Hemorrhagic cystitis ne ƙin ciwon mafitsara wanda ke haifar da zafi da hematuria, ko jini a cikin fitsari. Akwai dalilai da dama da ya sa mutum da cutar cutar sankarar jini ko lymphoma na iya zama haɗari don tasowa cystitis.
Dalilin
Mafi yawan lokuttan da suka shafi sinadarin chemotherapy da ke haifar da halayen gubar cystitis su ne alkylating agents, cyclophosphamide da ifosphamide.
Wadannan kwayoyi ne da aka saba amfani dasu wajen maganin jini da ciwon guka, irin su cutar sankarar bargo da lymphoma. Sauran marasa galihu sun hada da temozolamide, bleomycin da doxorubicin. Hemorrhagic cystitis na iya ma wasu dalilai, ba saboda ma'aikatan alkylating a maganin ciwo ba.
Lokacin da jiki ya rushe cyclophosphamide ko ifosphamide, an samar da wani abu mai suna acrolein, wadda aka cire daga jini ta koda kuma ya zama mai hankali a cikin fitsari a cikin mafitsara. Wannan yana wulakanci ciwon mafitsara, wanda zai haifar da rashin jin daɗi na cystitis da ulcers wanda zai iya haifar da zubar da jini mai tsanani. Halin da ake ciki na cystitis na jini shine kimanin kashi shida cikin mutanen da ke jurewa da karfin gubar jiki kuma suna karɓar cyclophosphamide mai girma. Ifosphamide an hade da halayen haɓakar cutar cystitis a cikin wasu nazarin.
Wasu ƙwayoyin cuta , irin su adenovirus, BK cutar, da kuma JC cutar, kuma zasu iya haifar da cystitis na hemorrhagic.
Mutane tare da saukar da tsarin rigakafi sune mafi haɗarin haɗarin waɗannan yanayi, musamman ma wadanda ke farkawa daga kasusuwa na kasusuwa ko suturar sutura .
A ƙarshe, jin zafi na mafitsara daga daukan hotuna zuwa farfadowa ta hanyar radiation yana haifar da cutar cystitis a cikin marasa lafiya.
Cutar cututtuka
Idan ka taba samun rashin jin daɗi na rashin lafiya na urinary mai tsanani, kana da ra'ayin yadda wasu alamun alamun sukari na cystitis suke.
Wadannan bayyanar cututtuka sun haɗa da:
- Hematuria (jini a cikin fitsari)
- Raunin rashin tausayi
- Pain ko ƙona lokacin da kake tafiya da fitsari
- Feel kamar kai ba zai iya zubar da mafitsara ba
- Lalacewar kula da mafitsara (incontinence)
- Bukata ko gaggawa don buƙatar magungunan ku
- Samun sau da yawa a daren don wucewa da fitsari
Kuna iya samun wasu bayyanar cututtuka irin su gajiya daga anemia, ko zafi marar ciki a cikin ƙananan ciki, a sama da adadin ƙuƙwalwar ƙashi.
Dalili na Hadarin
Akwai wasu dalilai da ya sa mutane da cutar sankarar bargo ko lymphoma na iya zama mafi mahimmanci ga samun ciwon sukurrhagic cystitis. Wadannan abubuwan haɗari sun haɗa da:
- Samun cyclophosphamide ko ifosphamide a matsayin ɓangare na tsarin lafiyar ka
- Samun radiation far to yankin pelvic
- Ƙarƙashin ƙwayoyin cuta ba zai sa ka zama mai saukin kamuwa da cututtukan urinary ci gaba ko ƙwayoyin cuta ba
- Amfani da maganin rigakafi
- Low platelet ƙidaya (thrombocytopenia)
Jiyya
Hemorrhagic cystitis zai iya haifar da asarar jini mai tsanani kuma an ɗauka sosai. Bude mahaifa a cikin mafitsara zai iya samar da wata hanyar shiga kwayoyin cuta don shiga cikin jini. Hakanan zai iya haifar da dindindin tsararru na mafitsara, wanda zai iya haifar da rikici na urinary fili ko mafitsara. Sabili da haka, maganin gaggawa na wannan yanayin ya zama dole.
