I fa te hian urinary tract infection a nei leh thin em? (Recurrent UTIs) Hemi chungchang hi han sawi ila!

I fa hian a chang chuan, "Mommy, ka zun hian a na thin " a ti thin em? Nge a zun tam a ngai em ? A zun rawng leh rim a danglam tawh em? Chûngte chu urinary tract infection , a nih loh leh UTIs chhinchhiahna a ni thei. Hetiang dinhmun hi naupang tê tê, a bik takin hmeichhe naupang leh mipa, an hmai vun la tan loteah a tam zawk. Vawiin hian chipchiar zawkin sawi ila.

Urinary tract infection (UTI) hi eng nge ni? UTI lo lang leh thinte chu engte nge ni?

A awlsam zawngin sawi ila, urinary tract infection (UTIs) hi kan zun kawng, chu chu kal, zunthlum, zunthlum emaw, zunthlum emawa bacteria a luh atanga lo awm a ni.

Naupang thenkhat chuan heng urinary tract infection te hi vawi khat chauh an nei lo va, an lo kir leh fo thin . Chu chu recurrent UTI kan tih chu a ni. Hengte hi uluk taka enkawl a nih loh chuan kal (kidney) pawh a tichhe thei a, a bik takin naupang kum 6 hnuai lam tan chuan a tichhe thei a ni. Chuvangin, heng natna lan chhuah dan hi hriat chian a, i fate tanpui a pawimawh hle.

Urinary tract infection natna lanchhuahna chu engte nge ni?

Zun kawng natna lan chhuah dan chu:

• Zun chhuah laiin natna emaw kang emaw .
• Naupang chu zun fo a ngai a.
• Zun rawng (e.g., dark yellow, blood -tinged) emaw, rim (fishy odor) emaw a inthlak .
• Khawsik .
• Khua a vawt leh khur (chills) tih hriat.
• Chaw ei chu a thlum lo .
• Nausea, luak chhuak pawh a ni thei.
• Pum hnuai lam natna nei.
• I hnungzang hnuai lam natna emaw, nuam lo emaw hriat.

A châng chuan naupang nungchang ṭha tak nei tawh pawhin zun kawng natna a neih chuan khumah hnim emaw, thawmhnaw hnim emaw a nei thei. Nausen naupang tak tak leh naupang tê tête chuan natna lan chhuah dân tlangpui , khawsik , rilṭâm, ei duh lohna, emaw, thiltih tihtlem ang chi chauh an nei thei. Chuvang chuan naupang tê tête chunga hetiang inthlâk danglamna hi kan fimkhur hle a ngai a ni.

Urinary tract infection chi hrang hrang a awm em?

Ni e, zun kawng natna chi hrang hrang a awm. A chi hrang hrang hman tlanglawn ber chu:

• Cystitis: Hei hi zun kawng infection chi khat a ni ber . A awlsam zawngin sawi ila, bladder-a infection a ni. Hriselna (Germs) a niHei hi zun chu urethra (bladder atanga zun phur tube) atanga a kal chhoh a, bladder chhunga a luh hian a thleng thin.
• Urethritis: Hei hi zunthlum natna a ni.
• Pyelonephritis : Hei hi kal natna a ni a . Infected urine chu bladder atanga kidney-ah urinary tract atanga a luang leh a, thisenah infection chu kidney-ah a darh leh chuan a thleng thei bawk. Hei hi natna khirh tak a ni .

Eng dinhmun dang nge zun kawng infection lo awm leh thei?

Urinary tract infection lo awm leh hi a châng chuan damdawi lam thil dang hnuaia awmte nen pawh a inzawm thei bawk. Entirna tlemte chu hetiang hi a ni:

• Vesicoureteral Reflux (VUR): Hetiang natna hi naupang zun kawng natna nei zinga 30%–50%-ah hmuh tur a awm. Hei hi pianpui natna a ni . Hetiang dinhmunah hian bladder atanga zun chu ureters (kidney atanga bladder thlenga zun phur thei tube te tak te) chungah hnunglam hawiin a luang a, a then chu kidney thlengin a luang chhuak thin He zun hnunglam hi hrik a awm chuan kal infection pyelonephritis an tih a thlen thei a ni.
• Hydronephrosis: Hei hi kal pakhat emaw, a pahnih emaw a lo hring chhuah hian a ni. Hei hi a chhan chu zun a chhuak tha thei lo va, a back up a, kidney-ah a pungkhawm thin. Hei hi VUR na tak vang emaw, ureter blockage vang emaw a ni thei. Hydronephrosis vei naupang thenkhat chuan urinary tract infection laka inven nan nitin antibiotics dose tlem te an ei a ngai mai thei a, chu chu a hnuaia an dinhmun a that hma emaw, operation hmanga siamthat a nih hma loh chuan.

