Zviratidzo zvinogona kusiyana pakati pevakadzi, varume, vana, uye vakwegura
Chero ani zvake akambova nehutachiona hwehutachiona (UTI) anoziva zvakazara kuti zvinokanganisa uye hazvishamisi zvinogona kuva. Kunyange iyo nyoro nyoro inogona kukonzera marwadzo kana uchikwira, kuwedzera kukurudzira kunyura, uye neropa kana kukonzera mumuguta. Kana hutachiona huchibva kubva kumukati kusvika kuneiyo, chirwere chacho chinogona kuwedzera, chinokonzera kurwadziwa kwakanyanya, kusuruvara, kurutsa, uye, mune zvisingawanzoitika, kuora kwepvo.
Uye, hazvisi vakuru chete vanogona kuchinjwa. Vacheche nevana vanogonawo kuwana UTIs, uye izvo zvinowanikwa kune vakwegura dzimwe nguva zvinogona kutyisidzira upenyu. Nokuziva zviratidzo nezviratidzo zve UTI, unogona kutsvaga kurapwa nekudzivirira zvakawanda zvezvinetso zveiyo yose-iyo-yakawanda.
Zviratidzo Zvakare
Zviratidzo zvehutachiona hwehutachiona hunonyanya kurondedzerwa nenzvimbo yavo mune urinary system. Kunyanya kutaura, kune marudzi maviri eTI:
- Muchikamu chepamusoro chemuchirwere chetachiona ndechimwe chinowanikwa mumucheka kana urethra (iyo tube iyo mumvura inobva mumuviri). Inowanzozivikanwa sehutachiona hwechirwere .
- Iyo yepamusoro yerineni inopinda mawere inosanganisira itsvo uye ureters (iyo nzira iyo urinho inopfuurira kubva paitsvo kusvika kumucheka). Chirwere chetsvo chinonziwo pyelonephritis .
Lower Urinary Tract (Bladder Infection)
Muchikamu chepamusoro chekukanganiswa kwemakirini chinowanzoitika apo mabhakitiriya anopinda muchirwere uye anokonzera utachiona muhangu.
Kana zviratidzo zvikaonekwa, zvinowanzotanga nemagetsi asingakanganisi kana kusagadzikana mumapanga kana urethra. Kazhinji, mukati maawa mashoma, UTI icharatidza nezviratidzo zviratidzo, kusanganisira:
- Nhamo kana kupisa panguva yekurota ( dysuria )
- Chikumbiro chikuru chekurota (kukurumidza kwekuita urinary)
- Chikonzero chekumuka usiku kuti urinate ( nocturia )
- Kusakwanisa kubata urine (urinary incontinence)
- Kufamba kakawanda, zvishoma zvemuti
- Unhu hwakaipisisa urine
- Kushuva urine yakakonzerwa nepus ( pyuria )
- Kurwisa urine ( hematuria )
- Pus rinobuda kubva murerera
- Kunetseka kwepamuviri kwemuviri
- Kutambudzika kwepelvic muvakadzi
- Low-grade fever
- Kuneta
Upper Urinary Tract (Pyelonephritis)
Chirwere chinokonzera chipembenene chakatamira kune itsvo chinowanzoonekwa chakaoma uye chinoda kurapwa kwekukurumidzira. Pyelonephritis inogona kukonzera chirongwa (zvose-muviri) zviratidzo izvo zvisinganyanyi kudarika asi zvinowanzoora mwoyo.
Zviratidzo zve pyelonephritis zvinogona kusanganisira:
- Ifivha yakakura (inopfuura 100.4 degrees)
- Mutumbi chills
- Rigors (kudedera uye kutuka pamwe chete nekusimudzirwa kwekushisa)
- Nausea kana kurutsa
- Huru rinorwadza (kurwadziwa kunowanzodzika uye kwakakwirira mumashure kana kumativi, kunyange zvingave zviripo mudumbu rekumusoro)
Special Populations
Vacheche, vana vaduku, uye vakwegura vanowanzobatwa neTI uye kazhinji nenzira dzakasiyana. Dambudziko guru mumusikana muduku uye akwegura nderokuti zviratidzo zvekare zvinowanzoshayikwa kana kuti zvisingatauri kune zvimwe zvinokonzera.
Nevana vatsva kunyanya, zvingangodaro zvaunogona kuva nazvo ndezvekukakavara kusingagumi kana kuchema pamwe chete nekunakidza-urine urine uye kuramba kudya.
Ichi ndicho chikonzero kuti zvakakosha kuti nguva dzose ukurukure mararamiro emwana wako uye urinary maitiro paanoshanyira vanachiremba, kunyangwe zvinyoro kana zvichida kuchinja kunogona kuonekwa.
Kusiyana neizvi, zviratidzo zveUTI muvana vaduku nevana vaduku zvichava zvakanyanya uye zvinogona kusanganisira dysuria, kukurumidza kwekuvhota, masikati masikati (incures), kana kubvambura kana kubata mazamu.
