So mogya a aniwa nhu wɔ wo nsu mu? (Microhematuria) Momma yɛnka ho asɛm - Nirogi Lanka

Ɛtɔ mmere bi a, mogya ketewaa bi betumi apue wɔ wo nsu mu, na ayɛ ketewaa bi araa ma aniwa ntumi nhu. Wɔtaa hu eyi wɔ akwanhyia mu wɔ aduruyɛ mu nhwehwɛmu a wɔyɛ daa anaa sɔhwɛ ahorow a ɛne no nni abusuabɔ mu. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi ‘Microhematuria’. Wɔ Nirogi Lanka no, yɛpɛ sɛ yɛboa wo ma wote eyi ase yiye denam nkyerɛkyerɛmu a ɛnyɛ den na emu da hɔ so. Ɛho nhia sɛ wobɔ hu —sɛ wobɛkɔ so ahu nneɛma pii a, ɛno ne ade a ɛho hia sen biara a wode bedi w’akwahosan ho dwuma.

Dɛn ankasa ne Microhematuria?

Sɛ yɛbɛka no tiawa a, microhematuria kyerɛ mogya a ɛwɔ wo nsu mu. Nanso, mogya dodow no sua araa ma wuntumi mfa w’ani nhu. Wobetumi ahu no wɔ afiri a wɔde hwɛ nneɛma nketenkete mu nkutoo. Sɛnea American Urological Association kyerɛ no, wohu tebea yi bere a nhwehwɛmu bi a wɔyɛ wɔ aduruyɛdan mu hu Mogya Nkwammoaa Kɔkɔɔ (RBC) abiɛsa anaa nea ɛboro saa wɔ afuw biara a ahoɔden wom kɛse mu wɔ nsu a wɔde yɛ nhwehwɛmu mu no. Wo de susuw sɛnea saa dodow no sua koraa—ɛyɛ mogya ankasa a aniwa ntumi nhu.

Dɛn na ‘Trace lysed blood’ kyerɛ wɔ nea efii nsu mu nhwehwɛmu mu bae mu?

‘Trace lysed blood’ yɛ microhematuria no fã pɔtee bi. ‘Trace’ kyerɛ sɛ ɛyɛ kakraa bi pɛ, simma kakraa bi dodo sɛ wobehu a wɔnyɛ ayaresabea nhwehwɛmu. ‘Mogya a wɔayam’ kyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ no nkwammoaa afasu mu apaapae anaasɛ apaapae . Wɔ microhematuria a wɔtaa de di dwuma mu no, mogya mu nkwammoaa kɔkɔɔ no taa kɔ so tra hɔ. Ɛno ne mfiridwuma mu nsonsonoe titiriw a ɛda abien no ntam.

Dɛn ne Microhematuria ho sɛnkyerɛnne ahorow?

Mpɛn pii no, ankorankoro a wɔwɔ microhematuria no nni sɛnkyerɛnne biara , a ɛkyerɛ sɛ ebia worennya nsakrae biara a ɛda adi anaasɛ wo ho nyɛ wo dɛ. Wɔtaa hu no wɔ akwanhyia mu bere a wɔreyɛ afe afe nhwehwɛmu anaa akwahosan ho nhwehwɛmu a wɔyɛ daa wɔ Nirogi Lanka anaa ayaresabea mmeae afoforo no.

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

• Ɔpɛ a ɛtaa ba sɛ ɔbɛtow nsu .
• Ɛyaw anaa ɔhyew a ɛba bere a ɔreto nsu (dysuria).
• Flank pain , a ɛyɛ wo ho a ɛnyɛ wo dɛ wɔ w’afã anaa w’akyi, wɔ asen no atifi pɛɛ (baabi a w’asaabo wɔ).
• Huraeɛ .
• Nsu a ɛyɛ huam .

Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, nyansa wom sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara.

Dɛn nti na mogya pue wɔ nsu mu? Dɛn na ɛde ba?

