Ðe nu yeye aɖe le wò aɖuɖɔ dodokpɔ ŋuti nyatakakaa mea? Mina míaƒo nu tso Urine Cytology ŋu!

Èse ' Urine Cytology dodokpɔ ' ŋu nya kpɔa? Ðewohĩ èvɔ̃ vie esi ɖɔkta aɖe bia tso asiwò be nàwɔ dodokpɔ sia. Gake mègatsi dzi o, zi geɖe la, wowɔa esia tsɔ ɖoa ​​kpe nane dzi. Kpuie ko la, dodokpɔ sia bia be woaɖe wò aɖuɖɔ ƒe kpɔɖeŋu eye woana eŋutinunyala bibi aɖe nadoe kpɔ be kansa lãmenugbagbeviwo alo lãmenugbagbevi siwo ate ŋu atrɔ azu kansa le eme hã.

Nuka tututue nye Urine Cytology?

Enyo, gbã la, mina míalé ŋku ɖe nusi "Cytology" nye ŋu. Lãmenugbagbeviŋutinunya nye lãmenugbagbevi ɖeka siwo woɖe tso lãmenugbagbevi alo tsi siwo le míaƒe ŋutilã me me ŋuti numekuku. Le esia me la, ɖɔkta aɖe si wona hehee etɔxɛe, si woyɔna be "Lãmenugbagbeviŋutinunyala" léa ŋku ɖe lãmenugbagbevi siawo ŋu le nusuekpɔmɔ̃ me be yeakpɔe ɖa be nusiwo mesɔ o alo tɔtrɔ aɖewo le wo me hã.

Eyata, aɖuɖɔ me lãmenugbagbeviwo ŋuti nunya nye dodokpɔ si xɔa lãmenugbagbeviwo tso wò aɖuɖɔ ƒe kpɔɖeŋu me, léa ŋku ɖe wo ŋu le nusuekpɔmɔ̃ me, eye wòléa ŋku ɖe wo ŋu be naneke megblẽ le wo ŋu o, vevietɔ kansa lãmenugbagbeviwo.

Ɣekaɣie wowɔa dodokpɔ sia (Urine Cytology)?

Wozãa dodokpɔ sia (Urine Cytology) koŋ tsɔ kpena ɖe ame ŋu be woanya kansa siwo le aɖuɖɔtoe me . Ema nye:

• Tsinyegoe me kansa
• Kansa le tsinyegoe me, si nye mɔ̃ tsɛ si tsɔa aɖuɖɔ tso ayiku me yia tsinyegoe me
• Kansa le tsinyegoe me, si nye mɔ̃ tsɛ si tsɔa aɖuɖɔ tso tsinyegoe me yia ŋutilãa godo
• Nɔnɔmewo abe ayiku me dɔdzẽ ene .

Gake ɖo ŋku edzi be zi geɖe la, ɖɔktawo mewɔa dodokpɔ sia (Urine Cytology) ko hetsoa nya me enumake be kansa le eme o. Zi geɖe la, wowɔa dodokpɔ bubu geɖewo hã.

Tsɔ kpe ɖe eŋu la, aɖuɖɔ me lãmenugbagbeviwo ŋuti dodokpɔ sia ate ŋu ade dzesi dɔlékui ƒe dɔlélewo abe cytomegalovirus (si le herpes dɔlékui ƒe ƒomea me) hã.

Ðe aɖuɖɔ me lãmenugbagbeviwo ŋuti nunya kple aɖuɖɔ dodokpɔ si wowɔna le afisiafi (aɖuɖɔtoe me dzodzro) nye nu ɖeka?

Ẽ, togbɔ be esiawo evea siaa nye dodokpɔ siwo wowɔna to aɖuɖɔtoe me hã la, vovototo gã aɖe le wo ame evea dome.

Aɖuɖɔ me lãmenugbagbeviwo ŋuti nunya nye dodokpɔ tɔxɛ aɖe ŋutɔ. Ebia be woalé ŋku ɖe lãmenugbagbevi siwo le aɖuɖɔ me le nusuekpɔmɔ̃ me ŋu. Dɔléleŋutinunyala la dia kansa lãmenugbagbeviwo koŋ.

