{"id":27172,"date":"2021-02-16T16:52:20","date_gmt":"2021-02-16T15:52:20","guid":{"rendered":"https:\/\/intervista.al\/web\/?p=27172"},"modified":"2021-02-16T16:52:23","modified_gmt":"2021-02-16T15:52:23","slug":"infeksioni-i-traktit-urinar-si-mund-ta-diagnostifikoni-dhe-trajtoni-nga-dr-artan-koni","status":"publish","type":"post","link":"https:\/\/intervista.al\/web\/2021\/02\/infeksioni-i-traktit-urinar-si-mund-ta-diagnostifikoni-dhe-trajtoni-nga-dr-artan-koni\/","title":{"rendered":"INFEKSIONI I TRAKTIT URINAR, SI MUND TA DIAGNOSTIFIKONI DHE TRAJTONI? Nga Dr Artan Koni"},"content":{"rendered":"\n
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Nj\u00eb infeksion i traktit urinar (UTI) ndodh kur bakteret ose nganj\u00ebher\u00eb mikrobet e tjera hyjn\u00eb n\u00eb traktin urinar dhe fillojn\u00eb t\u00eb rriten, zakonisht duke shkaktuar shenja dhe simptoma t\u00eb tilla si dhimbja dhe inflamacioni.Trakti urinar p\u00ebrb\u00ebhet nga dy veshka, dy ureter\u00eb, fshik\u00ebza e urines dhe uretra. Veshkat jan\u00eb organe n\u00eb form\u00eb fasulee t\u00eb vendosura n\u00eb pjes\u00ebn e poshtme t\u00eb brinj\u00ebve n\u00eb t\u00eb djatht\u00eb dhe t\u00eb majt\u00eb t\u00eb shtyll\u00ebs kurrizore. Ato filtrojn\u00eb mbeturinat nga gjaku dhe prodhojn\u00eb urin\u00eb, e cila transporton mbeturinat dhe ujin e tep\u00ebrt nga trupi.Urina rrjedh nga veshkat p\u00ebrmes tubave t\u00eb ngusht\u00eb t\u00eb quajtur ureter\u00eb dhe n\u00eb fshik\u00ebz. Fshik\u00ebza ruan urin\u00ebn p\u00ebr nj\u00eb periudh\u00eb t\u00eb shkurt\u00ebr kohe, por nd\u00ebrsa urina grumbullohet, p\u00ebrfundimisht ndjeni nevoj\u00ebn p\u00ebr t\u00eb urinuar dhe kontraktoni fshik\u00ebz\u00ebn p\u00ebr t\u00eb d\u00ebrguar urin\u00eb p\u00ebrmes nj\u00eb tubi tjet\u00ebr t\u00eb quajtur uret\u00ebr dhe jasht\u00eb trupit.Urina normalisht p\u00ebrmban shum\u00eb pak ose aspak baktere ose mikrobe t\u00eb tjera. Sidoqoft\u00eb, bakteret ndonj\u00ebher\u00eb mund t\u00eb hyjn\u00eb n\u00eb hapjen e uretr\u00ebs, duke u shum\u00ebzuar dhe l\u00ebvizur lart uretr\u00ebn drejt fshik\u00ebz\u00ebs, duke shkaktuar nj\u00eb infeksion. Shumica e UTI-ve mbeten n\u00eb traktin urinar t\u00eb posht\u00ebm (uretr\u00ebn ose fshik\u00ebz\u00ebn), ku shkaktojn\u00eb simptoma t\u00eb tilla si nj\u00eb thirrje e shpesht\u00eb p\u00ebr t\u00eb urinuar dhe nj\u00eb ndjesi djegieje gjat\u00eb urinimit. N\u00eb m\u00ebnyr\u00eb tipike, k\u00ebto infeksione konsiderohen t\u00eb pakomplikuara dhe trajtohen leht\u00ebsisht. Mbetur pa mjekuar, infeksioni mund t\u00eb p\u00ebrhapet n\u00eb veshka.Nj\u00eb infeksion i fshik\u00ebz\u00ebs \u00ebsht\u00eb lloji m\u00eb i zakonsh\u00ebm i UTI, por edhe pjes\u00ebt e tjera t\u00eb traktit urinar mund t\u00eb infektohen.
