Ngaba wakha waba nosulelo lwendlela yomchamo (UTI)? Yiza, masithethe ngalo!

Ngaba ngamanye amaxesha uziva utshisa okanye uneentlungu xa uchama ? Okanye uziva ufuna ukuchama rhoqo? Ezi zidla ngokuba ziimpawu zosulelo lomchamo. Oku sikubiza ngokuba yi-"Urinary Tract Infection " okanye " UTI " ngesiNgesi. Nangona oku kuyacaphukisa kancinci, akukho nto ifanele ixhalabe ngayo. Yinto eyenzeka kubantu abaninzi, kwaye inokunyangeka.

Yintoni isifo somchamo (UTI)?

Ngamafutshane, usulelo lomchamo lusulelo olukwinkqubo yakho yomchamo . Oku kuquka:

• Indlela yomchamo (esiyibiza ngokuba yi-"Urethritis")
• Izintso (oku kubizwa ngokuba yiPyelonephritis )
• Okanye isinyi (esibizwa ngokuba yi-cystitis) sinokuchaphazeleka.

Ubusazi na ukuba umchamo wethu uveliswa zizintso ngokucoca igazi ? Izintso zisusa inkunkuma engeyomfuneko kunye namanzi agqithisileyo egazini kwaye zenze umchamo. Ngokwesiqhelo, lo mchamo udlula kwinkqubo yomchamo ngaphandle kweentsholongwane. Nangona kunjalo, ngamanye amaxesha, ukuba iintsholongwane ezifana neebhaktheriya zingena kwinkqubo yomchamo, olu sulelelo lomchamo luyenzeka.

Isebenza njani inkqubo yethu yomchamo?

Masiqale sifunde kancinci ngenkqubo yethu yomchamo. Le yinkqubo emzimbeni wethu eyenza, igcine, kwaye ikhuphe umchamo. Iquka:

• Izintso:Ezi zifana nezitho ezimbini ezimile okwembotyi ezikwindawo engasemva kwemizimba yethu, ngaphezulu nje kwesinqe. Uninzi lwabantu lunezintso ezimbini. Ezi zizitho ezihluza amanzi kunye nenkunkuma (ezifana ne-urea kunye ne-creatinine) egazini kwaye zenze umchamo.
• Ii-ureters: Ezi ziityhubhu ezimbini ezibhityileyo ezithwala umchamo ukusuka kwizintso ukuya kwisinyi.
• Isinyi: Oku kufana nebhaluni. Kugcina umchamo ngaphambi kokuba uphume emzimbeni.
• I-Urethra : Le yityhubhu ethwala umchamo kwisinyi iwukhuphe emzimbeni.

Zixhaphake kangakanani izifo zomchamo?

Usulelo lwendlela yomchamo luxhaphake kakhulu, ingakumbi phakathi kwabasetyhini . Kuqikelelwa ukuba malunga nesiqingatha sabo bonke abafazi baya kufumana usulelo lwendlela yomchamo ngaxa lithile ebomini babo. Amadoda nabantwana abancinci nabo banokufumana olu sulelo. Kodwa luchaphazela kuphela i-1% ukuya kwi-2% yabantwana. Phakathi kwezigidi ezisi-8 ukuya kwezili-10 zabantu banyangwa ngolu sulelo lwendlela yomchamo minyaka le. Ngoko ke unokucinga ukuba oku kuxhaphake kangakanani.

Zithini iimpawu zosulelo lomchamo?

Xa kuvela usulelo lwendlela yomchamo, ulwelo lwendlela yomchamo luyavuvukala, okanye luvuvuke . Oku kunokubangela iimpawu ezifana nezi:

• Intlungu ecaleni, esiswini, esiswini esisezantsi, okanye emqolo osezantsi.
• Ukuziva ngathi kukho uxinzelelo esiswini esisezantsi.
• Umchamo omnyama ngombala kwaye unevumba elibi .
• Ukungakwazi ukulawula ukuchama (Ukungakwazi ukuzibamba komchamo).
• Ukufuna ukuchama rhoqo .
• Ukungakwazi ukuzibamba ngumnqweno wokuchama ngequbuliso, onamandla ongenakuyekiswa.
• Ukuchama okubuhlungu (iDysuria).
• Igazi kumchamo (iHematuria).

