Kodi muli ndi magazi osaoneka mu mkodzo wanu? (Microhematuria) Tiyeni tikambirane izi!

Nthawi zina mungakhale ndi magazi ochepa kwambiri mumkodzo wanu, koma simungazindikire. Izi nthawi zambiri zimapezeka panthawi yowunika kapena mayeso ena ndi dokotala. Izi ndi zomwe madokotala amati ``Microhematuria''. Ndiye, kodi tikambirane izi mwatsatanetsatane komanso mosavuta? Palibe choopa, ndikofunikira kwambiri kudziwa izi.

Kodi "Microhematuria" kwenikweni ndi chiyani?

Mwachidule, `(Microhematuria)` amatanthauza magazi, kutanthauza magazi, mu mkodzo wanu. Koma kuchuluka kwa magazi mu mkodzo ndi kochepa kwambiri kotero kuti simungathe kuwona ndi maso anu amaliseche. Mukufunika ``microscope`` kuti muone nokha. Bungwe la American Urological Association limatanthauzira kuti ``Microhematuria`` ngati pali ``Red Blood Cells (RBCs)`` zitatu kapena kuposerapo mu chitsanzo cha mkodzo pansi pa ``high-powered field``` ya microscope. Tangoganizirani, kuchuluka kochepa kumeneko! Izi zikutanthauza kuti magazi mu mkodzo ndi ochepa kwambiri kotero kuti sangawonekere ndi maso amaliseche.

Ndiye kodi 'Trace lysed blood' ndi chiyani mu mkodzo?

'Magazi ofufutidwa' ndi mtundu wa `(Microhematuria)`. 'Trace' amatanthauza kuchuluka kochepa kwambiri, monga tafotokozera kale, kochepa kwambiri kuti kuoneke popanda maikulosikopu. 'Magazi ofufutidwa' amatanthauza kuti makoma a maselo ofiira a magazi asweka ndi kuwonongeka . Mu `(Microhematuria)` yachibadwa, makoma a maselo ofiira a magazi sasweka, koma ndi abwino komanso osasweka. Pali kusiyana pang'ono pakati pa awiriwa.

Kodi zizindikiro za vutoli (Microhematuria) ndi ziti?

Nthawi zambiri, anthu omwe ali ndi vuto la `(Microhematuria)` samakhala ndi zizindikiro zilizonse (ndiko kuti, `zosawoneka`). Izi zikutanthauza kuti, mutha kukhala ndi vutoli popanda kumva kusiyana kulikonse kapena kusasangalala. Nthawi zambiri zimapezeka mwangozi dokotala akamakuyang'anani chaka chilichonse kapena akamachita `mayeso ena okhazikika`.

Komabe, nthawi zina mungakhale ndi zizindikiro monga izi:

• Kufunika kukodza pafupipafupi kuposa masiku onse ('kukodza pafupipafupi').
• Kupweteka kapena kutentha pamene mukukodza (dysuria).
• Ululu mbali zonse ziwiri za mimba yanu ya pansi, pamwamba pa chiuno chanu (komwe kuli impso zanu) ('ululu wa m'mbali mwa chiuno').
• Kukhala ndi malungo .
• Mkodzo uli ndi fungo loipa .

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndi bwino kupita kwa dokotala.

N’chifukwa chiyani magazi amapezeka mu mkodzo chonchi? Kodi zimayambitsa matenda amenewa ndi chiyani?

Pakhoza kukhala zifukwa zingapo za `(Microhematuria)`. Tiyeni tiwone zazikulu:

• Matenda a mkodzo (UTIs): Ichi ndi chomwe chimayambitsa kwambiri. Kutupa kwa mkodzo , kukodza pafupipafupiIzi zitha kutsagana ndi kunenepa kwambiri komanso kupweteka m'mimba. Matendawa angayambitse mabala ang'onoang'ono m'njira ya mkodzo ndikuyambitsa kutuluka magazi.
• Msambo wanu wa mwezi uliwonse (`msambo`): Pa nthawi ya msambo wa mkazi, magazi amatha kusakanikirana ndi mkodzo n’kuonekera m’mayeso. Ichi ndichifukwa chake mayeso a mkodzo nthawi zambiri samachitika pa nthawi ya msambo.
• Mankhwala ena: Mankhwala ena omwe mumamwa, mwachitsanzo, mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) (monga ibuprofen, diclofenac), maantibayotiki monga penicillin, ndi mankhwala oletsa magazi kuundana (monga warfarin, aspirin), angayambitsenso izi.
• Kuchita masewera olimbitsa thupi mwamphamvu: Izi zingachitike kwa anthu ena akachita masewera olimbitsa thupi olemera monga kuthamanga kapena kulumpha. Nthawi zambiri izi zimakhala bwino zokha patatha masiku angapo.
• Prostate yokulirapo (Benign Prostatic Hyperplasia - BPH): Izi zitha kukhudza makamaka amuna azaka zopitilira 50. Prostate ndi gland yaying'ono yomwe ili pansi pa chikhodzodzo. Ikakula, imatha kukanikiza urethra ndikuyambitsa kutuluka magazi.
• Miyala mu mkodzo wanu: Imeneyi ingakhale miyala ya impso, miyala ya mkodzo, kapena miyala ya chikhodzodzo. Miyala iyi imatha kukanda makoma ofewa a mkodzo wanu ndikuyambitsa kutuluka magazi.
• Matenda a Impso Osatha (CKD): Matendawa amatha kuchitika impso zikalephera kusefa magazi bwino, zomwe zimapangitsa kuti maselo ofiira a magazi azisonkhana mu mkodzo.
• Kutsekeka kwa mkodzo: Ngati mkodzo (njira yomwe mkodzo umatulukira) wachepa kwinakwake, chimenecho chingakhale chifukwa chake.
• Mitundu ina ya khansa: Microhematuria imatha kuoneka ngati chizindikiro choyambirira cha matenda oopsa kwambiri monga khansa ya chikhodzodzo, khansa ya impso, ndi khansa ya prostate. Komabe, ndikofunikira kukumbukira kuti si microhematuria yonse yomwe ndi khansa .

Komabe, nthawi zina madokotala sangathe kupeza chifukwa chenicheni cha "Microhematuria" iyi. Palinso milandu yotereyi.

Kodi "Microhematuria" ingakhale bwanji chizindikiro cha khansa?

Izi ndi nkhawa kwa anthu ambiri. Anthu omwe ali ndi `(Microhematuria)` akayezedwa, pafupifupi 3 peresenti (3%) mwa iwo amapezeka kuti ali ndi khansa. Izi zikutanthauza kuti ngati anthu 100 ali ndi `(Microhematuria)` pafupifupi atatu mwa iwo akhoza kukhala ndi khansa. Komabe, chiopsezo chanu chokhala ndi khansa chimadalira zinthu zina zingapo. Zinthu izi zikuphatikizapo:

• Zaka zanu: Chiwopsezochi chimawonjezeka pang'ono mukamakula.
• Kuopsa kwa vuto la `(Microhematuria)`:Izi zikutanthauza kuchuluka kwa maselo ofiira a magazi omwe ali mu mkodzo.
• Kaya ndinu wosuta fodya: Kusuta fodya ndi chifukwa chachikulu cha khansa ya chikhodzodzo.

Choncho, musaope khansa chifukwa chakuti muli ndi "Microhematuria". Koma ndikofunikira kulankhula ndi dokotala kuti mudziwe chomwe chimayambitsa matendawa.

Kodi vutoli ndi lopatsirana?

Ayi, `(Microhematuria)` si matenda opatsirana. Simafalikira kuchokera kwa munthu wina kupita kwa wina. `(Microhematuria)` ndi chifukwa chofala cha `(UTIs)`, ngakhale ``Matenda a Mkodzo (UTIs)`` nthawi zambiri safalikira pogonana, koma nthawi zina, kugonana kumatha kuwonjezera chiopsezo cha matenda.

Ndani angadwale `(Microhematuria)`?

