He aha te mate huhu o te ara mimi? Tohutohu, Take, me te Maimoatanga

Ka puta te mate huhu o te ara mimi (UTI) ina tomo nga huakita ki roto i to pūnaha mimi ka tupu, ka puta ai te mumura me te mamae. Kei roto i to ara mimi ou whatukuhu, tou putea mimi, ou ureta (ngā pūkaha e hono ana i ngā whatukuhu ki te putea mimi), me te urethra (te pūkaha e kawe ana i te mimi ki waho o to tinana).

He tino noa ngā UTI, ina koa i roto i ngā wāhine, ā, ahakoa kaore e pai te ahua, he ngāwari te whakaora me te tiaki tika. Ko te nuinga o ngā UTI ka pā ki te ara mimi o raro, kei roto ko to putea mimi me te urethra, ka pai te whakautu ki ngā rongoā antibiotic ina mau wawe.

He aha ngā tohu o te mate huhu o te ara mimi?

Ka rereke ngā tohu UTI mai i te iti rawa ki te tino mamae, engari ko te mohiotanga wawe ka āwhina i a koe ki te whiwhi whakaora tere. Ko ngā tohu tino noa ka pā ki te ahua o te mimi me te ahua.

Ko ēnei ngā tohu ka kitea e koe me te mate huhu o te ara mimi o raro:

• He hiahia kaha, mau tonu ki te mimi, ahakoa kāore i ki tonu tō putea mimi
• He tahu, he wera rānei i te wā e mimi ana koe
• Te tukunga i ngā iti o te mimi i te nuinga o te rā
• Te mimi kapua, toto, te kakara rānei
• Te mamae o te kopu i ngā wāhine, ina koa i te taha o te wheua pubic
• Te ahua kāore i te kore rawa tō putea mimi i muri i te mimiti

Mēnā ka tae te mate ki ō whatukuhu, ka kite pea koe i ngā tohu nui ake e hiahia ana ki te tiaki wawe. Kei roto i ēnei te kirika, te wiri, te ruaki, te ruaki, me te mamae i tō tua, i tō taha rānei i raro i ō riu.

I etahi wā, ka ngāwari ngā tohu UTI, ka ngāwari rānei te pohehe mō ētahi atu āhuatanga. I roto i ngā kaumātua, ka puta pea ngā UTI i te whakapohehe, te whakaohooho, te whakarerekē rānei o te whāinga i te wā e kore ai e puta ngā tohu mimi noa.

He aha ngā momo mate huhu o te ara mimi?

Ko te nuinga o ngā UTI ka whakarōpūhia e te wāhi o tō pūnaha mimi e pā ana. Ko te mārama ki ngā momo rerekē ka āwhina i te whakamārama he aha ngā rerekētanga o ngā tohu me ngā maimoatanga.

Ko ngā momo matua kei roto:

• Cystitis (mate huhu o te putea mimi): Ko te momo tino noa, ka puta ai te mumura o te putea mimi me ngā tohu penei i te mimi maha me te mamae o te kopu
• Urethritis (mate huhu o te urethra): Ka pā ki te pūkaha e kawe ana i te mimi mai i tō putea mimi, ka puta ai te tahu i te wā e mimi ana
• Pyelonephritis (mate huhu o te whatukuhu): He mate huhu nui ake ka puta ai te kirika, te mamae o te tua, me te ruaki ki te haere ngā huakita ki runga ki ngā whatukuhu

Ko te nuinga o ngā UTI ka tīmata hei cystitis, urethritis rānei, ka noho ki te ara mimi o raro. Heoi, ki te kore e whakaorahia, ka taea e ngā huakita te haere ki runga, ka tae ki ngā whatukuhu, e hiahia ana ki te whakaora nui ake.

He aha te take o te mate huhu o te ara mimi?

