Qhov Tseem Ceeb - UTI vs Bladder Infection
Cov kab mob tso zis feem ntau pom hauv cov poj niam, menyuam yaus thiab cov txiv neej laus. Qhov tshwm sim ntawm UTI hauv cov txiv neej yog qhov tsis tshua muaj tshwm sim thiab ib tug txiv neej tau rov qab UTIs feem ntau yuav muaj qhov txawv txav ntawm cov zis. Cov kab mob no tuaj yeem ua rau muaj mob hnyav xws li gram negative septicemia thiab mob raum tsis ua haujlwm. Clinically UTIs tuaj yeem muab faib ua ob pawg xws li UTI sab sauv thiab qis UTI. Cov kab mob zais zis yog ib hom kab mob urinary qis. Yog li, qhov sib txawv tseem ceeb ntawm UTI thiab zais zis yog tias UTI yog ib qho kab mob nyob rau hauv ib feem ntawm cov zis thaum lub zais zis yog ib qho kab mob nyob rau hauv qis urinary ib ntsuj av. Nws tseem ceeb heev uas yuav tsum nco ntsoov tias lub zais zis yog ib feem ntawm UTI.
UTI yog dab tsi?
UTI lossis kab mob urinary tuaj yeem txhais tau tias yog kab mob ntawm lub raum, ureters, zais zis, thiab urethra. Feem ntau ntawm UTIs yog cais tawm tawm tsam tab sis hauv 10% ntawm cov xwm txheej, muaj peev xwm muaj kev tawm tsam rov qab. Ntawm qhov ntawd 10%, 20% yog vim rov ua dua tshiab thiab ntxiv 80% yog vim rov kis mob. UTIs tau raug lees paub tias yog qhov ua rau mob septicemia.
Pathogenesis of UTI
Cov kab mob ntawm cov kab mob hauv plab ib txwm yog cov kab mob tshwm sim ntau tshaj plaws ntawm UTIs. Kev sib deev thiab kev tu tus kheej tsis zoo pab txhawb kev nkag ntawm cov microbes mus rau hauv cov zis. Thaum nyob rau hauv lub urinary ib ntsuj av, lawv nce mus rau hauv lub urethra thiab nkag mus rau lub overlying urothelium. Siv cov kab mob virulence xws li fimbriae, cov kab mob no ua raws cov urothelium thiab pib tso tawm ntau yam co toxins uas pib ua cov kab mob.
Cov neeg ua haujlwm feem ntau ntawm UTI yog,
- Escherichia coli (tseem ceeb)
- YProteus spp.
- Klebsiella spp.
- Pseudomonas spp.
- YStreptococcus faecalis
- Staphylococcus epidermidis / saprophyticus / aureus
Factors uas Predispose UTI
- Kev tso zis tsis zoo
- pob zeb
- Txoj Cai
- Vesico ureteric reflux
- Gynecological ua rau ex: vesicovaginal fistula
- Neurological ua rau
- YEnlarged prostate
- Instrumentation
- tiv thaiv kab mob vim ntshav qab zib lossis cev xeeb tub
Cov tsos mob thiab cov tsos mob ntawm UTI
YAcute Pyelonephritis
Cov tsos mob: mob plab, kub taub hau nrog ua daus no thiab ntuav
Cov Cim: Lub raum lub kaum ntse ntse thiab thaj tsam lumbar rhiab
YCystitis, Urethritis
Cov tsos mob: Dysuria, nce zaus ntawm micturition, mob supra pubic
Cov Cim: Supra pubic tenderness
Diagnosis of UTI
Kev kuaj mob UTI tuaj yeem ua rau cov poj niam hluas (hnub nyoog <65) uas tsis muaj qhov txawv txav ntawm qhov tso zis, ntsuas qhov tso zis lossis kab mob hauv lub cev, yog tias lawv pom tsawg kawg ob ntawm peb cov tsos mob - dysuria, ceev ceev, zaus.
Kev tshawb nrhiav tuaj yeem ua tau kom paub meej qhov kev kuaj mob.
- Urine Daim Ntawv Qhia Tag Nrho (UFR); mus saib seb puas muaj cov qog nqaij hlav, cov qe ntshav liab los yog cov kua qaub ncaug
- tso zis kab lis kev cai thiab ABST; mus nrhiav qhov pom kev loj hlob ntshiab uas ntau tshaj 105 ib milliliter ntawm cov zis tshiab
Daim duab 01: Ntau cov kab mob ntawm cov qe ntshav dawb hauv cov zis microscopy, uas yog qhov qhia txog UTI.
Cov neeg suav tsawg tsawg yog qhov tseem ceeb yog tias cov zis tso zis tau sau los ntawm lub raj nephrostomy, supra-pubis aspirate, hauv qee qhov kho UTI lossis hauv qhov hnyav dysuria. Lwm qhov kev tshawb nrhiav suav nrog FBC, Ntshav urea, Serum electrolyte, FBS, USS, KUB X-ray, MRI, thiab CT.
