Duk abin da kuke buƙatar sani game da Ciwon Maziyyi

Wadatacce

• Ciwon mafitsara na haifar
• Kamuwa da cutar fitsari
• Alamomin kamuwa da cutar yoyon fitsari
• Binciken cututtukan fitsari
• Magungunan cututtukan fitsari
• Cystitis na farko / ciwo mai ciwo na mafitsara
• Kwayar cututtukan cututtukan ciki
• Binciken asalin cystitis
• Jiyya don cystitis na tsakiya
• Ciwon daji na mafitsara
• Alamomin ciwon daji na mafitsara
• Gano cutar kansa ta mafitsara
• Magunguna don kansar mafitsara
• Ciwon mafitsara ga mata da maza
• Ciwon mafitsara a dama ko hagu
• Yaushe ya kamata ganin likita?
• Kula da ciwo
• Takeaway

Bayani

Jikin mafitsara tsoka ce, mai siffar balan-balan a tsakiyar ƙashin ƙashin ku. Yana fadada kuma yana kwangila yayin da yake cika maka fitsari. A matsayin wani bangare na tsarin fitsarinka, mafitsararka tana rike fitsarin da aka watsa masa daga kodanka ta kananun bututu guda biyu da ake kira ureters kafin a sakasu ta mafitsara.

Ciwon mafitsara na iya shafar maza da mata kuma wasu yan yanayi ne ke haifar da su - wasu sun fi wasu tsanani. Zamu bincika dalilai daban-daban na ciwo na mafitsara, menene sauran alamun da za a nema, da zaɓuɓɓukan magani.

Ciwon mafitsara na haifar

Ciwon mafitsara kowane iri yana buƙatar bincike saboda yana da dalilai masu yawa, daga kamuwa da cutar yoyon fitsari zuwa ciwan mafitsara mai ci gaba.

Kamuwa da cutar fitsari

Cututtukan fitsari (UTI) cuta ce ta ƙwayoyin cuta tare da kowane ɓangaren ɓangaren fitsarinku, gami da mafitsara. Maza da mata na iya samun UTIs, amma sun fi yawa ga mata. UTIs na haifar da ƙwayoyin cuta waɗanda ke shiga cikin mafitsara ta mafitsara. Lokacin da ba a kula da shi ba, UTIs na iya yadawa zuwa ƙododanka da rafin jini wanda ke haifar da rikitarwa mai tsanani.

Alamomin kamuwa da cutar yoyon fitsari

Tare da ciwo na mafitsara, UTI na iya haifar da ɗayan waɗannan alamun alamun masu zuwa:

• m zafi urination
• ƙananan ciwon ciki
• low ciwon baya
• matse mafitsara / pelvic
• fitsari mai hadari
• jini a cikin fitsari

Binciken cututtukan fitsari

Likitanku na iya tantance cutar yoyon fitsari ta amfani da gwajin fitsari don bincika samfurin fitsarinku na fari da jajayen jini, da ƙwayoyin cuta. Hakanan likitan ku na iya amfani da al'adar fitsari don tantance nau'in kwayoyin cutar da ke ciki.

Idan kana da UTIs na maimaitawa, likitanka na iya bayar da shawarar ƙarin gwaji don bincika rashin daidaituwa a cikin mafitsara ko ɓangaren urinary. Wadannan gwaje-gwajen na iya haɗawa da:

• duban dan tayi
• MRI
• CT dubawa
• kayan komputa

Magungunan cututtukan fitsari

Ana amfani da UTIs tare da maganin rigakafi na baka don kashe ƙwayoyin cuta. Hakanan likitan ku na iya ba da umarnin maganin ciwo don rage zafi da ƙonawa. UTI na yau da kullun na iya buƙatar tsawon maganin rigakafi. Uananan UTIs da rikitarwa na iya buƙatar maganin rigakafi da aka bayar ta hanyar IV a cikin asibiti.

Cystitis na farko / ciwo mai ciwo na mafitsara

Cystitis na tsakiya, wanda ake kira da ciwon ciwo na mafitsara, wani yanayi ne mai ɗorewa wanda ke haifar da alamun urinary mai ciwo. Ya fi shafar mata, a cewar Cibiyar Kula da Ciwon Suga da Cututtukan narkewar abinci da Koda (NIDDK). Dalilin yanayin a halin yanzu ba a san shi ba, amma wasu dalilai na iya haifar da bayyanar cututtuka, irin su cututtuka, damuwa ta jiki ko ta motsin rai, abinci, raunin mafitsara, ko wasu magunguna.

