Kev muaj ntshav hauv cov zis raug xa mus rau hauv tshuaj los ntawm lub sij hawm los ntshav. Cov ntshav tuaj yeem muaj ntau thiab pom cov zis liab liab, liab lossis xim av (qhov no hu ua tag nrho hematuria) lossis muaj nyob hauv cov kab mob (microscopic hematuria). Tom qab ntawd nws yog qhov yuav tsum tau ua qhov kev ntsuam xyuas kom pom nws muaj.

Ntshav nyob rau hauv cov zis yog ib qho txawv txav, feem ntau qhia txog kev cuam tshuam ntawm cov zis. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog koj tus kws kho mob thaum cov zis muaj xim txawv txav, lossis thaum muaj cov tsos mob tshwm sim (mob, tso zis nyuaj, xav tau ceev ceev, tso zis ntau dhau, thiab lwm yam). Feem ntau, ECBU lossis tso zis tso quav yuav ua kom pom qhov ua rau sai.

Nyob ntawm cov txiaj ntsig, koj tus kws kho mob tuaj yeem xa koj mus rau tus kws kho mob urologist.

Hematuria tuaj yeem muaj ntau yam ua rau. Yog tias koj cov zis hloov xim liab lossis liab dawb, nws tseem ceeb heev kom nug koj tus kheej seb nws puas yog ntshav. Ntau qhov xwm txheej tuaj yeem hloov xim ntawm cov zis, suav nrog:

• noj tej yam khoom noj (xws li beets los yog tej berries) los yog tej yam zaub mov xim (rhodamine B)
• noj qee yam tshuaj (cov tshuaj tua kab mob xws li rifampicin lossis metronidazole, qee cov tshuaj laxatives, vitamin B12, thiab lwm yam).

Tsis tas li ntawd, kev coj khaub ncaws los ntshav los yog qhov chaw mos tuaj yeem, hauv cov poj niam, cov zis muaj xim nyob rau hauv "kev dag ntxias".

Txhawm rau txiav txim siab qhov ua rau hematuria, tus kws kho mob tuaj yeem kuaj cov zis (los ntawm txoj hlua) kom paub meej tias muaj ntshav, thiab yuav txaus siab rau:

• cov cim qhia (mob, tso zis, ua npaws, qaug zog, thiab lwm yam)
• keeb kwm kev kho mob (kev noj tej yam kev kho mob, xws li anticoagulants, keeb kwm ntawm mob qog noj ntshav, kev raug mob, muaj feem yuav tshwm sim xws li haus luam yeeb, thiab lwm yam).

Lub sijhawm "sijhawm" ntawm hematuria kuj yog qhov qhia tau zoo. Yog muaj ntshav:

• los ntawm qhov pib tso zis: lub hauv paus chiv keeb ntawm los ntshav yog tej zaum cov urethra los yog prostate nyob rau hauv cov txiv neej
• thaum kawg tso zis: nws yog lub zais zis uas cuam tshuam
• Thaum tso zis: tag nrho cov urological thiab lub raum puas yuav tsum tau txiav txim siab.

Feem ntau ua rau hematuria yog:

• urinary tract infection (mob cystitis)
• mob raum (pyelonephritis)
• urinary / raum lithiasis ("pob zeb")
• kab mob raum (nephropathy xws li glomerulonephritis, Alport syndrome, thiab lwm yam).
• prostatitis los yog mob prostate
• "urothelial" qog (lub zais zis, lub plab excretory), los yog raum
• Cov kab mob uas tsis tshua muaj xws li urinary tuberculosis lossis bilharzia (tom qab taug kev mus rau Africa, piv txwv li)
• trauma (tuag)

Lub xub ntiag ntawm cov ntshav nyob rau hauv cov zis yuav tsum yeej ib txwm yog ib tug ntawm cov kev kho mob kev sab laj, raws li nws yog ib tug qhia tau hais tias ib tug loj pathology. Txawm li cas los xij, qhov tshwm sim feem ntau tseem yog kab mob ntawm cov zis, uas tseem yuav tsum tau kho sai kom tsis txhob muaj teeb meem. Feem ntau, cov cim qhia (mob zis, mob lossis kub hnyiab thaum tso zis) tso rau ntawm txoj kev.

Nco ntsoov tias cov ntshav tsawg heev (1 mL) txaus kom tso zis ntau heev. Cov xim yog li ntawd tsis tas yuav yog ib qho cim ntawm kev los ntshav ntau. Ntawm qhov tod tes, muaj cov ntshav txhaws yuav tsum ceeb toom: nws yog ib qho tsim nyog yuav tsum mus rau hauv tsev kho mob yam tsis tau ncua sij hawm rau kev ntsuam xyuas.

Cov kev daws teeb meem pom tseeb yog nyob ntawm qhov ua rau, yog li qhov tseem ceeb ntawm kev txheeb xyuas cov keeb kwm ntawm cov ntshav sai sai.

Nyob rau hauv cov ntaub ntawv ntawm ib tug kab mob nyob rau hauv lub urinary system (cystitis), kev kho mob tshuaj tua kab mob yuav muab tshuaj thiab yuav daws tau qhov teeb meem ntawm hematuria sai sai. Hauv cov xwm txheej ntawm pyelonephritis, kev mus pw hauv tsev kho mob qee zaum tsim nyog txhawm rau tswj hwm cov tshuaj tua kab mob muaj zog txaus.

Lub raum pob zeb lossis pob zeb hauv cov zis feem ntau cuam tshuam nrog qhov mob hnyav (lub raum colic), tab sis kuj tuaj yeem ua rau los ntshav yooj yim. Nyob ntawm qhov xwm txheej, nws raug nquahu kom tos lub pob zeb kom yaj ntawm nws tus kheej, ces kev kho mob lossis kev phais yuav raug sau tseg.

Thaum kawg, yog hais tias los ntshav yog vim lub qog pathology, kev kho mob nyob rau hauv oncology department yuav pom tseeb yog tsim nyog.