Kufuneka wenze ntoni xa unee-UTIs eziphindaphindayo

Imfundo yezeMpilo

Uninzi lwethu lusebenzisa igumbi lokuhlambela imini yonke ngaphandle kokucinga kakhulu, kodwa xa usulelo losuleleko lomchamo, into elula njengokuchama ngequbuliso iba nzima, inuke kwaye ibe buhlungu ngokungathethekiyo.

Iphepha lakho lokuchama yinkqubo yemibhobho evumela ukuba uchame, kwaye ibandakanya yonke into ukusuka kwi-urethra yakho kunye nesinyi yonke indlela ukuya kwizintso zakho. Usulelo lwe-urinary tract, okanye i-UTI, lwenzeka xa nayiphi na inxenye yenkqubo yokuchama igcwele iibhaktheriya ezingekhoyo apho. Oku kubangela iimpawu ezinjengentlungu okanye ukutshisa ngexesha lokuchama, ukuchama rhoqo okanye ukubanzima ukuvala, umchamo onamafu okanye onukayo, kunye nentlungu esiswini okanye emqolo ongezantsi.

Ngelixa i-UTI enye ebomini ingaphezulu kokwaneleyo, abanye abantu bajongana nee-UTI eziphindaphindayo kwaye abazi ukuba baziphathe njani. Ukuba une-UTI engaphezulu kwesinye kwiinyanga nje ezidlulileyo, usenokuba unesifo esiphindaphindayo. Nantsi yonke into ekufuneka uyazi malunga nezizathu ezinokubangela, unyango, kunye nokuthintela ii-UTIs.

Kutheni i-UTI yam iqhubeka ibuya?

Zininzi izizathu ezahlukeneyo zokuba kutheni umntu esenokuba nosulelo oluphindaphindeneyo lomchamo. Nangona kukho iindlela ezimbalwa ezicocekileyo ezinokubangela (njengokungasuli ngaphambili ukuya ngasemva emva kokuhamba kwamathumbu ukuba ungowasetyhini), uninzi losulelo lubangelwa zizinto ezingaphandle kolawulo lwakho.

Ngoku ka ULauren Cadish , MD, urogynecologist e-Providence Saint John's Health Centre, ukungafani komzimba kungabeka abantu emngciphekweni owandayo. Oku kubandakanya abantu abazalwe benotyekelo lokuchama ukuba babuye umva kwisinyi baphinde babuyisele ureters, iityhubhu ezizisa umchamo kwizintso ukuhla uye esinyeni. Nangona kunjalo, uGqirha Cadish uthi oku kufunyaniswa kuqhelekile ebuntwaneni, ke akufuneki ukuba kothuse umntu omdala ophethwe zi-UTI eziphindaphindayo.

Eminye imingcipheko eqhelekileyo ye-UTIs ephindaphindiweyo ibandakanya:

• Isinyi okanye amatye ezintso
• Ukulimala kwamathambo okanye isifo sesinyi esithintela ukuba kuphume ngokupheleleyo
• Isifo sezintso kunye nokufakelwa
• Ukuphazamiseka ngokuzenzekelayo okanye ezinye iimeko zonyango ezonakalisa amajoni omzimba
• Iingxaki zamathumbu, njengesifo sohudo okanye ukungasebenzi kakuhle (i-Escherichia coli, okanye i-E. Coli, ngoyena nobangela wegciwane I-90% yazo zonke ii-UTIs )

Ezinye izizathu ze-UTIs zinokuchongwa ngokulula kwaye zisonjululwe. Ukukhumbula ukukhupha isinyi sakho kwangexesha, ukusela ulwelo olwaneleyo ukukhupha umchamo wakho, kunye nokulawula ukuhamba kwamathumbu ziindlela ezilula zokuthintela ezinye zezizathu eziqhelekileyo ze-UTIs, ucacisa uJulie Stewart, MD, ugqirha wezamachiza kwisibhedlele saseHouston Methodist.

