Yu taya fɔ gɛt urinary tract infection (UTI) bak? Lɛ wi lan ɛksaktɔli bɔt Rikɔrɛnt UTI!

I kin rili anɔynt we yu gɛt urinary tract infection (UTI) bak, nɔto so? Di pen, diskɔmfɔt, ɛn fɔ pis ɔltɛm we kin kam wit am... Sɔntɛnde, jɔs we yu tink se yu dɔn tek di mɛrɛsin ɛn yu de fil fayn, i kin kam bak. Dis kin rili mek pɔsin vɛks. So, if yu gɛt dɛn kayn urinary tract infection ya bɔku tɛm, dat min se yu kin gɛt wan kɔndishɔn we dɛn kɔl ‘recurrent urinary tract infections’. Lɛ wi tɔk bɔt dis ditayli tide.

Wetin na rikɔrɛkt urinary tract infection (UTI)?

Fɔ tɔk am simpul wan, if yu gɛt tu ɔ mɔ urinary tract infection (UTI) insay siks mɔnt , ɔ tri insay wan ia , dɔktɔ dɛn kin kɔl am UTI we kin kam bak. Di wɔd "rikɔrɛnt" min "rikɔrɛkt."

Dɛn kɔl dis ɔda tin, ɛn sɔntɛm yu dɔn yɛri am bifo:

• Infεkshכn na di urinary tract (Krכnik UTI) .
• Infεkshכn we de apin na di urinary tract (UTI) .
• Infεkshכn na di urinary tract infεkshכn (UTI) .

Ilɛk wetin yu kɔl am, di minin na di sem. I min se yu gɛt infekshɔn na yu urinary tract, ɛn ivin afta yu dɔn trit am, i kin kam bak afta sɔm tɛm. Dis kin rili mek yu vɛks ɛn i kin ambɔg di tin dɛn we yu de du ɛvride. Na dat mek, if yu gɛt sayn dɛn fɔ UTI, ɛn di sayn dɛn kam bak jɔs afta yu dɔn trit yu, yu fɔ rili go to dɔktɔ . Dɔn yu kin gɛt di tritmɛnt ɔ advays we fit yu pas ɔl bɔt aw fɔ avɔyd am.

Wetin na di sayn dɛm wae de sho se yu gɛt infekshɔn na yu urinary tract we de kam bak?

Di simptom dɛm fɔ urinary tract infection we de kam bak na di urinary tract infɛkshɔn tan lɛk di wan dɛm we yu kin gɛt ɔltɛm UTI. Yu kin gɛt wan ɔ mɔ pan dɛn tin ya:

• Bɔn ɔ pen we yu de pis (Dysuria) .
• Suprapubic pen, we min pen dɔŋ di navɛl
• Yurin we yɔlɔsh ɔ we gɛt dɔti smel
• Nid fɔ pis bɔku tɛm pas aw yu kin pis (Frequent urination) .
• Urinary incontinence
• Wan nid fɔ pis wantɛm wantɛm, we pɔsin nɔ ebul fɔ kɔntrol, bɔt na smɔl urine nɔmɔ de kɔmɔt (Urge incontinence) .
• Smɔl smɔl blɔd we de na di urine (Hematuria) .

If yu gɛt sɔm kayn sik lɛk dis, nɔr ignore dɛm.

Aw kwik wan UTI kin kam bak?

Di infekshɔn we kin kam bak na di urinary tract kin kam bak insay wan mɔnt afta dɛn dɔn trit am, bɔt sɔm pipul dɛn kin gɛt am bak bɔku tɛm insay di ia, ivin afta dɛn dɔn trit am.

Wetin mek dɛn urinary tract infection ya kin kam bak?

