Izifo ezithintela i-Urinary (UTIs) zihlala zinyameko kwaye ngezinye izihlandlo zikwazi ukuzilungisa zodwa ngaphandle kwamanzi amaninzi kwaye mhlawumbi i-reversever ye-pain-off-counter (OTC). Nangona kunjalo, ukuba uhlala ixesha elingaphezu kweentsuku ezimbini, unokufumana inqanaba elifutshane lemithi ye-antibiotics. Oku kuyinyani ngakumbi ukuba usulelo luye lwasuka kwi-bladder yakho kwiintso zakho.
Kwiimeko ezifana nalezi, izilungiso zasekhaya kunye nama-analgesics akunakwenzeka ukubonelela uncedo kwaye unokwandisa umngcipheko weengxaki.
Zonyango
Nangona i-antibiotics iqhelekile ukuba ilawule ukusuleleka kwe- urinary tract , izimo zengqondo zitshintshile kwiminyaka yamuva ngenxa yokunyuka kwamazinga e-anti-anti-resistant E. coli kunye nezinye iibhaktheriya. Namhlanje, abanye oogqirha baya kuthatha indlela yokulinda nokulinda ukuba i-UTI ingenakunzima kwaye impawu ezincinane.
EYurophu, umzekelo, oogqirha baya kubakho ukubonelela ngeeyure ezingama-48 ezichanekileyo ukuba zisetyenziswe kwisigulane. Iindlela ezifanayo ziyamkelwa ngabanye oogqirha e-United States. Nangona kunjalo, uphando oluthile lubonisa ukuba ukuvimbela i-antibiotiki kungabangela umngcipheko ophezulu we-UTI iingxaki, kwaye ezininzi iingcali azizange zenze le ndlela.
Ukunciphisa isidingo se-antibiotics xa sisebenzisana ne-UTI encinci, kukho iindlela ezininzi zokuzama ukuzama ukubuyela kwi:
- Phuza amanzi amaninzi. Ngokulula ngokugcina i-urinary tract esebenza, uya kuba nako ukucima amaninzi amabhaktheriya ajikelezayo kwi-bladder okanye izinso. Nqwenela ukusela angaphantsi kweesibhozo ezisibhozo zamanzi ngosuku (okanye malunga nesiqingatha segaloni). Ngexesha lokusuleleka kwintsholongwane, unokufuna ukufikelela phezulu ukuya kuma-16, ukuba kufanelekile. Injongo kukuvuthwa nokuvutha rhoqo, ungaligcinanga kwaye uhamba rhoqo.
- Phuza i-cranberry ijusi. Ekubongwe kakhulu ngenxa yokukwazi ukuphatha i-UTIs, ijusi ye-cranberry iqulethe iingcamango ezicatshulwayo zokuthintela ibhaktheriya ukuba ibambelele kwiindonga zephepha le-urinary. Nangona ezinye izazinzulu ziye zathandabuza ngokucacileyo la mabango, uphando olusuka kwiBoston University School of Medicine luphelile ukuba i-glass yeyunithi yesibhozo engamatshumi asibhozo, isithandathu se-cranberry, ithathe ngaphezu kweeveki ezingama-24, yanciphisa ukuphindaphinda kwe-UTIs ngama-45 ekhulwini.
- Ukwandisa ukungenisa kwakho i-vitamin C. I- Vitamin C inokukunceda ukuphatha unyango olushushu lwe-urinary ngokunyusa ukwanda kwe-urine kwaye wenze kube lula ukungena kwiibhaktheriya. Ukuba kuyimfuneko, unokomeleza ukutya kwakho ngokutya kwansuku zonke.
Ngokwahlukileyo, kufuneka ugweme naluphi na ukutya okanye isiselo esinokucasula umchamo we-urinary kunye / okanye ukuphazamisa iimpawu. Oku kuquka ukutya okunesonka, utywala, i-caffeine, kunye neeritrus.
Ukubeka i-pad yokufudumala, ibhotile yamanzi ashushu, okanye ukuchukumisa okufudumele kwisisu sakho okanye ngasemva kunokunceda ukukhulula ukungathinteki kwintsholongwane yesisu.
Ulwaphulo oluphezulu
Izidakamizwa ezingaphezulu kwezixhobo zisetyenziselwa ukunciphisa intlungu kunye nentlungu ye-UTI. Oyintloko phakathi kwezi zidakamizwa ezichasene nezidakamizwa (i-NSAID) ezifana ne-Advil (ibuprofen) okanye intlungu ye-analgesic iyanciphisa njengeTylenol (acetaminophen ).
Esinye isiyobisi, esibizwa ngokuba yi- phenazopyridine , senzelwe ngokukhethekileyo ukunyanga iintlungu ze-urinary. Itholakala kumanqanaba aphantsi ngaphandle kwemvume kwaye ithengiswa phantsi kwegama elinjalo lomnxeba njengeAzo okanye iUristat.
Ukuqulunqwa kwamandla aphakamileyo kufumaneka ngogunyaziso kwaye ngokuqhelekileyo kuthathwa ukunciphisa intlungu de kube yinto enjalo njengama-antibiotics akwazi ukulawula ukusuleleka. Uzakufuna ukuphepha utywala xa uthatha i-phenazopyridine, njengoko ingabangela ubuthi beesibindi. Iziphumo eziqhelekileyo ziquka ukulala, ukoma ukoma, isisu esisisu, ukukhathala, isicathulo, kunye nokuhlanza.
Imigaqo
Ngelixa abanye befuna ukufumana iziza-antibiotics ukujongana neempawu zabo, ezi ziyobisi kufuneka zichazwe kuphela oogqirha xa kuyimfuneko (kunye nexesha elincinane ixesha elifunekayo) kwaye lisetyenziswe kakuhle ukunciphisa umngcipheko wokuchaswa kweziyobisi.
Oko kwathiwa, ininzi ye-UTIs ibangelwa yiibhaktheriya kwaye, ngokunje, ziphathwa ngamagciwane. Ukukhethwa kwezidakamizwa kuxhomekeka kakhulu ukuba isifo sisisigxina (cystitis) okanye izintso (pyelonephritis).
I-Cystitis Treatment
Imithi yokuqala yamachiza asetyenziselwa unyango lwe-cystitis engaxakekanga zibandakanya:
- I-Trimethoprim-sulfamethoxazole (TMP-SMX)
- Nitrofurantoin monohydrate
- Fosfomycin
Iimpawu ze-cystitis ziza kusombulula iintsuku ezintandathu zokuqala unyango. Unyango lunokuthatha ixesha elide ukuba unayo ii-UTIs eziqhelekileyo okanye unempawu ezinamandla zokuvota. Iziphumo eziqhelekileyo ziquka intloko, isisu, isisu, ukukhathala, isisongulu, ukuhlanza, ukuhlambalaza kunye nokugqithisa.
I-Nitrofurantoin kunye ne-fosfomycin kufuneka igwenywe ukuba kukho nayiphi na imiqondiso yesifo seengxaki , kuquka intlungu, i-fever, i-nausea, ukuhlanza, kunye ne-chills.
Pyelonephritis Treatment
Phantse iipesenti ezingama-90 zezifo zentsholongwane ezikhutheleyo zinganyangwa ngamayeza omlomo. Ezi ziqhelekileyo zichazwe ziquka:
- I-Fluoroquinolones (njenge-ciprofloxacin kunye nevofloxacin)
- I-Cephalosporins (njenge-ceftriaxone)
- Penicillin
- Amoxicillin
- I-Augmentin (i-amoxicillin-clavulanate potassium)
Abantu abaneentsholongwane ezinamandla kuphela bafuna unyango iintsuku ezintlanu ukuya kwezixhenxe. Ngokwahlukileyo, abafazi abakhulelweyo bangadinga iikhosi yeentsuku ezi-7 ukuya kwe-14, ngelixa abantu abasemngciphekweni befuna ukufikelela iintsuku ezingama-21 zonyango. Iziganeko ezinzima zingadinga ukudibanisa i-intravenous (IV) kunye ne-antibiotics yomlomo.
I-Fluoroquinolones zikhulelwa izidakamizwa zeCandelo C (oko kuthetha ukuba babangela ukukhubazeka kokuzalwa kwizifundo zezilwanyana) kwaye akufanele kusetyenziswe ngexesha lokukhulelwa.
Imiphumo emibi yee-antibiotiki ezicetywayo zifana nezo ezisetyenziselwa i-cystitis. Nangona kunjalo, ezinye iziyobisi (njenge-penicillin) zinokubangela ukuba usongele ubomi, umzimba wonke unobungozi obubizwa ngokuba yi- anaphylaxis . Ukuba ishiywe ingaphendulwanga, i-anaphylaxis inokubangela ukuphazamiseka, i-coma, i-heart or breathing respiration, nokufa.
I-Medicine Complementary (CAM)
Ngoxa ezinye iindlela eziye zacetyiswa ukuba zingaphathwe okanye zithintele ukusuleleka kwe-urinary tract, ubungqina obusondeleyo kumhla buye buthaka.
Abanye, njengama- probiotics , ababonanga inzuzo efanayo kwi-urinary tract njengoko banezinye iinkqubo zomzimba. Abanye, njengezincutyisi zincinci ezisetyenziselwa ukuxhasa unyango lwe-UTI, ziye zaboniswa ukwandisa umngcipheko weengxaki ze-urinary.
Ezinye izilwanyana ezifana negalikhi, i-horseradish, i-nasturtium, kunye ne- Salvia plebeia- esetyenziswa kwiyeza zamasiko zesiTshayina (i-TCM) -yaboniswa ngokuncinci ukufumana unyango okanye ukukhusela ii-UTIs kwizifundo ezimbalwa ezikhoyo zophando ngokusetyenziswa kwazo.
Njengoko kuchazwe ngasentla, i-cranberry juice iyona khetho onokuyiqwalasela. I-Cranberry izongezo , ezifumaneka kwiifom ze-caplet, ziyafumaneka kwakhona.
D-Mannose
Esinye isondlo sondlo esityelele ingqalelo kwiminyaka yakutshanje yishukela elula evela kwi-cranberries kunye nezinye izityalo ezibizwa ngokuba yi- D-mannose . Ngokungafani nentsholongwane eninzi, i-D-mannose ayifaki ukungena kwigazi kwaye ngokukhawuleza ikhutshwe emzimbeni, ingatshintshi, kwiminitha engama-30 ukuya kwimizuzu engama-60.
Ngenxa yokuba i-D-mannose ihlala ingaphendulwanga, ayiphakamisi amazinga e-glucose egazi ngendlela efanayo nezinye iishukela. Esikhundleni salokho, ibophelela kumbindi wendlela yamathumbu kwaye ivimbela iibhaktheriya ukuba zingasondeli kunye nokuthethelela iiseli ze-epithelial.
Nangona kungekho bungqina bokuba iD-mannose inokuphatha unyango lwe-urinary, u-2014 upapasho kwi- World Journal of Urology yabona ukuba abafazi abathatha i-D-mannose powder imihla ngemihla babe nezinga eliphantsi lokuphindaphinda kwe-UTI xa kuthelekiswa nalabo bathatha indawo ye-placebo. Ngaphezu koko, ukusetyenziswa kwansuku zonke kwe-D-mannose kubonakala kusebenza ngokufanelekileyo ekukhuseleni ukuphindaphinda kwe-UTI njengokusetyenziswa kwansuku zonke kweyeza-antibiotic nitrofurantoin.
Xa kuthethwa ukuba, i-D-mannose supplements ingabangela ukubhula, izitulo ezivulekileyo kunye nehudo. Xa kuthathwa ngamanani amaninzi, kukho ukuxhalabisa ukuba i-D-mannose ingakhokelela ekumakaleni kwentso. Ngaloo ndlela, uthetha nodokotela wakho ngaphambi kokuba uthathe le nto okanye nayiphi na enye i-OTC isilungiso, isongezelelo, okanye unyango lweyeza.
> Imithombo:
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> Foxman, B. kunye noBuxton, M. Iinkqubo eziNye zoNyango oluPhezulu lweZifo eziHlelelekileyo zoLuntu kwi-Urinary Tract Infection in Women. I-Curr I-Disp Dis Rep 2013. 15 (2): 124-29. INGXELO: 10.1007 / s11908-013-0317-5.
> Jepson, G .; Williams, G; kunye noCraig, J. J. Cranberries ukukhusela izifo zokungena emanzini. Cochrane Database Syst Rev. 2012; 10: CD001321. INGXELO: 10.1002 / 14651858.CD001321.pub5.
> Kranjčec, B; Papeš, D .; kunye ne-Altarac, i-S. D-mannose powder ye-prophylaxis yezifo ezithintekayo zokungena kumanina: isilingo sezonyango esingenangqondo. Hlabathi J Urol. 2014; 32 (1): 79-84. INGXELO: 10.1007 / s00345-013-1091-6.
> Maki, K .; Kaspar, K .; Khoo, C. et al. Ukusetyenziswa kwesiphuzo sesiphuzo se-cranberry kwanciphisa inani lezonyango zokukhupha izifo zamagqabantshintshi kwabasetyhini abanomdla wentsholongwane yamathambo. Am J Clin Nutrition. 2016; 103 (6): 1434-42. INGXELO: 10.3945 / ajcn.116.130542.