Hemorrhagic cystitis hauv cov poj niam - cov cim qhia, ua rau thiab cov yam ntxwv ntawm kev kho mob

Cov txheej txheem:

Hemorrhagic cystitis hauv cov poj niam - cov cim qhia, ua rau thiab cov yam ntxwv ntawm kev kho mob
Hemorrhagic cystitis hauv cov poj niam - cov cim qhia, ua rau thiab cov yam ntxwv ntawm kev kho mob

Video: Hemorrhagic cystitis hauv cov poj niam - cov cim qhia, ua rau thiab cov yam ntxwv ntawm kev kho mob

Video: Hemorrhagic cystitis hauv cov poj niam - cov cim qhia, ua rau thiab cov yam ntxwv ntawm kev kho mob
Video: Ntshaw nkauj hmoob nplog thiaj tau noj mij. 10/4/2017 2024, Hlis ntuj nqeg
Anonim

Hemorrhagic cystitis yog ib yam kab mob loj tshaj plaws ntawm lub zais zis. Thaum tso zis, ntshav tuaj yeem pom hauv cov zis. Nws kis tau ib qho tsis kaj siab tsw. Qhov no yog vim lub fact tias cov mucous daim nyias nyias raug rhuav tshem, thiab cov phab ntsa ntawm cov hlab ntsha ntawm lub cev ntawm lub urinary system ua thinner. Tus kab mob no yuav tsum tau kuaj xyuas sai thiab kho kom tsim nyog.

Ua rau mob

Tus mob hemorrhagic cystitis tuaj yeem tshwm sim rau cov laj thawj hauv qab no:

  • nkag mus rau hauv lub cev ntawm tus kabmob kis;
  • nquag ntuav los ntawm kev yaum kom tso zis, uas ua rau ncab ntawm cov leeg nqaij thiab cov hlab ntsha tsis zoo;
  • kab mob ntawm lub cev sab hauv uas txo qis kev tiv thaiv;
  • kev ua txhaum ntawm kev ua haujlwm ib txwm ntawm kev cog lus ntawm cov leeg ntawm lub zais zis, feem ntau pom nyob rau hauv kev mob ntawm lub paj hlwb;
  • muaj kab mob sib kis;
  • receptionqee yam tshuaj;
  • kev tu tus kheej tsis zoo;
  • radiotherapy;
  • txo qis kev tiv thaiv, feem ntau yog los ntawm cov kab mob endocrine thiab ntshav qab zib;
  • diverticula thiab zais zis pob zeb, nrog rau lwm yam kev cuam tshuam hauv daim ntawv ntawm neoplasms.
Ua rau hemorrhagic cystitis
Ua rau hemorrhagic cystitis

Feem ntau tus kab mob no tau kuaj pom thaum cev xeeb tub lossis cev xeeb tub, thaum muaj kev hloov hormonal tshwm sim hauv lub cev. Qhov ua rau hemorrhagic cystitis tuaj yeem yog kab mob cuam tshuam nrog cov tshuaj hormonal.

Cov kab mob cystitis tsis tshua ua rau hemorrhoidal daim ntawv. Tab sis qhov teeb meem tuaj yeem tshwm sim nrog kev tiv thaiv qis heev.

Hemorrhagic cystitis tuaj yeem tshwm sim los ntawm qee yam tshuaj, xws li Clostilbegit thiab Clomiphene raws li clomiphene citrate.

Ib yam kab mob zoo sib xws tuaj yeem tshwm sim hauv cov txiv neej uas muaj prostate adenoma.

Kev faib tawm thoob ntiaj teb ntawm cov kab mob (ICD)

Nws tau siv los ntawm lub xeev tog rau WHO kev pom zoo txij li xyoo 1994. Tag nrho cov chav kawm ICD tau muab faib ua 22 pawg. Cystitis hauv qhov kev faib tawm no yog muab cov lej los ntawm 30.0 txog 30.9. Hemorrhagic cystitis hauv ICD muaj tus lej N30.2. Nws yog ib hom kab mob ntev.

