Kuki 'ukoresha culture' ku nkari? (Umuco w'inkari) Reka tubiganireho birambuye!

Ese wigeze uhura n'ikibazo cyo kwandura indwara y'inkari (UTI) ? Muganga wawe ashobora kuba yaragusabye gukora culture y'inkari. Ushobora kuba warumvise izina ritangaje gato. None se, culture y'inkari ni iki? Kuki ari ingenzi cyane? Reka tubisobanure byose mu buryo bworoshye ushobora kumva.

Iki kizamini cya 'Inkari Culture' ni iki?

Muri make, gupima inkari ni ikizamini kigenzura bagiteri cyangwa ibihumyo mu nkari zawe (nk'umusemburo , mu by'ukuri). Ijambo "gupima inkari" hano risobanura ko mikorobe , ni ukuvuga udukoko duto dushobora kuboneka mu mazi yo mu mubiri (muri iki gihe inkari), zikurira muri laboratwari. Muganga wawe azagufatira icyitegererezo cy'inkari maze acyohereze muri laboratwari kugira ngo akore "gupima inkari".

Iki kizamini cya 'Inkari Culture' gishobora kandi kugaragaza neza bagiteri cyangwa fungus itera ubwandu. Ikirenzeho, gishobora no kumenya antibiyotike zikwiye zo kwica bagiteri. Hanyuma muganga ashobora guhitamo umuti ukubereye. Ntushaka kongera indwara yawe ukoresheje umuti utari wo, si byo se?

Ni ryari hakenewe culture y'inkari?

Ubusanzwe abaganga bategeka iki kizamini kugira ngo bemeze niba ufite indwara yo mu nzira y'inkari (UTI) . Muganga ashobora gutegeka iki kizamini niba ufite kimwe muri ibi bimenyetso bikurikira:

• Ese ubabara iyo urimo kunyara ? Cyangwa wumva umeze nk'aho ushyushye?
• Ese uhita ukenera kunyara vuba? Ibyo bivuze ko bigoye kwifata.
• Ese ukunda kunyara kenshi? Kurusha uko bisanzwe.
• Ese hari igihe ubura ubushobozi bwo kugenzura inkari zawe ?
• Ese ufite umuriro nta mpamvu igaragara ? Hari igihe indwara zo mu nzira y'inkari zishobora kugaragara nk'umuriro.

Niba ufite ikibazo nk'iki, ni byiza cyane kujya kwa muganga no kugisha inama.

Ni irihe tandukaniro riri hagati ya 'Umuco w'Inkari' n' 'Isesengura ry'Inkari'?

Ibi byombi ni ibizamini by'inkari. Byombi bisaba ko upimwa inkari. Ariko hari itandukaniro rito. Akenshi, muganga abanza gukora 'isuzuma ry'inkari' . Iki ni ikizamini cyihuse. Ibi bireba inkari zawe kugira ngo zitabarweho uturemangingo dutukura, uturemangingo tw'umweru , naNiba hari ibintu nka bagiteri. Ibi bishobora gutanga ishusho y'ubwandu. Mu by'ukuri, 'gupima inkari' ni nk ' 'ikizamini cyo gusuzuma' . Ni ukuvuga ko bifasha umuganga gufata icyemezo cyo gukora 'isuzuma ry'inkari' cyangwa kutabikora.

Guteza imbere inkari bikubiyemo gutera udukoko twagaragaye mu isuzuma ry'inkari kugira ngo hamenyekane neza bagiteri cyangwa fungus itera ubwandu. Ese usobanukiwe itandukaniro?

Uyu 'Umuco w'Inkari' ukora ute?

Biroroshye cyane. Ufata inkari mu gikombe nk'uko muganga yabigutegetse. Hari igihe, niba bigoye kubikora (urugero, ku mwana muto cyangwa umurwayi uri ku buriri), muganga wawe azakoresha ubundi buryo (tuzabivugaho nyuma). Icyitegererezo cy'inkari zawe cyoherezwa muri laboratwari.

Muri laboratoire, umutekinisiye wa laboratoire afata agati gato (gafite agace gato ku mpera) akakashyira mu nkari zawe. Hanyuma, bakagashyira ku isahani yihariye irimo intungamubiri. Izi ntungamubiri zituma udukoko twose mu nkari dukura vuba. Niba ufite UTI , mu munsi umwe cyangwa ibiri, bagiteri nyinshi cyangwa fungi (zitwa koloni ) zizamera ku isahani. Laboratoire isuzuma kandi ikabara izo nkari kugira ngo itange raporo yawe.

