Amagciwane emchameni (bacteriuria): ungabona kanjani nokuthi kusho ukuthini

-Delile

• Ungayibona kanjani i-bacteriuria
• Yini engasho amagciwane emchameni
• 1. Ukungcola kwesampula
• 2. Ukutheleleka ngomchamo
• 3. Isifo Sofuba

I-Bacteriuria ihambelana nokuba khona kwamagciwane emchameni, okungenzeka kungenxa yokuqoqwa okunganele komchamo, ngokungcoliswa kwesampula, noma ngenxa yokutheleleka komchamo, nezinye izinguquko ekuhlolweni komchamo, njengobukhona bama-leukocyte, amaseli we-epithelial , kungabonakala nakulezi zimo. futhi, kwezinye izimo, amaseli abomvu egazi.

Ukuba khona kwamagciwane emchameni kuqinisekiswa ngokuhlolwa kohlobo lomchamo i-I, lapho kuhlolwa khona ubukhona noma ukungabikho kwala magciwane. Ngokomphumela wokuhlolwa komchamo, udokotela ojwayelekile, udokotela wezifo zomzimba noma udokotela wezifo zabesifazane angakhombisa ukwelashwa okufanele, uma kunesidingo, noma acele ukuhlolwa okwengeziwe.

Ungayibona kanjani i-bacteriuria

I-Bacteriuria ibonakala ngokuhlolwa komchamo wohlobo 1, lapho, ngokubuka umchamo ngaphansi kwesibonakhulu, kungenzeka ukubona ukuthi awekho yini amabhaktheriya, njengoba kukhonjisiwe embikweni wokuhlola:

• Amagciwane angekho, lapho amagciwane engabonwa;
• Amagciwane amancane noma +, lapho ibhaktheriya elingu-1 kuye kwali-10 libonakala emikhakheni engama-microscopic eyi-10 ebonwayo;
• Amanye amabhaktheriya noma ++, lapho kutholakala amabhaktheriya aphakathi kuka-4 no-50;
• Ama-bacteria ajwayelekile noma +++, lapho kufikwa kuma-bacteria afinyelela kwikhulu emikhakheni eyi-10 efundwayo;
• Amagciwane amaningi noma ++++, lapho kutholakala ngaphezu kwamagciwane ayi-100 emikhakheni ebonakalayo engabonakali.

Lapho kukhona i-bacteriuria, udokotela owayalele ukuhlolwa kumele ahlole ukuhlolwa komchamo ngokuphelele, abone noma yiziphi ezinye izinguquko ezikhona kulo mbiko ukuze kutholakale ukuxilongwa nokwelashwa kungaqalwa. Ngokuvamile, lapho lo mbiko ukhombisa ukuba khona kwama-bacteria angavamile noma amanye, kukhombisa ukuthi kune-microbiota ejwayelekile yohlelo lwe-urinary, futhi akusona isizathu sokukhathazeka noma ukuqala ukwelashwa.

Imvamisa lapho kukhona amagciwane emchameni, kuyacelwa isiko lomchamo, ikakhulukazi uma umuntu enezimpawu, ukuze kutholakale uhlobo lwegciwane, inani lamakholoni akhiwe kanye nephrofayili yokumelana nokuzwela kwegciwane, lolu lwazi lukhona kubalulekile kulokho udokotela uncoma i-antibiotic efanelekile yokwelashwa. Qonda ukuthi isiko lomchamo lenziwa kanjani.

[gqamisa-ukubuyekeza-ukugqamisa]

Yini engasho amagciwane emchameni

Ukuba khona kwamagciwane emchameni kufanele kuhlolwe kanye nomphumela weminye imingcele yokuhlolwa komchamo, njengama-leukocyte, amasilinda, amaseli abomvu egazi, i-pH, iphunga nombala womchamo. Ngakho-ke, ngokusho komphumela wokuhlolwa komchamo wohlobo 1, kungenzeka ukuthi udokotela afinyelele esiphethweni sokuxilongwa noma acele ukwenziwa kokunye ukuhlolwa kwelabhorethri ukuze akhombise ukwelashwa okufanele kakhulu.

