Ukutheleleka ngomgudu womchamo - abantu abadala

Ukutheleleka kwe-urinary tract, noma i-UTI, ukutheleleka komgudu womchamo. Ukutheleleka kungenzeka ezindaweni ezahlukahlukene emgodini we-urinary, kufaka phakathi:

• Isinye - Ukutheleleka esinyeni kubizwa nangokuthi i-cystitis noma isifo sesinye.
• Izinso - Ukutheleleka kwesinso esisodwa noma zombili kubizwa nge-pyelonephritis noma isifo sezinso.
• Ama-Ureters - Amashubhu athatha umchamo kusuka ezinso ngalunye aye esinyeni awavamile ukuphela kwendawo yokutheleleka.
• I-Urethra - Ukutheleleka kwepayipi okukhipha umchamo kusuka esinyeni kuya ngaphandle kubizwa ngokuthi yi-urethritis.

Ama-UTI amaningi abangelwa ngamagciwane angena kwi-urethra bese esinyeni. Ukutheleleka kuvame ukukhula esinyeni, kepha kungasakazeka nasezinsweni. Isikhathi esiningi, umzimba wakho ungawasusa la magciwane. Kodwa-ke, izimo ezithile zandisa ingozi yokuba nama-UTIs.

Abesifazane bavame ukuzithola kaningi ngoba umchamo wabo mfushane futhi useduze nendunu kunamadoda. Ngenxa yalokhu, abesifazane banamathuba amaningi okuthola ukutheleleka ngemuva kokwenza ucansi noma lapho besebenzisa i-diaphragm yokulawula ukubeletha. Ukunqamuka kokuya esikhathini kwandisa ingozi ye-UTI.

Okulandelayo futhi kwandisa amathuba akho okuthuthukisa i-UTI:

• Isifo sikashukela
• Ukuguga nezimo ezithinta imikhuba yokunakekelwa komuntu siqu (njengesifo i-Alzheimer kanye ne-delirium)
• Izinkinga zokuchitha isinye ngokuphelele
• Ukuba nepayipi lomchamo
• Ukungalingani kwamathumbu
• I-prostate ekhulisiwe, i-urethra encane, noma yini evimba ukugeleza komchamo
• Amatshe ezinso
• Ukuhlala unganyakazi (ukunganyakazi) isikhathi eside (ngokwesibonelo, ngenkathi usalulama ekuqhekekeni kwesinqe)
• Ukukhulelwa
• Ukuhlinzwa noma enye inqubo efaka umgudu womchamo

Izimpawu zokutheleleka kwesinye zihlanganisa:

• Umchamo onamafu noma onegazi, ongahle ube nephunga elibi noma elinamandla
• Umkhuhlane osezingeni eliphansi kwabanye abantu
• Ubuhlungu noma ukuvutha ngokuchama
• Ingcindezi noma ukucindezela esiswini noma emuva engezansi
• Isidingo esinamandla sokuchama kaningi, ngisho nangemva kokukhishwa kwesinye

Uma ukutheleleka kusakazeka ezinso zakho, izimpawu zingafaka:

• Ukugodola nokuthuthumela noma ukujuluka ebusuku
• Ukukhathala kanye nomuzwa wokugula ojwayelekile
• Imfiva engaphezu kuka-101 ° F (38.3 ° C)
• Ubuhlungu ohlangothini, emuva, noma ekubunjweni
• Isikhumba esigcwele, esifudumele noma esibomvu
• Izinguquko zengqondo noma ukudideka (kubantu asebekhulile, lezi zimpawu kaningi ziyizimpawu kuphela ze-UTI)
• Isicanucanu nokuhlanza
• Ubuhlungu besisu obubi kakhulu (kwesinye isikhathi)

Isikhathi esiningi, uzodinga ukuhlinzeka ngesampula yomchamo kulezi zivivinyo ezilandelayo:

• I-Urinalysis - Lokhu kuhlolwa kwenziwa ukubheka amaseli amhlophe egazi, amaseli abomvu egazi, amabhaktheriya, nokuhlola amakhemikhali afana nama-nitrites emchameni. Lokhu kuhlolwa kungakhomba ukutheleleka isikhathi esiningi.
• Isiko lokubamba umchamo ohlanzekile - Lokhu kuhlolwa kungenziwa ukukhomba amagciwane futhi kunqume i-antibiotic engcono kakhulu yokwelashwa.

Ukuhlolwa kwegazi okufana nokubalwa kwegazi okuphelele (i-CBC) kanye namasiko egazi kungenziwa futhi.

Ungadinga futhi izivivinyo ezilandelayo ukusiza ukukhipha ezinye izinkinga ohlelweni lwakho lokuchama:

• I-CT scan yesisu
• I-pyelogram efakwa emithanjeni (IVP)
• Ukuskena izinso
• Izinso ultrasound
• Ukuvala i-cystourethrogram

Umhlinzeki wakho wezokunakekelwa kwempilo kufanele aqale anqume ukuthi ngabe ukutheleleka kusesinyangeni yini, noma ngabe kusabalale kwafinyelela ezinso nokuthi kubi kangakanani.