K\u00ebto infeksione gjithashtu mund t\u00eb identifikohen nga pjesa specifike e traktit urinar q\u00eb preket:
\u2022 Inflamacioni dhe \/ ose infeksioni i uretr\u00ebs quhet uretrit.
\u2022 Infeksioni i fshik\u00ebz\u00ebs quhet cystitis.
\u2022 Infeksioni i nj\u00ebr\u00ebs ose t\u00eb dy veshkave quhet pyelonephritis.
Nj\u00eb infeksion i veshkave \u00ebsht\u00eb m\u00eb serioz sesa nj\u00eb infeksion m\u00eb i ul\u00ebt i traktit urinar dhe mund t\u00eb \u00e7oj\u00eb n\u00eb d\u00ebmtim t\u00eb p\u00ebrhersh\u00ebm t\u00eb veshkave. N\u00eb disa raste, nj\u00eb UTI mund t\u00eb p\u00ebrhapet n\u00eb rrjedh\u00ebn e gjakut (septicemia) dhe mund t\u00eb \u00e7oj\u00eb n\u00eb seps\u00eb, e cila mund t\u00eb jet\u00eb e rrezikshme p\u00ebr jet\u00ebn. Rrall\u00eb por mund te ndodhe qe , nj\u00eb infeksion i rrjedh\u00ebs s\u00eb gjakut q\u00eb buron diku tjet\u00ebr n\u00eb trup mund t\u00eb infektoj\u00eb veshkat.Infeksionet e traktit urinar jan\u00eb t\u00eb zakonshme. Megjith\u00ebse ITU-t\u00eb mund t\u00eb prekin cilindo n\u00eb \u00e7do mosh\u00eb, grat\u00eb e t\u00eb gjitha moshave dhe burrat mbi 50 vje\u00e7 kan\u00eb m\u00eb shum\u00eb t\u00eb ngjar\u00eb t\u00eb marrin nj\u00eb ITU.F\u00ebmij\u00ebt gjithashtu mund t\u00eb zhvillojn\u00eb UTI, megjith\u00ebse m\u00eb rrall\u00eb se sa tek t\u00eb rriturit. Deri n\u00eb 8% t\u00eb vajzave dhe 2% t\u00eb djemve do t\u00eb marrin UTI. F\u00ebmij\u00ebt e vegj\u00ebl kan\u00eb nj\u00eb rrezik m\u00eb t\u00eb lart\u00eb t\u00eb d\u00ebmtimit t\u00eb veshkave n\u00eb lidhje me UTI n\u00eb krahasim me f\u00ebmij\u00ebt m\u00eb t\u00eb rritur dhe t\u00eb rriturit.<\/p>\n\n\n\n

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Shkaqet e ITU- Edhe pse nj\u00eb shum\u00ebllojshm\u00ebri e baktereve mund t\u00eb shkaktojn\u00eb ITU, shumica jan\u00eb p\u00ebr shkak t\u00eb Escherichia coli (E. coli), baktere q\u00eb jan\u00eb t\u00eb zakonshme n\u00eb sistemin e tretjes dhe gjenden n\u00eb m\u00ebnyr\u00eb rutinore n\u00eb jasht\u00ebqitje dhe rreth anusit. Bakteret e tjera q\u00eb mund t\u00eb shkaktojn\u00eb ITU p\u00ebrfshijn\u00eb specie t\u00eb Proteus, Klebsiella, Enterococcus dhe Staphylococcus. Ndonj\u00ebher\u00eb, ITU mund t\u00eb shkaktohet nga nj\u00eb k\u00ebrpudh (maja), si\u00e7 \u00ebsht\u00eb Candida albicans.Inflamacioni dhe infeksioni i uretr\u00ebs (uretriti) mund t\u00eb shkaktohet nga s\u00ebmundje seksualisht t\u00eb transmetueshme (STD) si herpesi, klamidia ose gonorrea. Trajtimi dhe parandalimi i SST ndryshon nga ai i ITU-ve tipike Rrezikshmeria-Femrat\u00eb kan\u00eb m\u00eb shum\u00eb t\u00eb ngjar\u00eb t\u00eb marrin ITU sesa meshkujt. Rreth 60% e femrave dhe 12% e meshkujve do