Ukuhlaziywa kokwakheka komchamo wesiguli kungenye yamathuluzi wokuxilonga oyinhloko ekuvumela ukuthi ungasekeli izifo zezinso kanye nesinye, kepha nesimo somzimba wonke. Uma isifundo esivamile sidinga ukucaciswa, ukuhlolwa komchamo ngokusho kweNechiporenko kunqunyelwe ngaphezulu. Umlobi wale ndlela udokotela ohlinzayo owaziwayo, oncologist, osindise abantu abaningi izimpi ngesikhathi seMpi YamaPatriotic. Indlela ayisungule yaqhamuka inolwazi kakhulu kunalena esetshenziswe ngaphambili, kepha ngasikhathi sinye elula kakhulu futhi ishesha. Njengamanje, ukuhlaziywa kweNechiporenko kungenye yezifundo ezinqunywe kaningi. Sizothola ukuthi singakudlulisa kanjani ngendlela efanele nokuthi yikuphi ukwephula umthetho okungatholakala emiphumeleni yayo.
Kukuziphi izimo abelwe zona
Ukuhlolwa komchamo ngokusho kweNechiporenko kufanele kwenziwe ngudokotela, udokotela womndeni, ochwepheshe abavela emnyangweni we-urological or nephrological. Lolu cwaningo luyadingeka lapho kutholwa ukuphambuka ekuhlolweni okujwayelekile komchamo, uma kunokungafani phakathi kwezikhalazo zesiguli nedatha yokuhlaziywa okujwayelekile, ukunquma ukusebenza ngempumelelo kokwelashwa kanye nokubheka inkambo yesifo ngamandla.
Izizathu ezinkulu zokuqokwa kohlaziyo ngokusho kweNechiporenko:
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
- Ukutholwa komonakalo wezinso kanye ne-ureter nge-urolithiasis.
- Ukuqapha imiphumela yemithi elwa namagciwane ekwelapheni izifo ezibangelwa amagciwane.
- Ukunqunywa kokuba khona kwezifo ezithweni zezitho zofuzo, kubandakanya okungamahlalakhona kanye nokuvilapha.
- Ukuxilongwa kokusebenza kokulimala kwezinso ngenxa yokulimala nezifo - vasculitis, i-mellitus yesifo sikashukela, glomerulonephritis.
- Ukukhonjwa kwezimbangela zokuchama kobuhlungu, ukuphuma komchamo omkhulu noma okwanele ngesikhathi sasemini, izinkanuko ezivame kakhulu noma ezingandile.
Yini ehlukile kwezinye izivivinyo zomchamo
Ukuhlaziywa komchamo okujwayelekile kubhekisele ezindleleni zokuhlola, ngosizo lwayo kungenzeka ukuthola i-pathologies ehlukahlukene. Okokuqala, yonke ingxenye yomchamo eqoqiwe iyahlolwa ukukhomba izici zayo zamakhemikhali. Okwesibili, ngosizo lwe-microscope, ukudonsa komchamo kuyahlolwa, kubalwa ukuba khona kwamagciwane, usawoti, izakhi zegazi namasilinda - uhlobo lokuphonswa kwamaprotheni namaseli akhula ezingxenyeni zezinso. Ukuhlaziywa kuzokhombisa ukuthi mangaki ama-leukocytes namaseli abomvu egazi atholakala emkhakheni wokubukwa, i.e. emkhakheni wokubuka kwesibonakhulu. Ama-Cylinders ngamagama wokunciphisa akhonjiswa kaningi. Umphumela ovame kakhulu ukuthi "azikho amasilinda atholakele" noma "amasilinda owodwa", ngesinye isikhathi ezinophawu lohlobo lwawo.
I-Urinalysis ngokusho kweNechiporenko ithathwa njengokucwaninga okucacisayo. Ngosizo lwayo, mangaki amangqamuzana abomvu egazi, amaseli amhlophe egazi namasilinda aku-1 ml womchamo. Ama-cylinders ahlelwa ngokwakhiwa, futhi inani lezinhlobo ngazinye liyakhonjiswa, okukuvumela ukuba wenze ukutholakala kweqiniso kutholakale kunembile. Lokhu kuhlaziywa kuyakwazi ukubona ukwephula esiteji sokuqala, okubaluleke kakhulu ezinganeni ezikhulelwe nezisencane. Ngakho-ke, unqunyelwe ukuhlaziya umchamo oqoqiwe ngokuya ngendlela yeNechiporenko ngokungabaza okuncane.
Endabeni yezifo zezinso, kuhlaziywa ngokuya ngeZimnitsky nakho kubekiwe. Lokhu kucwaningwe kwevolumu yonke yomchamo emahoreni angama-24 ngaphandle kokuhlukaniswa kwezinto zawo. Ngokusho koshintsho lobukhulu kanye nomthamo womchamo ngemuva kokulala naphakathi kokuvuka, ukwahlulelwa kwezinso kuyahlulelwa.
Ungawuqoqa kanjani umchamo wokuhlaziywa nguNechiporenko
Ukuhlaziywa, udinga iziqukathi ezikhethekile lapho kufanele kukhulunywe ngesizungu sabo. Zingathengwa ngentengo ephansi ekhemisi. Izimbiza zokudla ezingilazi nengilazi zepulasitiki azinconywa, ngoba ukungcola noma iminonjana yokuhlanza ezindongeni zazo kungahlanekezela imiphumela. Amanye ama-laboratories avumela ukuqoqwa komchamo kuphela ezitsheni zawo, ezinikezwa ngaphambi kobusuku bokuhlaziywa kwidiphozi encane yezokuphepha.
Faka kahle umchamo ngqo esitsheni, futhi ungawuthululeli kwezinye iziqukathi. Okuhlukile izingane ezincane neziguli ezilele embhedeni. Kubo, ungasebenzisa imichamo, nayo ethengiwe ekhemisi.
Umthetho oyinhloko wokuqoqa umchamo ukuthi kuphela ingxenye yawo ephakathi kufanele iwele embizeni. Lokhu kusho ukuthi imizuzwana emibili yokuqala ukusakazwa kuqondiswa ethoyilethi, bese ugcwalisa kuphela isitsha. Amaconsi okuqala omchamo ahlanze ukungcola kanye ne-epithelium kusuka ku-perineum ne-urethra.
Akunandaba ukuthi inhlanzeko ilunge kangakanani, akunakwenzeka ukugwema ukungcoliswa komchamo, ngakho-ke ukuhlaziywa kweNechiporenko kungenzeka kungathembeki. Ingxenye yokugcina yomchamo akumele ibe sembizeni, ngoba iqukethe ukudilika okuvela esinyeni.
Ukudinga umchamo ongakanani ukuhlaziya kuya ngesimo sesiguli. Ngempilo ejwayelekile, kuzodingeka i-100 ml. Uma le mali ingenakwenzeka ukuqoqa (ngokwesibonelo, ngokuchama kaningi nge-cystitis), kwanele ukuthatha i-20 g yomchamo ukuze uhlaziywe. Ukuhlaziywa kungenziwa ngisho nasezimweni ezinzima kakhulu. Uma umchamo ungafihliwanga, ungathathwa nge-catheter esikhungweni sezokwelapha, noma ngabe kuphela ochwepheshe abambalwa abasebenza ngokugaya amabele.
Ungasithatha kanjani isivivinyo somchamo - i-algorithm:
- Xoxa nodokotela wakho ngokuthi imiphi imishanguzo oyiphuzayo engahlanekezela umphumela. Ezinsukwini ezi-2 ngaphambi kokubeletha, khansela le mishanguzo.
- Ngosuku olwandulela isivivinyo, ungafaki iziphuzo ezinamakhabhoni nezotshwala, kanye nokudla, udayi okuphuma kuzo ungangena kumchamo - izingulule, ama-blueberries, izaqathi. Ukudla okusele kufanele kube okujwayelekile, ngaphandle kwezinguquko ezinkulu.
- Ngosuku olwandulela ukuqoqwa komchamo, gwema ukuzikhandla ngokomzimba okunamandla.
- Ngobusuku bangaphambi kokuhlaziywa, nenqaba ebulilini.
