So mogya a aniwa nhu wɔ wo nsu mu? (Microhematuria) Momma yɛnka eyi ho asɛm!

Ɛtɔ mmere bi a, ebia mogya kakraa bi pɛ na ɛwɔ wo nsu mu , nanso ebia worenhu mpo. Wɔtaa hu eyi bere a oduruyɛfo reyɛ nhwehwɛmu anaa nhwehwɛmu foforo no. Eyi ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ ``Microhematuria''. Enti, so yɛbɛka eyi ho asɛm akɔ akyiri kakra na ɛnyɛ den? Biribiara nni hɔ a ɛsɛ sɛ yesuro, ɛho hia paa sɛ yɛma yɛn ani da hɔ.

Dɛn ankasa ne ``Microhematuria''?

Sɛ yɛbɛka no tiawa a, `(Microhematuria)` kyerɛ mogya, kyerɛ sɛ mogya, wɔ wo nsu mu. Nanso mogya dodow a ɛwɔ eyi mu no sua araa ma wuntumi mfa w’ani nhu. Wo hia ``microscope`` na w'ankasa woahu. Amerika Nsuo Ho Nhwehwɛmu Fekuo kyerɛkyerɛ mu sɛ ``Microhematuria`` sɛ ``Mogya Nkwammoaa Kɔkɔɔ (RBCs)`` mmiɛnsa anaa nea ɛboro saa wɔ nsuo nhwɛsoɔ mu wɔ ``ahoɔden kɛseɛ afuo`` a ɛwɔ microscope ase a. Wo de susuw ho hwɛ, saa sika ketewaa no! Ɛno kyerɛ sɛ mogya a ɛwɔ nsu mu no sua araa ma aniwa ntumi nhu.

Enti dɛn ne ‘Trace lysed blood’ a ɛwɔ nsu mu?

'Trace lysed blood' nso yɛ `(Microhematuria)` bi. ‘Trace’ kyerɛ sɛ ɛyɛ kakraa bi pɛ, sɛnea yɛadi kan aka no, ɛyɛ ketewaa dodo sɛ wobetumi ahu a wɔmfa afiri a wɔde hwɛ nneɛma nketenkete nka ho. ‘Mogya a wɔayɛ no atoro’ kyerɛ sɛ wɔabubu mogya mu nkwammoaa kɔkɔɔ no nkwammoaa afasu na asɛe . Wɔ `(Microhematuria)` a ɛteɛ mu no, mogya mu nkwammoaa kɔkɔɔ no afasu no nsɛe, na mmom ɛyɛ fɛ na enni dɛm. Mfiridwuma mu nsonsonoe ketewaa bi wɔ abien no ntam.

Dɛn ne tebea yi (Microhematuria) ho sɛnkyerɛnne?

Mpɛn pii no, nnipa a wɔwɔ saa `(Microhematuria)` yi nni sɛnkyerɛnne biara (kyerɛ sɛ, `asymptomatic`). Ɛne sɛ, wubetumi anya saa tebea yi a wonte nsonsonoe biara nka anaasɛ wo ho nyɛ wo dɛ. Mpɛn pii no, wohu no kwa bere a oduruyɛfo bi hwɛ wo afe biara anaasɛ ɔyɛ `nsɔhwɛ afoforo a wɔyɛ no daa` no.

Nanso, ɛtɔ mmere bi a, wubetumi anya yare no ho sɛnkyerɛnne te sɛ eyinom nso:

• Ɛho hia sɛ wɔtow wo ho mpɛn pii sen sɛnea wɔtaa tow (`toto a wɔtaa tow`).
• Ɛyaw anaa ɔhyew bere a ɔreto nsu (dysuria).
• Ɛyaw wɔ wo yafunu ase afã abien no nyinaa, w’asen atifi pɛɛ (baabi a w’asaabo wɔ) (`flank pain`).
• Atiridiinini a obi wɔ .
• Nsu wɔ hua bɔne .

