Ingabe uvame ukuzwa ukushisa noma ubuhlungu uma uchama? Kungaba ukutheleleka komgudu womchamo (UTI)!

Ingabe ngezinye izikhathi uzizwa ushisa kancane, ubuhlungu, noma udinga ukuchama njalo ? Noma uzizwa sengathi umchamo wakho ushintshe umbala futhi unephunga elingavamile? Nakuba lokhu kungase kungabonakali njengento enkulu, kungaba uphawu lokutheleleka komgudu womchamo (UTI). Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini ukutheleleka komgudu womchamo (UTI)?

Kalula nje, ukutheleleka komgudu womchamo , noma i-UTI , ukutheleleka okwenzeka noma kuphi ohlelweni lwakho lomchamo, lapho umchamo ukhiqizwa khona, ugcinwa khona, futhi ukhishwa khona. Lokhu kutheleleka kungathinta izingxenye ezilandelayo zohlelo lwakho lomchamo:

• I-Urethra: Lena yipayipi lapho umchamo uphuma khona. Uma kukhona ukutheleleka lapha, sikubiza ngokuthi `(i-Urethritis)`.
• Izinso: Izitho ezimbili ezibaluleke kakhulu emzimbeni wethu ezihlunga igazi futhi zikhiqize umchamo . Uma izinso zitheleleka, kubizwa ngokuthi "i-Pyelonephritis." Lesi yisimo esibi kakhulu.
• Isinye: Ingxenye yomzimba efana nesikhwama lapho umchamo ugcinwa khona. Uma itheleleka, ibizwa ngokuthi "i-Cystitis." Yilokhu okuvame ukubizwa ngokuthi i-UTI.

Ubuwazi ukuthi umchamo uwukungcola kanye namanzi angaphezulu akhishwa yizinso egazini lethu uma ziwuhlanza? Ngokuvamile, umchamo udlula ohlelweni lomchamo uhlanzekile ngaphandle kwamagciwane. Kodwa-ke, ngezinye izikhathi, lapho amagciwane, njengebhaktheriya , engena ohlelweni lomchamo, kuvela isimo esibizwa ngokuthi i-UTI.

Uhlelo lwethu lomchamo lwakheka kanjani?

Ake sibheke izingxenye eziyinhloko zalesi simiso somchamo.

• Izinso: Lezi zifana nezitho ezimbili ezimise okwebhontshisi. Zitholakala ngemuva kwemizimba yethu, ngaphezu nje kwesinqe. Iningi labantu linezinso ezimbili. Lezi zinomthwalo wokuhlunga amanzi nemikhiqizo engcolile egazini bese zenza umchamo . Imikhiqizo evame kakhulu yemfucuza yi-`(Urea)` kanye ne-`(creatinine)`.
• Ama-ureter: Lawa amapayipi amabili amancane athwala umchamo okhiqizwa ezinso uye esinyeni.
• Isinye: Lesi isitho esingavuvukala njengebhaluni. Siqoqa futhi sigcine umchamo okwesikhashana ngaphambi kokuba siphume emzimbeni.
• I-Urethra: Lena yipayipi elithwala umchamo oqoqwe esinyeni uphume emzimbeni.

Sivame kangakanani lesi simo?

I-UTI empeleni ivame kakhulu., ikakhulukazi phakathi kwabesifazane. Kulinganiselwa ukuthi cishe ingxenye yabo bonke abesifazane izoba ne-UTI ngesikhathi esithile empilweni yabo. Amadoda nezingane ezincane nabo bangayithola, kodwa yi-1% kuya ku-2% kuphela yezingane eba nayo. Odokotela belapha abantu ababalelwa ezigidini ezingu-8 kuya kwezingu-10 abane-UTI minyaka yonke.

Ziyini izimpawu ze-UTI?

I-UTI ukuvuvukala kolwelwesi lomchamo. Lokhu kungabangela izinkinga ezifana nalezi:

• Ubuhlungu ohlangothini, esiswini, endaweni yesinqe, noma emhlane.
• Ukuzizwa sengathi ucindezelekile esiswini esingezansi.
• Umchamo omnyama ngombala futhi onephunga elibi.
• Ubunzima bokulawula umchamo (ukungakwazi ukuzibamba komchamo).
• Isidingo sokuchama njalo.
• Ukungakwazi ukuzibamba yisifiso sokuchama ngokuzumayo kanye nokungakwazi ukuyeka.
• Ukushisa kanye nobuhlungu lapho uchama (i-dysuria).
• Igazi emchameni (i-hematuria).