Mahse, urinary tract infection lo awm leh thin hi taksa chhunga heng structural problems vang hian a awm ngai lo.

Entirnan, dysfunctional voiding - naupang zun laiin bladder empty nana tha ruh te chu a relax tha lo na hmun - hi urinary tract infection thlentu tlangpui a ni. Zun tam loh leh chaw ei kham hian natna kai leh theihna a tipung bawk.

A tlem berah chuan thil inzawm lo, taksa invenna (natural defense) tichhe thei immune system natna te hian UTI a thlen leh thei a ni. Tin, nonsterile urinary catheter hman hian urinary tract-ah hrik a lut thei a, infection a thlen thei bawk.

Engtin nge urinary system-a thil dik lo awmte chu hmuhchhuah a nih?

Naupangin urinary tract infection a neih leh chuan, urinary system-a harsatna awm leh awm loh chhui chian a pawimawh hle Naupang natna lo lang leh tawhte chu naupang urologist hnena refer a, an natna chhan hriat chian a tha ber.

Harsatna thenkhat chu pian hmain hriatchhuah theih a ni . Entirnan, nau piang hmaa lo awm, hydronephrosis an tih hi kar 16 hnuah ultrasound hmangin hmuhchhuah theih a ni. A tlem hle a, hydronephrosis hian kal pahnih a nghawng a, nausen tan pawh hlauhawm a nih chuan doctor-te chuan nausen surgery hi an ngaihtuah thei a ni. Mahse, a tam zawkah chuan doctor-te chuan naute pian hnuah an enkawl thin. Heng natna pian hmaa hmuhchhuah zinga a chanve vel chu naute pian lai hian a bo vek a ni.

Doctor-te chuan naute piang thar, hydronephrosis emaw, zun kawng dik lo dang emaw nei nia rinhlelh thisen sang hi an ngaihtuah hle. Hei hi a chhan chu kal lama harsatna thenkhatin thisen sang a thlen theih vang a ni. Bladder leh kidney te chiang zawka hriat theih nan ultrasound an order thei bawk. He natna hian kal pahnih a nghawng nia a lan chuan doctor-te chuan thisen test turin thupek an pe thei bawk a, chu chu kal (kidney) hnathawh that dan enfiah turin a ti thei bawk.

Eng test nge tih thin?

Urinary system-a thil dik lo awm nia rinhlelhna a awm chuan doctor-te chuan dik taka hriat theih nan hetiang test hi an ti thei ang:

• Ultrasound: Hei hian high-frequency sound wave hmangin taksa chhung lam thlalak a siam a. Kidney, ureter, leh bladder-a harsatna awmte a hmuchhuak thei a ni. Kal lian leh te, a pianzia te pawh a teh thei bawk.
• Renal Scan (Nuclear Scan): Hei hian radioactive material chu vein-ah inject a, urinary system kal tlanga a kal lai en a ni. He material hian kal (kidney) pianzia te, a hnathawh that dan te, kal tissue-a chhiatna a awm leh awm loh te, leh zun a luang dan te a tarlang a ni. He test neih chhung hian radiation tlemte chu absorb ni mahse, zunah a chhuak thin.
• Voiding Cystourethrogram (VCUG emaw Cystogram): Hei hi bladder chhungah catheter (tube nem, hollow) dahin opaque dye pass a, chu chu X-ray tih a ni. Hei hian VUR hriatchhuahna kawngah leh bladder emaw urethra-a harsatna awmte hriatchhuahna kawngah a pui thei a ni.
• Contrast Enhanced Voiding Ultrasonography (CeVUS) hmanga tih a ni a, a hlawhtlinna chu a hlawhtlinna a ni.`(VCUG)` nen a inang. Hetah hian catheter dahin bladder chu X-ray hmanga hmuh theih loh, `(Ultrasound) hmangin an khat a ni.` He solution hi kal hnaihah hmuh theih a nih chuan zun chu hnunglam hawiin a luang (reflux) tihna a ni.
• Cystoscopy: Hei hi urethra kaltlangin cystoscope (lens leh light source nei tube) an tih device dahin bladder chhungah direct-a en a ni. Test dang emaw, symptom dang emaw a awm chuan bladder-ah thil danglam a awm thei tih a hriat chuan hman thin a ni.
• Magnetic Resonance Urography (MR-U): Hetiang tih dan hi dye emaw radioactive material emaw hmang lovin urinary system MRI scan hmanga tih a ni. Scan dang ang bawkin a dik a ni. Tunah chuan Intravenous Pyelogram aiah hman a ni tawh.
• Intravenous Pyelogram (IVP): Opaque dye chu vein-ah inject a ni a, chutah chuan X-ray hmangin dye chu urinary tract kaltlangin engtin nge a kal tih hriat a ni. He test hi a chang chuan hman a la ni a, mahse a tam zawkah chuan Renal MRI leh Renal Scan hmangin thlak a ni.

