Kungani Imbangela Evame Kakhulu Yama-UTIs Ngu-E. Coli

-Delile

• E. coli nama-UTIs
• U-E. Coli ungena kanjani emgudwini wokuchama
• Izimpawu ze-UTI ezibangelwa u-E. Coli
• Ukuhlonza i-UTI ebangelwa u-E. Coli
• Ukuhlolwa komchamo
• Isiko lomchamo
• Ukwelashwa kwe-UTI okubangelwa u-E. Coli
• Ukwelapha i-UTI engazweli kuma-antibiotic
• Amanye amabhaktheriya abangela i-UTI
• Ukudla okudlela endlini

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

E. coli nama-UTIs

Ukutheleleka nge-urinary tract (UTI) kwenzeka lapho amagciwane (amabhaktheriya) ehlasela umgudu womchamo. Ipheshana le-urinary lakhiwe izinso zakho, isinye, ama-ureters kanye ne-urethra. Ama-ureters amashubhu axhumanisa izinso nesinye. I-urethra yishubhu elithwala umchamo kusuka esinyeni uye ngaphandle komzimba wakho.

Ngokusho kweNational Kidney Foundation, amaphesenti angama-80 kuya kwangama-90 ama-UTIs adalwa yigciwane elibizwa Escherichia coli(E. coli). Ngokwengxenye enkulu, E. coli uhlala ngokungenabungozi emathunjini akho. Kepha kungadala izinkinga uma ingena ohlelweni lwakho lokuchama, imvamisa isuka esitokisini efudukela ku-urethra.

Ama-UTI ajwayelekile ngendlela emangalisayo. Eqinisweni, kutholakala iziguli eziyizigidi eziyisithupha kuya kweziyisishiyagalombili ngonyaka e-United States. Ngenkathi abesilisa bengavikeleki, abesifazane banamathuba amaningi okuthi bahlakulele i-UTI, ikakhulu ngenxa yokwakheka kwendlela yabo yokuchama.

U-E. Coli ungena kanjani emgudwini wokuchama

Umchamo wenziwe kakhulu ngamanzi, usawoti, amakhemikhali nokunye ukungcola. Yize abacwaningi bebecabanga ukuthi umchamo awuhlanzanga, manje sekuyaziwa ukuthi ngisho nomgudu wokuchama onempilo ungabamba izinhlobo ezahlukahlukene zamagciwane. Kodwa uhlobo olulodwa lwebhaktheriya olungajwayelekile kutholakala kumgudu womchamo E. coli.

E. coli imvamisa ithola ukungena kumgudu wokuchama ngesitokisi. Abesifazane basengozini enkulu yama-UTIs ngoba umchamo wabo uhlala eduze kwendunu, lapho E. coli ukhona. Iphinde ibe mfushane kuneyendoda, inika amabhaktheriya ukufinyelela okulula esinyeni, lapho iningi lama-UTIs livela khona, nawo wonke umgudu womchamo.

E. coli ingasakazeka kumgudu womchamo ngezindlela ezahlukahlukene. Izindlela ezijwayelekile zifaka:

• Ukusula okungafanele ngemuva kokusebenzisa indlu yangasese. Ukusula ubuyele ngaphambili kungathwala E. coli kusuka endunu kuya esibelethweni.
• Ucansi. Isenzo sokuya ocansini singahamba E. coliisitulo esinegciwane kusuka endunu singene urethra bese sikhuphuka nomgudu womchamo.
• Ukulawulwa kokuzalwa. Izindlela zokuvimbela inzalo ezisebenzisa ama-spermicides, kufaka phakathi ama-diaphragms namakhondomu we-spermicidal, zingabulala amabhaktheriya anempilo emzimbeni wakho okukuvikela kumagciwane afana E. coli. Lokhu kungalingani kwamagciwane kungakwenza uthambekele kakhulu ku-UTI.
• Ukukhulelwa. Izinguquko zeHormonal ngesikhathi sokukhulelwa zingathinta ukukhula kwamagciwane athile. Abanye ochwepheshe bacabanga nokuthi isisindo sombungu okhulayo singashintsha isinye sakho, sikwenze kube lula ngaso E. coli ukuthola ukufinyelela.

Izimpawu ze-UTI ezibangelwa u-E. Coli

Ama-UTIs angadala uhla lwezimpawu, kufaka phakathi:

• isidingo esiphuthumayo, esivame ukuchama, imvamisa ngokukhishwa okuncane komchamo
• ukugcwala kwesinye
• ukuvutha ukuchama
• ubuhlungu be-pelvic
• umchamo onuka kabi, onamafu
• umchamo onombala onsundu, opinki, noma ohlanganiswe negazi

Ukutheleleka okusakazeka kuze kufike ezinso kungaba kubi kakhulu. Izimpawu zifaka:

• imfiva
• ubuhlungu engxenyeni ephezulu nohlangothi, lapho izinso zitholakala khona
• isicanucanu nokuhlanza

Ukuhlonza i-UTI ebangelwa u-E. Coli

Ukuthola i-UTI kungabandakanya inqubo eyizingxenye ezimbili.

