Xa usiya kwigumbi lokuhlambela uze ubone ukuba umchamo wakho ubomvu, upinki, okanye umdaka ngebala, ngequbuliso uzive usoyika kakhulu, akunjalo? Usenokucinga, "Owu, ngaba ndinento enzulu?" Kodwa ungakhathazeki. Ngokwezonyango, igazi elisemchameni libizwa ngokuba yi-hematuria. Eyona nto ibalulekileyo kukuba esi asisosifo, kodwa luphawu lwesifo esithile. Ke ngoko, akulunganga ukusityeshela. Masithethe ngayo yonke into ngokweenkcukacha.
Livela phi eli gazi?
Ngamafutshane, igazi lingavela naphi na kwindlela yakho yomchamo. Oko kuthetha ukuba:
- Izintso: Yilungu eliphambili elenza umchamo.
- Ii-ureters: Iityhubhu ezithwala umchamo ukusuka kwizintso ukuya kwisinyi.
- Isinyi: Ingxowa egcina umchamo.
- I-Urethra: Umbhobho othwala umchamo ukusuka kwisinyi ukuya ngaphandle komzimba.
Igazi elisemchameni libangelwa yingxaki ethile kule nkqubo.
Kukho iintlobo ezimbini zegazi kumchamo.
Le meko inokwahlulwahlulwa ibe ziintlobo ezimbini eziphambili, kuxhomekeke ekubeni siyayibona okanye asiyiboni.
1. I-Gross Hematuria: Kwimeko enjalo, ungabona utshintsho kumbala womchamo wakho. Endaweni yombala otyheli okhanyayo oqhelekileyo, umchamo wakho unokuba pinki, ubomvu, umdaka omnyama, okanye ube nombala weti.
2. I-Microscopic Hematuria: Apha awuyi kubona naluphi na utshintsho kumbala womchamo wakho. Nangona kunjalo, xa uvavanyo lomchamo lwenziwa kwilebhu yezonyango, iiseli ezibomvu zegazi zifunyanwa phantsi kwe-microscope.
Khumbula, nokuba ligazi elincinci kumchamo wakho linokutshintsha umbala walo. Ngoko ke ukuba ubona utshintsho kumbala, qiniseka ukuba uthetha nogqirha wakho.
Ziziphi ezinye iimpawu ezihamba negazi kumchamo?
Ngamanye amaxesha usenokungabi nazimpawu ngaphandle kokutshintsha kombala womchamo. Nangona kunjalo, ngokuxhomekeke kwimeko ebangela oku, ezinye iimpawu zinokuvela. Ziqaphele ezi zinto.
| Uphawu | Inkcazo |
|---|---|
| Ubunzima bokuchama | Ukutsha okanye iintlungu xa uchama, kunye nesidingo sokuchama rhoqo. |
| Intlungu | Intlungu esiswini esisezantsi, emqolo osezantsi, okanye emqolo osezantsi. |
| Iimpawu zosulelo | Umkhuhlane, ukubanda, isicaphucaphu, kunye nokuhlanza. |
| Ezinye iimpawu eziqhelekileyo | Ukwehla kobunzima bomzimba, ukungabi namdla wokutya, ukudinwa kakhulu, uxinzelelo lwegazi oluphezulu, ukudumba okujikeleze amehlo, kunye nokunye ukudumba komzimba. |
Zithini izizathu eziphambili zokuba kubekho igazi kumchamo?
Zininzi izinto ezinokubangela oku. Ezinye zilula, ezinye zinzulu ngakumbi.
- Usulelo lwe-Urinary Tract okanye lwe-Kidney: Le yeyona nto ixhaphakileyo.
- Amatye Esinyini okanye Ezintso: Amatye anokonakalisa iindawo ezibuthathaka zenkqubo yomchamo aze abangele ukopha.
- I-Benign Prostatic Hyperplasia (BPH): Oku kunokuchaphazela ngakumbi amadoda asele ekhulile.
- Izifo zezintso: Iimeko zokudumba kwinkqubo yokucoca izintso (ezifana ne-glomerulonephritis).
- Iimeko zomhlaza: Umhlaza wesinyi, wezintso, okanye weprostate.
- Ukwenzakala: Ukulimala kwezintso ngenxa yengozi okanye ngexesha lokudlala imidlalo.
- Amanye amayeza: Izinto zokunciphisa igazi ezifana ne-aspirin, i-heparin, kunye nezinye izibulali-ntsholongwane.
