UTI puas yuav ploj mus nws tus kheej?


UTI puas yuav ploj mus nws tus kheej?

Thaj tsam li ntawm 50-60% ntawm cov poj niam yuav kis mob tsawg kawg yog ib qhov chaw mob txeeb zig (UTI) hauv lawv lub neej, thiab cov neeg mob ntshav qab zib thiab cov txiv neej muaj qog ua ntshav lub caj pas yuav tseem muaj feem. Kev kub nyhiab thiab txhav ntawm tso zis, thiab mloog zoo li mob taub hau, mob thiab nkees yog cov tsos mob ntawm lub zais zis, thiab tuaj yeem ua rau lub neej tsis zoo rau cov neeg uas nquag UTI.

Kev tshawb fawb qhia tau tias Escherichia coli (E. coli) yog cov kab mob ua rau mob UTI nyob rau hauv feem ntau ntawm cov neeg mob, thiab feem ntau kis tau tus mob yog los ntawm cov kab mob los ntawm cov hnyuv nkag mus rau hauv lub zais zis. Vim li no cov pojniam thiaj li muaj qhov phom sij tau yooj yim dua, raws li lub qhov quav thiaj li tso zis rau ntawm lub qhov zis (qhib rau tso zis).

Txhawm rau txo txoj kev pheej hmoo ntawm kev kis mob, so ntawm sab xub ntiag mus rau tom qab tom qab lub plab, tswj kev tu cev tus kheej, nyob twj ywm hydrated, thiab siv cov pH kom muaj roj nplua nyeem thaum pw ua ke (txhawm rau tiv thaiv kev khaus tawv nqaij) lossis pleev tshuaj pleev estrogen tom qab lub cev ntas (rau txo qhov chaw mos ua paum) tej zaum yuav pab tau. Tab sis cov lus qhia txog kev saib xyuas tus kheej tsis yog tas li txaus los tiv thaiv UTIs.

Tos nws?

Cystitis (mob rau lub zais zis) yog ib hom UTI, tshwj xeeb tshaj yog rau cov poj niam, thiab tsis yog ib txwm ua rau kev txhawj xeeb loj.

Mr. Ased Ali, tus tswv cuab ntawm Bladder Health UK tus kws kho mob thiab tus kws tshaj lij urologist nrog Mid hais tias “Qhov tseeb muaj tseeb tias ntau tus neeg mob cystitis pom tseeb nrog cov dej txhaws ntxiv nrog cov tshuaj pleev xim thiab ntau tus neeg mob tswj hwm lawv tus mob no.” Yorkshire Cov Tsev Kho Mob NHS Ntseeg.

Lub xyoo 2018 Lub Koom Haum Kev Noj Qab Haus Huv thiab Kev Ua Haujlwm Zoo (NICE) UTI cov lus qhia suav nrog cov kua dej thiab tshuaj pleev hauv kev saib xyuas tus kheej rau cov zais zis yooj yim uas tsis muaj cov cim qhia tias muaj mob hnyav xws li pyelonephritis (mob raum) lossis mob sepsis. Lawv kuj qhia ntxiv tias nyob rau qee qhov xwm txheej cov neeg mob yuav tsum siv tshuaj tiv thaiv ‘rov qab’ yog tias cov tsos mob hnyav dua lossis tom qab 48 teev yog tias cov tsos mob tsis txaus siab. Lawv tawm qhib qhov kev xaiv ntawm kev muab tshuaj rau qee tus pojniam tam sim ntawd. Cov txiv neej, poj niam cev xeeb tub thiab hnub nyoog qis dua 16 xyoo yuav tsum tau tso zis kuaj mus rau qhov kuaj sim kuaj thiab yuav tsum muab cov tshuaj tua kab mob coj mus haus tam sim ntawd.

