Zvaunofanira kuita kana iwe uchidzokororazve UTI

Dzidzo yehutano

Vazhinji vedu tinoshandisa imba yekugezera zuva rese tisina kufunga zvakanyanya, asi kana uine chirwere chekuvhenekera, chimwe chinhu chakareruka sekutarisa chinogona kungoomarara, kunhuwa uye kunorwadza chaiko.

Yako yeti urinary ndiyo system yemapombi inokutendera kuti utarise, uye inosanganisira zvese kubva kuurethra yako uye dundira kusvika kumusoro kusvika kuitsvo dzako. Utachiona hwehutachiona, kana UTI, hunoitika kana chero chikamu cheiyo weti system chazara nebhakitiriya risiri rayo. Izvi zvinokonzeresa zviratidzo sekurwadziwa kana kupisa panguva yekuita weti, kugara uchiita weti kana kunetseka kubuda, kune makore kana kunhuhwirira weti, uye kurwadziwa mudumbu kana kumashure kwezasi.

Kunyangwe kuve neUUI imwe chete muhupenyu hwese kwakaringana, vamwe vanhu vanogarisana neTI dzinodzokororwa uye havazive maitiro avo Kana iwe wakambove neanopfuura imwe UTI mumwedzi yapfuura, iwe unogona kunge uchitambura nezvirwere zvinowanzoitika. Hezvino zvese zvaunoda kuti uzive nezve zvinogona kukonzeresa, kurapwa, uye kudzivirira kwe UTIs.

Nei UTI yangu ichiramba ichidzoka?

Kune zvikonzero zvakawanda zvakasiyana nei mumwe munhu angave achidzokorora eurinary turakiti hutachiona. Kunyangwe paine mashoma maitiro ehutsanana anogona kuvakonzera (sekusapukuta kumberi kumashure mushure mekufamba kwematumbu kana uri munhukadzi), ruzhinji rwehutachiona runokonzerwa nezvinhu zviri kunze kwesimba rako.

Maererano ne Lauren Cadish , MD, urogynecologist kuProvidence Saint John's Health Center, anomomical anomalies anogona kuisa vanhu panjodzi yakawedzera. Izvi zvinosanganisira vanhu vanozvarwa vaine tsika yekuita weti yekudzokera kumashure kubva ku dundira vachidzosera kumusoro ureters, machubhu anounza weti kubva kuitsvo kudzika mudundira. Zvisinei, Dr. Cadish vanoti izvi zvinowanzoonekwa muhucheche, saka hazvifanirwe kuuya sekushamisika kune munhu mukuru anotambura neTI dzokororo.

Zvimwe zvinowanzoitika panjodzi zvinowanzoitika zveTU zvinosanganisira:

• Dundira kana itsvo matombo
• Kukuvara kwemutsipa kana chirwere chedundira chinotadzisa kuti chibude zvizere
• Hosha yeitsvo uye kuisirwa
• Autoimmune kusagadzikana kana zvimwe zvehutano zvinokanganisa immune immune
• Matambudziko emuviri, kunge manyoka kana kusagadzikana kwetsvina (Escherichia coli, kana E. coli, ndiye anokonzera hutachiona mu 90% yeese UTI )

Zvimwe zvezvikonzero zve UTIs zvinogona kuzivikanwa nekugadziriswa. Kurangarira kuburitsa dundira rako nenzira yakakodzera, kunwa zvinwiwa zvakakwana kuti ubudise urineti yako, uye kugadzirisa kufamba kwembambo inzira dziri nyore dzekudzivirira zvimwe zvezvikonzero zvinowanzoita UTI, anotsanangura Julie Stewart, MD, urologist kuHouston Methodist Hospital.

Varume maringe nevakadzi

Kunyangwe vese varume nevakadzi vachiwana UTI, vakadzi vanokanganiswa zvisingaenzaniswi. Sei? Nekuda kweakakosha echikadzi anatomi sekuenderana nerethra, iyo chubhu inotakura weti kubva mudundira kunze kwemuviri.

Urethra mumukadzi ipfupi, kazhinji inenge masendimita mana, anodaro Dr. Cadish. Nekuti urethras yevarume inofanirwa kuyambuka neprostate uye nekureba kwenhengo, urethra yavo yakareba uye mabhakitiriya ane nguva yakaoma yekukwira mudundira kupfuura kuvakadzi.

