Kungani 'usebenzisa' isampula yomchamo? (Isiko Lomchamo) Ake sixoxe ngalokhu ngokuningiliziwe!

Wake wakhathazwa yini yisifo sokutheleleka komgudu womchamo (UTI) ? Udokotela wakho kungenzeka ukuthi ukucele ukuthi wenze isiko lomchamo. Kungenzeka ukuthi uke wezwa igama lixakile. Ngakho-ke, liyini isiko lomchamo? Kungani libaluleke kangaka? Ake sikuchaze konke ngendlela elula ongayiqonda.

Iyini le ndlela yokuhlola 'yokuSinda komchamo'?

Kalula nje, ukukhuliswa komchamo kuwukuhlolwa okuhlola umchamo wakho ukuthi awunawo yini amagciwane noma isikhunta (njengemvubelo , uma kukhulunywa ngqo). Igama elithi "ukukhuliswa" lapha lisho ukuthi ama-microorganism , okungukuthi, amagciwane amancane angatholakala oketshezini lomzimba (kulokhu umchamo), akhuliswa elabhorethri. Udokotela wakho uzothatha isampula yomchamo kuwe bese eyithumela elabhorethri ukuze enze "ukukhuliswa".

Lokhu kuhlolwa 'kokukhiqizwa komchamo' kungakhomba nokuthi yimaphi amabhaktheriya noma isikhunta esibangela ukutheleleka. Okubaluleke kakhulu, kungakhomba nama-antibiotic afanele ukubulala amabhaktheriya. Ngemuva kwalokho udokotela angakhetha umuthi osebenza kahle kakhulu kuwe. Awufuni ukwenza ukugula kwakho kube kubi kakhulu ngokuthatha umuthi ongalungile, akunjalo?

Kudingeka nini ukukhuliswa komchamo?

Odokotela bavame uku-oda lokhu kuhlolwa ukuqinisekisa ukuthi unesifo somgudu womchamo (UTI) . Udokotela angase aku-oda lokhu kuhlolwa uma unezinye zezimpawu ezilandelayo:

• Ingabe uzwa ubuhlungu uma uchama ? Noma uzwa sengathi uyasha?
• Ingabe kungazelelwe kufanele uchame ngokushesha? Lokho kusho ukuthi kunzima ukuzibamba.
• Ingabe uchama njalo? Ngaphezu kokujwayelekile.
• Ingabe ngezinye izikhathi ulahlekelwa ukulawula umchamo wakho ?
• Ingabe unomkhuhlane ngaphandle kwesizathu esicacile ? Ngezinye izikhathi izifo zomgudu womchamo zingavela njengomkhuhlane.

Uma unesifo esifana nalesi, kungcono kakhulu ukubona udokotela bese uthola iseluleko.

Uyini umehluko phakathi 'kokuHlelwa komchamo' kanye 'nokuhlaziywa komchamo'?

Zombili lezi zivivinyo zomchamo. Zombili zidinga isampula yomchamo kuwe. Kodwa kunomehluko omncane. Esikhathini esiningi, udokotela uzoqala enze 'ukuhlolwa komchamo' . Lokhu ukuhlolwa okusheshayo. Lokhu kuhlola umchamo wakho ukuthi awuboni yini amangqamuzana egazi abomvu, amangqamuzana egazi amhlophe , kanyeKungakhathaliseki ukuthi kukhona yini izinto ezifana namagciwane. Lokhu kunganikeza inkomba mayelana nokutheleleka. Uma sikhuluma iqiniso, 'ukuhlolwa komchamo' kufana 'nokuhlolwa kokuhlola' . Okusho ukuthi, kusiza udokotela ukuthi anqume ukuthi kufanele enze 'ukuhlolwa komchamo' noma cha.

Ukukhuliswa komchamo kuhilela ukukhulisa ama-microorganisms atholakala ekuhlolweni komchamo ukuze kutholakale ukuthi yimaphi amabhaktheriya noma isikhunta esibangela ukutheleleka. Uyawuqonda umehluko?

Lokhu 'Umkhuba Wokuchama' kusebenza kanjani?

Kulula kakhulu. Uqoqa umchamo enkomishini njengoba kuyalelwe udokotela wakho. Ngezinye izikhathi, uma kunzima ngawe ukwenza lokhu (isibonelo, ngengane encane noma isiguli esilele embhedeni), udokotela wakho uzosebenzisa ezinye izindlela (sizoxoxa ngalokho kamuva). Isampula yakho yomchamo ithunyelwa elabhorethri.