Aliyense akhoza kukhala ndi ``Microhematuria``. Matendawa angakhudze akuluakulu komanso ana . Ngakhale kuti zifukwa zake zingasiyane, matendawa ndi ofanana kwa aliyense.

Kodi madokotala amazindikira bwanji izi? (Kuzindikira)

Choyamba, dokotala adzakufunsani za mbiri yanu ya thanzi ndikufunsani za zizindikiro zanu (ngati zilipo). Mwachitsanzo, angakufunseni mafunso monga:

• Kodi munayamba mwakhalapo ndi magazi mu mkodzo wanu ?
• Kodi mwawonjezera kapena kuchepetsa thupi posachedwapa?
• Kodi mumasuta fodya, kusuta ndudu, kapena kugwiritsa ntchito zinthu zina za fodya?
• Ndi mankhwala ati omwe mumamwa? (kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala (mankhwala a OTC) ndi mavitamini (zowonjezera).
• Kodi mumagwiritsa ntchito mankhwala osokoneza bongo?
• Kodi pali aliyense m'banja mwanu amene wakhalapo ndi khansa, magazi mu mkodzo, kapena matenda a impso?

Ngati dokotala wanu akukayikira kuti muli ndi magazi mu mkodzo wanu, adzalamula mayeso angapo apadera kuti atsimikizire vutoli (Microhematuria) ndikupeza chomwe chikuyambitsa.

Ndi mayeso ati omwe amachitidwa kuti azindikire `(Microhematuria)`?

Dokotala angachite mayeso otsatirawa kuti adziwe ngati muli ndi microhematuria ndikupeza chomwe chimayambitsa:

• Kusanthula mkodzo: Chitsanzo cha mkodzo wanu chimatengedwa ndikutumizidwa ku labu kuti akayesedwe. Izi zimagwiritsidwa ntchito poyesa kaye maselo ofiira a magazi, kuchuluka kwa maselo oyera a magazi, ndi mabakiteriya.
• Kumera kwa mkodzo: Ngati mayeso a mkodzo akusonyeza kuti pali matenda, izi zingathandize kudziwa ngati pali matenda a mkodzo (UTI) ndipo ngati alipo, ndi mabakiteriya ati omwe akuyambitsa. Kenako mutha kupereka mankhwala oyenera oletsa tizilombo toyambitsa matenda.
• Kuyezetsa magazi: Mwachitsanzo, kuwerengera magazi onse (CBC) ndi serum creatinine. Izi zingakuthandizeni kudziwa ngati muli ndi vuto linalake la matenda, monga matenda a impso osatha (CKD), kapena kuchepa kwa magazi m'thupi.
• Mayeso ojambula zithunzi:Kujambula kwa ultrasound, CT urogram, kapena MRI kungachitike. Izi zingapatse dokotala wanu chithunzi chatsatanetsatane cha mkodzo wanu, monga impso zanu, chikhodzodzo, ndi urethra. Izi zingathandize kufufuza zinthu monga miyala, zotupa, ndi khansa.
• Cystoscopy: Mu njira imeneyi, dokotala amaika chubu chopyapyala komanso chosinthasintha (chotchedwa cystoscope, chomwe chili ndi kamera ndi kuwala kumapeto) mu mkodzo wanu kuti aone mkati mwa mkodzo wanu ndi chikhodzodzo. Izi zingakhale zovuta pang'ono, koma nthawi zambiri zimachitika pansi pa mankhwala oletsa ululu am'deralo. Izi zimathandiza dokotala kuona zinthu monga zotupa zazing'ono, miyala, ndi zilonda mkati mwa chikhodzodzo chanu.
• Kufufuza za matenda: Ngati malo okayikitsa apezeka panthawi ya cystoscopy kapena scan, dokotala adzagwiritsa ntchito singano kuchotsa minofu yaying'ono kuchokera ku chiwalo chokhudzidwacho (monga chikhodzodzo, impso, prostate) ndikuiyang'ana pansi pa maikulosikopu. Izi zingathandize kuzindikira vuto linalake, makamaka khansa.

