Ingabe ingane yakho encane ike yaba nomkhuhlane ngokuzumayo, yayeka ukudla, futhi yakhala njalo? Noma ingabe ikhala ngobuhlungu besisu njalo lapho iya endlini yangasese? Abazali abaningi bacabanga ukuthi umkhuhlane noma umkhuhlane. Kodwa kungaba yinto engathi sína kakhulu, ukutheleleka komgudu womchamo (UTI). Lesi simo sivame kakhulu ezinganeni ezincane, kodwa singaba sibi kakhulu uma singatholakali futhi singelashwa kahle. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe namuhla.
Okokuqala, ake sibone, kuyini ukutheleleka komgudu womchamo (UTI)?
Kalula nje, ukutheleleka komgudu womchamo (i-UTI) kwenzeka lapho igciwane, njengebhaktheriya, lingena ohlelweni lomchamo lomzimba wethu bese libangela ukutheleleka.
Manje ungase ucabange, "Luyini lolu hlelo lomchamo?" Uhlelo lwethu lomchamo luqukethe:
- Izinso: Izitho ezimbili eziyinhloko emzimbeni wethu ezihlunga ukungcola egazini futhi zikhiqize umchamo.
- Ama-ureter: Amapayipi amabili athwala umchamo, akhiqizwa ezinso, aye kwesinye.
- Isinye: Isitho esifana nesikhwama esiqoqa futhi sigcine umchamo isikhathi esifushane.
- I-urethra: Ipayipi elithwala umchamo usuka kwesinyeni liwukhiphe emzimbeni.
Ukutheleleka kungavela noma kuphi kulesi simiso. Ngokuvamile, kwenzeka esinyeni, ngakho abanye abantu bakubiza nangokuthi "ukutheleleka kwesinyeni." Ukutheleleka kwesinyeni ngokwezokwelapha kubizwa ngokuthi i-cystitis . Kodwa-ke, uma lokhu kutheleleka kudlulela ezinso, kuyisimo esibi kakhulu. Sikubiza ngokuthi i-pyelonephritis .
Ukutheleleka komgudu womchamo kuvame kakhulu ezinganeni ezincane kunokuba ungase ucabange. Kodwa inkinga iwukuthi, abazi ukuthi bangazikhuluma kanjani izinkinga zabo ngendlela efanele. Ngakho-ke njengabazali, kudingeka siqaphele kakhulu ngalokhu.
Ungazi kanjani ukuthi ingane ine-UTI?
Izimpawu zingase zihluke kuye ngobudala bomntwana. Akuzona izimpawu ezizoboniswa yingane encane, kodwa izimpawu ezizoboniswa yingane endala kancane. Ake sihlukanise lokhu kube izingxenye ezimbili.
Izimpawu ezinganeni ezinceliswa ubisi lwebele kanye nezingane ezincane (ezingaphansi kweminyaka emibili ubudala)
Izingane zalobu budala azikwazi ukuthi, "Mama, kubuhlungu uma ngichama ." Ngakho-ke yithina okudingeka siqaphele kakhulu lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Umkhuhlane ngaphandle kwesizathu | Ukuqala komkhuhlane ngokuzumayo ngaphandle kwesizathu esithile, njengomkhuhlane noma ukukhwehlela. |
| Ukukhala njalo nokungaphumuli | Ingane ikhala kakhulu, ikakhulukazi lapho ichama, kuze kube sezingeni lokungaduduzeki. |
| Ukungathandi ukudla/ubisi | Ukuphuza ubisi njengenjwayelo futhi ungadli ukudla. |
| Ukuhlanza noma isifo sohudo | Ukuhlanza noma uhudo ngaphandle kwesizathu esibonakalayo. |
| Ushintsho kumchamo | Umchamo onamandla, onephunga elibi noma ukushintsha kombala womchamo. |
| Ukwehla kwesisindo noma ukubambezeleka kokukhula | Uma ingane yehlisa isisindo noma ingakhuli. |
| Ukuphuzi kwesikhumba noma amehlo (i-Jaundice) | Ngezinye izikhathi, ikakhulukazi ezinganeni ezisanda kuzalwa, lesi sibonakaliso singavela. |
