Enye yezona ntlobo eziqhelekileyo zentsholongwane, izifo ezithintela umchamo (i-UTIs), zenzeka xa izinto ezinobungozi ezinobungozi zingena kwi-urinary tract tract. Nangona ezi ziphilayo zingabandakanya iifungi kunye neentsholongwane, ezininzi ze-UTIs zibangelwa yiibhaktheriya.
Umzimba wakho ngokuqhelekileyo ukhuphe ezi bhakteria ngaphambi kokuba ziqalise iimpawu, kodwa izinto ezinobungozi ezisuka kwimisebenzi yesondo ukuya kwiingxaki zempilo zingakhuphula amathuba okuphuhlisa ukusuleleka kwe-urinary tract.
Izizathu eziqhelekileyo kunye neengozi
Ngelixa i-UTI inokuthi yenzeke kuyo nayiphi na inxalenye yenkqubo yakho yokuvota (kuquka i-bladder, intso, i-ureters, kunye ne-urethra), ezininzi ze-UTI zichaphazela i-bladder kunye ne-urethra (oko kukuthi i-tract lower urinary tract). I-Escherichia coli , i- Klebsiella pneumoniae , kunye ne- Proteus mirabilis ziphakathi kweebhaktheriya ezixhaphake kakhulu kwi-UTIs.
Ngesini
Ngenxa yezinto ezithile ze-anatomical, abafazi bajongene nomngcipheko omkhulu we-UTIs (xa kuthelekiswa namadoda). Kungenxa yokuba abafazi bane-urethra emfutshane, evumela ukuba iibhaktheriya zifikelele kwaye zithathe i-bladder ngokulula. Ngaphezu koko, ukuvula kwi-urethra kwabasetyhini kuyasondeza kakhulu kwi-rectum, apho iibhaktheriya ezibangelwa yi-UTI ziyaziwa ukuba zihlale.
Ukukhulelwa
Ngenxa yeenguqu ezinxulumene nokukhulelwa kwi-urinary tract, i-UTI ingaba yinto eqhelekileyo xa ikhulelwe (ngokukodwa kwiveki yesithandathu ukuya kwiveki 24). Kuthiwa ukunyuka okwandisiweyo kunye nesisindo se-uterus kunokuthintela umjelo opheleleyo we-urine kwi-vestile, enokukwenza abesetyhini abakhulelweyo ukuba baninzi.
Ukunquma kwexesha
Abasetyhini abaye bahamba nokudlulelwa kwimizimba bangaphinda babe nomngcipheko omkhulu wokungenwa kwamagciwane, mhlawumbi ngenxa yeenguqu ze-hormone ezinokuchaphazela iibhaktheriya ezinokubambisana ezijongene nokulwa ezincinci ezincinci kwi-urinary tract.
Iimeko zeMpilo
Iingxaki ezininzi zempilo ezingapheliyo zinokunyusa ingozi ye-UTI.
Ezi zibandakanya iimeko ezinxulumene nezimpembelelo zokuzikhusela kumzimba (ezifana nesifo sikashukela ), esinokukunciphisa amandla omzimba wakho wokukhusela amabhaktheriya. Imiba enxulumene nexesha elifana ne- Alzheimer isifo sinokubangela ingozi kwi-UTI, kuba ingaphazamisa ucoceko lwayo.
Ukongezelela, aba bantu balandelayo banakho amathuba okuphucula izifo zogcino:
- abo banokulimala kwentambo yomgogodla okanye umonakalo wesondlo kwi-bladder, enokuthintela ukugqitywa okupheleleyo kwebladder
- abo abaneentso zeentso, i-prostate eyandisiweyo, okanye nayiphi na into ekhusela ukuqhutyelwa komgca we-urine kwaye ikhuthaze ukukhula kancinci
- abo bane-reflux ye-vesicoureteral (VUR) okanye ezinye izinto ezingaqhelekanga kwiphepha le-urinary
- abo batsha basebenzisa i- catheter yamanzi
- abo banezintlungu zokungahambisani
Genetics
Olunye uphando olusakhulayo lubonisa ukuba i-genetics ingadlala indima ekukhuselweni kwegciwane. Kwingxelo ka-2011 eyapapashwa kwiphephancwadi ye- Nature Reviews: Urology , Ngokomzekelo, izazinzulu zichaza ukuba ukuhlukahluka kofuzo kwimpendulo ye-immune kunokuchaphazela ubunzima be-UTIs okanye ukukhusela ekukhuselweni. Nangona kunjalo, uphando olongezelelweyo lufunekayo ngaphambi kokuba izizathu zentsholongwane ye-UTIs ziqondwe ngokupheleleyo.
Izinto zokuPhila kweengozi
Iimeko ezininzi zokuphila zingabangela inxaxheba ekuphuhliseni izifo ezithintekayo.
Umsebenzi wesondo
Umsebenzi wesondo ungenye yezinto eziqhelekileyo zokuphila kwimingcipheko ye-UTIs, ngakumbi kubasetyhini. Kucinga ukuba ukulala ngesondo kunokuthutha iibhaktheriya kwizitho zangasese kunye ne-anus kwi-urethra kwaye, ngokufanayo, kukhokelela ekukhuselweni.
Kubantu, izenzo zesondo ezingakhuselekanga ezibandakanya abasetyhini abanezentsholongwane zangasese zingakhuphula ingozi ye-UTIs.
Ukulawula inzala
Ukusetyenziswa kweentlobo ezithile zokulawulwa kokuzalwa (ezifana neentsimbi okanye i-spermicide) kunokunyusa i-UTI ingozi kubasetyhini.
Ucoceko lomntu
Izindlela ezininzi zokuhlambulula umzimba nazo ziqwalaselwa njengengozi ye-UTIs. Le migaqo iquka:
- ukusetyenziswa kwee-douches kunye neentambo zokuhlambulula isetyhini okanye i-powders
- ukucima emva kokuhamba emva kokuvuthwa okanye ukunyakaza, ikakhulukazi kwabasetyhini
- Ukugcina umchamo ngexesha elingavumelekanga (oko kukuthi "ukubamba")
- ixesha elidlulileyo lokungahambi (njengokufana nokuphulukana nokulimala okanye ukugula)
> Imithombo:
> I-Flores-Mireles AL, i-Walker JN, iCaparon M, i-Hultgren SJ. "Izifo ezithintela i-Urinary: i-epidemiology, iindlela zokusuleleka kunye nonyango." Nat Rev Microbiol. 2015 NgoMeyi; 13 (5): 269-84.
> Moore EE, Hawes SE, Scholes D, Boyko EJ, Hughes JP, Fihn SD. Ukwabelana ngesondo kunye nomngcipheko wokutheleleka kwamagciwane e-post-menopausal. "UJ Gen Intern Med. NgoMeyi ngo-2008; 23 (5): 595-9.
> ISikole kaZwelonke seSifo seswekile kunye neeNtsholongwane zeNtsholongwane. Usulelo lwe-Bladder Infection (UT urinary Tract Infection-UTI) kubantu abadala. "Matshi 2017.
> Ragnarsdóttir B, uLutay N, Grönberg-Hernandez J, Köves B, uSvanborg C. "Iimvelaphi zokuzikhusela kwangasese kunye ne-UTI." UNat Rev Urol. 2011 Julayi 12; 8 (8): 449-68.
> Ilayibrari yeSizwe ka-US yamayeza. "Izifo zoLuntu (Urit Tract Infections (UTI)."