Wake waba nokutheleleka komgudu womchamo (UTI)? Woza, ake sixoxe ngakho!

Ingabe ngezinye izikhathi uzizwa ushile noma ubuhlungu uma uchama ? Noma uzizwa unesidingo sokuchama njalo? Lokhu kungaba izimpawu zokutheleleka komgudu womchamo. Lokhu sikubiza ngokuthi `` Ukutheleleka Komgudu Womchamo'' noma `` UTI '' ngesiNgisi. Nakuba lokhu kuyacasula kancane, akusikho okufanele ukhathazeke ngakho. Kuyinto eyenzeka kubantu abaningi, futhi ingelashwa.

Kuyini ukutheleleka komgudu womchamo (UTI)?

Kalula nje, ukutheleleka komgudu womchamo kuyisifo esisemzimbeni wakho womchamo . Lokhu kufaka phakathi:

• Umgudu womchamo (lokhu sikubiza ngokuthi "i-Urethritis")
• Izinso (lokhu kubizwa ngokuthi i-Pyelonephritis )
• Noma isinye (esibizwa ngokuthi i-cystitis) singathinteka.

Ubuwazi ukuthi umchamo wethu ukhiqizwa yizinso ngokuhlanza igazi ? Izinso zisusa ukungcola okungadingekile namanzi angaphezulu egazini bese zenza umchamo. Ngokuvamile, lo mchamo udlula ohlelweni lomchamo ngaphandle kwamagciwane. Kodwa-ke, ngezinye izikhathi, uma amagciwane anjengamabhaktheriya engena ohlelweni lomchamo, khona-ke lokhu kutheleleka komgudu womchamo kwenzeka.

Uhlelo lwethu lomchamo lusebenza kanjani?

Ake siqale sifunde kancane ngohlelo lwethu lomchamo. Lolu uhlelo olusemzimbeni wethu olwenza, lugcine, futhi lukhiphe umchamo. Luhlanganisa:

• Izinso:Lezi zifana nezitho ezimbili ezimise okwebhontshisi ezitholakala ngemuva kwemizimba yethu, ngaphezu nje kwesinqe. Abantu abaningi banezinso ezimbili. Lezi yizitho ezihlunga amanzi nemikhiqizo engcolile (njenge-urea ne-creatinine) egazini bese zenza umchamo.
• Ama-ureter: Lawa amapayipi amabili amancane athwala umchamo usuka ezinso uye kwesinye.
• Isinye: Lokhu kufana nebhaluni. Kugcina umchamo ngaphambi kokuba uphume emzimbeni.
• I-urethra : Lena yipayipi elithwala umchamo usuka kwesinyeni uwukhiphe emzimbeni.

Zivame kangakanani izifo zomgudu womchamo?

Ukutheleleka komgudu womchamo empeleni kuvame kakhulu, ikakhulukazi phakathi kwabesifazane . Kulinganiselwa ukuthi cishe ingxenye yabo bonke abesifazane bazothola ukutheleleka komgudu womchamo ngesikhathi esithile empilweni yabo. Amadoda nezingane ezincane nabo bangakuthola. Kodwa kuthinta kuphela u-1% kuya ku-2% wezingane. Abantu abaphakathi kwezigidi ezingu-8 kuya kwezingu-10 belashwa ngalezi zifo zomgudu womchamo minyaka yonke. Ngakho-ke ungacabanga ukuthi lokhu kuvame kangakanani.

Ziyini izimpawu zokutheleleka komgudu womchamo?

