Usulelo lwe-Urinary tract - abantwana

Usulelo lwe-urinary tract yintsholongwane yebhaktheriya yomchamo. Eli nqaku lixoxa ngokusuleleka kumchamo ebantwaneni.

Usulelo lunokuchaphazela iindawo ezahlukeneyo zomchamo, kubandakanya isinyi (cystitis), izintso (pyelonephritis), kunye ne-urethra, ityhubhu ekhupha umchamo kwisinyi ukuya ngaphandle.

Usulelo lwe-Urinary tract (UTIs) lunokwenzeka xa iibhaktheriya zingena kwisinye okanye kwizintso. Ezi ntsholongwane ziqhelekile kulusu olujikeleze i-anus. Banokubakho kufutshane nelungu lobufazi.

Ezinye izinto zenza kube lula ukuba ibhaktheriya ingene okanye ihlale kumchamo, njenge:

• I-reflux ye-Vesicoureteral apho umchamo uhamba ubuyela emva kwi-ureters nasezintso.
• Ingqondo okanye ukugula kwenkqubo yesifo (njenge-myelomeningocele okanye ukulimala kwethambo lomqolo).
• Iibhafu zebhafu okanye iimpahla zokunxiba (amantombazana).
• Utshintsho okanye iziphene zokuzalwa kulwakhiwo lomchamo.
• Ukungachami rhoqo ngokwaneleyo emini.
• Ukusula ngasemva (kufutshane ne-anus) ukuya ngaphambili emva kokuya kwindlu yangasese. Kumantombazana, oku kungazisa ibhaktiriya ekuvuleni apho uphuma khona umchamo.

Ii-UTIs zixhaphake kakhulu kumantombazana. Oku kunokwenzeka njengoko abantwana beqala uqeqesho lwangasese abaneminyaka emi-3 ubudala. Amakhwenkwe angolukanga anomngcipheko ophakame kancinci kwii-UTIs ngaphambi kweminyaka eyi-1.

Abantwana abancinci abane-UTIs banokuba nomkhuhlane, ukungabi namdla wokutya, ukugabha, okanye ukungabikho mpawu kwaphela.

Uninzi lwe-UTIs ebantwaneni lubandakanya isinyi. Ingasasazeka kwizintso.

Iimpawu zosulelo lwesinyi ebantwaneni zibandakanya:

• Igazi kumchamo
• Kufike umchamo
• Iphunga elibi okanye elinamandla lomchamo
• Rhoqo okanye ngokungxamisekileyo isidingo sokuchama
• Imvakalelo yokugula ngokubanzi (malaise)
• Intlungu okanye ukutshisa ngokuchama
• Uxinzelelo okanye iintlungu kwi-pelvis esezantsi okanye ngasemva ongezantsi
• Iingxaki zokumanzi emva kokuba umntwana eqeqeshiwe kwindlu yangasese

Iimpawu zokuba usulelo lunokusasazeka kwizintso kubandakanya:

• Ukugodola kungcangcazela
• Ifiva
• Isikhumba esiguquliweyo, esishushu, okanye esibomvu
• Isicaphucaphu nokugabha
• Ubuhlungu kwicala (kwicala) okanye ngasemva
• Intlungu ebuhlungu kwindawo esiswini

Isampuli yomchamo iyafuneka ukufumanisa i-UTI emntwaneni. Isampulu ihlolwa phantsi kwemicroscope kwaye ithunyelwe elebhu kwinkcubeko yokuchama.

Kunganzima ukufumana isampulu yomchamo emntwaneni ongafundiswanga kwindlu yangasese. Uvavanyo alunakwenziwa kusetyenziswa ilweyile elimanzi.

Iindlela zokuqokelela isampulu yomchamo kumntwana omncinci kakhulu zibandakanya:

• Ingxowa yokuqokelela umchamo - Ingxowa yeplastiki ekhethekileyo ibekwe ngaphezulu kwelungu lobudoda okanye lobufazi ukubamba umchamo. Le ayisiyondlela ilungileyo kuba isampulu inokuba nokungcoliseka.
• Inkcubeko yomchamo wesampuli-ityhubhu (ityhubhu) ebekwe kwincam yobudoda kumakhwenkwe, okanye ngqo kwi-urethra emantombazaneni, iqokelela umchamo kanye kwisinyi.
• Ukuqokelelwa komchamo we-Suprapubic-Inaliti ibekwa kulusu lwesisu esisezantsi kunye nezihlunu kwisinyi. Isetyenziselwa ukuqokelela umchamo.

