Vakadzi vezera rekuberekwa vanogona kuve nekuputika kwechirwere chesina -microbial yakabva pamwe chete nekuderera mukati mevheji.
Chii chinonzi interstitial cystitis?
Chirwere ichi chakatsanangurwa kubva kare kare muna 1914, asi zvikonzero zvinokonzera kuti zvisati zvagadzirirwa kupedzana. Zvikonzero zvinokonzera kukwidziridzwa kwepakati penstiti cystitis dzinosanganisira:
- kuwedzera kuperevedza kwemucosa nokuda kwemakirini emusana nekuda kwekushayikwa kweglycosaminoglycans mauri, izvo zvinotungamirira mukuputika kwezvikamu zviduku zveurusvingo rwechikwata;
- kukanganisa kwenzira dzekudzivirira kwehuputi hwechidzitiro;
- kushungurudzwa kwe lymphatic drainage kubva kumusha;
- autoimmune disorders;
- chirwere cheropa uye bhakitiriya nekanguva refu uye kukanganisa kwehutano hwemucosa uye hurizve hurizve huripozve;
- zvinokonzera endocrine (zvikurukuru nekushaiwa kweserogen);
- kusanganiswa kwemagetsi uye kuwedzerwa kweropa kweropa, zvichiita kuti hypoxia yake;
- neuropathy, kukanganisika kwepfungwa mukati mevakadzi.
Interstitial cystitis - zviratidzo
Yakatsanangurwa makore zana apfuura navanachiremba, chironda cheGanner chebladder ne interstitial cystitis hachina kuwanikwa ikozvino. Kazhinji kacho kazhinji kuongororwa mukati memiti ye cystitis, kana pane zviratidzo zve cystitis, uye nekurapa kwekuputika kwechibvunda hachina basa. Kazhinji, interstitial cystitis inzira isingaperi, zviratidzo zvayo ndeizvi:
- kugara uchidzoka (dzimwe nguva kusvika pane dzimwe nguva neawa chero nguva ipi zvayo yezuva, asi kwete pasi pe8 pazuva);
- zvinokonzera kukurudzira - manzwiro ekunze kwekuputika kwechidzitiro nekukumbira kuti uende nokukurumidza pamwe chete nemarwadzo;
- marwadzo ane chidzara chakazara, kusingairira kubvisa, kupa muchetete maduku kana urethra;
- nocturia - kazhinji manheru anokurudzira kurinate;
- kurwadziwa panguva yepabonde, kuwedzera kwekutambudzika kusati kwasvika kumwedzi, kurwadziwa mumapata maduku, izvo zvinowedzera nekuzadzwa kwechirwere.
Kuongororwa kwepakati penzira ye cystitis hakusi kungoenderana nezviratidzo zvekurapa, izvo zvinofanirwa kupedza mwedzi mitanhatu pasina kusimbiswa pasi pesimba re antibacterial therapy, asiwo cystometry. Chimwe chinhu chinowanikwa mukati memagetsi e cystitis chinoramba chiri kuderera kwehuwandu hwechiganda pasi pe 300 mml, uye nekuzadza kwayo nokukurumidza nemvura panguva yekufamba kusvika kune 100 mL, pane zvinomiririra kukurudzira kurinate. Kuita kuti hutachiwana huve humwe hutachiwana hwechirwere, zvakakosha kuyeuka kuti chirwere chacho hachikudziri kuvakadzi vasati vadarika makore 18.
Interstitial cystitis - kurapwa
Nekuderedza kukuru kwehuwandu hwechidzara uye kuvapo kwechirwere cheGanner, kurapwa kunoshandiswa kunoshandiswa - transurethral resection uye chirwere cheplastiki chekuvhiya. Asi kazhinji nzira dzokuchengetedza dzinoshandiswa dzinoshandiswa, chimwe chezvinhu zvinokosha izvo zvinoramba zviri zvokudya zvakanakisisa - ne interstitial cystitis zvinopesana nezvakawanda zvezvokudya, chokoti, michero yakaoma, kudya kwakakwana kwe potassium.
Pamusoro pemishonga inodhaka yakakurudzirwa zviratidzo zvinoratidzika - antispasmodics, analgesics uye anti-inflammatory drugs, mumutemo we autoimmune - antihistamines. Shandisa hydro-boring (bladder expansion) nekuisa sirivha yesirivha, heparin, dimethylsulfoxide, lidocaine).
Kuvandudza kushandiswa kwechirwere mucosa, pentosan sodium polysulphate 100 mg katatu pazuva kune mwedzi 3 kusvika ku 9 inoshandiswa, kunyange zvazvo kugadziriswa kwekliniki kunogoneka mumwedzi. Kubva pamaitiro e physiotherapeutic ekurapa, electrostimulation ye bladder inoshandiswa.
Kurapa nemishonga yevanhu kana interstitial cystitis ichionekwa kuti haisati yashandiswa, asi kushandiswa kwekudzidzira chikwata ndiko kuwedzera kwenguva yakareba kwepakati pekukandira kuitira kuti kudzivirira kukurumidza kuderera muhuwandu hwayo.