Ukutheleleka Kwe-Urinary Tract (UTIs) Kwabantu Abadala Abadala

-Delile

• Ukuqonda izifo zomgudu womchamo
• Izimpawu zokutheleleka ngomgudu womchamo kubantu abadala asebekhulile
• Yini ebangela ukutheleleka komgudu womchamo?
• Izici ezinobungozi bokutheleleka ngomgudu womchamo kubantu abadala asebekhulile
• Kwabesifazane
• Kwabesilisa
• Ukuhlonza ukutheleleka komgudu womchamo kubantu abadala asebekhulile
• Ukwelapha ukutheleleka ngomgudu womchamo kubantu abadala asebekhulile
• Ungazivimba kanjani izifo ezithinta umchamo kubantu abadala asebekhulile
• Ukuthatha

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

Ukubuka konke

Izimpawu zakudala zokutheleleka nge-urinary tract (UTI) ukushisa okuvuthayo nokuchama njalo. Ama-UTI kungenzeka angabangeli lezi zimpawu zakudala kubantu abadala asebekhulile. Esikhundleni salokho, abantu abadala asebekhulile, ikakhulukazi labo abane-dementia, bangathola izimpawu zokuziphatha ezifana nokudideka.

Yize ukuxhumana phakathi kwe-UTI nokudideka kube, isizathu salokhu kuxhuma asikaziwa.

Ukuqonda izifo zomgudu womchamo

Ipheshana le-urinary lifaka:

• i-urethra, okuwumbobo ophethe umchamo esinyeni sakho
• ureters
• isinye
• izinso

Lapho amabhaktheriya engena urethra futhi amasosha akho omzimba engalwi nawo, angadlulela esinyeni nasezinsweni. Umphumela uba yi-UTI.

Imibiko yokuthi ama-UTIs abhekele ukuvakasha kodokotela abalinganiselwa ezigidini eziyi-10.5 e-United States ngo-2007. Abesifazane basemathubeni amaningi okuthola ama-UTIs kunabesilisa ngoba ama-urethra abo amafushane kunawabesilisa.

Ingozi yakho ye-UTI inyuka ngokukhula. Ngokusho, ngaphezu kokukodwa kokuthathu kokutheleleka kubantu abasemakhaya asebekhulile ama-UTIs. Abesifazane abangaphezu kwamaphesenti ayishumi abaneminyaka engaphezu kwengama-65 babika ukuthi bane-UTI ngonyaka odlule. Lelo nani lenyuka lacishe libe ngamaphesenti angama-30 kwabesifazane abangaphezu kwama-85.

Amadoda futhi ajwayele ukuzwa ama-UTIs amaningi njengoba ekhula.

Izimpawu zokutheleleka ngomgudu womchamo kubantu abadala asebekhulile

Kungaba nzima ukuthola ukuthi umuntu omdala osekhulile une-UTI ngoba abakhombisi njalo izimpawu zakudala. Lokhu kungahle kube ngenxa yempendulo yomzimba yokuhamba kancane noma ecindezelwe.

Izimpawu ze-UTI zakudala zifaka:

• ukuvutha komchamo ngokuchama
• ubuhlungu be-pelvic
• ukuchama kaningi
• isidingo esiphuthumayo sokuchama
• umkhuhlane
• Ukugodola
• umchamo onephunga elingajwayelekile

Lapho umuntu omdala esenezimpawu zakudala ze-UTI, kungenzeka bangakwazi ukukutshela ngazo. Lokho kungaba ngenxa yezinkinga ezihlobene nobudala ezifana nokuwohloka komqondo noma isifo i-Alzheimer's. Izimpawu ezifana nokudideka zingase zingacaci futhi zilingise ezinye izimo.

Izimpawu ze-UTI ezingezona zakudala zingafaka:

• ukungazibambi
• ukuyaluza
• ukukhathala
• ukuwa
• ukugcinwa komchamo
• kwehle ukuhamba
• ukuncipha kokudla

Ezinye izimpawu zingavela uma ukutheleleka kusakazeka ezinso. Lezi zimpawu ezinzima zingabandakanya:

• umkhuhlane
• isikhumba esikhanyayo
• ukuhlungu obusemhlane
• isicanucanu
• ukuhlanza

Yini ebangela ukutheleleka komgudu womchamo?

