Ama-antibiotic e-UTI Angasebenzi Ngemuva Kwezinsuku Ezi-3: Izinyathelo Ezilandelayo

Ama-antibiotic e-UTI Angasebenzi Ngemuva Kwezinsuku Ezi-3: Izinyathelo Ezilandelayo

Ama-antibiotic e-UTI angasebenzi ngemuva kwezinsuku ezi-3 asho enye yezinto ezine: amagciwane ayamelana nomuthi owunikiwe, inkinga yayingesona neze i-UTI, isifo senze saba nzima kunokuba yisinyaba, noma kukhona okwenza isimo sibe nzima. Ngosuku lwesithathu kufanele uzizwe kangcono kakhulu, akusho ukuthi kuphelele. Ukungathuthuki nhlobo, noma ukuba kubi kakhulu, yisignali yokuthi uxhumane nomunye odokotela manje – ukuze wenze i-urine culture futhi cishe uthole i-antibiotic ehlukile, hhayi ukuze uzame ukudlula kwezinye izinsiza ngokwethemba.

Okubalulekile okufanele ukwazi

• Isikhathi esingokoqobo: ukuthuthuka okubonakalayo kungakapheli ama-24–48 amahora, ukuthuthuka okucacile ngosuku lwesithathu, noma ngabe umjikelezo uqhubeka isikhathi eside.

• Ukuphikiswa yisona esiyimbangela enkulu: i-antibiotic yokuqala kuvamise ukuba kube ukuqagela okuhlakaniphile, kunezindawo eziningi izinambuzane ezivamile zihlasela imithi evamile.

• "Izimpawu ze-UTI" ngaphandle kwe-UTI kuvamile – i-yeast, i-BV, i-STI urethritis, kanye nokucasuka kwe-bladder konke kuyazilingisa.

• Umkhuhlane, ubuhlungu ezinqeni, noma ukuhlanza akusho i-antibiotic ehlulekile; kusho ukuthi kune-diagnosis ehlukile nenkinga yanamuhla.

• Isixazululo sokuqagela okuhlulekile yi-culture, hhayi ukuqagela kwesibili.

Ukuthi ukuthuthuka kufanele kubukeke kanjani

Amanothi amabili okulinganisa ngaphambi kokuthi noma yini ibhalwe njengehlulekile. Ukuthuthuka okuyingxenye ngosuku lwesithathu kuvamise ukusho ukuthi umuthi usebenza futhi udinga umjikelezo wawo ogcwele, yingakho ukuyeka kusenesikhathi ngosuku lwesine ngoba uzizwa ulungile kuyindlela yokuthi izifo zibuye zibuye. Futhi uma ubusebenzisa i-phenazopyridine (i-Azo nezinye ezifana nayo), khumbula ukuthi iyini: i-bladder anesthetic ehlanganisa ukusha ngenkathi ijikela umchamo ube phuzi, ilusizo osukwini lokuqala noma ezimbili futhi ayithulisi nhlobo ukuthi ngabe i-antibiotic iyawina yini. Linganisa inqubekelaphambili ngezinsuku ongayisebenzisanga.

Isizathu sokuqala: amagciwane ayinqobe umuthi

Ama-antibiotic e-UTI omjikelezo wokuqala anikwa ngokungaqiniseki – ukubheja okuhlakaniphile kulokho okuvame ukusebenza endaweni, okwenziwa ngaphambi kokuthi othile akhulise amagciwane akho athile e-lab. Kuyindlela efanele yokwelapha isifo esibuhlungu nesidinga isikhathi, futhi siyahluleka ngamaphesenti athile, ngoba ukuphikiswa sekukhuluphele: ezingxenyeni eziningi zase-US, amagciwane avamile e-UTI manje ayamelana namagciwane amadala asebenzayo ngezilinganiso eziphakeme ngokwanele ukuthi imihlahlandlela ixwayise ngokuthi ungawasebenzisi ngokungaboni, ushintsho incwajana yethu ye-Macrobid vs Bactrim echaza.