Tekereza nko guhinga ubusitani buto. Ugaburira mikorobe ukareba niba zikura.

Niba icyitegererezo cyawe kirimo bagiteri cyangwa fungi , laboratwari izakora ikindi kizamini. Iki kizamini cyitwa ikizamini cyo kwiyumvamo antibiyotike ( cyangwa ikizamini cyo kwiyumvamo antibiyotike ku bihumyo). Iki kizamini kizagena antibiyotike zizica cyangwa zigahagarika gukura kwa bagiteri. Aya makuru azafasha muganga wawe guhitamo umuti ukubereye.

Twakwitegura dute mbere yo koroza inkari?

Niba hari ibintu byihariye ugomba gukora mbere yo gutanga icyitegererezo cy'inkari, muganga wawe azakubwira ibyabyo. Akenshi, ibintu nk'ibi bishobora kuvugwa:

• Ntukanywe inkari nibura isaha imwe mbere yo gutanga icyitegererezo cy'inkari.
• Nywa ikirahure cy'amazi (nibura ounces 20) mu minota 20 mbere yo gutanga icyitegererezo. Ibi bizafasha gukusanya inkari zihagije zo gukoresha icyitegererezo.
• Niba bishoboka, fata icyitegererezo cy'inkari zabanje kuva mu gitondo . Ibyo ni byiza kurushaho.

Hari abantu bumva bitoroshye kunyara hanze y'urugo, cyane cyane muri laboratwari, sibyo? Byitwa 'syndrome y'uruhago rw'isoni' . Niba ufite iki kibazo, bwira muganga wawe. Azakwereka uburyo bwo gutanga icyitegererezo mu buryo bworoshye. Nta kintu cyo kugira isoni, iki ni ikintu kibaho ku bantu benshi.

Bigenda bite iyo ukoze 'Umuco w'inkari'? (Uburyo bwo gufata inkari neza)

' ' (Urine Culture) ' ' (Clean catch urine sample) . , ‍‍ , ‍ . ‍ (Bacteria) , . , . .

Dore uburyo bwo gukusanya icyitegererezo cy'inkari ukoresheje uburyo bwa 'clean catch':

1. Ubwa mbere , karaba intoki zawe neza n'isabune n'amazi ashyushye . Ibi ni ingenzi cyane.

2. Hanyuma, koresha agapira ko kwihanagura gatangwa kugira ngo usukure neza igitsina cyawe n'ibikikije (niba uri umugore) cyangwa igitsina cya glans (niba uri umugabo). Niba igitsina cyawe kidakebwe , ugomba kubanza kugisukura usubiza inyuma agahu k'uruhu.

3. Hanyuma, banza usuke inkari mu musarani . Hanyuma ureke kunyara hagati . Ibi byitwa 'midstream'.

4. Noneho, fata igikombe cyanduye wahawe, hanyuma nutangira kongera kunyara , ukifate munsi y'igitsina cyawe cyangwa munsi y'igitsina cyawe. Ntureke igikombe kigukore ku ruhu .

5. Kura inkari kugeza igihe igikombe cyuzuye kimwe cya kabiri , cyangwa nk'uko muganga wawe yabikubwiye. Nta kibazo niba udashobora kuzuzuza kimwe cya kabiri cyuzuye neza.

6. Niba ukeneye konka cyane, hagarara hagati y'inka niba bishoboka, ukuremo igikombe, hanyuma usuke ibisigaye mu musarani.

7. Niba muganga aguhaye umupfundikizo w'igikombe, gifunge neza. Muganga azakubwira aho ushyira icyitegererezo.

8. Amaherezo, ntukibagirwe kongera gukaraba intoki neza .

Ukurikije izi ntambwe neza, ushobora kubona icyitegererezo cyiza. Nubwo bishobora gusa nkaho ari ikibazo, ibi ni ingenzi cyane kugira ngo ubone ibisubizo nyabyo.

Ese hari ubundi buryo bwo gufata ikizamini cy'inkari?

