Ukutheleleka Kwezinso: Izimpawu, Izimbangela, Ukuxilongwa, Ukwelashwa Nokuvimbela

Ukutheleleka kwezinso noma i-pyelonephritis wuhlobo lokutheleleka okwenzeka ngenxa yamagciwane noma amagciwane. Izinso yizitho ezimise okwebhontshisi ezinomthwalo wokukhipha ubuthi nemfucuza egazini. Ukuxhumana nezinye izingxenye ze- ipheshana lomchamo, njengesinye, zenza izinso zibe sengozini yokuthola izifo. Uma izifo kulezi zitho zinganqandwa, zingase zidlulele ezinso.

Izimpawu Zokutheleleka Kwezinso

Lapho ukutheleleka kwezinso kusakazeka, kwenzeka ngokushesha okukhulu, ngokuvamile phakathi nosuku noma ngisho namahora ambalwa. Okuvamile izimpawu zokutheleleka kwezinso ingafaka:

• Igazi noma ubomvu emchamweni
• Ubuhlungu ohlangothini noma ngaphansi
• Ubuhlungu ngenkathi uchama
• Umkhuhlane namakhaza
• Isidingo esivamile noma esiphuthumayo sokuchama
• Ukucasuka kwesisu noma ukuhlanza
• Ukulahlekelwa kwesifiso
• Ukungabi namandla 

Ukutheleleka kwezinso kuvame ukuhambisana nokutheleleka kwe-urinary tract okungase kubangele ukuzwa okuvuthayo ngenkathi uchama kanye nezinye izimpawu ezifana nalezi:

• Umchamo uguqubele
• Umchamo onephunga elibi
• Ukungapheleli kwesinye isinye 
• Ukuzwa njalo isidingo sokuchama 
• Ubuhlungu ngaphansi kwesisu
• Ukudideka

Izimbangela Zokutheleleka Kwezinso

Izimbangela ezivame kakhulu zokutheleleka kwezinso ukutheleleka ngamagciwane kodwa amagciwane angaba yimbangela futhi. Nokho, amagciwane awavamile ukubangela ukutheleleka kumuntu ophile kahle. Ukutheleleka ezinso kuvame ukuqalwa lapho la magciwane engena ngombhobho futhi esakazeka. Ezimweni eziningi, lawa magciwane ahambela phezulu aye ezinso futhi aqale ukutheleleka.

Amanye amabhaktheriya avamile abangela izifo zezinso ahlanganisa okulandelayo: 

• E. Coli
• I-Enterobacter
• Staphylococcus
• I-Protean mirabilis

Ukuxilongwa Kwezifo Zezinso

Udokotela angase axilonge ukutheleleka kwezinso ngokuhlolwa ngokomzimba, ukubuyekezwa komlando wezokwelapha, nokuhlolwa kwezithombe noma ukuhlolwa kwegazi njengoba kubonakala kufanelekile. Ekuqaleni, udokotela angase ahlole impilo yonke yesiguli ngokubheka umfutho wegazi waso, izinga lenhliziyo nokuphefumula, izinga lokushisa lomzimba, kanye izimpawu zokuphelelwa amanzi emzimbeni. Udokotela angase futhi abheke ububele noma ukuzwela ezindaweni eziphansi noma ezimaphakathi. 

Ukuhlolwa kwelabhorethri noma umtholampilo okungase kunconywe udokotela ukuze kuhlonzwe ukutheleleka kwezinso kungase kuhlanganise:

• Ukuhlolwa kwe-rectal: Lokhu kuvame ukwenziwa kwabesilisa okusolwa ukuthi bane-infection yezinso, lapho i-prostate yabo ihlolelwa khona izimpawu zokuvuvukala noma ukukhula okungenzeka kuvimbela ukugeleza komchamo.
• Ukuhlolwa kwe-pelvic: Abesifazane abanezifo zezinso bangadinga ukuhlolwa kwe-pelvic ukuze udokotela abone noma yisiphi isifo sokuvuvukala kwe-pelvic esingabonakali.
• Ukuhlolwa kwesithombe: Iziguli zinganconywa ukuthi zithole i-CT noma i-MRI scan, noma i-ultrasound scan yezinso.
• Ukuhlolwa komchamo: I-urinalysis ingase idingeke ukuze ubheke amagciwane, namangqamuzana egazi abomvu namhlophe.