Koj tus kws muag tshuaj tuaj yeem tawm tswv yim txog cov kev xaiv ib ntus los tswj cov tsos mob thaum koj tseem tos kom lawv daws. Piv txwv li, lawv tuaj yeem muab cov hnab kua uas ua kom cov zis muaj pa, txo cov roj hlawv thiab muaj lub siab xav hla dej.

Patient.info Saib tag nrho

Pee koj tus kheej luag? Yuav ua li cas sawv kev tso dag tuaj yeem kho qhov tshwm sim

Kev tswj tsis tau tus kheej yog ib qho teeb meem uas nquag muaj, tab sis ib qho neeg feem coob tsis tas yuav siv nws lub cev, hais los ntawm kws kho mob …


7min

  • Pee koj tus kheej luag? Yuav ua li cas sawv kev tso dag tuaj yeem kho qhov tshwm sim

    Pee koj tus kheej luag? Yuav ua li cas sawv kev tso dag tuaj yeem kho qhov tshwm sim

    7min

  • Koj yuav tsum tau ua pee ntau npaum li cas ib hnub?

    Koj yuav tsum tau ua pee ntau npaum li cas ib hnub?

    5min

  • Yuav ua dab tsi txog UTIs tas mus li

    Yuav ua dab tsi txog UTIs tas mus li

    6min

Cov kev pheej hmoo ntawm tawm ntawm UTI tsis raug kho

“Muaj kev pom zoo nyob rau hauv kev tshawb fawb German me nyob rau xyoo 2010 tias kev siv tshuaj kho mob tej zaum yuav tsis muaj kab mob phem dua li cov tshuaj tua kab mob,” Ali ntxiv. “Tab sis kev tshawb fawb ntxiv los ntawm tib pab pawg hauv 2015 tsis lees paub qhov no thiab qhia tias cov poj niam uas tsis siv tshuaj tua kab mob tau muaj lub nra hnyav dua cov tsos mob, thiab ntau tus neeg mob pyelonephritis – mob hnyav rau lub raum uas tuaj yeem xav nkag hauv tsev kho mob thiab tuaj yeem ua rau sepsis. “

Cov txiaj ntsig zoo sib xws rau German kev sim tau pom hauv kev tshawb fawb Swiss xyoo 2017 thiab tsis ntev los no Norwegian nyob rau xyoo 2018. Ob qho tag nrho pom tias kev zam tshuaj tua kab mob yog qhov ua tsis tau zoo los kho UTIs. Txawm hais tias ntau tus poj niam yuav kis tus kab mob uas tsis siv tshuaj tua kab mob, ib qho feem ua rau pom mob hnyav dhau los.

“Txawm hais tias muaj ntau tus poj niam rov zoo tsis muaj tshuaj tua kab mob, ntawm 4-5% ntawm cov poj niam tsis kho nrog cov tshuaj tua kab mob tau hloov mus ua pyelonephritis,” piav qhia Ali. “Cov kws sau phau ntawv Norwegian tau hais tias lawv tsis tuaj yeem pom zoo ibuprofen ib leeg ua kev kho mob rau cov pojniam uas tsis mob UTIs.”

Thaum twg koj xav tau tshuaj tua kab mob?

Hauv nws tsab cai SIGN 88 cov lus qhia txog kev saib xyuas kev noj qab haus huv hauv tebchaws Askiv, Scottish Intercollegiate Guidelines Network pom zoo kom siv cov tshuaj tua kab mob rau lwm tus pojniam noj qab haus huv, hnub nyoog qis dua 65 xyoo, uas muaj peb lossis ntau tshaj ntawm UTI.

Tej zaum muaj cov tsos mob ntawm UTI tau teev muaj raws li hauv qab no: mob tso zis (mob plab), tso zis heev, tso zis, tso zis sai, tso zis ntau (tso ntshav), thiab tso ntshav hauv cov zis (haematuria).