Yego, birahari. Si buri wese ushobora gutanga icyitegererezo akoresheje uburyo bwa 'clean catch'. Urugero, biragoye kubikora ku mwana muto cyane cyangwa umuntu urwaye cyane. Muri bene ibyo bihe, abaganga bakoresha ubu buryo:

• 'Catheterization':Muri ubu buryo, umuganga ashyiramo umuyoboro muto kandi woroshye ( catheter ) unyuze mu muyoboro w'inkari mu ruhago rwawe. Hanyuma inkari zimanuka mu muyoboro zikagera mu gafuka kadafite umwanda.
• Agapfunyika k'inkari (U bag): Ubu buryo bukoreshwa ku bana bato n'impinja. Agapfunyika kadasanzwe gafite agace gato ko gufata kaba gafatanye n'igitsina cy'umwana cyangwa gapfuka umwenge w'igitsina cye. Nyuma y'uko umwana atangiye kunyara , inkari zikusanyirizwa mu gikombe cyatanzwe. Niba ubikora mu rugo, uzakenera kubika icyitegererezo muri firigo kugeza igihe uzakijyana muri laboratwari cyangwa kwa muganga.
• ' Aspiration ': Ubu buryo ni gake cyane. Muri ubu buryo, umuganga ashyira urushinge ruto mu ruhu rw'inda, akarushyira mu ruhago , hanyuma agasohora inkari nke akoresheje syringe.

Ese hari ingaruka zishobora guterwa no gukwirakwiza inkari?

Ni byiza cyane gutanga icyitegererezo cy'inkari ukoresheje uburyo bwa 'clean catch' cyangwa 'urine bag'. Bisa nkaho nta ngaruka mbi zihari. Ariko, hashobora kubaho ibyago bike cyane byo kwandura hakoreshejwe uburyo bwa 'catheter' cyangwa uburyo bwo gutera urushinge.

Ingaruka zikomeye ni uko icyitegererezo gishobora kuba cyarandujwe na bagiteri cyangwa fungus ku ruhu rwawe . Ibi biramutse bibaye, raporo yawe ishobora kuba itari yo (byitwa 'ikinyoma cyanduye' ). Ibi bivuze ko ushobora gusanga ufite ubwandu nubwo udafite.

Bifata igihe kingana iki kugira ngo raporo y'uko inkari zimeze igere?

Ubusanzwe bifata amasaha 24 kugeza kuri 48 kugira ngo bagiteri zikure mu muco. Bityo, bishobora gufata iminsi itatu kugira ngo laboratwari irangize ikizamini kandi yohereze raporo. Muganga wawe azaguhamagara akakubwira ibya raporo, cyangwa ushobora kuyireba mu nyandiko zawe z'ubuvuzi bw'ikoranabuhanga (EHR) .

Niba raporo y’ubushakashatsi ku nkari 'yaragaragaye' bivuze iki?

Niba raporo y’uko inkari zawe zanduye kandi ukaba ufite ibimenyetso by’ubwandu, bivuze ko ufite UTI . Niba ari uko bimeze, muganga wawe azagutangira kuvura (kandi ashobora kuba yaranatangiye kuyivura).

Ariko, hari igihe bagiteri zishobora kugaragara mu nkari nta bimenyetso. Ibi byitwa 'bacteriuria idatanga ibimenyetso' . Iyo nta bimenyetso ufite, ubusanzwe ntibisaba kuvurwa.

Niba laboratwari yarakoze ikizamini cya 'Antibiotic Sensitivity', uzabona amagambo nk'aya muri raporo:

• 'Birakwiye kwibasirwa':Ibi bivuze ko umuti wagize ingaruka nziza mu guhagarika cyangwa kwica bagiteri cyangwa ibihumyo byakuriye mu muco wawe. Uyu muti ugomba kuba amahitamo ya mbere mu kuvura ubwandu.
• 'Intermediate': Ibi bivuze ko umuti wagize ingaruka ku mikorobe cyangwa fungus . Wenda iyo utanzwe ku gipimo kiri hejuru , ushobora kugira akamaro mu kuvura ubwandu.
• 'Urwanya': Ibi bivuze ko umuti utarakora neza mu guhagarika cyangwa kwica bagiteri cyangwa ibihumyo . Bityo uyu muti ntabwo ari mwiza mu kuvura ubwandu .

Aya makuru ni ingenzi cyane, kuko niho muganga azahitamo umuti ukubereye, uzagufasha gukira vuba.