Ukuhlolwa komchamo

Ukunquma ukuthi akhona yini amabhaktheriya emchameni wakho, udokotela uzokucela ukuthi uchame enkomishini oyinyumba. Umchamo wakho uzobe usuhlolwa ngaphansi kwesibonakhulu ukuze kutholakale amagciwane.

Isiko lomchamo

Kwezinye izimo, ikakhulukazi uma ungabonakali uthuthuka ngokwelashwa noma uthola izifo eziphindaphindayo, udokotela angathumela umchamo wakho ebhodini ukuze ulondolozwe. Lokhu kungakhomba ngqo ukuthi yini amagciwane abangela ukutheleleka nokuthi yimaphi ama-antibiotic alwa nawo ngempumelelo.

Ukwelashwa kwe-UTI okubangelwa u-E. Coli

Ulayini wokuqala wokwelashwa kwanoma yikuphi ukutheleleka ngamagciwane ngama-antibiotic.

• Uma i-urinalysis yakho ibuya inamagciwane, udokotela cishe uzokunikeza enye yama-antibiotic amaningi asebenza ukubulala E. coli, ngoba yisona sigameko esivame kakhulu se-UTI.
• Uma isiko lomchamo lithola igciwane elehlukile lisemuva kokutheleleka kwakho, uzoshintshelwa kumuthi olwa namagciwane ohlose lelo gciwane.
• Ungase futhi uthole incwadi kadokotela yesidakamizwa okuthiwa i-pyridium, esiza ekunciphiseni ubuhlungu besisu.
• Uma ujwayele ukuthola ama-UTIs aphindaphindiwe (amane noma ngaphezulu ngonyaka), kungadingeka ukuthi ube kuma-antibiotic anomthamo ophansi nsuku zonke izinyanga ezimbalwa.
• Udokotela wakho angaphinde anikeze eminye imithi yokwelashwa engekho kuma-antibiotic.

Ukwelapha i-UTI engazweli kuma-antibiotic

Amagciwane aya ngokuya emelana nemithi elwa namagciwane. Ukumelana kwenzeka njengoba amabhaktheriya eguquka ngokwemvelo abe ukuwohloka noma agweme ama-antibiotic asetshenziselwa ukulwa nawo.

Lapho igciwane litholakala kalula emithini elwa namagciwane, maningi amathuba okuthi liziguqule ukuze liphile. Ukusetshenziswa ngokweqile nokusetshenziswa kabi kwama-antibiotic kwenza inkinga ibe yimbi kakhulu.

Ngemuva kokuhlolwa kokuchama kahle, udokotela wakho angahle anikeze iBactrim noma iCipro, ama-antibiotic amabili avame ukusetshenziselwa ukwelapha ama-UTIs abangelwa E. coli. Uma ungangcono ngemuva kwemithamo embalwa, i- E. coli ingahle imelane nale mithi.

Udokotela wakho angancoma ukwenza isiko lomchamo lapho i- E. coli kusuka kusampula yakho kuzohlolwa ngokulwa nama-antibiotic ahlukahlukene ukuze kubonakale ukuthi iliphi eliphumelela kakhulu ekuliqedeni. Ungahle unikezwe nenhlanganisela yama-antibiotic ukuze ulwe nesinambuzane esingazweli.

Amanye amabhaktheriya abangela i-UTI

Ngenkathi ukutheleleka nge E. coli ama-akhawunti wama-UTIs amaningi, amanye amabhaktheriya nawo angaba imbangela. Ezinye ezingabonakala kusiko lomchamo zifaka:

• UKlebsiella pneumoniae
• UPseudomonas aeruginosa
• I-Staphylococcus aureus
• I-Enterococcus faecalis (iqembu D streptococci)
• Si-treptococcus agalactiae (iqembu B streptococci)

Ukudla okudlela endlini

Ama-UTI ngezinye zezifo ezivame kakhulu ukubona odokotela. Iningi libangelwa E. coli futhi baphathwa ngempumelelo ngomjikelezo wama-antibiotic. Uma unezimpawu ze-UTI, bheka udokotela.

Iningi lama-UTIs alinzima futhi alidali monakalo ohlala njalo emgudwini wakho wokuchama. Kepha ama-UTI angalashwa angaqhubekela ezinso, lapho kungenzeka khona ukulimala okungapheli.