- Kusihlwa, geza kahle ngesithambisi, ekuseni - phinda indlu yangasese ngamanzi ahlanzekile ngaphandle kwensipho. Abesifazane ngesikhathi sokuya esikhathini kudingeka basebenzise ama-tampon futhi baphathe indlu yangasese ngokucophelela.
- Qoqa umchamo ngesikhathi sokuchama okokuqala ngemuva kokulala ebusuku.
- Thumela isitsha eselabhoratri ngokushesha. Isikhathi sokugcina esiphezulu soketshezi lokuhlola asikho ngaphezu kwamahora ayi-1.5. Lapho uletha, gwema ukumila ngokweqile komchamo.
Uma ulandela ngokunembile wonke amaphuzu we-algorithm, umphumela wokuhlaziywa uzokwethenjwa ngangokunokwenzeka.
Ongakukhetha: Ukuvela kwe-acetone kumchamo kanye nemiphumela yako - //diabetiya.ru/analizy/aceton-v-moche-pri-saharnom-diabete.html
Ukwehliswa kokuhlaziywa kanye nokujwayelekile
Izinkomba ezilandelayo zibhekwa njengokujwayelekile, kwabesilisa nakwabesifazane nezingane, futhi kungakhathalekile ukuthi bathola kanjani umchamo, zivame ukuqoqwa ezitsheni noma zithathwe ngenqubo yezokwelapha ngqo kusuka ku-renal pelvis.
| Into ekhethiwe | Amanani ajwayelekile | |
| Amangqamuzana amhlophe egazi | < 2000 | |
| Amangqamuzana abomvu egazi | < 1000 | |
| Ama-Cylinders | Hyaline | < 20 |
| I-Erythrocyte | 0 | |
| Granular | 0 | |
| Umsindo | 0 | |
| Epithelial | 0 | |
Ngabe zidlala yiphi indima lezi zinto, futhi yiziphi izinqubo emzimbeni ezifanekiselwa ukwanda komchamo wazo:
Amangqamuzana amhlophe egazi
Amaseli amhlophe ajikeleza emithanjeni yegazi futhi, uma kunesidingo, angena esikhaleni se-interellular. Umsebenzi wabo ophambili ukuvikela umzimba ekungeneni ungene emizimbeni yakwamanye amazwe. Isibalo esikhulu samaseli amhlophe wegazi aqokelelwa kulezo zindawo lapho kudingeka khona ukuzivikela komzimba. Uma amaseli amhlophe egazi ekuqulweni kokuhlaziywa kungaphezu kokujwayelekile, khona-ke ukutheleleka sekuxazulile ohlelweni lwe-urinary futhi ukuvuvukala sekwenzekile.
Funda i-athikili mayelana nemicu yokuhlola yokuthola i-acetone emchameni - //diabetiya.ru/analizy/test-poloski-na-aceton-v-moche.html
I-Urinalysis ngokusho kweNechiporenko yemibukiso ye-pyelonephritis eyingozi ukwanda okukhulu kumaseli amhlophe egazi. Ngokukhuphuka okungama-30 kuyo, sikhuluma nge-pyuria - ukutholwa kobomvu emchanjeni. Kuqukethe ikakhulukazi amaseli egazi amhlophe afile angakwazanga ukubhekana nomsebenzi wawo. Lo mphumela wokucwaninga ukhombisa i-pathology engathi sína edinga ukwelashwa okuphuthumayo esibhedlela.
Okujwayelekile ezinganeni ngokuya ngenani lama-leukocytes ahlangana nabantu abadala. Ngaphandle kwalokhu, ezinganeni, ukuhlaziywa kweNechiporenko kuvame ukukhombisa izinga labo eliphakeme. Lokhu kuchazwa ngobunzima bokuhlanzeka, ikakhulukazi lapho kukhona ukusabela kwe-diaper noma i-allergic reaction, lapho kuhlangana khona i-leukocytes.