Ka puta ngā UTI ina tomo ngā huakita ki roto i tō ara mimi mā te urethra ka tīmata te tupu. Ko te mea tino noa ko te huakita E. coli, e noho ana i roto i tō ara whekau, engari ka puta he raruraru ina neke atu ki tō pūnaha mimi.

He maha ngā take ka ngāwari ai ngā huakita ki te whakaeke i te mate:

• Hanganga tinana: He poto ake ngā urethra o ngā wāhine i ngā tāne, ka ngāwari ai te tae atu o ngā huakita ki te putea mimi
• Te mahi taangata: Ka taea te kawe mai i ngā huakita ki roto i te ara mimi, ina koa i ngā wāhine
• Ētahi tikanga whakawhānau: Ka taea e ngā diaphragms me ngā spermicides te whakapiki i te tūponotanga UTI
• Te pupuri i te mimi roa rawa: Ka hoatu ki ngā huakita te wā ki te tupu i roto i te putea mimi
• Te kore o te whakaotinga o te putea mimi: Ka waiho te mimi toenga kei reira e taea ai te tupu o ngā huakita
• Te ngauwai: Ko te mimi kaha ka hoatu he taiao pai ake mō te tupu o ngā huakita

I etahi wā, ko ētahi atu momo huakita, huaketo, harore rānei ka taea te whakaeke i ngā UTI, ahakoa he iti rawa tenei. Ka taea hoki e ētahi āhuatanga hauora, maimoatanga rānei te whakapakari i a koe ki ēnei mate.

Nōhea te haere ki te taakuta mō te mate huhu o te ara mimi?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā ka kite koe i ngā tohu UTI, ina koa mēnā ko tō tuatahi tenei mate huhu, te kaha rānei o ngā tohu. Ko te whakaora wawe ka ārai i ngā raruraru ka tere ake te pai o tō ahua.

Rapua te tiaki hauora wawe mēnā kei a koe:

• Te tahu, te mamae rānei i te wā e mimi ana
• Te hiahia maha ki te mimi me te iti o te putanga
• Te mimi kapua, toto, te kakara kino rānei
• Te mamae o te kopu, te kopu o raro rānei

Whiwhihia te tiaki hauora wawe mēnā ka puta mai ngā tohu o te mate huhu o te whatukuhu. Kei roto i ēnei tohu nui ake te kirika i runga ake i te 101°F (38.3°C), te wiri, te mamae nui o te tua, te taha rānei, te ruaki, te ruaki rānei.

Mēnā he maha ngā UTI (toru, neke atu rānei i te tau), ka taea e tō taakuta te tūtohutia te whakamātautau atu hei kimi i ngā take kei muri, hei whakawhanake i te rautaki ārai e rite ana ki tō āhuatanga.

He aha ngā take morearea mō ngā mate huhu o te ara mimi?

Ka taea e ētahi take te whakapiki i tō tūponotanga ki te whāngai i ngā UTI, ahakoa ko te whai i ngā take morearea kāore e kī ka whiwhi koe i te mate. Ko te mārama ki ēnei take ka āwhina i a koe ki te tango i ngā mahi hei whakaiti i tō morearea.

Ko ngā take morearea noa kei roto:

• Ko te wahine: He tino nui ake te tūponotanga o ngā wāhine ki te whiwhi i ngā UTI nā te poto o ngā urethra me te tata ki te waha o te tenetene
• Te mahi taangata: Ka whakapiki i te tūponotanga o ngā huakita ki te tomo ki te ara mimi
• Te tau: He nui ake ngā reiti UTI o ngā tamariki iti rawa me ngā kaumātua
• Te hapu: Ka taea e ngā huringa homoni me te pehanga tinana te pā ki te mahi o te ara mimi
• Te menopause: Ka taea e te heke o ngā taumata estrogen te whakawehi i te ara mimi
• Te mate huka: Ka taea e te huka toto te whakaiti i te mahi o te pūnaha ārai mate ka hoatu ngā kai mō te tupu o ngā huakita

Ko ngā take morearea iti ake engari he mea nui kei roto ngā rerekētanga o te ara mimi, ngā kohatu whatukuhu, te nui o te prostate i ngā tāne, me ngā āhuatanga e pā ana ki te mahi o te pūnaha ārai mate. Ka whakapiki nui hoki te whakamahinga o te catheter i te morearea UTI.

