Health Library Logo

Health Library

Kuyini Ukuchama Okubuhlungu? Izimpawu, Izimbangela, & Nokwelashwa Ekhaya

Created at:1/13/2025

Question on this topic? Get an instant answer from August.

Overwhelmed by medical jargon?

August makes it simple. Scan reports, understand symptoms, get guidance you can trust — all in one, available 24x7 for FREE

Loved by 2.5M+ users and 100k+ doctors.

Ukuchama okubuhlungu, okubizwa nangokuthi i-dysuria, kuyilokho kanye okuzwakala ngakho - ukungakhululeki, ukusha, noma ubuhlungu uma uchama. Lesi simo esivamile sithinta izigidi zabantu futhi singahluka ekucasukeni okuncane kuya ebuhlungwini obukhulu, obuqinile obukwenza wesabe ukusebenzisa indlu yangasese. Ngenkathi ngokuvamile kuyisibonakaliso sokutheleleka ngamathumbu omchamo, izimo eziningi ezihlukene zingabangela lokhu okuhlangenwe nakho okungakhululeki.

Kuyini Ukuchama Okubuhlungu?

Ukuchama okubuhlungu kunoma yikuphi ukungakhululeki okuzwayo ngaphambi, ngesikhathi, noma ngemuva nje kokuchama. Umzimba wakho usebenzisa ubuhlungu njengesibonakaliso sokuthi okuthile akulungile ohlelweni lwakho lomchamo, oluhlanganisa izinso zakho, isinye, ama-ureter, kanye ne-urethra.

Ubuhlungu bungenzeka ngezikhathi ezihlukene ngesikhathi sokuchama. Abanye abantu bayazizwa ngaso kanye lapho beqala ukuchama, abanye bayakuzwa kuyo yonke inqubo, futhi abanye bayakubona kakhulu ekugcineni. Indawo yobuhlungu nayo ingahluka - ungase uyizwe ku-urethra yakho, esinyeni, noma ngisho nasesiswini sakho esingezansi noma emhlane.

Kuzwakala Kanjani Ukuchama Okubuhlungu?

Umuzwa wokuchama okubuhlungu uyahluka kumuntu nomuntu, kodwa abantu abaningi bawuchaza njengokusha, ukugwaza, noma ubuhlungu obukhulu. Cabanga ngakho njengomehluko phakathi kokuthinta indawo efudumele nokuthinta ngengozi isitofu esishisayo - ukuqina kungahluka kakhulu.

Nakhu ongase ukuzwe lapho ukuchama okubuhlungu kuqala:

  • Umuzwa wokusha oqala lapho uqala ukuchama
  • Ubuhlungu obukhulu, obugwazayo obuza futhi buhambe ngesikhathi sokuchama
  • Umuzwa wokugwaza, njengokungathi insipho ingene ekusikeni okuncane
  • Ubuhlungu obubuhlungu noma obuqinile esiswini sakho esingezansi noma emathangeni
  • Ukucindezela noma ukugcwala esinyeni sakho, ngisho nangemva nje kokuchama
  • Ubuhlungu obusuka ku-urethra yakho bukhuphukela esinyeni sakho

Abanye abantu baphawula nokuthi umchamo wabo ubukeka ngendlela ehlukile - ungase ube yisithuli, mnyama kunokujwayelekile, noma ube nombala obomvana noma obomvu. Ubuhlungu bungase bube bubi ngezikhathi ezithile zosuku noma buqine njengoba isinye sakho sigcwala.

Yini Ebanga Ukuchama Okubuhlungu?

Ukuchama okubuhlungu kwenzeka lapho okuthile kucasula noma kuvuvukisa izicubu emgudwini wakho womchamo. Isimiso sakho somchamo ngokuvamile siyindawo engenazo izinto eziphilayo, ngakho-ke lapho amagciwane, amakhemikhali, noma ezinye izinto ezicasulayo zingena lapho kungafanele zibe khona, umzimba wakho usabela ngokuqubuka nokubuhlungu.

