Ngaba ngequbuliso uziva ubuthathaka, uqhaqhazela, kwaye unomkhuhlane? Ngaba uneentlungu eziqatha emqolo wakho ongezantsi, kwelinye icala? Ukuba uvakalelwa kukutshisa xa usiya kwindlu yangasese okanye uchama, oku kusenokungabi ngumkhuhlane nje. Ukuba uninzi lwezi mpawu ziyadibana, kusenokwenzeka ukuba lusulelo lwezintso. Ungakhathazeki, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Kalula nje, yintoni le ntsholongwane yezintso (iPyelonephritis)?
Usulelo lwezintso lolona hlobo lubi kakhulu losulelo lwendlela yomchamo (UTI). Sidla ngokubiza "usulelo lwendlela yomchamo" okanye "UTI" ngokuthi lusulelo oluvela kwisinyi okanye kwi-urethra. Nangona kunjalo, ukuba iintsholongwane ezibangele olu sulelo azipheleli apho, kodwa ziyahamba zize zingene kwenye yezintso zakho okanye zombini, yiloo nto siyibiza ngokuba lusulelo lwezintso okanye "i-pyelonephritis."
Cinga ngenkqubo yethu yomchamo njengenkqubo yemibhobho yamanzi. Izintso ezimbini zizihluzo zamanzi ezimbini. Umchamo ovela apho uphuma ngeetyhubhu ezimbini (ureters) uze uqokeleleke kwitanki ebizwa ngokuba yibladder. Xa itanki igcwele, siyayikhupha ngenye ityhubhu ebizwa ngokuba yiurethra. Ngoku, iintsholongwane ezingena zisuka ezantsi kwale nkqubo, oko kukuthi, nge-urethra, zinokuhamba ziye phezulu kwezi tyhubhu zize zosulele izihluzo zamanzi ezimbini, oko kukuthi, izintso.
Usulelo lwezintso luyimeko enzulu kakhulu kunesulelo oluqhelekileyo lomchamo, ngoko ke kubalulekile ukubona ugqirha ngokukhawuleza ukuba uneempawu.
Zithini iimpawu zosulelo lwezintso?
Kunye neempawu eziqhelekileyo zosulelo lomchamo, ezifana nokutsha kwesinyi kunye nokuchama rhoqo, usulelo lwezintso lunokubangela nezinye iimpawu ezininzi. Ezi zinokuba ngequbuliso kwaye zibe nzima, zenze umzimba uzive ungakhululekanga.
| Uphawu | Ivakalelwa njani loo nto? |
|---|---|
| Umkhuhlane ophezulu kunye nokubanda | Ngequbuliso, umzimba wam ubanda kwaye ndiqala ukungcangcazela kangangokuba amazinyo am ayaqhaqhazela. Emva koko umzimba wam uyatshisa kwaye ndiba nomkhuhlane ophezulu. |
| Intlungu emqolo okanye ecaleni phantsi kweembambo | Olu lolona phawu lubalaseleyo. Kukho intlungu ebuhlungu kakhulu ehlabayo emqolo ongezantsi, kwelinye icala (ngasekunene okanye ngasekhohlo). Intlungu iba mandundu xa icinezelwa ngesandla. |
| Intlungu okanye ukutsha xa uchama | Njengakwimeko yosulelo oluqhelekileyo lomchamo, uziva uvutha kwaye uvakalelwa kabuhlungu xa uchama. |
| Utshintsho kumchamo | Umchamo unokuba namafu kwaye ube ngathi yi-pus (pyuria) okanye ube bomvu/pinki kunye negazi (hematuria). Usenokuba nevumba elibi. |
| Ukudinga rhoqo ukuchama | Isidingo sokuchama rhoqo, uvakalelwa kukuba isinyi asikaphumi ngokupheleleyo. |
| Isicaphucaphu nokuhlanza | Abanye abantu banokuba nokuphazamiseka kwesisu, isicaphucaphu, kwanokuhlanza. |
Kutheni sifumana usulelo lwezintso?
Ixesha elininzi, oku kubangelwa ziintsholongwane. Akuqhelekanga ukuba kubangelwa ziintsholongwane. Iintsholongwane eziphambili ezibangela olu sulelo luhlobo lweentsholongwane ezibizwa ngokuba yi-'E. coli' (Escherichia coli). Le ntsholongwane idla ngokuhlala emathunjini ethu amakhulu. Ingxaki iqala xa le ntsholongwane, ephuma nendle, ingena ngandlel’ ithile kwindlela yomchamo.
Ukongeza, ezinye iintlobo zeebhaktheriya ezifana ne-'Proteus mirabilis', 'Enterobacter', kunye ne-'Staphylococcus' nazo zinokubangela oku.
