Hemorrhagic Cystitis

Anter

• Hōʻike Overview
• Nā kumu o ka hemorrhagic cystitis
• ʻO Chemotherapy
• Lapaʻau hoʻomākala
• Nā maʻi ʻino
• Nā kumu weliweli
• Nā ʻōuli o ka hemorrhagic cystitis
• ʻIke o ka hemorrhagic cystitis
• Ke mālama nei i ka cystitis hemorrhagic
• ʻO Outlook no ka hemorrhagic cystitis
• Kāohi ʻana i ka cystitis hemorrhagic

Hōʻike Overview

ʻO ka hemorrhagic cystitis ka mea hōʻino i ka pale o loko o kāu kīʻī a me nā kīʻaha koko e hāʻawi i ka loko o kāu kīʻaha.

Hemorrhagic ʻo ia hoʻi ke kahe ʻana o ke kahe. ʻO Cystitis ka manaʻo o ka mumū o kāu ʻōpū. Inā loaʻa iā ʻoe he hemorrhagic cystitis (HC), loaʻa iā ʻoe nā hōʻailona a me nā ʻōuli o ka hoʻohaunaele o ka maʻi maʻi me ke koko i kāu mimi.

ʻEhā mau ʻano, a i ʻole nā ​​kaha, o ka HC, kaukaʻi ʻia i ka nui o ke koko i kāu mimi.

• papa au he microscopic kahe ʻana (ʻaʻole ʻike ʻia)
• ʻike maka ʻia ka papa II
• papa III ke kahe nei me nā huʻa liʻiliʻi
• papa IV ke kahe nei me nā clots nui lawa e ālai i ke kahe o ka mimi a koi i ka hemo

Nā kumu o ka hemorrhagic cystitis

ʻO nā kumu maʻamau o ka HC nui loa a mau loa ka chemotherapy a me ka radiation therapy. Hiki i nā maʻi ʻino ke kumu iā HC, akā ʻoi aku ka liʻiliʻi o kēia mau kumu, ʻaʻole lōʻihi, a ʻoi aku ka maʻalahi o ka mālama ʻana.

Ke hana nei kahi kumu maʻamau o HC i kahi ʻoihana kahi i kū ai ʻoe i nā toxins mai nā aniline kala a i ʻole nā ​​insecticides.

ʻO Chemotherapy

ʻO kahi kumu maʻamau o HC ka chemotherapy, hiki ke hoʻopili i nā lāʻau cyclophosphamide a i ʻole ifosfamide. Wāwahi kēia mau lāʻau i loko o ka lāʻau ʻino.

Hele ʻo Acrolein i ka pūpū a hana i nā hōʻino e alakaʻi iā HC. Lawe paha ia ma hope o chemotherapy no nā ʻōuli e hoʻomohala.

ʻO ka mālama ʻana i ka maʻi ʻaʻai me ka bacillus Calmette-Guérin (BCG) hiki ke hana i ka HC. ʻO BCG kahi lāʻau i hoʻonoho ʻia i loko o ka bladder.

ʻO nā lāʻau ʻino ʻē aʻe, me busulfan a me thiotepa, nā kumu liʻiliʻi o ka HC.

Lapaʻau hoʻomākala

Hiki i ka radiation radiation i ka pelvic wahi ke hana iā HC no ka mea hōʻino ia i nā kīʻaha koko e hāʻawi i ka uhi o ka pale. ʻO kēia ke alakaʻi i ka ulceration, scarring, a me ke kahe ʻana o ke kahe. Hiki i ka HC ke hana i mau mahina a i ʻole mau makahiki ma hope o ka radiation radiation.

Nā maʻi ʻino

ʻO nā maʻi maʻamau i hiki ke hoʻokumu iā HC he mau virus i hoʻopili ʻia me adenoviruses, polyomavirus, a me type 2 herpes simplex. ʻO nā koʻohune, fungi, a me nā parasites nā kumu liʻiliʻi ʻole.