Ake sihlukanise izizathu ezivamile zokuthi kungani ungase uhlangabezane nokuchama okubuhlungu:

  • Ukutheleleka emgudwini womchamo (UTIs) - Amagciwane angene emgudwini wakho womchamo futhi ande, okubangela ukuvuvukala nobuhlungu
  • Ukutheleleka esinyeni (i-cystitis) - Ukutheleleka ngqo esinyeni sakho, okuvame ukubangela ubuhlungu nokucindezela
  • Ukutheleleka ezinso - Ukutheleleka okungathi sína okungabangela ubuhlungu ngesikhathi sokuchama kanye nobuhlungu emhlane nomkhuhlane
  • Ukutheleleka ngokocansi - Kubandakanya i-chlamydia, i-gonorrhea, ne-herpes
  • Ukutheleleka esithweni sangasese sowesifazane - Ukutheleleka ngemvubelo noma i-bacterial vaginosis kungabangela ubuhlungu lapho umchamo udlula ezicutshini ezicasukile
  • Izinkinga ze-prostate - Igland ye-prostate ekhulisiwe noma evuvukele emadodeni
  • Amathambo ezinso - Izinto ezincane, eziqinile ezingabangela ubuhlungu obukhulu lapho zidlula emgudwini wakho womchamo

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa imithi ethile, izinto ezicasulayo zamakhemikhali ezivela emanzini okushaya noma okokuhlanza, nezimo ze-autoimmune. Ngezinye izikhathi, ubuhlungu buvela ezindaweni eziseduze njengezicubu zangasese ezicasukile kunokuba umgudu wakho womchamo uqobo.

Iyini Inkomba Yokuchama Okubuhlungu?

Ukuchama okubuhlungu yindlela yomzimba wakho yokukutshela ukuthi kukhona okudinga ukunakekelwa ohlelweni lwakho lomchamo noma lokuzala. Imvamisa, kubonisa ukutheleleka, kodwa kungakhomba nakwezinye izimo ezingaphansi ezidinga izinhlobo ezahlukene zokwelashwa.

Nazi izimo eziyinhloko ezivame ukubangela ukuchama okubuhlungu:

  • Ukutheleleka ngamathumbu omchamo - Imbangela evame kakhulu, ikakhulukazi kwabesifazane
  • Ukutheleleka esinyeni - Kubangela ubuhlungu, ukuphuthuma, nokuchama njalo
  • Ukutheleleka ezinso - Kubi kakhulu, ngokuvamile kufaka nomkhuhlane, ubuhlungu emhlane, nokucasuka
  • I-Interstitial cystitis - Isimo sesinye esingapheli esibangela ubuhlungu obuqhubekayo nokucindezela
  • I-Prostatitis - Ukuvuvukala kwegland ye-prostate emadodeni
  • Ukutheleleka ngokocansi - Kubandakanya i-gonorrhea, i-chlamydia, ne-herpes
  • Ukutheleleka emgqeni wesitho sangasese sowesifazane - Ukutheleleka ngemvubelo noma ukungalingani kwamagciwane

Izimo ezingavamile ezingabangela ukuchama okubuhlungu zifaka umdlavuza wesinye, ezinye izifo ze-autoimmune, nezinkinga ezivela ezinqubweni zezokwelapha. Lezi ngokuvamile ziza nezimpawu ezengeziwe ezisiza odokotela ukuzihlonza.

Ingabe Ukuchama Okubuhlungu Kunganyamalala Ngokwako?

Ngezinye izikhathi ukuchama okubuhlungu kungase kulungiswe ngokwako, ikakhulukazi uma kubangelwa ukucasuka okuncane okuvela ezintweni ezinjengensipho entsha, izingubo eziqinile, noma ukungabi namanzi emzimbeni. Kodwa-ke, amacala amaningi adinga uhlobo oluthile lokwelashwa ukuze alungiswe ngokugcwele futhi avimbele izinkinga.

Uma ukuchama kwakho okubuhlungu kubangelwa ukutheleleka ngamagciwane, ngeke kunyamalale ngaphandle kwama-antibiotics. Ukushiya i-UTI ingelashwa kungaholela ezinkingeni ezingathi sína njengokutheleleka ezinso. Ngakolunye uhlangothi, uma kubangelwa ukucasuka kwamakhemikhali noma ukulimala okuncane, kungase kuthuthuke ezinsukwini ezimbalwa njengoba umzimba wakho welapha.

Okhiye ukunaka ezinye izimpawu. Uma unomkhuhlane, ubuhlungu emhlane, igazi emchameni wakho, noma uma ubuhlungu buqhubeka buqina kunokuba bube ngcono, udinga ukunakekelwa kwezokwelapha. Noma ungaqiniseki ukuthi yini ebangela lokhu, ukuchama okubuhlungu okuhlala ngaphezu kosuku olulodwa noma ezimbili kufanele kuhlolwe udokotela.

Ungayelapha kanjani ukuchama okubuhlungu ekhaya?

