Matenda a mkodzo - akuluakulu

Matenda a mkodzo, kapena UTI, ndimatenda amkodzo. Matendawa amatha kupezeka m'malo osiyanasiyana mumikodzo, kuphatikizapo:

• Chikhodzodzo - Matenda a chikhodzodzo amatchedwanso cystitis kapena matenda a chikhodzodzo.
• Impso - Matenda a impso imodzi kapena onse amatchedwa pyelonephritis kapena matenda a impso.
• Ureters - Machubu omwe amatenga mkodzo kuchokera ku impso iliyonse kupita ku chikhodzodzo sindiwo malo okhawo opatsirana.
• Urethra - Matenda a chubu omwe amatulutsa mkodzo kuchokera mu chikhodzodzo kupita kunja amatchedwa urethritis.

Ma UTI ambiri amayamba chifukwa cha mabakiteriya omwe amalowa mu mtsempha kenako chikhodzodzo. Matendawa amapezeka kwambiri mu chikhodzodzo, koma amatha kufalikira mpaka impso. Nthawi zambiri, thupi lanu limatha kuchotsa mabakiteriyawa. Komabe, zikhalidwe zina zimawonjezera chiopsezo chokhala ndi UTIs.

Amayi amakonda kuwapeza pafupipafupi chifukwa mkodzo wawo ndi waufupi komanso woyandikira ku anus kuposa amuna. Chifukwa chaichi, azimayi amatha kutenga matenda atagonana kapena akamagwiritsa ntchito diaphragm yolera. Kusamba kumawonjezeranso chiopsezo ku UTI.

Zotsatirazi zikuwonjezeranso mwayi wanu wopanga UTI:

• Matenda a shuga
• Kukalamba ndi mikhalidwe yomwe imakhudza zizolowezi zosamalira anthu (monga matenda a Alzheimer ndi delirium)
• Mavuto kutulutsa chikhodzodzo kwathunthu
• Kukhala ndi catheter wamikodzo
• Kusadziletsa m'matumbo
• Kukula kwa prostate, kuchepa kwa mkodzo, kapena chilichonse chomwe chimalepheretsa kukodza
• Miyala ya impso
• Kukhala chete (osasunthika) kwa nthawi yayitali (mwachitsanzo, pamene mukuchira chifukwa chovulala mchiuno)
• Mimba
• Kuchita opaleshoni kapena njira zina zokhudzana ndi kwamikodzo

Zizindikiro za matenda a chikhodzodzo ndizo:

• Mkodzo wamvula kapena wamagazi, womwe umatha kukhala ndi fungo loipa kapena lamphamvu
• Kutentha kwa thupi kwa anthu ena
• Kupweteka kapena kutentha ndi kukodza
• Kupanikizika kapena kuponda m'mimba kapena kumbuyo
• Kufunika kofunika kukodza pafupipafupi, ngakhale atachotsedwa chikhodzodzo

Ngati nthendayi imafalikira ku impso zanu, zizindikilo zake ndi monga:

• Kuzizira ndi kugwedezeka kapena thukuta usiku
• Kutopa komanso kudwala
• Malungo pamwamba pa 101 ° F (38.3 ° C)
• Ululu wammbali, kumbuyo, kapena kubuula
• Khungu lofewa, lofunda, kapena lofiira
• Kusintha kwamaganizidwe kapena kusokonezeka (mwa anthu achikulire, izi ndizizindikiro zokha za UTI)
• Nseru ndi kusanza
• Zowawa zam'mimba zoyipa (nthawi zina)

Nthawi zambiri, mumayenera kupereka zitsanzo za mkodzo pamayeso otsatirawa:

• Urinalysis - Kuyesaku kumachitika kuti ayang'ane maselo oyera, magazi ofiira, mabakiteriya, komanso kuyesa mankhwala monga nitrites mkodzo. Mayesowa amatha kuzindikira kuti matenda ali ndi kachilombo nthawi zambiri.
• Chikhalidwe cha mkodzo choyera - Kuyesaku kungachitike kuti muzindikire mabakiteriya ndikudziwitsa maantibayotiki abwino kwambiri ochiritsira.

Kuyezetsa magazi monga kuwerengera magazi kwathunthu (CBC) komanso chikhalidwe cha magazi zitha kuchitidwanso.

Mwinanso mungafunike mayesero otsatirawa kuti muthane ndi mavuto ena mumtsinje wanu:

• CT scan pamimba
• Mitsempha yotchedwa pyelogram (IVP)
• Kusanthula impso
• Impso ultrasound
• Kutulutsa cystourethrogram

Wothandizira zaumoyo wanu ayenera kusankha kaye ngati kachilomboko kali mu chikhodzodzo, kapena ngati kamafalikira ku impso komanso kuti ndi koopsa bwanji.