ʻO ka hapanui o ka poʻe i loaʻa i ka maʻi maʻi HC i nāwaliwali nā ʻōnaehana pale maʻi mai ka maʻi ʻaʻai a i ʻole ka mālama ʻana no ka maʻi ʻaʻai.

Nā kumu weliweli

ʻO ka poʻe e pono ana i ka chemotherapy a i ʻole ke pelvic radiation therapy e ʻoi aku ka makaʻu no ka HC. Mālama ʻo Pelvic radiation therapy i ka maʻi prostate, cervix, a me nā maʻi ʻaʻai.Mālama ʻo Cyclophosphamide a me ifosfamide i ka nui o nā maʻi ʻino e pili pū me ka lymphoma, ka umauma, a me nā maʻi ʻino testicular.

ʻO ka makaʻu kiʻekiʻe loa no ka HC ka poʻe e pono ai ka iwi iwi a i ʻole ke koʻokoʻo o ke koʻokoʻo. Pono paha kēia mau poʻe i kahi hui pū o chemotherapy a me radiation therapy. Hiki i kēia lapaʻau ke hoʻohaʻahaʻa i kou kūpaʻa i ka maʻi. Hoʻonui kēia mau mea āpau i ka makaʻu o HC.

Nā ʻōuli o ka hemorrhagic cystitis

ʻO ka hōʻailona mua o ka HC ke koko i kou mimi. I ke kahua I o HC, microscopic ke kahe ʻana, no laila ʻaʻole ʻoe e ʻike. I nā wā ma hope, ʻike paha ʻoe i ka mimi kuni koko, ka mimi koko, a i ʻole ke koko. I ke kahua IV, hiki i nā kīʻaha koko ke hoʻopiha i kāu ʻōpū a hoʻōki i ke kahe o ka mimi.

Kūlike nā ʻōuli o HC me nā maʻi maʻi urinary tract (UTI), akā ʻoi aku paha ko lākou koʻikoʻi a lōʻihi paha. Pākuʻi ʻia lākou:

• ke loaʻa nei ka ʻeha ke hele i ka mimi
• e hele pinepine i ka mimi
• ke manaʻo nei i kahi makemake nui e hele i ka mimi
• ka nalowale ʻana o ka mana o ka ʻai

E ʻōlelo i kāu kauka inā ʻike ʻoe i nā hōʻailona HC. ʻAʻohe pilikia ʻo UTI i ka mimi koko.

Pono ʻoe e launa koke i kāu kauka inā he koko kou a i ʻole nā ​​huʻa i kāu mimi. E ʻimi i ka mālama olakino pilikia inā ʻaʻole hiki iā ʻoe ke hele i ka mimi.

ʻIke o ka hemorrhagic cystitis

Hiki paha i kāu kauka ke kānalua iā HC mai kāu mau hōʻailona a me nā hōʻailona a inā loaʻa iā ʻoe kahi moʻolelo o ka chemotherapy a i ʻole radiation therapy. No ke kuhi ʻana iā HC a kāpae i nā kumu ʻē aʻe, e like me ke tumad o ka maʻi ʻaʻai a i ʻole nā ​​pōhaku bladder, hiki i kāu kauka:

• kauoha i nā hoʻāʻo ʻana i ke koko e nānā no ka maʻi, anemia, a i ʻole he maʻi hoʻokahe koko
• kauoha i nā hoʻokolohua mimi e nānā i ke koko microscopic, nā hunaola maʻi ʻaʻai, a i ʻole ka maʻi maʻi
• hana i nā noi kiʻi ʻana i kāu bladder me ka hoʻohana ʻana iā CT, MRI, a i ʻole kiʻi ultrasound
• e nānā i loko o kāu pēke ma o kahi teleskopa lahilahi (cystoscopy)

Ke mālama nei i ka cystitis hemorrhagic

Pili ka mālama ʻana i ka HC ma ke kumu a me ka papa. Nui a hewahewa nā koho lapaʻau, a hoʻokolohua nō kekahi.

