Matenda a cystitis, zomwe zizindikiro zake zimatchulidwa mowala kwambiri, zimatengedwa kuti ndi matenda a chikazi. Malinga ndi akatswiri azachipatala, pafupifupi 80% mwa matenda ovomerezeka, matendawa amakhudza amayi. Komabe, mamembala a amuna akhoza kuthana ndi cystitis, zizindikiro zomwe ziri zofanana kwa amuna ndi akazi onse.
Cystitis - ndi chiyani?
Ponena za matenda ngati cystitis, ndi mtundu wanji wa matenda - pafupifupi mkazi aliyense wokhala ndi zaka zobereka amadziwa. Pambuyo pa kuyamba kugonana, chiŵerengero cha matenda chikuwonjezeka kwambiri. Mawu akuti "cystitis" amatanthauza njira yotupa yomwe imakhudza nembanemba ya chikhodzodzo. Pamene matendawa akuyamba, ziwalo zina zapakhosi zimatha kugwira nawo ntchitoyi.
Kutupa kwa chikhodzodzo cha mkodzo kwa amayi kumalembedwa kawirikawiri. Nthawi zambiri, chinthu chomwe chimayambitsa matenda m'thupi ndi matenda opatsirana, omwe ndi tizilombo toyambitsa matenda, tizilombo toyambitsa matenda. Cystitis imapezeka kawirikawiri, kotero imatha kudziwika ndi zizindikilo. Ngati palibe mankhwala, matendawa amakhala aakulu.
Cystitis - Zimayambitsa
Pa 90%, milandu ya cystitis imayambira. Monga tizilombo toyambitsa matenda tizilombo toyambitsa matenda, tizilombo toyambitsa matenda. Zina mwa njira zotha kulowa mkati ndi izi:
- njira yotsika - matenda amalowa m'chikhodzodzo kuchokera ku impso;
- kukwera - kuchokera ku chilengedwe, kupyolera mu urethra kupita kumtunda;
- amadzimadzi - ndi magazi ochokera kwa ena amtundu wa matenda m'thupi.
Malingana ndi tizilombo toyambitsa matenda, mitundu ya cystitis imadziwikiranso (yongotchulidwa m'munsimu). Komabe, matenda okhawo angayambitse matendawa. Zina mwa zomwe zingayambitse cystitis zimatchedwanso:
- kutenga mankhwala ena (cytostatics);
- zosokoneza;
- Kuwonongeka kwa makina ku ziwalo zapakhosi ndi perineum (zoopsa);
- chiwerengero cha mahomoni (mimba, kusamba kwa mimba);
- Matenda opweteka a ubereki (endometritis, colpitis);
- matenda a impso (pyelonephritis, urolithiasis);
- matenda a shuga.
Hemorrhagic cystitis
Mtundu umodzi wa kutupa kwa chikhodzodzo. Kuyankhula za hemorrhagic cystitis, chomwe chiri, madokotala amamvetsera kuwonetseredwa kwachipatala cha matendawa, omwe ali ndi kusiyana kwakukulu. Chinthu chachikulu cha mtundu uwu wa cystitis ndi kukhalapo kwa magazi mu mkodzo womwe umatulutsidwa - umapeza chofiira chofiira. Kukhalapo kwa maselo a magazi kumatanthauzidwa ndi zilonda zakuya za makoma a chikhodzodzo, zomwe zikuphatikizidwa ndi chipsinjo kumtunda wa ziwiya zake.
Pali kuwonjezereka kwa kukodza, njira yokhayo ikuphatikiza ndi zowawa. Chifukwa cha makoma otentha ndi okwiyitsa a chikhodzodzo, ngakhale kubwereza pang'ono kumayambitsa kukakamiza kukodza. Mtundu wa mkodzo ukhoza kukhala wofiira mosiyana, malingana ndi kuya kwapakati (pinki, yofiira, yakuda bulauni). Zina mwa zifukwa zomwe zimayambitsa mpweya wa cystitis:
- mavairasi (adenovirus, cytomegalovirus, herpes virus);
- E. coli;
- mabakiteriya (staphylococcus aureus, streptococcus);
- kuwonongeka kosakanizidwa kwa chikhodzodzo (kupwetekedwa, opaleshoni pa ziwalo zamkati).
Makhalidwe a cystitis
Kumva kuchokera kwa dokotala kumapeto kwa zamasamba za cystitis, ndi chiyani cha matenda - osati odwala onse omwe amadziwa. Liwu limeneli limagwiritsidwa ntchito potanthauzira kutupa kulikonse kwa chikhodzodzo chopanda matenda. Kufufuza kwa mkodzo pa bacussis, smears kuchokera ku urethra pa microflora sichimasonyeza tizilombo toyambitsa matenda. Mu mawonekedwe awa, chizindikiro chachikulu cha matendawa ndi kukodza nthawi zambiri.
