Ib lub zais zis yog ib yam kab mob uas muaj feem cuam tshuam rau tib neeg txhua hnub. Tus kab mob manifests nws tus kheej heev unpleasantly - nrog kub taub hau, mob nqaij thiab tsis muaj zog ntawm lub cev. Qee zaum cov tsos mob no koom nrog lwm yam kab mob uas ua rau koj mus tas li mus rau chav dej. Feem ntau ua rau tus kab mob yog kab mob, kab mob, fungi los yog chlamydia. Feem ntau, tshwj xeeb tshaj yog nyob rau hauv cov txiv neej, tus kab mob yog tshwm sim los ntawm gonorrhea. Cia peb saib cov tsos mob thiab kev kho mob ntawm lub zais zis ntawm cov menyuam yaus thiab cov neeg laus.
Imp. Kev tshwm sim
Kab mob ntawm cov zis tshwm sim vim muaj cov kab mob (feem ntau yog cov kab mob) hauv nws. Nyob rau hauv ib txwm muaj mob, nyob rau hauv ib tug neeg noj qab nyob zoo, txoj kev saum toj no lub sphincter ntawm lub zais zis yogtsis muaj menyuam. Txawm li cas los xij, hauv qee qhov xwm txheej, cov kab mob nkag mus rau qhov ntawd, uas pib ua rau ntau qhov chaw zoo rau lawv. Qhov no yog dab tsi ua rau mob, uas yog xa mus rau hauv kev kho mob terminology raws li UTI los yog urinary tract infection. Qhov no pathology yog dab tsi?
Feem coob ntawm cov neeg mob yog zais zis, tseem hu ua cystitis.
Ntau yam mob hnyav dua yog tus kab mob tshwm sim los ntawm cov kab mob nkag mus rau ib lossis ob lub raum los ntawm cov ureter, ua rau pyelonephritis.
Raws li kev txheeb cais, tus kab mob no feem ntau tshwm sim rau cov poj niam. Feem coob ntawm kev sib deev ncaj ncees muaj UTI tsawg kawg ib zaug hauv lawv lub neej. Cov kab mob zais zis hauv cov poj niam feem ntau cuam tshuam nrog kev xeeb tub thiab lub sijhawm tom qab yug menyuam. Ntawm cov txiv neej, feem ntau tshwm sim hauv cov neeg laus (qhov no yog vim kev ua txhaum ntawm cov zis tawm, piv txwv li, vim qhov loj, mob prostate).
Cov menyuam yaus feem ntau cuam tshuam los ntawm qhov teeb meem no thaum muaj cov kab mob uas twb muaj lawm hauv lub zais zis (rov qab vesicoureteral reflux). Nws yog ib qho tseem ceeb ntawm no kom paub qhov txawv ntawm qhov pib tshwm sim ntawm cov menyuam yaus thiab cov neeg laus.
Ua rau kab mob
Cov kab mob zais zis feem ntau yog kab mob. Tus neeg sawv cev tseem ceeb yog Escherichia coli (lub npe hu ua E. coli), uas yog lub luag haujlwm rau 50-95% ntawm cov neeg mob. Nws muaj cov qauv tshwj xeeb hu ua pili uas tso cai rau adhesion rau cov zis. Cov kab mob no nyob rau hauv lub zais zistuaj yeem nkag los ntawm lub qhov quav, thiab qee zaus, cov kab mob tuaj yeem nkag mus rau ib lossis ob lub raum. Yog tias qhov mob tshwm sim los ntawm Escherichia coli thiab tsis muaj lwm yam ua rau kev loj hlob ntawm tus kab mob, qhov tsis sib xws UTI tshwm sim. Tus kab mob no yuav luag ib txwm tshwm sim hauv cov poj niam uas muaj hnub nyoog me nyuam.
Kab mob yog qhov ua rau muaj mob tsawg thiab yuav luag ib txwm kis los ntawm kev sib deev. Cov kab mob fungi feem ntau ua rau tib neeg:
- mob ntshav qab zib;
- kho nrog tshuaj tua kab mob;
- tom qab kev phais urinary;
- tom qab noj tshuaj tiv thaiv kab mob.
