I-UTIs yizifo ezitholakala noma yikuphi ohlelweni lwe-urinary tract. Zivame ukubangelwa amabhaktheriya, kepha isikhunta namagciwane kungabangela futhi. I-UTI ingaba nomthelela omkhulu ekusebenzeni komuntu onesifo se-Alzheimer noma olunye uhlobo lomqondo owohloka komqondo .
Izimpawu
- Ukuvutha ukuzwa ngenkathi uchama
- Isidingo esengeziwe sokuvuthwa
- Ubuhlungu besisu esingaphansi, eceleni noma emuva
- Igazi emcimbini
- I-urine ebonakala ibhakabhaka, ingcolile noma inezintambo ezimangalisa
- I-urine enephunga elimnandi
- Fever
- Delirium
- I-nausea nokuhlanza
Izimpawu ze-UTI ku-Dementia
Uma umuntu onesifo sokuwohloka komqondo eba ne-UTI, kungase kube nzima ukubona izibonakaliso. Ngenxa yobunzima bokuthola amagama , lo muntu angase akwazi ukuveza ukwanda ngokunganaki noma ukukhomba isidingo esikhudlwana sokuvota.
Ngokuvamile, abantu abane- dementia futhi abakha i-UTI bazobhekana nezinguquko ezibalulekile zokuziphatha . Noma yikuphi ukutheleleka kungabangela i- delirium , futhi i-UTIs iyimbangela ejwayelekile yokudonswa kwe-dérium ekudemeni komqondo. Ungase ubone izimpawu ezilandelayo ze-UTI kumuntu onokuphefumula komqondo:
- Ukuwa okukhulayo
- Izinguquko ekuziphatheni ezinjengobudlova obandayo, ukuthukuthela noma intukuthelo
- Izinguquko ekudleni
- Ulala kancane noma ngaphansi kunejwayelekile
- Ukwanda kokudideka nokudideka
- Ukuyehla kokusebenza kokusebenza akuchazwanga ngesinye isimo esivela ngokuzumayo
Okwenza Izinengozi Zibe Nezimo Eziphakeme Nge-Dementia
- Izinkinga zokuhlanzeka : Abantu abane-dementia bajwayele ukusebenzisa amasu wokungcola okungalungile ngemuva kokusebenzisa indlu yokugezela, njengokusula kusukela emuva kuya phambili ngaphandle kokuya phambili. Lokhu kungandisa ukwanda kwamabhaktheriya.
- Abesifazane: Cishe izingxenye ezimbili kwezintathu zabantu abane-dementia bangabesifazane. Abesifazane nabo banengozi eyengeziwe ye-UTI ngenxa yokuthi izinhlelo zabo ze-urinary zihlelwe kanjani.
- I-Incontinence : Njengoba i-dementia iqhubeka, ikhono lokulawula isisu nesibilini likhuthaza ukuncipha. Amapayipi omuntu ongaphansi kwezinga eliphansi angakwazi ukwengeza kule nkinga ngenxa yokuthi ayifuni kahle umchamo, okwenza ukuba ahlale ngqo esikhumbeni futhi akhulise ingozi yokutheleleka, kanye nezinkinga zesikhumba ezifana nezilonda zomshoshaphansi . Imikhiqizo ye-incontinence engcolile kufanele ishintshwe ngokushesha ngangokunokwenzeka.
- Ukuhamba komzimba okunciphise: Ukukwazi ukukwazi ukukhubazeka kwemvelo kunqamuka njengoba ukukhula komqondo okuqhubekayo , futhi ukunyakaza okulinganiselwe kwandisa ingozi ye-UTI.
- Ezinye izimo ezivamile kubantu abadala: Lokhu kuhlanganisa ukuthambekela kokuthola amandla omzimba omzimba obuthakathaka, ingozi ephezulu yesifo sikashukela, amandla okugcina umchamo , nezinkinga zesifo se-prostate kubantu.
Ingabe Kufanele Kusetshenziswe Amakhemikhali ?
Amakhemikhali amlando aye acatshangwa njengendlela yokuphendula ezinkingeni zokungabikho komsebenzi, kodwa ukusetshenziswa kwabo akukhuthazwa ngaphandle uma kudingekile ngokudokotela. Ukufakwa kwe-catheter kungafaka amabhaktheriya amaningi ohlelweni lwe-urinary futhi lokhu kwandisa ingozi kakhulu kwi-UTIs. I-UTI evela kumuntu osebenzisa i-catheter ibizwa ngokuthi i-Cather Associated Urinary Tract Infection ( CAUTI ), futhi umphakathi wezokwelapha uye wasebenza kanzima ukunciphisa izifo ezivimbela (ngokuvamile) ezivimbela.
Ama-catheter afanelekile kwezinye izimo ezifana nokugcinwa kwamanzi, lapho umuntu engakwazi ukukhipha ngokuphelele isambatho sakhe, kepha akunconywa ngaphandle kwesimo esithile sezokwelapha esenza okudingekayo.