Cov tsos mob ntawm hemorrhagic cystitis hauv cov poj niam

Nov yog kab mob sib kis uas muaj cov tsos mob zoo sib xws rau mob cystitis. Qhov sib txawv tseem ceeb yog muaj cov ntshav thiab cov ntxhiab tsw ntxhiab tawm ntawm cov zis. Ntxiv mus, nws tuaj yeem nyob hauv cov zis li me mekom muaj nuj nqis, thiab hauv qhov tseem ceeb, uas xim nws liab lossis liab dawb. Kuj tseem muaj lwm cov tsos mob ntawm hemorrhagic cystitis:

  • mob hnyav hauv plab plab tom qab tso zis thiab hauv puab tais;
  • tso zis me me thaum lub sijhawm ua haujlwm no;
  • nquag tso zis ntau dua li niaj zaus (kev mus ntsib chav ntxhua khaub ncaws tuaj yeem mus txog 40 zaug hauv ib hnub), thiab ntau zaus lawv tsis tso zis;
  • malaise and general qaug zog;
  • nce hauv lub cev kub.
Cov tsos mob ntawm hemorrhagic cystitis
Cov tsos mob ntawm hemorrhagic cystitis

Tus kab mob hnyav yuav tsum tsis txhob ua mob ntev. Yuav tsum tau kho tam sim ntawd rau cov tsos mob ntawm hemorrhagic cystitis.

Cov kab mob no muaj ntau dua rau cov poj niam dua li cov txiv neej, thiab cov menyuam yaus feem ntau dua li cov neeg laus.

Chronic form

Thaum muaj mob ntev, cov tsos mob ntawm tus kab mob yuav mob zuj zus mus ib ntus. Tej zaum cov tsos mob yuav txo qis, ua raws li lub sij hawm ntawm kev zam txim. Txawm li cas los xij, ntshav yuav ib txwm muaj nyob hauv cov zis. Nws tus lej yuav maj mam nce. Qhov no ua rau muaj kev puas tsuaj rau lub zais zis ntau dua, uas yog qhov ua rau muaj kab mob txaus ntshai, suav nrog ntau yam qog.

Yog tias kev kho tsis tau raws sijhawm, kev tawm ntawm lub zais zis tuaj yeem ua rau cov ntshav txhaws. Cov zis yuav tsis tuaj yeem tawm hauv lub cev, vim li ntawd, tom qab qee lub sijhawm, lub zais zis yuav puas.

Yog tsis muaj kev kho mob, microflora yuav kis tauntshav thoob plaws hauv lub cev, uas tuaj yeem ua rau cov ntshav lom. Nrog rau cov ntaub ntawv siab heev, lub raum yuav raug cuam tshuam, pyelonephritis tuaj yeem tshwm sim.

Daim ntawv mob ntev ntawm tus kab mob raws li kev txiav txim siab kuj tuaj yeem tau txais yog tias kev kho mob hemorrhagic cystitis tsis raug ncua sijhawm, tshwj xeeb, yog tias cov neeg mob tsis noj tshuaj tua kab mob lossis tshuaj tiv thaiv kab mob tom qab cov tsos mob ntawm pathology ploj mus. Txawm li cas los xij, qhov no tsis tau txhais hais tias nws kho tau tag nrho, tus kab mob nkag mus rau hauv kev kho.

Pyelonephritis ua rau tus kab mob
Pyelonephritis ua rau tus kab mob

Tus kab mob yuav hnyav dua yog tias muaj cov hauv qab no:

  • urolithiasis;
  • Yexacerbation ntawm pyelonephritis;
  • caws;
  • hypothermia;
  • qee yam mob.

Thaum pib, daim ntawv mob mus ntev nrog kev hloov pauv thiab kev ua kom hnyav dua, tab sis tus kab mob nce zuj zus, cov leeg nqaij ntawm cov zis tau maj mam hloov los ntawm cov caws pliav.

Diagnosis

Thaum cov tsos mob tshwm sim, nws yuav tsum tau kuaj xyuas kom raug, vim urolithiasis thiab pyelonephritis muaj cov tsos mob zoo sib xws. Yog li ntawd, tus neeg mob yuav tsum tuaj ntsib kws kho mob uas yuav xa nws mus rau kev kuaj zis.

Tus kab mob no tshwm sim los ntawm kev txo cov qe ntshav liab hauv cov zis. Nyob rau hauv tus kab mob ntev, tus neeg mob tau kuaj pom tias muaj hlau deficiency anemia.

Nrog cov kab mob ntawm cov kab mob, hom kab mob yog txiav txim siab los ntawm kev cog qoob loo. Hauv tsev kho mob, txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws, koj yuav tsum txiavcystoscopy.

