Okuqukethwe
- Konke odinga ukukwazi ngokutheleleka nge-urinary tract noma i-cystitis
- Ukutheleleka kwe-Urinary tract: kuyini?
- Konke odinga ukukwazi mayelana nokutheleleka nge-urinary tract noma i-cystitis: qonda yonke into ku-2 min
- Ziyini izimpawu zokutheleleka ngomgudu womchamo?
- Ngobani abantu abasengozini yokutheleleka ngomgudu womchamo?
- Yiziphi izinto ezinobungozi zokutheleleka ngomgudu womchamo?
- Ungayivimbela kanjani i-cystitis?
- Ungayelapha kanjani i-cystitis?
- Umbono kadokotela wethu ngokutheleleka ngomgudu womchamo
- Izindlela ezihambisanayo
Konke odinga ukukwazi ngokutheleleka nge-urinary tract noma i-cystitis
Ukutheleleka kwe-Urinary tract: kuyini?
A pheshana urinary ukutheleleka, ebizwa nangokuthi “i-cystitis"A ukutheleleka okungathinta ingxenye eyodwa noma eziningi zohlelo lomchamo: izinso, ama-ureters, isinye kanye ne-urethra. Kuvame ukubonakaliswa yi ubuhlungu noma umuzwa ovuthayo ngesikhathi sokuchama (= ukuphuma komchamo), kwesinye isikhathi kuba nobuhlungu besisu nomkhuhlane.
Nayi imisebenzi esemqoka yezingxenye ezahlukahlukene zohlelo lokuchama:
- The isikhumba qinisekisa ukuhlunga igazi. Bavumela ukuqedwa kukadoti futhi babambe iqhaza elibalulekile ekulawuleni uketshezi lomzimba nomfutho wegazi.
- The ureters yimigudu emincane evumela ukuthi umchamo udlule ezinso uye esinyeni.
- La esinyeni isebenza njengendawo yokugcina umchamo.
- THEurethra kuholela umchamo kusuka esinyeni uye ngaphandle komzimba.
Izinhlobo ezahlukene zezifo zomgudu womchamo
Kunezinhlobo ezi-3 zezifo zomgudu womchamo, kuya ngendawo yokutheleleka.
I-cystitis esithathelwanayo, lapho amagciwane etholakala Escherichia coli emchameni
Ngendlela ejwayelekile kakhulu yokutheleleka ngomgudu womchamo, i-cystitis icishe ithinte kuphela abesifazane. Kuwukuvuvukala kwesinye. Imvamisa, ukuvuvukala kubangelwa ukwanda kwamagciwane emathunjini afana Escherichia coli, maningi azungeze ingquza. Amagciwane asuka esifundeni se-anal ne-vulvar esinyeni, ekhuphuka ngomchamo. Noma yini ephazamisa ukukhipha isinye inyusa ingozi ye-cystitis ngoba yandisa ukugcinwa komchamo ngakho-ke isikhathi sokukhula kwamagciwane. I-cystitis ihlala ihambisana ne-urethritis, ukuvuvukala kwe-urethra.
I-urethritis ethathelwanayo
Uma ukutheleleka kuthinta kuphela umchamo (umsele oxhumanisa isinye nenyama yomchamo), ubizwa ngokuthi yi-urethritis. Lezi yizifo ezithathelwana ngocansi ezivamile kwabesilisa. Futhi nabesifazane bangahlushwa nakho. Izinto ezahlukahlukene ezithathelwanayo zingadala i-urethritis. Okuvame kakhulu yi-chlamydia ne-gonococcus (amabhaktheriya abhekene ne-gonorrhea). Emadodeni, i-urethritis ingahambisana ne-prostatitis (ukutheleleka kwe-prostate).
I-pyélonéphrite
I-Pyelonephritis yisimo esibi kakhulu. Kusho ukuvuvukala kwesikhumba (umgodi wezinso oqoqa umchamo) kanye nezinso uqobo. Lokhu kuvame ukubangelwa ukutheleleka ngamagciwane. Kungaba inkinga ye-cystitis engalashwa noma ephathwe kabi eholela ekukhuleni kwamagciwane kusuka esinyeni kuya ezinso, nokwanda kwawo lapho. I-pyelonephritis enamandla ivela kaningi kwabesifazane, futhi ivame kakhulu kwabesifazane abakhulelwe. Kuvamile nasezinganeni lapho ukungasebenzi kahle kwama-ureters kubangela ukuthi umchamo ubuyele emuva esinyeni uye ezinso. Bona eminye imininingwane nge-pyelonephritis.
Konke odinga ukukwazi mayelana nokutheleleka nge-urinary tract noma i-cystitis: qonda yonke into ku-2 min
Okuthinteka kakhulu ukutheleleka ngomgudu womchamo: abesilisa noma abesifazane?
Imvamisa ye ukutheleleka kwe-urinary tract kuya ngeminyaka nobulili.
Ukutheleleka ngomgudu womchamo kwabesifazane
The abesifazane zithinteka kakhulu kunamadoda, ngoba umchamo wabesifazane, omfushane kunowesilisa, wenza kube lula ukungena kwamagciwane esinyeni. Kulinganiselwa ukuthi abesifazane abangama-20% kuya kuma-40% eNyakatho Melika bathole okungenani igciwane elilodwa lomgudu womchamo. Abesifazane abaningi bazothola izinkontileka ezingaphezu kweyodwa empilweni yabo. Cishe u-2% kuya ku-3% wabesifazane abadala kuthiwa bane-cystitis unyaka nonyaka.
Ukutheleleka kwe-Urinary tract emadodeni
Izinsizwa azithinteki kakhulu yilesi simo, amadoda avuthiwe ngezinkinga zesibeletho zisengozini enkulu.
