Ukuhlonza izifo ezithinta umchamo (UTIs) ngokuvamile kuhilela ukuhlaziywa kwesampula somchamo, kodwa kwezinye izimo ukucabanga ukuthi ukuhlolwa kungasetshenziswa.
Njalo ngonyaka, i-UTI ibalula izigidi ezingu-8.1 ukuhambela abahlinzeki bezempilo. Ngenkathi i-UTIs ingabangela ubuhlungu obukhulu nobuhlungu, ukufuna ukuxilongwa yisinyathelo sokuqala sokuthola usizo. Ngaphezu kwalokho, ukuxilongwa kwe-UTI kanye nokwelapha okulandelayo kungakuvikela ezinkingeni ezinzima, ezifana nokulimala kwezinso ezihlala njalo.
Ukuhlolwa Kwekhaya
Iningi lemikhiqizo engaphezu kwezinto ezingakusiza ingakusiza ukuthi uhlole i-UTI ngokwakho, ngokuvamile ngokubamba i-dipstick ekusakazeni kwakho komchamo bese uhlola umugqa wokuhlola wezinguquko.
Kodwa ngenkathi lezi kits zokuhlola ekhaya zidumile phakathi kwabantu abane-UTIs ephindaphindiwe, abazithembeki njengamathuluzi okuxilonga asetshenziswa ochwepheshe bezokwelapha. Ngakho-ke, kubalulekile ukubona udokotela wakho ngokushesha uma ubhekene nezimpawu ze-UTI ezifana nobuhlungu noma ukuvutha uma uchama, umkhuhlane, nesifiso sokuvuthwa kaningi.
Ama-Labs nezivivinyo
Uma ubona udokotela wakho ukuthola ukuthi kungenzeka yini UTI, cishe uzodingeka unikeze isampula yomchamo.
Ukuze uqiniseke ukuthi isampula ayinyumba, umchamo uvame ukuqoqwa ngokwendlela ebizwa ngokuthi "indlela yokuhlanza ehlanzekile." Uzonikezwa i-pad yokuhlanza i-antiseptic ukuze uhlanze indawo yakho yokuzala ngaphambi kokunikeza isampula yomchamo. Njengawo wonke amasampula omchamo, isitsha sakho seqoqo kufanele sibe nezimpawu ukukhombisa inani lomchamo oludingekayo ukuze kuhlaziywe.
Ngokungafani nezinye izivivinyo eziningi zokuhlola (ezifana nokuhlola kwegazi), ngokuvamile akudingeki ukuba uzilawule noma ulandele ezinye iziyalezo ezikhethekile ekulungiseleleni.
Ama-sampuli e-urine asetshenziselwa ukwenza izinhlobo ezilandelayo zokuhlolwa kokuxilongwa.
Ukuzihlola
Echazwa ngokuthi ukuhlolwa komzimba, ukukhishwa kwamakhemikhali, kanye nokucubungula komchamo, ukuguqulwa kwamanzi kuhlanganisa ukuhlola umchamo webhaktheriya obangela ukutheleleka nezinye izinto.
Lezi zinto zingabandakanya i-nitrites, engabonisa ukuthi kukhona i-UTI. Ngenkathi umchamo uqukethe amakhemikhali aziwa ngokuthi i-nitrate, lawo amakhemikhali angaba ama-nitrites uma amabhaktheriya engena emgodini wakho we-urinary.
Ngesikhathi u-urinalysis, umhlinzeki wakho wokunakekelwa kwezempilo uzophinde abheke ukubalwa kwamaseli amhlophe egazi kumchamo wakho. I-white high cell cell count in urine ngokuvamile iwuphawu lokutheleleka.
Ngokusho koMnyango wezeMpilo wezeMpilo nase-Human Services, ukuchithwa kwemithi kungaphazamisa ukutheleleka isikhathi esiningi.
Amasiko E-Urine
Eyaziwa nangokuthi "i-bacterium test culture," isiko lomchamo luvame ukusetshenziswa njengalandela ukulandelela. Ngesizo samasiko omchamo, umhlinzeki wakho wokunakekelwa kwezempilo angakwazi ukubona amabhaktheriya akhethekile abangela i-UTI yakho futhi, futhi, akhethe imithi elwa nemithi ephumelelayo kakhulu yokusebenzisa ekwelapheni.
Isiko lomchamo sifaka ukufaka ingxenye yesampula yakho yomchamo bese uyibeka endaweni ekhethekile ebhodini lokukhuthaza ukukhula kwamaseli. Ngaphambi kokutheleleka, amabhaktheriya abangela ukutheleleka maduze azoqala ukwanda. Nakuba imiphumela ivame ukutholakala ezinsukwini ezimbalwa, amabhaktheriya athile akhula kancane angathatha izinsuku ezimbalwa noma ngaphezulu ukuhlaziya.
Ukucabanga
Uma izimpawu ze-UTI zakho zingaphumeleli, ngisho nangemva kokwelashwa, ukuhlola okuqhubekayo kunganquma uma kunezinye izinkinga emkhakheni wakho we-urinary.
Lokhu kuhlolwa okunye kuhlanganisa ukusetshenziswa kwamasu okucabanga, enikeza izithombe ze-urinary tract. Ukuhlolwa okunjalo kungase kusetshenziselwe ukukhomba okungajwayelekile kwe-urinary kubantu abavame ukuhlupheka nge-UTIs.