Uma kwenzeka ukutheleleka komgudu womchamo, ulwelwesi lomgudu womchamo luyavuvukala , noma luvuvuke . Lokhu kungabangela izimpawu ezifana nalezi:

• Ubuhlungu ohlangothini lwakho, esiswini, esiswini esingezansi, noma emhlane ongezansi.
• Ukuzizwa sengathi ucindezelekile esiswini esingezansi.
• Umchamo omnyama ngombala futhi onephunga elibi .
• Ukungakwazi ukulawula ukuchama (Ukungakwazi ukuzibamba komchamo).
• Ukudinga ukuchama njalo .
• Ukungakwazi ukuzibamba yisifiso esiphuthumayo nesinamandla sokuchama esingenakunqandwa.
• Ukuchama okubuhlungu (i-Dysuria).
• Igazi emchameni (i-Hematuria).

Ngaphezu kwalokhu, kungase kuvele ezinye izimpawu:

• Ubuhlungu endukwini kwabesilisa.
• Ukuzizwa ukhathele kakhulu `(Ukukhathala)`.
• Ukuba nomkhuhlane .
• Ukuzizwa sengathi uzobanda .
• Isicanucanu nokuhlanza .
• Ngezinye izikhathi, ikakhulukazi kwasebekhulile, ukudideka kwengqondo kungenzeka.

Lezi zifo zomchamo zenzeka kanjani?

Ukutheleleka komgudu womchamo kubangelwa amagciwane, ikakhulukazi amagciwane . Lawa avame ukungena e-urethra yakho bese ekhuphukela esinyeni sakho. Ukusuka lapho, ukutheleleka kungakhuphuka kuma-ureter kuye ezinso zakho.

Iyini imbangela eyinhloko yokutheleleka kwe-urinary tract?

Ubuwazi ukuthi ngaphezu kwama-90% okutheleleka kwesinye kubangelwa yibhaktheriya ebizwa ngokuthi `(E. coli)` . Leli bhaktheriya `(E. coli)` livame ukuhlala emathunjini ethu amakhulu, okungukuthi, eduze kwendunu.

Ubani osengozini enkulu yokuthola izifo zomgudu womchamo?

Noma ubani angathola ukutheleleka komgudu womchamo, kodwa abesifazane basengozini enkulu . Lokhu kungenxa yokuthi i-urethra yabesifazane imfushane kuneyabesilisa futhi iseduze ne-anus (lapho amagciwane e-E. coli evame khona). Lokhu kwenza kube lula ngamagciwane ukungena emgodini womchamo.

Ingabe iminwe ingadala izifo zomgudu womchamo?

Yebo, kungenzeka ngempela. Uma uthinta indawo, izandla zakho zingabamba amagciwane namanye amagciwane. La magciwane angangena ngengozi e-urethra yakho uma uya endlini yangasese, uya ocansini, ushaya indlwabu, noma usebenzisa iminwe yakho.

Wazi kanjani ukuthi unesifo somgudu womchamo?

Uma unezimpawu zokutheleleka komgudu womchamo, qiniseka ukuthi ubona udokotela . Uzokubuza ngezimpawu zakho, athathe umlando wakho wezokwelapha, futhi enze ukuhlolwa ngokomzimba. Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuqinisekisa ukuxilongwa:

• Ukuhlolwa Komchamo: Kulolu vivinyo, uzocelwa ukuthi uchamele enkomishini ekhethekile. Isampula ithunyelwa elabhorethri, lapho ihlolwa khona izinto ezifana ne-nitrites, i-leukocyte esterase, kanye namaseli amhlophe egazi ukuze kubonakale ukuthi une-UTI.
• Ukukhuliswa komchamo: Lapha, unikeza nesampula yomchamo. Ilebhu ikhulisa amabhaktheriya kuwo futhi inquma ukuthi hlobo luni lwamabhaktheriya akhona. Lokhu kubaluleke kakhulu, ngoba kusekelwe kulokhu ukuthi udokotela uzokukhetha ukwelashwa okufanele.

