Ukutheleleka kwe-Urinary tract - izingane

Ukutheleleka komgudu womchamo ukutheleleka kwegciwane lomgudu womchamo. Lo mbhalo ukhuluma ngezifo ezithinta umchamo ezinganeni.

Ukutheleleka kungathinta izingxenye ezahlukahlukene zomgudu womchamo, kufaka phakathi isinye (i-cystitis), izinso (i-pyelonephritis), ne-urethra, ishubhu elikhipha umchamo kusuka esinyeni uye ngaphandle.

Ukutheleleka kwe-Urinary tract (UTIs) kungenzeka lapho amabhaktheriya engena esinyeni noma ezinso. Lawa magciwane ajwayelekile esikhumbeni esizungeze indunu. Zingaba khona futhi eduze kwesitho sowesifazane sangasese.

Ezinye izinto zenza kube lula ukuthi amabhaktheriya angene noma ahlale emgodini we-urinary, njenge:

• I-Reflux ye-Vesicoureteral lapho ukugeleza komchamo kubuyela emuva ku-ureters nasezinso.
• Ubuchopho noma izifo zesistimu yezinzwa (njenge-myelomeningocele noma ukulimala komgogodla).
• Amabhafu we-bubble noma izingubo eziqinisa (amantombazane).
• Izinguquko noma ukukhubazeka kokuzalwa esakhiweni sepheshana lomchamo.
• Ukungachami kaningi ngokwanele emini.
• Ukusula ngemuva (eduze kwendunu) uye phambili ngemuva kokuya endlini yangasese. Emantombazaneni, lokhu kungaletha amagciwane lapho kuvuleka khona umchamo.

Ama-UTI ajwayelekile kakhulu emantombazaneni. Lokhu kungenzeka njengoba izingane ziqala ukuqeqeshwa endlini yangasese zineminyaka emithathu ubudala. Abafana abangasokile banamathuba amancane okuthola ama-UTI ngaphambi kweminyaka yobudala engu-1.

Izingane ezincane ezine-UTIs zingaba nomkhuhlane, ukungathandi ukudla, ukuhlanza, noma kungabikho zimpawu nhlobo.

Iningi lama-UTIs ezinganeni libandakanya isinye kuphela. Kungasakazeka nasezinsweni.

Izimpawu zesifo sesinye ezinganeni zifaka:

• Igazi emchameni
• Umchamo onamafu
• Iphunga elibi noma elinamandla lomchamo
• Ukuchama njalo noma okuphuthumayo
• Ukuzizwa okujwayelekile (malaise)
• Ubuhlungu noma ukuvutha ngokuchama
• Ingcindezi noma ubuhlungu esikhaleni esingezansi noma emuva ongezansi
• Izinkinga zokumanzi ngemuva kokuqeqeshwa kwengane endlini yangasese

Izimpawu zokuthi ukutheleleka kungenzeka ukuthi zisakazekele ezinso zifaka:

• Amakhaza ngokuqhaqhazela
• Imfiva
• Isikhumba esigcwele, esifudumele noma esibomvu
• Isicanucanu nokuhlanza
• Ubuhlungu ohlangothini (ohlangothini) noma emuva
• Ubuhlungu obukhulu endaweni yesisu

Isampula yomchamo iyadingeka ukuxilonga i-UTI enganeni. Isampuli ihlolwa ngaphansi kwesibonakhulu bese ithunyelwa ebhodini lesiko lomchamo.

Kungaba nzima ukuthola isampula lomchamo enganeni engaqeqeshiwe yangasese. Ukuhlolwa akunakwenziwa kusetshenziswa inabukeni elimanzi.

Izindlela zokuqoqa isampula yomchamo enganeni esencane kakhulu zifaka:

• Isikhwama sokuqoqa umchamo - Isikhwama sepulasitiki esikhethekile sibekwa phezu kwepipi noma isitho sangasese sengane ukuze kubanjwe umchamo. Le akuyona indlela engcono kakhulu ngoba isampula ingahle ingcoliswe.
• Isiko le-catheterized specineen umchamo - Ishubhu lepulasitiki (ipayipi) elifakwa esicongweni sowesilisa kubafana, noma liqonde ngqo emthanjeni wamantombazane, liqoqa umchamo ngqo esinyeni.
• Ukuqoqwa komchamo we-Suprapubic - Inaliti ibekwa esikhunjeni sesisu nangemisipha engezansi esinyeni. Isetshenziselwa ukuqoqa umchamo.

