Ingabe nawe uke waba nokutheleleka komgudu womchamo? Lokhu kumayelana ne-Acute Cystitis!

Ingabe nawe uzizwa sengathi udinga ukuchama njalo? Noma uzwa ukushisa noma ubuhlungu uma uchama? Ingabe umchamo wakho ngezinye izikhathi unuka kabi noma ubukeka ungcolile? Lokhu kungaba izimpawu zokutheleleka kwesinye, okubizwa ngokuthi i-acute cystitis . Ingabe singakhuluma ngalokhu ngamazwi alula?

Iyini ngempela i-Acute Cystitis?

Kalula nje, i-acute cystitis iwukutheleleka kwesinye. Igama elithi 'acute' lisho ukuthi ukutheleleka kwenzeka ngokuzumayo futhi izimpawu ziba zimbi ngokushesha.

Ngakho-ke ingabe lokhu kuyi-UTI?

Lona umbuzo abantu abaningi abawubuzayo. `UTI` (Ukutheleleka Kwendlela Yomchamo) ukutheleleka okwenzeka kunoma iyiphi ingxenye yesistimu yomchamo. Uhlelo lwakho lomchamo luhlanganisa izinso, ama-ureter, isinye, kanye ne-urethra. Ngakho-ke, uma ukutheleleka kwenzeka kunoma iyiphi yalezi zingxenye, kuyi-`UTI`. Kodwa-ke, i-cystitis ebukhali ukutheleleka okukhawulelwe ngqo kwesinye. Uyaqonda? Lokho kusho ukuthi akuwona wonke ama-`UTI` ayi-cystitis, kodwa i-cystitis iyingxenye ye-`UTI`.

Ingabe yilokhu okushiwo igazi elisemchameni? (I-Acute Cystitis ene-Hematuria)

Ngezinye izikhathi, ngalesi simo se -cystitis esibi , ungase ube negazi emchameni wakho. Odokotela bakubiza lokhu ngokuthi i-hematuria . Lokhu kungenzeka ngezindlela ezimbili.

• I-Microscopic hematuria : Lokhu kwenzeka uma kukhona amangqamuzana egazi abomvu emchameni wakho, kodwa angabonwa udokotela kuphela ngaphansi kwe-microscope. Umchamo wakho uvame ukubonakala uphuzi okhanyayo noma uphuzi omnyama.
• I-Gross Hematuria : Yilapho ungabona khona igazi emchameni wakho. Umchamo ungase ubonakale upinki noma ubomvu. Uma ubona into efana nale, kufanele nakanjani ubone udokotela ngokushesha .

Ubani onamathuba amaningi okuthola i-cystitis ebukhali?

Kungenzeka kunoma ubani, kodwa abantu abangaphezu kweminyaka engu-65, ikakhulukazi abesifazane, basengozini enkulu.

Kungani abesifazane bekuthola lokhu kaningi?

Kunezizathu eziningana ezenza abesifazane babe ne-cystitis ebukhali . Ake sibone ukuthi ziyini:

• Ukushoda kwe-urethra:I-urethra yipayipi elikhipha umchamo emzimbeni. Kwabesifazane, i-urethra inobude obungamasentimitha angu-1-2 kuphela. Kwabesilisa, inobude obungamasentimitha angu-6. Amabhaktheriya angena emzimbeni ngembobo ye-urethra (inyama). Ngakho-ke, ngenxa yokuthi leli payipi lifushane kwabesifazane, amabhaktheriya awanabanga eliningi lokuya kwesinye. Ngakho-ke, ukutheleleka kungavela kalula.
• Indawo ye-urethra: I-urethra kwabesifazane iseduze kakhulu ne-rectum. Indle e-rectum ingaba namagciwane abangela i-cystitis. Ngakho-ke, lokhu kusondelana kwandisa ingozi yokutheleleka.
• Ucansi: Ngesikhathi socansi, amabhaktheriya avela eduze kwesitho sangasese sowesifazane angangena e-urethra.
• Ezinye izindlela zokulawula inzalo : Ezinye izindlela zokulawula inzalo nazo zingandisa ingozi yalokhu. Isibonelo, amajeli okubulala isidoda, okhilimu, nama-foam kungacasula isitho sangasese sowesifazane futhi kukhuthaze amagciwane ukuba akhule. Futhi, uma i-diaphragm ifakwa esitho sangasese sowesifazane, ingavimba i-urethra futhi ivimbele isinyi ukuthi singaphumi ngokuphelele uma uchama. Lokhu kungavumela amagciwane ukuba akhule emchameni osele.

