Kutheni 'uyi-culture' isampuli yomchamo? (I-Urine Culture) Makhe sithethe ngale nto ngokweenkcukacha!

Ngaba wakha wakhathazwa yintsholongwane yomchamo (UTI) ? Ugqirha wakho usenokuba ukucelile ukuba wenze inkcubeko yomchamo. Usenokuba ulivile eli gama ngendlela engaqhelekanga. Ngoko ke, yintoni inkcubeko yomchamo? Kutheni ibaluleke kangaka? Masiyichaze yonke ngendlela elula onokuyiqonda.

Yintoni le 'Uvavanyo lweMchamo'?

Ngamafutshane, i-urine culture luvavanyo olujonga umchamo wakho ukuba awunazo na iintsholongwane okanye iifungi (njengemvubelo , ukuba zichanekile). Igama elithi "culture" apha lithetha ukuba ii-microorganisms , oko kukuthi, iintsholongwane ezincinci ezinokufumaneka kulwelo lomzimba (kule meko umchamo), zikhuliswa kwilabhoratri. Ugqirha wakho uza kuthatha isampuli yomchamo kuwe aze awuthumele kwilabhoratri ukuze enze "culture".

Olu vavanyo lwe-'Urine Culture' lunokuchonga kanye kanye ukuba zeziphi iibhaktheriya okanye ifungus ezibangela usulelo. Okubaluleke ngakumbi, lunokuchonga nee -antibiotics ezifanelekileyo zokubulala iibhaktheriya. Emva koko ugqirha angakhetha iyeza elisebenzayo kuwe. Awufuni ukwenza isifo sakho sibe sibi ngokuthatha amayeza angalunganga, akunjalo?

Kufuneka nini inkcubeko yomchamo?

Oogqirha badla ngokuyalela olu vavanyo ukuqinisekisa ukuba unayo na intsholongwane yendlela yomchamo (UTI) . Ugqirha angayalela olu vavanyo ukuba unezinye zezi mpawu zilandelayo:

• Ngaba uneentlungu xa uchama ? Okanye uziva ngathi uyatsha?
• Ngaba ngequbuliso kufuneka uchame ngokukhawuleza? Oko kuthetha ukuba kunzima ukuzibamba.
• Ngaba uchama rhoqo? Ngaphezulu kwesiqhelo.
• Ngaba ngamanye amaxesha uyalahlekelwa lulawulo lomchamo wakho ?
• Ingaba unomkhuhlane ngaphandle kwesizathu esicacileyo ? Ngamanye amaxesha usulelo lomchamo lunokubonakala njengomkhuhlane.

Ukuba unento efana nale, kungcono ukubona ugqirha uze ufumane ingcebiso.

Yintoni umahluko phakathi 'kwenkcubeko yomchamo' kunye 'nohlalutyo lomchamo'?

Zombini ezi zivavanyo zomchamo. Zombini zifuna isampuli yomchamo kuwe. Kodwa kukho umahluko omncinci. Uninzi lwexesha, ugqirha uya kuqala enze 'uvavanyo lomchamo' . Olu luvavanyo olukhawulezileyo. Olu luvavanyo olujonga umchamo wakho ukuba awunazo na iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi , kunyeNokuba kukho izinto ezifana neebhaktheriya. Ezi zinokunika ingcaciso malunga nosulelo. Ngokuchanekileyo, 'uvavanyo lomchamo' lufana 'novavanyo lokuhlola' . Oko kukuthi, kunceda ugqirha ukuba agqibe ukuba ayenze na 'inkcubeko yomchamo' okanye hayi.

Ukulima umchamo kubandakanya ukukhulisa iintsholongwane ezichongiweyo kwi-urinalysis ukuze kuchongwe ukuba zeziphi iintsholongwane okanye ifungus ezibangela usulelo. Ngaba uyawuqonda umahluko?

Isebenza njani le 'Ntlalo yomchamo'?

Kulula kakhulu. Uqokelela umchamo kwikomityi njengoko kuyalelwe ngugqirha wakho. Ngamanye amaxesha, ukuba kunzima kuwe ukwenza oku (umzekelo, nosana oluncinci okanye isigulana esilele ebhedini), ugqirha wakho uya kusebenzisa ezinye iindlela (siza kuthetha ngaloo nto kamva). Isampuli yomchamo wakho emva koko ithunyelwa kwilebhu.

Kwilabhoratri, ingcali yelabhoratri ithatha intonga encinci (eneluphu encinci ekupheleni) ize iyifake kwisampulu yomchamo wakho. Emva koko, bayibeka kwipleyiti ekhethekileyo enezondlo. Ezi zondlo zibangela ukuba naziphi na iintsholongwane kumchamo zikhule ngokukhawuleza. Ukuba une -UTI , kungekapheli usuku okanye ezimbini, iintsholongwane ezininzi okanye iifungi (ezibizwa ngokuba ziikholoni ) ziya kukhula kwipleyiti. Emva koko ilebhu ihlola ize ibale ezo koloni ukuze ivelise ingxelo yakho.

