Kodi mwatopanso ndi matenda a mkodzo (UTI)? Tiyeni tiphunzire bwino za matenda a mkodzo obwerezabwereza!

Zimakwiyitsa kwambiri mukadwala matenda a mkodzo (UTI), eti? Kupweteka, kusapeza bwino, komanso kukodza pafupipafupi komwe kumabwera chifukwa cha izi... Nthawi zina, mukangoganiza kuti mwamwa mankhwalawo ndipo mukumva bwino, zimabwereranso. Izi zimakwiyitsa kwambiri. Chifukwa chake, ngati mudwala matenda a mkodzo mobwerezabwereza, zikutanthauza kuti mutha kukhala ndi vuto lotchedwa 'matenda obwerezabwereza a mkodzo'. Tiyeni tikambirane mwatsatanetsatane lero.

Kodi matenda obwerezabwereza a mkodzo (UTI) ndi chiyani?

Mwachidule, ngati mukupeza matenda a mkodzo kawiri kapena kuposerapo (UTI) m'miyezi isanu ndi umodzi , kapena katatu pachaka , madokotala amatcha matendawa kuti ndi UTI yobwerezabwereza. Mawu oti "kubwerezabwereza" amatanthauza "kubwerezabwereza."

Izi zimatchedwa china chake, ndipo mwina munamvapo kale:

• Matenda a mkodzo osatha (UTI yosatha)
• Matenda osatha a mkodzo (UTI)
• Matenda opatsirana pafupipafupi m'njira ya mkodzo (UTI)

Kaya mumati chiyani, tanthauzo lake ndi lomwelo. Zimatanthauza kuti muli ndi matenda m'njira yanu ya mkodzo, ndipo ngakhale mutalandira chithandizo, amabwereranso pakapita nthawi. Izi zitha kukhala zokhumudwitsa kwambiri ndipo zingasokoneze zochita zanu za tsiku ndi tsiku. Ichi ndichifukwa chake, ngati muli ndi zizindikiro za UTI, ndipo zizindikirozo zibwereranso mwamsanga mutalandira chithandizo, muyenera kuwona dokotala . Kenako mutha kupeza chithandizo choyenera kapena upangiri wamomwe mungapewere.

Kodi zizindikiro za matenda obwerezabwereza a mkodzo ndi ziti?

Zizindikiro za matenda obwerezabwereza m'njira ya mkodzo zimafanana ndi za matenda a UTI wamba. Mungakhale ndi chimodzi kapena zingapo mwa izi:

• Kupsa kapena kupweteka pokodza (Dysuria)
• Kupweteka kwa suprapubic, kutanthauza kupweteka pansi pa mchombo
• Mkodzo womwe uli wachikasu kapena wokhala ndi fungo loipa
• Kufuna kukodza pafupipafupi kuposa masiku onse (Kukodza pafupipafupi)
• Kulephera kudziletsa mkodzo
• Kufuna kukodza mwadzidzidzi komanso kosalamulirika, koma mkodzo wochepa wokha umatuluka (Kulimbikitsa kusadziletsa)
• Magazi ochepa mu mkodzo (Hematuria)

Ngati muli ndi zizindikiro ngati izi, musanyalanyaze.

Kodi UTI ingabwerezedwenso mofulumira bwanji?

Matenda obwerezabwereza a mkodzo nthawi zambiri amabwereranso mkati mwa mwezi umodzi kuchokera pamene munthu walandira chithandizo, koma anthu ena amatha kubwereranso kangapo pachaka, ngakhale atalandira chithandizo.

N’chifukwa chiyani matenda a mkodzo amenewa amabwereranso?

Mabakiteriya ndiye omwe amachititsa matenda obwerezabwereza m'njira ya mkodzo.– Makamaka mabakiteriya otchedwa `(E. coli)` – amalowa m'njira yanu ya mkodzo. Mabakiteriya a `(E. coli)` amenewa nthawi zambiri amakhala m'njira yathu ya m'mimba. Nthawi zina mabakiteriyawa amatha kulowa m'njira yanu ya mkodzo kudzera m'matumbo anu.