Ingabe zikhona ezinye izinto eziyingozi?

Yebo, lezi zinto zingandisa nengozi yokuthola i-cystitis ebukhali :

• Kulabo abane-catheter yomchamo.
• Kulabo abanesifo sikashukela .
• Kulabo abangakwazi ukulawula ukuhamba kwabo kwamathumbu (ukungakwazi ukuzibamba).
• Kwabesilisa abane - prostate ekhulisiwe evimba i-urethra.
• Kwabomama abakhulelwe.

Ingabe i-Acute Cystitis ivame kakhulu?

Yebo, i-acute cystitis yisimo esivame kakhulu. Cishe, cishe amaphesenti angu-40 abesifazane bazoba ne-acute cystitis noma olunye ukutheleleka komgudu womchamo ngesikhathi esithile empilweni yabo. Abesifazane asebedlulile esikhathini sokuya esikhathini basengozini enkulu. Lokhu kungenxa yokuthi amazinga e-estrogen ehla ngemva kokuya esikhathini.Uma amazinga ama-hormone ehla, amabhaktheriya anda kakhulu. Futhi, izicubu zesitho sangasese sowesifazane ziba zincane, okwenza kube lula ukuthi amabhaktheriya angene e-urethra. Cishe amaphesenti ayi-12 amadoda athola lolu hlobo lokutheleleka empilweni yawo.

Ziyini izimpawu ze-cystitis ebukhali?

Kulesi simo, ungalindela izimpawu ezifana nalezi:

• Uzizwa sengathi udinga ukuchama futhi ngokushesha nje lapho uqeda ukuchama.
• Ukushisa noma ubuhlungu lapho uchama.
• Ukuzizwa sengathi umchamo uyanuka.
• Umchamo obukeka umnyama ngombala.
• Igazi emchameni (i-Hematuria).
• Ubunzima bokulawula umchamo (Ukungakwazi ukuzibamba komchamo).
• Amadoda angase azwe ubuhlungu epenis.
• Ucansi lungaba buhlungu.
• Ungase uzwe ubuhlungu esiswini esingezansi noma emhlane ongezansi.
• Ukuzizwa ukhathele.
• Ungase uzizwe umkhuhlane omncane.
• Abantu abaneminyaka engaphezu kwengu-65 bangase babhekane nezinguquko zengqondo noma ukudideka ngezinye izikhathi.

Iyini imbangela eyinhloko ye-cystitis ebukhali?

Imbangela enkulu yalokhu yibhaktheriya i- Escherichia coli (E. coli) . Leli bhaktheriya livame ukutholakala emathunjini ethu. Uma singahlanzi kahle ngemva kokukhipha indle noma uma sisula ngendlela engafanele (kusukela emuva kuya phambili), leli bhaktheriya lingangena emgudwini womchamo. Leli bhaktheriya le-E. coli libangela u-90% wamacala e -cystitis ebukhali .

Ingabe ukucindezeleka kungabangela i-cystitis ebukhali?

Cha, ukucindezeleka akukubangeli ngqo i-acute cystitis . Kodwa-ke, ukucindezeleka kungenza kube kubi kakhulu esinye isimo sesinye esibizwa ngokuthi i-interstitial cystitis (IC) . I-IC yisimo esingamahlalakhona esibangela ukucindezeleka, ukungakhululeki, noma ubuhlungu obuzungeze esinye.

Ingabe i-Acute Cystitis iyathelelana?

Cha, i-cystitis ebukhali ayisona isifo esithathelwanayo. Awukwazi ukuthola lesi sifo ngokuxhumana okuseduze noma ngokuxhumana ngokocansi, futhi awukwazi ukusithola komunye umuntu.

Ungazi kanjani ukuthi une-cystitis ebukhali?