Sɛ wowɔ saa sɛnkyerɛnne yi biako anaa nea ɛboro saa a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn nti na mogya wɔ nsu mu te sɛ eyi? Dɛn na ɛde ba?

Nneɛma pii betumi ama `(Microhematuria)` aba. Momma yɛnhwɛ emu atitiriw no:

• Nsuo mu Nyarewa (UTIs): Eyi ne nea ɛtaa de ba. Inflammation of the urethra , nsu a wɔtaa towEyi betumi de mu duru a ɛkɔ soro ne yafunu ase yaw aka ho. Saa nyarewa yi betumi ama akuru nketenkete aba nsu mu na ama mogya atu.
• Wo ɔsram biara bere (` brayɛ`): Wɔ ɔbea brayɛ mu no, mogya tumi fra nsu mu na ɛda adi wɔ nhwehwɛmu ahorow mu. Ɛno nti na mpɛn pii no wɔnyɛ nsu mu nhwehwɛmu bere a obi rekɔ brayɛ mu no.
• Nnuru bi: Nnuru bi a wonom, sɛ nhwɛso no, nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) (e.g., ibuprofen, diclofenac), nnuru a ekum ɔyare mmoawa te sɛ penicillin, ne nnuru a ekum mogya mmoroso (e.g., warfarin, aspirin), nso betumi de eyi aba.
• Apɔw-mu-teɛteɛ a emu yɛ den: Eyi betumi ato nnipa binom bere a wɔayɛ apɔw-mu-teɛteɛ a emu yɛ den te sɛ mmirikatu anaa ahurututu akyi. Mpɛn pii no, eyi ankasa yɛ yiye wɔ nna kakraa bi akyi.
• Prostate a ɛtrɛw (Benign Prostatic Hyperplasia - BPH): Eyi betumi aka mmarima a wɔadi boro mfe 50 titiriw.Prostate yɛ ntini ketewaa bi a ɛwɔ akisikuru no ase. Sɛ ɛyɛ kɛse a, ebetumi amia nsu a ɛkɔ nsu mu no so na ama mogya atu.
• Abo a ɛwɔ wo nsu mu: Eyinom betumi ayɛ asaabo mu abo, ureteral abo, anaa akisikuru mu abo. Saa abo yi betumi asɛe wo nsu a ɛkɔ wo nsu mu no afasu a ɛyɛ mmerɛw no na ama mogya atɔ wo.
• Asaabo mu Yare a Enni Sabea (CKD): Saa tebea yi betumi aba bere a asaabo no ntumi yi mogya mu yiye bio, na ɛma mogya mu nkwammoaa kɔkɔɔ boaboa ano wɔ nsu mu no.
• Urethral strictures: Sɛ urethra (ɔkwan a nsu fa mu fi mu) no mu teateaa wɔ baabi a, ɛno nso betumi ayɛ nea ɛde ba.
• Kokoram ahorow bi: Wobetumi ahu microhematuria sɛ sɛnkyerɛnne a edi kan wɔ tebea horow a emu yɛ den te sɛ akisikuru, asaabo mu kokoram, ne prostate kokoram mu. Nanso, ɛho hia sɛ yɛkae sɛ ɛnyɛ microhematuria nyinaa na ɛyɛ kokoram .

Nanso, ɛtɔ da bi a, ebia nnuruyɛfo rentumi nhu biribi pɔtee a ɛde saa ``Microhematuria'' yi ba. Nsɛm a ɛtete saa nso wɔ hɔ.

Ɛbɛyɛ dɛn sɛ ``Microhematuria'' yɛ kokoram ho sɛnkyerɛnne?

Eyi haw nnipa pii. Sɛ wɔyɛ nnipa a wɔwɔ `(Microhematuria)` mu nhwehwɛmu a, wohu sɛ wɔn mu bɛyɛ ɔha biara mu nkyem 3 (3%) wɔ kokoram. Wei kyerε sε, sε nnipa 100 wɔ `(Microhematuria)` a, wɔn mu bɛyɛ 3 betumi anya kokoram. Nanso, asiane a ɛwɔ hɔ sɛ wubenya kokoram no gyina nneɛma afoforo pii so. Saa nneɛma yi bi ne:

• Wo mfe: Asiane yi kɔ soro kakra bere a worenyin no.
• Sɛnea tebea no mu yɛ den `(Microhematuria)`:Ɛno kyerɛ mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ nsu no mu.
• Sɛ́ ebia woyɛ obi a ɔnom sigaret: Sigaretnom yɛ ade titiriw a ɛde akisikuru ba.

Enti, nsuro kokoram esiane sɛ wowɔ ``Microhematuria'' nti. Nanso ɛho hia sɛ wo ne oduruyɛfo kasa na wuhu nea ɛde ba ankasa.

So tebea yi tumi de ɔyare mmoawa ba?

Dabi, `(Microhematuria)` nyɛ yare a ɛde ɔyare ba. Ɛnyɛ nea efi onipa biako hɔ kɔ foforo mu. `(Microhematuria)` yɛ ade a ɛtaa de `(UTIs)` ba, ɛwom sɛ ``Urinary Tract Infections (UTIs)`` ntaa mfa nna mu de, nanso wɔ tebea horow bi mu no, nna mu dwumadi betumi ama asiane a ɛwɔ hɔ sɛ wobenya ɔyare no ayɛ kɛse.

Hena na obetumi anya saa `(Microhematuria)` yi?

Obiara betumi anya ``Microhematuria``. Saa tebea yi betumi aka mpanyimfo ne mmofra nso . Ɛwom sɛ ɛsono nea ɛde ba de, nanso tebea no abu so wɔ obiara mu.

Ɔkwan bɛn so na nnuruyɛfo hu eyi? (Nyare a Wɔahu) .

Nea edi kan no, oduruyɛfo no bebisa wo w’akwahosan ho abakɔsɛm na wabisa wo yare no ho sɛnkyerɛnne (sɛ ebi wɔ hɔ a). Sɛ nhwɛso no, wobetumi abisa nsɛm te sɛ:

• So mogya akɔ wo nsu mu pɛn ?
• So wo mu duru ayɛ kɛse anaasɛ wo so atew nnansa yi?
• So wonom sigaret, wonom, anaa wode tawa nneɛma afoforo di dwuma?
• Nnuru bɛn na wonom? (a nnuru a wɔtɔn a wɔmfa nnuru nhyɛ mu (OTC nnuru) ne vitamin (nnuru a wɔde ka ho) ka ho.
• So wode nnubɔne di dwuma?
• So obi wɔ w’abusua mu a wanya kokoram, mogya a ɛwɔ nsu mu, anaa asaabo mu yare pɛn?

Sɛ wo duruyɛfo susuw sɛ mogya wɔ wo nsu mu a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu titiriw pii de si tebea yi so dua (Microhematuria) na wahu nea ɛde ba.

Sɔhwɛ bɛn na wɔyɛ de hu `(Microhematuria)`?

Oduruyɛfo betumi ayɛ nhwehwɛmu ahorow a edidi so yi de ahu sɛ wowɔ microhematuria na wahu nea ɛde ba:

• Nsuo mu nhwehwɛmu: Wɔfa wo nsuo bi na wɔde kɔ aduruyɛdan mu kɔhwɛ. Eyi na wodi kan hwɛ sɛ mogya mu nkwammoaa kɔkɔɔ, dodow a ɛwɔ hɔ, mogya mu nkwammoaa fitaa, ne mmoawa.
• Nsuo a wɔde yɛ adwuma: Sɛ nsu mu nhwehwɛmu kyerɛ sɛ ɔyare mmoawa bi wɔ hɔ a, eyi betumi aboa ma wɔahu sɛ ebia nsu mu yare (UTI) bi wɔ hɔ anaa, na sɛ ɛte saa a, mmoawa bɛn na ɛde ba. Afei wobetumi de aduru a ɛfata a ekum ɔyare mmoawa ama.
• Mogya mu nhwehwɛmu: Sɛ nhwɛso no, mogya dodow a edi mũ (CBC) ne serum creatinine. Eyinom betumi aboa ma woahu sɛ ebia wowɔ aduruyɛ mu tebea bi a ɛhyɛ wo ase, te sɛ asaabo mu yare a enni sabea (CKD), anaa mogya a ɛtɔ kɔ nipadua mu anaa.
• Mfoninitwa sɔhwɛ ahorow:Wobetumi ayɛ ultrasound scan, CT urogram, anaa MRI scan. Eyinom betumi ama wo duruyɛfo ahu wo nsu a wode gu mu, te sɛ w’asaabo, akisikuru, ne nsu a ɛkɔ wo nsu mu no ho mfonini a ɛkɔ akyiri. Eyinom betumi aboa ma wɔahwɛ sɛ nneɛma te sɛ abo, akisikuru, ne kokoram anaa.
• Cystoscopy: Wɔ saa adeyɛ yi mu no, oduruyɛfo no de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (a wɔfrɛ no cystoscope, a mfoninitwa afiri ne kanea wɔ n’awiei) hyɛ wo urethra mu de hwehwɛ wo urethra ne wo akisikuru no mu. Eyi betumi ayɛ nea ɛnyɛ dɛ kakra, nanso wɔtaa yɛ wɔ aduru a wɔde kum nipadua no mu. Eyi ma oduruyɛfo no hu nneɛma te sɛ akisikuru nketenkete, abo, ne akuru a ɛwɔ wo akisikuru mu.
• Biopsy: Sɛ wohu baabi a ɛyɛ adwenem naayɛ bere a wɔreyɛ cystoscopy anaa scan a, oduruyɛfo no de ade bɛyi ntini ketewaa bi afi akwaa a ɛka ho no mu (e.g., akisikuru, asaabo, prostate) na ɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Eyi betumi aboa ma wɔahu tebea pɔtee bi, titiriw kokoram.

Ɛnyɛ sɔhwɛ ahorow yi nyinaa na wɔyɛ ma obiara. Wo duruyɛfo no begyina wo tebea, mfe a woadi, yare no ho sɛnkyerɛnne, ne nea efi nhwehwɛmu afoforo mu ba so besi nhwehwɛmu a ɛsɛ sɛ woyɛ ho gyinae.

Ɔkwan bɛn so na wɔsa eyi?

``Microhematuria'' ayaresa no gyina nea ɛde ba no so. Sɛ wohu nea ɛde ba no wie a, oduruyɛfo no befi ase ayɛ ayaresa a ɛfata.

• Sɛ wowɔ urinary tract infection (UTI) a, wobetumi ama wo nnuru a ekum ɔyare mmoawa nna kakraa bi.
• Sɛ prostate gland no yɛ kɛse (BPH) a, wobetumi ama nnuru a wɔde bɛtew so (e.g. tamsulosin, terazosin) anaasɛ wɔde asiw ne nyin ano (e.g. finasteride, dutasteride).
• Sɛ abo wɔ nsu a wɔde gu mu no mu a, wobetumi ama nnuru (e.g. tamsulosin, nifedipine) na aboa ma wɔatwam ntɛmntɛm . Ebia abo bi behia ayaresa afoforo (te sɛ lithotripsy) anaa oprehyɛn.
• Sɛ nnuru bi te sɛ nnuru a ɛko tia asaabo a ɛnyɛ steroid (NSAIDs) a ebetumi asɛe asaabo no na ɛde eyi ba a, ebia oduruyɛfo no bɛka akyerɛ wo sɛ gyae aduru no nom anaasɛ dan kɔ aduru foforo so.
• Ebia wɔbɛka akyerɛ wo sɛ yɛ nsakrae wɔ w’aduan mu. Sɛ nhwɛso no, wobetumi aka akyerɛ obi a ɔwɔ asaabo mu yare a enni sabea (CKD) sɛ onni protein, nkyene, ne potassium kakraa bi .
• Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi abo, prostate no afã horow, anaa biribi te sɛ kokoram.

