ʻO ka loaʻa ʻana o ke koko i ka mimi ʻōlelo ʻia ma ka lāʻau lapaʻau e ka huaʻōlelo haematuria. Aia paha ke koko i ka nui a ʻike ʻia ka ʻulaʻula o ka mimi, ʻulaʻula a ʻeleʻele paha (kapa ʻia kēia he gross hematuria) a i ʻole i loko o nā huina (microscopic hematuria). A laila pono e hana i kahi hoʻokolokolo e ʻike ai i kona hele ʻana.

ʻO ke koko i loko o ka mimi he hōʻailona maʻamau, e hōʻike pinepine ana i ke komo ʻana o ka ʻāpana mimi. No laila, he mea nui e nīnau i kāu kauka ke hōʻike mai ka mimi i kahi waihoʻoluʻu ʻē aʻe, a i ʻole i ka hanana ʻana o nā hōʻailona mimi (ʻeha, pilikia i ka mimi, makemake wikiwiki, mimi pohu, etc.). ʻO ka maʻamau, e hana ʻia kahi ECBU a i ʻole ka mimiki dipstick hana e loaʻa koke ke kumu.

Ma muli o nā hopena, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi urologist.

Hiki i nā Hematuria ke loaʻa i kekahi mau kumu. Inā ʻulaʻula a poni paha kāu mimi, he mea nui e nīnau iā ʻoe iho inā he koko kēlā. Hiki i kekahi mau hanana ke hoʻololi i ke kala o ka mimi, e like me:

• ka ʻai ʻana i kekahi mau meaʻai (e like me ka beets a i ʻole kekahi mau hua) a i ʻole kekahi kala meaʻai (rhodamine B)
• ka lawe ʻana i kekahi mau lāʻau lapaʻau (antibiotic e like me rifampicin a me metronidazole, kekahi mau laxatives, vitamina B12, etc.)

Hoʻohui ʻia, hiki i ke kahe menstrual a i ʻole ke kahe ʻana o ka wahine i loko o ka wahine, ke kala i ka mimi ma ke ala "hoʻopunipuni".

I mea e hoʻoholo ai i ke kumu o ka hematuria, hiki i ke kauka ke hana i kahi hōʻike mimi (ma ke kaʻe) e hōʻoia i ke kū o ke koko, a e hoihoi i:

• nā hōʻailona pili (ʻeha, maʻi urinary, ke kuni, luhi, etc.)
• ka moʻolelo olakino (lawe ʻana i kekahi mau lāʻau lapaʻau, e like me nā anticoagulants, ka mōʻaukala o ka maʻi maʻi, ka ʻeha, nā mea pilikia e like me ka puhi paka, etc.).

ʻO ka "manawa" o ka hematuria he hōʻailona maikaʻi nō hoʻi. Inā loaʻa ke koko:

• mai ka hoʻomaka ʻana o ka mimi: ʻo ke kumu o ke koko ʻo ia paha ka urethra a i ʻole prostate i nā kāne
• i ka pau ʻana o ka mimi ʻana: ʻo ka ʻōpū ka mea i pili
• ma ka urination: pono e noʻonoʻo ʻia nā urological a me nā ʻino āpau.

ʻO nā kumu maʻamau o ka hematuria nā:

• he maʻi ʻāpana mimi (acute cystitis)
• hakuʻala maʻiʻaʻai (pyelonephritis)
• urinary / kidney lithiasis (“pōhaku”)
• nā maʻi kīkī (nephropathy e like me glomerulonephritis, Alport syndrome, etc.)
• prostatitis a i ʻole ka prostate nui
• he maʻi "urothelial" (ka ʻōpū, luna excretory tract), a i ʻole ka puʻupaʻa
• rarer infectious maʻi e like me urinary tuberculosis a bilharzia (ma hope o ka huakaʻi i ʻApelika, no ka laʻana)
• ʻeha (puʻi)

ʻO ke kū ʻana o ke koko i ka mimi e lilo i kumuhana o ke kūkākūkā olakino, no ka mea hiki ke hōʻike ʻia i kahi maʻi pilikino koʻikoʻi. Eia nō naʻe, ʻo ke kumu maʻamau ʻo ia ka maʻi maʻi urinary tract, kahi e koi ai i ka mālama wikiwiki ʻana e pale aku i nā pilikia. ʻO ka maʻamau, nā hōʻailona pili (nā maʻi urinary, ʻeha a puhi paha i ka wā o ka urination) kau ʻia ma ke ala.

E hoʻomaopopo he nui loa ka liʻiliʻi o ke koko (1 ML) e lawa ai ka nui o ka mimi. No laila, ʻaʻole ia he hōʻailona o ke kahe nui ʻana o ke koko. Ma ka ʻaoʻao ʻē aʻe, e makaʻala ke alo o nā clots koko: pono e hele i ka haukapila me ka hoʻokaʻulua ʻole no ka loiloi.

ʻIke maopopo ʻia nā hopena i ke kumu, no laila ke koʻikoʻi o ka ʻike koke ʻana i ke kumu o ke koko.

I ke kumu o kahi maʻi urinary tract (cystitis), e kuhikuhi ʻia ana ka lāʻau antibiotic a e hoʻonā koke i ka pilikia o hematuria. I ka hopena o ka pyelonephritis, pono ka halema'i i kekahi manawa no ka lawelawe ʻana i nā lāʻau antibiotic ikaika.

ʻO nā pōhaku hakuʻala a i ʻole nā ​​pōhaku o ka mimi e pili pinepine ʻia me ka ʻehaʻeha (colic renal), akā hiki ke hopena i ke kahe maʻalahi. Ma muli o ka hihia, pono e kali i ka hoʻoheheʻe ʻana o ka pōhaku iā ia iho, a laila e kuhikuhi ʻia ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau.

ʻO ka mea hope loa, inā pili ke kahe ʻana i kahi maʻi maʻi maʻi tumor, pono ka lapaʻau ʻana i ka ʻaha oncology.