Wo urinary system no sohwɛfo a ɔyɛ komm: Momma yensua urothelium no ho ade nyinaa!

Ebia yɛn nyinaa nte asɛmfua ‘Urothelium’ pii wɔ yɛn da biara da nkɔmmɔbɔ mu, ɛnte saa? Nanso so wunim sɛ eyi yɛ yɛn nipadua no fã a ɛyɛ nwonwa, titiriw nsu a yɛde fa nsu mu no, a edi dwuma titiriw paa . Sɛ yɛbɛka no pɛpɛɛpɛ a, saa urothelium yi yɛ adwuma te sɛ ɔwɛmfo a ɔyɛ komm a ɔtra yɛn nipadua mu na ɛbɔ yɛn ho ban fi nyarewa ne mmoawa ahorow ho. Enti, ɛnnɛ, wɔ asɛm yi mu no, yɛbɛka nea saa urothelium yi yɛ, sɛnea ɛboa yɛn nipadua akwahosan, ne nyarewa a ebetumi aka no ho asɛm.

Dɛn ankasa ne urothelium?

Sɛ yɛbɛka no tiawa a, urothelium yɛ ntini a ɛbɔ yɛn ho ban a ɛkata yɛn nsuo kwan no mu. Te sɛ plaster a wɔde agu ɔfasu so no, ɛkata yɛn nsu a yɛde fa nsu mu no mu. Nkwammoaa ahorow pii na ɛwom. Dwuma titiriw a nkwammoaa a ɛwɔ saa nkwammoaa yi yɛ ne sɛ ɛbɛma nsu (a wɔsan frɛ no urine ) a yeyi fi yɛn nipadua mu ne ɔyare mmoawa ahorow no nkɔ yɛn mogya anaa nipadua no mu ntini afoforo mu.

Ebia woresusuw ho sɛ ntini afoforo ahe na ɛwɔ nipadua no mu. Yiw, ɛyɛ nokware. Nanso, saa urothelium yi yɛ `(epithelium)` a ɛyɛ soronko koraa, a ɛkyerɛ sɛ nkwammoaa mu aduru. Sɛ nhwɛso no, ɛnte sɛ ntama a ɛwɔ yɛn ahurututu anaa yɛn dwensɔtwaa mu no. Ɛsɛ sɛ wɔma nneɛma te sɛ aduannuru ne mframa pa fa mu. Nanso, ɛho nhia sɛ urothelium no yɛ saa. Nanso, ɛwɔ tumi soronko bi! Ɛne sɛ, etumi trɛw na ɛtwetwe bere nyinaa. Fa no sɛ, wo akisikuru no yɛ kɛse bere a nsu ahyɛ mu ma no, na ɛsan yɛ ketewaa bere a ɛda mpan no? Saa bere no, saa urothelium yi nso trɛw na ɛtwetwe wɔ ɔkwan koro no ara so, na ɛkɔ so kura akwanside a ɛbɔ ho ban no mu wɔ ɔkwan koro no ara so. So ɛnyɛ nwonwa?

Nnwuma bɛn na urothelium no de ma yɛn nipadua?

Nnwuma a nkwammoaa ketewaa yi de ma yɛn nipadua no nyɛ ade ketewaa bi. Momma yɛnhwɛ emu atitiriw no bi:

