Nsuo mu Nkwammoaa Ho Nhwehwɛmu | Momma yensua eyi ho ade kɛkɛ!

So ɛtɔ mmere bi a wote nka sɛ wode mogya refa wo nsu mu? Anaasɛ wo ho yɛ hyew anaa ɛyaw bere a woretow nsu no? Sɛ wokɔ oduruyɛfo nkyɛn esiane biribi a ɛte sɛɛ nti a, ebia waka akyerɛ wo sɛ yɛ nhwehwɛmu bi a wɔfrɛ no "Urine Cytology." Nnipa binom suro kakra bere a wɔte saa din yi, efisɛ wosusuw sɔhwɛ ko a ɛyɛ ne nea ebefi mu aba no ho. Nanso biribiara nni hɔ a enti ɛsɛ sɛ yesuro. Nokwarem no, ɛyɛ mmerɛw yiye. Ɛnnɛ, momma yɛnka nea saa Urine Cytology sɔhwɛ yi yɛ, nea enti a wɔyɛ, ne nea yebetumi asua afi mu ho asɛm.

Dɛn ne Urine Cytology wɔ nsɛm a ɛnyɛ den mu?

Okay, enti momma yenni kan nhwɛ nea edin yi kyerɛ. Cytology yɛ nkwammoaa a ɛwɔ yɛn nipadua mu no ho adesua. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ nkwammoaa nsusuwii, ne kɛse, ne nsonsonoe a ɛwɔ mu ho adesua denam afiri a wɔde hwɛ nneɛma nketenkete a wɔde hwɛ wɔn so. Urine Cytology yɛ nkwammoaa a ɛwɔ wo nsuo nhwɛsoɔ mu no ho nhwehwɛmu wɔ saa kwan yi so.

Oduruyɛfo bi a ne ho akokwaw wɔ nkwammoaa mu nhwehwɛmu mu na ɔyɛ sɔhwɛ yi . Yɛfrɛ wɔn Cytopathologists. Wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ nkwammoaa a ɛwɔ wo nsu mu nhwɛsode no mu hwɛ sɛ ebia nneɛma bi wɔ hɔ a ɛnteɛ, kokoram nkwammoaa, anaa nkwammoaa a ebetumi abɛyɛ kokoram anaa.

Dɛn na sɔhwɛ yi betumi ahu?

Nhwehwɛmu yi atirimpɔw titiriw ne sɛ wobehu kokoram ahorow a ɛwɔ nsu mu no ntɛm. Nnuruyɛfo de nhwehwɛmu yi di dwuma titiriw bere a wosusuw sɛ kokoram ahorow a edidi so yi:

• Akisikuru: Eyi ne kokoram a wɔtaa hu.
• Cancer of the ureter: Kokoram a ɛba ntini a ɛyɛ tratraa a ɛde nsu fi asaabo mu kɔ akisikuru mu no mu.
• Kokoram a ɛwɔ nsu a ɛkɔ nipadua no mu: Kokoram a ɛwɔ afiri a ɛde nsu fi akisikuru mu kɔ nipadua no akyi no mu.
• Asaabo mu kokoram: Wobetumi de nhwehwɛmu yi ahu asaabo mu kokoram ahorow bi nso.

Wɔ kokoram ahorow yi a wohu akyi no, nhwehwɛmu yi tumi hu nyarewa bi a mmoawa de ba te sɛ cytomegalovirus nso.

So Urine Cytology ne Urinalysis yɛ ade koro?

Dabi, ɛha na nnipa pii adwene tu fra. Urine Cytology ne Urinalysis (nea yɛtaa frɛ no ‘urine amanneɛbɔ’) yɛ nhwehwɛmu ahorow abien. Ɛwom sɛ wɔn baanu nyinaa de wo nsu a wɔde yɛ nhwɛso di dwuma de, nanso ɛsono wɔn atirimpɔw koraa.

Momma yɛnhwɛ saa pon yi na yɛate nsonsonoe a ɛda abien no ntam ase yiye.

So wote nsonsonoe a ɛwɔ mu no ase mprempren? Nsu mu nhwehwɛmu yɛ nhwehwɛmu a wɔyɛ no nyinaa. Urine Cytology yɛ sɔhwɛ titiriw bi a ɛhwehwɛ biribi a emu dɔ na ɛyɛ pɔtee.

