Kodi nthawi zina mumamva kupweteka mukamakodza ? Kapena mwaona magazi pang'ono mumkodzo wanu? Ndizachibadwa kumva mantha pang'ono mukaona chinthu chonga ichi. Koma mukakhala ndi zizindikiro ngati izi, dokotala wanu angakufunseni kuti muyese mkodzo. Urine Cytology ndi mayeso apadera omwe amachitidwa nthawi ngati zimenezi. Tiyeni tiwone chomwe chili, chifukwa chake chimachitidwa, komanso zomwe chingapeze.
Kodi mayeso a cytology a mkodzo kwenikweni ndi chiyani?
Mwachidule, izi zimaphatikizapo kuyang'ana maselo omwe ali mu chitsanzo cha mkodzo wanu pansi pa maikulosikopu. Maselo ang'onoang'ono nthawi zonse amatuluka kuchokera m'makoma a njira yathu ya mkodzo ndikutuluka pamodzi ndi mkodzo. Mu mayeso awa, dokotala waluso amafufuza ngati maselo amenewo ndi abwinobwino, maselo athanzi, kapena ngati pali zolakwika zilizonse, makamaka maselo a khansa . Iyi ndi mayeso oyamba ofunikira kwambiri kuti azindikire khansa ya njira ya mkodzo.
N’chifukwa chiyani muyenera kuchita mayeso amenewa?
Pakhoza kukhala zifukwa zingapo zazikulu zomwe dokotala wanu angalamule mayesowa.
Chofunika kwambiri ndi kutsimikizira ngati mukukayikira kuti muli ndi khansa ya mkodzo . Kuyeza kumeneku kungathandize kuzindikira mitundu iyi ya khansa :
- Khansa ya chikhodzodzo
- Khansa ya impso
- Khansa ya m'mimba (khansa ya m'mapaipi omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo)
- Khansa ya mkodzo
Kuphatikiza apo, ngati muli ndi zizindikiro zotsatirazi, dokotala wanu angakulangizeni mayeso awa.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Magazi mu mkodzo | Ichi ndiye chifukwa chachikulu cha mayesowa. Mu zamankhwala, timatcha izi (Haematuria) . Nthawi zina mkodzo umakhala wofiira, wofiira kapena bulauni womwe umawoneka ndi maso. Nthawi zina umakhala wochepa kwambiri kotero kuti ungathe kuzindikirika kokha poyesa mkodzo nthawi zonse. |
| Kuvuta kukodza | Kuvuta kuyamba kukodza, kuchepa kwa mkodzo, komanso kumva ngati pali zina zoti mukodze mukamaliza. |
| Ululu kapena kutentha pamene mukukodza | Kupsa kapena kupweteka pokodza. Izi zimatchedwanso dysuria . Izi zitha kukhala chizindikiro cha matenda a mkodzo, koma zithanso kuchitika ndi matenda ena. |
Kodi mumapereka bwanji chitsanzo cha mkodzo kuti muyesedwe?
Chabwino, tsopano tiyeni tiwone momwe tingaperekere chitsanzo choyenera cha mayeso awa. Izi ndizofunikira kwambiri, chifukwa ngati chitsanzocho chaperekedwa molakwika, chingakhudze kulondola kwa lipotilo.
Chofunika kwambiri ndichakuti mkodzo woyamba womwe mwatenga m'mawa suyenera izi. Izi zili choncho chifukwa maselo omwe akhala m'chikhodzodzo usiku wonse akhoza kukhala atawonongeka. Chifukwa chake, zimakhala zovuta kupeza zotsatira zomveka bwino kuchokera pamenepo. Mkodzo wachiwiri wa tsikulo nthawi zambiri ndi womwe umakhala woyenera kwambiri.
Pali njira ziwiri zazikulu zopezera chitsanzo.
1. Njira Yoyera Yogwirira
Iyi ndi njira yodziwika kwambiri yodzipangira nokha. Ndikofunikira kuti chitsanzocho chisadetsedwe ndi majeremusi pakhungu lozungulira mkodzo . Ndikofunikira kwambiri kutsatira malangizo operekedwa ndi labotale.
- Gawo 1: Choyamba, sambani m'manja mwanu bwino ndi sopo.
- Gawo 2: Tsukani bwino malo ozungulira mkodzo pogwiritsa ntchito thaulo lapadera lomwe lili ndi kapu yoyezera kapena ndi madzi oyera.
