Loaʻa iā ʻoe kekahi bacteria i loko o kou mimi, akā ʻaʻohe hōʻailona? (Asymptomatic Bacteriuria) E aʻo kākou e pili ana i ia mea!

Ua loaʻa anei iā ʻoe kahi hoʻāʻo mimi (ʻo ia hoʻi he `Urinalysis` a i ʻole he `Bacterial Culture`) a ua haʻi ʻia e ke kauka he bacteria i loko o kou mimi? Akā ʻo ka mea kupanaha, ʻaʻole ʻoe e ʻike i kekahi ʻeha, kuni, a i ʻole ke kuni ʻana i ka wā e mimi ai ʻoe. ʻO ia ka mea a mākou e kapa wale nei he `Asymptomatic Bacteriuria`. ʻOiai he lōʻihi iki ka inoa, no ka hapa nui o ka poʻe ʻaʻole kēia he pilikia nui e like me ka mea i ʻike ʻia. E kamaʻilio hou kākou e pili ana i kēia?

He aha maoli ka 'Asymptomatic Bacteriuria'?

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka `Asymptomatic Bacteriuria`, aia nā bacteria e noho ana i loko o kou ala mimi (ʻo ia hoʻi, ka ʻōnaehana e komo pū ana me nā puʻupaʻa, ka ʻōpū mimi, a me ka urethra), akā ʻaʻohe ou hōʻailona . Ke hana maʻamau nei ʻoe. Me he mea lā aia kekahi i loko o kou hale, akā ʻaʻole lākou e hoʻopilikia iki iā ʻoe.

I kēia manawa ke noʻonoʻo nei paha ʻoe, "No laila, ʻaʻole kēia he maʻi ʻaʻai mimi (UTI)?" Aia kahi ʻokoʻa iki ma ʻaneʻi. Hoʻokomo pū ka UTI i ka bacteria i loko o ke ala mimi. Akā me ka UTI, loaʻa iā ʻoe nā hōʻailona maopopo . Eia kekahi laʻana:

• E loaʻa paha iā ʻoe ke kuni.
• Hiki paha iā ʻoe ke manaʻo i ka wela a me ka ʻeha i ka wā e mimi ai.
• Pono wau e mimi pinepine, akā he liʻiliʻi wale nō i ka manawa.
• Hiki paha iā ʻoe ke loaʻa ka ʻeha o ka ʻōpū lalo.
• He ʻeleʻele paha ke kala o ka mimi a he ʻala ikaika hoʻi.

Eia nō naʻe, i loko o ka `Asymptomatic Bacteriuria` ʻaʻohe ou hōʻailona o kēia mau hōʻailona. Aia nā bacteria ma laila, akā "mālie lākou".

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?

ʻO kaʻoiaʻiʻo, ʻo kēia kūlana i kapa ʻia ʻo "Asymptomatic Bacteriuria" he mea maʻamau ia ma mua o kou manaʻo, a hiki ke hele mai a hele aku no kekahi manawa. E like me ka hōʻike ʻana o kekahi mau noiʻi:

• Ma kahi o 45% o nā wahine e loaʻa ka bacteria i loko o kahi hoʻāʻo mimi i kekahi manawa o ko lākou ola (he pōkole ka urethra o nā wahine, e ʻoi aku ka maʻalahi o ke komo ʻana o ka bacteria).
• Hiki ke ʻike ʻia kēia ʻano ma kahi o 50% o ka poʻe ma luna o 70 mau makahiki e noho ana ma nā hale mālama.
• ʻO kekahi mea i hoʻopili ʻia kahi hāmeʻa i ka ʻōnaehana mimi (e like me ka Foley catheter a i ʻole ka ureteral stent) no ka manawa lōʻihi, hiki ke loaʻa ka bacteria i loko o kā lākou mimi.

E noʻonoʻo wale, hiki i kēia mau bacteria ke nalowale i kekahi manawa i hoʻokahi a ʻelua paha lā.

No laila pehea e komo ai kēia mau bacteria i loko o ka ʻōnaehana mimi? He aha nā kumu?

