Kev mob hauv lub zais zis hu ua cystitis, uas tuaj yeem tshwm sim rau cov neeg laus thiab menyuam yaus. Qhov ua rau ntawm kev loj hlob ntawm tus kab mob yuav kis tau los yog lwm yam provoking yam. Tus kab mob yog kho nyob ntawm seb hom, nrog rau qhov ua rau. Xav txog cov yam ntxwv ntawm kev kuaj mob cystitis, tus kab mob kis mus rau cov neeg laus thiab menyuam yaus li cas, nws kho li cas thiab kev tiv thaiv dab tsi tshwm sim.
cystitis yog dab tsi?
Tus kab mob no feem ntau tshwm sim ntawm cov kab mob ntawm lub zais zis thiab zis. Feem ntau nws tshwm sim hauv cov poj niam (80%), vim lawv muaj cov urethra luv dua li cov txiv neej thiab cov kab mob yooj yim nkag mus rau hauv cov kab mob genitourinary thiab ua rau mob. Raws li kev txheeb cais, txhua tus poj niam thib plaub tau muaj cystitis tsawg kawg ib zaug hauv nws lub neej, thiab txhua tus poj niam thib kaum muaj tus kab mob no. Rau cov txiv neej, qhov nopathology tsis tshua muaj, thiab tsuas yog 0.5% ntawm lawv muaj mob.
Ib tug poj niam lub cev tau ntsib kev hloov pauv hormonal txhua hli. Yog li ntawd, muaj qhov txo qis hauv kev tiv thaiv hauv zos, uas tuaj yeem ua rau muaj kev loj hlob ntawm pathology. Tias yog vim li cas cov kws kho mob tau mob siab rau kev kuaj mob cystitis hauv cov poj niam. Tus kab mob no kuj tshwm sim thaum lub sij hawm yug me nyuam. Raws li kev txheeb cais, txhua feem kaum ntawm leej niam tau kuaj pom nws.
Kev tshwm sim
Ua ntej yuav mus rau kev kuaj mob cystitis, nws tsim nyog nkag siab txog cov hauv paus hauv paus ntawm kev txhim kho pathology.
Ua rau cystitis hauv menyuam yaus thiab cov neeg laus:
- Kab mob. Cov kab mob pathogenic uas nkag mus rau hauv cov zis feem ntau dhau los ua qhov ua rau mob. Cov kab mob tuaj yeem kis tau los ntawm qhov quav lossis qhov chaw mos, tsawg dua los ntawm ob lub raum. Cov kab mob tuaj yeem nkag mus rau hauv lub zais zis nrog cov ntshav ntws (hematogenous txoj kev). Piv txwv li, qhov no tshwm sim thaum muaj kev mob siab rau hauv lub cev (caries, tonsillitis).
- Anatomical nta ntawm cov qauv ntawm lub cev. Hauv qee cov menyuam yaus, cov zis yuav muaj cov yam ntxwv ntawm lub cev lossis tsis ua haujlwm tag nrho, uas tuaj yeem ua rau muaj kev loj hlob ntawm cystitis.
- Hypothermia. Kev khov khov loj tuaj yeem ua rau cystitis, feem ntau ntawm cov poj niam thiab menyuam yaus.
- noj tshuaj. Qee cov tshuaj tuaj yeem ua rau lub zais zis ua rau muaj kev phiv. Qhov no yog ib pawg ntawm cov tshuaj cytostatic,siv nyob rau hauv malignant neoplasms. Cov kab mob hu ua tshuaj-induced cystitis.
- Kev tsis haum. Hauv qee tus poj niam, cystitis yog ib qho tshuaj tiv thaiv ntawm lub cev rau hauv zos raug rau qee yam kev ua xua.
