ʻO ka maʻi urinary tract - nā mākua

ʻO kahi maʻi urinary tract, a i ʻole UTI, he maʻi ia o ka maʻi urinary. Hiki ke maʻi i nā maʻi ma nā wahi like ʻole i ka maʻi urinary, e like me:

• Bladder - Ua kapa ʻia kekahi maʻi maʻi i loko o ka puhā he cystitis a i ʻole he maʻi ʻaʻai.
• Nā Kahiki - Kahi ʻia kahi maʻi o hoʻokahi a i ʻole nā ​​puʻupaʻa ʻelua i ka pyelonephritis a i ʻole ka maʻi ʻaʻai.
• Ureter - ʻO nā paipu e lawe i ka mimi mai kēlā me kēia puʻupaʻa i ka maʻi hānai he mea maʻamau wale nō ka pūnaewele o ka maʻi.
• Urethra - Kuhi ʻia kahi maʻi o ka paipu e hoʻokahe i ka mimi mai ka ʻai a i waho.

Hoʻokumu ʻia ka hapa nui o nā UTI e nā koʻohune e komo i ka urethra a laila ka pūpū. Kūkulu pinepine ka maʻi i loko o ka pākeke, akā hiki ke pālahalaha i nā puʻupaʻa. ʻO ka hapanui o ka manawa, hiki i kou kino ke hoʻopau i kēia bacteria. Eia nō naʻe, hoʻonui kekahi mau kūlana i ka makaʻu no ka loaʻa ʻana o ka UTI.

Hoʻokomo pinepine nā wahine iā lākou no ka mea ʻoi aku ka pōkole o kā lākou urethra a kokoke i ka anus ma mua o nā kāne. Ma muli o kēia, loaʻa ka maʻi i nā wahine ma hope o ka moekolohe a i ʻole ke hoʻohana ʻana i ka diaphragm no ka kaohi hānau. Hoʻonui pū ka menopause i ka makaʻu no ka UTI.

Hoʻonui pū ka mea aʻe i kou manawa e hoʻomohala i kahi UTI:

• Diabetes
• ʻO nā makahiki kiʻekiʻe a me nā kūlana e hoʻopili i nā ʻano mālama pilikino (e like me ka maʻi Alzheimer a me ka delirium)
• Hoʻopilikia i ka hoʻonele ʻana i ka ʻōpū
• Ke loaʻa nei i kahi catheter urinary
• Pahu ʻoki ʻole
• Hoʻonui i ka prostate, urethra liʻiliʻi, a i ʻole kekahi mea e ālai i ke kahe o ka mimi
• Pohaku hakuʻala
• Noho mālie (neʻe ʻole) no kahi wā lōʻihi (e laʻa me ʻoe ke hoʻōla nei mai kahi haki hip)
• Hapai keiki
• ʻOki kino a me nā kaʻina hana e pili ana i ka urinary tract

ʻO nā ʻōuli o ka maʻi ʻaʻai:

• Pulu kapua a koko paha, kahi e pilau a pilau paha ka pilau
• ʻO ke kuni papa haʻahaʻa i kekahi poʻe
• Paʻi a puhi paha me ka urination
• Kaomi a i ʻole ke kaha ʻana i ka ʻōpū o lalo a i hope paha
• Pono pono ka mimiki pinepine, ʻoiai pono ma hope o ka hoʻonele ʻia ʻana o ka ʻōpū

Inā pālahalaha ka maʻi i kou mau puʻupaʻa, hiki i nā ʻōuli ke hoʻopili pū:

• ʻO Chills a me ka haʻalulu a i ʻole ka sweats o ka pō
• Ka luhi a me ka manaʻo maʻi maʻamau
• Fever ma luna o 101 ° F (38.3 ° C)
• ʻEha ma ka ʻaoʻao, hoʻi, a i ʻole ke aʻa
• ʻIli ʻulaʻula, mehana, a ʻulaʻula
• Hoʻololi manaʻo a huikau paha (i ka poʻe ʻelemakule, ʻo kēia mau ʻōuli pinepine nā hōʻailona o kahi UTI)
• ʻO Nusea a me ka luaʻi
• ʻEha ʻeha maikaʻi ʻole (i kekahi manawa)

I ka hapa nui o ka manawa, pono ʻoe e hāʻawi i kahi mimi no nā hōʻike aʻe:

• Urinalysis - Hana ʻia kēia hōʻike e nānā i nā hunaola keokeo, nā hunaola ʻulaʻula, nā bacteria, a me ka hoʻāʻo ʻana i nā kemika e like me nā nitrites i ka mimi. Hiki i kēia hōʻoia ke hōʻoia i kahi maʻi i ka hapanui o ka manawa.
• Maʻemaʻe-hopu i ka moʻomeheu mimi - E hana ʻia paha kēia hōʻike e ʻike ai i ka maʻi bacteria a hoʻoholo i ka lāʻau antibiotic maikaʻi loa no ka mālama ʻana.

Hiki ke hana ʻia nā hoʻokolohua koko e like me ka helu piha o ke koko (CBC) a me kahi moʻomeheu koko.

Pono paha ʻoe i nā hōʻike aʻe e kōkua ai i ka pale ʻana i nā pilikia ʻē aʻe i kāu ʻōnaehana mimi.

• CT scan o ka ʻōpū
• ʻO ka pyelogram Intravenous (IVP)
• Mīkini ʻiʻo
• Pākuʻi ultrasound
• Voiding cystourethrogram

Pono e hoʻoholo mua i kāu lawelawe mālama ola inā aia ka maʻi i loko o ka maʻi ʻaʻā, a inā ua laha i nā puʻupaʻa a pehea kona koʻikoʻi.