Noho maoli nā bacteria i loko o ko kākou ʻōpū a ma luna o ko kākou ʻili, a maanei e komo pinepine ai nā bacteria i ke ala mimi.

• Inā ʻoe e hoʻomaʻemaʻe pono ʻole ma hope o ka hoʻohana ʻana i ka lua: ʻOi aku hoʻi no nā wahine, inā ʻoe e hoʻomaʻemaʻe mai kēlā ʻaoʻao (mai ka anus a i ka vagina) ma kahi o mai ka vagina a i ka anus ma hope o ka hoʻohana ʻana i ka lua, hiki i ka bacteria i loko o ka ʻōpala ke komo i loko o ke ala mimi.
• Ma muli o nā mea lapaʻau i loko o ka ʻōnaehana mimi: No ka laʻana, ke hoʻokomo ʻia nā mea e like me nā catheters.
• I ka ʻauʻau ʻana: I kekahi manawa hiki i nā bacteria ke komo ma o ka wai ʻauʻau.
• I ka wā moe kolohe: Hiki i nā bacteria ke komo i loko o ke ala mimi ma hope o ka moe kolohe.

ʻO ke kumu nui o kēia, ʻo ia ka bacteria ʻo 'E. coli'. He ʻano bacteria kēia i loaʻa maʻamau i loko o kā mākou ʻōpala. Eia kekahi, hiki ke hoʻopilikia ʻia nā bacteria e like me 'Klebsiella pneumoniae'.

ʻO wai ka mea i pilikia nui no kēia?

ʻOi aku ka nui o ka hiki i kekahi poʻe ke loaʻa i ka 'Asymptomatic Bacteriuria'. ʻO lākou kēia:

• ʻO nā kānaka e noho ana ma nā hale mālama no ka manawa lōʻihi.
• ʻO nā kānaka i loaʻa ka catheter Foley e noho lōʻihi ana a i ʻole ka stent ureter.
• Nā kānaka me nā ʻeha o ke kaula kuamoʻo.
• Nā kānaka me ka anemia cell sickle.
• Nā kānaka me ka maʻi diabetes.

Pehea e ʻike ai nā kauka i kēia?

ʻO ka hapa nui o ka manawa, e ʻike ke kauka i ka bacteriuria asymptomatic ma ka lawe ʻana i kahi laʻana mimi a hana i kahi moʻomeheu mimi. Eia nō naʻe, inā ʻaʻohe ou hōʻailona, ​​​​ʻaʻole lākou e hoʻāʻo wale i kāu mimi e ʻike inā he bacteria. Inā ua haʻi aku ke kauka iā ʻoe e hana i kahi moʻomeheu bacteria, aia ke kumu no ia. Hiki paha iā ʻoe ke komo i kekahi o nā hui pilikia i ʻōlelo ʻia ma luna, a pono paha e ʻimi a mālama i ka maʻi ma mua o ka lilo ʻana i hōʻailona.

Pono anei e mālama ʻia nā kānaka a pau no kēia?

Eia ka mea nui. ʻO ka hapa nui o ka manawa, ʻaʻole mālama ʻia ka 'Asymptomatic Bacteriuria' . No ka mea, inā ʻaʻohe ou hōʻailona, ​​​​haʻahaʻa ka pilikia o ka loaʻa ʻana o kahi 'UTI' ma muli o kēia mau bacteria. Ma ka ʻaoʻao ʻē aʻe, ʻo ka lāʻau lapaʻau no nā maʻi bacteria he antibiotics . ʻO nā pōʻino o ka hoʻohana pono ʻole ʻana i nā antibiotics e ʻoi aku ka nui ma mua o nā pono.

Ke lawe pinepine ʻoe i nā lāʻau antibiotic a me ke kumu ʻole, maʻa nā bacteria iā lākou. Kāhea mākou i kēia he ' Antibiotic resistance' . A laila ke loaʻa iā ʻoe kahi maʻi a pono i ka lāʻau lapaʻau, ʻaʻole paha e hana ka lāʻau. Eia kekahi, hiki i kekahi mau lāʻau antibiotic ke hoʻoulu i nā maʻi diarrhea koʻikoʻi e like me 'C. diff', a me nā hopena ʻaoʻao ʻē aʻe.

