Ingabe unesifo ezinso zakho? Ake sixoxe ngalokhu! (Ukutheleleka Kwezinso / I-Pyelonephritis)

Ingabe unomkhuhlane ohambisana nobuhlungu emhlane wakho ongezansi noma embotsheni? Ingabe uzizwa sengathi udinga ukuchama njalo, futhi ingabe unomuzwa wokushisa uma unjalo? Lokhu kungaba nje izimpawu zokutheleleka okuvamile komgudu womchamo. Kodwa ngezinye izikhathi, kungaba uphawu lwento engathi sína kakhulu, njengokutheleleka okusakazekele ezinso . Abantu abaningi bayesaba lapho bezwa leli gama, kodwa uma unolwazi olufanele futhi welashwa ngesikhathi, lesi simo singalapheka ngokuphelele. Ngakho-ke namuhla, ake sixoxe ngakho konke ngamagama alula.

Kuyini ngempela ukutheleleka kwezinso?

Kalula nje, ukutheleleka kwezinso ukutheleleka kwesinye sezinso zethu noma zombili okubangelwa amagciwane noma amagciwane . Ngokwezokwelapha, sikubiza nangokuthi "i- Pyelonephritis ". Empeleni lesi yisimo esibi kakhulu sokutheleleka kwe-Urinary Tract Infection ( UTI ).

Cabanga ngohlelo lwethu lomchamo . Isitho salo esiyinhloko yizinso. Umsebenzi oyinhloko wezinso ukuhlunga ukungcola kanye namanzi engeziwe egazini lethu bese kwakheka umchamo. Lolu hlelo lunezinye izingxenye:

• Ama-ureter : Amapayipi amabili amancane athwala umchamo, okhiqizwa ezinso, uye kwesinye.
• Isinye : Isitho esifana nesikhwama esigcina umchamo okwesikhashana.
• I-urethra: Ipayipi elithwala umchamo usuka kwesinyeni liwukhiphe emzimbeni.

Ngokuvamile, into yokuqala eyenzekayo ukuthi igciwane lingena esinyeni bese libangela ukutheleleka. Lokhu kubuhlungu kodwa akukubi kakhulu. Kodwa-ke, uma la magciwane engelashwa, angahamba aye e-urethra angene ezinso. Yilapho-ke sithola khona lokho esikubiza ngokuthi ukutheleleka kwezinso. Lesi yisimo esidinga ukwelashwa ngokushesha . Ngaphandle kwalokho, singasongela ngisho nokuphila.

Ziyini izimpawu zalesi simo?

Kunezimpawu eziningana ezingase zivele ngokutheleleka kwezinso. Abanye abantu bangase babe nazo zonke, kanti abanye bangase babe nazo ezimbalwa kuphela.

Izimbangela kanye nezici eziyingozi zokutheleleka kwezinso

Ukutheleleka kwezinso kuvame ukuqala njengokutheleleka kwesinye. Imbangela eyinhloko yalokhu uhlobo lwebhaktheriya elibizwa ngokuthi 'i-Escherichia coli (E. coli)' elihlala emathunjini ethu. Uma nje leli bhaktheriya lisesemathunjini, akukho nkinga. Kodwa uma ngandlela-thile lingena emgudwini womchamo, libangela ukutheleleka.

Manje ungase uzibuze ukuthi kuthatha isikhathi esingakanani ukuthi ukutheleleka komgudu womchamo kuqhubekele ezinso. Akukho sikhathi esibekiwe. Kuhlukahluka kumuntu nomuntu. Kodwa uma ukutheleleka kwesinye kungelashwa ngokushesha, ingozi yokuthi amagciwane akhuphuke iphezulu.

Nakuba noma ubani engaba nokutheleleka kwezinso, abanye abantu basengozini enkulu.

• Ukuba ngabesifazane:I-urethra yabesifazane imfushane kuneyabesilisa, futhi ngenxa yokuthi iseduze nesitho sangasese sowesifazane kanye ne-anus, amabhaktheriya anamathuba amaningi okungena kwi-urethra.
• Ukukhulelwa: Izinguquko zama-hormone ngesikhathi sokukhulelwa kanye nokucindezela kwesinye kanye ne-urethra kusuka kumntwana okhulayo kunganciphisa ukugeleza komchamo, okwandisa ingozi yokutheleleka.
• Ukuvinjelwa kokugeleza komchamo: Uma kukhona ukuvinjelwa kokugeleza komchamo ngenxa yezici ezifana namatshe ezinso noma ukwanda kwe-prostate kwabesilisa, kunethuba elikhulu lokukhula kwamagciwane.
• Ukukhishwa kwesinye okungaphelele: Uma isinye singenakukwazi ukukhishwa ngokuphelele ngenxa yezinkinga zemizwa noma ezinye izizathu, amabhaktheriya angakhula emchameni osele.
• I-Vesicoureteral reflux (VUR): Lesi yisimo lapho umchamo ugeleza usuka kwesinye udlule ku-ureter uye ezinso. Lokhu kuvamile ezinganeni ezincane.
• Isimiso somzimba sokuzivikela esibuthakathaka: Abantu abanezifo ezifana nesifo sikashukela, i-HIV, kanye nalabo abathatha imithi yokucindezela amasosha omzimba ngemva kokufakelwa izitho zomzimba banekhono eliphansi lokulwa nezifo.
• Ukusetshenziswa kwe-catheter: Ama-catheter afakwa esinyeni ngemva kokuhlinzwa noma ezigulini ezilele embhedeni. Lokhu kungavumela amagciwane ukuthi angene esinyeni.