Kev kuaj ntshav kuj ua tiav. Cov kab mob kis tau tshwm sim los ntawm cov ntsiab lus siab ntawm leukocytes hauv nws, leukocyturia hauv cov zis, siab ESR.

zais zis ultrasound
zais zis ultrasound

Txhawm rau tshem tawm urolithiasis thiab muaj cov qog, tus kws kho mob tuaj yeem sau tshuaj ultrasound ntawm lub zais zis thiab ob lub raum.

Kuaj kuj yuav tsum tau kuaj thaum kawg ntawm kev kho mob kom cov tshuaj nres raws sijhawm txhawm rau tiv thaiv kev hloov pauv ntawm tus kab mob mus rau ib tus mob ntev.

Nyob rau hauv tus neeg mob

Kev kho mob hemorrhagic cystitis hauv cov poj niam yog qhov zoo tshaj plaws thaum mus pw hauv tsev kho mob. Ntawm no, lub zais zis yog ntxuav, uas pab txhawb rau resorption ntawm cov ntshav txhaws tsim nyob rau hauv. Qhov no yuav pab normalize tso zis. Yog tias qhov txheej txheem no tsis tuaj yeem ua tiav, cystoscopy siv tshuaj loog yog muab.

kev kho mob

mob hemorrhagic cystitis nyob rau hauv cov ntaub ntawv ntawm nws cov kab mob keeb kwm yog kho nrog tshuaj tua kab mob ntawm pawg fluoroquinolone, uas suav nrog:

  • Y "Ciprofloxacin";
  • "Norfloxacin" thiab lawv cov analogues.
Kev kho mob ntawm hemorrhagic cystitis
Kev kho mob ntawm hemorrhagic cystitis

Ciprofloxacin suav tias yog tshuaj tua kab mob uas muaj zog dua, uas tau noj 250-500 mg 2 zaug hauv ib hnub rau ib lub lis piam, thiab qee zaum rau ob peb lub hlis.

Cov niam uas muaj menyuam hauv ib nrab ntawm cev xeeb tub tuaj yeem noj Monural.

Cov pab pawg hauv qab no kuj tau siv los kho cov kab mob hemorrhagic cystitistshuaj:

  • vitamin K thiab C: "Vikasol", "Ascorutin";
  • tshuaj hemostatic: Dicinon, Etamzilat;
  • Yantispasmodics thiab analgesics.

Mob thiab spasms yog relieved los ntawm cov hauv qab no txhais tau tias:

  • "No-shpa";
  • "Baralgin";
  • Y"Diclofenac".

Ntshav yog tshwm sim los ntawm kev noj tshuaj hauv qab no:

  • "Vikasol";
  • "Detralex";
  • "Rutin".

Cov txiaj ntsig ntawm kev kho mob yuav tsum tshwm sim rau hnub 5-7th. Yog tias tsis pom qhov no, koj yuav tsum rov kuaj dua thiab hloov tshuaj, tom qab sab laj nrog koj tus kws kho mob.

Kev siv tshuaj ntsuab

Fitolysin thiab Canephron tuaj yeem siv los kho hemorrhagic cystitis.

Kev kho mob hemorrhagic cystitis hauv cov poj niam
Kev kho mob hemorrhagic cystitis hauv cov poj niam

Thawj cov tshuaj txhawb kev tawg ntawm pob zeb thiab muaj cov nyhuv diuretic. Nws kuj muaj cov nyhuv anti-inflammatory thiab pab txo cov zais zis spasms. Nrog nws, koj tuaj yeem txo cov crystallization ntawm cov ntxhia hauv cov zis thiab ntxuav cov xuab zeb.

"Canephron" muaj cov tshuaj tua kab mob, tiv thaiv kab mob, antispasmodic thiab diuretic teebmeem. Cov tshuaj muaj xws li centaury, rosemary thiab lovage.

Koj tuaj yeem siv cov decoctions ntawm chamomile paj, ntoo qhib tawv, St. John's wort, nrog rau cov nqi muag tshuaj uas muaj cov tshuaj tiv thaiv kab mob thiab diuretic:"Fitonefrol", "Brusniver"

kev kho mob sab nraud

Tus mob hemorrhagic cystitis, zoo li nws daim ntawv mob ntev, yuav tsum tau noj qee yam.

Cov zaub mov hauv qab no yuav tsum tsis txhob muaj nyob hauv kev noj haus:

  • saturated nrog cov roj yam tseem ceeb thiab cov kua qaub;
  • x

  • sweet;
  • ntsim;
  • spicy food;
  • dej qab zib;
  • coffee;
  • cawv;
  • strong tshuaj yej.

