Mēnā kua oho mai koe me te wera o te mimi, te hiahia, me te pēhanga o te mate mimi (UTI), akene ka hiahia koe ki te rongoā tere. Ko te rongo pai: mō te nuinga o te UTI kore-kōpaki i roto i ngā wāhine hauora, ka nui te ataata me tētahi rata kua raihana ki te tiki i te whakahaunga patupaturopi i taua rā anō.

Ehara tērā te tikanga ka taea te whakahaere haumaru te katoa o te UTI i runga ipurangi. Ko ētahi tohu e whakaatu ana i te mate nui ake, ko ētahi tūroro e hiahia ana ki te aromātai ā-tinana, ki te whakamātautau rānei, ā, ko ētahi āhuatanga e hiahia ana ki te whai i muri atu i te mea ka taea e te ataata te whakarato.

Ko tēnei tuhinga ka haere mā te mea ka uru ki te ataata mo te rongoā UTI, ka tika ana, me te wa ka pai ake te tiaki ā-tinana.

TL;DR: Ngā Take Matua

  • Ko te maha o nga UTI kore-kōpaki i roto i ngā wāhine ka taea te kōtiti me te rongoā mā te ataata me tētahi rata kua raihana ki te US.
  • Ka taea e tētahi rata telehealth te arotake i ō tohu ka whakahaunga patupaturopi tuatahi pēnei i te nitrofurantoin (Macrobid) me te trimethoprim-sulfamethoxazole (Bactrim) ka tika ana te rongoā, e whai ana i ngā tohutohu a CDC me te Infectious Diseases Society of America (IDSA).
  • Ko ngā tohu o te mate whatukuhu (pyelonephritis) pēnei i te kirika teitei, te mamae o te taha, te ruaki, me te tino mamae rānei ka hiahia tiaki ā-tinana, kaua e ataata.
  • Ko ngā UTI tōtika, te hapūtanga, ngā UTI i roto i ngā tāne, me ētahi āhuatanga hauora ka hiahia pea ki te aromātai ā-tinana me te whakamātautau atu i te mea ka taea e te telehealth.
  • Ko te ataata mo te UTI ka taea te whakarite me te whakaoti i taua rā anō, ka tukuna ngā whakahaunga ki tō whare rongoā pai mo te tiki i taua rā anō.

Kei a koe ngā tohu UTI, ka hiahia rongoā i tēnei rā? Whakaritea he ataata rongoā UTI ipurangi $39 me August AI. Ka taea e tētahi rata kua raihana ki te US te arotake i ō tohu ka whakahaunga patupaturopi tuatahi ka tika ana te rongoā, me te tiki i taua rā anō i ngā kawanatanga katoa o te 50. Kare te ataata e whakamana i te whakahaunga. Ko ngā tohu e whakaatu ana i te mate whatukuhu, he UTI i roto i te tāne, me te UTI rānei i te wā hapū ka hiahia tiaki ā-tinana atu i te mea ka taea e te ataata te whakarato.

He aha ngā tohu UTI i roto i ngā wāhine?

Ko ngā tohu noa o te UTI i roto i ngā wāhine ko:

  • He wera i te wā o te mimi
  • He hiahia ki te mimi i ngā wā maha, ahakoā iti te mimi e puta mai ana
  • He hiahia kaha, ohorere ki te mimi
  • He mimi kapua, pouri, me te kakara kaha
  • He pēhanga ki te pūpū, me te mamae i te puku o raro
  • He iti te toto i roto i te mimi

Ko ēnei tohu ka puta mai i te pōhotanga, i ētahi wā i roto i ngā haora.

Ko te nuinga o ngā UTI kore-kōpaki e pā ana ki te pūwha (cystitis). He mamae ngā tohu, engari ko te mate kaore e horapa ki tua atu o te wāhanga mimi o raro ka tika ana te rongoā.

Ahea taea ai te rongoā UTI i te ipurangi?

Ko te ataata he huarahi tika hei tiki rongoā UTI mēnā ka rite tō āhuatanga ki ētahi tikanga.

Ka pai te ataata i te nuinga o te wā mēnā:

  • He wahine pakeke koe, ehara i te hapū
  • Kei a koe ngā tohu noa o te UTI (wera, hiahia, auau)
  • Karekau he tohu o te mate nui ake
  • Karekau he UTI tōtika e hiahia ana ki te aromātai a te tohunga
  • Kare koe e mate ngoikore te ārai tinana
  • Karekau he hītori o ngā raruraru mimi uaua

Mō ēnei āhuatanga, ka taea e te ataata te whakaputa he whakahaunga patupaturopi tuatahi mo te UTI i taua rā anō. Ko te tikanga tērā he rongoā tere, he iti ake te mamae, me te iti ake te tūponotanga ka puta te mate ki tētahi mea nui ake.

Ahea koe e hiahia ana ki te tiaki ā-tinana?

Ko ētahi āhuatanga e hiahia ana ki te aromātai ā-tinana, ki te whakamātautau rānei, ki te tiaki rānei kaore e taea e te ataata te whakarato.

Tirohia tētahi rata ā-tinana (me haere rānei ki te tari poka pōwhai mo ngā tohu kino) mēnā kei a koe:

  • Ngā tohu o te mate whatukuhu (kirika, mamae o te taha, nausea, ruaki, makariri)
  • He UTI i te wā hapū
  • He UTI i roto i te tāne
  • He UTI i roto i te tamaiti
  • Ngā UTI tōtika (3 neke atu rānei i te tau)
  • He āhua ngoikore te ārai tinana
  • Te mate huka me ngā tohu o te kōpaki
  • He toto i roto i te mimi e mau tonu ana i muri i te rongoā patupaturopi
  • He ngongo mimi (urinary catheter)
  • He hītori o te kōhatu whatukuhu
  • Ngā tohu kāore e pai haere ana i muri i te 48 haora o te rongoā patupaturopi

Ko ētahi o ēnei āhuatanga ehara i te tino ohorere engari ka hiahia ki te aromātai atu i te mea ka taea e te ataata te whakarato. Ko ētahi atu e hiahia ana ki te tiaki ā-tinana ohorere rānei.

Ngā Tohu Whakatūpato mo te Mate Whatukuhu

Ko te mate whatukuhu (pyelonephritis) he āhuatanga kino ake i te mate pūwha. Ka puta tērā ka piki ngā wheori mai i te pūwha ki tētahi atu atu rānei o ngā whatukuhu.

Ko ngā tohu o te mate whatukuhu ko:

  • Kirika (i te nuinga o te wā 101°F/38.3°C neke atu rānei)
  • Makariri
  • Mamae i te tuara, te taha (flank), me te puku o raro
  • Nausea me te ruaki
  • He tino mamae ka nui ake i te mamae noa o te UTI
  • Te raruraru hinengaro (ina koa i ngā kaumatua)

Mēnā kei a koe ētahi o ēnei tohu me ngā tohu UTI, ka hiahia koe ki te tiaki ā-tinana. Ko te mate whatukuhu ka hiahia kia tere te aromātai, i ētahi wā patupaturopi IV, ā, i ētahi wā ka noho ki te hōhipera.

Ka taea e te mate whatukuhu te whakaputa i ngā kōpaki kino pēnei i te sepsis, te kino o te whatukuhu, me ngā mate toto mēnā kāore e rongoā. Kaua e ngana ki te whakahaere i ēnei tohu mā te ataata.

Me pēhea te mahi a te ataata mo te UTI?

He ngāwari te tukanga:

1. Whakaritea tō ataata. Ka taea e te nuinga o ngā ratonga te whakarite ipurangi me te hono atu ki tētahi rata tere, i te nuinga o te wā i taua rā anō.

2. Whakaotia tētahi puka uiui. Ka whakautu koe i ngā pātai mō ō tohu, hītori hauora, rongoā, mate pāwera, me ētahi āhuatanga whai take.

3. Kōrero ki tētahi rata kua raihana ki te US. Ka taea te ataata te mahi mā te ataata, ā, i ētahi āhuatanga, mā te karere haumaru. Ka arotake te rata i ō tohu me tō hītori.

4. Tikina tō mahere rongoā. Mēnā ka tika te rongoā, ka taea e te rata te tuku he whakahaunga patupaturopi ki tō whare rongoā pai. Kaore te ataata e whakapūmau i te whakahaunga; mēnā ka whakatau te rata kāore te UTI te take matua o ō tohu, me te mea rānei e hiahia ana ki te tiaki ā-tinana, ka kii atu ia ki a koe.