Ngokuqondene izingane kanye, zivame ukuthinteka kakhulu. Cishe u-2% wezingane ezisanda kuzalwa nezinsana zithola izifo ezithwala umchamo. Ngokuyinhloko yizingane zesilisa ezinokukhubazeka okungahambisani nomgudu womchamo. Ngeminyaka engu-6, 7% wamantombazane no-2% wabafana sebeke baba nokutheleleka ngomgudu wokuchama okungenani kanye19.
Ziyini izimbangela zokutheleleka ngomgudu womchamo?
Imvamisa, umchamo uyinyumba. Iqukethe ama-96% wamanzi, usawoti kanye nezinto eziphilayo, kepha ayinayo amagciwane. Uhlelo lomchamo luningi izivikelo ekulweni nezifo:
- le ukugeleza komchamo ixosha amabhaktheriya futhi ikwenze kube nzima kakhulu ngawo ukukhuphukela esinyeni nasezinsweni;
- theacidity umchamo (pH ngaphansi kuka-5,5) uvimbela ukukhula kwamagciwane;
- la bushelelezi kakhulu be-urethra kwenza kube nzima ukuthi amabhaktheriya akhule;
- la amafomu ama-ureters kanye nesinye kuvimbela umchamo ukuthi ungaphinde ubuyele ezinso;
- le izivikeli mzimba ngokuvamile ukulwa nezifo;
- la udonga lwesinye iqukethe amaseli omzimba kanye nezinto zokulwa namagciwane;
- emadodeni, izimfihlo indlala yesinye iqukethe izinto ezinciphisa ukukhula kwamagciwane ku-urethra.
Kodwa-ke, uma kwenzekapheshana urinary ukutheleleka, izinto ezithathelwanayo (amabhaktheriya ezimweni eziningi) ziyakwazi “ukwenza ikoloni” uhlelo lokuchama. Umchamo ube usungcoliswa: kungokubheka ukuba khona kwamagciwane emchameni lapho udokotela eqinisekisa ukutholakala kokutheleleka komchamo. Ukungcola kwamagciwane kuvame ukwenziwa kube lula ngokungaphuzi ngokwanele.
Ngaphezulu kwama-80% wezifo zomgudu womchamo, isidalwa esiyimbangela iyi- amagciwane emathunjini Uhlobo Escherichia coli. Amanye amabhaktheriya atholakala njalo Amaphrotheni mirabilis, Staphylococcus saprophyticus, Klebsiella… Izifo ezithathelwana ngocansi (gonococcal, I-Chlamydiae) ingakhombisa futhi njenge-urethritis.
Kuyaqabukela kakhulu, ama-UTIs angabangelwa amagciwane asakazekele ohlelweni lokuchama kusuka ekuthelelekeni kwenye indawo emzimbeni.
Udinga iseluleko sezokwelapha ngokushesha? Bona udokotela kuvidiyo, ekhaya bese uthola incwadi kadokotela uma kudingeka. Ukuxilongwa kwezokwelapha izinsuku eziyi-7 ngesonto kusuka ngo-7 ekuseni kuya phakathi kwamabili.
Bheka udokotela lapha
Umbuzo we-anatomyKwabesifazaneukusondela phakathi kwe-anus nokuvulwa kwangaphandle kwe-urethra (inyama yokuchama) kusiza kakhulu ukufinyelela kwe-urethra kumagciwane wamathumbu avela ku-rectum (Enterobacteriaceae), Escherichia coli. Ngaphezu kwalokho, i-urethra yesifazane imfushane kakhulu (cishe u-4 cm), lokhu kusiza ukufinyelela kwamagciwane esinyeni. Ngaphezu kwalokho, ukukhulelwa, ukusetshenziswa kwesifafazi sokulawula ukubeletha, nokusetshenziswa kwamathamponi ngesikhathi sokuya esikhathini kwandisa ubungozi be-UTI. Kubantu ukutheleleka okuncane komgudu womchamo (ikakhulukazi i-urethritis) kuvame ukuxhunyaniswa nomsebenzi wezocansi. Endodeni esikhulile, kuvame ukuhlotshaniswa nezinkinga zesibeletho. Ngakho-ke lapho owesilisa oneminyaka engaphezu kwengama-50 ene-UTI, cishe ngaso sonke isikhathi ixhunyaniswa ne-benign prostatic hypertrophy noma ukuvuvukala okuvimbela isinye ekuchithekeni ngokuphelele. Ezinganeni, Ukutheleleka ngomgudu womchamo kungaba wuphawu lokungajwayelekile kwe-anatomical kohlelo lokuchama futhi kufanele nakanjani kulashwe ngudokotela ukuvikela izinkinga zomchamo ukuthi zingapheli. Ngokuvamile, lapho umuntu enenkinga engapheli yomgudu womchamo (i-anatomical malformation, isifo sezinso noma sesinye, amatshe noma "amatshe" emchameni), akuvamile ukuthi ahlupheke. izifo eziphindaphindayo. |
Yiziphi izinkinga ezikhona ze-cystitis?
Umaukutheleleka ishiywe ingalashwa, i-ejenti ethelelanayo iyaqhubeka nokwanda futhi ihlasele umgudu womchamo. Lokhu kungaholela enkingeni enkulu yezinso, njenge phiwokuhle. Ngaphandle, ukutheleleka komgudu womchamo kungahle kube kubi kuze kube sezingeni lokubangela i-sepsis noma ukwehluleka kwezinso. Kuzo zonke izimo, kubalulekile ukubonisana nodokotela uma kunezimpawu zokutheleleka ngomgudu womchamo.
Ziyini izimpawu zokutheleleka ngomgudu womchamo?
Izimpawu ezivame kakhulu
- izinzuzo ubuhlungu kuya ukusha ngomchamo.
- Imvamisa ephakeme kakhulu yokuchama emini (kwesinye isikhathi isidingo sokuchama senzeka nasebusuku).
