Usulelo olungapheliyo lwe-Urinary Tract (UTI)

Umxholo

• Zithini iimpawu zosulelo olungapheliyo lomchamo?
• Zithini izizathu zosulelo olungapheliyo lomchamo?
• Usulelo lwesinyi
• Usulelo Urethral
• Ngubani osemngciphekweni wosulelo olungapheliyo lokuhambisa umchamo?
• Abafazi
• Indlela yokuphila
• Amadoda
• Ukuyeka ukuya exesheni
• Lufunyanwa njani usulelo olunganyangekiyo lomchamo?
• Lunyangwa njani usulelo olunganyangekiyo lomchamo?
• Amayeza
• Unyango lwendalo
• Zithini iingxaki zosulelo olungapheliyo lomchamo?
• Ithini imbono yexesha elide?
• Ndingalu thintela njani usulelo olungapheliyo lokuhambisa umchamo?

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Luthini usulelo olungapheliyo lokuhambisa umchamo?

Izifo ezosulelayo zomchamo (UTI) zizifo zendlela yokuchama engaphenduliyo kunyango okanye iqhubeke iphindaphindeka. Basenokuqhubeka nokuchaphazela indlela yakho yokuchama ngaphandle kokufumana unyango olululo, okanye banokuphinda babuye emva konyango.

Umzila wakho wokuchama ngumgaqo owenza inkqubo yakho yokuchama. Ibandakanya oku kulandelayo:

• Izintso zakho zihluza igazi lakho kwaye zivelise inkunkuma yomzimba ngohlobo lomchamo.
• Izilonda zakho ziityhubhu ezihambisa umchamo kwizintso ukuya kwisinyi.
• Isinyi sakho siqokelela size sigcine umchamo.
• I-urethra yakho yityhubhu ehambisa umchamo kwisinyi ukuya ngaphandle komzimba wakho.

I-UTI inokuchaphazela naliphi na icandelo lenkqubo yakho yokuchama. Xa usulelo luchaphazela isinyi sakho kuphela, ngesiqhelo sisifo esincinci esinokunyangwa ngokulula. Nangona kunjalo, ukuba iyasasazeka kwizintso zakho, unokufumana ubunzima kwiziphumo zempilo, kwaye kungafuneka ugcinwe esibhedlele.

Nangona ii-UTIs zinokwenzeka nakubani na nangaliphi na ixesha, zixhaphake kakhulu kwabasetyhini. Ngapha koko, iZiko leLizwe leSwekile kunye neDigestive kunye neZifo zeNtsholongwane (i-NIDDK) liqikelela ukuba umntu om-1 kwaba-5 kwabasetyhini abaselula unama-UTIs aphindaphindiweyo.

Zithini iimpawu zosulelo olungapheliyo lomchamo?

Iimpawu ze-UTI ezingapheliyo ezichaphazela i-bladder yakho zibandakanya:

• ukuchama rhoqo
• umchamo wegazi okanye omnyama
• imvakalelo evuthayo ngelixa uchama
• intlungu kwizintso zakho, oko kuthetha ukuba kumqolo wakho osezantsi okanye ngaphantsi kweembambo zakho
• intlungu kwingingqi yakho yesinyi

Ukuba i-UTI isasazeka kwizintso zakho, inokubangela:

• isicaphucaphu
• ukugabha
• Ukugodola
• umkhuhlane ophezulu, ngaphezulu kwe-101 ° F (38 ° C)
• ukudinwa
• ukuphazamiseka engqondweni

Zithini izizathu zosulelo olungapheliyo lomchamo?

I-UTI sisiphumo sosulelo lwebacteria. Kwiimeko ezininzi, iintsholongwane zingena kwinkqubo yokuchama ngokusebenzisa i-urethra, zize zande kwisinyi. Kuyanceda ukwahlula i-UTIs kwisinyi kunye nosulelo lwe-urethral ukuqonda ngcono ukuba bakhula njani.

