I-UTI ehlobene ne-catheter

I-catheter yishubhu esinyeni sakho esusa umchamo emzimbeni. Le tube ingahlala endaweni isikhathi eside. Uma kunjalo, ibizwa ngokuthi yi-catheter yokuhlala. Umchamo uphuma esinyeni sakho ungene esikhwameni esingaphandle komzimba wakho.

Uma une-catheter ye-urinary ehlala ngaphakathi, kungenzeka ukuthi uthuthukise ukutheleleka kwe-urinary tract (UTI) esinyeni sakho noma ezinso.

Izinhlobo eziningi zamagciwane noma isikhunta zingadala i-UTI ehlobene ne-catheter. Lolu hlobo lwe-UTI kunzima ukulwelapha ngama-antibiotic ajwayelekile.

Izizathu ezijwayelekile zokuba ne-catheter yokuhlala:

• Ukuvuza komchamo (ukungasebenzi)
• Ukungakwazi ukukhipha isinye sakho
• Ukuhlinzwa esinyeni sakho, kwi-prostate, noma esithweni sangasese

Ngesikhathi sokuhlala esibhedlela, ungahle ube ne-catheter yokuhlala:

• Ngemuva nje kwanoma yiluphi uhlobo lokuhlinzwa
• Uma ungakwazi ukuchama
• Uma inani lomchamo owukhiqizayo lidinga ukubhekwa
• Uma ugula kakhulu futhi ungakwazi ukulawula umchamo wakho

Ezinye zezimpawu ezivamile yilezi:

• Umbala womchamo ongajwayelekile noma umchamo onamafu
• Igazi emchameni (hematuria)
• Iphunga elibi noma elinamandla lomchamo
• Isifiso esivela njalo futhi esinamandla sokuchama
• Ingcindezi, ubuhlungu, noma ama-spasms emhlane wakho noma engxenyeni engezansi yesisu sakho

Ezinye izimpawu ezingenzeka nge-UTI:

• Amakhaza
• Imfiva
• Ubuhlungu beFlank
• Izinguquko zengqondo noma ukudideka (lezi kungaba yizimpawu kuphela ze-UTI kumuntu osekhulile)

Ukuhlolwa komchamo kuzohlola ukutheleleka:

• I-Urinalysis ingakhombisa amangqamuzana amhlophe egazi (ama-WBCs) noma amaseli abomvu egazi (ama-RBC).
• Isiko le-urine lingasiza ekunqumeni uhlobo lwama-bacterium kumchamo. Lokhu kuzosiza umhlinzeki wakho wezokunakekelwa kwezempilo anqume ngama-antibiotic angcono kakhulu ongawasebenzisa.

Umhlinzeki wakho angancoma:

• I-Ultrasound yesisu noma okhalo
• Ukuhlolwa kwe-CT kwesisu noma okhalweni

Abantu abane-catheter ehlala endlini bavame ukuba nokuhlolwa kokuchama okungajwayelekile namasiko avela emchameni esikhwameni. Kepha noma ngabe lezi zivivinyo zingavamile, ungahle ungabi nayo i-UTI. Leli qiniso lenza kube nzima kumhlinzeki wakho ukuthi akhethe ukukuphatha.

Uma unezimpawu ze-UTI, umhlinzeki wakho uzokuphatha ngama-antibiotic.

Uma ungenazo izimpawu, umhlinzeki wakho uzokuphatha ngama-antibiotic kuphela uma:

• Ukhulelwe
• Uqhubeka nenqubo ehlobene nomgudu womchamo

Isikhathi esiningi, ungathatha ama-antibiotics ngomlomo. Kubaluleke kakhulu ukuzithatha zonke, noma ngabe uzizwa ungcono ngaphambi kokuba uziqede. Uma ukutheleleka kwakho kunzima kakhulu, ungathola umuthi emthanjeni. Ungase futhi uthole umuthi wokunciphisa ama-spasms esinye.