• Yɛn mu akwaa a yɛbɛbɔ ho ban afi nsu ho: Susuw ho hwɛ, yɛn nsu mu yɛ acid kakra fi awosu mu. Sɛ saa nsu yi kɔ yɛn mu mmeae a ɛyɛ mmerɛw te sɛ mogya ntini ne ntini mu tẽẽ a, ebetumi asɛe ade. Dwumadi titiriw biako a urothelium yɛ ne sɛ ɛbɛbɔ yɛn ho ban afi saa asiane no ho.
• Ahobanbɔ firi nyarewa ho: Urothelium no yɛ adwuma te sɛ ɔfasuo de siw mmoawa, te sɛ mmoawa, kwan sɛ wɔbɛfa nsuo a ɛkɔ nipadua no mu, a wɔtaa frɛ no `Urinary Tract Infections (UTIs)`.
• Nkrasɛm a wɔboa: Sɛ wo akisikuru ayɛ ma a, wote nka dɛn sɛ , "Ɛsɛ sɛ metow me ho mprempren?" Saa na yɛn ntini ahorow no kyerɛ yɛn nea ɛrekɔ so wɔ akisikuru no mu.Saa urothelium yi nso boa ma wɔde nkra kɔma ntini ahorow no.
• Nneɛma a ɛwɔ nsu mu a wobedi so: Ɛboa nso ma nsu, nkyene, ne nneɛma afoforo dodow a ɛwɔ nsu mu no yɛ yiye.
• Tumi a ɛtrɛw na ɛtwetwe: Sɛnea yɛadi kan aka no, sɛnea ɛbɛyɛ a akisikuru no betumi akura nsu dodow ahorow mu no, ɛsɛ sɛ ɛtrɛw na ɛtwetwe. Urothelium no ma ɛboa eyi kɛse.

Sɛ yɛbɛka no tiawa a, urothelium no te sɛ ɔbran a ɔyɛ komm a ɔyɛ ɔsom kɛse bi, a ɛho nhia ma yɛn nsu a ɛkɔ nipadua no mu no atra ase yiye.

Ɛhe na urothelium no wɔ wɔ yɛn nipadua mu?

Urothelium no wɔ yɛn nsu a ɛkɔ fam no mu titiriw . Ɛyɛ:

• Renal pelvis: Nsu a efi asaabo mu no di kan boaboa ano wɔ ha.
• Ureters : Ntini abien a ɛde nsu fi asaabo mu kɔ akisikuru mu.
• Akisikuru: Yɛn nyinaa nim no sɛ kotoku a ɛboaboa nsu ano na ɛkora so.
• Urethra : Nsuo a ɛde nsuo a ɛfiri akisikuru mu kɔ nipadua no mu.

Saa mmeae yi nyinaa mu no, saa ade a wɔfrɛ no urothelium yi kata so.

Dɛn ne ntini a ɛwɔ urothelium no mu?

Urothelium no nyɛ nkwammoaa a ɛwɔ afã biako. Wobetumi akyekyɛ mu nso ayɛ no ntoatoaso atitiriw abiɛsa, na emu biara wɔ adwuma pɔtee bi.

1. Superficial layer / nkatanim nkwammoaa

Eyi ne nkwammoaa a ɛwɔ urothelium no atifi, ɔfã a ɛne nsu no hyia no. Wɔsan frɛ eyinom ``umbrella cells`` . Nea enti a ɛte saa ne sɛ saa nkwammoaa yi te sɛ nkatanim, na nkatanim nkwammoaa biara kata nkwammoaa pii a ɛwɔ ntam a ɛwɔ n’ase no so.

Ade titiriw a ɛwɔ saa nkatanim nkwammoaa yi ho ne sɛ etumi sesa wɔn nsusuwii. Sɛ akisikuru no yɛ ma a, saa nkwammoaa yi yɛ petee, na sɛ akisikuru no da mpan a, ɛsan kɔ sɛnea na ɛte kan no. Saa nkwammoaa yi kyekyere wɔn ho wɔn ho denneennen. Ɛno nti na nsu ne mmoawa ntumi nkɔ nipadua no mu no.

Sɛ ɔyare mmoawa bi ka saa ɔfasu a ɛwɔ soro yi wɔ akwanhyia mu a, saa nkatanim nkwammoaa yi wuwu na ɛboaboa ano wɔ nsu a ɛkɔ nsu mu no mu. Afei, wɔde nsuo no yi nkwammoaa no ne mmoawa no nyinaa fi nipadua no mu. Afei nso, protein ahorow bi wɔ hɔ a wɔfrɛ no `receptors` wɔ saa soro layer yi mu. Te sɛ antenna. Eyinom betumi abɔ yɛn nipadua mu nkwammoaa a ɛko tia nyarewa no kɔkɔ wɔ mmoawa a wɔhyɛn nipadua no mu ho.

