Mimi - koko

Kāhea ʻia ke koko i kou mimi ʻo hematuria. Liʻiliʻi paha ka nui a ʻike wale ʻia me nā hōʻike mimi a i ʻole ma lalo o kahi microscope. I nā hihia ʻē aʻe, ʻike ʻia ke koko. Hoʻohuli pinepine ia i ka wai ʻauʻau a ʻulaʻula a poni paha. A i ʻole, ʻike paha ʻoe i nā kiko o ke koko i loko o ka wai ma hope o ka mimiki ʻana.

Nui a hewahewa paha nā kumu o ke koko i ka mimi.

Pili paha ka mimi koko i kahi pilikia i kou puʻupaʻa a i ʻole nā ​​ʻāpana ʻē aʻe o ka mimi, e like me:

• Ka maʻi ʻaʻai o ka maʻi ʻaʻai a hakuʻala
• ʻO ka maʻi o ka bladder, kidney, prostate, a i ʻole urethra
• ʻO ka hoʻohaunaele o ka bladder, urethra, prostate, a kidney (glomerulonephritis)
• Ka hōʻeha i ka maʻi ʻaʻai a ʻōpala paha
• Nā pōhaku hakuʻala a i ʻole bladder
• ʻO ka maʻi kīnā ma hope o ka ʻāʻī strep (glomerulonephritis post-streptococcal), kahi kumu maʻamau o ke koko i ka mimi i nā keiki
• Hewa ʻole nā ​​hakuʻala
• Maʻi maʻi polycystic
• ʻO nā kaʻina hana urinary e like me ka catheterization, ʻoki poepoe ʻana, ʻoki kino ʻana, a me ka biopsy ʻōpala

Inā ʻaʻohe pilikia ma ke ʻano a me ka anatomical me kāu mau puʻupaʻa, ka maʻi urinary, prostate, a me nā genital, e nānā paha kāu kauka inā ʻike ʻoe i kahi maʻi kahe. Nā kumu e komo pū paha:

• Nā maʻi hōʻeha (e like me hemophilia)
• Koko koko i nā puʻupaʻa
• Nā lāʻau lapaʻau lahilahi o ke koko (e like me aspirin a i ʻole warfarin)
• Maʻi maʻi maʻi maʻi
• Thrombositopenia (nā helu haʻahaʻa o nā platelet)

Ke hele mai nei ke koko e like me ka i ka mimi mai nā kumuwaiwai ʻē aʻe, e like me:

• ʻO ka wahine (i nā wahine)
• ʻO ka hoʻokuʻu ʻana, ma muli o ka pilikia prostate (i nā kāne)
• ʻO kahi ʻōpū ʻōpū

Hiki i ka mimi ke huli i kahi kala ʻulaʻula mai kekahi mau lāʻau, beets, a i ʻole nā ​​meaʻai ʻē aʻe.

ʻAʻole paha ʻoe e ʻike i ke koko i kāu mimi no ka mea he liʻiliʻi ia a microscopic. E ʻike paha kāu mea mālama ola iā ia e nānā ana i kou mimi ma kahi hōʻike maʻamau.

Mai hōʻalo wale i ke koko āu e ʻike ai i ka mimi. E hōʻoia e kāu mea hāʻawi, ʻoiaʻiʻo inā loaʻa iā ʻoe:

• Hōʻoluʻolu ʻole me ka mimiki
• Urination pinepine
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia
• Urination urinary

Kāhea koke i kāu mea hāʻawi inā:

• He kuni kou, nausea, luaʻi, haʻalulu, a ʻeha paha i loko o kou ʻōpū, ʻaoʻao, a hope hoʻi
• ʻAʻole hiki iā ʻoe ke ʻimi
• Ke hele nei ʻoe i nā huʻa koko i loko o kou mimi

Kāhea pū inā:

• He ʻeha kou me ka moekolohe a i ʻole ke kahe ʻana o ka menstrual kaumaha. Ma muli paha o kahi pilikia e pili ana i kāu ʻōnaehana hānau.
• Loaʻa iā ʻoe ka dribbling mimi, ka urination o ka pō, a i ʻole ka paʻakikī e hoʻomaka ana i kou kahe mimi. No ka pilikia prostate paha kēia.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e like me:

• I ka manawa hea ʻoe i ʻike mua ai i ke koko i kāu mimi? Ua hoʻonui a hōʻemi paha ka nui o kāu mimi?
• He aha ke kala o kāu mimi? He pilau ko kou mimi?
• Loaʻa paha iā ʻoe kahi ʻeha me ka mimiki a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi?
• Ke mimi pinepine nei paha ʻoe, a i ʻole ka pono e mimi hou aku i ka wikiwiki?
• He aha nā lāʻau e lawe nei ʻoe?
• Ua loaʻa paha iā ʻoe kahi pilikia urinary a i ʻole nā ​​puʻuwai i ka wā i hala, a i ʻole i kēia manawa ua ʻoki ʻia a i ʻole ʻeha.
• Ua ʻai paha ʻoe i nā meaʻai i hiki ke hoʻololi i ke kala, e like me nā beets, nā hua, a i ʻole ka rhubarb?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ke ultrasound ʻōpū
• ʻO ka hoʻāʻo antinuclear antibody no lupus
• ʻO ka pae creatinine koko
• Helu piha koko (CBC)
• CT scan o ka ʻōpū
• Cystoscopy
• ʻO Biopsy hakuʻala
• Hōʻike Strep
• ʻO nā hoʻāʻo ʻana no ka cell illle, nā pilikia kahe o ke kahe, a me nā maʻi koko ʻē aʻe
• Urinalysis
• Cytology mimi
• Moʻomeheu mimi
• ʻO ka hōʻiliʻili mimi he 24 mau hola no ka creatinine, protein, calcium
• Nā ho'āʻo koko e like me PT, PTT a i ʻole INR hōʻike

Pili ka lāʻau i ke kumu o ke koko i ka mimi.

Hematuria; Koko i ka mimi

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

Boorjian SA, Raman JD, Barocas DA. Ka loiloi a me ka hoʻokele ʻana o hematuria. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 9.

Brown DD, Reidy KJ. Hele i ke keiki me ka hematuria. ʻO Pediatr Clin North Am. 2019; 66 (1): 15-30. PMID: 30454740 www.ncbi.nlm.nih.gov/pubmed/30454740.

Landry DW, Bazari H. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi hōʻeha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 106.