Yu gɛt blɔd we yu nɔ de si na yu urine? (Microhematuria) Lɛ wi tɔk bɔt dis!

Sɔntɛnde, yu kin gɛt smɔl blɔd na yu urine , bɔt yu nɔ kin ivin notis am. Bɔku tɛm, dɛn kin no dis we dɛn de chɛk-ap ɔ ɔda tɛst we dɔktɔ de du. Dis na wetin wi kin kɔl ``Microhematuria'' pan mɛrɛsin. So, wi go tɔk bɔt dis smɔl mɔ ɛn simpul wan? Natin nɔ de fɔ fred, i rili impɔtant fɔ no bɔt dis.

Wetin na di ɛksaktɔli ``Microhematuria''?

Fɔ tɔk am simpul wan, `(Microhematuria)` min blɔd, dat na blɔd, na yu urine. Bɔt di blɔd we de insay dis so smɔl dat yu nɔ go ebul fɔ si am wit yu yay. Yu nid ``maykroskop`` fɔ si am fɔ yusɛf. di American Urological Association dεn dεfεn am as ``Microhematuria`` if tri כ mכr ``Rεd Blכd Sεl (RBC)`` de insay wan urine sεmpl כnda ``high-powered field`` fכ maykroskכp. Imajin, da smɔl mɔni de! Dat min se blɔd we de na di urine so smɔl dat yu nɔ go si am wit yu yay.

So wetin na ‘Trace lysed blood’ na urine?

'Trace lysed blood' na wan kayn `(Microhematuria)` bak. ‘Trays’ min se na rili smɔl tin, lɛk aw wi bin dɔn tɔk, i tu smɔl fɔ si if yu nɔ yuz maykroskɔp. ‘Lysed blood’ min se di sɛl wɔl dɛn na di rɛd blɔd sɛl dɛn dɔn brok ɛn pwɛl . insay nכmal `(Microhematuria)`, di wכl dεm na di rεd bכdi sεl dεm nכ de brok, bכt dεn fayn εn intakt. Smɔl tɛknikal difrɛns de bitwin dɛn tu.

Wetin na di sayn dɛm fɔ dis sik (Microhematuria)?

Bɔrku tɛm, pipul dɛm wae gɛt dis `(Microhematuria)` nɔr kin gɛt ɛni simptom (dat na, `asymptomatic`). Dat min se yu kin gɛt dis sik ɛn nɔr kin fil ɛni difrɛns ɔr nɔr kin fil fayn. Dɛn kin no am bay chans we dɔktɔ de chɛk yu ɛvri ia ɔ du ɔda `rutin tɛst`.

Bɔt sɔntɛnde, yu kin gɛt sɔm sayn dɛn bak lɛk dɛn wan ya:

• Nid fɔ pis bɔku tɛm pas aw i kin pis (`frequent urination`).
• Pen ɔ bɔn we yu de pis (dysuria).
• Pen na di tu say dεm na yu lכw bכdi, jכs oba yu hip dεm (we yu kidni dεm de) (`flank pen`).
• Fɔ gɛt fiva .
• Yurin gɛt bad bad smel .

If yu gɛt wan ɔ mɔ pan dɛn sayn ya, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek blɔd de na di urine lɛk dis? Wetin na di tin dɛn we kin mek i apin?

difrεn rizin kin de fכ `(Microhematuria)`. Lɛ wi luk di men wan dɛn:

• Urinary Tract Infections (UTIs): Dis na di tin we kin mek pɔsin gɛt mɔt. Inflammation of the urethra , fɔ pis bɔku tɛmDis kin kam wit yu wet we yu de gɛt ɛn we yu de fil pen na yu bɛlɛ we de dɔŋ. Dɛn infɛkshɔn ya kin mek yu gɛt smɔl smɔl wund dɛn na di urinary tract ɛn mek yu blɔd kɔmɔt.
• yu mכnt pεriכd (`mεnstrashכn`): We uman de pεriכd, bכdi kin miks wit urine εn sho pan tεst. Na dat mek dɛn nɔ kin du tɛst fɔ yu urine we yu de gɛt mɔnt.
• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we yu kin tek, fɔ ɛgzampul, nɔ-stɛroyd anti-inflammatory drɔgs (NSAID) (e.g., ibuprofen, diclofenac), antibayɔtiks lɛk penisilin, ɛn antikoagulant (e.g., warfarin, aspirin), kin mek dis bak.
• Vigorous exercise: Dis kin apin to sɔm pipul dɛm afta dɛn dɔn du strɛng ɛksɛsayz lɛk fɔ rɔn ɔ jomp. Dis kin bɛtɛ fɔ insɛf afta sɔm dez.
• di prɔstat we big (Benign Prostatic Hyperplasia - BPH): Dis kin afɛkt man dɛn we dɔn pas 50 ia mɔ.Di prɔstat na smɔl gland we de dɔŋ di blad. We i big, i kin prɛs pan di urethra ɛn mek blɔd kɔmɔt.
• Ston na yu urinary system: Dɛn kin bi kidni ston, ureteral ston, ɔ blad ston. Dɛn ston ya kin skrach di fayn fayn wɔl dɛn na yu urinary system ɛn mek yu blɔd kɔmɔt.
• Krכnik Kidni Disease (CKD): Dis kכndyushכn kin apin we di kidni dεm nכ ebul fכ filta blכd fayn igen, we kin mek di rεd blכd sεl dεm de kכmכt na di urine.
• Yurethral strictures: If di urethra (di pas we di urine de kɔmɔt) dɔn smɔl sɔmsay, dat kin bi bak wan kɔz.
• Sɔm kayn kansa: Dɛn kin si maykrohɛmatɔria as wan fɔs sayn pan mɔr siriɔs sik dɛm lɛk blad kansa, kidni kansa, ɛn prɔstat kansa. Bɔt i impɔtant fɔ mɛmba se nɔto ɔl di maykrohɛmatɔria na kansa .

Bɔt sɔmtɛm, dɔktɔ dɛn nɔ kin ebul fɔ fɛn wan patikyula kɔz fɔ dis ``Microhematuria''. Dɛn kayn kes dɛn de bak.

Aw i go bi se ``Microhematuria'' bi sayn fɔ kansa?

Dis na tin we de mɔna bɔku pipul dɛn. We dɛn tɛst pipul dɛn we gɛt `(Microhematuria)`, dɛn kin si se lɛk 3 pasɛnt (3%) pan dɛn gɛt kansa. Dis min se if 100 pipul dɛn gɛt `(Microhematuria),` lɛk 3 pan dɛn kin gɛt kansa. Bɔt di chans we yu gɛt fɔ gɛt kansa kin dipen pan bɔku ɔda tin dɛn. Dɛn tin ya na:

• Yu ej: Dis risk kin go ɔp smɔl as yu de ol.
• Di kayn bad bad tin we kin apin to am `(Microhematuria)`:Dat min se ɔmɔs rɛd blɔd sɛl dɛn de na di urine.
• If yu na pɔsin we de smok: Smok na di men tin we kin mek pɔsin gɛt kansa na yu blad.

So, nɔr frayd fɔ gɛt kansa jɔs bikɔs yu gɛt ``Microhematuria''. Bɔt i impɔtant fɔ tɔk to dɔktɔ ɛn no di rayt rizin.

Dis sik kin pas?

Nɔ, `(Microhematuria)` nɔto sik we pɔsin kin gɛt. I nɔ de pas frɔm wan pɔsin to ɔda pɔsin. `(Microhematuria)` na wan kɔmɔn tin we kin mek pɔsin gɛt `(UTIs)`, pan ɔl we ``Urinary Tract Infections (UTIs)`` nɔ kin gɛt dis sik, bɔt insay sɔm kes dɛm, mami ɛn dadi biznɛs kin mek di risk fɔ gɛt infɛkshɔn bɔku.

Udat kin divɛlɔp dis `(Microhematuria)`?