Tus kab mob no cuam tshuam rau poj niam ntau dua li txiv neej. Qhov no yog vim qhov sib txawv ntawm qhov anatomical hauv cov qauv ntawm cov zis:
- shorter urethra;
- me me ntawm cov urethra los ntawm qhov quav;
- tso zis tso zis nrog cov kab mob los ntawm qhov chaw mos, thiab lwm yam.
Qhov no ua rau nws yooj yim dua rau cov kab mob kom nyob hauv thiab sib npaug.
UTIs yog ib qho teeb meem tshwm sim hauv cov menyuam yaus thiab. Thawj lub hlis ntawm lub neej, tus kab mob no feem ntau cuam tshuam rau cov tub. Thiab thaum muaj hnub nyoog laus, qhov kev pheej hmoo ntawm kev tsim tus kab mob hauv cov ntxhais yog siab dua. Cov kab mob xws li Escherichia coli, Proteus hom thiab Staphylococcus saprophiticus feem ntau yog lub luag haujlwm rau kev txhim kho cov tsos mob ntawm tus kab mob.
UTIs hauv cov menyuam yaus yuav luag ib txwm tsim los ntawm kev cuam tshuam ntawm cov kab mob los ntawm qhov qis ntawm cov zis. Tsis tshua muaj, qhov mob yog tshwm sim los ntawm ntshav lom (xws li, sepsis).
Risk factors
Yam uas ua rau muaj kev pheej hmoo ntawm zais zis thiab raum kab mob suav nrog:
- urolithiasis;
- vesicoureteral reflux, uas yog, ib qho zais zis txawv txav (qhov no yog ib qho kev mob tshwm sim feem ntau hauv cov menyuam yaus);
- mob ntshav qab zib mellitus;
- cev xeeb tub thiab yug me nyuam;
- laus;
- zais zis catheter.
Cov tsos mob ntawm tus mob hauv cov neeg laus
Thaum muaj UTI, muaj cov tsos mob dav dav thiab hauv zos (piv txwv li cuam tshuam nrog cov zis).
Hauv zos suav nrog:
- tso zis tsis zoo, nrog rau qhov mob, kub hnyiab (dysuria).
- Ntshav plab hnyuv loj.
- tso zis thaum hmo ntuj (nocturia).
- Mob raum. Cov kabmob no nyob hauv thaj tsam lumbar, uas yog, nyob rau hauv qis rov qab, saum lub plab mog. Nws nyob ntawm no qhov mob tshwm sim.
General, feem ntau tsis yog cov tsos mob tshwj xeeb suav nrog:
- kub taub hau, qee zaum nrog txias;
- xeev siab, ntuav, mob plab;
- mob taub hau,
- kev qaug zog.
cov zis liab lossis xim av tsaus yuav yog vim muaj cov ntshav (hematuria), uas yog tshwm sim los ntawm qhov mob ntawm lub zais zis. Yog tias mob raum tshwm sim, qhov kub thiab txias (siab tshaj 38 ° C) yuav luag txhua zaus. Tej zaum yuav muaj mob ntawm ib sab lossis ob sab, xeev siab thiab ntuav. Cov tsos mob ntawm lub raum yuav tshwm sim ob peb hnub tom qabpom cov tsos mob ntawm lub zais zis.
Lub zais zis kab mob: cov tsos mob ntawm cov menyuam yaus
Kev kuaj mob UTIs hauv cov menyuam yaus feem ntau nyuaj los ntawm qhov tsis muaj cov tsos mob, yog li yuav luag txhua tus menyuam uas kub taub hau tuaj yeem xav tias muaj tus kabmob.
Kev mob ntawm qhov tso zis hauv cov menyuam yaus tuaj yeem muaj ntau hom kev kho mob:
- Asymptomatic bacteriuria. Tib lub cim ntawm tus mob yog cov kab mob ntau ntxiv hauv tus menyuam cov zis.
- Asymptomatic urinary tract infection. Tus kab mob tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm kev nce ntawm cov kab mob thiab cov qe ntshav dawb hauv cov zis.