Ko te whai i ngā take morearea maha kāore e kī he mea kore e taea te karo ngā UTI. Ko te nuinga o te iwi e whai ana i ngā take morearea kāore e whāngai i ngā mate, i te wā e taea ai e ētahi atu e whai ana i ngā take morearea iti te whāngai i ngā UTI maha.

He aha ngā raruraru pea o te mate huhu o te ara mimi?

Ko te nuinga o ngā UTI ka maarama tere me te whakaora tika, kāore hoki e puta he raruraru roa. Heoi, ko ngā mate huhu kaore i te whakaorahia, te maha rānei ka taea te arahi ki ngā raruraru nui ake.

Ko ngā raruraru pea kei roto:

• Te mate huhu o te whatukuhu (pyelonephritis): Ka taea te whakaeke i te kino o te whatukuhu ki te kore e whakaorahia wawe
• Sepsis: He āhuatanga onge engari he morearea ki te ora, kei reira te hora o te mate ki roto i te toto
• Ngā mate huhu maha: Ka whāngai etahi i ngā UTI maha e hiahia ana ki te whakahaere tonu
• Ngā raruraru hapu: Ko ngā UTI kaore i te whakaorahia i te wā hapu ka taea te whakapiki i te morearea o te whānau wawe, te iti rānei o te taumaha whānau

I roto i ngā tāne, ka taea e ngā UTI te tohu i ngā raruraru prostate, ngā rerekētanga rānei o te ara mimi e hiahia ana ki te arotake. Ka taea hoki e ngā UTI roa, maha rānei te tohu i ngā take hanganga e hiahia ana ki te whakaora motuhake.

Ko te rongo pai ko te karo i ngā raruraru me te whakaora wawe. Ko te nuinga o te iwi ka ora katoa mai i ngā UTI kaore he pānga roa ina whiwhi ratou i te tiaki hauora tika.

Me pēhea te ārai i ngā mate huhu o te ara mimi?

Ahakoa kaore e taea e koe te ārai i ngā UTI katoa, he maha ngā rautaki ngāwari ka taea te whakaiti nui i tō morearea. Ko ēnei tikanga ārai ka aro ki te pupuri i ngā huakita mai i te tomo me te tupu i roto i tō ara mimi.

Ko ngā rautaki ārai whai hua kei roto:

• Noho pai te wai: Inu wai maha hei āwhina i te horoi i ngā huakita mai i tō pūnaha mimi
• Mimi maha: Kaua e pupuri i te mimi mō ngā wā roa, ka whakaotinga katoa tō putea mimi
• Horoi i mua ki muri: Ka ārai tenei i ngā huakita mai i te wāhi tenetene ki te tae atu ki te urethra
• Mimi i muri i te mahi taangata: Ka āwhina i te horoi i ngā huakita pea i tomo mai i te taangata
• Kaua e whakamahi i ngā hua wāhine e whakaohooho ana: Kaua e whakamahi i ngā douches, paura, me ngā hua kakara i te wāhi ira tangata
• Kōwhiri i ngā kaukau i runga i ngā kaukau: Ko te noho i roto i te wai kaukau ka taea te tuku i ngā huakita ki te tae atu ki te urethra

Mō ngā wāhine e whāngai ana i ngā UTI maha, ka taea e ngā taakuta te tūtohutia ngā taapiri cranberry, probiotics, ngā rongoā antibiotic iti rānei hei taapiri atu i ngā mahi ārai. Ko te whai hua o ēnei tikanga ka rereke mai i te tangata ki te tangata.