Izimpawu ezinganeni ezindala kancane
Lezi zingane zingakhuluma kancane ngokungakhululeki kwazo, ngakho-ke kulula kancane ukubona izimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukushisa noma ubuhlungu lapho uchama | Ingane ikhala ngokuthi "kubuhlungu uma uchama ." |
| Isidingo sokuphuza njalo | Ngemva kokuya endlini yangasese, uthi udinga ukuya futhi. Kodwa njalo uma eya, uyahamba kancane. |
| Ubuhlungu esiswini esingezansi, emhlane, noma ohlangothini | Ukukhononda ngobuhlungu besisu kanye nobuhlungu bomhlane. |
| Ushintsho kumchamo | Umchamo obukeka unamafu, unegazi, noma onephunga elinamandla. |
| Ukuchama Embhedeni | Ingane eyayiqeqeshwe ukuya endlini yangasese ngokuzumayo iqala ukumanzisa umbhede emini noma ebusuku. |
| Umkhuhlane kanye nokubanda | Umkhuhlane, ukubanda, kanye nobuhlungu bomzimba. |
| Ukuhlanza kanye nesicanucanu | Ukuhlanza okubangela ubuhlungu esiswini. |
Lezi zimpawu ziyafana emantombazaneni nakubafana.
Kungani izingane zithola lezi zifo zomgudu womchamo?
Esikhathini esiningi, lokhu kubangelwa amagciwane. Imbangela eyinhloko yigciwane elibizwa ngokuthi i-E. coli . Leli gciwane livame ukutholakala endle yethu (esimisweni sokugaya ukudla). Uma singahlanzi kahle ngemva kokuya endlini yangasese, leli gciwane lingangena e-urethra lisuka endunu. Ukusuka lapho, liyakhuphuka bese libangela ukutheleleka.
Akuvamile kakhulu ukuthi ama-UTI abangelwe ukutheleleka ngefungus.
Ubani osengozini enkulu yokuthola izifo zomgudu womchamo?
Ezinye izingane zinamathuba amaningi okuthola i-UTI kunezinye.
- Amantombazane:Ama-urethra amantombazane mafushane kuneyabafana. Aseduze ne-anus (lapho kuphuma khona indle). Lokhu kwenza kube lula ngamagciwane asemathunjini ukungena kwi-urethra.
- I-Vesicoureteral reflux: Lesi yisimo abanye abantwana abazalwa naso. Okwenzekayo lapha ukuthi umchamo ugeleza usuka kwesinye, uye ezinso. Lokhu kwenza kube lula ngamagciwane ukufinyelela ezinso.
- Ukuqunjelwa: Uma ingane yakho iqunjelwa njalo, isinye singase singaphumi ngokuphelele ngenxa yokunyakaza kwamathumbu. Uma umchamo uhlala esinyeni, kudala indawo enhle yokukhula kwamagciwane.
- Ukukhubazeka kokuzalwa kohlelo lomchamo: Abanye abantwana bangazalwa benezinkinga ezithile ohlelweni lomchamo. Lokhu kungabangela nokuvaleka kokuhamba komchamo futhi kuholele ekuthelelekeni.
- Ukubamba umchamo: Izingane ezibamba uma kudingeka ziye endlini yangasese nazo zisengozini enkulu yokuthola izifo. Izingane eziningi zenza lokhu ngenkathi zidlala noma zibuka i-TV.
- Abafana abangasokile: Kutholakale ukuthi abafana abangasokile banengozi enkulu kancane yokuthola i-UTI kunabafana abasokile.
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Ungacabangi ukuthi, "Ukutheleleka okuncane komchamo kuzolulama ngokwakho." Ukutheleleka komgudu womchamo enganeni kudinga usizo lwezokwelapha. Uma kungelashwa, kungavela izinkinga ezinkulu, njenge:
- Ukutheleleka kwezinso: Isimo esikhulume ngaso ngaphambilini (i-Pyelonephritis). Lokhu kungaba nzima kakhulu enganeni.
