Ingabe nawe uzizwa sengathi udinga ukuchama njalo? Kodwa uma uya endlini yangasese, uya kancane nje? Ingabe kuhambisana nokusha okukhulu nobuhlungu? Khona-ke kunethuba elihle lokuthi unesifo somgudu womchamo, esikwazi sonke njenge-UTI (Urinary Tract Infection). Lena inkinga evamile kubantu abaningi, ikakhulukazi abesifazane. Kodwa ungakhathazeki, uma unolwazi olufanele ngalokhu futhi uthola ukwelashwa ngesikhathi, ungalulama ngokushesha. Ake sixoxe ngalokhu kusukela ekuqaleni.
Kalula nje, kuyini ukutheleleka komgudu womchamo (UTI)?
Ukutheleleka komgudu womchamo kwenzeka lapho igciwane, ngokuvamile eliyibhaktheriya, lingena ohlelweni lwethu lomchamo bese libangela ukutheleleka. Njengenxeba emzimbeni wethu eliqhumayo, ukutheleleka kukhula ngaphakathi ohlelweni lomchamo.
Ukuze siqonde lokhu, ake siqale sifunde kancane ngohlelo lwethu lomchamo. Cabanga ngalo njengohlelo lokuhlanza oluhlunga ukungcola emizimbeni yethu. Lunezingxenye ezine eziyinhloko:
- Izinso: Izitho ezimbili ezimise okwebhontshisi ezitholakala ngemuva kwemizimba yethu, ngaphezu nje kwesinqe. Zihlunga ukungcola namanzi angaphezulu egazini lethu bese zenza umchamo.
- Ama-ureter: Amapayipi amabili amancane athwala umchamo, okhiqizwa ezinso, uye kwesinye.
- Isinye: Isikhwama esinwebekayo esifana nebhaluni. Yilapho umchamo ugcinwa khona okwesikhashana uze uqongelele.
- I-urethra: Ipayipi elithwala umchamo usuka kwesinyeni liwukhiphe emzimbeni.
Ngokuvamile, awekho amagciwane ngaphakathi kwalesi simiso somchamo. Kodwa-ke, uma amagciwane, njengebhaktheriya, engena nge-urethra, ukutheleleka kungasakazekela esinyeni ngisho nasezinso eziseduze ne-urethra.
Ibizwa ngamagama ahlukene kuye ngokuthi ukutheleleka kwenzeka kuphi:
- Ukutheleleka komgudu womchamo: (Urethritis)
- Ukutheleleka kwesinye: (i-Cystitis) (lokhu kuvame kakhulu)
- Ukutheleleka kwezinso: (Pyelonephritis) (Lesi yisimo esibucayi kancane)
Ziyini izimpawu ze-UTI? Uzibona kanjani?
Nakuba izimpawu zokutheleleka komgudu womchamo zihluka kancane kumuntu nomuntu, kunezinye izimpawu ezivamile ongase ube nazo. Bheka ukuthi unayo yini eyodwa noma ngaphezulu kwalezi.
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Ukushisa/ubuhlungu ngesikhathi sokuchama (i-Dysuria) | Lesi yisibonakaliso esiyinhloko abantu abaningi abasibonayo. Kuzwakala njengobuhlungu obuvuthayo nobuhlabayo lapho bechama. |
| Isidingo sokuphuza njalo | Ngisho noma isinyi singagcwele ngokuphelele, kunomuzwa oqhubekayo wokudinga ukuchama. Kungase kudingeke uye endlini yangasese izikhathi eziningana ngehora. |
| Ukuphuthuma | Uma uzizwa unesifiso sokuchama, awukwazi ukuzibamba bese kudingeka ugijimele endlini yangasese ngokushesha. Ngezinye izikhathi ungase uquleke kancane ngaphambi kokuba ukwenze lokho. |
| Izinguquko emchameni | Umchamo ungase ubonakale unamafu noma ufana nobisi. Ungase futhi ube nephunga elinamandla nelingathandeki. Ngezinye izikhathi, kungase kube negazi elithile emchameni (i-hematuria) . |
| Ubuhlungu besisu noma umhlane ongezansi | Ungase uzwe ukusinda, ingcindezi, noma ubuhlungu esiswini esingezansi. Uma ukutheleleka kusakazekela ezinso, ungase uzwe ubuhlungu ngaphansi kwezimbambo ezinhlangothini zombili zomhlane wakho. |
Lezi zimpawu zingase zibe khona.
