Isifo sikashukela i-mellitus cishe njalo sibangela izingqinamba ezinkulu kanye nezifo ezenzeka buthaka kakhulu umzimba womuntu. Esikhathini sikashukela, ukungatheleleki kuncishiswa kangangokuba kuba nezwela zonke izinhlobo zezifo ezithathelanayo.
Izakhi zolwelwesi lwe-mucous zezitho zohlelo lwe-genitourinary nazo zibuthakathaka, ama-microorganisms we-pathogenic angena kuwo aqhamuka ngaphandle. Ngaphezu kwalokho, ngisho nezici zesimo se-pathogenic ezikhona emzimbeni womuntu ngamunye zingavusa ukugula okukhulu, izinqubo zokuvuvukala. Enye yalezi zinkinga zezempilo i-cystitis.
Nge-hyperglycemia, ushukela ungena kumchamo, uba yindawo ekahle yokuzalanisa amagciwane. Ngokungeziwe ku-cystitis kwisifo sikashukela, isiguli sizohlangabezana nezinye izifo zomgudu womchamo, zivame ukwenzeka ngokumelene nesizinda senqubo yokuvuvukala noma kube yinkinga yaso.
Isifo sikashukela, i-nephropathy yesifo sikashukela ihlala ivela, kuthinta hhayi izinso kuphela. Ngokwezibalo, abanesifo sikashukela batholakala nezifo zomgudu womchamo ophezulu, kodwa abaphansi nabo bahlushwa yizo.
Ukuqeda i-cystitis, kukhonjiswa ukulwa namagciwane, futhi ikakhulukazi isifo sikashukela - imbangela yesifo. Ukwelashwa kwe-cystitis kushukela kufanele kube okubanzi.
I-Etiology, izimpawu ze-cystitis
Ngo sikashukela mellitus, agents of cystitis:
- E. coli;
- I-Proteus
- Klebsiella;
- i-enterococci;
- UCandida
- staphylococcus
I-Escherichia coli imvamisa ihlukaniswa ngokuthi ama-microorganisms wesimo sempilo, ihlala emathunjini futhi, kuncike ekugomeni okuvamile, ayikwazi ukubangela ukuvuvukala.
Amaprotheni, i-enterococci abangela i-cystitis, uma ngabe kube khona ukwephulwa kwezindlela zokuxilonga. Ama-pathologies abangelwa yilezi zinambuzane avame ukuvela. I-fungus yeqembu le-candida nayo ingavusa inqubo yokuvuvukala, futhi i-staphylococcus ingaba imbangela yezinye izinqubo zokuvuvukala ezithweni zohlelo lobuchwepheshe.
Izimpawu zesifo ziqhakazile, zinesimo, kepha kwezinye izikhathi i-cystitis yesifo sikashukela iya ngaphandle kwezimpawu nhlobo. Imvamisa, izimpawu zesifo sikashukela azihlukile enkambweni ye-pathology kwezinye iziguli. Kodwa-ke, isiguli esine-hyperglycemia kungenzeka sithola i-cystitis futhi ngemuva kwesikhathi esithile.
Izimpawu eziphambili ze-cystitis:
- ukuchama kaningi nezifiso ezingamanga kuye;
- ukungasebenzi komchamo;
- izinhlungu ngesikhathi sokuchama;
- umuzwa ovuthayo ku-urethra.
Okunye ukubonakaliswa kwe-pathology kuzoba yilokhu: ushintsho kumbala womchamo (ukugeleza kuba ngamafu ngenxa yobukhona be-mucus, i-epithelium, amagciwane), ukuvela kwegazi kungavela kumchamo, isiguli siphazanyiswa yizinhlungu ngesikhathi sokuchama, i-dysuria, izimpawu zokudakwa komzimba kwezinye izikhathi . Izimpawu ezifanayo zidalwa yisifo sikashukela i-insipidus.
Odokotela baphawula ukuthi ukutheleleka kohlelo lwezitho zofuzo ezinezinkinga nge-insulin kuvame ukutholwa. Isibonakaliso esibonakalayo selabhorathri ukuba khona kwenani lamagciwane ngokweqile emchameni wesifo sikashukela. Kwezinye izimo, noma ngabe ukuxilongwa kuqinisekisiwe, isiguli asikhonondi ngempilo.
Ingozi ye-cystitis ukuthi amanye ama-microorganism adala ukwanda kwalesi sifo, ukuqina kwaso yi-pyelonephritis, engathinteka nge-necrosis yezinso zezinso, ukuthuthukiswa kwama-abscesses amaningi noma awodwa.
Udokotela uzosola i-cystitis ngokuba khona kwezidumbu ze-ketone emchameni, lesi simo ngokuvamile sibizwa ngokuthi yi-ketonuria. Ngefomu elibunjiwe likashukela, kunokuvela okukhulu kwezifo zokuphefumula ze-urin.
Kubaluleke kakhulu ukuthatha izivivinyo ngezikhathi ezithile ukuze ungaphuthelwa ukuqala kwe-cystitis kushukela. Kunconywa ukuthatha umchamo ukuze uhlolwe izikhathi ezi-3 phakathi nonyaka.