Ntxiv nrog rau qhov ua rau cystitis tseem ceeb, cov kws kho mob kuj txiav txim siab ntau yam uas yuav ua rau muaj kev loj hlob ntawm pathology. Cov no yog cov ris tsho hluavtaws nruj, tsis muaj kev tiv thaiv kev sib deev lossis mob plab), mob plab zom mov lossis mob plab thiab mob raum tsis ua hauj lwm.
Kev faib tawm
Kev kuaj mob thiab kev kho mob ntawm cystitis yog nyob ntawm nws daim ntawv. Pathology tuaj yeem yog thawj thiab theem nrab. Hauv thawj kis, tus kab mob yog tshwm sim los ntawm cov kab mob uas tau nkag mus rau hauv cov zis, hauv qhov thib ob, cystitis yog tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm qee yam hauv nruab nrog cev lossis kis kab mob thoob plaws hauv lub cev. Hauv cov menyuam yaus, cov kab mob cystitis thib ob tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm lub zais zis tsis tiav, uas tuaj yeem tshwm sim los ntawm cov yam ntxwv ntawm lub cev ntawm lub cev.
Tsis tas li, tus kab mob tuaj yeem kis tau lossis tsis kis. Hauv thawj kis, nws yuav tshwm sim nws tus kheej tshwj xeeb lossis tsis tshwj xeeb. Qhov kev xaiv thib ob tuaj yeem tshwm sim los ntawm thermal, tshuaj lom neeg, tshuaj lom neeg, tshuaj tsis haum lossis tshuaj.
Txawm li cas los xij, nws tuaj yeem ua mob hnyav lossis mob ntev. Daim ntawv mob hnyav tau tshaj tawm cov tsos mob, thaum daim ntawv mob ntev muaj cov tsos mob uas tshwm sim lawv tus kheej lossis txo qis. Nyob rau hauv cov me nyuam, mob cystitis yog nrog los ntawm o ntawm mucous thiabsubmucosal txheej, ntev tuaj yeem hloov kho cov leeg nqaij thiab ua gangrenous, necrotic, polypous, granular lossis bullous.
Tsis tas li, cystitis hauv cov menyuam yaus, nyob ntawm qhov chaw faib khoom, tuaj yeem muab faib ua focal thiab tag nrho (diffuse). Nrog rau lub tsev me nyuam cystitis, lub caj dab ntawm lub zais zis kuj ua rau mob, tritogonitis tshwm sim thaum lub sij hawm inflammatory txheej txheem nyob rau hauv cheeb tsam ntawm Lieto daim duab peb sab.
Symptomatics
Kev loj hlob ntawm cystitis yog nrog los ntawm qee cov tsos mob, tsis hais poj niam txiv neej, nrog rau hnub nyoog ntawm tus neeg.
Yuav ua li cas cystitis manifests nws tus kheej:
- khaus thiab kub thaum mus rau chav dej. Lawv feem ntau tshwm sim thiab qhia tias muaj kab mob los yog ua xua cystitis.
- Mob plab plab. Tsuas yog 10% ntawm cov neeg mob yuav tsis muaj cov tsos mob no, tab sis tsis tshua muaj leej twg them rau qhov tsis xis nyob me, txawm tias qhov mob tuaj yeem tawm mus rau sab nraub qaum.
- kub taub hau thiab qaug zog.
- ntshav tso zis. Cov tsos mob tsis tshua muaj, ntau zaus hauv cov txiv neej thiab qhia tias muaj tus kab mob ua rau kev loj hlob ntawm tus kab mob. Daim ntawv ntawm cov kab mob tuaj yeem ua rau mob hnyav thiab nyuaj (qhov no, cov kws kho mob pom zoo kom kuaj qhov sib txawv ntawm cystitis kom paub qhov txawv ntawm tus kab mob los ntawm lwm yam pathology).
Yuav ua li cas paub txog kev mob hauv menyuam yaus
Cov tsos mob ntawm cystitis yog tib yam ntawm cov menyuam yaus thiab cov neeg laus. Qhov txawv tsuas yog tias tus menyuam tseem tsis tuaj yeem piav qhia qhov mob. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau kev kuaj mob cystitis hauv cov menyuam yaus.