- Umuzwa oqhubekayo wokudinga ukuchama.
- Umchamo onamafu okhipha iphunga elibi.
- Ubunzima esiswini esingezansi.
- Kwesinye isikhathi igazi lisemchameni.
- Awukho umkhuhlane uma kuyi-cystitis elula.
Endabeni yokutheleleka kwezinso
- Umkhuhlane omkhulu.
- Amacala.
- Ubuhlungu obukhulu emhlane ongezansi noma esiswini noma ezithweni zocansi.
- Ukuhlanza.
- Ukuwohloka kwesimo esijwayelekile.
- Izimpawu ze-cystitis (ukushisa, ukuchama njalo) kungenzeka noma zingabi khona. Azikho kumacala angama-40%21.
Ezinganeni
Ezinganeni, ukutheleleka ngomgudu womchamo kungavela kakhulu. Kwesinye isikhathi i- i-cystitis kubangela umkhuhlane ngaphandle kwezinye izimpawu. Ubuhlungu besisu nokuchama embhedeni (ukukhipha umbhede) nakho kungaba yizimpawu zokutheleleka ngomgudu womchamo. Kwezinsana, umuzwa ovuthayo lapho uchama ungavela njengezikhalazo noma ukhala lapho uchama.
Ezinganeni nasezinsaneni, i-UTI inzima kakhulu ukuyibona. Imvamisa kuhambisana nomkhuhlane, ukwenqaba ukudla, futhi kwesinye isikhathi ukuphazamiseka kwamathumbu nokucasula.19.
Kwasebekhulile:
Izimpawu zokutheleleka ngomgudu womchamo nazo zingadukisa: umkhuhlane ngaphandle kwezinye izimpawu, ukungalawuleki komchamo noma ukuphazamiseka kokugaya ukudla (ukulahlekelwa isifiso sokudla, ukuhlanza, njll.).
Bheka futhi: Ungawuhumusha kanjani umphumela wokuhlolwa kokuchama? |
Ngobani abantu abasengozini yokutheleleka ngomgudu womchamo?
- Abesifazane, ikakhulukazi labo abenza ucansi. Izinga lokutheleleka liphindwe izikhathi ezingama-50 kunamadoda.
- Amadoda ane-benign prostatic hyperplasia noma i-prostatitis (ukuvuvukala kwe-prostate). Njengoba ikhula ngosayizi, i-prostate icindezela i-urethra, eyehlisa ijubane ukuphuma komchamo, yandisa ingozi yokugcina umchamo osalayo esinyeni ngemuva kokuchama, futhi kusize izifo.
- Abesifazane abakhulelwe basengcupheni ikakhulukazi ngenxa yengcindezi etholwa yingane ohlelweni lokuchama, kodwa futhi nezinguquko zamahomoni ezitholakala ekukhulelweni.
- Abesifazane ngemuva kokunqamuka kokuya esikhathini17, ezithambekele kakhulu ku-vaginosis, ukutheleleka kwamagciwane esithweni sangasese sowesifazane. Ngaphezu kwalokho, ukwehla kwamazinga e-estrogen ahlotshaniswa nokunqamuka kokuya esikhathini kunomthelela kuma-UTIs.
- Abantu abanesifo sikashukela, ngenxa yezinga eliphakeme likashukela emchameni wabo, okuyindawo enhle yokukhula kwamagciwane, kanye nokwanda kwabo kokungenwa yizifo.
- Abantu abaye bafakwa ipayipi le -athethra ku-urethra. Abantu abangakwazi ukuchama, abaqulekile noma abagula kakhulu bavame ukudinga ipayipi lapho besalulama umsebenzi wabo wokuchama. Abanye abantu abanokulimala kwesistimu yezinzwa bazoyidinga impilo yabo yonke. Amagciwane abese enyusela phezulu kweshubhu eliguquguqukayo aye esinyeni futhi angathelela umgudu womchamo. Lapho ungena esibhedlela, lawa mabhaktheriya kungenzeka ukuthi athuthukisa ukumelana okudinga ukusetshenziswa kwama-antibiotic anamandla.
- Abantu abanokungajwayelekile okuhlelekile komgudu womchamo, abahlushwa amatshe ezinso noma izifo ezehlukene zemizwa.
- Abantu asebekhulile, abavame ukuhlanganisa izinto ezimbalwa ezingenhla (ukuphumula kombhede, ukulaliswa esibhedlela, ipayipi lomchamo, ukuphazamiseka kwemizwa, isifo sikashukela). Ngakho-ke, ama-25% kuya kuma-50% abesifazane kanye nama-20% wamadoda angaphezu kwama-80 athambekele ekuthelelekeni kaningi komchamo.
Yiziphi izinto ezinobungozi zokutheleleka ngomgudu womchamo?
Kwabesifazane
- Ubulili, ikakhulukazi uma bukhulu futhi buvame ngemuva kwesikhathi sokuyeka. Lesi simo sichazwa nangokuthi " i-honeymoon cystitis ".
- Kwabanye besifazane abasebenzisa i- isichazamazwi njengendlela yokuvimbela inzalo, i-urethra izocindezelwa, ivimbele isinye ekuqedeni ngokuphelele futhi yenze kube lula ngezifo zesinye.
- Ngemuva kokunyakaza kwamathumbu, ukusula kusuka emuva kuya phambili ngephepha langasese kuyinto eyingozi. i ukusula ukunyakaza kufanele kwenziwe njalo kusuka ngaphambili kuya emuva ukuze ungangcolisi i-urethra ngamagciwane avela endunu. Ngaphezu kwalokho, izindawo zangasese nezangasese kufanele zihlanzwe ngokucophelela njalo, okusiza ukulwa nokwanda kwamagciwane.