Dɛn nti na oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi?

Ebia nneɛma pii nti na wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ urine cytology nhwehwɛmu.

• Mogya a ɛwɔ nsu mu (Hematuria): Eyi ne ade titiriw a ɛde ba. Sɛ mogya wɔ nsu mu a, nhwehwɛmu yi ho hia yiye na ama wɔahu nea ɛde ba.
• Ɛyaw anaa ɔhyew bere a ɔreto nsu: Sɛ ɛyaw anaa ɔhyew a ɛkɔ so daa wɔ hɔ a.
• Nsuo mu yareɛ a ɛtaa ba (UTIs): Ɛtɔ da bi a, hwɛ sɛ biribi foforɔ bi wɔ nsuo mu yareɛ a ɛtaa ba no akyi anaa.
• Di akyi a wodi wɔ kokoram ayaresa akyi: Sɛ woadi kan anya akisikuru wɔ akisikuru mu na woanya ayaresa a, wɔde nhwehwɛmu yi di dwuma de hwɛ sɛ kokoram no asan aba anaa.

Nanso kae ade biako. Esiane sɛ nhwehwɛmu yi nhu kokoram nkwammoaa nti, ɛnkyerɛ sɛ wunni kokoram 100%. Enti, nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu afoforo pii (e.g., cystoscopy, CT scan) ka nhwehwɛmu yi ho.

Mɛyɛ dɛn asiesie me ho ama sɔhwɛ no na mede nhwɛsode no ama?

Eyi yɛ adeyɛ a ɛnyɛ den koraa, nanso nneɛma kakraa bi a ɛho hia wɔ hɔ a ɛsɛ sɛ woyɛ no yiye.

Ade a ɛho hia sen biara a ɛsɛ sɛ wuhu ansa na woayɛ sɔhwɛ no!

Eyi ne ade a ɛho hia sen biara. Mfa wo nsu a edi kan mma anɔpa mma nhwehwɛmu yi. Nea enti a ɛte saa ne sɛ nkwammoaa a ɛwɔ nsu mu a atena wo dwonku mu anadwo mũ nyinaa no betumi abubu na abubu. Eyi betumi ama ayɛ den ama oduruyɛfo a ɔwɔ aduruyɛdan mu no sɛ obehu nkwammoaa no. Enti, ɛbɛyɛ papa sɛ wode nsu a wodi kan fa anɔpa no bɛma na afei wode nsu a wode bɛfa ne mprenu anaa nea ɛto so abiɛsa wɔ da no mu ama.

Sɛnea wɔde nhwɛsode no ma (Clean Catch kwan) .

Lab no bɛma wo toa soronko (ahina a ɛnyɛ den) ama eyi. Ebia wɔbɛma wo aduru a wɔde tew nneɛma ho ne nea wɔde popa nneɛma nso. Di anammɔn yi akyi ansa na wode nhwɛsode no ama.

1. Fa samina hohoro wo nsa yiye: Eyi ho hia paa.

2. Hohoro ɔbarima ne ɔbea nna ho: Fa popa a lab de ama anaa fa nsu pa hohoro ɔbarima ne ɔbea nna no ho yiye. Eyi yɛ sɛnea ɛbɛyɛ a mmoawa a efi akyi honam ani no ankɔ nhwɛsode no so.

3. Fi ase tow nsu: Nea edi kan no, fa nsu bi gu tiafi mu.

4. Boaboa nhwɛsode no ano: Afei, a wunnyae sɛ wobɛtow nsu no, kura toa a lab no de ama no mu kɔ nsu no mu na boaboa dodow a ɛho hia ano (mpɛn pii no bɛyɛ toa no fã).

