Usulelo lwe-Urinary tract - abantu abadala

Usulelo lwe-urinary tract, okanye i-UTI, sisifo sephepha lokuchama. Usulelo lunokwenzeka kwiindawo ezahlukeneyo kwindawo yokuchama, kubandakanya:

• Isinyi - Usulelo esinyini lukwabizwa ngokuba yi-cystitis okanye usulelo lwesinyi.
• Izintso - Usulelo lwesinye okanye zombini izintso kuthiwa yi-pyelonephritis okanye isifo sesifo.
• I-Ureters - Iityhubhu ezithatha umchamo kwizintso nganye ziye kwisinyi kunqabile ukuba ibe kuphela kwendawo yosulelo.
• I-Urethra -Ukusuleleka kwityhubhu ekhupha umchamo kwisinyi ukuya ngaphandle ibizwa ngokuba yi-urethritis.

Uninzi lwe-UTIs lubangelwa ziibhaktheriya ezingena kwi-urethra emva koko kwisinyi. Usulelo luhlala luvela kwisinyi, kodwa lunokusasazeka kwizintso. Uninzi lwexesha, umzimba wakho unokukhupha ezi ntsholongwane. Nangona kunjalo, iimeko ezithile zonyusa umngcipheko wokuba ne-UTIs.

Abasetyhini bathambekele ekuzifumaneni rhoqo ngenxa yokuba i-urethra yabo imfutshane kwaye ikufutshane ne-anus kunamadoda. Ngenxa yoku, abasetyhini kunokwenzeka ukuba bafumane usulelo emva kwesondo okanye xa besebenzisa uvalo kulawulo lokuzalwa. Ukuyeka ukuya exesheni kwandisa umngcipheko we-UTI.

Oku kulandelayo kukonyusa namathuba akho okuphuhlisa i-UTI:

• Seswekile
• Ukuguga kunye neemeko ezichaphazela imikhwa yokhathalelo lomntu (njengesifo se-Alzheimer kunye ne-delirium)
• Iingxaki zokukhupha isinyi ngokupheleleyo
• Ukuba necatheter yomchamo
• Ukungakwazi ukuzibamba kwesisu
• Iprostate eyandisiweyo, i-urethra encinci, okanye nantoni na ethintela ukuhamba komchamo
• Amatye eentso
• Ukuhlala uzolile (ukungahambi) ixesha elide (umzekelo, ngelixa usabuyela ekuphukeni kwenyonga)
• Ukukhulelwa
• Ugqirha okanye enye inkqubo ebandakanya indawo yokuchama

Iimpawu zentsholongwane yesinyi zibandakanya:

• Kunamafu okanye umchamo onegazi, onokuba nevumba elibi okanye elomeleleyo
• Umkhuhlane ophantsi kwabanye abantu
• Intlungu okanye ukutshisa ngokuchama
• Uxinzelelo okanye ukucofa kwisisu esisezantsi okanye ngasemva
• Isidingo esomeleleyo sokuchama rhoqo, kwanasemva kokuba iyekisiwe isinyi

Ukuba usulelo lusasazeka kwizintso zakho, iimpawu zingabandakanya:

• Ukugodola nokungcangcazela okanye ukubila ebusuku
• Ukudinwa kunye nokugula gwenxa
• Umkhuhlane ongaphezulu kwe-101 ° F (38.3 ° C)
• Intlungu esecaleni, ngasemva, okanye kwi-groin
• Isikhumba esiguquliweyo, esishushu, okanye esibomvu
• Utshintsho lwengqondo okanye ukudideka (kubantu abadala, ezi mpawu zihlala zizimpawu ze-UTI)
• Isicaphucaphu nokugabha
• Intlungu ebuhlungu esiswini (ngamanye amaxesha)

Uninzi lwexesha, uyakufuna ukubonelela ngesampulu yomchamo kwezi mvavanyo zilandelayo:

• I-Urinalysis - Olu vavanyo lwenziwa ukujonga iiseli ezimhlophe zegazi, iiseli ezibomvu zegazi, iibhaktheriya, kunye nokuvavanya iikhemikhali ezinje nge-nitrites kumchamo. Olu vavanyo lunokufumanisa isifo ixesha elininzi.
• Ukucoceka kokubamba inkcubeko yomchamo-Olu vavanyo lunokwenziwa ukuchonga ibhaktiriya kunye nokuchonga eyona ntsholongwane ilungileyo kunyango.

Uvavanyo lwegazi olufana nokubalwa kwegazi olupheleleyo (i-CBC) kunye nenkcubeko yegazi zinokwenziwa ngokunjalo.

Unokufuna ezi mvavanyo zilandelayo ukunceda ukulawula ezinye iingxaki kwinkqubo yakho yokuchama:

• Ukuvavanywa kwe-CT kwesisu
• Ipyramogram efakwa ngaphakathi (IVP)
• Ukuskena izintso
• Isifo sezintso
• Ukuhamba ngecystourethrogram

Umboneleli wakho wokhathalelo lwempilo kufuneka kuqala athathe isigqibo sokuba ngaba usuleleko lukhona nje esinyini, okanye ukuba sele lunwenwele kwizintso kwaye nokuba lukhulu kangakanani na.

