Bona futhi uphathe i-cystitis emantombazaneni amancane

Yini i-cystitis?

“I-cystitis ukuvuvukala kwesinye. Lokhu kungaba nezimbangela ezahlukene (okungaguquki, okunobuthi…), kodwa uma kubangwa amagciwane, kuyisifo somchamo. Kuvama kakhulu emantombazaneni asemancane ngoba umgudu oholela umchamo esinyeni uye esikhumbeni mfishane kunabafana.. Amagciwane angaphindaphinda kalula ku-urethra - ngisho noma lokhu kungesona isizathu esiyinhloko sokutheleleka okubangelwa ukungahambi kahle komchamo phansi, ”kuchaza uDkt Edwige Antier.

Indlela umgudu womchamo osebenza ngayo ukuqonda i-cystitis

“Umchamo uhluzwa yizinso zombili, ugeleze ungene esinqeni esincane esiwuqoqayo bese uphuma kumithanjana emibili, bese wehlela esinyeni esigcwala kancane kancane. Amavalvu amabili amancane phakathi kwe-ureter kanye nesinye avimbela umchamo ukuthi ubuyele phezulu. Ezingeni le-perineum, isinye sivalwa yi-sphincter, esivumela ukuba sibe amazwekazi kuze kube yilapho sizwa ukuthi isinye sigcwele ukusivula. Umchamo ube usugelezela ku-urethra bese uthulula endaweni ekhethiwe,” kuchaza uDkt. Antier.

"Kodwa ngezinye izikhathi, kukhona okungahambi kahle kulamapayipi omchamo okwenza umchamo umile. Isibonelo, kungase kube ukuvaleka okungekuhle kwamavalvu okuvumela umchamo ugeleze ubuyele phezulu ku-ureter, noma ukuncipha eduze kwe-ureter okubangela ukuba uvuleke. Njengamanzi angakhanywanga kahle, amagciwane ayanda. Ukutheleleka komgudu womchamo,” kuqhuba uDkt Edwige Antier.

Yiziphi izimpawu ze-cystitis emantombazaneni amancane?

Enganeni

  • Imfiva: noma iliphi izinga lokushisa elingaphezu kuka-38 ° C enganeni engaphansi kwezinyanga ezintathu ubudala idinga ukuhlolwa egumbini lezimo eziphuthumayo lezingane ukuze kubhekwe imbangela, okuhlanganisa ukutheleleka komgudu womchamo.
  • Uma ngaphezu komkhuhlane, umntwana uyaqhaqhazela, uphaphathekile futhi ubukeka edangele: kuyadingeka futhi ukubonisana ngokuphuthumayo.
  • Ngokushesha nje lapho i-paracetamol iletha izinga lokushisa libe ngaphansi kuka-38,5 ° C, futhi uma ingane idlala, idla, ayinakho ukuqubuka: “Sithi umkhuhlane uhlukaniswe wodwa. Umthetho wezinsuku ezi-3 ube ususetshenziswa, isikhathi esithathwa ukuthi izifo eziningi ezibangelwa amagciwane zizipholele ngokwazo. Kodwa uma umkhuhlane uqhubeka, kudingeka ukuhlolwa kwezokwelapha, okuhlanganisa nokuseshwa kwesifo somgudu womchamo,” kuchaza udokotela wezingane.

Ezinganeni

Kufanele kuhlukaniswe:

  • Ukuzwa ukushisa lapho uchama, isifiso sokuchama njalo.
  • Ukuluma nokuluma okungahlobene nokuchama, okuwuphawu lwe-“vulvitis”.

Indlela yokuqinisekisa ukuxilongwa kwe-cystitis?

  • Ngokuhlola ngomugqa wokuhlola: okumele ukwenze nje ukuvumela umntwana ukuba achame inabukeni lakhe bese ucwilisa umugqa wokuhlola ngamathonsi ambalwa omchamo. Uma umbala ubonisa ukuba khona kwama-leukocyte nama-nitrites, kuwuphawu lokutheleleka. Kuzodingeka ukuthi uye elabhorethri ukuze uqedele ukuxilongwa.
  • Ngalokho okubizwa ngokuthi "cytobacteriological" ukuhlolwa komchamo lapho okulandelayo kufunwa:
  • amaseli (cyto): kunamaseli amaningi amhlophe egazi ukulwa namagciwane,
  • amagciwane, inombolo yabo ukusho ukuthi isifo noma amagciwane adlulayo. Ukuzwela kwabo kuma-antibiotic ahlukene kuyahlolwa ukuze kuqondiswe ukwelashwa.
  • Ezinsaneni noma lapho ukutheleleka kuhambisana nomkhuhlane, a ukuhlolwa kwegazi ukuhlola ukuthi ukutheleleka akudluleli ngalé komgudu womchamo ngengozi yezinkinga ezinkulu.

Iyini i-ECBU, noma ukuhlolwa komchamo we-cytobacteriological?

I-ECBU iyithuluzi eliyinkomba lokuxilonga i-cystitis. I-ECBU, noma ukuhlolwa kwe-cytobacteriological yomchamo, kubheka ukuba khona kwamagciwane emchameni. Uma ukutheleleka kungekho, umchamo uwumthombo oyinyumba. Uma i-ECBU ithola amagciwane, kukhona ukutheleleka komgudu womchamo. Ilabhorethri ibe seyenza i-antibiogram ukuze inqume ukuthi iyiphi i-antibiotic ezosebenza kakhulu ekwelapheni ukutheleleka. 

Ukuqoqa umchamo ukuze kuhlolwe i-cystitis

Kulula ezinganeni ezindala ezingakwazi ukuchamela elabhorethri ngemva kwendlu yangasese yendawo, ukuqoqwa komchamo oyinyumba kuyinkimbinkimbi enganeni. Ukubeka isikhwama akuqinisekisi ukuthi umchamo ngeke ungcole. Sivame ukuba nethuba lokuthola ucwaningo oluncane, olulula entombazaneni.

Ungayelapha kanjani i-cystitis?

Udokotela uzonikeza i-antibiotic yokwelapha i-cystitis entombazaneni encane ngokushesha ngangokunokwenzeka. “Ukwelashwa ngama-antibiotic kubalulekile: nge-intramuscularly noma ngomthambo ezinsaneni uma kuziwa ekuthelelekeni okuphuthumayo nokujwayelekile, ngomlomo ezinganeni ngaphandle kwezimpawu ezijwayelekile. Ukukhethwa kwemithi elwa namagciwane, umthamo kanye nobude besikhathi sokwelashwa kushintshaniswa nemiphumela yelabhorethri. Udokotela kuphela onganquma ukuthi iyiphi i-antibiotic ezosebenza. 

Ungakuvimbela kanjani ukuvela kwe-cystitis ezinganeni namantombazane amancane?

Ngezenzo zokuhlanzeka okuhle kwansuku zonke:

  • eshintsha njalo inabukeni lengane yakhe,
  • fundisa intombazanyana ukugeza kahle,
  • mfundise ukusula njalo kusukela phambili kuya emuva ngemva kokuchama,
  • phuza njalo.

Yini i-pyelonephritis?

Ukutheleleka kwe-Upper urinary tract, etholakala ezinso nase-ureter yayo, i-pyelonephritis enamandla ngokuvamile kuba yinkinga ye i-cystitis engalashwa. Ngokuvamile kubonakala njengokushisa okuphezulu nokukhathala. Njenge-cystitis, lokhu kutheleleka kwebhaktheriya kudinga ukwelashwa ngama-antibiotic okunqunywe udokotela kanye nokwesekwa okusheshayo. Kunconywa ukuthi uthintane nodokotela ngokushesha nje lapho izimpawu ezichazwe ngenhla ze-cystitis zivela. Ezinganeni ezindadlana, zingaba yilezi:

  • ukuchama njalo nokuzwa ukushisa
  • ubuhlungu obuphansi emuva
  • umchamo onamafu futhi onukayo

Uma imiphumela ye-ECBU isitholakele futhi nokwelashwa ngama-antibiotic sekuqaliwe, i-ultrasound yezinso ingenziwa ezinsukwini ezilandela ukutheleleka ukugwema izinkinga. Futhi emntwaneni, uma kwenzeka umkhuhlane ophezulu, kuyadingeka ukubonisana nokwenza ukuhlaziya ngaphandle kokulibala.

Le UDokotela Edwige Antier, udokotela wezingane, umbhali wencwadi ethi "Ingane yami enempilo ephelele, kusukela ku-0 kuya ku-6 iminyaka", no-Marie Dewavrin, ngaphansi kokuqondisa kuka-Anne Ghesquière, ed. Ama-Eyrolles.

 

 

 

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