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho bese evame ukukuyalela ukuthi wenze lezi zivivinyo ezilandelayo:

• Ukuhlaziywa komchamo: Kuthathwa isampula yomchamo wakho bese kuhlolwa amabhaktheriya noma amaseli amhlophe egazi, akhiqizwa umzimba ngesikhathi sokutheleleka.
• Ukuhlolwa kokukhuliswa komchamo: Lokhu kusetshenziselwa ukuthola ukuthi hlobo luni lwebhaktheriya olusemchameni wakho. Lokhu kunganquma ukuthi iyiphi i-antibiotic engcono kakhulu yalawo mabhaktheriya.

Kwezinye izimo, uma udokotela edinga ulwazi olwengeziwe, angase acele into efana ne-ultrasound scan, i-CT scan, noma i-MRI scan. Lokhu kusetshenziselwa ukuhlola noma yikuphi ukuphazamiseka, njengamatshe, endleleni yomchamo.

Izinto ezingathi sína zingenzeka uma zingelashwa

Ukutheleleka kwezinso akulona ihlaya. Uma kungelashwa ngokushesha, kungaholela ezinkingeni ezinkulu.

• Ithumba lezinso: Ubomvu bungaqoqana ngaphakathi kwezicubu zezinso. Lawa magciwane angasakazeka kwezinye izindawo, njengamaphaphu negazi.
• I-Septicemia: Uma amagciwane asuka ezinso engena egazini, angasakazeka emzimbeni wonke futhi alimaze izitho zomzimba. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukulaliswa esibhedlela ngokushesha .
• Ukwehluleka kwezinso:Nakuba kungavamile kakhulu, ukutheleleka okukhulu kungalimaza izinso kangangokuthi zilahlekelwe ukusebenza kwazo ngokuphelele.
• Izinkinga ngesikhathi sokukhulelwa: Uma ukutheleleka kwezinso kuvela ngesikhathi sokukhulelwa, umama angase abe nokutheleleka okukhulu, abe nobunzima bokuphefumula (i-adult respiratory distress syndrome), futhi abe nomntwana ozalwa enesisindo esiphansi.

Ukwelashwa nezinto ongazenza ekhaya

Ukutheleleka kwezinso kwelashwa ngama-antibiotic. Udokotela wakho uzokunikeza inkambo yama-antibiotic okungenani amasonto amabili. Into ebaluleke kakhulu ukuthatha inkambo yonke yemithi isikhathi sonke, noma ngabe uzizwa ungcono ezinsukwini ezimbili noma ezintathu. Uma uyeka ukuthatha imithi, ukutheleleka kungase kungapheli ngokuphelele futhi kungabuya.

Izinto ongazenza ekhaya ukusiza ekunciphiseni ubuhlungu

Ngesikhathi uthatha imithi enqunywe udokotela wakho, izinto ezilandelayo zingasiza ekunciphiseni ukungakhululeki ozizwayo:

• Phuza amanzi amaningi: Phuza amanzi amaningi usuku lonke. Lokhu kuzosiza ekususeni amagciwane.
• Thola ukuphumula okwanele: Umzimba udinga ukuphumula okuningi.
• Iziqeda-zinhlungu: Ungathatha into efana ne-'Paracetamol' ukuze usize ubuhlungu. Kodwa ungaphuzi iziqeda-zinhlungu ezifana ne-'Aspirin', i-'Ibuprofen' noma i-'Naproxen' ngaphandle kokubonisana nodokotela nganoma yisiphi isizathu. Zingaba yingozi ezinso.
• Amaphakethe ashisayo: Ukufaka ibhodlela lamanzi ashisayo esiswini sakho, emhlane, noma ezinqeni kungasiza ekunciphiseni ubuhlungu.

Kunini lapho kudingeka ulaliswe esibhedlela?

Ngezinye izikhathi kungadingeka ukuthi ulaliswe esibhedlela ukuze uthole ukwelashwa. Lokhu kwenzeka uma:

• Uma ubhekene nobunzima ngokutheleleka.
• Uma umuthi owuthathayo ungalawuli ukutheleleka.
• Uma unesinye isimo sezokwelapha noma isimiso somzimba sokuzivikela esibuthakathaka.
• Uma ukhulelwe.

Esibhedlela, unganikezwa ama-antibiotic kanye noketshezi ngesisombululo sikasawoti esingena emthanjeni. Ezifweni ezimbi kakhulu, ungangeniswa e-Emergency Treatment Unit (ETU) .

Ukutheleleka kwezinso, i-Pyelonephritis, Ukutheleleka komgudu womchamo, i-UTI, Ubuhlungu emhlane, Isifo sezinso, Umkhuhlane kanye nokubanda, Ukuvuvukala komgudu womchamo