5. Fa nea aka no gu mu: Yi toa no na fa nsu a aka no gu tiafi mu.

6. To toa no mu denneennen na fa ma: To toa no mu denneennen, nka emu, na fa ma lab ntɛm ara sɛnea wubetumi.

Wɔ tebea horow bi mu no, sɛ ɔyarefo no ankasa ntumi mfa nhwɛsode no mma anaasɛ esiane nneɛma afoforo nti a, ebia ebehia sɛ oduruyɛfo de catheter , afiri a ɛyɛ tratraa a wɔde hyɛ nsu a wɔde fa nsu mu no hyɛ mu na ama wagye nhwɛsode bi afi akisikuru no mu. Afei nso, CystoscopyWobetumi nso afa nhwɛsode a ɛte sɛɛ bere a wɔreyɛ akisikuru mu nhwehwɛmu (wɔde mfoninitwa afiri reyɛ akisikuru no mu nhwehwɛmu).

Dɛn na ɛba wo nsu a wɔde yɛ nhwehwɛmu wɔ lab no so?

Sɛ wode nhwɛsode no ma wie a, anammɔn pii kɔ so wɔ lab no mu.

• Nhwɛsode no a wobesiesie: Nea edi kan no, wɔde wo nsu a woayɛ no gu afiri bi a wɔfrɛ no centrifuge mu . Eyi twitwiw nsu a wɔde yɛ nhwɛsode no ahoɔhare kɛse, te sɛ sɛnea afiri a wɔde horo nneɛma twitwiw ntade de yi nsu, na ɛtetew nkwammoaa no ne nsu no mu.
• Staining ne staining wɔ glass slide so: Afei wɔtrɛw nkwammoaa a wɔatew wɔn ho no mu wɔ glass slide (microscope slide) so na wɔde dyes soronko (stains) yɛ staining. Saa nkekae yi ma wotumi hu nkwammoaa no afã horow no pefee bere a wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ no.
• Microscopic nhwehwɛmu: Ɛha na Cytopathologist no fi n’adwuma ase. Ɔde saa slide a wɔasiesie yi to microscope ase na ɔde ahwɛyiye hwehwɛ nkwammoaa no mu mmiako mmiako. Ɔde n’adwene si so titiriw sɛ ebia nkwammoaa bi wɔ hɔ a ɛsono wɔ nkwammoaa a ɛteɛ no ho, wɔn nsusuwii yɛ soronko, anaasɛ wɔwɔ nuklea akɛse anaa.
• Amanneɛbɔ no a wobɛsiesie: Sɛ woyɛ nhwehwɛmu yi wie a, oduruyɛfoɔ no bɛgyina deɛ ɔhunuu so ayɛ amanneɛbɔ na ɔde akɔma oduruyɛfoɔ a ɔresa wo yareɛ no.

Dɛn ne nneɛma a ɛwɔ amanneɛbɔ no mu na dɛn na ɛkyerɛ?

Ebia nsɛmfua ahorow wɔ w’amanneɛbɔ no so. Mma wo ho dwiriw wo bere a wuhu wɔn no. Wo duruyɛfo bɛkyerɛkyerɛ ne nyinaa mu akyerɛ wo. Nanso momma yɛnhwɛ nneɛma a ɛtaa tumi pue wɔ amanneɛbɔ bi so ne nea ɛkyerɛ a ɛnyɛ den.

Nsu mu nkwammoaa mu nhwehwɛmu no yɛ pɛpɛɛpɛ dɛn?

Sɛnea sɔhwɛ yi bɛyɛ pɛpɛɛpɛ no gyina kokoram ko a wɔrehu no so.

• Akuru a ɛkorɔn: Eyinom yɛ kokoram ahorow a enyin ntɛmntɛm na ɛyɛ den. Nsuo mu nkwammoaa mu nhwehwɛmu yɛ bɛyɛ 95% pɛpɛɛpɛ wɔ eyinom a wohu mu.
• Akuru a ɛba fam: Eyinom yɛ kokoram ahorow a enyin brɛoo, na ɛnyɛ den pii. Saa sɔhwɛ yi ntu mpɔn kɛse wɔ eyinom a wobehu mu. Ne pɛpɛɛpɛyɛ betumi afi 10% kosi 50%. Eyi kyerɛ sɛ sɛ kokoram a ɛte saa wɔ hɔ mpo a, ɛda adi sɛ wɔbɛyera wɔ amanneɛbɔ no mu (atoro-asɛmmɔne).

Eyi nti na nnuruyɛfo mfa wɔn ho nto nhwehwɛmu biako pɛ so no.