Ukucubungula ukuhlolwa okusetshenziselwa ukuxilongwa kwezindaba ze-urinary kufaka phakathi ama-ultrasound, ukuhlolwa kwe-computing (CT), kanye nokucabanga kwe-resonance magnetic (MRI). Lapho kutholakala izifo ezivame ukwelashwa (noma izinkinga zezokwelashwa ezingezansi kubantu abane-UTIs), odokotela ngezinye izikhathi benza ucwaningo lwe-imaging olubizwa ngokuthi i-cystoscopy.
I-Cystoscopy
Yenziwa yi- urologists (ochwepheshe bezokwelapha abagxila emgqeni we-urinary), i- cystoscopy isebenzisa ithuluzi elide, elincanyana ukuze libuke ngaphakathi kwe-urethra yakho nesinye.
Le nsimbi ibizwa ngokuthi i-cystoscope futhi ihlanganisa i-eyepiece ngakwesinye isiqephu, i-tube phakathi, ne-lens encane nokukhanya ekugcineni kwebhebhu. I-cystoscope inikeza izithombe eziningiliziwe zohlaka lwe-urethra nesambatho, okubili okuyingxenye ye-urinary tract.
Nakuba ungase ungadingi ukwenza noma yikuphi ukulungiselela okukhethekile kwe-cystoscopy yakho, udokotela wakho angakucela ukuthi uphuze amanzi amaningi ngaphambi kokuhlolwa. Kwezinye izimo, kungase kudingeke ukuba ushiye okwesikhashana ukusetshenziswa kwemithi ethile (njengabasebenzi begazi).
Uma isetshenziselwa ukuxilonga i-UTI, i-cystoscopy ithatha imizuzu engama-15 kuya kwangu-30. Ukuhlolwa kuvame ukuhlinzeka ngesikhathi sokuvakasha kwehhovisi noma esikhungweni sokugula noma esibhedlela. Ukuvimbela ukungahambi kahle, i-urologist yakho izosebenzisa i-gel ye-anesthetic evulekile ukuvulwa kwe-urethral (noma ujobe ukuhlinzekwa komzimba wendawo endaweni ye-urethra). Kwabesifazane, i-cystoscopy yenziwa ngoguli elele emhlane wakhe ngamadolo akhe bese esakazeka eceleni. Iziguli zamadoda zingase zilale emhlane noma zithathe isikhundla sokuhlala.
Uma isifo sokuzivivinya sesifinyelele ukusebenza, isazi sakho se-urologist sizofaka ngobumnene iphoyinti ye-cystoscope ibe yi-urethra yakho, bese uyihambisa kancane kancane e-urethra nasesithombeni. Ukuze uthole umbono ocacile wodonga lwesibindi, usawoti usetshenziselwa ukugcwalisa nokwelula isisindo. (Kumele kuqashelwe ukuthi le nqubo yenqubo ingabangela ukungahambi kahle noma isifiso sokuvuthwa.) Uma i-urologist yakho iqedile ukuhlola i-urethra nesambatho sakho, angase asuse i-saline esithombeni sakho, noma akucele ukuthi uchithe isambiso ngokuchama.
Emva kokuthola i-cystoscopy, ungase uhlangabezane nezindaba ezifana nomzwelo ovuthayo noma ukungahambi kahle endaweni yakho yesibindi noma izinso lapho uchama. Ezinye iziguli nazo zibona inani eliphansi legazi emcimbini noma zizwe isidingo sokuvuthwa ngokuvame kakhulu noma ngokuphuthumayo. Uma lezi zinkinga ziqhubeka isikhathi esingaphezu kwamahora angu-24, qiniseka ukuthi uxhumane nodokotela wakho.
Kumele futhi ufune usizo lwezokwelapha uma ubona izimpawu ezifana nokuhluleka ukuchama ngaphandle kokuzwa kwesigqila esigcwele, umchamo obomvu obomvu noma ama-clots egazi emcinini, ukungahambi kahle, noma umkhuhlane.
Ukubhukuda okufudumele noma ukusebenzisa amanxephezelo okuphulukisa okungaphezulu kwe-counter kungasiza ekunciphiseni ukuhlukumezeka kwe-post-cystoscopy.
Ukuhlonza okuhlukile
I-UTIs ingabangela izibonakaliso nezimpawu ezifana nezihlobene nezinye izinkinga eziphazamisa umchamo. Lezi zimo ezilandelayo zivame ukucatshangelwa uma uhlolwa nge-UTI:
- I-bacterial vaginosis
- I-cancer yesigcawu noma umchamo
- I-Cystitis
- I-cystitis yangaphakathi
- Isibilini esingasebenzi
- I-Pyelonephritis
- Ukutheleleka ngokocansi
- Urethral diverticulum
- I-Vaginitis
Udokotela wakho uzokwazi ukuhlukanisa phakathi kwalaba besebenzisa izivivinyo zokuxilonga ezichazwe ngenhla.
> Imithombo:
> Isikhungo seNational Institute of Health and Child Development Information Centre. "Bangaki abesifazane abathintekayo noma abasengozini ye-UTIs & UI? "NgoDisemba 2016.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. "Ukufaniswa Kwendlela Ye-Urinary." Meyi 2012.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. "I-Cystoscopy & Ureteroscopy." June 2015.
> Urology Care Foundation. "Iyini Ukutheleleka Kwama-Urinary Tract (UTI) kubantu abadala? "