Dɛn nti na ‘woyɛ amammerɛ’ a wɔde yɛ nsu a wɔde yɛ nsu? (Urine Culture) Momma yɛnka eyi ho asɛm nkɔ akyiri!

So akisikuru (UTI) ahaw wo pɛn ? Ebia wo duruyɛfo no aka akyerɛ wo sɛ yɛ urine culture. Ebia woate din no a ɛyɛ nwonwa kakra. Enti, dɛn ne nsu mu amammerɛ? Dɛn nti na ɛho hia saa? Momma yɛnkyerɛkyerɛ ne nyinaa mu wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so.

Dɛn ne saa ‘Urine Culture’ sɔhwɛ yi?

Sɛ yɛbɛka no tiawa a, urine culture yɛ sɔhwɛ a wɔde hwɛ wo nsu mu sɛ ebia mmoawa anaa fungi (te sɛ mmɔkaw, sɛ yɛbɛka no pɛpɛɛpɛ a). Asɛmfua "amammerɛ" a ɛwɔ ha no kyerɛ sɛ wodua mmoawa nketenkete , kyerɛ sɛ, mmoawa nketenkete a wobetumi ahu wɔ nipadua mu nsu mu (wɔ eyi mu no nsu mu), wɔ afiri a wɔde yɛ nhwehwɛmu mu. Wo duruyɛfoɔ bɛgye wo nsuo nhwɛsoɔ na ɔde akɔma lab akɔyɛ "culture".

Saa ‘Urine Culture’ sɔhwɛ yi nso tumi hu mmoawa anaa ntontom pɔtee a ɛde ɔyare no reba. Nea ɛho hia sen saa no, ebetumi nso ahu nnuru a ɛfata a ekum ɔyare mmoawa no. Afei oduruyɛfo no betumi apaw aduru a etu mpɔn sen biara ama wo. Wompɛ sɛ wobɛma wo yare no ayɛ kɛse denam aduru a ɛnteɛ a wobɛnom so, ɛnte saa?

Bere bɛn na ɛho hia sɛ wɔyɛ nsu ho amammerɛ?

Nnuruyɛfo taa hyɛ nhwehwɛmu yi de kyerɛ sɛ ebia wowɔ nsu mu yare (UTI) anaa . Oduruyɛfo betumi ahyɛ nhwehwɛmu yi sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a:

• So wote ɛyaw bere a woretow wo ho ? Anaasɛ ɛte sɛ nea ɛyɛ hyew?
• So ɛsɛ sɛ woto wo ho ntɛmntɛm mpofirim? Ɛno kyerɛ sɛ ɛyɛ den sɛ wobɛtwe wo ho.
• So wotaa tow nsu? Ɛboro nea ɛtaa ba so.
• So ɛtɔ mmere bi a wuntumi nni wo nsu so ?
• So wowɔ atiridiinini a ntease biara nnim ? Ɛtɔ mmere bi a, nsu mu yare betumi aba sɛ atiridiinini.

Sɛ wowɔ biribi te sɛ eyi a, akyinnye biara nni ho sɛ eye sɛ wobɛkɔ oduruyɛfo nkyɛn na woanya afotu.

Nsonsonoe bɛn na ɛda ‘Urine Culture’ ne ‘Urinalysis’ ntam?

Eyinom abien nyinaa yɛ nsu mu nhwehwɛmu. Wɔn baanu nyinaa hwehwɛ sɛ wonya nsu a wɔde yɛ nsu fi wo hɔ. Nanso nsonsonoe kakra wɔ mu. Mpɛn pii no, oduruyɛfo no bedi kan ayɛ ‘urinalysis’ . Eyi yɛ sɔhwɛ a wɔyɛ no ntɛm. Eyi hwɛ wo nsu mu sɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa , neSɛ́ ebia nneɛma te sɛ mmoawa wɔ hɔ anaa. Eyinom betumi ama woanya ɔyare mmoawa bi ho nsɛnkyerɛnne. Sɛ yɛbɛka no pɛpɛɛpɛ a, ‘urinalysis’ te sɛ ‘screening test’ . Ɛne sɛ, ɛboa oduruyɛfo no ma osi gyinae sɛ ɔbɛyɛ ‘urine culture’ anaasɛ ɔrenyɛ.

Nea ɛka nsu mu amammerɛ ho ne sɛ wɔbɛma mmoawa nketenkete a wɔahu wɔ nsu mu nhwehwɛmu no mu no anyin na ama wɔahu mmoawa anaa ntontom bɛn na ɛde ɔyare no ba ankasa. So wote nsonsonoe a ɛwɔ mu no ase?

