Isifo se-cystitis, izimpawu zazo ezivame ukubizwa ngokugqamile, kubhekwa njengesifo esivamile sesifazane. Ngokusho kochwepheshe bezokwelapha, ngamacala angu-80% wezifo ezibhalisiwe, lesi sifo sithinta abesifazane. Kodwa-ke, abameleli besilisa bangabhekana ne-cystitis, izimpawu zazo ezifanayo kwabesilisa bobabili.
I-Cystitis - iyini?
Mayelana nesifo esinjalo njenge-cystitis, yiluhlobo luni lwesifo - cishe wonke owesifazane oneminyaka yobudala yokuzala uyazi. Ngokushesha ngemva kokuqala kocansi, izifo ze-pathology zanda ngokuphawulekayo. Igama elithi "cystitis" lisho inqubo yokuvuvukala echaphazela i-membrane yamangqamuzana yesisu. Njengoba lesi sifo siphuthuka, ezinye izitho zangasese zingase zihileleke kule nqubo.
Ukuvuvukala kwesibindi sokuvuthwa kwabesifazane kubhalwe kaningi. Ezimweni eziningi, i-causative factor in the development of pathology iyisifo esithathelwanayo, esiyi-microorganisms ezinama-pathogenic, ama-virus. I-Cystitis ivela kaningi kakhulu, ngakho inganqunywa izimpawu zesici. Uma kungekho ukwelashwa, lesi sifo sihlala singapheli.
I-Cystitis - Izimbangela
Ezimweni ezingu-90%, i-cystitis inemvelaphi evumayo. Njengoba ama-pathogens angama-bacterium e-pathogenic, kancane kakhulu - amagciwane. Phakathi kwezinyathelo ezingenzeka zokungenwa yizi:
- indlela ehla - ukutheleleka kungena kwesinye isisu kusuka ezinsweni;
- ekhuphuka - kusuka emvelweni, ngokusebenzisa irethra eya emgodleni;
- i-hematogenous - ngegazi kusuka kwamanye ama-foci wokutheleleka emzimbeni.
Kuye nge-agent ye-pathogenic, izinhlobo ze-cystitis nazo zivelele (okuxoxwe ngezansi). Kodwa-ke, hhayi kuphela izifo ezingabangela lesi sifo. Phakathi kwezimbangela ezikhona ze-cystitis nazo zibizwa ngokuthi:
- ukuthatha imithi ethile (i-cytostatics);
- ukusabela okweqile;
- ukulimala kwamangqamuzana ezithombeni zomzimba kanye ne-perineum (ukuhlukumezeka);
- izimo ze-hormonal (ukukhulelwa, ukuqeda esikhathini);
- izifo ezivuthayo zesimiso sokuzala (endometritis, colpitis);
- isifo sezinso (pyelonephritis, urolithiasis);
- isifo sikashukela.
I-cystitis ene-Hemorrhagic
Enye indlela yokuvuvukala kwesisu. Ukukhuluma nge-cystitis engavamile, ukuthi yikuphi, odokotela banakekele ukubonakaliswa kwemitholampilo yesifo, esinokungafani okuphawulekayo. Isici esiyinhloko salolu hlobo lwe-cystitis kuba khona kwegazi emcimbini ofihliwe - ithola ukubopha obomvu. Ukutholakala kwamangqamuzana egazi kuchazwa yisilonda esijulile sezindonga zesisu, esihambisana nokuhlukumezeka kunethiwekhi yezitsha zayo.
Kukhona ukwanda kokuvuthwa, inqubo ngokwayo ihambisane nezinzwa ezibuhlungu. Ngenxa yezindonga ezivuthayo nezicasulayo zesisindo, ngisho nokugcwaliswa okuncane kubangela ukuba isifiso sokuvuthwa. Umbala womchamo ungaba nombala ohlukile obomvu, kuye ngokuthi ukujula kwesilonda (pink, obomvu, obunobuncani obuhlaza). Phakathi kwezimbangela ze-cystitis enegazi:
- amagciwane (i-adenovirus, i-cytomegalovirus, i-herpes virus);
- E. coli;
- amabhaktheriya (staphylococcus aureus, streptococcus);
- umonakalo owenziwe ngomshini kwisikhonda (ukuhlukumezeka, ukuhlinzwa ezinhlanganweni zomzimba).
I-cystitis yangaphakathi
Ukuzwa kudokotela isiphetho se-cystitis yangaphakathi, ukuthi kuyini lesi sifo - akuzona zonke iziguli eziziyo. Leli gama lisetshenziselwa ukubhekisela kunoma yisiphi ukuvuvukala kwesibindi sesimo esingenasifo. Ukuhlaziywa komchamo ku-bacussis, ama-smears avela kwi-urethra e-microflora ayibonakali ama-microorganisms e-pathogenic. Kule fomu, isibonakaliso esiyinhloko sesiyaluyalu ukuvuthwa njalo.