Nneɛma pii betumi ama mogya mu nkwammoaa nketenkete aba. Ma yɛnhwɛ ntease ahorow a ɛtaa ba:

• Nsuo mu Nyarewa (UTIs): Eyi ne nea ɛtaa de ba. Ebia ɛbɛba bere a ɔhyew, ɔtaa tow, ne yafunu ase yaw. Saa nyarewa yi betumi ama akuru nketenkete aba nsu mu, na ama mogya atu.
• Brayɛbea: Wɔ mmea mu no, brayɛ mu mogya tumi fra nsu mu bere a wɔreyɛ nhwehwɛmu no. Enti, yɛtaa tu fo sɛ ɛnsɛ sɛ woyɛ wo nsu mu nhwehwɛmu wɔ wo brayɛ mu.
• Nnuru bi: Ɛtɔ mmere bi a nnuru te sɛ Nonsteroidal Anti-inflammatory Drugs (NSAIDs) (sɛ nhwɛso no, Ibuprofen, Diclofenac), nnuru bi a ekum ɔyare mmoawa (te sɛ penicillin), ne nnuru a ekum mogya a ɛtwetwe (sɛ nhwɛso no, Warfarin, Aspirin) a wɔde di dwuma no betumi ayɛ ade a ɛde ba.
• Apɔw-mu-teɛteɛ a emu yɛ den: Apɔw-mu-teɛteɛ a emu yɛ den te sɛ mmirikatu a ɛkɔ akyiri betumi akanyan eyi wɔ nnipa binom mu; mpɛn pii no ɛno ankasa siesie.
• Prostate a ɛtrɛw (Benign Prostatic Hyperplasia – BPH): Ɛtaa ba mmarima a wɔadi boro mfe 50. Bere a prostate gland no reyɛ kɛse no, ebetumi amia urethra no na ama mogya atu.
• Abo a ɛwɔ wo nsu mu: Nea ɛka eyi ho ne asaabo mu abo , ureteral abo , anaa akisikuru mu abo , a ebetumi aprapra wo nsu a ɛwɔ wo nsu mu no mu.
• Asaabo mu Yare a Enni sabea (CKD): Sɛ asaabo no ntumi nyɛ adwuma yiye a, ebetumi aka mogya a wɔde yiyi mu no, na ama mogya mu nkwammoaa kɔkɔɔ akɔ nsu mu.
• Nsuo mu nsuo a ɛyɛ den: Nsuo mu nsuo a ɛyɛ teateaa biara betumi ama obi anya tebea yi.
• Kokoram ahorow bi: Bere a ɛntaa nsi no, tebea horow te sɛ akisikuru , asaabo mu kokoram , ne prostate kokoram betumi de microhematuria aba. Nanso, ɛho hia sɛ yɛkae sɛ ɛnyɛ microhematuria biara na ɛkyerɛ sɛ obi anya kokoram.

Ɛtɔ mmere bi a, bere a nnuruyɛfo asusuw ho yiye mpo no, ebia wontumi nhu nea ɛde ba ankasa.

Ɛda adi dɛn sɛ Microhematuria yɛ kokoram ho sɛnkyerɛnne?

Eyi yɛ ade a ɛhaw adwene. Nhwehwɛmu kyerɛ sɛ sɛ wɔyɛ nhwehwɛmu a, ebia ankorankoro a wɔwɔ microhematuria no mu bɛyɛ 3% betumi ahu sɛ wɔwɔ ɔyare bɔne bi. Eyi kyerɛ sɛ wɔ nnipa 100 a wɔwɔ yare no mu no, bɛyɛ 3 betumi anya kokoram. W’ankasa asiane no gyina nneɛma pii so:

• Mfe: Mpɛn pii no, asiane no kɔ soro bere a obi nyin no.
• Sɛnea emu yɛ den: Mogya mu nkwammoaa kɔkɔɔ dodow a wohu wɔ wo nsu mu.
• Sigaretnom ho abakɔsɛm: Sigaretnom yɛ ade titiriw a ɛma obi nya kokoram wɔ akisikuru mu.

Sɛ wowɔ microhematuria a, mma wo ho nnpopo; nanso, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn na ama woahu nea ɛde ba.

So tebea yi tumi de ɔyare mmoawa ba?

Dabi, microhematuria nyɛ nea wɔde yare mmoawa ba. Ɛntumi ntrɛw mfi onipa biako so nkɔ foforo so. Mpɛn pii no, ɛnyɛ nna mu yare a ɛma obi nya ɔyare mmoawa (UTIs) mpo, a ɛtaa de mogya mmoroso ba, ɛwom sɛ ɛtɔ mmere bi a nna mu dwumadi betumi ama asiane a ɛwɔ hɔ sɛ obenya ɔyare mmoawa no ayɛ kɛse de.

Henanom na wobetumi anya microhematuria?

Obiara betumi anya microhematuria. Saa tebea yi betumi aka mpanyimfo ne mmofra nyinaa. Bere a ebia ɛsono nea ɛde ba no, tebea no ankasa betumi aka obiara.

Ɔkwan bɛn so na wohu sɛ ɛwɔ hɔ?

Wo duruyɛfo bedi kan ahwɛ w’ayaresa ho abakɔsɛm mu na wabisa sɛnkyerɛnne biara a ebia wowɔ ho asɛm. Ebia wobebisa wo nsɛm te sɛ:

• So woahu mogya wɔ wo nsu mu pɛn?
• So woanya nsakrae a ɛbae wɔ wo mu duru mu a wontumi nkyerɛkyerɛ mu nnansa yi?
• So wonom sigaret, wode mfiri a wɔde sigaret di dwuma, anaa wode tawa nneɛma afoforo di dwuma?
• Nnuru bɛn na worenom mprempren? (Nnuru a wɔtɔn (OTC) ne vitamin/aduru a wɔde ka ho ka ho).
• So wode nnuru bi a mmara mma ho kwan di dwuma?
• So abusua abakɔsɛm bi wɔ hɔ a kokoram, mogya a ɛwɔ nsu mu, anaa asaabo mu yare bi wɔ hɔ?

Sɛ wo duruyɛfo susuw sɛ microhematuria a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pɔtee bi mfa nkyerɛ sɛ wɔahu yare no na wɔahu nea ɛde ba.

Nhwehwɛmu bɛn na wɔde hu microhematuria?

Ebia wo duruyɛfo bɛkamfo nhwehwɛmu a edidi so yi akyerɛ na ama woahu nea ɛde ba no yiye:

• Nsuo mu nhwehwɛmu: Wɔde nsuo a wɔde yɛ nsuo kɔ aduruyɛdan mu kɔhwɛ sɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mmoawa anaa.
• Nsuo a Wɔde Yɛ Nsuo: Sɛ wosusu sɛ ɔyareɛ bi wɔ hɔ a, nhwehwɛmu yi kyerɛ mmoawa pɔtee a ɛwɔ hɔ ma enti wɔbɛtumi akyerɛw aduru a ɛfata a wɔde kum ɔyare mmoawa .
• Mogya mu Nhwehwɛmu: Nhwehwɛmu te sɛ Complete Blood Count (CBC) anaa serum creatinine dodow boa ma wɔhwɛ sɛ mogya a ɛtɔ kɔ nipadua mu anaa asaabo mu yare a enni sabea (CKD) ho sɛnkyerɛnne bi .
• Mfonini a Wɔyɛ: Ultrasound scan, CT urogram, anaa MRI ma wonya w’asaabo, akisikuru, ne wo nsu a ɛkɔ wo nsu mu ho mfonini a ɛkɔ akyiri na ama woahu abo, akisikuru, anaa nneɛma afoforo a ɛnteɛ.
• Cystoscopy: Wo duruyɛfo de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (cystoscope) a mfoninitwa afiri ne kanea wom hyɛ nsukorabea no mu de hwehwɛ akisikuru no mu. Wɔtaa yɛ eyi wɔ aduru a wɔde kum nipadua no mu na ama ɛnyɛ dɛ na ɛboa ma wohu akisikuru anaa abo a ɛwɔ akisikuru mu.
• Biopsy: Sɛ wohu baabi a ɛyɛ hu bere a wɔreyɛ cystoscopy anaa scan a, wɔfa ntini ketewaa bi de yɛ microscopic nhwehwɛmu de yi tebea horow te sɛ kokoram fi mu anaasɛ wosi so dua.

Ɛnyɛ ɔyarefo biara na ɔhwehwɛ sɛ wɔyɛ nhwehwɛmu yi nyinaa. Wo duruyɛfo no begyina mfe pɔtee a woadi, yare no ho sɛnkyerɛnne, ne nea efii nhwehwɛmu a woadi kan ayɛ so asi ɔkwan a eye sen biara ho gyinae.

Ɔkwan bɛn so na wɔsa?