Ukucabanga kungenziwa ukubheka noma yikuphi ukungajwayelekile kwe-anatomical noma ukuhlola ukusebenza kwezinso, kufaka phakathi:

• I-Ultrasound
• I-X-ray ethathwe ngenkathi ingane ichama (i-voiding cystourethrogram)

Umhlinzeki wakho wezokunakekelwa kwempilo uzobheka izinto eziningi lapho ethatha isinqumo sokuthi kudingeka isifundo esikhethekile futhi nini, kufaka phakathi:

• Iminyaka yengane nomlando wamanye ama-UTIs (izinsana nezingane ezincane ngokuvamile zidinga izivivinyo zokulandelela)
• Ubukhulu besifo nokuthi siphendula kahle kanjani ekwelashweni
• Ezinye izinkinga zokwelashwa noma ukukhubazeka ngokomzimba ingane engaba nakho

Ezinganeni, ama-UTIs kufanele elashwe ngokushesha ngama-antibiotic ukuvikela izinso. Noma iyiphi ingane engaphansi kwezinyanga eziyisithupha noma enezinye izinkinga kufanele ibonane nodokotela ngokushesha.

Izinsana ezincane kuzodingeka ukuthi zihlale esibhedlela futhi zinikezwe ama-antibiotic ngomthambo. Izinsana ezindala nezingane ziphathwa ngama-antibiotic ngomlomo. Uma lokhu kungenzeki, kungadingeka bathole ukwelashwa esibhedlela.

Ingane yakho kufanele iphuze uketshezi oluningi lapho ilashelwa i-UTI.

Ezinye izingane zingelashwa ngama-antibiotic isikhathi esingangezinyanga eziyisithupha kuya eminyakeni emibili. Lokhu kwelashwa kungenzeka kakhulu lapho ingane iphindaphindwe ngezifo noma i-vesicoureteral reflux.

Ngemuva kokuthi ama-antibiotic eseqediwe, umhlinzeki wengane yakho angakucela ukuthi ubuyise ingane yakho ukuze yenze okunye ukuhlolwa komchamo. Lokhu kungadingeka ukuqinisekisa ukuthi amabhaktheriya awasekho esinyeni.

Iningi lezingane liyelapheka ngemishanguzo efanele. Isikhathi esiningi, ukuphinda izifo kungagwenywa.

Ukutheleleka okuphindaphindiwe okubandakanya izinso kungaholela ekulimaleni kwesikhathi eside ezinso.

Shayela umhlinzeki wakho uma izimpawu zengane yakho ziqhubeka ngemuva kokwelashwa, noma ubuye ngaphezu kokuphindwe kabili ezinyangeni eziyisithupha noma ingane yakho inayo:

• Ubuhlungu beqolo noma izinhlungu eziseceleni
• Umchamo onuka kabi, onegazi noma ombala
• Umkhuhlane ka-102.2 ° F (39 ° C) ezinganeni isikhathi eside kunamahora angama-24
• Ubuhlungu beqolo obuphansi noma ubuhlungu besisu ngaphansi kwenkinobho yesisu
• Imfiva engapheli
• Ukuchama kaningi kakhulu, noma udinga ukuchama kaningi ebusuku
• Ukuhlanza

Izinto ongazenza ukuvimbela ama-UTIs afaka:

• Gwema ukunikeza ingane yakho ama-bubble bath.
• Yenza ingane yakho igqoke izikhindi zangaphansi ezingagqokile nezingubo.
• Khulisa ukuphuza oketshezwayo kwengane yakho.
• Gcina indawo yangasese yengane yakho ihlanzekile ukuvimbela amagciwane ukuthi angene nge-urethra.
• Fundisa ingane yakho ukuya endlini yangasese izikhathi eziningana nsuku zonke.
• Fundisa ingane yakho ukusula isitho sangasese kusuka ngaphambili kuye emuva ukunciphisa ukusabalala kwamagciwane.

Ukuvimbela ama-UTIs aphindaphindiwe, umhlinzeki angancoma ama-antibiotic omthamo ophansi ngemuva kokuthi izimpawu zokuqala sezihambile.

UTI - izingane; I-cystitis - izingane; Ukutheleleka kwesinye - izingane; Ukutheleleka kwezinso - izingane; I-Pyelonephritis - izingane

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Ukuvala i-cystourethrogram
• I-reflux ye-Vesicoureteral

I-American Academy Yezingane. Ikomidi elincane lokutheleleka ngomgudu womchamo. Ukuqinisekiswa kabusha komhlahlandlela wokusebenza komtholampilo we-AAP: ukuxilongwa nokuphathwa kokutheleleka komgudu wokuqala womchamo ezinganeni ezifile nasezinganeni ezisencane ezineminyaka engu-2-24 ubudala. Izifo zezingane. 2016; 138 (6): e20163026. I-PMID: 27940735 pubmed.ncbi.nlm.nih.gov/27940735/.

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