“Cov lus qhia pom zoo kom siv cov kev ntsuam xyuas dipstick los qhia kev txiav txim siab kho mob hauv lwm tus pojniam muaj hnub nyoog qis dua 65 xyoo uas muaj mob me lossis ntau tshaj ob yam tsos mob ntawm UTI,” lus Ali. “Muab tso yooj yim, yog tias cov tsos mob hnyav, tsis kuaj zis tsis tas ua ntej pib kho.”

Kev ua haujlwm zoo tshaj plaws

Rau cov neeg txom nyem feem ntau, Ali qhia qhov kev ua zoo tshaj plaws yog ua kom muaj dej ntau ntxiv, noj tshuaj kom tsim nyog thiab tham nrog tus kws kho mob kom ntsuas ntxiv cov tsos mob.

Yog tias cov tsos mob nyob ntev dua ob hnub – lossis suav nrog ua npaws, mob loin thiab / lossis xeev ntuav thiab ntuav – nws yog qhov tseem ceeb kom pom koj tus kws kho mob rau cov lus qhia txog seb puas yuav tsum muaj tshuaj tua kab mob. Nws tseem yog qhov tseem ceeb kom rov qab yog tias koj tau pib siv tshuaj tua kab mob thiab cov tsos mob tsis zoo li 48 teev.

“Thaum qee qhov kev kho mob ntau dhau yuav muaj kev mob tshwm sim, 2018 NICE UTI cov lus qhia hais tias tsis muaj pov thawj pom rau cov khoom cranberry lossis cov tshuaj tso zis tso kua tshuaj rau. kho UTI, “nws hais ntxiv.” Txawm li cas los xij, muaj kev soj ntsuam sim qhia pom qhov ua tau zoo ntawm D-mannose. Thiab cov txiv kab ntxwv qaub noob extract thiab cov roj ntawm oregano kuj tau pom tias muaj txiaj ntsig zoo. “

A UTI, lossis lwm yam?

Nws tuaj yeem ua rau muaj kev sib tshooj ntau ntawm cov tsos mob rau mob UTI thiab kev sib kis kabmob sib kis (STIs) xws li chlamydia thiab gonorrhea. Cov kab mob ua paug ntawm chaw mos, mob tawm ntawm lub paum, vulvodynia, lichen sclerosus, endometriosis, mob zais zis thiab lub zais zis ntau dhau kuj tseem ua rau cov tsos mob zoo ib yam. Cov tshuaj tua kab mob kuj tseem tuaj yeem ua kom tawm tsam ntawm qhov chaw mos ntawm qee tus poj niam thiab xav tau kev kho mob ntxiv.

Ali hais tias “Kev tiv thaiv kev sib deev tsis tiv thaiv tam sim no, tso tawm los ntawm qhov zis thiab mob nyob rau thaj chaw hu ua pelvic lossis cov kabmob kev sib deev yuav ua rau muaj kev sib daj sib deev ntau dua”. “Ib zaug ntxiv, kev txheeb xyuas los ntawm cov kws paub txog kev noj qab haus huv tsim nyog yuav raug qhia thiab ntau yam mob ntxiv ntshav lossis kuaj zis.”

Mob cystitis ua ke (IC), tseem hu ua mob zais zis mob, tej zaum kuj ua kom muaj cov zais zis tshwm sim tuaj. IC yog ib qho mob ntev, tsis txawj kis ntawm lub zais zis ua rau kom tso zis ntau zaus thiab tso dej txhaws thiab qhov mob ntawm lub plab txhaws uas muaj qhov tsis zoo zuj zus raws li lub zais zis puv mus. IC yog qhov kev kuaj mob nyuaj ua rau thiab xav tau kev sim thiab cov lus qhia los ntawm tus kws ntsuas mob urologist. Yog tias koj xav tias koj yuav muaj IC, mus ntsib koj tus kws kho mob GP, thiab hu rau Interstitial Cystitis Association thiab Bladder Health UK rau cov lus qhia thiab kev txhawb nqa.

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