Si mayeso onsewa omwe amachitikira aliyense. Dokotala wanu adzasankha mayeso oti achite kutengera matenda anu, zaka zanu, zizindikiro zanu, ndi zotsatira za mayeso ena.

Kodi izi zimachiritsidwa bwanji?

Chithandizo cha "Microhematuria" chimadalira chomwe chayambitsa. Chikapezeka chifukwa chake, dokotalayo adzayamba kulandira chithandizo choyenera.

• Ngati muli ndi matenda a mkodzo (UTI), mungapatsidwe mankhwala opha tizilombo toyambitsa matenda kwa masiku angapo.
• Ngati prostate gland yakula (BPH), mankhwala angaperekedwe kuti achepetse (monga tamsulosin, terazosin) kapena kuwongolera kukula kwake (monga finasteride, dutasteride).
• Ngati pali miyala m'thupi la mkodzo, mankhwala (monga tamsulosin, nifedipine) angaperekedwe kuti athandize kutuluka mosavuta . Miyala ina ingafunike chithandizo china (monga lithotripsy) kapena opaleshoni.
• Ngati izi zachitika chifukwa cha mankhwala ena, monga mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), omwe angawononge impso, dokotala angakuuzeni kuti musiye kumwa mankhwalawo kapena kusintha mankhwala ena.
• Mungapemphedwe kusintha zakudya zanu. Mwachitsanzo, munthu amene ali ndi matenda a impso osatha (CKD) angapemphedwe kuti adye mapuloteni, mchere, ndi potaziyamu pang'ono.
• Nthawi zina opaleshoni ingafunike kuchotsa miyala, ziwalo za prostate, kapena china chake chonga khansa.

Komabe, ngati mayeso sakupeza chifukwa chilichonse, simungafunike chithandizo chilichonse.Dokotala wanu angasankhe kutsatira njira yotchedwa 'waiting for waiting'. Izi zikutanthauza kuti vuto lanu lidzayang'aniridwa, koma palibe chithandizo chomwe chidzaperekedwa mpaka zizindikiro zanu zitasintha. Kapena angasankhe kuchita chinthu chotchedwa 'surveillance'. Izi zikutanthauza kuti adzabwereza mayeso, monga mkodzo, miyezi ingapo iliyonse.

Kodi kuoneka kwa `(Microhematuria)` kungapewedwe?

Nthawi zina, sizingatheke kupewa kwathunthu `(Microhematuria)`, chifukwa zifukwa zina sizingatheke kulamulira. Komabe , kumwa madzi ambiri, osachepera malita 2-3 patsiku, makamaka pochita masewera olimbitsa thupi, kungathandize kwambiri. Izi zimachepetsa mkodzo ndipo zimathandiza kuti mkodzo ukhale woyera.

Komanso, zinthu zotsatirazi zingathandize kuchepetsa chiopsezo cha microhematuria:

• Kusiya kusuta fodya kotheratu. Ichi ndiye chifukwa chachikulu cha matenda ambiri, kuphatikizapo khansa ya chikhodzodzo.
• Gwiritsani ntchito mankhwala ochepetsa ululu monga NSAIDs monga momwe dokotala wanu wanenera, komanso pokhapokha ngati pakufunika kutero. Si bwino kumwa mankhwalawa nthawi zonse pa chilichonse.
• Kupewa kukhudzidwa ndi mphamvu ya radiation ndi mankhwala ena monga benzenes, aromatic amines, ndi hydrocarbons (izi zimapezeka kwambiri m'mafakitale, utoto, ndi rabala).

Kodi ndi liti pamene ndiyenera kuda nkhawa ndi ``Microhematuria''?

Zimatengeradi chomwe chikuyambitsa magazi anu mu mkodzo wanu. Koma kawirikawiri, anthu omwe ali ndi `(Microhematuria)` ali ndi mwayi wabwino wochira. Zifukwa zambiri zimachira popanda chithandizo, kapena zimatha kuchiritsidwa mosavuta popanda chithandizo chochepa. Dokotala akatsimikizira kuti muli ndi `(Microhematuria)`, ndikupeza chomwe chikuyambitsa, angakupatseni lingaliro labwino la zomwe mungayembekezere.