Nws yog qhov zoo dua ntxiv cov txiv hmab txiv ntoo thiab zaub thiab cov cereal rau kev noj haus.

Thaum kho, nws yog ib qho tsim nyog yuav tsum haus dej ntau lossis siv cov kua ntau ntxiv hauv cov dej qab zib thiab compotes. Cranberry txiv hmab txiv ntoo dej qab zib kuj muaj anti-inflammatory thiab antimicrobial teebmeem.

Ntxiv rau, koj tuaj yeem siv decoctions ntawm yarrow, flax lossis dill noob. Thawj ntawm cov tshuaj no yog pre-crushed, 2 tbsp. l. brewed nrog ib khob ntawm boiling dej, tom qab uas lub infusion tshwm sim rau ib teev. Tom qab ntawd, infusion yog noj tag nrho ib hnub nyob rau hauv ib feem me me.

Dill decoction yog npaj los ntawm 1 tsp., ntim nrog ib khob ntawm boiling dej. Infusion yog nqa tawm rau 8-10 teev. Koj yuav tsum noj nws thaum sawv ntxov. Flax decoction yog npaj rau tib txoj kev.

Ntxiv rau, koj yuav tsum siv cov dej ntxhia uas tsis yog carbonated, birch kua txiv.

Cov Tswv Yim Kho Mob

Yog tias muaj kab mob xws li hemorrhagic cystitis tau kuaj pom, tsis tas yuav kho tus kheej. Nws yog ib qho tsim nyog yuav tau mus ntsib kws kho mob urologist thiab noj cov tshuaj no,uas nws sau. Nrog rau kev kho mob lig, tus kab mob tuaj yeem mus kawm ntev.

Thaum kho tus kab mob, koj tsis tuaj yeem ua cov txheej txheem thermal thiab da dej kub. Qhov no yog vim qhov ntsuas kub siab tuaj yeem ua rau muaj teeb meem loj heev.

Tib lub sijhawm, ib tus yuav tsum tsis txhob hnov qab noj cov kua ntau hauv sab hauv, uas yuav txhim kho cov nyhuv diuretic.

Muaj Teeb Meem

Kev soj ntsuam kom rov zoo ntawm cov mob hemorrhagic cystitis yog qhov zoo. Txawm li cas los xij, yog tias tsis siv txoj kev kho kom tsim nyog, cov hauv qab no yuav tshwm sim:

  • ntshav ntshav vim los ntshav tas li;
  • kis kab mob mus rau lwm yam kabmob ntawm tib neeg lub cev;
  • thaiv ntawm lumen ntawm cov urethra.

Kev Tiv Thaiv

Kev tiv thaiv ntawm hemorrhagic cystitis
Kev tiv thaiv ntawm hemorrhagic cystitis

Hemorrhagic cystitis hauv cov poj niam tuaj yeem zam tau los ntawm kev ua raws li ntau txoj cai yooj yim:

  • khoom noj muaj txiaj ntsig nrog kev zam ntawm cov khoom uas ua rau rov qab ua dua;
  • noj ntau cov kua;
  • zais zais zis thaum yau;
  • tus kheej tu cev;
  • kev tiv thaiv kab mob.

Nyob hauv kaw

Hemorrhagic cystitis yog ib yam kab mob txaus ntshai uas tuaj yeem ua rau muaj ntau yam teeb meem nrog kev kho tsis raug thiab nws hloov mus rau daim ntawv ntev. Txhawm rau tiv thaiv cov kab mob no, koj yuav tsum tsis txhob txias dhau, mus rau chav dej kom raws sijhawm yog tias koj muaj kev xav, saib xyuas tus kheej kev nyiam huv, thiab tiv thaiv qhov tshwm sim.urolithiasis thiab pyelonephritis, haus dej ntau ntau. Kev kho mob yuav tsum tau sau tseg los ntawm urologist. Nyob rau hauv txoj kev kho mob, pej xeem tshuaj yuav siv tau. Kev tiv thaiv yuav tsum tau ntxiv dag zog tsis tau tsuas yog los ntawm txoj kev kho mob, tab sis kuj los ntawm kev tsis lees paub cov zaub mov tsis zoo hauv kev noj haus. Nrog rau kev kho raws sijhawm, qhov kev cia siab rau qhov txiaj ntsig zoo yog siab.

Pom zoo: