Ingabe nawe unamagciwane emchameni wakho, kodwa awunazo izimpawu? (I-Asymptomatic Bacteriuria) Ake sifunde ngakho!

Wake wahlolwa umchamo (kungaba yi-'Ukuhlolwa Komchamo' noma i-'Bacterial Culture') watshelwa udokotela ukuthi kukhona amagciwane emchameni wakho? Kodwa into exakile ukuthi, awuzizwa ubuhlungu, umkhuhlane, noma umuzwa wokushisa uma uchama. Yilokho esikubiza ngokuthi yi-'Asymptomatic Bacteriuria'. Nakuba igama lide kancane, kubantu abaningi lokhu akuyona inkinga enkulu njengoba kubonakala. Ingabe singakhuluma kabanzi ngalokhu?

Iyini ngempela i-'Asymptomatic Bacteriuria'?

Kalula nje, i-'Asymptomatic Bacteriuria' isho ukuthi amabhaktheriya ahlala emgudwini wakho womchamo (okungukuthi, uhlelo oluhlanganisa izinso, isinye, kanye nomchamo), kodwa awunazo izimpawu . Uziphatha ngendlela evamile. Kunjengokungathi kukhona umuntu endlini yakho, kodwa akakukhathazi nhlobo.

Manje cishe ucabanga ukuthi, "Ngakho-ke lokhu akulona ukutheleleka komgudu womchamo (UTI)?" Kunomehluko omncane lapha. I-UTI ihlanganisa namagciwane asemgudwini womchamo. Kodwa nge-UTI, unezimpawu ezicacile . Isibonelo:

• Ungase ube nomkhuhlane.
• Ungase uzizwe ushisa futhi ubuhlungu lapho uchama.
• Ngidinga ukuchama njalo, kodwa kancane kancane.
• Ungase uzwe ubuhlungu besisu esingezansi.
• Umchamo ungase ube nombala omnyama futhi ube nephunga elinamandla.

Kodwa-ke, ku-'Asymptomatic Bacteriuria' awunazo lezi zimpawu. Amabhaktheriya akhona, kodwa "athule".

Sivame kangakanani lesi simo? Ubani onamathuba amaningi okuba naso?

Eqinisweni, lesi simo esibizwa ngokuthi "i-Asymptomatic Bacteriuria" sivame kakhulu kunalokho ongakucabanga, futhi ngezinye izikhathi singafika sidlule okwesikhashana. Njengoba ezinye izifundo zibonisile:

• Cishe amaphesenti angu-45 abesifazane bazoba namagciwane atholakale ekuhlolweni komchamo ngesikhathi esithile empilweni yabo (abesifazane bane-urethra emfushane, okwenza kube lula kakhulu ukuthi amagciwane angene).
• Lesi simo singabonakala kubantu abangaba ngu-50% abaneminyaka engaphezu kuka-70 abahlala emakhaya asebekhulile.
• Noma ubani obenedivayisi exhunywe ohlelweni lomchamo (njenge-Foley catheter noma i-ureteral stent) isikhathi eside angase abe namagciwane emchameni wakhe.

Cabanga nje, la magciwane ngezinye izikhathi anganyamalala ngosuku olulodwa noma ezimbili.

Ngakho-ke la magciwane angena kanjani ohlelweni lomchamo? Ziyini izimbangela?

Amabhaktheriya ahlala ngokwemvelo emathunjini ethu nasesikhumbeni sethu, futhi yilapho amabhaktheriya evame ukungena khona emgudwini womchamo.

• Uma uhlanza ngendlela engafanele ngemva kokusebenzisa indlu yangasese: Ikakhulukazi kwabesifazane, uma uhlanza kusukela kolunye uhlangothi (kusukela endunu kuya esithweni sangasese) esikhundleni sokusuka esithweni sangasese kuya endunu ngemva kokusebenzisa indlu yangasese, amabhaktheriya asendle angangena emgudwini womchamo.
• Ngenxa yamadivayisi ezokwelapha ohlelweni lomchamo: Isibonelo, lapho kufakwa izinto ezifana nama-catheter.
• Uma ugeza: Ngezinye izikhathi amabhaktheriya angangena ngamanzi okugeza.
• Ngesikhathi socansi: Amabhaktheriya asengangena emgudwini womchamo ngemva kocansi.

Imbangela eyinhloko yalokhu yi-bacterium `E. coli`. Lolu uhlobo lwe-bacteria oluvame ukutholakala esithweni sethu. Ngaphezu kwalokho, ama-bacteria afana ne-`Klebsiella pneumoniae` nawo angathinteka.

