Zamkatimu
- Zonse zomwe muyenera kudziwa zokhudza matenda a mkodzo kapena cystitis
- Matenda a mkodzo: ndichiyani?
- Chilichonse chomwe muyenera kudziwa zokhudza matenda a mkodzo kapena cystitis: mvetsetsani zonse mu 2 min
- Kodi zizindikiro za matenda a mkodzo ndi chiyani?
- Ndi anthu ati omwe ali pachiwopsezo cha matenda a mkodzo?
- Ndi zinthu ziti zomwe zingawopsyeze matenda a mkodzo?
- Kodi mungapewe bwanji cystitis?
- Kodi kuchiza cystitis?
- Lingaliro la dokotala pa matenda a mkodzo
- Njira zowonjezera
Zonse zomwe muyenera kudziwa zokhudza matenda a mkodzo kapena cystitis
Matenda a mkodzo: ndichiyani?
A matenda thirakiti mkodzo, wotchedwanso "chotupa"Ndi matenda zomwe zingakhudze gawo limodzi kapena zingapo za dongosolo la mkodzo: impso, ureters, chikhodzodzo ndi urethra. Nthawi zambiri amawonetsedwa ndi ululu kapena kuyaka pokodza (= kutuluka kwa mkodzo), nthawi zina ndi ululu wa m'mimba ndi kutentha thupi.
Nazi ntchito zazikulu za mbali zosiyanasiyana za mkodzo:
- The chiuno onetsetsani kusefa kwa magazi. Amalola kuti zinyalala zichotsedwe komanso zimagwiranso ntchito yofunikira pakuwongolera madzi amthupi komanso kuthamanga kwa magazi.
- The ochita ndi tinjira tating'ono tomwe timalola mkodzo kupita ku chikhodzodzo.
- La chikhodzodzo amagwira ntchito ngati posungira mkodzo.
- THEurethra amatsogolera mkodzo kuchokera kuchikhodzodzo kupita kunja kwa thupi.
Mitundu yosiyanasiyana ya matenda a mkodzo thirakiti
Pali mitundu itatu ya matenda a mkodzo, kutengera komwe kuli matenda.
Matenda a cystitis, pamene mabakiteriya amapezeka Escherichia coli mumkodzo
Ndi matenda ofala kwambiri a mkodzo, cystitis imakhudza amayi okha. Ndiko kutupa kwa chikhodzodzo. Nthawi zambiri, kutupa kumachitika chifukwa cha kuchuluka kwa mabakiteriya am'mimba monga Escherichia coli, zomwe zimakhala zambiri kuzungulira anus. Tizilombo toyambitsa matenda timadutsa m'chikhodzodzo ndi kumatako kupita ku chikhodzodzo. Chilichonse chomwe chimalepheretsa kutulutsa chikhodzodzo kumawonjezera chiopsezo cha cystitis chifukwa chimawonjezera kusungidwa kwa mkodzo komanso nthawi yakukula kwa mabakiteriya. Cystitis nthawi zonse limodzi ndi urethritis, kutupa mkodzo.
Matenda a urethritis
Ngati matendawa akhudza mkodzo wokha (njira yomwe imalumikiza chikhodzodzo ndi nyama yamkodzo), amatchedwa urethritis. Awa nthawi zambiri amakhala matenda opatsirana pogonana (STIs) omwe amapezeka mwa amuna. Ndipo akazi nawonso amavutika nazo. Matenda osiyanasiyana amatha kuyambitsa urethritis. Odziwika kwambiri ndi chlamydia ndi gonococcus (mabakiteriya omwe amachititsa chinzonono). Mwa amuna, urethritis imatha kutsagana ndi prostatitis (matenda a prostate).
Phaleonfili
Pyelonephritis ndi matenda oopsa kwambiri. Amatanthawuza kutupa kwa chiuno (mtsempha wa impso womwe umatolera mkodzo) ndi impso yokha. Izi nthawi zambiri zimachokera ku matenda a bakiteriya. Zitha kukhala zovuta za cystitis yosachiritsika kapena yoyipa yomwe imayambitsa kukwera kwa mabakiteriya kuchokera pachikhodzodzo kupita ku impso, ndi kuchuluka kwawo komweko. Pachimake pyelonephritis amapezeka nthawi zambiri mwa amayi, ndipo amapezeka kwambiri mwa amayi apakati. Zimakhalanso zofala kwa ana omwe kusokonezeka kwa ureters kumapangitsa kuti mkodzo ubwerere kuchokera ku chikhodzodzo kupita ku impso. Onani zambiri za pyelonephritis.
Chilichonse chomwe muyenera kudziwa zokhudza matenda a mkodzo kapena cystitis: mvetsetsani zonse mu 2 min
Ambiri omwe amakhudzidwa ndi matenda amkodzo: amuna kapena akazi?
Nthawi zambiri matenda opangira mkodzo zimatengera zaka komanso jenda.
Matenda a mkodzo mwa amayi
The akazi amakhudzidwa kwambiri kuposa amuna, chifukwa mkodzo wa akazi, wamfupi kuposa amuna, umathandizira kulowa kwa mabakiteriya mu chikhodzodzo. Akuti 20% mpaka 40% ya azimayi ku North America adadwalapo matenda amtundu umodzi wa mkodzo. Amayi ambiri amadwala matenda opitilira m'modzi m'moyo wawo wonse. Pafupifupi 2% mpaka 3% ya amayi akuluakulu amanenedwa kuti ali ndi cystitis chaka chilichonse.
Matenda a mkodzo mwa amuna
Anyamata sakhudzidwa pang'ono ndi matendawa, amuna okhwima omwe ali ndi vuto la prostate ali pachiwopsezo chachikulu.
Malinga ndi ana ndi, sakhudzidwa kawirikawiri. Pafupifupi 2% ya makanda ndi makanda amadwala matenda a mkodzo. Makamaka ndi ana aamuna omwe amakhala ndi vuto la mkodzo. Pofika zaka 6, 7% ya atsikana ndi 2% ya anyamata amakhala ndi matenda a mkodzo kamodzi kokha.19.
Zomwe zimayambitsa matenda a mkodzo ndi chiyani?
Nthawi zambiri, mkodzo ndi wosabala. Muli 96% madzi, mchere ndi organic zigawo zikuluzikulu, koma alibe tizilombo. Mkodzo uli ndi zambiri chitetezo motsutsana ndi matenda:
- le kutuluka kwa mkodzo imatulutsa mabakiteriya ndikupangitsa kuti zikhale zovuta kukwera ku chikhodzodzo ndi impso;
- ndiacidity mkodzo (pH osakwana 5,5) umalepheretsa kukula kwa mabakiteriya;
- la yosalala kwambiri pamwamba pa mkodzo zimapangitsa kuti mabakiteriya akhale ovuta kuwuka;
- la mitundu ureters ndi chikhodzodzo amalepheretsa mkodzo kubwerera ku impso;
- le chitetezo kawirikawiri kumenyana ndi matenda;
- la khoma la chikhodzodzo lili ndi maselo oteteza thupi komanso antibacterial zinthu;
- mwa amuna, zinsinsi Prostate ili ndi zinthu zomwe zimachepetsa kukula kwa mabakiteriya mu mkodzo.
Komabe, ngatimatenda thirakiti mkodzo, tizilombo toyambitsa matenda (mabakiteriya nthawi zambiri) amatha "colonize" dongosolo la mkodzo. Mkodzo umakhala woipitsidwa: ndikuyang'ana kupezeka kwa mabakiteriya mumkodzo kuti adokotala amatsimikizira kuti ali ndi matenda a mkodzo. Kuwonongeka kwa bakiteriya nthawi zambiri kumakhala kosavuta chifukwa chosamwa mokwanira.
Pa 80% ya matenda a mkodzo thirakiti, causative chamoyo ndi matumbo mabakiteriya Type Escherichia coli. Mabakiteriya ena omwe amapezeka kawirikawiri ndi Proteus mirabilis, Staphylococcus saprophyticus, Klebsiella... Matenda ena opatsirana pogonana (gonococcal, Chlamydiae) Atha kuwonetsanso ngati urethritis.
Nthawi zambiri, ma UTI amatha kuyambitsidwa ndi mabakiteriya omwe afalikira ku mkodzo kuchokera ku matenda ena m'thupi.
Mukufuna malangizo azachipatala mwachangu? Onani dokotala pavidiyo, kunyumba ndi kukatenga mankhwala ngati pakufunika. Kuzindikira kwachipatala masiku 7 pa sabata kuyambira 7am mpaka pakati pausiku.
Onani dokotala Pano
Funso la anatomyMwa akazi, kuyandikira pakati pa anus ndi kutsegula kunja kwa mkodzo (nyama ya mkodzo) imathandizira kwambiri kulowa kwa mkodzo kupita ku mabakiteriya am'mimba kuchokera ku rectum (Enterobacteriaceae), monga Escherichia coli. Kuphatikiza apo, mtsempha wa mkodzo wachikazi ndi wamfupi kwambiri (osachepera 4 cm), izi zimathandizira kuti mabakiteriya alowe mchikhodzodzo. Kuonjezera apo, mimba, kugwiritsa ntchito diaphragm poletsa kubereka, komanso kugwiritsa ntchito ma tampons pa nthawi ya kusamba kumawonjezera chiopsezo cha UTI. Mwa anthu achichepere, matenda a mkodzo (makamaka urethritis) nthawi zambiri amalumikizidwa ndi kugonana. Kwa mwamuna wachikulire, nthawi zambiri zimagwirizanitsidwa ndi vuto la prostate. Chifukwa chake mwamuna wazaka zopitilira 50 akakhala ndi UTI, nthawi zambiri imalumikizidwa ndi matenda a prostatic hypertrophy kapena kutupa komwe kumalepheretsa chikhodzodzo kutulutsa kwathunthu. Mwa ana, matenda a mkodzo angakhale chizindikiro cha kusakhazikika kwa thupi la mkodzo ndipo ayenera kuthandizidwa ndi dokotala kuti apewe vuto la mkodzo kuti likhale losatha. Kawirikawiri, munthu akakhala ndi vuto losatha la mkodzo (kuwonongeka kwa anatomical, matenda a impso kapena chikhodzodzo, miyala kapena "miyala" mumkodzo), si zachilendo kuti avutike. matenda obweranso. |
Ndi zovuta zotani za cystitis?
ngatimatenda ikasiyidwa, kachilombo koyambitsa matenda kumapitilira kuchulukirachulukira ndikulowa m'njira ya mkodzo. Izi zingayambitse vuto lalikulu la impso, monga kachirombo. Mwapadera, matenda a mkodzo amatha kuwonjezereka mpaka kuchititsa sepsis kapena kulephera kwa impso. Nthawi zonse, ndikofunikira kukaonana ndi dokotala ngati pali zizindikiro za matenda a mkodzo.