Kwayar cututtukan cututtukan ciki

Kwayar cutar na iya zama daga mai sauƙi zuwa mai tsanani kuma ya bambanta daga mutum zuwa mutum. Kwayar cutar na iya haɗawa da:

• gaggawa mai karfi don yin fitsari
• yawan yin fitsari
• kona ko zafi tare da bukatar yin fitsari
• ciwon mafitsara
• ciwon mara
• ciwon ciki
• zafi tsakanin farji da dubura (mata)
• zafi tsakanin majina da dubura (maza)
• mai raɗaɗi ma'amala

Binciken asalin cystitis

Kwararka na iya amfani da waɗannan gwaje-gwajen don bincika cystitis na tsakiya:

• tarihin likita, gami da alamun cuta
• Littafin mafitsara na yawan shan ruwa da yawan fitsarin da kake yi
• jarrabawar pelvic (mata)
• jarrabawar prostate (maza)
• yin fitsari don duba cutar
• cystoscopy don duba rufin mafitsara
• gwajin aikin fitsari
• gwajin gwajin kwayar potassium

Hakanan likitan ku na iya yin wasu gwaje-gwaje don taimakawa kawar da cutar kansa a matsayin dalilin alamun ku, kamar biopsy, wanda yawanci ake yi yayin cystoscopy ko cytology fitsari don bincika ƙwayoyin kansar cikin fitsarin ku.

Jiyya don cystitis na tsakiya

Babu wani takamaiman magani don cystitis na tsakiya. Likitanku zai ba da shawarar jiyya don alamunku na mutum, wanda zai haɗa da:

• Canjin rayuwa. Canje-canjen da aka ba da shawarar za su dogara ne da abin da kuka ji abubuwan da ke haifar da ku. Wadannan galibi sun haɗa da barin shan sigari, guje wa shan giya, da canjin abinci. Wasu mutane sun gano cewa motsa jiki mai sauƙi da rage damuwa yana taimakawa sauƙaƙe bayyanar cututtuka.
• Magani. Magungunan ciwon kan-kan-kan-kan (OTC) na iya taimakawa rage zafi. Magungunan likitanci irin su Tricyclic antidepressants na iya taimakawa shakatawa da mafitsara da toshe ciwo. Pentosan polysulfate sodium (Cilmiron) ya sami izinin FDA don magance yanayin.
• Horon mafitsara. Koyon fitsari na iya taimaka wa mafitsararka ta rike fitsari. Ya ƙunshi binciko sau nawa kuke yin fitsari kuma a hankali ƙara lokaci tsakanin yin fitsari.
• Jiki na jiki. Kwararren likita wanda ke da ƙwarewa a ƙashin ƙugu zai iya taimaka maka ka miƙa da ƙarfafa tsokoki na ƙashin ƙugu kuma ka koyi sanya su cikin annashuwa, wanda na iya taimakawa sauƙaƙe alamomin ka, gami da ɓarkewar jijiyar ƙugu.
• Baddamar da mafitsara. Ana sanya ƙaramin ruwa mai ɗauke da magani don sauƙaƙa fushin cikin mafitsara kuma a riƙe shi na kimanin minti 15 kafin a sake shi. Za a iya maimaita maganin mako-mako ko mako biyu har tsawon wata ɗaya ko biyu.
• Mika mafitsara. An miƙa mafitsara ta cika shi da ruwa. Za a ba ku magani don taimaka muku riƙe ruwa da jurewa miƙawa. Wasu mutane suna fuskantar sauƙi na ɗan lokaci na bayyanar cututtuka bayan miƙa mafitsara.
• Carfafa magnetic transcranial. Wani karamin binciken na 2018 ya gano cewa saurin motsa jiki na motsa jiki ya inganta ciwan mara na marairai da alaƙa da rikicewar fitsari a cikin mutanen da ke fama da ciwo na mafitsara.
• Tiyata. Ana ba da shawarar yin aikin tiyata ne kawai idan duk sauran jiyya sun kasa bayar da taimako kuma alamun ku masu tsanani ne. Yin aikin tiyata na iya haɗawa da ƙarin mafitsara ko faɗaɗawa, cystectomy don cire mafitsara, ko juyawar fitsari don sake juyawar fitsarinku.

Ciwon daji na mafitsara

Sakamakon cutar kansa na mafitsara lokacin da kwayoyin cikin mafitsara ke girma ba tare da kulawa ba. Akwai nau'ikan cutar sankarar mafitsara amma cutar sankararre, wanda aka fi sani da carcinoma mai canzawa, wanda ke farawa a cikin ƙwayoyin urothelial a cikin rufin mafitsarar ku, shine nau'in da aka fi sani. Cutar kansar mafitsara ta fi dacewa ga maza fiye da mata kuma tana faruwa ne galibi bayan shekara 55. Hakanan ya fi sau biyu zuwa uku ga mutanen da ke shan sigari idan aka kwatanta da waɗanda ba sa shan sigari.