IU UTI kune vakwegura kazhinji haizove neipi yemararamiro ezvakaonekwa mune vamwe vanhu vakuru. Izvi zvinogona kusanganisira kubvumira kusagadzikana uye kusagadzikana kwepfungwa (kunokonzerwa nekupinda kwebhakitiriya kweropa-brain brain ). Kana mudiwa wako akwegura, nhungamiro huru yekucherechedza inoshanduka kamwe kamwe mune mufambiro nekudzivirira chikwata, kunyanya kana uine marwadzo ekudzivirira mukati memukomana kana urine yakasimba.
Matambudziko
UTI zvinetso zvinowanzoitika semugumisiro wehutachiona husingateereri kana kuti huri pasi. Dambudziko racho rakanyanyawo kune vanhu vane chirwere chepfungwa chinokonzerwa nehutachiona, chirwere cheshuga , kana zvirwere zvinokonzera kushaya zvirwere zvehutachiona (zvakadai seHIV).
Zvinetso zvehutachiona hwehutachiona hunosanganisira:
- Zuva rekupedzisira UTIs rinoitika kanenge kaviri mumwedzi mitanhatu kana kanomwe mugore, kazhinji mumadzimai
- Urethral zvishoma ( kugadziriswa ) kune varume vane zvirwere zvekare
- Kuwedzera kwengozi yekuberekwa kwepakutanga uye kupera kuberekwa muhucheche
- Kushungurudzika kwepfungwa kusingaperi
- Sepsis (inogona kutyisidzira upenyu, muviri wose-kuputira kupindura kunokonzerwa nehosha yakaoma)
Muvana
Nokuti urwere hwekuvhenekera mumucheche hunowanzova nemishomanana, kana iripo, yezviratidzo zvekare zve UTI, mwana anogona kungoerekana aine chiratidzo kana sepsis (inonziwo urosepsis ) inokura. Sepsis inogara ichionekwa sechirwere chinotyisa.
Enda kune imwe nzvimbo yekukurumidzira kana kudana 911 kana mwana wako akawedzera zvimwe kana zviratidzo zvose zvinotevera:
- Kupenya kwemaziso uye ganda ( jaundice )
- High Fever
- Kupera inzwi (floppiness)
- Kudzora
- Mvura inopenya kana ine ropa
- Kufema kusina kufanana
- Pale pallor kana kunyange bluish skin tone ( cyanosis )
- Kufuridzira kwemafupa akanyorova kumucheto kwemisoro kwakakonzerwa nekugadzirwa kwemainitisitis
Mune Vakwegura
Sezvo UTI inowanzosarirwa kune vakwegura, chirwere chinogona kungooneka apo urosepsis inotanga kukanganisa uropi uye dzimwe nhengo dzinokosha.
Zviratidzo zvinosanganisira zvinetso izvi zvine ngozi zvinosanganisira:
- Nhamba yemhepo inowanzoerekana yakakurumidza ( tachycardia )
- High fever kana hypothermia (kutengesa muviri pasi pe 95 degrees)
- Kuoma kufema kana kupfupika kwemhepo ( dyspnea )
- Anokurudzira kutuka
- Nenguva isipi kunyanya kuzvidya mwoyo
- Kuruka kwakanyanya, pamuviri, kana kurwadziwa kwepelvic
- Dhementia- sezviratidzo zvinokonzerwa nekuvandudzwa kweuropi kupisa (encephalitis)
Kana ikasatenderwa, sepsis inogona kutungamirira kune kushungurudzika kweputi , kushaya kwomuviri, nekufa.
Nguva Yokuona Chiremba
Kunyange zvazvo UTIS yakaoma inowanzoenda yoga isina kurapwa , haufaniri kurega kuona chiremba kana zviratidzo zvichiripo kwemazuva mashoma.
Nezvo izvo zvataurwa, kana iwe uchikura zviratidzo zvehutachiona hwetsvo, kusanganisira marwadzo erupfudze, kuora mwoyo, kana kurutsa, unoda kuona chiremba pakarepo.
Kana iwe uri nepamuviri, haufaniri kutora mukana naTI, kunyanya kana une chirwere cheshuga, HIV, kana kuti wakambove nehutachiona hwekare. Kunyange zviratidzo zvinyoro zvinofanira kutariswa, kurapa, uye kuongororwa kuitira kuti hutachiona huve hwakanatswa.
Pasina kupfurikidza, chero zviratidzo zvekunyadzisa kwechiputi zvinofanirwa kurapwa sechirwere chekukurumidzira. Izvi zvinonyanya kukosha mucheche kana vakwegura.
> Sources:
> Heppner, H ;; Yapan, F .; uye Wiedermann, A. "Urosepsis muGeriatric Patients." Aktuelle Urol. 2016; 47 (1): 54-9. DOI: 10.1055 / s-0041-106184.
> Robinson, J .; Findlay, J .; Lang, M. et al. "Urinary tract infections mucheche nevana: Kuziva uye kutarisira." Paediatr Child Health. 2014; 19 (6): 315-19.
> Schwartz, B. (2014) "Urinary Tract Infections." Muna: Levinson, W. eds. Kudzokorora kweAradic Microbiology uye Immunology, 13e . New York, NY: McGraw-Hill Dzidzo.
> Soromoni, C. "Urinary Tract Infections muVarume Vakwegura." N Engl J Med . 2016; 374: 562-571. DOI: 10.1056 / NEJMcp1503950.