Elabhorethri, uchwepheshe welabhorethri uthatha induku encane (eneluphu encane ekugcineni) ayicwilise esampula yomchamo wakho. Bese, bayibeka epuletini elikhethekile elinezakhamzimba. Lezi zakhamzimba zibangela ukuthi noma yimaphi ama-microorganisms emchameni akhule ngokushesha. Uma une -UTI , phakathi nosuku olulodwa noma ezimbili, kuzokhula amabhaktheriya amaningi noma isikhunta (okubizwa ngokuthi amakoloni ) epuletini. Ilabhorethri ibe isihlola futhi ibale lawo makoloni ukuze ikhiphe umbiko wakho.

Cabanga ngakho njengokutshala ingadi encane. Wondla amagciwane bese ubona ukuthi ayakhula yini.

Uma isampula yakho iqukethe amabhaktheriya noma isikhunta , ilebhu izokwenza olunye uhlolo. Lokhu kubizwa ngokuthi ukuhlolwa kokuzwela kwama-antibiotic ( noma ukuhlolwa kokuzwela kwama-antifungal kwesikhunta). Lolu hlolo luzonquma ukuthi yimaphi ama-antibiotic azobulala noma amise ukukhula kwamabhaktheriya. Lolu lwazi luzosiza udokotela wakho ukuthi akukhethele umuthi ofanele.

Kufanele sizilungiselele kanjani ngaphambi kokuhlolwa komchamo?

Uma kukhona izinto ezikhethekile okudingeka uzenze ngaphambi kokuba unikeze isampula yomchamo, udokotela wakho uzokutshela ngazo. Ngokuvamile, izinto ezinjengalezi zingase zishiwo:

• Ungachami okungenani ihora elilodwa ngaphambi kokunikeza isampula yomchamo.
• Phuza ingilazi yamanzi (okungenani ama-ounces angu-8) cishe imizuzu engama-20 ngaphambi kokunikeza isampula. Lokhu kuzosiza ekuqoqeni umchamo owanele wesampula.
• Uma kungenzeka, qoqa isampula emchameni wokuqala okhishwe ekuseni . Lokho kungcono kakhulu.

Abanye abantu bakuthola kunzima ukuchama ngaphandle kwekhaya, ikakhulukazi elabhorethri, akunjalo? Kubizwa ngokuthi 'i-shy bladder syndrome' . Uma unale nkinga, tshela udokotela wakho. Uzokukhombisa indlela yokunikeza isampula ngendlela elula. Akukho okufanele ube namahloni ngakho, lokhu kuyinto eyenzeka kubantu abaningi.

Kwenzekani uma wenza 'Umkhuba Wokuchama'? (Indlela Yokubamba Ehlanzekile)

Ukuhlolwa komchamo kudinga 'isampula yomchamo ehlanzekile' . Okusho ukuthi, isampula yomchamo ehlanzekile ngangokunokwenzeka, engenazo izinto zangaphandle. Lokhu kungenxa yokuthi uma amabhaktheriya, avame ukutholakala esikhumbeni sethu, engezwa kusampula, umbiko ungase ungabi yiphutha. Kuzodingeka unikeze lesi sampula ehhovisi likadokotela wakho noma elabhorethri. Kwezinye izimo, ungase ucelwe ukuba usilande ekhaya bese usiletha nawe.

Nansi indlela yokuqoqa isampula yomchamo usebenzisa indlela 'yokubamba okuhlanzekile':

1. Okokuqala , geza izandla zakho kahle ngensipho namanzi ashisayo . Lokhu kubaluleke kakhulu.

2. Bese usebenzisa i-antiseptic wipe enikeziwe ukuze uhlanze kahle isitho sakho sangasese sowesifazane nendawo ezungezile (uma ungowesifazane) noma i-glans penis (uma ungowesilisa). Uma isitho sakho sowesilisa singasokile , kufanele uqale usihlanze ngokususa ijwabu.

3. Okulandelayo, qala uthulule umchamo endlini yangasese . Bese uyeka ukuchama phakathi nendawo . Lokhu kubizwa ngokuthi 'i-midstream'.

4. Manje, thatha indebe engenamagciwane owanikezwa yona bese uma uqala ukuchama futhi, uyibambe ngaphansi kwesitho sakho sangasese sowesifazane noma ngaphansi kwesitho sakho sowesilisa. Ungavumeli indebe ukuthinta isikhumba sakho .

5. Qoqa umchamo kuze kube yilapho inkomishi isigcwele cishe ingxenye , noma kuze kube yilapho udokotela wakho ekutshelile. Kulungile uma ungakwazi ukuwugcwalisa uhhafu.

6. Uma udinga ukuchama kakhulu, yeka phakathi nendawo futhi uma kungenzeka, susa indebe, bese uthululela okusele endlini yangasese.

