Yintoni onokuthi wothuke xa usiya kwindlu yangasese uze ngequbuliso ubone ukuba umchamo wakho ubomvu? Mhlawumbi amanzi akwisitya sendlu yangasese apinki. Kuqhelekile ukuba woyike xa ubona into efana nale. Abantu abaninzi bayakhathazeka ngeli xesha. Kodwa ngaphambi kokuba sikhathazeke, masiqonde oku ngqo. Namhlanje sithetha ngegazi eliphuma kulo mchamo, eliyimeko esiyibiza ngokuba yi-'Hematuria' kwezonyango.
Ngamafutshane, yintoni iHematuria?
I-Hematuria (he-ma-tu-ria) kukubakho kweeseli ezibomvu zegazi kumchamo wakho (umchamo). Le yimeko eqhelekileyo kakhulu. Kodwa umchamo wakho awusoloko ubomvu okanye upinki. Ngamanye amaxesha, kukho igazi elincinci kumchamo elincinci kakhulu ukuba lingabonwa ngamehlo enyama. Oku kunokubonwa kuphela xa ugqirha esenza uvavanyo lomchamo.
Nangona kunjalo, ukuba uqaphela ukuba umchamo wakho utshintshile umbala, oko kungaba luphawu lwento eyahlukileyo. Ngoko ke ukuba uqaphela into efana naleyo, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Ziziphi iintlobo eziphambili zegazi kumchamo?
Siza kuyahlula le meko ibe ziindlela ezintathu eziphambili. Wakuba uyiqondile loo nto, uya kuba nombono ongcono ngayo le nto.
| Uhlobo | Icacisiwe ngokulula |
|---|---|
| I-Gross hematuria | Oku kuthetha ukuba kukho igazi kumchamo onokulibona ngamehlo akho . Umchamo unokuba pinki okhanyayo okanye obomvu obumnyama. Amanzi akwisitya sendlu yangasese nawo anokuba bomvu. |
| I-microscopic hematuria | Kule meko, kukho negazi kumchamo, kodwa ubungakanani balo buncinci kangangokuba abubonakali emehlweni . Oku kunokubonwa kuphela ngokuhlola umchamo nge-microscope. |
| I-Dipstick hematuria | Oku kubonwa ngovavanyo olubandakanya ukuntywiliselwa komcu omncinci (i-dipstick) ogqunywe ngamakhemikhali emchameni. Nangona kunjalo, olu vavanyo aluchanekanga ngokupheleleyo. Ngamanye amaxesha, lunokunika iziphumo ezingezizo, nokuba akukho gazi. Ke ngoko , ukuba olu vavanyo lubonisa igazi, kufuneka luqinisekiswe ngemakroskopu. |
Ziziphi ezinye iimpawu ezihamba negazi kumchamo?
Kwiimeko ezininzi, kusenokungabikho zimpawu ngaphandle kwegazi kumchamo. Oku sikubiza ngokuba 'akukho zimpawu'. Nangona kunjalo, abanye abantu banokufumana ezinye iimpawu.
Iimpawu ezinxulumene nenkqubo yomchamo:
- Ukufuna ukuchama ngaphezu kwesiqhelo (ukuchama rhoqo).
- Intlungu okanye ukutsha xa uchama (i-dysuria).
- Isidingo esikhawulezileyo nesinamandla sokuchama (ukukhawuleza komchamo).
Ezinye iimpawu eziqhelekileyo:
- Isicaphucaphu nokuhlanza.
- Umkhuhlane kunye nokubanda.
- Intlungu yesisu esisezantsi.
- Intlungu esezantsi komqolo.
- Intlungu emqolo, ngaphezulu nje kwesinqe.
Igazi elisemchameni alisoloko liluphawu lwesifo esinzulu. Nangona kunjalo, linokuba luphawu olubalulekileyo lwesilumkiso sokuba kukho into engalunganga emzimbeni wakho. Ngoko ke ungaze uyityeshele. Bona ugqirha kwangoko nje ukuba uyibonile.
