Ua lawe anei ʻoe i kahi hoʻāʻo mimi a ʻike i kahi hōʻike e ʻōlelo ana "Nitrites: Positive"? He mea maʻamau ke hopohopo iki a makaʻu ke ʻike ʻoe i kēlā. "He aha kēia mau nitrites? He mea koʻikoʻi anei kēia?" Ke noʻonoʻo nei paha ʻoe. Mai makaʻu i kekahi mea. I kēia lā e kamaʻilio mākou e pili ana i ke ʻano o ka loaʻa ʻana o nā nitrites i loko o kou mimi, he aha ke kumu, a me ka mea e pono ai mākou e hana.
I ka ʻōlelo maʻalahi, he aha ke ʻano o ka loaʻa ʻana o ka nitrite i loko o kou mimi?
ʻAe, he mea maʻalahi loa kēia. Loaʻa i loko o ko kākou mimi olakino kahi kemika i kapa ʻia ʻo nitrate . He mea maʻamau loa ia a ʻaʻohe mea ʻino.
Akā, inā komo kekahi mea ʻē e like me ka bacteria i loko o ko kākou ʻōnaehana mimi, lawe kēlā mau bacteria i kēia mau nitrates olakino a hoʻololi iā lākou i kahi kemika ʻē aʻe i kapa ʻia ʻo nitrite . Ua like ia me ka lawe ʻana i ka waiū a hoʻomoʻa iā ia.
ʻO ia hoʻi, inā he nitrites kou i loko o kou mimi, he hōʻailona nui ia e loaʻa paha iā ʻoe kahi maʻi bacteria i loko o kāu ʻōnaehana urinary, a i ʻole e like me kā mākou e ʻike nei , he maʻi urinary tract (UTI) .
Ma ka ʻōlelo lapaʻau, ʻo ke alo o nā nitrites i loko o ka mimi ua kapa ʻia ʻo "Nitrituria." ʻAʻohe ala e hiki ai i ka bacteria a i ʻole nā nitrite ke loaʻa i loko o ka mimi olakino.
No ke aha e hana ʻia ai kēia? Pehea e komo ai kēia mau bacteria?
ʻO ke kumu nui o kēia, ʻo ia ke komo ʻana o ka bacteria i ke kino ma o ka urethra, ka ʻōmole e lawe ana i ka mimi. Mai laila mai, hiki i kēia mau bacteria ke hele a hiki i ka ʻōpū mimi. Ke loaʻa ka maʻi i ka ʻōpū mimi, kapa mākou ia he cystitis.
I kekahi manawa, hiki i kēia maʻi ke piʻi aʻe a laha i nā puʻupaʻa. A laila hiki ke lilo i maʻi puʻupaʻa koʻikoʻi (Pyelonephritis). ʻO ka hapa pinepine, ua hana ʻia kēia e kahi ʻano bacteria i kapa ʻia ʻo E. coli i loaʻa i loko o kā mākou ʻōpala.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
ʻOiai hiki ke hiki i kekahi ke hana i kēia, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi ʻaʻai mimi (UTI) ma mua o nā kāne ma mua o nā wahine he 30 mau manawa. Aia kekahi mau kumu no kēia:
- Ka lōʻihi o ka urethra: ʻOi aku ka pōkole o ka urethra o nā wahine ma mua o nā kāne, e maʻalahi ai ka hele ʻana o ka bacteria i luna o ka ʻōpū mimi.
- Kahi: Aia ka puka o ka urethra wahine ma kahi kokoke loa i ka anus, kahi e puka ai nā feces. ʻOi aku ka nui o ka hiki ke komo nā bacteria mai ka anus i ka urethra i ka wā e hoʻohana ai i ka lua a i ʻole nā manawa ʻē aʻe.
He aha nā hōʻailona o ka maʻi ʻaʻai mimi (UTI)?
Inā he nitrites kou i loko o kou mimi, ʻo ia hoʻi he UTI kou, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. He mea nui e makaʻala i kēia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha o ka ʻōpū haʻahaʻa a i ʻole ka ʻūmiʻi | ʻO ka ʻoluʻolu ʻole a i ʻole ka ʻeha ma ka ʻōpū lalo. |
| Nā loli i ka mimi ʻana | He koko liʻiliʻi i loko o ka mimi (hematuria) , ka ʻeha a wela paha i ka wā e mimi ai (dysuria) , a me ka pono pinepine e mimi. |
| Ke ʻano a me ke ʻala o ka mimi | He mimi ʻeleʻele ke kala a he ʻala ikaika a ʻoi aku ka maikaʻi ʻole ma mua o ka maʻamau. |
| Nā hiʻohiʻona ʻē aʻe | Manaʻo luhi, kuni, ʻeha ke kua i lalo, a i kekahi manawa pilikia ka kaohi ʻana i ka mimi. |
He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia?
E noi aku kāu kauka iā ʻoe e hana i kahi hoʻāʻo mimi, a i ʻole urinalysis . ʻO kāu wale nō e hana ai, ʻo ia ke hāʻawi i kahi hāpana mimi i loko o ke kīʻaha i hāʻawi ʻia.
Ma kēia, ua hoʻoluʻu ʻia kahi ʻāpana hoʻāʻo kūikawā i kapa ʻia he urine dipstick i loko o kāu hāpana mimi. Loaʻa i kēia ʻāpana nā kemika e hiki ke ʻike i ka nitrite. Inā loaʻa ka nitrite i loko o ka mimi, loli ke kala o ke ʻāpana. Hiki iā ʻoe ke loaʻa koke nā hopena.
He pololei anei kēia hoʻāʻo he 100%?
