Ingabe unegazi elingabonakali emchameni wakho? (Microhematuria) Ake sixoxe ngalokhu!

Ngezinye izikhathi ungase ube negazi elincane kakhulu emchameni wakho, kodwa ungase ungakuboni nokukubona. Lokhu kuvame ukutholakala ngesikhathi sokuhlolwa noma olunye uhlolo ngudokotela. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi "i-Microhematuria". Ngakho-ke, ingabe kufanele sixoxe ngalokhu ngemininingwane ethe xaxa futhi kalula? Akukho okufanele ukwesabe, kubaluleke kakhulu ukuqaphela lokhu.

Iyini ngempela "i-Microhematuria"?

Kalula nje, `(Microhematuria)` kusho igazi, okungukuthi, igazi, emchameni wakho. Kodwa inani legazi kulokhu lincane kakhulu kangangokuthi awukwazi ukulibona ngeso lakho lenyama. Udinga ``microscope`` ukuze uzibonele. I-American Urological Association iyichaza ``Microhematuria`` uma kukhona ``Amangqamuzana Egazi Abomvu (ama-RBC)`` amathathu noma ngaphezulu kusampula yomchamo ngaphansi ``insimu enamandla amakhulu`` ye-microscope. Cabanga, lelo nani elincane! Lokho kusho ukuthi igazi emchameni lincane kakhulu kangangokuthi alibonakali ngeso lenyama.

Ngakho-ke liyini 'igazi elihlungiwe nge-Trace' emchameni?

'Igazi elihlungiwe' nalo uhlobo lwe-'(Microhematuria)`. 'Igazi elihlungiwe' lisho inani elincane kakhulu, njengoba kushiwo ngaphambili, elincane kakhulu ukuba lingabonakala ngaphandle kwe-microscope. 'Igazi elihlungiwe' lisho ukuthi izindonga zamaseli amangqamuzana abomvu egazi ziphukile futhi zabhujiswa . Ku-'(Microhematuria)' evamile, izindonga zamaseli abomvu egazi aziphukile, kodwa zilungile futhi ziphelele. Kukhona umehluko omncane wobuchwepheshe phakathi kwalokhu okubili.

Ziyini izimpawu zalesi simo (i-Microhematuria)?

Esikhathini esiningi, abantu abanalesi sifo (i-Microhematuria) abanazo izimpawu (okungukuthi, 'ezingenazimpawu'). Okungukuthi, ungaba nalesi simo ngaphandle kokuzwa umehluko noma ukungakhululeki. Ngokuvamile sitholakala ngengozi lapho udokotela ekuxilonga minyaka yonke noma enza ezinye 'izivivinyo ezivamile'.

Nokho, ngezinye izikhathi ungase ube nezimpawu ezifana nalezi:

• Ukudinga ukuchama kaningi kunokujwayelekile (`ukuchama njalo`).
• Ubuhlungu noma ukushisa lapho uchama (i-dysuria).
• Ubuhlungu kuzo zombili izinhlangothi zesisu sakho esingezansi, ngaphezu nje kwezinqe zakho (lapho kukhona khona izinso zakho) ('ubuhlungu be-flank').
• Ukuba nomkhuhlane .
• Umchamo unephunga elibi .

Uma unesinye noma ngaphezulu salezi zimpawu, kuwukuhlakanipha ukubona udokotela.

Kungani kukhona igazi emchameni kanje? Ziyini izimbangela?

Kungaba nezizathu eziningana ze-`(Microhematuria)`. Ake sibheke eziyinhloko:

