Ngaba nawe uvakalelwa kukuba kufuneka uchame rhoqo? Kodwa xa usiya kwindlu yangasese, ngaba uya kancinci nje? Ngaba kuhamba nokutsha okuninzi kunye nentlungu? Emva koko kukho ithuba elihle lokuba unosulelo lwendlela yomchamo, esilwazi sonke njenge-UTI (Urinary Tract Infection). Le yingxaki eqhelekileyo kubantu abaninzi, ingakumbi abafazi. Kodwa ungakhathazeki, ukuba unolwazi olufanelekileyo malunga noku kwaye ufumane unyango ngexesha, ungaphila ngokukhawuleza. Masithethe ngale nto kwasekuqaleni.
Ngamafutshane, yintoni isifo somchamo (UTI)?
Usulelo lomchamo lubangelwa kukungena kwentsholongwane emzimbeni wethu, ngokuqhelekileyo yibhaktheriya, emzimbeni wethu ize ibangele usulelo. Njengenxeba emzimbeni wethu eliqhumayo, usulelo lukhula ngaphakathi kumchamo.
Ukuze sikuqonde oku, masiqale sifunde kancinci ngenkqubo yethu yomchamo. Cinga ngayo njengenkqubo yokucoca ehluza inkunkuma ephuma emzimbeni wethu. Ineenxalenye ezine eziphambili:
- Izintso: Izitho ezimbini ezimile okwembotyi ezikwindawo engasemva kwemizimba yethu, ngaphezulu nje kwesinqe. Zihluza inkunkuma kunye namanzi angaphezulu egazini lethu kwaye zenze umchamo.
- Ii-ureters: Iityhubhu ezimbini ezibhityileyo ezithwala umchamo, oveliswa kwizintso, ukuya kwisinyi.
- Isinyi: Ingxowa ethambileyo efana nebhaluni. Kulapho umchamo ugcinwa khona okwethutyana ude uqokeleleke.
- I-Urethra: Umbhobho othwala umchamo kwisinyi uphuma emzimbeni.
Ngokwesiqhelo, akukho ntsholongwane ngaphakathi kwesi sixokelelwano somchamo. Nangona kunjalo, ukuba iintsholongwane, ezinje ngeebhaktheriya, zingena nge-urethra, usulelo lunokusasazeka luye kwisinyi nakwiintso ezikwi-urethra.
Ibizwa ngamagama ahlukeneyo kuxhomekeke kwindawo apho usulelo lwenzeka khona:
- Usulelo lomchamo: (Urethritis)
- Usulelo lwesinyi: (Cystitis) (le yeyona ixhaphakileyo)
- Usulelo lwezintso: (Pyelonephritis) (Le yimeko embi kakhulu)
Zithini iimpawu ze-UTI? Uyibona njani?
Nangona iimpawu zosulelo lomchamo zahlukile kancinci kumntu nomntu, kukho ezinye iimpawu eziqhelekileyo onokuba nazo. Jonga ukuba unayo na enye okanye ezingaphezulu kwezi.
| Uphawu | Ivakalelwa njani loo nto? |
|---|---|
| Ukutsha/intlungu ngexesha lokuchama (iDysuria) | Olu lolona phawu luphambili abantu abaninzi abalubonayo. Luvakala ngathi yintlungu evuthayo nehlabayo xa bechama. |
| Ukudinga rhoqo ukuchama | Nangona isinyi singazalanga ngokupheleleyo, kukho imvakalelo engapheliyo yokufuna ukuchama. Kusenokufuneka uye kwindlu yangasese izihlandlo ezininzi ngeyure. |
| Ungxamiseko | Xa uziva unqwenela ukuchama, awukwazi ukuzibamba kwaye kufuneka ubalekele kwindlu yangasese ngokukhawuleza. Ngamanye amaxesha unokuquleka kancinci ngaphambi kokuba ufune. |
| Utshintsho kumchamo | Umchamo ungabonakala unamafu okanye ufana nobisi. Usenokuba nevumba elibi nelingathandekiyo. Ngamanye amaxesha, kunokubakho igazi elithile kumchamo (hematuria) . |
| Intlungu yesisu esisezantsi okanye emqolo | Usenokuziva ubunzima, uxinzelelo, okanye intlungu esiswini esisezantsi. Ukuba usulelo lusasazeka luye kwizintso, unokuziva iintlungu phantsi kweembambo kumacala omabini omqolo wakho. |
Ezi mpawu zisenokuba zikhona.
