Unewo mabhakitiriya muweti yako, asi usina zviratidzo here? (Asymptomatic Bacteriuria) Ngatidzidzei nezvazvo!

Wakamboongororwa weti here (kungave `Weti yakaongororwa` kana `Bacterial Culture`) ukaudzwa nachiremba kuti mune mabhakitiriya muweti yako? Asi chinoshamisa ndechekuti, haunzwi kurwadziwa, fivha, kana kupisa paunenge uchiita weti. Ndizvo zvatinongodaidza kuti `Asymptomatic Bacteriuria`. Kunyangwe zita racho rakareba zvishoma, kune vanhu vazhinji iri harisi dambudziko guru sezvarinoita. Totaura zvakawanda nezveizvi here?

Chii chinonzi `Asymptomatic Bacteriuria`?

Zvichitaurwa zviri nyore, `Asymptomatic Bacteriuria` zvinoreva kuti mabhakitiriya ari kugara muweti yako (ndiko kuti, system inosanganisira itsvo, dundira, uye urethra), asi hauna zviratidzo . Uri kuita zvinhu zvakajairika. Zvinoita sekuti pane mumwe munhu ari mumba mako, asi haasi kukunetsa zvachose.

Pamwe uri kufunga kuti, "Saka iyi haisi chirwere chemunzira yeweti (UTI)?" Pane musiyano mudiki pano. UTI inosanganisirawo mabhakitiriya ari munzira yeweti. Asi kana uine UTI, une zviratidzo zvakajeka . Semuenzaniso:

• Unogona kubatwa nefivha.
• Unganzwa kutsva uye kurwadziwa paunenge uchiita weti.
• Ndinofanira kuita weti kakawanda, asi zvishoma nezvishoma.
• Unogona kunzwa kurwadziwa mudumbu rezasi.
• Weti inogona kunge yakasviba uye ine hwema hwakasimba.

Zvisinei, kana uine `Asymptomatic Bacteriuria` hauna kana chimwe chezviratidzo izvi. Mabhakitiriya aripo, asi "haanyarari".

Chirwere ichi chakajairika zvakadii? Ndiani ane mukana mukuru wekuchibata?

Kutaura zvazviri, chirwere ichi chinonzi ``Asymptomatic Bacteriuria'' chakajairika kupfuura zvaungafunga, uye dzimwe nguva chinogona kuuya nekufamba kwenguva pfupi. Sezvakataurwa nedzimwe ongororo:

• Vakadzi vanosvika 45% vachange vaine mabhakitiriya akawanikwa mukuongororwa kweweti pane imwe nguva muhupenyu hwavo (vakadzi vane urethra pfupi, zvichiita kuti zvive nyore kuti mabhakitiriya apinde).
• Dambudziko iri rinogona kuonekwa muvanhu vanosvika 50% vane makore anopfuura 70 vanogara mudzimba dzevakwegura.
• Munhu wese ane mudziyo wakabatana nehurongwa hweweti (senge Foley catheter kana ureteral stent) kwenguva yakareba anogona kuva nemabhakitiriya muweti yake.

Chimbofungai, mabhakitiriya aya dzimwe nguva anogona kunyangarika muzuva rimwe chete kana maviri.

Saka mabhakitiriya aya anopinda sei muweti? Ndezvipi zvinokonzera?

Mabhakitiriya anogara mudumbu medu uye paganda redu, uye apa ndipo panowanzo pinda mabhakitiriya muweti.

• Kana ukachenesa zvisina kunaka mushure mekushandisa chimbuzi: Kunyanya kuvakadzi, kana ukachenesa kubva kune rimwe divi (kubva kutsvina kuenda kunhengo yemukadzi) pane kubva kunhengo yemukadzi kuenda kunhengo yemukadzi mushure mekushandisa chimbuzi, mabhakitiriya ari mutsvina anogona kupinda munzira yeweti.
• Nekuda kwezvishandiso zvekurapa zviri muhurongwa hweweti: Semuenzaniso, kana zvinhu zvakaita semacatheter zvaiswa.
• Pakugeza: Dzimwe nguva mabhakitiriya anogona kupinda mumvura yekugezera.
• Munguva yebonde: Mabhakitiriya anogona kuramba achipinda muweti mushure mebonde.

