Chirwere che cystitis, zviratidzo zvaro zvinowanzobudiswa pachena, zvinonzi sechirwere chechikadzi. Maererano nevadzidzisi vezvokurapa, mune 80% yezviitiko zvezvirwere zvakanyoreswa, chirwere ichi chinokanganisa vakadzi. Zvisinei, vamiririri vevarume vanogona kutarisana ne cystitis, zviratidzo zvayo zvakafanana kune vose vanoita zvepabonde.
Cystitis - chii ichocho?
Nezvechirwere chakadai se cystitis, rudzi rwechirwere ndechei - anenge mudzimai wese wezera rekuberekwa anoziva. Pakarepo mushure mokutanga kwebonde, chiitiko chekurwara chinowedzera zvinoshamisa. Izwi rokuti "cystitis" rinoreva kuvhiringidza kunogadzirisa hutachiona hwechidzitiro. Sezvo chirwere chinokura, dzimwe nhengo dzepachivi dzinogona kunge dzichibatanidzwa mukugadzirisa.
Kuvhiringidza kwechirwere chekuvhenekera kuvakadzi kunonyorwa kakawanda. Muzviitiko zvakawanda, chinokonzera kukanganisa kwehutachiona ndiyo inotapurika, iyo inonzi pathogenic microorganisms, mavairasi. Cystitis inowanzowanzova yakaoma, saka inogona kutsanangurwa nezviratidzo zviratidzo. Kana pasina chirapa, chirwere chinova chisingaperi.
Cystitis - Zvinokonzera
Mumapfumbamwe makumi matatu ematambudziko, cystitis ine chitubu chinotapukira. Sezvirwere zvirwere zvirwere zvepathogenic, kashoma - mavairasi. Pakati pezvinogona nzira dzekupindira ndezvi:
- nzira inodzika - chirwere chinopinda mumukaka kubva pimpso;
- achikwira - kubva kumagariro, kuburikidza nehutachiona kusvika kune urinary tract;
- rinotyisa - neropa rinobva kune dzimwe foci yehutachiona mumuviri.
Zvichienderana ne-pathogenic agent, maitiro e cystitis anozivikanwawo (anotsanangurwa pasi apa). Zvisinei, kwete zvirwere chete zvinogona kukonzera chirwere chacho. Pakati pezvimwe zvinokonzera cystitis zvinonziwo:
- kutora mimwe mishonga (cytostatics);
- zvinokonzera kugadzirisa;
- kukanganisa magetsi kune nhengo dzepachiviri uye perineum (tsvina);
- peak hormonal conditions (kubata, kumisa kwemimba);
- zvirwere zvinopisa zvekuberekwa (endometritis, colpitis);
- chirwere chepso (pyelonephritis, urolithiasis);
- chirwere cheshuga.
Hemorrhagic cystitis
Imwe nzira yekuvhiringidzika kwechirwere. Kutaura nezvehemorrhagic cystitis, zvinorevei, vanachiremba vanocherechedza kuchipatara zviratidzo zvechirwere, izvo zvine kusiyana kukuru. Chimwe chinhu chikuru chemufananidzo uyu we cystitis ndiko kuvapo kweropa mumukaka wakavanzwa - unowana ruvara rutsvuku. Kuvapo kwemasero eropa kunotsanangurwa nejeri rakadzika remadziro echando, iyo inofambidzana nekushungurudzika kune mambure emidziyo yayo.
Iko kune kuwedzerwa kwekugunzva, iyo nzira pachayo inofambidzana nekunzwa kunorwadza. Pamusana pemadziro anoputika uye anotsamwiswa echando, kunyange kuzadzwa zvishomanana kwacho kunokonzera chido chokuramba. Mucho wemuguta unogona kuva nemhando dzakasiyana dzvuku, zvichienderana nehupamhi hwechionda (pink, tsvuku, tsvina tsvina). Pakati pezvinokonzera hemorrhagic cystitis:
- ma virus (adenovirus, cytomegalovirus, herpes virus);
- E. coli;
- mabhakitiriya (staphylococcus aureus, streptococcus);
- kukanganisa kushandiswa kumakumbo (chirwere chepfungwa, kuvhiyiwa pamitezo yepachiviri).
Interstitial cystitis
Kunzwa kubva kunachiremba kupedzisa kwepakatikati ye-cystitis, chii chiri chechirwere - kwete vese varwere vanoziva. Izwi iri rinoshandiswa kureva chero kukuvadzwa kwechigunzva chechimiro chisina kutapukira. Kuongororwa kwemuti paudussis, smears kubva murerera pa microflora haina kubudisa pathogenic microorganisms. Mune chimiro ichi, chiratidzo chakanyanya chechirwere chinowanzoshamba.