Microhematuria ayaresa gyina nea ɛde ba no so koraa. Sɛ wohu nea ɛde ba wie a, wo duruyɛfo no bɛka ayaresa nhyehyɛe a ɛfata ho asɛm:

• Wɔ UTI ho, wɔtaa kyerɛw nnuru a ekum ɔyare mmoawa a wɔde ma bere tiaa bi.
• Wɔ prostate a ayɛ kɛse (BPH) ho no, wobetumi de nnuru adi dwuma de ama prostate no adwo (sɛ nhwɛso no, tamsulosin, terazosin) anaasɛ wɔatew nyin no so (sɛ nhwɛso no, finasteride, dutasteride).
• Wɔ asaabo mu abo ho no, wobetumi de nnuru a ɛbɛboa ma wɔatwam (sɛ nhwɛso no, tamsulosin, nifedipine) adi dwuma, ɛwom sɛ ebinom hwehwɛ sɛ wɔyɛ abotan anaa oprehyɛn de.
• Sɛ nnuru bi te sɛ NSAID rehaw w’asaabo a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae anaasɛ dan kɔ foforo so.
• Ebia wɔbɛkamfo nsakrae a wɔbɛyɛ wɔ aduan mu akyerɛ, te sɛ protein, nkyene, anaa potassium a wɔbɛbara sɛ wowɔ CKD .
• Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn de yi abo, di prostate nsɛm ho dwuma, anaasɛ wɔsa akisikuru.

Hyɛ no nsow sɛ sɛ wɔanhu biribiara a ɛde ba bere a wɔayɛ nhwehwɛmu awie a, ebia worenhia ayaresa biara koraa. Ebia wo duruyɛfo bɛkyerɛ sɛ ‘wɔntwɛn yiye’ anaasɛ hwɛ wo tebea no so daa, baabi a wɔhwɛ wo tebea no so bere ne bere mu denam nsu mu nhwehwɛmu a wɔyɛ no mpɛn pii so de hwɛ hu sɛ w’akwahosan kɔ so yɛ nea ɛyɛ den.

So wobetumi asiw microhematuria ano?

Bere a wuntumi nsiw microhematuria ano bere nyinaa esiane nneɛma a wuntumi nyɛ ho hwee nti no, sɛ wobɛkɔ so anya nsu pa denam nsu lita 2-3 a wobɛnom da biara da—titiriw bere a woreyɛ apɔw-mu-teɛteɛ no—so wɔ mfaso kɛse. Nsu a ɛfata boa ma wo nsu no yɛ mmerɛw na ɛma wo nsu a wode gu mu no kɔ so yɛ frɔmfrɔm.

Bio nso, suban ahorow a edidi so yi a efi Nirogi Lanka no betumi aboa ma asiane a ɛwɔ hɔ nyinaa so atew:

• Gyae sigaretnom koraa. Sigaretnom yɛ ade titiriw a ɛde tebea horow pii ba, a akisikuru a ɛwɔ akisikuru mu ka ho.
• Fa nnuru a wɔde kum ɛyaw (NSAID) di dwuma sɛnea wo duruyɛfo kyerɛ no nkutoo na fa di dwuma katee bere a ɛho hia no. Mfa wo ho nto nnuru yi so wɔ ɔhaw nketenkete biara ho.
• Kwati sɛ wode wo ho bɛhyɛ nnuru a epira te sɛ benzenes, amine a ɛyɛ huam, ne hydrocarbons, ne mframa a ɛho nhia nso mu. (Eyinom yɛ adwuma mu asiane ahorow a ɛtaa ba wɔ nnwuma a ɛfa rɔba, nnuru a wɔde yɛ nneɛma, ne paint ho).

Bere bɛn na ɛsɛ sɛ wohaw wo ho wɔ microhematuria ho?

Sɛnea wodwen wo ho no gyina nea ɛde mogya a ɛwɔ wo nsu mu ba no so ankasa. Nanso, mpɛn pii no, anidaso a ɛwɔ hɔ ma wɔn a wɔwɔ microhematuria no yɛ papa yiye. Nneɛma pii a ɛde ba no ankasa siesie anaasɛ ɛnyɛ den sɛ wɔde wɔn ho bɛhyɛ mu nketenkete asa. Sɛ wo duruyɛfo si yare no so dua na ohu nea ɛde ba no ntini wie a, wɔbɛma wo nea wobɛhwɛ kwan ho nhyehyɛe a emu da hɔ.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Esiane sɛ mpɛn pii no aniwa ntumi nhu microhematuria nti, ebia wunhu sɛ wowɔ bi kosi sɛ oduruyɛfo bɛyɛ nhwehwɛmu. Sɛ wuhu sɛnkyerɛnne ahorow te sɛ nsakrae a ɛba wo nsu a wobɛtow mu, ɔhyew bere a woretow wo ho, atiridiinini, anaa ɛyaw a ɛba wo nkyɛn anaa wo yafunu ase a, yɛsrɛ wo kɔ wo duruyɛfo nkyɛn.Sɛ wunya yare no ho sɛnkyerɛnne a emu yɛ den te sɛ atiridiinini kɛse anaa ɛyaw a wuntumi nnyina ano a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ntɛmpɛ ntɛm ara.