Ɔkwan bɛn so na ‘Nsuo Amammerɛ’ yi yɛ adwuma?

Ɛyɛ mmerɛw yiye. Woboaboa nsu bi ano wɔ kuruwa mu sɛnea wo duruyɛfo kyerɛ wo no. Ɛtɔ da bi a, sɛ ɛyɛ den ma wo sɛ wobɛyɛ eyi (sɛ nhwɛso no, wo ne akokoaa ketewa anaa ɔyarefo a ɔda mpa so) a, wo duruyɛfo no de akwan foforo bedi dwuma (yɛbɛka ho asɛm akyiri yi). Afei wɔde wo nsuo a wɔde yɛ nhwehwɛmu no kɔ lab.

Wɔ lab no, lab technician bi fa dua ketewaa bi (a loop ketewaa bi wɔ n’awiei) na ɔde hyɛ wo urine sample mu. Afei, wɔde gu prɛte soronko bi a aduannuru wom so. Saa aduannuru yi ma mmoawa nketenkete biara a ɛwɔ nsu mu no nyin ntɛmntɛm. Sɛ wowɔ UTI , wɔ da koro anaa nnanu mu no, mmoawa anaa fungi (a wɔfrɛ no colonies ) pii benyin wɔ prɛte no so. Afei lab no hwehwɛ saa colonies no mu na wɔkan de yɛ w’amanneɛbɔ no.

Fa no sɛ ɛyɛ turo ketewaa bi a worenyin. Woma mmoawa no aduan na wohwɛ sɛ enyin anaa.

Sɛ wo nhwɛsode no kura mmoawa anaa fungi , lab no bɛyɛ nhwehwɛmu foforo. Wɔfrɛ eyi sɛ antibiotic sensitivity test ( anaasɛ antifungal sensitivity test for fungi). Saa sɔhwɛ yi bɛma wɔahu nnuru a ekum ɔyare mmoawa a ebekum mmoawa no anaasɛ ebesiw wɔn nyin ano. Saa nsɛm yi bɛboa wo duruyɛfo ma wapaw aduru a ɛfata ama wo.

Ɔkwan bɛn so na ɛsɛ sɛ yesiesie yɛn ho ansa na yɛayɛ nsu ho amammerɛ?

Sɛ nneɛma titiriw bi wɔ hɔ a ɛsɛ sɛ woyɛ ansa na wode wo nsuo ama wo a, wo duruyɛfoɔ bɛka ho asɛm akyerɛ wo. Mpɛn pii no, wobetumi aka nsɛm a ɛte sɛɛ sɛ:

• Anyɛ yiye koraa no, ntow nnɔbae dɔnhwerew biako ansa na wode nsu a wɔde yɛ nhwehwɛmu no ama.
• Nom nsu kuruwa biako (anyɛ yiye koraa no, ɔuns 8) bɛyɛ simma 20 ansa na wode nhwɛsode no ama. Eyi bɛboa ma wɔaboaboa nsu a ɛdɔɔso ano ama nhwɛsode no.
• Sɛ ɛbɛyɛ yiye a, gye nhwɛsode no fi nsu a edi kan a wɔayiyi afi mu no mu anɔpa . Ɛno na eye sen biara.

Nnipa binom hu sɛ ɛyɛ fɛre kakra sɛ wɔbɛtow nsu wɔ fie akyi, titiriw wɔ aduruyɛdan mu, ɛnte saa? Wɔfrɛ no ‘shy bladder syndrome’ . Sɛ wowɔ saa ɔhaw yi a, ka kyerɛ wo duruyɛfo. Ɔbɛkyerɛ wo ɔkwan a wobɛfa so de nhwɛsode no ama wɔ ɔkwan a ɛnyɛ den so. Biribiara nni hɔ a ɛsɛ sɛ ɛyɛ aniwu, eyi yɛ biribi a ɛto nnipa pii.

Sɛ woyɛ ‘Urine Culture’ a, dɛn na ɛba? (Ɔkwan a Wɔfa so Kwa Nneɛma a Ɛho Tew) .

