Matenda a UTI omwe amapezeka paliponse mu njira yamakono. Ambiri amayamba chifukwa cha mabakiteriya, koma bowa ndi mavairasi amatha kuwapangitsanso. UTI ingakhudze kwambiri ntchito ya munthu amene ali ndi matenda a Alzheimer's or other type of dementia .
Zizindikiro
- Kutentha kumverera pamene mukukota
- Chofunika chowonjezeka kuti muyambe
- Ululu m'mimba, m'munsi kapena kumbuyo
- Magazi mu mkodzo
- Mitsempha yomwe imawoneka ngati mitambo, yonyansa kapena yamakono
- Mtsinje ndi fungo lonunkhira
- Fever
- Delirium
- Nsowa ndi kusanza
Zizindikiro za UTI ku Dementia
Munthu amene ali ndi matenda a 'dementia' akuyamba UTI, zimakhala zovuta kudziwa zizindikiro. Chifukwa cha vuto la kupeza mawu , munthuyo sangathe kufotokoza kuwonjezeka kwakumvetsa kapena kuzindikira chofunika chokwanira kukodza.
Kawirikawiri, anthu omwe ali ndi matenda a 'dementia' omwe amayamba UTI adzalandira kusintha kwakukulu kwa khalidwe . Matenda alionse angayambitse delirium , ndipo UTIs ndi chifukwa chobweretsera vuto la maganizo. Mutha kuona zizindikiro zotsatirazi za UTI kwa munthu yemwe ali ndi matenda a dementia:
- Kugwa kwakukulu
- Kusintha kwa makhalidwe monga kuwonjezereka, kuzunzika kapena mkwiyo
- Kusintha kwa chilakolako
- Amagona mocheperapo mwachibadwa
- Kuwonjezeka kwa chisokonezo ndi kusokonezeka
- Kutha kwakukulu mu ntchito sikufotokozedwe ndi vuto lina lomwe limabwera mwadzidzidzi
Chifukwa Chake Mavuto Ali Pamwamba Ndi Chifuwa cha Dementia
- Matenda a ukhondo : Anthu omwe ali ndi matenda a 'dementia' amatha kugwiritsa ntchito njira zosavulaza musanathe kugwiritsa ntchito bafa, monga kupukuta kumbuyo kutsogolo m'malo kutsogolo. Izi zingawonjezere kufalikira kwa mabakiteriya.
- Azimayi: Pafupifupi theka la magawo atatu pa anthu atatu ali ndi chifuwa chachikulu chazimayi ndi akazi. Azimayi ali ndi chiopsezo chowonjezereka cha UTI chifukwa cha momwe mavitamini awo amakonzedwera.
- Incontinence : Pamene chifuwa cha dementia chikupita, kuthetsa chikhodzodzo ndi matumbo kumalimbikitsa kuchepa. Mankhwala otsika omwe sakhala otsika kwambiri amatha kuwonjezera vutoli chifukwa samamwa mkodzo, zomwe zimawathandiza kuti azikhala bwino pakhungu ndipo amachititsa kuti kachilombo kawopsedwe, komanso mavuto a khungu monga zilonda zapanikizi . Mankhwala osokoneza bongo ayenera kusinthidwa mwamsanga.
- Kufooka kwa thupi: Kutha thupi kumachepa monga momwe dementia imayendera , ndipo kuyenda kochepa kumawonjezera ngozi ya UTI.
- Zochitika zina zomwe anthu ambiri achikulire amapezeka: Izi zimaphatikizapo chizoloŵezi chokhala ndi mphamvu yowonongeka ya chitetezo cha mthupi, chiopsezo chachikulu cha shuga, kuthekera kwa kusungidwa kwa mkodzo , ndi mavuto a prostate mwa amuna.
Kodi Catheters Ayenera Kugwiritsidwa Ntchito?
Kafukufuku wamakedzana akhala akuganiziridwa kuti ndi njira yothetsera mavuto ndi kusadziletsa, koma ntchito zawo sizinakonzedwe pokhapokha mwamtheradi kufunikira koyenera. Kuikidwa kwa catheter kukhoza kuyambitsa mabakiteriya ambiri mu njira yamakono ndipo izi zimawonjezera chiopsezo kwa UTI. A UTI omwe amayamba mwa munthu pogwiritsa ntchito catheter amatchedwa "Cather Associated Urinary Tract Infection Infection" ( CAUTI ), ndipo anthu ogwira ntchito zachipatala agwira ntchito molimbika kuchepetsa matendawa (omwe nthawi zambiri) amatetezedwa.
Catheters ndi oyenerera pazinthu zina monga kusungidwa kwa mitsempha, kumene munthu sangathe kutaya chikhodzodzo chonse, koma sakuvomerezedwa popanda matenda enaake omwe amachititsa zofunikira.
Chithandizo
Nthaŵi zambiri, UTI amachizidwa ndi maantibayotiki. Chitsanzo cha mkodzo wanu chimayesedwa pa labotolo kuti mudziwe kuti ndi mankhwala ati omwe angakhale othandiza pochiza. Nthawi zina, madokotala akuyambitsa maantibayotiki imodzi ndiyeno amasintha izo mosiyana pambuyo pa zotsatira za labu.