Sɛ wowɔ abakɔsɛm a wonim sɛ wowɔ microhematuria na mpofirim ara wuhu mogya a wotumi hu wɔ wo nsu mu (wɔfrɛ eyi ‘Gross Hematuria’) a, yɛsrɛ wo kɔ ayaresabea ntɛm ara.

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wokɔ wo duruyɛfo nkyɛn a, nsɛm yi a wubebisa no betumi aboa wo ma woanya w’akwahosan ho ntease pa:

• Nhwehwɛmu pɔtee bɛn na wokamfo kyerɛ sɛ wɔmfa nhwehwɛ microhematuria yi mu?
• Dɛn na ɛbɛyɛ sɛ ɛde tebea yi ba me so kɛse?
• So ɛsɛ sɛ wɔyɛ me ayaresa ntɛm ara, anaasɛ hwɛ a mɛhwɛ no dɔɔso?
• Sɛ ɛho hia sɛ wɔsa yare a, dɛn na wokamfo kyerɛ, na dɛn ne nea ebetumi afi mu aba?
• So asiane bi wɔ hɔ sɛ ɛbɛsan aba bio, na nneɛma bɛn na metumi ayɛ de asiw ano?

Wɔ nsɛmmisa yi akyi no, ntwentwɛn wo nan ase da sɛ wubebisa biribiara a ɛhaw wo. Sɛ wubenya nsɛm pa a, ɛyɛ wo hwɛ a ɛho hia.

Nneɛma Titiriw a Wɔde Fa Kɔ

Sɛ yɛbɛbɔ no mua a, nneɛma a ɛho hia sen biara a ɛsɛ sɛ wokae wɔ microhematuria ho ni:

• Microhematuria kyerɛ sɛ mogya ketewaa bi wɔ wo nsu mu a aniwa ntumi nhu; wɔtaa hu no wɔ akwanhyia mu bere a wɔreyɛ sɔhwɛ ahorow a wɔyɛ no daa no.
• Nnipa dodow no ara a wɔwɔ microhematuria no nhia ayaresa. Mpɛn pii no, sɛ asɛm bi a ɛda adi te sɛ asaabo mu ɔbo bi wɔ hɔ nkutoo a, ɛho hia sɛ wɔde wɔn ho hyɛ aduruyɛ mu. Mpɛn pii no, sɛ wɔanhu biribiara a ɛde ba a, ebia wo duruyɛfo bɛkyerɛ kɛkɛ sɛ ɔnhwɛ no bere ne bere mu.
• Ɛsono nea ɛde ba, efi ɔyare mmoawa a wɔtaa nya wɔ nsu mu (UTIs) so kosi tebea horow a ɛntaa nsi a emu yɛ den te sɛ kokoram so. Nya awerɛhyem sɛ ɛnyɛ microhematuria biara na ɛma obi ho dwiriw no.
• Sɛ wuhu sɛ wowɔ nsu mu sɛnkyerɛnne biara a ɛyɛ soronko (sɛ nhwɛso no, mpɛn pii no, ɛyaw, anaa mogya a wotumi hu) a, yɛsrɛ wo kɔ wo duruyɛfo nkyɛn.
• Wo duruyɛfo ne onipa a oye sen biara a obetumi ahu nea ɛde ba no na ɔde ɔhwɛ a ɛfata ama no. Kwati sɛ wobɛhwehwɛ wo ho mu na woasa wo ho yare.

Ade a ɛho hia sen biara ne sɛ wobɛkɔ so ahwɛ nsakrae a ɛba wo nipadua mu no na woahwehwɛ afotu a efi animdefo hɔ bere a ɛho hia no. Nsɛm a wɔbɛkyere ntɛm no ne ɔkwan a eye sen biara a wobɛfa so anya ayaresa a etu mpɔn. Nya apɔwmuden, fi Nirogi Lanka kuw no mu!

` Mogya a ɛwɔ nsuo mu, microhematuria, nsuo mu yareɛ (UTI), asaabo akwahosan, nsuo mu nhwehwɛmu, mogya mu nkwammoaa kɔkɔɔ