Igazi emcimbini alisoze livamile. Kubi kangakanani isibonakaliso? Njengazo zonke izinto zokwelapha, igazi emcimbini (i-hematuria) lingabi nengozi noma liyingozi. Uma ubona igazi uma uphawula, bheka udokotela, mhlawumbe urologist, maduzane. Odokotela bahlukanisa i-hematuria ibe yinkimbinkimbi futhi encane. I-hematuria eningi (hhayi isinqumo esithandweni sakho, enye enye indlela yokusho ebonakalayo) ivame ngokuphathelene kakhulu futhi idinga ukuphanga okuphuthumayo.
I-hematuria encane kakhulu lapho udokotela wakho ekutshela ukuthi uyayibona embonini yomchamo oyinikezile.
Ake sikhulume i-hematuria engaka kuqala. Uvuka, uhlamba endlini yangasese futhi ubomvu noma mhlawumbe unama-clots kuwo. Ngokuvamile, abukho ubuhlungu obunesihemathiriya. Isinyathelo esilandelayo ukubiza udokotela wakho noma ukuthola i-urologist ukuvakashela maduzane. Njengoba uhambela emtholampilo, ucabanga ukuthi yini eyenza lokhu kwenzeke. Uma ube nesaladi ye-beet ebusuku, ungase ufune ukubamba ukuvakasha kukadokotela njengama-beet ngokuqinisekile uyoguqula i-urine pink yakho ebomvu futhi ngokuvamile ihamba ekupheleni kosuku. Ukutheleleka kwe-urinary tract, ikakhulukazi kwabesifazane, kuyimbangela evamile kakhulu ye-hematuria. Ngeshwa, enye imbangela evamile ye-hematuria eqondile ngumdlavuza wesisu, ovame ukuphulukiswa, uma utholakala kusheshe, umdlavuza ovame ukubhema ugwayi nabasebenzi bamakhemikhali. Amatshe agcwele izinso, ama-ureters noma isambiso nawo adala i-hematuria engaphezulu.
Emadodeni, ukukhishwa kwesisu, futhi ukuphuma kwe-prostate kuluhlu.
I-hematuria encane ejwayelekile kakhulu futhi ngokuvamile ayihambisani kakhulu. Zonke izimbangela ezingenhla ze-hematuria engadingekile zingabonakala ku-hematuria encane. Isifo sezinso nokuzivocavoca okunzima nakho kungabangela i-hematuria encane. Cishe u-25% wesikhathi, i-hematuria encane ayikho imbangela ecacile kodwa isadinga ukuhlolwa ukulawula izinto ezimbi.
Urologist uzohlola kanjani i-hematuria? Ngemuva kokuxoxwa kwesiguli kanye nokuhlolwa ngokomzimba, ngokugxila ezinkingeni zokungabonakali njengokubhema, ukuvezwa kwemboni, kanye neengozi yamatshe, i-urologist cishe iyohlehlisa i-CT scan ukuze ifane nezinso, izigulana nesibindi. Uzokwenza futhi i-cystoscopy eyinkambiso encane lapho ithubhu eguquguqukayo enekhamera efakwe ku-urethra ukuze ihlolwe i-urethra nesineki. Ngokuvamile, i-urologist izosebenzisa ukuhlinzekwa kwama-topical to numb the urethra. Inqubo yonke ngokuvamile ithatha cishe imizuzu engu-2-3 futhi amahhovisi amaningi azokuvumela ukuba ubuke inqubo ngokuqapha kwedijithali. I-CT scan izokhomba amatshe nama-tumor ezinso kanye nokuhlehlisa futhi i-cystoscopy izohlola uhlaka lwe-vesifire ngenxa yezicubu noma ezinye izimbangela zokugaya. Umchamo wakho ungabuye uhlolwe ngamaseli omdlavuza one-test molecule noma i-cytology examination echazwa ngumuntu we-pathologist.
Yini engase ingahambi kahle nge-hematuria eyingozi? Njenge-urologist osebenzayo, enye yezinto engizigcizelela ukuthi yonke i-hematuria eqinile idinga ukuhlolwa. Ngisho noma isiguli sinesifo socansi esibhalwe phansi, lokho kungaba yimbangela eyodwa kuphela yokuphuma kwegazi.
Abantu abaningi banikezwe imijikelezo eminingi yama-antibiotic ngokuphindaphinda i-hematuria engumdlavuza wesisu. Uma ubona udokotela wakho oyinhloko futhi engakutshelisi ku-urologist ye-hematuria engaphezulu, thola urologist ukuze uhlole. I-micromicic hematuria, njengoba sixoxwe ngaphambili, ivame ukucwaninga futhi idinge ukuhlolwa uma iphikisana namasampula ambalwa omchamo noma uma isiguli sinezinye izimpawu zamagciwane ezifana nobuhlungu be-flank, ukuvuthwa okubuhlungu, ukungahambisani nokunye noma izinkinga ze-urologic.