Kev tswj hwm ntawm UTI
Trimethoprim-sulfamethoxazole (160/800 mg ob zaug ib hnub rau 3-7 hnub) thiab nitrofurantoin (100 mg ob zaug ib hnub rau 5-7 hnub) yog cov tshuaj tua kab mob uas tsim nyog tshaj. Cov txiv neej nrog UTI tsis yooj yim kuj tuaj yeem kho nrog cov tshuaj tua kab mob no tab sis kev kho mob yuav tsum tau txuas ntxiv rau 7-14 hnub. Cov kev kawm luv luv nrog amoxicillin (250 mg peb zaug ib hnub), trimethoprim (200 mg ob zaug ib hnub) lossis ib qho tshuaj cephalosporin hauv qhov ncauj kuj tau siv qee zaus. Yog hais tias tus neeg mob muaj mob pyelonephritis intravenous tshuaj tua kab mob xws li aztreonam, cefuroxime, ciprofloxacin, thiab gentamicin. Kev haus dej ntau (2L txhua hnub) yuav tsum tau txhawb nqa thaum lub sijhawm kho tshuaj thiab rau qee lub lis piam tom qab kev kho mob.
Kev Tiv Thaiv Kev Tiv Thaiv Kom Tiv Thaiv UTI
- haus dej ntau
- Txhim kho tus kheej huv si
- Tshuaj tua kab mob qis qis
- Tshuaj Ntshav Qab Zib
- Kho mob hauv qab
Pab zais zis yog dab tsi?
Cov kab mob zais zis (cystitis) yog tshwm sim los ntawm cov kab mob nkag mus rau ntawm lub zais zis. Raws li tau hais thaum pib lawv yog ib pawg ntawm UTIs. Feem ntau ntawm cov mob cystitis yog mob.
Pathogenesis ntawm Bladder Infections (Cystitis)
UTI ua rau cov kab mob nkag mus rau hauv cov zis los ntawm thaj av perianal thiab nce mus raws cov urethra. Thaum cov kab mob no nkag mus rau hauv lub zais zis lawv pib lawv cov kab mob hauv lub zais zis ua rau cystitis. Feem ntau, cov kab mob nkag mus rau hauv lub zais zis hauv qhov no yog ntws tawm nrog cov zis. Tab sis nyob ntawm qhov ua phem ntawm cov kab mob, lub zog ntawm tus tswv lub cev tiv thaiv kab mob thiab muaj cov kab mob urinary txawv txav, cov kab mob cystitis ua rau cov kab mob tuaj yeem ua rau colonized hauv mucosal hauv ob sab phlu.
Tus neeg sawv cev feem ntau yog E. coli. Cov poj niam feem ntau muaj kab mob zais zis vim qhov ze ntawm cov zis mus rau qhov quav.
Daim duab 02: Kab mob zais zis
Cov tsos mob thiab cov tsos mob ntawm lub zais zis kab mob
- Dysuria thiab nce zaus ntawm micturition
- Supra pubic mob
- huab cua los yog ntshav tso zis nrog cov ntxhiab tsw phem
- Camping hauv plab plab
Risk Factors of Bladder Infection
- Advanced age
- Txo kev haus dej ntau
- Urethral instrumentation
- Urinary tract obstructions
- tso zis abnormalities
Diagnosis
Daim Ntawv Qhia Txog Cov Tshuaj Tso zis (UFR) tuaj yeem kuaj xyuas seb muaj cov qe ntshav dawb, qe ntshav liab, thiab kab mob. Cov kab mob tso zis thiab ABST tuaj yeem ua tau los txheeb xyuas tus kab mob ua rau lub cev thiab txiav txim siab cov tshuaj tua kab mob tsim nyog.
Kev kho mob
Cov tshuaj tua kab mob hauv qhov ncauj ntawm pab pawg quinolones (norfloxacin, ciprofloxacin) thiab co-amoxiclav tuaj yeem siv rau 5-7 hnub. 2-3 hnub tom qab cov tshuaj tua kab mob yuav tsum rov ua dua.
Dab tsi zoo sib xws ntawm UTI thiab zais zis kab mob?
- Ob leeg UTI thiab zais zis tshwm sim vim kev ua ntawm cov kab mob hauv cov zis.
- Cov lus pom ntawm lub plab hnyuv yog cov kab mob ua rau ntau tshaj plaws ntawm UTIs thiab zais zis.
Qhov txawv ntawm UTI thiab zais zis kab mob yog dab tsi?
UTI vs Bladder Infection |
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| UTIs tuaj yeem txhais tau tias yog kab mob ntawm lub raum, ureters, zais zis, thiab urethra. | Lub zais zis yog kab mob tshwm sim los ntawm cov kab mob nkag mus rau hauv lub zais zis |
| UTI cuam tshuam rau sab qis thiab sab sauv. | Npaj kab mob rau lub zais zis. |
| kev sib raug zoo | |
| UTI yog ib lo lus dav siv los piav txog kev kis kab mob hauv ib feem ntawm txoj hlab zis. | Cov kab mob zais zis yog ib pawg ntawm UTIs |
Summary – UTI vs Bladder Infection
Raws li tau piav qhia saum toj no, ob qho tib si kab mob urinary thiab zais zis tshwm sim vim yog kev ua ntawm microbes hauv cov zis. UTI tuaj yeem cuam tshuam rau ob qho tib si sab sauv thiab sab qis vim tias nws muaj kev kis kab mob hauv lub raum, ureters, zais zis, thiab urethra. Cov kab mob zais zis tsuas yog cuam tshuam rau lub zais zis thiab yog ib hom kab mob UTI. Qhov no yog qhov txawv ntawm UTI thiab zais zis.
Download PDF Version of UTI vs Bladder Infection
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm UTI thiab Bladder Infection.
