Izifo ezithinta u-Urinary ngokuvamile ziba mncane futhi ngezinye izikhathi zixazululwa zodwa ngaphandle kokuphuma kwamanzi amaningi futhi mhlawumbe ukuphulukisa ubuhlungu obukhulu phezu kwe-counter-the-counter (OTC). Kodwa-ke, uma uhlala izinsuku ezingaphezu kwezinsuku ezimbili, ungazuza enkambeni emifushane yama-antibiotics. Lokhu kuyiqiniso ikakhulu uma ukutheleleka kusuke kusuka kwesinye isisu sakho ezinso zakho.
Ezimweni ezinjengalezi, amakhambi asekhaya kanye nama-analgesics akunakwenzeka ukunikeza usizo futhi angandisa ingozi yezinkinga.
Izifo zasekhaya
Nakuba imithi elwa namagciwane ijwayele ukuphathwa ngokutheleleka kwamagciwane , izimo zengqondo ziye zashintsha eminyakeni yamuva ngenxa yokwanda kwama-anti-anti-antibiotic E. coli namanye amabhaktheriya. Namuhla, odokotela abathile bayothatha indlela yokulinda nokulinda uma i-UTI ingenakunzima futhi inezimpawu ezincane.
EYurophu, isibonelo, odokotela bavame ukuhlinzeka ngamahora angu-48 okulindeleke ukuba abhekiswe ekuqondeni kwesiguli. Imikhuba efanayo iyamukelwa odokotela abathile e-United States. Kodwa-ke, ezinye izifundo zibonisa ukuthi ukuvimbela ama-antibiotic kungabangela ingozi ephezulu yezinkinga ze-UTI, futhi ochwepheshe abaningi abazange bathathe lo mkhuba.
Ukuze unciphise isidingo sama-antibiotics lapho sisebenzisana ne-UTI encane, kunezinhlobo eziningi zokwelashwa ezivivinywe kanye neqiniso ukubuyela ku:
- Phuza amanzi amaningi. Ngokumane ugcine i-urinary tract isebenza, uzokwazi ukususa amabhaktheriya amaningi ajikelezayo esilwaneni noma izinso. Hlela ukuphuza ingilazi engaphansi kweziyisishiyagalombili zamanzi ngosuku (noma cishe isigamu segaloni). Ngesikhathi sokutheleleka okusebenzayo, ungase ufune ukwenza lokhu kuze kube ngu-16, uma kufanelekile. Inhloso ukuguqula nokuvuthwa kaningi, ungalokothi ubambelele futhi uhambe njalo njalo.
- Phuza i-cranberry juice. Njengoba idumise kakhulu ikhono layo lokuphatha i-UTIs, ijusi ye-cranberry iqukethe ukucatshangelwa kwamakhemikhali ukuvimbela amabhaktheriya ukuba anganamatheli ezindongeni ze-urinary tract. Ngesikhathi abanye ososayensi bekungabaza obala lezi zicelo, ucwaningo oluvela eBoston University School of Medicine lwaphetha ngokuthi ingilazi yansuku zonke, i-ounce ye-cranberry juice, ethathwe ngaphezu kwamasonto angu-24, yanciphisa ukuphindaphinda kwama-UTIs ngamaphesenti angaba ngu-45.
- Ukwandisa ukudla kwakho kwevithamini C. I- Vitamin C ingasiza ekuphatheni ukutheleleka okuncane komchamo ngokuvusa uketshezi lwe-urine nokwenza kube lula ukuhlala kubaktheriya. Uma kudingeka, ungakwazi ukuqinisa ukudla kwakho ngokudla okunezinsuku zonke.
Ngokuphambene nalokho, kufanele ugweme noma yikuphi ukudla noma isiphuzo okungacasula umchamo we-urinary kanye / noma ukuphazamisa izimpawu. Lokhu kuhlanganisa ukudla okuneziphuzo, utshwala, i-caffeine, ne-citrus.
Ukubeka i-pad yokushisa, ibhodlela lamanzi ashisayo, noma ukucindezela okufudumele esiswini noma emuva kungasiza ekunciphiseni ukungathandeki kokutheleleka kwesisu.
Imithi yokwelapha ngaphezulu
Izidakamizwa ezingaphezu kwamakhompiyutha zisetshenziselwa ukunciphisa ubuhlungu nobuhlungu be-UTI. Oyinhloko phakathi kwalezi zidakamizwa eziphikisana nezidakamizwa (i-NSAID) njenge-Advil (ibuprofen) noma ukuphulukisa ubuhlungu be-analgesic njengoTylenol (i-acetaminophen ).