- Kab mob hauv cov zis qis (cystitis hauv menyuam yaus). Kev kuaj ntxiv qhia pom cov kab mob bacteriuria thiab pyuria. Tus neeg mob me me muaj zis nquag, ntxhov siab, ntxhov siab, mob thaum tso zis. Qee zaum cov ntshav tuaj yeem tshwm sim hauv cov zis (hematuria).
- mob pyelonephritis. Cov tsos mob ntawm tus kab mob nyob ntawm lub hnub nyoog ntawm tus neeg mob. Cov me nyuam laus yws yws ntawm qhov mob hauv cheeb tsam lumbar lossis plab. Tus kab mob tuaj yeem nrog xeev siab, ntuav, kub taub hau, uas siab tshaj 38 degrees. Hauv cov menyuam mos, pyelonephritis tshwm sim nrog kub taub hau, mob, tsam plab, ntuav, thiab cov tsos mob ntawm tus mob meningitis. Hauv cov menyuam yug tshiab, tus kab mob tuaj yeem tshwm sim nyob rau hauv daim ntawv ntawm hypothermia (tsis tshua muaj lub cev kub), ntuav, lub paj hlwb tsis zoo, cyanosis, jaundice ntev, thiab txawm tias sepsis thiab septic shock. Cov kev sim ntxiv qhia pom cov kab mob bacteriuria, pyuria, nrawm ESR, nce CRP, thiab nce cov qe ntshav dawb.
- Ntawmpyelonephritis nyob rau hauv cov me nyuam. Tus kab mob no tshwm sim nrog cov kab mob bacteriuria thiab pyuria, ua rau lub raum tsis ua haujlwm, thiab feem ntau kub siab.
Diagnosis
txhawm rau kuaj seb lub zais zis twg ua rau tus kabmob, siv:
- Kev kuaj zis. Kev nce ntawm cov qe ntshav dawb tau lees paub tias muaj qhov mob hauv lub cev. Ntshav (erythrocytes) thiab cov protein kuj tseem muaj nyob hauv cov zis.
- Kev kuaj kab mob ntawm cov zis. Qhov kev tshuaj ntsuam no tso cai rau koj txheeb xyuas cov kab mob uas ua rau cov txheej txheem inflammatory, nrog rau kev txiav txim siab qhov concentration (tus naj npawb) ntawm cov kab mob. Cov txiaj ntsig kab lis kev cai feem ntau muaj nyob hauv li 48 teev. Nws qhia seb puas muaj cov kab mob hauv cov zis, hom dab tsi thiab ntau npaum li cas. Yog tias tus naj npawb ntawm ib hom kab mob ntau tshaj 1000 rau 1 milliliter ntawm cov zis, qhov tshwm sim tau lees paub tias muaj tus kab mob. Nyob rau hauv tas li ntawd, qhov rhiab heev ntawm cov kab mob mus rau cov tshuaj tua kab mob (hu ua antibiogram) kuj txiav txim, uas yuav pab tau tus kws kho mob xaiv cov kev kho mob tsim nyog.
- kuaj ntshav. Lub hom phiaj ntawm kev ntsuas yog los txiav txim qhov hu ua C-reactive protein, ESR thiab leukocytosis. Lawv qhov kev nce ntxiv qhia tias muaj cov txheej txheem inflammatory hauv lub cev.
- Bacteriological kuaj ntshav. Kev tshuaj xyuas yog ua tiav hauv cov ntaub ntawv hnyav ntawm UTI, uas cov kab mob nkag mus rau hauv cov hlab ntsha.
Thaum tus kws kho mob xav tias muaj cov zis txawv txav lossis muaj teeb meem, lawv tuaj yeem sau ntawv:
- kuaj lub raum thiab tso zis;
- urography;
- xam tomography.
Yog tias kev kuaj zis tsis paub tseeb tias muaj kab mob zais zis, thiab cov poj niam tseem muaj cov tsos mob, lawv yuav tsum tau mus kuaj gynecological (xws li vaginitis), xav txog urethritis (kab mob venereal). Qee lub sij hawm nws yuav tsum tau mus kuaj tshwj xeeb urological (cystoscopy).