7. Uma udokotela ekunika isivalo senkomishi, yivale kahle. Udokotela uzokutshela ukuthi kufanele uyibeke kuphi isampula.

8. Okokugcina, ungakhohlwa ukugeza izandla zakho kahle futhi .

Uma ulandela lezi zinyathelo ngqo, ungathola isampula ehlanzekile. Nakuba kungase kubonakale kuyinkinga, lokhu kubaluleke kakhulu ekutholeni imiphumela enembile.

Zikhona yini ezinye izindlela zokuthatha isampula yomchamo?

Yebo, ikhona. Akuwona wonke umuntu onganikeza isampula esebenzisa indlela ethi 'ukubamba okuhlanzekile'. Isibonelo, kunzima ukwenza kanjalo enganeni encane kakhulu noma kumuntu ogula kakhulu. Ezimweni ezinjalo, odokotela basebenzisa lezi zindlela:

• 'Ukufakwa kwe-Catheter':Kule nqubo, udokotela ufaka ipayipi elincane neliguquguqukayo (i- catheter ) nge -urethra yakho iye esinyeni sakho. Umchamo ube usugeleza ngepayipi bese uqoqana esikhwameni esingenamagciwane.
• Isikhwama somchamo (isikhwama se-U): Le ndlela isetshenziselwa izinsana nezingane ezincane. Isikhwama esikhethekile esinomucu omncane onamathelayo sinamathiselwa endodeni yomntwana noma simboze imbobo yesitho sangasese sowesifazane. Ngemva kokuba ingane ichame , umchamo uqoqwa enkomishini enikeziwe. Uma ukwenza lokhu ekhaya, kuzodingeka ugcine isampula esiqandisini uze uyiyise elabhorethri noma ehhovisi likadokotela.
• ' Ukufutha ': Lena inqubo engavamile. Kule nqubo, udokotela ufaka inalithi encane esikhumbeni sesisu, ayifake esikhumbeni , bese ekhipha umchamo omncane ngesirinji.

Ingabe zikhona izingozi ngokulima umchamo?

Kuphephile kakhulu ukunikeza isampula yomchamo usebenzisa indlela ethi 'clean catch' noma 'urine bag'. Kubonakala sengathi akukho bungozi. Kodwa-ke, kungase kube nengozi encane kakhulu yokutheleleka ngendlela ethi 'catheter' noma indlela yenaliti.

Ingozi enkulu ukuthi isampula ingangcoliswa amagciwane noma isikhunta esikhumbeni sakho . Uma lokhu kwenzeka, umbiko wakho ungaba yiphutha (okubizwa ngokuthi 'iphutha elihle' ). Lokhu kusho ukuthi ungabonakala sengathi unesifo yize ungenaso.

Kuthatha isikhathi esingakanani ukuthi umbiko wokuhlolwa komchamo ufike?

Ngokuvamile kuthatha amahora angama-24 kuya kwangu-48 ukuthi amabhaktheriya akhule esikweni. Ngakho-ke kungathatha cishe izinsuku ezintathu ukuthi ilebhu iqedele ukuhlolwa bese ithumela umbiko. Udokotela wakho uzokufonela akutshele ngombiko, noma ungawubheka kumarekhodi akho ezempilo kagesi (EHR) .

Kusho ukuthini uma umbiko wokuhlolwa komchamo 'ubonisa ukuthi unegciwane'?

Uma umbiko wakho wokuhlolwa komchamo ubonisa ukuthi unezimpawu zokutheleleka, kusho ukuthi une- UTI . Uma kunjalo, udokotela wakho uzoqala ukwelashwa kwayo (futhi kungenzeka ukuthi useyiqalile kakade).

Kodwa-ke, ngezinye izikhathi amabhaktheriya angaba khona emchameni ngaphandle kwezimpawu. Lokhu kubizwa ngokuthi 'i-bacteriuria engenazimpawu' . Uma ungenazo izimpawu, lokhu ngokuvamile akudingi ukwelashwa.

Uma ilabhorethri nayo yenze ukuhlolwa kwe-'Antibiotic Sensitivity', uzobona amagama anjengalawa embikweni:

• 'Kuyathinteka':Lokhu kusho ukuthi umuthi uphumelele ekucindezeleni noma ekubulaleni amagciwane noma isikhunta esikhulele emasikweni akho. Lo muthi kufanele ube yisinqumo sokuqala sokwelapha ukutheleleka.
• 'Okuphakathi': Lokhu kusho ukuthi umuthi ube nomthelela othile ekuvimbeleni amagciwane noma isikhunta . Mhlawumbe uma unikezwa ngesilinganiso esiphezulu , ungasebenza kahle ekwelapheni ukutheleleka.
• 'Ukumelana': Lokhu kusho ukuthi umuthi awukasebenzi ukuvimba noma ukubulala amagciwane noma isikhunta . Ngakho-ke lo muthi awulungele ukusetshenziswa ekwelapheni ukutheleleka .