Chikonzero chikuru cheizvi ibhakitiriya rinonzi `E. coli`. Iri imhando yemabhakitiriya anowanzo kuwanikwa mutsvina yedu. Pamusoro pezvo, mabhakitiriya akaita se`Klebsiella pneumoniae` anogonawo kukanganiswa.

Ndiani ari panjodzi huru yeizvi?

Vamwe vanhu vane mukana mukuru wekuwana `Asymptomatic Bacteriuria`. Izvi ndeizvi:

• Vanhu vanogara mudzimba dzevakwegura kwenguva yakareba.
• Vanhu vane Foley catheter kana ureteral stent inogara kwenguva refu.
• Vanhu vane kukuvara kwemusana.
• Vanhu vane chirwere che sickle cell anemia.
• Vanhu vane chirwere cheshuga.

Vanachiremba vanoona sei izvi?

Kazhinji, chiremba anoongorora mabhakitiriya asina zviratidzo nekutora weti uye kuita culture yeweti. Zvisinei, kana usina zviratidzo, kazhinji havangoyedze weti yako kuti vaone kana paine mabhakitiriya. Kana chiremba akakuudza kuti uite culture yebhakitiriya, pane chikonzero chacho. Zvinogoneka kuti uri mune rimwe remapoka ane njodzi ataurwa pamusoro apa, uye zvingave zvakakosha kuwana nekurapa hutachiona usati hwava nezviratidzo.

Munhu wese anofanira kurapwa here nekuda kweizvi?

Heino chinhu chakakosha. Kazhinji, `Asymptomatic Bacteriuria` hairapwe . Nekuti, kana usina zviratidzo, njodzi yekubatwa ne`UTI` nekuda kwebhakitiriya idzi yakaderera. Kune rumwe rutivi, kurapwa kwehutachiona hwebhakitiriya nemishonga inorwisa mabhakitiriya . Kuipa kwekushandisa mishonga inorwisa mabhakitiriya zvisina kufanira kunogona kupfuura mabhenefiti.

Kana ukanwa mishonga inorwisa mabhakitiriya kakawanda uye zvisina kufanira, mabhakitiriya anojaira kuishandisa. Izvi tinozvidaidza kuti ' Antibiotic Resistance' . Kana wava nehutachiona uye uchida mushonga, mushonga wacho ungasashanda. Uyewo, mimwe mishonga inorwisa mabhakitiriya inogona kukonzera zvirwere zvakakomba zvemanyoka zvakaita se 'C. diff', nezvimwe zvinokanganisa.

Saka, vanachiremba havangopi mushonga weizvi chete.

Saka, chirwere ichi chinonzi 'Asymptomatic Bacteriuria' chinofanira kurapwa riini?

Zvisinei, mune dzimwe nguva, `Asymptomatic Bacteriuria` inorapwa zvechokwadi. Ngationei kuti chii:

• Munguva yekuzvitakura: Kana uine pamuviri, kunyangwe uine mabhakitiriya muweti yako asina zviratidzo, kana asina kurapwa, dzimwe nguva anogona kutungamira pakuzvarwa nguva isati yakwana ('kuzvara nguva isati yakwana') , kanaHuremu hwemwana pakuzvarwa hunogona kunge hwakaderera. Saka, weti yemadzimai ane pamuviri inoongororwa uye inorapwa kana paine mabhakitiriya, kunyangwe pasina zviratidzo.
• Kana wakamboisirwa itsvo: Kana wakamboisirwa itsvo, kuvapo kwebhakitiriya muweti kunowedzera njodzi yako yekuva nechirwere cheUTI uye kuramba itsvo yakaisirwa.
• Pamberi pekuvhiyiwa kweweti: Semuenzaniso, kana mabhakitiriya aripo muweti panguva yekuvhiyiwa kweprostate (Transurethral resection yeprostate - TURP), njodzi yematambudziko mushure mekuvhiyiwa yakanyanya. Saka, kurapwa kunopiwawo mumamiriro ezvinhu akadaro.

Kana kurapwa kwacho kuchiitwa, mushonga werudzii unopihwa?

Kana chiremba akasarudza kukurapa `Asymptomatic Bacteriuria`, kune mhando dzakasiyana dzemishonga inorwisa mabhakitiriya yavanogona kushandisa. Mienzaniso:

• `Amoxicillin`
• `Ampicillin`
• Mhando dze 'Cephalosporin'
• `Nitrofurantoin`
• `Trimethoprim-sulfamethoxazole (TMP/SMX)`

Chiremba wako ndiye achasarudza kuti mushonga upi wakakunakira uye kuti unofanira kuutora kwenguva yakareba sei. Nguva yekurapwa inowanzova mazuva mashanu kusvika manomwe.