Kev kho poj niam
Cov tsos mob tseem ceeb ntawm cov kab mob zais zis hauv cov poj niam tuaj yeem nrog cov tsos mob ntxiv. Qhov no suav nrog ua npaws, ntuav, thiab lwm yam. Hauv qee kis, tshwj xeeb tshaj yog nyob rau theem pib, tus kab mob yuav asymptomatic. Raws li txoj cai, tus kws kho mob sau tshuaj tua kab mob. Hoob no kav peb mus rau xya hnub. Cov tshuaj tsom rau kev kho mob ntawm lub zais zis yog muab raws li cov txiaj ntsig ntawm kev tshawb fawb. Cov tshuaj zoo tshaj plaws yog Trimethoprim. Nws tau noj ib leeg lossis ua ke nrog Sulfamethoxazole, Nitrofurantoin lossis Ciprofloxacin. Cov tsos mob ntawm tus kab mob pib ploj mus 1-3 hnub tom qab pib ntawm kev kho mob. Nyob ntawm qhov nyuaj ntawm cov kab mob, kev kho mob yog nqa tawm ob qho tib si hauv tsev kho mob thiab hauv tsev.
Thaum mob raum, thaum kub taub hau thiab ntuav ntxiv rau cov tsos mob, yuav tsum tau mus pw hauv tsev kho mob ntawm tus neeg mob. Tus neeg mob tau muab tshuaj rau hauv cov hlab ntsha thiab cov tshuaj intramuscular, tsom tsis tau tsuas yog kho cov kab mob hauv qab, tab sis kuj tseem txhawb kev tiv thaiv kab mob. Cov chav kawm ntawm kev kho tshuaj tua kab mob feem ntau kav 10-14 hnub. Tshuaj tua kab mobrau cov kab mob ntawm lub zais zis thiab lub raum yog qhov kev kho mob zoo tshaj plaws. Ib lub lis piam lossis ob hnub tom qab qhov kawg ntawm kev kho mob, koj yuav tsum rov kuaj zis.
Nws yog ib qho tseem ceeb heev kom kuaj tau tus kab mob raws sij hawm thiab pib kho. Cov teeb meem ntawm tus kab mob, xws li lub raum abscess, tuaj yeem ua rau tuag taus. Nyob rau hauv cov ntaub ntawv no, kev kho urological yog tsim nyog los xyuas kom meej cov zis ntws thiab kua dej abscesses.
Cov poj niam cev xeeb tub yog cov kab mob urinary ntau dua li lwm tus. Nws yog ib qho tsim nyog los kho tus kab mob. Hauv qhov no, koj tsis tuaj yeem kho tus kheej, cov tshuaj yuav tsum tau xaiv tshwj xeeb los ntawm kws kho mob. Qee lub sij hawm tej zaum yuav tsis muaj cov tsos mob ntawm qhov mob, thiab tus kab mob tsuas yog kuaj tau los ntawm kev kuaj kab mob bacteriological ntawm cov zis (asymptomatic bacteriuria).
Kev kho lub zais zis ntawm cov poj niam cev xeeb tub yog qhov nyuaj heev, vim tias muaj ntau yam tshuaj muaj contraindicated nyob rau lub sijhawm no. Cov tshuaj tua kab mob ntau tshaj plaws yog suav tias yog "Amoxicillin" thiab "Cefalexin". Trimethoprim thiab Nitrofurantoin kuj tseem siv. Txawm li cas los xij, cov nyiaj no yog contraindicated nyob rau hauv thawj peb lub hlis twg thiab tam sim ntawd ua ntej yug me nyuam. Txoj kev kho mob ntawm cov tshuaj tua kab mob rau cov kab mob asymptomatic bacteriuria yuav tsum tsis txhob luv dua 7 hnub. Thaum lub sij hawm kho cov kab mob zais zis hauv cov poj niam thaum cev xeeb tub, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam cov kab mob bacteriological ntawm cov zis.
Ntawm cov tshuaj rau cystitis, qhov nrov tshaj plaws yog Fugarin (analogue ntawm Furazidin). Nyob rau hauv lub tsev muag tshuaj, cov tshuaj yog dispensed yam tsis muajtshuaj. Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj ntawm 50 mg lossis 100 mg. Cov tshuaj no inhibits kev loj hlob ntawm cov kab mob nyob rau hauv cov zis, sai thiab zoo fights cov tsos mob ntawm o. Nws yog siv ob qho tib si rau mob cystitis thiab rov tshwm sim, thiab kuj ua rau prophylactic. Nws yuav tsum nco ntsoov tias kev siv cov tshuaj yuav tsum tsis txhob cuam tshuam rau qhov xwm txheej ntawm kev txhim kho lossis txo cov tsos mob. Kev kho mob yuav tsum ua kom tiav, txwv tsis pub tus kab mob tuaj yeem rov ua dua. Thaum cev xeeb tub thiab menyuam yaus (hnub nyoog qis dua 2 xyoos), Furagin tsuas tuaj yeem noj raws li kws kho mob qhia.
Ib koob ntawm cov tshuaj no rau UTI yog 100 mg (1 lossis 2 ntsiav tshuaj nyob ntawm qhov ntau npaum ntawm cov tshuaj). Thawj hnub, 4 koob tshuaj yuav tsum tau noj (txhua 6 teev), tom qab ntawd 3 (txhua 8 teev). Koj yuav tsum haus cov tshuaj nrog zaub mov, nws yog ib qho tsim nyog yuav tsum tau ua ke nrog cov protein (piv txwv li, nqaij, khoom noj siv mis, qe). Nws yog ib qho tseem ceeb uas yuav tau saib xyuas qhov sib txawv ntawm cov koob tshuaj. Kev kho tag nrho yuav tsum kav 7-8 hnub.
Thaum siv "Furagin" xim ntawm cov zis hloov. Nws dhau los ua daj thiab rov zoo li qub tom qab qhov kawg ntawm kev kho mob. Thaum lub sijhawm kho, haus cawv yuav tsum zam, vim tias txawm tias haus cawv me me ua ke nrog cov tshuaj tuaj yeem ua rau muaj cov tshuaj tiv thaiv zoo li disulfiram, uas tshwm sim hauv lub plawv dhia nrawm, lub ntsej muag yaug lossis tawm hws ntau dhau.
Tus kab mob puas tuaj yeem kho tau?
Yuav luag txhua tus neeg mob ntawm UTI tau kho tag nrho tom qab kev kho mob nyuaj nrog tshuaj tua kab mob. ATQee zaum, kev kho mob tuaj yeem ntev heev. Txawm li cas los xij, qee zaum nws tsis tuaj yeem tshem tawm tag nrho cov kab mob microflora ntawm lub cev. Txawm hais tias qhov kev kho mob tau ua tiav, kev rov tshwm sim tshwm sim.
Feem ntau, kev kho mob muaj txiaj ntsig zoo hauv kev tawm tsam tus kabmob. Tom qab qhov kawg ntawm kev kho mob, tom qab 1-2 lub lis piam, koj yuav tsum xeem dhau kev tswj cov zis kuaj kab mob bacteriological.
Tshuaj rau txiv neej
Lub zais zis ntawm cov txiv neej feem ntau ua rau ntau yam kab mob:
- gonorrhea;
- chlamydia;
- mycoplasma;
- trichomelas.
Tus kab mob no tshwm sim rau cov txiv neej hluas nkauj hluas nraug. Txawm li cas los xij, pab pawg muaj kev pheej hmoo kuj suav nrog cov neeg laus laus uas muaj prostatic hyperplasia. Raws li txoj cai, lub zais zis ntawm cov txiv neej yog kho nrog tshuaj tua kab mob: Azithromycin thiab Ofloxacin. Cov hau kev hauv tsev xws li da dej tshuaj ntsuab tuaj yeem pab tau:
- daisies;
- sage;
- goldenrod;
- nettles;
- Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Kev kho mob ntawm lub zais zis hauv cov txiv neej tuaj yeem ua tiav siv "Furagin", uas inhibits kev tsim cov kab mob, thiab tseem muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob. Hauv lub tsev muag tshuaj yam tsis muaj tshuaj, koj tuaj yeem yuav tshuaj nrog cranberry extracts, parsley paus, birch nplooj, uas muaj ib tug diuretic thiab astringent nyhuv (piv txwv li, Usept, Nefrost, Urosan).
Kev kho tus kheej, nrog rau kev tsis quav ntsej txog qhov teeb meem, tuaj yeem ua rau muaj qhov tsis zoo. Yog ibTsis txhob tshem tawm cov txheej txheem inflammatory, tus kab mob tuaj yeem ua rau mob ntev, thiab ua rau muaj kev phom sij rau tus neeg mob.
Tshuaj tua kab mob zoo heev hauv cov kab mob no. Txawm li cas los xij, nws yuav tsum nco ntsoov tias tsuas yog tus kws kho mob yuav tsum tau sau ntawv kho mob. Yog tias cov tshuaj raug xaiv raug, qhov tshwm sim ntawm cov kev mob tshwm sim tsis zoo li.
Tsis txhob kho tus kheej. Muaj ntau ntau ntawm cov tshuaj tua kab mob, tab sis lawv txhua tus muaj qee yam qhia rau kev siv. Cov tshuaj tsis raug lossis ntau npaum li cas tuaj yeem ua rau muaj kev phom sij tsis txaus ntseeg.
Yog tias kev kho mob tiav thiab cov tsos mob ntawm lub zais zis tsis ploj, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Tej zaum cov tshuaj tsis zoo heev thiab koj yuav tsum tau hloov nrog lwm yam tshuaj.
Kev kho mob UTIs hauv menyuam yaus
Kev kho mob ntawm lub zais zis hauv tus menyuam yuav tsum pib sai li sai tau thaum pom thawj cov tsos mob. Kev ncua tuaj yeem ua rau muaj qhov tshwm sim loj, xws li caws pliav ntawm lub raum parenchyma. Cov pab pawg muaj kev pheej hmoo siab rau hom teeb meem no suav nrog:
- me nyuam yau;
- tus neeg mob uas mob pyelonephritis;
- menyuam yaus nrog vesicoureteral reflux.
Kev xaiv txoj kev kho kom haum yog nyob ntawm lub hnub nyoog ntawm tus menyuam thiab hom UTI.
- Cov tshuaj tua kab mob pom zoo rau cov kab mob cystitis neonatal thiab kab mob urinary kab mob yog penicillins, aminoglycosides thiab thib peb tiam cephalosporins.
- Cov me nyuam mos thiab me nyuam hauvCov hnub nyoog qis dua 3 xyoos uas tau kuaj pom tias muaj kab mob asymptomatic bacteriuria, Furagin, Trimetroprim lossis Cotrimoxazole tau sau tseg. Nyob rau hauv cov tsos mob ntawm tus kab mob urinary kab mob (xws li, kub taub hau, mob plab, xeev siab), penicillin los yog cephalosporin tshuaj tua kab mob yuav tsum tau siv.
- Cov menyuam yaus uas muaj cov tsos mob ntawm cystitis thiab asymptomatic bacteriuria tau muab tshuaj Furagin, Trimethoprim, lossis Cotrimoxazole. Mob pyelonephritis yuav tsum tau siv tshuaj tua kab mob los ntawm cov pab pawg penicillins lossis cephalosporins. Tom qab qhov kawg ntawm kev kho mob, kev kho mob peb lub lis piam ntxiv nrog Trimetorim lossis Furagin yog qhov tsim nyog.
Paracetamol thiab cov tshuaj tsis-steroidal tshuaj tiv thaiv kab mob tuaj yeem raug tshuaj los txo qhov mob ntawm lub zais zis. Ua ntej siv cov tshuaj, nws yog ib qho tseem ceeb uas yuav tau ua tib zoo kawm cov lus qhia, uas qhia txog qhov ntau npaum li cas, indications thiab contraindications rau noj.
Thaum kho mob zais zis hauv cov menyuam yaus, cov tshuaj tua kab mob yuav tsum tsuas yog muab los ntawm kws kho menyuam yaus lossis kws kho mob nephrologist.
