Hemorrhagic cystitis ndi kutupa kwa chikhodzodzo chomwe chimabweretsa ululu ndi hematuria, kapena magazi mu mkodzo. Pali zifukwa zingapo zomwe munthu yemwe ali ndi khansa ya m'magazi kapena lymphoma akhoza kukhala pangozi yoti ayambe kukhala ndi mpweya woipa kwambiri.
Zimayambitsa
Gulu lofala kwambiri la mankhwala a chemotherapy omwe amachititsa kuti magazi asokonezeke ndi cystitis ndi alkylating agents, cyclophosphamide ndi ifosphamide.
Izi ndi mankhwala omwe amagwiritsidwa ntchito pochiza magazi ndi khansa ya m'mawere, monga khansa ya m'magazi ndi lymphoma. Omwe amagwiritsidwa ntchito pang'ono ndi omwe amapezeka ndi temozolamide, bleomycin ndi doxorubicin. Hemorrhagic cystitis angakhalenso ndi zifukwa zina, osati chifukwa cha alkylating wothandizira khansa.
Pamene thupi limaphwanya cyclophosphamide kapena ifosphamide, mankhwalawa amatchedwa acrolein, omwe amasankhidwa kuchokera m'magazi ndi impso ndipo amayamba kwambiri mu mkodzo mkati mwa chikhodzodzo. Izi zimakwiyitsa chikhodzodzo cha chikhodzodzo, zomwe zimapangitsa kuti azivutika kwambiri ndi cystitis komanso zilonda zomwe zingayambitse magazi. Chiŵerengero cha hemorrhagic cystitis ndi pafupifupi asanu ndi limodzi mwa anthu omwe akudwala matenda opatsirana mafupa ndi kulandira dose ya cyclophosphamide. Ifosphamide yakhala ikugwirizanitsidwa ndi chiŵerengero chapamwamba cha mpweya wotchedwa cystitis m'maphunziro ena.
Mavairasi ena , monga adenovirus, kachilombo ka BK, ndi kachilombo ka JC, amachititsanso kuti magazi asokonezeke kwambiri.
Anthu omwe ali ndi mphamvu zowononga chitetezo cha mthupi ali pa chiopsezo chachikulu cha izi, makamaka omwe akuchira ku fupa la mafupa kapena kusuntha maselo .
Pomalizira, kupsa mtima kwa chikhodzodzo kuchoka kuchipatala kumayambitsanso matendawa.
Zizindikiro
Ngati munayamba mwavutikapo ndi matenda akuluakulu a mkodzo, mumakhala ndi zizindikiro za matenda a chiwindi.
Zizindikiro izi zikuphatikizapo:
- Hematuria (magazi mu mkodzo)
- Kusokonezeka m'mimba
- Kupweteka kapena kuyaka pamene mukudutsa mkodzo wanu
- Kukumverera ngati iwe sungakhoze kutaya chikhodzodzo chako
- Kutaya kwa chikhodzodzo (kusadziletsa)
- Kupita mobwerezabwereza kapena mwamsanga kuti mutsegule chikhodzodzo chanu
- Kudzuka kangapo usiku kudutsa mkodzo wanu
Mwinanso mungakhale ndi zizindikiro zina monga kutopa kwa magazi, kapena kupweteka kosavuta m'mimba pamunsi, pamwamba pa mapepala a fupa lamimba.
Zowopsa
Pali zifukwa zochepa zomwe zimachititsa kuti anthu omwe ali ndi khansa ya m'magazi kapena lymphoma akhoza kukhala ovuta kwambiri kuti atenge mpweya woipa kwambiri. Zinthu izi zimaphatikizapo:
- Kulandira cyclophosphamide kapena ifosphamide monga gawo la chemotherapy regimen
- Kukhala ndi chithandizo chamagazi kumalo amtundu
- Kutetezedwa kwa chitetezo cha mthupi kumakupangitsani kukhala ndi kachilombo koyambitsa matenda amtundu kapena mavairasi
- Kugwiritsidwa ntchito mobwerezabwereza kwa maantibayotiki
- Low platelet chiwerengero (thrombocytopenia)
Chithandizo
Hemorrhagic cystitis ingayambitse kuwonongeka kwakukulu kwa magazi ndipo imatengedwa mozama kwambiri. Zilonda zotsegula m'chikhodzodzo zingapereke chidziwitso cha mabakiteriya kuti apite m'magazi anu. Zingachititsenso kuti chikhodzodzo chikhale chosasunthika, chomwe chingayambitse kutsekemera kwa mkodzo kapena kupopera mkodzo. Choncho, chithandizo chofulumira cha matendawa ndi chofunikira.