Usulelo lwesinyi

Iibhaktheriya E. coli ngunobangela oqhelekileyo wosulelo lwesinyi, okanye icystitis. E. coli Ngokwesiqhelo bahlala emathunjini abantu abaphilileyo kunye nezilwanyana. Kwimeko yayo yesiqhelo, ayibangeli ngxaki. Nangona kunjalo, ukuba ifumana indlela yokuphuma emathunjini nakwindlela yokuchama, inokukhokelela kusulelo.

Oku kuhlala kusenzeka xa iilindle ezincinci okanye ezincinci zelindle zingena kumchamo. Oku kunokwenzeka ngexesha lokwabelana ngesondo. Umzekelo, oku kunokwenzeka xa utshintsha phakathi kokwabelana ngesondo ezimpundwini nakwelilungu langasese lobufazi ngaphandle kokucoca phakathi. Ukwabelana ngesondo ngesondo kwandisa umngcipheko wakho we-UTI. Usulelo lwesinyi lunokuvela ukusuka kumqolo wamanzi wangasese okanye ngokusula okungafanelekanga. Umchamo wegwebu unokubonisa umba.

Usulelo Urethral

Eyaziwa nangokuthi i-urethritis, usulelo lwe-urethra lunokubangelwa ziibhaktheriya ezinje E. coli. I-Urethritis inokuba sisiphumo sosulelo oludluliselwa ngesondo (STI), nangona kunjalo, oku kunqabile. Ii-STIs zibandakanya:

• iherpes
• ukuvuza ngaphantsi
• chlamydia

Ngubani osemngciphekweni wosulelo olungapheliyo lokuhambisa umchamo?

Abafazi

Ii-UTIs ezingapheliyo zixhaphake kakhulu kubafazi. Oku kungenxa yemicimbi emibini eyahlukeneyo yesiseko somntu.

Okokuqala, i-urethra isondele kwi-rectum kwabasetyhini. Ngenxa yoko, kulula kakhulu kwiibhakteria ezivela kwi-rectum ukufikelela kwi-urethra, ngakumbi ukuba usula ubuyela ngaphambili endaweni yangaphambili ukuya ngasemva. Kungenxa yoko le nto amantombazana amancinci ehlala efumana i-UTIs. Abafundanga ukusula ngokufanelekileyo.

Okwesibini, umchamo womfazi mfutshane kunowesilisa. Oku kuthetha ukuba iintsholongwane zinomgama omfutshane wokuhamba ukuya kwisinyi, apho zinokuphindaphindeka khona kwaye zibangele nosulelo.

Indlela yokuphila

Kukho izinto zokuphila ezinokukubeka emngciphekweni owongezelelweyo wokuphuhliswa kwe-UTI engapheliyo, njengokusebenzisa isithsaba ngexesha lokwabelana ngesondo. Iidrafti zityhalela phezulu kwi-urethra, isenza kube nzima ukukhupha ngokupheleleyo isinyi sakho. Umchamo ongenanto unokukwazi ukukhula amabhaktheriya.

Omnye umzekelo uhlala etshintsha ukwenziwa kwebacteria yelungu lobufazi. Oku kunokunyusa umngcipheko wokukhula kwe-UTI engapheliyo. Ukuba uhlala usebenzisa nayiphi na kwezi mveliso zilandelayo, emva koko utshintsha ibacteria yakho yelungu lobufazi:

• douches lobufazi
• amadlozi
• amayeza okubulala iintsholongwane

Amadoda

Amadoda mancinci amathuba okuba abasetyhini bafumane i-UTI, nokuba ibukhali okanye inganyangeki. Esona sizathu siqhelekileyo sokuba amadoda aphuhlise ii-UTIs ezingapheliyo yiprostate eyandisiweyo. Xa iprostate yandisiwe, isinyi asikhupheli ngokupheleleyo esinokubangela ukuba ibacteria ikhule.

Bobabini abesilisa nabasetyhini abaneengxaki ekusebenzeni kwemisipha yesinyi, eyaziwa ngokuba yi-neurogenic bladder, nabo basemngciphekweni we-UTIs ezingapheliyo ngenxa yokugcina umchamo. Le meko inokwenzeka ngenxa yokwenzakala kwimithambo-luvo yesinyi okanye ukwenzakala kwithambo lomqolo.

Ukuyeka ukuya exesheni

Ukuyeka ukuya exesheni kunokubangela iingxaki ezifanayo kwamanye amabhinqa. Ukuyeka ukuya exesheni kubangela utshintsho lwehomoni olunokubangela utshintsho kwiintsholongwane zakho zangasese. Oku kunokunyusa umngcipheko we-UTIs engapheliyo. Kukho enye ingozi kwi-UTIs kubantu abadala.

Lufunyanwa njani usulelo olunganyangekiyo lomchamo?

Ukuba une-UTI engapheliyo, mhlawumbi ubunayo i-UTI ngaphambili.

Ukwenza uvavanyo lweelebhu kwisampulu yomchamo yeyona ndlela iqhelekileyo oogqirha basebenzisa ukufumanisa ii-UTIs. Ingcali yezonyango iya kuvavanya isampulu yomchamo phantsi kwemicroscope, ikhangela iimpawu zebacteria.

Kuvavanyo lwenkcubeko yomchamo, igcisa libeka isampulu yomchamo kwityhubhu ukukhuthaza ukukhula kweentsholongwane. Emva kosuku olunye ukuya kwezintathu, baya kujonga iibhaktheriya ukumisela olona nyango lulungileyo.

Ukuba ugqirha ukrokrela ukonzakala kwezintso, banoku-odola ii-X-ray kunye nezikeni zezintso. Ezi zixhobo zokucinga zithatha imifanekiso yamalungu ngaphakathi komzimba wakho.

Ukuba unayo i-UTIs ephindaphindiweyo, ugqirha wakho unokufuna ukwenza i-cystoscopy. Kule nkqubo, baya kusebenzisa i-cystoscope. Yityhubhu ende, ebhityileyo enelensi ekugqibeleni esetyenziselwa ukujonga ngaphakathi kwi-urethra nakwisinyi. Ugqirha wakho uya kujonga nakuphi na ukungaqheleki okanye imiba enokubangela ukuba i-UTI iqhubeke ibuya.

Lunyangwa njani usulelo olunganyangekiyo lomchamo?

Amayeza

Ikhosi yee-antibiotics ehanjiswa ngaphezulu kweveki enye lunyango olusisiseko lwe-UTIs.

Nangona kunjalo, ukuba unayo i-UTIs engapheliyo, ugqirha wakho unokumisela ixesha elide, i-antibiotics ephantsi ngaphezu kweveki enye emva kokuba iimpawu zokuqala ziphelile. Kwiimeko ezininzi, oku kunceda ukukhusela iimpawu eziphindaphindiweyo. Ugqirha wakho unokucebisa ikhosi yonyango apho uthatha khona amayeza okubulala iintsholongwane emva kwexesha ngalinye usabelana ngesondo.

Ukongeza kwii-antibiotics, ugqirha wakho uya kufuna ukuba uqaphele inkqubo yakho yokuchama ngokukhawuleza. Umzekelo, banokukucela ukuba wenze uvavanyo rhoqo kumchamo wasekhaya ukukhangela usulelo.

Ukuba iimpawu zakho ziyaqhubeka emva konyango lwe-antimicrobial (njenge-antibiotics), i-American Urological Association (AUA) icebisa ukuba ugqirha wakho aphindaphinde uvavanyo lwenkcubeko yomchamo.

Ukuba ii-UTIs zakho ezingapheliyo zenzeka ngokuphuma exesheni, unokufuna ukuqaphela unyango lwe-estrogen lobufazi. Oku kunokuwunciphisa umngcipheko kwi-UTIs yexesha elizayo, nangona inee-tradeoffs ezithile. Qiniseka ukuba uyaxoxa nodokotela wakho.