Nkag mus rau lub tsev kho mob yuav tsum tau ua nyob rau hauv ib qho xwm txheej hauv qab no:
- qhov tshwm sim ntawm sepsis lossis muaj cov kab mob co toxins hauv cov ntshav;
- kab mob zais zis nrog rau cov kab mob urinary obstruction;
- muaj kab mob ntxiv;
- tus neeg mob yog immunocompromised;
- muaj kev tsis haum rau cov kua lossis tshuaj thaum noj qhov ncauj;
- yog tus menyuam hnub nyoog qis dua ob lub hlis muaj qhov siabkub;
- yog tias xav tias UTI hauv tus menyuam hnub nyoog qis dua ib hlis (qhov no, kev kho mob hauv tsev yuav tsum tau kho, txawm tias tus menyuam tsis kub taub hau).
Thaum muaj kab mob tshwm sim los ntawm qhov tsis xws luag hauv cov qauv ntawm cov zis lossis vesicoureteral reflux (qib IV lossis V), kev phais yog qhia.
Nyob rau hauv cov menyuam yaus uas muaj cov kab mob urinary, zais zis neurogenic, urolithiasis thiab hauv 6 lub hlis tom qab kev phais, kev kho mob prophylactic raws li kev tswj hwm ntawm Nitrofurantoin lossis Trimethoprot tau pom zoo.
UTI hauv menyuam yaus. Yuav tiv thaiv li cas?
Tau qhov muaj tus kab mob hauv cov menyuam yaus thiab cov teeb meem uas tuaj yeem tshwm sim tom qab kis kab mob, nws yog ib qho tseem ceeb kom paub cov hauv paus ntsiab lus ntawm kev tiv thaiv:
- Koj yuav tsum tau saib xyuas kev tu cev ntawm qhov chaw mos thiab txij li thaum yau los rau hauv tus menyuam txoj cai tswj xyuas lub cev.
- Thiab kho mob ntawm perineum thiab qhov chaw mos ntawm cov ntxhais.
- Tiv thaiv cem quav.
- Saib xyuas tso zis tsis tu ncua.
Yog tias kis tau tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd uas yuav muab tshuaj tua kab mob.
Recommendations
Txoj kev Folk kuj pab tshem tawm cov kab mob hauv lub zais zis. Tab sis qhov no tsis tau txhais hais tias koj yuav tsum tau kho tus kheej thiab tsis mus ntsib kws kho mob. Cov lus pom zoo uas tau teev tseg hauv qab no tsuas yog siv tau los ua ib qho ntxiv rau hauv chav kawm tseem ceeb ntawm kev kho.
- Muaj kua,siv nyob rau hauv cov ntaub ntawv ntawm tus kab mob, nws yuav pab tau sai sai tshem tawm cov pathogenic microflora nyob rau hauv lub urinary ib ntsuj av thiab ua rau o. Nws raug nquahu kom haus 6-8 khob dej ib hnub.
- Cranberry kua txiv muaj cov cuab yeej kho mob tshwj xeeb. Nws raug pom zoo kom haus nws ob qho tib si hauv kev kho mob, thiab kev tiv thaiv. Cranberries muaj cov txiaj ntsig zoo uas tiv thaiv cov kab mob los ntawm kev ua rau lub zais zis phab ntsa thiab sib npaug. Yog li txawm tias cov kab mob pathogenic tau nkag mus rau hauv lub cev, lawv yuav tsis tuaj yeem ua rau kev loj hlob ntawm tus kab mob, vim tias lawv tau tawm sai sai ntawm lub cev. Nws yog qhov zoo tshaj kom haus cov kua txiv cranberry tshiab yam tsis muaj tshuaj ntxiv.