Ukongeza kwiimpawu eziphambili ezikhankanyiweyo apha ngasentla, abanye abantu banokufumana oku kulandelayo:
- Ndiziva ndidiniwe kakhulu
- Umkhuhlane kunye nokubanda
- Isicaphucaphu nokuhlanza
- Ukuba ungumntu omdala, imeko yokudideka kwengqondo ngequbuliso
Ukuba uneempawu ezinje, musa ukuzityeshela ucinga ukuba yinto elula. Eyona nto ingcono onokuyenza kukubona ugqirha ngokukhawuleza.
Kutheni sifumana ii-UTI? Ngubani osengozini enkulu?
Malunga ne-90% yosulelo lwendlela yomchamo lubangelwa yibhaktheriya ebizwa ngokuba yi -E. coli (Escherichia coli) . Le bhaktheriya ihlala ikwithumbu lethu elikhulu (kufutshane ne-rectum). Ayisiyongxaki logama nje ihlala apho, kodwa xa ingena kwindlela yomchamo ibangela usulelo.
Kukho izizathu ezininzi zokuba umntu abe ne-UTI:
- Ukuba ngumfazi: Abafazi basengozini enkulu yokufumana ii-UTI kunamadoda. Oku kungenxa yokuba i-urethra yabasetyhini imfutshane kuneyamadoda kwaye ikufutshane ne-anus. Oku kwenza kube lula ukuba iintsholongwane ze-E. coli zingene kwindlela yokuchama.
- Ukwabelana ngesondo: Isenzo sokwabelana ngesondo sinokutyhala iintsholongwane zingene kwi-urethra.
- Ucoceko: Ukusula ukusuka ngasemva ukuya phambili emva kokusebenzisa indlu yangasese kunokudlulisa iintsholongwane ukusuka kwi-rectum ukuya kwindlela yomchamo. Indlela echanekileyo kukuhlala usula ukusuka ngaphambili ukuya ngasemva.
- Ukubamba umchamo ixesha elide: Ukubamba umchamo ixesha elide emva kokuba isinyi sigcwele kwandisa amathuba okukhula kweebhaktheriya.
- Ezinye iimeko zempilo: Abantu abanesifo seswekile, amatye ezintso, okanye ezinye iingxaki zomchamo nabo banokuba ne-UTI rhoqo.
- Ukuya exesheni: Emva kokuya exesheni, amanqanaba e-estrogen emzimbeni ayancipha, nto leyo enokutshintsha indawo ekhuselayo yeebhaktheriya kwilungu lobufazi nakwindlela yomchamo, nto leyo ekwenza ube sesichengeni sosulelo.
Zeziphi iintlobo zovavanyo ozenzayo xa usiya kugqirha?
Xa uxelela ugqirha wakho ukuba uneempawu ze-UTI, uza kumamela ngenyameko iimpawu zakho aze acele uvavanyo oluninzi ukuba kuyimfuneko.
1. Uvavanyo lomchamo: Olu lolona vavanyo lulula. Kuthathwa isampulu yomchamo wakho ize ihlolwe izinto ezifana neebhaktheriya, iiseli ezimhlophe zegazi, kunye nee-nitrites. Ukubakho kwezi zinto luphawu losulelo.
2. Ukukhula komchamo: Ngamanye amaxesha, ingakumbi ukuba usulelo luhlala luphindaphinda okanye aluphenduli kumayeza, olu vavanyo lwenziwa ukuze kuchongwe ukuba zeziphi iibhaktheriya ezikumchamo wakho kunye nokufumana eyona antibiotic ilungileyo yokuyibulala.
Ukuba usulelo lubonakala lunzima okanye kukho ingxaki ekrokrelwayo, ugqirha unokuyalela iimvavanyo ezifana ne- ultrasound scan , i-CT scan , okanye i-cystoscopy (ityhubhu encinci enekhamera efakwe kwi-urethra ukuze kuhlolwe isinyi).
Uyinyanga njani i-UTI?
Eyona ndlela ilungileyo nekuphela kwayo yokunyanga usulelo lomchamo kukuthatha amayeza okubulala iintsholongwane . Ugqirha wakho uza kuhlola imeko yakho aze akunike amayeza okubulala iintsholongwane afanelekileyo.
Nantsi into ebaluleke kakhulu ekufuneka uyikhumbule.Ewe. Oko kukuthi, kufuneka usebenzise lonke inani lamayeza anikwe ngugqirha kangangeentsuku ezimiselweyo. Akufuneki uyeke ukuwasela amayeza kuba nje intlungu iphelile ngosuku okanye ezimbini.
Ukuba uyayeka, usulelo lusenokunganyangeki ngokupheleleyo kwaye lusenokubuya. Akupheleli apho, kodwa neebhaktheriya eziseleyo zisenokuqhelana neyeza lokubulala iintsholongwane kwaye zikwazi ukumelana nalo kwixesha elizayo. Ke ngoko, kubalulekile ukugqiba unyango.