Lapho ukubheja kwehluleka, izimpawu ziyaqhubeka njengokungathi awusebenzisi lutho, yikho kanye ukuthi "akukho shintsho ngosuku lwesithathu" kuzwakala kanjani. Isinyathelo esilandelayo sisobala: i-urine culture ngokuhlolwa kwe-sensitivity, okukhulisa amagciwane akho angempela futhi kubike ukuthi yimaphi ama-antibiotic ayobulala. Lokho siguqula umjikelezo wesibili kusuka ekubhejeni kwesibili kuya ekuhlaseleni okuhloselwe, futhi yikho lapho isicelo esingumgomo wokuhlola esithi "singakwazi yini ukwenza isimo?" kunokuba "ngingathatha enye iphilisi?"

Isizathu sesibili: kwakungesona neze i-UTI

Ukusha nokuzabalaza kunohlu olugcwele lwezimbangela, futhi ama-antibiotic angasebenzi ngemuva kwezinsuku ezi-3 kuvamise ukuba ubufakazi bokuqala bokuthi uhlu lwabhekwa ngokushesha kakhulu. Izifanekiso ezijwayelekile: izifo ze-yeast (ukugqola kuqala, ukuphuma okujiyile – futhi ama-antibiotic ayazenza zibe nzima, ngakho-ke munye angaze afike phakathi nokwelashwa; ikhasi le-yeast infection lihlanganisa lokho kuhlukana), i-bacterial vaginosis, i-urethritis evela ku-STI njenge-chlamydia noma i-gonorrhea (ngokwejwayelekile ukusha ngaphandle kwesibonelo sokuvama-ukuzabalaza, futhi kufanele kuhlolwe ngemuva komlingani omusha), ukucasuka kwe-bladder kusuka ematsheni adlula noma i-interstitial cystitis (isimo sobuhlungu obungapheli be-pelvic, esingena-culture), futhi kwabesifazane abangena-menopause, i-genitourinary atrophy, efanise ne-UTI nyanga zonke futhi iphendule ekwelashweni okuhlukile. Isibonakaliso kuso sonke lesi sikhathi: i-culture ibuyela icoshile ngenkathi izimpawu ziyaqhubeka. I-culture engalungile ayiyona indawo yokuphela; yizinkaba ezidweba kabusha, ngokusho kwe-MedlinePlus inikeza izimpawu zezinso.

Isizathu sesithathu: kukhulu (lokhu akulindeli)

Ulayini we-bladder-to-kidney uyibhokisi le-alarm lekhasi. Funa ukwelashwa ngalolo suku – ungaphakathi uma unesifo sofuba noma ungakwazi ukugcina uketshezi phakathi – ukuze: umkhuhlane noma ukuzamazama, ubuhlungu emhlane noma eceleni ngaphansi kwezimbambo, isicanucanu noma ukuhlanza, igazi elibonakalayo, ukudideka kumuntu omdala, noma izimpawu ekukhulelweni. Leyo ngqungquthela ibonisa i-pyelonephritis, isifo samathambo, esokusho Mayo Clinic iyohlangana namathambo idinga ama-antibiotic ahlukile ngemithamo ehlukile, ngezinye izikhathi ngokugeleza emithanjeni, nokulandelwa eduze. Amanothi amabili athinta imithi ayenza lokhu kube okubalulekile kunokuba kube yinto nje: i-nitrofurantoin (Macrobid), umuthi wokuqala we-bladder, awuliphathi neze isifo samathambo – awufiki nhlobo kuzo – ngakho-ke "i-Macrobid yami ayisebenzi" kanye nobuhlungu ezinqeni kuyisigwebo esibomvu. Futhi isifo samathambo esakheka ngemuva komuthi womlomo obuthakathaka kakhulu sibi ngokuhamba kwesikhathi ongakufuni ukubhekana naso.