Nanso, sɛ nhwehwɛmu ntumi nhu biribiara a ɛde ba a, ebia worenhia ayaresa biara.Ebia wo duruyɛfo bɛpaw sɛ obedi ɔkwan bi a wɔfrɛ no ‘ahwɛyiye a wɔtwɛn’ akyi. Eyi kyerɛ sɛ wɔbɛhwɛ wo tebea no so nanso wɔrensa wo yare kosi sɛ wo yare no ho sɛnkyerɛnne bɛsesa. Anaasɛ ebia wɔbɛpaw sɛ wɔbɛyɛ biribi a wɔfrɛ no ‘surveillance’. Eyi kyerɛ sɛ wɔbɛsan ayɛ nhwehwɛmu te sɛ nea wɔde hwehwɛ nsu mu asram kakraa biara.

So wobetumi asiw `(Microhematuria)` a ɛba no ano?

Ɛtɔ da bi a, ebia ɛrentumi nyɛ yie sɛ yɛbɛsi `(Microhematuria)` ano koraa, ɛfiri sɛ nneɛma bi a ɛde ba no boro yɛn tumi so. Nanso , nsu pii a wobɛnom, anyɛ yiye koraa no lita 2-3 da biara, titiriw bere a woreyɛ apɔw-mu-teɛteɛ no, betumi aboa kɛse. Eyi ma nsu no yɛ mmerɛw na ɛboa ma nsu a ɛkɔ nipadua no mu no ho tew.

Afei nso, nneɛma a edidi so yi betumi aboa ma asiane a ɛwɔ hɔ sɛ obi benya mogya mu nkwammoaa nketenkete no so atew:

• Sigaretnom a wobegyae koraa. Eyi ne nea ɛde nyarewa pii ba, a akisikuru a ɛwɔ akisikuru mu ka ho.
• Fa nnuru a wɔde kum ɛyaw te sɛ NSAID di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo, na bere a ɛho hia nkutoo. Ɛnyɛ adwene pa sɛ wobɛfa eyinom daa ama ade ketewaa biara.
• Kwati a wɔbɛkwati sɛ wɔde wɔn ho bɛhyɛ mframa a ano yɛ den ne nnuru bi te sɛ benzenes, amines a ɛyɛ huam, ne hydrocarbons (wɔtaa hu eyinom wɔ nnwuma a ɛfa adwumayɛbea ahorow, paint, ne rɔba ho mu).

Bere bɛn na ɛsɛ sɛ mehaw me ho wɔ ``Microhematuria'' ho?

Egyina nea ɛde wo mogya reba wo nsu mu no so ankasa. Nanso mpɛn pii no, nnipa a wɔwɔ ``Microhematuria'' no wɔ hokwan kɛse sɛ wɔn ho bɛtɔ wɔn. Nneɛma pii a ɛde ba no yɛ yiye bere a wɔansa no yare, anaasɛ wɔansa no kakraa bi. Sɛ oduruyɛfo bi si so dua sɛ wowɔ ``Microhematuria'' na ohu nea ɛde ba a, wobetumi ama wo adwene pa wɔ nea wobɛhwɛ kwan ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Worenhu sɛ wowɔ microhematuria kosi sɛ oduruyɛfo bɛsɔ wo ahwɛ. Enti, sɛ wowɔ sɛnkyerɛnne ahorow a ebetumi abata microhematuria ho (e.g., nsakrae a ɛba wo nsu a wototɔ mu , ɔhyew bere a woretow , atiridiinini, ɛyaw wɔ wo yafunu ase) a, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne oduruyɛfo kasa. Sɛ wo sɛnkyerɛnne no mu yɛ den kɛse, te sɛ atiridiinini kɛse anaa ɛyaw a wuntumi nnyina ano a, ɛbɛyɛ papa sɛ wobɛkɔ baabi a wɔhwɛ wɔn a egye ntɛmpɛ ntɛm ara.