Kodi ndiyenera kupita kwa dokotala liti?

Simudzadziwa ngati muli ndi microhematuria mpaka dokotala atakuyezani. Chifukwa chake, ngati muli ndi zizindikiro zomwe zingagwirizane ndi microhematuria (monga kusintha kwa momwe mumakodza , kutentha thupi mukamakodza , kutentha thupi, kupweteka m'mimba mwanu), muyenera kulankhula ndi dokotala. Ngati zizindikiro zanu zili zovuta kwambiri, monga kutentha thupi kwambiri kapena kupweteka kosapiririka, ndi bwino kupita kuchipatala chodzidzimutsa nthawi yomweyo.

Ngati munakhalapo ndi "Microhematuria" kale ndipo tsopano muli ndi magazi owoneka mumkodzo wanu (izi zimatchedwa "Gross Hematuria"), pitani kwa dokotala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso ngati awa kuti mumvetse bwino za matenda anu:

• Kodi ndi mayeso ati omwe mumalimbikitsa kuti ndichite kuti ndizindikire ``(Microhematuria)''?
• Kodi chifukwa chake ndili ndi `(Microhematuria)` n'chiyani?
• Kodi ndikufunika chithandizo? Kapena kuyang'aniridwa mokwanira?
• Ngati pakufunika chithandizo, kodi mumalimbikitsa chithandizo chamtundu wanji? Kodi pali zotsatirapo zilizonse?
• Kodi ndingathenso kudwala matenda a "Microhematuria"? Kodi ndiyenera kuchita chiyani kuti ndipewe matendawa?

Kuwonjezera pa mafunso awa, musaope kufunsa dokotala wanu chilichonse chomwe muli nacho kapena chomwe mukuganiza. Mukadziwa zambiri za matenda anu, zimakhala bwino.

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kukumbukira kuchokera munkhaniyi?

Chabwino, takambirana zambiri za "Microhematuria". Pomaliza, zinthu zofunika kwambiri zomwe muyenera kukumbukira ndi izi:

• Microhematuria ndi kupezeka kwa magazi ochepa mu mkodzo omwe ndi ochepa kwambiri moti sangawonekere ndi maso. Nthawi zambiri amapezeka mwangozi, panthawi yoyezetsa magazi ena.
• Anthu ambiri omwe ali ndi "Microhematuria" safuna chithandizo chilichonse. Chithandizo chikufunika pokhapokha ngati chinthu chonga mwala kapena vuto lalikulu kwambiri ndiye chomwe chimayambitsa. Nthawi zambiri, chifukwa chake sichingapezeke, ndipo nthawi zina, chimangowonedwa.
• Pakhoza kukhala zifukwa zambiri za izi. Zitha kukhala zinthu zosavuta monga matenda a mkodzo (UTIs) mpaka matenda osowa komanso oopsa monga khansa. Koma musadandaule, si matenda onse a microhematuria omwe ndi oopsa.
• Ngati muli ndi zizindikiro zachilendo za mkodzo (monga kukodza pafupipafupi, kupweteka mukamakodza , magazi omwe amaoneka mumkodzo), onetsetsani kuti mwawonana ndi dokotala.
• Dokotala ndiye amene adzapeze chomwe chimayambitsa vutoli, ndipo ngati pakufunika kutero, adzakupatsani chithandizo chabwino kwambiri. Choncho musadzipatse mankhwala.

Chofunika kwambiri ndikuyang'anitsitsa kusintha kwa thupi lanu ndikupempha upangiri kwa dokotala ngati pakufunika kutero. Mwanjira imeneyi, mavuto ambiri amatha kuzindikirika msanga ndikuthetsedwa asanafike poipa kwambiri. Khalani ndi thanzi labwino!

Magazi mu mkodzo, Microhematuria, Microhematuria, Matenda a mkodzo, Matenda a impso, Kusanthula mkodzo, Maselo ofiira a magazi