This affects the amount of urine the bladder can hold and also causes scarring, stiffening and bleeding in the bladder. IC should not be confused with common cystitis, a bacterial infection of the bladder that is the most common type of urinary tract infection UTI. Unlike common cystitis, interstitial cystitis is not caused by bacteria, nor does it respond to antibiotics. Between , to one million Americans are estimated to have IC. Interstitial cystitis is not contagious.
It does not spread in the body and does not seem to worsen with time. It is not a cause of bladder cancer. Though more research is needed, IC does not seem to affect fertility or the health of a fetus. For some women, the symptoms of IC improve or disappear during pregnancy; for other women, they get worse. Read more information about interstitial cystitis. Symptoms The symptoms of interstitial cystitis IC vary from person to person. The same person may have different symptoms at different times.
Materials and Methods 2. Selection of Patients and Examined Variables 3. Results We followed the methods of Chuang, YC. Table 1. Table 2. Crude and adjusted hazard ratio for Urotract Cancer in the follow-up period. Figure 1. References J. Jhang and H. Suppl 2, pp. S95—, Leppilahti, T. Tammela, H. Huhtala, and A. Chuang, S. Weng, Y. Hsu, C. Huang, and M. Moutzouris and M. Keller, H. Chiou, and H. Wu, K. Huang, C. Long, K. Huang, J. Yu, and C. Chen, H. Yeh, J. Treatment must be chosen for each patient based on symptoms.
Patients usually try different treatments or combinations of treatments until good symptom relief occurs. It usually takes weeks to months before symptoms improve. Even with successful treatment, the condition may not be cured. It is simply in remission. But, most patients can get significant relief of their symptoms and lead a normal life with treatment.
Most treatments are aimed at symptom control. It is important to talk to your health care provider about how your treatments are working so that together you can find the best treatment option for you. In behavioral therapy, you make some changes in the way you live day-to-day.
This may include changing your diet, or practicing methods that may help control your symptoms. Most patients don't get rid of all their symptoms with lifestyle changes. But many do have fewer symptoms using these types of treatments. There are 4 foods that patients most often find irritating to their bladder:.
Each patient must find out how foods affect his or her own bladder. The simplest way to find out whether any foods bother your bladder is to try an "elimination diet" for 1 to 2 weeks. On an elimination diet, you stop eating all of the foods that could irritate your bladder. If your bladder symptoms improve while you are on the elimination diet, this means that at least 1 of the foods was irritating your bladder.
The next step is to find out exactly which foods cause bladder problems for you. If this food does not bother your bladder within 24 hours, this food is likely safe and can be added back into your regular diet. The next day, try eating a second food from the list, and so on. In this way, you will add the foods back into your diet one at a time, and your bladder symptoms will tell you if any food causes problems for you.
Be sure to add only 1 new food to your diet each day. When lifestyle changes do not help enough, your health care provider may ask you to try a prescription drug.
You may take the drug alone or along with behavioral therapy. The 2 types of prescription drugs that may be recommended are, oral and intravesical drugs. There are many types of oral drugs, and the side effects range from drowsiness to upset stomach. Intravesical prescription drugs are placed directly into the bladder with a catheter. Two treatments are approved by the U. No one knows exactly how this drug works for IC. Many people think that it builds and restores the protective coating of the bladder tissue.
It may also help by decreasing swelling or by other actions. Possible side effects are not common, but may include nausea, diarrhea and gastric distress. A small percentage of people may have temporary hair loss. It often takes at least 3 to 6 months of treatment with this drug before you notice improvement in symptoms. It is effective in relieving pain in about 30 out of every patients. Urothelial cells are also found in your kidneys and the tubes ureters that connect the kidneys to the bladder.
Urothelial cancer can happen in the kidneys and ureters, too, but it's much more common in the bladder. Most bladder cancers are diagnosed at an early stage, when the cancer is highly treatable. But even early-stage bladder cancers can come back after successful treatment. For this reason, people with bladder cancer typically need follow-up tests for years after treatment to look for bladder cancer that recurs.
If you notice that you have discolored urine and are concerned it may contain blood, make an appointment with your doctor to get it checked. Also make an appointment with your doctor if you have other signs or symptoms that worry you. Bladder cancer develops when cells in the bladder begin to grow abnormally, forming a tumor in the bladder.
Bladder cancer begins when cells in the bladder develop changes mutations in their DNA. A cell's DNA contains instructions that tell the cell what to do. The changes tell the cell to multiply rapidly and to go on living when healthy cells would die.
The abnormal cells form a tumor that can invade and destroy normal body tissue. In time, the abnormal cells can break away and spread metastasize through the body. Different types of cells in your bladder can become cancerous.
0コメント