ʻAʻole pololei 100% i nā manawa a pau nā hoʻāʻo dipstick mimi.
- Inā maikaʻi ka hopena: ʻO ia hoʻi, inā loaʻa nā nitrites, he hōʻailona maikaʻi ia e loaʻa ana kahi UTI.
- Inā maikaʻi ʻole ka hopena: ʻo ia hoʻi, ʻaʻohe nitrites, ʻaʻole hiki ke hilinaʻi 100%.No ka mea, ʻaʻole hoʻololi kekahi mau bacteria i nā nitrates i nā nitrites, hiki nō iā ʻoe ke loaʻa i kahi UTI ʻoiai inā maikaʻi ʻole kāu hoʻāʻo nitrite. ʻO ia ke kumu e nānā ai kāu kauka i nā mea ʻē aʻe, e like me ka helu o kāu mau cell koko keʻokeʻo.
I kekahi manawa hiki ke loaʻa kahi hopena wahaheʻe-maikaʻi, ʻo ia hoʻi, ʻaʻohe nitrite. Hiki ke hana ʻia kēia e:
- Ua lōʻihi loa ka waiho ʻana o ka dipstick i ka lewa.
- Inā ʻoe e lawe nei i kekahi mau lāʻau lapaʻau no nā maʻi ʻōpū mimi, no ka laʻana, phenazopyridine.
No laila, mai hoʻoholo ma muli o ka mea i loko o ka hōʻike. E kūkākūkā mau me kāu kauka a e hahai i kāna ʻōlelo aʻo.
He aha nā lāʻau lapaʻau?
Inā hōʻoia kāu kauka he nitrites kou i loko o kou mimi, e kuhikuhi pinepine ʻo ia i nā antibiotics . Hoʻopau kēia mau lāʻau i ka bacteria i hoʻoulu ai i ka maʻi. Ke pau nā bacteria, e pau ka hana ʻana o nā nitrites.
I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i kahi hoʻāʻo moʻomeheu mimi e hoʻoholo ai i ke ʻano kikoʻī o ka bacteria e hoʻoulu ai i ka maʻi. Hiki i kēia hoʻāʻo ke kōkua iā ʻoe e koho i ka antibiotic kūpono loa, ʻoiai inā he mau UTI pinepine kāu.
He mea nui loa: E lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka no ka holoʻokoʻa o ka lāʻau . Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua ʻoi aku kou maikaʻi i loko o ʻelua a ʻekolu paha lā. ʻO ka hana ʻana pēlā e hiki ai ke hoʻi hou mai ka maʻi ma mua o ka pau loa ʻana. Hiki nō hoʻi iā ia ke alakaʻi i ke kū'ē ʻana i ka lāʻau antibiotic .
He aha kā mākou e hana ai e pale aku i kēia kūlana?
ʻO ke ala maikaʻi loa e pale aku ai i nā maʻi ʻōpū mimi, ʻo ia ke hoʻokomo i kēia mau hana maʻalahi i kou ola.
- Ka hoʻomaʻemaʻe kūpono: I ka hoʻomaʻemaʻe ʻana ma hope o ka hoʻohana ʻana i ka lua, e holoi mau mai mua a i hope . E kōkua kēia i ka pale ʻana i ka bacteria mai ke komo ʻana i loko o ka anus a hele i loko o ke ala mimi.
- E pale i nā kopa a me nā deodorants ʻino: E pale i ka hoʻohana ʻana i nā ʻala ʻino, ka douching, a me nā deodorants a puni ka vagina. Hiki i kēia mau mea ke pepehi i nā bacteria pale kūlohelohe i loko o ka vagina.
- Mai paʻa i kāu mimi: E mimi i kēlā me kēia 3-4 hola. Eia kekahi, e hoʻomaʻamaʻa i ka mimi ma mua a ma hope o ka moekolohe.
- Inu i ka wai nui: ʻO ka inu ʻana i ka wai lawa i ka lā a pau e kōkua i ka hoʻopau ʻana i nā bacteria i loko o ka ʻōnaehana urinary.
- E mālama i kou lole komo: E ʻaʻahu i nā lole komo palupalu i hana ʻia me ka pulupulu.
- Kaohi hānau: Inā ʻoe e hoʻohana i ka kaohi hānau vaginal (e like me ka diaphragm a i ʻole spermicide), hiki iā lākou ke hoʻonui i kou pilikia o nā UTI. E kamaʻilio me kāu kauka e pili ana i kēia a e noʻonoʻo e hoʻohana i kahi ʻano hana ʻē aʻe.
Leka Lawe-Home
- ʻO ka nitrite i loko o ka mimi he hōʻailona pinepine ia o kahi maʻi ʻaʻai mimi (UTI). Mai hopohopo, he maʻi maʻamau loa kēia.
- ʻOi aku ka pilikia o nā wāhine i ka loaʻa ʻana o nā UTI, akā hiki ke pale ʻia kēia ma ka hoʻomaʻemaʻe pono ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka maʻi ʻōpū mimi, ka mimi pinepine ʻana, a i ʻole ka ʻeha o ka ʻōpū ma lalo, e ʻike koke i kāu kauka.
- E lawe i nā lāʻau antibiotic i kuhikuhi ʻia no ka mālama ʻana no ka papa holoʻokoʻa o ka mālama ʻana, me ka ʻole o ka haʻalele ʻana i hoʻokahi lā.
- He mea nui loa ka ʻimi ʻana i ka ʻōlelo aʻo lapaʻau no kekahi pilikia olakino, ma mua o ka hoʻoholo ʻana i kāu iho.
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