Izifo zosulelo lwe-Urinary Tract (UTIs) kubantu abadala

Umxholo

• Ukuqonda usulelo lomchamo
• Iimpawu zosulelo lomchamo kubantu abadala
• Yintoni ebangela usulelo lomchamo kumchamo?
• Imiba yomngcipheko wosulelo lomchamo kubantu abadala abadala
• Kwabasetyhini
• Kwindoda
• Ukuchonga usulelo lomchamo kubantu abadala
• Ukunyanga usulelo lomchamo kubantu abadala abadala
• Ungaluthintela njani usulelo lomchamo kubantu abadala abadala
• Ukuthatha

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

Ushwankathelo

Iimpawu zakudala zosulelo lwe-urinary tract (UTI) zitshisa iintlungu kunye nokuchama rhoqo. I-UTIs ayinakubangela ezi mpawu zakudala kubantu abadala. Endaweni yoko, abantu abadala abadala, ngakumbi abo banesifo sengqondo esixhalabisayo, banokuba neempawu zokuziphatha ezinje ngokudideka.

Nangona unxibelelwano phakathi kwe-UTI kunye nokudideka sele kunjalo, unobangela wokunxibelelana akukaziwa.

Ukuqonda usulelo lomchamo

Iphepha lokuchama libandakanya:

• i-urethra, evulekileyo ephethe umchamo kwisinyi sakho
• ureters
• isinyi
• izintso

Xa iibhaktheriya zingena kwi-urethra kwaye amajoni akho omzimba awalwa nawo, anokusasazeka kwisinyi nakwizintso. Iziphumo yi-UTI.

Iingxelo zokuba ii-UTIs zazinoxanduva lokujikeleza malunga ne-10.5 yezigidi kugqirha e-United States ngo-2007. Abasetyhini banamathuba okuba bafumane ii-UTIs kunamadoda kuba ii-urethra zabo zimfutshane kunezamadoda.

Umngcipheko wakho we-UTI unyuka kunye nobudala. Ngokuka, ngaphezulu kwesinye kwisithathu salo lonke usulelo kubantu abakumakhaya abantu abalupheleyo zii-UTIs. Ngaphezulu kwepesenti ye-10 yabasetyhini abaneminyaka engaphezulu kwama-65 ingxelo yokuba ne-UTI kunyaka ophelileyo. Elo nani lonyuka liye kuma malunga neepesenti ezingama-30 kwabasetyhini abangaphezulu kwama-85.

Amadoda athambekele ekufumaneni ii-UTIs ezininzi njengoko bekhula.

Iimpawu zosulelo lomchamo kubantu abadala

Kunokuba nzima ukufumanisa ukuba umntu omdala une-UTI kuba abasoloko bebonisa iimpawu zakudala. Oku kunokuba ngenxa yokuphendula kancinci okanye okucinezelweyo komzimba.

Iimpawu ze-UTI zakudala zibandakanya:

• urethral ukutshisa ngokuchama
• iintlungu zangasese
• ukuchama rhoqo
• imfuneko engxamisekileyo yokuchama
• umkhuhlane
• Ukugodola
• Umchamo unevumba elingaqhelekanga

Xa umntu omdala eneempawu zakudala ze-UTI, abanakukwazi ukukuxelela ngazo. Oko kunokuba ngenxa yemicimbi enxulumene nobudala efana nesifo sengqondo esixhalabisayo okanye isifo sika-Alzheimer. Iimpawu ezinje ngokudideka zinokungacaci kwaye zilingise ezinye iimeko.

Iimpawu ze-UTI ezingaqhelekanga zinokubandakanya:

• ukungakwazi ukuzibamba
• ukuphazamiseka
• ukungakhathali
• ukuwa
• ukugcinwa komchamo
• ukuncipha kokuhamba
• ukunciphisa ukutya

Ezinye iimpawu zinokwenzeka ukuba usulelo lusasazeka kwizintso. Ezi zimpawu ezinzima zinokubandakanya:

• umkhuhlane
• ulusu olucekeceke
• umqolo obuhlungu
• isicaphucaphu
• ukugabha

Yintoni ebangela usulelo lomchamo kumchamo?

Esona sizathu siphambili se-UTIs, nangaliphi na ixesha, ihlala ibacteria. Escherichia coli sesona sizathu siphambili, kodwa ezinye izinto eziphilayo zinokubangela i-UTI. Kubantu abadala asebekhulile abasebenzisa i-catheters okanye bahlala kwikhaya labahlengikazi okanye kwenye indawo yokunyamekela ngokusisigxina, iibhaktheriya ezinje Ngena kwaye Istaphylococci ngoonobangela abaqhelekileyo.

Imiba yomngcipheko wosulelo lomchamo kubantu abadala abadala

Izinto ezithile zinokunyusa umngcipheko we-UTIs kubantu abadala.

Iimeko eziqhelekileyo kubantu abadala zingakhokelela ekugcinweni kwe-urinary okanye kwi-neurogenic bladder. Oku kwandisa umngcipheko we-UTIs. Ezi meko zibandakanya isifo se-Alzheimer's, isifo sikaParkinson, kunye neswekile. Bahlala befuna ukuba abantu banxibe izikhombisi ezingafakwanga. Ukuba izifinyezo azitshintshwanga rhoqo, usulelo lunokwenzeka.

Ezinye izinto ezininzi zibeka abantu abadala emngciphekweni wokuphuhlisa i-UTI:

• Imbali ye-UTIs
• Isifo sengqondo esiyingozi
• ukusetyenziswa kwepayipi
• ukungakwazi ukubamba kwesinyi
• ukungahambi kwamathumbu
• isinyi esaphukileyo

Kwabasetyhini

Abasetyhini be-Postmenopausal basemngciphekweni we-UTIs ngenxa yokusilela kwe-estrogen. I-Estrogen inokunceda ekukhuleni kwe E. coli. Xa i-estrogen incipha ngexesha lokuyeka ukuya esikhathini, E. coli inokuthi ithathe indawo kwaye ibangele usulelo.

Kwindoda

Oku kulandelayo kunokunyusa umngcipheko we-UTIs kumadoda:

• ilitye lesinyi
• ilitye lezintso
• iprotrate eyandisiweyo
• ukusetyenziswa kwepayipi
• ibacteria yebacteria, esisifo esosulelayo seprostate

Ukuchonga usulelo lomchamo kubantu abadala

Iimpawu ezingacacanga, ezinqabileyo ezinje ngokudideka zenza ukuba i-UTIs icelomngeni ekuchongeni abantu abadala abadala. Nje ukuba ugqirha wakho akrokrele i-UTI, iqinisekiswa ngokulula nge-urinalysis elula. Ugqirha wakho angenza inkcubeko yokuchama ukumisela uhlobo lweebhaktiriya ezibangela usulelo kunye neyeza lokubulala iintsholongwane.

Kukho iimvavanyo zasekhaya ze-UTI ezijonga umchamo kwii-nitrate kunye nee-leukocytes. Zombini zihlala zikhona kwii-UTIs. Kuba iintsholongwane zihlala kumchamo wabantu abadala ukuya kwinqanaba elithile, ezi mvavanyo azisoloko zichanekile. Biza ugqirha wakho ukuba uthatha uvavanyo lwasekhaya kwaye ufumane iziphumo ezilungileyo.

Ukunyanga usulelo lomchamo kubantu abadala abadala

Amayeza okubulala iintsholongwane lunyango olukhethwayo kwii-UTIs kubantu abadala nakubantu abancinci. Ugqirha wakho unokumisela i-amoxicillin kunye ne-nitrofurantoin (Macrobid, Macrodantin). Usulelo olunzima kakhulu lunokufuna isibulala-zintsholongwane esibanzi njenge-ciprofloxacin (Cetraxal, Ciloxan) kunye ne-levofloxacin (Levaquin).