- Kwabanye besifazane, ukusetshenziswa kwe- ama-spermicides kungadala urethritis.
- Isikhathi sokuya esikhathini yisikhathi esiyingozi, njengoba igazi elivela emananini noma ama-tampon liyindlela ekahle yesiko lamagciwane. Ngakho-ke kubalulekile ukuthi ungagcini lezi zivikelo isikhathi eside.
Kwabesilisa
- ISodomy ngaphandle ikhondomu kwandisa ubungozi bokutheleleka, njengoba amagciwane ahilelekile ekhona endunu.
Ungayivimbela kanjani i-cystitis?
Izindlela eziyisisekelo zokuvimbela |
Amathiphu okunciphisa ubungozi be-UTI
Kwabesifazane
KwabesilisaKunzima kakhulu ukuvimbela ama-UTIs emadodeni. Kubalulekile ukuphuza ngokwanele ukugcina okuhle ukugeleza komchamo, bese ucubungula a ukuphazamiseka kwendlala yesinye Uma kwenzekile. Ngaphezu kwalokho, i-urethritis ehambelana nezifo ezithathelwana ngocansi ingavinjelwa ngokusebenzisa i- ikhondomu ngesikhathi socansi nanoma yimuphi umlingani omusha (noma omusha). Ukuvuvukala kwe-urethra kuvamile emadodeni athola i-gonorrhea noma i-chlamydia.
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Izinyathelo zokuvimbela izinkinga |
Ukwelapha izifo zesinye ngama-antibiotics kuvimbela phiwokuhle, ukutheleleka okungathi sína ngokwengeziwe. Kubalulekile ukuthi ungazelaphi, isibonelo ngokuthatha noma yimaphi ama-antibiotic asele ekwelashweni kwangaphambilini. Ukusebenzisa kabi ama-antibiotic ngaphandle kokulandela imiyalelo kadokotela kungenza kube nzima ukwelapha i-cystitis futhi kuyenze ibe yimbi kakhulu. |
Izinyathelo zokuvimbela ukuphindeka |
Ukutheleleka okuvamile komgudu womchamo kuvame kakhulu kwabesifazane. Ngaphezu kwezindlela zokuzivikela ezishiwo ngenhla, ukuvikela izidakamizwa noma ukuvikelwa kwemvelo kungasebenza. Ukuvimbela izidakamizwaKwezinye iziguli ezinokutheleleka okuvamile komchamo (ngaphezu kwezifo ezimbili ezinyangeni zonke eziyisithupha), kwemithi elwa namagciwane ingabekwa ngokuvikela ngamanani aphansi izinyanga ezimbalwa. Okufanayo kuya emadodeni lapho izinkinga ezingama-prostate ezingapheli zikhulisa ubungozi be-UTI. Ngakho-ke, udokotela anganquma ukuphuza ama-antibiotic nsuku zonke izinyanga ezimbalwa noma ngemuva kocansi ngalunye ukuze kuvinjelwe ukubuyela emuva futhi kuvumele isiguli ukuthi sithathe izivikeli mzimba ukuthola kabusha ukulawula. Lokhu kubizwa ngokuthi yi-prophylactic antibiotic therapy. Ukuvimbela ngejusi i-CranberryIjusi le i-Cranberry ukusetshenziswa okudliwayo njalo kunciphisa ubungozi bokuphindaphindeka kwezifo zomgudu wabesifazane, njengoba izifundo ezimbalwa noma ukuhlaziywa kwe-meta kubonisile1, I-3,4,20. Bona isigaba sezindlela ezihambisanayo. |
Ungayelapha kanjani i-cystitis?
UDkt Catherine Solano uyangenelela kuvidiyo echaza ukuthi silashwa kanjani isifo esivela kumchamo:
Yini okufanele uyenze uma kwenzeka izifo ezithambile zomchamo (urethritis, cystitis)?
The ukutheleleka kwegciwane lomgudu womchamo ingelashwa ngokushesha futhi kalula usebenzisakwemithi elwa namagciwane. Ngamacala abangelwa amagciwane E. coli, udokotela usebenzisa ama-antibiotic ahlukahlukene afaka i-amoxicillin (Clamoxyl®, Amoxil®, Trimox®), i-nitrofurantoin (Macrodantin®, Furadantin®) sulfamethoxazole ehlanganiswe ne-trimethoprim (Bactrim®, Eusaprim®, Septra®) ne-trimethoprim kuphela (i-Trimpex®, Proloprim®). Ukukhethwa kwama-antibiotic kwenziwa kungaboni ekuqaleni, bese kususelwa kwimiphumela yokuhlolwa kokuchama ngokushesha lapho sekutholakala.
Lokhu kunganikezwa njengomthamo owodwa noma njengerejimeni lezinsuku ezi-3, 7 noma eziyi-14. Ezimweni eziningi, kunikezwa ukwelashwa kwezinsuku ezintathu (trimethoprim-sulfamethoxazole). Lapho ukutheleleka kuvela ezinsukwini ezimbalwa ngemuva kwalokho ubulili obungavikelekile, udokotela uzoqinisekisa ukuthi akusona isifo esithathelwana ngocansi (i-STI) (i-gonorrhea noma i-chlamydia), engavumela ukwelashwa okukhethekile kwama-antibiotic.
Uma sekucutshunguliwe, izimpawu imvamisa iyahamba kungakapheli amahora angama-24 kuye kwangama-48, kwesinye isikhathi ibe ngaphansi. Kubalulekile-ke nokho ukuthi isikhathi semikhawulo silandelwe kuleyo ncwadi. Uma i-antibiotic ekhethiwe ingasebenzi ngemuva kwamahora angama-48, yazisa udokotela wakho, ongaphakamisa omunye.