Amadoda xa kuthelekiswa nabafazi

Nangona amadoda nabafazi befumana ii-UTIs, abasetyhini bachaphazeleka ngokungafaniyo. Ngoba? Ngenxa yesiseko se-anatomy yabasetyhini ngokunxulumene ne-urethra, ityhubhu ehambisa umchamo kwisinyi ngaphandle komzimba.

I-urethra kowasetyhini imfutshane, ikakhulu malunga neesentimitha ezine, utshilo uGqirha Cadish. Ngenxa yokuba ii-urethras zamadoda kufuneka zinqumle kwiprostate kunye nobude bendoda, i-urethras yazo inde kakhulu kwaye iibhaktiriya zinobunzima bokunyuka kwisinyi kunabafazi.

Kukho elinye icandelo eliqhelekileyo le-anatomy yabasetyhini elinokunyusa umngcipheko we-UTIs, nayo: lobufazi. NgokukaGqirha Cadish, abasetyhini baneebhaktheriya ezihlala ngaphakathi kwilungu lobufazi, kodwa ngamanye amaxesha intsholongwane ihamba iye kumchamo okanye kwisinyi kwaye ibangele i-UTI. Utshintsho lweHormonal lunokwenza ukuba umfazi abe sesichengeni se-UTIs; usulelo luqheleke kakhulu emva kokuyeka ukuya exesheni kwaye, rhoqo, ngaphambi kokuya exesheni ( enkosi ngokuhla kwe-estrogen ).

Kodwa ngaphambi kokuba ucinge ukuba amadoda aphuma lula xa kufikwa kwii-UTIs, ayisiyiyo loo nto. Ngelixa abasetyhini besemngciphekweni omkhulu kakhulu we-UTIs, ii-urethras ezinde emadodeni zibabeka emngciphekweni omkhulu wokungakwazi ukukhupha isinyi sabo kakuhle, ihlala isisiphumo sengxaki yeprostate, utshilo uGqirha Cadish. Ukungabikho okwaneleyo ngenxa yeprostate eyandisiweyo kunokubangela ii-UTIs rhoqo.

Nangona i-UTIs ingekho uphawu lomhlaza, zinxulunyaniswa nomhlaza wesinyi kunye nezinye iindlela. A Ufundo luka-2017 ipapashwe kwi I-PLoS Inye ifumanise ukuba amadoda atyelele ugqirha ngaphezulu kwamaxesha amahlanu ngonyaka kusulelo olusezantsi lomchamo kunokwenzeka ukuba abe nomhlaza wedlala lobudoda kunamadoda angakhange abenasifo esiphindaphindayo.

Kwenye indawo, umhlaza wesinyi uhlala unxulunyaniswa nee-UTIs rhoqo kuba enye yeefayile ze- Iimpawu zokuqala ligazi kumchamo , uphawu olugxothwa ngokulula kwabasetyhini njengesiphumo sosulelo lwesinyi okanye utshintsho lwehomoni. Ngamanye amagama, abasetyhini bahlala bechongwa kamva ukuba banomhlaza wesinyi kunamadoda, ekubeni uninzi lweempawu zabo zomhlaza zokuqala zabhalwa gwenxa njenge-UTIs.

Ichongwa njani i-UTI ephindaphindayo?

NgokukaGqirha Stewart, iikhrayitheriya zokuchonga i-UTIs ephindaphindiweyo zisandula ukuvavanywa kwakhona yi-American Urological Association (AUA). Ii-UTIs eziphindaphindiweyo zichazwa njengee-UTI ezimbini kwiinyanga ezintandathu okanye ezintathu ze-UTIs kunyaka omnye, utshilo, kodwa kufuneka ukuba babe yimeko yenkcubeko eqinisekisiweyo, ibacteria cystitis eneempawu.