Kuya kufuneka uqale ii-antibiotics ngokukhawuleza kwaye uzithathe lonke ixesha lonyango njengoko kumiselwe ngugqirha wakho. Ukuyekisa unyango kwangoko, nokuba iimpawu zisombululekile, kuyonyusa umngcipheko wokuphindaphinda kunye nokumelana neyeza.

Ukusetyenziswa gwenxa kweantibiotic kukonyusa umngcipheko wokuchasana neyeza lokubulala iintsholongwane. Ngesi sizathu, ugqirha wakho uya kumisela elona khondo lifutshane kunyango lunokwenzeka. Unyango aluhlali ngaphezulu kweentsuku ezisi-7, kwaye usulelo lwakho kufuneka lucace kwiintsuku ezimbalwa.

Kubalulekile ukuba usele amanzi amaninzi ngexesha lonyango ukunceda ukukhupha iintsholongwane ezisele.

Abantu abane-UTIs ezimbini okanye nangaphezulu kwiinyanga ezi-6 okanye ezintathu okanye ngaphezulu ze-UTIs kwiinyanga ezili-12 banokusebenzisa iiprophylactic antibiotics. Oku kuthetha ukuthatha iyeza lokubulala iintsholongwane yonke imihla ukunqanda i-UTI.

Abantu abadala abasempilweni banokufuna ukuzama ukuphelisa iintlungu kwi-UTI njenge-phenazopyridine (Azo), i-acetaminophen (iTylenol), okanye ibuprofen (Advil) ukunciphisa ukutshisa kunye nokuchama rhoqo. Amanye amayeza ayafumaneka.

Iphedi yokufudumeza amanzi okanye ibhotile yamanzi ashushu inokunceda ekunciphiseni iintlungu zangasese kunye nentlungu yomqolo. Abantu abadala abadala abanezinye iimeko zonyango akufuneki basebenzise amayeza asekhaya ngaphandle kokuqala babonane nogqirha.

Ungaluthintela njani usulelo lomchamo kubantu abadala abadala

Akunakwenzeka ukuthintela zonke ii-UTIs, kodwa kukho amanyathelo anceda ukunciphisa ithuba lomntu losulelo. Banokukwenza oku ngoku:

• ukusela ulwelo oluninzi
• Ukutshintsha ukungabikho kwempazamo rhoqo
• ukuphepha ukuphazamiseka kwesinyi njengecaffeine kunye notywala
• ukugcina indawo yesini icocekile ngokusula ngaphambili ukuya ngasemva emva kokuya kwindlu yangasese
• ukungasebenzisi iidouchi
• ukuchama ngokukhawuleza xa umnqweno ubetha
• usebenzisa i-estrogen yelungu lobufazi

Ikhaya labongikazi elifanelekileyo okanye ukhathalelo lwexesha elide lubalulekile ekuthinteleni i-UTIs, ngakumbi kubantu abangakwaziyo ukuhamba nabangakwaziyo ukuzikhathalela. Baxhomekeke kwabanye ukuba bazigcine zicocekile kwaye zomile. Ukuba wena okanye umntu obathandayo ungumhlali wasekhaya, thetha nabaphathi malunga nendlela abalawula ngayo ucoceko lomntu. Qinisekisa ukuba bayazazi iimpawu ze-UTI kubantu abadala abadala kunye nendlela yokuphendula.

Ukuthatha

I-UTI inokubangela ukudideka kunye nezinye iimpawu zesifo sengqondo esixhalabisayo kubantu abadala abadala. Ukuthatha amanyathelo othintelo kunye nokujonga iimpawu ze-UTI kufuneka kuncede ukuthintela usulelo. Ukuba ugqirha wakho ufumanisa i-UTI kwangoko, umbono wakho ulungile.

I-Antibiotic iphilisa uninzi lwe-UTIs. Ngaphandle konyango, i-UTI inokusasazeka kwizintso nakwigazi. Oku kunokukhokelela kusulelo olusongela ubomi. Izifo ezosulelayo zinokufuna ukulaliswa esibhedlele ngenxa yeentsholongwane. Oku kungathatha iiveki ukusombulula.

Fumana unyango xa ukrokrela ukuba wena okanye umntu omthandayo une-UTI.