Magazi mu mkodzo siwowoneka bwino. Ndi chizindikiro choyipa bwanji? Monga ndi zinthu zambiri zamankhwala, magazi mu mkodzo (hematuria) sangakhale yopweteka kapena yoopsa. Ngati muwona magazi pamene mutenga pepala, onani dokotala, makamaka katswiri wa udokotala, posachedwa. Madokotala amachititsa kuti anthu azidziwika bwino kwambiri. Gross hematuria (osati chiweruzo kwa peza wanu, njira ina yowonetsera yoonekera) nthawi zambiri imakhudza kwambiri ndipo imafuna kubwereza mwamsanga.
Microscopic hematuria ndi pamene dokotala akukuuzani kuti amamuwona pamtsuko womwe mumapereka.
Tiyeni tiyambe kulankhula zakuya za hematuria choyamba. Iwe uwuka, iwe umapenya mu chimbuzi ndipo ndi wofiira kapena mwinamwake ngakhale uli ndi mazenera mmenemo. Nthaŵi zambiri, palibe ululu wokhala ndi hematuria. Gawo lotsatira ndikutcha dokotala wanu kapena kupeza katswiri wa urologist kuti akacheze posachedwa. Pamene mukupita ku chipatala, mukuganiza chomwe chingachititse kuti izi zichitike. Ngati mutakhala ndi saladi usiku watha, mungafune kubwerera kwa dokotala ngati beets kuti mutembenuke mkodzo wanu wofiira ndipo nthawi zambiri umatha kumapeto kwa tsiku. Matenda a mkodzo, makamaka kwa amayi, ndi omwe amachititsa kuti hematuria ayambe kufa. Mwamwayi, chinthu china chomwe chimayambitsa matenda a hematuria ndi khansa ya chikhodzodzo, yomwe nthawi zambiri imachiritsidwa, ikagwidwa mofulumira, khansa yomwe imakonda kwambiri kusuta fodya komanso ogwira ntchito zamagetsi. Miyala mu impso, ureters kapena chikhodzodzo imayambitsanso mankhwala aakulu a hematuria.
Amuna, ziwalo zolekerera, komanso kutuluka kwa prostate pamndandanda.
Microscopic hematuria ndi yowonjezeka kwambiri ndipo kawirikawiri imakhala yochepa. Zonsezi zomwe zimapangitsa kuti hematuria ziwonongeke kwambiri zikhoza kuoneka mu hematuria. Matenda a impso komanso zovuta zolimbitsa thupi zingayambitsenso kutentha kwa hematuria. Pafupifupi 25 peresenti ya nthawiyi, hematuria yaying'ono sichifukwa chodziwika koma imayenera kuyesedwa kuti iwononge zinthu zoipa.
Kodi katswiri wa zamagetsi amayamba bwanji kukayezetsa hematuria? Pambuyo pa kuyankhulana kwathunthu kwa odwala ndi kuunika kwa thupi, poyang'ana kuopsa koopsa monga kusuta fodya, mafakitale, ndi ngozi yamtengo wapatali, katswiri wa urologist angapange kanema wa CT kuti afotokoze impso, ureters, ndi chikhodzodzo. Adzachitanso kacoscopy yomwe ndi njira yaying'ono pomwe chubu yodutsa ndi kamera imalowetsedwa mu urethra kuti muyang'ane urethra ndi chikhodzodzo. Kawirikawiri, katswiri wa urologist angagwiritse ntchito mankhwala osokoneza bongo kuti asokoneze urethra. Njira yonseyi imatenga nthawi pafupifupi 2-3 mphindi ndipo maofesi ambiri amakulolani kuti muwone njirayi pazithunzi za digito. CT imagwiritsira ntchito miyala ndi ziphuphu mu impso ndi ureter ndipo cystoscopy idzayang'ana chikhodzodzo cha chikhodzodzo chifukwa cha zotupa kapena zina zomwe zimayambitsa magazi. Mtsuko wanu ukhozanso kuyesedwa kwa maselo a khansa omwe ali ndi mayeso a maselo kapena kafukufuku wa cytology wotanthauziridwa ndi katswiri wa matenda.
Kodi zingakhale zovuta ndi mankhwala aakulu a hematuria? Monga katswiri wa zamagetsi, chimodzi mwa zinthu zomwe ndikutsindika ndikuti onse a hematuria amafunika kuyesa. Ngakhale wodwala ali ndi kachilombo koyambitsa chikhodzodzo, izi zingakhale chifukwa chimodzi chokha chokhalira magazi.
Anthu ambiri apatsidwa ma antibiotic ambirimbiri kuti abwerere ku hematuria komwe kwenikweni ndi khansa ya chikhodzodzo. Ngati muwona dokotala wanu wamkulu ndipo iye sakukutumizirani kwa urologist kwa feteleza ya hematuria, funsani katswiri wa urologist kuti muyese. Mankhwala osokoneza bongo, monga momwe tafotokozera poyamba, nthawi zambiri sakhala okhudzana ndi momwe akufunira ngati akupitirizabe kuwonetsa mitsempha yochepa kapena ngati wodwalayo ali ndi zizindikiro zina zamakodzo monga kupweteka kwa ululu, kupweteka kwambiri, kusadziletsa kapena nkhani zina za urologic.