Umlobi: Monica Porter
Usuku Lokudalwa: 15 Hamba 2021
Ukuvuselela Usuku: 22 Unovemba 2024
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-Delile

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

Ukutheleleka kwe-urinary tract (UTI) ukutheleleka okuvela kumagciwane. Lezi yizinto ezincane kakhulu ukuthi zingabonwa ngaphandle kwesibonakhulu. Ama-UTI amaningi abangelwa ngamagciwane, kepha amanye abangelwa isikhunta futhi ezimweni ezingavamile amagciwane. Ama-UTI aphakathi kwezifo ezivame kakhulu kubantu.

I-UTI ingenzeka noma yikuphi endaweni yakho yomchamo. Ipheshana lakho lomchamo lakhiwe izinso zakho, ama-ureters, isinye, ne-urethra. Iningi lama-UTIs lifaka kuphela i-urethra nesinye, esigabeni esiphansi. Kodwa-ke, ama-UTIs angabandakanya ama-ureters nezinso, esigabeni esiphezulu. Yize ama-UTIs we-tract aphezulu engavamile kakhulu kune-UTIs ye-tract ephansi, futhi ngokuvamile awanzima kakhulu.

Izimpawu ze-UTI

Izimpawu ze-UTI zincike ekutheni iyiphi ingxenye yepheshana lokuchama elithelelekile.


Ama-UTIs we-Lower tract athinta i-urethra nesinye. Izimpawu zepheshana eliphansi i-UTI zifaka:

  • evutha ukuchama
  • ukwanda kokuvama kokuchama ngaphandle kokudlulisa umchamo omningi
  • ukukhuphuka okuphuthumayo kokuchama
  • umchamo onegazi
  • umchamo onamafu
  • umchamo obukeka njenge-cola noma itiye
  • umchamo onephunga elinamandla
  • ubuhlungu be-pelvic kwabesifazane
  • ubuhlungu be-rectal emadodeni

Ama-UTI aphezulu athinta izinso. Lokhu kungasongela impilo uma amabhaktheriya asuka ezinso ezithelelekile angena egazini. Lesi simo, esibizwa nge-urosepsis, singadala umfutho wegazi ophansi, ukushaqeka nokufa okuyingozi.

Izimpawu zepheshana eliphezulu i-UTI zifaka:

  • ubuhlungu nobumnene emhlane nasemaceleni angenhla
  • Ukugodola
  • imfiva
  • isicanucanu
  • ukuhlanza

Izimpawu ze-UTI emadodeni

Izimpawu zokutheleleka okuphezulu komchamo emadodeni zifana nalezo zabesifazane.Izimpawu zesifo esingezansi sokutheleleka komchamo emadodeni kwesinye isikhathi zifaka phakathi ubuhlungu be-rectal ngaphezu kwezimpawu ezivamile ezabiwe ngabesilisa nabesifazane.


Izimpawu ze-UTI kwabesifazane

Abesifazane abanesifo esingezansi se-urinary infection bangathola ubuhlungu be-pelvic. Lokhu kungezelelwa kwezinye izimpawu ezivamile. Izimpawu zokutheleleka okuphezulu kwamadoda nabesifazane ziyefana.

Ukwelashwa kwe-UTI

Ukwelashwa kwama-UTIs kuya ngesizathu. Udokotela wakho uzokwazi ukunquma ukuthi imuphi umzimba obangela ukutheleleka emiphumeleni yokuhlola esetshenziselwe ukuqinisekisa ukuxilongwa.

Ezimweni eziningi, imbangela ngamagciwane. Ama-UTIs abangelwa amagciwane alashwa ngama-antibiotic.

Kwezinye izimo, amagciwane noma isikhunta yizimbangela. Ama-UTIs wegciwane aphathwa ngemithi ebizwa ngama-antivirals. Imvamisa, i-cidofovir elwa namagciwane iyona ndlela yokwelapha i-UTIs yegciwane. Ama-UTIs ama-fungal aphathwa ngemithi ebizwa ngama-antifungal.

Ama-antibiotic we-UTI

Uhlobo lwe-antibiotic esetshenziselwa ukwelapha i-UTI yebhaktheriya ngokuvamile kuya ngokuthi iyiphi ingxenye yepheshana ebandakanyekayo. Ama-UTIs we-Lower tract angalashwa ngama-antibiotics omlomo. Amapheshana aphezulu we-UTIs adinga ama-antibiotic emithanjeni. Lawa ma-antibiotic afakwa ngqo emithanjeni yakho.


Kwesinye isikhathi, amabhaktheriya aqala ukumelana namagciwane. Ukuze unciphise ubungozi bokumelana nemithi elwa namagciwane, udokotela wakho cishe uzokubeka enkambweni emfushane yokwelashwa engenzeka. Ukwelashwa ngokuvamile akuhlali ngaphezu kweviki elilodwa.

Imiphumela evela esikweni lakho lomchamo ingasiza udokotela wakho ukuthi akhethe ukwelashwa ngama-antibiotic okuzosebenza kahle kakhulu kuhlobo lwamagciwane abangela ukutheleleka kwakho.

Ukwelashwa ngaphandle kwama-antibiotic ama-UTIs amabhaktheriya kuyahlolwa. Ngesinye isikhathi, ukwelashwa kwe-UTI ngaphandle kwama-antibiotic kungaba yindlela yama-UTIs amabhaktheriya ngokusebenzisa i-cell chemistry ukushintsha ukuxhumana phakathi komzimba namagciwane.

Amakhambi asekhaya we-UTI

Awekho amakhambi asekhaya angalapha i-UTI, kepha kunezinto ongazenza ezingasiza umuthi wakho usebenze kangcono.

Lezi zindlela zokwelapha ekhaya ze-UTIs, njengokuphuza amanzi amaningi, zingasiza umzimba wakho ukusula ukutheleleka ngokushesha.

Ngenkathi ama-cranberries eyikhambi elidumile, ucwaningo ngomphumela walo kuma-UTIs luxubekile. Izifundo eziningi eziqinisekisayo ziyadingeka.

Ijusi le-Cranberry noma ama-cranberries awayiphathi i-UTI uma isiqalile. Kodwa-ke, ikhemikhali kuma-cranberries angasiza ekuvikeleni izinhlobo ezithile zebhaktheriya ezingadala i-UTI yebhaktheriya ukuthi inganamatheli kulwelwesi lwesinye sakho. Lokhu kungasiza ekuvikeleni ama-UTIs wesikhathi esizayo.

Ama-UTIs angalashwa

Kubalulekile ukwelapha i-UTI - kuqala, kungcono. Ama-UTIs angalashwa aba nzima ngokwengeziwe lapho esakazeka kakhulu. I-UTI imvamisa kulula ukwelapha emgudwini ophansi womchamo. Ukutheleleka okusakazeka emaphethelweni aphezulu we-urinary kunzima kakhulu ukuselapha futhi kungenzeka kusabalale egazini lakho, kubangele i-sepsis. Lo ngumcimbi osongela impilo yabantu.

Uma usola ukuthi une-UTI, xhumana nodokotela wakho ngokushesha okukhulu. Ukuhlolwa okulula nomchamo noma ukuhlolwa kwegazi kungakongela izinkinga eziningi ngokuhamba kwesikhathi.

Ukuxilongwa kwe-UTI

Uma usola ukuthi une-UTI ngokuya ngezimpawu zakho, xhumana nodokotela wakho. Udokotela wakho uzobuyekeza izimpawu zakho bese enza ukuhlolwa komzimba. Ukuqinisekisa ukutholakala kwe-UTI, udokotela wakho uzodinga ukuhlola umchamo wakho ukuthola amagciwane.

Isampula yomchamo oyinikeza udokotela wakho idinga ukuba yisampula “yokubamba ehlanzekile”. Lokhu kusho ukuthi isampula yomchamo iqoqwa maphakathi nokusakazwa kwakho kwe-urinary, hhayi ekuqaleni. Lokhu kusiza ukugwema ukuqoqa amagciwane noma imvubelo esikhunjeni sakho, engangcolisa isampula. Udokotela wakho uzokuchazela ukuthi ungathola kanjani ukubamba okuhlanzekile.

Lapho uhlola isampula, udokotela wakho uzobheka inani elikhulu lamaseli amhlophe egazini emchameni wakho. Lokhu kungabonisa ukutheleleka. Udokotela wakho uzokwenza nesiko lomchamo ukuhlola amabhaktheriya noma isikhunta. Isiko lingasiza ukukhomba imbangela yokutheleleka. Kungasiza nodokotela wakho ukuthi akhethe ukuthi ikuphi ukwelashwa okufanele wena.

Uma kusolwa igciwane, kungadingeka kwenziwe ukuhlolwa okukhethekile. Ama-virus ayizimbangela ezingavamile ze-UTIs kodwa angabonakala kubantu abaye bafakelwa izitho zomzimba noma abanezinye izimo ezenza buthaka amasosha abo omzimba.

Amapheshana aphezulu we-UTIs

Uma udokotela wakho esola ukuthi une-UTI ephezulu, bangadinga futhi ukubala igazi eliphelele (i-CBC) namasiko egazi, ngaphezu kokuhlolwa komchamo. Isiko legazi lingaqiniseka ukuthi ukutheleleka kwakho akukasakazeki ekusakazweni kwegazi lakho.

I-UTIs ejwayelekile

Uma unama-UTIs aphindaphindiwe, udokotela wakho angafuna nokuhlola noma ikuphi ukungajwayelekile noma izithiyo ezithombeni zakho zomchamo. Ezinye izivivinyo zalokhu zifaka:

  • I-ultrasound, lapho idivaysi ebizwa ngokuthi i-transducer idluliselwa ngaphezu kwesisu sakho. I-transducer isebenzisa amagagasi e-ultrasound ukwakha isithombe sezitho zakho zomgudu womchamo eziboniswa kusilawuli.
  • I-pyelogram efakwa emithanjeni (IVP), ebandakanya ukujova udayi emzimbeni wakho ohamba ngomgudu wakho wokuchama nokuthatha i-X-ray yesisu sakho. Idayi igqamisa umgudu wakho wokuchama esithombeni se-X-ray.
  • I-cystoscopy, esebenzisa ikhamela elincane elifakwa nge-urethra yakho lize lenyukele esinyeni ukuze libone ngaphakathi kwesinye. Ngesikhathi se-cystoscopy, udokotela wakho angasusa isiqeshana esincane sesicubu sesinye bese esivivinya ukukhipha ukuvuvukala kwesinye noma umdlavuza njengesizathu sezimpawu zakho.
  • Iskena se-tomography (CT) se-computer ukuthola izithombe ezinemininingwane eminingi yohlelo lwakho lokuchama.

Izimbangela nezici zobungozi be-UTI

Noma yini enciphisa isinye sakho ichithe noma icasule umgudu wokuchama ingaholela kuma-UTIs. Kunezici eziningi futhi ezingakubeka engcupheni yokuthola i-UTI. Lezi zinto zifaka:

  • Abantu abadala abaneminyaka yobudala kungenzeka ukuthi bathole ama-UTIs
  • ukuncipha kokuhamba ngemuva kokuhlinzwa noma ukuphumula kombhede isikhathi eside
  • amatshe ezinso
  • i-UTI yangaphambilini
  • ukuvinjelwa noma ukuvinjelwa komgudu womchamo, njenge-prostate enwetshiwe, amatshe ezinso, nezinhlobo ezithile zomdlavuza
  • ukusetshenziswa isikhathi eside kwama-catheters wokuchama, okungenza kube lula ukuthi amabhaktheriya angene esinyeni sakho
  • isifo sikashukela, ikakhulukazi uma silawulwa ngendlela engafanele, okungenza ukuthi kube lula ngawe ukuthola i-UTI
  • ukukhulelwa
  • izakhiwo ezakhiwe ngokungajwayelekile kusukela ekuzalweni
  • amasosha omzimba abuthakathaka

Izici ezengeziwe zobungozi be-UTI yamadoda

Iningi lezinto eziyingozi e-UTI kubantu besilisa ziyefana nezabesifazane. Kodwa-ke, ukuba ne-prostate enwetshiwe kuyisici esisodwa sengozi ye-UTI ehlukile emadodeni.

Izici ezingeziwe zobungozi kwabesifazane

Kunezici ezengeziwe zobungozi kwabesifazane. Ezinye izinto okwakukholakala ukuthi ziyimbangela yama-UTIs kwabesifazane sekukhonjisiwe ukuthi azibalulekile, njengokuhlanzeka kwendlu yangasese. Izifundo zakamuva zehlulekile ukukhombisa ukuthi ukusula kusuka emuva kuya phambili ngemuva kokuya endlini yangasese kuholela kuma-UTIs kwabesifazane, njengoba bekukholelwa phambilini.

Kwezinye izimo, izinguquko ezithile zendlela yokuphila zingasiza ukunciphisa ubungozi bezinye zalezi zinto.

I-urethra emfushane

Ubude nendawo okuyo urethra kwabesifazane kwandisa amathuba ama-UTIs. Umchamo wabesifazane usondelene kakhulu kuzo zombili izitho zangasese nezindunu. Amagciwane angavela ngokwemvelo azungeze isitho sowesifazane sangasese kanye nendunu kungaholela ekuthelelekeni ku-urethra nakuwo wonke amapheshana womchamo.

I-urethra yowesifazane nayo imfishane kuneyendoda, kanti amabhaktheriya anebanga elifushane lokuhamba ukungena esinyeni.

Ukuya ocansini

Ukucindezela komgudu womchamo wabesifazane ngesikhathi sokuya ocansini kungagudluza amabhaktheriya azungeze indunu iye esinyeni. Iningi labesifazane linamagciwane emchameni wawo ngemuva kocansi. Kodwa-ke, umzimba ungawaqeda la magciwane kungakapheli amahora angama-24. Amathumbu egciwane angaba nezakhiwo eziwavumela ukuba anamathele esinyeni.

Ama-spermicides

Ama-spermicides angandisa ingozi ye-UTI. Zingadala ukucasuka kwesikhumba kwabanye besifazane. Lokhu kwandisa ubungozi bamagciwane angena esinyeni.

Ukusetshenziswa kwekhondomu ngesikhathi socansi

Amakhondomu e-latex angenawo amafutha angakhuphula ukungqubuzana futhi acasule isikhumba sabesifazane ngesikhathi sokuya ocansini. Lokhu kungakhuphula ubungozi be-UTI.

Kodwa-ke, amakhondomu abalulekile ekwehliseni ukusabalala kwezifo ezithathelwana ngocansi. Ukusiza ukuvimbela ukungqubuzana nokucasulana kwesikhumba kusuka kumakhondomu, qiniseka ukusebenzisa igrisi eyanele yamanzi, futhi uyisebenzise kaningi ngesikhathi sokuya ocansini.

Ama-diaphragms

Ama-diaphragms angabeka ingcindezi ku-urethra yowesifazane. Lokhu kunganciphisa ukukhipha isinye.

Nciphisa amazinga e-estrogen

Ngemuva kokunqamuka kokuya esikhathini, ukwehla kwezinga lakho le-estrogen kushintsha amabhaktheriya ajwayelekile esithweni sakho sangasese. Lokhu kungakhuphula ubungozi be-UTI.

Ukuvimbela i-UTI

Wonke umuntu angathatha izinyathelo ezilandelayo ukusiza ukuvimbela ama-UTIs:

  • Phuza izingilazi zamanzi eziyisithupha kuya kweziyisishiyagalombili nsuku zonke.
  • Ungabambi umchamo isikhathi eside.
  • Khuluma nodokotela wakho mayelana nokuphatha noma yikuphi ukungahambisani nomchamo noma ubunzima bokukhipha ngokuphelele isinye sakho.

Kodwa-ke, ama-UTIs ayenzeka kaningi kakhulu kwabesifazane kunamadoda. . Lokhu kusho ukuthi kubo bonke abesifazane abayisishiyagalombili abane-UTI, yindoda eyodwa kuphela enayo.

Izinyathelo ezithile zingasiza ukuvimbela ama-UTIs kwabesifazane.

Kwabesifazane be-perimenopausal noma be-postmenopausal, ukusebenzisa i-estrogen yama-topical noma yangasese enqunywe udokotela wakho kungenza umehluko ekuvimbeleni i-UTIs. Uma udokotela wakho ekholelwa ukuthi ukuya ocansini kuyisici sama-UTIs akho aphindaphindiwe, bangancoma ukuthatha ama-antibiotic wokuvikela ngemuva kocansi, noma isikhathi eside.

Olunye ucwaningo luye lwabonisa ukuthi ukusetshenziswa kwesikhathi eside kokuvikela ama-antibiotic kubantu abadala kunciphise ubungozi bama-UTIs.

Ukuthatha izengezo zansuku zonke ze-cranberry noma ukusebenzisa ama-probiotic wesitho sangasese sowesifazane, njenge i-lactobacillus, ingasiza futhi ekuvikeleni ama-UTIs. Abanye basikisela ukuthi ukusebenzisa ama-probiotic suppositories anganciphisa ukwenzeka nokuphindeka kwama-UTIs, ngokushintsha amabhaktheriya atholakala esithweni sangasese.

Qiniseka ukuthi uxoxa nodokotela wakho ukuthi luhlelo luni lokuvikela olulungele wena.

Ama-UTI angamahlalakhona

Ama-UTI amaningi ayahamba ngemuva kokwelashwa. Ama-UTIs angapheli awapheli ngemuva kokwelashwa noma aqhubeke ephindeka. Ama-UTIs aphindaphindiwe ajwayelekile phakathi kwabesifazane.

Izimo eziningi ze-UTIs eziphindaphindwayo zivela ekuphindeni kutholakale ngohlobo olufanayo lwama-bacteria. Kodwa-ke, amanye amacala aphindayo awabandakanyi uhlobo olufanayo lwama-bacteria. Esikhundleni salokho, ukungajwayelekile esakhiweni sepheshana le-urinary kwandisa amathuba ama-UTIs.

Ama-UTIs ngesikhathi sokukhulelwa

Abesifazane abakhulelwe futhi abanezimpawu ze-UTI kufanele babone udokotela wabo ngokushesha. Ama-UTIs ngesikhathi sokukhulelwa angadala umfutho wegazi ophakeme kanye nokulethwa ngaphambi kwesikhathi. Ama-UTIs ngesikhathi sokukhulelwa nawo maningi amathuba okusabalala ezinsweni.

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