Ukwelashwa Kwezifo Zezinso

Ukwelashwa kokutheleleka kwezinso kungase kuncike empilweni yonke yesiguli nokuthi ukutheleleka sekusabalele kangakanani. Izindlela zokwelashwa ezijwayelekile zihlanganisa: 

• Ama-antibiotics: Umugqa wokuqala wokwelapha ukutheleleka kwezinso ubandakanya ama-antibiotics okungenzeka iziguli ziwathathe isikhathi esiyizinsuku eziyi-14. Uhlobo lwama-antibiotic olunconywe udokotela lungancika emlandweni wezokwelapha weziguli kanye nokuzwela kwazo kunoma yimiphi imithi. Imithi yobuhlungu ingase futhi ituswe ngesikhathi sokwelashwa kokutheleleka kwezinso.
• Uketshezi: Iziguli ezinokutheleleka kwezinso zingase zicelwe ukuthi zidle amanani amaningi oketshezi ukuvimbela izimpawu zokuphelelwa amanzi emzimbeni zokutheleleka kwezinso. 
• Ukwelashwa Kwe-IV: Uma isiguli singabonisi ngcono izimpawu zaso, kungase kudingeke ukuthi zelashwe esibhedlela. Ama-antibiotic angase anikezwe ngomthambo ongasengalweni yawo. Iziguli eziphelelwe amanzi kakhulu emzimbeni zingase zinikezwe uketshezi ngomthambo.
• Ukuhlinzwa: Isiguli esingenwe isifo sezinso ngenxa yokwanda kwe-prostate noma itshe lezinso angase adinge ukwelashwa kokuhlinzwa ukuze asuse ukuvaleka.

Izingozi Zezingozi

Nazi izici eziyingozi zokutheleleka kwezinso: 

• Abesifazane basengozini enkulu yokutheleleka ngomchamo noma izinso kunabesilisa ngenxa yesakhiwo semvelo se-urethra yabo, ngokuvamile esifushane kunabesilisa. Ukwengeza, ukusondela kwe-anus esithweni sangasese sowesifazane kwenza kube lula ngamabhaktheriya ukuthi angene ku-urethra kalula.
• Abesifazane abakhulelwe nabo kungenzeka bahlaselwe yizinso njengoba kulesi sigaba kuba noshintsho lwamahomoni. Ngokuhambisana neqiniso lokuthi umntwana okhulayo angase acindezele esinyeni kanye ne-ureter kamama, basengozini enkulu yokuthola izifo zezinso.
• Amatshe ezinso, isibeletho esaphukile, noma i-prostate ekhulisiwe kungase kubangele ukuvaleka kokugeleza komchamo okuvamile. Ukuvinjwa okunjalo kubangela ukuba amagciwane azalane futhi asakazeke esinyeni abese esakazekela ezinso. Lokhu kungenzeka nakwabesifazane abakhulelwe.
• I-HIV nesifo sikashukela yizimo ezimbili ezingase zikhulise amathuba okuba nokutheleleka kwezinso. Ukuba semithini ye-immunosuppressive nakho kungase kube nomthelela ofanayo.
• I-Vesicoureteral reflect isimo lapho umchamo ungahambi ngendlela efanele futhi kunalokho ukhuphuka ukhuphuke esinyeni.

Izinkinga

Uma umuntu onesifo sezinso engafuni ukunakekelwa ngokushesha, kungase kubangele izinkinga ezinkulu. Lokhu kungase kuhlanganise:

• Ithumba lezinso: Ubovu bungase buqoqene ezicutshini zezinso bubangele izimpawu zokutheleleka kwezinso njengegazi emchameni, ubuhlungu besisu, nokuncipha kwesisindo.
• I-Sepsis: Kuyisimo esiphuthumayo sezokwelapha lapho umfutho wegazi wesiguli wehla kakhulu, okuthinta ukujikeleza kwegazi laso. Kungase kubangele ukuhamba kancane kwegazi okubangela amahlule egazi okungabangela ukuthi izinso zihluleke lapho igazi lingagijimi ngendlela efanele. I-Sepsis ingabangela ubunzima bokuphefumula, ukuquleka, ngisho ne-coma.
• I-Renal vein thrombosis: Ihlule legazi emithanjeni emikhulu yezinso kungase kuholele ekuntulekeni kwegazi esithweni. Lokhu kungase kubangele isifo sezinso esingamahlalakhona.
• Ukwehluleka kakhulu kwezinso: Kulesi simo, enye noma zombili izinso zomuntu ziyehluleka ukusebenza futhi zidinga ukukhishwa kwe-dialysis. 

