Matenda opatsirana m'mitsempha (UTIs) nthawi zambiri amakhala ofatsa ndipo nthawi zina amatha kudzikonzera okha popanda madzi okwanira komanso mwinamwake kuchepetsa kupweteka kwa oTC. Komabe, ngati mutakhalapo kwa masiku opitirira awiri, mukhoza kupindula ndi mankhwala ochepa ochepetsa mankhwala. Izi ndizowona makamaka ngati kachilombo kamachokera ku chikhodzodzo kupita ku impso zanu.
Muzochitika monga izi, mankhwala opita kunyumba ndi analgesics sizingatheke kupereka chithandizo ndipo zikhoza kuwonjezera chiopsezo chanu cha mavuto.
Zothetsera Pakhomo
Ngakhale kuti maantibayotiki amalembedwa kuti athetse vuto la mkodzo , malingaliro akhala akusintha zaka zaposachedwapa chifukwa cha kuchulukitsitsa kwa mankhwala a E. coli osagonjetsedwa ndi mabakiteriya ena. Masiku ano, madokotala ena amatenga njira yolondera ndi kuyembekezera ngati UTI ndi yovuta komanso ili ndi zizindikiro zochepa.
Mwachitsanzo, ku Ulaya, madokotala nthawi zambiri amapereka maola 48 omwe amalembedwa kuti azitha kugwiritsidwa ntchito pazochita za wodwalayo. Zomwezo zimayambitsidwa ndi madokotala ena ku United States. Komabe, kafukufuku wina amasonyeza kuti kuletsa mankhwala opha tizilombo kumabweretsa mavuto aakulu a UTI, ndipo akatswiri ambiri sanayambe kuchita izi.
Pochepetsa kuchepetsa kufunika kwa maantibayotiki pochita ndi UTI wamng'ono, pali njira zingapo zowonongeka ndi zoona kuti mutembenuke ku:
- Imwani madzi ambiri. Pokhapokha mutasunga kapangidwe ka mkodzo, mudzatha kuchotsa mabakiteriya ambiri m'matenda kapena impso. Onetsetsani kumwa madzi osachepera asanu ndi atatu pa tsiku (kapena pafupifupi theka la malita). Pakati pa matenda opatsirana, mungafunike kutero mpaka 16, ngati n'koyenera. Cholinga chake ndi kukodza ndi kukodza nthawi zambiri, osagwiritsanso ntchito nthawi zonse.
- Imwani madzi a kiranberi. Kutalika kotamandika chifukwa cha mphamvu yake yothandizira UTIs, madzi a kiranberi ali ndi malingaliro amagulu kuti ateteze mabakiteriya kuti asamangidwe kumakoma a mtsinje. Ngakhale asayansi ena asakayikira poyera izi zotsutsa, kafukufuku wochokera ku Boston University School of Medicine anamaliza kuti galasi tsiku lililonse, masentimita asanu ndi atatu a madzi a granberry, atatenga masabata makumi awiri ndi awiri, adachepetsa kuwonjezereka kwa UTIs pafupifupi 45 peresenti.
- Kuwonjezera vitamini C. Vitamini C ingathandize kuthana ndi matenda osakanikirana ndi mkodzo ndikuwonjezeka m'makiteriya. Ngati mukufunikira, mukhoza kulimbitsa chakudya chanu kudzera mu chakudya ndi kupatsirana tsiku ndi tsiku.
Mosiyana ndi zimenezi, muyenera kupewa chakudya kapena zakumwa zomwe zingakwiyitse matenda a mkodzo ndi / kapena kupweteka zizindikiro. Izi zikuphatikizapo zakudya zokometsera, mowa, caffeine, ndi zipatso.
Kuyika penti yotentha, botolo la madzi otentha, kapena compress yofunda pamimba kapena kumbuyo kungathandize kuchepetsa vuto la chikhodzodzo.
Njira Zochiritsira Zambiri
Mankhwala osokoneza bongo amagwiritsidwa ntchito kuthetsera mavuto ndi ululu wa UTI. Mmodzi mwa awa ndi mankhwala osakanikirana ndi othandizira (NSAIDs) monga Advil (ibuprofen) kapena ululu wopweteka kwambiri monga Tylenol (acetaminophen ).
Mankhwala ena, omwe amadziwika kuti phenazopyridine , amapangidwa makamaka kuti azitsatira ululu wamakono. Amapezeka m'madzi otsika popanda mankhwala ndipo amagulitsidwa pansi pa mayina monga Azo kapena Uristat.
Mphamvu zowonjezera zowonjezera zimapezeka ndi mankhwala ndipo nthawi zambiri zimatengedwa kuti zichepetse kupweteka mpaka nthawi ngati antibiotics ikhoza kuthetsa matendawa. Muyenera kupewa kumwa mowa mukatenga phenazopyridine, chifukwa imayambitsa chiwindi cha chiwindi. Zotsatira zoyipa zimaphatikizapo kugona, ludzu lowonjezeka, kupuma m'mimba, kutopa, kunyoza, ndi kusanza.
Malemba
Ngakhale ena angakhale ofunitsitsa kupeza mankhwala oletsa tizilombo toyambitsa matenda, mankhwalawa ayenera kuuzidwa ndi madokotala ngati pakufunikira (komanso nthawi yochepa kwambiri) ndikugwiritsidwa ntchito moyenera kuti achepetse chiopsezo cha mankhwala osokoneza bongo.
Izi zikuti, ambiri a UTIs amayamba ndi mabakiteriya ndipo, motere, amachizidwa ndi maantibayotiki. Kusankha mankhwala kumadalira makamaka ngati matenda ali mu chikhodzodzo (cystitis) kapena impso (pyelonephritis).
