He koko ʻike ʻole ʻia kou i loko o kou mimi? (Microhematuria) E kamaʻilio kākou e pili ana i kēia!

I kekahi manawa, he liʻiliʻi paha ke koko i loko o kou mimi , akā, ʻaʻole paha ʻoe e ʻike. ʻIke pinepine ʻia kēia i ka wā o ka nānā ʻana a i ʻole kekahi hoʻokolohua ʻē aʻe e ke kauka. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau he "Microhematuria". No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku a me ka maʻalahi? ʻAʻohe mea e makaʻu ai, he mea nui loa ka makaʻala i kēia.

He aha ke ʻano o ka "Microhematuria"?

I ka ʻōlelo maʻalahi, ʻo `(Microhematuria)` ke ʻano o ke koko, ʻo ia hoʻi ke koko, i loko o kou mimi. Akā, ʻo ka nui o ke koko i loko o kēia, he liʻiliʻi loa ia a ʻaʻole hiki iā ʻoe ke ʻike me kou maka ʻōlohelohe. Pono ʻoe i kahi ``microscope`` e ʻike ponoʻī ai. Ua wehewehe ka American Urological Association iā ia he ``Microhematuria`` inā he ʻekolu a ʻoi aku paha nā ``Red Blood Cells (RBCs)`` i loko o kahi hāpana mimi ma lalo o kahi ``kahua mana kiʻekiʻe`` o kahi microscope. E noʻonoʻo, ʻo ia ka liʻiliʻi! ʻO ia hoʻi, he liʻiliʻi loa ke koko i loko o ka mimi a ʻaʻole hiki ke ʻike ʻia e ka maka ʻōlohelohe.

No laila he aha ke ʻano o ke koko i hoʻokahe ʻia i loko o ka mimi?

ʻO ke koko lysed trace kekahi ʻano o `(Microhematuria)`. ʻO ke ʻano o 'Trace' he liʻiliʻi loa ia, e like me ka mea i ʻōlelo ʻia ma mua, he liʻiliʻi loa ia e ʻike ʻia me ka ʻole o kahi microscope. ʻO ke ʻano o 'Lysed blood' ua haki a luku ʻia nā paia o nā cell o nā cell koko ʻulaʻula . I ka `(Microhematuria)` maʻamau, ʻaʻole i haki nā paia o nā cell koko ʻulaʻula, akā ua maikaʻi a paʻa. Aia kahi ʻokoʻa loea liʻiliʻi ma waena o nā mea ʻelua.

He aha nā hōʻailona o kēia maʻi (Microhematuria)?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o ka poʻe me kēia `(Microhematuria)` (ʻo ia hoʻi, `asymptomatic`). ʻO ia hoʻi, hiki iā ʻoe ke loaʻa i kēia ʻano me ka ʻole o ka ʻokoʻa a i ʻole ka ʻoluʻolu ʻole. ʻIke pinepine ʻia ia ma ka manawa kūpono ke nānā ke kauka iā ʻoe i kēlā me kēia makahiki a i ʻole e hana i nā `hoʻokolohua maʻamau` ʻē aʻe.

Eia nō naʻe, i kekahi manawa hiki iā ʻoe ke loaʻa nā hōʻailona e like me kēia:

• Ka pono e mimi pinepine ma mua o ka maʻamau ("frequent urination").
• ʻEha a wela paha i ka wā e mimi ai (dysuria).
• ʻEha ma nā ʻaoʻao ʻelua o kou ʻōpū lalo, ma luna pono o kou mau pūhaka (kahi o kou mau puʻupaʻa) ('ʻeha ʻaoʻao').
• Ke kuni nei.
• He ʻala ʻino ko ka mimi .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea naʻauao ke ʻike i ke kauka.

No ke aha he koko i loko o ka mimi e like me kēia? He aha nā kumu?

Aia kekahi mau kumu no ka `(Microhematuria)`. E nānā kākou i nā mea nui:

• Nā Maʻi ʻAla Mimi (UTI): ʻO kēia ke kumu maʻamau. Ka mumū o ka urethra , ka mimi pinepine ʻanaHiki i kēia ke hele pū me ka piʻi ʻana o ke kaumaha a me ka ʻeha o ka ʻōpū ma lalo. Hiki i kēia mau maʻi ke hana i nā ʻeha liʻiliʻi i loko o ke ala mimi a hoʻoulu i ke kahe ʻana o ke koko.
• Kou wā mahina (`menstruation`): I ka wā o ka wahine, hiki i ke koko ke hui pū me ka mimi a ʻike ʻia i nā hoʻokolohua. ʻO ia ke kumu i hana ʻole ʻia ai nā hoʻokolohua mimi i ka wā menstruation.
• Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau āu e lawe ai, no ka laʻana, nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) (e.g., ibuprofen, diclofenac), nā antibiotics e like me ka penicillin, a me nā anticoagulants (e.g., warfarin, aspirin), hiki ke hana i kēia.
• Hoʻoikaika kino ikaika: Hiki ke hana kēia i kekahi poʻe ma hope o ka hana ʻana i ka hoʻoikaika kino ikaika e like me ka holo ʻana a i ʻole ka lele ʻana. ʻOi aku ka maikaʻi o kēia ma hope o kekahi mau lā.
• ʻO ka prostate nui (Benign Prostatic Hyperplasia - BPH): Hiki i kēia ke hoʻopilikia nui i nā kāne ma luna o 50 mau makahiki. He ʻōpū liʻiliʻi ka prostate aia ma lalo o ka ʻōpū mimi. Ke nui aʻe, hiki iā ia ke kaomi i ka urethra a hoʻoulu i ke kahe ʻana o ke koko.
• Nā pōhaku i loko o kāu ʻōnaehana mimi: Hiki i kēia ke lilo i mau pōhaku puʻupaʻa, nā pōhaku ureter, a i ʻole nā ​​​​pōhaku mimi. Hiki i kēia mau pōhaku ke kahakaha i nā paia palupalu o kāu ʻōnaehana mimi a hoʻoulu i ke kahe ʻana o ke koko.
• Maʻi Puʻupaʻa Mau Loa (CKD): Hiki ke hana ʻia kēia ʻano ke hiki ʻole i nā puʻupaʻa ke kānana pono i ke koko, e hōʻiliʻili ana i nā hunaola koko ʻulaʻula i loko o ka mimi.
• Nā koʻikoʻi Urethral: Inā ua emi ka urethra (ke ala e puka mai ai ka mimi) ma kekahi wahi, hiki nō hoʻi ke kumu.
• Kekahi mau ʻano maʻi kanesa: Hiki ke ʻike ʻia ka Microhematuria ma ke ʻano he hōʻailona mua i nā kūlana koʻikoʻi e like me ke kanesa o ka ʻōpū mimi, ke kanesa o nā puʻupaʻa, a me ke kanesa o ka prostate. Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole nā ​​​​microhematuria āpau he kanesa .

Eia nō naʻe, i kekahi manawa, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kikoʻī no kēia "Microhematuria". Aia kekahi mau hihia e like me ia.

Pehea ka likelika o ka "Microhematuria" he hōʻailona o ka maʻi kanesa?

He mea hopohopo kēia no nā kānaka he nui. Ke hoʻāʻo ʻia ka poʻe me `(Microhematuria)`, ma kahi o 3 pakeneka (3%) o lākou i ʻike ʻia he maʻi kanesa. ʻO ke ʻano kēia, inā he 100 kānaka i loaʻa `(Microhematuria),` ma kahi o 3 o lākou e loaʻa paha i ka maʻi kanesa. Eia nō naʻe, ʻo kou pilikia o ka loaʻa ʻana o ka maʻi kanesa e pili ana i kekahi mau kumu ʻē aʻe. ʻO kēia mau kumu:

• Kou mau makahiki: Hoʻonui iki kēia pilikia i kou wā ʻelemakule.
• ʻO ke koʻikoʻi o ke kūlana `(Microhematuria)`:ʻO ia hoʻi ka nui o nā hunaola koko ʻulaʻula i loko o ka mimi.
• Inā he mea puhi paka ʻoe: ʻO ka puhi paka kekahi kumu nui o ka maʻi ʻaʻai mimi.

No laila, mai makaʻu i ka maʻi kanesa no ka mea he "Microhematuria" kou. Akā, he mea nui e kamaʻilio me ke kauka a ʻike i ke kumu pololei.

He maʻi lele anei kēia?

ʻAʻole, ʻaʻole he maʻi lele ka `(Microhematuria)`. ʻAʻole ia e laha mai kekahi kanaka a i kekahi kanaka. ʻO `(Microhematuria)` kahi kumu maʻamau o `(UTIs)`, ʻoiai ʻaʻole i laha pinepine ʻia nā ``Urinary Tract Infections (UTIs)``, akā i kekahi mau hihia, hiki i ka hana moekolohe ke hoʻonui i ka pilikia o ka maʻi.

ʻO wai ka mea hiki ke loaʻa i kēia `(Microhematuria)`?