• Izifo Zomgudu Womchamo (UTIs): Lena imbangela evame kakhulu. Ukuvuvukala kwe-urethra , ukuchama njaloLokhu kungahambisana nokukhuluphala kanye nobuhlungu besisu esingezansi. Lokhu kutheleleka kungabangela amanxeba amancane emgudwini womchamo futhi kubangele ukuphuma kwegazi.
• Isikhathi sakho sanyanga zonke (`ukuya esikhathini`): Ngesikhathi sokuya esikhathini kowesifazane, igazi lingaxubana nomchamo bese libonakala ezivivinyweni. Yingakho ukuhlolwa komchamo kuvame ukwenziwa ngesikhathi sokuya esikhathini.
• Imithi ethile: Eminye imithi oyithathayo, isibonelo, imithi engeyona eye-steroidal anti-inflammatory (NSAIDs) (isb., i-ibuprofen, i-diclofenac), ama-antibiotic afana ne-penicillin, kanye nama-anticoagulant (isb., i-warfarin, i-aspirin), nayo ingabangela lokhu.
• Ukuzivocavoca okunamandla: Lokhu kungenzeka kwabanye abantu ngemva kokuzivocavoca okunzima njengokugijima noma ukugxuma. Lokhu kuvame ukuba ngcono ngokwakho ngemva kwezinsuku ezimbalwa.
• I-prostate ekhulisiwe (i-Benign Prostatic Hyperplasia - BPH): Lokhu kungathinta ikakhulukazi amadoda aneminyaka engaphezu kwengu-50. I-prostate iyindlala encane etholakala ngaphansi kwesinye. Uma ikhula, ingacindezela i-urethra futhi ibangele ukopha.
• Amatshe ohlelweni lwakho lomchamo: Lawa kungaba amatshe ezinso, amatshe e-ureteral, noma amatshe esinyini. Lawa matshe angaklwebha izindonga ezithambile zohlelo lwakho lomchamo futhi abangele ukuphuma kwegazi.
• Isifo Sezinso Esingapheli (CKD): Lesi simo singase senzeke lapho izinso zingasakwazi ukuhlunga igazi kahle, okubangela ukuba amangqamuzana abomvu egazi aqoqeke emchameni.
• Ukuqina komchamo: Uma i-urethra (indlela umchamo ophuma ngayo) incishisiwe ndawana thize, lokho kungaba yimbangela.
• Izinhlobo ezithile zomdlavuza: I-Microhematuria ingabonakala njengophawu lokuqala ezimweni ezimbi kakhulu njengomdlavuza wesinye, umdlavuza wezinso, kanye nomdlavuza wendlala. Kodwa-ke, kubalulekile ukukhumbula ukuthi akuyona yonke i-microhematuria engumdlavuza .

Kodwa-ke, ngezinye izikhathi odokotela bangase bangakwazi ukuthola imbangela ethile yale "Microhematuria". Kukhona nezimo ezinjalo.

Kungenzeka kangakanani ukuthi "i-Microhematuria" ibe uphawu lomdlavuza?

Lokhu kuyinkinga kubantu abaningi. Lapho abantu abane-`(Microhematuria)` behlolwa, cishe amaphesenti amathathu (3%) abo atholakala enomdlavuza. Lokhu kusho ukuthi uma abantu abayi-100 benayo i-`(Microhematuria)` cishe abathathu kubo bangaba nomdlavuza. Kodwa-ke, ingozi yakho yokuba nomdlavuza incike kwezinye izici eziningana. Lezi zici zifaka:

• Iminyaka yakho: Le ngozi iyanda kancane njengoba ukhula.
• Ubunzima besimo `(Microhematuria)`:Lokho kusho ukuthi zingaki izinhlayiya zegazi ezibomvu ezisemchameni.
• Kungakhathaliseki ukuthi uyabhema: Ukubhema kuyimbangela enkulu yomdlavuza wesinye.

Ngakho-ke, ungesabi umdlavuza ngoba nje une-"Microhematuria". Kodwa kubalulekile ukukhuluma nodokotela bese uthola imbangela eqondile.

Ingabe lesi simo siyathelelana?

Cha, `(Microhematuria)` akusona isifo esithelelanayo. Asidluliselwa kusuka komunye umuntu kuya komunye. `(Microhematuria)` iyimbangela evamile ye-`(UTIs)`, yize ``Izifo Zomchamo (UTIs)`` ngokuvamile zingadluliselwa ngocansi, kodwa kwezinye izimo, ucansi lungandisa ingozi yokutheleleka.