Irotiology ye-interstitial cystitis haina kunzwisiswa - vanachiremba havagoni kutaura mazita anokonzera chirwere ichi. Pakati pezvinenge zviripo zvinyorwa zvekudzivirira kwehutachiona:
- kusagadzikana kwekuchengetedzwa kwemucosa weyo bladder;
- lymphatic congestion (urine retention);
- Neuropathy;
- kugadzikana kwepfungwa;
- kuderedza chitunha chemuhara;
- Migumisiro yehuta yehuni pamadziro echando.
Postcoital cystitis
Ichi chirwere chechibvunda chinowanikwa muhutano hwakanaka uye chinosanganiswa nemabasa ekuita zvepabonde. Postcoital kuvhiringidzika kwechisimba kuvakadzi kunoumbwa mushure mekuita zvepabonde. Muzviitiko zvakawanda, nehutano hwevasikana vaduku, kungotanga hupenyu hwepabonde. Zviratidzo zvikuru zvechirwere ndezvi:
- kurwadziwa munharaunda yepacvic uye nekubudiswa kwechidzara;
- kugara uchicheka;
- ichipisa mukati mekurera;
- fever.
Muchivande chakavigwa, pangava neropa, rinowanikwa pakuguma kwechiito chekuzora. Cystitis shure kwepabonde kunogona kutsamwiswa:
- Anatomic zvikamu zve genitourinary system (kusununguka kwekuvhara kwechiremba, kuwedzereka kwehupenyu hwechiremba).
- Kupopotedzana kwemitemo yehukama hwehukama shure kwepabonde.
- Zvepabonde zvirwere.
- Kushandiswa zvisina kunaka kwekudzivirira pamuviri.
Radiation cystitis
Izvi zvinokonzera kuvhiringidzika kwechirwere kunoonekwa nehutachiona hwehutachiona munzvimbo inonzi pelvic. Nhengo dze urinary system dzinowanzobatanidzwawo muitiro wehutachiona. Radiation cystitis munyaya dzakadaro inopesana nemamiriro ekurapa kwemaawa. Inenge 20% yezviitiko zvekujezesa kwepachivande kunowedzera kukuvadza kwemavara kumushonga. Pakati pezvinhu zvinotyisa, vanachiremba vanoti:
- kusachengetedzwa kwakakwana kwemasvundu asina kujeka munguva yerima;
- kuputsa kwekuita;
- kuwedzera kunzwisisika kwehurogenital system kusvika kumahara.
Radiation cystitis inoratidzirwa nekushanda uye kuchinja kwemuitiro, zvinetso zvehuroyi:
- urinary incontinence ;
- ropa mumuguta;
- kugara uchicheka ;
- kuderera kwehuwandu hwebhanhire;
- kuonekwa kwefistula.
Cervical cystitis
Ichi chimiro chechirwere chinoratidzirwa nehutukutu huripo panzvimbo yechishanduko chechirwere ichienda kune urethra. Cervical cystitis kuvakadzi inokanganisa misumbu yemukati neyekunze sphincters, iyo inokonzera kuzarura uye kupfiga mukova wechidzitiro. Mukurwisana nemamiriro ezvinhu akadaro, kune chimiro chechimiro chechiratidzo. Chiratidzo chinotungamirira chechimiro chechirwere ichi urinary incontinence. Pakati pezvimwe zviratidzo:
- kugara uchikumbira kuenda kumudzimai;
- kurwadziwa munharaunda yepasic uye perineum;
- kuchenesa nokupisa paunenge uchibhururuka;
- kuchinja kwemavara emuti.
Pakati pezvikonzero zvinokonzerwa nekervical cystitis madanai anoti:
- hypothermia yemuviri;
- kuderedza simba rekudzivirira;
- pyelonephritis ;
- zvirwere zvinotapukira (gonorrhea, candidiasis , chlamydia);
- chirwere cheshuga.
Kuvhiringidza kwechivako - zviratidzo
Zviratidzo zve cystitis muzviitiko zvakawanda zvine chimiro chechimiro. Kuongororwa kwekutanga kwechirwere hazvikonzeri matambudziko kuvakadzi - avo vakambotarisana nehutachiona, vanonyatsoziva maitiro avo. Pangosvika cystitis, zviratidzo zvokutanga hazvikuiti iwe kumirira kwenguva refu. Chiratidzo chakajeka, chimiro chemarudzi ose echirwere chacho, chinokurumidzira uye chinorwadza kunyura. Kuoma kwezviratidzo zve cystitis kunokonzerwa ne:
- mararamiro ehutano hwehutano;
- kunzvimbo yekuputika;
- rudzi rwepathogen kana icho chakakonzera chirwere chacho.
