UTI enxulumene nekheyetha

Icatheter ngumbhobho wesinyi osusa umchamo emzimbeni. Le tyhubhu inokuhlala endaweni ixesha elide. Ukuba kunjalo, ibizwa ngokuba yi-catheter yokuhlala. Umchamo uphuma kwisinyi sakho uye engxoweni ngaphandle komzimba wakho.

Xa une-catheter ye-urinary yokuhlala, kunokwenzeka ukuba uphuhlise usulelo lwe-urinary tract (UTI) kwisinyi sakho okanye kwizintso.

Iindidi ezininzi zebacteria okanye isikhunta zinokubangela i-UTI enxulumene ne-catheter. Olu hlobo lwe-UTI kunzima ukunyanga ngeziyobisi eziqhelekileyo.

Izizathu eziqhelekileyo zokuba ne-catheter yokuhlala:

• Ukuvuza komchamo (ukungasebenzi)
• Ukungakwazi ukukhupha isinyi sakho
• Utyando kwi-bladder, prostate, okanye kwilungu lobufazi

Ngexesha lokuhlala esibhedlele, unokuba ne-catheter yokuhlala:

• Kanye emva kwalo naluphi na uhlobo lotyando
• Ukuba awukwazi ukuchama
• Ukuba isixa somchamo esivelisayo kufuneka sibekwe esweni
• Ukuba ugula kakhulu kwaye awukwazi ukulawula umchamo wakho

Ezinye zeempawu eziqhelekileyo zezi:

• Umbala womchamo ongaqhelekanga okanye umchamo onamafu
• Igazi kumchamo (hematuria)
• Iphunga elibi okanye elinamandla lomchamo
• Rhoqo kunye nomnqweno onamandla wokuchama
• Uxinzelelo, iintlungu, okanye i-spasms emqolo okanye kwindawo esezantsi yesisu sakho

Ezinye iimpawu ezinokuthi zenzeke nge-UTI:

• Ukugodola
• Ifiva
• Intlungu yeflank
• Utshintsho lwengqondo okanye ukudideka (ezi inokuba kuphela kwempawu ze-UTI kumntu okhulileyo)

Uvavanyo lomchamo luya kujonga usulelo:

• I-Urinalysis ingabonisa iiseli ezimhlophe zegazi (ii-WBCs) okanye iiseli ezibomvu zegazi (RBCs).
• Inkcubeko yomchamo inokunceda ukumisela uhlobo lweebhaktiriya kumchamo. Oku kuya kunceda umboneleli wakho wokhathalelo lwempilo athathe isigqibo ngeyona antibiotic ilungileyo ayisebenzisileyo.

Umboneleli wakho unokucebisa:

• I-Ultrasound yesisu okanye isinqe
• Uvavanyo lwe-CT lwesisu okanye isinqe

Abantu abane-catheter ehlala ngaphakathi bahlala befumana uvavanyo lokuchama ngokungaqhelekanga kunye nenkcubeko evela kumchamo engxoweni. Kodwa nokuba olu vavanyo aluqhelekanga, awunakuba ne-UTI. Le nyaniso yenza ukuba kube nzima kumboneleli wakho ukuba akhethe ukuba uyakuphatha na.

Ukuba unempawu ze-UTI, umboneleli wakho uya kukuphatha nge-antibiotics.

Ukuba awunazo iimpawu, umboneleli wakho uya kukunyanga nge-antibiotics kuphela ukuba:

• Ukhulelwe
• Ufumana inkqubo enxulumene nephepha lokuchama

Uninzi lwexesha, ungathatha ii-antibiotics ngomlomo. Kubaluleke kakhulu ukuzithatha zonke, nokuba uziva ngcono ngaphambi kokuba uzigqibe. Ukuba usulelo lwakho lukhulu kakhulu, unokufumana iyeza emthanjeni. Unokufumana iyeza lokunciphisa i-blasder spasms.