Le go bubu me la, aɖuɖɔtoeme dodokpɔ nye aɖuɖɔtoe dodokpɔ vevi aɖe si ɖɔktawo zãna tsɔ dia dɔléle kple nɔnɔme vovovowo, abe aɖuɖɔtoedɔléle (UTI) , ayikudɔ, kple suklidɔ ene, hekpɔa wo gbɔ .

Aɖuɖɔtoe me dzodzro edziedzi dzroa aɖuɖɔ ƒe dzedzeme, eƒe agbɔsɔsɔme, kple eƒe agbɔsɔsɔ me. Ate ŋu ade dzesi lãmenugbagbeviwo, lãmenugbagbeviwo ƒe kakɛwo, alo kristalo, protein, kple sukli (sukli) ƒe anyinɔnɔ le aɖuɖɔ me.

Ðɔkta ate ŋu adɔ be woawɔ aɖuɖɔtoe me dodokpɔ le susu aɖe koŋ ta, gake zi geɖe la, enyea dodokpɔ si wowɔna edziedzi, ɖewohĩ zi ɖeka le ƒea me. Womewɔa aɖuɖɔ me lãmenugbagbeviwo ŋuti dodokpɔwo zi geɖe nenema o, eye ne susu tɔxɛ aɖewo ŋutɔ li ko hafi wowɔa wo.

Ɣekaɣie ɖɔktaa agblɔ na wò be nàwɔ dodokpɔ sia (Urine Cytology)?

Ne wò ɖɔkta susui be aɖuɖɔtoe me dɔdzẽ ƒe dzesiwo le ŋuwò la, ate ŋu abia be woado aɖuɖɔtoe me lãmenugbagbeviwo kpɔ. Dzesiawo dometɔ aɖewoe nye:

• Ʋu si le aɖuɖɔ me (ʋumenugbagbeviɣidɔ) .
• Vevesese ɣesiaɣi ne èle aɖuɖɔ tom.
• Dzobibi ne wole aɖuɖɔ tom.

Togbɔ be aɖuɖɔ me lãmenugbagbeviwo ŋuti dodokpɔwo ate ŋu akpe ɖe ame ŋu woade dzesi kansa ƒomevi aɖewo hã la, seɖoƒe li na wo hã. Esi aɖuɖɔ me lãmenugbagbeviwo ŋuti dodokpɔ mekpɔ kansa lãmenugbagbeviwo o ta la, mefia ɣesiaɣi be kansa mele ame ŋu o. Esia tae zi geɖe la, ɖɔktawo wɔa dodokpɔ bubu geɖe kpe ɖe dodokpɔ sia ŋu, eye woate ŋu agawɔ aɖuɖɔtoe me lãmenugbagbeviwo ŋuti dodokpɔ gɔ̃ hã le ɣeyiɣi aɖe megbe.

Ðɔkta ate ŋu abia tso asiwò be nàtsɔ aɖuɖɔ ƒe kpɔɖeŋu aɖe ana hena aɖuɖɔtoe me lãmenugbagbeviwo ƒe dodokpɔ le susu bubuwo ta. Le kpɔɖeŋu me:

• Ne tsinyegoe me kansa dze dziwò kpɔ eye wowɔ atike nɛ la, ke kpɔe ɖa be egatrɔ gbɔ hã.
• Ne UTI siwo gbugbɔna vaa dziwò la, lé ŋku ɖe dɔlékui siwo le wò aɖuɖɔ me ŋu.
• Kpɔe ɖa be dɔlékui ƒe dɔléle aɖewo le ŋuwò hã.

Amekae wɔa dodokpɔ sia (Urine Cytology)? Aleke woxɔa kpɔɖeŋuae?

