A chang chuan i zun ah thisen i pass ang maiin i inhria em? Nge i zun laiin kang emaw, na emaw i nei em? Hetiang thil avang hian doctor i pan a nih chuan "Urine Cytology" tih test ti turin a ti che a ni mai thei. Mi thenkhat chuan he hming an hriat hian an hlauthawng deuh thin a, a chhan chu eng ang test nge a nih a, a result chu eng nge ni ang tih an ngaihtuah thin vang a ni. Mahse, hlauhna tur a awm lo. A nihna takah chuan a awlsam hle. Vawiin hian he Urine Cytology test hi eng nge a nih, engvangin nge tih a nih a, eng nge kan zir theih ang tih te han sawi ila.
A awlsam zawngin Urine Cytology chu eng nge ni?
Okay, chuvangin he hming awmzia hi han en hmasa ila. Cytology hi kan taksa chhunga cell awmte zir chianna a ni. A dik zawk chuan microscope hmanga cell-te pianzia, a lian leh te, a danglamna zir chianna a ni. Urine Cytology chu hetianga i zun sample pakhata cell awmte zirchianna a ni.
He test hi doctor cytology lama tui takin a ti thin a ni . Cytopathologist kan ti a. I zun sample-a cell awmte chu microscope hmangin an en a, thil danglam emaw, cancer cell emaw, cancer lo ni thei cell emaw a awm em tih an en a.
A awlsam zawngin, detective-in i zun sample-a cell zinga inthup "cell tha lo" thenkhat a zawng ang mai a ni.
He test hian eng nge a hmuh theih?
He test hian a tum ber chu zun kawng cancer awmte hriat hmasak a ni. Doctor-te chuan he test hi a hnuaia cancer chi hrang hrang an rinhlelh hian an hmang ber a ni:
- Bladder cancer: Hei hi cancer chi hrang hrang hmuhchhuah tam ber a ni.
- Cancer of the ureter: Kal atanga zun (bladder) thlenga zun phur thei tube te tak te cancer a ni.
- Cancer of the urethra: Zun kawng atanga taksa pawn lam thlenga zun phurtu tube cancer a ni.
- Kidney cancer: He test hmang hian kal cancer chi thenkhat pawh hriat theih a ni.
Heng cancer te hi a hriatchhuah bakah hian he test hian virus natna thenkhat, cytomegalovirus te pawh a hmuchhuak thei bawk.
Urine Cytology leh Urinalysis hi thil inang an ni em?
Ni lo, hetah hian mi tam tak an buai thin. Urine Cytology leh Urinalysis (‘urine report’ kan tih tlangpui) hi test hrang hrang pahnih a ni. An pahnih hian i zun sample hmang mah se, an thil tum chu a danglam vek a ni.
An pahnih inthlauhna chiang taka hriat theih nan he table hi han en ila.
| Thupui ber chu | Urine Cytology Test a ni | Urinalysis (zun test tlangpui) 1.1. |
|---|---|---|
| Tum ber chu | Zun sample-a cancer cell emaw, cell pangngai lo emaw dik taka hriat theihna. | Zun awm dan tlangpui enfiah. Entirnan, infection (UTI), kal natna, zunthlum, etc. chungchanga clues hmuh. |
| Eng nge i check? | Cell pianzia, lian leh te, leh nucleus ang chi thilte chu microscope hmangin thuk takin an enfiah thin. | Zun rawng, a fiah, sugar (glucose), protein, thisen cell, leh pus cells te enfiah thin a ni. |
| Tuin nge ti? | Doctor pakhat, cytology lama tui tak (Cytopathologist) a ni. | A tlangpuiin laboratory technologist-in a ti thin. |
| Engtikah nge i tih thin? | Cancer vei rinhlelhna bik a awm chauhvin. | Routine health checkup angin emaw, symptoms a awm hunah emaw tih a ni fo. |
Tunah hian a danglamna i hrethiam em? Urinalysis hi test tlangpui a ni. Urine Cytology hi specialized test a ni a, thil thuk zawk leh chiang zawk a zawng thin.
Engvangin nge doctor chuan he test hi ti turin a tih ang che?