Ngexa usebenzisa amayeza, ungenza ezi zinto ukunceda ukunciphisa ukungonwabi:
- Sela amanzi amaninzi: Sela ubuncinane iiglasi ezisi-8-10 zamanzi ngosuku. Ukusela amanzi amaninzi kunceda ukukhupha iintsholongwane emchameni.
- Iipilisi zokunciphisa iintlungu: Kwiintlungu zesisu esisezantsi, ungathatha amayeza okunciphisa iintlungu afana neparacetamol, njengoko ugqirha wakho ekucebisile.
Ngaba i-UTI iya kuba bhetele ngaphandle kwamayeza?
Iintsholongwane ezincinci kakhulu ngamanye amaxesha zinokunyangwa yinkqubo yomzimba yokuzikhusela. Kodwa oko kuyingozi. Kwiimeko ezininzi, ukuba azinyangwa, usulelo lunokuba mandundu luze lusasazeke kwizintso. Ke ngoko, ukuba uneempawu, qiniseka ukuba ubona ugqirha kwaye ufumane unyango.
Ufanele uye nini esibhedlele (ETU) ngoko nangoko?
Ukuba uneempawu ze-UTI eqhelekileyo kunye neempawu ezingezantsi, isenokuba luphawu lokuba usulelo lusasazeke kwizintso. Kwimeko enjalo, musa ukuhlala ekhaya. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Umkhuhlane ophezulu
- Ndiziva ndibanda kwaye ndingcangcazela
- Intlungu ebuhlungu kumacala omabini omqolo
- Isicaphucaphu nokuhlanza
Kubalulekile ukufuna unyango ngokukhawuleza kuba ezi zinokuba ziimpawu zesifo esinzulu.
Ndingayithintela njani i-UTI ukuba ingaphindi ivele?
Bathi, “Ukuthintela kungcono kunonyango.” Ngoko ke kungcono kakhulu ukuthintela i-UTI kunokubandezeleka yiyo. Ukuba ufaka le mikhwa ilula ebomini bakho, unokunciphisa kakhulu umngcipheko wakho wokuba ne-UTI.
- Sela amanzi amaninzi imini yonke. Le yeyona nto ibalulekileyo.
- Musa ukuyibamba i-charm xa ufuna ukuchama. Yikhuphe ngokukhawuleza.
- Soloko usula ukusuka phambili ukuya ngasemva emva kokusebenzisa indlu yangasese.
- Chama ngaphambi nasemva kokwabelana ngesondo. Kubalulekile nokuhlala ucocekile.
- Khetha amalaphu afunxa umbilo afana nomqhaphu kwiimpahla zangaphantsi. Izinto ezenziweyo ezifana ne-nylon zinokubamba umbilo kwaye zivumele iintsholongwane ukuba zikhule.
- Ziphephe iibhafu zamaqamza kwaye usebenzise iziqholo kunye nezitshizi kwindawo yesitho sangasese sowesifazane. Ezi zinto zinokutshintsha i-pH yendalo yendawo kwaye zikhokelele kwiintsholongwane.
- Ijusi yeCranberry okanye iipilisi:Ezinye izifundo zibonise ukuba izinto ezikwi-cranberries zinokuthintela iintsholongwane ukuba zinganamatheli eludongeni lwesinyi. Nangona kunjalo, thetha nogqirha wakho ngale nto uze ufumane ingcebiso.
Umyalezo Wokuya Ekhaya
- Ukuba uneempawu ezifana nokutsha xa uchama kwaye ufuna ukuchama rhoqo, isenokuba lusulelo lomchamo (UTI). Musa ukuyityeshela loo nto.
- Ukuba ukrokrela ukuba une-UTI, qiniseka ukuba ubonana nogqirha. Musa ukuzinyanga.
- Sela amayeza okubulala iintsholongwane amiselwe ngugqirha wakho yonke ikhosi yonyango, ungaphoswa lusuku olunye. Musa ukuyeka ukuwasela amayeza nokuba intlungu iyancipha.
- Ukusela amanzi amaninzi imini yonke akuncedi nje kuphela ekuthinteleni ii-UTI, kodwa kukwanceda nomntu onayo ukuba aphile ngokukhawuleza.
- Ukuba uneempawu ezinje ngomkhuhlane, ukuhlanza, kunye nentlungu ebuhlungu yomqolo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Ii-UTIs ezixhaphakileyo zinokuthintelwa kakhulu ngokulandela iindlela ezifanelekileyo zococeko.
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