Zomwe zimapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda sizimveka bwino. Madokotala sangathe kutchula zifukwa zomwe zimayambitsa matendawa. Zina mwa ziphunzitso zomwe zikupezekapo za chitukuko cha matenda:
- Kulephera kwachitetezo cha mucosa wa chikhodzodzo;
- Kupuma kwa mitsempha yam'mimba (mkodzo wosungira);
- Neuropathy;
- kusokonezeka maganizo;
- kuchepetsa chitetezo cha m'deralo;
- Zotsatira za mitsempha ya mkodzo pamakoma a chikhodzodzo.
Postcoital cystitis
Matenda a chikhodzodzo amachitika mu chiwerewere chabwino ndipo amagwirizanitsa ndi kugonana. Kutupa kwa postcoitali kwa chikhodzodzo mwa amai kumapangidwa pambuyo pa kugonana. Nthawi zambiri, ndi matenda a atsikana aang'ono, amangoyamba kugonana. Zizindikiro zazikulu za matenda ndi:
- ululu mmimba mwachisawawa ndi kuchotsa chikhodzodzo;
- kukodza nthawi zambiri;
- kuwotchedwa mu urethra;
- malungo.
Mu mkodzo wobisika, pakhoza kukhala magazi, omwe amawoneka kumapeto kwa ntchito yoyeretsa. Cystitis pambuyo pa kugonana kungakwiyitse:
- Zochitika za anatomic za dongosolo la genitourinary system (kuthamangitsidwa kwa kutsegula, kuthamanga kwambiri kwa urethra).
- Kuphwanya malamulo a ukhondo wathanzi pambuyo pa kugonana.
- Matenda opatsirana pogonana.
- Kugwiritsira ntchito kolakwika kwa njira za kulera.
Maizoni cystitis
Kutupa uku kwa chikhodzodzo kumawoneka ndi matenda okhudza chilengedwe m'mimba mwachisawawa. Ziwalo za urinary system nthawi zambiri zimakhudzidwanso ndi njira ya matenda. Mafunde a cystitis m'mayesero oterewa amapezeka motsutsana ndi chithandizo cha mankhwala a radiation. Pafupifupi 20 peresenti ya majekesi a dera lamtunduwu amapangitsa kuwonongeka kwa mazira kwa chikhodzodzo. Zina mwa zovutazi, madokotala amachitcha kuti:
- Kutetezeka okwanira kwa zida zopanda mphamvu panthawi yamoto;
- kuphwanya malamulo;
- kuwonjezeka kwa mphamvu ya urogenital kupita ku dzuwa.
Mafunde a cystitis amadziwika ndi kusintha kwa kayendetsedwe ka kayendedwe kake:
- chotsitsa ;
- magazi mu mkodzo;
- kukodza nthawi zambiri ;
- kuchepa kwa vola ya chikhodzodzo;
- maonekedwe a fistula.
Cervical cystitis
Mtundu uwu wa matendawa umadziwika ndi kutukusira pa malo a kusintha kwa chikhodzodzo kupita ku urethra. Cervical cystitis mwa amayi imakhudza minofu ya mkati ndi kunja, zomwe zimayambitsa kutsegula ndi kutseka khomo la chikhodzodzo. Poyambira kumbuyo kwa kusintha koteroko, pali chizindikiro cha chizindikiro. Chizindikiro chotsogolera cha mtundu uwu wa matendawa ndi kukopa kusabisa. Pakati pa mawonetseredwe ena:
- Kulimbikira nthawi zonse kupita kuchimbudzi;
- ululu m'dera la pubic ndi perineum;
- kuyabwa ndi kuyaka pamene mukukota;
- kusintha kwa mtundu wa mkodzo.
Zina mwazifukwa zomwe zingayambitse kervical cystitis madokotala amaitana:
- hypothermia wa thupi;
- kuchepetsa mphamvu zoteteza;
- pyelonephritis ;
- Matenda opatsirana (gonorrhea, candidiasis , chlamydia);
- matenda a shuga.
Kutupa kwa chikhodzodzo - zizindikiro
Zizindikiro za cystitis nthawi zambiri zimakhala ndi khalidwe lodziwika bwino. Kuzindikira kuti chiyambi cha matendawa sichimayambitsa mavuto kwa amayi - omwe adakumanapo ndi matenda, amadziwoneka mosavuta. Mwamsanga pamene cystitis ikuyamba, zizindikiro zoyamba sizikupangitsani kuti mudikire motalika. Chizindikiro chodziwika, choyimira cha mtundu uliwonse wa matendawa, ndikumangirira komanso kukupweteka kwambiri. Kuopsa kwa zizindikiro za cystitis ndi chifukwa cha:
- chikhalidwe cha matendawa;
- kumidzi kwa kutukusira;
- mtundu wa tizilombo toyambitsa matenda kapena chinthu chomwe chinayambitsa matendawa.
