Ingabe nawe uzizwa ushisa noma ubuhlungu uma uchama? Noma ingabe uvame ukuchama? Ngezikhathi ezinjengalezi, udokotela wakho angase akucele ukuthi uhlolwe umchamo futhi akucele ukuthi wenze 'iSiko'. Abantu abaningi bayesaba kancane uma bezwa igama elithi 'Isiko'. Kodwa empeleni lokhu ukuhlolwa okulula kakhulu nokubaluleke kakhulu. Ake sixoxe ngakho konke ngokucacile namuhla.
Kalula nje, kuyini ukukhuliswa komchamo?
Kulula kakhulu. Lokhu kwenziwa ukuhlola ukuthi kukhona yini amagciwane noma isikhunta/imvubelo emchameni wakho. 'Isiko' lisho ukuthi ilebhu ithatha isampula yomchamo wakho, iyibeke epuletini elikhethekile elinokudla kwamagciwane okukhula kuwo, bese iyivumela ikhule usuku olulodwa noma ezimbili. Uma kukhona amagciwane athelelanayo emchameni wakho, azosabalala epuletini futhi akhule abe amakoloni.
Inzuzo enkulu yalolu vivinyo ukuthi lungabona ngqo ukuthi yiliphi igciwane elibangela ukutheleleka komgudu wakho womchamo (i-UTI). Akukhona lokho kuphela, kunganquma nokuthi yiliphi i-antibiotic elilungele ukubulala lelo gciwane. Ngemuva kwalokho, udokotela wakho angakhetha umuthi ongcono kakhulu ukuze ululame ngokushesha.
Umehluko phakathi kokukhuliswa komchamo kanye nokuhlolwa komchamo okuvamile (ukuhlolwa komchamo)
Esikhathini esiningi, udokotela uzoqala ngokunikeza ukuhlolwa komchamo ojwayelekile. Siphinde sikubize ngokuthi yi-Urine Full Report (UFR). Ake sibone ukuthi umehluko uyini phakathi kwalokhu okubili.
| Ukuhlolwa | Yini oyenzayo nje? | Imiphumela iyeza maduze. |
|---|---|---|
| Ukuhlolwa komchamo okuvamile (Ukuhlolwa Komchamo / UFR) | Lokhu ukuhlolwa okusheshayo. Kwenziwa ukuze kutholakale umbono oqondile wokuthi ngabe kukhona yini amangqamuzana egazi abomvu namhlophe, amabhaktheriya, njll. emchameni. Kunikeza nje umbono wokuthi kukhona ukutheleleka. | Ingathathwa emahoreni ambalwa. |
| Isiko Lomchamo | Lokhu ukuhlolwa okuqinisekisayo okusiza ukuhlonza igciwane elithile elibangele ukutheleleka. Kuphinde kusize ekutholeni umuthi ofanele walo. | Kuthatha cishe izinsuku ezingu-2-3. |
Uyinikeza kanjani ngempela isampula yomchamo yalolu vivinyo?
Lokhu kuyinto ebaluleke kakhulu. Ukuze umphumela wokuhlolwa ube ngonembile ngokuphelele, isampula yomchamo esiwunikezayo kumele ihlanzeke, ngaphandle kokungcola kwangaphandle. Lokhu sikubiza ngokuthi indlela ethi 'Clean Catch' .
Ingabe udinga ukulungiselela ngaphambi kokuhlolwa?
- Zama ukungachami cishe ihora ngaphambi kokunikeza isampula.
- Uma uphuza ingilazi noma amabili amanzi cishe imizuzu engama-20 ngaphambi kokunikeza isampula, kuzoba lula ukuqoqa umchamo owanele.
- Uma kungenzeka, kungcono ukunikeza isampula yomchamo into yokuqala ekuseni ngemva kokuvuka.
Izinyathelo zokunikeza isampula yomchamo wendlela ethi 'Clean Catch'
1. Geza izandla zakho kahle: Okokuqala, geza izandla zakho kahle ngensipho.
2. Hlanza: Hlanza kahle indawo lapho umchamo uphuma khona ngesisuli esikhethekile sokubulala amagciwane esinikezwe ilebhu.
- Uma ungowesifazane: Sula i-labia kusukela phambili kuya emuva eduze komgodi wesitho sangasese sowesifazane.
- Uma uyindoda: Uma ungasokile, donsa ijwabu bese usula kahle ipenisi ye-glans.
3. Susa ambalwa okuqala: Qala ukuchama bese uthululela imichamo embalwa yokuqala endlini yangasese.
4. Qoqa okuphakathi: Bese, ngaphandle kokuyeka ukuchama, thatha indebe ehlanzekile enikezwe yilebhu bese uqoqa umchamo kuyo. Khumbula ukubamba indebe ngaphandle kokuyivumela ukuthinta umzimba wakho .
5. Susa ingxenye yokugcina: Uma inkomishi isigcwele cishe ingxenye, yikhiphe bese uphonsa umchamo osele endlini yangasese.
6. Vala indebe bese uyinika: Vala isivalo sendebe ngokuqinile bese uyibeka endaweni efanele elabhorethri. Geza izandla zakho kahle futhi.
Kubaluleke kakhulu ukulandela le ndlela ethi 'Clean Catch'. Ngaphandle kwalokho, amabhaktheriya avamile esikhumbeni sethu angaxubana nomchamo futhi abangele ukuthi umbiko ubonise ukuthi unegciwane elingelona iqiniso ngisho noma ungenalo ukutheleleka.
Uthatha kanjani isampula yomchamo kumntwana omncane?
Ngenxa yokuthi kunzima ukunikeza izingane ezincane umchamo ngale ndlela, kusetshenziswa ezinye izindlela.
- Isikhwama Somchamo (Isikhwama se-U): Kubantwana abancane kakhulu, udokotela uzokunikeza isikhwama esikhethekile (Isikhwama Somchamo). Lokhu kufana nesitika okufanele usinamathisele endaweni lapho ingane yakho ichamela khona. Ngemva kokuba ingane yakho ichamile, udinga ukusisusa ngokucophelela bese usiyisa elabhorethri.
- Nge-catheter (i-Catheterization):Ngezinye izikhathi, esibhedlela, udokotela noma umhlengikazi angafaka ipayipi elincane (i-catheter) phansi kwe-urethra bese eqoqa isampula yomchamo ngqo esinyini.
Ukuqonda imiphumela yombiko wokuhlolwa komchamo
Uzothola umbiko wakho ezinsukwini ezimbili noma ezintathu. Kulula kakhulu ukuwuqonda.
| Umphumela | Incazelo elula |
|---|---|
| Okubi / Akukho Ukukhula (Okubi) | Lokhu kujwayelekile. Kusho ukuthi awekho amagciwane emchameni wakho angabangela ukutheleleka. Awunayo i-UTI. |
| Okuhle / Ukukhula () | Lokhu kusho ukuthi amagciwane akhulele emchameni wakho, okusho ukuthi une-UTI. Umbiko uzophinde ubhale igama legciwane (isb. i-E. coli ). |
| Ingabe iyazwela kuma-antibiotic? (Ukuzwela kwama-antibiotic) | |
| Okuthintekayo (S) | Lomuthi usebenza kahle kakhulu ngokumelene nalelo gciwane. Udokotela uzovame ukukunikeza lo muthi. |
| Okuphakathi (I) | Lomuthi usebenza ngezinga elithile. Mhlawumbe uma unikeza umuthi ophakeme, ungawubulala umkhuhlane. |
| Ukumelana (R) | Lomuthi awusebenzi nhlobo kulelo gciwane. Akusizi ngalutho ukunikeza lo muthi. |
Ngezinye izikhathi, ungaba namagciwane emchameni wakho ngaphandle kwezimpawu. Lokhu kubizwa ngokuthi i-asymptomatic bacteriuria . Ngokuvamile, uma kungekho zimpawu, akukho ukwelashwa. Kodwa-ke, uma ukhulelwe, udokotela wakho uzokunikeza ukwelashwa ngakho.
Kunini lapho udinga ukukhuluma nodokotela wakho?
- Uma ucabanga ukuthi une-UTI futhi usuqalile ukuthatha imithi, kodwa izimpawu zakho azithuthuki.
- Uma ungacaci ngemiphumela yombiko wakho wokuhlolwa.
- Ngisho noma imiphumela yakho yokuhlolwa 'ingemihle', usenezimpawu ezifana nokutheleleka komgudu womchamo, ubuhlungu (mhlawumbe kungaba ngenxa yesinye isizathu esifana namatshe ezinso).
Into ebaluleke kakhulu ukuthi ukutheleleka ngomchamo akuyona into okufanele uyinake. Uma kungelashwa, ukutheleleka kungasakazekela ezinso noma egazini futhi kube kubi kakhulu. Ngakho-ke, uma unokungabaza, qiniseka ukuthi ubona udokotela.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhula komchamo kuyindlela elula nebalulekile yokuhlola igciwane elibangela ukutheleleka komgudu womchamo kanye nemithi efanele.
- Uma unikeza umchamo ukuze uhlolwe, ukulandela indlela ethi 'Clean Catch' kubalulekile ukuze uthole umphumela onembile.
- Ungakhathazeki ngemiphumela yombiko. Udokotela wakho uzochaza konke futhi akunike ukwelashwa okudingayo.
- Uma izimpawu zakho zingathuthuki ngemva kwezinsuku ezimbili noma ezintathu zokuthatha umuthi, bona udokotela wakho futhi.
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