2. Mfinimfini fã

Eyi ne urothelium no mfinimfini fã. Ebetumi nso anya nkwammoaa a ɛtoatoa so pii. Sɛ akisikuru no yɛ ma a, saa nsensanee yi dodow so tew. Saa nkwammoaa a ɛwɔ ntam yi sõ sen basal nkwammoaa a ɛwɔ ase hɔ no, nanso ɛyɛ nketewa sen umbrella nkwammoaa a ɛwɔ soro no. Saa nkwammoaa yi di dwuma titiriw wɔ sɛ urothelium no sɛe a . Wobetumi nso de nkatanim nkwammoaa no asi ananmu sɛ ɛho hia a.

3. Basal layer a ɛwɔ fam

Eyi ne ɔfa a ɛda urothelium no ase. Ɛne sɛ, ɔfa a ɛbɛn yɛn ntini a ɛka bom , ntini, ne mogya ntini no kɛse. Saa nkwammoaa yi ne nkwammoaa ketewaa bi a ɛwɔ urothelium no mu. Wɔn adwuma titiriw ne sɛ wɔbɛboa nkwammoaa afoforo a ɛwɔ urothelium no mu no ma wɔasan ayɛ wɔn ho foforo na wɔasiesie wɔn ho. Te sɛ afifide ntini no, ɛha na nkwammoaa foforo nyin.

Nyarewa bɛn na ɛka urothelium no?

Te sɛ yɛn nipadua no fã biara no, aduruyɛ mu tebea horow betumi aka urothelium no. Wɔn titiriw ne:

• Kokoram: Urothelial carcinoma ne kokoram a ɛtaa ba wɔ akisikuru mu. Ɛnyɛ akisikuru no mu nko na ebetumi afi ase, na mmom asaabo, nsu a ɛkɔ nsu mu, anaa akisikuru no mu nso.
• Interstitial cystitis: Eyi yɛ tebea a ɛyaw a enni sabea, nhyɛso, anaa akisikuru a ɛnyɛ dɛ wɔ akisikuru no mu. Nnuruyɛfo gye di sɛ ebia urothelium no sɛe na ɛde tebea yi aba.
• Akisikuru a ɛyɛ adwuma boro so anaasɛ nsu a wontumi nhyɛ mu: Ɛtɔ mmere bi a, ɔhaw afoforo a ɛwɔ nsu a ɛkɔ nipadua no mu te sɛ asaabo mu abo betumi ama nsakrae aba urothelium no mu. Eyi betumi ama nipadua no de nsɛnkyerɛnne a ɛnteɛ akɔma akisikuru no mu ada mpan. Eyi betumi ama wakɔto nsu mpɛn pii (akisikuru a ɛyɛ adwuma boro so) anaasɛ nsu a ɛretu a ɔmpɛ (nsu a ɛretu).

Dɛn ne nyarewa a ɛfa urothelium ho a ɛtaa ba?

Sɛ ɔhaw bi wɔ hɔ a ɛka wo urothelium a, wubetumi anya sɛnkyerɛnne ahorow te sɛ:

• Mogya a ɛwɔ nsu mu (hematuria): Nsu no betumi ayɛ kɔkɔɔ, pink, anaa bruu.
• Cloudy pee: Nsu a emu nna hɔ na ɛwɔ kɔla a ɛyɛ mununkum.
• Yafunu mu yaw: Ɛyaw a wɔte nka wɔ yafunu ase.
• Ɛyaw anaa ɔtaa tow: Ɔhyew, ɛyaw bere a ɔreto nsu , anaa hia a ehia sɛ ɔtow nsu mpɛn pii sen sɛnea ɔtaa yɛ.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu ampa.