5. Tikina tō whakahaunga. Mō te nuinga o ngā patupaturopi tuatahi mo te UTI, ka rite te whakahaunga mo te tiki i taua rā anō i tō whare rongoā.

Ko te tukanga katoa, mai i te whakaritenga ki te tiki whakahaunga, ka taea te whakaoti i roto i ngā haora.

He aha ngā patupaturopi e whakahaungia ana e ngā rata ipurangi mo te UTI?

Mo ngā UTI kore-kōpaki i roto i ngā wāhine kaore i te hapū, ko ngā tohutohu o nāianei mai i te IDSA e taunaki ana i ētahi kōwhiringa tuatahi:

  • Nitrofurantoin (Macrobid) — i te nuinga o te wā 100 mg takirua i te rā mo te 5 ra
  • Trimethoprim-sulfamethoxazole (Bactrim) — i te nuinga o te wā mo te 3 ra, i ngā wāhi ka iti te taumata rēhua o te rohe
  • Fosfomycin (Monurol) — hei kōwhiringa waha kotahi noa

Ka taea te whakaaro ki ngā kōwhiringa tuarua me ngā kōwhiringa atu i runga i te mate pāwera, te taunekeneke rongoā, ngā tauira rēhua o te rohe, me te hītori hauora.

Ko ngā fluoroquinolones pēnei i te ciprofloxacin he whai hua hoki ki te UTI, engari ka rahuitia hei ngā āhuatanga uaua ake i runga i ngā āwangawanga o ngā pānga taha me te rēhua.

Ka whakaarohia e tētahi rata telehealth tō āhuatanga motuhake me te whiriwhiri i te patupaturopi e tika ana ki tōna whakaaro.

Me pēhea mēnā kāore te patupaturopi e whai hua?

Mēnā kāore ō tohu e pai ake ana i muri i te 48 haora o te rongoā patupaturopi, me te mea rānei ka puta mai ngā tohu hou, kino rānei, whakapā atu ki tō rata ki te aromātai anō.

Ko ngā take kaore pea e whai hua te patupaturopi mo te UTI ko:

  • He rēhua ngā wheori ki te patupaturopi
  • Karekau te mate he UTI (ko ētahi tohu rite ki te UTI ka puta mai i ētahi atu āhuatanga)
  • Kua horapa te mate ki tua atu o te pūwha (mate whatukuhu)
  • Te kore pai o te horopaki na te ruaki me ētahi atu take
  • Ngā āhuatanga kōpaki e hiahia ana ki te aromātai atu

I taua wā, ka hiahia pea te aromātai ā-tinana me te mimi-wāhanga, te āhua mimi, me te mea rānei he ahua.

He aha ngā UTI tōtika?

Ko ngā UTI tōtika (i te nuinga o te wā ko te tikanga e 3 neke atu rānei o te UTI i te tau, me te 2 rānei i roto i te 6 marama) ka hiahia pea ki te aromātai atu i te mea ka taea e tētahi ataata te whakarato.

Ko ngā take ka hiahia ngā UTI tōtika ki te tiaki ā-tinana me te tohunga ko:

  • Ngā āhuatanga ā-tinana me ngā āhuatanga hauora i raro iho
  • Ngā tauira rēhua patupaturopi e hiahia ana ki te rongoā e āwhinatia ana e te āhua
  • Te whakaaro ki ngā tikanga ārai
  • Te ahua whatukuhu me te pūwha i ētahi wā

Ka taea te telehealth te wāhanga o te pikitia, otirā mo te aromātai i waenganui i ngā wā, engari ko ngā UTI tōtika ka whai hua mai i tētahi mahere tiaki matawhānui me tētahi kaiwhakarato ā-tinana.

Ka taea te tiki patupaturopi ipurangi me te kore e kite i te rata?

Kāo.

Ko te telehealth tika mo te UTI ka hiahia tonu ki te aromātai e tētahi rata kua raihana. Ko ngā pae e tuku ana i ngā patupaturopi me te kore he aromātai kaore i te haumaru, kāore rānei i te ture i te US.