Cystitis Treatment
Mankhwala oyambitsidwa ndi mankhwala oyambirira omwe amagwiritsidwa ntchito pochizira mosavuta cystitis ndi awa:
- Trimethoprim-sulfamethoxazole (TMP-SMX)
- Nitrofurantoin monohydrate
- Fosfomycin
Zizindikiro za cystitis zidzakonza mkati mwa masiku asanu ndi limodzi kuyambira kuchipatala. Chithandizo chingatenge nthawi yaitali ngati muli ndi UTIs kawirikawiri kapena muli ndi zizindikiro zazikulu za mkodzo. Zotsatira zoyipa zimaphatikizanso mutu, chizungulire, kupwetekedwa m'mimba, kutopa, kunyoza, kusanza, kutentha, ndi kupweteka.
Nitrofurantoin ndi fosfomycin ziyenera kupezeka ngati pali zizindikiro za matenda a impso , kuphatikizapo ululu wamphepete, malungo, kunyowa, kusanza, ndi kuzizira.
Chithandizo cha Pyelonephritis
Pafupifupi 90 peresenti ya matenda opatsirana a impso angathe kuchiritsidwa ndi mankhwala opatsirana. Zomwe zimaperekedwa kwambiri ndi izi:
- Fluoroquinolones (monga ciprofloxacin ndi levofloxacin)
- Cephalosporins (monga ceftriaxone)
- Penicillin
- Amoxicillin
- Augmentin (amoxicillin-clavulanate potaziyamu)
Anthu omwe ali ndi matenda akuluakulu angafunike chithandizo kwa masiku asanu kapena asanu ndi awiri. Mosiyana ndi zimenezi, amayi oyembekezera angafunike maphunziro a masiku asanu ndi awiri kapena asanu ndi awiri, pamene anthu omwe ali ndi chitetezo cha thupi angathe kuthandizidwa mpaka masiku 21. Matenda oopsa angafunike kuphatikiza mankhwala opha tizilombo (IV) ndi amlomo.
Fluoroquinolones ali ndi kachilombo ka HIV mthupi (kutanthauza kuti awonetsa zolepheretsa kubadwa kwa nyama) ndipo sayenera kugwiritsidwa ntchito panthawi ya mimba.
Zotsatira za mankhwala omwe amachiritsidwa ndi ofanana ndi omwe amagwiritsidwa ntchito pa cystitis. Komabe, mankhwala ena (monga penicillin) amachititsa kuti pakhale ngozi, thupi lonse limatchedwa anaphylaxis . Ngati sanatengedwe, anaphylaxis ikhoza kuchititsa mantha, kukhumudwa, mtima kapena kupuma, komanso imfa.
Mankhwala Ophatikiza (CAM)
Ngakhale kuti njira zina zowonjezereka zakonzedwa kuti zithetse kapena kuteteza matenda a mkodzo, zizindikiro zawo zowonjezera zakhala zikusowa.
Ena, monga ma probiotics , sanawonetsere phindu lofanana ndi lokhala ndi ziwalo zina. Zina, monga zinki zowonjezera zomwe zimagwiritsidwa ntchito popereka chithandizo cha UTI, zasonyezedwa kuti zowonjezera chiopsezo cha mavuto a mkodzo.
Njira zina zochizira monga adyo, horseradish, nasturtium, ndi Salvia plebeia- amagwiritsidwa ntchito m'zinenero zachi Chinese (TCM) - amasonyeza pang'ono phindu pochiza kapena kuteteza UTIs m'maphunziro ochepa omwe akufufuza momwe akugwiritsira ntchito.
Monga tafotokozera pamwambapa, juisi ya kiranberi ndiyo njira yomwe mungaganizire. Cranberry zowonjezerapo , zomwe zimapezeka mu caplet formulations, zimapezekanso.
D-Mannose
Kuwonjezera pa zakudya zowonjezera zomwe zakhudza kwambiri zaka zaposachedwapa ndi shuga wosavuta wochokera ku cranberries ndi zomera zina zotchedwa D-mannose . Mosiyana ndi shuga ambiri, D-mannose salowerera mosavuta m'magazi ndipo amachotsedwa mwamsanga kuchokera ku thupi, osasintha, mu mphindi 30 mpaka 60.
Chifukwa chakuti D-mannose imakhalabe yosayanjanitsika, siimabweretsa mazira a shuga m'magazi mofanana ndi shuga wina. M'malo mwake, zimamangirira m'kati mwa matumbo ndipo zimateteza mabakiteriya kuti asagwiritse ntchito maselo a epithelial.
Ngakhale palibe umboni wakuti D-mannose amatha kuchiza matenda a mkodzo, pulogalamu ya 2014 yofalitsidwa mu World Journal of Urology inapeza kuti amayi omwe anatenga D-mannose ufa tsiku ndi tsiku anali ndi chiwerengero cha kuchepa kwa UTI poyerekeza ndi omwe adatenga placebo. Kuwonjezera apo, kugwiritsa ntchito tsiku ndi tsiku kwa D-mannose kumawoneka kukhala kothandiza kwambiri poletsa kutayika kwa UTI monga ntchito tsiku ndi tsiku ya antibiotic drug nitrofurantoin.
Ndizinenedwa kuti, D-mannose zowonjezereka zingayambitse kuphulika, zotayirira, ndi kutsegula m'mimba. Mukamamwa mowa kwambiri, palinso nkhawa kuti D-mannose ikhoza kuwononga impso. Momwemo, mumalankhula ndi dokotala musanatenge izi kapena mankhwala ena a OTC, supplement, kapena mankhwala a zitsamba.
> Zotsatira:
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