Ubani osengozini enkulu yalokhu?

Abanye abantu banamathuba amaningi okuthola i-'Asymptomatic Bacteriuria'. Lezi yizi:

• Abantu abahlala emakhaya asebekhulile isikhathi eside.
• Abantu abane-catheter ye-Foley noma i-stent ye-ureteral ehlala isikhathi eside.
• Abantu abalimele emgogodleni.
• Abantu abane-sickle cell anemia.
• Abantu abanesifo sikashukela.

Odokotela bakuthola kanjani lokhu?

Esikhathini esiningi, udokotela uzoxilonga i-bacterial asymptomatic ngokuthatha isampula yomchamo bese ehlola umchamo. Kodwa-ke, uma ungenazo izimpawu, ngokuvamile ngeke nje ahlole umchamo wakho ukuze abone ukuthi kukhona yini amagciwane. Uma udokotela ekutshelile ukuthi wenze i-bacterial culture, kunesizathu salokho. Kungenzeka ukuthi ungomunye wamaqembu asengozini okukhulunywe ngawo ngenhla, futhi kungadingeka ukuthola nokwelapha ukutheleleka ngaphambi kokuba kube uphawu.

Ingabe wonke umuntu udinga ukwelashwa ngalokhu?

Nansi into ebalulekile. Esikhathini esiningi, i-`Asymptomatic Bacteriuria` ayelashwa . Ngoba, uma ungenazo izimpawu, ingozi yokuthola i-`UTI` ngenxa yala magciwane iphansi. Ngakolunye uhlangothi, ukwelashwa kwezifo ezibangelwa amagciwane ngama -antibiotic . Ukulimala kokusebenzisa ama-antibiotic ngokungadingekile kungase kube ngaphezu kwezinzuzo.

Uma uphuza ama-antibiotic kaningi futhi ngokungadingekile, amabhaktheriya ayawajwayela. Lokhu sikubiza ngokuthi 'ukumelana nama-antibiotic ' . Uma-ke unesifo futhi udinga umuthi, umuthi ungase ungasebenzi. Futhi, amanye ama-antibiotic angabangela izifo ezinkulu zohudo ezifana ne-'C. diff', kanye neminye imiphumela emibi.

Ngakho-ke, odokotela abagcini nje ngokunikeza imithi yalokhu.

Ngakho-ke, kufanele ilashwe nini le `Asymptomatic Bacteriuria`?

Kodwa-ke, kwezinye izimo ezikhethekile, i-'Asymptomatic Bacteriuria' iyelashwa nakanjani. Ake sibone ukuthi iyini:

• Ngesikhathi sokukhulelwa: Uma ukhulelwe, noma ngabe unebhaktheriya emchameni wakho ngaphandle kwezimpawu, uma ingelashwa, ngezinye izikhathi ingaholela ekuzalweni ngaphambi kwesikhathi (`ukuzalwa ngaphambi kwesikhathi`) , nomaIsisindo somntwana ozelwe singaba phansi. Ngakho-ke, umchamo womama abakhulelwe uyahlolwa futhi welashwe uma kukhona amagciwane, noma ngabe azikho izimpawu.
• Uma uke wafakelwa izinso: Uma uke wafakelwa izinso, ukuba khona kwamagciwane emchameni kwandisa ingozi yakho yokuthola i-UTI enezimpawu kanye nokwenqatshwa kwezinso ezifakelwe.
• Ngaphambi kokuhlinzwa okuthile komgudu womchamo: Isibonelo, uma kukhona amabhaktheriya emchameni ngesikhathi sokuhlinzwa kwe-prostate (ukususwa kwe-prostate nge-transurethral - TURP), ingozi yezinkinga ngemva kokuhlinzwa iphakeme. Ngakho-ke, ukwelashwa kunikezwa nasezimweni ezinjalo.

Uma kunikezwa ukwelashwa, hlobo luni lomuthi olunikezwayo?

Uma udokotela enquma ukukwelaphela i-'Asymptomatic Bacteriuria', kunezinhlobo eziningana zama -antibiotic angazisebenzisa. Izibonelo:

• `I-Amoxicillin`
• `I-Ampicillin`
• Izinhlobo ze-'Cephalosporin'
• `I-Nitrofurantoin`
• `I-Trimethoprim-sulfamethoxazole (TMP/SMX)`

Udokotela wakho uzonquma ukuthi yimuphi umuthi okulungele wena nokuthi kufanele uwuthathe isikhathi esingakanani. Isikhathi sokwelashwa sivame ukuba yizinsuku ezi-5 kuya kwezi-7.