"Ndikudziwa amayi anga ali ndi UTI. N'chifukwa Chiyani Akudikira Kuchichita?"
Imodzi mwa zovuta pa chisamaliro chaumoyo ndi kugwiritsa ntchito mankhwala opha tizilombo.
Kalekale, mankhwala opha tizilombo akhala akugwiritsidwa ntchito mopitirira muyeso, ndipo izi zachititsa kuwonjezeka kwa matenda omwe sagonjetsedwa ndi ma antibayotiki. M'mawu ena, mabakiteriya akukula ndipo ma antibayotiki nthawi zonse sagwira ntchito.
Si zachilendo kukambirana kwa mkodzo wa munthu wamkulu kuti ayesetse kukhala wabwino kwa UTI ngakhale munthu alibe zizindikiro. Zikatero, mankhwala opha tizilombo sikuti nthawi zonse amafunikira, ndipo kuwatumizira kwambiri kungachititse mabakiteriya kulimbitsa ndi kusagonjetsa, motero amafunika antibiotic amphamvu ndi amphamvu.
Pofuna kuyesa UTI, mabungwe ambiri monga nyumba za anthu okalamba amatsatira malangizo a McGreer omwe amafunikira zizindikiro zitatu zotsatirazi (malungo, kupweteka, kusokonezeka kwakukulu, kusintha maonekedwe a mkodzo kapena fungo, kufulumira kapena nthawi zambiri) kukhalapo kale Adzayesa ndikuyesa antibiotic. Zoperewera izi zinapangidwa ndi cholinga chogwiritsa ntchito mankhwala opha tizilombo mwanzeru.
Kupewa UTI
Njira zotsatirazi zingathandize kuchepetsa mwayi woti munthu amene ali ndi matenda a 'dementia' adzakhazikitsa UTI:
Kulimbikitsa madzi okwanira kungathandize kuchepetsa mwayi wa UTI.
Munthu amene ali ndi matenda a 'dementia' angafunikire thandizo linalake lodziyeretsa yekha ndikudzipukuta bwino atatha kukodza kapena kukhala ndi thupi. Kuphatikizanso apo, atagonana, amayi ayenera kulimbikitsidwa kukodza chifukwa cha kuopsa kwa UTI.
Musamayembekezere Kutsegula
Kusunga mkodzo wanu motalika kungapangitse ngozi ya UTI.
Limbikitsani Zovala Zopuma
Zovala zomwe zimakhala zolimba kwambiri kapena zobvala zopangidwa ndi nylon kusiyana ndi thonje, zimatha kuchepetsa chinyezi ndikuwonjezera chiopsezo.
Kodi Msuzi wa Kiranberi Ndiwothandiza?
Kafukufuku wabwera ndi zotsatira zosiyana pa funso ili. Kafukufuku wina adapeza phindu lenileni la madzi a granberry pofuna kuchepetsa chiopsezo cha UTI. Ena sanapeze kusiyana pamene juisi ya kiranberi yanyoledwa. Muyenera kukaonana ndi dokotala wanu musanayambe kuwonjezera juzi ya cranberry ku zakudya zanu nthawi zonse chifukwa zingagwirizane ndi mankhwala ena monga Coumadin (warfarin).
Zotsatira:
Pulogalamu Yopereka Thanzi Labwino kwa NPs ndi PAs. UTI M'nyumba Yachikulire Okhalamo: Kupeza bwino matenda kungathandize kuchepetsa kugwiritsira ntchito mankhwala osokoneza bongo. September 5, 2012. http://nurse-practitioners-and-physician-assistants.advanceweb.com/Features/Articles/UTIs-in-Nursing-Home-Residents.aspx
Chigawo cha Kuletsa ndi Kuteteza Matenda (CDC). Chochitika cha Urinary Tract Infection (UTI) Chokhalapo kwa Nthawi Yaitali Zosamalidwa. August 24, 2012. http://www.cdc.gov/nhsn/PDFs/LTC/LTCF-UTI-protocol_FINAL_8-24-2012.pdf
Cochrane. Cranberries popewera matenda opangira mkodzo. October 17, 2012. http://www.cochrane.org/CD001321/RENAL_cranberries-for-preventing-urinary-tract-infections
Journal wa Association Medical Directors Association. 2016 Feb 1; 17 (2): 183.e1-183.e16. Udindo Wakale Wamakono M'zinthu Zam'nyengo Zakale Zosamalirira: Kuitanidwa Kuchitapo kanthu. http://www.ncbi.nlm.nih.gov/pubmed/26778488
Ma Institutes on Health. National Institute of Diabetes and Digestive and Kidney Diseases. Zimene Ndikufunikira Kudziwa Zokhudza Matenda a Urinary Tract. September 2013. http://www.niddk.nih.gov/health-information/health-topics/urologic-disease/urinary-tract-infections-in-adults/Pages/ez.aspx#j