Makamaka akazi, akhoza kukhala pachiwopsezo chachikulu cholowa m'mabakiteriya mwanjira iyi m'mikhalidwe monga:

• Mukamaliza kugwiritsa ntchito chimbudzi, pukutani kuyambira kumbuyo kupita kutsogolo (njira iyi ndi yolakwika, nthawi zonse muyenera kupukuta kuyambira kutsogolo kupita kumbuyo).
• Pambuyo pogonana kapena pambuyo pa zochita monga kulowa mu digito ndi kuseweretsa maliseche.
• Kusakodza pafupipafupi (mabakiteriya amatha kukula ngati mkodzo ukhala m'chikhodzodzo kwa nthawi yayitali).
• Mukakhala ndi vuto monga kutsegula m'mimba, kapena pamene kuli kovuta kukhala waukhondo mukatha kuchita chimbudzi.

Kuwonjezera pa E. coli, mitundu ina yambiri ya mabakiteriya ingayambitse matenda obwerezabwereza a UTI. Mwachitsanzo:

• `(Enterococcus faecalis)`
• `(Klebsiella)`
• `(Proteus mirabilis)`
• `(Staphylococcus)`

Ndi matenda ena ati omwe angayambitse matenda a UTI nthawi zambiri?

Matenda ena omwe angayambitse matendawa angayambitsenso kuti munthu adwale matenda opatsirana m'njira ya mkodzo mobwerezabwereza. Izi zikuphatikizapo:

• Kuuma ndi kuonda kwa nyini (Vaginal atrophy): Imeneyi ndi vuto lomwe limachitika makamaka nthawi ya kusamba. Lingayambitsidwenso ndi mankhwala a mitundu ina ya khansa, monga khansa ya m'mawere.
• Kukhala ndi ma cysts odzaza ndi madzi mu mkodzo kapena chikhodzodzo chanu. Izi zimatha kugwira mkodzo ndi mabakiteriya ndikuyambitsa matenda.
• Kusunga mkodzo: Izi zingayambitse mabakiteriya kukula mu mkodzo womwe umatsala mu chikhodzodzo ndikuyambitsa matenda. Izi zitha kuchitika chifukwa cha matenda monga kutsekeka kwa mkodzo m'mimba, matenda a shuga, sitiroko, ndi matenda amitsempha monga multiple sclerosis ndi matenda a Parkinson.
• Kukhala ndi miyala ya impso .
• Matenda obadwa nawo a mkodzo: Izi zingayambitse kusintha kwa kapangidwe ka mkodzo, zomwe zimapangitsa kuti ukhale wosavuta kugwidwa ndi matenda. Zitsanzo zikuphatikizapo kutsekeka kwa ureteropelvic junction (UPJ), vesicoureteral reflux (VUR), ureteroceles, ndi ectopic ureters. Izi ndi matenda ovuta omwe angadziwike ndi dokotala yekha.

Kodi pali mgwirizano pakati pa matenda odziteteza ku matenda a autoimmune ndi matenda obwera chifukwa cha UTI?

Ngakhale kuti palibe kafukufuku wambiri pa izi, mankhwala oletsa chitetezo chamthupi omwe amagwiritsidwa ntchito pochiza matenda odziteteza okha monga lupus ndi rheumatoid arthritis (RA) awonetsedwa kuti amachepetsa chiopsezo chotenga vutoli.Akukhulupirira kuti kugwiritsa ntchito mankhwala oletsa chitetezo chamthupi kungapangitse kuti munthu adwale matenda a UTI mobwerezabwereza. Mofananamo, kugwiritsa ntchito mankhwala a steroid kwa nthawi yayitali kungapangitse kuti munthu adwale matenda a UTI ndi matenda ena.

Kodi matenda a UTI obwerezabwereza ndi opatsirana?

Ayi, ayi konse. Matenda obwerezabwereza a mkodzo sapatsirana. Simungawatenge kuchokera kwa wina, ndipo simungawapatsire kwa wina.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a UTI obwerezabwereza?