Uma nginalesi simo, yini okufanele ngiyilindele?

Uma udokotela wakho ekutshela ukuthi une-'Asymptomatic Bacteriuria', ungakhathazeki. Cishe ngeke udinge ukwelashwa, ngaphandle kokuthi uwela kwelinye lamaqembu akhethekile ayingozi okukhulunywe ngawo ngaphambili. Uma udokotela wakho enquma ukuthi udinga ukwelashwa, uzochaza ukuthi kungani. Kubalulekile ukuthatha imithi yakho ngesikhathi.

Uma ungumama okhulelwe, kutholakale ukuthi ukuthola ukwelashwa kwalokhu kunganciphisa ezinye izinkinga ngesikhathi sokukhulelwa cishe ngo-35%.

Ingabe le 'Bacteriuria engenazimpawu' ayikwazi ukuvinjelwa?

Kujwayelekile ukuba namagciwane athile emgudwini womchamo, futhi kunzima ukuwavimbela ngokuphelele. Kodwa-ke, izinto ezifanayo esizenzayo ukuvimbela ama-UTI (ukutheleleka komgudu womchamo) zingasiza kulokhu.

• Qiniseka ukuthi uyachama ngemva kocansi. Lokhu kuzosiza ekukhipheni noma yimaphi amabhaktheriya okungenzeka ukuthi angene emgudwini womchamo.
• Uma abesifazane bezihlanza ngemva kokusebenzisa indlu yangasese, hlala usula kusukela phambili kuya emuva (kusukela endaweni yesitho sangasese kuya endunu).
• Gwema ukusebenzisa insipho eqinile, ama-douches, ama-powder, noma ama-spray endaweni yesitho sangasese sowesifazane. Lokhu kungabulala amagciwane amahle lapho futhi kuvumele amagciwane amabi akhule.
• Sebenzisa ishawa kunokuthi ugeze ebhavini ngangokunokwenzeka.
• Phuza amanzi amaningi. Lokhu kuzosiza ekukhipheni amagciwane ngokubangela ukuchama njalo.
• Uma usebenzisa into efana ne-catheter,Landela imiyalelo kadokotela ukuze uyigcine ihlanzekile.

Kufanele ngimbone nini udokotela?

Uma udokotela ekutshela ukuthi une-'Asymptomatic Bacteriuria', bona udokotela ngokushesha uma uqala ukuba nezimpawu ze-'UTI' (njengomkhuhlane, umuzwa wokushisa e-urethra, ubuhlungu besisu esingezansi, ukuchama njalo), kungakhathaliseki ukuthi welashwa noma cha. Udokotela wakho uzokutshela ukuthi yiziphi izimpawu okufanele uziqaphele.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uneminye imibuzo mayelana nalokhu, kuwumqondo omuhle ukubuza udokotela wakho ngalokhu okulandelayo:

• Ingabe ngidinga ukwelashwa ngamagciwane emchameni wami ngaphandle kwezimpawu?
• Yiziphi izimpawu okufanele ngiziqaphele?
• Uma nginikezwe imithi, kufanele ngiyithathe kanjani ngempela?
• Kufanele ngiphinde ngilandele nini nawe?

Ngezinye izikhathi siyesaba uma sizwa imiphumela yokuhlolwa kwethu. Kodwa kuyinto evamile ukuba namagciwane emchameni wakho, futhi akuhlali kubangela i-UTI. Kodwa uma ukhulelwe, uke wafakelwa izinso, noma usuzohlinzwa emgudwini wakho womchamo, kubalulekile ukuthatha ama-antibiotic ukuze uvimbele izinkinga.

Ekugcineni, kukhona okufanele sikukhumbule!

I-'Asymptomatic bacteriuria' yisimo lapho unebhaktheriya emgudwini wakho womchamo, kodwa ungenazo izimpawu. Kubantu abaningi, lokhu akuyingozi futhi akudingi ukwelashwa. Kodwa-ke, kwabesifazane abakhulelwe, abathola ukufakelwa izinso, kanye nalabo abenza ukuhlinzwa okuthile emgudwini womchamo, kubalulekile ukuyelapha. Futhi, uma uba nezimpawu, bona udokotela ngokushesha. Kubalulekile ukuqaphela lezi zinto ngenkathi ulandela indlela yokuphila enempilo.

I- Bacteriuria Engenazimpawu, Amabhaktheriya Emchameni, Ukutheleleka Kwendlela Yomchamo, I-UTI, Impilo Yokukhulelwa, Ama-antibiotic , Isifo Sezinso