Nhwehwɛmu bɛn na wo duruyɛfo betumi ayɛ?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛfa urothelium ho a, wo duruyɛfo betumi ayɛ nhwehwɛmu a edidi so yi mu biako anaa nea ɛboro saa:

• Nsu mu nhwehwɛmu: Eyi hwɛ wo nsu mu sɛ mogya mu nkwammoaa, mmoawa, anaa nneɛma afoforo a ɛnteɛ anaa.
• Asaabo dwumadi ho nhwehwɛmu: Mogya anaa nsu mu nhwehwɛmu betumi ama woanya sɛnea w’asaabo reyɛ adwuma yiye ho adwene.
• Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu betumi ama wɔanya nea ɛrekɔ so wɔ nipadua no mu ho nsɛm.
• Urethral swab: Ɛtɔ mmere bi a, wɔfa nsu bi a efi urethra no mu na wɔsɔ hwɛ.
• Mfoniniyɛ mu nhwehwɛmu: Sɛnea ɛbɛyɛ na wɔahu aduruyɛ mu tebea horow bi pɛpɛɛpɛ no, wobetumi ayɛ nhwehwɛmu te sɛ ultrasound scan, MRI (magnetic resonance imaging) scan, anaa CT (computed tomography) scan.

Bio nso, sɛ wosusuw sɛ kokoram anaa ɔyare mmoawa bi wɔ hɔ a, wobetumi agye ntini bi (biopsy) na wɔasɔ ahwɛ.

So ɛyɛ ade a ɛfata sɛ wɔde nsu bɛfa urothelial nkwammoaa mu?

Ɛtɔ da bi a wo nsuo mu nhwehwɛmu amanneɛbɔ no betumi aka sɛ "urothelial cells present." Sɛ wuhu eyi a, mma wo ho nnpopo. Ɛyɛ ade a ɛfata sɛ urothelial nkwammoaa bi bɛto wo nsu mu. Efisɛ, sɛnea yɛadi kan aka ho asɛm no, saa nkwammoaa yi wuwu na wohwie gu fi awosu mu.

Nanso, tebea horow bi wɔ hɔ a wobetumi ayi nkwammoaa yi adi dodo. Nhwɛsoɔ:

• Sɛ adwenemhaw biara wɔ hɔ a (oprehyɛn a wɔyɛ wɔ nsu a wɔde fa nsu mu, asaabo mu ɔbo a wɔde fa obi ho).
• Sɛ ɔyare mmoawa bi wɔ hɔ a.
• Sɛ kokoram anaasɛ onyin a ɛnyɛ kokoram (a ɛnyɛ papa) wɔ hɔ a.

Sɛ amanneɛbɔ no ka sɛ "benign" anaa "benign-appearing" urothelial cells a, ɛntaa nkyerɛ kokoram. Nanso, sɛ wowɔ nsɛmmisa bi fa wo nhwehwɛmu amanneɛbɔ anaa ɔyare ho amanneɛbɔ no ho a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.

Dɛn ne dysplasia a ɛwɔ urothelium a ɛwɔ akisikuru no mu?

Dysplasia yɛ tebea a ɛma nkwammoaa a ɛwɔ urothelium no mu no te sɛ nea ɛnteɛ wɔ microscope mu. Eyi nkyerɛ ankasa sɛ nkwammoaa no bɛyɛ kokoram. Nanso, obi a ɔwɔ saa tebea yi betumi anya kokoram daakye. Enti, sɛ nnuruyɛfo hu saa tebea yi a, wɔbɛhwɛ so yiye.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Ebia nnipa pii nte asɛmfua "urothelium" da. Nanso seesei wunim sɛnea ɛho hia na ɛho nhia sɛ ɛyɛ yɛn nipadua no fã. Saa nkwammoaa titiriw yi bɔ yɛn ho ban fi mmoawa ne nneɛma a epira a ɛwɔ nsu mu no ho.

Enti, sɛ wowɔ sɛnkyerɛnne biara a ɛfa wo nsu a wode gu wo nsu mu ho (sɛ nhwɛso no, mogya a ɛwɔ wo nsu mu, ɛyaw a ɛba bere a woretow, wotaa tow wo ho), anaasɛ sɛ wowɔ nneɛma bi a ɛhaw wo wɔ wo nsu a wode gu wo nsu mu no akwahosan ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa afa ho. Nsu a ɛma obi nya apɔwmuden ho hia na ama obi anya asetra a ahoɔden wom!

` Urothelium, Nsuo nhyehyɛeɛ, Akisikuru, Nsuo mu yareɛ, UTI, Asaabo, Nkwammoaa a ɛwɔ mu, Nsuo mu sɛnkyerɛnne