UTI

Ukwelashwa kwe-Urinary Tract Infections (UTI) e-Hyderabad, India

I-urinary tract infection (UTI) yisifo esingathinta noma iyiphi ingxenye yesistimu yakho yomchamo, kuhlanganise nezinso zakho, ureters, isinye, kanye ne-urethra. Abesifazane banamathuba amaningi okuba ne-UTI kunabesilisa. Ukutheleleka kwesinye kungase kube buhlungu ngendlela exakile futhi kungabi lula. Kodwa-ke, uma i-UTI isakazekela ezinsweni zakho, ingaba nomthelela omkhulu.

Ama-antibiotics asetshenziswa kaningi ekwelapheni izifo zomgudu womchamo. Kodwa-ke, kunezinto ongazenza ukwehlisa amathuba akho okuthola i-UTI kwasekuqaleni.

Izimpawu

Ukutheleleka kwe-urinary tract kungase kungabonakali izimpawu, kodwa uma kwenzeka, kungase kuhlanganise okulandelayo:

• Isifiso sokuchama esinamandla futhi esingaguquki

• Lapho uchama, kuba nomuzwa ovuthayo.

• ukudlula umthamo omncane womchamo njalo

• Umchamo obukeka unsundu

• Ukuchama okubomvu, okubomvana okukhanyayo, noma okunombala we-cola - lokhu kuyinkomba yegazi emchameni.

• Umchamo onuka kakhulu

• Ukungakhululeki kwe-pelvic kwabesifazane, ikakhulukazi maphakathi ne-pelvic naseduze kwethambo le-pubic

• Kubantu asebekhulile, izifo ze-urinary tract infections (UTIs) zingaphuthelwa noma zihlonzwe kabi njengezinye izifo.

Izimbangela

• Ezimweni eziningi, izifo zomgudu womchamo ziqala lapho amagciwane engena emgudwini womchamo esebenzisa urethra futhi ekhula esinyeni. Nakuba uhlelo lokuchama luhloselwe ukugcina abahlaseli abancane kangako bengaphandle, lezi zivikelo ziyehluleka ngezikhathi ezithile. Amagciwane angase amila izimpande futhi akhule abe isifo esiphelele ohlelweni lomchamo uma lokhu kwenzeka.
• I-UTI ivame kakhulu kwabesifazane futhi ilimaza isinye kanye ne-urethra.
• Ukutheleleka ngomgudu womchamo (cystitis)- Lolu hlobo lwe-UTI ngokuvamile lubangelwa i-Escherichia coli (E. coli), uhlobo lwebhaktheriya elivame ukuba khona epheshaneni le-GI. Ngakolunye uhlangothi, amanye amagciwane anecala ngezikhathi ezithile.
• I-Cystitis ingabangelwa isenzo socansi, kodwa akudingeki ukuba ube ocansini ukuze ube nayo. Ngenxa yesimo sabo somzimba - ikakhulukazi, ibanga elifushane ukusuka ku-urethra ukuya endunu kanye nokuvuleka kwe-urethral kuya kwesinye - bonke abesifazane basengozini ye-cystitis.
• Ukutheleleka kwe-Urinary tract (urethritis)- Lapho amabhaktheriya e-GI esuka endunu eya e-urethra, leli fomu le-UTI lingavela. Ngaphezu kwalokho, njengoba i-urethra yowesifazane iseduze kakhulu nesitho sangasese sowesifazane, izifo ezithathelwana ngocansi ezihlanganisa i-herpes, i-gonorrhoea, i-chlamydia, ne-mycoplasma zingabangela i-urethritis.

Izinto eziyingozi

Izifo zomgudu womchamo zidlangile kwabesifazane, futhi abaningi babo banezifo ezingaphezu kwesisodwa ukuphila kwabo konke. Abesifazane banamathuba amaningi okuba ne-UTI uma benezimo eziyingozi ezilandelayo:

• I-anatomy yowesifazane. 

• Ukuziphatha ngokocansi- I-UTI ivame kakhulu kwabesifazane abenza ucansi kunabesifazane abangaya ocansini. 

• Izinhlobo ezithile zokulawula inzalo ziyatholakala- Abesifazane abasebenzisa ama-diaphragm ekulawuleni inzalo, kanye nalabo abasebenzisa izidakamizwa ezibulala isidoda, bangase babe sengozini enkulu.

• Ukunqamuka kokuya esikhathini- Ukuncipha kwe-estrogen ejikelezayo ngemva kokunqamuka kokuya esikhathini kukhiqiza izinguquko ohlelweni lokuchama okwenza kube lula ukungenwa izifo.

Ezinye izici eziyingozi ze-UTI zimi kanje:

• Izinto ezingavamile emgudwini womchamo- Izingane ezizalwa zinezinkinga ze-urinary tract ezivimbela umchamo ukuthi ungashiyi umzimba ngokujwayelekile noma okubangela ukuthi umchamo ubuyele ku-urethra kungenzeka ukuthi uthole i-UTIs.

• Ukuphazamiseka kwendlela yomchamo Amatshe ezinso noma i-prostate ekhulisiwe ingabangela umchamo ukuba uvaleleke esinyeni, okwandisa ingozi ye-UTIs.

• Amasosha omzimba abuthakathaka- Isifo sikashukela nezinye izimo ezenza amasosha omzimba abe buthaka - ukulwa komzimba namagciwane - kungase kunyuse ingozi ye-UTIs.