Zithini izizathu eziphambili zokuba kubekho igazi kumchamo?
Zininzi izinto ezinokubangela oku. Ezinye azinzima kangako, kodwa ezinye ziimeko ezifuna inkxalabo.
Izizathu eziqhelekileyo
- Isifo samatye omchamo: Ezi zinokuba ngamatye ezintso, amatye esinyini, okanye amatye aqulunqwayo kwindlela yomchamo. La matye anokubangela ukwenzakala kwinkqubo yomchamo aze abangele ukopha.
- Usulelo lwendlela yomchamo (UTI): Usulelo lwendlela yomchamo olubangelwa yibhaktheriya. Oku kuxhaphake kakhulu kubafazi.
- Usulelo lwezintso (iPyelonephritis): Le meko inokwenzeka xa i-UTI ikhula ize isasazeke kwizintso.
- I-Cystitis: Ukudumba kwesinyi okubangelwa lusulelo okanye esinye isizathu.
Ngaba kukho umngcipheko wokuba nomhlaza?
Ewe, igazi emchameni linokuba luphawu lokuqala lwezinye iintlobo zomhlaza. Yiyo loo nto kungcono ukungayinaki le mpawu.
- Umhlaza wesinyi
- Umhlaza wezintso
- Umhlaza weprostate
- Umhlaza we-Ureteral kunye ne-Urethral
Ezinye izizathu
- I-Benign Prostatic Hyperplasia (BPH): Njengoko amadoda ekhula, i-prostate gland yawo iyanda. Oku kunokubangela ukuvaleka komchamo nokopha.
- Ukulimala kwinkqubo yomchamo: Ukuwa, ingozi yemoto, okanye ukubetheka kakhulu ngelixa udlala imidlalo kunokubangela ukwenzakala kwezintso okanye isinyi.
- Ukuya exesheni kwabasetyhini: Ngexesha lokuya exesheni, igazi elincinci linokubonwa lixutywe nomchamo.
- I-Endometriosis: Ukukhula kwezicubu zesibeleko ngaphandle kwesibeleko.
- Isifo Sezintso Esingapheliyo (CKD): Ukuwohloka kokusebenza kwezintso ixesha elide.
- Isifo seSickle cell: Imeko ezuzwe njengelifa echaphazela iiseli ezibomvu zegazi.
Uyifumana njani le nto, Gqirha?
Xa ubona ugqirha, uza kukubuza ngeempawu zakho kunye nezinye iimeko zempilo onokuba nazo. Emva koko, baza kwenza uvavanyo lomzimba. Emva koko, banokucebisa iimvavanyo ezininzi ukunceda ekufumaneni unobangela ochanekileyo.
| Uvavanyo | Yintoni le iyenzayo? |
|---|---|
| Uhlalutyo lomchamo | Isampulu yomchamo wakho iya kuhlolwa ukuba kukho izinto ezinokubangela iimpawu (igazi, iswekile, iiproteni) kunye nokubonakala kwazo. |
| Inkcubeko yomchamo | Bakhangela iintsholongwane ezibangela usulelo kumchamo. |
| I-Cytology yomchamo | Umchamo uhlolwa ngemakroskopu ukuze kubonwe ukuba kukho iiseli ezingaqhelekanga na, ezifana neeseli zomhlaza. |
| I-Cystoscopy | Kufakwa ityhubhu encinci enekhamera encinci nge-urethra ukuze kuhlolwe ingaphakathi lesinyi kunye ne-urethra. |
| Uvavanyo lokufota | Iiskeni ezifana ne-ultrasound, i-CT scan, okanye i-MRI zenziwa ukuze kufunyanwe imifanekiso yezintso kunye nenkqubo yomchamo. |
Iphathwa njani?
Unyango loku luxhomekeke ngokupheleleyo kwisizathu segazi elikwimchamo . Ugqirha uya kufumanisa unobangela emva kokwenza uvavanyo aze akunike unyango olufanelekileyo.
- Ukuba sisifo esifana ne-UTI, amayeza okubulala iintsholongwane aya kunikwa.
- Ukuba lilitye lomchamo, amayeza aya kusetyenziswa ukunyibilikisa ilitye okanye ezinye iindlela ziya kusetyenziswa ukususa ilitye.
- Ukuba i-prostate gland ikhulisiwe, inokufuna amayeza okanye mhlawumbi utyando.
- Ukuba umhlaza ufunyenwe, iqela loogqirha abaziingcali (iingcali zomchamo, iingcali zomhlaza) liya kudibana ukuze lenze isicwangciso sonyango esifanelekileyo.
Singenza ntoni ukuthintela oku?
Nangona kungengazo zonke izizathu ezinokuthintelwa, kukho izinto onokuzenza ukunciphisa umngcipheko wakho.
- Sela amanzi amaninzi imini yonke. Oku kuya kunceda ukugcina inkqubo yakho yomchamo isempilweni.
- Chama ngaphambi nasemva kokwabelana ngesondo.
- Xa abafazi bezihlambulula emva kokusebenzisa indlu yangasese, soloko uzisula ukusuka phambili ukuya ngasemva. Oku kuthintela iintsholongwane ukuba zingangeni kumchamo.
- Gcina ubunzima obusempilweni obufanela umzimba wakho.
- Nciphisa ukutya okuneswekile eninzi, ityuwa, kunye neeproteni zezilwanyana.
- Ukuba uyatshaya, yeka ngoko nangoko.
- Nciphisa ukuvezwa kwiikhemikhali eziyingozi kangangoko kunokwenzeka.
Ufanele uye nini kugqirha?
Ukuba uqaphela ukuba umchamo wakho utshintsha ube pinki, ube bomvu, okanye ube mdaka , bonana nogqirha ngaphandle kokuthandabuza.
Kwakhona, funa ingcebiso kagqirha ukuba unezinye zezi mpawu, nokuba umbala womchamo wakho awutshintshi:
- Utshintsho kwindlela yokuchama (ukuchama rhoqo, iintlungu).
- Iimpawu zosulelo ezifana nomkhuhlane kunye nokubanda.
- Intlungu esiswini, emqolo, okanye emacaleni esinqe.
Ukuba iimpawu zinzima kakhulu, umzekelo, ukuba kukho intlungu eqatha kunye nokopha, yiya kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane.
Ngaba ukutya nokusela kunokubangela igazi kumchamo?
Hayi, ukutya okanye isiselo akubangeli ukuba kuvele igazi kumchamo. Nangona kunjalo, ezinye ukutya zinokutshintsha umbala womchamo zize zibonakale ngathi kukho igazi kuwo. Emva koko soyika ngaphandle kwesizathu.
- Ibhithi
- IBlackberry
- I-Rhubarb
- Iimbotyi zeFava
Nokuba umchamo wakho utshintsha umbala emva kokutya ukutya okunje, kunzima ukuzazi ukuba ligazi okanye akunjalo. Ngoko ke eyona nto ilungileyo onokuyenza ukuba unamathandabuzo kukuthetha nogqirha wakho. Oko kuya kunciphisa uloyiko lwakho kwaye kukuncede ufumane ukuba kukho ingxaki kwangethuba.
Umyalezo Wokuya Ekhaya
- Ukuba ubona umchamo wakho usiba bomvu, upinki, okanye umdaka, musa ukuwutyeshela. Yiya kugqirha ngoko nangoko.
- Oku akusoloko kubonisa imeko enzima efana nomhlaza. Kusenokuba sisizathu esilula njenge-UTI okanye amatye omchamo.
- Musa ukuqikelela nje unobangela. Kubalulekile ukufumana unobangela ngokwenza uvavanyo olufanelekileyo.
- Unyango luxhomekeke kwisizathu, ngoko ke okukhona unobangela ufunyaniswa ngokukhawuleza, kokukhona kuya kuba lula ukunyanga.
- Izifo ezininzi zomchamo zinokuthintelwa ngokusela amanzi amaninzi imihla ngemihla nokugcina indlela yokuphila esempilweni.
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