Ukukhuthaza ukuqedwa kwamagciwane, kuyadingeka futhi ukuthi uphuze ngaphezu kokujwayelekile ngesikhathi sokwelashwa. Abantu abazizwayo ubuhlungu noma ingcindezi esiswini esingezansi ungathola ukukhululeka ngokuthatha umuthi wezinhlungu. Ungafaka futhi i-compress efudumele esiswini.
The abesifazane abakhulelwe zihlolwa ngokuhlelekile. Kubaluleke kakhulu impela ukuthola ukuthi kukhona yini ukutheleleka ngegciwane lomchamo ngesikhathi sokukhulelwa nokuselapha uma kunesidingo. Kwelinye icala kwamathathu amacala, ukutheleleka kungadlulela ezinso nethuba ukulethwa ngaphambi kwesikhathi noma ingane enesisindo esiphansi sokuzalwa. Ukusetshenziswa kwama-antibiotic aphephile kumama nakumbungu kuzophakanyiswa noma ngabe ukutheleleka akuhambisani nezimpawu.
Yini okufanele uyenze uma kwenzeka izifo ezibucayi zomgudu womchamo (pyelonephritis)?
Yize iningi lama-UTIs kulula ukuwelapha, kwesinye isikhathi ukubonisana nochwepheshe kuyadingeka ngoba i-cystitis kungaveza ubukhona be- isifo noma kwezinso kubi kakhulu. Isibonelo, abesilisa bayo yonke iminyaka, abesifazane abanezifo eziphindaphindayo zomgudu womchamo, abesifazane abakhulelwe, nabantu abane-pyelonephritis (ukutheleleka kwezinso) baphakathi kwamacala anzima ukwelashwa. Kwesinye isikhathi badinga ukubonwa ngudokotela wezifo zomchamo, uchwepheshe wohlelo lomchamo, ukuze aqhubeke nokuhlolwa. Ngokuqondene ne-pyelonephritis, imvamisa iba ngaphansi kokuphathwa kwe-ukuphuthuma. |
I-cystitis eqhubekayo
Uma izimpawu ze-cystitis ziqhubeka ngemuva Iviki le-1 ngaphandle kokwelashwa okulandelwa kahle kwama-antibiotic, kungaba ukutheleleka imithi elwa namagciwane okuvamile. Lokhu kuvame ukwenzeka ngezifo ezitholakala endaweni yesibhedlela, ngenxa ye-catheter ye-urethral noma ukuhlinzwa, isibonelo. I-cystitis etholakale ngaphandle kwezibhedlela nayo iya ngokuya imelana nemithi elwa namagciwane. Udokotela uzobe esenikeza ama-antibiotic afanele ngokususelwa kwimiphumela yesiko lamagciwane athathwe kusampula yomchamo. Kumele kuqashelwe ukuthi ubungozi bokutheleleka obutholwe ku-catheter ye-urethral bungancishiswa ngokusebenzisa uhlelo lokuqoqa umchamo oluvuza futhi oluyinyumba, amafutha okugcoba nokubulala ama-antibiotic wesikhashana.
I-Pyelonephritis (ukutheleleka kwezinso)
I-Pyelonephritis ingelashwa nge-antibiotic yomlomo enomthamo omkhulu, imvamisa i-fluoroquinolone (Oflocet®, Cipro®, Levaquin®, Oflox®…). Ukwelashwa kuzobe sekuqhubeka izinsuku eziyi-14 (kwesinye isikhathi kungu-7). Ezimweni ezinzima, ukwelashwa esibhedlela kuyadingeka futhi ama-antibiotic anganikezwa ngomjovo.
I-Prostatitis
Ngesikhathiamadoda, ukutheleleka komgudu womchamo okuhambisana ne- ubuhlungu esiswini esingezansi or imfiva kungahle kube nzima yi-prostatitis (etholwe ukuhlolwa kwerejithali yedijithali eyenziwe ngudokotela). Lesi simo sidinga inkambo yama-antibiotics yamaviki amathathu, nama-antibiotic afana nalawo asetshenziselwa i-pyelonephritis.
Ukuvinjelwa kohlelo lokuchama
Imvamisa, ukutheleleka ngomgudu womchamo kungahle kuhlobene nokuvinjelwa komgudu womchamo. Imayelana ne- eziphuthumayo zezokwelapha. Imbangela yokuvinjelwa (i-prostate ekhulisiwe, ukungajwayelekile kwe-anatomical, amatshe ezinso, njll.), Evezwe yi-ultrasound, kufanele inakekelwe ngokushesha. Ukungenelela okuvumela ukukhishwa komchamo kuyadingeka21.
Okubalulekile. Abantu abane-UTI kufanele bagweme okwesikhashana ikhofi, utshwala, iziphuzo ezinekhabhoni eziqukethe i-caffeine, namajusi e-citrus.12. Ukudla okubabayo nakho kufanele kubekwe eceleni kuze kube yilapho isifo sisuswa. Lokhu kudla kucasula isinye futhi kukwenze ufune ukuchama kaningi. Ngaphezu kwalokho, odokotela bakhumbuza hydrate kahle futhi wamukele izindlela zokuthibela kuchazwe ngaphambilini. |
Bheka futhi nendatshana yethu “Ungakwelapha kanjani ukungenwa yigciwane lomchamo?”
