Kodi nthawi zina mumamva ngati mukutulutsa magazi mu mkodzo wanu? Kapena mumamva kutentha kapena kupweteka mukamakodza? Mukapita kukaonana ndi dokotala chifukwa cha chinthu chonga ichi, mwina anakupemphani kuti muyesedwe ndi "Urine Cytology." Anthu ena amachita mantha pang'ono akamva dzinali, chifukwa amadabwa kuti ndi mtundu wanji wa mayesowo komanso zotsatira zake zidzakhala zotani. Koma palibe chifukwa choopera. Ndi zophweka kwenikweni. Lero, tiyeni tikambirane za mayeso a Urine Cytology awa, chifukwa chake amachitika, komanso zomwe tingaphunzirepo.
Kodi cytology ya mkodzo ndi chiyani m'mawu osavuta?
Chabwino, tiyeni choyamba tiwone tanthauzo la dzinali. Cytology ndi kuphunzira maselo m'thupi lathu. Mwachidule, ndi kuphunzira mawonekedwe, kukula, ndi kusiyana kwa maselo powayang'ana pansi pa maikulosikopu. Cytology ya mkodzo ndi kuphunzira maselo mu chitsanzo cha mkodzo wanu motere.
Mayeso amenewa amachitidwa ndi dokotala yemwe ndi katswiri wa za matenda a mkodzo . Timawatcha kuti ndi akatswiri a za matenda a mkodzo. Amayang'ana maselo omwe ali mu mkodzo wanu pogwiritsa ntchito maikulosikopu kuti awone ngati pali zolakwika zilizonse, maselo a khansa, kapena maselo omwe angayambitse khansa.
Mwachidule, zili ngati wapolisi wofufuza "maselo oipa" omwe abisika pakati pa maselo omwe ali mu mkodzo wanu.
Kodi mayeso awa angapeze chiyani?
Cholinga chachikulu cha mayesowa ndikupeza khansa ya mkodzo msanga. Madokotala amagwiritsa ntchito mayesowa makamaka akamaganiza kuti pali mitundu iyi ya khansa:
- Khansa ya chikhodzodzo: Iyi ndi mtundu wa khansa womwe umadziwika kwambiri.
- Khansa ya mkodzo: Khansa ya machubu opyapyala omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo.
- Khansa ya mkodzo: Khansa ya mkodzo yomwe imanyamula mkodzo kuchokera ku chikhodzodzo kupita kunja kwa thupi.
- Khansa ya impso: Mitundu ina ya khansa ya impso ingathenso kupezeka ndi mayesowa.
Kuwonjezera pa kuzindikira khansa izi, mayesowa amathanso kuzindikira matenda enaake a mavairasi, monga cytomegalovirus.
Kodi njira ya mkodzo ndi njira ya urinalysis ndi zofanana?
Ayi. Apa ndi pomwe anthu ambiri amasokonezeka. Kusanthula kwa mkodzo ndi Kusanthula kwa mkodzo (zomwe nthawi zambiri timazitcha 'lipoti la mkodzo') ndi mayeso awiri osiyana. Ngakhale onse amagwiritsa ntchito chitsanzo cha mkodzo wanu, ntchito zawo ndi zosiyana kwambiri.
Tiyeni tiwone tebulo ili kuti timvetse bwino kusiyana pakati pa ziwirizi.
| Mfundo yake | Mayeso a Cytology ya Mkodzo | Kusanthula mkodzo (kuyesa mkodzo wamba) |
|---|---|---|
| Cholinga chachikulu | Kuzindikira molondola maselo a khansa kapena maselo osazolowereka mu mkodzo. | Kufufuza momwe mkodzo ulili. Mwachitsanzo, kupeza zizindikiro za matenda opatsirana (UTI), matenda a impso, matenda a shuga, ndi zina zotero. |
| Mukuyang'ana chiyani? | Zinthu monga mawonekedwe, kukula, ndi nucleus ya maselo zimafufuzidwa mozama pansi pa maikulosikopu. | Mtundu wa mkodzo, kuyera bwino, shuga (shuga), mapuloteni, maselo a m'magazi, ndi maselo a mafinya zimayesedwa. |
| Ndani amachita zimenezo? | Dokotala wodziwa bwino za cytology (Cytopathologist). | Kawirikawiri amachitidwa ndi katswiri wa zaukadaulo wa labotale. |
| Kodi mumachita liti? | Pokhapokha ngati pali kukayikira kwina kwa khansa. | Kawirikawiri izi zimachitika ngati njira yodziwira thanzi kapena ngati pali zizindikiro. |
Kodi mukumvetsa kusiyana kwake tsopano? Kusanthula mkodzo ndi mayeso wamba. Kusanthula mkodzo ndi mayeso apadera omwe amafufuza china chake chakuya komanso chapadera.