Kana ndine chirwere ichi, chii chandinofanira kutarisira?

Kana chiremba wako akakuudza kuti une `Asymptomatic Bacteriuria`, usazvidya moyo. Zvingangoita kuti hauzodi kurapwa, kunze kwekunge uri mune rimwe remapoka ane njodzi ataurwa kare. Kana chiremba wako akasarudza kuti unoda kurapwa, iye achakutsanangurira chikonzero. Zvakakosha kutora mushonga wako nenguva.

Kana uri amai vane pamuviri, zvakaonekwa kuti kurapwa kweizvi kunogona kuderedza mamwe matambudziko panguva yekuzvitakura neinenge 35%.

Iyi 'Asymptomatic Bacteriuria' haigone kudzivirirwa here?

Zvakajairika kuva nemabhakitiriya muweti, uye zvakaoma kudzivirira zvachose. Zvisinei, zvinhu zvakafanana zvatinoita kudzivirira UTIs (hutachiona hwemuweti) zvinogona kubatsira pane izvi.

• Iva nechokwadi chekuti waita weti mushure mebonde. Izvi zvichabatsira kubvisa mabhakitiriya angave apinda muweti.
• Kana vakadzi vakazvichenesa mushure mekushandisa chimbuzi, pukutai kubva kumberi kuenda kumashure (kubva kunzvimbo yechikadzi kusvika kutsvina).
• Dzivisa kushandisa sipo dzakaoma, madhishi, hupfu, kana maspray munzvimbo yemukadzi. Izvi zvinogona kuuraya mabhakitiriya akanaka aripo uye zvinoita kuti mabhakitiriya akaipa akure.
• Shandisa shawa pane kugeza mubhavhu zvakanyanya sezvinobvira.
• Inwa mvura yakawanda. Izvi zvinobatsira kubvisa mabhakitiriya nekukonzera weti kakawanda.
• Kana uri kushandisa chimwe chinhu chakaita secatheter,Tevedzera mirairo yachiremba kuti igare yakachena.

Ndinofanira kuona chiremba rini?

Kana chiremba akakuudza kuti une `Asymptomatic Bacteriuria`, enda kuna chiremba nekukasika kana ukatanga kuona zviratidzo zve`UTI` (zvakadai sefivha, kupisa muurethra, kurwadziwa kwedumbu rezasi, kuita weti nguva nenguva), kungave uri kurapwa kana kuti kwete. Chiremba wako achakuudza zviratidzo zvekutarisisa.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana muine mimwe mibvunzo nezveizvi, zvakanaka kubvunza chiremba wenyu nezvezvinotevera:

• Ndinofanira here kurapwa mabhakitiriya ari muweti yangu pasina zviratidzo?
• Ndezvipi zviratidzo zvandinofanira kutarisa?
• Kana ndakapihwa mushonga, ndinofanira kuutora sei chaizvo?
• Ndinofanira kukuudzai rini zvakare?

Dzimwe nguva tinotya patinonzwa mhedzisiro yekuongororwa kwedu. Asi zvakajairika kuva nemabhakitiriya muweti yako, uye hazviwanzo kukonzera UTI. Asi kana uine pamuviri, wakaisirwa itsvo, kana kuti wava kuda kuvhiyiwa weti yako, zvakakosha kutora mishonga inorwisa mabhakitiriya kudzivirira matambudziko.

Pakupedzisira, chimwe chinhu chekurangarira!

`Asymptomatic bacteriuria` chirwere chinowanzoonekwa kana uine mabhakitiriya muweti yako, asi usina zviratidzo. Kune vanhu vazhinji, izvi hazvina njodzi uye hazvidi kurapwa. Zvisinei, kune vakadzi vane pamuviri, vanoisirwa itsvo, uye avo vari kuvhiyiwa weti, zvakakosha kuti varapwe. Zvakare, kana ukaona zviratidzo, enda kuna chiremba nekukasika. Zvakakosha kuziva zvinhu izvi uchitevera mararamiro ane hutano.

` Bacteriuria Isingaratidze Zviratidzo, Mabhakitiriya muWeti, Utachiona hweWeti, UTI, Hutano hwePamuviri, Mishonga Inorwisa Mabhakitiriya , Chirwere cheItsvo