Antibiotic, antifungal, a i ʻole nā ​​lāʻau antiviral e hoʻohana ʻia e mālama iā HC i hoʻokumu ʻia e kahi maʻi.

Nā koho lapaʻau no ka chemotherapy a i ʻole radiation radiation-e pili ana iā HC e pili ana i kēia:

• No ka pae mua o ka HC, hoʻomaka paha ka lapaʻau me nā wai o ka wai i loko e hoʻonui ai i ka mimi a hoʻokuʻu i ka puhaka. Pākuʻi ʻia paha nā lāʻau i nā lāʻau ʻeha a me nā lāʻau e hoʻomaha ai i nā mākala.
• Inā koʻikoʻi ke kahe ʻana a i ʻole ke ālai ʻia ʻana o ka maʻi i loko o ka ʻōpū, komo pū ka mālama ʻana me ka waiho ʻana i ka paipu, i kapa ʻia he catheter, i loko o ka pāpaʻi e hoʻoheheʻe ʻia ai nā clots a me ka wai e holoi ai i ka ʻai. Inā hoʻomau ke kahe ʻana, hiki i kahi kauka ke hoʻohana i ka cystoscopy e ʻike i nā wahi o ke kahe ʻana a kāpae i ke kahe ʻana me ke kaila uila a i ʻole kahi laser (fulguration). Hiki i nā ʻaoʻao ʻaoʻao o ka hoʻopiha ke hoʻopili i ka scarring a i ʻole ka perforation o ka ʻai.
• Hiki paha iā ʻoe ke hoʻololi i ke koko inā hoʻomau ka hoʻokahe ʻana a kaumaha ke kahe o ke koko.
• Hiki ke kau pū i ka mālama ʻana i ka waiho ʻana i ka lāʻau i loko o ka ʻai, i kapa ʻia ʻo intravesical therapy. ʻO Sodium hyaluronidase kahi lāʻau lapaʻau intravesical therapy e hoʻemi ai i ke kahe ʻana a me ka ʻeha.
• ʻO kekahi lāʻau lapaʻau intravesical ka aminocaproic acid. ʻO kahi hopena o kēia lāʻau ka hana ʻana o ke koko clots i hiki ke hele ma waena o ke kino.
• ʻO nā astringents intravesical nā lāʻau i hoʻokomo ʻia i loko o ka puhā e hoʻonāukiuki a me ka pehu ʻana a puni nā kīʻaha koko e hoʻōki i ke kahe ʻana o ke kahe. Hoʻopili kēia mau lāʻau i ka nitrate kālā, alum, phenol, a me formalin. Hiki i nā hopena ʻaoʻao o nā astringents ke hoʻopili i ka pehu ʻana o ka ʻai a hoʻemi i ke kahe o ka mimi.
• He lāʻau lapaʻau ʻo Hyperbaric oxygen (HBO) e komo pū me ka hanu ʻana he 100 pākēneka oxygen ʻoiai ʻoe i loko o kahi keʻena oxygen. Hoʻonui kēia hana i ka oxygen, hiki ke kōkua i ka hoʻōla a hoʻōki i ke kahe ʻana. Pono ʻoe i kahi lapaʻau HBO i kēlā me kēia lā a hiki i nā kau he 40.

Inā holo ʻole nā ​​lāʻau ʻē aʻe, kahi hana i kapa ʻia ʻo embolization kahi koho ʻē aʻe. I ke kaʻina hana embolization, hoʻonoho ke kauka i kahi catheter i loko o kahi kīʻaha koko e hiki ai i ke kahe ʻana i ka pūpū. Loaʻa i kahi catheter kahi mea e ālai i ka moku koko. Hiki paha iā ʻoe ke ʻeha ma hope o kēia kaʻina hana.