Udokotela wakho uzobuza ngezimpawu zakho futhi enze izivivinyo ezidingekayo ukuze anqume ukuthi unalesi simo. Izivivinyo ezivame ukwenziwa yilezi:

• Ukuhlolwa komchamo:Lokhu kuhilela ukuthatha isampula yomchamo wakho bese uwuhlola ukuze ubone ukuthi ubukeka kanjani, ukwakheka kwamakhemikhali, kanye nokuhlolwa nge-microscope. Umchamo uhlolwa amaseli abomvu egazi, amaseli amhlophe egazi, kanye namagciwane. Uma lokhu kukhona, kungase kube nokutheleleka.
• Ukukhula Komchamo: Lokhu kuhlolwa kungasiza ekutholeni amagciwane aqondile abangela i-cystitis yakho ebukhali . Lokhu kuzosiza udokotela wakho ukuthi anqume ukuthi iyiphi i-antibiotic engcono kakhulu kulawo magciwane.

Ingabe ngezinye izikhathi wenza ezinye izivivinyo?

Yebo, ngezinye izikhathi i-cystitis ebukhali ingase ingasabeli kuma-antibiotic, noma ingase ibuye njalo. Ezimweni ezinjalo, udokotela angase enze nokuhlolwa okufana nalokhu ukuhlola ukutheleleka noma ukulimala kwesinye:

• Ukuskena nge-Ultrasound: Lokhu ukuhlolwa kwangaphandle okungenabuhlungu okukuvumela ukuthi ubone ngokuningiliziwe isinyi sakho nezinye izingxenye zesistimu yakho yomchamo.
• I-CT scan: Lokhu futhi kuyindlela yokuhlola engenabuhlungu. Kungaveza izithombe ezinezinhlangothi ezintathu (3D) zesimiso sesinyi kanye nomchamo.
• I-Cystoscopy: Kule nqubo, udokotela usebenzisa ithuluzi elikhethekile ( i-cystoscope) ukubheka ngaphakathi kwesinye sakho nge-urethra yakho. Ngokuvamile, ijeli yokudambisa izinhlungu ifakwa kwi-urethra yakho ukuze ungezwa ubuhlungu. Akuvamile ukuthi unikezwe i-anesthesia ejwayelekile ukuze uquleke.

Indlela yokwelapha i-cystitis ebukhali ngokushesha?

Indlela engcono kakhulu yokwelapha lokhu ngokushesha ukuthatha ama-antibiotic . Udokotela wakho uzohlola impilo yakho, abheke uhlobo lwamagciwane emchameni wakho, bese ekubhalela ama-antibiotic afanele. Ngokuvamile, abesifazane bazothatha ama-antibiotic cishe izinsuku ezintathu ngenxa yokutheleleka okuncane komgudu womchamo. Amadoda azothatha ama-antibiotic cishe isonto elilodwa noma amabili. Uma ukhulelwe, noma unezinye izimo zezokwelapha ezifana nesifo sikashukela, noma unesifo sezinso, kuzodingeka futhi uthathe ama-antibiotic isonto elilodwa noma amabili. Into ebaluleke kakhulu ukuqeda yonke inkambo yama-antibiotic udokotela wakho akunikeza wona, noma ngabe uzizwa ungcono kancane. Uma uyeka ukuwathatha phakathi, ungase ube ne -cystitis ebukhali futhi, futhi kuzoba nzima ukwelapha ngesikhathi esizayo.

Yini okufanele uyiphuze uma une-cystitis ebukhali? Ingabe kulungile ukuphuza ijusi le-cranberry?

Uma une -cystitis ebukhali , kufanele uphuze amanzi amaningi usuku lonke. Ukuphuza amanzi amaningi kuzokusiza ukuthi uchame kaningi, okuzosiza ekususeni amagciwane abangele ukutheleleka. Abantu abaningi bacabanga ukuthi akunashukelaUkuphuza ijusi le-cranberry elingenashukela noma ukuthatha izithasiselo ze-cranberry kungasiza ekwelapheni noma ekuvimbeleni i-cystitis ebukhali . Abacwaningi bacabanga ukuthi ijusi le-cranberry elingenashukela noma izithasiselo ze-cranberry zingasiza. Kodwa-ke, abakaqiniseki kahle ukuthi ama-cranberry asiza kanjani noma ukuthi kufanele aphuze malini ukuze asebenze kahle.

