Hemorrhagic Cystitis

Zoo Siab

• Txheej txheem cej luam
• Ua rau hemorrhagic cystitis
• Kws khomob
• Kev siv hluav taws xob
• Kab mob
• Yam pheej hmoo
• Cov tsos mob hemorrhagic cystitis
• Kev kuaj mob hemorrhagic cystitis
• Kho cov mob hemorrhagic cystitis
• Outlook rau cystitis hemorrhagic
• Tiv thaiv hemorrhagic cystitis

Txheej txheem cej luam

Hemorrhagic cystitis yog kev puas tsuaj ntawm txoj hlab ntsws hauv koj lub zais zis thiab cov hlab ntshav uas tuaj sab hauv koj lub zais zis.

Hemorrhagic txhais tau tias los ntshav. Cystitis txhais tau tias qhov o ntawm koj lub zais zis. Yog tias koj muaj mob hemorrhagic cystitis (HC), koj muaj cim thiab tsos mob ntawm lub zais zis nrog rau cov ntshav hauv koj cov zis.

Muaj plaub hom, lossis qib, ntawm HC, nyob ntawm seb cov ntshav hauv koj cov zis ntau npaum li cas:

• Qeb I yog ntshav me me (tsis pom)
• Qeb II pom kev los ntshav
• Qib III yog los ntshav nrog ntshav me
• Qib IV yog los ntshav nrog cov txhaws uas loj txaus kom txhaws ntws ntawm cov zis thiab yuav tsum tau tshem tawm

Ua rau hemorrhagic cystitis

Cov teeb meem uas nquag pom tshwm sim ntawm HC hnyav thiab kav ntev yog kev kho tshuaj thiab hluav taws xob kho. Cov kab mob kuj tseem tuaj yeem ua rau HC, tab sis cov laj thawj no tsis tshua hnyav, tsis siv sijhawm ntev, thiab kho tau yooj yim.

Kev tsis sib xws ua rau HC ua haujlwm nyob rau hauv kev lag luam uas koj tau nphav raug cov co toxins los ntawm aniline dyes lossis tshuaj tua kab.

Kws khomob

Ib qho tshwm sim ntawm HC yog kev siv tshuaj, uas tuaj yeem suav nrog cov tshuaj cyclophosphamide lossis ifosfamide. Cov tshuaj no zom rau hauv cov tshuaj lom neeg acrolein.

Acrolein mus rau lub zais zis thiab ua rau kev puas tsuaj uas ua rau HC. Nws yuav siv tom qab kws khomob rau cov tsos mob tshwm sim.

Kho cov mob zais zis nrog bacillus Calmette-Guérin (BCG) kuj tseem tuaj yeem ua rau HC. BCG yog tshuaj muab tso rau ntawm lub zais zis.

Lwm yam tshuaj tua kabmob kheesxaws, suav nrog busulfan thiab thiotepa, yog qhov tshwm sim tsawg dua hauv HC.

Kev siv hluav taws xob

Kev siv hluav taws xob mus rau thaj tsam ntawm lub plab mog tuaj yeem ua rau HC vim tias nws ua rau cov hlab ntshav uas ua rau lub zais zis. Qhov no ua rau kev mob rwj, caws pliav, thiab los ntshav. HC tuaj yeem tshwm sim ntau hli lossis ntau xyoo tom qab siv hluav taws xob.

Kab mob

Cov kab mob nquag uas tuaj yeem ua rau HC yog cov kab mob uas muaj adenoviruses, polyomavirus, thiab hom 2 mob herpes yooj yim. Cov kab mob, kab mob fungi, thiab cab cab yog qhov tsis tshua pom dua.

Cov neeg feem coob uas muaj HC los ntawm kev kis tus kab mob tsis muaj zog tiv thaiv kab mob los ntawm kev mob qog lossis kho mob cancer.

Yam pheej hmoo

Cov neeg uas xav tau kev kho mob chemical lossis kev kho mob pelvic tawg yog cov muaj kev pheej hmoo siab ntau dua rau HC. Pelvic hluav taws xob kho kho tus mob prostate, ncauj tsev menyuam, thiab zais zis.Cyclophosphamide thiab ifosfamide kho mob qog nqaij hlav ntau yam xws li mob qog mis, mis, thiab qog nqaij hlav qog ntshav.

Cov kev pheej hmoo siab tshaj plaws rau HC yog nyob rau cov tib neeg uas xav tau pob txha caj qaum los yog qia hlav hloov hlwb. Cov neeg no tej zaum yuav xav tau kev kho mob nrog tshuaj kho hluav taws xob thiab kho hluav taws xob. Cov kev kho no tuaj yeem txo koj qhov kev tiv thaiv kom tus kab mob tsawg. Tag nrho cov xwm txheej no ua rau muaj kev pheej hmoo HC ntau.