Ngaphezu kwezimpawu eziyinhloko ezishiwo ngenhla, abanye abantu bangase babe nalokhu okulandelayo:
- Ukuzizwa ukhathele kakhulu
- Umkhuhlane kanye nokubanda
- Isicanucanu nokuhlanza
- Uma ungumuntu osekhulile, isimo esiphuthumayo sokudideka kwengqondo
Uma unalezi zimpawu, ungazinaki ucabanga ukuthi kuyinto elula. Into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu.
Kungani sithola ama-UTI? Ubani osengozini enkulu?
Cishe ama-90% ezifo zomgudu womchamo zibangelwa yibhaktheriya ebizwa ngokuthi i-E. coli (Escherichia coli) . Leli bhaktheriya livame ukuhlala emathunjini ethu amakhulu (eduze kwe-rectum). Akuyona inkinga uma nje lihlala lapho, kodwa yilapho lingena emgudwini womchamo lapho libangela khona ukutheleleka.
Kunezizathu eziningana ezenza umuntu abe ne-UTI:
- Ukuba ngowesifazane: Abesifazane basengozini enkulu kakhulu yokuthola i-UTI kunabesilisa. Lokhu kungenxa yokuthi i-urethra yabesifazane imfushane kuneyabesilisa futhi iseduze ne-anus. Lokhu kwenza kube lula ukuthi amagciwane e-E. coli angene emgudwini womchamo.
- Ucansi: Isenzo socansi singacindezela amabhaktheriya angene e-urethra.
- Ukuhlanzeka: Ukusula kusukela emuva kuya phambili ngemva kokusebenzisa indlu yangasese kungadlulisela amagciwane esuka e-rectum aye emgudwini womchamo. Indlela efanele ukusula kusukela phambili kuya emuva njalo.
- Ukubamba umchamo isikhathi eside kakhulu: Ukubamba umchamo isikhathi eside kakhulu ngemva kokuba isinyi sigcwele kwandisa amathuba okukhula kwamagciwane.
- Ezinye izimo zezokwelapha: Abantu abanesifo sikashukela, amatshe ezinso, noma ezinye izinkinga zomgudu womchamo nabo bangaba ne-UTI njalo.
- Ukunqamuka Kwesikhathi: Ngemva kokunqamuka kokuya esikhathini, amazinga e-estrogen emzimbeni ayancipha, okungashintsha indawo evikelayo yamagciwane esithweni sangasese sowesifazane kanye nomgudu womchamo, okwenza ube sengozini enkulu yokutheleleka.
Hlobo luni lokuhlolwa olwenzayo uma uya kudokotela?
Uma utshela udokotela wakho ukuthi unezimpawu ze-UTI, uzolalela ngokucophelela izimpawu zakho futhi acele ukuhlolwa okuningana uma kudingeka.
1. Ukuhlolwa komchamo: Lokhu ukuhlolwa okuyisisekelo kakhulu. Kuthathwa isampula yomchamo wakho bese kuhlolwa izinto ezifana namagciwane, amangqamuzana amhlophe egazi, kanye nama-nitrites. Ukuba khona kwalokhu kuwuphawu lokutheleleka.
2. Ukukhula Komchamo: Ngezinye izikhathi, ikakhulukazi uma ukutheleleka kuphindaphindeka noma kungaphenduli emithini, lokhu kuhlolwa kwenziwa ukuze kutholakale ukuthi yimaphi amabhaktheriya asemchameni wakho futhi kutholakale i-antibiotic engcono kakhulu yokuwubulala.
Uma ukutheleleka kubonakala kuyinkimbinkimbi noma uma kusolwa enye inkinga, udokotela angase acele ukuhlolwa okufana ne -ultrasound scan , i-CT scan , noma i-cystoscopy (ithubhu elincane elinekhamera efakwe nge-urethra ukuze kuhlolwe esinyeni).
Uphatha kanjani i-UTI?
Indlela engcono kakhulu newukuphela kwayo yokwelapha ukutheleleka komgudu womchamo ukuthatha ama-antibiotic . Udokotela wakho uzohlola isimo sakho bese ekubhalela ama-antibiotic afanele kakhulu.
Nansi into ebaluleke kakhulu okudingeka uyikhumbule.Yebo. Okusho ukuthi, kufanele usebenzise lonke inani lomuthi onikezwe udokotela ngenani elibekiwe lezinsuku. Akufanele uyeke ukuthatha umuthi ngoba nje ubuhlungu sebuphelile ngosuku olulodwa noma ezimbili.
