Izimpawu zingahluka phakathi kwabesifazane, amadoda, izingane, kanye nabantu asebekhulile
Noma ubani oke waba nokutheleleka kwe-urinary tract (UTI) uyazi kahle ukuthi ukukhathazeka nokungakhululeki kungaba kanjani. Ngisho necala elimnene lingabangela ubuhlungu lapho uchama, isisindo esikhudlwana sokuguqula, negazi noma i-pus kumchamo. Uma ukutheleleka kusuka kwesinye isifiso kuya ezinsweni, lesi simo singase sibe sibi kakhulu, kubangela ubuhlungu obuhlungu emuva, ukunxanxathela, ukuhlanza, futhi, ezimweni ezingavamile, ukulimala kwezinso.
Futhi, akuyona nje abantu abadala abangathinteka. Izinsana kanye nezingane zingathola i-UTIs, futhi lokho okwenzeka asebekhulile ngezinye izikhathi kungasongela ukuphila. Ngokwazi izimpawu nezimpawu ze-UTI, ungafuna ukwelashwa futhi ugweme izinkinga eziningi zalesi sifo esiningi kakhulu.
Izimpawu Ezivamile
Izimpawu zokutheleleka kwe- urinary tract ikakhulukazi zichazwe indawo yazo ohlelweni lwe-urinary. Ngokubanzi, kunezinhlobo ezimbili ze-UTI:
- Ukutheleleka okuphansi kwe-urinary kune-vesipra noma i-urethra (i-tube lapho umchamo uphuma khona emzimbeni). Kuvame ukubizwa ngokuthi ukutheleleka kwesisu .
- Ukutheleleka okuphezulu kwe-urinary kuhilela izinso nama-ureters (umgwaqo odlula kuwo umchamo kusuka ezinso kuya kwesinye). Ukutheleleka kwezinso kubizwa nangokuthi i- pyelonephritis .
I-Lower Urinary Tract (Ukwelashwa Kwesisindo)
Ukutheleleka okuphansi kwamagciwane okuvuthwa ngokuvamile kwenzeka lapho amabhaktheriya engena e-urethra bese ebangela ukutheleleka esibelethweni.
Uma izimpawu zivela, zivame ukuqala nge-ache ephazamisayo noma enganaki emaphakathini noma e-urethra. Ngokuvamile, kungakapheli amahora, i-UTI izobonakalisa ngezibonakaliso zesici, kufaka phakathi:
- Ubuhlungu noma ukushisa phakathi nokuchama (i- dysuria )
- Isisusa esikhulu sokwenza umchamo (ukuphuthuma komchamo)
- Isidingo sokuvuka ebusuku ukuchama (i- nocturia )
- Ukungakwazi ukubamba umchamo wakho (ukungahambisani nomugqa)
- Ukudlula njalo, amancane omchamo
- Umchamo omubi
- Uguqule umchamo obangelwa ipus ( pyuria )
- Umchamo wamanzi (i- hematuria )
- Ukukhishwa kwe-Pus kusuka e-urethra
- Ukungakhululeki kwesisu kwesisu
- Ubuhlungu be-pelvic kwabesifazane
- I-low-grade fever
- Ukukhathala
I-Upper Urinary Tract (i-Pyelonephritis)
Ukutheleleka kwesisu okuye kwafudukela ezintsheni kuvame ukubhekwa njengokubalulekile futhi kunesidingo sokunakekelwa okuphuthumayo kwezokwelapha. I-Pyelonephritis ingabangela izimpawu zomzimba (wonke umzimba) izimpawu ezingekho nje kuphela kodwa ngokuvamile zikhubaza.
Izimpawu ze-pyelonephritis zingabandakanya:
- Umkhuhlane omkhulu (ngaphezu kuka-100.4 degrees)
- Izikhukhula zomzimba
- Imigudu (ukuthuthumela nokujuluka okuhambisana nokuphakama kokushisa)
- Ukudabuka noma ukuhlanza
- Ubuhlungu be-Flank (ubuhlungu ngokuvamile obujulile futhi obuphezulu emhlane noma emaceleni, nakuba kungaba khona esiswini sangaphezulu)
Izibalo ezikhethekile
Izingane, izingane ezincane, kanye nabantu asebekhulile nazo zivame ukuthinteka yi-UTIs futhi kaningi ngezindlela ezihlukahlukene. Inselelo enkulu ebusheni kakhulu futhi emdala kakhulu ukuthi izimpawu zakudala zivame ukulahleka noma ziphathwe kabi kwezinye izimbangela.
Ngokuzalwa kwezinsana ikakhulukazi, izinkomba kuphela ongase ube nazo yizinkathazo eziphikisanayo noma ukukhala okuhambisana nomchamo ongenakwenzeka futhi ukwenqaba ukudla.
Yingakho kubalulekile ukuba uxoxe njalo ngesilonda somntanakho kanye nemikhuba ye-urinary kuyo yonke ukuvakasha kukadokotela, kodwa kungakhathaliseki ukuthi izinguquko zingabonakala kanjani.
Ngokuphambene nalokho, izimpawu ze-UTIs ezincane kanye nezingane ezincane zizoba yizici eziningi futhi zingabandakanya i-dysuria, ukuphuthuma komgogodla, ukungahlalanga emini (enuresis), noma ukuxubha noma ukuthatha izitho zangasese.