MATENDA ACHINYAMATA NDI CHIFUWA CHOSANGALALA

• Nthawi zambiri, mumayenera kumwa maantibayotiki kuti muchepetse kufalikira kwa impso.
• Kuti mutenge kachilombo ka chikhodzodzo, mumamwa maantibayotiki kwa masiku atatu (akazi) kapena masiku 7 mpaka 14 (amuna).
• Ngati muli ndi pakati kapena muli ndi matenda ashuga, kapena muli ndi matenda opatsirana a impso, nthawi zambiri mumamwa maantibayotiki masiku 7 mpaka 14.
• Malizitsani mankhwala onse, ngakhale mutakhala bwino. Ngati simumaliza kumwa mankhwalawa, matendawa amatha kubwerera ndipo kumakhala kovuta kudzachiza pambuyo pake.
• Nthawi zonse imwani madzi ambiri mukakhala ndi chikhodzodzo kapena matenda a impso.
• Uzani omwe akukuthandizani ngati mungakhale ndi pakati musanamwe mankhwalawa.

MATENDA OBWERETSEDWA BWINO

Amayi ena amabwereranso matenda a chikhodzodzo. Woperekayo angakuuzeni kuti:

• Tengani mlingo umodzi wa maantibayotiki mutagonana kuti mupewe matenda.
• Khalani ndi masiku atatu a maantibayotiki kunyumba omwe mungagwiritse ntchito ngati mukudwala matenda.
• Imwani mlingo umodzi wokha wa mankhwala opha tizilombo tsiku lililonse.

ZOTHANDIZA ZAMBIRI ZAFUTSO

Mungafunike kupita kuchipatala ngati mukudwala kwambiri ndipo simutha kumwa mankhwala pakamwa kapena kumwa madzi okwanira. Mutha kulozedwanso kuchipatala ngati:

• Ndi wamkulu wamkulu
• Khalani ndi miyala ya impso kapena kusintha kwamatenda anu amkodzo
• Posachedwapa achita opaleshoni yamikodzo
• Mukhale ndi khansa, matenda ashuga, multiple sclerosis, kuvulala kwa msana, kapena mavuto ena azachipatala
• Ali ndi pakati ndipo ali ndi malungo kapena amadwala mwanjira ina

Kuchipatala, mudzalandira madzi ndi maantibayotiki kudzera mumtsempha.

Anthu ena ali ndi UTI omwe samapita ndi chithandizo kapena kubwerera kwawo. Izi zimatchedwa UTI zosatha. Ngati muli ndi UTI wosatha, mungafunike maantibayotiki amphamvu kapena kumwa mankhwala kwa nthawi yayitali.

Mungafunike kuchitidwa opaleshoni ngati matendawa amayamba chifukwa cha vuto lakapangidwe kake.

Ma UTI ambiri amatha kuchiritsidwa. Zizindikiro za matenda a chikhodzodzo nthawi zambiri zimatha pasanathe maola 24 mpaka 48 mankhwala atayamba. Ngati muli ndi matenda a impso, zimatha kutenga sabata limodzi kapena kupitilira apo kuti zizindikilo ziwonongeke.

Zovuta zingaphatikizepo:

• Matenda a magazi owopsa (sepsis) - Chiwopsezo chimakhala chachikulu pakati pa achinyamata, achikulire kwambiri, komanso anthu omwe matupi awo sangathe kulimbana ndi matenda (mwachitsanzo, chifukwa cha HIV kapena chemotherapy).
• Kuwonongeka kwa impso kapena mabala.
• Matenda a impso.

Lumikizanani ndi omwe amakupatsani ngati muli ndi zizindikiro za UTI. Itanani nthawi yomweyo ngati muli ndi zizindikiro za matenda a impso, monga:

• Ululu wammbuyo kapena wammbali
• Kuzizira
• Malungo
• Kusanza

Komanso itanani ngati zizindikiro za UTI zibwerera posachedwa mutalandira mankhwala opha tizilombo.

Kudya ndi kusintha kwa moyo kumatha kuthandiza kupewa ma UTIs ena. Akasiya kusamba, mayi amatha kugwiritsa ntchito kirimu wa estrogen kuzungulira kumaliseche kuti achepetse matenda.

Chikhodzodzo matenda - akulu; UTI - akuluakulu; Cystitis - bakiteriya - akulu; Pyelonephritis - akuluakulu; Matenda a impso - akuluakulu

• Catheterization ya chikhodzodzo - chachikazi
• Catheterization ya chikhodzodzo - wamwamuna
• Thirakiti lachikazi
• Njira yamkodzo wamwamuna
• Kupewa cystitis

Cooper KL, Badalato GM, MP wa Rutman. Matenda a thirakiti. Mu: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, olemba. Campbell-Walsh-Wein Urology. Wolemba 12. Philadelphia, PA: Elsevier; 2021: chap 55.

Nicolle LE, Drekonja D. Njira kwa wodwala yemwe ali ndi matenda amkodzo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 268.

Sobel JD, Brown P. Matenda a mkodzo. Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 72.