imbangela ecacile.

Zithini Izingozi Ezingase Zenzeke Nge-Interstitial Cystitis?

Nakuba i-interstitial cystitis ngokwayo ingabi yingozi eyingozi, ingase iholele ezingozini eziningi ezithinta impilo yakho yonke. Ukuqhubeka kwalesi simo kusho ukuthi izimpawu eziqhubekayo zingathinta izici ezahlukene zokuphila kwakho ngokuhamba kwesikhathi.

Izingozi zomzimba ongazihlangabezana nazo zifaka:

• Ukuncipha komthamo we-bladder ngenxa yokuqabuka okuqhubekayo
• Ukungaphuli kahle komzimba ngenxa yokuphuma njalo ebusuku
• Ukukhathala okuqhubekayo ngenxa yokungaphuli kahle komzimba
• Ukusebenza okungalungile kwemisipha ye-pelvic floor ngenxa yobuhlungu obuqhubekayo
• Ukusebenza okungalungile ngokobulili ngenxa yobuhlungu ngesikhathi sokuziphatha ngokobulili
• Izinkinga ze-kidney ezimweni ezimbalwa kakhulu, ezinkulu

Ithonya lomzwelo kanye nomphakathi lingase libe nzima ngokulinganayo. Abantu abaningi abane-IC bahlangabezana nokukhathazeka ngokuthola izindlu zangasese, ukucindezeleka ngenxa yobuhlungu obungapheli, noma ukucindezeleka kobuhlobo ngenxa yobunzima bokuziphatha ngokobulili.

Ake siqonde ukuthi lokhu kusho ukuthini kuwe: lezi zingozi azikho, futhi eziningi zingavinjelwa noma ziphathwe ngokwelashwa okufanele nokusekelwa. Ukusebenza eduze neqembu lakho lokunakekelwa kwezempilo kusiza ukunciphisa lezi zingozi.

I-Interstitial Cystitis Ingavinjelwa Kanjani?

Ngeshwa, ayikho indlela ebonakalayo yokuvimbela ngokuphelele i-interstitial cystitis njengoba singaqondi ngokuphelele ukuthi yini eyibangela. Noma kunjalo, ungathatha izinyathelo zokusekela impilo yakho yonke yomthamo we-bladder futhi wenze kube lula amathuba okuqala ukuba zimbi izimpawu uma usuvele unalesi simo.

Nawa amanye amaqhinga okuqapha impilo yomthamo we-bladder:

• Hlala unamanzi amaningi ngamanzi asulungekile usuku lonke
• Yenza imikhuba emihle yokusebenzisa igumbi lokugezela ngokungagcini isikhathi eside
• Phatha ukucindezeleka ngezindlela zokuphumula noma ngokwelashwa
• Gcina uhlelo lwakho lokulwa nezifo luhle ngokudla okulinganiselayo
• Welapha ukutheleleka komthamo we-urinary tract ngokushesha nangokuphelele
• Gwema izinto ezicasulayo zomthamo we-bladder njenge-caffeine eningi
• Yenza ubulili obulondekile ukuvimbela ukutheleleka komthamo we-urinary tract

Uma usuvele une-IC, ukuqonda nokuqeda ukudla noma imisebenzi yakho siqu kungasiza ukuvimbela izimpawu eziqala ukuba zimbi. Gcina idayari yezimpawu ukuze uqaphe ukuthi yini engase ibe mbi isimo sakho.

I-Interstitial Cystitis Ixilongwa Kanjani?

Ukuxilongwa kwe-interstitial cystitis kungathatha isikhathi ngoba ayikho i-test eyodwa eqinisekisa lesi simo. Udokotela wakho uzodinga ukukhipha ezinye izinkinga zomthamo we-bladder kuqala, bese ubheka iphethini ethile yezimpawu ezibonisa i-IC.

Uhambo lwakho lokuxilongwa luzohlanganisa izinyathelo eziningi. Okokuqala, udokotela wakho uzohlola umlando wakho wezokwelapha futhi akusize ngemibuzo emininingi mayelana nezimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi yini ezenza zibe ngcono noma zimbi.