Hiki i kekahi ke loaʻa i ka "Microhematuria". Hiki i kēia maʻi ke hoʻopilikia i nā pākeke a me nā keiki . ʻOiai he ʻokoʻa nā kumu, he mea maʻamau ke ʻano i nā mea āpau.

Pehea e ʻike ai nā kauka i kēia? (Diagnosis)

ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino a nīnau e pili ana i kāu mau hōʻailona (inā he). Eia kekahi laʻana, e nīnau paha lākou i nā nīnau e like me:

• Ua loaʻa anei ke koko i loko o kou mimi ?
• Ua piʻi a emi paha kou kaumaha i kēia mau lā iho nei?
• Ke puhipaka nei ʻoe, vape, a hoʻohana paha i nā huahana paka ʻē aʻe?
• He aha nā lāʻau lapaʻau āu e lawe ai? (me nā lāʻau lapaʻau ma luna o ke kauka (nā lāʻau lapaʻau OTC) a me nā huaora (nā mea hoʻohui).
• Ke hoʻohana nei ʻoe i nā lāʻau lapaʻau?
• Ua loaʻa anei i kekahi o kou ʻohana ke kanesa, ke koko i loko o ka mimi, a i ʻole ka maʻi puʻupaʻa?

Inā kānalua kāu kauka he koko kou i loko o kou mimi, e kauoha ʻo ia i kekahi mau hoʻokolohua kūikawā e hōʻoia i kēia kūlana (Microhematuria) a ʻike i ke kumu.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i ka `(Microhematuria)`?

Hiki i ke kauka ke hana i nā hoʻokolohua aʻe e hoʻoholo ai inā he microhematuria kou a ʻike i ke kumu:

• Urinalysis: Lawe ʻia kahi hāpana o kāu mimi a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Hoʻohana ʻia kēia e nānā mua i nā hunaola koko ʻulaʻula, ka nui o lākou, nā hunaola koko keʻokeʻo, a me nā bacteria.
• Moʻomeheu mimi: Inā hōʻike kahi hoʻāʻo mimi i kahi maʻi, hiki i kēia ke kōkua i ka hoʻoholo ʻana inā loaʻa kahi maʻi ʻaʻai mimi (UTI) a, inā pēlā, he aha ka bacteria e hoʻokumu nei. A laila hiki ke hāʻawi ʻia ka antibiotic kūpono.
• Nā hoʻāʻo koko: No ka laʻana, kahi helu koko piha (CBC) a me ka serum creatinine. Hiki i kēia mau mea ke kōkua i ka hoʻoholo ʻana inā he maʻi olakino kou, e like me ka maʻi puʻupaʻa mau (CKD), a i ʻole anemia.
• Nā hoʻāʻo kiʻi:Hiki ke hana ʻia kahi scan ultrasound, kahi urogram CT, a i ʻole kahi scan MRI. Hiki i kēia ke hāʻawi i kāu kauka i kahi kiʻi kikoʻī o kāu ʻōnaehana urinary, e like me kou mau puʻupaʻa, ka ʻōpū mimi, a me ka urethra. Hiki i kēia ke kōkua i ka nānā ʻana i nā mea e like me nā pōhaku, nā puʻupuʻu, a me ke kanesa.
• Cystoscopy: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole lahilahi a palupalu (i kapa ʻia he cystoscope, nona ke kāmela a me ke kukui ma ka hopena) i loko o kou urethra a nānā i loko o kou urethra a me ka ʻōpū mimi. Hiki ke lilo i mea ʻoluʻolu ʻole iki, akā hana pinepine ʻia ma lalo o ka anesthesia kūloko. Hiki i kēia i ke kauka ke ʻike i nā mea e like me nā puʻupuʻu liʻiliʻi, nā pōhaku, a me nā ʻeha i loko o kou ʻōpū mimi.
• Biopsy: Inā loaʻa kahi wahi kānalua i ka wā o ka cystoscopy a i ʻole ke scan, e hoʻohana ke kauka i kahi nila e wehe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ke kino i hoʻopilikia ʻia (e.g., mimi ʻōpū, puʻupaʻa, prostate) a nānā iā ia ma lalo o kahi microscope. Hiki i kēia ke kōkua i ka ʻike ʻana i kahi kūlana kikoʻī, ʻoiai ke kanesa.

ʻAʻole hana ʻia kēia mau hoʻokolohua āpau no nā kānaka āpau. Na kāu kauka e hoʻoholo i nā hoʻokolohua e hana ai ma muli o kou kūlana, ka makahiki, nā hōʻailona, ​​a me nā hopena o nā hoʻokolohua ʻē aʻe.

Pehea e mālama ʻia ai kēia?