Chithandizo chingaphatikizepo:
- Chidziwitso chodzidzimutsa ndi kupweteka
- Kuika magazi m'magazi kuti athetse magazi
- Kuikidwa magazi ngati kutaya kwa magazi kwachititsa kuti magazi awonongeke
- Mankhwala a antibiotic kapena mankhwala oletsa tizilombo toyambitsa matenda ngati chifukwa cha cystitis chimawopsa
- Kuthirira kwa chikhodzodzo ndi njira ya saline pofuna kupewa kutseka, kapena mankhwala oletsa kutuluka magazi
Kupewa
Njira yabwino kwambiri yothandizira kutentha kwa magazi ndikuteteza kuti izi zisamayende bwino. Ngati mwayesedwa kuti ndiwe chiopsezo chachikulu chokhazikitsa vutoli, gulu lanu la thanzi likhoza kutenga njira zingapo zothandizira. Zambiri mwazigawozi zimagwira ntchito pochepetsa kuchuluka kwa nthawi yomwe chikhodzodzo chanu chikuwonekera kwa acrolein kapena zina zotero.
Angathe:
- Muzipereka mankhwala otchedwa MESNA (2-Mercaptoethanesulfonate sodium), yomwe imathandiza kuteteza chikhodzodzo chanu ku zotsatira za acrolein. Mankhwalawa amaperekedwa mwachangu, kaya ndi thumba lakale kapena amawonjezera pa thumba la chemotherapy
- Perekani zambiri zamadzimadzi kuti athandize chemo kudutsa chikhodzodzo mwamsanga
- Yesetsani kupereka chemotherapy kumayambiriro kwa tsiku kuti mukhale ndi mwayi wochotsa chikhodzodzo musanapume usiku
- Limbikitsani kuti muyesetse kukodza maola ola lililonse
- Muziyang'anira diuretics, zomwe zimathandiza kuti mkodzo uzungulira kuti uchotse chemo kuchokera pachikhodzodzo chanu
- Ikani catheter yamakono kotero chemo ikuchotsedwera ku chikhodzodzo musanakhale ndi mwayi wowopsa.
Nthawi Yomwe Mungayankhule ndi Dokotala Wanu
Muyenera kuyankhulana ndi gulu lanu la zamankhwala ngati:
- Iwe uli ndi magazi mu mkodzo wako
- Mumakhala ndi malungo kapena nkhuku
- Muli ndi zizindikiro za ukodzo zomwe zikukuvutitsani
- Muli ndi mafunso okhudza zizindikiro zomwe mukukumana nazo
Pansi
Hemorrhagic cystitis ndi vuto lomwe lingayambitse magazi ambiri komanso kuwonongeka kwa chikhodzodzo ngati sichikuchiritsidwa. Pali zifukwa zambiri zomwe zimayambitsa matenda a khansa ya khansa ya m'magazi komanso odwala matendawa. Mwamwayi, pali njira zothandizira kupewa matendawa kuti asachitike, komanso njira zochizira ngati zichitika.
Monga ndi chisonyezo chilichonse chovutitsa, muyenera kulankhula ndi wothandizira zaumoyo wanu ngati muli ndi nkhaŵa za momwe mukudutsa mkodzo wanu.
> Zotsatira:
> MESNA Package Insert. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/20-855_Mesnex_Prntlbl.pdf. Inapezeka mu July 2017.
> Oncology: Njira Yowonekera; Alfred E. Chang, Patricia A Ganz, Daniel F. Hayes, Timothy Kinsella, Harvey I. Pass, Joan H. Schiller, Richard M. Stone, Victor Strecher. Springer Science & Business Media, Dec 8, 2007.
> Riachy E, Krauel L, Rich BS, et al. Zowopsa ndi zowonongeka za chiwerengero chokhwimitsa ndi zovuta za matenda odwala hemorrhagic cystitis. J Urol . 2014; 191 (1): 186-92.