Okulandelayo, cishe uzobe unezivivinyo ezivamile:

• Ukuhlaziywa kwemithamo ukuhlola ukutheleleka noma igazi
• Ukukhiqizwa kwemithamo ukuqeda ukutheleleka kwamabhaktheriya
• Ukuhlolwa kwe-pelvic ukuhlola ezinye izimo
• Idayari yomthamo we-bladder ukuqapha izindlela zokuphuma
• I-potassium sensitivity test (esingasetshenziswa kakhulu manje)
• I-cystoscopy ukubuka ngaphakathi komthamo wakho we-bladder
• I-bladder biopsy ngesikhathi se-cystoscopy (uma kudingeka)

I-cystoscopy ingase izwakale iyesabekayo, kodwa ngokuvamile yenziwa nge-anesthesia yendawo ukunciphisa ukungakhululeki. Udokotela wakho angabona uma ukugqoka komthamo wakho we-bladder kubukeka kuqabukile noma uma kunezimpawu ezincane zegazi ebizwa ngokuthi yi-glomerulations.

Ngakho-ke lokhu kusho ukuthini kuwe? Inqubo yokuxilongwa idinga isineke, kodwa ukuthola ukuxilongwa okuqondile kubalulekile ekwelapheni okuphumelelayo. Ungadangali uma kuthatha izikhathi eziningi ukuthola impendulo ecacile.

Ukwelashwa Kwe-Interstitial Cystitis Yini?

Ukwelashwa kwe-interstitial cystitis kugxile ekuphatheni izimpawu zakho nokwenza impilo yakho ibe ngcono. Njengoba i-IC ithonya wonke umuntu ngendlela ehlukile, udokotela wakho cishe uzozama izindlela eziningi ukuthola ukuthi yini ekuhambela kahle.

Izinhlelo zokwelapha eziningi ziqala ngezindlela ezilula ngaphambi kokuya kwezinye izindlela ezinzima. Udokotela wakho angase aqhube ngokuguqula ukudla nokuphatha ukucindezeleka, bese engeza imithi uma kudingeka.

Ukwelashwa okuqala kuvame ukufaka:

• Ukuhlukahluka kokudla ukuqeda ukudla okuqala ukuba kube zimbi izimpawu
• Ukuzivocavoca kokufundisa umthamo we-bladder ukwandisa umthamo
• Ukwelashwa komzimba kwe-pelvic floor
• Izindlela zokunciphisa ukucindezeleka njengokucamngca
• Imithi yokunciphisa ubuhlungu ethenywa ngaphandle kokubhalwa kwelayisensi yokuwelapha ngenxa yokungakhululeki okuncane
• Ukwelashwa ngokushisa ngenxa yokuqeda ubuhlungu be-pelvic

Uma lezi zindlela zingakuniki impumuzo eyanele, udokotela wakho angase abhale imithi. I-Pentosan polysulfate (Elmiron) ivunyelwe ngokukhethekile ye-IC futhi iyasiza ekulungiseni ukugqoka komthamo we-bladder, nakuba kungathatha izinyanga eziningi ukukhombisa izinzuzo.

Ezinye izidakamizwa ezingasiza zifaka:

• I-Antihistamines ukunciphisa ukuqabuka
• I-Tricyclic antidepressants ngenxa yokuphatha ubuhlungu
• Imithi yokulwa ne-seizure ngenxa yobuhlungu bezinzwa
• Ukuhlanza umthamo we-bladder (imithi efakwa ngqo emthamweni we-bladder)

Ezimeni ezinkulu ezingaphenduli kwezinye izindlela zokwelapha, kunezindlela ezinzima kakhulu ezikhona. Lezi zingase zifake izinqubo zokukhuthaza izinzwa, ukugcoba i-Botox emthamweni we-bladder, noma ngokungavamile, ukuhlinzwa.

Ukuthi Ungaphatha Kanjani Ukwelashwa Ekhaya Ngesikhathi Se-Interstitial Cystitis?

Ukuphatha i-IC ekhaya kuhilela ukudala indawo yokusekela umthamo wakho we-bladder kanye nempilo yakho yonke. Izinguquko ezincane, eziqhubekayo emkhakheni wakho wansuku zonke zingenza umehluko omkhulu endleleni ozizwa ngayo.