- Ukushaqeka kwezinso: Uma unezifo zezinso ezivame ukwenzeka noma ezinzima, ukushaqeka okungapheli kungavela ezinso zakho. Lokhu kungaholela ezinkingeni ezifana nokwehluleka kwezinso okungapheli kanye nomfutho wegazi ophezulu esikhathini esizayo.
- I-Sepsis: Lesi yisimo esibi kakhulu. Ukutheleleka kusakazekela egazini futhi izitho zomzimba ziqala ukungasebenzi kahle. Lokhu kungaba yingozi empilweni.
- Ukwehluleka kokukhula: Ukugula njalo kungabangela ukukhula kwengane ukuthi kubambezeleke.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela ngoba usola izimpawu zengane yakho, into yokuqala azokwenza ukukubuza ngezimpawu zengane yakho. Ngemuva kwalokho, bangenza izivivinyo ezinjengalezi ukuqinisekisa ukuxilongwa:
- Ukuhlolwa komchamo: Kuthathwa isampula yomchamo wengane bese kuhlolwa amagciwane, amaseli obomvu, njll.
- Ukukhula Komchamo: Lokhu kusetshenziselwa ukuthola ukuthi yimaphi amabhaktheriya akusampula yomchamo nokuthi iyiphi i-antibiotic engcono kakhulu kuwo.
- Ukuhlolwa kwegazi:Ukuhlolwa kwegazi kungenziwa futhi ukuhlola ubukhali bokutheleleka kanye nokuhlola ukusebenza kwezinso.
- Ama-scan: Uma ingane yakho ine-UTIs njalo, udokotela wakho angase ancome okuthile okufana ne -ultrasound scan ukuze kuhlolwe ezinye izinkinga ngezinso noma ohlelweni lomchamo.
Iphathwa kanjani?
Ukutheleleka komgudu womchamo kwelashwa ngama -antibiotic . Indlela le mithi enikezwa ngayo ingahluka kuye ngobudala bengane kanye nobunzima bokutheleleka.
- Umuthi womlomo: Uvame ukunikezwa njengephilisi noma uketshezi izinsuku ezingaba ngu-7 kuya ku-14.
- Imithi yokwelapha nge-intravenous (IV): Uma ingane isencane kakhulu, inobuhlungu obukhulu, futhi ingakwazi ukuthatha imithi ngomlomo, kungadingeka ukuthi ilaliswe esibhedlela futhi inikezwe imithi yokwelapha nge-intravenous (IV).
Kubaluleke kakhulu: Kufanele unikeze umuthi izinsuku eziphelele ezinqunywe udokotela. Ungayeki ukunikeza umuthi ngoba nje ingane yakho izizwa ingcono ezinsukwini ezimbili noma ezintathu. Ukwenza kanjalo kungavimbela ukutheleleka ukuthi kuphulukiswe ngokuphelele futhi kungabangela ukuthi kubuye.
Ingane kufanele iqale ukululama zingakapheli izinsuku ezimbili kuya kwezintathu. Phakathi naleso sikhathi, vumela ingane iphumule kahle futhi iphuze amanzi amaningi kanye noketshezi.
Kufanele ubonane nini nodokotela ngokushesha noma uye ku-ETU?
Uma usola ukuthi ingane yakho inegciwane lomgudu womchamo, qiniseka ukuthi ubona udokotela. Futhi, yisa ingane yakho eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha ezimweni ezilandelayo:
- Uma ingane ingaphansi kwezinyanga eziyisithupha ubudala futhi ikhombisa izimpawu ze-UTI.
- Uma unezimpawu ze-UTI kanye nomkhuhlane ophezulu .
- Uma ingane yenqaba ngokuphelele ukudla noma ihlanza lokho ekudlayo noma ekuphuzayo .
- Uma ungakachami isikhathi esingaphezu kwamahora ayisithupha (ngaphandle uma inabukeni limanzi).
- Uma isikhumba noma amehlo ephenduka aphuzi .