Zi geɖe la, amesi le aɖuɖɔ me lãmenugbagbeviwo ƒe dodokpɔ wɔm la ƒoa aɖuɖɔa nu ƒu ɖe kplu si me dɔlékui mele o me le ame ŋutɔ ƒe tsileƒe. Woyɔa esia be "aɖuɖɔ si wolé dzadzɛ ƒe kpɔɖeŋu." Ɣeaɖewoɣi la, hafi dɔnɔa alo lãmesẽdɔwɔla naxɔ aɖuɖɔtoea la, ahiã be wòade mɔ̃ tsɛ aɖe si woyɔna be catheter to aɖuɖɔtoea me ayi tsinyegoea me.

Ðɔkta ate ŋu axɔ aɖuɖɔ ƒe kpɔɖeŋu hã hena aɖuɖɔtoe me lãmenugbagbeviwo ƒe dodokpɔ le cystoscopy , si nye dɔdamɔnu si me ɖɔkta zãa dɔwɔnu tsɛ aɖe si me fotoɖemɔ̃ le tsɔ doa tsinyegoe kple aɖuɖɔtoe ƒe eme.

Emegbe lãmesẽdɔwɔla la ɖoa aɖuɖɔa ɖe nudokpɔƒe. Dɔléleŋutinunyala alo lãmenugbagbeviwo ƒe dɔléleŋutinunyala doa lãmenugbagbevi siwo le aɖuɖɔtoea me kpɔna le nusuekpɔmɔ̃ me eye wòdzraa nyatakaka aɖe ɖo.

Aleke wòle be nàdzra ɖo hafi adze dodokpɔa gɔmee?

Ele be nàna aɖuɖɔ hena Urine Cytology dodokpɔ le aɖuɖɔtoe gbã le ŋdi me vɔ megbe.. Nusitae nye be lãmenugbagbevi siwo le aɖuɖɔ me siwo nɔ tsinyegoe me ɣeyiɣi didi aɖe, si fia be zã bliboa katã, ate ŋu agbã vivivi. Ne menye nenema o la, asesẽ na dɔléleŋutinunyala be wòalé ŋku ɖe lãmenugbagbeviawo ŋu nyuie le nusuekpɔmɔ̃ me. Eyata mele be kpɔɖeŋu si nàna hena wò (Urine Cytology) dodokpɔ nanye nu gbãtɔ le ŋdi me o.

Anɔ eme godoo be ahiã be nàwɔ ɖoɖo le kɔdzi alo dodokpɔxɔ aɖe me be yeatsɔ aɖuɖɔtoe aɖe ana.

Afɔɖeɖe kawoe wòle be woawɔ le aɖuɖɔ me lãmenugbagbeviwo ŋuti dodokpɔ wɔwɔ me?

Zi geɖe la, afɔɖeɖe vevi ene li le aɖuɖɔ me lãmenugbagbeviwo ŋuti dodokpɔ me:

1. Aɖuɖɔ ƒe kpɔɖeŋua nuƒoƒoƒu.

2. Lãmenugbagbevi siwo le aɖuɖɔ ƒe kpɔɖeŋua me dzadzraɖo.

3. Lãmenugbagbevi siwo le aɖuɖɔ ƒe kpɔɖeŋua me me dzodzro.

4. Nyatakaka tso emetsonuwo ŋu.

Enyo, azɔ mina míalé ŋku ɖe afɔɖeɖe siawo ŋu tsitotsito vie.

Aɖuɖɔ ƒe kpɔɖeŋua nuƒoƒoƒu

Zi geɖe la, amesi le dodokpɔa wɔm lae xɔa kpɔɖeŋu si woatsɔ awɔ aɖuɖɔtoe me lãmenugbagbeviwo ŋuti dodokpɔa.