Yuav pib nrog, nws tsim nyog sau cia tias nws tuaj yeem ua rau muaj kab mob hauv tus menyuam. Feem ntau nws tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev kis kab mob hauv cov zis. Tsuas yog hauv 5% ntawm cov menyuam yaus, cystitis tuaj yeem tshwm sim los ntawm SARS.
Hnub nyoog qis dua rau lub hlis, cystitis feem ntau tshwm sim hauv cov menyuam yaus, uas tuaj yeem qhia tau tias muaj kev cuam tshuam ntawm kev loj hlob ntawm cov zis. Thaum muaj hnub nyoog 2 txog 15 xyoos, cov ntxhais muaj 10 npaug ntau dua yuav mob.
cystitis tshwm sim hauv tus menyuam li cas:
- tso zis ntau zaus;
- urinary incontinence (enuresis);
- huab cua los yog zis tsaus nti;
- nce hauv lub cev kub txog 40 degrees (saib nrog pyelonephritis);
- ntuav, quav quav thiab mob hauv plab plab.
Nyob rau hauv cov menyuam yug tshiab, pathology tuaj yeem tshwm sim los ntawm malaise, kev xav, chim siab thiab tsis qab los noj mov. Tej zaum kuj yuav muaj puffiness ntawm sab qaum thiab sab sab los yog lub hnab hauv qab ob lub qhov muag.
Kev kuaj mob cystitis: kuaj
Kom paub txog tus kab mob thiab ua kom pom tseeb, kev sim ua ntau zaus. Nco ntsoov kuaj cov zis dav dav, kab lis kev cai bacteriological, uas yuav pab txheeb xyuas cov kab mob ua rau mob thiab txheeb xyuas qhov rhiab heev rau qee pawg tshuaj tua kab mob. Nyob rau hauv tsawg zaus, cov tshuaj tiv thaiv kab mob polymerase tau ua thiab kuaj xyuas microflora ntawm qhov chaw mos. Cytoscopy thiab biopsy tsuas yog ua thaum qhia.
Tau muajKev kuaj ultrasound ntawm lub plab pelvic thiab kab noj hniav. Feem ntau, nws raug sau tseg rau kev kuaj mob ntawm interstitial cystitis, kev kuaj mob uas tau tshwm sim tsis ntev los no hauv kev faib tawm thoob ntiaj teb ntawm cov kab mob. Nws yog tus cwj pwm los ntawm kev tso zis ntau zaus thiab mob hnyav.
Hauv qee kis tsis tshua muaj, kev kuaj Parsons (lossis kuaj cov poov tshuaj) raug tshuaj, nrog rau cystometry. Nrog kev pab los ntawm kev tshawb fawb tshiab, lub peev xwm ntawm lub zais zis yog ntsuas. Rau qhov no, siv roj lossis kua tshwj xeeb, uas ua rau lub zais zis. Cov txheej txheem no tsis yog qhov yuav tsum tau ua, tab sis feem ntau nws yog nws uas tso cai rau koj los txiav txim siab txog kab mob thiab kuaj mob.
Txhawm rau txiav txim siab tus kab mob, kev kuaj zis dav dav rau menyuam yaus, kuaj kab mob bacteriological (kev coj noj coj ua) lossis kuaj zis raws li Nechiporenko tau sau tseg. Cov ntaub ntawv tshaj plaws yog sowing, txij li nrog nws koj tuaj yeem paub meej cov kab mob pathogenic uas coj mus rau cov kab mob pathology, thiab sau cov kev kho mob uas tsim nyog. Cov ntshav chemistry lossis ultrasound plab, x-rays lossis scintigraphy (saib xov tooj cua ntawm lub raum) yuav xav tau.