Zovuta cystitis
Kutentha kwakukulu kwa chikhodzodzo nthawi zonse kumadziwika ndi onset mwadzidzidzi. Potsutsana ndi chikhalidwe cha moyo wabwino, thanzi labwino, wodwala akuwona kuchuluka kwa chiwerengero cha kukodza. Chimodzi chimaphatikizapo kudula, kupweteka makamaka kumapeto kwa zochitikazo. Kawirikawiri kumapeto kwa mkodzo, magazi amapezeka. Pakapita nthawi, ululu umakhala wamuyaya, kumapezeka ku pubis, perineum, anus.
Zizindikiro za organoleptic zosinthika za mkodzo - zimakhala mdima, zimakhala zamdima, zimapeza mtundu wa zinyama za nyama. Pa nthawi imodzimodziyo, poonjezera zovuta ndi zochita za kukodza, mlingo wa gawo la mkodzo wotukuka umachepa kwambiri. Nthawi zina, chilakolako chingakhale chonyenga - mukamachezera chimbudzi, mkazi akhoza "kufinya" mitsempha yochepa chabe ya mkodzo. Muyenera kuyendera chimbudzi mphindi 20 mpaka 30 nthawi zambiri.
Cystitis yambiri
Kupanda mankhwala, kusagwirizana ndi ndondomeko zoperekedwa ndi dokotala kumavutitsa matenda. Chifuwa chosatha cha chikhodzodzo chikuyamba. Cystitis mu mawonekedwe osapitirira nthawi zambiri amayamba mwadzidzidzi, ndi nthawi zovuta, zomwe zimayikidwa kangapo pachaka. Zikondwerero za odwala sizimapezeka, ndipo matendawa amapezeka panthawi yopitilirapo kapena panthawi yovuta.
Panthawi imeneyi, matendawa amafanana ndi acstitis: zizindikirozo ndi zofanana, koma zimakhala zochepa. Pamene mtundu wa catarral uli ndi mawonekedwe osalembeka amalembedwa zizindikiro zotsatirazi za kutupa kwa chikhodzodzo:
- kukodza nthawi zambiri;
- ululu wowawa;
- ululu m'mimba pamunsi;
- Kukhalapo kosaipitsidwa mu mkodzo (magazi, flakes);
- kumverera kwa kusakwanira kutaya chikhodzodzo.
Cystitis - matenda
Kuzindikira matendawa kumadalira mawonetseredwe a chipatala, ma laboratory ndi maphunziro apadera. Cystitis, zizindikiro zake zomwe zimatchulidwa pamwambapa, zikhoza kukayikiranso ngakhale zitayesedwa: pamene chigwa cha suprapubic chigawo, chimakhala chowawa kwambiri. Malo apadera akukhala ndi maphunziro otsatirawa ndi kuwunika ndi cystitis:
- Kufufuza kwa mkodzo kawirikawiri - pali kuwonjezeka kwa leukocyte, pali maselo ofiira a magazi ndi mapuloteni;
- Bakiteriya chikhalidwe - kukula kwakukulu kwa tizilombo zomera;
- PCR - imatsimikizira kukhalapo kwa ziwalo za DNA, tizilombo toyambitsa matenda m'magazi a magazi;
- Zosakanikirana ndi mpukutu wamatsenga - zimapeza foci za kutupa kwa makoma a chikhodzodzo m'mithunzi;
- Ultrasound - kukhalapo kwa chiyeso chosayimitsidwa pazenera.
Kodi ndi yotani cystitis?
Kuwuza, kuposa cystitis kwa amayi ndi owopsa, madokotala amaika chiopsezo chachikulu cha chitukuko cha matenda a amayi. Tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilonda toyambitsa matenda tizilonda toyambitsa matenda Komabe, nthawi zambiri palinso matenda a urinary system:
- pyelonephritis;
- paracystitis;
- reflux vesicoureteral ;
- chithandizo;
- mpyema wa chikhodzodzo.
Kutupa kwa chikhodzodzo - choti uchite chiyani?
Ndili ndi matenda monga cystitis, mankhwala kunyumba amavomereza, koma ayenera kuvomerezana ndi dokotala. Mankhwala othandiza a cystitis ayenera kulamulidwa ndi dokotala yekha. Njira yothandizira imayang'aniridwa ndi a urologist ndi azimayi. Maziko a mankhwala ndi mankhwala osokoneza bongo. Maantibayotiki a cystitis nthawi zambiri amagwiritsa ntchito zotsatirazi:
- Ciprofloxacin ;
- Norfloxacin;
- Phosphomycin.
Pofuna kuchepetsa kupweteka, mankhwala osagwiritsidwa ntchito poletsa kutentha ndi antitispasmodics amagwiritsidwa ntchito:
- Nimesulide;
- Diclofenac;
- Papaverine;
- Drotaverine.
Akuyembekezeka cystitis, zizindikiro za matenda, mkazi ayenera kuwona dokotala. Pofuna kukhala ndi moyo wabwino, mutha kugwiritsa ntchito mankhwala okonzeka a zitsamba ndi zitsamba zomwe zimathandiza pa mankhwala ovuta:
- kulowetsedwa kwa bearberry;
- mitsuko ya spores;
- Masamba a Cowberry.