Sɛ woanya ``Microhematuria'' pɛn na seesei wowɔ mogya a wotumi hu wɔ wo nsu mu (wɔfrɛ eyi ``Gross Hematuria'') a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm te sɛ eyinom na ama woate wo tebea no ase yiye:

• Sɔhwɛ bɛn na wokamfo kyerɛ sɛ menyɛ mfa nhu ``(Microhematuria)'' yi?
• Dɛn nti na mewɔ saa `(Microhematuria)` yi?
• So mihia ayaresa? Anaasɛ hwɛ a wobɛhwɛ no dɔɔso?
• Sɛ ayaresa ho hia a, ayaresa bɛn na wokamfo kyerɛ? So nsunsuanso bɔne bi wɔ hɔ?
• So metumi anya saa ``Microhematuria`` tebea yi bio? Dɛn na ɛsɛ sɛ meyɛ de siw ano?

Wɔ nsɛmmisa yi akyi no, nsuro sɛ wubebisa wo duruyɛfo biribiara a wowɔ anaa wususuw ho. Dodow a wunya wo yare no ho nsɛm pii no, dodow no ara na eye.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Okay, yɛaka ``Microhematuria'' ho asɛm pii seesei. Nea etwa to no, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae ni:

• Microhematuria yɛ mogya kakraa bi a ɛwɔ wo nsu mu a ɛyɛ ketewaa dodo sɛ wode aniwa betumi ahu. Wɔtaa hu no wɔ akwanhyia mu, wɔ sɔhwɛ foforo mu.
• Nnipa dodow no ara a wɔwɔ ``Microhematuria'' no nhia ayaresa biara. Sɛ biribi te sɛ ɔbo anaa tebea a emu yɛ den kɛse na ɛde ba nkutoo a, ɛho hia sɛ wɔsa yare. Mpɛn pii no, wontumi nhu nea ɛde ba, na wɔ nsɛm a ɛtete saa mu no, wohu ara kwa.
• Nneɛma pii betumi de eyi aba. Ebetumi ayɛ biribiara fi nneɛma a ɛnyɛ den te sɛ nsu mu yare (UTIs) so kosi tebea horow a ɛntaa nsi na emu yɛ den te sɛ kokoram so. Nanso mma ɛnhaw wo, ɛnyɛ microhematuria nyinaa na asiane wom.
• Sɛ wowɔ nsuo ho sɛnkyerɛnne biara a ɛyɛ soronko (e.g., wo taa tow nsu , ɛyaw bere a woretow , mogya a wotumi hu wɔ nsu mu) a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
• Oduruyɛfo no na obehu nea ɛde ba ankasa, na sɛ ɛho hia a, wama wo ayaresa a eye sen biara. Enti nnyɛ wo ho aduru.

Ade a ɛho hia sen biara ne sɛ wobɛma w’ani aku nsakrae a ɛba wo nipadua mu no ho na woahwehwɛ aduruyɛ mu afotu bere a ɛho hia no. Saa kwan yi so no, wobetumi ahu ɔhaw pii ntɛm na wɔasiesie ansa na abɛyɛ aniberesɛm. Kɔ so nya apɔwmuden!

` Mogya a ɛwɔ nsuo mu, Microhematuria, Microhematuria, Nsuo mu yareɛ, Asaabo mu yareɛ, Nsuo mu nhwehwɛmu, Mogya mu nkwammoaa kɔkɔɔ