Cystitis puʻuwai

ʻO ka cystitis interstitial kahi pilikia lōʻihi (mau) kahi e ʻeha ai, kaomi, a i ʻole ke kuni ʻana i loko o ka puhā. Pili pinepine ia me ka pinepine urinary a i ʻole ka wikiwiki. Kāhea ʻia ia he maʻi maʻi bladder pain.

ʻO ka pūpū he hui hakahaka me kahi ʻāpana lahilahi o nā mākala e mālama ana i ka mimi. Ke hoʻopiha kāu pēpē i ka mimi, hoʻouna ia i kahi hōʻailona i kou lolo, e haʻi ana i nāʻiʻo e kaomi. Ma lalo o nā kūlana maʻamau, ʻaʻole ʻeha kēia mau hōʻailona. Inā loaʻa iā ʻoe ka cystitis interstitial, ʻeha nā hōʻailona mai ka puhū a hiki paha ke hana inā ʻaʻole piha ka puhā.

Kū pinepine ke ʻano ma waena o nā makahiki 20 a 40, ʻoiai ua hōʻike ʻia i ka poʻe ʻōpio.

ʻOi aku ka nui o nā manawa o nā wahine he 10 ka nui o ka IC ma mua o nā kāne.

ʻAʻole ʻike ʻia ke kumu kūpono o kēia ʻano.

Kūleʻa nā ʻōuli o IC. Hele mai nā ʻōuli a hele pū me nā kau o ka ʻoi iki a ʻoi paha o ke koʻikoʻi. ʻO nā ʻōuli maʻamau ka:

• Pākuʻi kīnā ʻole a hōʻoluʻolu paha (ʻoluʻolu a koʻikoʻi)
• Koi aku e mimi pinepine
• ʻEha ʻā i ka wahi pelvic
• ʻEha i ka wā o ka moekolohe

Nui nā poʻe i loaʻa i ka cystitis interstitial wā lōʻihi e loaʻa paha i nā kūlana ʻē aʻe e like me endometriosis, fibromyalgia, syndrome bowel irritable, nā maʻi ʻehaʻeha ʻeha mau loa, ka hopohopo, a me ke kaumaha.

E nānā kāu mea mālama ola no nā kumu ʻē aʻe o kāu mau hōʻailona. Pākuʻi ʻia kēia mau mea:

• Nā maʻi i lawe ʻia i ka moekolohe
• Kanesa maʻi ʻaʻai
• Nā maʻi maʻi ʻōpū
• Nā pōhaku ʻākī a i ʻole ureteral

Hana ʻia nā hoʻokolohua ma kou mimi e nānā i ka maʻi a i ʻole nā ​​hunaola e hōʻike ana i ka maʻi ʻaʻai i loko o ka puhā. I ka wā o ka cystoscopy, hoʻohana ka mea hāʻawi i kahi pahu kūikawā me kahi pahu liʻiliʻi ma ka hopena e nānā i loko o kāu puhā. Lawe ʻia paha kahi laʻana a biopsy paha o ka pale o kāu kīʻī.

Hiki paha ke hana i nā hoʻāʻo ʻana ma ke keʻena o kāu mea nāna e hōʻike i ka maikaʻi o ka hoʻopiha ʻana o kāu ʻōpū a pehea ka ninini ʻana.

ʻAʻohe mea ola no IC, a ʻaʻohe mālama maʻamau. Hoʻokumu ʻia ka mālama ʻana ma ka hoʻāʻo a me ka hemahema a hiki i kou loaʻa ʻana o ka hoʻomaha. Hoʻololi nā hopena i kēlā me kēia kanaka.

KA HOʻOLOHE ANA I KA MAKAHI A ME KA OLA ANA

ʻIke kekahi poʻe i ka hana ʻana i nā loli i kā lākou papaʻai hiki ke kōkua i ka mālama ʻana i nā ʻōuli. E hoʻāʻo e hōʻalo i nā meaʻai a me nā mea inu e hiki ai ke hoʻonāukiuki i ka maʻi bladder. E hōʻoki i ka ʻai ʻana i kekahi mau meaʻai, i kēlā me kēia manawa, e ʻike inā e hoʻomaikaʻi kāu mau ʻōuli. E hoʻemi a hōʻoki paha i ka ʻai ʻana i ka caffeine, kokoleka, nā inu ʻona, nā mea inu citrus, a me nā meaʻai nīoi a ʻonika hoʻi (e like me nā mea me nā kiʻekiʻe o ka vitamona C)

ʻO nā meaʻai ʻē aʻe a ka Interstitial Cystitis Association i papa inoa ai e like me ka mea e hoʻonāukiuki nei i ka maʻi bladder:

• Nā paʻi waiū ʻelemakule
• ʻAlekohola
• Nā mea hoʻonani ʻoka
• ʻO Fava a me nā pī lima
• ʻO nā ʻiʻo i hoʻōla ʻia, hana ʻia, puhi ʻia, pākū, ʻelemakule, a i ʻole nā ​​nitrites
• Nā huaʻakika (koe wale nā ​​blueberry, melemele melon, a me nā pears, maikaʻi.)
• Nati, koe wale nā ​​ʻalemona, nā cashews, a me nā hua paina
• Onions
• Palaoa Rye
• Nā kau i piha me MSG
• ʻAilika kirīmiʻona
• Palaoa palaoa
• ʻO Soy
• Tī
• Tofu
• ʻO Tomato
• Yogurt

Pono ʻoe a me kāu mea lawelawe e kūkākūkā i nā hana e hiki ai iā ʻoe ke hoʻohana no ka hoʻomaʻamaʻa bladder. Hoʻokomo paha kēia i ka hoʻomaʻamaʻa ʻana iā ʻoe iho e mimi i nā manawa kikoʻī a i ʻole ka hoʻohana ʻana i ka pelvic floor physical therapy a me ka biofeedback e hōʻoluʻolu ai i ka ʻūhā pelvic ʻeleʻele a me nā spasms

LAAU LAPAAU ME NA HANA

Hoʻohui ʻia ka hoʻohuihui hoʻohui ʻia me nā lāʻau e like me:

• ʻO Pentosan polysulfate sodium, ʻo ka lāʻau wale nō i lawe ʻia e ka waha i ʻae ʻia no ka mālama ʻana iā IC
• ʻO nā antidepressants Tricyclic, e like me amitriptyline, e hoʻomaha ai i ka ʻeha a me ke alapine urinary
• ʻO Vistaril (hydroxyzine pamoate), kahi antihistamine i hiki ke kōkua i ka hoʻēmi ʻana i ka pehu. Hiki iā ia ke hana i ka sedation ma ke ʻano he ʻaoʻao

ʻO nā hoʻoponopono ʻē aʻe e pili pū me:

• Ke hoʻopiha piha nei i ka ʻōpū me ka wai ʻoiai ma lalo o ka anesthesia laulā, i kapa ʻia ʻo hydradistention o ka bladder
• Hoʻokomo pololei ʻia nā lāʻau i loko o ka puhā, me dimethyl sulokside (DMSO), heparin, a i ʻole ka lidocaine
• ʻO ka hemo ʻana o ka ʻōpū (cystectomy) no nā hihia paʻakikī loa, ka mea hana pinepine ʻole ʻia

Hiki paha i kekahi poʻe ke pōmaikaʻi mai ka lawe ʻana i nā hui kākoʻo cystitis interstitial, e like me ka Interstitial Cystitis Association: www.ichelp.org/support/support-groups/ a me nā mea ʻē aʻe.

Hoʻololi nā hopena lapaʻau. Pane maikaʻi kekahi poʻe i nā mālama maʻalahi a me nā loliʻai. Pono paha nā poʻe ʻē aʻe i nā lapaʻau ākea a ʻokiʻoki paha.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka cystitis interstitial. E hōʻoia e haʻi ʻoe kānalua ʻoe i kēia maʻi. ʻAʻole ʻike ʻia a ʻike maʻalahi ʻia paha. Hoʻohuli pinepine ʻia me ka loaʻa hou ʻana o ka maʻi urinary tract.

Cystitis - interstitial; IC

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

ʻO Grochmal SA. ʻO nā koho hoʻokolohua a me nā koho lapaʻau no ka cystitis interstitial (maʻi maʻi maʻi bladder). I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 98.

ʻO Hanno PM. Bladder pain syndrome (interstitial cystitis) a me nā maʻi e pili pū ana. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 14.

ʻO Hanno PM, Erickson D, Moldwin R, Faraday MM, et al. ʻIke a me ka mālama ʻana i ka maʻi intersstial cystitis / bladder pain syndrome: ka hoʻoponopono Alua AUA. J Urol. 2015; 193 (5): 1545-53. PMID: 25623737 www.ncbi.nlm.nih.gov/pubmed/25623737.

ʻO Kirby AC, ʻo Lentz GM. ʻO ka hana o ka urinary tract haʻahaʻa a me nā maʻi: physiology o ka micturition, hoʻopau ʻole i ka hana ʻole, ka hoʻomau ʻole ʻana o ka urinary, nā maʻi maʻi urinary, a me ka maʻi maʻi bladder. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 21.