Kune imwezve yakajairwa chikamu chevakadzi anatomy iyo inogona kuwedzera njodzi ye UTIs, futi: iyo vagina. Sekureva kwa Dr. Cadish, vakadzi vane mabhakitiriya ayo anowanzo gara mukati memukadzi, asi kuti mabhakitiriya dzimwe nguva anofamba achienda kune weti kana dundira uye zvinokonzeresa UTI. Hormonal shanduko inogona zvakare kuita kuti mukadzi awedzere kubatwa neU UTI; hutachiona hunowanzoitika mushure mekuguma kuenda kumwedzi uye, kazhinji, usati waenda kumwedzi ( nekuda kwekudonha muestrogen ).

Asi usati wafunga kuti varume vanobuda nyore kana zvasvika kune UTI, handizvo zvazviri. Nepo vakadzi vari panjodzi huru kwazvo ye UTIs, urethras refu muvarume inovaisa panjodzi yakanyanya yekusakwanisa kuburitsa dundira ravo zvakanaka, kazhinji zvichikonzerwa nedambudziko reprostate, anodaro Dr. Cadish. Kusakwana kudurura nekuda kweiyo yakawedzera prostate kunogona kukonzera kugara UTIs.

Kunyangwe UTIs isingawanzo mucherechedzo wekenza, iwo akabatanidzwa kune ese ari maviri prostate gomarara redundira nedzimwe nzira. A 2017 kudzidza rakabudiswa mu PLoS Imwe vakawana kuti varume vaishanyira chiremba kanopfuura kashanu pagore nekuda kwehutachiona hwehutachiona hwakaderera vaive nemikana yekuita gomarara reprostate pane varume vasina kutambura nezvirwere zvinowanzoitika.

Kumwe kunhu, gomarara redundiro rinowanzo kubatanidzwa neTI dzakawanda nekuti imwe yeiyo zviratidzo zvekutanga ropa muropa , chiratidzo chinodzingwa zviri nyore muvakadzi semhedzisiro yehutachiona hwechirwere kana shanduko yehomoni. Mune mamwe mazwi, vakadzi vanowanzoonekwa vaine gomarara redundira kupfuura varume, vanga vaine zviratidzo zvavo zvekenza zvekutanga zvichinyorwa se UTIs.

Inodzokororwa UTI inoonekwa sei?

Sekureva kwaDr.Stewart, nzira dzekuongorora hutachiona hweTI dzakadzokororwa neAmerican Urological Association (AUA). Dzazvino UTI dzinotsanangurwa seiri UTI mumwedzi mitanhatu kana matatu UTI mukati megore rimwe, anodaro, asi zvinofanirwa kuve zviitiko zvetsika-yakaratidza, bhakitiriya cystitis ine zviratidzo.

Mune mamwe mazwi, iwe unofanirwa kunge uine mamiriro akasimbiswa ebhakitiriya kubva kune weti sampuro uye anoonekwa UTI zviratidzo kuti zvikwanise. Dr. Stewart anotsanangura kuti vamwe vanhu vanogara vachiongorora hutachiona husina zviratidzo uye vamwe vane zviratidzo vasina hunhu hwakanaka (pamwe nekuda kwekutsamwa kwedundira pane hutachiona hwehutachiona). Izvo zviitiko zvinofanirwa kurapwa zvakasiyana kupfuura murwere anounza nezvose.

Tsika yemuti weti inosanganisira cheki yekunzwisisika, zvichireva kuti tinogona kutaura kuti ndeapi maantibayoti anouraya hutachiona uye husingauraye, anotsanangura Dr. Cadish, achiwedzera kuti kuongororwa kweU UTI kunoreva kuti hutachiona chaihwo hunokonzera hutachiona hwaonekwa mune tsika nemagariro. Kubva ipapo, mupi wezvehutano anogona kupa nzira yakakodzera ye mishonga inorwisa mabhakitiriya yehutachiona ihwohwo.

Zvakakosha kusaregeredza zviratidzo zve UTIs; kana ikasarapwa, yako UTI inogona kuve itsvo chirwere , dambudziko rakakomba uye rinogona kutyisidzira hupenyu rinozivikanwa se pyelonephritis.

Inodzokororwa sei UTI?

Kana iwe ukasangana nematanho eanodzokororwa UTI, wako wekutanga wekutarisira mupi angangoendesa iwe kuna urologist uyo anogona kutanga kuita rimwe basa reutikitivha.

