Fibromyalgia, Kutopa Kwambiri Syndrome & Interstitial Cystitis

Kuchita ndi Zambiri Zambiri

Matenda a Fibromyalgia , matenda otopa kwambiri komanso interstitial cystitis (IC) - chikhodzodzo chowopsya - nthawi zambiri zimachitika pamodzi. Akazi akhoza kukhala oposa 10 kuposa amuna kuti akule.

Kukhala ndi IC wokha kungakulepheretseni kuchita zambiri pa moyo wanu, ndipo monga fibromyalgia (FMS) ndi matenda otupa (CFS kapena ME / CFS ), akugwirizana ndi kuvutika maganizo .

Mofanana ndi FMS ndi ME / CFS, IC ingakhale yovuta kufotokoza, kuchiza ndi kuyendetsa. Anthu ena ali ndi mwayi wokhala ndi chithandizo chamankhwala komanso kusintha kwa zakudya, pamene ena amafunikira chithandizo champhamvu kwambiri kapena opaleshoni.

Mwachidule

Mitsempha ya cystitis (IC) imakhala m'mimba kapena kupweteka kwapakhosi kuti chikhodzodzo chikhale chokwanira, nthawi zambiri kumatsatiridwa ndi zizindikiritso zina za m'mimba , koma popanda matenda kapena matenda ena. Chifukwa cha IC sichidziwika. Kawirikawiri, madokotala amadziwa bwino kuti matendawa ndi oopsa , ndipo anthu ambiri ali ndi IC kwa zaka pafupifupi 4 asanamvetse bwino.

Zizindikiro

• Nthawi zambiri mumtunda (nthawi zoposa 8 patsiku)
• Kufunika kwachangu
• Kusokonekera kwamtendere
• Ululu panthawi kapena kugonana
• Kupweteka kwa majeremusi

Mwinanso mumakhala ndi IC mu 30s kapena 40s, koma ndizotheka kuti muyambe kale kapena mtsogolo.

Nchifukwa chiyani chikuchitika? Funso labwino! Vuto ndilo, tilibe yankho. Ochita kafukufuku akuyesetsabe kufotokozera zomwe zimayambitsa ndi njira zowonongeka zazimenezi, ndipo mpaka atatha, mwina sitingamvetse chifukwa chake akugwirana.

Zina mwazikhalapo, monga:

• Ochita kafukufuku akuganiza kuti matenda akuluakulu angathe kuthandizira matenda onse atatu
• Kupweteka kwa onse atatu kumakhulupirira kuti kumayambitsa mitsempha
• Kupweteka kochokera kwa IC kungachititse kuti pakati pa mphamvu zowonongeka mu FMS ndi ME / CFS
• Kafukufuku amene anatulutsidwa kumayambiriro kwa chaka cha 2009 akusonyeza kuti odwala ena omwe ali ndi IC ali ndi matenda osokoneza bongo ndipo samangokhala ndi chikhodzodzo.

Chifukwa chakuti zinthu zitatu zomwe zimakhala zofala kwambiri kwa amayi, kusiyana kwa mahomoni kapena maatomu kungakhale kuntchito.

Nthawi yotulukira ambulera ya zinthu zomwe zimakhudza kwambiri mphamvu ndi mphamvu zothandizira .

Kudziwa

IC imapezeka kuti imadalira kwambiri zizindikiro. Musanayambe kupeza IC, dokotala wanu adzafunika kuthetsa zina zomwe zingayambitse zizindikiro zanu. Mayesero ndi awa:

• Chikhodzodzo chikumveka
• Maselo osakanizika ( endoscopy ya chikhodzodzo )
• Kusinkhasinkha kwa mitsempha ndi chikhalidwe
• Mitsempha yotchedwa urine cytology (pofuna kupeza khansara ndi matenda opweteka mu tsamba la mkodzo)
• Video urodynamics (yomwe imasonyeza kuti mkodzo umatengera bwanji kuti mumveke kufunikira kokodza)

Pofuna kutsimikizira kuti IC imapezeka, dokotala wanu akhoza kupanga hydrodistention, yomwe chikhodzodzo chanu chimadzaza ndi madzi. Izi zimathandiza dokotala kuwona makoma anu a chikhodzodzo chifukwa cha kuchepa kwa magazi komwe kumafala kwa anthu omwe ali ndi IC.

IC sichidziŵika bwino kapena chopezeka mosavuta, kotero ngati mukuganiza kuti muli nacho, dziwani dokotala wanu.

Kuchiza

Palibe mankhwala a IC, ndipo chithandizo chikuyenera kukhala chofanana ndi munthuyo. Zitha kutenga zovuta zambiri musanayambe kupeza mankhwala oyenera komanso kusintha kwa moyo.