- Uma ingane isezinhlungwini ezingabekezeleleki .
- Uma kukhona igazi emchameni.
Futhi, uma kungekho ukuthuthuka esimweni sengane ngemva kwezinsuku ezintathu zokuthatha umuthi onikezwe udokotela, bonana nodokotela futhi.
Singakwazi yini ukuvimbela lokhu kutheleleka kwe-urinary tract?
Yebo, nakuba kungenakwenzeka ukuvimbela ngokuphelele ama-UTI, kunezinto eziningi esingazenza ukunciphisa ingozi yama-UTI ezinganeni. Kubalulekile ukwenza le mikhuba yansuku zonke.
- Ukuhlanza ngendlela efanele: Lena yinto ebaluleke kakhulu. Ikakhulukazi uma uhlanza ingane yentombazane, sula njalo kusukela phambili kuya emuva.Sula. Okusho ukuthi, kusukela ohlangothini lwesitho sangasese sowesifazane kuya endunu. Lokhu kuvimbela amagciwane avela endunu ukuba angangeni emgudwini womchamo. Fundisa ingane yakho le ndlela efanele lapho uqeqesha indlu yangasese.
- Ukushintsha amanabukeni: Ungashiyi inabukeni elimanzi noma elingcolile isikhathi eside. Lishintshe ngokushesha okukhulu.
- Ukungakwazi ukuzibamba komchamo : Uma ingane yakho idinga ukuya endlini yangasese, yifundise ukuthi ingazigodli ngokuthi, "Ngizongena maduze nje." Khuthaza ingane yakho ukuthi iye endlini yangasese njalo.
- Phuza amanzi amaningi: Ukuphuza amanzi amaningi usuku lonke kukhipha amagciwane ohlelweni lomchamo.
- Izingubo: Gqokisa ingane izingubo zangaphansi zikakotini ezimunca umjuluko futhi zivumele umoya ukuthi ungene.
- Ukuvimbela ukuqunjelwa: Uma ingane yakho iqunjelwe, thola ikhambi. Mnike imifino eminingi, izithelo, nokudla okucebile nge-fiber. Uma inkinga iqhubeka, khuluma nodokotela wakho.
- Ukusebenzisa insipho: Gwema ukusebenzisa insipho enephunga elinamandla noma amabhavu okugeza angenamagwebu endaweni yokuzala yengane yakho ngesikhathi ugeza. Lokhu kungacasula isikhumba esibucayi esizungeze i-urethra futhi kuholele ezifweni. Kungcono ukusebenzisa insipho ethambile, engenaphunga.
Ukutheleleka komgudu womchamo kuvame ezinganeni, kodwa akuyona into okufanele ithathwe kalula. Uma ubona noma yiziphi izinguquko ekuziphatheni kwengane yakho noma emikhubeni yansuku zonke, ikakhulukazi emikhubeni yokuya endlini yangasese, thintana nodokotela ngokushesha. Ukwelashwa kusenesikhathi kungavimbela izinkinga eziningi ezinkulu.
Umlayezo Wokuya Nawe Ekhaya
- Uma ingane inomkhuhlane ngaphandle kwesizathu esibonakalayo, kungaba uphawu lokutheleleka komgudu womchamo. Uma ungabaza, funa iseluleko sikadokotela.
- Ukutheleleka komgudu womchamo akuzipholi ngokwako futhi kudinga ukwelashwa ngama-antibiotic.
- Uma uhlanza amantombazane futhi uwafundisa ukuhlanzeka, kubaluleke kakhulu ukusula kusukela phambili kuya emuva .
- Ukugcina ingane yakho inamanzi anele nokuyikhuthaza ukuthi ingagcini umchamo wayo kuzosiza ekuvimbeleni izifo.
- Inkambo yama-antibiotic anqunywe udokotela kumele iqedwe izinsuku ezigcwele , noma ngabe ingane isilulama.
- Uma kungekho ukuthuthuka kwezimpawu zengane yakho ngemva kwezinsuku ezingu-2-3 zokwelashwa, bona udokotela wakho futhi.
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