Ndiro basa redu sevhiyi kuti tinzwisise kana paine njodzi senge anatomical kana autoimmune nyaya, anodaro Dr. Stewart. Tinotsvaga zvikonzero uye tinopindira pazviri kana tichikwanisa - sekurapa dombo reitsvo kana paine - asi vazhinji vevarwere havana chikonzero chaicho kana 'pfuti yekuputa.'

Izvi zvinozivikanwa seyakareruka Urinary turakiti hutachiona, uye nepo zvingave zvinoshungurudza kusawana chikonzero chakajeka kana tsananguro, maurologist anogona achiri kushanda newe kukudziridza chirongwa chekurapa. Kazhinji, iyo kurapwa kweTUI inowanzoitika inosanganisira mishonga inorwisa mabhakitiriya sezvinodiwa nemushonga wakaita se:

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

Mishonga inorwisa mabhakitiriya inoshandiswa inoenderana nesanganisi yebhakitiriya inoratidzwa mutsika weti.

Kune maantibayoti akati wandei atakabvumirana ane akanyanya 'kukuvara kwechibatiso,' anodaro Dr. Stewart, uye isu tinoedza kurapa hutachiona nemushonga unorwisa mabhakitiriya wakakodzera kwenguva pfupi kwazvo iyo ichashanda.

Anowedzera kuti dzimwe nguva yakareba, zuva nezuva yakaderera-dosi mishonga inorwisa mabhakitiriya anodiwa kubata hutachiona husingaperi nekuda kwemamwe matambudziko ehutano. Semuenzaniso, a 2018 kudzidza mukati Iyo Lancet Inotapukira Zvirwere vakawana kuti kuenderera kwemishonga inorwisa mabhakitiriya kwaive kushanda mukudzivirira UTI kune varwere vanoshandisa catheters. Vamwe vakadzi vanogona zvakare kunzi vatore dosi imwechete yeiyo antibiotic mushure mekuita zvepabonde kudzivirira hutachiona kukura.

Kana iwe uine hutachiona hunoshanda uchirapwa nemishonga inorwisa mabhakitiriya, iwe ungangodawo kushandisa OTC pain reliever, senge acetaminophen kana ibuprofen, kusvikira mushonga utange kushanda. Iwe unogona zvakare kutora OTC mishonga yakagadzirirwa kubatsira nezvakawanda zviratidzo zve UTIs, senge Azo Urinary Pain Ruregerero .

Maitiro ekudzivirira urinary turakiti hutachiona

Zvichienderana nekuti nei mupi wako achifungidzira kuti uri kusangana neTUI inowanzoitika, pane nzira dzinoverengeka dzaungagone kudzivirira kutapurirwazve uye kudzivirira kurapwa kwemishonga inorwisa mabhakitiriya imwe yenguva.

Mishonga uye zvinowedzera

1. D-mannose shuga inowanzo kuwanikwa muchero, iyo inozivikanwa kuti inonamira pachayo kune E. coli bacteria mune yako dundira uye inodzivirira kuwanda kwebhakitiriya mumucheka wedundira. Dr. Cadish vanokurudzira kutora iyi OTC yekuwedzera padosi yemagiramu maviri zuva nezuva. A 2016 kudzidza mu Ongororo yeEuropean yeZvekurapa uye Chemishonga Sayenzi yakawana D-mannose kuve inoshanda kurapwa uye yekudzivirira nzira ye UTIs (uye haina kutakura yakawanda mhedzisiro).
2. Methenamine , inowanika nekunyorerwa, inogona kubatsira mukudzivirira hutachiona hwemangwana (asi isingashande bata zviripo ). Iyo mishonga inorwisa mabhakitiriya yakare inogona kuve nemhedzisiro yekuchenesa pane weti uye inofungidzirwa seantiseptic kana antibacterial kurapwa, pane iyo inogona kurapa hutachiona hunoshanda.
3. Vaginal estrogen kurapa , kunyanya kune vakadzi vanopera kuenda kumwedzi, ndiyo imwe nzira yekudzivirira. Dr. Stewart vanoti nekuda kwekuti kuenda kumwedzi kunochinja pH yemukati memadzimai, zvinoita kuti hutachiona hukure zvakanyanya. Kutsiva iyo estrogen muzvishoma, iye anotsanangura, kunogona kunatsiridza pH yemukati mesikarudzi uye kudzivirira kuwanda kwebhakitiriya yakaipa apo ichikurudzira kukura kwemabhakitiriya akanaka.