t\u00eb ken\u00eb t\u00eb pakt\u00ebn nj\u00eb ITU n\u00eb jet\u00ebn e tyre. Te grate kjo ndodhe me shume p\u00ebr shkak se ato kan\u00eb uretr\u00eb m\u00eb t\u00eb shkurt\u00ebr se burrat dhe bakteret dhe mikrobet e tjera p\u00ebrhapen m\u00eb leht\u00eb deri tek fshik\u00ebza. Gjithashtu, distanca e shkurt\u00ebr midis uretr\u00ebs dhe anusit t\u00eb nj\u00eb gruaje gjithashtu rrit rrezikun e mikrobeve q\u00eb p\u00ebrhapen n\u00eb traktin urinar. Tek meshkujt adult gj\u00ebndra e prostat\u00ebs mund t\u00eb zmadhohet dhe t\u00eb \u00e7oj\u00eb n\u00eb zbrazje jo t\u00eb plot\u00eb t\u00eb fshik\u00ebz\u00ebs, gj\u00eb q\u00eb mund t\u00eb rris\u00eb rrezikun e UTI-ve.
Qdo gj\u00eb q\u00eb ngadal\u00ebson ose bllokon rrjedh\u00ebn e urin\u00ebs ose fut bakteret n\u00eb traktin urinar mund t\u00eb rris\u00eb rrezikun p\u00ebr t\u00eb pasur nj\u00eb UTI. Shembuj t\u00eb aktiviteteve, faktor\u00ebve dhe kushteve q\u00eb mund t\u00eb \u00e7ojn\u00eb n\u00eb UTI p\u00ebrfshijn\u00eb:Marr\u00ebdh\u00ebnie seksuale, ve\u00e7an\u00ebrisht n\u00eb grat\u00eb m\u00eb t\u00eb reja, P\u00ebrdorimi i spermicidit, ve\u00e7an\u00ebrisht n\u00ebse kombinohet me diafragm\u00eb ose p\u00ebrdorim t\u00eb kondomit, Fshirja nga mbrapa n\u00eb pjes\u00ebn e p\u00ebrparme pas nj\u00eb l\u00ebvizjeje t\u00eb zorr\u00ebve te grate, Mbajtja e urin\u00ebs kur ndjen nevoj\u00ebn p\u00ebr t\u00eb urinuar, Duke pasur UTI t\u00eb m\u00ebparshme, Probleme anatomike, t\u00eb tilla si ngushtimi i tubave n\u00ebp\u00ebr t\u00eb cil\u00ebt kalon urina (uretra ose uretra) , Mbajtja e urin\u00ebs (fshik\u00ebza nuk zbrazet plot\u00ebsisht), Rrjedha anormale e urin\u00ebs nga fshik\u00ebza p\u00ebrs\u00ebri n\u00eb ureter\u00eb (zbatic\u00eb vezikoureterale), Gur\u00ebt n\u00eb veshka, Kateterizimi i fshik\u00ebz\u00ebs, ve\u00e7an\u00ebrisht afatgjat\u00eb , L\u00ebndime t\u00eb palc\u00ebs kurrizore ose d\u00ebmtim nervor q\u00eb p\u00ebrfshin fshik\u00ebz\u00ebn, Diabeti, i cili mund t\u00eb ndikoj\u00eb n\u00eb sistemin imunitar, shkakton d\u00ebmtim t\u00eb veshkave, dhe shpesh rezulton n\u00eb glukoz\u00eb (sheqer) n\u00eb urin\u00eb q\u00eb promovon rritjen e baktereve dhe majave , Disa ila\u00e7e t\u00eb p\u00ebrdorura p\u00ebr t\u00eb trajtuar diabetin mund t\u00eb \u00e7ojn\u00eb n\u00eb rritje t\u00eb glukoz\u00ebs n\u00eb urin\u00eb, gj\u00eb q\u00eb rrit rrezikun e UTI-ve ., S\u00ebmundja e veshkave ose transplantimi i veshkave, Qdo gjendje q\u00eb shtyp sistemin imunitar, Ndryshimet e menopauz\u00ebs tek grat\u00eb, t\u00eb tilla si tharje e mukozes vaginale dhe nj\u00eb r\u00ebnie e hormonit t\u00eb estrogjenit, mund t\u2019i b\u00ebj\u00eb ata m\u00eb t\u00eb prirur ndaj UTI-ve.
Komplikimet dhe ITU t\u00eb e p\u00ebrs\u00ebritura- infeksionet e traktit urinar t\u00eb posht\u00ebm mund t\u00eb p\u00ebrhapen n\u00eb veshk\u00eb dhe mund t\u00eb shkaktojn\u00eb d\u00ebmtim t\u00eb p\u00ebrhersh\u00ebm t\u00eb veshkave, ve\u00e7an\u00ebrisht tek t\u00eb moshuarit ose f\u00ebmij\u00ebt shum\u00eb t\u00eb vegj\u00ebl nese mbeten te patrajtuara. ITU t\u00eb zgjatura ose t\u00eb p\u00ebrs\u00ebritura gjithashtu mund t\u00eb d\u00ebmtojn\u00eb veshkat dhe, n\u00eb disa raste, t\u00eb shkaktojn\u00eb d\u00ebshtim t\u00eb veshkave.Ndonj\u00ebher\u00eb ITU-t\u00eb mund t\u00eb p\u00ebrhapet n\u00eb gjak (septikemi), duke \u00e7uar n\u00eb seps\u00eb, e cila mund t\u00eb jet\u00eb e rrezikshme p\u00ebr jet\u00ebn. K\u00ebto raste k\u00ebrkojn\u00eb trajtim t\u00eb menj\u00ebhersh\u00ebm, i cili shpesh p\u00ebrfshin shtrimin n\u00eb spital.N\u00eb grat\u00eb shtatz\u00ebna , ITU mund t\u00eb \u00e7oj\u00eb n\u00eb lindje t\u00eb parakohshme dhe t\u00eb shkaktoj\u00eb presion t\u00eb lart\u00eb t\u00eb gjakut (preeklampsia). ITU-t\u00eb e p\u00ebrs\u00ebritura jan\u00eb problem p\u00ebr 20% deri 40% t\u00eb grave pasi kan\u00eb infeksionin e tyre t\u00eb par\u00eb.ITU-t\u00eb jan\u00eb t\u00eb rralla tek burrat m\u00eb t\u00eb vjet\u00ebr se 50 vje\u00e7, por mund t\u00eb ndodhin me SST, me nj\u00eb ngushtim anormal t\u00eb uretr\u00ebs dhe pas marr\u00ebdh\u00ebnieve anale. Nd\u00ebrsa burrat e shtyr n\u00eb mosh\u00eb, kan\u00eb m\u00eb shum\u00eb t\u00eb ngjar\u00eb t\u00eb p\u00ebrjetojn\u00eb UTI-in e tyre t\u00eb par\u00eb dhe m\u00eb pas ka m\u00eb shum\u00eb t\u00eb ngjar\u00eb t\u00eb ken\u00eb UTI t\u00eb p\u00ebrs\u00ebritura. Bakteret gjithashtu mund t\u00eb infektojn\u00eb prostat\u00ebn dhe jan\u00eb t\u00eb v\u00ebshtira p\u00ebr tu trajtuar. Prostata \u00ebsht\u00eb nj\u00eb gj\u00ebnd\u00ebr e vog\u00ebl q\u00eb rrethon uretr\u00ebn e sip\u00ebrme te burrat.