I-etiology ye-cystitis ye-interstitial ayiqondakali kahle - odokotela abakwazi ukuchaza izici ezithile ezivusa lesi sifo. Phakathi kwezintambo ezikhona zokuthuthukiswa kwezifo:
- ukungakwazi ukusebenza koqweqwe oluvikelayo lwe-mucosa yesisindo;
- Ukuhlanganiswa kwe-lymphatic (ukugcina umchamo);
- I-Neuropathy;
- ukuphazamiseka kwengqondo;
- kunciphisa igciwane lesandulela ngculazi;
- Umthelela wemithi ye-urine ezindongeni zesisu.
I-Postcoital cystitis
Lesi sifo sesisindo sigcinwa ngokobulili obuhle futhi sihlotshaniswa nomsebenzi wezocansi. Ukuvuvukala kwe-postcoital yesisu kubesifazane kwakha emva kokulala ngokocansi. Ezikhathini eziningi, nge-pathology yamantombazane amancane, nje ukuqala ubulili. Izimpawu eziyinhloko zesifo yizi:
- ubuhlungu endaweni ye-pelvic kanye nokukhishwa kwesikhumba;
- ukuvuthwa njalo;
- ukushisa e-urethra;
- umkhuhlane.
Emcinini oyimfihlo, kungase kube negazi, elibonakala ekupheleni kwesenzo sokuvuthwa. I-Cystitis emva kokulala kungacasulwa:
- Izici ze-Anatomic zesistimu ye-genitourinary (ukufuduka kokuvulwa kwe-urethral, ukuhamba ngokweqile kwe-urethra).
- Ukuphulwa kwemithetho yokuhlanzeka ngokweqile ngemuva kokulala ngokocansi.
- Izifo zobulili.
- Ukusetshenziswa okungalungile kwezizalo zokukhulelwa.
I-radiation cystitis
Lokhu ukuvuvukala kwesikhumba kubonakala ngokuphazamiseka kwemvelo endaweni yangasese. Izitho ze-urinary system zivame ukubandakanya nenqubo yokwelapha. I-radistrost cystitis ezimweni ezinjalo kwenzeka ngokumelene nesizinda semithi yokwelashwa. Amaphesenti angama-20% we-irradiation wesifunda se-pelvic ahlakulele umonakalo wemisebe kulesi sifo. Phakathi kwezici ezicasulayo, odokotela bathi:
- ukuvikelwa okwanele kwezicubu ezingaphazamiseki ngesikhathi se-irradiation;
- ukwephulwa kwenqubo;
- ukuzwela okukhulu kwesistimu ye-urogenital kuya emisebeni.
I-radistrost cystitis ibhekene nezinguquko ezisebenzayo nezingokwakhiwa, izinkinga ezingenangqondo:
- ukungabikho komchamo ;
- igazi emcimbini;
- ukuvuthwa njalo ;
- ukwehla kwevolumu yesisindo;
- ukubonakala kwe-fistula.
I-cystitis yesibeletho
Leli fomu lesi sifo libhekene nenqubo yokuvuvukala esakhiweni sokuguquka kwesikhumba ku-urethra. I-cystitis yomlomo wesibeletho kubantu besifazane iyathinta imisipha yama-sphincters angaphakathi nangaphandle, okubangela ukuvulwa nokuvala ukungena kwesikhumba. Ngokumelene nesimo salolo shintsho, kunesimpawu sokuthi kukhona isifo. Isibonakaliso esihamba phambili salolu hlobo lwesifo siwukungahambisani namagciwane. Phakathi kwezinye izibonakaliso:
- isifiso esiqhubekayo sokuya endlini yangasese;
- ubuhlungu esifundeni sesishicilelo kanye ne-perineum;
- ukutshaya nokushisa uma uchama;
- ushintsho lombala womchamo.
Phakathi kwezimbangela ezikhona ze-cystitis odokotela besibeletho zibiza ngokuthi:
- i-hypothermia yomzimba;
- ukunciphisa amandla okuvikela;
- i-pyelonephritis ;
- izifo ezithathelwanayo (gonorrhea, candidiasis , chlamydia);
- isifo sikashukela.
Ukuvuvukala kwesibindi - izimpawu
Izimpawu ze-cystitis ezimweni eziningi zinomlingiswa ocacile. Ukubona ukuthi lesi sifo asiqale yini kungabangeli ubunzima kubantu besifazane - labo abake babhekene ne-pathology, baqaphele kalula ukubukeka kwabo. Ngokushesha lapho i-cystitis iqala, izimpawu zokuqala azikwenzi ulinde isikhathi eside. Isibonakaliso esicacile, isici sezo zonke izinhlobo zesifo, ukuchama okusheshayo nokubuhlungu. Ubukhulu bezimpawu ze-cystitis kubangelwa:
- uhlobo lwenqubo yokwelapha;
- indawo yangaphakathi yokuvuvukala;
- uhlobo lwe-pathogen noma isici esibangela lesi sifo.
I-cystitis enamandla
Ukuvuvukala okunamandla kwesikhumba kuhlale kubonakala ngokuqala okungazelelwe. Ngokumelene nesimo senhlalakahle jikelele, inhlalakahle evamile, isiguli siyaphawula ukwanda kwenani lokuchama. Ngamunye uhambisana nokusika, ubuhlungu ikakhulukazi ekupheleni kwesenzo. Ngokuvamile engxenyeni yokugcina yomchamo, igazi litholakala. Ngokuhamba kwesikhathi, ubuhlungu buba unomphela, indawo ye-pubis, i-perineum, i-anus.
