Ese ufite amaraso atagaragara mu nkari zawe? (Mikrohematuria) Reka tubiganireho!

Hari igihe ushobora kuba ufite amaraso make cyane mu nkari zawe, ariko ushobora no kutabibona. Ibi bikunze kuboneka mu gihe cyo gusuzumwa cyangwa ikindi kizamini cya muganga. Ibi ni byo mu buvuzi twita "Microhematuria". None se, twavuga kuri ibi mu buryo burambuye kandi bworoshye? Nta kintu cyo gutinya, ni ngombwa cyane kubimenya.

"Microhematuria" ni iki mu by'ukuri?

Mu magambo make, `(Microhematuria)` bisobanura amaraso, ni ukuvuga amaraso, mu nkari zawe. Ariko ingano y'amaraso ari muri ibi ni nto cyane ku buryo udashobora kubibona n'amaso yawe yambaye ubusa. Ukeneye "microscope" kugira ngo uyirebe ubwawe. Ishyirahamwe ry'Abanyamerika ryita ku mikurire y'inkari ribisobanura nka ``Microhematuria`` niba hari "uturemangingo dutukura tw'amaraso (RBC)" dutatu cyangwa turenga mu nkari munsi ya "power-powered field" ya mikorosikopi. Tekereza, ingano nto! Ibyo bivuze ko amaraso mu nkari ari make cyane ku buryo atabonwa n'amaso yambaye ubusa.

None se 'Trace lysed blood' mu nkari ni iki?

'Amaraso yakuweho amaraso' na yo ni ubwoko bwa '(Microhematuria)'. 'Amaraso yakuweho amaraso' bivuze ingano nto cyane, nk'uko byavuzwe mbere, nto cyane ku buryo idashobora kugaragara hatabayeho mikorosikopi. 'Amaraso yakuweho amaraso' bivuze ko inkuta z'uturemangingo tw'uturemangingo tw'amaraso yamenetse kandi yangiritse . Mu buryo busanzwe '(Microhematuria)', inkuta z'uturemangingo tw'amaraso dutukura ntizamenetse, ahubwo ziba nziza kandi zimeze neza. Hari itandukaniro rito mu bya tekiniki hagati y'ibyo byombi.

Ni ibihe bimenyetso by'iyi ndwara (Microhematuria)?

Akenshi, abantu bafite iyi ndwara ya `(Microhematuria)` ntabwo bagira ibimenyetso (ni ukuvuga `adafite ibimenyetso`). Ni ukuvuga ko ushobora kugira iyi ndwara utumvise itandukaniro cyangwa ububabare. Akenshi iboneka ku bw'amahirwe iyo muganga akugenzuye buri mwaka cyangwa agukoreye ibindi bizamini bisanzwe.

Ariko, hari igihe ushobora no kugira ibimenyetso nk'ibi:

• Gukenera kunyara kenshi kurusha uko bisanzwe (`gukora imibonano mpuzabitsina kenshi`).
• Kubabara cyangwa gushya iyo uri kunyara (dysuria).
• Kubabara impande zombi z'inda yawe yo hasi, hejuru gato y'ikibuno cyawe (aho impyiko ziri) (`ububabare bwo mu gituza`).
• Kugira umuriro .
• Inkari zifite impumuro mbi .

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza kujya kwa muganga.

Kuki amaraso ari mu nkari gutya? Ni izihe mpamvu?

Hari impamvu nyinshi zishobora gutera `(Microhematuria)`. Reka turebe izikuru:

• Indwara zo mu nzira y'inkari (UTIs): Iyi ni yo mpamvu ikunze kugaragara cyane. Kubyimba k'umuyoboro w'inkari , kwihagarika kenshiIbi bishobora guherekezwa no kwiyongera ibiro no kubabara mu nda yo hasi. Izi ndwara zishobora gutera udukomere duto mu nzira y'inkari no kuva amaraso.
• Imihango yawe ya buri kwezi (`imihango`): Mu gihe cy'imihango y'umugore, amaraso ashobora kuvanga n'inkari akagaragara mu bipimo. Niyo mpamvu ibizamini by'inkari akenshi bidakorwa mu gihe cy'imihango.
• Imiti imwe n'imwe: Imiti imwe n'imwe ufata, urugero, imiti igabanya ubushyuhe idakoresha steroid (NSAIDs) (urugero: ibuprofen, diclofenac), imiti igabanya ubushyuhe nka penisiline, n'imiti igabanya ubushyuhe (urugero: warfarin, aspirine), na byo bishobora gutera ibi.
• Imyitozo ngororamubiri ikomeye: Ibi bishobora kubaho kuri bamwe nyuma yo gukora imyitozo ngororamubiri ikomeye nko kwiruka cyangwa gusimbuka. Ibi akenshi birushaho kuba byiza ubwabyo nyuma y'iminsi mike.
• Prostate yagutse (Benign Prostatic Hyperplasia - BPH): Ibi bishobora kwibasira cyane cyane abagabo barengeje imyaka 50. Prostate ni agahu gato kari munsi y'uruhago. Iyo kabaye kanini, gashobora gukanda urethra bigatuma amaraso ava.
• Amabuye ari mu nganda z'inkari: Aya ashobora kuba amabuye yo mu mpyiko, amabuye yo mu muyoboro w'inkari, cyangwa amabuye yo mu ruhago rw'inkari. Aya mabuye ashobora gushwanyaguza inkuta zoroshye z'inganda z'inkari zawe bigatuma amaraso ava.
• Indwara y'impyiko idakira (CKD): Iyi ndwara ishobora kubaho iyo impyiko zitagishoboye kuyungurura amaraso neza, bigatuma uturemangingo dutukura tw'amaraso twirundanya mu nkari.
• Imiterere y'inkari: Iyo urethra (aho inkari zisohokera) igabanutse ahantu runaka, ibyo nabyo bishobora kuba impamvu.
• Ubwoko bumwe na bumwe bwa kanseri: Kurwara indwara nkeya bishobora kugaragara nk'ikimenyetso cya mbere mu ndwara zikomeye nka kanseri y'uruhago, kanseri y'impyiko, na kanseri ya prostate. Ariko, ni ngombwa kwibuka ko indwara nkeya atari kanseri yose .

Ariko, hari igihe abaganga bashobora kutabona impamvu yihariye itera iyi "Microhematuria". Hariho n'ibihe nk'ibyo.

Ni mu buhe buryo "Microhematuria" ishobora kuba ikimenyetso cya kanseri?

Ibi ni ikibazo gihangayikishije abantu benshi. Iyo abantu bafite `(Microhematuria)` bapimwe, hafi 3 ku ijana (3%) muri bo basanze bafite kanseri. Ibi bivuze ko niba abantu 100 bafite `(Microhematuria)`, hafi 3 muri bo bashobora kuba bafite kanseri. Ariko, ibyago byawe byo kurwara kanseri biterwa n'ibindi bintu byinshi. Ibi bintu birimo:

• Imyaka yawe: Iyi ngaruka yiyongera gato uko ugenda usaza.
• Ubukana bw'indwara `(Microhematuria)`:Ibyo bivuze umubare w'uturemangingo tw'amaraso dutukura turi mu nkari.
• Waba uri umunywi w'itabi: Kunywa itabi ni imwe mu mpamvu zikomeye zitera kanseri y'uruhago.

Rero, ntugatinye kanseri kubera gusa ko ufite "Microhematuria". Ariko ni ngombwa kuvugana na muganga ukamenya impamvu nyayo.

Ese iyi ndwara yandura?

Oya, `(Microhematuria)` si indwara yandura. Ntiyandurira mu muntu umwe ijya ku wundi. `(Microhematuria)` ni impamvu ikunze gutera `(UTI)`, nubwo ``Infections zo mu nzira y'inkari (UTI)`` zidakunze kwandurira mu mibonano mpuzabitsina, ariko rimwe na rimwe, imibonano mpuzabitsina ishobora kongera ibyago byo kwandura.