Shenjat dhe simptomat- Simptomat e ITU mund t\u00eb ndryshojn\u00eb, por shenjat dhe simptomat tipike p\u00ebrfshijn\u00eb:Urgjenc\u00eb m\u00eb e shpesht\u00eb p\u00ebr t\u00eb urinuar, shpesh vet\u00ebm nj\u00eb sasi t\u00eb vog\u00ebl t\u00eb urines, Dhimbje ose djegie gjat\u00eb urinimit, Urina me er\u00eb t\u00eb forte, Urina q\u00eb shfaqet me ngjyr\u00eb t\u00eb kuqe, roz\u00eb t\u00eb ndritshme ose kafte , Dhimbje n\u00eb pjes\u00ebn e poshtme t\u00eb barkut ose legenit .N\u00ebse ITU \u00ebsht\u00eb m\u00eb e r\u00ebnd\u00eb dhe \/ ose \u00ebsht\u00eb p\u00ebrhapur n\u00eb veshkat, mund t\u00eb shkaktoj\u00eb dhimbje n\u00eb pjes\u00ebn e mesit t\u00eb pasme t\u00eb brinj\u00ebve dhe sip\u00ebr legenit (dhimbje krahu), ethe t\u00eb lart\u00eb, t\u00eb dridhura, t\u00eb p\u00ebrziera dhe \/ ose t\u00eb vjella. Temperatura gjithashtu shihet kur infeksioni p\u00ebrhapet n\u00eb gjak (septicemia, e cila mund t\u00eb \u00e7oj\u00eb n\u00eb seps\u00eb).Foshnjat dhe f\u00ebmij\u00ebt e vegj\u00ebl q\u00eb nuk mund t\u2019ju tregojn\u00eb se si ndjehen mund t\u00eb ken\u00eb vet\u00ebm shenja t\u00eb paqarta kur kan\u00eb nj\u00eb ITU. Mund t\u00eb duken p\u00ebrgjith\u00ebsisht t\u00eb paqart , t\u00eb mos han\u00eb ose t\u00eb ken\u00eb ethe. Urina n\u00eb pelen\u00eb e tyre mund t\u00eb kete ere te keqe . Testet laboratorike kryhen p\u00ebr t\u00eb diagnostikuar UTI dhe ndonj\u00ebher\u00eb p\u00ebr t\u00eb identifikuar bakteret (ose mikrobet e tjera) q\u00eb po shkaktojn\u00eb infeksionin, si dhe trajtimin p\u00ebr t\u00eb kuruar infeksionin.
Testet e zakonshme laboratorike p\u00ebr ITU p\u00ebrfshijn\u00eb:Urinaanaliza \u2013 shumica e UTI diagnostikohen duke kryer nj\u00eb urinanaliz\u00eb e cila k\u00ebrkon prova t\u00eb infeksionit, t\u00eb tilla si bakteret dhe qelizat e bardha t\u00eb gjakut n\u00eb nj\u00eb most\u00ebr t\u00eb urin\u00ebs. Nj\u00eb test pozitiv i esteraz\u00ebs s\u00eb leukociteve ose prania e nitritit n\u00eb urin\u00eb mb\u00ebshtet diagnoz\u00ebn e ITU. Kultura e urin\u00ebs identifikon mikrobin specifik q\u00eb shkakton infeksionin. Nj\u00eb kultur\u00eb nuk kryhet gjithmon\u00eb. N\u00ebse \u00ebsht\u00eb nj\u00eb ITU e par\u00eb, e pakomplikuar e traktit urinar t\u00eb posht\u00ebm, mjeku mund t\u00eb supozoj\u00eb se \u00ebsht\u00eb shkaktuar nga mikrobi m\u00eb i zakonsh\u00ebm (E. coli) dhe do ta trajtoj\u00eb at\u00eb pa kryer nj\u00eb kultur\u00eb. Sidoqoft\u00eb, nj\u00eb kultur\u00eb mund t\u00eb b\u00ebhet p\u00ebr t\u00eb konfirmuar nj\u00eb urinanaliz\u00eb pozitive n\u00eb raste t\u00eb caktuara, si\u00e7 jan\u00eb njer\u00ebzit me ITU t\u00eb p\u00ebrs\u00ebritura ose pacient\u00ebt e shtruar n\u00eb spital.Testimi i ndjeshm\u00ebris\u00eb \u2014 n\u00ebse kultura e urin\u00ebs \u00ebsht\u00eb pozitive, ky test mund t\u00eb b\u00ebhet p\u00ebr t\u00eb p\u00ebrcaktuar se cili ila\u00e7 antimikrobik (antibiotik ose antifungal) ka m\u00eb shum\u00eb gjasa t\u00eb jet\u00eb efektiv n\u00eb trajtimin e ITU-s\u00eb .
