Abstract | Intersticijski cistitis je kronična neinfektivna bolest mokraćnog mjehura koja se uglavnom manifestira bolovima u zdjelici i suprapubičnom dijelu, sa učestalim mokrenjem popraćenim neprestanom urgencijom i nikturijom. Ovisno o cistoskopskom nalazu dijeli se na ulcerativni i neulcerativni tip. Važno je istaknuti da simptomi intersticijskog cistitisa nalikuju simptomima cistitisa samo što u ovom slučaju nema bakterija u mokraći. Jačina navedenih simptoma varira, a razmjerno se pogoršavaju s godinama jer dolazi do oštećenja stjenke mokraćnog mjehura. Novija epidemiološka istraživanja pokazuju prevalenciju od oko 50 do 70 oboljelih na 100.000, češće pogađa žene, prosječne starosti oko 40 godina, te ima dugotrajan utjecaj na promjenu kvalitete života. Jačina simptoma intersticijskog cistitisa često varira, povremeno spontano regrediraju kroz određeno vrijeme, ali se i pojačavaju uz pojedinu hranu, stres, tjeskobu, depresiju ili menstrualnim ciklusom.
Cilj rada je opisati intersticijski cistitis, uzroke bolesti, kliničku sliku, učestalost pobola te načine i metode liječenja. S obzirom da je bolest kronična i neizlječiva, uloga medicinske sestre će biti značajna u skrbi za pacijenta sa intersticijskim cistitisom. Stoga se navodi važnost njene uloge te specifičnosti pristupa pacijentu.
Intersticijski cistitis je ozbiljan problem za liječnika i pacijenta zbog nejasne etiologije, duge i iscrpljujuće obrade i lošeg odgovora na terapiju. |
Abstract (english) | Interstitial cystitis is a chronic non-infectious bladder disease, which is mainly manifested by pain in the pelvis and suprapubic area, with frequent urination accompanied by constant urgency and nurture. Depending on the cystoscopic finding, it is divided into an ulcerative and nonulcerative type. It is important to point out that the symptoms of interstitial cystitis resemble symptoms of cystitis only in this case there is no bacteria in the urine. The strength of the symptoms mentioned varies, and is relatively worse with age because of the damage to the urinary bladder wall. Recent epidemiological studies show a prevalence of about 50 to 70 people with 100,000, more often affects women, the average age of about 40 years, and has a long-lasting impact on changing the quality of life. Symptoms of interstitial cystitis often vary, occasionally spontaneously regress over time, but they also intensify with some food, stress, anxiety, depression or menstrual circle.
The aim of this work is to describe interstitial cystitis, the causes of the disease, clinical picture, frequency of deterioration, and methods and methods of treatment. Since the disease is chronic and incurable, the role of a nurse will be significant in care for a patient with interstitial cystitis. Therefore, the importance of her role and the specificity of her approach to the patient is stated. Interstitial cystitis is a serious problem for the physician and patient due to unclear etiology, long and exhaustive treatment and poor response to therapy. |