ʻO ke ʻano o ka lāʻau no ka "Microhematuria" e pili ana i ke kumu. Ke loaʻa ke kumu, e hoʻomaka ke kauka i ka lāʻau kūpono.

• Inā loaʻa iā ʻoe kahi maʻi ʻaʻai mimi (UTI), hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antibiotic no kekahi mau lā.
• Inā ua hoʻonui ʻia ke kelepa prostate (BPH), hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hoʻēmi iā ia (e like me tamsulosin, terazosin) a i ʻole e kāohi i kona ulu ʻana (e like me finasteride, dutasteride).
• Inā he mau pōhaku i loko o ka ʻōnaehana mimi, hiki ke hāʻawi ʻia nā lāʻau lapaʻau (e like me tamsulosin, nifedipine) e kōkua iā lākou e hele maʻalahi . Pono paha kekahi mau pōhaku i nā lāʻau ʻē aʻe (e like me ka lithotripsy) a i ʻole ke ʻoki ʻana.
• Inā hana ʻia kēia e kekahi mau lāʻau lapaʻau, e like me nā lāʻau anti-inflammatory nonsteroidal (NSAID), hiki ke hōʻino i nā puʻupaʻa, hiki i ke kauka ke haʻi iā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau a hoʻololi paha i kahi lāʻau lapaʻau ʻē aʻe.
• E noi ʻia paha ʻoe e hana i nā hoʻololi i kāu papaʻai. No ka laʻana, hiki ke noi ʻia kekahi me ka maʻi puʻupaʻa mau loa (CKD) e ʻai i ka protein, ka paʻakai, a me ka potassium liʻiliʻi.
• I kekahi manawa pono paha ke ʻoki ʻana e wehe i nā pōhaku, nā ʻāpana o ka prostate, a i ʻole kekahi mea e like me ke kanesa.

Eia nō naʻe, inā ʻaʻole hiki i nā hoʻokolohua ke loaʻa kekahi kumu, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau.Hiki i kāu kauka ke koho e hahai i kahi hoʻolālā i kapa ʻia ʻo 'watchful waiting'. ʻO ia hoʻi, e nānā lākou i kou kūlana akā ʻaʻole e mālama iā ʻoe a hiki i ka loli ʻana o kāu mau hōʻailona. A i ʻole e koho paha lākou e hana i kahi mea i kapa ʻia ʻo 'surveillance'. ʻO ia hoʻi, e hana hou lākou i nā hoʻokolohua e like me ka urinalysis i kēlā me kēia mau mahina.

Hiki ke pale ʻia ka hanana ʻana o `(Microhematuria)`?

I kekahi manawa, ʻaʻole hiki ke pale loa i ka `(Microhematuria)`, no ka mea, ʻaʻole hiki i kekahi mau kumu ke kāohi. Eia nō naʻe , ʻo ka inu ʻana i ka wai he nui, ma ka liʻiliʻi he 2-3 lita i ka lā, ʻoiai i ka wā e hoʻoikaika kino ai, hiki ke kōkua nui. Hoʻoheheʻe kēia i ka mimi a kōkua i ka mālama ʻana i ka maʻemaʻe o ka ʻōnaehana mimi.

Eia kekahi, hiki i nā mea aʻe ke kōkua i ka hōʻemi ʻana i ka pilikia o ka microhematuria:

• Ke hoʻōki loa nei i ka puhipaka. ʻO kēia ke kumu o nā maʻi he nui, me ke kanesa o ka ʻōpū.
• E hoʻohana i nā lāʻau ʻeha e like me NSAID e like me ke kuhikuhi a kāu kauka, a i ka wā e pono ai. ʻAʻole maikaʻi ka lawe ʻana i kēia mau mea i nā manawa a pau.
• Ke pale ʻana i ka ʻike ʻana i ka radiation a me kekahi mau kemika e like me benzenes, amines aromatic, a me hydrocarbons (loaʻa pinepine kēia mau mea i nā hana e pili ana i nā hale hana, nā pena, a me ka rubber).

I ka manawa hea e pono ai iaʻu e hopohopo no ka "Microhematuria"?

Aia maoli nō ia i ke kumu o kou koko i loko o kou mimi. Akā ma ke ʻano laulā, ʻoi aku ka maikaʻi o ka poʻe me ka "Microhematuria" e hoʻomaikaʻi. Nui nā kumu e hoʻomaikaʻi me ka ʻole o ka lāʻau lapaʻau, a i ʻole me ka liʻiliʻi o ka lāʻau lapaʻau. Ke hōʻoia ke kauka he "Microhematuria" kou a loaʻa ke kumu, hiki iā lākou ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi o ka mea e manaʻo ai.