Nj\u00eb ose m\u00eb shum\u00eb teste laboratorike mund t\u00eb b\u00ebhen si m\u00eb posht\u00eb n\u00eb raste t\u00eb caktuara: Kultura e gjakut \u2014 n\u00ebse nj\u00eb mjek i kujdesit sh\u00ebndet\u00ebsor dyshon se nj\u00eb ITU mund t\u00eb jet\u00eb p\u00ebrhapur n\u00eb gjakun tuaj. Testimi i s\u00ebmundjes q\u00eb transmetohet seksualisht \u2014 n\u00ebse dyshohet se keni nj\u00eb SST , t\u00eb tilla si klamidia ose gonorrhea ,Sifilisi, atehere testimi eshte specific. Glukoza \u2013 p\u00ebr t\u00eb kontrolluar s\u00ebmundjen e diabetit, e cila mund t\u00eb rris\u00eb rrezikun e ITU BUN, kreatinina p\u00ebr t\u00eb vler\u00ebsuar sh\u00ebndetin e veshkave Analiza e gurit n\u00eb veshka ose paneli i rrezikut t\u00eb gur\u00ebve n\u00eb veshka \u2014 kur keni pasur nj\u00eb gur n\u00eb veshka Testet jo-laboratorike \u2013 N\u00ebse keni ITU t\u00eb shpeshta , skanimet e imazheve dhe rrezet X speciale mund t\u00eb jen\u00eb t\u00eb dobishme p\u00ebr t\u00eb k\u00ebrkuar probleme strukturore t\u00eb traktit urinar ose bllokime dhe \/ ose shenja t\u00eb nj\u00eb s\u00ebmundjeje themelore. Testet e imazheve porositen m\u00eb shpesh p\u00ebr f\u00ebmij\u00ebt me infeksione t\u00eb traktit urinar (ve\u00e7an\u00ebrisht djemt\u00eb), t\u00eb rriturit me ITU t\u00eb shpeshta ose t\u00eb p\u00ebrs\u00ebritura dhe njer\u00ebzit me gjak n\u00eb urin\u00ebn . Disa shembuj t\u00eb k\u00ebtyre testeve t\u00eb imazhit p\u00ebrfshijn\u00eb:Ultratingulli i veshkave , Cistourethrogrami Voiding , Skanimet , Cistoskopia , Urografia, tomografi e kompjuterizuar (CT) ose rezonanc\u00eb magnetike (MRI), Rrezet X (IVP) ose skanimet.