Ngubani osengozini enkulu yoku?
Abanye abantu banamathuba amaninzi okufumana usulelo lwezintso. Makhe sijonge ukuba ziintoni.
- Ukuba ngumfazi: I-urethra yabasetyhini imfutshane kuneyamadoda. Ikwasondele kwi-anus. Oku kwenza kube lula ukuba iintsholongwane zingene kwisinyi kwaye ukusuka apho, ziye ezintso.
- Ukuvaleka kwendlela yomchamo:Khawuthelekelele ukuba umchamo wakho uvalekile ngenxa yemeko efana namatye ezintso, ukwanda kweprostate kumadoda, okanye ukuwohloka kwesibeleko. Xa umchamo uhlala kwindawo enye ngolu hlobo, iintsholongwane zinokukhula ngokulula zize zibangele usulelo.
- Ukukhulelwa: Ngexesha lokukhulelwa, umntwana okhulayo ubeka uxinzelelo kwisinyi, nto leyo enokuthintela ukuhamba komchamo kwaye yonyuse umngcipheko wosulelo.
- I-Vesicoureteral reflux: Le yimeko abanye abantu abazalwa nayo. Oku kubangela ukuba umchamo ubuyele umva usuka kwisinyi, uye kwizintso. Oku kwenza kube lula ukuba iintsholongwane zingene kwizintso.
- Abantu abaneenkqubo zomzimba ezibuthathaka: Abantu abanezifo ezifana nesifo seswekile, i-HIV, okanye abo bathatha amayeza okunciphisa ukhuseleko lomzimba banamandla okulwa nezifo. Ngenxa yoko, banokuzifumana lula ezi ntlobo zosulelo.
Ngaba oku kungaba yinto enzulu? Zithini iingxaki?
Ewe. Usulelo lwezintso yimeko enzima enokuba yingozi ebomini ukuba ayinyangwa ngokufanelekileyo. Abantu abaneenkqubo zomzimba ezibuthathaka kunye nabo banezinye izifo basengozini enkulu.
- I-Emphysematous pyelonephritis: Le yingxaki enzima kakhulu, kodwa engaqhelekanga. Kwimeko enjalo, iintsholongwane ziqala ukutshabalalisa izintso zize zivelise igesi. Abantu abanesifo seswekile banamathuba amaninzi okufumana le meko.
- I-Renal papillary necrosis: Oku kukwabangela umonakalo kwizintso.
- I-Sepsis: Ukuba iintsholongwane ezikwizintso zingena egazini, zinokusasazeka emzimbeni wonke zize zibangele imeko eyingozi ebizwa ngokuba yi-sepsis.
Yiyo loo nto sisithi ukuba uneempawu, bonana nogqirha ngokukhawuleza .
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho. Emva koko uza kukuhlola. Ukuba kukho ukrokrelo lokuba unosulelo lwezintso, kunokwenziwa olu vavanyo lulandelayo:
1. Uhlalutyo lomchamo kunye nokuphuhliswa komchamo: Kuthathwa isampulu yomchamo wakho ize ihlolwe ubovu, igazi, kunye neebhaktheriya. Ukuphuhliswa komchamo kunokunceda ekuchongeni iibhaktheriya ezithile ezibangela usulelo kunye neyeza elifanelekileyo lokubulala iintsholongwane.
2. Uvavanyo lwegazi: Uvavanyo lwegazi lunokwenziwa ukujonga iimpawu zosulelo egazini.
3. Iiskeni: Ngamanye amaxesha, ugqirha wakho unokucebisa ukuba kwenziwe i-ultrasound scan okanye i-CT scan ukujonga ukuba akukho zithintelo ezifana namatye ezintso.
Iphathwa njani?
Ukuba kuqinisekisiwe ukuba kukho usulelo lwezintso, amayeza okubulala iintsholongwane anikwa njengonyango.
Esi asisosifo esinokunyangwa ekhaya. Musa ukuzama ukunyanga esi sifo ngokujonga izinto kwi-intanethi uze ubilise uze usele iintlobo ezahlukeneyo zamagqabi. Ukwenza njalo kunokwenza imeko ibe mandundu.
Ugqirha wakho uza kukunika amayeza okubulala iintsholongwane kangangeentsuku ezili-14. Amayeza asetyenziswa rhoqo aquka i-`Trimethoprim-sulfamethoxazole (TMP-SMX), `Amoxicillin`, `Ceftriaxone`, okanye i-`Ciprofloxacin`.
Eyona nto ibalulekileyo kukuthatha yonke imithi oyinikwe ngugqirha wakho, nokuba uzive ungcono kwiintsuku ezimbini okanye ezintathu. Ngaphandle koko, usulelo lusenokunganyangeki ngokupheleleyo kwaye lunokuphinda lubuye.