Uzodinga uketshezi oluningi ukusiza ukukhipha amabhaktheriya esinyeni sakho. Uma uzelapha ekhaya, lokhu kungasho ukuphuza izingilazi eziyisithupha kuya kweziyisishiyagalombili zoketshezi ngosuku. Kufanele ubuze umhlinzeki wakho ukuthi kungakanani uketshezi okuphephile kuwe. Gwema uketshezi olucasula isinye sakho, njengotshwala, amajusi ezisawolintshi neziphuzo eziqukethe i-caffeine.

Ngemuva kokuqeda ukwelashwa kwakho, ungahlolwa futhi ngomchamo. Lokhu kuhlolwa kuzoqinisekisa ukuthi amagciwane ahambile.

I-catheter yakho izodinga ukushintshwa uma une-UTI. Uma unama-UTI amaningi, umhlinzeki wakho angasusa i-catheter. Umhlinzeki futhi anga:

• Cela ukuthi ufake ipayipi lomchamo ngezikhathi ezithile ukuze ungaligcini njalo
• Phakamisa amanye amadivayisi wokuqoqa umchamo
• Phakamisa ukuhlinzwa ukuze ungadingi ipayipi
• Sebenzisa i-catheter ekhethekile ebiwe enganciphisa ubungozi bokutheleleka
• Nikeza i-antibiotic enomthamo ophansi noma amanye ama-antibacterial ongawathatha nsuku zonke

Lokhu kungasiza ukuvimbela amagciwane ukuthi angakhuli ku-catheter yakho.

Ama-UTIs ahlobene nama-catheters angaba nzima ukwelashwa kunamanye ama-UTIs. Ukuba nezifo eziningi ngokuhamba kwesikhathi kungaholela ekulimaleni kwezinso noma amatshe ezinso namatshe esinye.

I-UTI engalashiwe ingaqala ukulimala kwezinso noma izifo ezinzima kakhulu.

Shayela umhlinzeki wakho uma une:

• Noma yiziphi izimpawu ze-UTI
• Ubuhlungu emuva noma ohlangothini
• Imfiva
• Ukuhlanza

Uma une-catheter yokuhlala, kufanele wenze lezi zinto ukusiza ukuvikela ukutheleleka:

• Hlanza uzungeze imbobo ye-catheter nsuku zonke.
• Hlanza i-catheter ngensipho namanzi nsuku zonke.
• Hlanza indawo yakho engunxande kahle njalo emva kokunyakaza kwamathumbu.
• Gcina isikhwama sakho sokukhipha amanzi siphansi kunesinye sakho. Lokhu kuvimbela umchamo osesikhwameni ukuthi ungabuyeli esinyeni sakho.
• Khipha isikhwama samanzi okungenani kanye emahoreni ayisishiyagalombili, noma noma nini lapho sigcwele.
• Ingabe i-catheter yakho yokuhlala ishintshile okungenani kanye ngenyanga.
• Geza izandla zakho ngaphambi nangemva kokuthinta umchamo wakho.

I-UTI - i-catheter ehambisanayo; Ukutheleleka kwe-Urinary tract - i-catheter ehambisanayo; I-UTI yeNosocomial; I-UTI ehlobene nokunakekelwa kwezempilo; I-bacteriuria ehambisana ne-catheter; I-UTI etholwe esibhedlela

• I-catheterization yesinye - owesifazane
• I-catheterization yesinye - owesilisa

Izikhungo Zokulawulwa Nokuvimbelwa Kwezifo iwebhusayithi. Izifo ezithinta umchamo ezihambisana ne-catheter (CAUTI). www.cdc.gov/hai/ca_uti/uti.html. Kubuyekezwe u-Okthoba 16, 2015. Kufinyelelwe ngo-Ephreli 30, 2020.

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ITrautner BW, iHooton TM. Ukutheleleka okuhambisana nokunakekelwa kwempilo kwe-urinary tract Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 302.