Parandalimi- Pasi t\u00eb keni pasur nj\u00eb infeksion t\u00eb traktit urinar ITU, ka hapa q\u00eb mund t\u00eb nd\u00ebrmerrni p\u00ebr t\u00eb parandaluar nj\u00eb tjet\u00ebr :P\u00ebrdorni banj\u00ebn sapo t\u00eb ndjeheni nevojat p\u00ebr t\u00eb urinuar. Mos mbani urin\u00ebn brenda.Pini shum\u00eb l\u00ebngje \u00e7do dit\u00eb. Kjo do t\u00eb holloj\u00eb urin\u00ebn dhe do ta mbaj\u00eb at\u00eb duke l\u00ebvizur n\u00ebp\u00ebr traktin urinar, duke e b\u00ebr\u00eb m\u00eb t\u00eb v\u00ebshtir\u00eb q\u00eb bakteret t\u00eb p\u00ebrmbahen n\u00eb muret e uretr\u00ebs dhe fshik\u00ebz\u00ebs. Marr\u00ebdh\u00ebnia seksuale shoq\u00ebrohet me ITU t\u00eb p\u00ebrs\u00ebritura, ve\u00e7an\u00ebrisht n\u00eb grat\u00eb m\u00eb t\u00eb reja. Urinimi pas seksit mund t\u00eb ndihmoj\u00eb n\u00eb parandalimin e ITU. Shmangia e p\u00ebrdorimit t\u00eb shkumave spermicidale dhe pelteve, produkteve (t\u00eb tilla si prezervativ\u00ebt) q\u00eb p\u00ebrmbajn\u00eb spermicide, dhe metodat barrier\u00eb t\u00eb kontrollit t\u00eb lindjes (t\u00eb tilla si diafragma) mund t\u00eb zvog\u00eblojn\u00eb frekuenc\u00ebn e ITU . Grat\u00eb pas menopauz\u00ebs mund t\u00eb p\u00ebrfitojn\u00eb nga p\u00ebrdorimi i xhelit estrogjenit vaginal ose kremrave. Tek grat\u00eb, ITU mund t\u00eb ndodh\u00eb kur bakteret nga anusi hyjn\u00eb n\u00eb uret\u00ebr. P\u00ebr t\u00eb ulur rrezikun e k\u00ebsaj, sigurohuni q\u00eb t\u00eb pastroheni si duhet . Disa njer\u00ebz pin\u00eb l\u00ebng boronic\u00eb ose marrin suplemente boronic\u00eb p\u00ebr t\u00eb parandaluar ITU, por studimet p\u00ebr k\u00ebt\u00eb nuk kan\u00eb qen\u00eb p\u00ebrfundimtare. Ju mund t\u00eb zgjidhni t\u00eb pini l\u00ebng boronic\u00eb ose t\u00eb merrni shtesa boronic\u00eb n\u00ebse e shihni t\u00eb dobishme dhe nuk do t\u00eb shkaktoj\u00eb d\u00ebm. Sidoqoft\u00eb, njer\u00ebzit me diabet duhet t\u00eb shmangin pijet me sheqer. Trajtimi-N\u00ebse jeni t\u00eb sh\u00ebndetsh\u00ebm (d.m.th., keni nj\u00eb trakt urinar normal ) dhe keni nj\u00eb ITU t\u00eb pakomplikuar, zakonisht do t\u00eb mjekoheni me antibiotik\u00eb p\u00ebr tre deri n\u00eb pes\u00eb dit\u00eb. Simptoma t\u00eb tilla si dhimbja dhe nj\u00eb thirrje e shpesht\u00eb p\u00ebr t\u00eb urinuar zakonisht zgjidhen pas nj\u00eb ose dy dit\u00ebsh nga trajtimi me antibiotik\u00eb. Sidoqoft\u00eb, \u00ebsht\u00eb e r\u00ebnd\u00ebsishme q\u00eb t\u00eb merrni kursin e plot\u00eb t\u00eb antibiotik\u00ebve p\u00ebr t\u00eb siguruar q\u00eb infeksioni juaj t\u00eb sh\u00ebrohet dhe t\u00eb zvog\u00ebloni rrezikun e infeksionit t\u00eb p\u00ebrs\u00ebritur. Grat\u00eb me ITU p\u00ebrs\u00ebrit\u00ebse mund t\u00eb d\u00ebshirojn\u00eb t\u00eb diskutojn\u00eb opsionet e m\u00ebposhtme t\u00eb trajtimit me mjekun e tyre t\u00eb kujdesit sh\u00ebndet\u00ebsor: Nj\u00eb kurs i gjat\u00eb (6 muaj ose m\u00eb shum\u00eb) i antibiotik\u00ebve me doz\u00eb t\u00eb ul\u00ebt. Nj\u00eb doz\u00eb e vetme e nj\u00eb antibiotiku pas marr\u00ebdh\u00ebnieve seksuale. Terapia vaginale estrogjenit p\u00ebr grat\u00eb pas menopauz\u00ebs. N\u00eb nj\u00eb ITU t\u00eb nd\u00ebrlikuar ose t\u00eb p\u00ebrs\u00ebritur, infeksioni mund t\u00eb