Umchamo - igazi

Igazi kumchamo wakho libizwa ngokuba yihemmaturia. Isixa sinokuba sincinci kakhulu kwaye sifunyenwe kuphela kuvavanyo lomchamo okanye phantsi kwemicroscope. Kwezinye iimeko, igazi liyabonakala. Ihlala ijika indlu yangasese ibomvu okanye ipinki. Okanye, unokubona amabala egazi emanzini emva kokuchama.

Zininzi izinto ezinokubangela igazi kumchamo.

Umchamo wegazi unokubangelwa yingxaki kwizintso zakho okanye kwezinye iindawo zephepha lokuchama, njenge:

• Umhlaza wesinyi okanye wezintso
• Usulelo lwe-bladder, izintso, i-prostate, okanye i-urethra
• Ukudumba kwesinyi, urethra, iprostate, okanye izintso (glomerulonephritis)
• Ukwenzakala kwisinyi okanye kwizintso
• Izintso okanye amatye esinyi
• Isifo sezintso emva komqala womqala (post-streptococcal glomerulonephritis), unobangela oqhelekileyo wegazi kumchamo ebantwaneni
• Ukungaphumeleli kwezintso
• Isifo sezintso sePolycystic
• Inkqubo yamva nje yomchamo enje nge-catheterization, ulwaluko, utyando, okanye i-biopsy yezintso

Ukuba akukho ngxaki yolwakhiwo okanye ye-anatomical kwizintso zakho, iphecana lokuchama, iprostate, okanye amalungu esini, ugqirha unokujonga ukuze abone ukuba unengxaki yokopha. Izizathu zingabandakanya:

• Ukuphazamiseka kwegazi (njengehemophilia)
• Igazi elivale kwizintso
• Amayeza okucoca igazi (njenge-aspirin okanye i-warfarin)
• Isifo seSickle cell
• I-Thrombocytopenia (amanani asezantsi eeplatelets)

Igazi elikhangeleka ngathi likumchamo lisenokuvela kweminye imithombo, enje:

• Ubufazi (kwabasetyhini)
• Ukunyuka, rhoqo ngenxa yengxaki yeprotate (kumadoda)
• Ukuhamba kwamathumbu

Umchamo ungaguqula umbala obomvu usuka kwiziyobisi ezithile, kwiibhotile, okanye nakokunye ukutya.

Awungekhe ulibone igazi kumchamo wakho kuba lixabiso elincinci kwaye lincinci. Umboneleli wakho wezempilo unokuyifumana ngelixa ujonga umchamo wakho ngexesha lovavanyo oluqhelekileyo.

Ungaze ulihoye igazi olibona kumchamo. Tshekishwa ngumboneleli wakho, ngakumbi ukuba unayo:

• Ukungakhululeki xa uchama
• Ukuchama rhoqo
• Ukuphulukana nobunzima obungachazwanga
• Ukuchama okungxamisekileyo

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Unomkhuhlane, isicaphucaphu, ukugabha, ukugungqa ukugodola, okanye iintlungu esiswini, ecaleni okanye emqolo
• Awunakho ukuchama
• Udlulisa amahlwili egazi kumchamo wakho

Biza kwakhona ukuba:

• Unentlungu ngokulalana okanye ukuphuma exesheni okunzima. Oku kunokuba ngenxa yengxaki enxulumene nenkqubo yakho yokuzala.
• Unomchamo ojikelezayo, ukuchama ebusuku, okanye ubunzima bokuqalisa ukuhamba komchamo. Oku kunokuba yingxaki yeprostate.

Umboneleli wakho uya kwenza uvavanyo lomzimba kwaye abuze imibuzo enje:

• Uliqaphele nini igazi kumchamo wakho? Ngaba inani lomchamo wakho lenyukile okanye lehlile?
• Uthini umbala womchamo wakho? Ngaba umchamo wakho unevumba?
• Ngaba unayo nayiphi na intlungu xa uchama okanye ezinye iimpawu zosulelo?
• Ngaba uchama rhoqo, okanye ngaba yimfuneko yokuchama ngokungxamisekileyo?
• Ngawaphi amayeza owasebenzisayo?
• Ngaba ukhe wanengxaki yokuchama okanye yezintso ngaphambili, okanye kutshanje uye wahlinzwa okanye wenzakala?
• Ngaba ukhe watya ukutya kunokubangela utshintsho kumbala, njengee-beet, amajikijolo, okanye i-rhubarb?

Uvavanyo olunokwenziwa lunokubandakanya:

• I-ultrasound yesisu
• Uvavanyo lwe-antibody yenyukliya ye-lupus
• Inqanaba lokudala kwegazi
• Gcwalisa ubalo lwegazi (CBC)
• Ukuvavanywa kwe-CT kwesisu
• ICystoscopy
• Isifo sezintso
• Uvavanyo lwe-Strep
• Uvavanyo lweeseli zerhengqa, iingxaki zokopha, kunye nokunye ukuphazamiseka kwegazi
• Uhlalutyo lomchamo
• Uhambo lwecytology
• Inkcubeko umchamo
• Ukuqokelela umchamo weeyure ezingama-24 ze-creatinine, iproteni, ne-calcium
• Uvavanyo lwegazi olunjenge-PT, PTT okanye uvavanyo lwe-INR

Unyango luya kuxhomekeka kwisizathu segazi kumchamo.

Hematuria; Igazi kumchamo

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

I-Boorjian SA, iRamad JD, iBarocas DA. Uvavanyo kunye nolawulo lwehematuria. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 9.

UBrown DD, uReidy KJ. Indlela umntwana hematuria. Iiklinikhi zePediatriki eMantla Am. 2019; 66 (1): 15-30. IINKCUKACHA: 30454740 www.ncbi.nlm.nih.gov/pubmed/30454740.

Landry DW, Bazari H. Indlela eya kwisigulana esinesifo sezintso. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.