Ingabe ingane yakho ithola izifo zomgudu womchamo eziphindaphindayo? (Izifo ze-UTI eziphindaphindayo) Ake sixoxe ngalokhu!

Ingabe ingane yakho ngezinye izikhathi ithi, "Mama, kubuhlungu uma uchama "? Noma ingabe kudingeka ichame kaningi kunokujwayelekile? Ingabe umbala nephunga lomchamo wayo selishintshile? Lokhu kungaba izimpawu zokutheleleka komgudu womchamo , noma i-UTI. Lesi simo sivame kakhulu ezinganeni ezincane, ikakhulukazi amantombazane nabafana abangazange basike ijwabu labo. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini ukutheleleka kwe-urinary tract (UTIs)? Kuyini ukutheleleka kwe-UTI okuphindaphindiwe?

Kalula nje, izifo zomgudu womchamo (UTIs) izifo ezenzeka lapho amagciwane engena ohlelweni lwethu lomchamo, okungukuthi, ezinso, ezithweni zomchamo, kwesinye, noma emzileni womchamo.

Ezinye izingane azitholi nje lezi zifo zomchamo kanye, ziyaqhubeka zibuya . Yilokho esikubiza ngokuthi ama-UTI aphindaphindayo . Uma lokhu kungelashwa kahle, kungalimaza ngisho nezinso, ikakhulukazi ezinganeni ezingaphansi kweminyaka engu-6 ubudala. Ngakho-ke, kubaluleke kakhulu ukuqaphela izimpawu zalezi zifo futhi usize ingane yakho.

Ziyini izimpawu zokutheleleka komgudu womchamo?

Izimpawu zokutheleleka komgudu womchamo zingafaka:

• Ubuhlungu noma umuzwa wokushisa lapho uchama .
• Ingane idinga ukuchama njalo.
• Ukushintsha kombala (isb., ophuzi omnyama, onombala wegazi ) noma iphunga (iphunga elifana nelenhlanzi) lomchamo .
• Imfiva .
• Ukuzizwa ubanda futhi uqhaqhazela (ukubanda).
• Ukudla akunambitheki .
• Isicanucanu, mhlawumbe ukuhlanza.
• Ubuhlungu esiswini esingezansi.
• Ukuzwa ubuhlungu noma ukungakhululeki emhlane ongezansi.

Ngezinye izikhathi, ngisho nengane ebilokhu iziphethe kahle ngaphambili ingase ithole ukuchama embhedeni noma ukumanzisa izingubo zayo uma inegciwane lomgudu womchamo. Izinsana ezincane kakhulu kanye nezingane ezincane zingase zibonise izimpawu ezijwayelekile kuphela njengomkhuhlane , ukuhlanza, ukulahlekelwa yisifiso sokudla, noma ukungasebenzi kahle. Ngakho-ke, kufanele siqaphele kakhulu ngezinguquko ezinjalo ezinganeni ezincane.

Ingabe zikhona izinhlobo zokutheleleka kwe-urinary tract?

Yebo, kunezinhlobo eziningana zokutheleleka komgudu womchamo. Izinhlobo ezivame kakhulu yilezi:

• I-Cystitis: Lolu uhlobo oluvame kakhulu lokutheleleka komgudu womchamo . Kalula nje, ukutheleleka kwesinye. AmagciwaneLokhu kwenzeka lapho umchamo ukhuphuka nge-urethra (ipayipi elithwala umchamo usuka kwesinye) bese ungena kwesinye.
• I-Urethritis: Lokhu ukutheleleka kwe-urethra.
• I-Pyelonephritis : Lokhu ukutheleleka kwezinso . Kungenzeka uma umchamo onegciwane ugeleza ubuyela emuva emgudwini womchamo usuka kwesinyeni uye ezinso, noma uma ukutheleleka egazini kusakazekela ezinso. Lesi yisimo esibi kakhulu .

Yiziphi ezinye izimo ezingabangela ukutheleleka kwe-urinary okuphindaphindiwe?

Ukutheleleka okuphindaphindiwe komgudu womchamo ngezinye izikhathi kungahlotshaniswa nezinye izimo zezokwelapha eziyisisekelo. Nazi izibonelo ezimbalwa:

• I-Vesicoureteral Reflux (VUR): Lesi simo sitholakala ku-30%–50% wezingane ezinezifo zomgudu womchamo. Lesi yisimo sokuzalwa . Kulesi simo, umchamo ovela kwesinyeni ugeleza emuva ukhuphukele kuma-ureter (amapayipi amancane athwala umchamo usuka ezinso uye kwesinye), ngezinye izikhathi uye ezinso . Uma lo mchamo ongemuva uqukethe amagciwane, ungabangela ukutheleleka kwezinso okubizwa ngokuthi i-pyelonephritis.
• I-Hydronephrosis: Lokhu kwenzeka lapho inso eyodwa noma zombili zivuvukala. Lokhu kungenxa yokuthi umchamo awukwazi ukuphuma kahle, okubangela ukuthi ubuyele emuva futhi uqongeleleke ezinso. Lokhu kungabangelwa yi-VUR enzima noma ukuvaleka kwe-ureter. Ezinye izingane ezine-hydronephrosis zingadinga ukuthatha ama-antibiotic emithamo ephansi nsuku zonke ukuvimbela ukutheleleka komgudu womchamo kuze kube yilapho isimo esiyisisekelo sithuthuka noma silungiswa ngokuhlinzwa.

Kodwa-ke, ukutheleleka okuqhubekayo komgudu womchamo akubangelwa njalo yilezi zinkinga zomzimba emzimbeni.

Isibonelo, ukuvaleka komlomo okungasebenzi kahle - lapho imisipha edingekayo ukuze kukhishwe isinye ingaphumuli kahle lapho ingane ichama - kuyimbangela evamile yokutheleleka komgudu womchamo. Ukuchama okungajwayelekile kanye nokuqunjelwa nakho kwandisa ingozi yokutheleleka okuphindaphindiwe.

Akuvamile ukuthi izimo ezingahlobene, njengezifo zesimiso sokuzivikela komzimba ezonakalisa ukuzivikela kwemvelo komzimba, zingabangela ukuvuvukala kwe-UTI okuphindaphindiwe. Futhi, ukusebenzisa i-catheter yomchamo engahlanzeki kungavumela amagciwane ukuthi angene emgudwini womchamo futhi abangele ukutheleleka.

Kutholakala kanjani ukukhubazeka ohlelweni lomchamo?

Uma ingane inezifo zomgudu womchamo eziphindaphindayo, kubalulekile ukuphenya ukuthi ngabe ikhona yini inkinga eyisisekelo ohlelweni lomchamo . Kungcono ukudlulisela izingane ezinezifo eziphindaphindayo kudokotela wezifo zomchamo wezingane ukuze kutholakale imbangela yalezi zifo.

Ezinye izinkinga zingatholakala ngaphambi kokuzalwa . Isibonelo, isimo esibizwa ngokuthi i-hydronephrosis esiqala ngaphambi kokuzalwa singatholakala ku-ultrasound emavikini angu-16. Akuvamile kakhulu, uma i-hydronephrosis ithinta izinso zombili futhi iyingozi kumntwana osesiswini, odokotela bangase bacabangele ukuhlinzwa kosana olusanda kuzalwa. Kodwa-ke, ngokuvamile, odokotela belapha lesi simo ngemva kokuzalwa komntwana. Cishe ingxenye yalezi zimo ezitholakala ngaphambi kokuzalwa ziyaphela ngesikhathi umntwana ezalwa.

Odokotela bakhathazekile kakhulu ngomfutho wegazi wengane esanda kuzalwa okusolwa ukuthi ine-hydronephrosis noma enye inkinga yomgudu womchamo. Lokhu kungenxa yokuthi ezinye izinkinga zezinso zingabangela umfutho wegazi ophakeme. Bangase futhi bacele i-ultrasound ukuze bathole isithombe esicacile sesinye kanye nezinso. Uma lesi simo sibonakala sithinta zombili izinso, odokotela bangase futhi bacele ukuhlolwa kwegazi ukuze bahlole ukuthi izinso zisebenza kahle kangakanani.

Yiziphi izivivinyo ezenziwayo?

Uma kukhona ukusolakala kokuthi kukhona okungajwayelekile ohlelweni lomchamo, odokotela bangase bacele ukuhlolwa okunjengalokhu ukuze bathole ukuxilongwa okunembile:

• I-Ultrasound: Lokhu kusebenzisa amaza omsindo avame kakhulu ukudala izithombe zangaphakathi lomzimba. Kungabona izinkinga ngezinso, ama-ureter, kanye nesinye. Kungalinganisa nosayizi kanye nesimo sezinso.
• Ukuskena Kwezinso (Ukuskena Kwenuzi): Lokhu kuhilela ukufaka into ekhipha imisebe emthanjeni bese uyibuka ihamba ohlelweni lomchamo. Lokhu kukhombisa ukuma kwezinso, ukuthi zisebenza kahle kangakanani, ukuthi kukhona yini umonakalo ezicutshini zezinso, nokuthi umchamo ugeleza kanjani. Nakuba inani elincane lemisebe limuncwa phakathi nalolu vivinyo, likhishwa emchameni.
• I-Voiding Cystourethrogram (i-VCUG noma i-Cystogram): Lokhu kuhilela ukufaka i-catheter (ithubhu elithambile, elingenalutho) esinyeni bese udlulisa idayi engacacile kuyo, kulandelwe yi-X-ray. Lokhu kungasiza ekuxilongeni i-VUR nokubona izinkinga esinyeni noma i-urethra.
• I-Ultrasonography Ethuthukisiwe Yokuvotela (i-CeVUS):Kufana ne-`(VCUG)`. Kulokhu, kufakwa i-catheter bese isinyi sigcwaliswa ngesisombululo esingabonakali nge-X-ray, kodwa nge-`(Ultrasound).` Uma lesi sixazululo sibonakala eduze kwezinso, kusho ukuthi umchamo ugeleza emuva (i-reflux).
• I-Cystoscopy: Lokhu kuhilela ukufaka idivayisi ebizwa ngokuthi i-cystoscope (ithubhu elinelensi nomthombo wokukhanya) nge-urethra ukuze ibheke ngqo esinyeni. Isetshenziswa lapho ezinye izivivinyo noma izimpawu zibonisa ukuthi kungase kube nokungahambi kahle kwesinyeni.
• I-Magnetic Resonance Urography (MR-U): Le nqubo isebenzisa i-MRI scan yesistimu yomchamo ngaphandle kokusebenzisa udayi noma izinto ezikhipha imisebe. Inembile njengezinye iziskeni. Manje isetshenziswa kakhulu esikhundleni se-Intravenous Pyelogram.
• I-Intravenous Pyelogram (IVP): Idayi engacacile ifakwa emthanjeni, bese kuthathwa i-X-ray ukuze kubonwe ukuthi idayi ihamba kanjani ohlelweni lomchamo. Lokhu kuhlolwa kusasetshenziswa ngezinye izikhathi, kodwa ezimweni eziningi kuthathelwe indawo yi-Renal MRI kanye ne-Renal Scan.

Izifo zomchamo eziphindaphindayo zelashwa kanjani?

Ukwelashwa kwezifo zomchamo eziphindaphindayo kuncike embangela . Ngezinye izikhathi, kungaba lula njengokufundisa ingane yakho ukukhipha isisu ngokushesha nje lapho izwa isidingo sokuchama .

Kodwa uma ukutheleleka kubangelwa yisimo esifana ne-VUR, ikhambi liyinkimbinkimbi kakhulu. Izingane ezine-VUR zidinga ukubhekwa ngokucophelela , njengoba kungaholela ekuthelelekeni kwezinso (i-pyelonephritis) kanye nokulimala kwezinso. Kodwa izingane eziningi ziyakhula zidlule kulesi simo njengoba zikhula . Abanye abantu bangadinga ukuhlinzwa ukuze kulungiswe i-reflux.

Ezinye izingane ezine-VUR ziyazuza ngokuthatha umthamo omncane wansuku zonke wama-antibiotic. Lokhu kungavimbela isidingo sokuhlinzwa. Izingane ezine-VUR kufanele zithunyelwe kudokotela wezifo zomchamo wezingane onganquma ukuthi ukwelashwa ngama-antibiotic kuyindlela engcono kakhulu.

Kwezinye izimo, kudingeka ukuhlinzwa ukuze kulungiswe i-VUR. Ukuhlinzwa okuvamile kubizwa ngokuthi ukufakelwa kabusha kwe-ureteral . Lokhu kuhilela ukubeka kabusha i-ureter eyodwa noma zombili ngendlela evimba umchamo ukuthi ungagelezi emuva usuka kwesinye. Lokhu kuhlinzwa kudinga ukusikwa okuncane kuphela. Kwabanye abantwana, kungenziwa futhi kusetshenziswa i-laparoscopy esizwa yirobhothi. Uma kudingeka ukuhlinzwa, izinga lempumelelo liphezulu. Kodwa-ke, akufanele wonke umuntu.

Ukuhlinzwa Kokufakelwa Kwesitho Somchamo Kungase Kufaneleke Ezinganeni Ezilandelayo:

• Uma ungabekezeleli ama-antibiotic.
• Uma uqhubeka nokuthola izifo eziphindaphindayo ngisho noma uthatha ama-antibiotic.
• Uma une-reflux yomchamo enzima, noma "yezinga eliphezulu".
• Izingane ezindala, okusho izingane ezincane kanye nentsha, zinenkinga yokungakwazi ukuzibamba ngomchamo.

Enye indlela yokufakelwa kabusha kwe-ureteral injection nge -endoscopic injection . Lokhu kuhilela ukufaka into ekhethekile endaweni lapho i-ureter ingena khona esinyeni ukuze kuvinjelwe i-VUR. Kule nqubo, kufakwa ithubhu elincane elibizwa ngokuthi i-endoscope nge-urethra liye esinyeni. I-endoscope inekhamera encane ekugcineni, ngakho udokotela ohlinzayo angayiqondisa endaweni eqondile bese efaka into. Lokhu kusiza ukuvimbela umchamo ukuthi ubuyele ezinso. Nakuba injection ye-endoscopic ingena kalula kunokuhlinzwa, imiphumela ayimihle njengokuhlinzwa. Udokotela wezifo zomchamo wezingane angasiza imindeni ukuthi inqume ukuthi yikuphi ukwelashwa okungcono kakhulu kwengane ene-VUR.

Ezinye izingane zinezifo eziphindaphindayo ezingabangelwa yinoma yiziphi izinkinga zomzimba noma ezinye izinkinga ezingelapheka. Izingane ezinjalo zingadinga ukuthatha ama-antibiotic izinyanga, ngisho neminyaka, ukuze zivimbele ukutheleleka kabusha. Lokhu kwelashwa kubizwa ngokuthi i-prophylaxis yama-antibiotic eqhubekayo .

Ungasiza kanjani njengomzali?

Ukwenza lezi zinto ekhaya kungasiza ekuvimbeleni izingane ekutholeni izifo zomchamo eziphindaphindayo:

• Phuza uketshezi: Khuthaza ingane yakho ukuthi iphuze izingilazi zamanzi ezingu-8-10 kanye nezinye uketshezi ngosuku. Ijusi le-cranberry kanye ne-cranberry extract nakho kuvame ukukhulunywa ngakho ngoba kucatshangwa ukuthi kusiza ekuvimbeleni amagciwane e-E. coli ukuthi anganamatheli odongeni lwesinyi. Kodwa-ke, buza udokotela wakho njalo ukuthi kulungile yini ukuthi ingane yakho iphuze ijusi le-cranberry noma i-extract, njengoba zingase zingasebenzi kahle ngemithi ethile.
• Imikhuba emihle yokugeza: Ukuchama njalo nokugwema ukuqunjelwa kungasiza ekuvimbeleni ukutheleleka kabusha.
• Amabhati Angenamabhamuza: Gwema ukusebenzisa amabhati anamabhamuza kanye nensipho enamakha ezinganeni, ngoba angenza i-urethra ibe bucayi kakhulu.
• Shintsha amanabukeni njalo: Amanabukeni kufanele ashintshwe njalo. Uma indle ihlala endaweni yesitho sangasese isikhathi eside kakhulu, ingasunduza amagciwane akhuphukele e-urethra aye kwesinye.
• Ukuhlanza okufanele: Amantombazane kufanele asule kusukela phambili kuya emuva ngemva kokusebenzisa indlu yangasese. Lokhu kuzosiza ekuvikeleni umgudu womchamo kumagciwane asendle angabangela ukutheleleka komgudu womchamo.
• Izingubo zangaphansi zikakotini:Ukugqoka izingubo zangaphansi zikakotini eziphefumulayo akuvamile ukubangela amagciwane ukuthi akhule eduze kwe-urethra kunokugqoka i-nylon noma ezinye izindwangu zokwenziwa.
• Ukuya endlini yangasese njalo: Abanye abantwana bangase bangathandi ukusebenzisa indlu yangasese yesikole. Noma bangase babe matasa kakhulu ngomsebenzi noma ngokudlala ukuze bachame . Izingane ezinezifo zomgudu womchamo kufanele zichame okungenani njalo emahoreni amathathu kuya kwamane . Lokhu kusiza ukukhipha amagciwane ngomgudu womchamo.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi ingane yakho inegciwane lomgudu womchamo, bona udokotela wakho ngokushesha okukhulu . Udokotela wakho angase ancome olunye uhlolo lomchamo ngemva kokwelashwa ukuqinisekisa ukuthi igciwane seliphelile ngokuphelele.

Uma ingane yakho inezifo zomgudu womchamo eziphindaphindayo, qiniseka ukuthi ubona udokotela wezifo zomchamo wezingane. Angenza ukuhlolwa okuphelele futhi a-ode izivivinyo ukuze ahlole noma yikuphi ukukhubazeka ohlelweni lomchamo. Okwamanje, landela imiyalelo kadokotela wakho yokwelapha ukutheleleka komgudu womchamo ngqo.

Okuthile okuncane ngekusasa

Izifundo zamuva nje zithole ukuthi abesifazane nezingane abanesifo sokutheleleka komgudu womchamo esiphindaphindayo bangase babe namazinga aphansi ezinhlobo ezithile zama-immunoglobulins (iqembu lamaprotheni alwa nokutheleleka). Abanye abacwaningi bakholelwa ukuthi kungakhiwa umuthi wokugomela ongathuthukisa ukukhiqizwa kwama-antibodies alwa nokutheleleka komgudu womchamo. Umuthi wokugomela othembisayo usuvele uhlolwa ukuze uvikeleke ku-E. coli, amagciwane avame ukubangela ukutheleleka komgudu womchamo.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke kusukela kulokho esikhulume ngakho namuhla, kufanele ukwazi ukuqonda ukuthi yiziphi izifo zomgudu womchamo ezinganeni ezincane, ukuthi kwenzekani uma ziphinde zivele, nokuthi yini okufanele uyenze. Akukho okufanele uyesabe, kodwa kufanele uqaphele .

• Qaphela izimpawu: Qaphela izimpawu ezifana nobuhlungu lapho uchama , ukuchama njalo, kanye nomkhuhlane.
• Bona udokotela ngokushesha: Uma unemibuzo, bona udokotela ngokushesha.
• Bheka izimbangela eziyisisekelo: Uma unezifo eziphindaphindayo, funa iseluleko sezokwelapha. Ungase ube nenkinga efana ne-`(VUR)`.
• Faka imikhuba emihle: Vumela ingane yakho iphuze amanzi amaningi, uyikhuthaze ukuthi ichame njalo, futhi uyigcine ihlanzekile.
• Landela imiyalelo kadokotela: Landela ukwelashwa ngqo.

Into ebaluleke kakhulu ukunakekela impilo yengane yakho. Ngithemba ukuthi lolu lwazi luwusizo kuwe!

Ukutheleleka komgudu womchamo , Izifo zomgudu womchamo eziphindaphindayo, Ukwelashwa kwezingane, Ukutheleleka kwezinso, i-VUR, i-Hydronephrosis, Uhlelo lomchamo