Zinthu zina zingakulitse chiopsezo chanu chokhala ndi matenda a UTI obwerezabwereza:

• Kugwiritsa ntchito mankhwala ophera umuna : Akagwiritsidwa ntchito, mankhwalawa amatha kuwononga mabakiteriya opindulitsa (Lactobacilli) omwe amaletsa kukula kwa mabakiteriya oipa monga E. coli.
• Pambuyo pa Kusamba : Musanayambe kusamba, nyini imakhala ndi asidi. Asidi iyi imaletsa mabakiteriya kukula ndi kulowa m'chikhodzodzo. Pambuyo pa kusamba, pH ya nyini imasintha ndikutaya asidi wake. Kenako mabakiteriya amatha kulowa mosavuta m'chikhodzodzo ndikuyambitsa matenda. Komanso, chiwerengero cha mabakiteriya opindulitsa (Lactobacilli) m'nyini chimachepa pambuyo pa kusamba.
• Kufooka kwa chikhodzodzo ndi ukalamba : Pamene minofu ya chikhodzodzo ikufooka ndi ukalamba, sizingatheke kufinya mkodzo wonse. Mkodzo ukakhala m'chikhodzodzo kwa nthawi yayitali, umapanga malo abwino oti mabakiteriya akule.
• Kugwiritsa ntchito diaphragm ya m'mimba .
• Kugwiritsa ntchito zakumwa zapadera kutsuka nyini (Vaginal douche) (Izi sizinthu zabwino kwenikweni, chifukwa zimasokoneza mgwirizano wachilengedwe wa nyini).
• Kugwiritsa ntchito maantibayotiki kwa nthawi yayitali : Izi zitha kusokoneza mgwirizano pakati pa mabakiteriya abwino ndi oipa m'thupi.

Kodi ndi mavuto otani omwe amabwera chifukwa cha UTI yobwerezabwereza?

Ngati munyalanyaza matenda obwerezabwereza a mkodzo, pakapita nthawi, mutha kuwonjezera chiopsezo chanu chokhala ndi matenda monga:

• Mavuto okhudzana ndi impso : monga matenda a impso (Pyelonephritis) ndi matenda a impso.
• Septicemia ( majeremusi omwe amalowa m'magazi )
• Sepsis (matenda oopsa omwe angakhale oopsa kwa moyo).
• Kupweteka kwa chikhodzodzo kosatha .
• Kukula kwa kukana maantibayotiki ku maantibayotiki ena (kutanthauza kuti sagwiranso ntchito).

Matenda a UTI omwe amabwerezedwanso panthawi ya mimba angayambitse kubadwa msanga komanso kubadwa ndi thupi lochepa . Chifukwa chake, ngati muli ndi pakati, muyenera kusamala kwambiri ndi zizindikiro za matenda a UTI.

Kodi mungadziwe bwanji kuti muli ndi UTI yobwerezabwereza?

Ngati mukuganiza kuti muli ndi matenda a UTI obwerezabwereza, dokotala adzazindikira vutoli motere:

• Akufunsa za zizindikiro zanu .
• Mbiri yanu yachipatala ikufunsidwa.
• Amayesa thupi .
• Mayeso apadera amalimbikitsidwa kuti atsimikizire matendawa.

Ndi mayeso amtundu wanji omwe amachitidwa?

Mayeso ambiri amafuna kuti mupereke chitsanzo cha mkodzo . Musanamwe izi, muyenera kusamba m'manja mwanu ndi malo obisika bwino ndikukodza m'chikho chapadera kuti majeremusi asalowe (izi zimatchedwa "chitsanzo cha mkodzo woyera").

Nthawi zina, ngati sizingatheke kupeza chitsanzo mwanjira imeneyi, kapena ngati chitsanzocho chikuganiziridwa kuti chaipitsidwa, dokotala angaike catheter ya mkodzo ndikupeza chitsanzo.

Mayeso awa amachitika pogwiritsa ntchito chitsanzo cha mkodzo wanu:

• Kusanthula mkodzo : Mu mayeso awa, akatswiri a labotale amafufuza zizindikiro za matenda mu mkodzo wanu.
• Kumera kwa mkodzo : Izi zimayesa kuona ngati mabakiteriya akukula mu mkodzo wanu. Nthawi zina, ngakhale mutalandira chithandizo chabwino, UTI imatha kubwereranso chifukwa cha mtundu wina wa mabakiteriya.

