Igazi kumchamo akuqhelekanga. Kubi kangakanani uphawu? Njengokuba zininzi kwizinto zonyango, igazi kwi-urine (hematuria) lingaba libi okanye libi. Ukuba ubona igazi xa ukhangela, jonga ugqirha, mhlawumbi urologist, kungekudala. Oogqirha bahlula i-hematuria kwi-gross and microscopic. I-gross hematuria (engekho isigwebo kwintanga yakho, enye enye indlela yokuthetha ibonakala) idla ngokubhekiselele kwaye idinga ukukhutshwa ngokukhawuleza.
I-microscopic hematuria yilapho ugqirha wakho ekutshela ukuba uyayibona kwisampula yomchamo oye wayinika.
Makhe sithethe i-hematuria yokuqala. Uvusa, uvale kwindlu yangasese kwaye ibomvu okanye mhlawumbi unamacangca kuwo. Ngokuqhelekileyo, akukho ntlungu nge-hematuria. Isinyathelo esilandelayo kukubiza ugqirha okanye ufumane urologist ukutyelela kungekudala. Njengoko uhamba phambili kwiklinikhi, ucinga malunga nokuba yintoni eyenza ukuba kwenzeke oku. Ukuba unayo isaladi ye-beet ngowebusuku, unokufuna ukubamba ukutyelela ugqirha njengobhontshisi ngokuqinisekileyo ukuguqula umchamo wakho webinki ngokubomvu kwaye ngokuqhelekileyo uhamba ngokuphela komhla. Ukusuleleka kwamathambo okucoca, ikakhulukazi kwabasetyhini, iyona nto ibangela kakhulu i-hematuria. Ngelishwa, enye imbangela eqhelekileyo ye-hematuria engumhlaza wesisu, ihlala iphilisa, xa ibanjwe kusasa, umdlavuza oqheleke ngakumbi kwi-smoking cigarette nabasebenzi beekhemikhali. Amatye kwiintso, i-ureters okanye i-bladder nayo ibangela i-hematuria engaphezulu.
Kwamadoda, ukulungiswa komzimba, kunye nokuphuma kweprotate kuluhlu.
I-microscopic hematuria yinto eqhelekileyo kakhulu kwaye ngokuqhelekileyo ibhekiselele. Zonke izizathu ezingentla apha ze-hematuria zinokubonakala kwi-hematuria encinci. Izifo zesifo kunye nokuzilolonga okunzima kunokubangela ukuba i-microscopic hematuria. Phantse i-25% yexesha, i-hematuria encinci ayikho isizathu esicacileyo kodwa ifuna ukuvavanya ukulawula izinto ezimbi.
Urologist uza kuhlola njani i-hematuria? Emva kokuxoxwa ngokugqithiseleyo ngesigulane kunye nokuhlolwa ngokomzimba, kugxininisa kwiingozi ezivelayo ezifana nokutshaya, ukunyuka kwezoshishino kunye nobungozi bamatye, i-urologist iya kudala i-CT scan ukuba ifane neentso, i-ureters, kunye ne-bladder. Uya kwenza kwakhona i-cystoscopy eyinkqubo encinci apho ityhubhu eguquguqukayo enekhamera ifakwe kwi-urethra ukuvavanya i-urethra kunye ne-bladder lining. Ngokuqhelekileyo, i-urologist izakusebenzisa i-anesthetic ye-topical to numb the urethra. Inqubo yonke ihlala ithatha malunga nemizuzu engama-2-3 kwaye iiofisi ezininzi ziya kukuvumela ukuba ubukele inkqubo kwinkqubo yokujonga idijithali. I-CT scan izakuchonga amatye kunye neentlungu kwiintso kunye ne-ureter kwaye i-cystoscopy iya kuhlola i-bining for the tumors okanye ezinye izimbangela zokuphuma kwamanzi. Umchamo wakho unokuvavanywa ngamaseli esifo somhlaza kunye nokuba uvavanyo lwama-molecular okanye uvavanyo lwe-cytology oluchazwa ngumfuyo wezilwanyana.
Yintoni enokungahambi kakuhle nge-hematuria engaphezulu? Njengomsebenzi we-urologist, enye yezinto endigxininisayo kukuba zonke i-hematuria ezidinga iimvavanyo. Nangona isigulane sinokusuleleka kwintsholongwane yesifo se-bladder, loo nto inokuba yinye imbangela yokuphuma kwegazi.
Abantu abaninzi baye banikwa iindidi ze-antibiotics eziphindaphindiweyo ze-hematuria ebonakalayo ngumhlaza wesisu. Ukuba ubona ugqirha wakho oyintloko kwaye akayi kukudlulisela kwi-urologist ye-hematuria epheleleyo, fumana i-urologist yokuvavanya. I-microscopic hematuria, njengoko sixoxe ngaphambili, ngokuqhelekileyo ixhomekeke kakhulu kwaye ifuna kuphela ukuvavanya ukuba iqhubekayo kwiisampuli ezimbalwa ezahlukeneyo zomchamo okanye ukuba isigulane sineminye impawu ye-urinary ezifana nobuhlungu beentlanzi, ukuxhamla ubuhlungu, ukungahambisani nezinye izinto ze-urologic.