Ngaphezu kwalokhu, ezinye izimpawu ezingase zihlotshaniswe ne-UTI zifaka:

• Kwabesilisa, kubuhlungu endukwini.
• Ukuzizwa ukhathele kakhulu (ukukhathala).
• Imfiva.
• Ukuzizwa ubanda futhi uqhaqhazela (ukubanda).
• Isicanucanu nokuhlanza.
• Ngezinye izikhathi, ikakhulukazi kwasebekhulile, kuba noshintsho noma ukudideka kwengqondo.

I-UTI ikhula kanjani?

Imbangela eyinhloko ye-UTIs yizinto ezincane , ikakhulukazi amagciwane. Lawa avame ukungena nge-urethra bese ethelela esinyeni. Ukusuka lapho, ukutheleleka kungadlulela ezindlini zomchamo bese ekugcineni kuya ezinso.

Into ebaluleke kakhulu: I-E. coli uhlobo lwamagciwane abangela ukutheleleka kwesinye okungaphezu kuka-90%. Leli gciwane le-E. coli livame ukutholakala emathunjini ethu amakhulu, azungeze indunu.

Ubani osengozini enkulu yokuthola i-UTI?

Noma ubani angathola i-UTI. Kodwa-ke, uma ungowesifazane, usengozini enkulu . Lokhu kungenxa yokuthi abesifazane bane-urethra emfushane kunabesilisa futhi baseduze ne-anus, lapho amagciwane e-E. coli avame khona. Lokhu kwenza kube lula ngamagciwane ukungena emgudwini womchamo.

Ungakwazi yini ukuthola i-UTI ngeminwe yakho?

Yebo, iminwe yakho ingabangela i-UTI. Kungakhathaliseki ukuthi uthinta yiphi indawo, izandla zakho zingaba namagciwane namanye amagciwane. Kungakhathaliseki ukuthi uya endlini yangasese, uya ocansini, noma ushaya indlwabu, la magciwane angangena ngengozi e-urethra yakho uma ungazigezi izandla zakho kahle.

Ngakho-keKubaluleke kakhulu ukugeza izandla zakho kahle ngensipho ngaphambi nangemva kokusebenzisa indlu yangasese, kanye nangaphambi nangemva kokwenza ucansi.

Wazi kanjani ukuthi une-UTI?

Uma unezinye zezimpawu ezingenhla ze-UTI, kufanele nakanjani ubonane nodokotela. Uzokubuza ngezimpawu zakho, athathe umlando wezifo zakho, futhi enze ukuhlolwa ngokomzimba. Bangase benze izivivinyo ezimbalwa ukuqinisekisa ukuthi une-UTI.

Yiziphi izivivinyo ezenziwayo ukuqinisekisa i-UTI?

Udokotela angase acele ukuhlolwa okufana nalokhu:

• Ukuhlolwa komchamo: Lokhu kuhilela ukuthi uchame enkomishini ekhethekile. Isampula ithunyelwa elabhorethri, lapho ihlolwa khona izimpawu zokutheleleka. Isibonelo, ihlolwa ama-nitrites, ama-leukocyte esterase, kanye namaseli amhlophe egazi.
• Ukukhuliswa komchamo: Lokhu kuhilela nokuthatha isampula yomchamo bese uwukhulisa elabhorethri ukuze kutholakale ukuthi yimaphi amagciwane akhona. Lokhu kubaluleke kakhulu ngoba kusiza udokotela ukuthi anqume ukuthi yimuphi umuthi okufanele awunikeze.

Ngezinye izikhathi, uma ukutheleleka kungaphenduli ekwelashweni, udokotela angase enze nezivivinyo zokuhlola ezinye izifo noma umonakalo ohlelweni lomchamo, njenge:

• Ukuskena nge-ultrasound: Lokhu kuyindlela yokuhlola engenabuhlungu yokubheka izitho zomzimba ngaphakathi komzimba.
• I-CT scan: Lolu futhi uhlobo lwendlela yokuthwebula izithombe ze-X-ray. Ithatha izithombe ezinqamula ingaphakathi lomzimba, idale isithombe esinezinhlangothi ezintathu (3D). Lokhu kunembe kakhulu kune-X-ray evamile.
• I-Cystoscopy: Ithuluzi elincane elibizwa ngokuthi i-cystoscope lifakwa nge-urethra liye esinyeni. Le thuluzi inekhamera kanye nokukhanya ekugcineni.

Uma une-UTIs evame ukwenzeka, udokotela angase ahlole nezinye izinkinga zempilo, njengesifo sikashukela, noma ukungasebenzi kahle ohlelweni lomchamo.

Yini engcono kakhulu ongayenza nge-UTI?

Into engcono kakhulu ongayenza nge-UTI ukubona udokotela. I-UTI idinga ama-antibiotic ukuze iyelaphe. Udokotela wakho uzokhetha i-antibiotic engcono kakhulu ezosebenza ngokumelene namagciwane abangele ukutheleleka kwakho.

Uma usunikezwe ama-antibiotic, kubaluleke kakhulu ukuwaphuza njengoba nje udokotela wakho ekutshelile, kuze kube yilapho yonke inkambo iphela. Ngisho noma izimpawu zakho seziphelile futhi uzizwa ungcono, kufanele uphuze yonke imithi oyinikezwe uze uqede. Ngaphandle kwalokho, ukutheleleka kungase kubuye futhi kube nzima ukukwelapha kamuva.

Uma une-UTIs evame ukwenzeka, udokotela angase akunike ama-antibiotic anjengalawa:

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

Uma uthola ama-UTI njalo, khuluma nodokotela wakho mayelana nokwelashwa okungcono kakhulu kuwe.

Yimaphi ama-antibiotic akhethekile anikezwa i-UTI?

Odokotela bavame ukunikeza ama-antibiotic afana nalawa e-UTI:

• `I-Nitrofurantoin`
• Ama-Sulfonamides (imithi ye-sulfa), isibonelo `sulfamethoxazole/trimethoprim`
• `I-Amoxicillin`
• Ama-Cephalosporins, isibonelo i-'cephalexin'
• I- Doxycycline (i-Doxycycline)
• `I-Fosfomycin`
• Ama-Quinolone, isibonelo i-`ciprofloxacin` noma i-`levofloxacin`

Uma une-UTIs evame ukwenzeka, udokotela wakho angase akunikeze ama-antibiotic aphansi isikhathi esifushane ukuvimbela ukutheleleka ukuthi kungabuyi. Lokhu kwenziwa ngokucophelela okukhulu, njengoba umzimba wakho ungathuthukisa ukumelana nama-antibiotic, kanti nezinye izifo, njenge-C. diff colitis, zingakhula. Le ndlela ayisetshenziswa kaningi.

Ingabe singamelana nama-antibiotic anikezwa ama-UTI?

Ngandlela thile, yebo. Njalo uma usebenzisa ama-antibiotic ukwelapha i-UTI, ukutheleleka kungajwayelana nakho futhi kube nzima ukulwa nakho (ukumelana nama-antibiotic). Kodwa khumbula, ukutheleleka okumelana nama-antibiotic, hhayi wena. Ama-antibiotic angase angabi yisisombululo esihle ngaso sonke isikhathi. Ngakho-ke, uma uthola ama-UTI njalo, udokotela angase asikisele ezinye izindlela zokwelapha. Lokhu kufaka phakathi:

• Ukulinda: Udokotela wakho angase akutshele ukuthi "qaphela" izimpawu zakho. Phakathi nalesi sikhathi, kuwumqondo omuhle ukuphuza uketshezi oluningi, njengamanzi, ukuze kusize ekususeni amagciwane emzimbeni wakho.
• Ukwelashwa nge-intravenous (IV): Kwezinye izimo eziyinkimbinkimbi, i-UTI ingaba nokumelana nama-antibiotic, noma ukutheleleka kungasakazekela ezinso. Kuleso simo, kungadingeka uhlale esibhedlela. Lapho, uzonikezwa imithi ngenaliti efakwe emthanjeni (ngokuvamile engalweni yakho). Ngemva kokufika ekhaya, kuzodingeka uthathe ama-antibiotic omlomo isikhashana ukuze uqede ngokuphelele ukutheleleka.

Ingabe ijusi le-cranberry lingavimbela izifo zomgudu womchamo?

Ijusi le-cranberry elithengwa esitolo ngeke livimbele i-UTI. Kodwa-ke, izithasiselo ze-cranberry extract (njengamaphilisi evithamini) zinganciphisa ingozi yokuthola i-UTI.

Uma uthola ama-UTI njalo, umuthi ongewona owama-antibiotic obizwa ngokuthi i-methenamine hippurate ungasiza nasekuvimbeleni ukutheleleka.

Ingabe i-UTI izophola ngokwayo?

Ukutheleleka okuncane komgudu womchamo ngezinye izikhathi kungathuthuka ngokwakho. Kodwa-ke, iningi le-UTI lidinga ama-antibiotic ukuze lilulame. Kufanele nakanjani uthathe ama-antibiotic uma une-UTI enanoma yikuphi kwalokhu okulandelayo:

• Imfiva.
• Ukuzizwa ubanda futhi uthuthumela.
• Isicanucanu nokuhlanza.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Abantu abaningi baqala ama-antibiotics ukuze bathole i-UTI.Uzoqala ukuzizwa ungcono ezinsukwini ezimbalwa.

Yini ongayilindela uma une-UTI?

Umbono wokutheleleka komgudu womchamo muhle kakhulu. Iningi le-UTI lisabela kahle ekwelashweni. I-UTI ingaba yinkinga enkulu futhi ingakhululeki ngaphambi kokuba ukwelashwa kuqale. Kodwa-ke, uma udokotela esethole amagciwane futhi ekunika i-antibiotic efanele, izimpawu zakho kufanele zisheshe zithuthuke.

Into ebaluleke kakhulu: Kubalulekile ukuqeda wonke ama-antibiotic udokotela wakho akunike wona. Uma une-UTI evame ukwenzeka, noma uma izimpawu zakho zingabi ngcono, udokotela wakho uzohlola ukutheleleka kwakho ukuze abone ukuthi kuyamelana yini nama-antibiotic. Izifo ezimelana nama-antibiotic zingadinga ama-antibiotic afakwa ngemithambo yegazi (ama-antibiotic e-IV) noma ezinye izindlela zokwelapha.

Ungakwazi yini ukuvimbela i-UTI?

Ukwenza lezi zinguquko endleleni yokuphila kungasiza ekuvimbeleni izifo zohlelo lokuphefumula olubizwa ngokuthi i-UTI:

Gcina inhlanzeko enhle

Enye yezindlela ezinhle kakhulu zokusiza ukuvimbela ama-UTI ukugcina inhlanzeko enhle. Lokhu kubaluleke kakhulu kwabesifazane, ngoba i-urethra yakho imfushane, okwenza kube lula ukuthi amagciwane e-E. coli avela ku-rectum yakho abuyele emzimbeni wakho. Ukuze uvimbele lokhu, sula njalo kusukela phambili kuya emuva ngemva kokuhamba kwamathumbu ( njengokuchama ).

Kungumqondo omuhle futhi ukushintsha ama-pad nama-tampon njalo phakathi nomjikelezo wakho wokuya esikhathini wanyanga zonke. Futhi, gwema ukusebenzisa noma yiluphi uhlobo lwe-deodorant esithweni sakho sangasese sowesifazane.

Phuza amanzi amaningi kanye noketshezi.

Ukuphuza uketshezi oluningi – ikakhulukazi amanzi – nsuku zonke kusiza ekukhipheni amagciwane emgudwini womchamo. Odokotela batusa ukuphuza izingilazi zamanzi eziyisithupha kuya kweziyisishiyagalombili ngosuku.

Shintsha imikhuba yakho yokuchama .

Ukuchama kungadlala indima enkulu ekususeni amagciwane emzimbeni. Umchamo wakho ungumkhiqizo ongcolile, futhi njalo uma ukhipha isinye sakho, usiza ekususeni lowo mkhiqizo ongcolile emzimbeni.

Ukuchama njalo kunganciphisa ingozi yakho yokuthola ukutheleleka, ikakhulukazi uma ungumuntu othola i-UTI njalo.

Futhi, zama ukuchama ngaphambi nangemva kocansi. Amabhaktheriya angangena e-urethra ngesikhathi socansi, ngakho-ke ukuchama ngaphambi nangemva kwalezi zikhathi kusiza ukuwakhipha. Uma ungakwazi ukuchama , hlanza indawo ngamanzi afudumele.

Ukushintsha izindlela zokuvimbela inzalo

Uma usebenzisa i-diaphragm ekulawuleni inzalo, ingozi yakho yokuthola i-UTI inganda. Khuluma nodokotela wakho ngezinye izindlela zokulawula inzalo.

Sebenzisa igrisi etholakala emanzini ngesikhathi socansi.

Uma usebenzisa amafutha okugcoba ngesikhathi socansi,Qiniseka ukuthi isekelwe emanzini. Uma uthola i-UTI njalo, gwema ukusebenzisa umuthi wokubulala isidoda.

Nakekela izingubo zakho.

Izingubo eziqinile zingadala indawo emanzi engakhuthaza ukukhula kwamagciwane. Ukuze uvimbele umswakama ukuthi unganqwabelani eduze kwe-urethra, zama ukugqoka izingubo ezikhululekile kanye nezingubo zangaphansi zekotoni.