Ngenkathi ulindele ukubona udokotela noma uma unezimpawu ezithambile, kunezindlela eziningi ezithambile zokunciphisa ukungakhululeki kokuchama okubuhlungu. Le mithi yasekhaya ingasiza ukuthoba izicubu ezicasukile futhi isekele inqubo yokuphulukisa yemvelo yomzimba wakho.

Nazi ezinye izindlela eziphephile, ezisebenzayo ongazama ekhaya:

  • Phuza amanzi amaningi - Lokhu kusiza ukukhipha amagciwane nezinto ezicasulayo ohlelweni lwakho lomchamo
  • Sebenzisa iphedi yokushisa - Faka ukushisa okuthambile esiswini sakho esingezansi ukuze unciphise ukuqaqamba nokungakhululeki
  • Zama izidambisi zentlungu ezingaphezu kwekhawunta - I-Ibuprofen noma i-acetaminophen inganciphisa ubuhlungu nokuvuvukala
  • Gwema izinto ezicasulayo - Yeqa i-caffeine, utshwala, ukudla okunezinongo, neziphuzo ezinama-asidi kuze kube yilapho izimpawu zithuthuka
  • Zijwayeze inhlanzeko enhle - Sula kusuka ngaphambili kuya emuva bese uchama ngemva komsebenzi wobulili
  • Gqoka izingubo ezikhululekile, eziphefumulayo - Amabhulukwe aqinile nengubo yangaphansi eyenziwe ngamanye amakhemikhali ingabamba umswakama namagciwane

Abanye abantu bathola ukukhululeka ekuphuzeni ijusi le-cranberry elingashukeli noma ekuthathweni kwezithasiselo ze-cranberry, nakuba ubufakazi besayensi buxubile. Okubaluleke kakhulu ukuhlala unamanzi futhi ugweme noma yini engase iqhubeke icase umgudu wakho womchamo.

Yini ukwelashwa kwezokwelapha kokuchama okubuhlungu?

Ukwelashwa kwezokwelapha kokuchama okubuhlungu kuncike kulokho okubangela, yingakho ukuthola ukuxilongwa okulungile kubaluleke kangaka. Udokotela wakho cishe uzoqala ngokuhlola umchamo wakho ukuze abone noma yimaphi amagciwane, igazi, noma ezinye izimpawu zokutheleleka noma isifo.

Ukwelashwa okuvamile kuhlanganisa:

  • Ama-Antibiotics - Ezifweni zamagciwane njenge-UTIs, izifo zomchamo, noma izifo zezinso
  • Imithi elwa nesikhunta - Uma isifo semvubelo sibangela ubuhlungu
  • Imithi yokudambisa ubuhlungu - Ukuphatha ukungakhululeki ngenkathi welapha imbangela eyinhloko
  • Ama-analgesics omchamo - Imithi ekhethekile eqeda umuzwa womchamo
  • Ukwelashwa ngamahomoni - Kwabesifazane abase-postmenopausal abanokuchama okubuhlungu ngenxa yezinguquko zamahomoni
  • Ukwelashwa okukhethekile - Ezimweni ezinjenge-cystitis ye-interstitial noma i-prostatitis engapheli

Udokotela wakho angase futhi ancome izinguquko zokuphila, njengokushintshwa kokudla noma izinguquko emsebenzini wakho wokunakekela umuntu. Ezifweni ezithathelwana ngocansi, bobabili wena nomlingani wakho kungenzeka nidinga ukwelashwa ukuvimbela ukutheleleka kabusha.

Kufanele ngibone nini udokotela ngokuchama okubuhlungu?

Ngenkathi ukuchama okubuhlungu okuncane, ngezikhathi ezithile kungase kungabi yisimo esiphuthumayo, kunezimo eziningana lapho kufanele ufune ukunakekelwa kwezokwelapha ngokushesha. Umzimba wakho ukunikeza izimpawu ezicacile uma kukhona okudinga ukunakwa kochwepheshe.