- Gawo 3: Choyamba perekani mkodzo m'chimbudzi. Pakatha masekondi angapo, siyani kukodza.
- Gawo 4: Kenako yambani kukodzanso ndikuwonjezera mkodzo pang'ono mu kapu yomwe mwapatsidwa. Kapuyo iyenera kudzaza pafupifupi theka.
- Gawo 5:Tsekani chivindikirocho mwamphamvu, samalani kuti musakhudze mkati mwa chikhocho.
- Gawo 6: Onetsetsani kuti chikhocho chalembedwa bwino dzina lanu ndi tsatanetsatane wanu, ndipo chiperekeni ku labu kapena kwa dokotala mwamsanga.
2. Kugwiritsa Ntchito Catheter
Nthawi zina, makamaka ngati mukuvutika kupereka chitsanzo nokha, dokotala kapena namwino wanu angagwiritse ntchito chubu chopyapyala komanso chosinthasintha chotchedwa catheter kuti atenge chitsanzo cha mkodzo. Chubuchi chimayikidwa kudzera mu urethra yanu ndi m'chikhodzodzo chanu kuti chitenge chitsanzocho. Komabe, njira iyi ili ndi chiopsezo chochepa cha matenda a mkodzo, kotero imachitika pokhapokha ngati pali zovuta kwambiri.
Kodi chimachitika n’chiyani lipotilo likaperekedwa? Kodi pakufunika mayeso ena?
Izi ndi zinthu zofunika kuzikumbukira. Kuyezetsa mkodzo kokha sikungathe kuzindikira matenda aliwonse. Kumangopereka lingaliro losavuta. Ngati lipotilo likunena kuti pali "maselo osazolowereka" kapena "maselo okayikitsa", sizikutanthauza kuti muli ndi khansa. Zimangotanthauza kuti pakufunika mayeso ambiri kuti mupeze chomwe chikuyambitsa.
Dokotala wanu angakulangizeni mayeso ena otsatirawa kutengera lipotilo.
Maphunziro a Zithunzi
Dokotala wanu angafune kuona zithunzi za mkodzo wanu. Izi zitha kuphatikizapo X-ray kapena CT scan (Computed Tomography scan) . CT scan ikhoza kutenga zithunzi za ziwalo monga impso zanu ndi chikhodzodzo. Ingakuthandizeni kuona ngati pali chilichonse, monga chotupa, m'njira yanu ya mkodzo.
Cystoscopy
Iyi ndi njira yofunikira kwambiri yoyezera. Chitoliro chopyapyala komanso chosinthasintha chokhala ndi kamera (cystoscope) chimayikidwa kudzera mu mkodzo wanu ndipo mkati mwa chikhodzodzo chanu mumayesedwa. Izi zimathandiza dokotala kuwona mwachindunji ngati pali zolakwika zilizonse, kufiira, kapena ziphuphu zazing'ono mkati. Ngati pakufunika, chidutswa chaching'ono cha minofu (biopsy) chingatengedwe kuchokera pamalo okayikitsa ndikuwunikidwa.
Nthawi zina, mayeso otchedwa ureteroscopy amachitidwanso nthawi yomweyo, omwe amagwiritsa ntchito chubu chopyapyala kwambiri kuti aone machubu (ureters) omwe amanyamula mkodzo kuchokera ku impso kupita ku chikhodzodzo.
Uthenga Wopita Nawo Kunyumba
- Cytology ya mkodzo ndi njira yofunika kwambiri yodziwira maselo mu mkodzo, makamaka maselo a khansa.
- Magazi mu mkodzo (hematuria) kapena vuto lina lililonse pokodza ndiye zifukwa zazikulu zoyezera izi.
- Mukapereka chitsanzo kuti chiyesedwe, musagwiritse ntchito mkodzo woyamba m'mawa. Ndi bwino kupereka chitsanzocho pogwiritsa ntchito njira ya "Clean Catch".
- Lipoti lokha la mayesoli silingathe kuzindikira matenda motsimikiza. Ngati zotsatira zosazolowereka zapezeka, mayeso ena monga CT scan kapena cystoscopy angafunike.
- Ngati muli ndi zizindikiro zachilendo zokhudzana ndi mkodzo wanu, musachite mantha kapena kuganiza molakwika, koma pitani kwa dokotala nthawi yomweyo kuti akupatseni upangiri. Imeneyo ndiyo njira yabwino kwambiri yokhalira ndi thanzi labwino.
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