Ngezinye izikhathi, uma ukutheleleka kunganciphi ngokwelashwa, udokotela angase enze nokuhlolwa okufana nalokhu ukuhlola ezinye izifo noma umonakalo ohlelweni lomchamo:

• I-Ultrasound: Lokhu ukuhlolwa okulula nokungebuhlungu okungabheka izitho zakho zangaphakathi.
• I-CT Scan (i-Computed Tomography – i-CT scan): Lokhu futhi kuyindlela yokuhlola izithombe. Kufana ne-X-ray, kodwa kuthatha izithombe ezinqamula izinhlangothi (njengezingcezu) zangaphakathi lomzimba, kudala izithombe ezinezinhlangothi ezintathu (3D). Kunembile kakhulu kune-X-ray evamile.
• I-Cystoscopy: Lokhu kuhilela ukubuka ngaphakathi kwesinye ngokusebenzisa i-urethra usebenzisa idivayisi ebizwa ngokuthi i-cystoscope. Lena ithuluzi elincane elinekhamera kanye nokukhanya ekugcineni.

Uma unezifo zomgudu womchamo ezivame ukwenzeka , udokotela wakho uzohlola ezinye izinkinga zempilo, njengesifo sikashukela, noma noma yikuphi ukukhubazeka ohlelweni lwakho lomchamo.

Yini engcono kakhulu ongayenza ngesifo somchamo?

Into engcono kakhulu ongayenza ngesifo somchamo ukubona udokotela . Uzodinga ama-antibiotic ukwelapha i-UTI. Udokotela wakho uzokhetha i-antibiotic esebenza kahle kakhulu ngokumelene namagciwane abangele ukutheleleka kwakho.

Uma usunikezwe ama-antibiotic, kubaluleke kakhulu ukuwaphuza njengoba nje udokotela wakho ekutshelile, isikhathi sonke . Ngisho noma izimpawu zakho ziphela futhi uzizwa ungcono, thatha umuthi uze uwuqede. Ngaphandle kwalokho, ukutheleleka kungase kubuye futhi kube nzima ukukwelapha ngesikhathi esizayo.

Uma une-UTIs evame ukwenzeka, udokotela wakho angase akuncome ukuthi uthathe ama-antibiotic ngezindlela ezilandelayo:

• Njalo.
• Usuku olulodwa ngesikhathi.
• Ngemva kokuya ocansini.
• Lapho nje izimpawu ziqala.

Khuluma nodokotela wakho ngalokhu bese unquma ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.

Yimaphi ama-antibiotic akhethekile anikezwa izifo zomgudu womchamo?

Odokotela bavame ukunikeza lezi zinhlobo zama-antibiotics e-UTI:

• I-Nitrofurantoin
• Ama-Sulfonamides (Izidakamizwa ze-Sulfa)
• I-Amoxicillin `(Amoxicillin)`
• I-Cephalosporins
• I-Doxycycline `( I -Doxycycline ( I-Doxycycline) ) )`
• I-Fosfomycin `(Fosfomycin)`
• Ama-Quinolone

Ngingakwazi yini ukuvimbela izifo zomgudu womchamo?

Yebo, ungakwenza nakanjani! Ukwenza lezi zinguquko ezimbalwa zendlela yokuphila kungasiza kakhulu ekuvimbeleni izifo zohlelo lokuzala:

• Imikhuba emihle yokuhlanzeka: Sula njalo kusukela phambili kuya emuva ngemva kokukhipha indle.
• Phuza uketshezi oluningi: Phuza okungenani izingilazi eziyisithupha kuya kweziyisishiyagalombili zamanzi ngosuku.
• Shintsha imikhuba yakho yokuchama: Chama kaningi. Chama ngaphambi nangemva kocansi.
• Nakekela izingubo zakho:Gqoka izingubo ezikhululekile kanye nezingubo zangaphansi ezigqokwe ngokotini.
• Qaphela izindlela zokuvimbela inzalo : Ukusebenzisa izinto ezifana ne-diaphragm kungandisa ingozi.
• Imikhiqizo ye-Cranberry: Izithako ze-Cranberry zingasiza, kodwa xhumana nodokotela ngaphambi kokuthatha noma yiziphi izithako.