Ingabe unegazi emchameni wakho? (Hematuria) - Ungakhathazeki, ake sixoxe ngalokhu!

Ngezinye izikhathi uma uya endlini yangasese, ungase uqaphele ukuthi umbala womchamo wakho usushintshile. Mhlawumbe umbala ojwayelekile opinki, noma ubomvu obukhanyayo, noma ungase ubonakale ubomvu obumnyama. Noma ubani obona igazi emchameni wakhe kanje uyesaba kancane, futhi lokho kuyinto evamile. Kodwa akulona njalo uphawu lokugula okukhulu. Ngakho-ke namuhla, ake sixoxe ngaleli gazi emchameni, okuyilokho esikubiza ngokuthi 'iHematuria' kwezokwelapha.

Kalula nje, iyini i-Hematuria?

I-Hematuria yigama lezokwelapha elisho ukuba khona kwamaseli egazi, noma igazi, emchameni wakho (umchamo). Cabanga ngakho njengesignali encane evela ngaphakathi emzimbeni wakho ekutshela ukuthi, "Kukhona okwenzekayo ngaphakathi, qaphela."

Esikhathini esiningi, asiboni ngisho negazi emchameni wethu. Lincane nje. Lokhu kutholakala kuphela uma udokotela ehlola umchamo. Kodwa uma ubona ukuthi umchamo wakho upinki noma ubomvu, kungaba uphawu lwento ehlukile. Ngakho-ke uma ubona into efana naleyo , ungayizibi . Into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu.

Yiziphi izinhlobo eziyinhloko ze-hematuria?

Odokotela bahlukanisa umchamo ngezigaba eziningana eziyinhloko ngokusekelwe enanini legazi elikhona. Ake sibheke ukuthi liyini.

Zikhona yini ezinye izimpawu ngaphandle kwegazi emchameni?

Ezimweni eziningi, kungase kungabi khona zimpawu ngaphandle kokushintsha kombala womchamo. Odokotela bakubiza lokhu ngokuthi 'akukho zimpawu'. Lokho kusho ukuthi azikho izimpawu.

Kodwa-ke, abanye abantu bangase babe nezinye izimpawu kanye nalokhu. Lezi zimpawu zifaka:

• Ukuchama njalo .
• Ukushisa noma ubuhlungu lapho uchama (i-Dysuria).
• Ukuphuthuma komchamo .

Ngaphezu kwalezi zimpawu, ezinye izimpawu ezihlobene zingase zivele kuye ngokuthi imbangela iyini.

Into ebalulekile ukuthi igazi emchameni wakho aliyona njalo inkomba yokugula. Kodwa kungaba isixwayiso esibaluleke kakhulu sokuthi kukhona okuthile emzimbeni wakho okudinga ukunakwa. Ngakho-ke ungalokothi ukushaye indiva.

Kungani kukhona igazi emchameni? Yiziphi izimbangela eziyinhloko?

Kunezimbangela eziningi ze-hematuria. Ezinye azizimbi kakhulu, kodwa ezinye zingaba zimbi kakhulu.

Izimbangela ezivamile:

• Ukutheleleka Kwendlela Yomchamo (UTI): Lokhu kuyimbangela evame kakhulu, ikakhulukazi phakathi kwabesifazane. Kungavela uma ukutheleleka ngamagciwane kwenzeka noma kuphi ohlelweni lomchamo.
• Isifo Samatshe Esibangelwa Umchamo: Njengoba sonke sazi, amatshe ezinso kanye namatshe esinyini kungabangela ukuthi umgudu womchamo ulimale futhi wophe igazi.
• Ukutheleleka Kwezinso (Pyelonephritis): Uma i-UTI ingelashwa kahle, ingasakazekela ezinso futhi ibangele ukutheleleka. Lokho futhi kuyimbangela yalokhu.
• I-Cystitis: Ukuvuvukala kwesinye ngenxa yokutheleleka noma ezinye izimbangela.

Ezinye izizathu:

• I-Benign Prostatic Hypertrophy (BPH): Isimo esivamile kwabesilisa asebekhulile. Lapho indlala ye-prostate ikhula, ingabangela ingcindezi ku-urethra futhi ibangele ukuphuma kwegazi.
• Ukulimala ohlelweni lomchamo: Lokhu kungenzeka futhi ngenxa yengozi, ukuwa, noma ukulimala ngesikhathi udlala imidlalo.
• Ukuya esikhathini: Abesifazane bangase babone igazi lixubene nomchamo ngesikhathi sokuya esikhathini. Lokhu akusona isifo.
• I-Endometriosis: Ukukhula kwezicubu ezifana nalokho okutholakala esibelethweni ngaphandle kwesibeletho.
• Isifo Sezinso Esingapheli (CKD): Ukwehla kokusebenza kwezinso ngokuhamba kwesikhathi.
• Isifo Se-Sickle Cell: Isifo esizuzwe njengefa esithinta amangqamuzana abomvu egazi.
• Eminye imdlavuza: Igazi emchameni lingaba uphawu lokuqala lwezimo ezimbi kakhulu njengomdlavuza wesinye, umdlavuza wezinso, kanye nomdlavuza wendlala. Lesi yisona sizathu esibi kakhulu okufanele sisesabe futhi singasinaki.

Ubani osengozini enkulu yokuthola lesi simo?

Noma ubani, kungakhathaliseki ubudala, angaba negazi emchameni wakhe. Kodwa-ke, abanye abantu basengozini enkulu kancane.