He mea nui te aromātai rata nā te mea:

  • Kāore ngā tohu mimi katoa he UTI
  • Ko ētahi tūroro e hiahia ana ki ngā patupaturopi rerekē i ētahi atu i runga i te hītori hauora
  • Ko te whakamahi kino patupaturopi ka āwhina ki te rēhua patupaturopi
  • Ko ētahi take ka hiahia ki te aromātai ā-tinana, kaua ko ngā patupaturopi noa

Ko te aromātai telehealth tere, kua raihana hoki, ka whakapūmau ko te rongoā e tika ana mo tō āhuatanga motuhake.

Ngā Pātai Auau

Ka taea e au te tiki whakahaunga patupaturopi UTI ipurangi?

I te nuinga o te wā, ae. Ka taea e tētahi rata kua raihana ki te US te whakahaunga patupaturopi tuatahi mo te UTI pēnei i te nitrofurantoin me te trimethoprim-sulfamethoxazole mā te ataata ka whakaatu ō tohu i te UTI kore-kōpaki, ā, kāore ētahi atu āhuatanga e hiahia ana ki te tiaki ā-tinana.

Kia tere te tiki whakahaunga UTI ipurangi?

I te nuinga o te wā i taua rā anō. Ko ngā ratonga tiaki tere ipurangi ka āhei koe ki te whakarite, ki te kōrero ki tētahi rata, ā, kia tukuna tētahi whakahaunga ki tō whare rongoā i roto i ngā haora. Ko te tiki whare rongoā i taua rā anō te mea noa.

He haumaru te telehealth mo te UTI?

Mo ngā UTI kore-kōpaki i roto i ngā wāhine kaore i te hapū me te kore he tohu whakatūpato, ka taea te telehealth he huarahi haumaru me te whai hua ki te rongoā tere. Mo ngā āhuatanga ka uru pea ki te mate whatukuhu, te hapūtanga, me ngā āhuatanga kōpaki, ka haumaru ake te tiaki ā-tinana.

Ka taea e ngā tāne te tiki rongoā UTI mā te telehealth?

He iti ake te UTI i roto i ngā tāne, ā, ka hiahia kia nui ake te aromātai atu i te mea ka taea e te ataata te whakarato. Ko ngā tāne whai tohu UTI me kite i tētahi rata ā-tinana.

Me whakamātau ahau i mua i te tiki patupaturopi UTI?

Kaore i te pērā i ngā wā katoa. Mo ngā UTI kore-kōpaki i roto i ngā wāhine, ka whakaaetia e ngā tohutohu te rongoā whakaaro (tīmata patupaturopi i runga i ngā tohu) me te kore he whakamātautau mimi ka tika ana ngā tohu. Ka hiahia pea te whakamātautau ā-tinana (mimi-wāhanga me te āhua rānei) mēnā kāore ngā tohu e aro ki te rongoā, me te mea rānei he āhuatanga kōpaki.

Me aha mēnā ka hoki mai ngā tohu UTI i muri i te patupaturopi?

Mēnā ka hoki mai ngā tohu i roto i ētahi wiki i muri i te whakaoti patupaturopi, akene he UTI tōtika. Whakapā atu ki tō rata ki te aromātai anō. Ko ngā UTI tōtika ka hiahia pea ki te āhua mimi, ki te atu whakamātautau, ki te whakaaro rānei ki ngā tikanga ārai.

Te Mutunga Iho

Mo te nuinga o ngā UTI kore-kōpaki i roto i ngā wāhine, ko te ataata he huarahi tere, haumaru ki te tiki rongoā patupaturopi i taua rā anō. Ka taea e tētahi rata telehealth kua raihana ki te US te arotake i ō tohu, te whakaaro ki tō hītori hauora, ā, te whakahaunga patupaturopi tuatahi ka tika ana te rongoā.

Ko ētahi āhuatanga ka hiahia tiaki ā-tinana. Ko ngā tohu mate whatukuhu, ngā UTI i te wā hapū, ngā UTI i roto i ngā tāne, me ngā UTI tōtika ka hiahia katoa ki te aromātai atu i te mea ka taea e te ataata te whakarato.

Mēnā he wahine pakeke koe, kaore he mate ke, me ngā tohu UTI noa me te kore he tohu whakatūpato, ka taea e te telehealth te tiki mai i a koe i ngā tohu mamae ki tētahi mahere rongoā me te tiki whare rongoā i roto i etahi haora.