Kushandiswa kwehutachiona hwehutachiona (UTI) chirwere chinowanikwa chinogona kuchinja chero chikamu chekuvhenekera, kusanganisira itsvo, chikafu, uye urethra (iyo tube inobva mumuguta inobva mumuviri). Kuita zvepabonde chinhu chinowanzokonzera, asi kwete iyo chete. Kunyange zvazvo vakawanda ve60 muzana yevakadzi vachawana UTI. Varume nevana vanogonawo kugadziriswa.
Zviratidzo zvinogona kusanganisira kurwadziwa kwepilvic, kuwedzera kukurudzirwa kunyura, kurwadziwa nekudhonza, neropa mumuguta. Kushandiswa kwemagetsi kunowanzoshandiswa kusimbisa UTI nemishonga inorwisa mabhakitiriya inoshandiswa kurapa zvirwere zvinoratidzika.
Kunyange zvazvo huwandu hwaUTI husina kusimba, humwe hunogona kutungamirira kuhutano hwepfungwa, kubata pamuviri, uye zvinogona kutyisa upenyu hunonzi sepsis. Nenzira yakanaka, vazhinji vanobatwa zvakanaka, uye nzira dzokudzivirira dzinogona kubatsira kudzivisa zvirwere zvenguva yemberi.
Zviratidzo
Urinary tract infections haisi nguva dzose inokonzera zviratidzo. Pavanoita, zvinogona kukanganisa maruva ezasi (urrethra uye chirafu) kana kuti kumusoro kwerineni (itsvo). Izvo zvinosanganisira itsvo zvinowanzova zvakanyanya.
Zviratidzo nezviratidzo zve UTI zvinogona kusanganisira:
- Chirwere chinoramba chichida kurinha (kukurumidza kukanganisa urinary)
- Kupisa kana kurwadziwa kana uchikwira ( dysuria )
- Kufamba kakawanda, zvishoma zvemuti
- Kushuva urine (yakakonzerwa nepus mumuti, kana pyuria )
- Mushonga wepamuki, wakatsvuka, kana wakaoma (wakakonzerwa neropa mumurini, kana hematuria )
- Wakasimba-kunhuwa kwemurini
- Kutambudzika kwepelvic muvakadzi
- Fivha, kushungurudza, uye kurutsa (kazhinji kazhinji nokuda kwehutachiona hwepvo)
Izvo zvinowanzoonekwa (uye kazhinji chete) chiratidzo muvana vaduku fivhiri. Saizvozvowo, kune vakwegura, zviratidzo zvinogona kunge zvisinganzwisisiki uye zvisingaiti, zvakadai sekuneta kana kuti kusava nehanya.
Kana ikasatenderwa, UTI inogona kutungamirira kune zvinetso zvisingawanzo asi zvakakomba, zvakadai sechirwere chepachirema kana chirwere chisingaperi ( pyelonephritis ), kuderedza kwechirwere chechiremera ( kutora ), kutanga kwekuzvarwa, kana kuti kunogona kuurayisa, iyo yose-inoputika inopikisa inonzi sepsis .
Zvinokonzera
Urinary tract infections inowanzoitika apo mabhakitiriya anopinda murerera uye anoenda kune chidzara uye impso. Kunyange zvazvo zvirwere zvemuviri zvisingagoni kutapudza majekiseni aya, kune mamiriro ezvinhu avanogona kubata uye kuwedzera kuva hutachiwana hunopera.
Chikonzero chinonyanya kukosha che UTI ndiko kutumirwa kwebhakitiriya kubva pamakona kana kumadzimai kusvika kune urethra. Inenge 80 muzana inokonzerwa neElili bakteria inowanzowanika mumatumbo kana mhuka. Vamwe, saStaplanlococcus saprophyticus, vanowanzowanika mumudzimai uye vanogona kutamirwa kune urethra panguva yepabonde.
Pakati pezvinowanzokonzera uye zvinokonzera ngozi :
- Madzimai echikadzi anokonzera mukadzi pangozi yakakura nekuda kwerwendo ruduku kubva pakusununguka kwechiremba kusvika kumucheka.
- Vakadzi vanoita zvepabonde vari pangozi yakanyanya kupfuura vakadzi vasina kuita zvepabonde, vane ngozi yekukwirirana nehuwandu hwepabonde.
- Mafupa anogona kukurudzira kukura kwemakiteriya e-coliform seE E. coli.
- Zvigadzirwa zvepermicidal zvinogona kukonzera kuputika kwepabonde.
- Hwe prostate yakawedzerwa kana mainyo matombo anogona kudzivisa kutenderera kwemuti uye kubvumira mabhakitiriya mune chidzitiro kuti ave nehutachiona.
- Varume vasina kudzingiswa vanogona kubatira mabhakitiriya anokuvadza pasi pepamberi.
- Chirwere cheshuga chinogona kukonzera urini glucose kuti mabhakitiriya adye.
- Kuenda kumwedzi kunogona kuchinja maruva ekuchengetedza mukati memadzimai.
- Catheters inogona kukonzera utachiona nekuda kwekusashanda kana kushandiswa kwenguva refu.
- Kutora, matamponi, uye madzimai echikadzi angapa mabhakitiriya mukana wekupinda.
- Potini kudzidzisa kunogona kutungamirira ku UTI, kunyanya kunyanya kuvasikana asiwo kune vakomana vasina kudzingiswa.
Iko kune mararamiro anokwanisa kutarisa munhu kune urinary tract infection.