Ukongeza koku, ezinye iimpawu zingabonakala:

• Intlungu kwilungu lobudoda kumadoda.
• Ukuziva udiniwe kakhulu `(Ukudinwa)`.
• Ifiva .
• Ndiziva ngathi uza kubanda .
• Isicaphucaphu nokuhlanza .
• Ngamanye amaxesha, ingakumbi kubantu abadala, ukudideka kwengqondo kunokwenzeka.

Zivela njani ezi zifo zomchamo?

Usulelo lomchamo lubangelwa ziintsholongwane, uninzi lwazo iintsholongwane . Ezi zihlala zingena kwi-urethra yakho zize zinyuke ziye kwisinyi sakho. Ukusuka apho, usulelo lunokunyuka luye kwi-ureters ukuya kwizintso zakho.

Yintoni eyona nto ibangela usulelo lomchamo?

Ubusazi na ukuba ngaphezulu kwe-90% yosulelo lwesinyi lubangelwa yintsholongwane ebizwa ngokuba yi-`(E. coli)` . Le ntsholongwane ye-`(E. coli)` ihlala ikwithumbu lethu elikhulu, oko kukuthi, ijikeleze i-anus.

Ngubani osengozini enkulu yokufumana usulelo lwendlela yomchamo?

Nabani na unokufumana usulelo lomchamo, kodwa abafazi basengozini enkulu . Oku kungenxa yokuba i-urethra yabasetyhini imfutshane kuneyamadoda kwaye ikufutshane ne-anus (apho iibhaktheriya ze-E. coli zixhaphake khona). Oku kwenza kube lula ukuba iibhaktheriya zingene kumchamo.

Ngaba iminwe ingabangela usulelo lomchamo?

Ewe, kunokwenzeka ngenene. Xa uchukumisa umphezulu, izandla zakho zinokuthatha iintsholongwane kunye nezinye iintsholongwane. Ezi ntsholongwane zingangena ngempazamo kwi-urethra yakho xa usiya kwigumbi lokuhlambela, ulala nomntu, uphulula amalungu esini, okanye usebenzisa iminwe yakho.

Ungazi njani ngokuqinisekileyo ukuba une-urinary tract infection?

Ukuba uneempawu zosulelo lomchamo, qiniseka ukuba ubona ugqirha . Uza kukubuza ngeempawu zakho, athathe imbali yakho yezonyango, aze enze uvavanyo lomzimba. Ukongeza, ezi mvavanyo zilandelayo zinokwenziwa ukuqinisekisa ukuxilongwa:

• Uvavanyo lomchamo: Kolu vavanyo, uza kucelwa ukuba uchamele kwikomityi ekhethekileyo. Isampulu ithunyelwa kwilabhoratri, apho ivavanywa khona izinto ezifana ne-nitrites, i-leukocyte esterase, kunye neeseli zegazi ezimhlophe ukuze kubonwe ukuba unayo na i-UTI.
• Ukukhula komchamo: Apha, unika nesampulu yomchamo. Ilebhu ikhulisa iintsholongwane ezikuyo ize imisele ukuba loluphi uhlobo lweentsholongwane ezikhoyo. Oku kubaluleke kakhulu, kuba kusekelwe koku ukuba ugqirha uya kukukhetha unyango olufanelekileyo.