Izimbangela eziyinhloko ze-bacteriuria yilezi:

1. Ukungcola kwesampula

Ukungcola kwesampula kungenye yezimbangela ezivame kakhulu zebhaktheriya emchameni, ikakhulukazi lapho kubonakala amaseli amaningi we-epithelial kanye nokungabikho kwama-leukocyte. Lokhu kungcola kwenzeka ngesikhathi sokuqoqwa, lapho umuntu engasebenzisi inhlanzeko efanelekile yokuqoqwa noma enganaki umchamo wokuqala womchamo. Kulezi zimo, ezimweni eziningi, amabhaktheriya akhonjwayo ayingxenye yohlelo lokuchama futhi awamele ingozi yezempilo.

Okufanele ngikwenze: Uma kungabikho olunye ushintsho olutholakele esibalweni segazi, udokotela kungenzeka angabheki ukwanda kwenani lama-bacteria, kodwa-ke, kwezinye izimo, kungacelwa iqoqo elisha, kubalulekile kulokhu ukwenza inhlanzeko efanele isifunda esisondelene, ukungayinaki i-jet yokuqala bese uyiyisa elebhu kuze kube yimizuzu engama-60 ngemuva kokuqoqwa ukuze kuhlolwe.

2. Ukutheleleka ngomchamo

Uma kungewona umbuzo wokungcola kwesampula, ukutholakala kwamagciwane emchameni, ikakhulukazi lapho kubonakala amagciwane amaningi noma amaningi, kukhombisa ukutheleleka kohlelo lokuchama. Ngaphezu kwe-bacteriuria, amanye amaseli noma amaningi we-epithelial angahlolwa, kanye nama-leukocyte amaningana noma amaningi ngokuya nge-microorganism ebhekele ukutheleleka nobuningi bayo.

Okufanele ngikwenze: Ukwelashwa ngama-antibiotic kwezifo zomchamo kuvame ukukhonjiswa kuphela lapho umuntu enezimpawu ezihlobene nokutheleleka, njengobuhlungu noma ukushisa lapho uchama, umchamo onegazi noma umuzwa wobunzima esinyeni, isibonelo. Kulezi zimo, udokotela ojwayelekile, urologist noma udokotela wezifo zabesifazane angancoma ukusetshenziswa kwama-antibiotic ngokusho kwamagciwane akhonjwe kanye nephrofayili yawo yobuzwe.

Kodwa-ke, lapho kungabonwa izimpawu, ukusetshenziswa kwama-antibiotic akuvamisile ukukhonjiswa, ngoba kungadala ukumelana namagciwane, okwenza ukwelashwa kube nzima kakhulu.

Funda ukubona izimpawu zokutheleleka ngegciwane lomchamo nokuthi ungakugwema kanjani.

3. Isifo Sofuba

Yize kuyivelakancane, kungenzeka ukuthi ku-systemic tuberculosis bacteria ingatholakala emchameni futhi, ngakho-ke, udokotela angacela ukuhlolwa komchamo ukuze afune Isifo sofuba iMycobacterium, okuyigciwane elibhekene nesifo sofuba.

Imvamisa ukuseshwa kwe- Isifo sofuba iMycobacterium emchameni kwenziwa kuphela njengendlela yokuqapha isiguli nempendulo ekwelashweni, kanti ukuxilongwa kwenziwa ngokuhlola isikhwehlela noma ukuhlolwa kwe-tuberculin, eyaziwa nge-PPD. Qonda ukuthi isifo sofuba sitholakala kanjani.

Okufanele ngikwenze: Lapho ukutholakala kwamagciwane kuqinisekiswa emchameni wesiguli esinesifo sofuba, udokotela kufanele ahlole ukuthi ngabe ukwelashwa kwenziwa ngendlela efanele yini noma ngabe amabhaktheriya asemelane nomuthi okhonjisiwe, ongakhombisa ushintsho kuma-antibiotic noma ekwelapheni uhlobo. Ukwelashwa kwesifo sofuba kwenziwa ngemithi elwa namagciwane futhi kufanele kuqhutshekwe noma umuntu engakhombisi ezinye izimpawu, ngoba kungenzeka ukuthi akuwona wonke amabhaktheriya asusiwe.