Uzakufuna amanzi amaninzi ukunceda ukukhupha iibhaktheriya kwi-bladder yakho. Ukuba uyazinyanga ekhaya, oku kunokuthetha ukusela iiglasi ezintandathu ukuya kwezisibhozo zolwelo ngosuku. Kuya kufuneka ubuze umboneleli wakho ukuba lingakanani ulwelo olukhuselekileyo kuwe. Gwema ulwelo olucaphukisa isinyi sakho, njengotywala, iijusi zesitrasi, kunye neziselo ezinecaffeine.

Emva kokuba ulugqibile unyango lwakho, unokuphinda wenze olunye uvavanyo lomchamo. Olu vavanyo luya kuqinisekisa ukuba iintsholongwane azisekho.

I-catheter yakho iya kufuneka itshintshwe xa une-UTI. Ukuba unayo ii-UTIs ezininzi, umboneleli wakho angasusa i-catheter. Umboneleli unakho:

• Cela ukuba ufake i-catheter yomchamo rhoqo ukuze ungagcini omnye ngalo lonke ixesha
• Cebisa ezinye izixhobo zokuqokelela umchamo
• Cebisa utyando ukuze ungadingi ipayipi
• Sebenzisa i-catheter ekhethekileyo ekhutshiweyo enokunciphisa umngcipheko wosulelo
• Misela i-antibiotic yedosi ephantsi okanye enye i-antibacterial oza kuyithatha yonke imihla

Oku kunokunceda ukukhusela iibhaktheriya ekukhuleni kwi-catheter yakho.

Ii-UTIs ezinxulumene neecatheters kunokuba nzima ukuzinyanga kunezinye ii-UTIs. Ukuba nosulelo oluninzi ekuhambeni kwexesha kungakhokelela ekonakaleni kwezintso okanye kwizintso kunye nakwilitye lesinyi.

I-UTI enganyangekiyo inokuba nomonakalo wezintso okanye usulelo olubi kakhulu.

Fowunela umnikezeli wakho ukuba unayo:

• Naziphi na iimpawu ze-UTI
• Umva okanye iintlungu
• Ifiva
• Ukuhlanza

Ukuba une-catheter yokuhlala, kufuneka wenze ezi zinto ukunceda ukuthintela usulelo:

• Coca macala onke ukuvula ipayipi.
• Coca i-catheter ngesepha namanzi yonke imihla.
• Coca indawo yakho yomqala kakuhle emva kwentshukumo nganye yamathumbu.
• Gcina ibhegi yakho yokuhambisa amanzi iphantsi kune-bladder yakho. Oku kuthintela umchamo engxoweni ungabuyeli kwisinyi sakho.
• Sula ingxowa yokuhambisa amanzi kube kanye kwiiyure ezisi-8, okanye nanini na xa igcwele.
• Ngaba i-catheter yakho yokuhlala itshintshile ubuncinci kube kanye ngenyanga.
• Hlamba izandla zakho ngaphambi nasemva kokuchukumisa umchamo.

I-UTI-catheter enxulumene nayo; Usulelo lwe-Urinary tract - i-catheter ehambelana nayo; I-UTI ye-Nosocomial; Ukhathalelo lwezempilo olunxulumene ne-UTI; I-catheter-ehambelana nebacteriuria; I-UTI efunyenwe esibhedlele

• Catheterization yesinyi - libhinqa
• Catheterization yesinyi - eyindoda

Amaziko oLawulo lweNtsholongwane kunye noThintelo lwewebhusayithi. Usulelo lwe-Catheter olunxulumene nokusasazeka komchamo (CAUTI). www.cdc.gov/hai/ca_uti/uti.html. Ukuhlaziywa kwe-16 ka-Okthobha ka-2015. Ifikeleleke ngo-Epreli 30, 2020.

UJacob JM, Sundaram CP. Ukucothwa komchamo osezantsi. UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 11.

UNicolle LE, uDrekonja D. Indlela eya kwisigulana esosulelwe ngumchamo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 268.

Umqeqeshi BW, Hooton TM. Unonophelo lwempilo olunxulumene nosulelo lomchamo. Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 302.