Ngaba nawe unayo intsholongwane emchameni wakho, kodwa akukho zimpawu? (I-Asymptomatic Bacteriuria) Masifunde ngayo!

Ngaba wakha wavavanywa umchamo (nokuba yi-'Urinalysis' okanye i-'Bacterial Culture') waza waxelelwa ngugqirha ukuba kukho iintsholongwane kumchamo wakho? Kodwa into engaqhelekanga kukuba, awuziva ntlungu, umkhuhlane, okanye ubushushu xa uchama. Yiloo nto siyibiza ngokuba yi-'Asymptomatic Bacteriuria'. Nangona igama lide kancinci, kubantu abaninzi oku akuyongxaki inkulu njengoko kubonakala. Ngaba singathetha ngakumbi ngale nto?

Yintoni kanye kanye i-'Asymptomatic Bacteriuria'?

Ngamafutshane, i-'Asymptomatic Bacteriuria' ithetha ukuba iibhaktheriya zihlala kwindlela yakho yomchamo (oko kukuthi, inkqubo equka izintso, isinyi, kunye nomchamo), kodwa awunazo iimpawu. Uziphatha ngendlela eqhelekileyo. Kufana nokuba kukho umntu endlwini yakho, kodwa akakukhathazi konke konke.

Ngoku mhlawumbi ucinga, "Ngoko ke oku akusiyo intsholongwane yendlela yomchamo (UTI)?" Kukho umahluko omncinci apha. I-UTI ikwabandakanya iibhaktheriya kwindlela yomchamo. Kodwa xa une-UTI, uneempawu ezicacileyo . Umzekelo:

• Usenokuba nomkhuhlane.
• Usenokuziva utshisa kwaye uqaqanjelwa xa uchama.
• Kufuneka ndichame rhoqo, kodwa kancinci kancinci ngexesha.
• Usenokuba neentlungu zesisu esisezantsi.
• Umchamo unokuba mnyama ngombala kwaye ube nevumba elibi.

Nangona kunjalo, kwi-'Asymptomatic Bacteriuria' awunazo naziphi na ezi mpawu. Iibhaktheriya zikhona, kodwa "azithethi".

Ixhaphake kangakanani le meko? Ngubani onokuba nayo?

Enyanisweni, le meko ibizwa ngokuba yi-"Asymptomatic Bacteriuria" ixhaphake kakhulu kunokuba unokucinga, kwaye ngamanye amaxesha inokuza idlule okwethutyana. Njengoko ezinye izifundo zibonisile:

• Malunga nama-45% abasetyhini baya kuba neebhaktheriya ezifunyenwe kuvavanyo lomchamo ngaxa lithile ebomini babo (abafazi bane-urethra emfutshane, nto leyo eyenza kube lula ukuba iibhaktheriya zingene).
• Le meko inokubonwa malunga nama-50% abantu abangaphezu kweminyaka engama-70 abahlala kumakhaya abantu abadala.
• Nabani na okhe wasebenzisa isixhobo esidityaniswe kwinkqubo yomchamo (njenge-Foley catheter okanye i-ureteral stent) ixesha elide unokuba neentsholongwane kumchamo wakhe.

Khawucinge nje, ezi ntsholongwane ngamanye amaxesha zinokunyamalala nje ngosuku olunye okanye ezimbini.

Ngoko ke ezi ntsholongwane zingena njani kwinkqubo yomchamo? Zithini izizathu?

Iintsholongwane zihlala ngokwemvelo emathunjini ethu naselusu lwethu, kwaye kulapho iintsholongwane zihlala zingena khona kwindlela yokuchama.

• Ukuba ucoca ngendlela engafanelekanga emva kokusebenzisa indlu yangasese: Ingakumbi kubasetyhini, ukuba ucoca ukusuka kwelinye icala (ukusuka kwimpundu ukuya kwilungu lobufazi) endaweni yokusuka kwilungu lobufazi ukuya kwilungu lobufazi emva kokusebenzisa indlu yangasese, iintsholongwane ezisesitulweni zingangena kwindlela yomchamo.
• Ngenxa yezixhobo zonyango kwinkqubo yomchamo: Umzekelo, xa kufakwa izinto ezifana nee-catheters.
• Xa uhlamba: Ngamanye amaxesha iintsholongwane zinokungena ngamanzi okuhlamba.
• Ngexesha lokwabelana ngesondo: Iintsholongwane zisenokungena kwindlela yokuchama emva kokwabelana ngesondo.

Eyona nto ibangela oku yintsholongwane ethi `E. coli`. Olu luhlobo lwentsholongwane oluhlala lufumaneka esitulweni sethu. Ukongeza, iintsholongwane ezifana ne `Klebsiella pneumoniae` nazo zinokuchaphazeleka.