Baktri na di men tin we kin mek pɔsin gɛt infɛkshɔn na di urinary tract we kin kam bak.– εspεshali baktri dεm we dεn kכl `(E. coli)` – we de go insay yu urinary tract. dis `(E. coli)` baktri dεm de nכmal fכ liv na wi lכw gεstrointestinal trakt. Sɔntɛnde dis baktri kin go insay yu urethra tru yu rεktum.

uman dεm, spεshal wan, kin gεt bכku risk fכ baktri dεm we de kam insay dis we pan tin dεm lεk:

• Afta yu dɔn yuz di tɔylɛt, was am frɔm bak to bifo (dis na di rɔng we, yu fɔ was ɔltɛm frɔm frɔnt to bak).
• Afta yu dɔn du mami ɛn dadi biznɛs ɔ afta yu dɔn du tin lɛk fɔ go insay dijital ɛn fɔ ple wit yu bɔdi.
• Nɔ fɔ pis bɔku tɛm (baktri kin gro we dɛn ol di urine na di blad fɔ tu lɔng).
• We yu gɛt wan sik lɛk dayarɛa, ɔ we i nɔ kin izi fɔ kip klin afta yu dɔn pul yu dɔti.

Apat frɔm E. coli, sɔm ɔda kayn baktri dɛm kin mek yu gɛt UTI bak. Fɔ ɛgzampul:

• `(Enterokokus fεkalis)`
• `(Klɛbsiɛla)`
• `(Proteus mirabilis)`
• `(Stafylɔkɔs)`

Us ɔda ɔndalayn mɛdikal kɔndishɔn kin mek yu gɛt UTI ɔltɛm?

Sɔm ɔndalayn wɛl bɔdi kɔndishɔn kin mek bak yu gɛt infɛkshɔn we de kam bak na yu urinary tract. Dɛn tin ya na:

• di vagina dray εn tכn (Vaginal atrophy): Dis na kכndyushכn we kin apin spεshal wan wit mεnopos. I kin kam bak bay tritmɛnt fɔ sɔm kayn kansa, lɛk bɔdi kansa.
• Fɔ gɛt sist we ful-ɔp wit wata (diverticula) na yu urethra ɔ blad. Dɛn tin ya kin trap yu urine ɛn baktri dɛm ɛn mek yu gɛt infɛkshɔn.
• Urinary retention : Dis kin mek baktri dεm gro na di urine we de rεst na di blad εn mek infεkshכn. Dis kin bi bikɔs ɔf tin dɛm lɛk we di vagina prolaps, dayabitis, strok, ɛn nyurolɔjik dizayd lɛk multiple sclerosis ɛn Parkinson’s disease.
• Fɔ gɛt ston na yu kidni .
• di abnכmaliti dεm we dεn bכn wit di urinary : dεn kin mek chenj dεm na di strכkchכ fכ di urinary sistεm, we kin mek i izi fכ infεkshכn. εgzampl dεm na di ureteropelvic jכnkshכn (UPJ) obstrכkshכn, vεsikoureteral rεfluks (VUR), ureteroceles, εn εktopik ureters. Dis na kɔmpleks mɛdikal kɔndishɔn dɛm wae na dɔktɔ nɔmɔ kin no se dɛn gɛt dis sik.

Yu tink se link de bitwin ɔtoimyun sik dɛm ɛn UTI dɛm wae kin kam bak?

Pan ɔl we dɛn nɔ du bɔku risach bɔt dis, dɛn dɔn sho se di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn di sik dɛn we kin mek pɔsin nɔ ebul fɔ fɛt dɛnsɛf lɛk lupus ɛn rεumatoid atthritis (RA) kin ridyus di risk fɔ gɛt dis sik.Dɛn biliv se we dɛn yuz imyunosuprɛsant dɛn kin mek di risk fɔ gɛt UTI bak. Semweso, if yu yuz stɛroyd fɔ lɔng tɛm, dat kin mek yu gɛt UTI ɛn ɔda infɛkshɔn.

Yu tink se UTI dɛn we kin kam bak kin pas?

Nɔ, nɔto so atɔl. Infεkshכn we de kam bak na di urinary tract nכ kin pas am. Yu nɔ go ebul fɔ kech am frɔm ɔda pɔsin, ɛn yu nɔ go ebul fɔ spre am to ɔda pɔsin.

Wetin na di risk factor dɛm fɔ UTI we de kam bak?