I-UTI kubantu asebekhulile ngokuvamile ngeke ibe nezimpawu zendabuko ezibonwa kwabanye abantu abadala. Lezi zingabandakanya ukungahambisani kwamagciwane nokudideka kwengqondo (okubangelwa ukungena kwamagciwane kwesithiyo segazi ). Uma othandekayo wakho esekhulile, izinkomba eziyinhloko zokuzibuka ziyizinguquko ngokuzumayo ekuziphatheni nasekulawuleni kwesisu, ikakhulukazi uma kuhambisane nobuhlungu obuphansi besisu noma umchamo okhandla kakhulu.
Izinkinga
Izinkinga ze-UTI zivame ukuvela ngenxa yokutheleleka okungaphenduliwe noma okuphazamisekile. Ingozi iphinde iphezulu kubantu abane-underlying disorder disorder, isifo sikashukela , noma izifo ezibangelwa ukukhubazeka kwamagciwane (njenge-HIV).
Izinkinga zokutheleleka kwamagciwane zihlanganisa:
- I-UTIs ejwayelekile eyenzeka okungenani kabili ezinyangeni eziyisithupha noma izikhathi ezine ngonyaka, ikakhulukazi kwabesifazane
- Ukunciphisa i-Urethral ( ukulinganisa ) kumadoda anezifo ezijwayelekile
- Ingozi eyengeziwe yokuzalwa kwangaphambi kokuzalwa kanye nokuzalwa okuphansi kokukhulelwa
- Ukulimala kwezinso okungapheli
- I-Sepsis (okungenzeka isongela impilo, impendulo yonke yokuvuvukala ebangelwa ukutheleleka okukhulu)
Ezinganeni
Ngenxa yokuthi ukutheleleka kwamagciwane amantombazane ezinsana kuzodingeka kube nemibonakalo ye-UTI embalwa, uma ikhona, ingane ingaba nezimpawu lapho i-sepsis (ebizwa nangokuthi urosepsis ) iqala. I-Sepsis ihlale ibhekwa njengesimo esiphuthumayo sezokwelapha.
Iya ekamelweni eliphuthumayo noma shayela u-911 uma ingane yakho iqala ezinye noma zonke izimpawu ezilandelayo:
- I-Yellowing yamehlo nesikhumba (i- jaundice )
- Umkhuhlane ophezulu
- Izwi elinciphile (floppiness)
- Ukuvota
- Umchamo ogqamile noma ogazini
- Ukuphefumula okungavamile
- I-Pale pallor noma ngisho ne-blue skin tone ( cyanosis )
- Ukugqama kwendawo esithambile ngemuva kwekhanda okubangelwa ukuthuthukiswa kwe- meningitis
Kubekhulile
Njengoba i-UTIs ivame ukulahlekelwa abantu asebekhulile, ukutheleleka kungabonakala uma urosepsis iqala ukuphazamisa ubuchopho nezinye izitho ezibalulekile.
Izimpawu zihlanganisa nale nkinga eyingozi ihlanganisa:
- Ukushaya kwenhliziyo okungavamile (i- tachycardia )
- Ukushisa okukhulu noma i- hypothermia (izinga lokushisa komzimba ngaphansi kwama-degree angama-95)
- Ukuphefumula okunzima noma ukuphefumula ( dyspnea )
- Ukuthuthumela okukhulu
- Ukukhathazeka okukhulu okungazelelwe
- Emuva emuva, ubuhlungu besisu, noma ubuhlungu be-pelvic
- Izimpawu ezifana ne-dementia ezibangelwa ukuthuthukiswa kobuchopho ukuvuvukala (encephalitis)
Uma kushiywe kungalashwa, i-sepsis ingabangela ukushaqeka kwe-septic , ukuhluleka komzimba, nokufa.
Nini Ukubona Udokotela
Ngenkathi i-UTIs ekhukhumezayo ivame ukuhamba yodwa ngaphandle kokwelashwa , akufanele ugweme ukubona udokotela uma izimpawu ziqhubeka isikhathi esingaphezu kwezinsuku ezimbalwa.
Uma kuthiwa, uma uhlakulela izibonakaliso zokutheleleka kwezinso, kufaka phakathi ubuhlungu be-flank, i-nausea, noma ukuhlanza, udinga ukubona udokotela ngokushesha.
Uma ukhulelwe, akufanele nanini uthathe ithuba nge-UTIs, ikakhulukazi uma unesifo sikashukela, i-HIV, noma ube nezifo zangaphambilini. Ngisho nezimpawu ezincane kufanele zibukwe, ziphathwe futhi zihlolwe ukuqinisekisa ukuthi ukutheleleka kususwe ngokugcwele.
Ngaphandle kwalokho, noma yiziphi izimpawu zokusikisela kwe-sepsis kufanele ziphathwe njengesimo esiphuthumayo sezokwelapha. Lokhu kuyiqiniso ikakhulu ezinganeni noma asebekhulile.
> Imithombo:
> Heppner, H .; I-Yapan, F .; kanye ne-Wiedermann, A. "I-Urosepsis kuma-Geriatric Patients." U- Aktuelle Urol. 2016; 47 (1): 54-9. I-DOI: 10.1055 / s-0041-106184.
> Robinson, J .; Findlay, J .; Lang, M. et al. "Ukutheleleka kwamagciwane e-Urinary ezinganeni nasezinganeni: Ukuxilongwa nokuphathwa." I-Paediatr Child Health. 2014; 19 (6): 315-19.
> Schwartz, B. (2014) "Izifo Zama-Urinary Tract." Ku: Levinson, W. eds. Ukubuyekezwa kwe-Medical Microbiology ne-Immunology, ngo-13 . ENew York, NY: iMfundo ye-McGraw-Hill.
> USolomon, C. "Izifo Zama-Urinary Tract in Men Old." N Engl J Med . 2016; 374: 562-571. I-DOI: 10.1056 / NEJMcp1503950.