Main >> Imfundo Yezempilo >> I-cystitis vs. UTI: Qhathanisa izimbangela, izimpawu, ukwelashwa nokuningi

I-cystitis vs. UTI: Qhathanisa izimbangela, izimpawu, ukwelashwa nokuningi

Imfundo Yezempilo

Ukutheleleka ngomgudu womchamo (Ama-ICU) zivame kakhulu kwabesifazane, yize abesilisa nezingane nabo bangazithola. Zintathu izinhlobo zama-UTIs —Urethritis (ukuvuvukala kwe-urethra), i-cystitis (ukutheleleka kwesinye / i-UTI ephansi), ne-pyelonephritis (ukutheleleka kwezinso / i-UTI ephezulu). Lezi zimo ezimbili ziyefana kakhulu futhi zabelana ngezimpawu eziningi. Ake sibheke ukufana nokwehluka phakathi kwe-UTIs ne-cystitis.

Izimbangela

I-cystitis

Imvamisa, i-cystitis (ukuvuvukala kwesinye) kubangelwa amagciwane, kepha ukusetshenziswa okuqhubekayo kwe-catheter yomchamo, ukuzwela kumakhemikhali emikhiqizweni yenhlanzeko yabesifazane, ukusabela kumuthi noma ukwelashwa kwesinye isifo (i-radiation noma i-chemotherapy), nezinye izimo ( amatshe ezinso noma isifo sikashukela) kungadala i-cystitis. I-cystitis ingaba nzima noma i-interstitial. I-cystitis enamandla ivela ngokuzumayo kanti i-cystitis yangaphakathi iyisimo sesikhathi eside esithinta izingqimba eziningana zezicubu zesinye.

I-DWS

Ukutheleleka kwe-Urinary tract kubangelwa lapho ama-microorganism esikhunjeni noma i-rectum ingena ku-urethra, ithelela noma iyiphi ingxenye yohlelo lwe-urinary: i-urethra, i-ureters, isinye, noma izinso. Amaphesenti angama-90 ama-UTIs angenazinkinga adalwa yi-Escherichia coli (E. coli), igciwane elitholakala ohlelweni lokugaya ukudla, kepha ezinye izinto ezincane ezingadala ama-UTIs. Imvamisa, ama-UTIs avela ku-urethra (urethritis) nasesinyeni (cystitis), kepha amabhaktheriya kwesinye isikhathi ahambela futhi athelele izinso (pyelonephritis), okwenza ukwelashwa okusheshayo kubaluleke. Ezimweni ezingavamile, ukutheleleka okungalashwa kungaholela esifo sezinso noma sepsis.

I-cystitis vs. UTI izimbangela
I-cystitis	I-DWS
Amagciwane Amakhemikhali avela emikhiqizweni yenhlanzeko yabesifazane Amatshe ezinso Isifo sikashukela Imisebe, i-chemotherapy, nemithi Ukusetshenziswa kwepayipi lomchamo Ukuvaleka kwe-urethra noma isinye Ukukhulelwa	Amagciwane, anjenge-E.coli, i-staphylococcus, i-proteus, i-klebsiella, i-enterococcus, ne-pseudomonas Izifo ezithathelwana ngocansi ezibandakanya i-chlamydia, i-trachomatis, i-mycoplasma I-Trichomonas (amagciwane)

Ukudlanga

I-cystitis

Izifundo zakamuva zibonisa Abesifazane abayi-10 kwabayi-100 bane-cystitis eyinkimbinkimbi okungenani kanye ngonyaka, ingxenye yabo ezoba ne-cystitis futhi kungakapheli unyaka owodwa. Ngokusho kweCenters for Disease Control and Prevention (CDC), abesifazane banamathuba amaningi okuthola i-cystitis kunabesilisa.

I-DWS

Ucwaningo lukhombisa 50% kuya ku-60% yabesifazane bayozwa okungenani i-UTI eyodwa ngesikhathi sokuphila kwabo. Ama-UTI nawo angabuya. Abesifazane abangaphezu kwekota bathola i-UTI ephindaphindwayo ezinyangeni eziyisithupha zesiqephu sabo sokuqala. Futhi ukwanda kwama-UTIs kuyanda ngeminyaka. Yize kwenzeka kakhulu kwabesifazane, abesilisa nezingane nabo basengozini.

I-cystitis vs ukusabalala kwe-UTI
I-cystitis	I-DWS
Ithinta abesifazane abaningi kunabesilisa U-10% wabesifazane uyathinteka ngonyaka Ama-50% wabesifazane abatholakala ukuthi bane-cystitis bazobhekana ne-cystitis ephindaphindwayo	Ithinta abesifazane abaningi kunabesilisa Ama-50% -60% abesifazane anakho okungenani oyedwa ngesikhathi sokuphila kwabo Ama-20% wabesifazane asebekhulile kunama-65 ahlangabezana nama-UTIs uma kuqhathaniswa ne-11% yabesifazane bonke Ama-27% wabesifazane bane-UTI ephindaphindayo ezinyangeni eziyisithupha ze-UTI yabo yokuqala

Izimpawu

Kukhona ukugqagqana phakathi kwezimpawu zomchamo we-cystitis nama-UTIs, kufaka phakathi igazi emchameni, ukuchama kaningi noma okubuhlungu ( i-dysuria ), isifiso esiphikelelayo sokuchama kodwa ngokukhipha okuncane, ingcindezi ye-pelvic, nobuhlungu esiswini esingezansi.

I-cystitis

I-cystitis ingadala izinkinga ukuchama futhi ikwenze uzizwe ungaphathekile kahle jikelele. Izimo eziningi zimnene futhi ziyathuthuka zodwa ezinsukwini ezimbalwa, kodwa qiniseka ukubona umhlinzeki wakho uma izimpawu zakho zinzima noma zingathuthuki.

I-DWS

Izimpawu ze-UTIs eziyinkimbinkimbi ezingabonakali nge-cystitis zifaka imfiva noma ubuhlungu emuva nangemuva, zombili ezibonisa ukutheleleka kwezinso (pyelonephritis).

I-cystitis vs. izimpawu ze-UTI
I-cystitis	I-DWS
Igazi emchameni Ukuchama njalo, okubuhlungu Ukucindezela kwepelvic, ubuhlungu besisu obuphansi Umuzwa ojwayelekile we-malaise Umchamo omnyama, onamafu, onuka kabi Isidingo esinamandla, esiphikelelayo sokuchama ngokukhipha okuncane Isidingo sokuchama ebusuku	Igazi emchameni Ukuchama njalo, okubuhlungu Ukucindezela kwepelvic, ubuhlungu besisu obuphansi Umuzwa ojwayelekile we-malaise Umchamo omnyama, onamafu, onuka kabi Isidingo esinamandla, esiphikelelayo sokuchama ngokukhipha okuncane Isidingo sokuchama ebusuku Ubuhlungu emhlane ongezansi noma ezinhlangothini (izinso) Imfiva / amakhaza Ukungazibambi Ukuhlanza

Ukuxilongwa

I-cystitis

Uma uhlangabezana nezimpawu ze-cystitis, kuzokwenziwa uhlolo lwe-urinal ukuze kuhlolwe isampula lomchamo wakho kubhaktheriya. A cystoscopy , inqubo esebenzisa ithubhu ezacile enekhamera ukuhlola umgudu wokuchama, noma i-imaging (i-X-ray, i-ultrasound, i-CT, noma i-MRI) ingenziwa ngudokotela wezifo zomchamo ukuthola izimbangela zokuvuvukala kwesinye nobuhlungu besinye.

I-DWS

Umhlinzeki wakho wezokunakekelwa kwempilo uzobuza ngezimpawu, enze ukuhlolwa komzimba, futhi ahlele ukuhlolwa okulula kokuchama ukuze afune amaseli amhlophe egazi (ubomvu), amaseli abomvu egazi (igazi), kanye namagciwane kusampula yomchamo wakho. Ukuba khona kwalawa maseli kubonisa ukutheleleka. Amagciwane avela kusampula yomchamo avame ukutshalwa ebhodini ukukhomba umthombo we-UTI futhi anqume indlela yokwelashwa engcono kakhulu. Ngoba okuvela njalo Ama-ICU , i-CT scan noma i-MRI ingahle ikhonjwe ukukhomba ukungahleleki komgudu wokuchama, noma udokotela wakho angaqhuba i-cystoscopy, ahlole isinye nomgudu womchamo usebenzisa i-cystoscope encane eguquguqukayo.

I-cystitis vs. Ukuxilongwa kwe-DWS
I-cystitis	I-DWS
Ukuhlolwa komchamo I-X-ray, i-ultrasound, i-CT scan, noma i-MRI yezithombe zelebhu zomgudu womchamo I-cystoscopy	Ukuhlolwa komchamo Isiko lomchamo I-CT scan noma i-MRI yezithombe zelebhu zomgudu womchamo I-cystoscopy

Ukwelashwa

I-cystitis

Amacala amancane we-cystitis engenasifo angalashwa ekhaya, kepha kufanele ubone udokotela wakho ojwayelekile uma izimpawu zingathuthuki ezinsukwini ezimbalwa. Izinyathelo zokuzisiza ukuphatha izimpawu kubandakanya ukuphuza amanzi amaningi, ukugwema i-caffeine kanye nokudla kwe-citrus, ukungayi ocansini, nokuphuza ijusi le-cranberry elingenashukela. Gwema i-caffeine notshwala, faka iphedi yokufudumeza, futhi ungawubambi umchamo wakho. Funa iseluleko sezokwelapha ngamacala angaxazululiwe we-cystitis, okuvame ukudinga inkambo yama-antibiotic. Imithi evame ukusetshenziselwa i-cystitis ifaka:

Ibuprofen
I-Acetaminophen
I-Monurol (fosfomycin)
IBactrim (i-trimethoprim / sulfamethoxazole)
I-Cipro (ciprofloxacin)
I-Levaquin (levofloxacin)
I-Augmentin (amoxicillin / clavulanate)
I-Omnicef (cefdinir)

I-DWS

Amakhambi afanayo asekhaya we-cystitis angasiza kuma-UTIs. Kungasiza ukukhuphula umthamo wakho wevithamini C nama-probiotic ukuze uxhase amasosha omzimba kanye nempilo yomgudu womchamo. Bhekisisa izimpawu, ngoba ukutheleleka okunzima kwamagciwane esinyeni noma izinso kungadinga ukwelashwa ngemithi elwa namagciwane esibhedlela. Ngenxa yokuthi ama-UTIs amaningi abangelwa amagciwane egciwane, ama-antibiotic ngokuvamile aqinisekisiwe ukuqeda ukutheleleka. Umhlinzeki wakho wezokunakekelwa kwempilo angancoma omunye wemithi ye-cystitis engenhla, noma anikeze inkambo yalawa ma-antibiotic asuselwa ohlotsheni lwama-bacteria akhona:

I-Macrobid (i-nitrofurantoin monohyd macro)
IMacrodantin (nitrofurantoin macrocrystal)
UKeflex(cephalexin)
I-Ceftriaxone
I-Trimethoprim

I-cystitis vs. ukwelashwa kwe-UTI
I-cystitis	I-DWS
Thatha ukudambisa izinhlungu kwe-OTC ukuthola impumuzo Thatha ama-antibiotic njengoba kunqunyiwe Phuza amanzi amaningi Gwema ukudla okune-caffeine, utshwala, namawolintshi Phuza ijusi le-cranberry elingenashukela	Thatha ukudambisa izinhlungu kwe-OTC ukuthola impumuzo Thatha ama-antibiotic njengoba kunqunyiwe Phuza amanzi amaningi Gwema ukudla okune-caffeine, utshwala, namawolintshi Phuza ijusi le-cranberry elingenashukela Ukwengeza nge-vitamin C nama-probiotics

OKUSHIWO: Yini ama-probiotic?

Izici zobungozi

I-cystitis

Abesifazane banamathuba amaningi okuthola i-cystitis kunabesilisa. Abantu abadala asebekhulile nabo banamathuba amaningi okuthola i-cystitis ngoba isinye kungenzeka singabi nalutho ngokuphelele ngenxa yezinye izimo zezempilo ezifana ne-prostate enwetshiwe noma i-bladder prolapse.

I-DWS

Ama-UTI ajwayelekile kakhulu kwabesifazane kunabesilisa ngoba ama-urethras abo amafushane futhi asondele kakhulu kunxande; ngakho-ke, amabhaktheriya angangena emgudwini wokuchama bese eya esinyeni kalula. Abantu abanesifo sikashukela nabo banamathuba amaningi okuthola ama-UTIs ngoba umchamo wabo unamazinga aphezulu kashukela — indawo lapho amagciwane ekhula kalula khona. Izinguquko zeHormonal ngesikhathi sokukhulelwa zenza ukuphuma komchamo kuhamba kancane futhi kudale indawo evumela ukukhula kwamagciwane. Ngesikhathi sokunqamuka kokuya esikhathini, umzimba ukhiqiza i-estrogen encane, okuyisici esandisa ubungozi bama-UTIs.

I-cystitis vs. izici zengozi ye-UTI

I-cystitis

I-DWS

I-UTIs yakamuva noma ephindaphindwayo
Ukuba ocansini
Ukusetshenziswa kwemithi yokuvimbela inzalo
Ama-Irritants avela kumikhiqizo yenhlanzeko yabesifazane (ama-douches, izimpushana, izifutho)
Usebenzisa ipayipi
I-Chemotherapy noma i-radiation therapy
I-prostate ekhulisiwe emadodeni
Isifo sikashukela
Amatshe ezinso
I-HIV
Ukulimala komgogodla
Ukuvinjelwa kokuzalwa
Abantu abangenakuqedwa
Abantu abadala

Ukuba ne-UTI noma i-urethritis esikhathini esedlule
Ukwenza ucansi njalo noma umlingani omusha ocansini
Izinguquko zebhaktheriya kusukela ekunqamukeni kokuya esikhathini noma ukuvimbela inzalo ye-spermicidal
Ukukhulelwa
Izingane kanye nabantu abadala abadala kunama-30 basengozini eyengeziwe
Inhlanzeko engafanele, ejwayelekile ezinganeni zabesifazane
Ukulinda isikhathi eside kakhulu ukuchama
Ukungaphuzi amanzi anele

Ukuvimbela

I-cystitis

Yize ingekho indlela efakazelwe yokuvimbela i-cystitis, ukwenza ukuguqulwa kwendlela yokuphila kungahamba ibanga elide ekunciphiseni izimpawu nobungozi bokutheleleka. Izinguquko zendlela yokuphila zibandakanya ukuhlanzeka okuhle kwezitho zangasese, ukuchama ngemuva kocansi, nokugeza ngaphandle kokugeza.

I-DWS

Izindlela ezifanayo zokuvimbela i-cystitis nazo ziyasebenza kuma-UTIs. Ukuvimbela ama-UTIs ukuthi enzeki, qiniseka ukwenza inhlanzeko enhle: njalo sula kusuka ngaphambili uye emuva futhi uvikele ukusetshenziswa kwezingqimba zangasese, izimpushana, kanye nezifutho. Hlala unamanzi ngokuphuza amanzi amaningi, ungalokothi ubambe umchamo wakho isikhathi eside, futhi uqiniseke ukuthi uchama ngemuva kokwenza ucansi. Ijusi le-cranberry elingenashukela lingasiza ekuvimbeleni amabhaktheriya u-E.Coli ekunamatheleni odongeni lwesinye. Umhlinzeki wakho wezokunakekelwa kwempilo angakunikeza i-antibiotic ezothathwa ngemuva kocansi ezimweni zokuphindaphindeka kwe-UTIs.

Ungayivimbela kanjani i-cystitis vs. UTI
I-cystitis	I-DWS
Zijwayeze ukuhlanzeka kwezitho zobulili okuhle (sula kusuka ngaphambili kuye emuva) Chama ngemuva kocansi Gwema imikhiqizo yenhlanzeko yabantu besifazane ngezinto ezingacasula (amadouches, izimpushana, izifutho) nama-spermicides Lala ngokwanele Gwema ukucindezeleka Thatha izihlambi kunokugeza	Zijwayeze ukuhlanzeka kwezitho zobulili okuhle (sula kusuka ngaphambili kuye emuva) Chama ngemuva kocansi Gwema imikhiqizo yenhlanzeko yabantu besifazane ngezinto ezingacasula (amadouches, izimpushana, izifutho) nama-spermicides Phuza ijusi le-cranberry elingenashukela Hlala u-hydrated

Ungabona nini umhlinzeki wezokunakekelwa kwempilo we-cystitis noma i-UTI

Izingane ezincane kanye nabesilisa kufanele babone umhlinzeki wezokunakekelwa kwezempilo lapho bebhekene nezimpawu ze-UTI noma i-cystitis ukukhipha ezinye izimo ngoba zombili lezi zimo zingaba zimbi kakhulu phakathi kwala maqembu.

Kwabesifazane abathola izimpawu ze-UTI ezihlala isikhathi eside kunezinsuku ezintathu, bheka umhlinzeki wezokunakekelwa kwempilo ukuze athole ukuxilongwa nokwelashwa okufanele. Ngoba amacala abucayi angaholela ekuthelelekeni okubi kakhulu kwesinye noma kwezinso okudinga ukwelashwa esibhedlela, kubalulekile ukuthi ufune ukwelashwa ngokushesha okukhulu. Noma yiziphi kulezi zimpawu ezilandelayo ziqinisekisa iseluleko somhlinzeki wezokwelapha:

Ukuchama okubuhlungu, okushisayo / okuhlabayo
Isidingo esiphuthumayo sokuchama kaningi kepha ngamanani amancane
Umchamo onegazi, omnyama, onamafu, noma onuka kabi
Ubuhlungu esinyeni noma ezindaweni ezizungezile
Imfiva / amakhaza

Xoxa ngokuningiliziwe ngezimpawu zakho nomhlinzeki wakho wezokunakekelwa kwempilo, ufune iseluleko sabo maqondana nokuhlolwa kokuxilongwa ukuze ukhiphe ezinye izifo.

Imibuzo ebuzwa njalo mayelana ne-cystitis ne-UTI

Uyini umehluko phakathi kwe-cystitis ne-UTI?

I-UTI ingenzeka kunoma iyiphi ingxenye yomgudu womchamo: i-urethra, i-ureters, izinso, noma isinye. Uma ukutheleleka kuhlala ku-urethra, kubhekwa njenge-urethritis. I-urethra iyishubhu evumela umzimba ukuba ukhiphe umchamo futhi ixhunywe esinyeni. Uma ukutheleleka kwenzeka emgudwini ophansi womchamo nasesinyeni, kubhekwa njenge-cystitis. Ama-ureters, amashubhu amabili amancane, achitha umchamo kusuka ezinso ungene esinyeni. Izinso zinesibopho sokususa imfucuza namanzi amaningi emzimbeni. Uma ukutheleleka kudlulela emkhakheni ophezulu we-urinary nezinso, kubhekwa njenge-pyelonephritis.

Ngabe i-UTI ingadala i-cystitis?

Yize kungezona zonke izifo ezithinta umchamo eziholela ku-cystitis, kungenzeka ukuthi ama-UTIs angalashwa asakaze esinyeni. Ukutheleleka kwesinye okubangela i-cystitis wuhlobo oluthile lokutheleleka ngomgudu womchamo okuvame ukwenzeka lapho amagciwane avela kwenye ingxenye yomgudu wokuchama engena esinyeni. Ukuvimbela lokhu ukuthi kungenzeki, bheka umhlinzeki wakho wezokunakekelwa kwempilo ukuthola ukwelashwa kwe-UTI ngokushesha.

Yini engase iphanjaniswe ne-UTI?

Kunezimo eziningana izimpawu zazo ezilingisa ama-UTIs. Izifo ezithathelwana ngocansi (i-gonorrhea, i-chlamydia, ne-mycoplasma) zidala nezimpawu ezivamile kuma-UTIs, njengokuchama kabuhlungu nokukhipha.

I-Vaginitis, ebangelwa amagciwane noma imvubelo, ingaholela ekuzweleni okushisayo lapho uchama nokungahambi kahle okufanayo okungalingisa i-UTI.

Imvamisa kuyiphutha nge-UTI, i-interstitial cystitis (IC), noma isimo esibuhlungu sesinye, yisimo esingelapheki esithinta isinye esingathuthuki ngokwelashwa kwama-antibiotic. Izimpawu ze-IC zifaka phakathi ukuphuthuma okwandayo kanye nokuchama kaningi kanye nobuhlungu endaweni ye-pelvic.

Eminye imibandela okufanele isuswe yisinye esisebenza ngokweqile, ukukhulelwa, i-prostatitis, isifo sikashukela, umdlavuza namatshe ezinso.

Yini indlela esheshayo yokususa i-cystitis?

Uma izimpawu zinzima noma zingathuthuki ezinsukwini ezintathu, kubalulekile ukubona umhlinzeki wakho wezokunakekelwa kwempilo. Yize izindlela zokuzisiza zingasiza ekunciphiseni izimpawu, ama-antibiotic ayindlela esheshayo nephumelela kunazo zonke yokwelapha i-cystitis.