Mukati
Chikafu
Dundira (kubva kuLatin vesica, pouch) inzvimbo inochengeterwa weti pakati pekubuda kwega kwega.
Dundira Anatomy
nzvimbo. Iri mu pelvis, dundira inhengo isina mhango inova chikamu cheurinary tract¹.
mamiriro. Dundira rinoumbwa nezvikamu zviviri:
-Dzimba redundira rinoshanda sedhiri pakati peweti yega yega. Rusvingo rwayo rwakaumbwa nekunze kwemusumbu wakatsetseka, detrusor, uye mukati memucosa, urothelium.
– Mutsipa wedundira unovhura dundira kupinda muweti, mugero unoenda kuburi reweti. Inobatsira kuchengetedza weti nekuda kwemhasuru yedenderedzwa yakatenderedza urethra: iyo urethral sphincter.
Urination
Basa rekuita weti. Weti inoitiswa kubva kuitsvo kuenda kudundira kuburikidza neureters. Kana uchizadza bladder, sphincters inoramba yakavharwa. Kutambanudzwa kwemadziro edundira, nekuda kwekuzadza, kunokonzera tsinga dzinoratidza kuda kuita weti. Kuvhurika kwe sphincters uye kuputika kwe detrusor kunobvumira urination. Mushure mekuita weti, sphincters inovhara zvakare.²
Pathologies uye zvirwere zvedundira
Urinary incontinence. Inozviratidza nekubuda kweurinary. Zvikonzero zvinogona kunge zvakasiyana asi zvinogona kunyanya kuenderana nedundira.
Cystitis. Cystitis kuzvimba dundira kunonyanya kubata vakadzi. Inozviratidza nekurwadziwa nechepasi peguvhu, kuita weti kutsva, kana kunzwa kuda kuita weti kakawanda.³ Kune marudzi akasiyana ecystitis, zvikonzero zvacho zvakasiyana. iyo inonyanya kuzivikanwa, infectious cystitis, inokonzerwa nehutachiona hwehutachiona.
Infectious cystitis. Iyo ndiyo inonyanya kuzivikanwa fomu yecystitis uye inokonzerwa nehutachiona hwehutachiona.
Kupindirana cystitis. Zvikonzero chaizvo zvekukura kwechirwere ichi hazvisati zvazivikanwa asi zvimwe zvidzidzo zvinoratidza kuti marwadzo aya anokonzerwa nekushanduka kwemukati medurawall. (4)
Chirwere chechirwere. Rudzi urwu rwegomarara kazhinji kazhinji nekuda kwekukura kwemamota anouraya mukati memadziro emukati medundira. (5)
Kurapa Dundira nekudzivirira
Kurapwa. Zvichienderana nechirwere chetachiona, mishonga yakasiyana inogona kurongerwa:
- Mishonga inorwisa mabhakitiriya inowanzonyorerwa kune infectious cystitis.
-Painkillers inogona kurongerwa mune inotapukira cystitis uye interstitial cystitis.
Kuvhiya kurapwa, chemotherapy, radiotherapy. Zvichienderana nedanho rebundu, chemotherapy kana radiotherapy zvikamu zvinogona kuitwa (5). Mune zvimwe zviitiko, kubviswa kwechikamu kana zvachose kwedundira (cystectomy) inogona kuitwa.
bvunzo dzedundira
Kuongororwa ne positive strip. Kuongororwa uku kunowanzoshandiswa kuona kuvepo kwebenign cystitis.
Weti cytobacteriological bvunzo (ECBU). Muedzo uyu unogona kudikanwa, kunyanya kune yakaoma cystitis, kuona mabhakitiriya ari muweti uye kunzwisiswa kwavo nemishonga inorwisa mabhakitiriya.
Chiremba imaging bvunzo. Miedzo yakasiyana inogona kushandiswa kuongorora dundira: ultrasound, intravenous urography, retrograde cystography kana uroscanner.
Cystoscopy. Iyi endoscopic yekuongorora inoitwa kuti iongorore madziro emukati medundira. Inoshandiswa kunyanya kuongorora interstitial cystitis kana gomarara redundiro. Kuongororwa uku kunogonawo kuwedzerwa ne biopsy.
Urinary cytology. Muedzo uyu unogona kuwana masero egomarara muweti.
Dundira kukura
Kukura uye chimiro chedundira zvinosiyana pamunhu nemunhu. Kana ichizadza, dundira rinogona kuwedzera muhukuru nekuzorodza mhasuru dzakaripoteredza.