Āhea wau e ʻike ai i ke kauka?

ʻAʻole ʻoe e ʻike inā he microhematuria kou a hiki i ka hoʻāʻo ʻia ʻana e ke kauka. No laila, inā loaʻa iā ʻoe nā hōʻailona e pili ana i ka microhematuria (e.g., kahi loli i kāu mau ʻano mimi , ka wela i ka wā e mimi ai ʻoe, ke kuni, ka ʻeha ma kou ʻōpū lalo), pono ʻoe e kamaʻilio me ke kauka. Inā ʻoi aku ka koʻikoʻi o kāu mau hōʻailona, ​​​​e like me ke kuni nui a i ʻole ka ʻeha hiki ʻole ke hoʻomanawanui, ʻoi aku ka maikaʻi o ka hele koke ʻana i kahi kikowaena mālama wikiwiki.

Inā ua loaʻa iā ʻoe ka "Microhematuria" ma mua a i kēia manawa ke ʻike ʻia nei ke koko i loko o kou mimi (ua kapa ʻia kēia ʻo "Gross Hematuria"), e ʻike koke aku i ke kauka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i nā nīnau e like me kēia e loaʻa ai kahi ʻike maopopo o kou kūlana:

• He aha nā hoʻokolohua āu e ʻōlelo mai ai iaʻu e hana no ka ʻike ʻana i kēia "(Microhematuria)"?
• He aha ke kumu i loaʻa ai iaʻu kēia `(Microhematuria)`?
• Pono anei au i ka lāʻau lapaʻau? A i ʻole ua lawa ka nānā ʻana?
• Inā pono ka lāʻau lapaʻau, he aha ke ʻano o ka lāʻau lapaʻau āu e ʻōlelo nei? Aia kekahi mau hopena ʻaoʻao?
• Hiki iaʻu ke loaʻa hou i kēia kūlana "Microhematuria"? He aha kaʻu e hana ai e pale aku ai?

Ma waho aʻe o kēia mau nīnau, mai makaʻu e nīnau i kāu kauka i kekahi mea āu e noʻonoʻo ai a i ʻole e pili ana. ʻO ka ʻike nui ʻana iā ʻoe e pili ana i kou maʻi, ʻoi aku ka maikaʻi.

No laila, he aha nā mea nui e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

ʻAe, ua kamaʻilio nui mākou e pili ana i ka "Microhematuria". ʻO ka mea hope loa, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• ʻO Microhematuria ka loaʻa ʻana o nā koko liʻiliʻi i loko o kou mimi i liʻiliʻi loa e ʻike ʻia me ka maka ʻōlohelohe. ʻIke pinepine ʻia ia ma ka hanana ʻole, i ka wā o kahi hoʻokolohua ʻē aʻe.
• ʻAʻole pono ka hapa nui o ka poʻe me ka "Microhematuria" i kekahi lāʻau lapaʻau. Pono wale nō ka lāʻau lapaʻau inā he mea e like me ka pōhaku a i ʻole kahi maʻi ʻoi aku ka koʻikoʻi ke kumu. I nā hihia he nui, ʻaʻole hiki ke loaʻa ke kumu, a i ia mau hihia, ua ʻike wale ʻia.
• Nui nā kumu no kēia. Hiki ke lilo i kekahi mea mai nā mea maʻalahi e like me nā maʻi ʻaʻai mimi (UTI) a hiki i nā maʻi koʻikoʻi kakaʻikahi e like me ke kanesa. Akā, mai hopohopo, ʻaʻole nā ​​microhematuria āpau he mea weliweli.
• Inā loaʻa iā ʻoe kekahi mau hōʻailona mimi ʻē aʻe (e.g., ka mimi pinepine ʻana, ka ʻeha i ka wā e mimi ai , ke koko i ʻike ʻia i loko o ka mimi), e ʻike pono i ke kauka.
• ʻO ke kauka ka mea nāna e ʻike i ke kumu kūpono a, inā pono, e hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa. No laila, mai hoʻōla ponoʻī.

ʻO ka mea nui loa, ʻo ia ka makaʻala i nā loli i loko o kou kino a e ʻimi i ke aʻo lapaʻau i ka wā e pono ai. Ma kēia ʻano, hiki ke ʻike mua ʻia nā pilikia he nui a hoʻoponopono ʻia ma mua o ko lākou lilo ʻana i mea koʻikoʻi. E noho olakino!

Koko i loko o ka mimi, Microhematuria, Microhematuria, Maʻi ʻōpū mimi, Maʻi puʻupaʻa, Urinalysis, Nā hunaola koko ʻulaʻula