Ngamanye amagama, kuyakufuneka ukuba ube neemeko eziqinisekisiweyo zebacteria ezivela kwisampulu yomchamo kunye neempawu ezibonakalayo ze-UTI ukuze ufaneleke. UGqirha Stewart ucacisa ukuba abanye abantu bahlala bevavanya intsholongwane ngaphandle kweempawu kwaye abanye baneempawu ngaphandle kwenkcubeko elungileyo (mhlawumbi ngenxa yokucaphuka kwesinyi kunokuba nosulelo lwebhaktiriya). Ezo meko kufuneka ziphathwe ngokwahlukileyo kunesigulana esivelisa zombini.

Inkcubeko yomchamo ibandakanya ukujonga ubuntununtunu, okuthetha ukuba singachaza ukuba zeziphi i-antibiotics eziza kubulala olo sulelo kwaye zingayi kubulala, ucacisa uGqirha Cadish, esongeza ukuba ukuxilongwa kwe-UTI kuthetha ukuba intsholongwane ibanga usulelo ichongiwe. inkcubeko. Ukusuka apho, umboneleli wezempilo unokuyalela ikhosi efanelekileyo iyeza lokubulala iintsholongwane kolo sulelo.

Kubalulekile ukuba ungazikhathaleli iimpawu ze-UTIs; ukuba ishiywe inganyangwa, i-UTI yakho inokuba yinto usulelo lwezintso , Ingxaki enkulu enokuba sisongelo ebomini eyaziwa ngokuba yi-pyelonephritis.

Iphathwa njani i-UTI ephindaphindayo?

Ukuba uhlangabezana neekhrayitheriya ze-UTIs eziphindaphindayo, umboneleli wakho wokhathalelo oluphambili uya kuthi akubhekise kwi-urologist engaqala ukwenza umsebenzi wokucuphi.

Kungumsebenzi wethu njengabagqirha ukuqonda ukuba kukho izinto ezinobungozi ezinje ngeatomical okanye autoimmune imiba, utshilo uGqirha Stewart. Sikhangela oonobangela kwaye singenelele kuzo ukuba sinako — njengokunyanga ilitye lezintso ukuba likho — kodwa uninzi lwezigulana azinaso isizathu esicacileyo okanye ‘umpu wokutshaya.’

Oku kwaziwa njengosulelo olungenantsingiselo lwe-urinary tract, kwaye ngelixa kunokuba yinto ephazamisayo ukungafumani sizathu okanye inkcazo icacileyo, ii-urologists zisenokusebenza kunye nawe ukwenza isicwangciso sonyango. Ngokwesiqhelo, i Unyango lwe-UTIs ephindaphindiweyo kubandakanya unyango lwe-antibiotiki njengoko kufuneka ngonyango olufana:

• IBactrim (Isulfamethoxazole-trimethoprim)
• Macrobid (nitrofurantoin)
• Keflex (cephalexin)

I-antibiotic esetyenzisiweyo ixhomekeke kubunzima beebhaktiriya eziboniswe kwinkcubeko yomchamo.

Zininzi ii-antibiotics esivumelene ngazo ukuba zinomonakalo omncinci 'wesibambiso,' utshilo uGqirha Stewart, kwaye sizama ukunyanga usulelo ngeyona ntsholongwane ifanelekileyo ngexesha elifutshane eliza kusebenza.

Wongeza ngamanye amaxesha ixesha elide, idosi ephantsi yemihla ngemihla iyeza lokubulala iintsholongwane ziyafuneka ukulawula usulelo olungapheliyo ngenxa yezinye iingxaki zempilo. Umzekelo, a Ufundo lwe-2018 phakathi Izifo ezosulelayo zeLancet ifumanise ukuba unyango oluqhubekayo lwe-antibiotic lwalusebenza kakuhle ekuthinteleni i-UTIs kwizigulana ezisebenzisa iicatheters. Abanye abantu basetyhini banokuxelelwa ukuba bathathe idosi enye ye Zintsholongwane emva kwesondo Ukuthintela ukukhula kweentsholongwane.