Cov tsos mob hemorrhagic cystitis

Qhov cim pib ntawm HC yog ntshav hauv koj cov zis. Hauv theem I ntawm HC, kev los ntshav yog me me, yog li koj yuav tsis pom nws. Hauv cov theem tom qab, koj yuav pom ntshav tso zis, tso zis los ntshav, lossis ntshav khov. Hauv theem IV, ntshav txhaws yuav ua rau koj lub zais zis thiab ua kom tsis muaj zis txaus.

Cov tsos mob ntawm HC zoo ib yam li cov mob txeeb zig tso zis (UTI), tab sis lawv yuav hnyav dua thiab siv sijhawm ntev. Lawv suav nrog:

• hnov mob thaum tso zis
• coj kom dhau tso zis kom nquag
• zoo nkaus qhov yuav tsum tau tso zis kom ntau
• poob zais zis tswj

Nrog koj tus kws kho mob tham yog tias koj muaj mob HC. Cov mob UTI yuav tsis tshua mob zis.

Koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd yog tias koj muaj ntshav lossis txhaws hauv koj cov zis. Nrhiav kev kho mob kub ceev yog tias koj tsis tuaj yeem tso zis.

Kev kuaj mob hemorrhagic cystitis

Koj tus kws kho mob yuav xav tias muaj HC los ntawm koj cov cim thiab cov tsos mob thiab yog tias koj muaj keeb kwm ntawm kev kho mob lossis tshuaj tua hluav taws xob. Txhawm rau kuaj HC thiab txiav txim tawm lwm yam kev mob, xws li lub zais zis los yog lub zais zis, koj tus kws kho mob yuav:

• xaj kuaj ntshav mus kuaj xyuas seb puas muaj kab mob, ntshav liab, lossis ntshav tsis nyab xeeb
• xaj kuaj ntshav mus kuaj seb puas muaj ntshav me, ntshav qog ntshav, lossis mob kis
• ua kev tshawb nrhiav ntawm koj lub zais zis siv CT, MRI, lossis duab ntsuas ultrasound
• saib mus rau hauv koj lub zais zis los ntawm nyias lub tsom iav raj (cystoscopy)

Kho cov mob hemorrhagic cystitis

Kev kho mob ntawm HC yog nyob ntawm qhov laj thawj thiab qib. Muaj ntau txoj hauv kev kho mob, thiab qee qhov tseem muaj kev sim siab.

Siv tshuaj tua kabmob, tshuaj tua kabmob, lossis tshuaj tua kabmob tuaj yeem kho HC los ntawm kev kis kabmob.

Cov kev kho rau kev kho mob lossis kev siv hluav taws xob ntsig txog HC muaj xws li cov hauv qab no:

• Txog rau thaum ntxov theem HC, kev kho yuav pib nrog kua dej txhaws ntxiv tso zis thiab tso zis tawm. Cov tshuaj noj tuaj yeem suav tshuaj mob thiab siv tshuaj kom xis nyob leeg.
• Yog tias los ntshav loj lossis cov ntshav txhaws ua rau lub zais zis, txoj kev kho mob suav nrog tso rau hauv lub raj, hu ua raj, mus rau hauv lub zais zis kom yaug tawm cov qhov txhaws thiab tso zis. Yog tias los ntshav ntxiv, ib tus kws phais yuav siv cystoscopy txhawm rau nrhiav thaj chaw los ntshav thiab nres kom los ntshav nrog lub xaim hluav taws xob lossis lub teeb hluav taws xob (lub ntsej muag kom tiav). Kev phiv los ntawm kev muaj lub peev xwm suav nrog kev qhwv lossis perforation ntawm lub zais zis.
• Koj tuaj yeem tau txais ntshav ntxiv yog tias koj cov ntshav tawm tsis tseg thiab cov ntshav tau poob hnyav.
• Txoj kev kho mob tseem tuaj yeem suav cov tshuaj mus rau hauv lub zais zis, hu ua kev kho mob ntsws. Sodium hyaluronidase yog ib txoj tshuaj kho mob uas muaj peev xwm txo qis los ntshav thiab mob.
• Lwm qhov kev siv tshuaj rau cov tshuaj yog aminocaproic acid. Ib qho kev mob tshwm sim ntawm cov tshuaj no yog kev tsim cov ntshav khov uas tuaj yeem mus ncig hauv lub cev.
• Kev mob plab yog cov tshuaj tso rau hauv lub zais zis uas ua rau voos thiab o tuaj ncig cov hlab ntshav kom tsis txhob los ntshav. Cov tshuaj no suav nrog cov nyiaj nitrate, alum, phenol, thiab formalin. Cov kev mob tshwm sim los ntawm cov neeg tsis haum xeeb yog suav nrog rau lub zais zis thiab tso zis tsawg dua.
• Hyperbaric oxygen (HBO) yog ib txoj kev kho mob suav nrog kev ua pa 100 feem pua ​​pa thaum koj nyob sab hauv tsev oxygen. Txoj kev kho no ua rau muaj oxygen ntau dua, uas tuaj yeem pab kho kom tsis txhob los ntshav thiab kom tsis txhob los ntshav. Koj yuav xav tau kev kho HBO txhua hnub txog li 40 ntu.

