"Hhayi-ke, hhayi nje lokho," wonke amantombazane acabanga, osekuklolodela ngokwengeziwe nge-cystitis ngaphambili. Umuzwa wokuvutha, lapho uPiss, ungahle ube mubi, ungabangela ukukhathazeka futhi ube uphawu lokuthi udinga ukuya kudokotela ukuze uthole izeluleko, uzama ukuthola umbhalo obi kakhulu ngokwakho. Kepha phakathi kokuvakashela ihhovisi nokwelashwa kukadokotela, kusakufanelekela ukufunda imininingwane ewusizo mayelana nokujwayelekile kwezifo eziningi zabesifazane ze-ureteria.
Kuvela kanjani i-cystitis?
Ukutheleleka komchamo noma ukutheleleka okubonakalayo ukutheleleka okwenzeka lapho ama-bacterium ohlelweni lomchamo. U-Urethra, ishubhu elibhekele ukudluliselwa komchamo ezweni langaphandle likhona phakathi kwe-clitoris kanye nesitho sangasese sowesifazane, ngeshwa, ngeshwa, kusho ukuthi ilungele ukuthola amagciwane "alahlekile". Lapho ama-pathogens efinyelela ku-bladder yakho, umchamo ofudumele wenzeka u-Welconds Mat wawo, umema abafana ababi ukuba bathole amakoloni futhi badale ukutheleleka. Uma kungekho ukwelashwa, ukutheleleka kungadlula ngokwako, kepha ezimweni ezingavamile kungaya ekuthelelekeni kwezinso.
Kusukela ukutheleleka kanye nokuvuvukala kuhambisana ngesandla, futhi ama-capillaries asodongeni elivuthayo lesigaxa angaphuka futhi aqhume isikhathi ngasinye lapho i-bladder enegciwane inqoba ukunqoba umchamo. Kungaba ukwesabisa impela ukubona igazi ethoyilethi lapho ungalindelanga, kepha lokhu akulona uphawu olungajwayelekile. Kunoma ikuphi, xoxa nodokotela wakho.
Udokotela uzokuphatha uchungechunge lokuhlolwa komchamo
Photo: Unsplisish.com.
Yize kusho abesilisa, abesifazane bathambekele kakhulu kubo. "Akuhlangene ngalutho nobumsulwa - kuyinto elula anatomy," kusho uDkt Comer, ebhekisa ekuphakameni phakathi kwe-anus kanye nesitho sangasese sowesifazane, omanzi, lapho umbuso, wonakele khona, woza amagciwane. I-urethra yowesifazane ojwayelekile ingamasentimitha ama-2 kuphela ubude, uyachaza, kanti uRethra womuntu ufinyelela cishe amayintshi ayi-8-9 ukusuka ekhanda lepipi uqobo.
Yize izimpawu ze-Imp zihluke, zivame ukuhlotshaniswa nokuchama. Ngomuzwa ovuthayo ngesikhathi sokuchama kuze kube cishe isikhathi esingapheli sokuya endlini encane - ama-Imps kungabonakala kubantu besifazane lapha ngesihogo sangempela.
Iziphi izimpawu ongazibuka?
Izifiso zangaphandle zendlu yangasese noma ukukhuphuka kokuchama kungaba umphumela wokuvuvukala, impendulo yokuzivikela komzimba ekuthelelekeni. Ukunisela kungathola nephunga elinamandla, kube nodaka noma igwebu, elibonisa okweqile kwamaprotheni emchamo. Yenza uhlu lwalezi zimpawu futhi wabelane nodokotela wakho. Kwabadala nababhemayo, ukuphinda ubuhlungu ngesikhathi sokuchama, okungagcini ngemithi elwa namagciwane, kungasayina umdlavuza wesinye, kodwa abancane, bonke abesifazane abaphilile, asikho isizathu sokukhathazeka.
Uma ngesikhathi sokugijimisa ethoyilethi unezentengiso eziningi, ezifanayo noshizi we-cottage shizi, mhlawumbe unesifo sokukhunta. Ngakolunye uhlangothi, ukuphuma kwangasese kusuka ku-vagina ngokuhlanganiswa nezilonda noma ukopha kungakhombisa ukutheleleka okudluliselwa ngocansi. Ngenhlanhla, ama-STI amaningi angalapheka ngama-antibiotic noma izidakamizwa ezilwa namagciwane, ngakho uyazi ukuthi yini okufanele uyenze: Bheka udokotela.
Kungani kuyingozi?