Ka kite etahi i te whakaohooho o etahi kai, inu ranei i o ratou UTI, no reira ko te pupuri i te raarangi tohu ka āwhina i a koe ki te kimi me te karo i ngā whakaohooho whaiaro.

Me pēhea te whakatau i te mate huhu o te ara mimi?

Ko te whakatau i te UTI ka tīmata mā te kōrero mō ō tohu me tō hītori hauora ki tō kaiwhakarato hauora. Ka hiahia ratou ki te mohio mō ō tohu, te wā i tīmata ai, me ētahi atu wheako UTI.

Ko te whakamātautau whakatau matua ko te tātaritanga o te tauira mimi. Ka tono tō taakuta kia homai e koe he tauira mimi waenganui-waenganui, ko te tikanga ko te horoi i te wāhi ira tangata tuatahi ka kohikohi i te mimi mai i waenganui o tō awa.

Ka tirotirohia e te whare taiwhanga tō mimi mō ngā pūtau toto ma, ngā pūtau toto whero, me ngā huakita. Ka taea e ratou te mahi i te whakawhanaketanga mimi, ko te tikanga ko te tupu o ngā huakita kei reira hei kimi i te momo motuhake me te whakatau i ngā rongoā antibiotic e pai ana.

I etahi wā, ina koa mēnā he maha ngā UTI, he raruraru rānei, ka taea e tō taakuta te tūtohutia ngā whakamātautau atu. Ka taea e ēnei te whakauru i ngā rangahau whakaahua penei i te ultrasound, te CT scan rānei hei tirotiro i ngā rerekētanga hanganga, ngā raruraru whatukuhu rānei.

Mō ngā UTI ngāwari i roto i ngā wāhine hauora, ka tīmata etahi taakuta i te whakaora i runga i ngā tohu anake, ina koa mēnā he tohu noa ngā tohu, kua whāngai te tangata i ngā UTI i mua.

He aha te maimoatanga mō te mate huhu o te ara mimi?

Ko te maimoatanga noa mō ngā UTI huakita ko ngā rongoā antibiotic, he tino whai hua ki te horoi i te mate. Ka tohua e tō taakuta te rongoā antibiotic motuhake i runga i te momo huakita e whakaeke ana i tō mate huhu me tō hītori hauora.

Ko ngā maimoatanga antibiotic noa kei roto:

• Trimethoprim-sulfamethoxazole: Ka whakamahia te nuinga mō ngā mate huhu o te putea mimi ngāwari
• Nitrofurantoin: He maimoatanga tuatahi atu mō ngā mate huhu o te ara mimi o raro
• Fosfomycin: He whiringa kotahi-rā mō ētahi UTI ngāwari
• Fluoroquinolones: Ka waiho mō ngā mate huhu uaua ake, te kore rānei e tika ngā rongoā antibiotic

Ko te nuinga o ngā UTI ngāwari ka pai ake i roto i ngā haora 24 ki te 48 i te tīmatanga o ngā rongoā antibiotic, ahakoa me whakaoti e koe te akoranga katoa ahakoa ka pai ake tō ahua. Ko ngā mate huhu o te whatukuhu ka hiahia pea ki ngā wā whakaora roa ake, te noho rānei i te hohipera.

Ka taea hoki e tō taakuta te whakahaua i te rongoā mamae hei āwhina i te mamae i te wā e mimi ana. Ko te Phenazopyridine he whiringa noa ka taea te hoatu whakaora i te wā e mahi ana ngā rongoā antibiotic ki te horoi i te mate.

Mō ngā UTI maha, ka taea e tō taakuta te tūtohutia ngā akoranga antibiotic roa ake, ngā rongoā antibiotic ārai iti, ngā rongoā antibiotic muri i te taangata rānei i runga i tō āhuatanga motuhake.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te mate huhu o te ara mimi?

Ahakoa he mea tika ngā rongoā antibiotic hei whakaora i te UTI, he maha ngā rongoā kāinga ka taea te āwhina i a koe ki te pai ake te ahua i te wā e mahi ana te rongoā. Ka taea e ēnei mahi tautoko te whakaora i ngā tohu me te tautoko i tō ora.