Umbono kadokotela wethu ngokutheleleka ngomgudu womchamo
Kwabesifazane abasebasha, i-cystitis ivame ukuba nobungozi nenhlanzeko (sula kusuka phambili uye emuva ngemuva kokuya endlini yangasese), ukudla (okuphuza kaningi) kanye nocansi (hamba uchame ngemuva kocansi) izinyathelo zokuqapha zanele. ukuzivimbela. Kubo bobabili abesilisa nabesifazane abaya ocansini nabalingani abaningi futhi ngaphandle kwekhondomu, i-urethritis ehlukanisiwe (ukushisa nokukhipha ku-urethra noma ngaphandle kwesifiso sokuchama) kwesinye isikhathi kuyisibonakaliso sesifo esithathelwana ngocansi. Buza udokotela wakho isivivinyo, uma ungabaza. Dr UMarc Zaffran, MD |
Izindlela ezihambisanayo
Prevention | ||
I-Cranberry noma i-cranberry | ||
I-acupuncture | ||
Vitamin C | ||
Echinacea | ||
Icubungula | ||
I-Cranberry noma i-Cranberry | ||
I-Echinacea, i-nettle, i-horsetail, i-horseradish, i-uva ursi, i-goldenrod | ||
IHydraste du Canada | ||
I-Chinese pharmacopoeia, ukudla |
Prevention
Izindlela ezilandelayo zingasiza ukuvimbela ukuphindeka.
ICranberry noma iCranberry (I-Vaccinium macrocarpon). I i-Cranberry kudala isetshenziselwa i- gwema izifo ezithwala umchamo. Ukubuyekezwa okuhlelekile1 eshicilelwe ngo-2008 kanye nezifundo eziningana ezingahleliwe nezilawulwa2-5 kwenziwa nabesifazane ngaphansi kwe- i-cystitis ephindaphindiwe khombisa ukuthi ukusetshenziswa kwe i-Cranberry (noma isithelo sezithelo esomisiwe) kunciphisa inani lokubuyela emuva. Ngaphezu kwalokho, ukusetshenziswa kwe- i-Cranberry iphephile ngesikhathi sokukhulelwa22. Ngokwezifundo, izinga lokuphindaphinda lizokwehla ngama-35% ngaphezu konyaka ongu-1 kwabesifazane abasebasha. Ukusebenza kokuvikela kwe i-Cranberry kodwa-ke, kubonakala kancane ezinganeni, asebekhulile noma ezigulini ezinesifo semizwa20.
Isikali
Ukuthatha i-cranberry kufanele ihambisane no-36 mg we-proanthocyanidin, umgomo wayo osebenzayo, noma ngabe isiphi isethulo sayo: ijusi, i-concentrate, i-powder noma ama-capsule
Phuza ama-250 ml kuya ku-500 ml ngosuku lwejusi cranberry noma uthathe, izikhathi ezimbili ngosuku, okulingana no-2 mg kuya ku-300 mg wokukhishwa okuqinile ngendlela yamaphilisi noma amaphilisi. Ungadla nezithelo ezintsha noma ezibandisiwe ngesilinganiso esingu-400 ml kuye ku-125 ml ngosuku.
Amanothi. Uncamela amaphilisi okukhishwa kukakhranberry noma ujusi omsulwa, ngoba ama-cocktails kusuka ku- i-Cranberryaqukethe ushukela noma i-fructose eningi.
I-acupuncture. Ngo-1998 nango-2002, izifundo ezi-2 ezilawulwa ngokungahleliwe ezenziwa ngabaphenyi baseNorway zathola ukuthi ukutshopa kungasiza ekwelapheni izifo ezithinta umchamo kwabesifazane abanakho kaninginingi.8,9. Ukutholwa kwemithi kungasiza iziguli ukuthi zikhiphe okungcono esinyeni futhi ngaleyo ndlela sinciphise ubungozi bokutheleleka ngamagciwane.
Vitamin C Ku-2007, isivivinyo somtholampilo esenziwa phakathi kwe-110 abesifazane abakhulelwe ikhombisile inzuzo yokuthatha uvithamini C (100 mg ngosuku) ngesikhathi sokukhulelwa ukuvikela izifo zomgudu womchamo23.
Echinacea (I-Echinacea sp.). I-Echinacea yaziwa ngezindawo zayo zokuvuselela i- izivikeli mzimba, eziye zaboniswa ngezifundo eziningi. Ngakho-ke, i-Echinacea ingasiza ekuvikeleni ama-UTIs ngokuqinisa amasosha omzimba. Inhlangano Yezempilo Yomhlaba iyakubona ukusetshenziswa kwezimpande zeE.ugustifolia futhi E. pallida njengenhlanganisela yezifo zomgudu womchamo. Ukuvikela nokwelashwa kwezifo eziphindaphindayo, iKhomishini yaseGerman E iyakuqaphela ukusetshenziswa kwezingxenye zomoya ze-E. purpurea.
Isikali
Sebenzisa ngaphakathi. Bheka ishidi lamaqiniso le-Echinacea.
Icubungula
Isexwayiso. Uma kusetshenziswa izitshalo zokwelapha ezilandelayo, kufanele zenziwe ngokuphelele ngokushesha lapho izimpawu zivela. izimpawu zokuqala. Uphawu olulula kunazo zonke ukuthola ubuhlungu obumnene ngesikhathi sokuchama. Uma kungekho ukuthuthuka okwenzeka phakathi kwamahora okuqala angama-48 okuqala ukwelashwa noma uma izimpawu ziba zimbi, xhumana nodokotela. Uma ubuhlungu lapho uchama bukhulu noma uma kukhona umkhuhlane, izinhlungu ezisezingeni eliphansi noma ukuhlanza (izimpawu zesifo esibi kakhulu), ukwelashwa okungajwayelekile kuyaphikiswa. I- kwemithi elwa namagciwane zibalulekile ukwelapha ukutheleleka nokuvikela izinkinga. Qaphela ukuthi ukusetshenziswa okungezansi kuhlobene nokwelashwa kwe- i-cystitis futhi i-urethritis kuphela. |
Ukwandisa ukugeleza komchamo
Therapyuchelela iqukethe phuza amanani amakhulu ketshezi (kusuka kumalitha ama-2 kuye kumalitha ama-4 ketshezi ngosuku) nezitshalo zokwelapha ekumungeni, ukwandisa ukugeleza komchamo nokwenza lula ukuxoshwa kwamagciwane. Qaphela ukuthi ukwelashwa ngenkasa kuyaphikiswa kubantu abanenkinga yokuqeda ebonakala ngokugcinwa kwamanzi.