Isizathu sesine: kukhona okwenza kube nzima

Ezinye izifo ze-UTI "ziba nzima" ngokuchaza, futhi ibhukwana evamile yezinsuku ezi-3 kuya kwezi-5 alikaze lenzelwe zona: noma iyiphi i-UTI kumuntu (imijikelezo emide, ukubandakanyeka kwe-prostate ekuhlolweni), ukukhulelwa (kwelashwa ngesibindi, njalo kubhekwa ngudokotela), amatshe emgogodleni (amagciwane azifihla kuwo, angakwazi ukufinyelela ama-antibiotic), ama-catheter, isifo sikashukela, nokungazivikeli emzimbeni (ngayinye igcina umuthi, ubude, noma kokubili), kanye nokungakhululwa ngokuphelele kwe-bladder, okugcina kuvuselela isifo. Uma noma yikuphi kwalokhu kuchaza wena nomjikelezo wakho wokuqala uhluleka, isixazululo akusona iphilisi elinamandla kunalokho; ukwelashwa okwelapha isigaba ngendlela efanele, kuvamise ukuqala nge-culture efanayo kanye nomngcele ophansi wokuthola izithombe noma ukudluliselwa.

Okungafanele ukwenze ngenkathi uzama ukuxazulula lokhu

Izinyathelo ezihlasimulisa umoya yizo ezingalungile. Ungayeki i-antibiotic yamanje ngokwakho – uma isebenza kancane, uzobe ukhulisa abasindile; yenza ushintsho nodokotela. Ungaqali ama-antibiotic asele kusuka esiqandisini sakho; umuthi ongajwayelekile ngomthamo ongajwayelekile yindlela yokuba ukuphikiswa kuqeqeshwe ekhaya, futhi kuphazamisa i-culture ozodinga kuyo. Ungabeki i-antibiotic yesibili oyithole ezitolo phezu kokuqala. Ungaphili nge-phenazopyridine ngaphezu kwezinsuku ezimbili – ihlanganisa isignali ozama ukuyifunda futhi inemikhawulo yayo. Yebo, qhubeka uphuza amanzi, futhi yebo, bhala phansi uhambo lwezimpawu zakho ngosuku ngalunye; leyo mlando enemizuzwana engu-90 inezinzuzo kakhulu kudokotela olandelayo kunanoma iyiphi i-test eyodwa.

Isitebhisi sesinyathelo esilandelayo, ngokulandelana

1. Xhumana nodokotela namuhla – lowo wangempela noma ukuvakashelwa okusha – futhi usho umusho obalulekile: "Usuku lwesithathu, akukho shintsho." Lona umusho uguqula uhlelo kunoma yiziphi izandla ezikwaziyo.

2. Thola i-culture. Udokotela wase-US online angathatha indaba ephelele nge-chat, ikhamera icishiwe, kusuka ku-$39, futhi afake i-testing yomchamo ngesisekelo sezindawo zokuhlola ze-August ukuze isampula liqoqwe kahle eduze kwakho – bese ngemuva kwalokho ngilungisa ukwelashwa ngokwalokho okukhonjiswa yi-sensitivities, kufaka phakathi ukushintshela kumuthi wokuqala ohlukile ngalolo suku lapho isimo sesivele sisisekela.

3. Zilungiselele izibonakaliso ezibomvu. Umkhuhlane, ubuhlungu ezinqeni, ukuhlanza, ukukhulelwa: lokhu kudinga ukuhlolwa ngaphakathi ngalolo suku, futhi udokotela we-telehealth othembekile uzoshukisa ngalokho esikhundleni sokunikeza i-antibiotic lesifo samathambo.

4. Vala umjikelezo. Noma iyiphi indlela oyithatha, ikhasi le-ukwelashwa kwe-UTI lihlanganisa ukuthi ukwelashwa nokulandelwa kuyasebenza kanjani – futhi imibuzo yokulandelwa ihlala imahhala izinsuku ezingama-365, okukhona ngempela ngoba "ingabe lokhu kuyasebenza?" ngosuku lwesithathu akufanele neze kubize ukuvakashelwa kwesibili.