Ko ngā rautaki tiaki kāinga whai hua kei roto:

• Inu wai maha: Ka āwhina i te whakawai i te mimi ka horoi i ngā huakita mai i tō pūnaha
• Whakamahia he papatahi wera: Tāpiri ki tō kopu o raro, tō tua rānei hei whakaora i te mamae me te pehanga
• Kaukau wera: Ka taea te hoatu whakaora, engari kaua e whakamahi i ngā kaukau pūpū, te hopi kino rānei
• Kaua e whakamahi i ngā mea e whakaohooho ana i te putea mimi: Kaua e inu i te caffeine, te waipiro, ngā kai pikipiki, ngā kai waikawa rānei kia ora ra ano koe
• Kakahu kakahu huruhuru, manawa pai: Ko ngā raro kātene me ngā kakahu huruhuru ka āwhina i te pupuri i te wāhi maroke

Ko ngā kai whakaora mamae o te toa penei i te ibuprofen, te acetaminophen rānei ka taea te whakaiti i te mamae me te mumura. Ka kite etahi i te whakaora iti o te inu wai rēmana cranberry kore-huka, ahakoa kāore e whakakapi i te maimoatanga hauora.

Kia mahara ko ngā rongoā kāinga he mahi tautoko, kāore he whakaora. Mēnā ka kino ake ō tohu, te pai ake rānei i roto i te rā, rua rānei i muri i te tīmatanga o ngā rongoā antibiotic, whakapiri atu ki tō kaiwhakarato hauora.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite mō tō hui ka āwhina i te whakarite ka whiwhi koe i te tiaki tino whai hua, kāore hoki e wareware i ngā korero nui. Ko te whakarite iti ka taea te whakapiki ake i tō haerenga me te hua.

I mua i tō hui:

• Tuhia ō tohu: Kia tohuhia te wā i tīmata ai, te kaha o te āhua, me te aha e pai ake ai, te kino ake rānei
• Rārangihia ō rongoā: Kei roto ngā rongoā rongoā, ngā rongoā o te toa, me ngā taapiri
• Aroturukihia ō tauira mimi: Kia tohuhia te maha, ngā taumata mamae, me te ahua o te mimi
• Whakaritehia ngā pātai: Tuhia tetahi mea e hiahia ana koe ki te ui mō te maimoatanga, te ārai, te ora rānei
• Kawe mai he tauira mimi mēnā ka tonohia: Ka hiahia etahi taakuta kia tae mai koe me te putea mimi ki te whakamātautau

I te wā o te hui, kia pono ki ō tohu katoa, ahakoa ka whakama koe. Kua rongo tō taakuta i te katoa i mua, me ngā korero katoa hei whakarato i te tiaki pai.

Kaua e whakaroa ki te ui pātai mō tō mahere maimoatanga, te wā ora e tumanakohia ana, te rautaki ārai rānei. Ko te mārama ki tō āhuatanga ka āwhina i a koe ki te tiaki pai i a koe me te ārai i ngā mate huhu i muri mai.

He aha te mea nui mō ngā mate huhu o te ara mimi?

Ko ngā UTI he mate huhu noa, ka taea te whakaora e pā ana ki te miriona o te iwi ia tau. Ahakoa ka taea e ratou te whakaeke i ngā tohu kore pai, ko te whakaora hauora wawe me ngā rongoā antibiotic ka horoia ngāwari, katoa.

Ko te mea nui rawa kia mahara ko te whakaora wawe ka ārai i ngā raruraru ka tere ake te pai o tō ahua. Kaua e ngana ki te whakakake, ki te tumanako rānei ka ngaro te mate huhu.

