Hemorrhagic cystitis iko kuputika kwechirwere chinotungamirira kumarwadzo uye hematuria, kana ropa mumuguta. Kune zvikonzero zvakasiyana siyana nei munhu ane leukemia kana lymphoma angave pangozi yekudzikisa chirwere cheststitis.
Zvinokonzera
Kazhinji kirasi yemakemikrasi yemaitiro inokonzera hemorrhagic cystitis ndiyo inokonzera mashizha, cyclophosphamide uye ifosphamide.
Izvi zvinodhaka zvinowanzoshandiswa mukurapwa kweropa nemararamiro emukenza, zvakadai seukemia uye lymphoma. Zvimwewo zvishoma zvinowanzoshandiswa zvinosanganisira temozolamide, bleomycin uye doxorubicin. Hemorrhagic cystitis inogonawo kune zvimwe zvikonzero, kwete nekuda kwechirwere chechirwere chekenza.
Apo mutumbi unoputsa cyclophosphamide kana ifosphamide, iyo inonzi acrolein inobudiswa, iyo yakasvibiswa kubva muropa nehisvo uye inova yakanyanya kunyanya mumugini mukati mechidzitiro. Izvi zvinotsamwisa rwonzi rwechidzara, zvichiita kuti kusakanganiswa kwe cystitis pamwe nemaronda zvinogona kukonzera kubuda kwakanyanya. Chiitiko chehemorrhagic cystitis inenge inenge 6 muzana yevanhu vari pasi pemafupa ekutsvaira uye kupiwa yakakwirira-dose cyclophosphamide. Ifosphamide yave ichibatanidzwa nepamusoro yepamusoro yehemorrhagic cystitis mune dzimwe dzidzo.
Zvimwe zvirwere , zvakadai seadenovirus, BK virus, uye JC virusi, zvinogonawo kukonzera kupisa kwechistitis.
Vanhu vane simba rekudzivirira zvirwere zvemuviri vari pangozi yakanyanya yezviitiko izvi, kunyanya avo vari kubuda kubva mumapfupa emasese kana stem cell transplant .
Pakupedzisira, kutsamwiswa kwechirwere kubva pakusangana nechirwere chemaawa kunokonzera kukanganisa kwechistitis muvarwere vekenza.
Zviratidzo
Kana iwe wakambosangana nekunetseka kwehutachiwana hutachiona hwehutachiona hwehutachiona, une pfungwa yehumwe hwezviratidzo zvehumorrhagic cystitis.
Zviratidzo izvi zvinosanganisira:
- Hematuria (ropa mumuguta)
- Mucheche kushungurudzika
- Nhamo kana kupisa kana uchipfuura urini wako
- Kunzwa sokunge iwe haugone kuvhara bhudha yako
- Kurasikirwa kwechirwere chekuisa (incontinence)
- Kakawanda kana kukurumidzira kunoda kubvisa bladder yako
- Kusimuka kanoverengeka usiku kuti upfuure urini wako
Iwe unogonawo kuva nedzimwe zviratidzo zvakadai sokuneta kubva mune chirwere chemhuka, kana kurwadziwa kusina kujeka mumucheche uri pasi, pamusoro pehuputi hwemapfupa emapfupa.
Risk Factors
Pane zvikonzero zvishoma nei vanhu vane leukemia kana lymphoma vangave vakanyanyogadzikana kuti vawane hemorrhagic cystitis. Izvi zvinokonzera ngozi zvinosanganisira:
- Kugamuchira cyclophosphamide kana ifosphamide sechikamu chemhemotherapy yako regimen
- Kuva nechirwere chemazuva ano kumativi echando
- Kurambidza immune system zvichiita kuti iwe uwedzere kunetseka kunowanzoita urinary tract infections kana mavairasi
- Kushandiswa kwenguva refu kwemishonga inorwisa mabhakitiriya
- Low platelet inonzi (thrombocytopenia)
Kurapa
Hemorrhagic cystitis inogona kukonzera kurasikirwa kukuru kweropa uye inotorwa zvakanyanya. Vhura masvonduru mune bharayi inogona kupa nhengo yebhakitiriya kudarika muropa rako. Iyo inogonawo kutungamirira kushoma kwechigarire chembambo yebhanhire, iyo inogona kukonzera kuvharwa kwehutano hwekuvhenekera kana kuvharidzirwa kwekanyara. Saka, kurapwa nokukurumidza kwechiitiko ichi kunokosha.