Omunye umuthi, owaziwa ngokuthi i- phenazopyridine , wenzelwe ngokukhethekile ukuphatha ubuhlungu be-urinary tract. Itholakala kumanani aphansi ngaphandle kwemithi futhi ithengiswe ngaphansi kwamagama anjalo njenge-Azo noma i-Uristat.
Izindlela eziphakeme zokuqina kwamandla zitholakala ngogunyaziwe futhi zivame ukuthathwa ukuze kuncishiswe ubuhlungu kuze kube yilapho isikhathi esinjengama-antibiotics sikwazi ukulawula ukutheleleka. Udinga ukugwema utshwala uma uthatha i-phenazopyridine, ngoba ingabangela ubuthi obunobindi. Imiphumela emibi evamile ihlanganisa ukulala, ukoma okwedlulele, ukuphumula kwesisu, ukukhathala, ukucwenga, nokuhlanza.
Imigomo
Nakuba abanye bengase babe nesifiso sokuthola ama-antibiotics ukulungisa izimpawu zabo, lezi zidakamizwa kufanele zichazwe odokotela uma kudingeka (futhi isikhathi esifushane kunesidingo) futhi zisetshenziswe kahle ukunciphisa ingozi yokuphikisa izidakamizwa.
Lokho kusho ukuthi iningi le-UTIs libangelwa amagciwane futhi, ngaleyo ndlela, ilashwa ngama-antibiotic. Ukuzikhethela kwezidakamizwa kuncike kakhulu ekutheni isifo sisesiswini (cystitis) noma izinso (pyelonephritis).
I-Cystitis Treatment
Imithi yokuqala yokulwa namagciwane okusetshenziselwa ukwelashwa kwe-cystitis engavamile ihlanganisa:
- I-Trimethoprim-sulfamethoxazole (TMP-SMX)
- I-Nitrofurantoin monohydrate
- Fosfomycin
Izimpawu ze-cystitis zizoxazululwa ngaphakathi kwezinsuku eziyisithupha zokuqala ukwelashwa. Ukwelashwa kungathatha isikhathi eside uma une-UTIs ephindaphindiwe noma ube nezimpawu ezinkulu ze-urinary. Imiphumela emibi ejwayelekile ifaka phakathi ikhanda, isizungu, isisu esithukuthele, ukukhathala, ukucabangela, ukuhlanza, ukuhlambalaza nokuhlaselwa.
I-Nitrofurantoin ne-fosfomycin kufanele igwenywe uma kunezibonakaliso zokutheleleka kwezinso , kubandakanya ubuhlungu be-flank, umkhuhlane, isicanucanu, ukuhlanza nokugaya.
I-Pyelonephritis Ukwelashwa
Cishe amaphesenti angama-90 wezinso ezinamaqanda aphikisayo angaphathwa ngama-antibiotic ngomlomo. Okujwayelekile kakhulu okufakiwe kubandakanya:
- Ama-fluoroquinolones (afana ne-ciprofloxacin ne-levofloxacin)
- I-Cephalosporins (njenge-ceftriaxone)
- I-Penicillin
- Amoxicillin
- I-Augmentin (i-amoxicillin-clavulanate potassium)
Abantu abanezifo ezinzima kuphela badinga ukwelashwa izinsuku ezinhlanu kuya kweziyisikhombisa. Ngokuphambene nalokho, abesifazane abakhulelwe bangadinga inkambo yezinsuku eziyisikhombisa kuya kwezingu-14, kuyilapho abantu abangenwe yisifo sengculazi bengadinga izinsuku ezingama-21 zokwelapha. Amacala amakhulu angadinga inhlanganisela yama-antibiotic (IV) ne-oral oral.
Ama-fluoroquinolones yizidakamizwa zesigaba C zokukhulelwa (okusho ukuthi zibangele ukukhubazeka kokuzalwa kwezifundo zesilwane) futhi akufanele zisetshenziswe ngesikhathi sokukhulelwa.
Imiphumela emibi yama-antibiotic anconyiwe afana nalawo asetshenziselwa i-cystitis. Kodwa-ke, izidakamizwa ezithile (ezifana ne-penicillin) zingabangela ukuphila okungasongela impilo, umzimba wonke wokuzizwa komzimba okubizwa ngokuthi i- anaphylaxis . Uma ishiywe ingalashwa, i-anaphylaxis ingabangela ukushaqeka, i-coma, i-cardiac noma ukuhluleka kokuphefumula, nokufa.