Kufanele ubone udokotela ngokushesha uma uhlangabezana nanoma yiziphi lezi zimpawu zokuxwayisa:

  • Umkhuhlane noma ama-chills - Lokhu kusikisela ukuthi ukutheleleka kungenzeka kusabalale ezinso zakho
  • Igazi emchameni wakho - Lokhu kungavela njengomchamo obomvana, obomvu, noma onsundu
  • Ubuhlungu obukhulu emhlane noma ohlangothini - Ikakhulukazi uma kuhambisana nesicanucanu noma ukuhlanza
  • Ukungakwazi ukuchama - Lesi yisimo esiphuthumayo sezokwelapha esidinga ukunakwa ngokushesha
  • Ukuphuma epenis noma esithweni sangasese sowesifazane - Lokhu kungase kubonise ukutheleleka ngocansi
  • Izimpawu eziqhubekayo noma ezingathuthuki - Ngemva kwamahora angu-24-48 okunakekelwa ekhaya

Noma ngaphandle kwalezi zimpawu ezinzima, kufanele uhlele ukuqokwa uma ukuchama okubuhlungu kuqhubeka ngaphezu kosuku olulodwa noma ezimbili, noma uma kuqhubeka kubuya. Ukwelashwa kwasekuqaleni kuvimbela izinkinga futhi kukwenza uzizwe ungcono ngokushesha.

Ziyini Izici Zengozi Zokuthuthukisa Ukuchama Okubuhlungu?

Ezinye izici zingakwenza ukuthi uthole ukuchama okubuhlungu, nakuba noma ubani engathuthukisa lesi simo. Ukuqonda izici zakho zengozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi wazi ukuthi kufanele uqaphele nini kakhulu ngezimpawu.

Nazi izici eziyinhloko ezikhuphula ingozi yakho:

  • Ukuba owesifazane - Abesifazane bane-urethra emfushane, okwenza kube lula ngamagciwane ukufinyelela esinyeni
  • Ukwenza ucansi - Kungangenisa amagciwane emgudwini womchamo
  • Ezinye izindlela zokulawula inzalo - Ama-diaphragms kanye nama-spermicides angakhuphula ingozi ye-UTI
  • Ukuyeka ukuya esikhathini - Ushintsho lwama-hormone lungenza izifo zomgudu womchamo zivame kakhulu
  • Ukukhulelwa - Ushintsho emgudwini womchamo ngesikhathi sokukhulelwa kwandisa ingozi yokutheleleka
  • Isifo sikashukela - Ushukela ophezulu wegazi ungenza kube nzima ukulwa nezifo
  • Izinkinga zesimiso somzimba sokuzivikela ezifweni - Kwenza kube nzima emzimbeni wakho ukulwa namagciwane
  • Amathambo ezinso noma ezinye izinto ezingavamile zomgudu womchamo - Kungavimba ukugeleza komchamo okuvamile

Ubudala nabo bunendima - kokubili izingane ezincane kakhulu kanye nabantu abadala basengozini enkulu. Amadoda anama-prostate andisiwe maningi amathuba okuthi athole ukuchama okubuhlungu, njengoba kunjalo nakubantu abasebenzisa ama-catheter noma abaye bathola izinqubo zomgudu womchamo muva nje.

Ziyini Izinkinga Ezingaba Khona Zokuchama Okubuhlungu?

Eziningi izimo zokuchama okubuhlungu ziyanyamalala ngokuphelele ngemithi efanele futhi azibangeli izinkinga eziqhubekayo. Kodwa-ke, ukunganaki izimpawu noma ukulibazisa ukwelashwa ngezinye izikhathi kungaholela ezinkingeni ezingathi sína okunzima kakhulu ukuzelapha.

Izinkinga ezikhathazayo kakhulu zihlanganisa:

  • Ukutheleleka ezinso - Lapho amagciwane ehamba esuka esinyeni aya ezinso
  • Umonakalo ezinso - Ukutheleleka ezinso okuphindaphindiwe noma okukhulu kungabangela umonakalo unomphela
  • I-Sepsis - Isimo esisongela impilo lapho ukutheleleka kusakazeka emzimbeni wonke
  • Ubuhlungu obungapheli - Ezinye izimo zingaholela ekungakhulumeni okuqhubekayo uma kungelashwa kahle
  • Izinkinga zenzalo - Ukutheleleka okudluliselwa ngocansi okungelashwanga kungathinta impilo yokuzala
  • Ukutheleleka okuphindaphindiwe - Abanye abantu bathuthukisa iphethini ye-UTIs ephindaphindiwe

Lezi zinkinga zingavinjwa ngemithi esheshayo nefanele. Yingakho kubaluleke kakhulu ukungakunganaki ukuchama okubuhlungu, ikakhulu uma unezinye izimpawu ezinjengomkhuhlane noma ubuhlungu emhlane.

Yini Ukuchama Okubuhlungu Okungase Kuthathwe Njengokuthile Okunye?

