Ngaba udiniwe kukufumana usulelo lomchamo (UTIs)? Masifunde ngqo nge-Recurrent UTI!

Kuyacaphukisa kakhulu xa ufumana usulelo lwendlela yomchamo (UTI), akunjalo? Intlungu, ukungonwabi, kunye nokuchama rhoqo okuhamba nako... Ngamanye amaxesha, xa ucinga ukuba ulithathile iyeza kwaye uzive ungcono, liyabuya. Oku kuyacaphukisa kakhulu. Ngoko ke, ukuba ufumana olu hlobo losulelo lwendlela yomchamo rhoqo, kuthetha ukuba unokuba nesifo esibizwa ngokuba yi-'recurrent urinary tract infections'. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.

Yintoni i-recurrent urinary tract infection (UTI)?

Ngamafutshane, ukuba ufumana usulelo lwendlela yomchamo kabini okanye ngaphezulu (ii-UTI) kwiinyanga ezintandathu , okanye ezintathu ngonyaka , oogqirha bakubiza ngokuba yi-UTI ephindaphindayo. Igama elithi "recurrent" lithetha "ukuphinda-phinda."

Oku kubizwa ngokuba yinto eyahlukileyo, kwaye kusenokwenzeka ukuba ukhe wayiva ngaphambili:

• Usulelo olungapheliyo lwendlela yomchamo (UTI engapheliyo)
• Usulelo oluqhubekayo lwendlela yomchamo (UTI)
• Usulelo oluqhelekileyo lwendlela yomchamo (UTI)

Nokuba uthini na, intsingiselo iyafana. Kuthetha ukuba unosulelo kwindlela yakho yomchamo, kwaye nokuba emva konyango, lubuya emva kwexesha elithile. Oku kunokuba yinto ecaphukisayo kakhulu kwaye kunokuphazamisana nemisebenzi yakho yemihla ngemihla. Yiyo loo nto, ukuba uneempawu ze-UTI, kwaye iimpawu zibuya emva nje konyango, ngokuqinisekileyo kuya kufuneka ubone ugqirha . Emva koko ungafumana unyango olufanelekileyo okanye ingcebiso malunga nendlela yokuyithintela.

Zithini iimpawu zosulelo oluphindaphindayo kwindlela yomchamo?

Iimpawu zosulelo oluphindaphindayo lwendlela yomchamo ziyafana nezo ze-UTI eqhelekileyo. Usenokuba nenye okanye ngaphezulu kwezi:

• Ukutsha okanye intlungu xa uchama (Dysuria)
• Intlungu esesinqeni, ithetha intlungu engaphantsi kwenkaba
• Umchamo otyheli okanye onevumba elibi
• Ukufuna ukuchama rhoqo kunesiqhelo (Ukuchama rhoqo)
• Ukungakwazi ukuzibamba komchamo
• Isidingo sokuchama ngequbuliso, esingalawulekiyo, kodwa kuphuma umchamo omncinci kuphela (Ukukhuthaza ukungakwazi ukuzibamba)
• Igazi elincinci kumchamo (iHematuria)

Ukuba uneempawu ezinje, musa ukuzityeshela.

I-UTI ingabuya ngokukhawuleza kangakanani?

Usulelo oluphindaphindayo lwendlela yomchamo ludla ngokubuya luvela kwinyanga emva konyango, kodwa abanye abantu banokuphinda babuye amaxesha amaninzi ngonyaka, kwanasemva konyango.

Kutheni le nto ezi zifo zomchamo ziphinda zibuye?

Iibhaktheriya zezona zibangela ukuba kubekho usulelo oluphindaphindayo kwindlela yomchamo.– Ingakumbi iintsholongwane ezibizwa ngokuba yi-`(E. coli)` – zingena kwindlela yakho yokuchama. Le ntsholongwane ye-`(E. coli)` ihlala ihlala kwindlela yethu esezantsi yesisu. Ngamanye amaxesha le ntsholongwane inokungena kwindlela yakho yokuchama nge-rectum yakho.