I doctor hian urine cytology test neih a rawt theih chhan hrang hrang a awm thei.
- Zun chhunga thisen (Hematuria): Hei hi a chhan ber a ni. Zun-ah thisen a awm a nih chuan a chhan zawn nan he test hi a pawimawh hle.
- Zun laiin natna emaw, kang emaw: Natna emaw, kang emaw a awm reng chuan.
- Frequent urinary tract infection (UTIs): A chang chuan, urinary tract infection awm fo chhan dang a awm leh awm loh enfiah thin ang che.
- Cancer enkawl hnua enkawl zui dan: Tun hmaa bladder cancer nei tawh leh enkawl tawh i nih chuan he test hi cancer a lo let leh tawh em tih hriat nan hman a ni.
Mahse thil pakhat hre reng ang che. He test hian cancer cell a hmuh loh vang mai mai chuan 100% cancer-free i ni tihna a ni lo. Chuvangin, doctor-te chuan he test rual hian test dang engemaw zat (e.g., cystoscopy, CT scan) tih a rawt a ni.
Engtin nge test atan ka inbuatsaih ang a, sample ka pek ang?
Hei hi thil awlsam tak a ni a, mahse thil pawimawh tlemte tihdik tur a awm.
Test hmaa hriat tur pawimawh ber chu!
Hei hi a pawimawh ber a ni. He test atan hian i zun sample hmasa ber chu zing lamah pe suh. A chhan chu zun chhunga cell zankhua i bladder-a thut tawhte chu a chhe thei a, a chhe thei bawk. Hei hian lab-a doctor tan chuan cell te hriat a harsat phah thei a ni. Chuvangin, zingkar a i zun hmasak ber sample pek a, chumi hnuah ni khata a vawi hnihna emaw, vawi thumna emaw i zun sample pek a tha ber.
Sample pek dan (Clean Catch method) 1.1.
Hemi atan hian lab chuan bottle bik (sterile container) a pe ang che. Tin, cleaning solution leh wipe te pawh an pe mai thei bawk. Sample pek hmain heng step te hi zawm hmasa phawt ang che.
1. Sahbawn hmanga kut sil fai: Hei hi a pawimawh hle.
. Hei hi pawn lam vun atanga hrik sample-a a luh loh nan a ni.
3. Zun tan: A hmasa berin zun tlem te chu toilet-ah empty la.
4. Sample lakkhawm: Chumi hnuah zun chhuah tumin chawlhsan lovin lab-in a pek bottle chu zun chhuahnaah vawn la, a mamawh zat (a tlangpuiin bottle chanve vel) la khawm rawh.
5. A bak chu empty: Bottle chu la chhuakin a bak chu toilet-ah empty rawh.
6. Bottle kha khar la, pe rawh: Bottle kha khar nghet la, a chhung lam khawih suh, a rang thei ang bera lab-ah pe rawh.
Ṭhenkhatah chuan, damlo chuan anmahniin sample an pe thei lo emaw, thil dang vang emaw a nih chuan, doctor chuan bladder aṭanga sample lak nân catheter , urethra-a dah tube te tak te chu a dah a ngai mai thei. Tin, Cystoscopy pawh a awm bawkHetiang sample hi bladder biopsy (camera hmanga bladder enfiah) lai pawhin lak theih a ni.
Lab-a i zun sample kha eng nge thleng?
Sample i pek hnuah lab-ah step engemaw zat a awm a.
- Sample buatsaih dan: A hmasa berin i zun sample chu centrifuge an tih machine-ah dah a ni. Hei hian zun sample chu chak takin a spin a, washing machine-in thawmhnaw a spin dan nen a inang a, tui lakchhuah a ni a, chu chuan cell te chu liquid atanga a then a ni.
- Glass slide-a staining leh staining: Chumi hnuah cell inthen te chu glass slide (microscope slide)-ah theh darh a ni a, special dye (stains) hmangin staining a ni. He staining hian microscope hmanga en chuan cell hmun hrang hrangte chu chiang takin a hriat theih phah a ni.