Enye inkolelo ethandwayo ukuthi ama-cranberry enza umchamo wakho ube ne-asidi kancane. Uma umchamo une-asidi, kunzima ukuthi amagciwane akhule.

Enye inkolelo-mbono ukuthi izakhamzimba eziku-cranberry zenza kube nzima ngamagciwane ukunamathela odongeni lwesinyi.

Kodwa-ke, qiniseka ukuthi uphuza amanzi amaningi. Futhi , buza udokotela wakho ngama-cranberry.

Yimiphi imithi esetshenziswa ukwelapha i-cystitis ebukhali?

I-cystitis ebukhali idinga ukwelashwa ukuze kuqedwe ukutheleleka. Ama-antibiotic uhlobo lomuthi obulala amagciwane ayimbangela. Udokotela wakho uzokunikeza umuthi ongcono kakhulu osebenza ngokumelene namagciwane athile abangele ukutheleleka kwakho. Ezinye zezinhlobo ezivame kakhulu zama-antibiotic yilezi:

• I-Nitrofurantoin (i-Nitrofurantoin - Macrobid®)
• I-Sulfamethoxazole-trimethoprim (i-Bactrim®)
• I-Fosfomycin `(Fosfomycin - Monurol®)`
• I-Pivmecillinam (Pivmecillinam - Selexid®) (Kungenzeka ukuthi lokhu akusekho esitokweni eSri Lanka)

Kuthatha isikhathi esingakanani ukululama ekuguleni okukhulu kwe-cystitis?

Kufanele uzizwe ungcono zingakapheli izinsuku ezimbalwa, noma ngisho nesonto, ngemva kokuqala ama-antibiotic.

Kwenzekani uma i-cystitis ebukhali ingelashwa?

Kubaluleke kakhulu ukufuna ukwelashwa uma une -cystitis ebukhali . Uma ingelashwa, usengozini yokuthola ezinye izinkinga. Isibonelo:

• I-Sepsis (isimo esibucayi esifana noshevu wegazi)
• Ukulimala kwezinso okukhulu
• Ukwakheka kwethumba
• Amabhamuza omoya odongeni lwesinyi (i-Emphysematous cystitis)

Lezi yizimo ezibucayi, ngakho-ke uma unezimpawu, qiniseka ukuthi ubona udokotela.

Ngingayinciphisa kanjani ingozi yokuthola i-cystitis ebukhali?

Unganciphisa ingozi yakho yokuthola i-cystitis ebukhali ngokulandela lezi zindlela ezilandelayo:

• Gcina inhlanzeko enhle: Kwabesifazane, ngenxa yokuthi i-urethra yakho imfushane futhi iseduze ne-anus, amabhaktheriya angahamba kalula esuka e-anus aye e-urethra.Kubaluleke kakhulu ukusula kusukela phambili kuya emuva ngemva kokukhipha indle. Uma usesikhathini, shintsha ama-pad nama-tampon akho njalo.
• Phuza uketshezi oluningi: Ukuphuza uketshezi oluningi, ikakhulukazi amanzi, kusiza ekukhipheni amagciwane ayingozi emgudwini womchamo. Zama ukuphuza okungenani izingilazi zamanzi ezingu-6-8 (cishe amalitha angu-1.5 - 2) ngosuku.
• Chama ngaphambi nangemva kocansi: Lokhu kusiza ukukhipha amagciwane ayingozi emgudwini womchamo.
• Cabanga ngenye indlela yokulawula inzalo: Ukusebenzisa imithi yokubulala isidoda kanye nama-diaphragm kungandisa ingozi yakho yokuthola i-cystitis ebukhali . Khuluma nodokotela wakho ngezinye izindlela zokulawula inzalo.
• Gqoka izingubo zangaphansi ezikhululekile namabhulukwe: Izingubo zangaphansi eziqinile namabhulukwe zingabamba ukushisa nomswakama endaweni yesinqe. Ukushisa nomswakama kuyindawo engcono kakhulu yokuthi amagciwane asakazeke ngokushesha. Futhi, shintsha izingubo zakho zangaphansi njalo, futhi ugqoke izingubo zangaphansi zikakotini noma izingubo zangaphansi ezenziwe ngezinto zokwenziwa ezimunca umswakama. Ukotini umunca umswakama, kuyilapho izinto zokwenziwa zomisa umswakama ngokushesha.
• Uma usuqedile ukuya esikhathini, khuluma nodokotela wakho mayelana nokhilimu noma amaphilisi e-estrogen . Le mithi ingashintsha i-pH (isilinganiso sokuthi amanzi ane-acid noma i-alkaline kangakanani) yesitho sakho sangasese sowesifazane futhi isize ekuvimbeleni i-cystitis ebukhali .