Abafazi, ngakumbi, banokuba semngciphekweni omkhulu wokungena kweebhaktheriya ngale ndlela kwiimeko ezifana nezi:

• Emva kokusebenzisa indlu yangasese, sula ukusuka ngasemva ukuya phambili (le yindlela engalunganga, kufuneka uhlale usula ukusuka ngaphambili ukuya ngasemva).
• Emva kwesondo okanye emva kwemisebenzi efana nokungena kwidijithali kunye nokuphulula amalungu esini.
• Ukungachami rhoqo (iintsholongwane zinokukhula xa umchamo ugcinwe kwisinyi ixesha elide kakhulu).
• Xa unemeko efana norhudo, okanye xa kunzima ukuhlala ucocekile emva kokukhupha indle.

Ukongeza kwi-E. coli, ezinye iintlobo ezininzi zeebhaktheriya zinokubangela ii-UTI eziphindaphindayo. Umzekelo:

• `(I-Enterococcus faecalis)`
• `(Klebsiella)`
• `(Proteus mirabilis)`
• `(I-Staphylococcus)`

Ziziphi ezinye iimeko zempilo ezinokubangela i-UTI rhoqo?

Ezinye iimeko zempilo ezingabonakaliyo zinokukwenza ube namathuba amaninzi okufumana usulelo oluphindaphindayo kwindlela yomchamo. Ezi ziquka:

• Ukoma kunye nokubhitya kwesisu (i-Vaginal atrophy): Le yimeko eyenzeka ngakumbi xa umntu eyeka ukuya exesheni. Ingabangelwa nalunyango lweentlobo ezithile zomhlaza, njengomhlaza webele.
• Ukuba nee -cysts ezizele lulwelo (i-diverticula) kwi-urethra okanye kwisinyi sakho. Ezi zinokubamba umchamo kunye neebhaktheriya kwaye zibangele usulelo.
• Ukugcinwa komchamo: Oku kunokubangela ukuba iintsholongwane zikhule kumchamo ohlala kwisinyi kwaye kubangele usulelo. Oku kunokubangelwa zizifo ezifana nokuqhekeka kwesitho sangasese sowesifazane, isifo seswekile, isifo sohlangothi, kunye neengxaki zemithambo-luvo ezifana ne-multiple sclerosis kunye nesifo sikaParkinson.
• Ukuba namatye ezintso .
• Ukuphazamiseka komchamo okubangelwa kukuzalwa: Oku kunokubangela utshintsho kwisakhiwo senkqubo yomchamo, nto leyo ebangela ukuba kube lula ukufumana usulelo. Imizekelo ibandakanya ukuvaleka kwe-ureteropelvic junction (UPJ), i-vesicoureteral reflux (VUR), i-ureteroceles, kunye ne-ectopic ureters. Ezi ziimeko zonyango ezinzima ezinokuchongwa ngugqirha kuphela.

Ngaba kukho unxibelelwano phakathi kwezifo ezihlasela umzimba kunye ne-UTIs eziphindaphindayo?

Nangona kungekho phando lungako ngale nto, amayeza okunciphisa amasosha omzimba asetyenziselwa ukunyanga izifo ezihlasela amajoni omzimba ezifana ne-lupus kunye ne-rheumatoid arthritis (RA) abonakalisiwe ukuba anciphisa umngcipheko wokufumana le meko.Kukholelwa ukuba ukusebenzisa amayeza okunciphisa umzimba kunokunyusa umngcipheko wokufumana ii-UTI eziphindaphindayo. Ngokufanayo, ukusebenzisa ii-steroids ixesha elide kunokunyusa umngcipheko wokufumana ii-UTI kunye nezinye izifo.

Ingaba i-UTIs ephindaphindayo iyasulela?

Hayi, akunjalo konke konke. Usulelo oluphindaphindayo lwendlela yomchamo alusuleli. Awunakuyifumana komnye umntu, kwaye awunakuyisasaza komnye umntu.

Ziziphi izinto ezibangela umngcipheko we-UTI ephindaphindayo?

Ezinye izinto zinokunyusa umngcipheko wakho wokuba ne-UTIs ephindaphindayo:

• Ukusetyenziswa kwe-spermicides : Xa zisetyenziswa, ezi zinokutshabalalisa iintsholongwane eziluncedo (iLactobacilli) kwilungu lobufazi ezithintela ukukhula kweentsholongwane ezimbi ezifana ne-E. coli.
• Emva kokuya exesheni : Ngaphambi kokuya exesheni, i-vagina ine-asidi. Le asidi ithintela iintsholongwane ekukhuleni nasekungeneni kwi-bladder. Emva kokuya exesheni, i-pH ye-vagina iyatshintsha kwaye ilahlekelwe yi-asidi yayo. Iintsholongwane zinokungena ngokulula kwi-bladder zize zibangele usulelo. Kwakhona, inani leentsholongwane eziluncedo (i-Lactobacilli) kwi-vagina liyancipha emva kokuya exesheni.
• Ukubuthathaka kwesinyi ngokukhula : Njengoko izihlunu zesinyi zisiba buthathaka ngokukhula, kusenokungabi lula ukucinezela wonke umchamo. Xa umchamo uhlala kwisinyi ixesha elide, kudala indawo elungileyo yokukhula kweebhaktheriya.
• Ukusetyenziswa kwe-diaphragm yesini .
• Ukusebenzisa ulwelo olukhethekileyo ukuhlamba i-vaginal douche (i-vaginal douche) (Oku akuyonto ilungileyo, kuba kuphazamisa ulungelelwaniso lwendalo lwe-vaginal).
• Ukusetyenziswa kwexesha elide kwee-antibiotics : Oku kunokuphazamisa ulungelelwaniso phakathi kweebhaktheriya ezilungileyo nezingalunganga emzimbeni.

Ziziphi iingxaki ezinokubakho ngenxa ye-UTI ephindaphindayo?

Ukuba uyayityeshela into yokuba usulelo oluqhubekayo lwendlela yomchamo lunokubangela iingxaki, ngokuhamba kwexesha, unokwandisa umngcipheko wakho wokufumana izifo ezifana nezi:

• Iingxaki ezinxulumene nezintso : ezifana nosulelo lwezintso (iPyelonephritis) kunye nesifo sezintso.
• I-Septicemia ( iintsholongwane ezingena egazini )
• I-Sepsis (usulelo olunzima olunokuba yingozi ebomini).
• Iintlungu zesinyi ezingapheliyo .
• Uphuhliso lokuxhathisa amayeza okubulala iintsholongwane kwamanye amayeza okubulala iintsholongwane (oko kuthetha ukuba azisasebenzi).

Ukuhlaselwa yi-UTI rhoqo ngexesha lokukhulelwa kunokukhokelela ekuzalweni ngaphambi kwexesha kunye nobunzima obuphantsi . Ngoko ke, ukuba ukhulelwe, kufuneka ulumke kakhulu ngeempawu ze-UTI.

Uyibona njani i-UTI ephindaphindayo?

Ukuba ukrokrela ukuba une-UTIs eziphindaphindayo, ugqirha uza kuyixilonga le meko ngale ndlela ilandelayo:

• Ubuza ngeempawu zakho .
• Imbali yakho yezonyango iyabuzwa.
• Wenza uvavanyo lomzimba .
• Kucetyiswa uvavanyo olukhethekileyo ukuqinisekisa ukuxilongwa.

Luhlobo luni lovavanyo oluqhutywayo?

Uninzi lovavanyo lufuna ukuba unike isampuli yomchamo . Ngaphambi kokuba uthathe oku, kufuneka uhlambe izandla zakho kunye nendawo yangasese kakuhle uze uchamele kwikomityi ekhethekileyo ukuthintela iintsholongwane ukuba zingangeni (oku kubizwa ngokuba yi-"clean catch urine sample").

Ngamanye amaxesha, ukuba akunakwenzeka ukufumana isampuli ngale ndlela, okanye ukuba isampuli kucingelwa ukuba ingcolile, ugqirha unokufaka i-catheter yomchamo aze afumane isampuli.

Olu vavanyo lwenziwa kusetyenziswa isampuli yomchamo wakho:

• Uhlalutyo lomchamo : Kolu vavanyo, iingcali zelebhu zikhangela iimpawu zosulelo kwisampuli yomchamo wakho.
• Ukukhula komchamo : Oku kuvavanya ukubona ukuba iintsholongwane ziyakhula na kwisampulu yomchamo wakho. Ngamanye amaxesha, nokuba emva konyango oluphumeleleyo, i-UTI inokuphinda ivele ngenxa yohlobo olwahlukileyo lwebhaktheriya.