Kuziva
Avo avo vane UTI vasati vataure kuti vanonyatsoziva apo imwe yakasvika. Zvisinei, kuongororwa nachiremba kunofanirwa kutanga usati watanga kurapwa kuti uone kuti chivhidzi ichocho chakarurama zvechokwadi.
Mukuwedzera pakuongorora zviratidzo zvako, chiremba anogona kushandisa nhamba dzakawanda dzinowanzoongororwa maitiro kana nzira yekusimbisa UTI:
- Kushandisa urinini kunogona kutarisa ropa, pus, glucose, nezvimwe zvisina kukodzera mumuguta.
- Muti wemuguta unogona kushandiswa kutarisa kusangana kwebhakitiriya mumuguta.
- Magnetic resonance imaging (MRI) kana kuti computed tomography (CT) zvinoshandiswa zvinogona kushandiswa kugona kusakanganiswa mumugwagwa wemuguta.
- Cystoscope , iyo yakareba yakareba yakareba, iyo inogona kuiswa mukati mekurera kuti iwedzere maziso ekuvhara.
Muedzo wokuwedzera unogona kuitwa kuti uone kana pane zvimwe zvinotsanangurwa zvezviratidzo, kusanganisira yehutachiona hwehupombwe , interstitial cystitis , kana zvirwere zvepabonde zvakadai segonorrhea kana chlamydia (zvikurukuru mumajaya).
Kurapa
Kusagadziriswa kwekuvhota zvipatara zvirwere zvinowanzobatwa nedzidzo shomanana yemishonga inorwisa mabhakitiriya , kusanganisira:
- Trimethoprim / sulfamethoxazole (TMP-SMX)
- Fosfomycin
- Nitrofurantoin
- Cephalexin
- Ceftriaxone
Zvichienderana nechisarudzo chezvinodhaka uye kuoma uye / kana kudzoka kwehutachiona, nguva yehutano inogona kuva shoma semazuva matatu kana kupera kwenguva refu kupfuura vhiki. Zvirwere zvakanyanya, zvakadai sezvinosangana neitsvo, zvinogona kutora nguva yakareba yemuromo kana kuti inorwisa antibiotics.
Asymptomatic UTIs (UTI isina zviratidzo) haigoni kurapwa. Chero bedzi apo panguva yekuzvitakura umo mazuva manomwe emaantirayotikiti anogona kuderedza dambudziko rokutanga kuberekwa uye kuderera kuberekwa.
Kunyange zvazvo pasina humwe mushonga unokwanisa kuporesa UTI, zvokudya zvakakura mu vitamini C zvinogona kubatsira kukurudzira mhinduro dzekudzivirira muviri, asi iyo isina kunyorera cranberry juice inogona kutsigira kumira kwehupenzi basa.
Kudzivirira
Nepo hutachiona hwekuvhiringidza hunoonekwa, pane zvinhu zvaunogona kuita kuti uwedzere kuderedza ngozi yako. Zvinowanzobatanidza kuchinja muhutano hwako uye tsika dzepabonde.
Chinangwa chekutanga ndechekudzivisa kuiswa kwebhakitiriya inokuvadza mumugwagwa wako. Chinangwa chechipiri ndechekuti urambe uine hutano hwehutano hwakanaka uye uite kuti zvisave nyore kutapukirwa.
Mimwe yenzira dzinoshanda dzekudzivirira dzinosanganisira:
- Kunwa mvura zhinji-magirasi masere pagore-kukurudzira kukonzera uye utano hwepso
- Haumbobatisisi urine mukati
- Kuchenesa mazamu ako asati aita zvepabonde; kunyura shure kwepabonde kuti ubatsire kubvisa ruzivo rwekuvhenekera
- Kushandisa kondomu
- Kudzivisa spermicides uye diaphragms
- Kupukuta kubva mberi kuenda kumashure kuti urege kuendeswa kwebhakitiriya yefecal kubva kune anus kusvika kumudzimai
- Kuchenesa pasi pezvipfeko zvezuva nezuva, kana iwe usina kudzingiswa
- Kupfeka zvipfeko zvinoputika zvekotoni kuitira kuti kuderedza kufema kwemafuro
Shoko Rinobva
Kana iwe kana mumwe munhu waunoda ari kuine zviratidzo zve UTI, ita nguva yekuona chiremba wekutarisira mukuru kana OB / GYN mukurapa. Kusiya hutachiona sehwu chete, zvisinei, nyaya, haisi iyo pfungwa yakanaka. Pazviitiko zvisingawanzoitiki, zvinogona kutungamirira kune chirwere chakakomba chisingazove chakaoma kurapa asi chinogona kukonzera kusagadzikana kusingaperi.
Kana iwe uchitanga antibiotic therapy , usambofa wakamira pakati-kunyange kana zviratidzo zvako zvakajeka. Kuita izvi kunogona kutungamirira kukurudzirwa kwebhakitiriya inopesana nemabhakitiriya, zvichiita kuti zvive zvakanyanya kuoma kuratidzira zvakare UTI kana ikadzoka.
> Sources:
> Al-Badr. uye Al-Shaikh, B. Kakawandisa Urinary Tract Infection Management muvakadzi: Ongororo. Sultan Qaboos Univ Med J. 2013: 359-67.
> Solomon, C. Urinary Tract Infections muVarume Vakwegura. N Engl J Med . 2016; 374: 562-571. DOI: 10.1056 / NEJMcp1503950.
> Schwartz, B. (2014) Urinary Tract Infections. Muna: Levinson, W. eds. Kudzokorora kweAradic Microbiology uye Immunology, 13e . New York, NY: McGraw-Hill Dzidzo.