• Kulabo abavame ukuba nezifo zomgudu womchamo (UTIs).
• Kubantu abangaphezu kweminyaka engama-50 ubudala, ikakhulukazi amadoda.
• Uma kukhona emndenini onezimo ezifana nesifo sezinso noma amatshe ezinso.
• Kulabo abathatha imithi yokunciphisa igazi (ama-anticoagulant), imithi yokunciphisa ubuhlungu (ama-NSAID), kanye neminye imithi elwa namagciwane.
• Kulabo ababhemayo.
• Kulabo abangaphuzi amanzi anele emini (ukuphelelwa amanzi emzimbeni).
• Kulabo abachayeke kumakhemikhali, upende, irabha, njll. emsebenzini.
• Kulabo abadlala imidlalo yokuxhumana efana nebhola, i-hockey, kanye ne-boxing.
• Kulabo abagijima amabanga amade noma abavivinya umzimba ngokweqile (i-Exercise-induced hematuria).

Ukuthola kanjani lokhu, Dokotela?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho, imithi oyiphuzayo, kanye nanoma yiziphi izimo zezokwelapha emndenini wakho. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba. Ngaphezu kwalokho, angase acele ukuhlolwa okuningana ukuze kutholakale imbangela eqondile.

• Ukuhlolwa komchamo: Lokhu ukuhlolwa okuyisisekelo kakhulu. Kuthathwa isampula yomchamo wakho bese kuhlolwa igazi, izimpawu zokutheleleka, kanye nezinye izinkinga.
• Ukukhula Komchamo: Uma kusolwa ukuthi kukhona ukutheleleka komchamo, lokhu kuhlolwa kwenziwa ukuze kutholakale ukuthi yimaphi amagciwane akubangelayo.
• I-Urine Cytology: Isampula yomchamo ihlolwa ngaphansi kwe-microscope ukuze kubhekwe amangqamuzana angajwayelekile, ikakhulukazi amangqamuzana omdlavuza.
• I-Cystoscopy: Lokhu kuhilela ukudlulisa ipayipi elincane elinekhamera encane nge-urethra yakho ukuze kuhlolwe ingaphakathi lesinye sakho kanye ne-urethra. Ungakhathazeki, lokhu kuvame ukwenziwa ngaphansi kwe-anesthesia.
• Ukuhlolwa Kwezithombe: Ukuskena. Ukuskena kwe-ultrasound, i-CT scan, noma i-MRI scan kuthatha isithombe esiphelele sezinso zakho, isinyi, kanye nohlelo lomchamo ukuze kuhlolwe amatshe, izimila, noma ezinye izinkinga.

Yiziphi izindlela zokwelapha lokhu?

Kalula nje:

• Uma imbangela kuyisifo somgudu womchamo (UTI) , udokotela wakho uzokunikeza umuthi ofanele wokulwa namagciwane.
• Uma imbangela kungamatshe ezinso , kuye ngobukhulu bamatshe, kungadingeka ancibilikiswe ngemithi noma asuswe ngokuhlinzwa.
• Uma imbangela kuyi- prostate ekhulisiwe (BPH) , kukhona nemithi yalokho. Uma imithi ingakwazi ukuyilawula, ukuhlinzwa kungaba yindlela yokukhetha.
• Uma imbangela kuyisimo esibi njengomdlavuza , ithimba lodokotela abangochwepheshe (odokotela bezifo zomchamo, odokotela bezifo zomdlavuza) lizohlangana ukuze linqume indlela yokwelapha efanele kakhulu (ukuhlinzwa, ukwelashwa ngemisebe, njll.).

Ngezinye izikhathi, uma ukuphuma kwegazi kubangelwa yimbangela efana nokuzivocavoca ngokweqile, akudingi ukwelashwa okukhethekile. Kuzophela ngokwako ngosuku olulodwa noma ezimbili.

Yini esingayenza ukuze sivimbele i-hematuria?

Nakuba singenakukwazi ukuvimbela zonke izimbangela, singakwazi ukuzivikela kwezinye izimbangela ezivamile.

• Phuza amanzi amaningi usuku lonke: Lena yinto ebaluleke kakhulu. Ukuphuza okungenani amalitha angu-2-3 amanzi ngosuku kungasiza kakhulu ekuvimbeleni izifo zomchamo kanye namatshe ezinso.
• Nakekela inhlanzeko:Ikakhulukazi kwabesifazane, sula njalo kusukela phambili kuya emuva uma uhlanza ngemva kokusebenzisa indlu yangasese.
• Indlela yokuphila enempilo: Yidla ukudla okulinganiselayo. Nciphisa ukudla okunosawoti omningi, ushukela kanye namaprotheni ezilwane. Lawula isisindo sakho.
• Gwema ukubhema ngokuphelele: Ukubhema kuyisici esikhulu esiyingozi somdlavuza wesinye kanye nezinso.
• Chama ngaphambi nangemva kocansi: Lokhu kusiza ekukhipheni amagciwane okungenzeka ukuthi angene emgudwini womchamo.

Kufanele ngimbone nini udokotela?

Kulula kakhulu. Uma ubona ukuthi umchamo wakho upinki, ubomvu, noma unsundu, hlela isikhathi sokubonana nodokotela wakho ngokushesha.

Futhi, noma ngabe akukho shintsho embala womchamo wakho, uma unezinye zezimpawu ezilandelayo, kufanele nakanjani ufune iseluleko sezokwelapha.

• Ushintsho endleleni yokuchama (ukuchama njalo, ubunzima bokuchama)
• Ukushisa noma ubuhlungu lapho uchama
• Ubuhlungu esiswini esingezansi, emhlane, noma ethangeni
• Umkhuhlane ngaphandle kwesizathu

Okokugcina, ngezinye izikhathi umbala womchamo ungaba bomvu ngenxa yokudla okufana ne-beetroot ne-rhubarb. Akulona igazi. Kodwa uma ungaqiniseki ngakho, kungcono ukubona udokotela bese uthola ukuhlolwa komchamo okulula. Lokho kuzosusa nokwesaba kwakho.