Ni nde ushobora kugira iyi `(Microhematuria)`?

Umuntu wese ashobora kurwara "Microhematuria". Iyi ndwara ishobora kwibasira abantu bakuru ndetse n'abana . Nubwo impamvu zishobora gutandukana, iyi ndwara ni rusange kuri buri wese.

Abaganga bapima iki kibazo gute? (Isuzuma)

Ubwa mbere, muganga azakubaza amateka y'ubuzima bwawe akanakubaza ibimenyetso byawe (niba bihari). Urugero, ashobora kukubaza ibibazo nka:

• Ese wigeze ugira amaraso mu nkari zawe ?
• Ese wongeye ibiro cyangwa waragabanutse vuba aha?
• Ese unywa itabi, unywa inzoga, cyangwa ukoresha ibindi bicuruzwa by'itabi?
• Ni iyihe miti ufata? (harimo imiti igurishwa mu kigo (imiti ya OTC) na vitamine (inyongeramusaruro).
• Ukoresha ibiyobyabwenge?
• Hari umuntu mu muryango wawe wigeze arwara kanseri, amaraso mu nkari, cyangwa indwara y'impyiko?

Muganga wawe niba akeka ko ufite amaraso mu nkari zawe, azagutegeka ibizamini byinshi byihariye kugira ngo yemeze iyi ndwara (Microhematuria) kandi amenye impamvu.

Ni ibihe bizamini bikorerwa kugira ngo hamenyekane `(Microhematuria)`?

Muganga ashobora gukora ibizamini bikurikira kugira ngo amenye niba ufite microhematuria kandi amenye icyabiteye:

• Isesengura ry'inkari: Icyitegererezo cy'inkari zawe kijyanwa muri laboratwari kugira ngo gipimwe. Ibi bikoreshwa mu kubanza gusuzuma uturemangingo dutukura tw'amaraso, umubare w'uturemangingo turimo, uturemangingo tw'umweru tw'amaraso, na bagiteri.
• Gupima inkari: Iyo ikizamini cy’inkari cyerekanye ko hari ubwandu, ibi bishobora gufasha kumenya niba hari ubwandu bw’inkari (UTI) kandi niba ari byo, hagafatwa bagiteri zibutera. Hanyuma hagatangwa umuti uvura indwara zikwiye.
• Gupima amaraso: Urugero, kubara amaraso yose (CBC) na creatinine mu maraso. Ibi bishobora gufasha kumenya niba ufite ikibazo cy’uburwayi, nk'indwara idakira y’impyiko (CKD), cyangwa kubura amaraso.
• Ibizamini byo gushushanya:Gupima inkari mu buryo bwa ultrasound, gupima urogram, cyangwa gupima MRI bishobora gukorwa. Ibi bishobora guha muganga wawe ishusho irambuye y’urusobe rw’inkari zawe, nk’impyiko zawe, uruhago, n’umuyoboro w’inkari. Ibi bishobora gufasha gusuzuma ibintu nk’amabuye, ibibyimba, na kanseri.
• Cystoscopy: Muri ubu buryo, muganga ashyiramo umuyoboro muto kandi woroshye (witwa cystoscope, ufite kamera n'urumuri ku mpera) mu muyoboro wawe w'inkari kugira ngo asuzume imbere mu muyoboro wawe w'inkari n'uruhago. Ibi bishobora kugorana gato, ariko akenshi bikorwa hifashishijwe ikinya cyo mu gace utuyemo. Ibi bituma muganga abona ibintu nk'ibibyimba bito, amabuye, n'udusebe mu muyoboro wawe w'inkari.
• Isuzuma ry’umubiri: Iyo habonetse ahantu hakekwa mu gihe cyo gupima cyangwa gupima, muganga azakoresha urushinge kugira ngo akureho icyitegererezo gito cy’ingingo mu rugingo rwafashwe (urugero: uruhago, impyiko, prostate) hanyuma abisuzume akoresheje mikorosikopi. Ibi bishobora gufasha gusuzuma indwara runaka, cyane cyane kanseri.