Urinary tract infection lo awm leh thin hi engtin nge an enkawl?

Urinary tract infection lo awm leh thin enkawlna chu a chhan a innghat a ni . A châng chuan, i fate chu zun chhuah a ngai nia an hriat veleh a zun chhuahtîr tûra zirtîr ang maia awlsam a ni thei .

Mahse VUR ang chi natna avanga natna kai a nih chuan a solution chu a buaithlak deuh. VUR nei naupangte hi uluk taka enkawl a ngai a ni , a chhan chu kal natna (pyelonephritis) leh kal chhiatna a thlen thei a ni. Mahse naupang tam zawk chuan an lo upat deuh deuh chuan he natna hi an outgrow thin . Mi thenkhat chuan reflux siamthat nan operation an mamawh mai thei.

VUR vei naupang thenkhat chuan nitin antibiotics tlemte ei hian hlawkna an nei a ni. Hei hian operation neih a ngai tawh lo thei a ni. VUR nei naupangte chu naupang urologist hnenah hruai tur a ni a, ani chuan antibiotic enkawlna hi a tha ber em tih a rel thei ang.

A then phei chuan VUR siamthat nan surgery neih a ngai thin. Surgery tih tam ber chu ureteral reimplantation an ti a . Hei hian ureter pakhat emaw, pahnih emaw chu bladder atanga hnunglam hawia zun luang chhuak tur titawp turin repositioning a huam a ni. He surgery hi incision tlemte chauh a ngai a ni. Naupang thenkhat tan chuan robotic-assisted laparoscopy hmangin tih theih a ni bawk. Surgery a ngai a nih chuan hlawhtlinna rate a sang hle. Mahse, mi zawng zawng tan a inhmeh lo.

Ureteral Reimplantation surgery hi a hnuaia naupangte tan hian a tha thei ang:

• Antibiotics allergy (intolerance) i neih chuan.
• Antibiotics i ei lai pawha natna lo lang leh zel i neih chuan.
• Urinary reflux na tak, emaw "high-grade" i neih chuan.
• Naupang upa zawk, naupang tê tê leh tleirawl tihna a ni a, zun insum theih lohna an nei a.

Ureteral reimplantation ai chuan endoscopic injection a ni . Hei hian VUR ven nan ureter chu bladder chhunga a luhna hmunah thil bik inject a ni. Hetiang tihnaah hian endoscope an tih tube te tak te chu urethra kaltlangin bladder chhungah an dah lut thin. Endoscope hian a tawp lamah camera te tak te a nei a, chuvang chuan surgeon chuan a hmun dik takah a kaihruai thei a, a material chu a inject thei bawk. Hei hian zun chu kal (kidney)-ah a luang kir leh loh nan a pui a ni. Endoscopic injection hi surgery aiin invasive lo zawk mahse, surgery angin result a tha lo hle. Naupang urologist chuan chhungkaw tinte chu VUR vei naupang tan eng nge enkawlna tha ber tih rel turin a pui thei a ni.

Naupang thenkhat chuan natna hrik kai leh thin, taksa peng hrang hranga chhiatna emaw, enkawl theih harsatna dang emaw avanga lo awm lo an nei thin. Chutiang naupangte chuan an kai leh loh nan thla tam tak, kum tam tak chhung pawh antibiotics an ei a ngai mai thei. He enkawlna hi continuous antibiotic prophylaxis an ti a .

Engtin nge nu leh pa angin i ṭanpui theih?

In lama heng thilte hi tih hian naupangte chu zun kawng natna an vei leh loh nan a pui thei a ni:

• Tui in tur: I fa chu ni khatah tui leh tui dang glass 8-10 in turin fuih rawh. Cranberry tui leh cranberry extract te pawh hi sawi a ni fo a, a chhan chu E. coli bacteria te chu bladder wall-a an innghah loh nan a pui thei nia ngaih a nih vang a ni. Mahse, i fain cranberry tui emaw extract emaw a in hi a pawi em tih doctor zawt fo ang che , damdawi thenkhat nen chuan a tha lo zawngin an inzawm thei a ni.
• Toilet hman dan tha: Zun tam leh chaw ei kham loh hian natna kai leh tur venna kawngah a pui thei a ni.
• No Bubble Baths: Naupangte chungah bubble bath leh sahbawn rimtui hmang lo la, hei hian urethra a ti sensitive zawk thei a ni.
• Diaper thlak fo tur: Diaper thlak fo tur a ni. Poop hi genital area-ah rei tak a awm chuan natna hrik chu urethra-ah a nawr lut thei a, bladder chhungah a nawr lut thei bawk.
• Faina dik: Hmeichhe naupangte chuan toilet an hman zawhah hmalam atanga hnunglam thlengin an phihfai tur a ni. Hei hian zun kawng natna hrik awm thei bawlhhlawh atanga zun kawng a venghim thei dawn a ni.
• Cotton hnuaia kawrfual:Breathable cotton underwear ha hian nylon emaw synthetic fabric dang emaw bun aiin urethra bulah natna hrik a tipung lo zawk.
• Inthiarna pangngai: Naupang thenkhat chuan sikul toilet hman an hreh mai thei. A nih loh leh hnathawh emaw inkhelh emaw an buai lutuk avangin zun an chhuah thei lo . Naupang zun kawng natna nei te chuan darkar 3 atanga darkar 4 danah tal an zun tur a ni . Hei hian zun kawng kaltlangin natna hrik a paih chhuak thei a ni.

Engtikah nge Doctor ka hmuh ang?

I fain zun kawng a vei nia i hriat chuan a rang thei ang bera doctor pan rawh . I doctor chuan enkawlna hnuah zun test dang a rawt thei a, chu chuan natna chu a bo vek tawh em tih a hriat theih nan.

I fain urinary tract infection a neih leh chuan pediatric urologist pan ngei ngei tur a ni. Evaluation kimchang tak a ti thei a, urinary system-a thil dik lo awm leh awm loh enfiah turin test order a ti thei bawk. Chutih lai chuan zun kawng infection enkawl dan tur i doctor thupek dik takin zawm la.

Hmalam hun tur chungchang tlem tal

Tun hnaia zirchianna hrang hrangah chuan hmeichhia leh naupang zun kawng natna vei leh thinte chuan immunoglobulin chi hrang hrang (infection dotu protein pawl) an nei tlem thei tih hmuhchhuah a ni. Researcher thenkhat chuan urinary tract infection dona atana antibodies siam chhuahna tichak thei tur vaccine siam theih a nih an ring. Vaccine beisei awm tak chu Urinary tract infection thlentu tam ber E. coli laka invenna atan enchhin mek a ni.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuvangin vawiin a kan sawi tawh atang hian naupang te te zingah urinary tract infection hi eng nge a nih tih te, a lo awm leh hunah eng nge thleng thin tih te, eng nge tih tur tih te chu i hrethiam thei tur a ni. Hlauh tur a awm lo, mahse fimkhur tur a ni .

• A lan chhuah dan hre rawh: Zun chhuah laiin natna , zun tam , leh khawsik ang chi chhinchhiahnate chu en reng ang che.
• Doctor hmu nghal rawh: Rinhlelhna i neih chuan Doctor pan nghal vat rawh.
• A chhan bulpui zawng rawh: Infection i neih leh chuan doctor thurawn zawng rawh. `(VUR)` ang chi harsatna i nei mai thei.
• Thiltih \ha tak tak tuh rawh: I fa chu tui tam tak in tir la, zun fo turin fuih la, a thianghlim reng ang.
• Doctor thupek zawm rawh: Enkawl dan dik takin zawm rawh.

A pawimawh ber chu i fa hriselna enkawl hi a ni. He thu hi i tan a tangkai ngei ka beisei!

` Urinary tract infection, Recurrent UTIs, Pediatrics, Kal natna, VUR, Hydronephrosis, Urinary system