Bisobanura iki niba raporo y’ubushakashatsi ku nkari ari 'negative'?

Raporo y’uko inkari zanduye cyangwa zisanzwe zimeze nabi, bivuze ko nta bimenyetso bya bagiteri cyangwa fungus bigaragara mu nkari zawe. Ibi bivuze ko udafite 'UTI' . Ariko ibuka ko ingano zisanzwe zishobora gutandukana gato bitewe na laboratwari.

Ariko, niba ufite ibimenyetso bya UTI (ububabare iyo uri kunyara , kwihuta, kwihagarika kenshi, amaraso mu nkari - hematuria ) ariko imiterere y'umubiri wawe ikaba mbi, hashobora kubaho izindi mpamvu. Urugero, impinduka ziterwa no gucura , amabuye mu mpyiko , cyangwa ibibyimba by'uruhago . Muri ibyo bihe, muganga wawe ashobora gutegeka ibindi bipimo kugira ngo amenye icyabiteye. Ashobora kandi gutegeka ko hakorwa isuzuma ry'ibishushanyo , ibindi bipimo byihariye, cyangwa akakohereza kwa muganga w'inzobere mu by'inkari (umuganga w'inzobere mu by'inkari).

Ni ryari tugomba kongera kubonana na muganga?

Niba ibimenyetso byawe bitarushijeho kuba byiza nyuma yo kuvurwa, cyangwa niba ufite ikibazo ku bisubizo by'ibizamini, menya neza ko wavuganye na muganga wawe. Ni bibi guhisha indwara.

Ese ibi bintu bishobora kumenyekana binyuze mu gutandukanya inkari?

Bagiteri ya 'E. coli' (E. coli)?

Yego, ikizamini cyo gupima inkari gishobora kugaragaza Escherichia coli (E. coli) . E. coli ni ubwoko bwa bagiteri ziba mu buryo bw'igogora ryacu kandi ziboneka mu mwanda wacu. E. coli ni yo mpamvu nyamukuru itera UTI ..

Ubwiyongere bwa Streptococcus (Strep)?

Yego, uburyo bwo kuvura inkari bushobora kandi kugaragaza bagiteri za Streptococcus (Strep) . Niba ufite ubwandu bwa strep mu itsinda rya B mu gihe utwite (nubwo nta bimenyetso ufite), ushobora kubutera umwana wawe mu gihe cyo kubyara mu gitsina. Kubwibyo, umuganga w’abagore n’umuganga w’abagore azagupima strep mu itsinda rya B uko wegereza itariki yo kwitaba Imana.

Indwara zandurira mu mibonano mpuzabitsina (STIs)?

Yego, ikizamini cy'inkari gishobora kugaragaza indwara zandurira mu mibonano mpuzabitsina ( STIs) nka Chlamydia na Gonorrhea . Ariko muganga wawe azagomba kubisaba ukwabyo, kuko bitazagaragara muri raporo isanzwe y'ubushakashatsi ku nkari. Indwara zandurira mu mibonano mpuzabitsina zishobora kandi kugaragara hakoreshejwe agapfukamunwa kavanywe mu muyoboro wawe w'inkari, mu gitsina cyawe, cyangwa mu gitsina cyawe.

Hanyuma, ibintu tugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Indwara zo mu nkari ntizibabaza gusa, ahubwo rimwe na rimwe zishobora kuba zikomeye. Cyane cyane iyo zikwirakwira mu mpyiko, mu maraso, cyangwa niba bagiteri yandurira umwana iva ku mubyeyi mu gihe cyo kubyara. Gutera inkari bishobora gufasha muganga wawe kumenya impamvu y'ibimenyetso byawe n'uburyo bwiza bwo kuvura.

Bishobora gusa nkaho bitangaje, ndetse wenda bikanatera isoni, gutanga icyitegererezo cy'inkari ukoresheje uburyo bwa 'clean catch'. Ariko ibuka ko gutanga inkari nke mu gikombe bishobora kugufasha gukira vuba. Rero, niba muganga agusabye gukora ubwo bwoko bw'ikizamini, kora neza. Ni ku bw'ubuzima bwawe bwite.

Gupima inkari , imiterere y'inkari, indwara zo mu nzira y'inkari, UTI, bagiteri, imiti yica udukoko, ubuzima