Alamomin ciwon daji na mafitsara

Jini mara zafi a cikin fitsari shi ne mafi yawan alamun cutar kansa ta mafitsara. Mafi sau da yawa, ciwon daji na mafitsara ba shi da ciwo ko wasu alamomin. Koyaya, idan bayyanar cututtuka ta kasance zasu iya haɗawa da:

• yawan yin fitsari sau da yawa
• zafi ko zafi yayin fitsari
• gaggawa yin fitsari koda fitsarinka bai cika ba
• matsalar yin fitsari
• raunin fitsari mara ƙarfi

Ciwon daji na mafitsara na iya shafar wasu gabobin da tsarin, don haka alamun na iya haɗawa da:

• rashin yin fitsari
• ƙananan ciwon baya a gefe ɗaya
• ciwon kashi
• ciwon ciki ko na mara
• rasa ci
• rauni ko kasala

Gano cutar kansa ta mafitsara

Gwajin cutar kansar mafitsara na iya haɗawa da:

• cikakken tarihin lafiya
• cystoscopy
• yin fitsari
• al'adar fitsari
• fitsari ilimin halittar jini
• gwaje-gwajen alamun ciwone na fitsari
• gwajin hoto
• biopsy

Magunguna don kansar mafitsara

Maganin kansar mafitsara zai dogara ne da nau'in kansar mafitsara, matakin kansar, da sauran abubuwan. Jiyya don cutar kansar mafitsara yawanci ta ƙunshi fiye da ɗayan jiyya masu zuwa:

• Tiyata. Nau'in tiyatar da ake amfani da ita don magance ciwon daji na mafitsara ya dogara da matakin. Ana iya amfani da tiyata don cire ƙari, cire ɓangaren mafitsara, ko kuma duk mafitsara.
• Radiation. Ana amfani da radiation mai ƙarfi don kashe ƙwayoyin kansa. Ana iya amfani da shi don magance cututtukan farkon mafitsara, a matsayin madadin mutanen da ba za su iya yin tiyata ba, da kuma magance ko hana alamun kamuwa da cutar kansa ta mafitsara. Sau da yawa ana haɗa shi tare da chemotherapy.
• Chemotherapy. Ana amfani da magungunan ƙwayoyi don kashe ƙwayoyin kansa. Ana ba da ilimin ƙwayar cuta ta jiki ko dai ta hanyar kwaya ko ta hanyar IV. Intravesical chemotherapy, wanda kawai ake amfani dashi don farkon farkon farkon cutar kansa, ana gudanar dashi kai tsaye cikin mafitsara.
• Immunotherapy. Immunotherapy yana amfani da magani don taimakawa tsarin rigakafin ku gane da kashe ƙwayoyin kansa.

Ciwon mafitsara ga mata da maza

Ciwon mafitsara ya fi yawa ga mata. Wannan wataƙila saboda gaskiyar cewa dalilai biyu da suka fi kawo ciwo na mafitsara - cututtukan fitsari da cystitis na tsakiya - sun fi shafar mata fiye da maza. Hakanan yana iya kasancewa saboda gaskiyar cewa mafitsara tana zuwa kai tsaye tare da gabobin haihuwar mace, wanda na iya haifar da damuwa da kuma kara bayyanar cututtuka.

Har zuwa na mata na iya samun alamun farko na farkon cystitis. Bincike ya nuna cewa aƙalla kashi 40 zuwa 60 na mata suna kamuwa da cutar ta UTI yayin rayuwarsu, galibinsu kuma sune cututtukan mafitsara.

Bambance-bambance a jikin jikin mace na kara barazanar kamuwa da mafitsara. Shoran guntun fitsarin yana nufin cewa ƙwayoyin cuta suna kusa da mafitsara mace. Fitsarin mata kuma yana kusa da dubura da farji inda kwayoyin cuta masu haifar da mafitsara ke rayuwa.

Maza suna da haɗarin kamuwa da cutar kansa ta mafitsara. A cewar Cibiyar Ciwon Sankara ta Amurka, kansar mafitsara ita ce ta huɗu mafi yawan sankara a cikin maza. Damar da maza za su iya kamuwa da cutar kansa ta mafitsara a rayuwarsu ta kai kusan 1 cikin 27. Damar rayuwar mata kusan 1 cikin 89.

Ciwon mafitsara a dama ko hagu

Tunda mafitsara tana zaune a tsakiyar jiki, ciwon mafitsara galibi ana jinsa a tsakiyar ƙashin ƙugu ko ƙananan ciki sabanin gefe ɗaya.

Yaushe ya kamata ganin likita?

Duk wani ciwo na mafitsara ya kamata ya kimanta ta likita don taimakawa tantance musabbabin da rage haɗarin rikitarwa.

Kula da ciwo

Mai zuwa na iya taimaka maka sarrafa ciwo na mafitsara:

• OTC zafi magunguna
• kushin dumama
• dabarun shakatawa
• motsa jiki mai taushi
• sako-sako da tufafi (don kaucewa matsin lamba akan mafitsara)
• canje-canje na abinci

Takeaway

Yawancin ciwo na mafitsara shine UTIs, wanda za'a iya magance shi tare da maganin rigakafi. Duba likitanka yanzunnan don kawar da wasu dalilai masu mahimmanci na ciwon mafitsara.