Kev kho mob cystitis hauv cov neeg laus
Nrog cov tsos mob hnyav, cov tshuaj tau sau tseg uas txo cov zais zis, nrog rau cov tshuaj tua kab mob. Qhov tseem ceeb tshaj plaws hauv kev kho mob ntawm pathology yog kev siv tshuaj tua kab mob nrog ntau qhov kev ua haujlwm. Tab sis ntawm no koj yuav tsum coj mus rau hauv tus account rhiab heev, uas yog, sau tshuaj tsuas yog tom qab bakposev.
Yog thaum kuaj mobcystitis, fungi lossis kab mob tau raug txheeb xyuas tias yog cov kab mob ua rau mob, tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob, raws li. Feem ntau, kev kho mob cystitis siv sijhawm tsis pub dhau 12 hnub.
Daim ntawv mob ntev ntawm tus kab mob tau kho ntev dua, thiab kev kho mob yog tsom rau kev rov ua haujlwm ntawm lub cev. Feem ntau, cov tshuaj homeopathic raws li cov nroj tsuag tshuaj.
Yog tias cystitis yog kab mob me, kev tshawb fawb thiab kev kho mob ntawm cov kab mob sib xyaw ua ke tau ua tiav. Ua ntej tshaj plaws, yuav tsum tau mus ntsib kws kho hniav thiab ua kom huv huv ntawm lub qhov ncauj. Pom zoo kho mob tonsillitis los ntawm tus kws kho mob ENT, uas tuaj yeem ua rau muaj kev txhim kho ntawm cov kab mob hauv cov zis.
Yuav ua li cas kho cystitis hauv menyuam yaus?
Thaum kuaj mob cystitis hauv tus menyuam, nws tau so thiab, yog tias ua tau, pw so. Txhawm rau txo qhov spasm, koj tuaj yeem tso ib daim phuam sov rau ntawm lub zais zis. Da dej ntawm decoctions ntawm tshuaj ntsuab kuj yuav pab tau. Qhov kub ntawm cov dej uas tus me nyuam zaum yuav tsum tsis txhob siab tshaj +37.5 ° C.
Tsis tas li, cov menyuam yaus raug qhia kom ua raws li kev noj zaub mov, tsis suav cov khoom noj uas khaus khaus, haus dej ntau ntxiv, suav nrog txiv hmab txiv ntoo thiab compotes. Qhov ntau tus menyuam haus dej ntau, cov kab mob pathogenic yuav tawm sai sai ntawm lub zais zis.
Hauv cov menyuam yaus, cystitis kuj tau kho nrog tshuaj. Qhov no tuaj yeem yog tshuaj ntsuab, noj tshuaj antispasmodics, tshuaj tua kab mob thiab uroantiseptics. Kev kho mob kav ntev txog xya hnub.
Kev nyuaj siab
Thaum mob cystitis tau kuaj pom thiab tsis kho, muaj teeb meem tshwm sim. Cov txheej txheem inflammatory tuaj yeem kis dhau ntawm lub zais zis lossis ua rau muaj kev cuam tshuam hauv nws txoj haujlwm.
Ntawm cov kab mob ntau tshaj plaws, pyelonephritis tuaj yeem tsim, uas yog, o ntawm lub raum, thaum cov tshuaj tua kab mob yog qhov tseem ceeb.
Kev Tiv Thaiv
Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev tiv thaiv cystitis, tshwj xeeb tshaj yog rau cov poj niam. Yuav ua li cas kom tsis txhob cystitis?
- Thaum siv daim ntawv tso zis tso quav tom qab mus rau chav dej, koj yuav tsum ua tib zoo txav ntawm qhov nkag mus rau hauv cov zis mus rau qhov quav, tsis yog qhov sib piv.
- Saib xyuas koj tus kheej kom huv.
- Saib kev haus dej haus cawv.
- Tsis txhob hypothermia.
- Nyob rau hauv urinalysis rau kev tiv thaiv, tsis hais tus kab mob.
