I zun ah hmuh theih loh thisen i nei em? (Microhematuria) Hemi chungchang hi han sawi ila!

A châng chuan i zunah thisen tlemte chauh i nei thei , mahse i hre lo pawh a ni thei. Hei hi doctor-in check-up emaw, test dang emaw a neih laiin hmuhchhuah a ni fo. Hei hi damdawi lam chuan ``Microhematuria'' kan tih chu a ni. Chuvangin, he thu hi chipchiar leh awlsam zawkin kan sawi dawn em ni? Engmah hlauh tur a awm lo, hei hi hriat chian a pawimawh hle.

``Microhematuria'' tih hi eng nge ni tak tak?

A awlsam zawngin `(Microhematuria)` tih awmzia chu thisen, chu chu thisen, i zun chhunga awm tihna a ni. Mahse he thila thisen awm zat hi a tlem em avangin i mit ngeiin i hmu thei lo. Nangmah ngeiin i hmuh theih nan ``microscope`` i mamawh a ni. American Urological Association chuan microscope hmanga ``high-powered field`` hnuaia zun sample pakhatah ``Red Blood Cells (RBC)`` pathum emaw a aia tam emaw a awm chuan ``Microhematuria`` tiin an sawi. Ngaihtuah teh, chutiang tlemte chu! Chumi awmzia chu zun chhunga thisen a te lutuk a, mitin hmuh theih a ni lo tihna a ni.

Chuti a nih chuan zunthlum-a ‘Trace lysed blood’ tih hi eng nge ni?

‘Trace lysed blood’ tih hi `(Microhematuria)` chi khat a ni bawk. ‘Trace’ tih awmzia chu a tlem lutuk, a hmaa kan sawi tawh ang khan, microscope tel lova hmuh theih loh khawpa tlem a ni. ‘Lysed blood’ tih hian thisen sen cell wall te chu a chhe tawh a, a chhe tawh tihna a ni . `(Microhematuria)` pangngaiah chuan thisen sen (red blood cells) bang hi a chhe lo va, a fim a, a la awm reng a ni. An pahnih inkarah hian technical lama danglamna tlem a awm.

Hetiang natna (Microhematuria) hi engte nge a lan chhuah?

A tam zawkah chuan he `(Microhematuria)` vei te hian symptom (chu chu `asymptomatic` a ni) an nei lo . Chu chu, danglamna leh lungawi lohna nei lovin he natna hi i nei thei tihna a ni. Kum tin doctor-in a check che emaw, `routine test` dang a tih emaw hian a lo lang chhuak tlangpui.

Mahse, a chang chuan hetiang symptoms hi i nei thei bawk:

• A tlangpui aia tam zun a ngai (` zun tam`).
• Zun laiin natna emaw, kang emaw (dysuria).
• I pum hnuai lam sir lehlamah, i hip chunglam (i kal awmna) (`flank pain`) a na.
• Khawsik (fever) nei .
• Zun hian rimchhia a nei .

Heng symptoms pakhat emaw, a aia tam emaw i neih chuan Doctor pan hi a finthlak hle ang.

Engvangin nge hetiang hian zun chhungah thisen a awm? A chhante chu engte nge ni?

`(Microhematuria)` hi chhan hrang hrang a awm thei. A bulpui berte han thlir ila:

• Urinary Tract Infections (UTIs): Hei hi a chhan tam ber a ni. Inflammation of the urethra , zun chhuah fo thinHei hi taksa rihna sang leh pum hnuai lam natna nen a inzawm thei bawk. Heng infection te hian zun kawng ah hliam te te a siam thei a, thisen a chhuah tir thei bawk.
• I thla tin period (`menstruation`): Hmeichhia period lai hian thisen chu zun nen a inhmeh thei a, test-ah a lang thei bawk. Chuvang chuan thlasik laiin zun test hi tih loh a ni tlangpui.
• Damdawi thenkhat: Damdawi thenkhat i ei te, entirnan, nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen, diclofenac), antibiotics penicillin ang chi, leh anticoagulants (e.g., warfarin, aspirin) te pawhin hetiang hi a thlen thei bawk.
• Exercise chak tak: Hei hi mi thenkhatah chuan tlan emaw, zuang emaw ang chi exercise hahthlak tak tak an tih hnuah a thleng thei. Hei hi ni engemaw zat hnuah a mah chauhin a lo tha leh tlangpui.
• Enlarged prostate (Benign Prostatic Hyperplasia - BPH): Hei hian a bik takin mipa kum 50 chunglam a nghawng thei a, prostate hi gladder hnuai lama awm gland te tak te a ni. A lo lian chuan zunthlum (urethra) a press thei a, thisen a chhuah tir thei bawk.
• I urinary system-a lung: Hengte hi kal (kidney) lung, ureteral stone emaw, bladder-a lung emaw a ni thei. Heng lungte hian i zun kawng bang nalh tak takte chu a ti hrual thei a, thisen a chhuak thei bawk.
• Chronic Kidney Disease (CKD): Hetiang dinhmun hi kal (kidney)-in thisen a filter tha thei tawh lo a, zun chhungah thisen sen (red blood cells) a awm khawm a, hei hi a lo awm thei a ni.
• Urethral strictures: Urethra (zun chhuahna kawng) chu khawi emaw laiah a zim a nih chuan chu pawh chu a chhan a ni thei bawk.
• Cancer chi hrang hrang: Microhematuria hi natna khirh zawk, bladder cancer, kidney cancer, leh prostate cancer-ah te chuan a lan chhuahna hmasa ber anga ngaih theih a ni. Mahse, microhematuria zawng zawng hi cancer a ni vek lo tih hriat reng a pawimawh .

