Enye yezinhlobo ezivame kakhulu zokutheleleka, ukutheleleka kwamagciwane (UTI), kwenzeka lapho izidalwa ezinobungozi ezinobungozi zingena emaphethini akho omchamo. Nakuba lezi zinhlobo zingabandakanya isikhunta namagciwane, iningi le-UTIs libangelwa amabhaktheriya.
Umzimba wakho uvame ukuqeda lezi zingqikithi ngaphambi kokuba zingabangela izimpawu, kodwa izici eziyingozi ezivela emsebenzini wokuya ocansini kuya ezinkingeni zempilo ezingaphansi zingandisa amathuba okuthuthukisa ukutheleleka komgudu.
Izimbangela ezivamile kanye Nezici Zengozi
Ngenkathi i-UTI ingenzeka kunoma yiluphi uhlangothi lwesistimu yakho ye-urinary (kufaka isambiso, izinso, izigulane, kanye ne-urethra), iningi le-UTIs lithinta isisindo kanye nesifo somzimba (ie umzila ophansi we-urinary). I-Escherichia coli , i- Klebsiella pneumoniae , ne- Proteus mirabilis ziphakathi kwamabhaktheriya evame ukuxhunyaniswa ne-UTIs.
Ubulili
Ngenxa yezici ezithile ezithinta abantu, abesifazane babhekana nengozi ephakeme kakhulu ye-UTIs (uma kuqhathaniswa namadoda). Lokhu kungenxa yokuthi abesifazane bane-urethra emifushane, evumela ukuthi amabhaktheriya afinyelele futhi athelele isirabhu kalula kakhulu. Ngaphezu kwalokho, ukuvulwa kwe-urethra kwabesifazane kusondelene kakhulu ne-rectum, lapho amabhaktheriya abangela iTI ayaziwa khona ukuhlala.
Ukukhulelwa
Ngenxa yezinguquko ezihlobene nokukhulelwa emkhakheni we-urinary, i-UTIs ingaba yinto evamile kakhulu ngesikhathi sokukhulelwa (ikakhulukazi kusukela ngesonto lesithupha kuya kwesonto 24). Kuthiwa usayizi okhulayo nesisindo sombeletho kungavimbela ukugeleza okuphelele komchamo kusuka kwesinye isisu, okungenza abesifazane abakhulelwe bangenelele kwe-UTI.
Ukunqamuka kwesikhathi
Abesifazane abaye baqala ukuphuma esikhathini sokubeletha bangase babe nengozi enkulu yokutheleleka kwamagciwane, mhlawumbe ngenxa yezinguquko ze-hormone ezingathinta amabhaktheriya anenzuzo elwa nokulwa nezinambuzane ezinobungozi emkhakheni we-urinary.
Izimo zezeMpilo
Izinkinga eziningana zempilo ezingapheli zingase zande ingozi ye-UTI.
Lezi zihlanganisa izimo ezihambisana nokuziphendulela kwamagciwane omzimba (njengokushukela kwesifo sikashukela ), okungenza buthakathaka ikhono lomzimba wakho ukuvimba amagciwane. Izinkinga ezihlobene nobudala ezifana nesifo se-Alzheimer zingase zibe negalelo le-UTI, ngoba zingase ziphazamise ukuhlanzeka komuntu siqu.
Ngaphezu kwalokho, abantu abalandelayo bangase babe namathuba amaningi okuthuthukisa ukutheleleka kwamagciwane:
- labo abanokulimala kwentambo yomgogodla noma umonakalo wezinzwa ezungeze isisindo, okungavimbela ukukhishwa okuphelele kwesisindo
- labo abanezinso zezinso, i-prostate eyandisiwe, noma yimuphi omunye umvuthwandaba ovimbela ukugeleza okujwayelekile komchamo futhi ukhuthaza ukukhula kwebhaktheriya
- labo abane-reflux vesicoureteral (VUR) noma ezinye izinto ezingavamile ze-urinary tract
- labo abasanda kusebenzisa i- catheter yamanzi
- labo abanezifo ezingenalutho
I-Genetics
Olunye ucwaningo olusanda kuvela lubonisa ukuthi izakhi zofuzo zingadlala indima ekutheleleni kwamagciwane. Embikweni wango-2011 oshicilelwe ephephandabeni i- Nature Reviews: Urology , isibonelo, ososayensi bathi ukuhlukahluka kofuzo ekuphenduleni kwe-immune kungathonya ubukhulu be-UTIs noma ukuvikela ukulwa nokutheleleka. Kodwa-ke, ucwaningo olwengeziwe luyadingeka ngaphambi kokuba izimbangela zezobuciko ze-UTIs zizwakale ngokugcwele.
Izindlela Zengozi Yokuphila
Izindlela eziningi zokuphila zingabangela ekuthuthukiseni izifo zokungena emanzini.
Umsebenzi wocansi
Umsebenzi wezocansi ungenye yezinto ezivame ukubhekana nezingozi zokuphila ze-UTIs, ikakhulukazi kwabesifazane. Kucatshangwa ukuthi ukulala ngokocansi kungathatha amabhaktheriya kusuka ezifweni zobulili kanye ne-anus ku-urethra futhi, futhi, kuholela ekutheleleni.
Kubantu, izenzo zocansi ezingavikelekile ezibandakanya abesifazane abane-infection yangasese zingandisa ingozi ye-UTIs.
Ukulawulwa Kwokuzalwa
Ukusetshenziswa kwezinhlobo ezithile zokulawulwa kokubeletha (njengama-diaphragms noma i-spermicide) kungaphakamisa ingozi ye-UTI kwabesifazane.
Ukuhlanzeka komuntu siqu
Imikhuba eminingi yokuhlanzeka kwengqondo nayo ibhekwa njengengozi ye-UTIs. Le mikhuba ihlanganisa:
- ukusebenzisa ama-douches kanye ne-spyys yokuhlanza abesifazane noma ama-powders
- ukusula emuva emuva ngemuva kokuchama noma ukunyakaza kwamathumbu, ikakhulukazi kwabesifazane
- ukugcina umchamo isikhathi esingavamile (ie "ukubambelela")
- isikhathi eside sokungahambi kahle (njengokungathi ngesikhathi sokuthola ukulimala noma ukugula)
> Imithombo:
> Flores-Mireles AL, Walker JN, Caparon M, Hultgren SJ. "Izifo ezithinta izifo zase-Urinary: i-epidemiology, izindlela zokutheleleka nokwelashwa." Nat Rev Microbiol. 2015 Meyi; 13 (5): 269-84.
> Moore EE, Hawes SE, Scholes D, Boyko EJ, Hughes JP, Fihn SD. "Ukuziphatha ngokobulili kanye nengozi yokutheleleka komzimba kwamagciwane emaphoyiseni emva kokumama." UJ Gen Intern Med. 2008 Meyi; 23 (5): 595-9.
> I-National Institute of Diabetes and Digestive and Kidney Diseases. "Ukwelashwa Kwesisindo (Ukwelashwa Kwe-Urinary Tract-UTI) kubantu abadala." Ngo-March 2017.
> Ragnarsdóttir B, uLutay N, Grönberg-Hernandez J, Köves B, uSvanborg C. "Izakhi zofuzo zokuzivikela okungenasifo kanye nokutholakala kwe-UTI." U-Nat Rev Urol. 2011 Jul 12; 8 (8): 449-68.
> I-Library Kazwelonke Kazwelonke Yezokwelapha. "Izifo Zama-Urinary Tract (UTI)."