Isifo se-cystitis, iimpawu zazo zidla ngokukhawuleza, zibhekwa njengesifo sesigqirha sabantu. Ngokweengcali zonyango, malunga ne-80% yeziganeko zezifo ezibhalisiweyo, esi sifo sichaphazela abasetyhini. Nangona kunjalo, abameli bendoda banokujamelana ne-cystitis, iimpawu zazo zifana nezo zesini.
I-Cystitis - yintoni na?
Ngokuphathelele eso sifo njenge-cystitis, yintoni uhlobo lwesifo - phantse wonke umfazi ozala ubudala owaziyo. Ngokukhawuleza emva kokuqala komsebenzi wesondo, iziganeko zentsholongwane zikhula ngokukhawuleza. Igama elithi "cystitis" libhekiselele kwinkqubo yokuvuvukala echaphazela i-membrane ye-bladder. Njengoko isifo sifana, ezinye izitho zeplavic zingabandakanyeka kwinkqubo.
Ukuvuvukala kwesibindi sokuvuthwa kwabafazi kubhalwa rhoqo. Kwiimeko ezininzi, i-factor factor in the development of pathology iyisifo esithathelwanayo, esiyi-pathogenic microorganms, ii-virus. I-Cystitis idla ngokukhawuleza, ngoko iyakwazi ukumiselwa yimpawu ezibonakalisa. Ukungabikho kwonyango, lesi sifo sihlala singapheliyo.
Cystitis - Izizathu
Kwi-90% yamatyala, i-cystitis inomthombo osulelayo. Njengama-pathogens ayenayo i-bacterium ye-pathogenic, kaninzi kangako-iintsholongwane. Phakathi kweendlela ezinokwenzeka zokungena:
- indlela ehlayo - isifo sifumana kwi-vestile evela kwiintso;
- ukwenyuka - ukusuka kwindalo, ngokusebenzisa urethra kwiphepha le-urinary;
- i-hematogenous - ngegazi ukusuka kwezinye iindawo ezikhuselekileyo emzimbeni.
Ngokuxhomekeke kwintsebenziswano ye-pathogenic, iintlobo ze-cystitis nazo ziyaziwa (zixutywe ngezantsi). Nangona kunjalo, kungekhona nje ukusuleleka kweso sifo. Phakathi kwezizathu ezinokwenzeka ze-cystitis nazo zibizwa ngokuba:
- ukuthatha amayeza athile (i-cytostatics);
- iimpendulo ezithintekayo;
- umonakalo owenzela umbane kwizitho zeplavic kunye ne-perineum (i-trauma);
- imeko ye-hormonal (ukukhulelwa, ukuyeka umyeni);
- izifo ezivuthayo zenkqubo yokuzala (endometritis, colpitis);
- Isifo sesifo (pyelonephritis, urolithiasis);
- isifo sikashukela.
Hemorrhagic cystitis
Enye ifomu yokuvuvukala kwesisu. Ukuthetha nge-cystitis enegazi, oko kukuthi, oogqirha baqwalasela ukubonakaliswa kwezonyango zesi sifo, ezinokungafani okubalulekileyo. Into ebalulekileyo yale fomu ye-cystitis kukuba khona kwegazi kwimvini eyimfihlo - ithola ityiti ebomvu. Ubuninzi beeseli zegazi buchazwa ngephilisi ejulile yeendonga ze-vestile, ehambelana nexinzelelo kumnatha weempahla zayo.
Kukho ukwanda kwe-urination, inkqubo ngokwayo ihambelana neengxaki ezibuhlungu. Ngenxa yeendonga ezivuthayo nezocatshulwayo, isigxina esincinci senza ukuba unqande ukuvuthwa. Umbala we-urine unemibala eyahlukeneyo ebomvu, kuxhomekeke kububanzi belilonda (ipinki, ibomvu, inobuntsundu). Phakathi kwezinto ezibangelwa yi-cystitis eyingozi:
- iintsholongwane (adenovirus, cytomegalovirus, virus ye-herpes);
- E. coli;
- ibhaktheriya (staphylococcus aureus, streptococcus);
- umonakalo owenzela umonakalo kwisitya (isifo sokugonywa, ukuhlinzwa kwizitho zeplavic).
Cystitis
Ukuva kugqirha ukupheliswa kwe-cystitis yangaphakathi, yintoni isifo-kungekhona zonke izigulana ziyazi. Eli gama lisetyenziselwa ukubhekisela kuyo nayiphi na ukuvuvukala kwesibindi sesimo esingenasifo. Uhlalutyo lomchamo kwi-bacussis, i-smears evela kwi-urethra kwi-microflora ayibonakali i-microorganisms i-pathogenic. Kule fomu, uphawu oluphambili lwe-disorder luvame ukucoca.
I-etiology ye-cystitis ye-interstiti ayiqondi kakuhle - oogqirha abakwazi ukuchaza izinto ezithile ezivusa isifo. Phakathi kweengcamango ezikhoyo zokuphuhliswa kwesifo:
- Ukungapheli komgca wokukhusela we-mucosa we-bladder;
- Ukudibanisa kwe-lymphism (ukugcinwa komchamo);
- Neuropathy;
- izifo zengqondo;
- kuncipha kwe-immunity yendawo;
- Impembelelo ye-urin toxins kwiindonga zebladder.