Mahse, a châng chuan doctor-te chuan he ``Microhematuria'' hi a chhan chiang tak an hmu thei lo mai thei. Chutiang chu a awm bawk.

``Microhematuria'' hi cancer chhinchhiahna a nih theih dan tur engzat nge ni?

Hei hi mi tam tak ngaihtuahawm tak a ni. `(Microhematuria)` vei te an test hian zaa 3 vel (3%) velin cancer an vei tih hmuhchhuah a ni. Chumi awmzia chu mi 100 velin `(Microhematuria)` an vei a nih chuan an zinga 3 velin cancer an vei thei tihna a ni. Mahse, cancer i vei theihna tur chu thil dang engemaw zatah a innghat a ni. Heng thilte hi:

• I kum: He risk hi i upat deuh deuh chuan a pung deuh deuh thin.
• A natna `(Microhematuria)` nasat dan:Chu chu zun chhungah thisen sen engzat nge awm tihna a ni.
• Meizial zutu i nih leh nih loh: Meizial hi bladder cancer thlentu lian tak a ni.

Chuvangin, ``Microhematuria'' i neih vang mai maiin cancer hi hlau suh. Mahse Doctor biak a, a chhan dik tak hriat chian a pawimawh.

Hetiang dinhmun hi kai theih a ni em?

Ni lo, `(Microhematuria)` hi natna hrik kai theih a ni lo. Mi pakhat atanga mi dangah a kai lo. `(Microhematuria)` hi `(UTIs)` awm chhan tlangpui a ni a, ``Urinary Tract Infections (UTIs)`` hi mipat hmeichhiatna atanga kai theih a ni lo tlangpui a, mahse a then phei chuan mipat hmeichhiatna hman hian hri kai theihna a tipung thei a ni.

He `(Microhematuria)` hi tuin nge nei thei ang?

Tu pawhin ``Microhematuria`` an nei thei. Hetiang dinhmun hian puitling bakah naupang pawh a nghawng thei a ni . A chhan hrang hrang thei mah se, a natna hi mi zawng zawngah a awm tlangpui.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

A hmasain doctor chuan i health history a zawt ang che a, i symptoms (a awm chuan) a zawt ang che. Entîr nân, zawhnate chu:

• I zun ah thisen i nei tawh em ?
• Tun hnaiah i thau i tipung emaw, i thau lo emaw?
• Zuk leh hmuam i in em, i vape em, i hmang em?
• Eng damdawi nge i ei thin? (over-the-counter damdawi (OTC damdawi) leh vitamin (supplement) te pawh a tel.
• Ruihhlo i hmang em?
• I chhungte zingah cancer, zun chhunga thisen, kal natna nei an awm tawh em?

I doctor chuan i zun-ah thisen a awm nia a rinhlelh chuan he natna (Microhematuria) hi finfiah nan leh a chhan zawng turin special test engemawzat a ti ang.

`(Microhematuria)` hmuhchhuah nan eng test nge tih thin?