Sɔm tin kin mek yu gɛt mɔ risk fɔ gɛt UTI we de kam bak:

• Yuz sεl dεm : we dεn yuz dεm, dεn kin pwεl di bεnεfit baktri dεm (Lactobacilli) we de na di vagina we de mek bad baktri dεm lεk E. coli nכ gro.
• Afta Menopause : Bifo menopause, di vagina de gɛt asid. dis asid de mek baktri dεm nכ de gro εn go insay di blad. afta di mεnopos, di pH na di vagina de chenj εn i de lכs in asid. Dɔn baktri kin go insay di blad izi wan ɛn mek pɔsin gɛt infɛkshɔn. כlso, di nכmba fכ di bεnεfit baktri dεm (Lactobacilli) na di vagina de dכn afta di mεnopos.
• di blad wik we yu de ol : As di blad mכsul dεm de wik wit di ej, i nכ go pכsibul fכ sכk כl di urine kכmכt. we di urine de na di blad fכ lכng tεm, i de mek gud envayroment fכ di baktri dεm fכ gro.
• Yuz wan vagina dayafragm .
• Yuz spɛshal wata fɔ was di vagina (Vaginal douche) (Dis nɔto rili gud tin, bikɔs i de ambɔg di natura balans na di vagina).
• Yuz antibayɔtik fɔ lɔng tɛm : Dis kin ambɔg di balans bitwin gud ɛn bad baktri dɛm na di bɔdi.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt UTI we kin kam bak?

If yu nɔr pe atɛnshɔn to di urinary tract infection wae de kam bak, as tɛm de go, yu kin gɛt mɔr risk fɔ gɛt sik lɛk:

• Prɔblɛm dɛn we gɛt fɔ du wit di kidni : lɛk kidni infɛkshɔn (Pyelonephritis) ɛn kidni sik.
• Septicemia ( di jεm dεm we de kam insay di bכdi ) .
• Sepsis (na siriɔs infɛkshɔn we kin mek pɔsin in layf de pan denja).
• Blada pen we nɔ de dɔn .
• di divεlכpmεnt fכ antibaytik rεsistεns to sכm antibaytik dεm (we min se dεn nכ de wok igen).

UTI we de kam bak we uman bεlε kin mek di pikin bכn bifo di tεm εn di pikin in wet lכw . So, if yu gɛt bɛlɛ, yu fɔ rili tek tɛm wit di sayn dɛm we de sho se yu gɛt UTI.

Aw yu go no se UTI de kam bak?

If yu sɔspɛkt se yu gɛt UTI we de kam bak, dɔktɔ go no di sik dis we:

• Aks bɔt yu sik dɛn .
• Dɛn de aks yu mɛdikal istri .
• I de du wan ɛgzam pan in bɔdi .
• Dɛn kin se dɛn fɔ du spɛshal tɛst fɔ no if pɔsin gɛt di sik.

Us kayn tɛst dɛn kin du?

Bɔku pan di tɛst dɛn kin mek yu gi yu urine sɛmpul . bifo yu tek dis, yu fכ was yu an εn yu jεnital εria fayn fayn wan εn pis insay spεshal kכp fכ mek di jεm dεm nכ go insay (dεn kכl dis ``klin kech urine sεmpl'').

Sɔntɛnde, if i nɔ pɔsibul fɔ tek sɛmpul dis we, ɔ if dɛn tink se di sampul gɛt dɔti, di dɔktɔ kin put kateta fɔ urinary ɛn tek sɛmpul.

Dɛn kin du dɛn tɛst ya bay we dɛn de yuz yu urine sampul:

• Urinalysis : Insay dis tɛst, di wan dɛn we de wok na di lɛbɔraytri kin luk fɔ sayn dɛn we de sho se yu gɛt infɛkshɔn na yu urine sampul.
• Yurin kɔlchɔ : Dis de tɛst fɔ si if baktri dɛm de gro na yu urine sampul. Sɔntɛnde, ivin afta dɛn dɔn trit am fayn, UTI kin kam bak bikɔs ɔf difrɛn kayn baktri dɛm.

I nɔ kin apin so ɔltɛm, mɔ if yu stil gɛt blɔd na yu urine afta yu dɔn trit yu, ɔ if yu kin gɛt ston na yu kidni bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ du tɛst we yu nɔ de fil pen . Bɔku tɛm, dɛn tin ya na:

• Kidni ɔltra saund tɛst
• Wan CT skan fɔ yu bɛlɛ ɛn yu bɛlɛ

Sɔntɛnde, dɔktɔ dɛn kin se bak fɔ mek dɛn du cystoscopy, we na wan we fɔ chɛk di blad . insay dis prosidur, dεn de put sכmכl kεmεra (cystoscope) tru yu urethra insay yu blad. Dis tɛst kin ɛp fɔ chɛk fɔ ɛni abnɔmal tin ɔ fɔrin bɔdi na di blad we dɛn nɔ go si pan CT skan.