Qala ngokulungisa ukudla, okuvame ukunikeza impumuzo ngokushesha. Ukudla okuvamile okuqala ukuba kube zimbi izimpawu kufaka izithelo ze-citrus, amatamatisi, i-chocolate, ikhofi, utshwala, nokudla okunoshukela, nakuba izinto ezicasulayo zabo bonke zihlukile.

Nawa amaqhinga okuqapha ekhaya:

• Gcina idayari yokudla nezimpawu ukuze uqonde izinto ezicasulayo zakho
• Sebenzisa i-heating pad esiswini sakho esiphansi ngenxa yokuqeda ubuhlungu
• Yenza izindlela zokuphumula njengokuphefumula okujulile noma i-yoga ebushelelezi
• Gqoka izingubo ezihlanzekile, ezihlanzekile ezingacindezeli isisu sakho
• Thatha izimpahla ezishisayo ukuze uqede ubuhlungu be-pelvic
• Hlela ukuphuma ukuze ugweme ukugcina isikhathi eside
• Hlala unamanzi amaningi kodwa gwema ukuphuza amanzi amaningi ngesikhathi esisodwa

Kukhona lokho, ukuphatha ekhaya kusebenza kangcono uma kuhlanganiswa nokukhathalelwa kwezokwelapha kochwepheshe. Ungazami ukuphatha izimpawu ezinkulu ngokuphelele wedwa.

Ukudala umkhuba ohlanzekile wegumbi lokugezela kungasiza futhi. Cabanga ngokusebenzisa isihlalo esincane ukuze uphakamise izinyawo zakho ngesikhathi uphuma, okungasiza umthamo wakho we-bladder ukuba ukhululeke ngokuphelele.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela ngokuphelele ukuya kudoketela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuqondile kanye nenhlelo yokwelapha ephumelelayo. Ukuqoqa ulwazi olufanele kusengaphambili kwenza ukuya kudoketela kube lusebenzayo kuwe kanye nodokotela wakho.

Ngaphambi kokuya kudoketela, qala ukugcina idayari yomthamo we-bladder eningiliziwe okungenani izinsuku ezintathu. Bhala phansi ukuthi uphuma nini, amanzi amaningi owa phuza, lokho okudlayo, kanye nokuthi uhlangabezana nobuhlungu noma ukucindezeleka nini.

Letha le mininingwane ekuyeni kwakho kudoketela:

• Uhlu oluphelele lwemithi yakho yangamanje kanye nezinhlanganisela
• Inkulumo eningiliziwe yezimpawu zakho kanye nokuthi zaqala nini
• Idayari yakho yomthamo we-bladder ngokungenisa amanzi kanye nezindlela zokuphuma
• Uhlu lokudla noma imisebenzi ebonakala iqala ukuba zimbi izimpawu
• Imiphumela yokuhlola yangaphambili ehambelana nomthamo wakho we-bladder noma umthamo we-urinary tract
• Imibuzo ofuna ukuyibuza udokotela wakho
• Ulwazi mayelana nomlando womndeni we-bladder noma izimo ze-autoimmune

Bhala phansi izimpawu zakho ezinkulu kakhulu nokuthi zithinta kanjani impilo yakho yansuku zonke. Yiba ocacile mayelana namazinga obuhlungu, ukuphuma njalo, kanye nethonya ekulaleni, emsebenzini, noma ebuhlotsheni.

Ake siqonde ukuthi yimiphi imibuzo okufanele uyibuze: buza ngezindlela zokwelapha, isikhathi esilindelekile sokuthuthuka, ukuguqulwa kwesitayela sempilo okungasiza, kanye nokuthi nini kufanele ulandele noma ufune ukunakekelwa okusheshayo.

Yini Eyinhloko Mayelana Ne-Interstitial Cystitis?

I-Interstitial cystitis yisimo esingapheli esiphatheka, nakuba kungase kuzwakale kukhulu uma uqala ukuxilongwa. Ngokuhlanganiswa okuqondile kokwelashwa kwezokwelapha, ukuguqulwa kwesitayela sempilo, nokusekelwa, abantu abaningi abane-IC bangathuthukisa kakhulu izimpawu zabo kanye nekhalithi yokuphila.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-IC ithonya wonke umuntu ngendlela ehlukile. Lokho okusebenza komunye umuntu kungase kungasebenzi komunye, ngakho ukuthola uhlelo lwakho lokwelapha oluhle kungathatha isikhathi nesineke.