Amaxesha amaninzi, ingakumbi ukuba usenegazi kumchamo wakho emva konyango, okanye ukuba unamatshe ezintso rhoqo, oogqirha banokucebisa uvavanyo lomfanekiso olungenabuhlungu . Oku kudla ngokubandakanya:

• Uvavanyo lwe-ultrasound yezintso
• I-CT scan yesisu sakho kunye ne-pelvis

Ngamanye amaxesha oogqirha banokucebisa i-cystoscopy, inkqubo yokuhlola isinyi . Kule nkqubo, ikhamera encinci (i-cystoscope) ifakwa nge-urethra yakho kwisinyi sakho. Olu vavanyo lunokunceda ukujonga naziphi na iingxaki okanye izinto zangaphandle kwisinyi ezinokungabonakali kwi-CT scan.

Ungayithintela njani le ntsholongwane yomchamo ephindaphindayo?

Ukuba ukwi-perimenopause okanye emva kokuya exesheni, enye yezona ndlela zilungileyo zokuthintela i-UTIs ephindaphindayo kukuthatha unyango lwe-estrogen yesini. Olu asilo pilisi okanye i-patch. Lukhilimu, ithebhulethi, okanye iringi efakwa kwisini. Itshintsha i-pH yesini, ibuyisele i-acidity yayo. Ikhuselekile kubasetyhini abaninzi ukuyisebenzisa. I-estrogen encinci kakhulu (mhlawumbi ayikho kwaphela) efunxwa egazini.

Uza kufuna uxwebhu lukagqirha oluchaza amayeza okubulala iintsholongwane ukuze unyange usulelo olukhawulezileyo olukhoyo. Nokuba iimpawu zakho ziyaphela, ugqirha wakho usenokuIi-antibiotics zexesha elide neziphantsi zinokunikwa. Ezi zinokuthathwa ixesha elifutshane njengeenyanga ezintathu, okanye unyaka okanye nangaphezulu.

Ukuba unembali ye-UTIs emva kokwabelana ngesondo, ugqirha wakho angakuxelela ukuba uthathe ipilisi enye yokubulala iintsholongwane emva nje kokwabelana ngesondo . Okanye, banokukunika i-antibiotic yemihla ngemihla engaphantsi komlinganiselo. Imizekelo yale antibiotics ibandakanya:

• `(Nitrofurantoin)` (ifumaneka phantsi kwamagama orhwebo afana neMacrobid®, Macrodantin®, Urotoin®)
• `(SMX-TMP)` (Iza phantsi kwamagama orhwebo anjengeBacter-Aid DS®, Bactrim®, Septra®)
• `(Trimethoprim)` (iphantsi kwamagama orhwebo afana neProloprim®)
• `(Cephalexin)` (iphantsi kwamagama orhwebo afana neKeflex®)

Nangona kunjalo, ukuthatha amayeza okubulala iintsholongwane ixesha elide kunokukhokelela ekuchaseni amayeza okubulala iintsholongwane kwaye kwandise umngcipheko wokufumana ezinye iintlobo zosulelo.

Oogqirha banokucebisa nonyango olungenazo ii-antibiotic. Imizekelo:

• Izithako zeCranberry extract : Kukholelwa ukuba iikhemikhali ezikwicranberries zinokunceda ekuthinteleni iintsholongwane ze-E. coli ekuchaphazeleni isinyi.
• I-Methenamine hippurate (amagama eemveliso aquka iHiprex®, iMandelamine®, iUrex®): Eli liyeza elilwa neentsholongwane. Lenza umchamo wakho ube neasidi, nto leyo enceda ekubulaleni iintsholongwane.

Ndiza kuziva bhetele nini emva kokuqala unyango?

Abantu abaninzi baqala ukuziva bebhetele kwiintsuku ezimbalwa emva kokuqala amayeza okubulala iintsholongwane. Nangona kunjalo, kubalulekile ukugqiba yonke ikhosi yamayeza anikiweyo. Ukuba awukwenzi oko, unamathuba amaninzi okufumana i-UTI kwakhona. Ukuba uphoswe yidosi, thetha nogqirha wakho. Musa ukuthatha iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi ephoswe yiyo.

Yintoni endimele ndiyilindele njengomntu one-UTI ephindaphindayo?

Uninzi lwe-UTIs eziphindaphindayo ziyaphela ngee-antibiotics kunye namanyathelo okuthintela. Nangona kunjalo, kubalulekile ukunaka umzimba wakho kunye nendlela oziva ngayo. Bonana nogqirha kwangoko nje ukuba uqala ukubona iimpawu ze-UTI.

Ngaba ungakuthintela ukuphinda kwe-UTI?