Doctor chuan microhematuria i neih leh neih loh hriat nan a hnuaia test te hi a ti thei ang a, a chhan pawh a hmu thei ang:

• Urinalysis: I zun sample lak a ni a, lab-ah test turin thawn a ni. Hei hi thisen sen (red blood cells) te, engzat nge awm tih te, thisen var (white blood cells) leh bacteria te enfiah hmasak nan hman a ni.
• Urine culture: Urine test-in infection a awm tih a hriat chuan hei hian urinary tract infection (UTI) a awm leh awm loh leh, a awm a nih chuan eng bacteria nge a thlen tih hriat theih nan a pui thei a ni. Chumi hnuah chuan antibiotic dik tak chu pek theih a ni.
• Thisen test: Entirnan, thisen chhiar kimchang (CBC) leh serum creatinine. Chûngte chuan i damdawi lam dinhmun, chronic kidney disease (CKD), emaw, thisen tlakchhamna emaw i neih leh neih loh hriat nân a ṭanpui thei a ni.
• Imaging test hrang hrang:Ultrasound scan emaw, CT urogram emaw, MRI scan emaw pawh tih theih a ni. Chûngte chuan i doctor-te chu i zun kawng, i kal, i zunthlum, leh i zun kawng (urethra) te chipchiar takin a hmu thei a ni. Chûngte chuan lung, tumor, leh cancer ang chi thilte enfiah nân a ṭanpui thei a ni.
• Cystoscopy: Hetiang tih danah hian doctor chuan i urethra chhungah tube te tak te, flexible tak (cystoscope an tih, a tawpah camera leh light awm) a dah lut a, chu chuan i urethra leh bladder chhung chu a enfiah thin. Hei hi a nuam lo deuh thei a, mahse local anesthesia hmanga tih a ni tlangpui. Hei hian doctor chuan i bladder chhunga tumor te te, lung te, leh lesion te ang chi thil a hmu thei a ni.
• Biopsy: Cystoscopy emaw scan emaw an tih laiin rinhlelhna hmun hmuh a nih chuan doctor chuan needle hmangin a natna taksa peng (e.g., bladder, kidney, prostate) atanga tissue sample te tak te chu a la chhuak ang a, microscope hmangin a enfiah ang. Hei hian natna bik, a bik takin cancer hriat theihna kawngah a pui thei a ni.

Heng test zawng zawng hi mi zawng zawng tan tih vek a ni lo. I doctor chuan i dinhmun, i kum, i natna lan chhuah dan leh i test dang result a zirin eng test nge i tih tur tih a rel ang.

Hei hi engtin nge enkawl a nih?

``Microhematuria'' enkawl dan hi a chhan a zirin a ni. A chhan hmuhchhuah a nih veleh doctor chuan a enkawl dan tur dik tak chu a tan ang.

• Urinary tract infection (UTI) i neih chuan ni engemaw zat antibiotics pek i ni thei bawk.
• Prostate gland a lian (BPH) a nih chuan a tihtlem nan damdawi (e.g. tamsulosin, terazosin) emaw, a thanna control nan emaw (e.g. finasteride, dutasteride) pek theih a ni.
• Urinary system-ah lung a awm chuan awlsam zawka kal theihna turin damdawi (e.g. tamsulosin, nifedipine) pek theih a ni . Lung thenkhat chu enkawlna dang (lithotripsy ang chi) emaw, operation emaw a ngai thei bawk.
• Hei hi damdawi thenkhat, nonsteroidal anti-inflammatory drugs (NSAIDs) ang chi, kal tichhe thei avanga lo awm a nih chuan doctor chuan damdawi ei tawh lo turin emaw, damdawi dang hmang turin a hrilh thei che a ni.
• I ei leh in lama inthlak danglamna siam turin an ti che mai thei. Entîr nân, kal natna khirh tak (CKD) vei chu protein, chi, leh potassium ei tlem tûrin an ti thei a ni .
• A châng chuan lung, prostate hmun ṭhenkhat emaw, cancer ang chi emaw paih chhuah nân operation neih a ngai thei bawk.

Mahse, test-nain a chhan a hmuh theih loh chuan enkawlna engmah i mamawh lo mai thei.I doctor chuan ‘watchful waiting’ tih strategy zawm a thlang mai thei. Hei hian i dinhmun an enfiah ang a, mahse i symptoms a danglam hma chuan an enkawl lo vang tihna a ni. A nih loh leh ‘surveillance’ tih thil tih an thlang mai thei bawk. Hei hian thla engemaw zat danah urinalysis ang chi test an ti leh dawn tihna a ni.

`(Microhematuria)` lo awm hi ven theih a ni em?

A châng chuan, `(Microhematuria)` hi pumpelh vek theih a ni lo mai thei, a chhan ṭhenkhat chu kan thunun theih loh a nih avangin. Mahse , tui tam tak, ni khatah litre 2-3 tal in hian, a bik takin exercise i tih hian nasa takin a pui thei a ni. Hei hian zun a ti tithianghlim a, zun kawng a thianghlim theih nan a pui bawk.