Ubani ongathuthukisa lokhu `(i-Microhematuria)`?

Noma ubani angaba ne-"Microhematuria". Lesi simo singathinta abantu abadala kanye nezingane . Nakuba izimbangela zingase zihluke, lesi simo sivamile kuwo wonke umuntu.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Okokuqala, udokotela uzokubuza ngomlando wakho wezempilo bese ebuza ngezimpawu zakho (uma zikhona). Isibonelo, bangase bakubuze imibuzo efana nale:

• Wake waba negazi emchameni wakho ?
• Usukhuluphele noma wehlile muva nje?
• Uyabhema, upheke i-vape, noma usebenzisa eminye imikhiqizo kagwayi?
• Yimiphi imithi oyithathayo? (kufaka phakathi imithi ethengiswa ngaphandle kwemithi kadokotela (imithi ye-OTC) kanye namavithamini (izithasiselo).
• Ingabe usebenzisa izidakamizwa?
• Ingabe ukhona emndenini wakho owake waba nomdlavuza, igazi emchameni, noma isifo sezinso?

Uma udokotela wakho esola ukuthi unegazi emchameni wakho, uzoyala ukuhlolwa okukhethekile okuningana ukuqinisekisa lesi simo (i-Microhematuria) nokuthola imbangela.

Yiziphi izivivinyo ezenziwayo ukuthola `(Microhematuria)`?

Udokotela angenza izivivinyo ezilandelayo ukuze anqume ukuthi une-microhematuria yini futhi athole imbangela:

• Ukuhlolwa Komchamo: Isampula yomchamo wakho iyathathwa bese ithunyelwa elebhu ukuze ihlolwe. Lokhu kusetshenziselwa ukuhlola kuqala amaseli abomvu egazi, ukuthi mangaki akhona, amaseli amhlophe egazi, kanye namagciwane.
• Ukukhuliswa komchamo: Uma ukuhlolwa komchamo kukhombisa ukutheleleka, lokhu kungasiza ekunqumeni ukuthi kukhona yini ukutheleleka komgudu womchamo (i-UTI) nokuthi, uma kunjalo, yimaphi amagciwane akubangelayo. I-antibiotic efanele ingabe isinikezwa.
• Ukuhlolwa kwegazi: Isibonelo, ukubalwa kwegazi okuphelele (i-CBC) kanye ne-serum creatinine. Lokhu kungasiza ekunqumeni ukuthi unesifo esiyisisekelo, njengesifo sezinso esingamahlalakhona (i-CKD), noma i-anemia.
• Ukuhlolwa kwezithombe:Kungenziwa i-ultrasound scan, i-CT urogram, noma i-MRI scan. Lokhu kunganikeza udokotela wakho isithombe esiningiliziwe sohlelo lwakho lomchamo, njengezinso zakho, isinye, kanye ne-urethra. Lokhu kungasiza ekuhloleni izinto ezifana namatshe, izimila, kanye nomdlavuza.
• I-Cystoscopy: Kule nqubo, udokotela ufaka ithubhu elincane neliguquguqukayo (elibizwa ngokuthi i-cystoscope, enekhamera nokukhanya ekugcineni) e-urethra yakho ukuze ahlole ingaphakathi le-urethra yakho kanye nesinye. Lokhu kungaba yinto engakhululekile, kodwa ngokuvamile kwenziwa ngaphansi kwe-anesthesia yendawo. Lokhu kuvumela udokotela ukuthi abone izinto ezifana nezimila ezincane, amatshe, kanye nezilonda ngaphakathi kwesinye sakho.
• I-Biopsy: Uma kutholakala indawo esolisayo ngesikhathi sokuhlolwa kwe-cystoscopy noma ukuskena, udokotela uzosebenzisa inaliti ukususa isampula encane yezicubu esithweni esithintekile (isib., esinyeni, izinso, i-prostate) bese eyihlola ngaphansi kwe-microscope. Lokhu kungasiza ekuxilongeni isimo esithile, ikakhulukazi umdlavuza.