Aw fɔ stɔp dɛn urinary tract infɛkshɔn ya we kin kam bak?

If yu de na di perimenopause ɔ postmenopause, wan pan di bɛst we fɔ mek yu nɔ gɛt UTI bak na fɔ tek vagina estrogen tritmɛnt. Dis nɔto pil ɔ pat. Na krim, tablɛt, ɔ ring we dɛn kin put insay di vagina. i de chenj di pH na di vagina, we de mek i gɛt asid bak. I sef fɔ bɔku uman dɛn fɔ yuz am. na smɔl εstrojen (sɔntɛm nɔr de atɔl) de absɔb insay di blɔd.

Yu go nid dɔktɔ in prɛskrishɔn fɔ antibayɔtik fɔ trit wan akyu infɛkshɔn we dɔn de. Ivin if yu sik dɔn go, yu dɔktɔ kinDɛn kin gi yu antibayɔtik fɔ lɔng tɛm ɛn we nɔ gɛt bɔku bɔku mɛrɛsin. Dɛn kin tek dɛn tin ya fɔ shɔt tɛm lɛk tri mɔnt, ɔ fɔ wan ia ɔ pas dat.

If yu gɛt histri fɔ UTI afta yu dɔn du mami ɛn dadi biznɛs, yu dɔktɔ kin tɛl yu fɔ tek wan antibayɔtik pil jɔs afta yu dɔn du mami ɛn dadi biznɛs . Ɔ, dɛn kin gi yu wan antibayɔtik we nɔ bɔku ɛvride. Sɔm ɛgzampul dɛn fɔ dɛn antibayɔtik ya na:

• `(Nitrofurantoin)` (dɛn de ɔnda tred nem dɛn lɛk Macrobid®, Macrodantin®, Urotoin®)
• `(SMX-TMP)` (I de kam ɔnda tred nem dɛn lɛk Bacter-Aid DS®, Bactrim®, Septra®)
• `(Trimethoprim)` (de kam ɔnda tred nem dɛn lɛk Proloprim®)
• `(Cephalexin)` (de kam ɔnda tred nem dɛn lɛk Keflex®)

Bɔt if yu tek antibayɔtik fɔ lɔng tɛm, dat kin mek yu nɔ ebul fɔ tek di antibayɔtik ɛn i kin mek yu gɛt ɔda kayn infɛkshɔn.

Dɔktɔ dɛn kin tɛl yu bak fɔ tek tritmɛnt dɛn we nɔ gɛt antibayɔtik. Ɛgzampul dɛn:

• Kranberry extract supplement : Dɛn tink se di kemikal kɔmpawnd dɛn we de insay kranberi kin ɛp fɔ mek E. coli baktri nɔ afɛkt di blad.
• Methenamine hippurate (brand nem dɛn inklud Hiprex®, Mandelamine®, Urex®): Dis na antibacterial drɔg. I de mek yu urine gɛt asid, we de ɛp fɔ kil baktri dɛm.

Aw kwik a go fil fayn afta a dɔn bigin fɔ trit mi?

Bɔrku pipul kin bigin fɔ fil fayn insay sɔm dez wae dɛn bigin fɔ gi antibayɔtik. Bɔt i impɔtant fɔ dɔn di ful kɔs fɔ di mɛrɛsin we dɛn gi yu. If yu nɔ du dat, yu go gɛt UTI bak. If yu mis wan doz, tɔk to yu dɔktɔ. Nɔ tek tu doz wan tɛm fɔ mek di doz we yu nɔ tek.

Wetin a fɔ ɛkspɛkt as pɔsin we gɛt UTI we de kam bak?

Mɔs pan di UTI dɛn we kin kam bak kin sɔlv wit antibayɔtik ɛn di tin dɛn we dɛn kin du fɔ mek dɛn nɔ gɛt dis sik. Bɔt, i impɔtant fɔ pe atɛnshɔn to yu bɔdi ɛn aw yu de fil. Si dɔktɔ jɔs afta yu bigin fɔ gɛt sayn dɛn fɔ UTI.

