Ingabe ngokuzumayo uzizwa ubuthakathaka, uthuthumela, futhi unomkhuhlane? Ingabe ubuye ube nobuhlungu obukhulu emhlane wakho ongezansi, ohlangothini olulodwa? Uma unomuzwa wokushisa lapho uya endlini yangasese noma uchama, lokhu kungase kungabi umkhuhlane nje. Uma eziningi zalezi zimpawu zihlangana, kungenzeka ukuthi kube ukutheleleka kwezinso. Ungakhathazeki, sizoxoxa ngalokhu ngendlela elula ongayiqonda.
Kalula nje, kuyini lokhu kutheleleka kwezinso (i-Pyelonephritis)?
Ukutheleleka kwezinso empeleni kuyindlela embi kakhulu yokutheleleka komgudu womchamo (UTI). Ngokuvamile sibiza "ukutheleleka komgudu womchamo" noma "UTI" ngokuthi ukutheleleka okwenzeka esinyeni noma e-urethra. Kodwa-ke, uma amagciwane abangele lokhu kutheleleka engagcini lapho, kodwa ehamba angene kwenye noma zombili izinso zakho, yilokho esikubiza ngokuthi ukutheleleka kwezinso noma "i-pyelonephritis."
Cabanga ngohlelo lwethu lomchamo njengohlelo lwamapayipi amanzi. Izinso ezimbili ziyizihlungi zamanzi ezimbili. Umchamo ovela lapho uphuma ngamapayipi amabili (ama-ureter) bese uqoqana ethangini elibizwa ngokuthi i-bladder. Uma ithangi seligcwele, silikhipha ngelinye ithubhu elibizwa ngokuthi i-urethra. Manje, amagciwane angena phansi kwalolu hlelo, okungukuthi, nge-urethra, angahamba aze akhuphuke la mathubhu futhi athelele izihlungi zamanzi ezimbili, okungukuthi, izinso.
Ukutheleleka kwezinso kuyisimo esibi kakhulu kunokutheleleka okulula komgudu womchamo, ngakho-ke kubalulekile ukubona udokotela ngokushesha okukhulu uma unezimpawu.
Ziyini izimpawu zokutheleleka kwezinso?
Kanye nezimpawu ezivamile zokutheleleka ngomchamo, njengokuzwa ukushisa kwesinye kanye nokuchama njalo, ukutheleleka kwezinso nakho kungabangela ezinye izimpawu eziningi. Lezi zingaba ngokuzumayo futhi zibe zimbi kakhulu, zenze umzimba uzizwe ungakhululekile.
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Umkhuhlane omkhulu kanye nokubanda | Kungazelelwe, umzimba wami uyabanda futhi ngiqala ukuthuthumela kakhulu kangangokuthi amazinyo ami ayaqhuma. Ngemuva kwalokho umzimba wami uyashisa futhi ngiba nomkhuhlane omkhulu kakhulu. |
| Ubuhlungu emhlane noma ohlangothini ngaphansi kwezimbambo | Lolu uphawu oluphawuleka kakhulu. Kukhona ubuhlungu obukhulu, obuhlabayo emhlane ongezansi, ohlangothini olulodwa (kwesokudla noma kwesobunxele). Ubuhlungu buba bubi nakakhulu uma ucindezelwa ngesandla. |
| Ubuhlungu noma ukushisa lapho uchama | Njengoba kunjalo ngokutheleleka okuvamile komgudu womchamo, uzizwa ushisa futhi uzwa ubuhlungu lapho uchama. |
| Izinguquko emchameni | Umchamo ungaba namafu futhi ube njengobomvu (pyuria) noma ube bomvu/pinki negazi (hematuria). Ungase futhi ube nephunga elibi. |
| Isidingo sokuphuza njalo | Isidingo sokuchama kaningi, unomuzwa wokuthi isinyi asikaphumi ngokuphelele. |
| Isicanucanu nokuhlanza | Abanye abantu bangase babe nobuhlungu besisu, isicanucanu, ngisho nokuhlanza. |
Kungani sithola izifo zezinso?
Esikhathini esiningi, lokhu kubangelwa amagciwane. Akuvamile kakhulu ukuthi kubangelwa amagciwane. Amagciwane amakhulu abangela lokhu kutheleleka uhlobo lwegciwane elibizwa ngokuthi i-'E. coli' (Escherichia coli). Leli gciwane livame ukuhlala emathunjini ethu amakhulu. Inkinga iqala lapho leli gciwane, eliphuma nendle, ngandlela-thile lingena emgudwini womchamo.