Cinga nje ngokukhulisa igadi encinci. Wondla iintsholongwane uze ubone ukuba ziyakhula na.

Ukuba isampuli yakho ineebhaktiriya okanye iifungi , ilebhu iya kwenza olunye uvavanyo. Oku kubizwa ngokuba luvavanyo lobuthathaka beentsholongwane ( okanye uvavanyo lobuthathaka beentsholongwane kwiifungi). Olu vavanyo luya kumisela ukuba zeziphi iintsholongwane eziya kubulala okanye ziyeke ukukhula kweebhaktiriya. Olu lwazi luya kunceda ugqirha wakho ukuba akukhethele amayeza afanelekileyo.

Sifanele sizilungiselele njani ngaphambi kokuba sikhule umchamo?

Ukuba kukho izinto ezikhethekileyo ekufuneka uzenze ngaphambi kokuba unike isampuli yomchamo, ugqirha wakho uya kukuxelela ngazo. Ngokwesiqhelo, izinto ezinje ngezi zinokuthiwa:

• Musa ukuchama ubuncinane iyure enye ngaphambi kokuba unike isampuli yomchamo.
• Sela iglasi yamanzi (ubuncinane ii-ounces ezi-8) malunga nemizuzu engama-20 ngaphambi kokuba unike isampuli. Oku kuya kunceda ekuqokeleleni umchamo owaneleyo wesampuli.
• Ukuba kunokwenzeka, qokelela isampuli kumchamo wokuqala ophumayo kusasa . Oko kungcono.

Abanye abantu bakufumanisa kunzima ukuchama ngaphandle kwekhaya, ingakumbi kwilebhu, akunjalo? Ibizwa ngokuba yi -'shy bladder syndrome' . Ukuba unale ngxaki, xelela ugqirha wakho. Uza kukubonisa indlela yokunika isampuli ngendlela elula. Akukho nto inokuba neentloni ngayo, le yinto eyenzeka kubantu abaninzi.

Kwenzeka ntoni xa usenza 'i-Urine Culture'? (Indlela yokuBamba ecocekileyo)

Ukulima umchamo kufuna 'isampulu yomchamo ococekileyo' . Oko kukuthi, isampulu yomchamo ecocekileyo kangangoko, engenazo izinto zangaphandle. Oku kungenxa yokuba ukuba iintsholongwane, ezihlala zifumaneka eluswini lwethu, zongezwa kwisampulu, ingxelo isenokungachanekanga. Kuya kufuneka unike le sampulu nokuba kuseofisini kagqirha wakho okanye kwilebhu. Kwezinye iimeko, unokucelwa ukuba uyithathe ekhaya uze nayo.

Nantsi indlela yokuqokelela isampuli yomchamo usebenzisa indlela 'yokubamba okucocekileyo':

1. Okokuqala , hlamba izandla zakho kakuhle ngesepha namanzi ashushu . Oku kubaluleke kakhulu.

2. Emva koko, sebenzisa i-antiseptic wipe enikiweyo ukucoca ngokupheleleyo i-vagina yakho kunye nendawo engqongileyo (ukuba ungumfazi) okanye i-glans penis (ukuba uyindoda). Ukuba i-penis yakho ayolukanga , kufuneka uyicoce kuqala ngokutsala ijwabu.

3. Okulandelayo, qala ukhuphele umchamo kwindlu yangasese . Emva koko yeka ukuchama phakathi . Oku kubizwa ngokuba yi-'midstream'.

4. Ngoku, thatha indebe engenazintsholongwane oyinikiweyo kwaye xa uqala ukuchama kwakhona, yibambe phantsi kwelungu lakho lobufazi okanye phantsi kwelungu lakho lobudoda. Musa ukuvumela indebe ukuba ichukumise ulusu lwakho .

5. Qokelela umchamo de indebe izalise isiqingatha , okanye kangangoko ugqirha wakho ekuxelele kona. Kulungile ukuba awukwazi ukuwuzalisa isiqingatha.

6. Ukuba ufuna ukuchama ngakumbi, yeka phakathi kwakhona ukuba kunokwenzeka, susa ikomityi, uze uthululele okuseleyo kwindlu yangasese.