Prevention

Ukutheleleka kwezinso kuvame ukuba umphumela wokutheleleka okukhona ngaphambili komgudu womchamo. Ukuvimbela ukutheleleka kwezinso, kubalulekile ukuqinisekisa ukuvimbela izifo ku-urethra noma esinyeni. Nawa amanye amathiphu okumelwe uwalandele ukuvimbela izifo zezinso:

• I-Hydration: Yidla uketshezi olwanele, ikakhulukazi amanzi, futhi ukwenze njalo ukukhipha amagciwane nezinye izifo ezidala amagciwane.
• I-Fiber: Yidla imicu eyanele ukuze uqinisekise ukuhamba kahle kwamathumbu nendle, futhi uvimbele ukucasuka noma ukuvuvukala kwesikhumba. Ukuqunjelwa kungase kwenyuse ingozi yamatshe ezinso.
• Ukuchama: Ungawubambi umchamo.
• Ukuya ocansini: Geza izindawo ezisondelene ngamanzi bese uchama emva kocansi.
• Ukuhlanzeka Komuntu Siqu: Ungasebenzisi imikhiqizo yamakhemikhali noma iziqedaphunga ngaphakathi noma eduze kwezitho zangasese bese uzigeza ngamanzi nsuku zonke.
• Ukuhlanzeka Kwamathoyilethi: Geza ididi ngemva kokudlula indle ukusuka phambili uye emuva futhi ungalinge ukwenze ngenye indlela. 

Uzoyibona Nini Udokotela

Isifo sezinso singasakazeka ngokushesha uma singanikezwanga ukwelashwa ngokushesha. Umuntu kufanele abonane nodokotela uma ebona izimpawu zokuqala zokutheleleka kwezinso:

• Ubuhlungu obuqhubekayo endaweni ephansi kuya emaphakathi nomhlane.
• Umkhuhlane nokugodola nokuqhaqhazela
• Ukuzizwa ungaphathekile kahle noma isicanucanu

Isiphetho

Ukutheleleka kwezinso kungase kwenzeke kokubili kwabesilisa nabesifazane, futhi kungase kukhule ngokushesha. Ezimweni eziningi, izifo zezinso zingase zizixazulule ngokwazo nge-hydration eyanele kanye nenkambo yama-antibiotics. Nokho, abanye abantu bangadinga ukwelashwa okwengeziwe. Izifo zezinso zingavinjelwa ngokunakekela kahle nangokugcina inhlanzeko yomuntu siqu.

Imibuzo Evame Ukubuzwa

1. Ingabe isifo sezinso sibi kakhulu?

Uma welashwa ngokushesha, kungase kungabi kubi. Kodwa uma ukutheleleka kwezinso kuyekwa kungelashwa, kungase kubangele izinkinga ezinkulu ezinso ezingase zibeke ngisho nokuphila engozini.

2. Yikuphi ukudla okusiza ukulungisa izinso?

Ukudla okulungele izinso okusiza ukulungisa izinso kungase kuhlanganise:

• aluhlaza okwesibhakabhaka
• Apples
• Kale
• Isipinashi
• Ubhatata
• Fish
• Inyama yenkomo esethinini
• Ugaliki
• Iklabishi
• Ukholifulawa 
• Anyanisi
• Abamhlophe beqanda
• Inkukhu engenasikhumba
• Ama-turnips, njll.

3. Ubani osethubeni elihle lokuthola isifo sezinso?

Abesifazane bayo yonke iminyaka yobudala kanye namadoda angaphezu kweminyaka engama-60 banamathuba amaningi okuba nesifo sezinso.