Akuzona zonke lezi zivivinyo ezenzelwa wonke umuntu. Udokotela wakho uzonquma ukuthi yiziphi izivivinyo okufanele azenze ngokusekelwe esimweni sakho, ubudala, izimpawu, kanye nemiphumela yezinye izivivinyo.

Kuphathwa kanjani lokhu?

Ukwelashwa kwe-"Microhematuria" kuncike esibangweni. Uma imbangela isitholakele, udokotela uzoqala ukwelashwa okufanele.

• Uma unesifo somgudu womchamo (UTI), ungase unikezwe ama-antibiotic izinsuku ezimbalwa.
• Uma indlala ye-prostate ikhulisiwe (i-BPH), imithi inganikezwa ukuyinciphisa (isib. i-tamsulosin, i-terazosin) noma ilawule ukukhula kwayo (isib. i-finasteride, i-dutasteride).
• Uma kukhona amatshe ohlelweni lomchamo, imithi (isib. i-tamsulosin, i-nifedipine) inganikezwa ukuze iwasize adlule kalula . Amanye amatshe angadinga ezinye izindlela zokwelapha (njenge-lithotripsy) noma ukuhlinzwa.
• Uma lokhu kubangelwa imithi ethile, njengemithi engeyona i-steroidal anti-inflammatory (NSAIDs), engalimaza izinso, udokotela angase akutshele ukuthi uyeke ukuthatha imithi noma ushintshele komunye umuthi.
• Ungase ucelwe ukuthi wenze izinguquko ekudleni kwakho. Isibonelo, umuntu onesifo sezinso esingamahlalakhona (CKD) angacelwa ukuthi adle amaprotheni, usawoti kanye ne-potassium encane.
• Ngezinye izikhathi kungase kudingeke ukuhlinzwa ukuze kususwe amatshe, izingxenye ze-prostate, noma into efana nomdlavuza.

Kodwa-ke, uma ukuhlolwa kungakwazi ukuthola imbangela, ungase ungadingi ukwelashwa.Udokotela wakho angase akhethe ukulandela isu elibizwa ngokuthi 'ukulinda ngokuqapha'. Lokhu kusho ukuthi bazoqapha isimo sakho kodwa ngeke bakwelaphe kuze kube yilapho izimpawu zakho zishintsha. Noma bangase bakhethe ukwenza okuthile okubizwa ngokuthi 'ukuqapha'. Lokhu kusho ukuthi bazophinda izivivinyo ezifana nokuhlolwa komchamo njalo ezinyangeni ezimbalwa.

Ingabe ukwenzeka kwe-`(Microhematuria)` kungavinjelwa?

Ngezinye izikhathi, kungase kungenzeki ukuvimbela ngokuphelele `(i-Microhematuria)`, njengoba ezinye izimbangela zingaphezu kwamandla ethu. Kodwa-ke , ukuphuza amanzi amaningi, okungenani amalitha angu-2-3 ngosuku, ikakhulukazi lapho uzivocavoca, kungasiza kakhulu. Lokhu kunciphisa umchamo futhi kusize ekugcineni uhlelo lomchamo luhlanzekile.

Futhi, izinto ezilandelayo zingasiza ekunciphiseni ingozi ye-microhematuria:

• Ukuyeka ukubhema ngokuphelele. Lokhu kuyimbangela yezifo eziningi, okuhlanganisa nomdlavuza wesinye.
• Sebenzisa imithi yobuhlungu efana ne-NSAID kuphela njengoba uqondiswe udokotela wakho, futhi kuphela uma kudingeka. Akuyona into enhle ukuyithatha njalo kuyo yonke into encane.
• Ukugwema ukuchayeka emisebeni kanye namakhemikhali athile njenge-benzenes, ama-aromatic amines, kanye nama-hydrocarbon (lokhu kuvame ukutholakala emisebenzini ehilela amafektri, upende, kanye nerabha).

Kunini lapho kufanele ngikhathazeke khona nge-"Microhematuria"?