Ɛnibɔdi kin gɛt ``Microhematuria``. Dis sik kin afɛkt big pipul dɛn ɛn pikin dɛn bak . Pan ɔl we di tin dɛn we kin mek pɔsin gɛt dis sik kin difrɛn, di sik kin apin to ɔlman.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Fɔs, di dɔktɔ go aks yu bɔt yu wɛl bɔdi istri ɛn aks yu bɔt yu sik dɛn (if ɛni wan de). Fɔ ɛgzampul, dɛn kin aks kwɛstyɔn dɛn lɛk:

• Yu dɔn ɛva gɛt blɔd na yu urine ?
• Yu dɔn gɛt mɔ wet ɔ yu dɔn lɔs dis biɛn tɛm?
• Yu kin smok, vayp, ɔ yuz ɔda tin dɛn we dɛn kin yuz fɔ smok?
• Us mɛrɛsin dɛn yu kin tek? (inklud di mɛrɛsin dɛn we dɛn kin bay na kɔt (OTC mɛrɛsin dɛn) ɛn vaytamɛn dɛn (suplimɛnt dɛn).
• Yu de yuz drɔgs?
• Ɛnibɔdi na yu famili dɔn ɛva gɛt kansa, blɔd na yu urine, ɔ kidni sik?

If yu dɔktɔ sɔspɛkt se yu gɛt blɔd na yu urine, i go ɔda fɔ du sɔm spɛshal tɛst fɔ kɔnfirm dis sik (Microhematuria) ɛn fɔ no di kɔz.

Us tɛst dɛn kin du fɔ no `(Microhematuria)`?

Dɔktɔ kin du dɛn tɛst ya fɔ no if yu gɛt maykrohɛmatɔria ɛn fɔ no di kɔz:

• Urinalysis: Dɛn kin tek wan sɛmpul pan yu urine ɛn sɛn am na lab fɔ mek dɛn tɛst am. Dɛn kin yuz dis fɔ chɛk fɔs if rɛd blɔd sɛl dɛn de, ɔmɔs dɛn de, wayt blɔd sɛl dɛn, ɛn baktri dɛn.
• Yurin kɔlchɔ: If urine tɛst sho se yu gɛt infekshɔn, dis kin ɛp fɔ no if urinary tract infection (UTI) de ɛn if na so, us baktri dɛm de mek i gɛt am. Dɔn dɛn kin gi di rayt antibayɔtik.
• Blɔd tɛst: Fɔ ɛgzampul, wan kɔmplit blɔd kɔnt (CBC) ɛn sɛrum kriaytinin. Dɛn tin ya kin ɛp fɔ no if yu gɛt wan sik we de ɔnda yu, lɛk krɛse sik (CKD), ɔ anemia.
• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ:Dɛn kin du ɔltra saund skan, CT urogram, ɔ MRI skan. Dɛn tin ya kin gi yu dɔktɔ ditayli pikchɔ bɔt yu urinary system, lɛk yu kidni, blad, ɛn urethra. Dɛn tin ya kin ɛp fɔ chɛk fɔ si if yu gɛt tin dɛn lɛk ston, tumbu, ɛn kansa.
• Sistoskopi: Insay dis we aw dɛn de du dis, di dɔktɔ kin put wan tint we kin chenj (we dɛn kɔl sistoskɔp, we gɛt kamɛra ɛn layt na di ɛnd) insay yu urethra ɛn chɛk di insay pat pan yu urethra ɛn blad. Dis kin mek yu nɔ fil fayn smɔl, bɔt dɛn kin du am ɔnda lokal anestesia. Dis kin mek di dɔktɔ si tin dɛn lɛk smɔl smɔl tumbu, ston, ɛn lɛsin dɛn we de insay yu blad.
• Bayɔpsi: If dɛn si say we dɛn tink se dɛn de du sistoskɔpi ɔ skan, di dɔktɔ go yuz nidul fɔ pul smɔl smɔl tisu frɔm di ɔgan we di sik afɛkt (e.g., blad, kidni, prɔstat) ɛn chɛk am ɔnda maykroskɔp. Dis kin ɛp fɔ no wan patikyula sik, mɔ kansa.

Nɔto ɔl dɛn tɛst ya dɛn kin du fɔ ɔlman. Yu dɔktɔ go disayd us tɛst fɔ du bay yu kɔndishɔn, yu ej, di sayn dɛm, ɛn di rizɔlt fɔ ɔda tɛst dɛm.