Me te whakaora tika, ko te nuinga o te iwi ka ora mai i ngā UTI i roto i ngā rā torutoru kaore he pānga roa. Ko ngā rautaki ārai ngāwari penei i te noho wai, te mahi i te horoi pai, te mimi auau rānei ka taea te whakaiti i tō morearea o ngā mate huhu i muri mai.

Mēnā ka whāngai koe i ngā UTI maha, mahi tahi me tō kaiwhakarato hauora hei kimi i ngā take kei muri, hei whakawhanake i te mahere ārai whai hua. He rerekē te āhuatanga o te katoa, a, ko ngā tikanga whaiaro te mahi pai rawa mō te ārai UTI roa.

Ngā pātai maha e ui ana mō ngā mate huhu o te ara mimi

Ka taea te whiwhi UTI mai i te pupuri roa i tō mimi?

Ae, ko te pupuri auau i te mimi mō ngā wā roa ka taea te whakapiki i tō morearea UTI. Ina noho te mimi i roto i tō putea mimi mō te wā roa, ka hoatu he wā nui ake mō ngā huakita ki te tupu me te whakatū i te mate.

Kua hoahoatia tō putea mimi kia whakaotinga auau, a, ko te mahi pera ka āwhina i te horoi i ngā huakita i mua i te whakaeke i ngā raruraru. Ngana ki te mimi ia 3-4 haora i te rā, me te wā e hiahia ana koe.

He pono te āwhina a ngā cranberries ki te ārai i ngā UTI?

Ka whakaatu etahi rangahau ka taea e ngā hua cranberry te āwhina i te ārai i ngā UTI i etahi tangata, ina koa ngā wāhine e whāngai ana i ngā mate huhu maha. Kei roto i ngā cranberries ngā wāhanga ka taea te ārai i ngā huakita mai i te piri ki ngā pakitara o te ara mimi.

Heoi, kāore ngā hua cranberry hei whakakapi mō te maimoatanga hauora mēnā kua whāngai koe i te UTI. Mēnā kei te hiahia koe ki te whakamātautau i ngā taapiri cranberry mō te ārai, kōrerohia tenei ki tō taakuta tuatahi.

Ka taea e ngā tāne te whiwhi mate huhu o te ara mimi?

Ae, ka taea e ngā tāne te whiwhi UTI, ahakoa he iti rawa te noa i ngā wāhine. Ko ngā urethra roa o ngā tāne ka uaua ake te tae atu o ngā huakita ki te putea mimi, engari ka taea tonu te puta ngā UTI.

Ko ngā UTI i roto i ngā tāne ka tino tohu i ngā āhuatanga kei muri penei i ngā raruraru prostate, ngā rerekētanga rānei o te ara mimi, no reira ka arotake nui ake ngā taakuta ina whāngai ngā tāne i ēnei mate.

E hia te roa o te whakakorenga o ngā tohu UTI me te whakaora?

Ko te nuinga o te iwi ka tīmata te pai ake i roto i ngā haora 24 ki te 48 i te tīmatanga o ngā rongoā antibiotic. Heoi, me whakaoti e koe tō akoranga antibiotic katoa ahakoa ka ngaro ngā tohu hei whakarite kua horoia katoa te mate.

Mēnā kāore koe e kite i te pai ake i roto i ngā haora 48, te kino ake rānei o ngā tohu, whakapiri atu ki tō kaiwhakarato hauora. Ka hiahia pea koe ki tetahi atu rongoā antibiotic, te arotake atu rānei.

Ka taea te moe taangata me te mate huhu o te ara mimi?

Ko te nuinga o te wā, he pai te karo i te mahi taangata i te wā e whāngai ana koe i te UTI. Ka taea te kore pai te taangata ina whāngai koe i ngā tohu UTI, ka taea hoki te hora o ngā huakita, te kino rānei o te mate.

Taria kia oti ra ano tō maimoatanga antibiotic, kua ora ngā tohu i mua i te whakahoki mai i te mahi taangata. Kia mahara ki te mimi i muri i te taangata hei āwhina i te ārai i ngā UTI i muri mai.