Ngubani osengozini enkulu yoku?

Abanye abantu banamathuba amaninzi okuba ne-'Asymptomatic Bacteriuria'. Nazi:

• Abantu abahlala kwiindawo zokugcina abantu abadala ixesha elide.
• Abantu abane-catheter ye-Foley okanye i-stent ye-ureteral ehlala ixesha elide.
• Abantu abenzakeleyo emgogodleni.
• Abantu abane-sickle cell anemia.
• Abantu abanesifo seswekile.

Oogqirha bayibona njani le nto?

Ixesha elininzi, ugqirha uya kufumanisa ukuba kukho i-bacteria engabonakaliyo ngokuthatha isampuli yomchamo aze enze i-culture yomchamo. Nangona kunjalo, ukuba awunazo iimpawu, abadli ngokuzivavanya nje umchamo wakho ukuze babone ukuba kukho iintsholongwane na. Ukuba ugqirha ukuxelele ukuba wenze i-culture yebhaktiriya, kukho isizathu soko. Kusenokwenzeka ukuba ukwiqela elisengozini elikhankanyiweyo apha ngasentla, kwaye kunokufuneka ufumane kwaye unyange usulelo ngaphambi kokuba lube neempawu.

Ngaba wonke umntu kufuneka aphathwe ngale nto?

Nantsi into ebalulekileyo. Uninzi lwexesha, i-`Asymptomatic Bacteriuria` ayinyangwa . Kuba, ukuba awunazo iimpawu, umngcipheko wokuba ne-`UTI` ngenxa yezi ntsholongwane uphantsi. Kwelinye icala, unyango lwezifo ezibangelwa ziintsholongwane lunyango lwee-antibiotics . Iingozi zokusebenzisa ii-antibiotics ngokungeyomfuneko zingaphezulu kuneenzuzo.

Xa usela amayeza okubulala iintsholongwane rhoqo kwaye ngokungeyomfuneko, iintsholongwane ziyaziqhela. Oku sikubiza ngokuba yi - 'Antibiotic Resistance' . Emva koko xa unentsholongwane kwaye udinga iyeza, amayeza asenokungasebenzi. Kwakhona, amanye amayeza okubulala iintsholongwane anokubangela izifo ezinzulu zorhudo ezifana ne-'C. diff', kunye nezinye iziphumo ebezingalindelekanga.

Ngenxa yoko, oogqirha abaniki amayeza oku kuphela.

Ngoko ke, le `Asymptomatic Bacteriuria` kufuneka inyangwe nini?

Nangona kunjalo, kwezinye iimeko ezikhethekileyo, i-'Asymptomatic Bacteriuria' iyanyangwa ngokuqinisekileyo. Makhe sibone ukuba zithini na:

• Ngexesha lokukhulelwa: Ukuba ukhulelwe, nokuba unebhaktheriya emchameni wakho ngaphandle kweempawu, ukuba ayinyangwa, ngamanye amaxesha inokukhokelela ekuzalweni ngaphambi kwexesha (`ukuzalwa ngaphambi kwexesha`) , okanyeUbunzima bomntwana ozelweyo bunokuba sezantsi. Ngoko ke, umchamo woomama abakhulelweyo uyavavanywa kwaye unyangwe ukuba kukho iintsholongwane, nokuba akukho zimpawu.
• Ukuba ukhe wafakelwa izintso: Ukuba ukhe wafakelwa izintso, ukubakho kweebhaktheriya kumchamo kwandisa umngcipheko wokuba ne-UTI eneempawu kunye nokwaliwa kwezintso ezifakelweyo.
• Ngaphambi kotyando oluthile lomchamo: Umzekelo, ukuba kukho iibhaktheriya kumchamo ngexesha lotyando lweprostate (Transurethral resection of the prostate - TURP), umngcipheko weengxaki emva kotyando uphezulu. Ke ngoko, unyango lunikwa nakwiimeko ezinjalo.

Ukuba unyango lunikiwe, loluphi uhlobo lonyango olunikwayo?

Ukuba ugqirha ugqiba ekubeni akunyange i-'Asymptomatic Bacteriuria', kukho iintlobo ezahlukeneyo zee -antibiotics anokuzisebenzisa. Imizekelo:

• `I-Amoxicillin`
• `I-Ampicillin`
• Iintlobo ze-'Cephalosporin'
• `I-Nitrofurantoin`
• `I-Trimethoprim-sulfamethoxazole (TMP/SMX)`

Ugqirha wakho uya kugqiba ukuba loluphi unyango olukulungeleyo kwaye kufuneka ulithathe ixesha elingakanani. Ixesha lonyango lidla ngokuba malunga neentsuku ezi-5 ukuya kwezi-7.