Ukuba unentsholongwane esebenzayo, unokutshiswa xa uchama. Ugqirha wakho unokukunika amayeza entlungu ukuze ubambe isinyi kunye ne-urethra. Oku kuya kunciphisa ukutsha.

Ugqirha wakho unokuyalela amanye amayeza kunyango olungasekelwanga zintsholongwane.

Unyango lwendalo

Ngokwezinye izifundo, ukusela ijusi ye-cranberry yonke imihla kunokunceda ukunciphisa ukuphindaphinda phakathi kwabo bane-UTIs ezingapheliyo. Olunye uphando kufuneka lwenziwe, kodwa alunakulimaza ukuba uyonwabele incasa. Unokufumana ukhetho olukhulu lwejusi ye-cranberry apha. Thetha nogqirha wakho kuqala ukuba uthatha iziyobisi ezinciphisa igazi.

Olunye unyango lwendalo olunokunceda ukunyanga i-UTI kukusela amanzi amaninzi. Ukusela amanzi amaninzi kunokukunceda ukunciphisa umchamo wakho kwaye ukhuphe iibhaktheriya kwindawo yakho yokuchama.

Ukubeka iphedi yokufudumeza amanzi okanye ibhotile yamanzi ashushu kwisinyi sakho kunokuthomalalisa iintlungu. Kukho nezinye iindlela zonyango lwe-UTI ngaphandle kwee-antibiotics.

Zithini iingxaki zosulelo olungapheliyo lomchamo?

Abantu abanengxaki ye-UTIs engapheliyo banokufumana ubunzima. Ukuphindaphindeka kosulelo lwe-urinary kungagcina kubangele:

• usulelo lwezintso, isifo sezintso, kunye nomnye umonakalo osisigxina wezintso, ngakumbi kubantwana abancinci
• sepsis, esisongelo esisongela ubomi ngenxa yosulelo
• septicemia, eyimeko apho iintsholongwane zingene kwigazi
• umngcipheko okhulayo wokuhanjiswa kwangaphambi kwexesha okanye wokuba neentsana ezinesisindo esiphantsi sokuzalwa

Ithini imbono yexesha elide?

Usulelo lwe-Urinary tract alunakukhathazeka kwaye lubuhlungu. Uninzi lwe-UTIs olungapheliyo luya kusombulula ngenkqubela ye-antibiotics, kodwa ukubeka iliso kwezinye iimpawu kubalulekile kuba i-UTIs engapheliyo ihlala iphinda. Abantu abane-UTIs kufuneka bajonge imizimba yabo kwaye bafune unyango kwangoko ngokuqala kosulelo olutsha. Unyango lwakwangoko losuleleko luyanciphisa umngcipheko weengxaki ezinzima, zexesha elide.

Ndingalu thintela njani usulelo olungapheliyo lokuhambisa umchamo?

Ukuba uchaphazeleka kwii-UTIs eziphindaphindayo, qiniseka uku:

• ukuchama rhoqo njengoko kufuneka (ngakumbi emva kokulalana)
• sula ngaphambili ngasemva emva kokuchama
• usele amanzi amaninzi ukukhupha iintsholongwane kwinkqubo yakho
• usele ijusi ye-cranberry yonke imihla
• nxiba iimpahla zangaphantsi zomqhaphu
• thintela ibhulukhwe ekuqinayo
• thintela ukusebenzisa ii-diaphragms kunye ne-spermicides yolawulo lokuzalwa
• kuthintele ukusela ulwelo olunokucaphukisa isinyi sakho (njengekofu, iziselo zeziqhamo zesitrasi, isoda, utywala)
• Sebenzisa ukuthambisa ngexesha lokwabelana ngesondo, ukuba kukho imfuneko
• thintela iibhafu zebhabhu
• Hlamba ijwabi rhoqo xa ungalukanga