Yog tias lwm txoj kev khomob tsis ua haujlwm, txoj kev coj ua hu ua embolization yog lwm txoj kev xaiv. Thaum ua tus txheej txheem embolization, tus kws kho mob tso txoj raj rau ntawm txoj hlab ntshav uas ua rau ntshav tawm ntawm lub zais zis. Tus catheter muaj cov tshuaj uas txwv cov hlab ntshav. Koj yuav hnov ​​mob tom qab txoj kev ua no.

Qhov chaw kawg rau HC qib siab yog kev phais kom tshem tawm lub zais zis, hu ua cystectomy. Kev phiv ntawm cystectomy suav nrog kev mob, los ntshav, thiab kis.

Outlook rau cystitis hemorrhagic

Koj qhov kev xam pom yog nyob ntawm theem thiab qhov laj thawj. HC los ntawm kev kis mob muaj qhov pom kev zoo. Coob tus neeg uas kis HC tau teb rau kev kho thiab tsis muaj teebmeem ntev.

HC los ntawm kev kho mob cancer tuaj yeem muaj txoj kev xav sib txawv. Cov tsos mob yuav pib lub lis piam, hli, lossis xyoo tom qab kev kho mob thiab tej zaum yuav siv sijhawm ntev.

Muaj ntau txoj kev kho mob rau HC tshwm sim los ntawm hluav taws xob lossis tshuaj khomob. Feem ntau, HC yuav teb rau kev kho mob, thiab koj cov tsos mob yuav zoo tuaj tom qab kev kho mob cancer.

Yog tias lwm txoj kev kho mob tsis ua haujlwm, cystectomy tuaj yeem kho HC. Tom qab cystectomy, muaj kev xaiv rau kev phais rov ua kom rov qab tau cov zis tawm tuaj. Nco ntsoov tias xav tau kev cystectomy rau HC yog muaj tsawg heev.

Tiv thaiv hemorrhagic cystitis

Nws tsis muaj txoj hauv kev los tiv thaiv txhua HC. Nws yuav pab tau kom haus dej ntau thaum tab tom kho hluav taws xob los yog tshuaj kho mob kom tso zis tsis tu ncua. Nws kuj tseem yuav pab tau haus ib khob loj ntawm cov kua txiv cranberry thaum kho.

Koj pawg kho mob qog ntshav yuav sim tiv thaiv HC ntawm ntau txoj kev. Yog tias koj muaj kev kho mob pelvic hluav taws xob, txo thaj chaw thiab qhov ntau npaum li cas yuav pab tiv thaiv HC.

Lwm txoj hauv kev txo qis qis yog los tso cov tshuaj mus rau ntawm lub zais zis uas ua rau lub zais zis ua ntej kho. Ob qho tshuaj, sodium hyaluronate thiab chondroitin sulfate, muaj qee qhov tshwm sim zoo.

Txo txoj kev pheej hmoo ntawm HC tshwm sim los ntawm kev siv tshuaj kho mob zoo dua qub. Koj txoj kev npaj khomob yuav suav nrog cov kev tiv thaiv no:

• hyperhydration thaum kho mob kom koj lub zais zis puv thiab ntws; ntxiv cov diuretic kuj tseem yuav pab tau
• kev tso zis txuas ntxiv mus rau thaum tabtom kho
• kev saib xyuas cov tshuaj ua ntej thiab tom qab kho tas yog siv tshuaj ntawm qhov ncauj lossis IV; cov tshuaj no khi rau acrolein thiab tso cai rau acrolein txav los ntawm lub zais zis yam tsis muaj kev puas tsuaj
• txiav kev haus luam yeeb thaum siv tshuaj tua kab mob nrog cyclophosphamide lossis ifosfamide