Ukuchama okubuhlungu ngezinye izikhathi kungadidaniswa nezinye izimo ngoba izimpawu zingahambisana noma zenzeke ndawonye. Ukuqonda lokhu okufana nakho kungakusiza ukuthi unikeze udokotela wakho imininingwane engcono ngalokho okwenzayo.

Izimo ezingase zizizwe zifana nokuchama okubuhlungu zihlanganisa:

  • Ukutheleleka emgodini wesitho sangasese sowesifazane (Vaginal infections) - Kungabangela ukusha ngesikhathi sokuchama okubangelwa yizicubu ezingaphandle ezicasukile
  • Amathambo ezinso (Kidney stones) - Kungabangela ubuhlungu obuthinta umzila womchamo
  • Ukuvuvukala okuvela emanzini okokugeza noma okokuhlanza (Irritation from soaps or detergents) - Kungabangela ukusha okufana ne-UTI
  • Isifo esivuvukalisayo somgqomo wesisu (Pelvic inflammatory disease) - Kungabangela ubuhlungu endaweni yesisu esihlanganisa nokuchama
  • Ukuqina kwesinye (Bladder spasms) - Kungabangela ubuhlungu nokuphuthuma okufana ne-UTI
  • Izinkinga ze-prostate (Prostate problems) - Kungabangela ubuhlungu nobunzima bokuchama emadodeni

Ngezinye izikhathi, okuzwakala njengokuchama okubuhlungu empeleni kuwubuhlungu obuvela ezakhiweni eziseduze oziqaphela kakhulu uma uchama. Umhlinzeki wokunakekelwa kwezempilo onekhono angasiza ekuhlukaniseni ukuthi yini ebangela izimpawu zakho ezithile.

Imibuzo Evame Ukubuzwa Mayelana Nokuchama Okubuhlungu

Ingabe ukuphuza amanzi amaningi kungasiza ekuchameni okubuhlungu?

Yebo, ukuphuza amanzi amaningi kungasiza ekugezeni amagciwane nezinto ezicasulayo ohlelweni lwakho lomchamo, okunganciphisa ubuhlungu futhi kusheshise ukuphola. Kodwa-ke, amanzi kuphela ngeke alaphe ukutheleleka - uzodinga ukwelashwa okufanele kwezokwelapha ngezimbangela zamagciwane.

Ingabe ukuchama okubuhlungu ngaso sonke isikhathi kuyisibonakaliso se-UTI?

Cha, ngenkathi ama-UTI eyimbangela evame kakhulu yokuchama okubuhlungu, ezinye izimo eziningi zingabangela lesi simptomu. Lokhu kuhlanganisa izifo ezithathelwana ngocansi, ukutheleleka emgodini wesitho sangasese sowesifazane, amathambo ezinso, ngisho nokucasuka okuvela emanzini okokugeza noma okokuhlanza.

Kuthatha isikhathi esingakanani ukuchama okubuhlungu?

Ngokwelashwa okufanele, ukuchama okubuhlungu okuvela ku-UTI kuvame ukuthuthuka kungakapheli amahora angu-24-48 ngemuva kokuqala ama-antibiotics. Uma kubangelwa ukucasuka, kungase kulungiswe ngosuku olumbalwa ngokwalo. Ubuhlungu obuhlala isikhathi esingaphezu kwezinsuku ezimbalwa budinga ukuhlolwa kwezokwelapha.

Ingabe amadoda angathola ama-UTI abangela ukuchama okubuhlungu?

Yebo, amadoda angaqanjelwa yi-UTIs, nakuba kungavamile njengakwabesifazane. Amadoda ane-UTIs avame ukuzwa ubuhlungu lapho echama kanye nezinye izimpawu ezinjengokuchama njalo, umchamo onefu, noma ukungakhululeki endaweni ye-prostate.

Kufanele ngikugweme ukuzihlanganisa ngokocansi uma nginezinhlungu lapho ngichama?

Ngokuvamile kuhle ukugwema ukuzihlanganisa ngokocansi uze wazi ukuthi yini ebangela izimpawu zakho futhi uqale ukwelashwa okufanele. Lokhu kuvikela wena nomlingani wakho, ikakhulukazi uma imbangela iyisifo esithathelwana ngocansi.

Funda kabanzi: https://mayoclinic.org/symptoms/painful-urination/basics/definition/sym-20050772

Want a 1:1 answer for your situation?

Ask your question privately on August, your 24/7 personal AI health assistant.

Loved by 2.5M+ users and 100k+ doctors.

footer.address

footer.talkToAugust

footer.disclaimer

footer.madeInIndia