Nsuo a wɔde yɛ amammerɛ hwehwɛ sɛ wɔde ‘nsuo nhwɛsoɔ a ɛho tew a wɔkyere’ . Ɛne sɛ, nsu a wɔde yɛ nsu a ɛho tew sɛnea ɛbɛyɛ yiye biara, a nneɛma foforo biara nni mu. Eyi te saa efisɛ sɛ wɔde mmoawa a wɔtaa hu wɔ yɛn honam ani no ka nhwɛsode no ho a, ebia amanneɛbɔ no nyɛ nokware. Ɛho behia sɛ wode saa nhwɛsode yi ma wɔ wo duruyɛfo adwumayɛbea anaasɛ wɔ lab. Wɔ tebea horow bi mu no, ebia wɔbɛka akyerɛ wo sɛ boaboa ano wɔ fie na fa bra.

Sɛnea wɔde ‘clean catch’ kwan no boaboa nsuo nhwɛsoɔ ano ni:

1. Nea edi kan no , fa samina ne nsu a ɛyɛ hyew hohoro wo nsa yiye . Eyi ho hia paa.

2. Afei, fa nnuru a wɔde popa ɔyare mmoawa a wɔde ama no no hohoro wo ɔbea awotwaa ne nea atwa ho ahyia no ho yiye (sɛ woyɛ ɔbea a) anaa glans penis (sɛ woyɛ ɔbarima a). Sɛ wo barima no ntwa twetia a , ɛsɛ sɛ wudi kan tew ho denam twe a wobɛtwe wo honam ani hwɛbea no akɔ akyi no so.

3. Afei, di kan yi nsu bi gu tiafi mu . Afei gyae nsu a wobɛtow wɔ fã no fã . Wɔfrɛ eyi sɛ ‘midstream’.

4. Afei, fa kuruwa a ɛnyɛ sterile a wɔde maa wo no na sɛ wufi ase totow bio a, fa kura wo vagina ase anaa wo barima ase. Mma kuruwa no nka wo honam ani .

5. Boaboa nsu ano kosi sɛ kuruwa no bɛyɛ fã , anaasɛ dodow a wo duruyɛfo bɛka akyerɛ wo no. Sɛ wuntumi nhyɛ mu ma fã pɛpɛɛpɛ a, ɛnyɛ hwee.

6. Sɛ ɛho hia sɛ woto nsu pii a, sɛ ɛbɛyɛ yiye a, gyae fã bio, yi kuruwa no, na fa nea aka no gu tiafi mu.

7. Sɛ oduruyɛfo no ma wo kataso ma kuruwa no a, to mu denneennen. Oduruyɛfo no bɛkyerɛ wo baabi a wode nhwɛsode no bɛto.

8. Nea etwa to no, mma wo werɛ mmfi sɛ wobɛhohoro wo nsa yiye bio .

Sɛ wudi anammɔn yi akyi pɛpɛɛpɛ a, wubetumi anya nhwɛsode a ɛho tew. Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɛyɛ ɔhaw kakra de, nanso eyi ho hia yiye na ama woanya nea efi mu ba a edi mu.

So akwan foforo wɔ hɔ a wɔfa so fa nsu a wɔde yɛ nsu?

Yiw, ɛwɔ hɔ. Ɛnyɛ obiara na obetumi de ‘clean catch’ kwan no ama nhwɛsode. Sɛ nhwɛso no, ɛyɛ den sɛ wɔbɛyɛ saa ama akokoaa kumaa koraa anaa obi a ɔyare paa. Wɔ tebea horow a ɛtete saa mu no, nnuruyɛfo de akwan yi di dwuma:

• ‘Catheter a wɔde hyɛ nipadua mu’:Wɔ saa adeyɛ yi mu no, oduruyɛfo de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw ( catheter ) fa wo nsu a ɛkɔ wo nsu mu no mu hyɛ wo akisikuru mu . Afei nsu sen fa afiri no mu na ɛboaboa ano wɔ kotoku a ɛnyɛ ɔyare mmoawa mu.
• Urine bag (U bag): Wɔde saa kwan yi di dwuma ma nkokoaa ne mmofra nkumaa. Wɔde kotoku titiriw bi a wɔde ntama ketewaa bi bata akokoaa no akyi berɛmo ho anaasɛ wɔde kata ɔbea no awotwaa no ano. Sɛ akokoaa no tow nsu wie a , wɔboaboa nsu no ano wɔ kuruwa a wɔde ama no mu. Sɛ woreyɛ eyi wɔ fie a, ɛho behia sɛ wode nhwɛsode no gu frigye mu kosi sɛ wode bɛkɔ aduruyɛdan anaa oduruyɛfo adwumayɛbea.
• ' Aspiration ': Eyi yɛ adeyɛ a ɛntaa nsi kakra. Wɔ saa adeyɛ yi mu no, oduruyɛfo de ade teateaa bi fa yafunu no were mu, ma ɛyɛ mmerɛw , kɔ akisikuru no mu , na ɔde syringe twe nsu kakraa bi fi mu.