Kawirikawiri, makamaka ngati muli ndi magazi mu mkodzo wanu mutalandira chithandizo, kapena ngati mumakhala ndi miyala ya impso pafupipafupi, madokotala angakulangizeni kuti muyesedwe popanda kupweteka . Izi nthawi zambiri zimaphatikizapo:

• Kuyesa kwa ultrasound ya impso
• Kujambula kwa CT pamimba ndi m'chiuno mwanu

Nthawi zina madokotala angakulimbikitseninso kuti mupange cystoscopy, njira yowunikira chikhodzodzo . Mu njira iyi, kamera kakang'ono (cystoscope) kamayikidwa kudzera mu mkodzo wanu kupita mu chikhodzodzo chanu. Kuyesaku kungathandize kuwona zolakwika zilizonse kapena zinthu zakunja mu chikhodzodzo zomwe sizingawonekere pa CT scan.

Kodi tingathetse bwanji matenda obwerezabwereza a mkodzo?

Ngati muli mu nthawi yopuma kapena mutasiya kusamba, njira imodzi yabwino yopewera kubwerezabwereza kwa matenda a UTI ndi kumwa mankhwala a estrogen m'mimba. Iyi si piritsi kapena chigamba. Ndi kirimu, piritsi, kapena mphete yomwe imayikidwa mu nyini. Imasintha pH ya nyini, ndikubwezeretsa acidity yake. Ndi yotetezeka kwa akazi ambiri kugwiritsa ntchito. estrogen yochepa kwambiri (mwina palibe) imalowa m'magazi.

Mudzafunika mankhwala ochokera kwa dokotala okhudza maantibayotiki kuti muchiritse matenda omwe alipo kale. Ngakhale zizindikiro zanu zitatha, dokotala wanu akhozaMankhwala opha tizilombo toyambitsa matenda a nthawi yayitali komanso otsika akhoza kuperekedwa. Mankhwalawa angatengedwe kwa miyezi itatu yokha, kapena chaka chimodzi kapena kuposerapo.

Ngati muli ndi mbiri ya matenda a UTI mutagonana, dokotala wanu angakuuzeni kuti mumwe piritsi limodzi la mankhwala opha tizilombo toyambitsa matenda nthawi yomweyo mutagonana . Kapena, angakupatseni mankhwala opha tizilombo toyambitsa matenda ochepa tsiku lililonse. Zitsanzo za mankhwala opha tizilombo awa ndi awa:

• `(Nitrofurantoin)` (ikupezeka pansi pa mayina amalonda monga Macrobid®, Macrodantin®, Urotoin®)
• (SMX-TMP)` (Ili pansi pa mayina amalonda monga Bacter-Aid DS®, Bactrim®, Septra®)
• `(Trimethoprim)` (imabwera pansi pa mayina amalonda monga Proloprim®)
• (Cephalexin)` (imabwera pansi pa mayina amalonda monga Keflex®)

Komabe, kumwa mankhwala opha tizilombo kwa nthawi yayitali kungayambitse kusamva kwa mankhwala opha tizilombo komanso kuonjezera chiopsezo chotenga matenda ena.

Madokotala angalimbikitsenso mankhwala osagwiritsa ntchito maantibayotiki. Zitsanzo:

• Zowonjezera za Cranberry Extract : Akuganiza kuti mankhwala omwe amapezeka mu cranberries angathandize kupewa mabakiteriya a E. coli kuti asakhudze chikhodzodzo.
• Methenamine hippurate (mayina a makampani akuphatikizapo Hiprex®, Mandelamine®, Urex®): Iyi ndi mankhwala opha mabakiteriya. Amapangitsa mkodzo wanu kukhala ndi asidi, zomwe zimathandiza kupha mabakiteriya.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Anthu ambiri amayamba kumva bwino patangopita masiku ochepa atayamba kumwa mankhwala opha maantibayotiki. Komabe, ndikofunikira kumaliza mankhwala onse omwe mwapatsidwa. Ngati simutero, muli ndi mwayi waukulu woti mutengenso UTI. Ngati mwaphonya mlingo, lankhulani ndi dokotala wanu. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.

Kodi ndiyenera kuyembekezera chiyani ngati munthu amene ali ndi UTI yobwerezabwereza?

Matenda ambiri a UTI omwe amabwereranso amatha ndi maantibayotiki komanso njira zopewera. Komabe, ndikofunikira kusamala thupi lanu komanso momwe mukumvera. Pitani kwa dokotala mukangoyamba kuona zizindikiro za UTI.

Kodi mungapewe kubwereranso kwa UTI?