N’chifukwa chiyani dokotala angakupempheni kuti muchite mayeso amenewa?
Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulangizeni kuti muyesedwe mayeso a cytology ya mkodzo.
- Magazi mu mkodzo (Hematuria): Ichi ndiye chifukwa chachikulu. Ngati pali magazi mu mkodzo, mayesowa ndi ofunikira kwambiri kuti apeze chomwe chikuyambitsa.
- Kupweteka kapena kutentha pamene mukukodza: Ngati pali kupweteka kapena kutentha kosalekeza.
- Matenda opatsirana m'mitsempha ya mkodzo pafupipafupi (UTIs): Nthawi zina, fufuzani ngati pali chifukwa china chomwe chimayambitsa matenda opatsirana m'mitsempha ya mkodzo pafupipafupi.
- Kutsatira pambuyo pa chithandizo cha khansa: Ngati mudadwalapo khansa ya chikhodzodzo kale ndipo mudalandira chithandizo, mayesowa amagwiritsidwa ntchito kuti muwone ngati khansayo yabwerera.
Koma kumbukirani chinthu chimodzi. Kungoti mayesowa sakupeza maselo a khansa sizikutanthauza kuti mulibe khansa 100%. Chifukwa chake, madokotala amalimbikitsa kuchita mayeso ena angapo (monga cystoscopy, CT scan) pamodzi ndi mayesowa.
Kodi ndingakonzekere bwanji mayeso ndikupereka chitsanzo?
Iyi ndi njira yosavuta kwambiri, koma pali zinthu zingapo zofunika kuzikonza.
Chofunika kwambiri kudziwa musanayese mayeso!
Ichi ndi chinthu chofunika kwambiri. Musapereke chitsanzo choyamba cha mkodzo wanu m'mawa kuti muyesedwe. Chifukwa chake ndi chakuti maselo omwe ali mu mkodzo omwe akhala mu chikhodzodzo chanu usiku wonse amatha kusweka ndikusweka. Izi zitha kupangitsa kuti dokotala yemwe ali mu labu azivutika kuzindikira maselowo. Chifukwa chake, ndibwino kupereka chitsanzo cha mkodzo womwe mwatulutsa koyamba m'mawa kenako ndikupereka chitsanzo cha mkodzo womwe mwatulutsa kachiwiri kapena kachitatu patsiku.
Momwe mungaperekere chitsanzo (Njira Yoyera Yogwira)
Labu idzakupatsani botolo lapadera (chidebe chosawonongeka) cha izi. Mwina adzakupatsaninso mankhwala oyeretsera ndi zopukutira. Tsatirani izi musanapereke chitsanzo.
1. Sambani m'manja mwanu bwino ndi sopo: Izi ndizofunikira kwambiri.
2. Tsukani malo oberekera: Tsukani malo oberekera bwino ndi zopukutira zomwe zimaperekedwa ndi labotale kapena ndi madzi oyera. Izi ndi kuteteza majeremusi ochokera pakhungu lakunja kuti asalowe mu chitsanzocho.
3. Yambani kukodza: Choyamba, tsanulirani mkodzo pang'ono m'chimbudzi.
4. Sonkhanitsani chitsanzo: Kenako, osaima kuti mukodze, gwirani botolo lomwe laperekedwa ndi labu pamtsinje wa mkodzo ndipo sonkhanitsani kuchuluka kofunikira (nthawi zambiri pafupifupi theka la botolo).
5. Thirani zotsalazo: Chotsani botolo ndikutsanulira mkodzo wotsalawo kuchimbudzi.
6. Tsekani botolo mwamphamvu ndipo liperekeni: Tsekani botolo mwamphamvu, musakhudze mkati, ndipo liperekeni ku labu mwachangu momwe mungathere.
Nthawi zina, ngati wodwalayo sangathe kupereka chitsanzocho yekha kapena pazifukwa zina, dokotala angafunike kuyika catheter , chubu chopyapyala chomwe chimayikidwa mu urethra, kuti atenge chitsanzo kuchokera ku chikhodzodzo. Komanso, CystoscopyChitsanzo chonga ichi chingatengedwenso panthawi ya biopsy ya chikhodzodzo (kufufuza chikhodzodzo ndi kamera).
Kodi chimachitika ndi chiyani ndi mkodzo wanu mu labu?
Mukapereka chitsanzo, masitepe angapo amachitika mu labu.
- Kukonzekera chitsanzo: Choyamba, chitsanzo chanu cha mkodzo chimayikidwa mu makina otchedwa centrifuge . Izi zimazungulira chitsanzo cha mkodzo mwachangu kwambiri, mofanana ndi momwe makina ochapira amazungulira zovala kuti achotse madzi, kulekanitsa maselo ndi madzi.