No laila, ʻaʻole hāʻawi wale nā ​​kauka i ka lāʻau lapaʻau no kēia.

No laila, i ka manawa hea e mālama ʻia ai kēia 'Asymptomatic Bacteriuria'?

Eia nō naʻe, i kekahi mau hihia kūikawā, ua mālama pono ʻia ka `Asymptomatic Bacteriuria`. E nānā kākou i ke ʻano o lākou:

• I ka wā hāpai: Inā hāpai ʻoe, ʻoiai inā he bacteria i loko o kou mimi me ka ʻole o nā hōʻailona, ​​​​inā ʻaʻole i mālama ʻia, hiki i kekahi manawa ke alakaʻi i ka hānau mua ʻana ('hānau mua ʻole') , a i ʻoleHiki ke haʻahaʻa ke kaumaha o ka pēpē i ka wā hānau. No laila, hoʻāʻo ʻia ka mimi o nā makuahine hāpai a mālama ʻia inā loaʻa ka bacteria, ʻoiai inā ʻaʻohe hōʻailona.
• Inā ua loaʻa iā ʻoe kahi hoʻoili puʻupaʻa: Inā ua loaʻa iā ʻoe kahi hoʻoili puʻupaʻa, ʻo ka loaʻa ʻana o ka bacteria i loko o ka mimi e hoʻonui i kou pilikia o ka hoʻomohala ʻana i kahi UTI hōʻailona a me ka hōʻole ʻana i ka puʻupaʻa i hoʻoili ʻia.
• Ma mua o kekahi mau ʻoki ʻana i ke ala mimi: No ka laʻana, inā loaʻa ka bacteria i loko o ka mimi i ka wā o ke ʻoki ʻana i ka prostate (Transurethral resection of the prostate - TURP), ʻoi aku ka nui o ka pilikia o nā pilikia ma hope o ke ʻoki ʻana. No laila, hāʻawi ʻia ka lāʻau lapaʻau i ia mau hihia.

Inā hāʻawi ʻia ka lāʻau lapaʻau, he aha ke ʻano o ka lāʻau lapaʻau i hāʻawi ʻia?

Inā hoʻoholo ke kauka e mālama iā ʻoe no ka 'Asymptomatic Bacteriuria', aia kekahi mau ʻano antibiotics hiki iā lākou ke hoʻohana. Nā laʻana:

• ʻAmoxicillin
• ʻAmpicillin
• Nā ʻano o ka 'Cephalosporin'
• ʻO ka Nitrofurantoin
• ʻO ka Trimethoprim-sulfamethoxazole (TMP/SMX)

Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe a me ka lōʻihi o kou lawe ʻana. ʻO ka manawa lapaʻau ma kahi o 5 a 7 mau lā.

Inā loaʻa iaʻu kēia maʻi, he aha kaʻu e manaʻo ai?

Inā haʻi aku kāu kauka iā ʻoe he 'Asymptomatic Bacteriuria' kou, mai hopohopo. ʻO ka mea paha, ʻaʻole ʻoe e pono i kekahi lāʻau lapaʻau, ke ʻole ʻoe e hāʻule i loko o kekahi o nā hui pilikia kūikawā i ʻōlelo ʻia ma mua. Inā hoʻoholo kāu kauka e pono ʻoe i ka lāʻau lapaʻau, e wehewehe ʻo ia i ke kumu. He mea nui e lawe i kāu lāʻau lapaʻau i ka manawa kūpono.

Inā he makuahine hāpai ʻoe, ua ʻike ʻia e hiki i ka loaʻa ʻana o ka lāʻau no kēia ke hōʻemi i kekahi mau pilikia i ka wā hāpai ma kahi o 35%.

ʻAʻole hiki ke pale ʻia kēia 'Asymptomatic Bacteriuria'?

He mea maʻamau ka loaʻa ʻana o kekahi bacteria i loko o ke ala mimi, a he paʻakikī ke pale loa iā ia. Eia nō naʻe, hiki i nā mea like a mākou e hana ai e pale aku i nā UTI (nā maʻi ala mimi) ke kōkua i kēia.