7. Ukuba ugqirha ukuvalela isiciko sekomityi, yivale kakuhle. Ugqirha uza kukuxelela apho uza kuyibeka khona isampuli.

8. Okokugqibela, ungalibali ukuhlamba izandla zakho kakuhle kwakhona .

Ukuba ulandela la manyathelo ngokuchanekileyo, ungafumana isampuli ecocekileyo. Nangona ingabonakala ngathi yingxaki, oku kubaluleke kakhulu ukuze ufumane iziphumo ezichanekileyo.

Ngaba zikho ezinye iindlela zokuthatha isampuli yomchamo?

Ewe, ikho. Asinguye wonke umntu onokunika isampuli esebenzisa indlela ethi 'clean catch'. Umzekelo, kunzima ukwenza njalo kusana oluncinci kakhulu okanye kumntu ogula kakhulu. Kwiimeko ezinjalo, oogqirha basebenzisa ezi ndlela:

• 'Ukulungisa iiCatheter':Kule nkqubo, ugqirha ufaka ityhubhu ebhityileyo neguquguqukayo (i- catheter ) nge -urethra yakho iye kwisinyi sakho. Emva koko umchamo uhla ngetyhubhu uze uqokeleleke kwingxowa engenazintsholongwane.
• Ingxowa yomchamo (ingxowa ye-U): Le ndlela isetyenziselwa iintsana nabantwana abancinci. Ingxowa ekhethekileyo enemigca emincinci yokuncamathelisa incamatheliswa kwilungu lobudoda lomntwana okanye igqume umngxuma welungu lobufazi. Emva kokuba umntwana echamile , umchamo uqokelelwa kwikomityi enikiweyo. Ukuba ukwenza oku ekhaya, kuya kufuneka ugcine isampuli efrijini ude uyiyise kwilebhu okanye kwiofisi kagqirha.
• ' Ukufutha ': Le yinkqubo engaqhelekanga. Kule nkqubo, ugqirha ufaka inaliti encinci eluswini lwesisu, ayifake kwisinye , aze akhuphe umchamo omncinci ngesirinji.

Ngaba kukho naziphi na iingozi ngenkcubeko yomchamo?

Kukhuselekile kakhulu ukunika isampuli yomchamo usebenzisa indlela ethi 'clean catch' okanye 'urine bag'. Kubonakala ngathi akukho mngcipheko. Nangona kunjalo, kunokubakho umngcipheko omncinci wokosuleleka yindlela ethi 'catheter' okanye indlela yenaliti.

Eyona ngozi inkulu kukuba isampuli isenokuba ingcoliswe yibhaktheriya okanye ifungus eluswini lwakho . Ukuba oku kuyenzeka, ingxelo yakho isenokuba ayichanekanga (ibizwa ngokuba 'yi-false positive' ). Oku kuthetha ukuba ungabonakala ngathi unosulelo nangona ungenalo.

Kuthatha ixesha elingakanani ukuba ingxelo yokuhlolwa komchamo ifike?

Ngokwesiqhelo kuthatha iiyure ezingama-24 ukuya kuma-48 ukuba iintsholongwane zikhule kwindawo ekhuliswe kuyo. Ngoko ke kungathatha malunga neentsuku ezintathu ukuba ilebhu igqibe uvavanyo ize ithumele ingxelo. Ugqirha wakho uza kukufowunela aze akuxelele ngengxelo, okanye ungayijonga kwiirekhodi zakho zezempilo ze-elektroniki (EHR) .

Kuthetha ukuthini ukuba ingxelo yokuhlolwa komchamo 'ilungile'?

Ukuba ingxelo yakho yokukhula komchamo ithi unayo kwaye uneempawu zosulelo, oko kuthetha ukuba une- UTI . Ukuba kunjalo, ugqirha wakho uza kukuqalisa unyango lwayo (kwaye kusenokwenzeka ukuba sele eyiqalile).

Nangona kunjalo, ngamanye amaxesha iintsholongwane zinokubakho emchameni ngaphandle kweempawu. Oku kubizwa ngokuba yi -'asymptomatic bacteriuria' . Ukuba awunazo iimpawu, oku kudla ngokungadingi unyango.

Ukuba ilebhu yenze uvavanyo lwe-'Antibiotic Sensitivity', uza kubona amagama anje kule ngxelo:

• 'Iyachaphazeleka':Oku kuthetha ukuba iyeza liphumelele ekucinezeleni okanye ekubulaleni iintsholongwane okanye ifungus ezikhulele kwinkcubeko yakho. Eli yeza lifanele libe lolona khetho lokuqala lokunyanga usulelo.
• 'Ephakathi': Oku kuthetha ukuba iyeza libe negalelo elithile ekuthinteleni iintsholongwane okanye ifungus . Mhlawumbi ukuba linikwe ngedosi ephezulu , linokuba luncedo ekunyangeni usulelo.
• 'Iyamelana': Oku kuthetha ukuba iyeza alisebenzanga ukuthintela okanye ukubulala iintsholongwane okanye ifungus . Ngoko ke eli yeza alilungele ukusetyenziswa ekunyangeni usulelo .