Isizathu esiyinhloko sama-UTIs, nganoma yisiphi isikhathi, imvamisa yigciwane. Escherichia coli yimbangela eyinhloko, kepha ezinye izinto eziphilayo nazo zingadala i-UTI. Kubantu abadala asebekhulile abasebenzisa i-catheters noma abahlala ekhaya labahlengikazi noma kwenye indawo yokunakekelwa ngokugcwele, amabhaktheriya anjenge I-Enterococci futhi I-Staphylococci izimbangela ezivame kakhulu.

Izici ezinobungozi bokutheleleka ngomgudu womchamo kubantu abadala asebekhulile

Izici ezithile zingakhuphula ubungozi bama-UTIs kubantu asebekhulile.

Izimo ezivamile kubantu abadala zingadala ukugcinwa komchamo noma isinye se-neurogenic. Lokhu kwandisa ubungozi bama-UTIs. Lezi zimo zibandakanya isifo i-Alzheimer's, isifo sikaParkinson, nesifo sikashukela. Imvamisa zidinga ukuthi abantu bagqoke izifinyezo ze-incontinence. Uma izingxoxo zingashintshiwe njalo, ukutheleleka kungahle kwenzeke.

Ezinye izinto eziningi zibeka abantu abadala engcupheni yokuthola i-UTI:

• umlando wama-UTIs
• ukuwohloka komqondo
• ukusetshenziswa kwepayipi
• ukungakwazi ukubamba kwesinye
• ukungalingani kwamathumbu
• isinye esinyukile

Kwabesifazane

Abesifazane be-Postmenopausal basengozini yama-UTIs ngenxa yokushoda kwe-estrogen. I-Estrogen ingasiza ekukhuleni okukhulu kwe- E. coli. Lapho i-estrogen incipha ngesikhathi sokuya esikhathini, E. coli kungathatha futhi kubangele ukutheleleka.

Kwabesilisa

Okulandelayo kungakhuphula ubungozi bama-UTIs kwabesilisa:

• itshe lesinye
• itshe lezinso
• i-prostate ekhulisiwe
• ukusetshenziswa kwepayipi
• bacterial prostatitis, okuyisifo esingalapheki sendlala yesinye

Ukuhlonza ukutheleleka komgudu womchamo kubantu abadala asebekhulile

Izimpawu ezingacacile, ezingavamile ezifana nokudideka zenza i-UTIs inselele ukuxilonga kubantu abadala asebekhulile. Lapho udokotela wakho esola i-UTI, iqinisekiswa kalula nge-urinalysis elula. Udokotela wakho angenza isiko lomchamo ukunquma uhlobo lwama-bacteria abangela ukutheleleka kanye ne-antibiotic engcono kakhulu yokuyelapha.

Kunezivivinyo ze-UTI zasekhaya ezihlola umchamo wama-nitrate nama-leukocyte. Kokubili kuvame ukutholakala kuma-UTIs. Ngenxa yokuthi amabhaktheriya ngokuvamile asemchameni wabantu abadala asebekhulile ngezinga elithile, lezi zivivinyo azihlali zinembile ngaso sonke isikhathi. Shayela udokotela wakho uma wenza ukuhlolwa kwasekhaya bese uthola imiphumela emihle.

Ukwelapha ukutheleleka ngomgudu womchamo kubantu abadala asebekhulile

Ama-antibiotic yindlela yokwelashwa okukhethwa kukho kuma-UTIs kubantu abadala asebekhulile nakubantu abasha. Udokotela wakho angakunika i-amoxicillin ne-nitrofurantoin (Macrobid, Macrodantin). Ukutheleleka okunzima kakhulu kungadinga i-antibiotic ebanzi efana ne-ciprofloxacin (Cetraxal, Ciloxan) ne-levofloxacin (Levaquin).