Ukulinganisa kunokwenziwa ukukhangela nakuphi na ukungaqheleki komzimba okanye ukujonga ukusebenza kwezintso, kubandakanya:

• I-Ultrasound
• I-X-ray ithathwa ngelixa umntwana echama (ukuvota icystourethrogram)

Umboneleli wakho wokhathalelo lwempilo uya kuqaphela izinto ezininzi xa esenza isigqibo sokuba kwaye xa kufuneka isifundo esithile, kubandakanya:

• Iminyaka yomntwana kunye nembali yezinye ii-UTIs (iintsana kunye nabantwana abancinci bahlala befuna iimvavanyo zokulandela)
• Ubungqongqo bosulelo nendlela oluphendula ngayo kunyango
• Ezinye iingxaki zonyango okanye iziphene anazo umntwana

Kubantwana, ii-UTIs kufuneka ziphathwe ngokukhawuleza ngamayeza okubulala iintsholongwane ukukhusela izintso. Nawuphi na umntwana ongaphantsi kweenyanga ezintandathu ubudala okanye onezinye iingxaki kufuneka abone ingcali kwangoko.

Iintsana ezincinci zihlala zifuna ukuhlala esibhedlele kwaye zinikwe i-antibiotics ngomthambo. Iintsana ezindala kunye nabantwana banyangwa ngamayeza okubulala iintsholongwane ngomlomo. Ukuba oku akunakwenzeka, banokufuna unyango esibhedlele.

Umntwana wakho kufuneka asele amanzi amaninzi xa anyangwa i-UTI.

Abanye abantwana banokunyangwa ngamayeza okubulala iintsholongwane ixesha elide njengeenyanga ezintandathu ukuya kwiminyaka emibini. Olu nyango lunokwenzeka xa umntwana ephindaphinda usulelo okanye i-vesicoureteral reflux.

Emva kokuba i-antibiotics igqityiwe, umboneleli womntwana wakho unokucela ukuba ubuyise umntwana wakho ukuba enze olunye uvavanyo lomchamo. Oku kunokufuneka ukuba uqiniseke ukuba iintsholongwane azisekho kwisinyi.

Uninzi lwabantwana luyanyangeka ngonyango olufanelekileyo. Uninzi lwexesha, ukuphindaphinda ukosuleleka kunokuthintelwa.

Ukuphindaphindeka kosulelo olubandakanya izintso kunokukhokelela kumonakalo wexesha elide kwizintso.

Tsalela umnikezeli wakho ukuba ngaba iimpawu zomntwana wakho ziyaqhubeka emva konyango, okanye ubuye ngaphezulu kokuphindwe kabini kwiinyanga ezi-6 okanye umntwana wakho:

• Umqolo obuhlungu okanye iintlungu zomlenze
• Umchamo onukayo, onegazi okanye owenziwe umbala
• Umkhuhlane we-102.2 ° F (39 ° C) kwiintsana ixesha elide kuneeyure ezingama-24
• Intlungu ebuyela emva okanye iintlungu zesisu ezantsi kweqhosha lesisu
• Umkhuhlane awupheli
• Ukuchama rhoqo, okanye ufuna ukuchama amaxesha amaninzi ebusuku
• Ukuhlanza

Izinto onokuzenza ukuthintela ii-UTIs zibandakanya:

• Gwema ukunika umntwana wakho iibhafu.
• Yenza ukuba umntwana wakho anxibe iimpahla zangaphantsi ezingafanelanga kunye neempahla.
• Yandisa ukufunxeka kwamanzi kulwelo lomntwana wakho.
• Gcina indawo yesini yomntwana wakho icocekile ukunqanda ibacteria ukuba ingangeni kwi-urethra.
• Fundisa umntwana wakho ukuba aye kwigumbi lokuhlambela amatyeli aliqela yonke imihla.
• Fundisa umntwana wakho ukuba asule indawo yesini ukusuka ngaphambili kuye ngasemva ukunciphisa ukusasazeka kweentsholongwane.

Ukuthintela ii-UTIs eziphindaphindayo, umboneleli unokucebisa ngedosi ephantsi emva kokuba iimpawu zokuqala zimkile.

UTI - abantwana; Cystitis - abantwana; Usulelo lwesinye - abantwana; Isifo sezintso - abantwana; Pyelonephritis - abantwana

• Iphecana lomchamo labasetyhini
• Indoda yokuchama
• Ukuhamba ngecystourethrogram
• Reflux yaseVesicoureteral

IAmerican Academy yeZilwanyana. Ikomitana encinci yosulelo lomchamo. Ukuqinisekiswa kwakhona kwesikhokelo sokuziqhelanisa neklinikhi ye-AAP: ukufumanisa isifo kunye nolawulo losulelo lokuqala lokuhambisa umchamo kwiintsana ezinesifo kunye nabantwana abancinci kwiinyanga ezi-2 ukuya kwezi-24 ubudala. IPediatrics. Ngo-2016; 138 (6): e20163026. IINKCUKACHA: 27940735 pubmed.ncbi.nlm.nih.gov/27940735/.

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Wald ER. Usulelo lwe-Urinary tract kwiintsana nasebantwaneni. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2020. IPhiladelphia, PA: Elsevier; Ngo-2020: 1252-1253.