Hafi nàxɔ wò aɖuɖɔ ƒe kpɔɖeŋu la, wò ɖɔkta ate ŋu ana atike tɔxɛ aɖe wò. Ðewohĩ atike si wotsɔna tutua nu kple dzadzɛnyenye ƒe nutunuwo anɔ eme be woatsɔ akɔ wò vidzinuwo ŋu. Esia nye be woaxe mɔ na dɔlékui siwo tso wò tsinyegoea godo, abe ŋutigbalẽ si le wò vidzidɔ alo vidzidɔ me ene, be woagage ɖe aɖuɖɔtoea me o. Ele vevie ŋutɔ be nàwɔ ɖe mɔfiame siwo ku ɖe dzadzɛnyenye ƒe nutunu siawo zazã ŋu dzi pɛpɛpɛ. Emegbe ahiã be nàɖe aɖuɖɔ aɖewo ɖa le nugododeƒea eye nàƒo susɔea nu ƒu ɖe kplu si me dɔlékui mele o me. Wò ɖɔkta agblɔ aɖuɖɔ agbɔsɔsɔme si nèhiã na dodokpɔa na wò.

Le go aɖewo me la, ahiã be wò alo ɖɔkta nade ka aɖe eme eye nàɖe aɖuɖɔ.

Ðɔkta ate ŋu axɔ aɖuɖɔ hã le cystoscopy me .

Emegbe wò ɖɔkta aɖo aɖuɖɔ sia ɖe nudokpɔƒe.

Lãmenugbagbeviwo dzadzraɖo tso aɖuɖɔ ƒe kpɔɖeŋu me

Ne woxɔ aɖuɖɔtoea vɔ la, dɔléleŋutinunyala alo dodokpɔxɔ me dɔwɔla ate ŋu azã mɔ̃ aɖe si woyɔna be centrifuge atsɔ ama lãmenugbagbevi siwo wodi be yewoalé ŋku ɖe wo ŋu tso aɖuɖɔa me. Centrifuge la ƒoa kpɔɖeŋua kabakaba ŋutɔ, eye wòmaa lãmenugbagbeviawo kple tsi la dome. Emegbe dɔléleŋutinunyala la tsɔa lãmenugbagbeviawo dana ɖe nusuekpɔmɔ̃ dzi eye wòtsɔa amadede tɔxɛwo dea ama wo. Amadede sia nana dɔléleŋutinunyala te ŋu kpɔa lãmenugbagbeviawo ƒe nɔnɔme aɖewo nyuie ne wole wo kpɔm le nusuekpɔmɔ̃ me.

Lãmenugbagbevi siwo le kpɔɖeŋua me me dzodzro

Ne dɔléleŋutinunyala alo dodokpɔxɔ me dɔwɔla dzra aɖuɖɔ me lãmenugbagbevi ƒe kpɔɖeŋua ɖo hede amae vɔ la, wotsɔa nusuekpɔmɔ̃ léa ŋku ɖe lãmenugbagbeviawo ŋu be yewoakpɔe ɖa be lãmenugbagbevi aɖewo siwo mesɔ o le eme hã. Ne wokpɔ lãmenugbagbevi aɖewo siwo mesɔ o la, wotsɔa nuŋlɔti tɔxɛ aɖe dea dzesi teƒe siwo lãmenugbagbeviawo nɔ le slide la dzi. Emegbe dɔléleŋutinunyala la wɔa nyatakaka aɖe.

Nyatakaka tso emetsonuwo ŋu

Ne dɔléleŋutinunyala la dzra nyatakakaa ɖo vɔ la, woaɖoe ɖe wò ɖɔkta.Woaɖoe ɖa. Wò ɖɔkta adzro emetsonuwo me kpli wò eye wòatso nya me le nusi nàwɔ azɔ ŋu.

Nukae dzɔna le dodokpɔa megbe?

Ðewohĩ axɔ ɣeyiɣi aɖe hafi wò dodokpɔa me tsonu nagatrɔ ava. Esi seɖoƒe li na aɖuɖɔtoedodokpɔwo ta la, anɔ eme be wò ɖɔkta aɖe gbe be woagawɔ dodokpɔ geɖe wu atsɔ adi kansa le aɖuɖɔtoe me. Le susu sia ta la, wò ɖɔkta adi be yeagblɔ dodokpɔ ɖesiaɖe me tsonu na wò ne ele dodom.Wò ɖɔkta agblɔ alesi dɔa ayi na wò, eye wòagblɔ dodokpɔa me tsonuawo nyanya ahana nànya.