Ukuba ndinayo le meko, ndimele ndilindele ntoni?

Ukuba ugqirha wakho ukuxelela ukuba une-'Asymptomatic Bacteriuria', ungakhathazeki. Kusenokwenzeka ukuba awuyi kufuna naluphi na unyango, ngaphandle kokuba uwela kwelinye lamaqela akhethekileyo omngcipheko akhankanyiweyo ngaphambili. Ukuba ugqirha wakho ugqiba kwelokuba udinga unyango, uza kuchaza isizathu. Kubalulekile ukuthatha amayeza akho ngexesha.

Ukuba ungumama okhulelweyo, kufumaniseke ukuba ukufumana unyango loku kunokunciphisa ezinye iingxaki ngexesha lokukhulelwa malunga nama-35%.

Ngaba le 'Asymptomatic Bacteriuria' ayinakuthintelwa?

Kuqhelekile ukuba neebhaktheriya ezithile kwindlela yomchamo, kwaye kunzima ukuzithintela ngokupheleleyo. Nangona kunjalo, izinto ezifanayo esizenzayo ukuthintela ii-UTI (usulelo lwendlela yomchamo) zinokunceda koku.

• Qiniseka ukuba uyachama emva kokwabelana ngesondo. Oku kuya kunceda ukukhupha naziphi na iintsholongwane ezisenokuba zingene kwindlela yokuchama.
• Xa abafazi bezihlambulula emva kokusebenzisa indlu yangasese, soloko uzisula ukusuka ngaphambili ukuya ngasemva (ukusuka kwindawo yesini ukuya kwimpundu).
• Kuphephe ukusebenzisa isepha, ii-douches, ii-powders, okanye ii-spray eziqatha kwindawo yelungu lobufazi. Ezi zinto zinokubulala iintsholongwane ezilungileyo apho kwaye zivumele iintsholongwane ezimbi ukuba zikhule.
• Sebenzisa ishawa endaweni yokuhlamba ebhafini kangangoko unako.
• Sela amanzi amaninzi. Oku kuya kunceda ukukhupha iintsholongwane ngokubangela ukuchama rhoqo.
• Ukuba usebenzisa into efana ne-catheter,Landela imiyalelo kagqirha ukuze ihlale icocekile.

Ndifanele ndimbone nini ugqirha?

Ukuba ugqirha ukuxelela ukuba une-'Asymptomatic Bacteriuria', bona ugqirha ngokukhawuleza ukuba uqala ukuba neempawu ze-'UTI' (ezifana nomkhuhlane, ukutsha kwi-urethra, iintlungu zesisu esisezantsi, ukuchama rhoqo), nokuba uyanyangwa okanye akunjalo. Ugqirha wakho uza kukuxelela ukuba zeziphi iimpawu ekufuneka uziqaphele.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba uneminye imibuzo malunga noku, kulungile ukubuza ugqirha wakho ngale nto ilandelayo:

• Ngaba kufuneka ndifumane unyango lweentsholongwane kumchamo wam ngaphandle kwempawu?
• Zeziphi iimpawu ekufuneka ndizijonge?
• Ukuba ndinikwe amayeza, ndifanele ndiwathathe njani kanye kanye?
• Ndingaphinda ndilandele nini kwakhona?

Ngamanye amaxesha siyoyika xa sisiva iziphumo zovavanyo lwethu. Kodwa kuqhelekile ukuba neentsholongwane emchameni wakho, kwaye azisoloko zibangela i-UTI. Kodwa ukuba ukhulelwe, ukhe wafakelwa izintso, okanye uza kutyandwa kwindlela yakho yomchamo, kubalulekile ukuthatha amayeza okubulala iintsholongwane ukuthintela iingxaki.

Ekugqibeleni, into ekufuneka uyikhumbule!

I-'Asymptomatic bacteriuria' yimeko apho unebhaktheriya kwindlela yakho yomchamo, kodwa awunazo iimpawu. Kubantu abaninzi, oku akuyongozi kwaye akudingi nyango. Nangona kunjalo, kubafazi abakhulelweyo, abo bafumana ukufakelwa kwezintso, kunye nabo benza utyando oluthile kwindlela ethile yomchamo, kubalulekile ukuyinyanga. Kwakhona, ukuba ufumanisa iimpawu, bona ugqirha ngokukhawuleza. Kubalulekile ukuqaphela ezi zinto ngelixa ulandela indlela yokuphila enempilo.

I- Bacteriuria Engenazo Impawu, Iintsholongwane Emchameni, Usulelo Lomchamo, I-UTI, Impilo Yokukhulelwa, Ii-Antibiotics , Isifo Sezintso