Uma uyeka, ukutheleleka kungase kungelapheki ngokuphelele futhi kungase kubuye. Akukhona lokho kuphela, kodwa namagciwane asele angase ajwayele umuthi olwa namagciwane futhi amelane nawo ngesikhathi esizayo. Ngakho-ke, kubalulekile ukuqeda inkambo yomuthi.
Ngesikhathi uthatha imithi, ungenza lezi zinto ukusiza ekunciphiseni ukungakhululeki:
- Phuza amanzi amaningi: Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku. Ukuphuza amanzi amaningi kusiza ekukhipheni amagciwane ngomchamo.
- Ama-Painkiller: Uma unezinhlungu zesisu esingezansi, ungathatha umuthi wokuqeda izinhlungu njenge-paracetamol, njengoba utshelwa udokotela wakho.
Ingabe i-UTI izoba ngcono ngaphandle kwemithi?
Ukutheleleka okuncane kakhulu ngezinye izikhathi kungelashwa amasosha omzimba. Kodwa lokho kuyingozi. Ezimweni eziningi, uma kungelashwa, ukutheleleka kungaba kubi kakhulu futhi kusakazekele ezinso. Ngakho-ke, uma unezimpawu, qiniseka ukuthi ubona udokotela futhi uthole ukwelashwa.
Kufanele uye nini esibhedlela (ETU) ngokushesha?
Uma unezimpawu ze-UTI ejwayelekile kanye nezimpawu ezingezansi, kungaba uphawu lokuthi ukutheleleka sekusakazekele ezinso. Esimweni esinjalo, ungahlali ekhaya. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Umkhuhlane ophezulu
- Ukuzizwa ubanda futhi uthuthumela
- Ubuhlungu obukhulu ezinhlangothini zombili zomhlane
- Isicanucanu nokuhlanza
Kubalulekile ukufuna usizo lwezokwelapha ngokushesha njengoba lokhu kungaba izimpawu zesimo esibucayi.
Ngingakuvimbela kanjani ukuthi i-UTI ingaphinde ivele?
Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke kungcono kakhulu ukuvimbela i-UTI kunokuhlushwa yiyo. Uma ufaka le mikhuba elula empilweni yakho, unganciphisa kakhulu ingozi yakho yokuthola i-UTI.
- Phuza amanzi amaningi usuku lonke. Lena yinto ebaluleke kakhulu.
- Ungagcini umchamo wakho uma uzizwa udinga ukuchama. Chama ngokushesha okukhulu.
- Sula njalo kusukela phambili kuya emuva ngemva kokusebenzisa indlu yangasese.
- Chama ngaphambi nangemva kocansi. Kubalulekile futhi ukuhlala uhlanzekile.
- Khetha izindwangu ezimunca umjuluko njengokotini wezingubo zangaphansi. Izinto zokwenziwa ezifana ne-nylon zingabamba umjuluko futhi zivumele amagciwane akhule.
- Gwema ukugeza ngamabhamuza nokusebenzisa amakha kanye nezifutho endaweni yesitho sangasese sowesifazane. Lokhu kungashintsha i-pH yemvelo yendawo futhi kuholele ekuthelelekeni.
- Ijusi noma amaphilisi e-cranberry:Ezinye izifundo zibonise ukuthi izingxenye eziku-cranberry zingavimbela amagciwane ukuthi anamathele odongeni lwesinyi. Kodwa-ke, khuluma nodokotela wakho ngalokhu bese uthola iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- Uma unezimpawu ezifana nokusha uma uchama kanye nesidingo sokuchama njalo, kungaba ukutheleleka komgudu womchamo (UTI). Ungakushayi indiva lokho.
- Uma usola ukuthi une-UTI, qiniseka ukuthi ubonana nodokotela. Ungazinyangi.
- Thatha imithi elwa namagciwane enqunywe udokotela wakho kuze kube yilapho usuqedile ukwelashwa, ungaphuthelwa ngisho usuku olulodwa. Ungayeki ukuthatha imithi noma ubuhlungu buphela.
- Ukuphuza amanzi amaningi usuku lonke akugcini nje ngokusiza ekuvimbeleni izifo zohlelo lokuzala (UTIs), kodwa futhi kusiza umuntu onesifo sofuba ukuba alulame ngokushesha.
- Uma unezimpawu ezifana nomkhuhlane, ukuhlanza, kanye nobuhlungu obukhulu emhlane, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Izifo ze-UTI ezivame ukwenzeka zingavinjelwa kakhulu ngokulandela imikhuba efanele yokuhlanzeka.
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