Imibuzo ejwayelekile ukubuzwa

Kuthatha isikhathi esingakanani ukuba ama-antibiotic e-UTI asebenze?
Ukwelashwa kuvamise ukuqala kungakapheli amahora angama-24 kuya kwangama-48, ngokuthuthuka okucacile ngosuku lwesithathu noma ngabe imijikelezo ihamba izinsuku ezintathu kuya kweziyisikhombisa. Ukuzizwa ungcono kusenesikhathi kulindelekile; ukuzizwa kungaphansi kwezingu-48 kuye kwezingama-72 kuwusuku lokuphuma ukuze kuhlolwe.

Ngiyawuqedela yini ama-antibiotic noma angasebenzi?
Ungayeki ngokwakho, futhi ungaduduli nje: xhumana nodokotela ngemuva kwezinsuku ezingama-48 kuya kwezingama-72 lapho kungakho shintsho. Bavame ukwenza i-culture bese bashintsha, futhi bangase bakugcine usebenzisa umuthi wamanje kuze kubeze imiphumela.

Ingabe i-UTI ingamelana nama-antibiotic?
Ngokuvamile, yebo – ukuphikiswa emithini ejwayelekile endala manje kudlula imikhawulo yokuvuma emiphakathini eminingi, yingakho ama-prescription okuqala ngezinye izikhathi ehluleka. I-culture ngokuhlolwa kwe-sensitivity yisona esiyimbangela: isho umuthi amagciwane akho athile angenakusinda kuwo.

Kuthiwani uma i-urine culture yami ibuyela ingalungile?
Khona-ke izimpawu zinomunye umthombo – i-yeast, i-BV, i-STI urethritis, ukucasuka kwe-bladder, amatshe, noma i-atrophy ekupheleni kwe-menopause – futhi ama-antibiotic ayozixazulula. I-culture engalungile ilusizo ngempela: iphelisa ukuqagela futhi ivuselela umsebenzi.

Ama-antibiotic angasebenzi ngemuva kwezinsuku ezi-3 ngento enye – imithetho efanayo?
Ngokuvamile, yebo: izifo eziningi zamagciwane kufanele zithuthuke kungakapheli amahora angama-48 kuya kwangama-72 em ngumuthi olungile, futhi ukubambezeleka kusho ukuhlola kabusha, hhayi ukuphinda ubheke. Izinto ezithile ziyahlukahluka ngesifo, ngakho-ke ucingo losuku lwesithathu luya kulowo olunikeze lona.

Kungani ngizizwe ngibi kakhulu ngosuku lwesibili noma lwesithathu?
Ukuba kubi kuhlukile kokungabi kuhle: ubuhlungu obukhulayo, umkhuhlane omusha, noma ubuhlungu ezinqeni kubonisa ukuthi isifo siyawina noma siyakhulu, futhi lokho kuyisidingo sokuhlolwa ngalolo suku, hhayi ukulinda usuku lwesihlanu. Thembela endleleni yokuhamba kunekhalenda.

Ngingashintsha ama-antibiotic ngaphandle kwe-culture?
Kwezinye izikhathi, ngokuhlakanipha – uma umuthi wokuqala wawuyilodwa enokuphikiswa okuphezulu okwaziwayo endaweni, udokotela angakushintshela kwenye i-agent yokuqala ngokushesha ngenkathi i-culture iphekwa. Okungafanele ukwenze ukwenza lowo shintsho kusuka esiqandisini sakho.

Ingabe i-UTI noma i-STI?
Ziyagxila kakhulu kunalokho abantu abakucabangayo: i-chlamydia ne-gonorrhea zombili zenza ukusha ekuchameni. Umlingani omusha, ukuphuma, noma i-urine culture ecolekile ngokusha okuqhubekayo konke kukhombisa ukuhlolwa kwe-STI, okungadlula ngokuya kokuya okufanayo okuxazulula umbuzo we-UTI.

Ingabe i-cranberry, i-D-mannose, noma amanzi aphulukisa i-UTI ehlulekayo?
Cha – ukunisela kusiza ukududuza futhi ukuzivikela kunezingqinamba ezithile, kodwa akukho lutho olungaphandle kokubalwa olusindisa isifo esisebenzayo ku-antibiotic engalungile. Indima yazo ukusekelwa ekwelashweni, hhayi ukubuyisela indawo yokuhlola nokushintsha.