Ðe afɔku aɖewo le dodokpɔ sia mea?

Ame geɖe doa aɖuɖɔ kpɔ to aɖuɖɔ dede kplu si me dɔlékui mele o me, eyata afɔku alo nugbegblẽ aɖeke mele eme o.

Gake ne wò ɖɔkta zã catheter (si nye mɔ̃ tsɛ aɖe si wotsɔ de wò aɖuɖɔtoe me) tsɔ ƒo aɖuɖɔ nu ƒu la, afɔku sue aɖe li be nàxɔ aɖuɖɔtoedɔléle (UTI) . Gake UTI nye nɔnɔme siwo bɔ eye woate ŋu ada wo.

Aleke Urine Cytology dodokpɔa me tsonu dona? Nukae wofia?

Dɔléleŋutinunyalawo ate ŋu azã nya vovovowo le aɖuɖɔ me lãmenugbagbeviwo ŋuti nyatakaka aɖe me. Wò ɖɔkta aɖe emetsonuwo me na wò. Mègavɔ̃ be yeabia nya o.

Zi geɖe la, emetsonuwo ɖenɛ fiana ne lãmenugbagbevi siwo le aɖuɖɔ ƒe kpɔɖeŋua me mekpɔ lãmenugbagbevi siwo mesɔ o, lãmenugbagbevi siwo do ŋgɔ na kansa, kple/alo lãmenugbagbevi siwo me kansa le o.

Nyawo abe:

• Kpɔɖeŋu si medzɔ dzi na ame o: Esia fia be ɖewohĩ lãmenugbagbeviwo masɔ gbɔ le wò aɖuɖɔtoe me be dɔléleŋutinunyala nakpɔ o. Ahiã be nàtsɔ aɖuɖɔ bubu ana ne aleae wòle.
• Negative for high-grade urothelial carcinoma: Esia fia be dɔléleŋutinunyala mekpɔ kansa lãmenugbagbevi alo lãmenugbagbevi siwo mesɔ o le wò aɖuɖɔ ƒe kpɔɖeŋua me o.
• Atypical urothelial cells: Esia fia be dɔléleŋutinunyala la kpɔ nu aɖewo siwo mesɔ o le wò aɖuɖɔtoe me, gake lãmenugbagbeviawo ya mesɔ o ale gbegbe be woabu wo be wonye kansa o.
• Woke ɖi le tsinyegoe me dɔdzẽ si ƒe dzeside deŋgɔ ŋu: Esia fia be dɔléleŋutinunyala la kpɔ lãmenugbagbevi siwo mesɔ o le wò aɖuɖɔtoe me siwo ate ŋu anye kansa.
• Positive for high-grade urothelial carcinoma: Esia fia be dɔléleŋutinunyala la ke ɖe kansa lãmenugbagbeviwo ŋu le wò aɖuɖɔ me.

Lãmenugbagbevi siwo mesɔ o le wò aɖuɖɔ me hã ate ŋu anye dzesi be wò aɖuɖɔtoewo le dɔdzẽ . Ne keklẽŋusẽdɔdamɔnu na wò le wò tsinyegoe gbɔ kpɔ la, ɖewohĩ lãmenugbagbevi siwo mesɔ o hã anɔ wò aɖuɖɔ me.

Ðeko aɖuɖɔ me lãmenugbagbeviwo ŋuti dodokpɔ ate ŋu akpe ɖe ame ŋu wòanya kansa. Ðɔktawo mezãa esia ɖeɖeko tsɔ nyaa ne aɖuɖɔtoe me dɔdzẽ le ŋuwò o. Ne lãmenugbagbevi siwo mesɔ o, siwo ŋu ɖikeke le, alo esiwo me kansa le le wò aɖuɖɔ me la, anɔ eme be wò ɖɔkta aɖe gbe be woawɔ dodokpɔ bubuwo, abe cystoscopy alo CT scan ene, atsɔ ado wò tsinyegoe kple tsinyegoe me kpɔ.