Jiyya na iya hada da:
- Bayyana taimako da kuma ciwo da jin zafi
- Fassara na platelet don taimakawa wajen zub da jini
- Hanyoyin jini idan jinin ya haifar da anemia
- Magungun asibiti ko maganin antiviral idan abin da ya faru na cystitis yana da mawuyacin hali
- Rashin ruwa na mafitsara tare da maganin saline don hana rigar, ko magunguna don sarrafa jini
Rigakafin
Hanyar da za a iya bi da maganin cystitis na jini shine hana shi daga faruwa a farkon wuri. Idan an gano ku babban haɗari don tasowa wannan rikitarwa, kungiyoyin kiwon lafiyarku na iya ɗaukar wasu matakan da suka hana kuzari. Yawancin waɗannan maganganu suna aiki ta rage yawan lokacin da ake ɗaukar magungunan jikin ku ga acrolein ko wasu masu lahani.
Suna iya:
- Gudanar da magani da ake kira MESNA (2-Mercaptoethanesulfonate sodium), wanda zai taimaka kare lafiyar ku daga sakamakon acrolein. Ana ba da wannan magani a cikin intravenously, ko dai a cikin jakar jakar ko kara da ainihin jakar chemotherapy
- Ka ba da kuri'a na ruwa mai kwakwalwa don taimakawa chemo ta wuce ta cikin mafitsara ku da sauri
- Yi ƙoƙarin ba da chemotherapy a farkon rana don haka kana da damar da za ta share shi daga mafitsara kafin ka kwana don dare
- Ka ƙarfafa ka ka gwada urinate akalla kowane sa'a
- Gudanar da diuretics, wanda zai taimaka ci gaba da fitsari mai gudana don kawar da chemo daga mafitsara
- Saka ƴan urinary catheter don haka an cire chemo daga ciwon mafitsara kafin ya sami damar haifar da ulceration
Lokacin da zaku yi magana da likitanku
Dole ne ku shiga hulɗarku tare da ma'aikatan kiwon lafiya idan:
- Kuna da jini a cikin fitsari
- Kuna inganta ciwon zazzabi ko ƙura
- Kuna da alamun urinaryar cututtukan da suke sa ku damu
- Kana da wasu tambayoyi game da bayyanar cututtuka da kake fuskantar
Layin Ƙasa
Hemorrhagic cystitis yana da yanayin da zai iya haifar da zubar da jini mai tsanani da kuma lalacewa na lalacewa idan ba a bi da shi ba. Akwai dalilai masu yawa wadanda ke sanya cutar sankarar bargo da lymphoma marasa lafiya a kara yawan haɗarin tasowa na jini. Abin farin ciki, akwai hanyoyin da za su taimaka wajen hana wannan yanayin daga faruwa, da kuma hanyoyin da za su magance shi idan ya faru.
Kamar yadda yake tare da kowace alamar damuwa, ya kamata ka yi magana da ma'aikacin lafiyarka idan kana da damuwa akan yadda kake wucewa da fitsari.
> Sources:
> MESNA Kunshin Shiga Shigar. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/20-855_Mesnex_Prntlbl.pdf. Samun shiga Yuli 2017.
> Oncology: Hanyar Tabbatar Da Sharuɗɗa; Alfred E. Chang, Patricia A Ganz, Daniel F. Hayes, Timothy Kinsella, Harvey I. Pass, Joan H. Schiller, Richard M. Stone, Victor Strecher. Spring Science & Media Media, Dec 8, 2007.
> Riachy E, Krauel L, Rich BS, et al. Bayanan haɗari da kuma masu hangen nesa na cike da ƙananan ciwo da rikice-rikice na cystitis na pediatric hemediarric acid. J Urol . 2014; 191 (1): 186-92.