Kuncike kakhulu ekutheni yini ebangela igazi lakho emchameni wakho. Kodwa ngokuvamile, abantu abane-"Microhematuria" banethuba elingcono lokuba ngcono. Izimbangela eziningi ziba ngcono ngaphandle kokwelashwa, noma ngokwelashwa okuncane. Uma udokotela eseqinisekisile ukuthi une-"Microhematuria" futhi ethola imbangela, angakunikeza umbono omuhle wokuthi yini ongayilindela.

Kufanele ngimbone nini udokotela?

Ngeke wazi ukuthi une-microhematuria yini uze uhlolwe udokotela. Ngakho-ke, uma unezimpawu ezingase zihlobane ne-microhematuria (isib., ushintsho emikhubeni yakho yokuchama , ukushisa lapho uchama , umkhuhlane, ubuhlungu esiswini sakho esingezansi), kufanele nakanjani ukhulume nodokotela. Uma izimpawu zakho zinzima kakhulu, njengomkhuhlane ophezulu noma ubuhlungu obungabekezeleleki, kungcono ukuya esikhungweni sokunakekelwa okuphuthumayo ngokushesha.

Uma uke waba ne-"Microhematuria" ngaphambili futhi manje unegazi elibonakalayo emchameni wakho (lokhu kubizwa ngokuthi "Gross Hematuria"), bona udokotela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale ukuze uthole ukuqonda okucacile ngesimo sakho:

• Yiziphi izivivinyo ongincoma ukuthi ngizenze ukuze ngithole lokhu "(Microhematuria)"?
• Iyini imbangela yokuthi ngibe nalokhu `(Microhematuria)`?
• Ingabe ngidinga ukwelashwa? Noma ingabe ukubhekwa kwanele?
• Uma kudingeka ukwelashwa, uncoma uhlobo luni lokwelashwa? Ingabe ikhona imiphumela emibi?
• Ngingaphinde ngithole lesi simo esithi "Microhematuria"? Yini okufanele ngiyenze ukuze ngisivimbele?

Ngaphezu kwale mibuzo, ungesabi ukubuza udokotela wakho noma yini onayo noma okukukhathazayo. Uma unolwazi oluningi ngesifo sakho, kuba ngcono.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kule ndaba?

Kulungile, sesikhulume kakhulu nge-"Microhematuria" manje. Okokugcina, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-Microhematuria ukuba khona kwegazi elincane emchameni wakho elincane kakhulu ukuthi lingabonakala ngeso lenyama. Livame ukutholakala ngengozi, ngesikhathi sokuhlolwa okunye.
• Iningi labantu abane-"Microhematuria" abadingi ukwelashwa. Ukwelashwa kuyadingeka kuphela uma into efana netshe noma isimo esibucayi kakhulu kuyimbangela. Ezimweni eziningi, imbangela ayitholakali, futhi ezimweni ezinjalo, imane ibonwa.
• Kungaba nezimbangela eziningi zalokhu. Kungaba yinoma yini kusukela ezintweni ezilula njengokutheleleka komgudu womchamo (UTIs) kuya ezimweni ezingavamile nezibucayi njengomdlavuza. Kodwa ungakhathazeki, akuzona zonke izifo ezincane eziyingozi.
• Uma unezimpawu ezingavamile zomchamo (isb., ukuchama njalo, ubuhlungu lapho uchama , igazi elibonakalayo emchameni), qiniseka ukuthi ubona udokotela.
• Udokotela nguyena ozothola imbangela eqondile futhi, uma kudingeka, akunike ukwelashwa okungcono kakhulu. Ngakho-ke ungaziniki imithi.

Into ebaluleke kakhulu ukunaka izinguquko emzimbeni wakho nokufuna iseluleko sezokwelapha uma kudingeka. Ngale ndlela, izinkinga eziningi zingatholakala kusenesikhathi futhi zixazululwe ngaphambi kokuba zibe zimbi kakhulu. Hlala uphilile!

Igazi emchameni, i-Microhematuria, i-Microhematuria, ukutheleleka komgudu womchamo, isifo sezinso, ukuhlaziywa komchamo, amaseli egazi abomvu