• E hōʻoia e mimi ma hope o ka moekolohe. E kōkua kēia i ka hoʻopau ʻana i nā bacteria i komo i loko o ke ala mimi.
• Ke hoʻomaʻemaʻe nā wāhine iā lākou iho ma hope o ka hoʻohana ʻana i ka lua, e holoi mau mai mua a i hope (mai ka ʻāpana vaginal a i ka anus).
• E hōʻalo i ka hoʻohana ʻana i nā kopa ʻino, nā douches, nā pauka, a i ʻole nā ​​​​​​mea pīpī i loko o ka ʻāpana vaginal. Hiki i kēia mau mea ke pepehi i nā bacteria maikaʻi ma laila a ʻae i nā bacteria ʻino e ulu.
• E hoʻohana i ka ʻauʻau ma mua o ka ʻauʻau ʻana i loko o ka pahu ʻauʻau i nā manawa he nui e like me ka hiki.
• E inu i ka wai he nui. E kōkua kēia i ka hoʻopau ʻana i nā bacteria ma o ka hoʻoulu ʻana i ka mimi pinepine.
• Inā ʻoe e hoʻohana ana i kahi mea e like me ka catheter,E hahai i nā ʻōlelo a ke kauka e mālama iā ia i ka maʻemaʻe.

Āhea wau e ʻike ai i ke kauka?

Inā haʻi aku ke kauka iā ʻoe he 'Asymptomatic Bacteriuria' kou, e ʻike koke i ke kauka inā hoʻomaka ʻoe e hoʻomohala i nā hōʻailona o ka 'UTI' (e like me ke kuni, ka ʻeha wela i loko o ka urethra, ka ʻeha o ka ʻōpū ma lalo, ka mimi pinepine), inā paha e mālama ʻia ana ʻoe a i ʻole. E haʻi aku kāu kauka iā ʻoe i nā hōʻailona e makaʻala ai.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā he mau nīnau hou aku kāu e pili ana i kēia, he mea maikaʻi ke nīnau i kāu kauka e pili ana i kēia mau mea:

• Pono anei iaʻu e mālama ʻia no ka bacteria i loko o koʻu mimi me ka ʻole o nā hōʻailona?
• He aha nā hōʻailona e pono iaʻu e makaʻala?
• Inā ua kuhikuhi ʻia mai iaʻu ka lāʻau lapaʻau, pehea lā wau e lawe ai?
• Āhea wau e kamaʻilio hou aku ai me ʻoe?

I kekahi manawa makaʻu mākou i ka lohe ʻana i nā hopena o kā mākou mau hoʻokolohua. Akā, he mea maʻamau ka loaʻa ʻana o ka bacteria i loko o kou mimi, a ʻaʻole ia e hoʻoulu mau i ka UTI. Akā inā hāpai ʻoe, ua loaʻa iā ʻoe kahi hoʻoili puʻupaʻa, a i ʻole e kokoke ana e hana ʻoki ma kou ala mimi, he mea nui e lawe i nā lāʻau antibiotic e pale aku i nā pilikia.

ʻO ka hope, kahi mea e hoʻomanaʻo ai!

ʻO ka `Asymptomatic bacteriuria` kahi kūlana kahi i loaʻa ai ka bacteria i loko o kou ala mimi, akā ʻaʻohe ou hōʻailona. No ka hapa nui o ka poʻe, ʻaʻole kēia he mea weliweli a ʻaʻole pono ka mālama ʻana. Eia nō naʻe, no nā wahine hāpai, nā mea i loaʻa i ka hoʻoili ʻana o nā puʻupaʻa, a me ka poʻe e hana ana i kekahi mau ʻoki ʻana o ke ala mimi, he mea nui ia e mālama iā ia. Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻike koke i ke kauka. He mea nui e makaʻala i kēia mau mea i ka wā e hahai ana i kahi nohona olakino.

ʻAsymptomatic Bacteriuria, Bacteria i loko o ka mimi, Nā maʻi ʻaʻai mimi, UTI, Ola kino no ka hāpai ʻana, Nā lāʻau lapaʻau , Maʻi puʻupaʻa