Izinkomba ze-organoleptic ezishintshiwe zomchamo - ziba namafu, ziba mnyama, zithola umbala wezinhlanzi zenyama. Ngesikhathi esifanayo, ngokwandisa isisindo kanye nezenzo zokugcoba, umthamo wesigaba somchamo ovuthiwe wehle kakhulu. Kwezinye izimo, isifiso singase sibe amanga - uma uvakashela indlu yangasese, owesifazane angakwazi "ukukhipha" amaconsi ambalwa omchamo. Kufanele uvakashele indlu yangasese njalo imizuzu engu-20-30, ngezinye izikhathi kaningi kaningi.
I-cystitis engapheli
Ukungatholakali kokwelapha, ukungahambisani nezincomo ezikhishwe udokotela kunzima ukwenza inkinga yesifo. Ukuvuvukala okungapheli kwesisu kukhula. I-Cystitis efomu elingapheli ivame ukuqhubeka ngokungenakuqhathaniswa, nezinkathi zokukhuphuka, ezibekwe izikhathi eziningana ngonyaka. Izikhalo ezivela ezigodini azikho, futhi ukutholakala kwegazi kutholakala ngesikhathi sokuhlolwa kwe-endoscopic noma esigabeni sokukhushulwa.
Ngalesi sigaba, lesi sifo sifana ne-cystitis enamandla: izimpawu ziyafana, kodwa zinamandla kakhulu. Uma uhlamvu lwe-catarrhal lwefomu elingapheli lubhalwe izibonakaliso ezilandelayo zokuvuvukala kwesisu:
- ukuvuthwa njalo;
- ubuhlungu obunzima;
- ubuhlungu esiswini esingaphansi;
- ukungcola emcimbini (igazi, ama-flakes);
- ukuzwa ukukhishwa okungaphelele kwesikhumba.
I-Cystitis - ukuxilongwa
Ukuxilongwa kwalesi sifo kusekelwe ekubonisweni kwemitholampilo, izifundo ze-laboratory kanye nezinsimbi. I-Cystitis, izimpawu zazo eziqanjwe ngenhla, zingacatshangwa ngisho nalapho zihlolwe: ngenkathi i-palpation yesifunda se-suprapubic, i-soreness ebukhali ibonakala. Indawo ekhethekile ibhekwa yizifundo ezilandelayo futhi zihlaziya nge-cystitis:
- ukuhlaziywa okujwayelekile komchamo - kukhona ukwanda kwama-leukocyte, kukhona amangqamuzana egazi abomvu namaprotheni;
- isitshalo sebhaktheriya - ukukhula okuningi kwe-pathogenic flora;
- I-PCR - inquma ukuba khona kwezakhi ze-DNA, ama-pathogens esampula segazi;
- I-cystoscopy kanye ne-cystography - itholakale i-foci yokuvuvukala kwezindonga zesifiso ezithombeni;
- I-Ultrasound - ukuba khona kwe-echo ukumiswa okungalungile esikrinini sokuqapha.
Iyini i-cystitis eyingozi?
Ukutshela, kunokuba i-cystitis yabesifazane ibungozi, odokotela babonakalisa ingozi enkulu yokuthuthukiswa kwezifo zengqondo. Ama-pathogens avela kusikhonda angangena ezingxenyeni zesikhumba esincane. Noma kunjalo, kaningi kunezifo zesistimu ye-urinary:
- i-pyelonephritis;
- i-paracystitis;
- reflux vesicoureteral ;
- i-cystalgia;
- ukuphazamiseka kwesisu.
Ukuvuvukala kwesisu - yini okufanele uyenze?
Njengoba isifo esinjalo njenge-cystitis, ukwelashwa ekhaya kuyamukeleka, kodwa kufanele kuvunyelwane nodokotela. Imithi ephumelelayo ye-cystitis kumele inqunywe udokotela kuphela. Inqubo yokwelapha ngokuvamile ilawulwa yi-urologist kanye nomzimba wamazinyo. Isisekelo sokwelashwa izidakamizwa zokulwa namagciwane. Ama-antibiotics we-cystitis ngokuvamile asebenzisa okulandelayo:
- Ciprofloxacin ;
- I-Norfloxacin;
- Phosphomycin.
Ukuze unciphise ubuhlungu, izidakamizwa ezingezona-steroidal ezilwa nokuvuvukala nama-antispasmodics zisetshenziswa:
- I-Nimesulide;
- Diclofenac;
- I-Papaverine;
- I-Drotaverine.
I-cystitis esolwa, izimpawu zesifo, owesifazane kufanele abone udokotela. Ukwenza ngcono impilo yakho, ungasebenzisa amalungiselelo akhethekile we-herbal and herbal asebenza kahle ekwelapheni okuyinkimbinkimbi:
- ukumnika kwe-bearberry;
- ama-spores of spores;
- Amahlamvu kaCowberry.