Ukuba uhlala ufumana usulelo lomchamo, kubaluleke kakhulu ukwenza ezi zinto zilandelayo:

• Emva kokusebenzisa indlu yangasese, sula ukusuka ngaphambili ukuya ngasemva .
• Sela amanzi amaninzi ukuze ukhuphe iintsholongwane kwindlela yokuchama.
• Gcina isinyi singenanto kwaye uchame rhoqo ukuze usihlambe.
• Sebenzisa iikhondom endaweni yee-diaphragms kunye ne-spermicides njengeendlela zokucwangcisa usapho.
• Soloko uchama emva kokwabelana ngesondo okanye nayiphi na enye into yokwenza ngokwesondo .

Ndifanele ndimbone nini ugqirha?

Yenza idinga lokubonana nogqirha kwangoko nje ukuba uqalise ukubona iimpawu ze-UTI. Ukuba iimpawu zakho aziphucuki okanye azibi mandundu nangona unyango lukhona, bonana nogqirha kwakhona.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba une-UTI ephindaphindayo kwaye uhlangabezana nezi mpawu, kulungile ukuya kwigumbi longxamiseko:

• Umqolo obuhlungu
• Ifiva
• Ukuhlanza

Ezi zisenokuba ziimpawu zosulelo olunzima ngakumbi.

Ndingayibuza yiphi imibuzo ugqirha?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Kutheni ndihlala ndifumana ezi zifo zomchamo?
• Ingaba yintsholongwane efanayo ebangela i-UTIs yam ephindaphindayo?
• Ucebisa luphi unyango?
• Yintoni enye endinokuyenza ukuthintela ukuba ii-UTI zingaphindi zivele?
• Kuza kwenzeka ntoni ukuba andiyinyangi le UTI ephindaphindayo?

Zingaphi izihlandlo ofumana i-UTI ngaphambi kokuba "ibe rhoqo"?

Ukuba ufumana i-UTI kabini okanye ngaphezulu kwiinyanga ezintandathu, okanye ngaphezulu kwezihlandlo ezithathu kunyaka, oogqirha bayifumanisa njenge-UTI ephindaphindayo.

Usulelo lomchamo lunokuba lungathandeki kakhulu kubomi bakho bemihla ngemihla, kwaye iimpawu zinokuba ziintloni. Zinokuba buhlungu nangakumbi xa zivela rhoqo. Usenokuziva uxhalabile ngako.

Ukuba uneempawu ze-UTI, kubalulekile ukubona ugqirha. Bayaziqonda iimvakalelo zakho, kwaye bafuna ukukunceda uphile ngokukhawuleza. Banokunyanga usulelo lwakho lwangoku, bacebise amanyathelo okuthintela, kwaye bakuncede uphephe ukufumana i-UTI kwakhona. Banokujonga naziphi na iimeko ezifihlakeleyo okanye ukungaqheleki kwenkqubo yakho yomchamo.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Kulungile, masikukhumbuze ngezona ngongoma zibalulekileyo koko sithethe ngako.

• Ii-UTI eziphindaphindayo zizinto ekufuneka zithathwe nzulu. Musa ukuzityeshela.
• Ukuxilongwa ngokuchanekileyo kunye nonyango kubalulekile. Musa ukuzinyanga.
• Ukuziqhelanisa nokuthintela kunokwenza umahluko omkhulu. Ingakumbi ukukhathalela ucoceko, ukusela amanzi amaninzi, kunye nokuzigcina ucoceko olufanelekileyo ngokwesondo.
• Ukuba uye wandisa le ngxaki ngokuyeka ukuya exesheni, ungoyiki ukuthetha nogqirha wakho ngezinto ezifana nonyango lwe-estrogen yesini .
• Awuwedwa. Baninzi abantu abanale ngxaki. Ngeengcebiso nenkxaso efanelekileyo, le meko inokulawulwa.

Ukunyamekela impilo yakho yeyona nto ibalulekileyo. Musa ukuthandabuza ukufuna iingcebiso zonyango ukuba ufumana naluphi na uvakalelo olungathandekiyo.

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"Usulelo lwendlela yomchamo, usulelo oluphindaphindayo lwendlela yomchamo, i-UTI, ukudumba kwendlela yomchamo, iimpawu zendlela yomchamo, unyango losulelo lwendlela yomchamo, ukuthintela usulelo lwendlela yomchamo