Tin, a hnuaia thilte hian microhematuria vei theihna a tihziaawm thei bawk:

• Meizial zuk bânsan vek. Hei hi natna tam tak bulpui ber a ni a, bladder cancer pawh a tel.
• NSAID ang chi natna tidamtu hi doctor-in a tih ang chauhin hmang la, a tul hunah chauh hmang bawk ang che. Thil tenawm apiang atan hengte hi ei fo a tha lo.
• Radiation leh chemical thenkhat benzenes, aromatic amines, leh hydrocarbons (hengte hi factory, paint leh rubber hmanga hnathawhnaah hmuh tur a awm tlangpui) te laka invenna .

Engtikah nge ``Microhematuria'' hi ka ngaihtuah tur?

I zun chhunga i thisen awm chhan ah a innghat tak zet a ni. Mahse a tlangpuiin ``Microhematuria'' vei te hian dam theihna chance an nei tha zawk. A chhan tam tak chu enkawl lohvin, a nih loh leh enkawlna tlemte chauhvin a dam thin. Doctor chuan ``Microhematuria'' i vei tih a nemnghet a, a chhan a hmuh chuan eng nge i beisei tih hriatna tha tak an pe thei che a ni.

Engtikah nge Doctor ka hmuh ang?

Doctor-in a test hma loh chuan microhematuria i nei em tih i hre lovang. Chuvangin, microhematuria nena inzawm thei symptoms i neih chuan (e.g., i zun dan inthlak danglamna, i zun laiin kang , khawsik, i pum hnuai lam natna), doctor i biak ngei ngei tur a ni. I natna lan chhuah dan a na zawk a, khawsik sang emaw, tuar theih loh natna emaw a nih chuan urgent care center pan nghal mai a tha ber.

``Microhematuria'' i lo vei tawh a, tunah chuan i zun- ah thisen hmuh theih i nei a nih chuan (hei hi ``Gross Hematuria'' an ti a) doctor pan nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor pan tura i kal hian i dinhmun chiang taka i hriat theih nan hetiang zawhna hi zawh a tha ang:

• He ``(Microhematuria)'' hi hriatchhuah nan eng test nge ka tih i rawt?
• He `(Microhematuria)` ka neih chhan hi eng nge ni?
• Enkawlna ka mamawh em? A nih loh leh enfiahna hi a tawk em?
• Enkawl a ngai a nih chuan eng ang enkawlna nge i rawt? Side effect a awm em?
• He ``Microhematuria`` condition hi ka nei leh thei ang em? A ven nan eng nge ka tih ang?

Heng zawhnate bakah hian i doctor hnenah i neih emaw, i ngaihtuah zawng zawng emaw zawh hreh suh. I natna chungchang i hriat chian poh leh a tha zawk.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Okay, tunah chuan ``Microhematuria'' chungchang hi kan sawi nasa tawh hle. A tawp berah chuan i hriat reng tur pawimawh tak takte chu hengte hi a ni:

• Microhematuria chu i zun chhunga thisen tlemte, mit chauha hmuh theih loh khawpa tlem a awm hi a ni. A nihna takah chuan hmuhchhuah a ni fo thin a, test dang neih laiin.
• ``Microhematuria'' vei tam zawk chuan enkawlna engmah an mamawh lo. Lung ang chi emaw, natna khirh zawk emaw a chhan a nih chauhvin enkawl a ngai a ni. Thil tam takah chuan a chhan chu hmuh theih a ni lo va, chutiang hunah chuan hmuh chhuah mai a ni.
• Hei hi chhan tam tak a awm thei. Thil awlsam tak tak, urinary tract infection (UTI) atanga cancer ang chi natna hlauhawm zawk, a hlauhawm zawk thlengin a awm thei. Mahse, lungngai suh, microhematuria zawng zawng hi a hlauhawm vek lo.
• Urinary symptom danglam tak tak (e.g., zun tam , zun laiin na , zun chhunga thisen hmuh theih) i neih chuan doctor pan ngei ngei tur a ni.
• Doctor hi a chhan dik tak hmuchhuaktu tur a ni a, a tul chuan enkawlna tha ber pe tur che a ni. Chuvang chuan mahni invenna nei suh.

A pawimawh ber chu i taksaa inthlak danglamnate ngaihven a, a tul huna damdawi lam thurawn lak hi a ni. Hetiang hian harsatna tam tak chu a hmaa hriatchhuah theih a ni a, a nasat hmain chinfel theih a ni. Hrisel takin awm rawh!

` Zun chhunga thisen awm, Microhematuria, Microhematuria, Zun kawng infection, Kal natna, Urinalysis, Red blood cells