Ɣeyiɣi didi kae wòaxɔ hafi manya emetsonuwo?

Ɣeyiɣi si wòxɔna hafi wò Urine Cytology dodokpɔa me tsonu va ɖo la nɔ te ɖe nu geɖe dzi:

• Biabia dɔléleŋutinunyala be ehiã be wòakpɔ kpɔɖeŋu bubuwo hã.
• Eɖanye dodokpɔa bia ɖiƒoƒo tɔxɛ alo dɔdamɔnu tɔxɛwo o.
• Eɖanye be èhiã na nukpɔsusu evelia tso wò ɖɔkta alo dɔléleŋutinunyala gbɔ o.
• Ðe nègawɔ dodokpɔ bubu aɖea?
• Kpɔɖeŋu dɔwɔwɔ ƒe ɣeyiɣi.

Esi wònye be amesiame ƒe nɔnɔme to vovo ta la, wò ɖɔkta ana nàkpɔ ɣeyiɣi si nàte ŋu akpɔ mɔ be emetsonuwo ado tso eme la nyuie.

Aleke gbegbee aɖuɖɔtoe me lãmenugbagbeviwo ŋuti dodokpɔa de pɛpɛpɛe?

Aɖuɖɔtoe me lãmenugbagbeviwo ŋuti nunya kpena ɖe ame ŋu wu le dɔdzẽ siwo xɔa ame me ( kansa lãmenugbagbevi siwo tsina hekakana kabakaba) kple carcinoma in situ (lãmenugbagbevi siwo mesɔ o ƒe ƒuƒoƒo si nɔa afisi wodzɔ le zi gbãtɔ ko) la didi me. Eƒe nyateƒetoto 95% le nɔnɔme eve siawo didi me.

Gake aɖuɖɔ me lãmenugbagbeviwo ŋuti nunya mewɔa dɔ boo aɖeke le kansa si mebɔ o (kansa ƒe lãmenugbagbevi siwo tsina hekakana) didi me o. Eƒe nyateƒetoto ƒe agbɔsɔsɔme nye 10% va ɖo 50% na kansa mawo tɔgbe. Aʋatso-vɔ̃ɖi ƒe agbɔsɔsɔ ɖedzesi aɖe hã le esi na nɔnɔme sia. Eyae nye be, aɖuɖɔ me lãmenugbagbeviwo ŋuti numekuku me tsonu ate ŋu aɖee afia be kansa si mebɔ o mele amea ŋu o, gake dodokpɔ bubuwo ate ŋu aɖee afia be kansa si mebɔ o le amea ŋu.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Aɖuɖɔtoe me lãmenugbagbeviwo ŋuti dodokpɔ ate ŋu anye dɔwɔnu nyui aɖe le aɖuɖɔtoe me kansa didi me. Nu vevitɔ si dzi wòle be nàɖo ŋkui enye be ne wò ɖɔkta susui be aɖuɖɔtoe me kansa le ŋuwò la, ahiã be nàwɔ nu geɖe wu aɖuɖɔtoe me lãmenugbagbeviwo ŋuti dodokpɔ ko. Togbɔ be dodokpɔ si wowɔ be woatsɔ akpɔ dɔlélea ƒe dodokpɔ me tsonu lala ate ŋu anye nuteɖeamedzi hã la, nyae be wò atikewɔlawo ƒe ƒuƒoƒoa li be yewoado alɔ wò eɖanye nuka kee ado tso eme o. Mègavɔ̃ be yeabia nya wò ɖɔkta le ɖoɖo sia katã me o.

` Aɖuɖɔtoeŋutinunya, Aɖuɖɔtoe Dodokpɔ, Kansa, Tsinyegoe me Kansa, Ayiku me Kansa, Lãmenugbagbeviwo Dodokpɔ