So asiane ahorow bi wɔ nsu a wɔde yɛ adwuma mu?

Ɛyɛ ahobammɔ kɛse sɛ wode ‘clean catch’ anaa ‘urine bag’ kwan no bɛma nsuo nhwɛsoɔ. Ɛte sɛ nea asiane biara nni hɔ. Nanso, ebia asiane ketewaa bi pɛ na ɛwɔ hɔ sɛ wobenya ɔyare mmoawa wɔ ‘catheter’ kwan anaa needle kwan no so.

Asiane kɛse ne sɛ mmoawa anaa ntontom betumi ayɛ nhwɛsode no ho fĩ wɔ wo honam ani . Sɛ eyi ba a, w’amanneɛbɔ no betumi ayɛ mfomso (a wɔfrɛ no ‘atoro asɛm’ ). Eyi kyerɛ sɛ ebetumi ayɛ te sɛ nea wowɔ ɔyare mmoawa bi ɛmfa ho sɛ wunni bi de.

Bere tenten ahe na egye ansa na urine culture amanneɛbɔ no aba?

Mpɛn pii no, egye nnɔnhwerew 24 kosi 48 ansa na mmoawa no anyin wɔ amammerɛ no mu. Enti ebetumi agye bɛyɛ nnansa ansa na lab no awie sɔhwɛ no na wɔde amanneɛbɔ no amena. Wo duruyɛfo bɛfrɛ wo na waka amanneɛbɔ no ho asɛm akyerɛ wo, anaasɛ wubetumi ahwehwɛ wɔ wo kɔmputa so akwahosan ho kyerɛwtohɔ (EHR) mu .

Sɛ nsuo amammerɛ amanneɛbɔ no yɛ ‘papa’ a, ɛkyerɛ dɛn?

Sɛ wo urine culture amanneɛbɔ no yɛ papa na wowɔ ɔyare bi ho sɛnkyerɛnne a, ɛkyerɛ sɛ wowɔ UTI . Sɛ saa a, wo duruyɛfo no befi ase ayɛ wo ayaresa wɔ ho (na ebia wafi ase dedaw).

Nanso, ɛtɔ mmere bi a mmoawa betumi aba nsu no mu a wonhu sɛnkyerɛnne biara. Wɔfrɛ eyi ‘bacteriuria a sɛnkyerɛnne biara nni ho’ . Sɛ wunni sɛnkyerɛnne biara a, mpɛn pii no eyi nhia ayaresa.

Sɛ lab no nso yɛɛ ‘Antibiotic Sensitivity’ sɔhwɛ no a, wubehu nsɛmfua te sɛ eyi wɔ amanneɛbɔ no mu:

• ‘Ɛyɛ nea ɛyɛ mmerɛw’:Eyi kyerɛ sɛ aduru no atumi asiw mmoawa anaa ntontom a anyin wɔ w’amammerɛ mu no ano anaasɛ ekum wɔn. Ɛsɛ sɛ saa aduru yi yɛ nea edi kan a wɔpaw de sa ɔyare mmoawa no.
• ‘Mfinimfini’: Eyi kyerɛ sɛ aduru no anya nkɛntɛnso bi wɔ mmoawa anaa ntontom no a esiw ano no mu . Ebia sɛ wɔde ma wɔ dodow a ɛkɔ soro mu a , ebetumi atu mpɔn wɔ ɔyare mmoawa no ayaresa mu.
• ‘Ɛko tia’: Eyi kyerɛ sɛ aduru no anyɛ adwuma ansiw mmoawa anaa ntontom no ano anaasɛ enkum no . Enti saa aduru yi nyɛ papa sɛ wɔde bedi dwuma de asa ɔyare mmoawa no .

Saa nsɛm yi ho hia yiye, efisɛ eyi mu na oduruyɛfo no bɛpaw aduru a ɛfata wo sen biara, nea ɛbɛma woanya ayaresa ntɛmntɛm.

Sɛ nsuo amammerɛ ho amanneɛbɔ no yɛ ‘asɛmmɔne’ a, dɛn na ɛkyerɛ?

‘Negative’ anaasɛ urine culture amanneɛbɔ a ɛfata kyerɛ sɛ mmoawa anaa fungus ho sɛnkyerɛnne biara nni wo urine sample no mu. Wei kyerɛ sɛ wo nni 'UTI' . Nanso ma ɛntra w’adwenem sɛ normal ranges betumi ayɛ soronko kakra wɔ lab biara mu.