Ukutheleleka kwamagciwane kungasakazeka kusuka esinye sezinye kuya ezinsolweni, lapho kungadala khona izimpawu ezinkulu kakhulu, njengokushisa, amakhaza, isicanucanu, isicanuko esingemuva nangokuhlanza. Kuyaqabukela, kepha kwenzeka kwenzeka - abesifazane abaningi bayazi intombi, eyawela esibhedlela. Uma i-Imp ingaphenduli ekuthelelekeni kwezinso - okungenzeka lapho kungenzeka ngesikhathi sokukhulelwa - inkambo yezinsuku eziyi-10-14 zemithi elwa namagciwane okufanele isize. Ukuphindaphindeka kwezifo kuphela (okungaholela ekwakhekeni kwezibazi) noma izifo ezingalapheki (ezingaholela ku-SEPSIS) kungaholela kumonakalo wesikhathi eside. Akuvamile ukutholakala ezigulini ezisencane nezinempilo.
Kungani i-clitoris ivutha lapho kuchama?
"I-Clitoris yakho isondelene ne-urethra, ngakho-ke ukuvuvukala kwe-urethra ngenxa ye-imp (izifo ze-urinary tract) kungadala i-clitoros evuthayo," kuchaza e-overtetric irobatound, i-abstetricer evela eNew York.
Ngabe ngidinga ngempela ukubona udokotela?
Ungahle ube nesilingo sokweqa lesi sigaba nhlobo lapho ubona amasethi esenziwe ngomumo wokuhlola ekhemisi, kepha akufanele athathe indawo yokuvakasha kwangempela kudokotela ngenxa yezizathu eziningana. Okokuqala, akulungile ngo-100%, "kuchaza uDkt Tamika Cross, udokotela waseHouston, eTexas. Eminye imishanguzo evame ukusetshenziswa ezidakamizweni ukwenza lula izimpawu zama-imps, noma nokudla okunjalo, njenge-beet, kungaholela emiphumeleni engemihle yokuhlaziya, kusho uDkt. Cross. Kufanele futhi kukhunjulwe ukuthi le michilo yokuhlola ayinikezi imininingwane mayelana nohlobo lwamagciwane adala ukutheleleka. "Amagciwane ahlukile wokwelashwa angadinga izinhlobo ezahlukene zemithi elwa namagciwane," kusho uDkt Irobund. Ngaphezu kwalokho, "I-Imp ayidluliseli ngaphandle kokwelashwa," kusho udokotela, okusho ukuthi usazodinga ukubonana nodokotela ukwelapha le nkinga.
Kwelashwa kanjani?
Udokotela uzokwenza ukuhlolwa komchamo (okufana nemichilo yokuhlola ekhishwe ngaphandle kweresiphi), kepha futhi athumela umchamo ukuhlwanyela, okungenziwa ngaphandle komtholampilo. Lolu cwaningo luzokhombisa umthombo oqondile wama-bacteria ukuze uphathwe ngemithi elwa namagciwane. Uma kungenjalo ukwelapha ukutheleleka, amagciwane angangena ezinsoni futhi akhuthazelele izinso noma ukutheleleka ngegazi.
Ungawenza kanjani izimpawu ngaphambi kokuvakashela udokotela?
Ukupholisa i-Imp ekhaya, udinga ukugxila ekugcineni kwe-hydration. Naphezu kweqiniso lokuthi ukuchama kuzoba buhlungu, kufanele uzenze ubhale ngokwengeziwe. Ukuphuza amanzi kungasiza, ngoba kunganciphisa umchamo wakho, okunciphisa amathuba okucasuka kwe-bladder ne-urethra. Ijusi le-cranberry amaningi le-cranberry futhi lingasiza abanye besifazane, ngoba ama-cranberry aqukethe amakhemikhali enza kube nzima ukunamathela amagciwane esinye isinye. Futhi zama ukugeza ngemuva kokuhlochakala ngakunye noma okungenani usebenzise i-Wet Wipes.
Ubuhlungu obulula ngaphambi kokuvakashela udokotela kuzosiza ukuphuza okuthe xaxa nokuhlanzeka njalo.
Photo: Unsplisish.com.
Kungenzeka yini ukuthatha amaphilisi angatholakali futhi weqe ukuvakashela udokotela?
Hhayi. Okunokwenzeka okubonayo kula maphilisi angabukeki, ngakho-ke kuyinto aqukethe i-fenazopyridine engathulisa noma yikuphi ukushiswa ngesikhathi sokuchama, kepha akuyona enye indlela yokwelashwa ngama-antibiotics. Enye into okufanele ikhunjulwe yile: Amalungiselelo aqukethe i-Fenazopyrine kungenzeka enze umchamo wakho okhanyayo futhi angaholela ekuhlolweni okungalungile ngokuhlolwa kwasekhaya kwe-Imp. Lapho evakashele udokotela, mtshele ngokwamukela ukwamukelwa kwamathebulethi ukuze akwazi ukukufaka okunembile.