Cov hlwv interstitial cystitis

Mob cystitis ua mob ntu ntev yog ib qho teeb meem ntev (mob ntev) uas mob, nias, lossis mob rau hauv lub zais zis. Nws yog feem ntau txuam nrog tso zis ntau zaus lossis nrawm. Nws kuj tseem hu ua mob zais zis.

Qhov zais zis yog qhov khoom siv uas muaj kabmob nrog cov txheej nyias nyias ntawm cov leeg uas khaws cov zis. Thaum koj lub zais zis puv nrog zis, nws xa lub teeb liab rau koj lub hlwb, qhia cov leeg kom nyem. Nyob rau hauv ib txwm mob, cov paib no tsis mob. Yog tias koj mob cystitis, ua rau lub zais zis mob heev thiab tej zaum yuav tshwm sim txawm tias lub zais zis tsis puv.

Tus mob feem ntau tshwm sim thaum muaj hnub nyoog 20 txog 40 xyoo, tab sis nws tau tshaj tawm rau cov neeg hluas.

Poj niam yog 10 npaug feem ntau yuav muaj IC dua li tus txiv neej.

Vim li cas tiag tus mob no tsis paub txog.

Cov tsos mob ntawm IC yog mob ntev. Cov tsos mob yuav tshwm sim thiab mus nrog lub sijhawm tsawg dua lossis mob hnyav. Cov tsos mob tshwm sim suav nrog:

• Lub zais zis los yog tsis xis nyob (mob me mus rau mob hnyav)
• Tso zis kom tso zis ntau zaus
• Hlawv mob rau ntawm thaj chaw hu ua pelvic
• Mob lub sij hawm sib deev

Coob tus neeg uas mob cystitis mus sij hawm ntev kuj tseem yuav muaj lwm yam mob xws li endometriosis, fibromyalgia, mob plab plob tsis so tswj, lwm yam mob mob syndromes, ntxhov siab, lossis kev nyuaj siab.

Koj tus kws kho mob yuav saib xyuas lwm yam ua rau koj cov tsos mob. Cov no suav nrog:

• Sib deev kis
• Lub zais zis mob hlwb
• Lub zais zis
• Raum raum lossis ureteral pob zeb

Kev kuaj sim hauv koj cov zis los saib xyuas tus kabmob lossis cov qe ntshav uas qhia tias mob qog nyob hauv lub zais zis. Thaum lub caij cystoscopy, tus kws kho mob siv lub raj tshwj xeeb nrog lub koob yees duab me me nyob rau tom kawg kom saib sab hauv koj lub zais zis. Muab ib qho hnoos qeev los sis ib qho coj mus kuaj ntawm lub zais zis ntawm koj lub zais zis.

Kev kuaj mob ntawm koj tus kws kho mob qhov chaw ua haujlwm kuj tseem yuav ua kom pom seb koj lub zais zis puv npaum li cas thiab seb nws nqus tau zoo li cas.

Yog tsis muaj tshuaj rau IC, thiab tsis muaj tshuaj kho tau tus mob. Kev kho yog nyob ntawm kev sim siab thiab qhov yuam kev kom txog thaum koj pom zoo. Cov txiaj ntsig sib txawv ntawm ib tus neeg mus rau lwm tus.

COV POJNIAM THIAB TXOJ KEV HLOOV HLOOV

Qee cov neeg pom tias ua rau kev hloov pauv hauv lawv cov zaub mov noj tuaj yeem pab tswj cov tsos mob. Sim ua kom tsis txhob noj zaub mov thiab dej haus uas tuaj yeem ua rau lub zais zis. Tsis txhob noj qee yam zaub mov, ib zaug zuj zus, txhawm rau saib koj tus mob zoo dua tuaj. Txo lossis txiav haus cov khoom noj muaj caffeine, chocolate, haus dej, kua txiv citrus, thiab ntsim lossis khoom noj muaj kua qaub (xws li cov uas muaj vitamin C ntau ntau).