UKUPHATHWA KWEZINTO EZIBALULEKILEYO NEZIFO

• Uninzi lwexesha, kuyakufuneka uthathe isibulala-zintsholongwane ukuthintela usulelo ekusasazeni nasezintso.
• Xa usosulelweni lwesinyi olulula, uya kuthatha amayeza okubulala iintsholongwane kangangeentsuku ezi-3 (abasetyhini) okanye iintsuku ezisi-7 ukuya kwezi-14 (amadoda).
• Ukuba ukhulelwe okanye unesifo seswekile, okanye unesifo sezintso esincinci, uya kuhlala uthabatha i-antibiotics iintsuku ezi-7 ukuya kwezi-14.
• Gqiba zonke i-antibiotics, nangona uziva ungcono. Ukuba awuyigqibi idosi iphela yamayeza, usulelo lunokubuya kwaye kube nzima ukunyanga kamva.
• Soloko usela amanzi amaninzi xa unesinyi okanye isifo sezintso.
• Xelela umboneleli wakho ukuba unokukhulelwa ngaphambi kokuba uthathe la machiza.

IZIFUYO ZOKUGQIBELA ZESIBHEDLELE

Abanye abantu basetyhini baye baphinda basulelwa sisinyi. Umboneleli wakho unokucebisa ukuba:

• Thatha ithamo elinye leyeza lokubulala iintsholongwane emva konxibelelwano ngesondo ukuthintela usulelo.
• Yiba nekhosi yeentsuku ezi-3 yokubulala iintsholongwane ekhaya oyisebenzisayo ukuba uvela usulelo.
• Thatha idosi enye yemihla ngemihla yothintelo losulelo.

IZINTO EZININZI ZOKUTHUTHUKISWA KWEENTSHOLONGWANE

Kuya kufuneka uye esibhedlele ukuba uyagula kakhulu kwaye awunakho ukuthatha amayeza ngomlomo okanye usele ulwelo olwaneleyo. Unokungeniswa kwakhona esibhedlele ukuba:

• Ngaba umdala
• Yiba namatye ezintso okanye utshintsho kwi-anatomy ye-urinary tract
• Kutshanje kwenziwe utyando kumchamo
• Unomdlavuza, isifo sikashukela, i-multiple sclerosis, ukulimala kwethambo lomqolo, okanye ezinye iingxaki zonyango
• Ukhulelwe kwaye unefiva okanye ugula ngenye indlela

Esibhedlele, uyakufumana ulwelo kunye namayeza okubulala iintsholongwane ngomthambo.

Abanye abantu banee-UTIs ezingahambiyo nonyango okanye zihlala zibuya. Ezi zibizwa ngokuba zi-UTIs ezinganyangekiyo. Ukuba une-UTI engapheliyo, unokufuna i-antibiotics eyomeleleyo okanye uthathe amayeza ixesha elide.

Unokufuna utyando ukuba usulelo lubangelwa yingxaki kulwakhiwo lomchamo.

Uninzi lwe-UTIs lunokunyangeka. Iimpawu zosulelo lwesinyi zihlala zihamba zingaphelanga iiyure ezingama-24 ukuya kuma-48 emva kokuba unyango luqale. Ukuba unesifo sezintso, kungathabatha iveki enye okanye ngaphezulu ukuba iimpawu zihambe.

Iingxaki zinokubandakanya:

• Usulelo lwegazi olusongela ubomi (sepsis) -Umngcipheko mkhulu phakathi kwabantu abadala, abantu abadala kakhulu, kunye nabantu abanemizimba yabo engakwaziyo ukulwa nosulelo (umzekelo, ngenxa ye-HIV okanye umhlaza chemotherapy).
• Ukulimala kwezintso okanye ukonakala.
• Usulelo lwezintso.

Nxibelelana nomboneleli wakho ukuba uneempawu ze-UTI. Tsalela umnxeba kwangoko ukuba unempawu zosulelo lwezintso, ezinje:

• Umqolo okanye iintlungu ezisecaleni
• Ukugodola
• Ifiva
• Ukuhlanza

Biza kwakhona ukuba iimpawu ze-UTI zibuya kwakamsinya emva kokuba unyangwe ngeyeza lokubulala iintsholongwane.

Ukutya kunye notshintsho kwindlela yokuphila kunokunceda ukuthintela ezinye ii-UTIs. Emva kokuyeka ukuya exesheni, umfazi unokusebenzisa i-estrogen cream ejikeleze kwilungu lobufazi ukunciphisa usulelo.

Usulelo lwesinyi - abadala; UTI - abadala; Cystitis - ibacteria - abantu abadala; IPyelonephritis - abantu abadala; Usulelo lwezintso - abantu abadala

• Catheterization yesinyi - libhinqa
• Catheterization yesinyi - eyindoda
• Iphecana lomchamo labasetyhini
• Indoda yokuchama
• Uthintelo cystitis

Cooper KL, Badalato GM, MP waseRutman. Usulelo lwe-urinary tract. Ku: UPartin AW, uDmochowski RR, uKavoussi LR, uPeter CA, ii-eds. ICampbell-Walsh-Wein Urology. Umhla we-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 55.

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.

USobel JD, uBrown P. Usulelo lwe-Urinary tract. 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 72.