Yini okufanele ngiyilindele uma ngine-Acute Cystitis? / Ngingazinakekela kanjani?

Ngokuxilongwa okufanele kanye nokwelashwa, abantu abane -cystitis ebukhali bangalulama ngokushesha. Iningi labantu lizizwa lingcono ezinsukwini ezimbalwa. Indlela engcono kakhulu yokuzinakekela ukulandela imiyalelo kadokotela wakho ngqo. Futhi, kubaluleke kakhulu ukuqeda yonke imithi elwa namagciwane enqunywe udokotela wakho, noma ngabe uzizwa ungcono kancane. Uma uyeka ukuwaphuza kusenesikhathi, ungase ube ne -cystitis ebukhali futhi, futhi kuzoba nzima ukwelapha ngesikhathi esizayo.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ze-cystitis ebukhali, kufanele nakanjani ubonane nodokotela. Uma udokotela wakho ekunike imithi ye-cystitis ebukhali , kodwa izimpawu zakho zingathuthuki ngemva kwesonto, bonana nodokotela wakho futhi. Ungase udinge enye i-antibiotic.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma ubona udokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ungazi kanjani ukuthi nginesifo se-cystitis esibi ?
• Nginesifo sokuvuvukala kwesibindi (cystitis) esibi kakhulu.Noma, yisiphi esinye isimo engingaba kuso?
• Ngithole kanjani i-cystitis ebukhali ?
• Yimaphi amagciwane abangela i-cystitis yami ebukhali ?
• Kufanele ngithathe umuthi isikhathi esingakanani futhi kangaki ngosuku?
• Ngingayigcina kanjani imithi yami?
• Ngizoba ngcono nini?
• Ingabe ngidinga ukubuya ukuze ngiyohlolwa?

Uyini umehluko phakathi kwe-Acute Cystitis ne-Pyelonephritis?

I-cystitis ebukhali iyisifo sesinye sakho. I-Pyelonephritis iyisifo sezinso zakho. Amagciwane afanayo abangela i-cystitis ebukhali nawo abangela i-pyelonephritis . Nakhu okwenzekayo: Amagciwane angena e-urethra, akhuphuke esinyeni, bese ekhuphuka ema-ureter, amapayipi axhumanisa isinye nezinso, lapho athelela khona izinso. Lokhu kusho ukuthi uma ukutheleleka kwesinye (i-cystitis) kungelashwa kahle, kungakhula kube ukutheleleka kwezinso (pyelonephritis). Ukutheleleka kwezinso kuyisimo esibi kakhulu.

Umyalezo Wokugcina Wokuya Nasekhaya

I-cystitis ebukhali iyisifo esivame kakhulu esithinta esinyeni sakho. Sivame kakhulu kwabesifazane. Uma uzizwa unezimpawu ze-cystitis ebukhali , qiniseka ukuthi ukhuluma nodokotela. Uzokunikeza ama-antibiotic ukuze aqede ukutheleleka. Into ebaluleke kakhulu ukuqeda yonke inkambo yemithi oyinikezwe udokotela wakho, ngaphandle kwalokho ukutheleleka kungabuya. Ukuze uvimbele i-cystitis ebukhali , phuza amanzi amaningi, uhlale uhlanzekile, futhi uziphathe kahle ngokocansi. Ukugcina uhlelo lwakho lomchamo luphilile kubaluleke kakhulu!