UKUTHELEKA KWENKUNZI EMNCANE NESIFO SEZINYO

• Isikhathi esiningi, uzodinga ukuthatha i-antibiotic ukuvimbela ukutheleleka ukuthi kusabalale kuye ezinso.
• Ukuze uthole ukutheleleka okulula kwesinye, uzothatha ama-antibiotic izinsuku ezintathu (abesifazane) noma izinsuku eziyi-7 kuya kwezingu-14 (amadoda).
• Uma ukhulelwe noma unesifo sikashukela, noma unesifo esincane sezinso, uvame ukuthatha ama-antibiotic izinsuku eziyi-7 kuya kwezingu-14.
• Qedela wonke ama-antibiotic, noma ngabe uzizwa ungcono. Uma ungawuqedi wonke umthamo wemithi, ukutheleleka kungabuya futhi kube nzima ukuselapha kamuva.
• Phuza njalo amanzi amaningi uma unesifo sesinye noma sezinso.
• Tshela umhlinzeki wakho uma ngabe ukhulelwe ngaphambi kokuthatha le mithi.

UKUTHELEKA KWAMAKHONA KWESIPHUMA

Abanye besifazane banezifo eziphindaphindayo zesinye. Umhlinzeki wakho angaphakamisa ukuthi wena:

• Thatha umthamo owodwa we-antibiotic ngemuva kokuxhumana ngokocansi ukuvimbela ukutheleleka.
• Yiba nenkambo yezinsuku ezintathu yama-antibiotic ekhaya ongayisebenzisa uma uthola ukutheleleka.
• Thatha isilinganiso esisodwa, sansuku zonke se-antibiotic ukuvikela ukutheleleka.

Ukutheleleka KAKHULU KWEZINYO

Ungadinga ukungena esibhedlela uma ugula kakhulu futhi ungakwazi ukuthatha imithi ngomlomo noma uphuze uketshezi olwanele. Ungamukelwa futhi esibhedlela uma:

• Ungumuntu omdala osekhulile
• Yiba namatshe ezinso noma ushintsho ku-anatomy yomgudu wakho womchamo
• Usanda kuhlinzwa umchamo
• Unomdlavuza, isifo sikashukela, i-multiple sclerosis, ukulimala komgogodla, noma ezinye izinkinga zezokwelapha
• Ukhulelwe futhi unemfiva noma ugula ngenye indlela

Esibhedlela, uzothola uketshezi kanye nama-antibiotic ngomthambo.

Abanye abantu banama-UTI angahambi nokwelashwa noma aqhubeke abuye. Lokhu kubizwa ngama-UTIs angapheli. Uma une-UTI engapheli, ungadinga ama-antibiotic aqinile noma uthathe umuthi isikhathi eside.

Ungadinga ukuhlinzwa uma ukutheleleka kubangelwa inkinga ngesakhiwo sepheshana lomchamo.

Iningi lama-UTI lingelashwa. Izimpawu zokutheleleka ngesinye zivame ukuphela kungakapheli amahora angama-24 kuye kwangama-48 ngemuva kokuqala kokwelashwa. Uma unesifo sezinso, kungathatha isonto elilodwa noma ngaphezulu ukuthi izimpawu ziphele.

Izinkinga zingafaka:

• Ukutheleleka kwegazi okusongela impilo (sepsis) - Ingozi inkulu kubantu abadala, abadala kakhulu, kanye nabantu imizimba yabo engakwazi ukulwa nezifo (ngokwesibonelo, ngenxa ye-HIV noma i-chemotherapy yomdlavuza).
• Ukulimala kwezinso noma isibazi.
• Ukutheleleka kwezinso.

Xhumana nomhlinzeki wakho uma unezimpawu ze-UTI. Shayela ngokushesha uma unezimpawu zokutheleleka okungenzeka kube sezinso, njenge:

• Ubuhlungu emuva noma ohlangothini
• Amakhaza
• Imfiva
• Ukuhlanza

Phinda ushayele uma ngabe izimpawu ze-UTI zibuya ngemuva nje kokuba welashwe ngama-antibiotic.

Izinguquko zokudla nezindlela zokuphila zingasiza ekuvimbeleni amanye ama-UTIs. Ngemuva kokunqamuka kokuya esikhathini, owesifazane angasebenzisa ukhilimu we-estrogen ezungeze isitho sangasese sangasese ukunciphisa izifo.

Ukutheleleka kwesinye - abantu abadala; UTI - abadala; I-cystitis - ibhaktheriya - abantu abadala; I-Pyelonephritis - abantu abadala; Ukutheleleka kwezinso - abantu abadala

• I-catheterization yesinye - owesifazane
• I-catheterization yesinye - owesilisa
• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa
• Ukuvimbela i-cystitis

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UNicolle LE, Drekonja D. Indlela eya esigulini esinokutheleleka ngomchamo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 268.

USobel JD, uBrown P. Izifo ezithwala umchamo. 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 72.