- Cov neeg mob ntawm lub zais zis, thiab tshwj xeeb tshaj yog thaum tus kab mob rov zoo, yuav tsum noj cov vitamin C ntxiv. Qhov no cuam tshuam rau cov kua qaub ntawm cov zis thiab yog li tiv thaiv kev loj hlob ntawm cov kab mob pathogenic. Txawm li cas los xij, koj yuav tsum paub tias cov tshuaj no tsis sib haum nrog txhua yam tshuaj tua kab mob. Yog li, koj yuav tsum tau kuaj nrog tus kws kho mob seb puas tuaj yeem haus cov vitamin C, tshwj xeeb hauv koj cov ntaub ntawv.
- Echinacea yog cov nroj tsuag uas txhawb lub cev tiv thaiv kab mob. Nws tuaj yeem siv los ua cov tshuaj tiv thaiv kab mob thiab kho mob rau cov kab mob thiab kab mob ntev. Nws yog muag hauv khw muag tshuaj hauv daim ntawv tshuaj yej, ntsiav tshuaj thiab tee.
- Siv cov roj tseem ceeb ntawm sandalwood, bergamot, juniper. Cov tshuaj muaj nyob rau hauv lawv muaj anti-inflammatory thiab antibacterial kev txiav txim,yog li ntawd lawv yog siv nyob rau hauv kev kho mob ntawm o ntawm lub urinary ib ntsuj av. Cov roj saum toj no tuaj yeem sib xyaw thiab, tom qab dilution, rubbed rau hauv daim tawv nqaij hla lub zais zis.
Yuav ua li cas txo qhov mob ntawm lub zais zis?
Txhawm rau txo qhov mob los ntawm cystitis, cov poultices sov tuaj yeem siv rau ntawm lub zais zis. Tsis tsuas yog lawv yuav txo qhov mob, tab sis lawv kuj yuav pab kom tsis txhob kis tus kab mob. Thaum kub taub hau lossis mob, siv Paracetamol.
Qhia tawm los ntawm nephrologists thiab urologists
Cov lus qhia hauv qab no yuav pab tau rau cov poj niam uas muaj kab mob zais zis:
- Ntau cov kua hauv koj cov zaub mov. Haus ib khob dej ntxiv ua ntej kev sib deev.
- Tsis txhob da dej npuas thiab tshuaj.
- Koj yuav tsum tso koj lub zais zis ua ntej mus pw thiab tam sim tom qab kev sib deev.
- Tsis txhob siv cov tshuaj deodorants thiab tshuaj tua kab mob hauv qhov chaw mos.
- Ntxuav koj qhov chaw mos txhua hnub thiab ib txwm ua ntej kev sib deev. So hauv kev taw qhia ntawm pem hauv ntej mus rau sab nraub qaum, qhov no yuav tiv thaiv cov kab mob hauv plab los ntawm kev nkag mus rau hauv lub zais zis thiab lwm yam kabmob ntawm cov kab mob genitourinary.
- Yog tias koj raug kev txom nyem los ntawm qhov chaw mos qhuav, siv cov gels moisturizing los yog intimate gels - qhov no yuav tsis txhob khaus ntawm cov mucous membrane thiab txo qhov kev pheej hmoo ntawm kev kis kab mob. Nws yog qhov zoo tshaj plaws los siv cov tshuaj pleev ib ce uas muaj cov kab mob muaj sia nyob. Lawv tuav lub ntuj pH theem ntawm daim tawv nqaij thiab mucous daim nyias nyias.plhaub, muaj zog tiv thaiv kab mob, tshuaj tua kab mob thiab fungicidal thiab tsis ua rau khaus.
Kev kis tus kab mob sib kis hauv cov poj niam ib txwm cuam tshuam nrog kev sib deev. Yog li ntawd, lawv tuaj yeem pom zoo nrog tus kws kho mob, noj tshuaj prophylactic ib zaug ntawm cov tshuaj tua kab mob tom qab kev sib deev. Hauv cov poj niam postmenopausal, kev siv tshuaj estrogen muab tshuaj rau qhov chaw mos yuav muaj txiaj ntsig. Lawv pab kho cov kab mob ib txwm muaj, uas inhibits kev loj hlob ntawm cov kab mob ua rau kab mob.
Zaj lus saib cov tsos mob thiab kev kho mob zais zis ntawm cov poj niam, txiv neej thiab menyuam yaus.