Ukuba usulelo olusebenzayo lunyangwa ngamayeza okubulala iintsholongwane, kusenokufuneka usebenzise isifo sokuthomalalisa iintlungu se-OTC, njenge-acetaminophen okanye ibuprofen, de ibe i-antibiotic iqala ukusebenza. Unokuthatha amayeza e-OTC ayilelwe ukunceda kwiimpawu ezininzi ze-UTIs, ezinje Uncedo lweAzo Urinary Pain .

Ungaluthintela njani usulelo lomjelo womchamo

Kuxhomekeke ekubeni kutheni umboneleli wakho ekrokrela ukuba ufumana ii-UTIs eziphindaphindayo, kukho iindlela ezininzi onokuthi uthintele ukuphinda usulele kwaye uthintele unyango lwe -antibiotic ubuncinci bexesha.

Amayeza kunye nezongezelelo

1. D-mannose siswekile esiqhele ukufunyanwa kwiziqhamo, nesaziwa ngokuzibambelela kwiibhaktiriya ze-E.coli kwisinyi sakho kwaye sithintele ukwanda kwebacteria kuludwe lwesinyi. UGqr Cadish ucebisa ukuba uthathe le yongezelelo ye-OTC kwidosi yeegram ezimbini mihla le. A Uphononongo luka-2016 kwi Uphengululo lwaseYurophu lweeNzululwazi zezoNyango kunye nezoNyango Ufumene i-D-mannose ukuba yonyango olusebenzayo kunye nesicwangciso sokuthintela i-UTIs (kwaye ayinaziphumo zempembelelo zininzi).
2. Imethenamine , efumanekayo ngugqirha, inokuba luncedo ekuthinteleni usulelo oluzayo (nangona ingasebenzi phatha ezikhoyo ). Yintsholongwane endala enokuba nefuthe lokucoca kumchamo kwaye ithathwa njengeyeza lokubulala iintsholongwane okanye unyango lokubulala iintsholongwane, kunokuba inokuthi inyange usulelo olusebenzayo.
3. Unyango lwe-estrogen lobufazi , ngakumbi kubafazi abasele besemva kokuba sexesheni, yenye indlela yokuthintela. UGqirha Stewart uthi ngenxa yokuba ukuya exesheni kuguqula i-pH yezicubu zelungu lobufazi, kwenza ukuba ukukhula kweentsholongwane kube lula. Ukutshintsha i-estrogen ngamanani amancinci, uyacacisa, kunokuphucula i-pH yezicubu zangasese kunye nokuthintela ukwanda kweebhaktiriya ezimbi ngelixa kukhuthaza ukukhula kweebhaktiriya ezilungileyo.

Utshintsho kwindlela yokuphila

1. Ukusela ulwelo oluninzi Yonke imihla iya kukunceda uhlambe iibhaktheriya eziqhelekileyo kwi-urinary tract, ukukhusela ukugqithisa.
2. Yiya kwindlu yangasese rhoqo . Musa ukubamba umchamo wakho ixesha elide okanye ukhawuleze ngenkqubo ngaphandle kokukhupha ngokupheleleyo isinyi sakho. Ukwenza njalo kunokubangela ukwanda kwebhakteria kwisinyi sakho.
3. Jongana nayo nayiphi na imiba eqhubekayo ye-GI , njengokuqhinwa okanye urhudo. Kuba uninzi lweebacteria ezibangela i-UTI zivela kummandla wexande, ukuba nokuhamba kwamathumbu rhoqo kukuveza rhoqo ungcoliseko; Okwangoku, ukuqunjelwa kunokubeka uxinzelelo kwisinyi kwaye ichaphazele ukusebenza kwayo ngokubanzi (oku kuqheleke ngakumbi ebantwaneni).
4. Thintela ukusetyenziswa rhoqo kwe ukutya okwaziwayo ukucaphukisa isinyi , Njengecaffeine, utywala, kunye nokutya okunezipayisi.