shkaktohet nga m\u00eb shum\u00eb se nj\u00eb lloj bakterie dhe mjeku juaj i kujdesit sh\u00ebndet\u00ebsor do t\u00eb duhet t\u00eb zgjedh\u00eb nj\u00eb ose m\u00eb shum\u00eb antibiotik\u00eb q\u00eb do t\u00eb vrasin t\u00eb gjitha bakteret q\u00eb shkaktojn\u00eb infeksionin. ITU e komplikuar zakonisht k\u00ebrkon nj\u00eb kurs m\u00eb t\u00eb gjat\u00eb t\u00eb antibiotik\u00ebve dhe mund t\u00eb filloj\u00eb me terapi intravenoze (IV) me antibiotik\u00eb n\u00eb spital. Pas nj\u00eb periudhe t\u00eb shkurt\u00ebr t\u00eb antibiotik\u00ebve IV, antibiotik\u00ebt jepen per os deri n\u00eb disa jav\u00eb.N\u00ebse infeksioni \u00ebsht\u00eb p\u00ebrhapur n\u00eb veshkat tuaja, ai ka t\u00eb ngjar\u00eb t\u00eb trajtohet si nj\u00eb ITU e nd\u00ebrlikuar dhe ju mund t\u00eb keni nevoj\u00eb p\u00ebr disa muaj trajtim. Kjo \u00ebsht\u00eb gjithashtu e v\u00ebrtet\u00eb p\u00ebr burrat me infeksione t\u00eb prostat\u00ebs.ITU-t\u00eb e komplikuara mund t\u00eb ndodhin n\u00eb:
Njer\u00ebzit me defekte n\u00eb struktur\u00ebn ose funksionin e traktit urinar t\u00eb tyre; ky \u00ebsht\u00eb nj\u00eb shkak i zakonsh\u00ebm i ITU tek djemt\u00eb dhe burrat e rinj, dhe her\u00eb pas here ndodh n\u00eb vajza dhe gra.Burra t\u00eb moshuar me zmadhim t\u00eb prostates. Njer\u00ebzit me diabet dhe gjendje t\u00eb tjera kronike.
Grat\u00eb shtatz\u00ebna \u2014 ITU mund t\u00eb rrezikojn\u00eb n\u00ebn\u00ebn dhe foshnj\u00ebn n\u00ebse nuk trajtohen menj\u00ebher\u00eb . Ndonj\u00ebher\u00eb ITU -t\u00eb do t\u00eb vazhdojn\u00eb t\u00eb p\u00ebrs\u00ebriten ose t\u00eb zgjasin deri sa t\u00eb adresohet nj\u00eb defekt strukturor themelor, gur n\u00eb veshka, penges\u00eb ose s\u00ebmundje tjeter . P\u00ebr disa kushte, operacioni mund t\u00eb jet\u00eb i nevojsh\u00ebm p\u00ebr t\u00eb korrigjuar problemin themelor.<\/p>\n","protected":false},"excerpt":{"rendered":"

Nj\u00eb infeksion i traktit urinar (UTI) ndodh kur bakteret ose nganj\u00ebher\u00eb mikrobet e tjera hyjn\u00eb n\u00eb traktin urinar dhe fillojn\u00eb t\u00eb rriten, zakonisht duke shkaktuar shenja dhe simptoma t\u00eb tilla si dhimbja dhe inflamacioni.Trakti urinar p\u00ebrb\u00ebhet nga dy veshka, dy ureter\u00eb, fshik\u00ebza e urines dhe uretra. Veshkat jan\u00eb organe n\u00eb form\u00eb fasulee t\u00eb vendosura n\u00eb […]<\/p>\n","protected":false},"author":5,"featured_media":27173,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[1084],"class_list":["post-27172","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mjeku","tag-artan-koni"],"_links":{"self":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/27172","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/comments?post=27172"}],"version-history":[{"count":0,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/posts\/27172\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media\/27173"}],"wp:attachment":[{"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/media?parent=27172"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/categories?post=27172"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/intervista.al\/web\/wp-json\/wp\/v2\/tags?post=27172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}