Postcoital cystitis
Esi sifo sesibhambathiso siyabonwa kwisini esifanelekileyo kwaye sidibene nomsebenzi wesondo. Ukuthungwa kwe-postcoital kweso sithokazi kubomama kubunjwa emva kwesondo. Kwiimeko ezininzi, kunye neentsholongwane zamantombazana amantombazana, uqala ukuqala ngesondo. Iimpawu eziphambili zesifo zi:
- intlungu kwindawo ye-pelvic kunye nokukhishwa kwesibindi;
- ukucoca rhoqo;
- kutshisa kwi-urethra;
- umkhuhlane.
Kwi-urine eyimfihlo, kunokuba negazi, elibonakala ekupheleni kwesenzo sokucoca. I-Cystitis emva kokuziphatha okubi kunokucatshiswa:
- Iinkalo ze-Anatomic kwinkqubo ye-genitourinary (ukufuduka kwendawo yokuvula, ukuhamba ngokweqile kwe-urethra).
- Ukuphululwa kwemithetho yokucoceka emva kokulala ngokwesondo.
- Izifo zesondo.
- Ukusetyenziswa kakubi kwezicoco.
Rastation cystitis
Oku kuvutha kwesibindi kubonakala ngeengxaki ze-oncological kwindawo ye-pelvic. Iimpawu zesistim se-urinary zihlala zibandakanyeka kwinkqubo yesifo. I-radistrost radiation kwiimeko ezinjalo zivela kwimvelaphi yonyango lomzimba. Phantse i-20% yamatyala e-irradiation kwingingqi ye-pelvic yenza umonakalo we-radiation kwi-bladder. Phakathi kwezinto ezinobangela, oogqirha bathi:
- ukukhuselwa ngokwaneleyo kwezicubu ezingaphazamiseki ngexesha lokuxiliswa;
- ukuphulwa kwenkqubo;
- ukwandisa uvelwano lwe-urrogenital system ukuya kumbane.
I-cystitis yamayeza ibonakala ngeenguqu ezisebenzayo kunye nezakhiwo, iingxaki ezinobomi:
- ukungabikho komchamo ;
- igazi kumchamo;
- ukucoca rhoqo ;
- ukwehla kwimiqulu yebladder;
- ukubonakala kwefistula.
I-cystitis yomlomo wesibeleko
Le fomu yesifo ibonakaliswe yinkqubo yokuvuvukala kwisiza sokutshintshwa kwebladder to the urethra. I-cystitis yesibeleko kubasetyhini ichaphazela izihlunu ze-sphincters zangaphakathi nezangaphandle, ezijongene nokuvula nokuvalela ukungena kwesikhumba. Ngokuchasene nemvelaphi yenguqulelo, kukho uphawu oluphawulekayo. Uphawu oluphambili lwalolu hlobo lwesifo luyi-urinary incontinence. Phakathi kwezinye izibonakaliso:
- isifiso saso sonke sokungena endlwini yangasese;
- intlungu kwingingqi ye-pubic kunye ne-perineum;
- ukutshisa nokutshisa xa uchama;
- utshintsho lombala womchamo.
Phakathi kwezizathu ezinokwenzeka ze-cystitis udokotela obizwa ngokuba ngu-cervical:
- i-hypothermia yomzimba;
- ukunciphisa amandla okukhusela;
- pyelonephritis ;
- Izifo ezithathelwanayo (gonorrhea, candidiasis , chlamydia);
- isifo sikashukela.
Ukuvuvukala kwesibindi - iimpawu
Izibonakaliso ze-cystitis kwiimeko ezininzi zinomlinganisi ochaziweyo. Ukuxilongwa kokuqala kwesi sifo akubangeli ubunzima kubasetyhini - abo babesele bajamelana ne-pathology, bajonga ngokukhawuleza ukubonakala kwayo. Ngokukhawuleza xa i-cystitis iqala, iimpawu zokuqala azikulindi ixesha elide. Umqondiso ocacileyo, uphawu lwezo zonke iifom zesifo, ujikeleza ngokukhawuleza nangokubuhlungu. Ubunzima beempawu ze-cystitis ngenxa yoku:
- uhlobo lobume bentsholongwane;
- indawo yokuvuvukala;
- uhlobo lwe-pathogen okanye into ebangela ukuba isifo sifumaneke.
Acst cystitis
Ukuvuvukala ngokugqithisileyo kwesibhambiso kuhlala kubonakaliswe ngokukhawuleza. Ngokuchasene nemvelaphi yentlalo-jikelele, impilo enhle, isigulane sibona ukwanda kwenani lokuhamba. Ngamnye uhamba kunye nokusikwa, intlungu kakhulu ekupheleni kwesenzo. Ngokuqhelekileyo kwingxenye yokugqibela yomchamo, igazi lifunyenwe. Ngokuhamba kwexesha, intlungu iba yinto engasigxina, ihlala kwindawo ye-pubis, i-perineum, i-anus.
