8 January 2025
Ukutheleleka kwe-Urinary Tract Infection (UTI) kungenzeka unyaka wonke. Kwenzeka lapho amagciwane, ikakhulukazi i-E. coli, ehlasela umgudu womchamo futhi asakazekela esinyeni. Kungabangela izimpawu ezingakhululekile njengokuchama njalo, ubuhlungu noma ukushisa ngesikhathi sokuchama, umchamo onamafu noma onuka kabi, nobuhlungu ngaphansi kwesisu noma emhlane.
Nakuba izizathu zokuthuthukisa i-UTI zingahluka kubo bonke, ubusika bubangela izici ezithile eziyingqayizivele ezandisa ingozi yabantu yokutheleleka. Kulesi sihloko, sizoxoxa ngokuningiliziwe ngesizathu esimangalisayo esenza abantu bathambekele kakhulu kuma-UTIs phakathi nezinyanga ezibandayo.
I-UTI ivame kakhulu kwabesifazane kunabesilisa. Eqinisweni, ucwaningo lulinganisela ukuthi u-40-60% wabesifazane uzoba ne-UTI empilweni yabo. Ucwaningo olushicilelwe ku-Therapeutic Advances in Urology luphakamisa ukuthi phakathi kuka-50% no-60% wabesifazane abadala bazoba ne-UTI okungenani eyodwa ekuphileni kwabo, futhi cishe u-10% wabesifazane abangemuva kokuya esikhathini babonisa ukuthi babene-UTI ngonyaka odlule.
Ukugcina lokhu engqondweni, kubalulekile ukuthi labo abajwayele ukuthatha izinyathelo ezengeziwe ebusika, njengoba i-UTI ibonakala ikhuphuka phakathi nezinyanga ezibandayo, uDkt P Vamshi Krishna, u-Senior Consultant kanye neNhloko yoMnyango Wezokwelapha, Izibhedlela ze-CARE, Banjara Hills, Hyderabad, utshela ithimba le-OnlyMyHealth.
Ezinye zezizathu ezivamile zokuthi kungani zihlanganisa:
Nakuba lezi kuyizimbangela ezivamile ze-UTI, kunesizathu esisodwa abantu abavame ukusishaya indiva esenza umuntu atholakale kalula ku-UTI, ikakhulukazi ebusika: ukuntuleka kukavithamini D.
UDkt Krishna uphawula ukuthi amazinga aphansi kavithamini D ebusika ngokuvamile abangelwa ukukhanya okuphansi kwelanga. I-Vitamin D ibalulekile ekugcineni amasosha omzimba aqinile futhi enze lula ukukhiqizwa kwama-peptide e-antimicrobial avikela umgudu womchamo. Ngakho-ke, ukuntuleka kwevithamini elangeni kungaba nomthelela ekwandeni kwengozi ye-UTIs, njengoba ngaphandle kukavithamini D owanele, izivikelo ezingokwemvelo zomzimba ezifweni ziba buthaka.
Ngakho-ke, ukudla okwanele kwe-vitamin D kubaluleke kakhulu. Abantu bangathola amazinga aphezulu ngokukhanya kwelanga, izithako zokudla, noma ukudla okufana nezinhlanzi ezinamafutha, ubisi oluqinisiwe, nezikhupha zamaqanda.
Ucwaningo lwango-2020 olushicilelwe kuSaudi Journal of Biological Sciences lubandakanya abesifazane abangama-75 abane-UTI kanye nabesifazane abanempilo abangama-35 abangenawo ama-UTI, abaneminyaka eyi-17-52. Ngemuva kokuthi amazinga e-serum 25-hydroxyvitamin D alinganiswa kubahlanganyeli, abacwaningi bathola ukuthi abesifazane abane-UTI babe namazinga aphansi kavithamini D uma kuqhathaniswa nalabo abangenawo ama-UTI.
