Izibonakaliso ziyahlukahluka kubafazi, amadoda, abantwana kunye nabadala
Nabani na owake waba ne-infection tract (UTI) owazi kakuhle kakuhle indlela enokukhathazeka ngayo kwaye ayikhathazi ngayo. Nangona ityala elincinci lingabangela intlungu xa uchama, unxinxu olwandisiweyo lokuchukumisa, kunye negazi okanye umbhobho kumchamo. Ukuba intsholongwane isuka kwi-bladder kwizintso, le meko ingaba yimbi ngakumbi, ibangela ubuhlungu obuhlungu, ubuhlungu obufayo, ukuhlanza, kwaye kwiimeko ezinqabileyo, ukulimala kweentso.
Kwaye, akubona nje abantu abadala abangachaphazelekayo. Iintsana kunye nabantwana banokufumana ii-UTIs, kwaye abo bahlala bekhulile ngamanye amaxesha banokubangela ukongela ubomi. Ngokungazi impawu kunye neempawu ze-UTI, unokufuna unyango kwaye uphephe ezininzi iingxaki ze-infection-common-commonly.
Iimpawu Zamaxesha amaninzi
Iimpawu ze- infection tract (urinary tract infection ) zichazwe ngokukodwa kwindawo yazo kwi-urinary system. Ukuthetha ngokubanzi, kukho iintlobo ezimbini ze-UTI:
- Usulelo olusenyakatho lwe-urinary luyinto eyenzeka kwi-bladder okanye urethra (ityhubhu ephuma kuyo umchamo). Ngokuqhelekileyo kubhekiselwa ekubeni usulelo lwebladder .
- Usulelo oluphezulu lwe-urinary luquka ii-kidney kunye ne-ureters (umzila apho umchamo udlula kwiintliziyo ukuya kwi-bladder). Usulelo lwesifo lubizwa ngokuba yi- pyelonephritis .
I-Tract Lower Tract (Infraved Infection)
Usulelo oluphantsi lwe-urinary tract luvela xa iibhaktheriya zingena kwi-urethra kwaye zibangela ukusuleleka kwintsholongwane.
Xa kubonakala iimpawu, zivame ukuqala ngokugqithisa okanye ukuphazamiseka kwi-pelvis okanye i-urethra. Ngokuqhelekileyo, emva kweeyure, i-UTI iya kubonakalisa ngeempawu ezibonakalisa, kuquka:
- Ubuhlungu okanye ukutshisa ngexesha lokucoca (i- dysuria )
- Isibongo sokwandisa ukuvuthwa (ukuphuthuma komzimba)
- Isidingo sokuvuka ebusuku ukuvota (i- nocturia )
- Ukungakwazi ukubamba umchamo wakho (ukungabikho kwamanzi)
- Ukuhamba rhoqo, iincinci zomchamo
- Umchamo ococekileyo
- I-urine eguquguqukayo ebangelwa yi-pus ( pyuria )
- Umchamo wegazi ( hematuria )
- Ukukhutshwa komgquba kwi-urethra
- Ukunciphisa kwesisu esiswini
- Ubuhlungu bepelvic kubasetyhini
- Umkhuhlane ophantsi
- Ukukhathala
I-Tract ephezulu ye-Urinary (i-Pyelonephritis)
Usulelo lwebladder oluye lwafudukela ezintsheni luhlala lucinga ukuba lunzulu kwaye luyimfuneko yokunyango oluphuthumayo. I-Pyelonephritis inokubangela i-systemic (yonke imizimba) iimpawu ezingapheli nje kuphela kodwa zihlala zikhubaza.
Iimpawu ze-pyelonephritis zingabandakanya:
- Umkhuhlane ophezulu (ngaphezu kwama-degrees angama-100.4)
- Iqhwala
- Imigudu (ukuthuthumela kunye nokujuluka okuhambisana nokunyuka kwamaqondo obushushu)
- Isihlunu okanye ukuhlanza
- Ubuhlungu bePlank (intlungu edla ngokugqithiseleyo kwaye ephakamileyo kumqolo okanye emacaleni, nangona ingaba khona kwisisu esisentla)
IiNdawo eziZodwa
Iintsana, abantwana abancinci kunye nabalupheleyo nabo banokuchaphazeleka kakhulu kwi-UTIs kwaye kaninzi ngeendlela ezahlukeneyo. Umngeni omkhulu kumncinci kakhulu kwaye undala kakhulu kukuba impawu zeklasi zihlala zilahlekile okanye zithinteka kwezinye izizathu.
Ngokusanda kuzalwa, iincwadana kuphela onokuba nazo zinomdla oqhubekayo okanye ukukhala okuhambisana ne-urine ephosakeleyo kunye nokula ukudla.
Yingakho kubalulekile ukuba uhlale uxoxela izilwanyana zakho kunye nemikhwa yokunyuka kuwo onke ugqirha ukutyelela, nangona kunjalo ububele okanye ngokungahambi utshintsho lubonakala ngathi.
Ngokwahlukileyo, iimpawu ze-UTIs kumancinci kunye nabantwana abancinci ziya kuba zizinto ezininzi kwaye zibandakanya i-dysuria, ukunyanzeliswa kwe-urinary, ukungabikho kwemini (enuresis), okanye ukuxubha okanye ukuthatha izitho zangasese.
I-UTI kubantu asebekhulile abayi kuba neyodwa impawu yemveli ebonwa kwabanye abantu abadala. Ezi zibandakanya ukungabikho kwamanzi kunye nokudideka kwengqondo (kubangelwa ukungena kwebhakteria yesithintelo segazi-yengqondo ). Ukuba wakho umthandayo sele ekhulile, iimpawu eziphambili zokuziqwalasela ziguquka ngokukhawuleza ekuziphatheni nasekulawuleni i-bladder, ingakumbi ukuba ihamba neentlungu ezisezantsi okanye umchamo onamandla.
Iingxaki
Iingxaki ze-UTI zisoloko zivela ngenxa yentsholongwane engaphendulwanga okanye engaphelelwanga. Umngcipheko uphakamileyo kubantu abaneengxaki zesifo seesifo , isifo sikashukela okanye izifo ezibangelwa ukukhubazeka kwe-immune (njenge-HIV).
Iingxaki zentsholongwane ye-urinary ziquka:
- Ii-UTIs eziqhelekileyo zenzeka okungenani kabini kwiinyanga ezintandathu okanye ezine ngonyaka, ngokuqhelekileyo kubasetyhini
- Ukunciphisa i-Urethral ( ukugqithisa ) kumadoda anomzimba
- Umngcipheko okhulayo wokuzalwa kwangaphambi kokuzalwa kunye nokukhula okuphantsi kokukhulelwa
- Umonakalo wentliziyo
- I-Sepsis (inokubangela ukongela ubomi, impendulo yomzimba wonke ebangela ukusuleleka kakubi)
Kwa bantwana
Ngenxa yokuba usulelo lwe-urinary kwiintsana luya kuhlala luba luncinane , ukuba lukhona, lweempawu ze-classic ze-UTI, umntwana unokuba ngumqondiso kuphela xa i-sepsis (ebizwa ngokuba yi- urosepsis ) ikhula. I-Sepsis isoloko ithathwa njengengxamisekileyo yonyango.
Yiya kwigumbi elingxamisekileyo okanye ubize u-911 ukuba umntwana wakho akhule okanye ezinye ezi zilandelayo:
- Ukuqhwala kwamehlo kunye nesikhumba ( jaundice )
- Ephezulu
- Itheyibhile ehla
- Ukuvutha
- Ubumnyama okanye umchamo wegazi
- Ukuphefumula okungavumelekanga
- I-paleor okanye i-blue bluin tone ( cyanosis )
- Ukugqithisa kwendawo epholileyo kwintloko ebangela ukuphuhliswa kwe- meningitis
Kwibadala
Ekubeni i-UTI ihlala iphosakele kubantu abadala, usulelo luya kubonakala kuphela xa urosepsis iqala ukuphazamisa ingqondo kunye nezinye izitho ezibalulekileyo.
Iimpawu zibandakanya le nkxalabo eyingozi zibandakanya:
- Inqanaba lentliziyo ngokukhawuleza ( tachycardia )
- Umkhuhlane omkhulu okanye i- hypothermia (amaqondo omzimba angaphantsi kwama-95 degrees)
- Ukuphefumla ubunzima okanye ukuphefumula okufutshane ( dyspnea )
- Ukukhupha
- Ukuxhalabisa ngokukhawuleza
- Umva emva, isisu, okanye intlungu
- Izimpawu ezinjenge-Dementia ezibangelwa kukuphuhliswa kwengqondo yengqondo (encephalitis)
Ukuba ishiywe ingaphendulwanga, i-sepsis ingakhokelela ekutshitshiseni kwe- septic , ukuhluleka komzimba kunye nokufa.
Nini ukubona iDokotela
Nangona ii-UTI ezinamandla ziza kuhamba zihamba zodwa ngaphandle kwonyango , akufanele ugweme ukubona ugqirha ukuba iimpawu ziqhubeka zingaphezu kweentsuku ezimbalwa.
Xa kuthethwa oko, ukuba uhlakulela iimpawu zesifo seentsholongwane, kubandakanywa ubuhlungu bentlanzi, isicupunu, okanye ukuhlanza, kufuneka ubone udokotela ngokukhawuleza.
Ukuba ukhulelwe, akufanele uthathe ithuba nge-UTIs, ngakumbi xa unesifo sikashukela, i-HIV, okanye ube neentsholongwane zangaphambili. Iimpawu ezincinci kufuneka zijongwe, ziphathwe kwaye zihlolwe ukuqinisekisa ukuba usulelo lukhutshiwe ngokupheleleyo.
Ngaphandle koko, naziphi na izimpawu zokucetyiswa kwe-sepsis kufuneka ziphathwe njengengxamiseko yonyango. Oku kuyinyani ngakumbi kwiintsana okanye asebekhulile.
> Imithombo:
> Heppner, H .; Yapan, F .; kunye ne-Wiedermann, A. "I-Urosepsis kwiGeratric Patients." U- Aktuelle Urol. 2016; 47 (1): 54-9. INGXELO: 10.1055 / s-0041-106184.
> Robinson, J .; Fumana, J .; Lang, M. et al. "Izifo ezise-Urinary infections kwiintsana nabantwana: Ukuxilongwa kunye nokuphathwa." I-Paediatr Health Impilo yabantwana. 2014; 19 (6): 315-19.
> Schwartz, B. (2014) "Izifo zoTywala. Ku: Levinson, W. eds. Ukuphononongwa kwe-Medical Microbiology kunye ne-Immunology, 13e . ENew York, NY: iMfundo ye-McGraw-Hill.
> USolomon, C. "Izifo zoLuntu lweeUrein kuBantu abadala." N Engl J Med . 2016; 374: 562-571. INGXELO: 10.1056 / NEJMcp1503950.