Ibi bizamini byose si ko bikorwa kuri buri wese. Muganga wawe ni we uzaguhitiramo ibizamini akurikije imiterere yawe, imyaka yawe, ibimenyetso byawe, ndetse n'ibisubizo by'ibindi bizamini.

Ibi bivurwa bite?

Uburyo bwo kuvura "Microhematuria" buterwa n'impamvu. Iyo impamvu imaze kuboneka, muganga azatangira kuvura bikwiye.

• Niba ufite indwara yo mu nzira y'inkari (UTI), ushobora guhabwa imiti igabanya ubukana bw'indwara mu gihe cy'iminsi mike.
• Iyo prostate yagutse (BPH), imiti ishobora gutangwa kugira ngo iyigabanye (urugero: tamsulosin, terazosin) cyangwa igabanye imikurire yayo (urugero: finasteride, dutasteride).
• Iyo hari amabuye mu nkari, imiti (urugero: tamsulosin, nifedipine) ishobora gutangwa kugira ngo ifashe gutambuka byoroshye . Amabuye amwe ashobora gukenera ubundi buryo bwo kuvura (nk'uburozi bwa lithotripsy) cyangwa kubagwa.
• Niba ibi biterwa n'imiti imwe n'imwe, nka imiti igabanya ubushyuhe idakoresha steroide (NSAIDs), ishobora kwangiza impyiko, muganga ashobora kukubwira guhagarika gufata umuti cyangwa guhindura undi muti.
• Ushobora gusabwa guhindura indyo yawe. Urugero, umuntu urwaye indwara idakira y'impyiko (CKD) ashobora gusabwa kurya poroteyine nke, umunyu na potasiyumu .
• Hari igihe kubagwa bishobora kuba ngombwa kugira ngo haveho amabuye, ibice bya prostate, cyangwa ikindi kintu nk'icya kanseri.

Ariko, niba ibizamini bitabonye impamvu iyo ari yo yose, ushobora kudakenera ubuvuzi ubwo aribwo bwose.Muganga wawe ashobora guhitamo gukurikiza ingamba yitwa 'gutegereza witonze'. Ibi bivuze ko azakurikirana ikibazo cyawe ariko ntazakuvura kugeza igihe ibimenyetso byawe bihindutse. Cyangwa ashobora guhitamo gukora ikintu cyitwa 'gukurikirana'. Ibi bivuze ko azongera gupima nko gusuzuma inkari buri mezi make.

Ese kubaho kwa `(Microhematuria)` gushobora kwirindwa?

Hari igihe bishobora kudashoboka kwirinda burundu `(Microhematuria)`, kuko hari impamvu zimwe na zimwe ziturenze ubushobozi bwacu. Ariko , kunywa amazi menshi, nibura litiro 2-3 ku munsi, cyane cyane iyo ukora imyitozo ngororamubiri, bishobora gufasha cyane. Ibi bigabanya inkari kandi bigafasha mu kubungabunga inkari.

Nanone, ibintu bikurikira bishobora gufasha kugabanya ibyago byo kurwara microhematuria:

• Kureka kunywa itabi burundu. Iyi ni yo mpamvu nyamukuru y'indwara nyinshi, harimo na kanseri y'uruhago.
• Koresha imiti igabanya ububabare nka NSAIDs gusa nk'uko muganga yabigutegetse, kandi gusa igihe bikenewe. Si byiza kuyifata buri gihe kuri buri kantu gato.
• Kwirinda guhura n'imirasire n'ibindi bintu nka benzene, amines zihumura neza, na hydrocarbons (ibi bikunze kuboneka mu mirimo ijyanye n'inganda, amarangi, na kabutike).

Ni ryari nkwiye guhangayikishwa na "Microhematuria"?

Biterwa cyane n'icyateye amaraso mu nkari zawe. Ariko muri rusange, abantu bafite "Microhematuria" bafite amahirwe menshi yo gukira. Impamvu nyinshi zirakira batavuwe, cyangwa iyo habayeho ubuvuzi buke. Iyo umuganga yemeje ko ufite "Microhematuria" kandi akabona impamvu, ashobora kuguha igitekerezo cyiza cy'icyo wakwitega.