I-Nettle (I-Urtica dioica). IKhomishini E ne-ESCOP bayakubona ukusetshenziswa kwezingxenye zomoya zommbila ngaphakathi ukunisela izinso, isinye nomgudu womchamo uma kwenzeka ukuvuvukala.
Isikali
Gxilisa u-2 g kuye ku-5 g wamaqabunga omile ommbila nezimbali, imizuzu eyi-10 kuya kwengu-15, ku-150 ml wamanzi abilayo. Thatha kathathu ngosuku.
Izinkomba ze-Cons
Ngoba i-nettle ingaba nomphumela wokukhipha isisu, iyaphikiswa ezimweni ze ukukhulelwa, yize kungekho amacala abikiwe kubantu futhi ngokwesiko anikezwe njenge-tonic kwabesifazane abakhulelwe noma abancelisayo.
horsetail (I-equisetum arvense). Abasebenza ngamakhambi basebenzisa izingxenye zasemoyeni zesitshalo eziqoqwe entwasahlobo ukwenza ngcono ukusakazeka komgudu womchamo uma kwenzeka ukutheleleka ngamagciwane. Ikhomishini yaseJalimane E iyakuqaphela ukusetshenziswa kwalesi sitshalo ukwelapha ukutheleleka kwamagciwane esinyeni nase-urethra. I-field horsetail inikezwa ngobuhle obuthile be-diuretic obuvela kuma-saponins aqukethe, okwenza kube lula ukukhipha amabhaktheriya kalula emgodini we-urinary. Azikho izivivinyo zokwelashwa ezenziwe kubantu ukuqinisekisa ukusebenza kwazo.
Isikali
Yenza ukumnika ngokubeka u-2 g wezingxenye zasemaphandleni ze-field horsetail ku-150 ml wamanzi abilayo. Vumela intaba imizuzu eyishumi kuya kwengu-10. Phuza inkomishi, kathathu ngosuku.
I-Goldenrod (I-Solidago virgaurea). Lesi sitshalo sinempahla yokwandisa ivolumu yomchamo ngokwandisa ukugeleza kwegazi nokuhlunga izinso. IKhomishini E ne-ESCOP bayayibona indlela yayo yokwelapha yokwenza ngcono ukusakazwa kwethambo lomchamo ezimweni zokutheleleka ngamagciwane esinyeni noma emthanjeni.
Isikali
Faka ama-3 g wezingxenye zomoya ze-goldenrod ngo-150 ml wamanzi abilayo imizuzu eyi-10 kuye kwengu-15. Phuza inkomishi yokumnika izikhathi ezimbili kuya kwezine ngosuku phakathi kokudla.
Ngemiphumela yabo yokulwa namagciwane
I-cranberry (I-Vaccinium macrocarpon). Izilingo kuphela ezigxile ekwelashweni kwangempela kwe-cystitis nge i-Cranberry zenziwa ngawo-1960. Inani lezifundo belilincane kanti nezivumelwano azichazwanga kahle14. Ngaphezu kwalokho, kubonakala sengathi kwezinye izimo amagciwane amelana nokwenziwa kwe- i-Cranberry15.
Horseradish (I-Armoracia rusticana). IHorseradish itholakala eningizimu-mpumalanga yeYurophu naseNtshonalanga ye-Asia, lapho ibilinywa khona kusukela kudala. Izifundo kuphela ezenziwa eJalimane ngeminyaka yama-1960 zabheka ukwenziwa kwalesi sitshalo kwizifo zomgudu womchamo kanye nomsebenzi wama-antibacterial wamafutha abalulekile awubumbayo. Yize kunjalo, iKhomishini E ibona ukusebenza kwayo njenge ukwelashwa okuhlanganisayo kwezifo zomgudu womchamo. E-United States, izimpande ze-horseradish zisetshenziswa eRasapen®, umuthi obulala amagciwane onikezwe izifo ezithwala umchamo. Ngaphezu kwalokho, i-FDA iyakuqaphela ukuphepha kwalesi sitshalo.
Isikali
Gxilisa u-2 g wezimpande ezintsha noma ezomisiwe ze-horseradish ngo-150 ml wamanzi abilayo imizuzu emihlanu. Phuza izikhathi eziningana ngosuku.
Izinkomba ze-Cons
I-Horseradish ayinconywa kwabesifazane abakhulelwe noma abancelisayo, abantu abanezilonda ezinama-peptic kanye nalabo abanezinkinga zezinso.
Amagilebhisi amagilebhisi (I-Arctostaphylos uva ursi). Ngokwezifundo kwesibeletho, amaqabunga e-uva ursi, abizwa nangokuthi thwala amagilebhisi, kungaba nesenzo sokulwa namagciwane. ENyakatho Melika, iZizwe Zokuqala zayisebenzisa ukwelapha i-cystitis. Into esemqoka esebenzayo yalesi sitshalo kuthiwa yi-hydroquinone, i-metabolite ye-arbutin. Ngakho-ke, yi-hydroquinone engasebenza njengeantiseptic egunjini lokuchama. IKhomishini E ne-ESCOP ivuma ukusetshenziswa kwamaqabunga e-uva ursi ekwelapheni izifo ezingenzima eziyisinye nesinye.
Isikali
Faka u-3 g wamaqabunga e-uva ursi ngo-150 ml wamanzi abilayo imizuzu eyi-15. Sebenzisa ama-4 ngosuku ngokudla, okuholela ekutholeni i-arbutin yansuku zonke ye-400 mg iye ku-840 mg.
Izinkomba ze-Cons
I-Uva ursi iyaphikiswa kwabesifazane abakhulelwe noma abancelisayo nezingane ezingaphansi kweminyaka eyi-12 ubudala.
Amanothi. Ngenxa yobuthi be-hydroquinone, i-uva ursi akufanele isetshenziswe isikhathi eside (ingeqi emasontweni ambalwa). Ngaphezu kwalokho, i-uva ursi izosebenza kangcono lapho umchamo une-alikhali. Ungahlanganisi ukuthatha i-uva ursi nejusi cranberry noma izengezo zikavithamini C, ezizokwenza ukuthi zingasebenzi kahle.
IHydraste du Canada (I-Hydrastis canadensis). IGoldenseal idume ngesenzo sayo sokulwa nezifo zomgudu womchamo. Iqukethe berberine, i-alkaloid egxila esinyeni22. Isenzo saso sokulwa namagciwane kuthiwa sivela ekhonweni laso lokuvimbela amabhaktheriya ukuba anamathele odongeni lwesinye kunokuba abulale izinto ezithathelwanayo, njengoba kwenza ama-antibiotic. Ngokufana ne-uva ursi, ukusebenza kwaleli khambi kungcono kakhulu lapho umchamo une-alikhali.
Isikali
Bona ishidi leGoldenseal.
Izinkomba ze-Cons
Abesifazane abakhulelwe nabancelisayo kufanele bagweme ukudla i-goldenseal, ngokusho kwabanye ababhali.
Amanothi. Nciphisa isikhathi sokwelashwa cishe emasontweni ama-2.
Ukuqinisa amasosha omzimba
Echinacea (I-Echinacea sp.). I-Echinacea yaziwa ngamasosha omzimba ayo akhuthaza izakhiwo, eziye zaboniswa ngezifundo eziningi. Ngakho-ke, i-Echinacea ingasiza ekulweni nama-UTIs ngokuqinisa amasosha omzimba. Inhlangano Yezempilo Yomhlaba iyakubona ukusetshenziswa kwezimpande zeE.ugustifolia futhi E. pallida njengenhlanganisela yezifo zomgudu womchamo. Ukuvikela nokwelashwa kwezifo eziphindaphindayo, iKhomishini yaseGerman E iyakuqaphela ukusetshenziswa kwezingxenye zomoya ze-E. purpurea.
Isikali
Sebenzisa ngaphakathi. Bheka ishidi lamaqiniso le-Echinacea.
Ukudla. Ku-naturopathy, siphawula ukubaluleka kokudla ngaphandle koshukela (ngakho-ke ushukela) ukukhuthaza ukuphulukiswa noma ukuvimbela ukuphindeka.16. Ngokwale ndlela yezokwelapha, kungenzeka ukuthi ukungezwani kokudla noma ukusilela kokudla okunempilo bondle imvelo ephindaphindwayo yama-UTIs. Xhumana ne-naturopath ngokuhlola okwenzelwe wena.
Ithonya lokudla kwizifo zomgudu womchamo liyafundwa njengamanje. Ukudla esikudlayo kunomthelela ekwakhiweni kwesitokisi kubhaktheriya, okuvame ukubandakanyeka ekutheleleni kwegciwane lomchamo. Ngakho-ke, abacwaningi bakholelwa ukuthi kungenzeka ukunciphisa ubungozi bokutheleleka ngomchamo ngokudla ngendlela ehlukile.
The probiotics, lawa mabhaktheriya awusizo ezitshalweni zamathumbu nezangasese, avusa intshisekelo ekuvikeleni izifo eziphindaphindayo zomgudu womchamo13. Ngo-2005, isibonelo, ukuhlolwa kwabesifazane abangu-453 abane-cystitis kubonise ukuthi ukusebenzisa ama-probiotic izinsuku ezingama-90 kunciphise izinga lokutheleleka nge-urinary ngo-34% ngaphezu konyaka owodwa.24. Ngakolunye uhlangothi, ezinye izifundo zikhombise ukungasebenzi kahle kwama-probiotic. Imininingwane ngakho-ke namanje ayanele.
Ngaphezu kwalokho, ucwaningo olwenziwe ngo-2007 lukhombisa ukuthi i- ukusetshenziswa kwenyama ephezulu (ikakhulukazi izinkukhu) zingadlala indima ekwenzekeni kwezifo zomgudu womchamo ongazweli kuma-antibiotic. Amagciwane akhona enyameni, avame ukumelana nawo, angaba nomthelela ekungcoleni umgudu womchamo.25.
I-Chinese Pharmacopoeia. Kumuthi Wezokwelapha Wendabuko WamaShayina, amalungiselelo UDao Chi San et UHuang Lian Jie Du Wan asetshenziselwa ukulwa nezifo zomgudu womchamo, ikakhulukazi i-cystitis. Bheka amashidi anegama elifanayo esigabeni se-Chinese Pharmacopoeia.
Canada
Ukuzalwa nokukhula.com
Ukuthola imininingwane ethembekile ngokutheleleka ngomgudu womchamo kanye nokwelashwa okufanele kwezingane, isiza seNaître et grandir.net silungile. Kuyisiza esizinikezele ekukhuleni nasempilweni yezingane. Amashidi wezifo abuyekezwa odokotela baseHôpital Sainte-Justine eMontreal kanye naseCenter hospitaler universitaire de Québec.
www.lolasexite.com
Umhlahlandlela Wezempilo kahulumeni waseQuebec
Ukuze ufunde kabanzi ngezidakamizwa: ungazithatha kanjani, yikuphi ukuphikisana nokusebenzisana okungenzeka, njll.
www.asibuyile.gouv.qc.ca
I-united states
I-American Foundation yezifo ze-Urologic
www.afud.org
Isifo Sezinso Sikazwelonke Nezifo Zomchamo
www.ikwaz.nih.gov