Nanso, sɛ wowɔ UTI ho sɛnkyerɛnne (ɛyaw bere a woretow , ntɛmpɛ, wotaa tow , mogya a ɛwɔ nsu mu - hematuria ) nanso amammerɛ no nyɛ papa a, ebia nneɛma afoforo wɔ hɔ a ɛde ba. Sɛ nhwɛso no, nsakrae a ɛba esiane brayɛ , asaabo mu abo , anaa akisikuru a ɛyɛ den nti . Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu nea ɛde ba. Wobetumi nso akra sɛ wɔnyɛ mfoninitwa scan , nhwehwɛmu titiriw afoforo, anaasɛ wɔde wo bɛkɔ oduruyɛfo a ɔhwɛ nsu mu nsu (oduruyɛfo a ne ho akokwaw wɔ nsu a wɔde fa nsu mu) nkyɛn.

Bere bɛn na ɛsɛ sɛ yɛsan kɔ oduruyɛfo nkyɛn bio?

Sɛ wo sɛnkyerɛnne no ankɔ yiye wɔ ayaresa akyi, anaasɛ wowɔ nsɛmmisa bi fa nea efii nhwehwɛmu no mu bae ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa. Ɛyɛ bɔne sɛ wode yareɛ bi besie.

So wobetumi afa nsu mu amammerɛ so ahu saa nneɛma yi?

'E. 'E. coli’ (E. coli) mmoawa?

Yiw, nhwehwɛmu a wɔyɛ wɔ nsu mu a wɔde hyɛ nipadua mu no betumi ahu Escherichia coli (E. coli) . E. coli yɛ mmoawa bi a wɔte yɛn aduan mu na wohu wɔ yɛn nsu mu. E. coli ne ade titiriw a ɛde UTI ba ..

Streptococcus (Strep) yare mmoawa?

Yiw, nsu mu amammerɛ nso betumi ahu Streptococcus (Strep) mmoawa. Sɛ wowɔ Group B strep infection wɔ nyinsɛn mu (sɛ mpo wunni sɛnkyerɛnne biara a), wubetumi de akɔma wo ba bere a worewo no wɔ ɔbea no awotwaa mu no. Enti, wo awo-mmea ho oduruyɛfo bɛsɔ wo ahwɛ sɛ wowɔ Kuw B strep bere a worebɛn da a ɛsɛ sɛ wowo no.

Nyarewa a wonya fi nna mu (STIs)?

Yiw, nsu mu nhwehwɛmu betumi ahu nyarewa a wonya fi nna mu ( STIs) te sɛ Chlamydia ne Gonorrhea . Nanso ɛsɛ sɛ wo duruyɛfo bisa no wɔ ɔkwan soronko so, efisɛ ɛrenna adi wɔ amanneɛbɔ a wɔde ma daa wɔ nsu a wɔde di dwuma ho amammerɛ mu. Wobetumi nso ahu STIs denam swab a wogye fi wo urethra, wo honam ani hwɛbea, anaa wo barima no mu so.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae (Take-Home Message) .

Ɛnyɛ sɛ nsu mu yare nyɛ dɛ nko, na mmom ɛtɔ mmere bi a ebetumi ayɛ aniberesɛm. Titiriw sɛ ɛtrɛw kɔ asaabo, mogya mu, anaa sɛ ɔyare mmoawa no fi ɛna mu kɔ akokoaa mu bere a wɔrewo a. Nsuo mu amammerɛ betumi aboa wo duruyɛfo ma wahu nea ɛde wo sɛnkyerɛnne ahorow no ba ne ayaresa a eye sen biara.

Ebia ɛbɛyɛ te sɛ nea ɛyɛ nwonwa kakra, na ebia ɛyɛ aniwu mpo sɛ wɔde ‘clean catch’ kwan no bɛma nsu a wɔde yɛ nsu. Nanso kae sɛ, sɛ wode nsu kakra ma wɔ kuruwa mu a, ebetumi aboa ma wo ho atɔ wo ntɛmntɛm. Enti, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu a ɛte sɛɛ a, yɛ no yiye. Ɛyɛ w’ankasa akwahosan nti.

` Nsuo mu nhwehwɛmu, nsuo amammerɛ, nsuo mu yareɛ, UTI, mmoawa, nnuru a ekum ɔyare mmoawa, akwahosan