Kodi zizindikiro za matenda a mkodzo ndi chiyani?
Zizindikiro zofala kwambiri
- ubwino ululu ku amayaka mu urinant.
- Kukodza pafupipafupi masana (nthawi zina kukodza kumachitikanso usiku).
- Kumverera kosalekeza kofuna kukodza.
- Mkodzo wamtambo wotulutsa fungo losasangalatsa.
- Kulemera m'munsi pamimba.
- Nthawi zina magazi mu mkodzo.
- Palibe malungo ngati ndi cystitis yosavuta.
Pankhani ya matenda a impso
- Kutentha kwakukulu.
- Zovuta.
- Kupweteka kwambiri m'munsi kumbuyo kapena pamimba kapena ziwalo zogonana.
- Kusanza.
- Kuwonongeka kwa chikhalidwe.
- Zizindikiro za cystitis (kuwotcha, kukodza pafupipafupi) zitha kupezeka kapena kulibe. Iwo palibe mu 40% ya milandu21.
Mwa ana
Kwa ana, matenda a mkodzo amatha kuwoneka ngati atypical. Nthawi zina chotupa zimayambitsa malungo popanda zizindikiro zina. Kupweteka kwa m'mimba ndi kukodzera pabedi kungakhalenso zizindikiro za matenda a mkodzo. Kwa ana ang'onoang'ono, kumverera koyaka pamene mukukodza kungawonekere ngati kudandaula kapena kulira pamene mukukodza.
Mwa makanda ndi makanda, UTI ndizovuta kwambiri kuzindikira. Nthawi zambiri amatsagana ndi malungo, kukana kudya, ndipo nthawi zina kusokonezeka kwa m'mimba komanso kukwiya.19.
Mu okalamba:
Zizindikiro za matenda a mkodzo amathanso kusocheretsa: kutentha thupi popanda zizindikiro zina, kusadziletsa kwa mkodzo kapena kusokonezeka kwa m'mimba (kusowa kwa njala, kusanza, etc.).
Onaninso: Momwe mungatanthauzire zotsatira za urinalysis? |
Ndi anthu ati omwe ali pachiwopsezo cha matenda a mkodzo?
- Amayi, makamaka amene amagonana. Chiwopsezo cha matenda ndichokwera nthawi 50 kuposa amuna.
- Amuna omwe ali ndi benign prostatic hyperplasia kapena prostatitis (kutupa kwa prostate). Ikakula kukula, prostate imakanikizira mkodzo, zomwe zimachepetsa kutulutsa kwa mkodzo, kumawonjezera chiopsezo chokhala ndi mkodzo wotsalira mu chikhodzodzo pambuyo pokodza, ndikuthandizira matenda.
- Amayi apakati ali pachiwopsezo makamaka chifukwa cha kupsyinjika kwa mwana pamikodzo, komanso kusintha kwa mahomoni komwe kumachitika pathupi.
- Azimayi pambuyo pa kusintha kwa thupi17, omwe amatha kudwala vaginosis, matenda a bakiteriya a nyini. Kuphatikiza apo, kuchepa kwa estrogen komwe kumayenderana ndi kusintha kwa msambo kumathandizira ku UTI.
- Anthu odwala matenda a shuga, chifukwa cha kuchuluka kwa shuga m'mkodzo wawo, komwe ndi malo abwino oti mabakiteriya akule, komanso kuwonjezereka kwawo kwa matenda.
- Anthu omwe adalowetsedwa ndi catheter mu urethra. Anthu omwe sangathe kukodza, omwe sadziwa kapena akudwala kwambiri nthawi zambiri amafunikira catheter pamene akuchira. Anthu ena omwe ali ndi vuto la mitsempha amafunikira moyo wawo wonse. Tizilombo toyambitsa matenda timakwera pamwamba pa chubu chofewa kupita kuchikhodzodzo ndipo amatha kulowa m'chikhodzodzo. Akagwidwa m'chipatala, mabakiteriyawa angakhale atayamba kusamva mphamvu zomwe zimafunika kuti agwiritse ntchito mankhwala amphamvu kwambiri.
- Anthu amene structural abnormality wa kwamikodzo thirakiti, amene akudwala impso miyala kapena zosiyanasiyana minyewa matenda.
- Okalamba, omwe nthawi zambiri amaphatikiza zinthu zingapo pamwambapa (kupumula kwa bedi, kugona m'chipatala, catheter yamkodzo, matenda a minyewa, matenda a shuga). Choncho, 25% mpaka 50% ya amayi ndi 20% ya amuna opitirira zaka 80 amatha kudwala matenda a mkodzo pafupipafupi.
Ndi zinthu ziti zomwe zingawopsyeze matenda a mkodzo?
Mwa akazi
- Kugonana, makamaka ngati kuli koopsa komanso kawirikawiri pambuyo pa nthawi yodziletsa. Chodabwitsa ichi chikufotokozedwanso kuti " honeymoon cystitis ".
- Amayi ena amagwiritsa ntchito a zakulera ngati njira yolerera, mtsempha wa mkodzo umakhazikika, zomwe zimapangitsa kuti chikhodzodzo zisatuluke kwathunthu ndikupangitsa kuti matenda a chikhodzodzo asavutike.
- Mukatuluka m'matumbo, kupukuta kuchokera kumbuyo kupita kutsogolo ndi pepala lachimbudzi ndikoopsa. ndi kupukuta kayendedwe ziyenera kuchitidwa nthawi zonse kuchokera kutsogolo kupita kumbuyo kuti zisawononge urethra ndi mabakiteriya ochokera ku anus. Kuonjezera apo, maliseche ndi maliseche ayenera kutsukidwa mosamala nthawi zonse, zomwe zimathandiza kuthana ndi kuchulukana kwa mabakiteriya.
- Mwa amayi ena, kugwiritsa ntchito mankhwala ophera umuna Zingayambitse urethritis.
- Nthawi ya msambo ndi nthawi yoopsa, chifukwa magazi ochokera m'mipukutu kapena tampons ndi chikhalidwe chabwino cha mabakiteriya. Choncho ndikofunikira kuti musasunge chitetezochi kwa nthawi yayitali.
Kwa amuna
- Sodomu popanda kondomu kumawonjezera chiopsezo chotenga kachilomboka, chifukwa mabakiteriya omwe ali nawo amapezeka mu anus.
Kodi mungapewe bwanji cystitis?
Njira zodzitetezera |
Malangizo ochepetsera chiopsezo cha UTI
Mwa akazi
Kwa amunaNdizovuta kwambiri kupewa UTI mwa amuna. Ndikofunika kumwa mowa wokwanira kuti ukhale wabwino kutuluka kwa mkodzo, ndi ndondomeko a matenda a prostate Ngati izo zachitika. Komanso, urethritis lolingana ndi matenda opatsirana pogonana angathe kupewedwa pogwiritsa ntchito kondomu pogonana ndi wina aliyense watsopano (kapena watsopano). Kutupa kwa mkodzo kumakhala kofala mwa amuna omwe amadwala chinzonono kapena mauka.
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Njira zopewera zovuta |
Kuchiza matenda a chikhodzodzo ndi maantibayotiki amapewa kachirombo, matenda oopsa kwambiri. Ndikofunika kuti musadzichiritse nokha, mwachitsanzo, kumwa maantibayotiki aliwonse otsala pamankhwala am'mbuyomu. Kugwiritsa ntchito molakwika maantibayotiki popanda kutsatira malangizo a dokotala kungapangitse cystitis kukhala yovuta kuchiza ndikuyipitsa. |
Njira zopewera kubwereza |
Matenda a mkodzo amapezeka kawirikawiri mwa amayi. Kuphatikiza pa njira zodzitetezera zomwe tazitchula pamwambapa, kupewa mankhwala kapena zachilengedwe kumatha kukhala kothandiza. Kupewa mankhwalaOdwala ena omwe ali ndi matenda amkodzo pafupipafupi (opitilira 2 matenda miyezi 6 iliyonse), mankhwala akhoza zotchulidwa zodzitetezera pa otsika Mlingo kwa miyezi ingapo. Zomwezo zimapitanso kwa amuna omwe mavuto osatha a prostate amawonjezera chiopsezo cha UTI. Choncho, dokotala akhoza kupereka mankhwala opha maantibayotiki tsiku lililonse kwa miyezi ingapo kapena pambuyo pogonana kuti apewe kuyambiranso ndi kulola kuti wodwalayo atenge. chitetezo kuyambiranso kulamulira. Izi zimatchedwa prophylactic antibiotic therapy. Kupewa ndi madzi kiranberiMadzi a kiranberi kumwa pafupipafupi kumachepetsa chiopsezo cha matenda a mkodzo mwa amayi, monga momwe kafukufuku wambiri kapena kusanthula kwawonetsa.1, 3,4,20. Onani gawo la Complementary Approaches. |
Kodi kuchiza cystitis?
Dr Catherine Solano alowererapo muvidiyo kuti afotokoze momwe angathandizire matenda a mkodzo:
Zoyenera kuchita ngati matenda amkodzo ang'ono (urethritis, cystitis)?
The matenda a bakiteriya mkodzo thirakiti zitha kuthandizidwa mwachangu komanso mosavuta kugwiritsa ntchitomankhwala. Kwa milandu yoyambitsidwa ndi mabakiteriya E. coli, dokotala amagwiritsa ntchito mankhwala osiyanasiyana kuphatikizapo amoxicillin (Clamoxyl®, Amoxil®, Trimox®), nitrofurantoin (Macrodantin®, Furadantin®) sulfamethoxazole pamodzi ndi trimethoprim (Bactrim®, Eusaprim®, Septra®) ndi trimethoprim, yokha (Trimpex®) Proloprim®). Kusankhidwa kwa maantibayotiki kumapangidwa akhungu koyambirira, kenako kutengera zotsatira za urinalysis atangopezeka.
Izi zitha kuperekedwa ngati mlingo umodzi kapena ngati 3, 7 kapena 14 tsiku regimen. Nthawi zambiri, chithandizo cha masiku atatu chimaperekedwa (trimethoprim-sulfamethoxazole). Pamene matenda akuwonekera patatha masiku angapo kugonana kosadziteteza, dokotala adzaonetsetsa kuti si matenda opatsirana pogonana (STI) (chinzonono kapena mauka), zomwe zingalungamitse chithandizo chapadera cha maantibayotiki.
Akakonzedwa, zizindikiro nthawi zambiri zimachoka mkati mwa maola 24 mpaka 48, nthawi zina zochepa. Ndikofunika, komabe, kuti nthawi yochepetsera itsatidwe mpaka kalatayo. Ngati maantibayotiki omwe mwasankhidwa sakugwira ntchito pakatha maola 48, dziwitsani dokotala yemwe angakupatseninso wina.
Kulimbikitsa kuthetsa mabakiteriya, m`pofunikanso kumwa kwambiri kuposa nthawi zonse pa mankhwala. Anthu amene amamva ululu kapena kuthamanga m'munsi pamimba akhoza kupeza mpumulo mwa kumwa mankhwala opweteka. Mukhozanso kuika ofunda compress pamimba.
The amayi apakati amawunikiridwa mwadongosolo. Ndikofunikiradi kuzindikira kupezeka kwa matenda a mkodzo pa nthawi yomwe ali ndi pakati ndikuchiza ngati kuli kofunikira. Mu gawo limodzi mwa magawo atatu a milandu, matenda akhoza kufalikira kwa impso ndi kuthekera kubereka msanga kapena mwana wobadwa wochepa thupi. Kugwiritsiridwa ntchito kwa maantibayotiki omwe ali otetezeka kwa mayi ndi mwana wosabadwayo kudzalingaliridwa ngakhale ngati matendawa alibe zizindikiro.
Zoyenera kuchita ngati matenda oopsa a mkodzo (pyelonephritis)?
Ngakhale kuti ma UTI ambiri ndi osavuta kuchiza, nthawi zina kukaonana ndi katswiri ndikofunikira chifukwa chotupa akhoza kuwonetsa kupezeka kwa a matenda kapena kuvutika choipitsitsa. Mwachitsanzo, amuna amisinkhu yonse, amayi omwe ali ndi matenda a mkodzo mobwerezabwereza, amayi apakati, ndi anthu omwe ali ndi pyelonephritis (matenda a impso) ali m'gulu la milandu yovuta kwambiri kuchiza. Nthawi zina amafunika kuwonedwa ndi urologist, katswiri wa mkodzo, kuti ayesedwenso. Ponena za pyelonephritis, nthawi zambiri imabwera pansi pa utsogoleri wamwamsanga. |
Kulimbikira cystitis
Ngati zizindikiro za cystitis kupitiriza pambuyo Vuto la 1 ngakhale mutatsatiridwa bwino ndi maantibayotiki, akhoza kukhala matenda Kugonjetsedwa kwa maantibayotiki wamba. Izi nthawi zambiri zimakhala ndi matenda omwe amapezeka m'chipatala, chifukwa cha catheter ya urethral kapena opaleshoni, mwachitsanzo. Cystitis yomwe imapezeka kunja kwa zipatala imakhalanso yosagonjetsedwa ndi maantibayotiki. Dokotala ndiye adzapereka maantibayotiki oyenerera potengera zotsatira za chikhalidwe cha bakiteriya chotengedwa mumkodzo. Zindikirani kuti chiopsezo chotenga matenda kuchokera ku catheter ya mkodzo chikhoza kuchepetsedwa pogwiritsa ntchito njira yosonkhanitsira mkodzo wosadukiza komanso wosabala, mafuta odzola opha tizilombo komanso kumwa maantibayotiki osakhalitsa.
Pyelonephritis (matenda a impso)
Pyelonephritis imatha kuchiritsidwa ndi mankhwala oletsa kumwa mankhwala, nthawi zambiri fluoroquinolone (Oflocet®, Cipro®, Levaquin®, Oflox®…). Mankhwalawa adzapitilizidwa kwa masiku 14 (nthawi zina 7). Pazovuta kwambiri, kugonekedwa m'chipatala ndikofunikira ndipo maantibayotiki amatha kuperekedwa ndi jekeseni.
Prostatitis
paanthu, matenda a mkodzo omwe amatsagana ndi kupweteka m'munsi pamimba or malungo Zitha kukhala zovuta chifukwa cha prostatitis (yodziwika ndi kafukufuku wa digito wopangidwa ndi dokotala). Izi zimafuna 3 milungu maphunziro a maantibayotiki, ndi maantibayotiki ofanana ndi ntchito pyelonephritis.
Kutsekeka kwa mkodzo
Nthawi zambiri, matenda a mkodzo amatha kukhala okhudzana ndi kutsekeka kwa mkodzo. Ndi za a kuchipatala. Zomwe zimayambitsa kutsekeka (kukulitsa kwa prostate, kusakhazikika kwa thupi, miyala ya impso, etc.), kuwululidwa ndi ultrasound, ziyenera kusamalidwa mwachangu. Kulowetsedwa komwe kumalola kutulutsa mkodzo ndikofunikira21.
Zofunika. Anthu omwe ali ndi UTI ayenera kupewa khofi, mowa, zakumwa za carbonated zomwe zili ndi caffeine, ndi timadziti ta citrus.12. Zakudya zokometsera nazonso ziyenera kuyikidwa pambali mpaka matenda atachotsedwa. Zakudya izi zimakwiyitsa chikhodzodzo ndipo zimakupangitsani kufuna kukodza pafupipafupi. Komanso, madokotala kukumbukira hydrate bwino ndi kulandira njira zopewera Zomwe zafotokozedwa kale. |
Onaninso nkhani yathu "Momwe mungachiritse matenda a mkodzo?"
Lingaliro la dokotala pa matenda a mkodzo
Kwa atsikana, cystitis nthawi zambiri imakhala yabwino komanso yaukhondo (kupukuta kuchokera kutsogolo kupita kumbuyo mutapita kuchimbudzi), chakudya (chakumwa nthawi zambiri) ndi kugonana (pita kukakodza mukatha kugonana) zodzitetezera ndizokwanira. kuwaletsa. Mwa amuna ndi akazi omwe amagonana ndi zibwenzi zambiri komanso popanda kondomu, urethritis yodzipatula (kuwotcha ndi kutulutsa mkodzo kapena popanda chilakolako chokodza) nthawi zina ndi chizindikiro cha matenda opatsirana pogonana. Funsani dokotala kuti akuyeseni, ngati mukukayikira. Dr Marc Zaffran, MD |
Njira zowonjezera
Prevention | ||
Cranberry kapena cranberries | ||
kutema mphini | ||
vitamini C | ||
echinacea | ||
processing | ||
Cranberry kapena kiranberi | ||
Echinacea, nettle, horsetail, horseradish, uva ursi, goldenrod | ||
Hydraste du Canada | ||
Chinese pharmacopoeia, chakudya |
Prevention
Njira zotsatirazi zingathandize kupewa kubwereza.
Cranberry kapena Cranberry (Katemera wa macrocarpon). The kiranberi wakhala akugwiritsidwa ntchito kwa nthawi yaitali kupewa matenda a mkodzo. Ndemanga mwadongosolo1 lofalitsidwa mu 2008 ndi maphunziro angapo osasinthika komanso olamulidwa2-5 kuchitidwa ndi akazi omvera cystitis nthawi zonse zikuwonetsa kuti kudya kwa kiranberi (kapena chotsitsa cha zipatso zouma) chimachepetsa kuyambiranso. Komanso, kumwa kiranberi ndi otetezeka pa nthawi ya mimba22. Malinga ndi kafukufuku, chiwerengero chobwereza chikhoza kuchepa ndi 35% pa chaka chimodzi mwa atsikana. The njira zodzitetezera kiranberi Komabe, sizimawonekera kwambiri mwa ana, okalamba kapena odwala matenda a ubongo20.
Mlingo
Kutenga cranberry ayenera kugwirizana ndi 36 mg wa proanthocyanidin, mfundo yake yogwira ntchito, ziribe kanthu momwe amasonyezera: madzi, kuika maganizo, ufa kapena makapisozi (Source: Dr Sophie Conquy. Recurrent cystitis ndi Cranberry, ndani, liti, bwanji? Nov 2006. Mafunso amakono .)
Imwani 250 ml mpaka 500 ml patsiku la kiranberi wamadzi kapena kutenga, 2 pa tsiku, ofanana 300 mg kwa 400 mg wa olimba Tingafinye mu mawonekedwe a makapisozi kapena mapiritsi. Mutha kudya zipatso zatsopano kapena zowuma pamlingo wa 125 ml mpaka 250 ml patsiku.
Mfundo. Kukonda mapiritsi a Tingafinye wa kiranberi kapena madzi koyera, chifukwa cocktails kuchokera kiranberiali ndi shuga wambiri kapena fructose.
kutema mphini. Mu 1998 ndi 2002, kafukufuku wa 2 wopangidwa mwachisawawa wochitidwa ndi ofufuza a ku Norway anapeza kuti kutema mphini kungathandize kuchiza matenda a mkodzo mwa amayi omwe ali nawo mobwerezabwereza.8,9. Acupuncture ingathandize odwala kuchotsa bwino chikhodzodzo motero kuchepetsa chiopsezo cha matenda a bakiteriya.
Vitamini C Mu 2007, kuyesa kwachipatala kunachitika pakati pa 110 amayi apakati wasonyeza ubwino wotenga vitamini C (100 mg patsiku) pa nthawi ya mimba kuti ateteze matenda a mkodzo23.
echinacea (Echinacea sp.). Echinacea amadziwika chifukwa cha mphamvu zake zolimbikitsa chitetezo, zomwe zasonyezedwa kudzera mu maphunziro ambiri. Chifukwa chake, Echinacea imatha kuteteza UTIs polimbitsa chitetezo chamthupi. Bungwe la World Health Organization limazindikira kugwiritsa ntchito mizu yaE. augustifolia ndi E. pallida monga chothandizira matenda a mkodzo. Pofuna kupewa ndi kuchiza matenda obweranso, bungwe la Germany Commission E likuzindikira kugwiritsa ntchito mbali zamlengalengaE. purpurea.
Mlingo
Gwiritsani ntchito mkati. Onani tsamba la Echinacea.
processing
Chenjezo. Ngati mankhwala otsatirawa agwiritsidwa ntchito, ayenera kuchitidwa mwamsanga pamene zizindikiro zawonekera. zizindikiro zoyamba. Chizindikiro chosavuta kuchizindikira ndi kupweteka pang'ono pokodza. Ngati palibe kusintha komwe kumachitika mkati mwa maola 48 oyamba kulandira chithandizo kapena ngati zizindikiro zikukulirakulira, funsani dokotala. Ngati ululu pamene mukukodza ndi waukulu kapena ngati pali malungo, kupweteka kwa msana kapena kusanza (zizindikiro za matenda aakulu), mankhwala osagwirizana ndi mankhwala amatsutsana. The mankhwala kukhala kofunikira pochiza matenda komanso kupewa zovuta. Dziwani kuti zomwe zili pansipa zikugwirizana ndi chithandizo cha chotupa ndi urethritis okha. |
Kuchulukitsa mkodzo
Therapyulimi wothirira ali ndi kumwa kwambiri amadzimadzi (kuchokera 2 malita mpaka 4 malita amadzimadzi patsiku) ndi zomera zamankhwala mu kulowetsedwa, kuonjezera kutuluka kwa mkodzo ndikuthandizira kuthamangitsidwa kwa mabakiteriya. Dziwani kuti chithandizo cha ulimi wothirira ndi chotsutsana ndi anthu omwe ali ndi vuto lochotseratu lomwe limadziwika ndi kusunga madzi.
Nettle (Urtica dioica). Commission E ndi ESCOP amazindikira kugwiritsa ntchito mbali zamlengalenga za nettle mkati kuthirira impso, chikhodzodzo ndi mkodzo pakatupa.
Mlingo
Ikani 2 g mpaka 5 g wa masamba owuma a nettle ndi maluwa, kwa mphindi 10 mpaka 15, mu 150 ml ya madzi otentha. Tengani katatu patsiku.
Zowonetsa
Chifukwa nettle ikhoza kukhala ndi zotsatira zochotsa mimba, imatsutsana pazochitika za pregnancy, ngakhale kuti palibe milandu yomwe yanenedwa mwa anthu ndipo mwamwambo idaperekedwa ngati chitonthozo kwa amayi apakati kapena oyamwitsa.
Mchira wa Horse (Mzere wa Equisetum). Ochiritsa azitsamba amagwiritsa ntchito mbali zamlengalenga za mbewu zomwe zasonkhanitsidwa mchaka kuti zithandizire kuyenda bwino m'mikodzo ngati pali matenda a bakiteriya. Bungwe la Germany Commission E likuzindikira kugwiritsa ntchito chomera ichi kuchiza matenda a bakiteriya a chikhodzodzo ndi urethra. Field horsetail imadziwika kuti ndi mphamvu yokoka pang'ono yomwe imachokera ku saponins yomwe ili nayo, zomwe zimapangitsa kuti mabakiteriya atuluke mosavuta m'mikodzo. Palibe mayesero azachipatala omwe achitidwa pa anthu kuti atsimikizire kugwira ntchito kwake.
Mlingo
Pangani kulowetsedwa poyika 2 g ya mlengalenga wa horsetail mu 150 ml ya madzi otentha. Lolani kuti muyike kwa mphindi 10 mpaka 15. Imwani chikho, 3 pa tsiku.
ndodo yagolide (Solidago virgaurea). Chomerachi chimakhala ndi mphamvu yowonjezera kuchuluka kwa mkodzo powonjezera kutuluka kwa magazi ndi kusefera kwa impso. Commission E ndi ESCOP imazindikira chithandizo chake chothandizira kusuntha kwa mayendedwe a mkodzo pakachitika matenda a bakiteriya a chikhodzodzo kapena mkodzo.
Mlingo
Ikani 3 g ya mlengalenga wa goldenrod mu 150 ml ya madzi otentha kwa mphindi 10 mpaka 15. Imwani chikho cha kulowetsedwa 2 mpaka 4 pa tsiku pakati pa chakudya.
Kwa iwo antibacterial zotsatira
Kiranberi (Katemera wa macrocarpon). Mayesero okhawo amene ankaganizira kwenikweni mankhwala a cystitis ndi kiranberi zidachitika mu 1960s. Chiwerengero cha maphunziro chinali chaching'ono ndipo ndondomekozo sizinafotokozedwe bwino14. Komanso, zikuoneka kuti nthawi zina mabakiteriya kukana zochita za kiranberi15.
Horseradish (Armoracia rusticana). Horseradish imapezeka kumwera chakum'mawa kwa Europe ndi Western Asia, komwe idalimidwa kuyambira kalekale. Maphunziro okha omwe adachitika ku Germany m'zaka za m'ma 1960 adayang'ana zomwe mbewuyi idachita pa matenda amkodzo komanso ntchito ya antibacterial yamafuta ofunikira omwe amawapanga. Komabe, Commission E imazindikira kufunikira kwake ngati chithandizo chothandizira matenda a mkodzo. Ku United States, mizu ya horseradish imagwiritsidwa ntchito ku Rasapen®, mankhwala ophera tizilombo toyambitsa matenda omwe amaperekedwa kwa matenda amkodzo. Kuphatikiza apo, a FDA amazindikira chitetezo cha chomera ichi.
Mlingo
Adzapatsa 2 g atsopano kapena zouma horseradish mizu mu 150 ml ya madzi otentha kwa mphindi 5. Imwani kangapo patsiku.
Zowonetsa
Horseradish sikulimbikitsidwa kwa amayi apakati kapena oyamwitsa, anthu omwe ali ndi zilonda zam'mimba komanso omwe ali ndi vuto la impso.
Zimbalangondo zamphesa (Arctostaphylos ndi matenda). Malinga ndi maphunziro mu m'galasi, masamba a uva ursi, wotchedwanso kubala mphesa, imatha kukhala ndi antibacterial action. Ku North America, First Nations idagwiritsa ntchito pochiza cystitis. Chinthu chachikulu chomwe chimagwira ntchito pa chomerachi chimatchedwa hydroquinone, metabolite ya arbutin. Chifukwa chake, ndi hydroquinone yomwe ingachite ngatimankhwala osokoneza bongo mu mkodzo. Commission E ndi ESCOP amavomereza kugwiritsa ntchito masamba a uva ursi pochiza matenda osavuta a chikhodzodzo ndi mkodzo.
Mlingo
Thirani 3 g wa masamba a uva ursi mu 150 ml ya madzi otentha kwa mphindi 15. Imwani kanayi pa tsiku ndi chakudya, zomwe zimapangitsa kuti tsiku lililonse arbutin adye 4 mg mpaka 400 mg.
Zowonetsa
Uva ursi amatsutsana ndi amayi apakati kapena oyamwitsa ndi ana osakwana zaka 12.
Mfundo. Chifukwa cha kawopsedwe ka hydroquinone, uva ursi sayenera kugwiritsidwa ntchito nthawi yayitali (osapitirira masabata angapo). Kuonjezera apo, uva ursi ingakhale yothandiza kwambiri pamene mkodzo uli ndi alkaline. Osaphatikiza kutenga uva ursi ndi kiranberi wamadzi kapena vitamini C zowonjezera, zomwe zingapangitse kuti zisagwire ntchito.
Hydraste du Canada (hydratis canadensis). Goldenseal imadziwika chifukwa cha zochita zake polimbana ndi matenda amkodzo. Lili ndi berberine, alkaloid yomwe imalowa m'chikhodzodzo22. Akuti mphamvu yake yolimbana ndi mabakiteriya imachokera ku mphamvu yake yoletsa mabakiteriya kumamatira khoma la chikhodzodzo m'malo mopha tizilombo toyambitsa matenda, monga momwe maantibayotiki amachitira. Mofanana ndi uva ursi, mphamvu ya zitsambazi imakhala yabwino kwambiri pamene mkodzo uli ndi zamchere.
Mlingo
Onani tsamba la Goldenseal.
Zowonetsa
Azimayi oyembekezera ndi oyamwitsa ayenera kupewa kudya goldenseal, malinga ndi olemba ena.
Mfundo. Muchepetse nthawi ya chithandizo mpaka milungu iwiri.
Kulimbitsa chitetezo cha mthupi
echinacea (Echinacea sp.). Echinacea imadziwika chifukwa cha mphamvu zake zolimbikitsa chitetezo chamthupi, zomwe zawonetsedwa ndi kafukufuku wambiri. Choncho, Echinacea ingathandize kulimbana ndi UTIs polimbitsa chitetezo cha mthupi. Bungwe la World Health Organization limazindikira kugwiritsa ntchito mizu yaE. augustifolia ndi E. pallida monga chothandizira matenda a mkodzo. Pofuna kupewa ndi kuchiza matenda obweranso, bungwe la Germany Commission E likuzindikira kugwiritsa ntchito mbali zamlengalengaE. purpurea.
Mlingo
Gwiritsani ntchito mkati. Onani tsamba la Echinacea.
Chakudya. Mu naturopathy, timawona kufunikira kwa zakudya kupatula shuga (ndipo chifukwa chake shuga) kulimbikitsa machiritso kapena kupewa kubwereza.16. Malinga ndi mtundu uwu wa mankhwala, n'zotheka kuti ziwengo zakudya kapena kuchepa kwa zakudya kudyetsa chikhalidwe chobwerezabwereza cha UTIs. Funsani naturopath kuti muwunikire makonda anu.
Chikoka cha zakudya pa matenda a mkodzo thirakiti pakali pano akuphunziridwa. Zakudya zomwe timadya zimakhudza kaphatikizidwe ka chopondapo mu mabakiteriya, omwe nthawi zambiri amakhala ndi matenda amkodzo. Choncho, ofufuza amakhulupirira kuti n'zotheka kuchepetsa chiopsezo cha matenda a mkodzo mwa kudya mosiyana.
The probiotics, mabakiteriya opindulitsawa a m'matumbo ndi kumaliseche, amadzutsa chidwi choletsa matenda obwera chifukwa cha mkodzo.13. Mwachitsanzo, mu 2005, mayesero a amayi 453 omwe ali ndi cystitis anasonyeza kuti kumwa mankhwala ophera tizilombo kwa masiku 90 kunachepetsa chiwerengero cha matenda a mkodzo ndi 34% pa chaka chimodzi.24. Mosiyana ndi zimenezi, kafukufuku wina wasonyeza kuti ma probiotics alibe mphamvu. Zomwe zili choncho sizinali zokwanira.
Kuphatikiza apo, kafukufuku yemwe adachitika mu 2007 adawonetsa kuti kudya kwambiri nyama (makamaka nkhuku) atha kutengapo gawo pazochitika za matenda a mkodzo osamva mankhwala. Mabakiteriya omwe amapezeka mu nyama, omwe nthawi zambiri samva, amatha kuwononga njira ya mkodzo.25.
Chinese Pharmacopoeia. Mu Traditional Chinese Medicine, kukonzekera Dao Chi San et Huang Lian Jie Du Wan Amagwiritsidwa ntchito polimbana ndi matenda a mkodzo, makamaka cystitis. Onani masamba a dzina lomwelo mu gawo la Chinese Pharmacopoeia.
Canada
Wobadwa ndikukula.com
Kuti mupeze chidziwitso chodalirika cha matenda a mkodzo komanso chithandizo choyenera kwa ana, malo a Naître et grandir.net ndi abwino. Ndi malo operekedwa ku chitukuko ndi thanzi la ana. Mapepala a matendawa amawunikiridwa ndi madokotala ochokera ku Hôpital Sainte-Justine ku Montreal ndi Center hospitaler universitaire de Québec.
www.nomreetgrandir.com
Buku la Quebec Health Guide
Kuti mudziwe zambiri zamankhwala: momwe mungamwere, zomwe ndizotsutsana ndi zomwe zingachitike, ndi zina zotero.
www.zolagoe.gouv.qc.ca
United States
American Foundation for Urological Disease
www.afud.org
Matenda a National Impso ndi Urological
Niddk.nih.gov