Ukuxilongwa, ukwelashwa
Baqala ukwelapha i-cystitis ku-mellitus yesifo sikashukela ngokuqoqa ama-anamnesis, ukuxoxisana nesiguli, nokuhlola izivivinyo. Ukuhlolwa kwelebhu ejwayelekile kuzoba:
- ukuhlaziywa okujwayelekile kwegazi, umchamo;
- ukuhlolwa kwe-antimicrobial;
- Ukuhlaziywa kwegciwane lomchamo.
Uma kunesidingo, udokotela ubeka uchungechunge lwezifundo ezingelusizo. Lokhu kungaba yi-MRI yezitho zomzimba we-pelvic, i-urravenous urography, i-cystoscopy, i-CT, i-pyogografia yokuhlola, ukuhlolwa kwezinso, i-bladder isebenzisa i-ultrasound.
Uma i-cystitis yesifo sikashukela iqinisekisiwe, yini okufanele uyiphuze? Ukwelashwa kususelwa ezimisweni eziningana. Kubalulekile ukuthi izidakamizwa zokwelapha i-cystitis kushukela sikhulise umsebenzi maqondana nenombolo ephezulu yama-microorganisms we-pathogenic. Izidakamizwa kufanele zinikeze iqoqo eliphezulu lezinto ezisebenzayo ezicutshini zesinye kanye nomchamo uqobo.
Ama-antibiotic wesifo sikashukela onenkinga enjalo, iziguli zidinga ukuthatha isikhathi eside kunezinye iziguli. Imvamisa, isikhathi sokwelashwa okungenani izinsuku eziyi-10, lapho kuba nezinkinga kusuka ezinso, inkambo yokwelashwa inyuselwa ezinsukwini ezingama-21. Lapho isimo sesifo sikashukela sishubile, udokotela uncoma ukuthatha ama-antibacterial agents amaviki ayisithupha.
Kwenzeka ukuthi i-cystitis yenzeka ngokumelene nesizinda se-nephropathy yesifo sikashukela, lokhu kwephulwa kuhlukaniswa ngokufihlwa kwe-nitrogen yizinso, isiguli sidinga ukubhekwa njalo kwamazinga we-creatinine. Lokhu kubalulekile:
- phakathi nokwelashwa;
- emva kwakhe.
Imithamo yezidakamizwa kumele inqunywe ngokususelwa kuzinkomba ezitholakele. Izidakamizwa ze-Nephropathic akufanele zichazwe kuleli qembu leziguli, isimo esifanayo uma i-cystitis ibanga isifo sikashukela i-insipidus.
Ngesikhathi sokwelashwa, kudingeka unamathele ekudleni okusiza, kudla imikhiqizo yobisi ebilisiwe, futhi kusho ukuguquguqula i-microflora yamathumbu. Kubalulekile futhi ukukhulisa inani likamanzi, okungukuthi amanzi, itiye ngaphandle koshukela, i-compote nesiphuzo sezithelo. Amanzi asiza ukufuthwa kwamagciwane emzimbeni, athuthukisa ukusebenza kwesinye.
Ijusi yezithelo ze-cranberry izoba umsizi ofanele ekulweni ne-cystitis. Inzuzo yayo ukuthi "inika amandla" umchamo, osiza ukubulala amagciwane. Ukuze ulungiselele isiphuzo, gaya amajikijolo ngoshukela bese ubilisa imizuzu embalwa. Amajikijolo eViburnum anezakhiwo ezifanayo, nawo angadliwa aluhlaza.
Ukuvimbela I-cystitis
Ukuze i-cystitis ikhule ngokungajwayelekile ngangokunokwenzeka, odokotela batusa ukuthi bangakhohlwa ngokuvinjwa kwalokhu kugula. Ingakhula ngenxa yokuphazamiseka kokujikeleza kwegazi nokuqina kwegazi emthanjeni.
Lokhu kwenzeka uma umuntu onesifo sikashukela ehlala endaweni eyodwa isikhathi eside. Ngakho-ke, kuyadingeka ukuvuka nokufudumala ngezikhathi ezithile, ukusebenza ngokomzimba kushukela nakho kuyasiza. I-stasis yegazi ingabangelwa ukugqoka ngokungakhululeki, izingubo zangaphansi eziqinile, kufanele futhi unake lokhu.
Enye ithiphu ukuqapha inhlanzeko yomuntu siqu, ukugeza kabili ngosuku. Kuyadingeka ukuvikela i-hypothermia, gqoka ngokuya ngesimo sezulu nganoma yisiphi isikhathi sonyaka. Lesi sifo siqala ngemuva kokuhamba lapho kubanda noma kuphumula ebhishi isudi yokugeza emanzi.
Inqubo yokuvuvukala esinyeni ngokuvamile icasulwa amazinyo abolile, ngoba ingumthombo ongathi sína wamagciwane, obangela izinkinga kuyo yonke indlela yokugaya komuntu.
Njengoba ukuphinde kubuye kubuye kube yi-cystitis ku-mellitus yesifo sikashukela kuyinto engajwayelekile, ngemuva kokululama kubalulekile ngezikhathi ezithile ukwenza i-urinalysis. Lapho kungekho okunamandla okubonakalayo okuhle, kumayelana nokuba khona kwezinye izifo zesistimu ye-urinary system. Ividiyo ekulesi sihloko izoqhubeka nesihloko sokwelashwa kwe-cystitis.