Acute cystitis
Kurwiswa kwakanyanya kwechirwere kunogara kuchizivikanwa nekusvika kamwe kamwe. Mukurwisana nemamiriro ezvinhu ehupenyu hwakanaka, hukama hwakanaka, murwere anocherechedza kuwedzera kwenhamba yekudhonza. Mumwe nomumwe anofambidzana nekuchekwa, kurwadziwa kunyanya pakuguma kwechiito. Kakawanda mune chikamu chekupedzisira chemuti, ropa rinowanikwa. Nokufamba kwenguva, kurwadziwa kunogara kusingaperi, kunzvimbo munzvimbo ye pubis, perineum, anus.
Yakashandurwa kanaganoleptic zviratidzo zvemuti - inosviba, inosviba, inowana marara emitambo yemhuka. Panguva imwecheteyo, nekuwedzera kukurudzira uye maitiro ekudhonza, kuwanda kwechikamu chemuti wakanyanyisa kunoderera zvikuru. Mune zvimwe zviitiko, kukurudzira kungave kuri kwenhema - paunoshanyira chimbuzi, mukadzi anogona "kudzvinyirira kunze" madonhwe mashomanana emuti. Iwe unofanirwa kushanyira chimbuzi nguva dzose pamaminitsi 20-30, dzimwe nguva kakawanda.
Chronic cystitis
Kusabatwa kwechirapa, kusateerera kwezvirongwa zvakabudiswa nachiremba kunobatanidza nzira yechirwere chacho. Kuramba kupererwa kwechirwere kunowedzera. Cystitis muhupenyu husingaperi hunowanzoitika zvisingatauriki, uye nguva dzekuwedzera, izvo zvinogadziriswa kakawanda pagore. Zvichemo kubva kune varwere hazvipo, uye hutachiona hunoonekwa panguva yekuongorora kana kugadziriswa.
Panguva iyi, chirwere chinofanana nechirwere chinonzi cystitis: zviratidzo zvakafanana, asi dzine zvishoma. Apo catarrhal unhu hwehupenyu husingaperi hunonyorwa zviratidzo zvinotevera zvekuputika kwechidzitiro:
- kugara uchicheka;
- kurwadza kunorwadza;
- kurwadziwa mucheche pasi;
- Kuvapo kwekusvibiswa mumuguta (ropa, flakes);
- kunzwa kusina kukwana kusunungura bhiridha.
Cystitis - kuongororwa
Kuongororwa kwechirwere kunobva pane zvipatara zviratidzo, laboratory uye zvigadzirwa zvidzidzo. Cystitis, zviratidzo zvayo zvinodanwa pamusoro apa, zvinogona kufungidzirwa kunyange kana zvichitsvakurudzwa: panguva yekudzivirira kwerutivi rwepaspububic, kunetseka kwakanyanya kunoonekwa. Nzvimbo inokosha inobatanidzwa nekutsvakurudza kunotevera nekuongorora ne cystitis:
- kazhinji kuongorora urine - kune kuwedzera kweeukocyte, kune masero matsvuku eropa uye mapuroteni;
- bhakitiriya tsika - kukura kwakakura kwepathogenic flora;
- PCR - inotarisa kuvapo kwezvinhu zveDNA, majekesheni muzamu reropa;
- Cystoscopy uye tsvina - yakawana foci yekuputika kwemasvingo echikanda mumifananidzo;
- Ultrasound - kuvepo kwe echo kusagadziriswa kusingarirwe pa monitor screen.
Chii chakaipa cystitis?
Kutaura, kudarika cystitis kuvakadzi kune ngozi, vanachiremba vanoisa dambudziko guru rekukura kwezvirwere zvechirwere. Zvirwere zvepachigoni kubva pamukanda zvinogona kupinda munhengo dzemazana mapepa. Zvisinei, kazhinji pane zvirwere zvekuvhenekera:
- pyelonephritis;
- paracystitis;
- vesicoureteral reflux ;
- cystalgia;
- empyema yemukaka.
Kuvhiringidzika kwechidzara - chii chaunofanira kuita?
Nehosha yakadaro se cystitis, kurapwa pamusha kunogamuchirwa, asi kunofanira kubvumirana nachiremba. Mushonga unoshanda we cystitis unofanira kunyoreswa chete nachiremba. Nzira yekurapa inowanzotungamirirwa neurologist uye gynecologist. Nheyo yehutano ndeye antibacterial drugs. Antibiotics ye cystitis inowanzoshandisa zvinotevera:
- Ciprofloxacin ;
- Norfloxacin;
- Phosphomycin.
Kuti udzikise kurwadziwa, kwete-steroidal anti-inflammatory drugs uye antispasmodics zvinoshandiswa:
- Nimesulide;
- Diclofenac;
- Papaverine;
- Drotaverine.
Anokanganiswa cystitis, zviratidzo zvechirwere, mukadzi anofanira kuona chiremba. Kuita kuti hupenyu hwako huve hwakanaka, unogona kushandisa masukirwo anokosha emishonga nemishonga ayo anoshanda muhutano hwakaoma:
- infusion ye bearberry;
- bro of spo;
- Cowberry mashizha.