Zomwe muyenera kuchita ngati muli ndi UTI mobwerezabwereza

Maphunziro a Zaumoyo

Ambiri aife timagwiritsa ntchito bafa tsiku lonse osaganizira kwambiri, koma mukakhala ndi matenda amkodzo, china chosavuta monga kutsekula chimatha kukhala chovuta, chonunkha komanso chowawa.

Njira yanu yamikodzo ndiyo njira yolumikizira yomwe imakupatsani mwayi wokhoza, ndipo imaphatikizapo chilichonse kuyambira mtsempha wanu ndi chikhodzodzo mpaka impso zanu. Matenda a mumikodzo, kapena UTI, amapezeka pamene gawo lililonse la kwamikodzo limadzala ndi mabakiteriya omwe sali pamenepo. Izi zimayambitsa zisonyezo zakumva kupweteka kapena kuwotcha pokodza, kukodza pafupipafupi kapena kutuluka movutikira, kwamitambo kapena kwamkodzo wonunkha, komanso kupweteka m'mimba kapena kumbuyo.

Ngakhale kukhala ndi UTI imodzi m'moyo wonse kuli kokwanira, anthu ena amalimbana ndi ma UTI obwerezabwereza ndipo sakudziwa momwe angawathetsere. Ngati mwakhala ndi UTI yopitilira umodzi m'miyezi yaposachedwa, mwina mukudwala matenda obwerezabwereza. Nazi zonse zomwe muyenera kudziwa pazomwe zingayambitse, chithandizo, komanso kupewa ma UTIs.

Chifukwa chiyani UTI yanga imabwerabe?

Pali zifukwa zambiri zomwe zimapangitsa kuti munthu akhale ndi matenda opatsirana mkodzo. Ngakhale pali zochitika zaukhondo zochepa zomwe zingawayambitse (monga kusapukuta kutsogolo kumbuyo pambuyo poyenda matumbo ngati ndinu wamkazi), matenda ambiri amayamba chifukwa cha zinthu zomwe simungathe kuzilamulira.

Malinga ndi Lauren Cadish , MD, urogynecologist ku Providence Saint John's Health Center, zovuta zamatomu zimatha kuyika anthu pachiwopsezo chachikulu. Izi zimaphatikizapo anthu obadwa ndi chizolowezi cha mkodzo kuti abwerere m'mbuyo kuchokera mu chikhodzodzo kubwerera m'matumbo, machubu omwe amabweretsa mkodzo kuchokera ku impso mpaka chikhodzodzo. Komabe, Dr. Cadish akuti izi zimapezeka nthawi zambiri ali mwana, chifukwa chake siziyenera kudabwitsa munthu wamkulu yemwe ali ndi UTI mobwerezabwereza.

Zina mwazomwe zimayambitsa chiopsezo cha UTIs mobwerezabwereza ndizo:

• Chikhodzodzo kapena miyala ya impso
• Kuvulala kwamitsempha kapena matenda a chikhodzodzo omwe amalepheretsa kuti atuluke mokwanira
• Impso ndi kuziika
• Matenda osokoneza bongo kapena matenda ena omwe amalepheretsa chitetezo cha mthupi
• Mavuto am'matumbo, monga kutsegula m'mimba kapena kusadziletsa (Escherichia coli, kapena E. coli, ndi amene amayambitsa bakiteriya mu 90% ya UTI yonse )

Zina mwazomwe zimayambitsa ma UTI zitha kuzindikirika mosavuta ndikukhazikika. Kukumbukira kutulutsa chikhodzodzo munthawi yake, kumwa madzi okwanira kutulutsa mkodzo, ndikuwongolera matumbo ndi njira zosavuta kupewa zina mwazomwe zimayambitsa UTIs, akufotokoza a Julie Stewart, MD, urologist ku chipatala cha Houston Methodist.

Amuna motsutsana ndi akazi

Ngakhale abambo ndi amai amatenga ma UTI, azimayi amakhudzidwa kwambiri. Chifukwa chiyani? Chifukwa cha kutengera kwa akazi komwe kumakhudzana ndi urethra, chubu chomwe chimatumiza mkodzo kuchokera m'chikhodzodzo kutuluka mthupi.

Urethra mwa mkazi ndi waufupi, makamaka pafupifupi masentimita anayi, atero Dr. Cadish. Chifukwa ma urethra a amuna amayenera kudutsa mu prostate ndi kutalika kwa mbolo, urethras yawo ndi yayitali kwambiri ndipo mabakiteriya amakhala ndi nthawi yovuta kukwera mu chikhodzodzo kuposa azimayi.

Palinso gawo lina labwinobwino la anatomy lachikazi lomwe lingapangitse chiopsezo cha UTIs, nawonso: nyini. Malinga ndi Dr. Cadish, azimayi ali ndi mabakiteriya omwe nthawi zambiri amakhala mkatikati mwa nyini, koma mabakiteriya nthawi zina amapita kumakina kapena chikhodzodzo ndikupangitsa UTI. Kusintha kwa mahomoni kumathandizanso kuti mayi azikhala pachiwopsezo cha ma UTI; Matendawa amapezeka makamaka pambuyo pa kusamba ndipo, nthawi zambiri, asanayambe kusamba ( chifukwa chotsika kwa estrogen ).

Koma musanaganize kuti amuna amachoka mosavuta zikafika ku UTI, sizomwe zili choncho. Ngakhale azimayi ali pachiwopsezo chachikulu cha ma UTIs, urethras wautali mwa amuna amawaika pachiwopsezo chachikulu cholephera kutulutsa chikhodzodzo bwino, nthawi zambiri chifukwa cha vuto la prostate, atero Dr. Cadish. Kutsitsa kokwanira chifukwa cha kukula kwa prostate kumatha kuyambitsa ma UTIs pafupipafupi.

Ngakhale ma UTIs samakhala chizindikiro cha khansa, amalumikizidwa ndi khansa ya prostate ndi chikhodzodzo m'njira zina. A Phunziro la 2017 lofalitsidwa mu PLoS Mmodzi adapeza kuti amuna omwe amapita kwa dokotala maulendo opitilira kasanu pachaka chifukwa cha matenda ochepetsa mkodzo amakhala ndi khansa ya prostate kuposa amuna omwe samadwala matenda obwerezabwereza.

Kwina konse, khansa ya chikhodzodzo nthawi zambiri imalumikizidwa ndi ma UTIs pafupipafupi chifukwa chimodzi mwazinthu za Zizindikiro zoyamba ndimwazi mumkodzo , chizindikiro chosavuta kuchotsedwa mwa azimayi chifukwa cha matenda a chikhodzodzo kapena kusintha kwa mahomoni. Mwanjira ina, azimayi nthawi zambiri amapezeka kuti ali ndi khansa ya chikhodzodzo kuposa amuna, atakhala ndi zizindikilo zambiri zoyambirira za khansa zomwe zidatchulidwa kuti UTIs.

Kodi UTI yokhazikika imapezeka bwanji?

Malinga ndi Dr. Stewart, njira zodziwira UTI zomwe zidachitika mobwerezabwereza zidawunikidwanso posachedwa ndi American Urological Association (AUA). Ma UTI aposachedwa amafotokozedwa ngati ma UTI awiri m'miyezi isanu ndi umodzi kapena atatu a UTIs mchaka chimodzi, akutero, koma akuyenera kukhala milandu yatsimikiziridwa ndi chikhalidwe, bakiteriya cystitis wokhala ndi zizindikilo.

Mwanjira ina, muyenera kukhala ndi milandu yotsimikizika ya mabakiteriya kuchokera pachitsanzo cha mkodzo komanso zizindikiritso za UTI kuti ziyenerere. Dr. Stewart akufotokoza kuti anthu ena nthawi zonse amayesa kukhala ndi mabakiteriya opanda zizindikilo ndipo ena amakhala ndi zizindikilo popanda chikhalidwe chabwino (mwina chifukwa chokwiyitsidwa ndi chikhodzodzo osati matenda a bakiteriya). Zochitika izi ziyenera kuchitidwa mosiyana ndi wodwala yemwe amapereka ndi onse awiri.

Chikhalidwe cha mkodzo chimaphatikizapo kuwunika kosawoneka bwino, kutanthauza kuti titha kudziwa kuti ndi maantibayotiki ati omwe angathetse matendawa komanso omwe sangatero, akufotokoza Dr. chikhalidwe. Kuchokera pamenepo, wothandizira zaumoyo amatha kupereka njira yoyenera ya maantibayotiki chifukwa cha matendawa.

Ndikofunika kuti musanyalanyaze zizindikiro za UTIs; ngati sichikuthandizidwa, UTI yanu ikhoza kukhala matenda a impso , vuto lalikulu lomwe lingawopseze moyo wotchedwa pyelonephritis.

Kodi UTI yowonongeka imathandizidwa bwanji?

Ngati mungakwaniritse zofunikira za UTI, omwe amakupatsani chithandizo chachikulu angakutumizireni kwa urologist yemwe angayambe kugwira ntchito zina za apolisi.

Ndi ntchito yathu ngati madokotala ochita opaleshoni kuti timvetsetse ngati pali zinthu zoopsa monga anatomical kapena autoimmune, atero Dr. Stewart. Timayang'ana zoyambitsa ndikulowererapo ngati zingatheke - monga kuchiritsa mwala wa impso ngati alipo - koma odwala ambiri alibe chifukwa chomveka kapena 'mfuti yosuta.'

Izi zimadziwika ngati matenda opatsirana amkodzo, ndipo ngakhale zingakhale zokhumudwitsa kuti musapeze chifukwa chomveka kapena kufotokozera, ma urologist amatha kugwira nanu ntchito kuti mupange dongosolo la chithandizo. Nthawi zambiri, chithandizo cha ma UTIs obwereza Zimaphatikizapo mankhwala opha maantibayotiki monga amafunikira ndi mankhwala monga:

• Bactrim (sulfamethoxazole-trimethoprim)
• Macrobid (nitrofurantoin)
• Keflex (cephalexin)

Maantibayotiki omwe amagwiritsidwa ntchito amatengera mtundu wa mabakiteriya omwe amawonetsedwa mchikhalidwe cha mkodzo.

Pali maantibayotiki angapo omwe tavomerezana kuti ali ndi 'kuwonongeka kwakatundu pang'ono,' atero Dr. Stewart, ndipo timayesetsa kuchiza matendawa ndi maantibayotiki oyenera kwambiri kwakanthawi kochepa kwambiri kothandiza.

Amanenanso kuti nthawi zina amakhala ochepa maantibayotiki amafunika kuthana ndi matenda opatsirana kwambiri chifukwa cha mavuto ena azaumoyo. Mwachitsanzo, a Phunziro la 2018 mkati Matenda Opatsirana a Lancet adapeza kuti mankhwala opitilira maantibayotiki anali othandiza kupewa ma UTIs mwa odwala omwe amagwiritsa ntchito ma catheters. Amayi ena amathanso kuuzidwa kuti atenge mlingo umodzi wokha wa Maantibayotiki atagonana kupewa kukula kwa bakiteriya.

Ngati muli ndi kachilombo koyambitsa matenda opatsirana pogwiritsa ntchito maantibayotiki, mungafunikirenso kugwiritsa ntchito mankhwala opweteka a OTC, monga acetaminophen kapena ibuprofen, mpaka maantibayotiki ayambe kugwira ntchito. Muthanso kutenga mankhwala a OTC opangidwa kuti athandizire ndi zizindikilo zingapo za UTIs, monga Mpumulo wa Azo Urinary Pain .

Momwe mungapewere matenda opatsirana mumkodzo

Kutengera chifukwa chomwe omwe amakupatsani amakayikira kuti mukukumana ndi ma UTI obwerezabwereza, pali njira zingapo zomwe mungapewere kupatsanso kachilombo komanso kupewa mankhwala a maantibayotiki nthawi zina.

Mankhwala ndi zowonjezera

1. D-mannose ndi shuga womwe umapezeka mumtengowo, womwe umadziwika kuti umadziphatika ku mabakiteriya a E. coli mu chikhodzodzo chanu ndikupewa kuchuluka kwa bakiteriya m'mbali mwa chikhodzodzo. Dr. Cadish amalimbikitsa kutenga chowonjezera ichi cha OTC pamlingo wa magalamu awiri tsiku lililonse. A Phunziro la 2016 mu European Review for Medical and Pharmacological Sciences adapeza D-mannose kukhala njira yothandiza yothandizira komanso kupewa ma UTIs (ndipo siyikhala ndi zovuta zambiri).
2. Methenamine , yopezeka mwa mankhwala, itha kukhala yothandiza popewa matenda amtsogolo (ngakhale sizigwira ntchito chitani zomwe zilipo kale ). Ndi maantibayotiki akale omwe atha kuyeretsa pamikodzo ndipo amawerengedwa ngati mankhwala opha tizilombo kapena mankhwala ophera bakiteriya, m'malo mochiritsa matenda opatsirana.
3. Thandizo la nyini estrogen , makamaka kwa azimayi omwe abereka pambuyo pa msambo, ndi njira ina yopewa kupewa. Dr. Stewart akuti chifukwa chakuti kusamba kwa thupi kumasintha pH ya nyini, zimapangitsa kuti mabakiteriya akule kwambiri. Kusintha estrogen pang'ono, amafotokoza, kumatha kusintha pH ya ziwalo zamaliseche ndikupewa kuchuluka kwa mabakiteriya oyipa ndikulimbikitsa kukula kwa mabakiteriya abwino.

Zosintha m'moyo

1. Kumwa madzi ambiri Tsiku lililonse limakuthandizani kutulutsa mabakiteriya abwinobwino mumikodzo yanu, kuti muchepetse kuchuluka.
2. Pitani kubafa pafupipafupi . Osasunga mkodzo wanu kwa nthawi yayitali kapena kuthamanga mopanda kutulutsa chikhodzodzo. Kuchita izi kungapangitse kuchuluka kwa mabakiteriya mu chikhodzodzo.
3. Lankhulani ndi zovuta zilizonse za GI , monga kudzimbidwa kapena kutsegula m'mimba. Popeza mabakiteriya ambiri omwe amayambitsa UTI amachokera kumadera ozungulira, kukhala ndi matumbo pafupipafupi kumakuwonetsani zowononga; pakadali pano, kudzimbidwa kumatha kuyika kupanikizika pa chikhodzodzo ndipo zimakhudza ntchito yake yonse (izi ndizofala makamaka kwa ana).
4. Pewani kumwa pafupipafupi zakudya zomwe zimadziwika kuti zimakwiyitsa chikhodzodzo , monga caffeine, mowa, ndi zakudya zonunkhira.

Malangizo aukhondo

1. Pukutani kuchokera kutsogolo kupita kumbuyo mutayenda matumbo , kwa azimayi, kupewa kupewa kufalitsa mabakiteriya kuchokera kumalo am'mbali kupita ku urethra. Amuna akuyeneranso kusunga maliseche awo, makamaka atagonana.
2. Kodzani mukangogonana kutulutsa mabakiteriya aliwonse omwe apititsidwa mu mtsempha wa mkodzo.
3. Malo oberekera akhale owuma komanso opanda malire . Valani zovala zamkati za thonje, pewani malasha otentha ndi malaya amkati osavala bwino, ndipo musagwiritse ntchito zoyeretsa zachikazi zilizonse monga ma douches kapena zonunkhiritsa.
4. Gwiritsani ntchito njira zina zolerera . Malinga ndi a Kuwunika kwa 2013 zamaphunziro mu Ndemanga mu Urology , kugwiritsa ntchito njira zopewera umuna ndi zolepheretsa kulera (monga mafinya ndi makondomu) zitha kukulitsa kuthekera kwakukula kwa bakiteriya mutagonana.

Mankhwala achilengedwe

1. Phatikizani gwero la kiranberi tsiku lililonse . Aliyense amene ali ndi UTIs mobwerezabwereza mwina wauzidwa kumwa zakumwa za kiranberi kapena kumwa chowonjezera cha kiranberi chifukwa chipatsocho chimatha kuteteza chikhodzodzo. Koma kafukufuku-ndi malingaliro azachipatala-adagawika. Dr. Cadish akuti madzi a kiranberi ndi zowonjezera sizingakupwetekeni, koma sizingakuthandizeninso. Kumbali inayi, Dr. Stewart akuti pakhoza kukhala chowonadi ku kulumikizana pakati pa cranberries ndi thanzi la chikhodzodzo: Pali china chake chotchedwa PAC, molekyulu yomwe imavala zokutira chikhodzodzo ndipo ingalepheretse E. coli kuti ipezeke mu chikhodzodzo [ndikupangitsa matenda]. Komabe, zowonjezera zowonjezera za OTC zilibe PAC yokwanira yopanga kusiyana, amachenjeza Dr. Stewart; a kafukufuku wapano akuwonetsa kuti muyeso wa mamiligalamu 37 angafunikire kukhala ndi zotsatira (ndipo zowonjezera zambiri zimakhala ndi mamiligalamu awiri okha).
2. Imwani maantibiotiki a tsiku ndi tsiku . Itha kulepheretsa UTI. Mabakiteriya abwinowa amakhala m'matumbo mwanu, komanso mumaliseche - makamaka maantibiotiki lactobacillus, yomwe ingachepetse UTIs mwa amayi omwe ali ndi maluwa azimayi abwino.
3. Onjezerani vitamini C wowonjezera pazakudya zanu. Umboni wovuta wothandizira njirayi ukusowa, koma ofufuza akuganiza kuti vitamini C ikhoza kulepheretsa kukula kwa bakiteriya ndikupangitsa mkodzo wanu kukhala wowonjezera. Wakale wina werengani kuchokera ku 2007 anapeza kuti gulu la amayi apakati omwe amatenga mankhwala owonjezera kuphatikiza vitamini C sangakhale ndi UTIs kuposa gulu la azimayi omwe zowonjezera sizinaphatikizepo vitamini C.

Zingakhale zokhumudwitsa ma UTI akamabwerera. Lankhulani ndi wothandizira zaumoyo wanu. Ndi upangiri, mutha kupeza mankhwala oyenera omwe angakuthandizeni.