- Ukuzilolonga kakhulu: Le meko inokwenzeka, ingakumbi kubagijimi ababaleka imigama emide.
- Ezinye izifo: Izifo ezidluliselwa kwilifa ezifana ne-sickle cell anemia.
Kodwa asikuko konke okubomvu okuligazi!
Umzekelo, ukuba utya i-beetroot eninzi, okanye idayi yokutya, umchamo wakho unokuba bomvu. Kwakhona, ukuba ungumfazi, ukopha kwegazi kwisini ngexesha lokuya exesheni kunokongezwa kwisampulu yomchamo, nto leyo ekhokelela kwisigqibo esingeyonyani sokuba kukho igazi kumchamo.
Ugqirha usifumanisa njani esi sifo?
Xa usiya kugqirha, uza kukubuza ngembali yakho yezonyango aze akuhlole. Emva koko angayalela uvavanyo olufana nolu.
- Uvavanyo lomchamo: Olu lolona vavanyo lulula. Lujonga umchamo ukuze lubone izinto ezifana neeseli ezibomvu zegazi kunye neebhaktheriya ezosulelayo.
- Uvavanyo lweGazi: Olu vavanyo lunceda ukujonga ukusebenza kwezintso kunye neengxaki zeprostate.
- Iiskeni:
- I-Ultrasound Scan: Isebenzisa amaza esandi ukuthatha imifanekiso yezintso kunye nesinyi.
- I-CT Scan: Oku kunokufumana ngokucacileyo izinto ezifana namatye kunye neethumba kwinkqubo yomchamo.
- I-Cystoscopy: Ityhubhu encinci, eguquguqukayo enekhamera ifakwa kwi-urethra ukuze kuhlolwe ingaphakathi lesinyi. Ukuba kuyimfuneko, iqhekeza elincinci lesicubu (i-biopsy) linokuthathwa ukuze kuhlolwe iiseli ezingaqhelekanga.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke ngokupheleleyo kwisizathu segazi lakho kumchamo wakho. Into yokuqala ugqirha wakho aza kuyenza kukufumana unobangela aze awunyange.
- Kwizifo: Kunikwa amayeza okubulala iintsholongwane.
- Ngamatye: Ngokuxhomekeke kubukhulu bamatye, anokunyibilikiswa ngamayeza okanye atyunyuzwe aze asuswe kusetyenziswa iindlela ezikhethekileyo.
- Kwi-prostate ekhulisiweyo: Yinciphise ngamayeza okanye, ukuba kuyimfuneko, ngotyando.
- Kukho iindlela ezahlukeneyo zonyango lwesifo sezintso, kuquka amayeza, i-dialysis, okanye utyando.
- Umhlaza: Unyango olufana namayeza, unyango lwemitha, okanye utyando lumiselwa ngokusekwe kuhlobo kunye nenqanaba lomhlaza.
Ngamanye amaxesha, nokuba sele kwenziwe zonke ezi vavanyo, unobangela ocacileyo awufumaneki. Ukuba kunjalo, ugqirha wakho uya kukucela ukuba uhlolwe umchamo kwaye uhlolwe uxinzelelo lwegazi rhoqo emva kweenyanga ezi-3-6.
Ufanele uye nini kugqirha ngoko nangoko?
Ungaze ungayihoyi igazi elisemchameni wakho. Bona ugqirha wakho kungekapheli usuku okanye ezimbini ukuze uhlolwe. Nangona kunjalo, ukuba unezinye zezi mpawu zilandelayo, isenokuba yingxamiseko.
Ukuba wopha kakhulu, unentlungu eqatha, okanye ngequbuliso unengxaki yokuchama, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
Kwimeko enjalo, kubaluleke kakhulu ukufuna unyango ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Igazi elikwi-urine (hematuria) alisisifo, kodwa luphawu lwesifo esithile.
- Musa ukoyika xa ubona oku, kodwa ungaze ukutyeshele. Ngokuqinisekileyo bonana nogqirha.
- Isizathu singaba yiyo nantoni na ukususela kwisifo somchamo ukuya kwisifo sezintso okanye umhlaza.
- Unyango olufumanayo luxhomekeke ngokupheleleyo kwisizathu esiyintloko.
- Ukuba uneempawu ezingxamisekileyo ezifana nokopha kakhulu, iintlungu eziqatha, okanye ukugcinwa komchamo, yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngokukhawuleza.
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