Imithi

Uma usuqedile ukuya esikhathini, udokotela wakho angase akuncome ukhilimu wesitho sangasese sowesifazane oqukethe i-estrogen. Lawa makhilimu angasiza ekunciphiseni ingozi ye-UTI ngokushintsha i-pH yesitho sangasese sowesifazane. Uma usuqedile ukuya esikhathini futhi une-UTI evame ukwenzeka, khuluma nodokotela wakho.

Izithako zokudla ezithengiswa ngaphandle kwemithi (OTC), njenge-cranberry extract kanye nama-probiotic, zingasiza ekuvimbeleni izifo zomgudu womchamo. Kodwa-ke, khuluma nodokotela wakho ngaphambi kokuthatha noma yiziphi izithako zokudla.

Kufanele ubonane nini nodokotela uma une-UTI?

Bona udokotela uma unezimpawu ze-UTI. Uma izimpawu zakho ziba zimbi kakhulu ngemva kokuba udokotela wakho ekuthole une-UTI, ziphinde uzibone. Ungase udinge ukwelashwa okuhlukile.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma une-UTI futhi uhlangabezana nalezi zimpawu, iya ekamelweni lezimo eziphuthumayo ngokushesha:

• Imfiva.
• Ukuhlungu obusemhlane.
• Ukuhlanza.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ake sithi uye kobona udokotela. Ungase ubuze imibuzo efana nale:

• "Dokotela, wazi kanjani ukuthi nginesifo sofuba?"
• "Uma ngingenayo i-UTI, yisiphi esinye isifo enginaso?"
• "Yimaphi amagciwane abangele i-UTI yami?"
• "Yimuphi umuthi wokwelapha lesi sifo ongase uwunike wona?"
• "Ingabe kukhona imiyalelo ekhethekile okufanele ngiyilandele lapho ngithatha le antibiotic?"
• "Kuzongithatha isikhathi esingakanani ukuthi ngizizwe ngingcono?"
• "Ingabe ngidinga ukubuya (ukuze ngithole i-aphoyintimenti yokulandelela)?"
• "Yini engingayenza ekhaya ukuze nginciphise izimpawu zami?"

Uyini umehluko phakathi kokutheleleka kwe-urinary tract (UTI) kanye ne-cystitis?

I-UTI iyisifo esitholakala noma kuphi ohlelweni lwakho lomchamo – okungukuthi, izinso zakho, ama-ureter, isinye noma i-urethra. I-Cystitis uhlobo lwe-UTI. Isifo esitholakala kwesinye, futhi uhlobo lwe-UTI oluvame kakhulu.

Ungakwazi yini ukubona umehluko phakathi kokutheleleka kwe-urinary tract (UTI) kanye nokutheleleka kwesinye?

Ukutheleleka komgudu womchamo (UTI) uhlobo oluvame kakhulu lokutheleleka. Kunezingxenye eziningi zesistimu yakho yomchamo. I-UTI igama elinikezwa ukutheleleka okwenzeka kulo lonke uhlelo lomchamo.

Ukutheleleka kwesinye kuyisifo esithile.Iya esinyini futhi ibangele ukuvuvukala. Elinye igama lokutheleleka kwesinye yi-"cystitis".

Akuzona zonke izifo ze-UTI eziphenduka izifo zesinyi. Kubalulekile ukwelapha i-UTI ngokushesha ukuze uvimbele ukutheleleka ukuthi kungasabalali kwezinye izingxenye zesistimu yomchamo. Ukutheleleka kungasabalala hhayi esinyini kuphela, kodwa nasezinso. Ukutheleleka kwezinso (i-pyelonephritis) kuwuhlobo lokutheleleka oluyinkimbinkimbi kakhulu.

Okokugcina, izinto okufanele uzikhumbule

Ukutheleleka komgudu womchamo (i-UTI) ukutheleleka ohlelweni lwakho lomchamo. Ungase uzizwe unamahloni ngezimpawu zakho, njengobuhlungu endaweni yakho yokuzala noma ukungakwazi ukulawula umchamo wakho , kodwa lokho kulungile - awukenzanga lutho olubi. Udokotela angakunikeza ama-antibiotic ukwelapha ukutheleleka, futhi izimpawu zakho kufanele zithuthuke zingakapheli izinsuku ezimbalwa. Landela imiyalelo kadokotela wakho bese uthatha yonke imithi yama-antibiotic oyinikeziwe, futhi i-UTI yakho izophulukiswa ngokuphelele.

Khumbula, uma kwenzeka into efana nale, kungcono ukubona udokotela ngokushesha okukhulu. Ngaleyo ndlela, ungalulama ngokushesha.

Ukutheleleka komgudu womchamo , i-UTI, uhlelo lomchamo, izinso, isinye, ama-antibiotic, i-urethritis