Ukwelapha
Ngokuvamile, i-UTIs iphathwa ngama-antibiotic. Isampula yomchamo wakho ihlolwe ebhokisithri ukuthola ukuthi imiphi imithi yokwelapha ingase iphumelele ekuphatheni. Ngesinye isikhathi, odokotela bazokuqala ku-antibiotic eyodwa bese beyishintsha eyahlukile ngemuva kwemiphumela yebhu.
"Ngiyazi ukuthi umama wami une-UTI. Kungani Balinde Ukuyiphatha?"
Enye yezinselelo zokunakekelwa kwempilo ukulawula ukusetshenziswa kwezilwa nemithi.
Ngokomlando, ama-antibiotic asetshenziswe ngokweqile, futhi lokhu kuye kwabangela ukwenyuka kwezifo ezingamelana nemithi elwa namagciwane. Ngamanye amazwi, ama-bacteria akhule futhi ama-antibiotic avamile awahlali ephumelelayo ngaso sonke isikhathi.
Akuyona into engavamile ukuhlolwa komchamo komuntu omdala ukuhlola okuhle ku-UTI ngisho noma umuntu engenazo izimpawu. Kulezi zimo, i-antibiotic ayidingi ngaso sonke isikhathi, futhi ukuyibeka ngokweqile kungabangela amabhaktheriya ukuqinisa nokumelana nawo, ngaleyo ndlela edinga ama-antibiotic anamandla futhi anamandla.
Ukuze uhlolwe i-UTI, izinhlangano eziningi ezinjengezindlu zokuhlengikala zilandela iMikhombandlela kaMcGreer edingeka okungenani izimpawu ezilandelayo ezintathu (imfiva, ubuhlungu, ukudideka okwandayo, ukuguquka kokubukeka komchamo noma iphunga, ukuphuthuma noma imvamisa) ukuba khona ngaphambi bazovivinya futhi ekugcineni bahlele i-antibiotic. Lezi zimingcele zenziwe ngenhloso yokusebenzisa ama-antibiotics ngokuhlakanipha.
Ukuvimbela ama-UTIs
Amasu alandelayo angasiza ekunciphiseni amathuba okuba umuntu onesifo sengqondo socansi ahlakulele i-UTI:
Ukugqugquzela uketshezi okwanele kungasiza ukunciphisa ithuba le-UTIs.
Umuntu onesifo sengqondo sokudemuka komzimba angadinga usizo olwengeziwe lokuzihlanza ngokwabo nangokusula kahle emva kokuchama noma ukuhamba komzimba. Ukwengeza, ngemuva kocansi, abesifazane kufanele bakhuthazwe ukuba baguqule ngenxa yengozi eyengeziwe ye-UTI.
Ungalindeli Ukuguqula
Ukugcina umchamo wakho isikhathi eside kungandisa ingozi ye-UTI.
Khuthaza izingubo ezingaphefumula
Izembatho ezinzima kakhulu noma zangaphansi kwendwangu ezenziwe yiloni ngokuphambene nekotoni zingabamba umswakama bese zandisa ingozi.
Ingabe Usizo Lwe-Cranberry Juice?
Ucwaningo luye nemiphumela ehlukene kulo mbuzo. Ezinye izifundo zithole inzuzo encane ye-cranberry ijusi ekunciphiseni ingozi ye-UTIs. Abanye abatholanga umehluko lapho i-cranberry ijusi isingenisiwe. Kumele uhlole nodokotela wakho kuqala ngaphambi kokufaka ijusi le-cranberry ekudleni kwakho njalo ngoba kungabelana neminye imithi efana neCoumadin (warfarin).
Imithombo:
I-Advance Healthcare Network ye-NPs nama-PAs. I-UTI Ekhaya Lamahlengikazi Izakhamuzi: Ukuxilongwa kangcono kunganciphisa ukusetshenziswa kwama-antibiotic ngokweqile. September 5, 2012. http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/UTIs-in-Nursing-Home-Residents.aspx
Isikhungo Sokulawula Nokuvimbela Izifo (CDC). Umcimbi we-Urinary Tract Infection (UTI) we-Long Term Care Care. Agasti 24, 2012. http://www.cdc.gov/nhsn/PDFs/LTC/LTCF-UTI-protocol_FINAL_8-24-2012.pdf
Cochrane. I-Cranberries yokuvimbela izifo ezithinta umchamo. Ngo-Okthoba 17, 2012. http://www.cochrane.org/CD001321/RENAL_cranberries-for-preventing-urinary-tract-infections
I-Journal ye-American Medical Directors Association. 2016 Feb 1; 17 (2): 183.e1-183.e16. Ubuphathi Bokuzimela Ezikhathini Ezide Zokunakekela: Isibizo Sokusebenza. http://www.ncbi.nlm.nih.gov/pubmed/26778488
Izikhungo Zikazwelonke Zempilo. I-National Institute of Diabetes and Digestive and Kidney Diseases. Okudingekayo Ngikukwazi Ngokutheleleka Kwama-Urinary Tract. September 2013. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/urinary-tract-infections-in-adults/Pages/ez.aspx#j