Lolu lwazi lubaluleke kakhulu, ngoba udokotela uzokhetha umuthi ofanele kakhulu kuwe, ozokunikeza ukwelashwa okusheshayo.

Kusho ukuthini uma umbiko wokuhlolwa komchamo 'ungemuhle'?

Umbiko 'Ongalungile' noma ojwayelekile wokukhula komchamo usho ukuthi azikho izimpawu zamagciwane noma isikhunta kusampula yomchamo wakho. Lokhu kusho ukuthi awunayo i- 'UTI' . Kodwa khumbula ukuthi amazinga ajwayelekile angahluka kancane kusuka elabhorethri kuya elabhorethri.

Kodwa-ke, uma unezimpawu ze-UTI (ubuhlungu lapho uchama , ukuphuthuma, ukuchama njalo, igazi emchameni - i-hematuria ) kodwa isiko libi, kungase kube nezinye izimbangela. Isibonelo, izinguquko ezibangelwa ukunqamuka kokuya esikhathini , amatshe ezinso , noma ubuningi besinyi . Ezimweni ezinjalo, udokotela wakho angase acele ukuhlolwa okwengeziwe ukuthola imbangela. Angase futhi acele ukuhlolwa kwezithombe , ezinye izivivinyo ezikhethekile, noma akuthumele kudokotela wezifo zomchamo (udokotela ochwepheshe ohlelweni lomchamo).

Kufanele siphinde sibonane nodokotela nini?

Uma izimpawu zakho zingathuthuki ngemva kokwelashwa, noma uma unemibuzo mayelana nemiphumela yokuhlolwa, qiniseka ukuthi ukhuluma nodokotela wakho. Kubi ukufihla ukugula.

Ingabe lezi zinto zingabonakala ngokusebenzisa isiko lomchamo?

Amagciwane e-'E. coli' (E. coli)?

Yebo, ukuhlolwa kokukhuliswa komchamo kungabona i-Escherichia coli (E. coli) . I-E. coli uhlobo lwebhaktheriya elihlala ohlelweni lwethu lokugaya ukudla futhi litholakala endle yethu. I-E. coli iyimbangela eyinhloko ye -UTIs ..

Ukutheleleka kwe-Streptococcus (Strep)?

Yebo, ukuhlolwa komchamo kungaphinde kubone amagciwane e -Streptococcus (Strep) . Uma unegciwane le-strep le-Group B ngesikhathi sokukhulelwa (noma ngabe awunazo izimpawu), ungalidlulisela enganeni yakho ngesikhathi sokubeletha. Ngakho-ke, udokotela wakho wezifo zabesifazane uzokuhlola ukuthi awunayo yini i-strep ye-Group B njengoba usondela osukwini lwakho lokuzalwa.

Izifo ezithathelwana ngocansi (ama-STI)?

Yebo, ukuhlolwa komchamo kungathola izifo ezithathelwana ngocansi ( STIs) njenge-Chlamydia ne -Gonorrhea . Kodwa udokotela wakho kuzodingeka akucele ngokwehlukana, njengoba ngeke kuvele embikweni ojwayelekile wokuhlolwa komchamo. Ama-STI angatholakala futhi nge -swab ethathwe ku-urethra yakho, esithweni sangasese sowesifazane, noma endodeni.

Okokugcina, izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

Ukutheleleka komgudu womchamo akugcini nje ngokungathandeki, kodwa ngezinye izikhathi kungaba kubi kakhulu. Ikakhulukazi uma kusakazekela ezinso, egazini, noma uma amagciwane edluliselwa kusuka kumama kuya enganeni ngesikhathi sokubeletha. Ukwelashwa komchamo kungasiza udokotela wakho ukuthi anqume imbangela yezimpawu zakho kanye nokwelashwa okungcono kakhulu.

Kungase kubonakale kuyinto engavamile, futhi mhlawumbe kuyaphoxa, ukunikeza isampula yomchamo usebenzisa indlela 'yokubamba okuhlanzekile'. Kodwa khumbula, ukunikeza umchamo omncane enkomishini kungakusiza ukuthi ululame ngokushesha. Ngakho-ke, uma udokotela ekutshela ukuthi wenze lolu hlobo lokuhlolwa, kwenze kahle. Kungokwempilo yakho.

Ukuhlolwa komchamo , ukukhuliswa komchamo, ukutheleleka kwendlela yomchamo, i-UTI, amabhaktheriya, ama-antibiotic, impilo