Ukusebenza eduze nodokotela oqonda i-IC kubalulekile empumelelweni yakho. Unganqikazi ukufuna umbono wesibili uma uzizwa ukukhathazeka kwakho kungasetshenziswanga kahle.

Kukhona lokho, abantu abaningi abane-IC baphila impilo egcwele, esebenzayo uma sebefunda ukuphatha isimo sabo. Amaqembu okusekela, noma ngokomuntu noma ku-inthanethi, anganikeza ukukhuthazwa okuyigugu nezeluleko eziwusizo kwabanye abaqonda lokho okuhlangabezana nakho.

Imibuzo Evamile Mayelana Ne-Interstitial Cystitis

Q.1 Ingabe i-interstitial cystitis ifana nokutheleleka komthamo we-urinary tract?

Cha, i-interstitial cystitis ayifani nokutheleleka komthamo we-urinary tract (UTI). I-UTIs ibangelwa amabhaktheriya futhi ingaphiliswa ngama-antibiotics, kanti i-IC yisimo esingapheli esibandakanya ukuqabuka komthamo we-bladder ngaphandle kokutheleleka kwamabhaktheriya. Noma kunjalo, izimpawu zingase zibe zifana kakhulu, kungakho udokotela wakho azovivinya imithamo yakho ukuqeda ukutheleleka ngaphambi kokuxilongwa kwe-IC.

Q.2 Ingabe i-interstitial cystitis ingaphiliswa ngokuphelele?

Okwamanje, ayikho indlela yokwelapha i-interstitial cystitis, kodwa lesi simo singaphathwa kahle kubantu abaningi. Abantu abaningi bahlangabezana nokuthuthuka okukhulu kwezimpawu ngokwelashwa okufanele nokuguqulwa kwesitayela sempilo. Abanye abantu banezikhathi lapho izimpawu zabo zincane noma zingabonakali, nakuba lesi simo sibhekwa njengesiqhubekayo futhi singadinga ukuphathwa okuqhubekayo.

Q.3 Ingabe i-interstitial cystitis izonginciphisa amathuba okubeletha?

I-Interstitial cystitis ngokwayo ngokuvamile ayithinti ukukhulelwa noma amathuba akho okubeletha. Noma kunjalo, ezinye izimpawu ze-IC zingase zibe zimbi okwesikhashana ngesikhathi sokukhulelwa ngenxa yokucindezeleka okwandayo emthamweni we-bladder. Imithi eminingi ye-IC ayinconywa ngesikhathi sokukhulelwa, ngakho-ke uzodinga ukusebenza neqembu lakho lokukhathalela impilo ukulungisa uhlelo lwakho lokwelapha uma uhlela ukukhulelwa.

Q.4 Ingabe amadoda angathuthukisa i-interstitial cystitis?

Yebo, amadoda angathuthukisa i-interstitial cystitis, nakuba ingavamile kakhulu kunabesifazane. Amadoda ane-IC angase ahlangabezane nezimpawu ezahlukene, kufaka phakathi ubuhlungu epenis, emathunjini, noma endaweni ye-prostate. Lesi simo sivame ukungaxilongwa kumadoda ngoba abahlinzeki bezempilo bangase baqale bafune izinkinga ze-prostate noma ezinye izimo ezikhethekile zamadoda.

Q.5 Kuthatha isikhathi esingakanani ukuba ukwelashwa kwe-IC kusebenze?

Isikhathi sokuphumelela kokwelashwa kwe-IC sihluka kakhulu kuye ngendlela esetshenziswayo. Ukuhlukahluka kokudla kungase kunikeze impumuzo phakathi kwamasonto ambalwa, kanti imithi efana ne-pentosan polysulfate ingathatha izinyanga ezingama-3-6 ukukhombisa izinzuzo ezigcwele. Ukuzivocavoca kokufundisa umthamo we-bladder kanye nokwelashwa komzimba ngokuvamile kudinga amasonto ambalwa kuya ezinyangeni zokuzivocavoca okuqhubekayo. Udokotela wakho uzokusiza ukumiswa okulindelekile ngokusekelwe kuhlelo lwakho lokwelapha oluthile.