Umchamo - umbala ongaqhelekanga

Umbala oqhelekileyo womchamo ngumbala otyheli. Umchamo ongaqhelekanga unamafu, umnyama, okanye umbala wegazi.

Umbala womchamo ongaqhelekanga unokubangelwa lusulelo, izifo, amayeza, okanye ukutya okutyayo.

Kunamafu okanye umchamo wobisi luphawu losulelo lomchamo, olunokubangela nevumba elibi. Umchamo wobisi ungabangelwa ziibhaktheriya, iikristali, amafutha, iiseli ezimhlophe okanye ezibomvu zegazi, okanye umchamo kumchamo.

Umchamo omdaka ngombala omnyama kodwa ocacileyo luphawu lokuphazamiseka kwesibindi njenge-hepatitis yentsholongwane okanye i-cirrhosis, ebangela ukuba i-bilirubin egqithileyo kumchamo. Ingabonisa ukomisa kakhulu emzimbeni okanye imeko ebandakanya ukonakala kwethishyu yemisipha eyaziwa ngokuba yi-rhabdomyolysis.

Ipinki, bomvu, okanye umchamo omdaka ngebala kunokubangelwa:

• Beet, amaqunube amnyama, okanye imibala ethile yokutya
• I-anemia yeHemolytic
• Ukwenzakala kwezintso okanye kumchamo
• Iyeza
• IPorphyria
• Iingxaki zomchamo ezibangela ukopha
• Igazi eliphuma kwilungu lobufazi
• Ithumba kwisinyi okanye kwizintso

Umchamo omnyama omthubi okanye o-orenji unokubangelwa ngu:

• B iivithamini ezinzima okanye i-carotene
• Amayeza anje nge phenazopyridine (esetyenziselwa ukunyanga usulelo lomchamo), i-rifampin, kunye ne-warfarin
• Ukusetyenziswa kwangoku kwe-laxative

Umchamo oluhlaza okanye oluhlaza okwesibhakabhaka ubangelwa:

• Imibala eyenziweyo ekutyeni okanye kwiziyobisi
• Bilirubin
• Amayeza, kubandakanya imethylene eluhlaza okwesibhakabhaka
• Usulelo lomjelo womchamo

Jonga umboneleli wakho wezempilo ukuba unayo:

• Umbala womchamo ongaqhelekanga ongenakucaciswa kwaye ungahambi
• Igazi kumchamo wakho, nokuba kube kanye
• Umchamo ocacileyo, omnyama-mnyama
• Umchamo o-Pinki, obomvu, okanye obhemayo ongabangelwa kukutya okanye iziyobisi

Umboneleli uya kwenza uvavanyo lomzimba. Oku kunokubandakanya uvavanyo lwe-rectal okanye lwe-pelvic. Umboneleli uya kukubuza imibuzo malunga neempawu zakho ezinje:

• Uqale nini ukuqaphela utshintsho kumbala womchamo kwaye unexesha elingakanani unengxaki?
• Ngaba umbala wakho umchamo wakho kwaye ngaba umbala utshintsha emini? Uyalibona igazi emchameni?
• Ngaba zikhona izinto ezenza ingxaki ibe mbi ngakumbi?
• Zeziphi iintlobo zokutya okhe wazitya kwaye ngawaphi amayeza owathathayo?
• Ngaba ukhe wanengxaki yokuchama okanye yezintso ngaphambili?
• Ngaba unazo naziphi na ezinye iimpawu (njengentlungu, umkhuhlane, okanye ukwanda konxano)?
• Ngaba ikhona imbali yosapho yezintso okanye umhlaza wesinyi?
• Ngaba uyatshaya okanye uchanabeke kwicuba lesibini elibalulekileyo?
• Ngaba usebenza neekhemikhali ezithile ezinje ngedayi?

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi, kubandakanya uvavanyo lwesibindi
• I-Ultrasound yezintso kunye nesinyi okanye i-CT scan
• Uhlalutyo lomchamo
• Umchamo inkcubeko yosulelo
• ICystoscopy
• Umchamo wecytology

Ukuchaneka komchamo

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

IGerber GS, iBrendler CB. Uvavanyo lwesigulana se-urologic: imbali, uvavanyo lomzimba, kunye novavanyo lokuchama. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 1.

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.