Ubukhona egazini emchameni okukhulunywa ngakho kwezokwelapha ngaleli gama i-hematuria. Igazi lingaba khona ngobuningi futhi libonakale libala umchamo obomvana, obomvu noma onsundu (lokhu kubizwa ngokuthi yi-gross hematuria) noma ubekhona ngamanani wokulandelela (i-hematuria encane). Kuyadingeka-ke ukwenza ukuhlolwa ukuthola ubukhona bayo.

Igazi emchameni uphawu olungajwayelekile, imvamisa ekhombisa ukubandakanyeka komgudu womchamo. Ngakho-ke kubalulekile ukuthi uthintane nodokotela wakho lapho umchamo uveza umbala ongajwayelekile, noma uma kwenzeka kuba nezimpawu zomchamo (ubuhlungu, ubunzima bokuchama, isidingo esiphuthumayo, umchamo onamafu, njll.). Imvamisa, i-ECBU noma i-urine dipstick workup izokwenziwa ukuthola ngokushesha imbangela.

Ngokuya ngemiphumela, udokotela wakho angakudlulisela kudokotela we-urologist.

I-Hematuria ingaba nezimbangela eziningana. Uma umchamo wakho ubomvu noma ubomvana, kubalulekile ukuzibuza ukuthi ngabe yigazi yini. Izimo eziningana zingashintsha umbala womchamo, kufaka phakathi:

• ukusetshenziswa kokudla okuthile (njengama-beet noma amajikijolo athile) noma imibala ethile yokudla (i-rhodamine B)
• ukuthatha imishanguzo ethile (ama-antibiotic afana ne-rifampicin noma i-metronidazole, ama-laxatives athile, i-vitamin B12, njll.)

Ngaphezu kwalokho, ukuphuma esikhathini noma ukuphuma kwesitho sangasese sowesifazane, kwabesifazane, kungakhipha umchamo ngendlela "ekhohlisayo".

Ukuthola imbangela ye-hematuria, udokotela angahlola umchamo (ngomucu) ukuqinisekisa ubukhona begazi, futhi uzoba nentshisekelo ku:

• izimpawu ezihambisanayo (ubuhlungu, ukuphazamiseka komchamo, umkhuhlane, ukukhathala, njll.)
• umlando wezokwelapha (ukuthatha izindlela ezithile zokwelapha, njenge-anticoagulants, umlando womdlavuza, ukuhlukumezeka, izinto ezinobungozi ezifana nokubhema, njll.).

"Isikhathi" se-hematuria futhi siyinkomba enhle. Uma igazi likhona:

• kusukela ekuqaleni kokuchama: umsuka wokopha mhlawumbe yi-urethra noma i-prostate emadodeni
• ekugcineni kokuchama: kunalokho kuthinteka isinye
• kukho konke ukuchama: konke ukulimala komchamo nezinso kufanele kubhekwe.

Izimbangela ezivame kakhulu ze-hematuria yilezi:

• ukutheleleka kwe-urinary tract (acute cystitis)
• ukutheleleka kwezinso (pyelonephritis)
• umchamo / izinso lithiasis (“amatshe”)
• isifo sezinso (nephropathy efana ne-glomerulonephritis, i-Alport syndrome, njll.)
• i-prostatitis noma i-prostate enwetshiwe
• isimila "se-urothelial" (isinye, umgudu ongaphezulu wokukhipha), noma izinso
• izifo ezithathelwanayo ezifana nesifo sofuba se-urinary noma i-bilharzia (emva kohambo oluya e-Afrika, isibonelo)
• ukuhlukumezeka (ukushaya)

Ukuba khona kwegazi emchameni kufanele kuhlale kudingidwa nodokotela, ngoba kungakhombisa ukugula okungathi sína. Kodwa-ke, imbangela ejwayelekile isala ukutheleleka komgudu womchamo, okusadinga ukwelashwa ngokushesha ukugwema izinkinga. Ngokuvamile, izimpawu ezihambisanayo (ukuphazamiseka komchamo, ubuhlungu noma ukushiswa ngesikhathi sokuchama) zibeka kuthrekhi.

Qaphela ukuthi inani elincane kakhulu legazi (1 ml) lanele ukungcolisa umchamo ngokuqinile. Umbala ngakho-ke akusona isibonakaliso sokopha kakhulu. Ngakolunye uhlangothi, ubukhona bamahlule egazi kufanele buqaphele: kuyalulekwa ukuya esibhedlela ngaphandle kokulibala ukuyohlolwa.

Izixazululo ngokusobala zincike embangela, yingakho kubalulekile ukukhomba masinyane umsuka wokopha.

Endabeni yokutheleleka nge-urinary tract (cystitis), kuzonikezwa ukwelashwa ngama-antibiotic futhi kuzoxazulula inkinga ye-hematuria ngokushesha. Uma kwenzeka i-pyelonephritis, ukulaliswa esibhedlela kwesinye isikhathi kuyadingeka ukuze unikeze ama-antibiotic anamandla ngokwanele.

Amatshe ezinso noma amatshe womgudu womchamo ajwayele ukuhlotshaniswa nobuhlungu obukhulu (i-renal colic), kepha futhi kungaholela ekuphumeni kwegazi okulula. Ngokuya ngecala, kungakuhle ukuthi ulinde itshe ukuthi lizincibilikise ngokwalo, bese kunqunywa ukwelashwa noma ukuhlinzwa.

Ekugcineni, uma ukuphuma kwegazi kungenxa yesifo se-tumor, ukwelashwa emnyangweni we-oncology ngokusobala kuzodingeka.