Lwm yam zaub mov uas Cov Koom Haum Caj Qis Qis ua npe yuav ua rau zais zis ua paug:

• Kev quav qaib laus
• Cawv
• Khoom qab zib tsim
• Fava thiab lima taum
• Cov nqaij uas kho tau, ua tiav, haus luam yeeb, kaus poom, laus, lossis uas muaj nitrites
• Acidic cov txiv hmab txiv ntoo (tshwj tsis yog blueberries, honeydew melon, thiab pears, uas tsis ua li cas.)
• Cov txiv ntoo, tshwj tsis yog txiv ntoo noob txiv cev, noob txiv duaj thiab txiv ntoo thuv
• Dos
• Rye qhob cij
• Cov caij uas muaj MSG
• Qaub cream
• Qaub mov ci
• Nqaij
• Tshuaj yej
• Tofu
• Txiv lws suav
• Yogurt

Koj thiab koj tus kws kho mob yuav tsum sib tham txog cov hau kev koj tuaj yeem siv rau kev cob qhia zais zis. Cov no suav nrog kev cob qhia koj tus kheej kom tso zis rau qee lub sijhawm lossis siv kev kho lub cev plab thiab biofeed rov qab los txhawm rau txhawm rau txhawm rau mob leeg nqaij thiab pob txhag.

COV KEV TSHUAJ TIV THAIV THIAB KEV UA HAUJ LWM

Txoj kev kho ua ke tuaj yeem suav nrog cov tshuaj xws li:

• Pentosan polysulfate sodium, tsuas yog cov tshuaj noj ntawm qhov ncauj uas tau pom zoo rau kho IC
• Tricyclic cov tshuaj tiv thaiv kev ntxhov siab, xws li amitriptyline, los daws qhov mob thiab tso zis zaus
• Vistaril (hydroxyzine pamoate), ib qho tshuaj antihistamine tuaj yeem pab txo qis mob. Nws tuaj yeem ua rau sedation raws li kev phiv

Lwm yam kev kho mob suav nrog:

• Puv dhau lub zais zis nrog kua thaum tso tshuaj loog, hu ua zais zis hydrodistention
• Cov tshuaj muab tso rau hauv lub zais zis, suav nrog dimethyl sulfoxide (DMSO), heparin, lossis lidocaine
• Lub zais zis tshem tawm (cystectomy) rau cov teeb meem nyuaj, uas tsis tshua tau ua ntxiv lawm

Qee tus neeg yuav tau txais txiaj ntsig los ntawm kev koom tes pab cov neeg tiv thaiv cystitis, xws li Koom Haum cystitis: www.ichelp.org/support/support-groups/ thiab lwm tus.

Cov kev kho mob los sib txawv. Qee cov neeg teb tau zoo rau cov kev kho mob yooj yim thiab hloov pauv zaub mov noj. Lwm tus yuav xav tau kev kho mob ntau lossis phais.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm cystitis. Nco ntsoov hais tias koj xav tias tsam koj muaj qhov tsis zoo no. Nws tsis zoo lees paub los yog yooj yim kuaj. Nws yog feem ntau tsis meej pem nrog rov muaj mob txeeb zig.

Cystitis - interstitial; IC

• Poj niam tso zis tso zis
• Cov txiv neej tso zis

Grochmal SA. Chaw ua haujlwm kev kuaj mob thiab kev kho mob rau kev tiv thaiv cystitis (mob zais zis). Hauv: Fowler GC, ed. Pfenninger thiab Fowler Cov Txheej Txheem rau Thawj Tus Saib XyuasCov. 4 tug ed. Philadelphia, PA: Elsevier; 2020: cha 98.

Hanno PM. Cov mob ua paug ntawm lub zais zis (ua mob cystitis) thiab mob ntsig txog lwm yam. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 14.

Hanno PM, Erickson D, Moldwin R, Faraday MM, li al. Kev kuaj mob thiab kho mob cystitis / zais zis mob mob: AUA kev hloov kho cov lus qhia. J UrolCov. Xyoo 2015; 193 (5): 1545-53. PMID: 25623737 www.ncbi.nlm.nih.gov/pubmed/25623737.

Kirby AC, Lentz GM. Kev tso zis ua haujlwm tsawg dua thiab ua haujlwm tsis zoo: lub cev kev ua txhaum, ua kom lub cev tsis ua haujlwm, tso zis, tso zis, thiab tso zis mob. Hauv: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Saib Hluag Tshaj Lij HlawvCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 21.