Aw dɛn kin trit dis?

Di tritmɛnt fɔ ``Microhematuria'' dipen pan di kɔz. We dɛn dɔn no di kɔz, di dɔktɔ go bigin fɔ gi di rayt tritmɛnt.

• If yu gɛt urinary tract infection (UTI), dɛn kin gi yu antibayɔtik fɔ sɔm dez.
• if di prostat gland big (BPH), dεn kin gi am mεdikesh כn fכ shrink am (e.g. tamsulosin, terazosin) כ k כntrכl in growth (e.g. finasteride, dutasteride).
• If ston de na di urinary system, dɛn kin gi am mɛrɛsin (e.g. tamsulosin, nifedipine) fɔ ɛp dɛn fɔ pas izi wan . Sɔm ston dɛn kin nid ɔda tritmɛnt (lɛk lithotripsy) ɔ ɔpreshɔn.
• If na sɔm mɛrɛsin dɛn, lɛk nonsteroidal anti-inflammatory drugs (NSAIDs), we kin pwɛl di kidni dɛn, di dɔktɔ kin tɛl yu fɔ stɔp fɔ tek di mɛrɛsin ɔ chenj to ɔda mɛrɛsin.
• Dɛn kin aks yu fɔ chenj di tin dɛn we yu de it. Fɔ ɛgzampul, dɛn kin aks pɔsin we gɛt krɛse sik (CKD) fɔ it smɔl prɔtin, sɔl, ɛn potashɔm .
• Sɔntɛnde, i kin nid fɔ du ɔpreshɔn fɔ pul ston, sɔm pat dɛn na di prɔstat, ɔ sɔntin lɛk kansa.

Bɔt if tɛst nɔ ebul fɔ fɛn ɛni rizin, yu nɔ go nid ɛni tritmɛnt.Yu dɔktɔ kin disayd fɔ fala wan strateji we dɛn kɔl ‘watchful waiting’. Dis min se dɛn go wach yu kɔndishɔn bɔt dɛn nɔ go trit yu te yu sik chenj. Ɔ dɛn kin disayd fɔ du sɔntin we dɛn kɔl ‘sɔvɛlayshɔn’. Dis min se dɛn go ripit tɛst lɛk urinalysis ɛvri sɔm mɔnt.

Yu tink se dɛn kin mek di `(Microhematuria)` nɔ apin?

sכmtεm, i kin nכ posεbul fכ kכmplit fכ bכn `(Microhematuria)`, biכs sכm kכz dεm de pas wi kכntro. Bɔt , fɔ drink bɔku wata, at le 2-3 lita fɔ wan de, mɔ we yu de du ɛksɛsayz, kin ɛp bɔku. dis de mek di urine dilute εn i de εp fכ kip di urine sistεm klin.

Dɔn bak, dɛn tin ya kin ɛp fɔ ridyus di risk fɔ gɛt maykrohɛmatɔria:

• Fɔ lɛf fɔ smok kpatakpata. Dis na di rut fɔ bɔku sik dɛn, lɛk blad kansa.
• Yuz pen kil lɛk NSAID jɔs lɛk aw yu dɔktɔ tɛl yu, ɛn na we yu nid am nɔmɔ. I nɔ fayn fɔ tek dɛn tin ya ɔltɛm fɔ ɛvri smɔl tin.
• Fɔ avɔyd fɔ gɛt raytin ɛn sɔm kemikal dɛn lɛk bɛnzin, aromatic amine, ɛn haydrokabɔn (dɛn kin si dɛn tin ya na wok dɛn we gɛt fɔ du wit faktri, pent, ɛn rɔba).

Ustɛm a fɔ wɔri bɔt ``Microhematuria''?

I rili dipen pan wetin de mek yu blɔd de na yu urine. Bɔt in jɛnɛral, pipul dɛm wae gɛt ``Microhematuria'' kin gɛt bɛtɛ chans fɔ wɛl. Bɔrku kɔz kin bɛtɛ if yu nɔr gɛt tritmɛnt, ɔr wit smɔl tritmɛnt. Wae dɔktɔ kɔnfyus se yu gɛt ``Microhematuria'' ɛn fɛn di kɔz, dɛn kin gi yu gud aidia bɔt wetin fɔ ɛkspɛkt.