Mishonga inogona kusanganisira:
- Chirwere chekusununguka uye kurapa kunorwadza
- Platelet kuwedzerwa kubatsira kubatsira kudzora ropa
- Kuwedzerwa ropa kana kubuda ropa kuchikonzera chirwere chemhuka
- Mishonga inorwisa mabhakitiriya kana chirwere chinorwarisa mushonga kana chikonzero che cystitis chinopararira mune zvakasikwa
- Ukudiridza chidimbu nechirongwa che saline kunodzivirira kubvisa, kana mishonga yekudzivirira kubuda ropa
Kudzivirira
Nzira yakanakisisa yekurapa hemorrhagic cystitis ndeyokudzivirira kuti irege kuitika munzvimbo yekutanga. Kana iwe uchitaridzika sehutano hwekukudziridza dambudziko iri, sangano rako rezveutano rinogona kutora zvishoma zvidziviriro zvekudzivirira. Zvizhinji zvekupindira kwebasa zvinoshanda nekuderedza nguva yekuti chidimbu chemuviri wako chinoratidzwa kune acrolein kana zvimwe zvinogumbura.
Vanogona:
- Kutarisira mishonga inonzi MESNA (2-Mercaptoethanesulfonate sodium), inobatsira kuchengetedza chidimbu chako kubva pamigumisiro ye acrolein. Iyi mishonga inopiwa intravenously, kana mune imwe bhegi kana kuti yakawedzerwa kune bhegi chaiyo ye chemotherapy
- Ipa mizhinji yakawanda inopa mvura kuti ubatsire chemo kudarika mukanze yako nokukurumidza
- Edza kupa chemotherapi yako pakutanga kwezuva kuitira kuti iwe uve nemukana wekudzibvisa kubva pachiganda chako usati wanyarara usiku
- Kukukurudzirai kuti muedze kurinha kweawa imwe neimwe
- Kutarisira diuretics, iyo inobatsira kuchengetedza urini inoyerera kuti ibudise chemo kubva pachiganda chako
- Isai catheter ye urinary kuitira kuti chemo irambe ichibviswa kubva mumuviri wako isati yava nemukana wokukonzera kusuruvara
Nguva Yokutaura Nechiremba Wako
Iwe unofanirwa kupinda mukutarisana neboka rako rehutano kana:
- Iwe une ropa mumuguta wako
- Iwe unotanga fever kana chills
- Iwe une zviratidzo zvekuvhenekera zviri kukuita kuti urege kufara
- Iwe une mibvunzo chero ipi zvayo pamusoro pezviratidzo zvauri kutarisana nazvo
Pasi Pasi
Hemorrhagic cystitis ndiyo mamiriro ezvinhu anogona kukonzera kubuda ropa kwakanyanya uye kusagadzikana kwechirwere chisina kuraswa kana isingarapwa. Kune zvikonzero zvakawanda zvinokonzera leukemia uye lymphoma varwere pahuwandu hwehuwandu hwekuwedzera humorrhagic cystitis. Nenzira yakanaka, pane nzira dzekudzivirira kudzivisa chirwere ichi kubva kuitika, uyewo nzira dzokurapa kana zvikaitika.
Sezvo nehupi zviratidzo zvinotambudza, iwe unofanirwa kutaura nemutarisiri wako wehutano kana iwe uchinetseka pamusoro pekuti uri kupfuura sei urini wako.
> Sources:
> MESNA Package Insert. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2002/20-855_Mesnex_Prntlbl.pdf. Yakasvika muna July 2017.
> Oncology: An Evidence-Based Approach; Alfred E. Chang, Patricia A Ganz, Daniel F. Hayes, Timothy Kinsella, Harvey I. Kupfuura, Joan H. Schiller, Richard M. Stone, Victor Strecher. Springer Science & Business Media, Dec 8, 2007.
> Riachy E, Krauel L, Rich BS, et al. Zvinokonzera njodzi uye chirevo chekufungidzira kwekuoma kwechikwata uye zvinetso zvepachiviri chinonzi hemorrhagic cystitis. J Urol . 2014; 191 (1): 186-92.