Okufanayo kwasungulwa ocwaningweni lwakudala olwaluhilela izingane. Ucwaningo olushicilelwe ku-Archives of Medical Science luhlanganisa izingane ezingu-50 ezine-UTI yazo yokuqala ene-febrile kanye nezelamani ezinempilo, yobudala kanye nezobulili ezihambisana nobulili ezingu-50 njengeqembu elilawulayo. Kwatholakala ukuthi izingane ezine-UTI zinamazinga aphansi e-vitamin D aphansi kakhulu uma kuqhathaniswa neqembu elinempilo. Phakathi kwalabo abane-UTIs, izingane ezine-pyelonephritis eyingozi zazinamazinga aphansi kavithamini D uma kuqhathaniswa nalezo ezine-UTI ephansi.
Kubalulekile ukuqaphela ukuthi nakuba ukuntuleka kukavithamini D kungabangeli ngokuqondile i-UTI, ucwaningo lubonise ukuthi ukuntula kungase kuphazamise ukusabela komzimba, okwenza abantu bathambekele kakhulu kukho kokubili i-UTI eyingozi nevamile.
Ama-UTI athonywa izici ezimbalwa ezingaphezu kwezinguquko zesizini.
“Abesifazane basengozini enkulu ngenxa ye-urethra yabo emfishane, evumela amagciwane ukuthi afinyelele esinyeni kalula,” kuchaza uDkt Kumar, enezela ukuthi ukuya ocansini kungangenisa amagciwane emgudwini womchamo, kuyilapho ukushintsha kwama-hormone ngesikhathi sokukhulelwa, ukuya esikhathini, noma umjikelezo wokuya esikhathini kungaphazamisa i-microbiome yesitho sangasese sowesifazane, okwenza izifo zibe maningi amathuba.
Izimo ezingalapheki ezifana nesifo sikashukela, amatshe ezinso, noma esinyeni esisebenza ngokweqile nazo zandisa ingozi ye-UTIs. Futhi imikhuba engemihle yenhlanzeko, njengokusula ukusuka emuva ukuya phambili, ngezinye zezimbangela ezivame kakhulu ze-UTI, ngokusho kukadokotela.
Ukwengeza, ukuziphatha okuthile okuqondene nobusika kungandisa ingozi ye-UTI. Isibonelo, abantu bangase beqe izishawa kaningi ngenxa yamakhaza, okuvumela amagciwane ukuthi anqwabelane esithweni sangasese. Ukugqoka izingubo ezimanzi noma ezimanzi, njengokujuluka ejimini noma izendlalelo ezishisayo, isikhathi eside kudala indawo ekahle yokukhula kwamagciwane. Ukwengeza, ukuncipha kokuvivinya umzimba ngesikhathi sasebusika kungase kwenze izivikeli mzimba zibe buthaka, njengoba indlela yokuphila yokunganyakazi inganciphisa imetabolism kanye nokuqina komzimba wonke.
Nawa amathiphu asebenzayo okunciphisa ubungozi be-UTI ebusika:
I-UTI ukutheleleka okuvamile kwamagciwane okungenzeka ngenxa yezizathu ezihlukahlukene. Nakuba abantu abaningi bazi ukuthi ukuphelelwa amanzi emzimbeni, imikhuba yokusondelana engahlanzekile, nokusebenzisa ushukela ngokweqile kungandisa ingozi yako, ukuntuleka kwevithamini D kuyisici esiyingqayizivele esiyingozi abantu abavame ukuphuthelwa noma abangasinaki. Lokhu kuvame kakhulu ebusika lapho ukukhanya kwelanga kuphansi kunokujwayelekile. Ngakho-ke, akubalulekile nje kuphela ukwamukela imikhuba ethile yokuphila enempilo nenhlanzeko, kodwa kubalulekile futhi ukunaka ukudla komuntu uvithamini D. Ukuze uthole ukuqonda okungcono, thintana nodokotela futhi ulandele izeluleko zabo.
Isixhumanisi Esiyisethenjwa
https://www.onlymyhealth.com/winter-reason-for-urinary-tract-infection-risk-12977823138