Ni ryari ngomba kujya kwa muganga?

Ntuzamenya niba ufite microhematuria kugeza igihe uzaba wapimwe na muganga. Rero, niba ufite ibimenyetso bishobora kuba bifitanye isano na microhematuria (urugero: impinduka mu ngeso zawe zo kwihagarika , ubushyuhe iyo urimo kwihagarika , umuriro, ububabare mu nda yawe yo hasi), ugomba kuvugana na muganga. Niba ibimenyetso byawe bikomeye, nko kugira umuriro mwinshi cyangwa ububabare bukabije, ni byiza guhita ujya kwa muganga wihutirwa.

Niba warigeze kugira "Microhematuria" mbere kandi ubu ukaba ufite amaraso agaragara mu nkari zawe (ibi byitwa "Gross Hematuria"), jya kwa muganga byihutirwa.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Iyo ugiye kwa muganga, ni byiza kubaza ibibazo nk'ibi kugira ngo usobanukirwe neza indwara yawe:

• Ni ibihe bipimo wansaba gukora kugira ngo menye iyi "(Microhematuria)"?
• Ni iyihe mpamvu ituma ngira iyi `(Microhematuria)`?
• Ese nkeneye kuvurwa? Cyangwa kwitabwaho bihagije?
• Niba ukeneye ubuvuzi, ni ubuhe bwoko bw'ubuvuzi wasaba? Ese hari ingaruka mbi?
• Ese nshobora kongera kurwara iyi ndwara ya "Microhematuria"? Nkore iki kugira ngo nyirinde?

Uretse ibi bibazo, ntutinye kubaza muganga wawe ikintu icyo ari cyo cyose ufite cyangwa utekerezaho. Uko urushaho kumenya byinshi ku ndwara yawe, niko bigenda neza.

None se, ni ibihe bintu by'ingenzi tugomba kwibuka muri iyi nkuru?

Noneho, twaganiriye cyane kuri "Microhematuria". Hanyuma, ibintu by'ingenzi ugomba kwibuka ni ibi:

• Microhematuria ni ukuba hari amaraso make mu nkari zawe, akaba ari mato cyane ku buryo utabasha kuyabona n'amaso yawe. Akenshi aboneka ku buryo bw'impanuka, mu gihe cy'ikindi kizamini.
• Abantu benshi barwaye "Microhematuria" ntibakeneye ubuvuzi ubwo aribwo bwose. Ubuvuzi bukenewe gusa iyo ikintu nk'ibuye cyangwa ikindi kibazo gikomeye ari cyo kibitera. Kenshi na kenshi, impamvu ntishobora kuboneka, kandi muri ibyo bihe, iraboneka gusa.
• Hari impamvu nyinshi zishobora gutera ibi. Bishobora kuba ibintu byose kuva ku bintu byoroshye nko kwandura indwara zo mu nkari (UTI) kugeza ku ndwara zidasanzwe kandi zikomeye nka kanseri. Ariko ntugahangayike, si microhematuria yose iteje akaga.
• Niba ufite ibimenyetso bidasanzwe by'inkari (urugero: kunyara kenshi, kubabara iyo uri kunyara , amaraso agaragara mu nkari), menya neza ko wagiye kwa muganga.
• Muganga ni we uzamenya impamvu nyayo, kandi nibiba ngombwa, akaguha ubuvuzi bwiza. Ntukivure.

Igikuru ni ukwitondera impinduka mu mubiri wawe no gushaka inama kwa muganga igihe bibaye ngombwa. Muri ubu buryo, ibibazo byinshi bishobora kumenyekana hakiri kare bigakemurwa mbere yuko biba bikomeye. Komeza ugire ubuzima bwiza!

Amaraso mu nkari, Microhematuria, Microhematuria, indwara zo mu nzira y'inkari, indwara z'impyiko, isesengura ry'inkari, uturemangingo dutukura tw'amaraso