Yu kin mek UTI nɔ kam bak?

If yu kin gɛt urinary tract infection bɔku tɛm, i rili impɔtant fɔ du dɛn tin ya:

• Afta yu dɔn yuz di tɔylɛt, was am frɔm bifo to bak .
• Drink bɔku wata fɔ flush baktri dɛm frɔm di urinary tract.
• Kip di blad ɛmti ɛn pis ɔltɛm fɔ flush am.
• Yuz kɔndɔm instead ɔf dayafragm ɛn spermicides as famili planin we.
• Ɔltɛm yu fɔ pis afta yu dɔn du mami ɛn dadi biznɛs ɔ ɛni ɔda tin we yu dɔn du mami ɛn dadi biznɛs .

Ustɛm a fɔ go to dɔktɔ?

Mek apɔntinmɛnt fɔ go to dɔktɔ jɔs afta yu bigin fɔ gɛt sayn dɛn fɔ UTI. If yu sik nɔr de bɛtɛ ɔr de wɔs pan ɔl we yu de trit yu, go to dɔktɔ bak.

Ustɛm a fɔ go na Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt UTI we de kam bak ɛn yu de gɛt dɛn sik ya bak, i fayn fɔ go na di imejensi rum:

• Bak pen
• Fiva
• Fɔ vɔmit

Dɛn tin ya kin bi sayn fɔ se yu gɛt mɔ siriɔs infekshɔn.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Wetin mek a kin kɔntinyu fɔ gɛt dɛn urinary tract infection ya?
• Na di sem baktri dɛm we de mek a gɛt UTI ripit?
• Us tritmɛnt yu kin advays?
• Wetin ɔda tin a kin du fɔ mek UTI nɔ kam bak?
• Wetin kin apin if a nɔ trit dis UTI we de kam bak?

Aw many tɛm yu kin gɛt UTI bifo i bi "frequent"?

If yu gɛt UTI tu tɛm ɔ mɔ insay siks mɔnt, ɔ pas tri tɛm insay wan ia, dɔktɔ dɛn kin no se na UTI we de kam bak.

Urinary tract infection kin rili nɔr fayn na yu ɛvride layf, ɛn de sayn dɛm kin shem. Dɛn kin mek yu at pwɛl mɔ we dɛn kin apin bɔku tɛm. Yu kin ivin fil fɔ wɔri bɔt am.

If yu gɛt sayn dɛm fɔ UTI, i impɔtant fɔ go to dɔktɔ. Dɛn kin ɔndastand aw yu de fil, ɛn dɛn want fɔ ɛp yu fɔ wɛl kwik kwik wan. Dɛn kin trit yu infekshɔn naw, dɛn kin tɛl yu fɔ du tin fɔ mek yu nɔ gɛt di sik, ɛn ɛp yu fɔ avɔyd fɔ gɛt UTI igen. Dɛn kin chɛk bak fɔ ɛni ɔndalayn kɔndishɔn ɔ abnɔmal tin na yu urinary system.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

Okay, so lɛ wi mɛmba yu di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt.

• UTI we de kam bak na sɔntin we yu fɔ tek siriɔs wan. Nɔ ignore dɛn.
• I impɔtant fɔ no di rayt we fɔ no di sik ɛn fɔ trit am. Nɔ de mɛn yusɛf.
• Fɔ praktis fɔ protɛkt di sik kin mek big difrɛns. Ɛspɛshali fɔ kia fɔ klin, fɔ drink bɔku wata, ɛn fɔ du gud klin layf to mami ɛn dadi biznɛs.
• If yu dɔn mek dis prɔblɛm bɔku wit yu mɛnɔpauz, nɔ fred fɔ tɔk to yu dɔktɔ bɔt tin dɛn lɛk fɔ trit yu vagina ɛstrojen .
• Nɔto yu wan de. Bɔku pipul dɛn de we gɛt dis prɔblɛm. If yu gi yu di rayt advays ɛn sɔpɔt, yu go ebul fɔ kɔntrol dis sik.

Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl. Nɔ shek fɔ go to dɔktɔ if yu gɛt ɛni prɔblɛm.

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