ʻO ke ala hope loa no ka papa kiʻekiʻe HC ka ʻoki ʻana e wehe i ka puhā, i kapa ʻia ʻo cystectomy. ʻO nā hopena ʻē aʻe o ka cystectomy e komo pū me ka ʻeha, ke kahe ʻana o ke koko, a me ka maʻi.

ʻO Outlook no ka hemorrhagic cystitis

Aia kāu nānā i ke kahua a me ke kumu. ʻO ka HC mai ka maʻi maʻi ka nānā maikaʻi. He nui ka poʻe me ka maʻi infectious HC e pane i ka mālama ʻana a ʻaʻohe o lākou pilikia lōʻihi.

Hiki i ka HC mai ka mālama ʻana i ka maʻi ʻaʻai ke loaʻa i kahi kuapo ʻokoʻa. E hoʻomaka paha nā ʻōuli i mau pule, mau mahina, a mau makahiki paha ma hope o ka mālama ʻana a lōʻihi paha ka lōʻihi.

Nui a hewahewa nā koho lapaʻau no HC i hoʻokumu ʻia e radiation a i ʻole chemotherapy. I ka hapanui o nā hihia, e pane ʻo HC i ka lāʻau, a hoʻomaikaʻi ʻia kāu mau ʻōuli ma hope o ka maʻi ʻaʻai.

Inā holo ʻole nā ​​lapaʻau ʻē aʻe, hiki i ka cystectomy ke hōʻola iā HC. Ma hope o cystectomy, aia kekahi mau koho no ka hana hou ʻana e hoʻihoʻi i ke kahe o ka mimi. E hoʻomanaʻo i ka pono loa o ka cystectomy no HC he mea nui loa.

Kāohi ʻana i ka cystitis hemorrhagic

ʻAʻohe ala e pale loa aku ai iā HC. Hiki ke kōkua i ka inu ʻana i ka wai he nui ʻoiai ke radiation radiation a chemotherapy paha e hoʻomau i ka mimiki pinepine. Hiki iā ia ke kōkua i ka inu ʻana i hoʻokahi aniani o ka wai wai cranberry i ka wā o ka mālama ʻana.

E hoʻāʻo paha kāu hui hoʻomaʻamaʻa cancer e pale aku iā HC ma nā ʻano like ʻole. Inā loaʻa iā ʻoe ka pelvic radiation therapy, ka palena ʻana i ka wahi a me ka nui o ka radiation hiki ke pale aku iā HC.

ʻO kekahi ala e hoʻohaʻahaʻa ai i ka makaʻu ka waiho ʻana i kahi lāʻau i loko o ka pākū e hoʻoikaika ai i ka pale o ka pākeke ma mua o ka lapaʻau ʻElua mau hopena maikaʻi i loaʻa i nā lāʻau lapaʻau ʻelua, sodium hyaluronate a me chondroitin sulfate.

ʻOi aku ka hilinaʻi i ka hōʻemi ʻana i ka makaʻu o HC i hoʻokumu ʻia e chemotherapy. Hiki i kāu papa hana lapaʻau ke hoʻopili i kēia mau hana pale.

• hyperhydration i ka wā o ka mālama ʻana e mālama a holo i kāu kīʻaha; hiki ke kōkua i ka hoʻohui ʻana i kahi diuretic
• ka hoʻomau ʻana o ka huki wai i ka wā o ka mālama ʻana
• ka hoʻoponopono ʻana i nā lāʻau i mua a ma hope o ka mālama ʻana ma ke ʻano he oral a i ʻole IV lāʻau; Hoʻopili kēia lāʻau i ka acrolein a ʻae i ka acrolein e neʻe ma waena o ka puhū me ka ʻole o ka poino
• ka hoʻomaha ʻana i ka puhipaka ʻana i ka wā chemotherapy me cyclophosphamide a i ʻole ifosfamide