Kufanele uqale ama-antibiotic ngokushesha okukhulu futhi uwaphuze sonke isikhathi sokwelashwa njengoba kushiwo ngudokotela wakho. Ukumisa imishanguzo kusenesikhathi, noma ngabe izimpawu zixazululwa, kwandisa ubungozi bokuphindeka nokulwa namagciwane.

Ukusetshenziswa ngokweqile kwama-antibiotic kukhulisa nengozi yakho yokumelana nemithi elwa namagciwane. Ngalesi sizathu, udokotela wakho cishe uzonikeza inkambo emfushane yokwelashwa engenzeka. Ukwelashwa ngokuvamile akuhlali ezinsukwini ezingama-7, futhi ukutheleleka kwakho kufanele kucace ezinsukwini ezimbalwa.

Kubalulekile ukuphuza amanzi amaningi ngesikhathi sokwelashwa ukusiza ukukhipha amagciwane asele.

Abantu abanama-UTI amabili noma ngaphezulu ezinyangeni eziyisithupha noma ezintathu noma ngaphezulu ze-UTIs ezinyangeni eziyi-12 bangasebenzisa ama-antibiotic we-prophylactic. Lokhu kusho ukuthatha i-antibiotic nsuku zonke ukuvimbela i-UTI.

Abantu abadala abadala abanempilo bangafuna ukuzama ukudambisa izinhlungu ze-UTI ngaphezulu kwe-counter njenge-phenazopyridine (Azo), i-acetaminophen (iTylenol), noma i-ibuprofen (Advil) ukuze kunciphise ukuvutha nokuchama njalo. Eminye imithi iyatholakala.

Iphedi yokushisa noma ibhodlela lamanzi ashisayo kungasiza ekudambiseni ubuhlungu be-pelvic nobuhlungu beqolo. Abantu abadala asebekhulile abanezinye izimo zezokwelapha akufanele basebenzise amakhambi asekhaya ngaphandle kokubonisana nodokotela kuqala.

Ungazivimba kanjani izifo ezithinta umchamo kubantu abadala asebekhulile

Akunakwenzeka ukuvimbela wonke ama-UTIs, kodwa kunezinyathelo ezisiza ukunciphisa amathuba omuntu okutheleleka. Bangakwenza lokhu ngoku:

• ukuphuza uketshezi oluningi
• ukushintsha izifinyezo zokungavumelani njalo
• ukugwema ukucasula kwesinye njenge-caffeine notshwala
• ukugcina indawo yangasese ihlanzekile ngokusula ngaphambili nangemuva ngemuva kokuya endlini yangasese
• ukungasebenzisi ama-douches
• ukuchama ngokushesha lapho isifiso sishaya
• usebenzisa i-estrogen sowesifazane sangasese

Ikhaya labahlengikazi elifanele noma ukunakekelwa kwesikhathi eside kubalulekile ekuvikeleni ama-UTIs, ikakhulukazi kubantu abanganyakazi nabangakwazi ukuzinakekela. Bathembele kwabanye ukuthi babagcine behlanzekile futhi bomile. Uma wena noma othandekayo ungumhlali wasekhaya lasebekhulile, khuluma nabaphathi ngokuthi bakuphatha kanjani ukuhlanzeka komuntu siqu. Qiniseka ukuthi bayazazi izimpawu ze-UTI kubantu abadala asebekhulile nokuthi bangaphendula kanjani.

Ukuthatha

I-UTI ingadala ukudideka nezinye izimpawu zokuwohloka komqondo kubantu abadala asebekhulile. Ukuthatha izinyathelo zokuvimbela nokubheka izimpawu ze-UTI kufanele kusize ukuvikela ukutheleleka. Uma udokotela wakho ethola i-UTI kusenesikhathi, umbono wakho muhle.

Ama-antibiotic alapha ama-UTIs amaningi. Ngaphandle kokwelashwa, i-UTI ingasakazeka ezinso nasegazini. Lokhu kungaholela ekuthelelekeni kwegazi okusongela impilo.Ukutheleleka okunzima kungadinga ukulaliswa esibhedlela ngemithi elwa namagciwane efakwa emithanjeni. Lokhu kungathatha amasonto ukuzixazulula.

Thola ukwelashwa uma usola ukuthi wena noma othandekayo une-UTI.