Ngaphezu kwalokho, ezinye izinhlobo zamagciwane njenge-'Proteus mirabilis', 'Enterobacter', kanye ne-'Staphylococcus' nazo zingadala lokhu.
Ubani osengozini enkulu yalokhu?
Abanye abantu banamathuba amaningi okuthola izifo zezinso. Ake sibheke ukuthi ziyini.
- Ukuba ngowesifazane: I-urethra yabesifazane imfushane kuneyabesilisa. Iseduze nendunu. Lokhu kwenza kube lula ukuthi amagciwane angene esinyeni bese esuka lapho, eya ezinso.
- Ukuvinjelwa komgudu womchamo:Cabanga ukuthi umchamo wakho uvalekile ngenxa yesimo esifana namatshe ezinso, ukwanda kwe-prostate emadodeni, noma ukuncipha kwesibeletho. Uma umchamo uhlala endaweni eyodwa kanje, amagciwane angakhula kalula futhi abangele izifo.
- Ukukhulelwa: Ngesikhathi sokukhulelwa, umntwana okhulayo ucindezela esinyeni, okungavimba ukugeleza komchamo futhi kwandise ingozi yokutheleleka.
- I-Vesicoureteral reflux: Lesi yisimo abanye abantu abazalwa naso. Lokhu kubangela ukuthi umchamo ugeleze usuka kwesinye, uye ezinso. Lokhu kwenza kube lula ukuthi amagciwane angene ezinso.
- Abantu abanezitho zomzimba ezibuthakathaka: Abantu abanezifo ezifana nesifo sikashukela, i-HIV, noma labo abathatha imithi yokucindezela amasosha omzimba banekhono elinciphile lokulwa nezifo. Ngakho-ke, bangathola kalula lezi zinhlobo zokutheleleka.
Ingabe lokhu kungaba yinto engathi sína? Yiziphi izinkinga?
Yebo. Ukutheleleka kwezinso kuyisimo esibi esingaba yingozi empilweni uma singelashwa kahle. Abantu abanamasosha omzimba abuthakathaka kanye nalabo abanezinye izimo zezokwelapha basengozini enkulu.
- I-Emphysematous pyelonephritis: Lokhu kuyinkinga enkulu kakhulu, kodwa engavamile. Kulesi simo, amagciwane aqala ukubhubhisa izicubu zezinso futhi akhiqize igesi. Abantu abanesifo sikashukela banamathuba amaningi okuthola lesi simo.
- I-renal papillary necrosis: Lokhu kubangela nomonakalo ezinso.
- I-Sepsis: Uma amagciwane asezinso engena egazini, angasakazeka emzimbeni wonke futhi abangele isimo esiyingozi esibizwa ngokuthi i-sepsis.
Yingakho sithi uma unezimpawu, bona udokotela ngokushesha .
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho. Ngemuva kwalokho uzokuhlola. Uma kusolwa ukuthi unesifo sezinso, kungenziwa lezi zivivinyo ezilandelayo:
1. Ukuhlolwa Komchamo Nokukhuliswa Komchamo: Kuthathwa isampula yomchamo wakho bese kuhlolwa ubomvu, igazi, kanye namagciwane. Ukhuliswa komchamo kungasiza futhi ekutholeni amagciwane athile abangela ukutheleleka kanye ne-antibiotic efanele.
2. Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kungenziwa futhi ukuhlola izimpawu zokutheleleka egazini.
3. Ukuskena: Ngezinye izikhathi, udokotela wakho angase ancome ukuskena nge-ultrasound noma nge-CT scan ukuze ahlole ukuthi kukhona yini okuvimbekile okufana namatshe ezinso.
Iphathwa kanjani?
Uma kuqinisekisiwe ukuthi unesifo sezinso, kunikezwa ama-antibiotic njengokwelashwa.
Lokhu akusona isifo esingelapheka ekhaya. Ungazami ukwelapha lokhu ngokubuka izinto ku-inthanethi bese ubilisa futhi uphuza izinhlobo ezahlukene zamaqabunga. Ukwenza kanjalo kungenza isimo sibe sibi kakhulu.
Udokotela wakho uzokunikeza ama-antibiotic cishe izinsuku eziyi-14. Imithi evame ukusetshenziswa ihlanganisa i-`Trimethoprim-sulfamethoxazole (TMP-SMX), `Amoxicillin`, `Ceftriaxone`, noma i-`Ciprofloxacin`.
Into ebaluleke kakhulu ukuthatha yonke imithi oyinikezwe udokotela wakho, noma ngabe uzizwa ungcono ezinsukwini ezimbili noma ezintathu. Ngaphandle kwalokho, ukutheleleka kungase kungelapheki ngokuphelele futhi kungase kuphinde kubuye.