Iingcebiso zezempilo

1. Sula ukusuka ngaphambili uye ngasemva emva kokuhamba kwamathumbu , kwabasetyhini, ukunqanda ukusasaza iibhaktheriya ukusuka kummandla we-rectal ukuya kwi-urethra. Amadoda nawo kufuneka agcine amalungu abo esini acocekile, ngakumbi emva kwesondo.
2. Chama kwakamsinya emva kokwabelana ngesondo ukucoca naziphi na iibhaktheriya ezigqithiselwe kwi-urethra.
3. Gcina indawo yesini eyomileyo kwaye ingathintelwanga . Nxiba impahla yangaphantsi yomqhaphu, thintela iibhafu ezishushu kunye nezambatho zangaphantsi ezingakulungelanga, kwaye ungasebenzisi naziphi na iimveliso zokucoca njengabafazi okanye iidemokhrasi.
4. Sebenzisa ezinye iindlela zokuthintela ukukhulelwa . Ngokwe- Uphononongo luka-2013 yezifundo kwi Uphengululo kwiUrology , ukusebenzisa amadlozi okubulala amadlozi kunye neendlela zokuthintela ukukhulelwa (njenge diaphragms kunye neekhondom) kunokunyusa ukubakho kokukhula kwebacteria emva kokulalana.

Unyango lwendalo

1. Faka umthombo wemihla ngemihla wecranberry . Nabani na ophethe ii-UTIs eziphindaphindiweyo mhlawumbi uxelelwe ukuba asele ijusi ye-cranberry okanye athathe isongezo se-cranberry kuba iziqhamo zinokuba nefuthe elikhuselayo kwisinyi. Kodwa uphando-kunye neengcebiso zonyango-ziyahlukana. Ugqirha Cadish uthi ijusi ye-cranberry kunye nezongezo aziyi kukulimaza, kodwa aziyi kukunceda kakhulu. Kwelinye icala, uGqirha Stewart uthi inokubakho inyani kunxibelelwano phakathi kwe cranberries kunye nempilo yesinyi: Kukho into ebizwa ngokuba yi PAC, imolekyuli enxiba ulwelo lwesinyi kwaye inokuthintela u-E. Coli ekuqokeleleni kwisinyi [kwaye ibangele usulelo]. Nangona kunjalo, uninzi lwezincedisi ze-OTC azinayo iPAC eyaneleyo yokwenza umahluko, uxwayisa uGqirha Stewart; i uphando lwangoku icebisa ukuba ubuncinci beemiligram ezingama-37 bunokufuneka ukuze ibe nefuthe (kwaye uninzi lwezincedisi zineemiligram ezimbini kuphela).
2. Thatha iprobiotic yemihla ngemihla . Isenokuzikhusela kwi-UTIs. Ezi bhaktiriya zilungileyo zihlala ikakhulu emathunjini akho, kodwa nakwilungu lobufazi-ngakumbi iprobiotic I-lactobacillus, enokunciphisa i-UTIs kwabasetyhini abaneentyatyambo zangasese ezisempilweni.
3. Yongeza ngakumbi ivithamin C kwisidlo sakho. Ubungqina obunzima bokuxhasa esi sicwangciso buyasilela, kodwa abaphandi bacinga ukuba ivithamin C inokuthintela ukukhula kweentsholongwane ngokwenza umchamo wakho ube neasidi eninzi. Omnye mdala kufunda kwi-2007 bafumanisa ukuba iqela labasetyhini abakhulelweyo abathatha indibaniselwano yezongezo kubandakanya ivithamin C babengenamathuba okuba baphuhlise ii-UTIs kunelo qela labasetyhini ababanezongezo ezingabandakanyi ivithamin C.

Kungadimaza xa ii-UTIs zihlala zibuya. Thetha nomboneleli wakho wezempilo. Ngengcebiso, unokufumana indibaniselwano efanelekileyo yonyango eya kukusebenzela.