Kwiimeko ezinzima, umzekelo, ukuba uhlanza kakhulu ukuba ungasela amayeza okusela, ukuba kunzima kakhulu, okanye ukuba unezinye izifo, kunokufuneka ulaliswe esibhedlele kwaye unikwe amayeza okubulala iintsholongwane (IV).
Ndingaphila ngokukhawuleza kangakanani emva kokuqalisa amayeza?
Ngokwesiqhelo, emva kweentsuku ezimbini ukuya kwezintathu zokuqala amayeza okubulala iintsholongwane, uya kuqala ukuziva ungcono kakhulu. Umkhuhlane kunye neentlungu zomzimba ziya kuncipha. Kodwa khumbula, ungayeki ukuthatha amayeza kuba nje uzive ungcono.
Ngaba olu hlobo losulelo alunakuthintelwa?
Kakade unako. Uninzi lwezifo zezintso luqala ngosulelo lwesinyi, ngoko ke ukuyiphepha loo nto kunokunciphisa kakhulu umngcipheko wakho wosulelo lwezintso.
- Sela amanzi amaninzi: Sela amanzi amaninzi imini yonke. Oku kuya kukunceda ukuba uchame rhoqo kwaye kukhuphe iintsholongwane kwindlela yakho yokuchama. Thetha nogqirha wakho malunga nobungakanani bamanzi obufanelekileyo kuwe.
- Musa ukuyibamba imichamo yakho: Xa uziva ufuna ukuchama, musa ukuyibamba, kodwa yikhuphe ngokukhawuleza. Xa umchamo uqokelelana kwaye uqokelelana kwisinyi, kukho ithuba elikhulu lokukhula kweebhaktheriya.
- Lumka impilo yakho yesondo: Ukuchama ngaphambi nasemva kwesondo kunokunceda ukususa iintsholongwane ezinokuba zingene kwi-urethra.
- Ucoceko lomntu: Ukuhlamba yonke imihla nokutshintsha ngokukhawuleza impahla yangaphantsi ebilayo okanye emanzi kunokunceda ekuthinteleni ukukhula kweentsholongwane.
- Icebiso elikhethekileyo kubafazi: Xa ucoca emva kokukhupha indle, soloko usula ukusuka phambili ukuya ngasemva . Oku kuya kuthintela iintsholongwane, ezifana ne-E. coli, ukuba zingangeni kwi-urethra zisuka kwi-anus.
Ndifanele ndimbone nini ugqirha? Ndifanele ndiye nini kwi-ETU?
Oku kubaluleke kakhulu. Ukwazi umahluko phakathi kwezi zinto zimbini kunokusindisa ubomi bakho.
| Amathuba | Kwenziwe ntoni |
|---|---|
| Bona ugqirha wakho. | |
| Ubunzima bokuchama | Ukuba uneempawu ezinje ngosulelo lomchamo, ukuchama rhoqo, okanye utshintsho kumbala womchamo (ukuba mnyama, ukopha). |
| Umkhuhlane omncinci kunye nentlungu emqolo | Ukuba uneempawu zomchamo ezingentla kunye nomkhuhlane omncinci kunye nentlungu encinci ecaleni lomqolo wakho. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ekufutshane ngoko nangoko. | |
| Ngequbuliso, umkhuhlane omkhulu kunye nentlungu | Ukuqala ngequbuliso komkhuhlane omkhulu kunye nokungcangcazela kunye nentlungu enganyamezelekiyo emqolo/ecaleni. |
| Ukungakwazi ukuzibamba | Ukuba umchamo uyeka ngokupheleleyo okanye mncinane kakhulu. |
| Ezinye iimpawu ezinzulu | Ukulahlekelwa zingqondo, ubunzima bokuphefumla, ukuhlanza kakhulu. |
Umyalezo Wokuya Ekhaya
- Usulelo lwezintso luyingozi kakhulu kunosulelo oluqhelekileyo lomchamo. Musa ukuzama ukulunyanga ekhaya.
- Iimpawu eziphambili ngumkhuhlane ophezulu, ukungcangcazela komzimba, iintlungu eziqatha kwelinye icala lomqolo, kunye nosulelo lomchamo.
- Ukuba unale mpawu, bonana nogqirha ngokukhawuleza. Ukulibazisa unyango kunokunyusa umngcipheko weengxaki.
- Nokuba amayeza okubulala iintsholongwane achazwe ngugqirha alungile kuwe, wasebenzise de kuphele ixesha elimiselweyo.
- Ungenza lukhulu ekuthinteleni olu hlobo losulelo ngokusela amanzi amaninzi nokunyamekela ucoceko lwakho.
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