I-UTIs izifo ezithe zavela kuyo nayiphi na indlela kwi-system tract system. Zivame ukubangelwa yiibhaktheriya, kodwa iifungi kunye neentsholongwane nazo zingabangela. I-UTI ingaba negalelo elikhulu ekusebenzeni komntu onesifo se-Alzheimer okanye olunye uhlobo lwesifo sengqondo somqondo .
Iimpawu
- Ukuvutha komsindo xa uchama
- Isidingo esandayo sokukhupha
- Ubuhlungu kwisisu esincinane, kwicala okanye ngasemva
- Igazi kumchamo
- I-Urine ebonakala ibhakabhaka, ingcolile okanye inamacu
- I-Urine ngephunga elimnandi
- Fever
- Delirium
- Isihlunu kunye nokuhlanza
Iimpawu ze-UTI kwi-Dementia
Xa umntu onomdemokhrasi eba ne-UTI, kunokuba kunzima ukufumanisa imiqondiso. Ngenxa yobunzima bokufumana amagama , umntu angenakho ukubonisa ukunyuka kokungahambi kakuhle okanye ukuchonga isidingo sokwandisa.
Ngokuqhelekileyo, abantu abane- dementia kunye nabaphuhlisa i-UTI baya kuba neenguqu ezibalulekileyo zokuziphatha . Naluphi na usulelo lunokubangela i- delirium , kwaye i-UTIs iyona sizathu esibangela ukuba i-delirium inomdementia. Unokubona iimpawu ezilandelayo ze-UTI kumntu onomdemokhali:
- Ukuwa okunyukayo
- Utshintsho kwizenzo ezifana nokunyusa, ukuvutha okanye umsindo
- Utshintsho lwesondlo
- Ulala ngaphezulu okanye ngaphantsi kuneqhelekileyo
- Ukwanda kokudideka nokudideka
- Ukuhla kwehla ekusebenzeni akuchazwe ngenye imeko evela ngokukhawuleza
Kutheni iingozi ziphezulu kunye ne-Dementia
- Iingxaki zobuncwane : Abantu abanomdla wokugula komzimba banokusebenzisa iindlela zokungcola ezingafanelekanga emva kokusebenzisa indlu yokuhlambela, njengokusula ukusukela phambili ukuya phambili ngaphambi kokuya phambili. Oku kunokwandisa ukusasazeka kweebhaktheriya.
- Abasetyhini: Phantse kubini kwisithathu sabantu abanomdla wokugula ngengqondo ngabesifazane. Abasetyhini banomngcipheko okhulayo we-UTI ngenxa yokuba iinkqubo zabo zokuvuthwa komzimba zihlelwe njani.
- I-Incontinence : Njengoko u-dementia iqhubela phambili, amandla okulawula isisu kunye nesilonda sinxusa ukuncipha. Iipalini zokuziphatha ezingekho phantsi kwezinga eliphezulu zingongeza kwiingxaki kuba azifumani kakuhle umchamo, obangela ukuba zihlale ngqo nesikhumba kwaye zandisa ingozi yokusuleleka, kunye neengxaki zesikhumba ezifana nezilonda zogonyamelo . Imveliso yokungahlambulukiyo kufuneka iguqulwe ngokukhawuleza.
- Ukuhamba komzimba okunciphise: Ukukwazi ukwenza izinto ezibonakalayo kunciphisa ukunyuka kwe-dementia , kwaye ukunyanzeliswa okuncinci kwandisa umngcipheko we-UTI.
- Ezinye iimeko eziqhelekileyo kubantu abadala abadala: Oku kubandakanya ukuthambekela kobuthathaka obuthathaka obunamandla, umngcipheko ophezulu wesifo sikashukela, ubunako bokugcinwa kwamanzi , kunye neengxaki zeprotate kumadoda.
Ngaba kufuneka iCatheters ifumaneke ?
Iingcaphet zembali ziye zacatshulwa njengeendlela zokusabela kwiingxaki ngokungazinzi, kodwa ukusetyenziswa kwazo akukhuthazwa ngaphandle kokuba kunyanzelekile impilo. Ukungeniswa kwekathetha kungakwazi ukuvelisa amaninzi amabhaktheriya kwi-urinary system kwaye oku kwandisa ingozi kakhulu kwi-UTIs. I-UTI ekhula kumntu usebenzisa i-catheter ibizwa ngokuba yiCather Associated Tract Infection ( CAUTI ), kwaye uluntu lwentlalo luye lwasebenza nzima ukunciphisa izifo (eziqhelekileyo) ezikhuselweyo.
I-Catheters ifanelekile kwezinye iimeko ezifana nokugcinwa kwe-urinary, apho umntu engakwazi ukuyikhupha ngokupheleleyo ingubo yabo, kodwa ayanconywa ngaphandle kwimeko ethile yonyango eyenzayo.
Unyango
Uninzi lwamaxesha amaninzi, ii-UTI ziphathwa ngamagciwane. Isampuli yomchamo wakho ivivinywa kwibhubhoratri ukuchonga ukuba yeyiphi i-antibiotic inokusebenza ngokuyiphatha. Ngamanye amaxesha, oogqirha baya kukuqala kwi-antibiotics enye baze batshintshe enye eyahlukileyo emva kokuba iziphumo zebhu zifumaneka.
"Ndiyazi ukuba uMama unalo UTI. Kutheni Balindele Ukuyiphatha?"
Enye yemingeni ekunakekelweni kwezempilo ilawula ukusetyenziswa kwee-antibiotics.
Ngokomlando, i-antibiotics isetyenzisiwe, kwaye oku kubangele ukwanda kwintsholongwane engaxhatshazwayo kumayeza athile. Ngamanye amazwi, iibhaktheriya zomelele kwaye i-antibiotics evamile ayisoloko isebenza kakuhle.
Akuqhelekanga ukuvavanya umchamo womntu omdala ukuvavanya kakuhle kwi-UTI nangona umntu engenazo iimpawu. Kule meko, i-antibiotic ayisoloko ifunekayo, kwaye ukucwangcisa ngaphezulu kunokubangela ukuba iibhaktheriya zomeleze kwaye zixhathise, ngoko zifuna iintsholongwane ezinamandla kunye ezinamandla.
Ukuze kuhlolwe i-UTI, imibutho emininzi njengamahlengikazi ilandela iMikhombandlela kaMcGreer efuna ubuncinane ezintathu kwezi zinto zilandelayo (imfiva, intlungu, ukwanda kokudideka, ukuguquka kwindlela yokubonakala komchamo okanye iphunga, ukuphuthuma okanye imvama) ukuba ube khona phambi baya kuvavanya kwaye ekugqibeleni bayilungele i-antibiotic. Le miqathango yaphuhliswa ngenjongo yokusebenzisa i-antibiotics ngokuhlakanipha.
Ukuthintela i-UTIs
Ezi zicwangciso ezilandelayo zingancedisa ukunciphisa ithuba lokuba umntu onomdemokhrasi uya kuphuhlisa i-UTI:
Ukukhuthaza ukusetyenziswa kwamanzi okwaneleyo kunokunceda ukunciphisa ithuba le-UTIs.
Umntu onomdemokhrasi angadinga uncedo olongezelelweyo ngokuzicoca kunye nokucima ngokufanelekileyo emva kokuvuthwa okanye ukunyakaza. Ukongeza, emva kwesondo, abafazi kufuneka bakhuthazwe ukuba bajike ngenxa yengozi yokwanda kwe-UTI.
Musa ukulinda ukuVala
Ukugcina umchamo wakho ixesha elide kunokunyusa umngcipheko we-UTI.
Khuthaza izambatho ezingaphumelela
Izambatho ezinzima kakhulu okanye zangaphantsi ezenziwe kwiyiloni ngokuchasene nekotoni zingabamba umswakama kwaye zandisa ingozi.
Uncedo lweCranberry Juice?
Uphando luye lwafumana iziphumo ezahlukeneyo kulo mbuzo. Ezinye iziphumo ziye zafumana inzuzo encinane yerisi ye-cranberry ekunciphiseni umngcipheko we-UTIs. Abanye abayifumananga umahluko xa i-cranberry juice isayinwe. Kufuneka uhlolisise ugqirha wakho kuqala ngaphambi kokuba ungeze ijusi ye-cranberry ekudleni kwakho rhoqo ngenxa yokuba inokusebenzisana namanye amayeza afana neCoumadin (warfarin).
Imithombo:
I-Network Carecare Network ye-NPs kunye ne-PAs. I-UTI kwiiNgingqi ezikhuselekileyo zokuhlala kwiindawo zokuhlala: Abaxhamli bezilwanyana ezinononophelo baya kunciphisa i-antibiotic. Septemba 5, 2012. http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/UTIs-in-Nursing-Home-Residents.aspx
Iziko loLawulo lweNtsholongwane kunye noKhusela (CDC). Isiganeko soThutho lwe-Urinary Tract (UTI) kwiNkxaso yexesha elide. Agasti 24, 2012. http://www.cdc.gov/nhsn/PDFs/LTC/LTCF-UTI-protocol_FINAL_8-24-2012.pdf
Cochrane. I-Cranberries ekuthintela ukusuleleka kwezifo zamanzi. Oktobha 17, 2012. http://www.cochrane.org/CD001321/RENAL_rranberries-for-prevening-orct-infections
Umbhalo we-American Medical Directors Association. 2016 Feb 1; 17 (2): 183.e1-183.e16. UbuGcini boBugcisa kwiiNkonzo zokuNakekelwa kwexesha elide: I-Call to Action. http://www.ncbi.nlm.nih.gov/pubmed/26778488
Amaziko kaZwelonke eMpilo. ISikole kaZwelonke seSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Oko Ndifuna Ukukwazi Ngezifo Zamayeza E-Urinary. NgoSeptemba 2013. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/urinary-tract-infections-in-adults/Pages/ez.aspx#j