• Ukufakwa kwe-catheter. Abantu abangakwazi ukuzichamela futhi bachame ngeshubhu (catheter) basengozini enkulu ye-UTIs.

• Abantu abalaliswe esibhedlela, abantu abanezinkinga zemizwa ezenza kube nzima ukulawula umthamo wabo wokuchama, nabantu abakhubazekile bangase bawele kulesi sigaba.

• Ukuhlinzwa kwakamuva komchamo- Ukuhlinzwa komchamo noma ukuhlola okusizwa ngokwezempilo kohlelo lwakho lokuchama kokubili kungaphakamisa ithuba lakho lokuthola isifo somzila womchamo.

Ukuxilongwa ezibhedlela ze-CARE 

Ukuhlola namasu alandelayo asetshenziswa ukuthola izifo zomgudu womchamo:

• Isampula lomchamo liyahlaziywa: Udokotela wakho angase acele isampula yomchamo ukuze kuhlolelwe amaseli amhlophe egazi, amaseli abomvu egazi, noma amagciwane. Ukuze ugweme ukungcoliswa kwesampula, ungase utshelwe ukuthi uhlanze indawo yakho yangasese ngephedi elibulala amagciwane ngaphambi kokuqoqa i-pee midstream.
• Elabhu, ama-microorganisms avela ohlelweni lokuchama ayakhuliswa. Isiko lomchamo ngezinye izikhathi lenziwa ngemva kokuhlaziywa kwelebhu yomchamo. Lokhu kuhlolwa kwazisa udokotela wakho mayelana namagciwane abangela ukutheleleka kwakho nokuthi yimiphi imithi ezophumelela kakhulu.
• Uma unezifo ezivamile udokotela wakho asola ukuthi zibangelwa ukungahambi kahle komzila womchamo, ungase uhlolwe i-ultrasound, i-computed tomography (CT) scan, noma i-magnetic resonance imaging (MRI). Udayi ohlukile ungase futhi usetshenziswe udokotela wakho ukuze agqamise izakhiwo ohlelweni lwakho lomchamo.
• Ukusebenzisa i-scope ukuhlola ingaphakathi lesinye sakho - Uma une-UTI ephindaphindayo, udokotela wakho angase enze i-cystoscopy, ehilela ukufaka ishubhu elide, elincanyana eline-lens (cystoscope) ku-urethra nesinye ukuze ahlole ingaphakathi le-urethra nesinye. 

Ukwelashwa Ezibhedlela ze-CARE

• Ezimweni eziningi, ama-antibiotics ayindlela yokwelapha yokuqala yezifo ze-urinary tract. Imithi enikeziwe kanye nobude besikhathi sokwelashwa kunqunywa isimo sakho sezempilo kanye nohlobo lwamagciwane atholwe emchamweni wakho. Ukutheleleka okuqondile kungase kwelashwe ngama-antibiotics kanye nemithi enqunywe udokotela. 
• Izimpawu ze-UTI ngokuvamile ziyaphela phakathi nezinsuku ezimbalwa ngemva kokuqala imithi. Nokho, kungase kudingeke ukuthi uqhubeke uthatha ama-antibiotic isonto noma ngaphezulu. Thatha ama-antibiotic kuyo yonke inkambo.
• Udokotela wakho angase akunikeze inkambo yokwelapha emfushane, njengokuthatha isibulala-magciwane usuku olulodwa kuya kwezintathu, uma une-UTI engaxakile ephakama ngenkathi unempilo. Kodwa-ke, ukuthi le nkambo emfushane yokwelashwa yanele yini ukwelapha isifo sakho kuncike ezimpawini zakho ezithile kanye nomlando wezokwelapha

Uma une-UTI kaningi, udokotela wakho angase anikeze ukwelashwa okuqondile, okufana nalokhu:

• Ama-antibiotics ngemithamo ephansi, ngokuvamile izinyanga eziyisithupha kodwa ngezinye izikhathi isikhathi eside

• Uma ukugula kwakho kubangelwa ukwenza ucansi, umthamo owodwa wama-antibiotic kufanele unikezwe ngemuva kokuya ocansini.

• Uma une-postmenopausal, ungase uzuze ekwelashweni kwe-estrogen yesitho sangasese sowesifazane.

Indlela yokuphila kanye namakhambi asekhaya

Izifo ze-Urinary tract (UTIs) zingase zingakhululeki, kodwa kunezinyathelo ongazithatha ukuze unciphise ukungakhululeki ngenkathi ulinde ama-antibiotics ukubhekana nokutheleleka. Cabangela lezi ziphakamiso:

• I-Stay Hydrated: Yidla amanzi amaningi. I-hydration isiza ekunciphiseni umchamo wakho futhi ikhiphe amagciwane.
• Gwema Iziphuzo Ezicasulayo: Gwema ukuphuza ikhofi, utshwala, noma ijusi yewolintshi- noma iziphuzo ezibandayo ezine-caffeine kuze kube yilapho isifo seselashiwe. Lezi ziphuzo zinamandla okucasula esinyeni futhi zingakhulisa isifiso sokuchama.
• Sebenzisa i-Warm Compress: Gcoba indawo yokushisisa, nakuba ingashisi kakhulu, endaweni yesisu sakho ukuze wehlise umfutho wesinye noma ukungakhululeki.