Ngati nthawi zambiri mumadwala matenda a mkodzo, ndikofunikira kwambiri kuchita izi:

• Mukamaliza kugwiritsa ntchito chimbudzi, pukutani kuyambira kutsogolo kupita kumbuyo .
• Imwani madzi ambiri kuti mutulutse mabakiteriya m'njira ya mkodzo.
• Sungani chikhodzodzo chili chopanda kanthu ndipo mukodze nthawi zonse kuti muchitulutse.
• Gwiritsani ntchito makondomu m'malo mwa ma diaphragm ndi mankhwala ophera umuna ngati njira zolerera.
• Nthawi zonse muzikodza mukamaliza kugonana kapena kuchita chilichonse chogonana .

Kodi ndiyenera kupita kwa dokotala liti?

Konzani nthawi yoti mukakumane ndi dokotala mukangoyamba kuona zizindikiro za matenda a UTI. Ngati zizindikiro zanu sizikuchepa kapena kukulirakulira ngakhale mutalandira chithandizo, pitaninso kwa dokotala.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati muli ndi UTI yobwerezabwereza ndipo mukukumana ndi zizindikiro izi, ndi bwino kupita kuchipatala chadzidzidzi:

• Kupweteka kwa msana
• Malungo
• Kusanza

Izi zitha kukhala zizindikiro za matenda oopsa kwambiri.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Nazi mafunso ena omwe mungafunse dokotala wanu:

• N’chifukwa chiyani ndikupitirizabe kutenga matenda a mkodzo?
• Kodi ndi mabakiteriya omwewo omwe amachititsa kuti ndidwale matenda a UTI mobwerezabwereza?
• Kodi mumalimbikitsa chithandizo chanji?
• Ndi chiyani china chomwe ndingachite kuti matenda a UTI asabwerenso?
• Kodi chingachitike n’chiyani ngati sindikuchiza matenda a UTI omwe amabwereranso?

Kodi mumadwala UTI kangati musanayambe "kuchuluka"?

Ngati mutadwala UTI kawiri kapena kuposerapo mkati mwa miyezi isanu ndi umodzi, kapena kuposerapo katatu mkati mwa chaka, madokotala amazindikira kuti ndi UTI yobwerezabwereza.

Matenda a mkodzo angakhale osasangalatsa kwambiri pa moyo wanu watsiku ndi tsiku, ndipo zizindikiro zake zingakhale zochititsa manyazi. Zingakhale zovutitsa kwambiri ngati zimachitika pafupipafupi. Mungakhale ndi nkhawa nazo.

Ngati muli ndi zizindikiro za matenda a UTI, ndikofunikira kuonana ndi dokotala. Amamvetsetsa momwe mukumvera, ndipo akufuna kukuthandizani kuti muchire mwachangu momwe mungathere. Angathe kuchiza matenda omwe muli nawo panopa, kukupatsani malangizo opewera, komanso kukuthandizani kuti musatengenso matenda a UTI. Angathenso kufufuza ngati pali matenda enaake kapena zinthu zina zomwe sizikuyenda bwino m'thupi lanu.

Pomaliza, kumbukirani izi (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikukumbutseni mfundo zofunika kwambiri kuchokera pa zomwe takambirana.

• Matenda a UTI omwe amabwerezabwereza ndi chinthu chofunika kuwaganizira mozama. Musawanyalanyaze.
• Kuzindikira matenda molondola ndi chithandizo ndikofunikira. Musadzipatse mankhwala.
• Kuchita zinthu zodziletsa kungathandize kwambiri. Makamaka kusamalira ukhondo, kumwa madzi ambiri, komanso kuchita zinthu zodziletsa pogonana.
• Ngati mwakhala mukuvutika ndi kusamba, musaope kulankhula ndi dokotala wanu za zinthu monga chithandizo cha estrogen m'mimba .
• Simuli nokha. Pali anthu ambiri omwe ali ndi vutoli. Ndi upangiri ndi chithandizo choyenera, vutoli lingathe kuthetsedwa.

Kusamalira thanzi lanu ndiye chinthu chofunika kwambiri. Musazengereze kufunsa upangiri kwa dokotala ngati mukumva kusasangalala kulikonse.

'Matenda a mkodzo, matenda obwerezabwereza a mkodzo, UTI, kutupa kwa mkodzo, zizindikiro za mkodzo, chithandizo cha matenda a mkodzo, kupewa matenda a mkodzo