Ngamanye amaxesha, ukuba usulelo alupheli ngonyango, ugqirha unokwenza uvavanyo olufana nolu ukujonga ezinye izifo okanye umonakalo kwinkqubo yomchamo:

• I-Ultrasound: Olu luvavanyo olulula nolungenabuhlungu olunokujonga amalungu akho angaphakathi.
• I-CT Scan (i-Computed Tomography – i-CT scan): Olu luvavanyo lokujonga imifanekiso. Lufana ne-X-ray, kodwa luthatha imifanekiso enqamlezileyo (njengezilayi) zangaphakathi komzimba, nto leyo eyenza imifanekiso enemilinganiselo emithathu (3D). Luchaneke ngakumbi kune-X-ray eqhelekileyo.
• I-Cystoscopy: Oku kuquka ukujonga ngaphakathi kwisinyi nge-urethra usebenzisa isixhobo esibizwa ngokuba yi-cystoscope. Esi sisixhobo esincinci esinekhamera kunye nesibane kwelinye icala.

Ukuba unezifo zomchamo ezixhaphakileyo , ugqirha wakho uza kujonga ezinye iingxaki zempilo, ezinje ngesifo seswekile, okanye naziphi na iingxaki kwinkqubo yakho yomchamo.

Yeyiphi eyona nto ingcono yokwenza xa une-urinary tract infection?

Eyona nto ingcono onokuyenza xa unentsholongwane yomchamo kukubona ugqirha . Uza kufuna amayeza okubulala iintsholongwane ukuze unyange i-UTI. Ugqirha wakho uza kukhetha amayeza okubulala iintsholongwane asebenza kakuhle nxamnye neentsholongwane ezibangele usulelo lwakho.

Wakuba unikwe amayeza okubulala iintsholongwane, kubaluleke kakhulu ukuwasela kanye njengoko ugqirha wakho ekuxelela, ixesha lonke . Nokuba iimpawu zakho ziyancipha kwaye uzive ungcono, thatha amayeza ude uwagqibe. Kungenjalo, usulelo lunokubuya kwaye kube nzima ukunyanga kwixesha elizayo.

Ukuba une-UTIs rhoqo, ugqirha wakho unokucebisa ukuba uthathe amayeza okubulala iintsholongwane ngezi ndlela zilandelayo:

• Ngalo lonke ixesha.
• Usuku olunye ngexesha.
• Emva kokuba nesondo.
• Kwangoko nje iimpawu ziqala.

Thetha nogqirha wakho ngale nto uze ugqibe ukuba loluphi unyango olulungele wena.

Zeziphi ii-antibiotics ezithile ezinikwayo kwizifo zomchamo?

Oogqirha badla ngokunika olu hlobo lwamayeza okubulala iintsholongwane kwi-UTIs:

• I-Nitrofurantoin
• IiSulfonamides (Amayeza eSulfa)
• I-Amoxicillin `(Amoxicillin)`
• IiCephalosporins
• I-Doxycycline `( Doxycycline ( Doxycycline) ) )`
• I-Fosfomycin `(Fosfomycin)`
• IiQuinolones

Ndingakuthintela na usulelo lomchamo?

Ewe, ngokuqinisekileyo ungakwenza! Ukwenza ezi nguqu zimbalwa zendlela yokuphila kunokunceda kakhulu ekuthinteleni ii-UTIs:

• Imikhwa emihle yococeko: Soloko usula ukusuka phambili ukuya ngasemva emva kokukhupha indle.
• Sela iziselo ezininzi: Sela ubuncinane iiglasi ezintandathu ukuya kwezisibhozo zamanzi ngosuku.
• Tshintsha imikhwa yakho yokuchama: Chama rhoqo. Chama ngaphambi nasemva kwesondo.
• Lumka iimpahla zakho:Nxiba impahla ekhululekileyo kunye nempahla yangaphantsi yekotoni.
• Lumka ngeendlela zokulawula ukukhulelwa : Ukusebenzisa izinto ezifana ne-diaphragm kunokunyusa umngcipheko.
• Iimveliso zeCranberry: Izongezo zeCranberry zinokunceda, kodwa qhagamshelana nogqirha ngaphambi kokuba uthathe naziphi na izongezo.