Imithi Ephelele (CAM)
Ngenkathi kunezinye izindlela ezihlukile eziye zahlongozwa ukuthi zilaphe noma zivimbele ukutheleleka kwamagciwane, ukufakazela kwabo kuze kube yimanje kuye kwalahleka.
Abanye, njengama- probiotics , abazange babonise izinzuzo ezifanayo emgwaqeni we-urinary njengoba banezinye izinhlelo zesitho. Ezinye, njengezingxube ze-zinc ezazisetshenziselwa ukusekela ukwelapha kwe-UTI, ziye zaboniswa ukwandisa ingozi yokucindezeleka kwamagciwane.
Ezinye izindlela zokwelapha ezifana ne-garlic, i-horseradish, i-nasturtium, ne- Salvia plebeia- esetshenziselwa imithi yendabuko yaseChina (i-TCM) -kuboniswe kancane kancane ekunakekeleni noma ekuvimbeleni ama-UTIs ezincwadini ezimbalwa ezitholakalayo ezicwaninga ukusetshenziswa kwazo.
Njengoba kushiwo ngenhla, i-cranberry juice iyindlela ongayicabangela. Izithako ze-Cranberry , ezivame ukutholakala ekufakweni kwe-caplet, ziyatholakala.
D-Mannose
Ukwengeza okunye okunomsoco okuye kwaheha eminyakeni yamuva nje ushukela olula ovela ku-cranberries nezinye izitshalo ezibizwa ngokuthi i- D-mannose . Ngokungafani noshukela amaningi, i-D-mannose ayifuni kalula ukungena egazini futhi isuswa ngokushesha emzimbeni, ingaguquki, emaminithini angu-30 kuya kwangu-60.
Ngenxa yokuthi i-D-mannose isalokhu ingabonakali, ayikhulisi amazinga wegazi glucose ngendlela efanayo namanye amashukela. Esikhundleni salokho, ibophezela emgqeni wegciwane lomathumbu futhi ivimbela amabhaktheriya ukuba angathinti futhi afinyelele amaseli e-epithelial.
Nakuba kungekho bufakazi bokuthi i-D-mannose ingayiphatha ukutheleleka kwamagciwane, isifundo se-2014 eshicilelwe kuyi- World Journal of Urology sathola ukuthi abesifazane abathatha i-D-mannose powder nsuku zonke babe nesilinganiso esincane sokuphindaphinda kwe-UTI uma kuqhathaniswa nalabo abathatha indawo ye-placebo. Ngaphezu kwalokho, ukusetshenziswa kwansuku zonke kwe-D-mannose kubonakala sengathi kuphumelele ekuvimbeleni ukuphindaphinda kwe-UTI njengokusetshenziswa kwansuku zonke kwe-antibiotic drug nitrofurantoin.
Uma kuthiwa, izithako ze-D-mannose zingabangela ukubhuka, izihlalo ezivulekile, nesifo sohudo. Lapho kuthathwa ngokweqile, kubuye kube nokukhathazeka ukuthi i-D-mannose ingabangela ukulimala kwezinso. Njengalokhu, ukhuluma nodokotela wakho ngaphambi kokuthatha lokhu noma noma yimuphi omunye amakhambi we-OTC, ukwengezela, noma imithi ye-herbal.
> Imithombo:
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> Foxman, B. noBuxton, M. Indlela Ehlukile Yokunakekelwa Okuvamile Kwe-Acute Tract Infection Infection Kwabesifazane. I-Curr Infect Dis Rep. 2013; 15 (2): 124-29. I-DOI: 10.1007 / s11908-013-0317-5.
> Jepson, G .; Williams, G .; noCraig, J. Cranberries ukuvimbela ukutheleleka kwamagciwane. I-Cochrane Database Syst Rev. 2012; 10: CD001321. I-DOI: 10.1002 / 14651858.CD001321.pub5.
> Kranjčec, B .; Papeš, D .; futhi, i-Altarac, S. D-mannose powder ye-prophylaxis yezifo ezivame ukwelapha emanzini: isilingo somtholampilo esihleliwe. Izwe J Urol. 2014; 32 (1): 79-84. I-DOI: 10.1007 / s00345-013-1091-6.
> Maki, K .; Kaspar, K .; Khoo, C. et al. Ukusetshenziswa kwesiphuzo se-cranberry juice kunciphisa inani lemitholampilo yokutheleleka kwamagciwane emitholampilo yabesifazane abanomlando wakamuva wokutheleleka kwamagciwane. I-Am J Clin Nutr. 2016; 103 (6): 1434-42. I-DOI: 10.3945 / ajcn.116.130542.