Mararamiro anochinja

1. Kunwa mvura yakawanda zuva rega rega richakubatsira iwe kuburitsa akajairwa mabhakitiriya kubva kune yako weti turakiti, kudzivirira kuwandisa.
2. Enda kuimba yekugezera kazhinji . Usabate weti yako kwenguva yakareba kana kumhanyisa kuburikidza nekuita pasina kunyatso bvisa bladder rako. Kuita izvi kunogona kukonzera kuwanda kwebhakitiriya mune rako dundira.
3. Taura chero inoenderera nyaya dzeGI , sekuzvimbirwa kana manyoka. Sezvo mazhinji ehutachiona hunokonzera UTI hunobva munzvimbo yakatsemuka, kugara uchifamba ura kunokufumura kazhinji kusvibiswa; ukuwo, kuomeswa kunogona kuisa kumanikidza padundira uye inokanganisa kushanda kwayo kwese (izvi zvinowanzoitika muvana).
4. Dzivisa kudyiwa kazhinji kwe chikafu chinozivikanwa kutsamwisa dundira , se caffeine, doro, uye chikafu chinonaka.

Matipi ehutsanana

1. Pukuta kubva kumberi kuenda kushure mushure mekufamba ura , yevakadzi, kunzvenga kuparadzira mabhakitiriya kubva munzvimbo yakatwasuka kuenda kuurethra. Vanhurume vanofanirawo kuchengeta sikarudzi yavo yakachena, kunyanya mushure mekusangana pabonde.
2. Weti uchangopedza kusangana pabonde kuburitsa chero bhakitiriya rakaendeswa kune urethra.
3. Chengetedza nzvimbo yekubereka yakaoma uye isina kudzivirirwa . Pfeka chipfeko chemukati chedonje, dzivirira matabhu anopisa uye nguo dzemukati dzisina kukodzera, uye usashandise chero zvigadzirwa zvekuchenesa zvevakadzi zvakaita sedouches kana deodorant.
4. Shandisa dzimwe nzira dzekudzivirira kubata pamuviri . Zvinoenderana ne 2013 ongororo yezvidzidzo mu Ongororo muUrology , kushandisa spermicide uye nzira dzekudzivirira kubata pamuviri (semadhiramu uye makondomu) zvinogona kuwedzera mukana wekukura kwebhakitiriya mushure mekusangana.

Natural mishonga

1. Sanganisa sosi yezuva nezuva yekranberry . Chero ani ane UTI inodzokororwa angangodaro akaudzwa kuti anwe jranberry muto kana kutora cranberry yekuwedzera nekuti chibereko chacho chinogona kuva nedziviriro pabhodhoro. Asi iyo tsvagiridzo- pamwe nemazano ekurapa- akapatsanurwa Dr. Cadish vanoti cranberry muto uye zvinowedzera hazvizokuvadza iwe, asi hazvizokubatsire zvakanyanya kana. Kune rimwe divi, Dr. Stewart vanoti panogona kunge paine chokwadi chekubatana pakati pecranberries nehutano hwedundira. hutachiona]. Zvisinei, akawanda maOTC anowedzera haana PAC yakakwana yekuita mutsauko, anoyambira Dr. Stewart; iyo tsvagiridzo yazvino inoratidza kuti muyero wemamirigramu makumi matatu nemasere ungangodiwa kuti uve nemhedzisiro (uye akawanda ekuwedzera ane mamirigiramu maviri chete).
2. Tora probiotic yezuva nezuva . Inogona kudzivirira UTI. Aya mabhakitiriya akanaka anogara kunyanya mumatumbu ako, asiwo mukati memukadzi-kunyanya iyo probiotic lactobacillus, iyo inogona kudzora UTI muvakadzi vane maruva ane hutano hwesikarudzi.
3. Wedzera zvimwe vhitamini C kuchikafu chako. Humbowo hwakaoma hwekutsigira zano iri hurikushayikwa, asi vaongorori vanofunga kuti vhitamini C inogona kutadzisa kukura kwebhakitiriya nekuita kuti weti yako ive neacid. Mumwe mukuru kudzidza kubva ku2007 vakawana kuti boka revakadzi vane nhumbu rinotora musanganiswa wezvinowedzera zvinosanganisira vhitamini C vaive nemikana mishoma yekukudziridza UTI pane iro boka revakadzi vane zvinowedzera zvisina kusanganisira vhitamini C.

Zvinogona kuodza moyo kana UTI ichiramba ichidzoka. Taura nemupi wako wezvehutano. Nemazano, iwe unogona kuwana musanganiswa wakakodzera wemishonga iyo inokushandira iwe.