Dokotala wanu angapereke mankhwala amodzi mwa IC:

• Elmiron (pentosan)
• Mankhwala opioid, monga Vicodin ( hydrocodone-acetaminophen ) kapena Percocet (oxycodone-acetaminophen)
• Tricyclic zowonongeka, monga Elavil (amitriptyline)
• Vistaril (hydroxyzine)

Mankhwala ena ndi awa:

• Maphunziro a chikhodzodzo (njira zotsekemera kuti aphunzitse chikhodzodzo kupita nthawi yeniyeni)
• Mankhwala amaperekedwa mwachindunji m'chikhodzodzo
• Mankhwala othandiza thupi ndi biofeedback (cholinga chothandizira kuchepetsa minofu ya minofu)
• Opaleshoni

Kusintha kwa zakudya kumathandizanso kuchepetsa IC. The Interstitial Cystitis Association ili ndi zambiri zokhudza kusintha kwa zakudya zomwe zingathandize.

Kuphatikiza Mankhwala Ambiri

Ngati mukuchiritsidwa ku IC ndi FMS kapena ME / CFS, muyenera kuyankhula ndi dokotala ndi wazamankhwala za njira iliyonse yothetsera mankhwala.

Mwachitsanzo, musagwiritse ntchito mankhwala opatsirana a SSRI / SNRI, omwe ndi ochiritsira kwa FMS ndi ME / CFS, ndi mankhwala omwe amagwiritsidwa ntchito ku IC. Komanso, chithandizo cha FMS Lyrica (pregabalin) sichigwirizana bwino ndi mankhwala opweteka a mankhwala.

Komabe, tizilombo toyambitsa matenda tricyclic omwe amagwiritsidwa ntchito ku IC amagwira bwino ntchito kwa anthu ena omwe ali ndi FMS kapena ME / CFS, komanso mankhwala ena a IC monga mankhwala ndi biofeedback angapindule kwambiri. Mukhozanso kukhala ndi zidziwitso za zakudya zomwe zimapangitsa kuti thupi likhale lopitirira, kotero kuti kudya zakudya zowononga kungakuthandizeni.

Chifukwa zowawa zina zimapangitsa kuti zizindikiro za FMS zikhale zovuta kwambiri, mutapindula kwambiri ndi kupeza mankhwala abwino a IC.

Kulimbana

Chimodzi mwazimenezi ndi zovuta kukhala nazo, choncho mukakhala nawo pamodzi, zikhoza kukhala zovuta pamoyo wanu. Zolepheretsa moyo wanu ndi ululu, kutopa, ndi kukodza mwina kangapo patsiku kawirikawiri zingayambitse kukhumudwa, kutaya moyo, kusowa ntchito, ndi mavuto ena.

Ndikofunika kupeza ndi kutsatira ndondomeko ya mankhwala yomwe ikukuthandizani, ndikupempha chithandizo kuchokera kwa anthu m'moyo wanu kapena magulu othandizira , pa intaneti kapena m'dera lanu.

Pano pali chuma chothandizira kuti muphunzire, kulamulira, ndi kukhala ndi IC:

• Zizindikiro za Cystitis Basics: Zizindikiro, Kuzindikira ndi Kuchiza kuchokera kwa Mary Kugler, RN, Wodziwa pa Matenda Amtundu.
• Makhalidwe a Cystitis: Mafunso ndi Mayankho kuchokera kwa Watswiri pa Zaumoyo za Akazi, Tracee Cornforth
• Makhalidwe a Cystitis Association

_Zotsatira:

_{Hanno PM. Chiwopsezo cha Chikhodzodzo cha Chikhodzodzo / Zamakono Cystitis ndi Matenda Okhudzana Nawo. Mu: Wein AJ. Wein: Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007: mutu 74.}

_{Leslie A. Aaron, Ph.D., MPH; Mary M. Burke, MD; Dedra Buchwald, MD Arch Intern Med. 2000; 160: 221-227.}

_{Moldwin RM. Njira zomveka zothandizira odwala okhala ndi cystitis. Urology. 2007; 69: 73-81.}

_{Urology. 2009 Jan; 73 (1): 52-7. Matenda osagwidwa ndi chikhomodzinso pakamwa pokhapokha ngati atayesetsa kuphunziranso interstitialcystitis / syndrome yowawa kwambiri}

_{Webster, DC "Kugonana, Mabodza, ndi Maonekedwe: Akazi ndi Ampakati a Cystitis" Journal ya Sex Research Volume 33, Issue 3 (1996): 197-204.}