- Microscopic examination: Hei hi Cytopathologist hian a hna a tanna hmun a ni. He slide buatsaih sa hi microscope hnuaiah a dah a, uluk takin cell te chu pakhat hnu pakhatin a enfiah thin. Cell pangngai aia danglam emaw, pianzia danglam tak nei emaw, nucleus lian tak nei emaw cell a awm em tih chu a ngaihven hle a ni.
- Report buatsaih dan: He examination zawh hian doctor chuan a thil hmuh dan a zirin report a siam ang a, a enkawltu doctor hnenah a thawn ang.
Report-a thil awmte chu eng nge ni a, eng nge a awmzia?
I report-ah hian thu chi hrang hrang a awm thei. Anmahni i hmuh hian hlauthawng suh. I doctor chuan a hrilhfiah vek ang che. Mahse report-a thil lang tlangpui leh a awmzia awlsam tak takte hi han en ila.
| Report-a tarlan theih turte | A awmzia awlsam tak |
|---|---|
| Specimen lungawithlak lo tak | Sample-ah hian test tur cell a awm lo tihna a ni. Chutiang hunah chuan sample dang i pek a ngai mai thei. |
| Urothelial carcinoma grade sang tak tan chuan negative a ni | Hei hi chanchin lawmawm tak a ni. Sample-ah hian cancer cell emaw, rinhlelh awm tak tak, a pangngai lo cell emaw hmuh tur a awm lo. |
| Atypical urothelial cells te chu a awm a | Sample-ah hian cell pangngai lo thenkhat a awm a, mahse an danglam tawk lo a, definitively cancer cells an ni thei lo. Hei hi infection ang chi thil vang pawh a ni thei. |
| Urothelial carcinoma grade sang tak neia rinhlelh awm | Sample-a cell pangngai lo hmuhchhuah te hi cancer cell nih theihna a sang hle . |
| Urothelial carcinoma grade sang tak nei tan a tha | Sample-ah hian cancer cell hmuhchhuah a ni ngei ang tihna a ni. |
Thil pawimawh ber: Urine Cytology report result eng pawh ni se, a ringawt hian cancer a awm leh awm loh chungchangah thutlukna hnuhnung ber a siam lo. A bik takin result chu ‘Atypical’ emaw ‘Suspicious’ emaw a nih chuan i doctor chuan Cystoscopy emaw CT scan ang chi test dang a ti leh ngei ang a, chu chuan thil awmdan chu a finfiah ngei ang. Chuvangin, report i hmuh hnuah pawh hlauthawng suh.
Engtiang chiahin nge urine cytology test hi a dik?
He test dikna hi cancer chi hrang hrang hmuhchhuah a nih danah a innghat a ni.
- High-grade tumors: Hengte hi cancer chi hrang hrang, a lo thang chak hle a, a nasat em em bawk. Hengte hi urine cytology hian 95% velin a dik a ni.
- Low-grade tumors: Hengte hi cancer chi hrang hrang, a lo thang zawi zawi a, a na lo zawk. He test hian hengte hi a hmuchhuak thei vak lo. A dikna chu 10% atanga 50% thleng a ni thei. Chumi awmzia chu chutiang cancer chu awm mah se, report-ah a tlakchham (false-negative) a rinawm zawk tihna a ni.
Hei vang hian doctor te hian test pakhat chauh an rinchhan lo.
Take-Home Thuchah a ni
- Urine Cytology hi zun test (urinalysis) pangngai a ni lo. Test bik a ni a, zun chhunga cancer cell emaw, cell pangngai lo emaw a awm leh awm loh enfiahna a ni.
- He test atana sample i pek hian zing lama i pass hmasak ber zun sample kha pe suh.
- Test result eng pawh ni se, final diagnosis a ni lo. I doctor chuan a finfiah theih nan test dang neih belh a ti mai thei.
- He test hian cancer lian tham tak tak (high-grade) hmuhchhuahna kawngah a tangkai hle.
- Test report chungchanga zawhna i neih emaw, a hnua hmalak dan tur emaw i neih chuan i doctor zawt hreh suh. Zalen taka biak a pawimawh hle.
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