Ustɛm a fɔ go to dɔktɔ?

Yu nɔ go no if yu gɛt maykrohematuria te dɔktɔ tɛst yu. So, if yu gɛt sɔm sayn dɛm we kin gɛt fɔ du wit maykrohɛmatɔria (e.g., chenj na yu urinate abit, bɔn we yu de pis , fiva, pen na yu bɛlɛ we de dɔŋ), yu fɔ rili tɔk to dɔktɔ. If yu sik dɛn kin tranga pasmak, lɛk wae yu gɛt ay fiva ɔr yu nɔr kin ebul fɔ bia, i go fayn fɔ go na say fɔ kia fɔ yu kwik kwik wan.

If yu bin dɔn gɛt ``Microhematuria'' bifo ɛn naw yu gɛt blɔd we yu kin si na yu urine (dɛn kɔl dis ``Gross Hematuria''), go to dɔktɔ wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dis fɔ mek yu ɔndastand yu sik klia wan:

• Us tɛst yu kin se a fɔ du fɔ no dis ``(Microhematuria)''?
• Wetin na di rizin we mek a gɛt dis `(Microhematuria)`?
• A nid tritmɛnt? Ɔ yu tink se fɔ wach tin go du fɔ yu?
• If dɛn nid tritmɛnt, us kayn tritmɛnt yu kin advays? Ɛni bad bad tin dɛn de we kin apin to am?
• A kin gɛt dis ``Microhematuria`` kɔndishɔn bak? Wetin a fɔ du fɔ mek i nɔ apin?

Apat frɔm dɛn kwɛstyɔn ya, nɔ fred fɔ aks yu dɔktɔ ɛnitin we yu gɛt ɔ tink bɔt. Di mɔ we yu no bɔt yu sik, na di mɔ i go fayn.

So, wetin na di impɔtant tin dɛn we wi nid fɔ mɛmba frɔm dis stori?

Okay, wi don tok plenti boht ``Microhematuria'' naw. Fɔ dɔn, na di impɔtant tin dɛn we yu fɔ mɛmba:

• Maykrohematuria na we smɔl blɔd de na yu urine we tu smɔl fɔ si wit yu yay. Bɔku tɛm dɛn kin no am bay chans, we dɛn de du ɔda tɛst.
• Bɔrku pipul dɛm wae gɛt ``Microhematuria'' nɔr nid ɛni tritmɛnt. Dɛn kin jɔs nid tritmɛnt if sɔntin lɛk ston ɔ wan sik we rili siriɔs na in de mek dɛn gɛt am. Bɔku tɛm, dɛn nɔ kin ebul fɔ no di tin we mek i apin, ɛn insay dɛn kayn tin ya, dɛn kin jɔs si am.
• Bɔku tin dɛn kin de we kin mek dis apin. I kin bi ɛnitin frɔm simpul tin lɛk urinary tract infection (UTI) to rare, mɔr siriɔs kɔndishɔn lɛk kansa. Bɔt nɔ wɔri, nɔto ɔl maykrohɛmaturia denja.
• If yu gɛt ɛni ɔdinari sayn we yu de pis (e.g., yu de pis ɔltɛm , yu de fil pen we yu de pis , yu de si blɔd na yu urine), mek shɔ se yu go to dɔktɔ.
• Na di dɔktɔ go fɛn di rayt tin ɛn if nid de, i go gi yu di bɛst tritmɛnt. So nɔ fɔ mɛn yusɛf.

Di tin we impɔtant pas ɔl na fɔ pe atɛnshɔn to di chenj dɛn we de apin na yu bɔdi ɛn go to dɔktɔ we nid de. Dis we ya, dɛn kin no bɔku prɔblɛm dɛn kwik kwik wan ɛn sɔlv dɛn bifo dɛn siriɔs. Stay wit wɛlbɔdi!

` Blɔd na di urine, Microhematuria, Microhematuria, Urinary tract infection, Kidni sik, Urinalysis, Rɛd blɔd sɛl dɛm