Umuzwa wokushisa lapho uchama , uzizwa sengathi udinga ukuchama njalo, kodwa kancane uma uya, ubuhlungu obuncane esiswini esingezansi... Ingabe lezi zimpawu uyazijwayele? Lokhu kuyinto evamile kakhulu kubantu abaningi, ikakhulukazi abesifazane. Lokhu sikubiza ngokuthi ukutheleleka komgudu womchamo, noma ukutheleleka komgudu womchamo, noma i-UTI ngamafuphi. Kalula nje, lokhu yilapho amagciwane engena ohlelweni lwethu lomchamo (izingxenye ezifana nesinye nezinso) futhi ebangela ukutheleleka.
Ngezikhathi ezinjengalezi, indlela engcono kakhulu nenembile yokuqeda ubuhlungu, ukuvuvukala, kanye nokungakhululeki ukuthatha ama-antibiotic udokotela wakho awanikeza ngqo. Le mithi isebenza ngokubulala amagciwane abangele ukutheleleka. Ngisho ne-UTI encane, uma ingelashwa, ingasakazekela ezinso noma egazini, okubangela isimo esibi. Ngakho-ke, kubaluleke kakhulu ukuthatha imithi udokotela wakho ayinikeza ngqo njengoba ekutshela, isikhathi akutshela ngaso.
Dokotela, uwukhetha kanjani umuthi ofanele wena?
Uma unezimpawu ze-UTI, into yokuqala udokotela wakho azokwenza ukuhlola umchamo ukuqinisekisa ukuthi unesifo ngempela.
Ngemuva kwalokho, ngezinye izikhathi angase enze olunye uhlolo. Kubizwa ngokuthi " Ukukhula Komchamo ." Okusho ukuthi, bakhulisa amabhaktheriya esampula yomchamo wakho izinsuku ezimbili kuya kwezintathu elabhorethri ukuze bathole ukuthi hlobo luni lwamabhaktheriya akuwo. Uma umbiko "weSiko" usubuyile, udokotela angakunika imithi ehlose ngqo amabhaktheriya abangele ukutheleleka kwakho .
Kodwa isikhathi esiningi, ngaphambi kokuba kungene umbiko wokuhlolwa kwezifo, udokotela uzoqala ukusebenzisa umuthi obulala amagciwane ovame ukunikezwa ama-UTI.
| Ama-antibiotic asetshenziswa kakhulu | Inothi elilula |
|---|---|
| I-Nitrofurantoin (i-Macrobid) | Ngokuvamile umuthi wokuqala. |
| I-Trimethoprim/sulfamethoxazole ( Bactrim ) | Esinye isidakamizwa esisetshenziswa kabanzi sokubulala amagciwane. |
| I-Fosfomycin (i-Monurol) | Umuthi ovame ukunikezwa ngesilinganiso esisodwa. |
| I-Cephalexin | Isebenza ngokumelene nezinhlobo eziningi zamagciwane. |
| I-Ceftriaxone | Ngokuvamile inikezwa njengomjovo wokugoma. |
| I-Augmentin | Isetshenziswa uma eminye imithi ingasebenzi. |
Into ebaluleke kakhulu ukuthi, ungaphuzi ama-antibiotic ekhemisi ngaphandle kwencwadi kadokotela . Ngoba akuzona zonke izifo ze-UTI eziphathwa ngendlela efanayo. Ukuthatha umuthi ongalungile kungenza ukutheleleka kube kubi kakhulu kunokuba kube ngcono.
Iyini i-UTI eyinkimbinkimbi nelula?
Esinye isici esinquma uhlobo kanye nomthamo wemithi onikwa yona ukuthi ngabe i-UTI yakho 'iyinkimbinkimbi' noma 'ayinzima'.
- I-UTI Engaxakile: Lokhu kusho ukuthi uphilile futhi awunazo ezinye izinkinga ngohlelo lwakho lomchamo. Lolu hlobo lwe-UTI kulula ukwelapha. Ngokuvamile, izinsuku ezingu-2-3 zomuthi zanele.
- I-UTI eyinkimbinkimbi: Lokhu kusho ukuthi unesinye isimo sempilo ngaphezu kwe-UTI. Ngakho-ke, lokhu kunzima kakhulu ukukwelapha futhi kudinga ukwelashwa isikhathi eside.
Ungase ube ne-UTI eyinkimbinkimbi ngezizathu ezifana nalezi:
- Uma ukhulelwe .
- Uma uthola i-UTI njalo.
- Uma unezinkinga zokusebenza kwezinso .
- Uma amasosha omzimba wakho ebuthakathaka (isib. ngenxa ye-HIV, ukusetshenziswa kwama-steroid).
- Uma unesici sokwakheka ohlelweni lwakho lomchamo (isib., ukuncishiswa kwamapayipi athwala umchamo usuka ezinso uye kwesinye).
Uma ukutheleleka okuyinkimbinkimbi njengalokhu, udokotela wakho angase akunikeze uhlobo oluhlukile lwe-antibiotic isikhathi eside (mhlawumbe amasonto amabili noma ngaphezulu). Uma ukutheleleka kukubi kakhulu noma sekusakazekele ezinso zakho, kungadingeka ukuthi ungeniswe esibhedlela futhi unikezwe ama-antibiotic ngemithambo yegazi (IV).
Imicimbi ekhethekile: ukukhulelwa nokuguga
I-UTI ngesikhathi sokukhulelwa
Ama-UTI ayinkinga evame kakhulu ngesikhathi sokukhulelwa. Izinguquko zamahomoni kanye nesibeletho esikhulayo zithinta indlela yomchamo, okwenza kube lula ukukhula kwamagciwane.
Uma umama okhulelwe engelaphi i-UTI, ingaholela ezinkingeni ezinkulu njengokutheleleka kwezinso, ukubeletha ngaphambi kwesikhathi, kanye nesisindo esiphansi sokuzalwa . Ngakho-ke, uma unezimpawu ze-UTI, yazisa udokotela wakho ngokushesha .
Udokotela utusa ama-antibiotic afana ne-`(Nitrofurantoin)` aphephile ngesikhathi sokukhulelwa. Kodwa-ke, ama-antibiotic ohlobo lwe-`(Fluoroquinolone)` awanikezwa ngoba angaba yingozi enganeni esibelethweni.
I-UTI kubantu abadala
Njengoba ukhula, ama-antibiotic avamile e-UTI angase angasebenzi kahle. Lokhu kungenxa yokuthi ukutheleleka ngamagciwane angamelani nemithi kuvame kakhulu kubantu abadala, ikakhulukazi labo abasemakhaya asebekhulile noma ezibhedlela. Ngakho-ke, kubaluleke kakhulu ukuqala ukwelashwa okufanele ngokushesha okukhulu. Ukuhlehlisa ukwelashwa kungaholela ekutheni amagciwane angene egazini futhi abe yingozi ngisho nokuphila.
Kudingeka ngithathe umuthi isikhathi esingakanani? Ingabe kufanele ngiwuqede?
Lona umbuzo obaluleke kakhulu. Udokotela wakho uzokutshela ukuthi udinga ukuthatha umuthi isikhathi esingakanani.
- I-UTI engeyona inkimbinkimbi: Izinsuku ezingu-2-3 noma ezingu-7.
- I-UTI eyinkimbinkimbi: amasonto ama-2 noma ngaphezulu.
Uzoqala ukuzizwa ungcono cishe ezinsukwini ezimbili ngemva kokuthatha umuthi. Ukuvuvukala nobuhlungu kuzoncipha. Kodwa ungayeki ukuthatha umuthi ngoba nje kwenzeka! Kubalulekile ukuthatha umuthi kuze kube yilapho udokotela ewunike yonke imithi.
Cabanga ngakho njengempi. Umuthi uyibutho lethu. Amabhaktheriya ayizitha. Ukumisa umuthi izinsuku ezimbili kufana nokubuyisela ibutho lethu emuva lapho ezinye zezitha sezifile kanti ezinye zibuthakathaka. Kwenzekani-ke? Amabhaktheriya asele aphinde aphile futhi ahlasele futhi, enamandla kunangaphambili. Ukutheleleka kuyabuya, mhlawumbe kakhulu nakakhulu. Ngakho-ke, kubalulekile ukuthatha yonke inkambo yemithi bese ubulala wonke amabhaktheriya okugcina .
Izinto ongazenza ekhaya nokuthi kufanele ubonane nodokotela nini
Uma une-UTI, kufanele nakanjani ubonane nodokotela. Kodwa kunezinto ezithile ongazenza ekhaya ukusiza ekunciphiseni izimpawu nokuvimbela ukuphinda kuvele.
Isexwayiso: Lokhu akuzona izindlela zokwelapha. Ungazisebenzisi esikhundleni sokwelashwa.
- Phuza amanzi amaningi: Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku. Lokhu kusiza ekukhipheni amagciwane ohlelweni lomchamo.
- Ijusi le-Cranberry: Ezinye izifundo zisikisela ukuthi ijusi le-cranberry elingenashukela lingasiza ekuvimbeleni izifo zomgudu womchamo.
- I-Vitamin C: Iqinisa amasosha omzimba futhi iyasiza ekulweni nezifo.
- Ama-Probiotic: Lawa "mabhaktheriya amahle" atholakala ezintweni ezifana ne-yogurt asiza ukulawula ukukhula kwamabhaktheriya amabi emzimbeni.
Uma unalezi zimpawu, bona udokotela ngokushesha.
Izimpawu kufanele zithuthuke zingakapheli izinsuku ezimbalwa kusukela ekuqaleni kokwelashwa. Ngaphandle kwalokho, uma kwenzeka noma yikuphi kwalokhu okulandelayo, qiniseka ukuthi ukhuluma nodokotela wakho.
| Izimpawu zesixwayiso okufanele uziqaphele | |
|---|---|
| Akukho ukwehla kwezimpawu | Uma kungekho ntuthuko naphezu kokuthatha imithi. |
| Izimpawu ezikhulayo | Uma ukuvuvukala nobuhlungu kubi kakhulu kunangaphambili. |
| Umkhuhlane kanye nobuhlungu emhlane | Lokhu kungaba uphawu lokuthi ukutheleleka sekusakazekele ezinso. |
| Ukuhlanza | Uma uhlanza kuze kube yilapho ungakwazi ukudla noma ukuphuza noma yini. |
| Ukuphinda kwalesi sifo | Uma izimpawu ziphinde zivele ezinsukwini ezimbalwa ngemva kokwelashwa. |
Esimweni esinjalo, kungadingeka ngisho nokuya e-Emergency Treatment Unit (ETU) yesibhedlela.
Umlayezo Wokuya Nawe Ekhaya
- Ukutheleleka komgudu womchamo (UTIs) kubangelwa amagciwane. Ukwelashwa okuwukuphela kwendlela ephumelelayo yalokhu ama-antibiotic anqunywe udokotela .
- Ngisho noma uzizwa ungcono, thatha umthamo ophelele wemithi oyinikezwe udokotela wakho isikhathi sonke . Ngaphandle kwalokho, ukutheleleka kungase kubuye.
- Ungalokothi usebenzise ama-antibiotic ngaphandle kweseluleko sezokwelapha, esivela ekhemisi noma komunye umuntu.
- Uma ukhulelwe, usukhulile, noma unezinye izimo zezokwelapha , kufanele ukhathazeke kakhulu nge-UTI. Funa iseluleko sezokwelapha ngokushesha.
- Uma izimpawu ziqhubeka ngemva kokwelashwa, noma uma kuvela izimpawu ezintsha, njengomkhuhlane noma ubuhlungu bomhlane, bona udokotela wakho ngokushesha.
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