- Kupaka utoto ndi kuyika utoto pa galasi loyenda: Maselo olekanitsidwawo amaikidwa pa galasi loyenda (microscope slide) ndipo amapaka utoto pogwiritsa ntchito utoto wapadera (madontho). Kupaka utoto kumeneku kumathandiza kuti magawo osiyanasiyana a maselo azindikirike bwino akayang'aniridwa ndi maikulosikopu.
- Kufufuza kwa Microscopic: Apa ndi pomwe katswiri wa Cytopathologist amayambira ntchito yake. Amayika chithunzi chokonzedwachi pansi pa maikulosikopu ndikuyang'ana mosamala maselowo limodzi ndi limodzi. Amasamala kwambiri ngati pali maselo ena osiyana ndi maselo wamba, okhala ndi mawonekedwe osazolowereka, kapena okhala ndi ma nuclei akuluakulu.
- Kukonzekera lipoti: Pambuyo pofufuza, dokotala adzakonza lipoti kutengera zomwe adaziona ndikutumiza kwa dokotala amene akukuthandizani.
Kodi zinthu zomwe zili mu lipotilo ndi ziti ndipo zikutanthauza chiyani?
Pakhoza kukhala mawu osiyanasiyana pa lipoti lanu. Musachite mantha mukamawaona. Dokotala wanu adzakufotokozerani zonse. Koma tiyeni tiwone zinthu zomwe nthawi zambiri zimawonekera pa lipoti ndi matanthauzo ake osavuta.
| Zomwe zinganenedwe mu lipotilo | Tanthauzo losavuta |
|---|---|
| Chitsanzo chosakhutiritsa | Zikutanthauza kuti panalibe maselo okwanira mu chitsanzocho kuti ayesere. Zikatero, mungafunike kupereka chitsanzo china. |
| Zoyipa pa khansa yapamwamba ya urothelial | Nkhani yabwino ndi iyi. Palibe maselo a khansa kapena maselo okayikitsa omwe adapezeka mu chitsanzocho. |
| Maselo a urothelial osazolowereka | Pali maselo ena osazolowereka mu chitsanzocho, koma sanasinthe mokwanira kuti akhale maselo a khansa. Izi zitha kukhala chifukwa cha matenda. |
| Zokayikitsa za khansa yapamwamba kwambiri ya urothelial | Maselo osazolowereka omwe amapezeka mu chitsanzocho ali ndi mwayi waukulu wokhala maselo a khansa. |
| Zabwino pa khansa ya urothelial yapamwamba kwambiri | Zikutanthauza kuti maselo a khansa apezekadi mu chitsanzocho. |
Chofunika kwambiri: Kaya zotsatira za lipoti la Urine Cytology ndi ziti, lokha silipanga chisankho chomaliza chokhudza ngati pali khansa kapena ayi. Makamaka ngati zotsatira zake ndi 'Atypical' kapena 'Suspicious', dokotala wanu adzachita mayeso ena monga Cystoscopy kapena CT scan kuti atsimikizire vutoli. Choncho, musachite mantha mutaona lipotilo.
Kodi mayeso a cytology a mkodzo ndi olondola bwanji?
Kulondola kwa mayesowa kumadalira mtundu wa khansa yomwe yapezeka.
- Zotupa zapamwamba: Izi ndi mitundu ya khansa yomwe imakula mofulumira komanso mwamphamvu. Kafukufuku wa mkodzo ndi wolondola pafupifupi 95% pozindikira izi.
- Zotupa zochepa: Izi ndi mitundu ya khansa yomwe imakula pang'onopang'ono komanso yosaopsa kwambiri. Kuyesa kumeneku sikuthandiza kwambiri kuzindikira izi. Kulondola kwake kumatha kuyambira 10% mpaka 50%. Izi zikutanthauza kuti ngakhale khansa yotereyi itakhalapo, nthawi zambiri siipezeka mu lipotilo (yopanda umboni wabodza).
Ichi ndichifukwa chake madokotala sadalira mayeso amodzi okha.
Uthenga Wopita Nawo Kunyumba
- Kuyeza kwa mkodzo si kuyesa mkodzo nthawi zonse (kusanthula mkodzo). Ndi mayeso apadera omwe amafufuza maselo a khansa kapena maselo osazolowereka mu mkodzo.
- Mukapereka chitsanzo cha mayeso awa, musapereke chitsanzo choyamba cha mkodzo chomwe mwatulutsa m'mawa.
- Kaya zotsatira za mayeso ndi ziti, si matenda omaliza. Dokotala wanu mwina angafune kuti muyesedwenso kuti mutsimikizire.
- Kuyesa kumeneku n'kothandiza kwambiri pozindikira khansa yomwe ikukula mofulumira (yapamwamba).
- Ngati muli ndi mafunso okhudza lipoti la mayeso kapena njira zotsatirazi, musaope kufunsa dokotala wanu. Ndikofunikira kwambiri kulankhula naye momasuka.











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