MILD BLADDER ME KIDNEY INFECTIONS

• ʻO ka hapa nui o ka manawa, pono ʻoe e lawe i kahi lāʻau antibiotic e pale ai i ka maʻi mai ka palahalaha ʻana i nā puʻupaʻa.
• No kahi maʻi maʻi bladder maʻalahi, e lawe ʻoe i nā lāʻau ʻalopika no 3 mau lā (wahine) a i ʻole 7 a 14 mau lā (kāne).
• Inā hāpai ʻoe a maʻi diabetes paha ʻoe, a i ʻole loaʻa i kahi maʻi puʻupaʻa kolo, e lawe pinepine ʻoe i nā lāʻau antibiotic no 7 a 14 mau lā.
• Hoʻopau i nā antibiotic āpau, ʻoiai inā ʻoe e ʻoi aku ka maikaʻi. Inā ʻaʻole ʻoe e hoʻopau i ka lāʻau a pau o ka lāʻau, hoʻi paha ka maʻi a ʻoi aku ka paʻakikī e mālama ma hope.
• E inu mau i ka nui o ka wai ke loaʻa ʻoe i kahi maʻi ʻaʻai a maʻi maʻi paha.
• E haʻi i kāu mea hāʻawi inā hāpai ʻoe ma mua o ka lawe ʻana i kēia mau lāʻau.

NA HUA KULA HOU

Ua hana hou kekahi mau wahine i nā maʻi maʻi bladder. E ʻōlelo paha kāu mea hāʻawi iā ʻoe:

• Lawe i hoʻokahi mahele lāʻau o ka antibiotic ma hope o ka launa pū ʻana e pale ai i ka maʻi.
• Loaʻa i kahi papa 3 o nā antibiotic ma ka home e hoʻohana ai inā ulu ʻoe i kahi maʻi.
• Lawe i hoʻokahi lāʻau, i kēlā me kēia lā o ka lāʻau antibiotic e pale ai i nā maʻi.

NĀ HOPE HIKI I NĀ KIDNEY HIKI

Pono ʻoe e hele i ka haukapila inā maʻi nui ʻoe a ʻaʻole hiki ke lawe i nā lāʻau i ka waha a inu paha i ka wai. Hoʻokomo ʻia ʻoe i ka haukapila inā ʻoe:

• He makua makua paha ʻoe
• Loaʻa nā pōhaku hakuʻala a i ʻole nā ​​loli i ka anatomy o kāu urinary tract
• Loaʻa i kahi ʻoki urinary
• Loaʻa i ka maʻi ʻaʻai, ka maʻi diabetes, sclerosis maha, ʻeha o ke kuamoʻo, a i ʻole nā ​​pilikia olakino ʻē aʻe
• Hāpai a loaʻa i ke kuni a maʻi paha

Ma ka haukapila, e loaʻa nā wai a me nā lāʻau ʻaloʻalo ma o ke aa.

Loaʻa i kekahi poʻe ka UTI hele ʻole me ka lāʻau lapaʻau a hoʻi ʻole paha. Kapa ʻia kēia mau mea he UTI mau. Inā loaʻa iā ʻoe kahi UTI mau loa, pono paha ʻoe i nā antibiotic ʻoi aku ka ikaika a i ʻole e lawe i ka lāʻau no ka manawa lōʻihi.

Hiki paha iā ʻoe ke ʻoki inā loaʻa ka maʻi i kahi pilikia me ke ʻano o ka urinary tract.

Hiki ke hoʻōla ʻia ka hapa nui o nā UTI. Hele pinepine nā ʻōuli maʻi maʻi ma loko o 24 a 48 mau hola ma hope o ka hoʻomaka ʻana o ka mālama ʻana. Inā loaʻa ʻoe i kahi maʻi puʻupaʻa, he 1 pule paha a ʻoi paha ka lōʻihi no ka hele ʻana o nā ʻōuli.

Komo pū nā pilikia:

• ʻO ka maʻi hoʻoweliweli ola (sepsis) - ʻoi aku ka nui o ka makaʻu ma waena o nā ʻōpio ʻōpio, ʻelemakule loa, a me ka poʻe i hiki ʻole i ko lākou kino ke hakakā i nā maʻi (no ka laʻana, ma muli o ka maʻi HIV a chemotherapy chemotherapy).
• Hoʻopilikia ka hakuʻala a hōʻeha paha.
• Maʻi kīnā.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka UTI. Kāhea koke inā loaʻa iā ʻoe nā hōʻailona o ka maʻi puʻupaʻa hiki, e like me:

• Paʻi kua a ʻaoʻao paha
• ʻO Chills
• Fiva
• ʻO ka luaʻi

Kāhea pū kekahi inā hoʻi mai nā hōʻailona UTI ma hope koke iho o ka mālama ʻia ʻana me nā lāʻau ʻaloʻolika.

Hiki ke kōkua i ka hoʻololi ʻana i ka papa ʻaina a me ka nohona i ke pale ʻana i kekahi mau UTI Ma hope o ka menopause, hiki i ka wahine ke hoʻohana i ka kirima estrogen a puni ka huki e hoʻoliʻiliʻi i nā maʻi.

Maʻi ʻaʻai - Bladder maʻi - makua; UTI - nā mākua; Cystitis - koʻohune - makua; Pyelonephritis - nā mākua; Pākuʻi hakuʻala - mākua

• Catheterization ʻōpū - wahine
• Catheterization ʻōpū - kāne
• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• Kāohi ʻana i ka cystitis

ʻO Cooper KL, Badalato GM, MP Rutman. Nā maʻi o ka maʻi urinary. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 55.

Nicolle LE, Drekonja D. Hele i ka mea maʻi me ka maʻi urinary tract. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 268.

Sobel JD, Brown P. Nā maʻi maʻi urinary. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 72.