Utshintsho lwe-organoleptic zibonakaliso zomchamo - luba lukhuni, luba mnyama, lufumana umbala wezilwanyana zenyama. Ngexesha elifanayo, ngokunyusa iinjongo kunye nezenzo zokucoca, umthamo wesahlulo somchamo ogqithisiweyo unciphisa kakhulu. Kwezinye iimeko, unxungulo lunokuba lubuxoki - xa u tyelela indlu yangasese, umfazi "unokucima" ngaphandle kwamaconsi ambalwa omchamo. Kufuneka uhambele indlu yangasese yonke imizuzu engama-20-30, ngamanye amaxesha rhoqo.
Cystitis engapheliyo
Ukungabikho kwonyango, ukungathotyelwanga kweziphakamiso ezikhutshwe ngugqirha kubangela ukuba isi sifo senzeke. Ukuvuvuka okungapheliyo kwesibhambiso kukhula. I-Cystitis ifomu engapheliyo ihlala ihamba ngokungaqhelekanga, kunye nexesha lokuxhatshazwa, elinezihlandlo eziliqela ngonyaka. Izikhalazo ezivela kwizigulane azikho, kwaye i-pathology ifunyanwe ngexesha lokuhlolwa kwe-endoscopic okanye kwinqanaba lokuxhatshazwa.
Kule nqanaba, lesi sifo sifana ne-cystitis esichukumisayo: iimpawu ziyafana, kodwa zinamandla. Xa isalathisi se-catarrhal yesimo esingapheli sibhaliweyo iimpawu ezilandelayo zokuvuvukala kwesibindi:
- ukucoca rhoqo;
- buhlungu;
- intlungu kwisisu esezantsi;
- Ubukho obungcolileyo kumchamo (igazi, iiflegi);
- ukuvakalelwa kokungagqibekanga kwe-vestile.
I-Cystitis - ukuxilongwa
Ukuxilongwa kwesi sifo kusekelwe kwizibonakaliso zeklinikhi, izifundo zebhubhoratri kunye nezixhobo zokusebenza. I-Cystitis, iimpawu zazo ezikhankanywe ngasentla, zinokukrokrwa nangona zihlolwe: xa kutyunjwa kwendawo yesipilubic, ubuhlungu obubukhali buyabonwa. Indawo ekhethekileyo ihlala kwezi zifundo zilandelayo kwaye zihlalutya nge-cystitis:
- Ukuhlalutya ngokubanzi komchamo - kukho ukwanda kweeukocytes, kukho iiselom zegazi ezibomvu kunye neprotheni;
- inkcubeko yebhaktheriya - ukukhula okukhulu kweentlobo ze-pathogenic;
- I-PCR-inquma ukuba khona kwezinto ze-DNA, izifo-mgciwane kwisampuli yegazi;
- I-Cystoscopy kunye ne-cystography - ifunyenwe i-foci yokuvuvukala kweendonga ze-bladder kwimifanekiso;
- I-ultrasound - ubukho be-echo ukumiswa kokungalungi kwiskrini somboniso.
Yintoni eyingozi ye-cystitis?
Ukuxelela, kunokuba i-cystitis yabasetyhini inobungozi, oogqirha banomngcipheko omkhulu wokuphuhliswa kwezifo zentsholongwane. Ama-Pathogens avela kwi-bladder angena kwiilungu ze-pelvis encinci. Nangona kunjalo, ngokuqhelekileyo kukho izifo zesistim:
- pyelonephritis;
- paracystitis;
- reflux vesicoureteral ;
- cystalgia;
- i-empyema ye-bladder.
Ukuvuvukala kwesisu - yintoni oyenzayo?
Ngenxa yesifo esinjalo njenge-cystitis, unyango ekhaya luyamkeleka, kodwa kufuneka kuvunyelwane nodokotela. Iyeza elisebenzayo le-cystitis kufuneka limiselwe kuphela ngugqirha. Inkqubo yokwelapha ihlala iphantsi kolawulo lwe-urologist kunye ne-gynecologist. Isiseko sokonyango iziyobisi ezichasayo. I-antibiotics ye-cystitis isoloko isebenzisa oku kulandelayo:
- Ciprofloxacin ;
- Norfloxacin;
- Phosphomycin.
Ukuze kunciphise intlungu, izidakamizwa ezingekho-steroidal ezichasayo kunye ne-antispasmodics zisetyenzisiweyo:
- Nimeslide;
- Diclofenac;
- Papaverine;
- Drotaverine.
I-cystitis esalindelekileyo, iimpawu zesifo, ibhinqa kufuneka libone ugqirha. Ukuququzelela intlalontle yakho, ungasebenzisa amalungiselelo akhethekileyo okuvelisa i-herbal and herbal ephumelelayo kwonyango oluyinkimbinkimbi:
- ukumnika ibhereberry;
- izibini zezinhlamvu;
- Amaqabunga eCowberry.