Kwezinye izimo ezinzima, isibonelo, uma uhlanza kakhulu ukuze uphuze imithi yomlomo, uma kunzima kakhulu, noma uma unezinye izimo zezokwelapha, kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe ama-antibiotic e-intravenous (IV).
Ngizolulama ngokushesha kangakanani ngemva kokuqala imithi?
Ngokuvamile, ngemva kwezinsuku ezimbili kuya kwezintathu zokuqala imithi elwa namagciwane, uzoqala ukuzizwa ungcono kakhulu. Umkhuhlane kanye nobuhlungu bomzimba kuzophela. Kodwa khumbula, ungayeki ukuthatha imithi ngoba nje uzizwa ungcono.
Ingabe lolu hlobo lokutheleleka alunakuvinjelwa?
Yebo ungakwazi. Ukutheleleka okuningi kwezinso kuqala ngokutheleleka kwesinye, ngakho ukugwema lokho kunganciphisa kakhulu ingozi yakho yokutheleleka kwezinso.
- Phuza amanzi amaningi: Phuza amanzi amaningi usuku lonke. Lokhu kuzokusiza ukuthi uchame njalo futhi kukhiphe amagciwane emgudwini wakho womchamo. Khuluma nodokotela wakho mayelana nenani lamanzi elifanele wena.
- Ungabambi umchamo wakho: Uma uzizwa udinga ukuchama, ungawubambi, kodwa uwukhiphe ngokushesha. Uma umchamo uqoqana futhi uqongelela esinyeni, kunethuba elikhulu lokukhula kwamagciwane.
- Nakekela impilo yakho yocansi: Ukuchama ngaphambi nangemva kocansi kungasiza ekususeni amagciwane okungenzeka ukuthi angene e-urethra.
- Ukuhlanzeka komuntu siqu: Ukugeza nsuku zonke nokushintsha ngokushesha izingubo zangaphansi ezijulukayo noma ezimanzi kungasiza ekuvimbeleni ukukhula kwamagciwane.
- Icebiso elikhethekile kwabesifazane: Uma uhlanza ngemva kokukhipha indle, sula njalo kusukela phambili kuya emuva . Lokhu kuzovimbela amabhaktheriya, njenge-E. coli, ukuthi angangeni e-urethra esuka endunu.
Kufanele ngimbone nini udokotela? Kufanele ngiye nini e-ETU?
Lokhu kubaluleke kakhulu. Ukwazi umehluko phakathi kwalokhu okubili kungasindisa impilo yakho.
| Ithuba | Okufanele ngikwenze |
|---|---|
| Bona udokotela wakho. | |
| Ubunzima bokuchama | Uma unezimpawu ezifana nokutheleleka komgudu womchamo, ukuchama njalo, noma ukushintsha kombala womchamo (ukuba mnyama, ukuphuma kwegazi). |
| Umkhuhlane omncane kanye nobuhlungu emhlane | Uma unezimpawu zomchamo ezingenhla kanye nomkhuhlane omncane kanye nobuhlungu obuncane ohlangothini lomhlane wakho. |
| Yiya e-Emergency Treatment Unit (ETU) eseduze nawe ngokushesha. | |
| Umkhuhlane omkhulu kanye nobuhlungu obungazelelwe | Ukuqala ngokuzumayo komkhuhlane omkhulu kanye nokuthuthumela kanye nobuhlungu obungabekezeleleki emhlane/eceleni. |
| Ukungakwazi ukuzibamba | Uma ukugeleza komchamo kuyeka ngokuphelele noma kuncane kakhulu. |
| Ezinye izimpawu ezinkulu | Ukulahlekelwa ukwazi, ubunzima bokuphefumula, ukuhlanza ngokweqile. |
Umlayezo Wokuya Nawe Ekhaya
- Ukutheleleka kwezinso kuyingozi kakhulu kunokutheleleka okulula komgudu womchamo. Ungazami ukukwelapha ekhaya wedwa.
- Izimpawu eziyinhloko umkhuhlane omkhulu, ukuthuthumela komzimba, ubuhlungu obukhulu ohlangothini olulodwa lomhlane, kanye nokutheleleka komgudu womchamo.
- Uma unalezi zimpawu, bona udokotela ngokushesha okukhulu. Ukulibazisa ukwelashwa kungandisa ingozi yezinkinga.
- Ngisho noma ama-antibiotic anikezwe udokotela ekulungele, wasebenzise kuze kube yilapho isikhathi esibekiwe sesiphelile.
- Ungenza lukhulu ekuvimbeleni lezi zinhlobo zokutheleleka ngokuphuza amanzi amaningi nokunakekela inhlanzeko yakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho