Ingaba unegazi elingabonakaliyo kumchamo wakho? (Microhematuria) Masithethe ngale nto!

Ngamanye amaxesha usenokuba negazi elincinci kakhulu kumchamo wakho, kodwa usenokungaliboni. Oku kudla ngokufunyanwa ngexesha lokuhlolwa okanye olunye uvavanyo ngugqirha. Oku sikubiza ngokwezonyango ngokuthi "iMicrohematuria". Ngoko ke, ngaba singathetha ngale nto ngokweenkcukacha ezithe vetshe nangokulula? Akukho nto yokoyika, kubaluleke kakhulu ukuqaphela oku.

Yintoni kanye kanye "iMicrohematuria"?

Ngamafutshane, `(Microhematuria)` ithetha igazi, oko kukuthi, igazi, kumchamo wakho. Kodwa ubungakanani begazi okulo buncinci kakhulu kangangokuba awukwazi ukububona ngeliso lakho lenyama. Udinga ``microscope`` ukuze uzibonele ngokwakho. I-American Urological Association iyichaza njenge ``Microhematuria`` ukuba kukho ``iiseli zegazi ezibomvu (ii-RBC)`` ezintathu okanye ngaphezulu kwisampuli yomchamo phantsi ``intsimi enamandla aphezulu`` yemicroscope. Khawucinge nje, loo mlinganiselo umncinci! Oko kuthetha ukuba igazi kumchamo lincinci kakhulu kangangokuba alibonakali kwiliso lenyama.

Ngoko ke yintoni 'igazi elicociweyo' kumchamo?

'Igazi elicociweyo' nalo luhlobo lwe-'(Microhematuria)`. 'Igazi elicociweyo' lithetha inani elincinci kakhulu, njengoko bekutshiwo ngaphambili, elincinci kakhulu ukuba lingabonwa ngaphandle kwe-microscope. 'Igazi elicociweyo' lithetha ukuba iindonga zeeseli zeeseli ezibomvu zegazi ziphukile kwaye zitshatyalalisiwe . Kwi-'(Microhematuria)` eqhelekileyo, iindonga zeeseli ezibomvu zegazi aziphukile, kodwa zilungile kwaye azinasiphako. Kukho umahluko omncinci wobuchwephesha phakathi kwezi zimbini.

Zithini iimpawu zale meko (iMicrohematuria)?

Ixesha elininzi, abantu abanale `(Microhematuria)` abanazo iimpawu (oko kukuthi, `ezingenazimpawu`). Oko kukuthi, unokuba nale meko ngaphandle kokuziva mahluko okanye ukungonwabi. Idla ngokufunyanwa ngengozi xa ugqirha ekuxilonga minyaka le okanye esenza ezinye 'iimvavanyo eziqhelekileyo'.

Nangona kunjalo, ngamanye amaxesha unokuba neempawu ezifana nezi:

• Ukufuna ukuchama rhoqo kunesiqhelo ('ukuchama rhoqo').
• Intlungu okanye ukutsha xa uchama (i-dysuria).
• Intlungu kumacala omabini esisu sakho esisezantsi, ngaphezulu nje kwesisu sakho (apho kukho izintso zakho) ('intlungu yecala`).
• Ukuba nomkhuhlane .
• Umchamo unevumba elibi .

Ukuba unenye okanye ngaphezulu kwezi mpawu, kububulumko ukubona ugqirha.

Kutheni kukho igazi kumchamo ngolu hlobo? Zithini izizathu?

Kunokubakho izizathu ezahlukeneyo ze-`(Microhematuria)`. Makhe sijonge ezona ziphambili:

• Iintsholongwane zoMchamo (UTIs): Le yeyona nto ixhaphakileyo. Ukudumba komchamo , ukuchama rhoqoOku kunokukhatshwa kukunyuka kwesisindo kunye nentlungu esezantsi kwesisu. Ezi zifo zingabangela amanxeba amancinci kwindlela yomchamo kwaye zibangele ukopha.
• Ixesha lakho lokuya exesheni ngenyanga (`ukuya exesheni`): Ngexesha lokuya exesheni komfazi, igazi linokudibana nomchamo lize libonakale kwiimvavanyo. Yiyo loo nto uvavanyo lomchamo lungenziwa ngexesha lokuya exesheni.
• Amayeza athile: Amanye amayeza owasebenzisayo, umzekelo, amayeza angengowe-steroidal anti-inflammatory (NSAIDs) (umz., ibuprofen, i-diclofenac), amayeza okubulala iintsholongwane afana ne-penicillin, kunye ne-anticoagulants (umz., i-warfarin, i-aspirin), nawo anokubangela oku.
• Ukuzilolonga okunamandla: Oku kunokwenzeka kwabanye abantu emva kokwenza umthambo onzima njengokubaleka okanye ukutsiba. Oku kudla ngokuba ngcono ngokwako emva kweentsuku ezimbalwa.
• I-prostate ekhulisiweyo (i-Benign Prostatic Hyperplasia - BPH): Oku kunokuchaphazela ngakumbi amadoda angaphezulu kweminyaka engama-50 ubudala. I-prostate yindlala encinci efumaneka ngaphantsi kwesinyi. Xa ikhula, inokucinezela i-urethra kwaye ibangele ukopha.
• Amatye kwinkqubo yakho yomchamo: La matye anokuba ngamatye ezintso, amatye e-ureteral, okanye amatye esinyini. La matye anokukrwela iindonga ezithambileyo zenkqubo yakho yomchamo aze abangele ukopha.
• Isifo Sezintso Esingapheliyo (CKD): Le meko inokwenzeka xa izintso zingasakwazi ukucoca igazi ngokufanelekileyo, nto leyo ebangela ukuba iiseli ezibomvu zegazi ziqokeleleke kumchamo.
• Ukuqina komchamo: Ukuba i-urethra (indlela ephuma ngayo umchamo) inciphile ndaweni ithile, oko kungaba yimbangela.
• Iintlobo ezithile zomhlaza: I-Microhematuria inokubonwa njengophawu lokuqala kwiimeko ezinzulu ezifana nomhlaza wesinyi, umhlaza wezintso, kunye nomhlaza weprostate. Nangona kunjalo, kubalulekile ukukhumbula ukuba ayizizo zonke ii-microhematuria ezingumhlaza .

Nangona kunjalo, ngamanye amaxesha oogqirha basenokungakwazi ukufumana unobangela othile wale "Microhematuria". Kukwakho neemeko ezinjalo.

Ingakanani amathuba okuba "iMicrohematuria" ibe luphawu lomhlaza?

Oku kuxhalabisa abantu abaninzi. Xa abantu abane-`(Microhematuria)` bevavanywa, malunga ne-3% (3%) yabo bafunyanwa benomhlaza. Oku kuthetha ukuba ukuba abantu abali-100 bane-`(Microhematuria)` malunga ne-3 kubo banokuba nomhlaza. Nangona kunjalo, umngcipheko wakho wokuba nomhlaza uxhomekeke kwezinye izinto ezininzi. Ezi zinto ziquka:

• Ubudala bakho: Lo mngcipheko uyanda kancinci njengoko ukhula.
• Ubunzima bemeko `(Microhematuria)`:Oko kuthetha ukuba zingaphi iiseli ezibomvu zegazi ezikwimchamo.
• Nokuba uyatshaya na: Ukutshaya yimbangela enkulu yomhlaza wesinyi.

Ngoko ke, musa ukoyika umhlaza kuba nje une-"Microhematuria". Kodwa kubalulekile ukuthetha nogqirha ukuze ufumane unobangela ochanekileyo.

Ingaba le meko iyasulela?

Hayi, `(Microhematuria)` ayisosifo esosulelayo. Asidluliselwa ukusuka komnye umntu ukuya komnye. `(Microhematuria)` sisifo esiqhelekileyo esibangela `(UTIs)`, nangona ``Izifo Zomchamo (UTIs)`` zingasasazeki ngokwesondo, kodwa kwezinye iimeko, isenzo sokwabelana ngesondo sinokunyusa umngcipheko wosulelo.

Ngubani onokuphuhlisa le `(Microhematuria)`?

Nabani na unokuba nesifo esithi "Microhematuria". Esi sifo sinokuchaphazela abantu abadala kunye nabantwana . Nangona izizathu zinokwahluka, esi sifo siqhelekile kuye wonke umntu.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Okokuqala, ugqirha uza kukubuza ngembali yakho yempilo aze akubuze ngeempawu zakho (ukuba zikhona). Umzekelo, banokubuza imibuzo efana nale:

• Ngaba wakha waba negazi kumchamo wakho ?
• Ngaba ukhe watyeba okanye wehla ubunzima kutshanje?
• Ngaba uyatshaya, uvape, okanye usebenzisa ezinye iimveliso zecuba?
• Ngawaphi amayeza owasebenzisayo? (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha (amayeza e-OTC) kunye neevithamini (izithako ezongezelelweyo).
• Ngaba usebenzisa iziyobisi?
• Ngaba kukho umntu kusapho lwakho owakha waba nomhlaza, igazi emchameni, okanye isifo sezintso?

Ukuba ugqirha wakho ukrokrela ukuba unegazi kumchamo wakho, uza kuyalela iimvavanyo ezikhethekileyo ezininzi ukuqinisekisa le meko (iMicrohematuria) aze afumane unobangela.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyanwe `(Microhematuria)`?

Ugqirha angenza ezi mvavanyo zilandelayo ukuze abone ukuba une-microhematuria aze afumane unobangela:

• Uhlalutyo lomchamo: Isampulu yomchamo wakho iyathathwa ize ithunyelwe kwilebhu ukuze ivavanywe. Oku kusetyenziselwa ukujonga kuqala iiseli ezibomvu zegazi, ukuba zingaphi, iiseli ezimhlophe zegazi, kunye neebhaktheriya.
• Ukukhula komchamo: Ukuba uvavanyo lomchamo lubonisa ukuba kukho usulelo, oku kunokunceda ekuqinisekiseni ukuba kukho usulelo lomchamo (UTI) kwaye, ukuba kunjalo, zeziphi iintsholongwane ezilubangelayo. Emva koko unokunikwa i-antibiotic efanelekileyo.
• Uvavanyo lwegazi: Umzekelo, ukubalwa kwegazi okupheleleyo (i-CBC) kunye ne-creatinine eserum. Oku kunokunceda ekuqinisekiseni ukuba unesifo esithile esingabonakaliyo, esifana nesifo sezintso esingapheliyo (i-CKD), okanye i-anemia.
• Uvavanyo lomfanekiso:Kungenziwa iskeni ye-ultrasound, i-CT urogram, okanye i-MRI scan. Ezi zinokunika ugqirha wakho umfanekiso ocacileyo wenkqubo yakho yomchamo, njengezintso zakho, isinyi, kunye ne-urethra. Ezi zinokunceda ukujonga izinto ezinje ngamatye, iithumba, kunye nomhlaza.
• I-Cystoscopy: Kule nkqubo, ugqirha ufaka ityhubhu encinci, eguquguqukayo (ebizwa ngokuba yi-cystoscope, enekhamera kunye nokukhanya ekupheleni) kwi-urethra yakho ukuze ahlole ingaphakathi le-urethra yakho kunye nesinyi. Oku kunokuba yinto engathandekiyo, kodwa kudla ngokwenziwa phantsi kwe-anesthesia yendawo. Oku kuvumela ugqirha ukuba abone izinto ezifana neethumba ezincinci, amatye, kunye nezilonda ngaphakathi kwesinyi sakho.
• I-Biopsy: Ukuba kufunyenwe indawo ekrokrisayo ngexesha le-cystoscopy okanye i-scan, ugqirha uza kusebenzisa inaliti ukususa isampuli encinci yezicubu kwilungu elichaphazelekayo (umz., isinyi, izintso, i-prostate) aze ayihlole phantsi kwe-microscope. Oku kunokunceda ekufumaneni imeko ethile, ingakumbi umhlaza.

Ayizizo zonke ezi mvavanyo ezenzelwa wonke umntu. Ugqirha wakho uya kugqiba ukuba zeziphi iimvavanyo omawuzenze ngokusekelwe kwimeko yakho, ubudala, iimpawu, kunye neziphumo zezinye iimvavanyo.

Iphathwa njani le nto?

Unyango lwe-"Microhematuria" luxhomekeke kwisizathu. Nje ukuba imbangela ifunyanwe, ugqirha uza kuqalisa unyango olufanelekileyo.

• Ukuba une-urinary tract infection (UTI), unganikwa amayeza okubulala iintsholongwane kangangeentsuku ezimbalwa.
• Ukuba i-prostate gland ikhulisiwe (BPH), amayeza anokunikwa ukuyinciphisa (umz. i-tamsulosin, i-terazosin) okanye ukulawula ukukhula kwayo (umz. i-finasteride, i-dutasteride).
• Ukuba kukho amatye kwinkqubo yomchamo, amayeza (umz. i-tamsulosin, i-nifedipine) anokunikwa ukuze aphume lula . Amanye amatye anokufuna olunye unyango (olufana ne-lithotripsy) okanye utyando.
• Ukuba oku kubangelwa ngamayeza athile, anjengee-nonsteroidal anti-inflammatory drugs (NSAIDs), ezinokonakalisa izintso, ugqirha angakuxelela ukuba uyeke ukusebenzisa amayeza okanye utshintshele kwenye iyeza.
• Usenokucelwa ukuba wenze utshintsho kwindlela otya ngayo. Umzekelo, umntu onesifo sezintso esinganyangekiyo (CKD) unokucelwa ukuba atye iiproteni, ityuwa kunye ne-potassium encinci.
• Ngamanye amaxesha utyando lunokufuneka ukuze kususwe amatye, iindawo ezithile zeprostate, okanye into efana nomhlaza.

Nangona kunjalo, ukuba uvavanyo alufumani sizathu, usenokungadingi naluphi na unyango.Ugqirha wakho unokukhetha ukulandela icebo elibizwa ngokuba yi-'watchful waiting'. Oku kuthetha ukuba baza kujonga imeko yakho kodwa abayi kukuphatha de iimpawu zakho zitshintshe. Okanye banokukhetha ukwenza into ebizwa ngokuba yi-'surveillance'. Oku kuthetha ukuba baza kuphinda iimvavanyo ezifana novavanyo lomchamo rhoqo emva kweenyanga ezimbalwa.

Ngaba ukwenzeka kwe-`(Microhematuria)` kungathintelwa?

Ngamanye amaxesha, kusenokungabi lula ukuthintela ngokupheleleyo `(iMicrohematuria)`, njengoko ezinye izizathu zingaphaya kwamandla ethu. Nangona kunjalo , ukusela amanzi amaninzi, ubuncinane iilitha ezi-2-3 ngosuku, ingakumbi xa uzilolonga, kunokunceda kakhulu. Oku kuyawunciphisa umchamo kwaye kunceda ukugcina inkqubo yomchamo icocekile.

Kwakhona, ezi zinto zilandelayo zinokunceda ukunciphisa umngcipheko we-microhematuria:

• Ukuyeka ukutshaya ngokupheleleyo. Le yeyona nto ibangela izifo ezininzi, kuquka nomhlaza wesinyi.
• Sebenzisa amayeza okudambisa iintlungu afana ne-NSAID kuphela njengoko uyalelwe ngugqirha wakho, kwaye kuphela xa kuyimfuneko. Akuyongcinga ilungileyo ukuwasela rhoqo kuyo yonke into encinci.
• Ukuphepha ukuvezwa kwimitha yelanga kunye neekhemikhali ezithile ezifana ne-benzenes, i-aromatic amines, kunye ne-hydrocarbons (ezi zixhaphake kakhulu kwimisebenzi ebandakanya iifektri, iipeyinti, kunye nerabha).

Kunini apho kufuneka ndikhathazeke khona nge-"Microhematuria"?