Olu lwazi lubaluleke kakhulu, kuba kulapho ugqirha aza kukhetha khona iyeza elifanelekileyo kuwe, eliza kukunika unyango olukhawulezileyo.

Kuthetha ukuthini ukuba ingxelo yokukhula komchamo 'ayichaphazeli'?

Ingxelo 'engalunganga' okanye ingxelo eqhelekileyo yokukhula komchamo ithetha ukuba akukho zimpawu zebhaktheriya okanye ifungus kwisampulu yomchamo wakho. Oku kuthetha ukuba awunayo 'i-UTI' . Kodwa khumbula ukuba amanqanaba aqhelekileyo anokwahluka kancinci kwilabhoratri nganye.

Nangona kunjalo, ukuba uneempawu ze-UTI (iintlungu xa uchama , ungxamiseko, ukuchama rhoqo, igazi kumchamo - i-hematuria ) kodwa i-culture ayibonakali, kunokubakho ezinye izizathu. Umzekelo, utshintsho olubangelwa kukuyeka ukuya exesheni , amatye ezintso , okanye ubunzima besinyi . Kwiimeko ezinjalo, ugqirha wakho unokuyalela iimvavanyo ezongezelelweyo ukuze afumane unobangela. Banokuyalela nee-imaging scans , ezinye iimvavanyo ezikhethekileyo, okanye bakuthumele kwi -urologist (ugqirha ogxile kwinkqubo yomchamo).

Sifanele siphinde simbone ugqirha kwakhona?

Ukuba iimpawu zakho aziphucuki emva konyango, okanye ukuba unemibuzo malunga neziphumo zovavanyo, qiniseka ukuba uthetha nogqirha wakho. Akulunganga ukufihla isifo.

Ngaba ezi zinto zingabonwa ngokusebenzisa inkcubeko yomchamo?

Iintsholongwane ze-'E. coli' (E. coli)?

Ewe, uvavanyo lokukhulisa umchamo lunokufumanisa i-Escherichia coli (E. coli) . I-E. coli luhlobo lwebhaktheriya ehlala kwinkqubo yethu yokugaya ukutya kwaye ifumaneka kwindle yethu. I-E. coli yeyona nto ibangela i-UTIs ..

Usulelo lweStreptococcus (Strep)?

Ewe, i-culture yomchamo ingafumanisa nebhaktiriya yeStreptococcus (Strep) . Ukuba unosulelo lwe-strep yeQela B ngexesha lokukhulelwa (nokuba awunazo iimpawu), ungayidlulisela kumntwana wakho ngexesha lokubeleka kwilungu lobufazi. Ke ngoko, ingcali yakho yokubelekisa kunye nengcali yabasetyhini iya kukuvavanya i-strep yeQela B njengoko usondela kumhla wakho wokuzalwa.

Izifo ezidluliselwa ngesondo (iiSTI)?

Ewe, uvavanyo lomchamo lunokufumanisa izifo ezidluliselwa ngesondo ( ii-STI) ezifana neChlamydia kunye neGonorrhea . Kodwa ugqirha wakho kuya kufuneka ayicele ngokwahlukileyo, kuba ayizukuvela kwingxelo eqhelekileyo yokukhula komchamo. Ii-STI zinokufunyanwa nge -swab ethathwe kwi-urethra yakho, kwi-vagina, okanye kwi-penis.

Okokugqibela, izinto ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Usulelo lomchamo alupheleli nje ekungonwabisi, kodwa ngamanye amaxesha lunokuba yingozi. Ingakumbi ukuba lusasazeka kwizintso, egazini, okanye ukuba intsholongwane idluliselwa kumama ukuya kusana ngexesha lokubeleka. Unyango lomchamo lunokunceda ugqirha wakho ukuba afumanise unobangela weempawu zakho kunye nonyango olungcono.

Kusenokubonakala kungaqhelekanga, mhlawumbi kuhlazisa, ukunika isampuli yomchamo usebenzisa indlela 'yokubamba ngokucocekileyo'. Kodwa khumbula, ukunika umchamo omncinci kwikomityi kunokukunceda uphile ngokukhawuleza. Ngoko ke, ukuba ugqirha ukuxelela ukuba wenze olu hlobo lovavanyo, yenza ngendlela eyiyo. Kungenxa yempilo yakho.

Uvavanyo lomchamo , inkcubeko yomchamo, usulelo lomzila womchamo, i-UTI, iibhaktheriya, amayeza okubulala iintsholongwane, impilo