Kuxhomekeke kakhulu kwinto ebangela igazi lakho kumchamo wakho. Kodwa ngokubanzi, abantu abane-"Microhematuria" banethuba elingcono lokuba ngcono. Izizathu ezininzi ziba ngcono ngaphandle konyango, okanye ngonyango oluncinci. Nje ukuba ugqirha aqinisekise ukuba une-"Microhematuria" aze afumane unobangela, angakunika umbono olungileyo wento omawuyilindele.

Ndifanele ndimbone nini ugqirha?

Awuyi kwazi ukuba une-microhematuria de ube uvavanyiwe ngugqirha. Ngoko ke, ukuba uneempawu ezinokunxulunyaniswa ne-microhematuria (umz., utshintsho kwindlela ochama ngayo , ukutsha xa uchama , umkhuhlane, intlungu esiswini sakho esisezantsi), ngokuqinisekileyo kuya kufuneka uthethe nogqirha. Ukuba iimpawu zakho zinzima ngakumbi, njengomkhuhlane ophezulu okanye intlungu enganyamezelekiyo, kungcono uye kwiziko lokhathalelo olungxamisekileyo ngoko nangoko.

Ukuba ukhe waba ne-"Microhematuria" ngaphambili kwaye ngoku unegazi elibonakalayo kumchamo wakho (oku kubizwa ngokuba yi-"Gross Hematuria"), bona ugqirha ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale ukuze uqonde kakuhle imeko yakho:

• Zeziphi iimvavanyo ondicebisa ukuba ndizenze ukuze ndibone le ``(Microhematuria)''?
• Yintoni isizathu sokuba ndibe nale `(Microhematuria)`?
• Ngaba ndifuna unyango? Okanye ngaba ukujongwa kwanele?
• Ukuba kufuneka unyango, luluphi uhlobo lonyango olucebisayo? Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
• Ndingaphinda ndifumane le meko ethi "Microhematuria"? Ndingenza ntoni ukuyithintela?

Ukongeza kule mibuzo, ungoyiki ukubuza ugqirha wakho nantoni na onayo okanye exhalabisayo ngayo. Okukhona unolwazi oluthe kratya ngesifo sakho, kokukhona ungcono.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kweli bali?

Kulungile, sithethe kakhulu nge-"Microhematuria" ngoku. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• I-Microhematuria kukubakho kwegazi elincinci kumchamo wakho elincinci kakhulu ukuba lingabonwa ngamehlo enyama. Lidla ngokufunyanwa ngengozi, ngexesha lovavanyo olunye.
• Uninzi lwabantu abane-"Microhematuria" abadingi naluphi na unyango. Unyango lufuneka kuphela ukuba into efana nelitye okanye imeko enzulu ngakumbi yimbangela. Kwiimeko ezininzi, unobangela awufumaneki, kwaye kwiimeko ezinjalo, ubonwa nje.
• Zininzi izizathu zoku. Isenokuba yiyo nantoni na ukusuka kwizinto ezilula ezifana nosulelo lwendlela yomchamo (UTIs) ukuya kwiimeko ezingaqhelekanga nezinzima ezifana nomhlaza. Kodwa ungakhathazeki, ayizizo zonke ii-microhematuria eziyingozi.
• Ukuba uneempawu ezingaqhelekanga zomchamo (umz., ukuchama rhoqo, iintlungu xa uchama , igazi elibonakalayo kumchamo), qiniseka ukuba ubona ugqirha.
• Ugqirha nguye oza kufumana unobangela ochanekileyo aze, ukuba kuyimfuneko, akunike unyango olungcono. Ngoko ke musa ukuzinyanga.

Eyona nto ibalulekileyo kukunika ingqalelo kutshintsho olusemzimbeni wakho kwaye ufune iingcebiso zonyango xa kuyimfuneko. Ngale ndlela, iingxaki ezininzi zinokuchongwa kwangethuba kwaye zisonjululwe ngaphambi kokuba zibe nkulu. Hlala usempilweni!

Igazi kumchamo, iMicrohematuria, iMicrohematuria, usulelo lomchamo, isifo sezintso, uhlalutyo lomchamo, iiseli ezibomvu zegazi