Amangqamuzana abomvu egazi
Umakhelwane weLeukocyte osegazini. Lawa ngamaseli abomvu ahlinzeka ngezinsizakalo zokuhamba emzimbeni: athumela umoya-mpilo ezicutshini futhi abuyisele i-carbon dioxide kuye emaphashini. Ambalwa amangqamuzana abomvu egazi angena kumchamo ngokusebenzisa izihlungi ze-renal glomerular. Uma ukusebenza kwezinso kukhubazekile, inani lamangqamuzana egazi abomvu kumchamo landa kakhulu. Amaseli abomvu egazi nawo angabonakala lapho kulimala uhlelo lomchamo, ukuvuvukala endleleni yomchamo kusuka ezinso kuya ku-urethra. Kwabesifazane, imiphumela emibi-yamanga yenzeka lapho kudluliswa ukuhlaziywa ngokusho kweNechiporenko ngesikhathi sokuya esikhathini.
Ngesikhathi sokukhulelwa, ukwanda kwenani lamangqamuzana abomvu egazi kwenzeka ngenxa yokushintsha kwesimo sezinso - kukhuliswa ingcindezi yesibeletho kubo. Lesi simo sigcwala ukuqina komchamo nokuvuvukala, ngakho-ke, kudinga ukwelashwa okufika ngesikhathi.
Ama-Cylinders
Kwakheka ezingubeni zezinso futhi ngesilinganiso esincane kakhulu kungangena umchamo. Kumuntu ophile kahle, kufanele aqukethe i-hyaline kuphela - iprotein esobala, eminyene evela kuyi-plasma yegazi, imvamisa kuphela lawa masilinda aboniswa ukuhlaziywa komchamo ngokusho kweNechiporenko. Uma ezinye izinhlobo zesilinda zitholakala kumchamo, lokhu kubonisa ukulimala kwezinso, okuholela ekuhlulekeni kwezinso. Ama-cylinders we-Hyaline ngamanani aphezulu angakhombisa i-proteinuria (ukumbiwa kwamaprotheni kumchamo) noma kube ngumphumela wokuzivocavoca okukhulu komzimba.
Yimiphi imiphumela emibi engayisho
Ngakho-ke, izinombolo ezisefomini zitholwa, enye yazo idlula inkomba ejwayelekile. Ake sibheke ukuthi ungayihumusha kanjani kahle le datha kanye nokuba khona kwanoma yiziphi izifo ezingahlaziya umchamo ngokuchazwa kweNechiporenko.
| Ingxenye Ngaphezulu Okuvamile | Ukwephula okungenzeka | |
| Amangqamuzana amhlophe egazi | Ukuvuvukala kwesinye sezitho eceleni komchamo: pyelonephritis, cystitis. I-Urolithiasis enokulimana okuhlangana. I-Prostatitis emadodeni, i-vaginitis noma i-endometritis kwabesifazane. Ukukhula okuncane komzimba - lapho uzivumelanisa nokukhulelwa. | |
| Amangqamuzana abomvu egazi | Okusha | Ukuvuvukala komgudu womchamo, ukuhlukunyezwa ezinsweni nasematsheni omchamo akhiwe kuwo, usizi, i-neoplasms, i-hemophilia. |
| Kufakiwe | Ukulimala kwezinso ngokucindezela okukhulu, izinto ezinobuthi, i-glomerulonephritis. | |
| Ama-Cylinders | Hyaline | Isifo sezinso esibuhlungu futhi esingamahlalakhona. Ngaphakathi kwemingcele ejwayelekile - esimweni se-proteinuria yezomzimba ebangelwa i-hypothermia ende nokushisa ngokweqile, ukukhathala komzimba. |
| I-Erythrocyte | Ukulimala ezinso, ukwakheka kwezigxobo zegazi kuzo, umfutho ophakeme emikhunjini, okuholela kulimaza kwezihlubuki ze-renal. | |
| Granular | I-Glomerulonephritis esigabeni esisebenzayo, ubuthi obunzima nokudakwa, izifo ze-autoimmune, ukutheleleka kwezinso okuningana. | |
| Umsindo | Ukulimala kwezinso okukhulu, kugcwala izinguquko zazo eziphilayo kanye nokwehluleka kwezinso. | |
| Epithelial | Inqubo ye-pathological in theubuvu bezinso, imvamisa kakhulu i-pyelonephritis noma nephrosis. | |
Ukuhlaziywa komchamo ongakanani kwenziwa ngokusho kweNechiporenko
Lokhu kuhlaziywa kulula, kubuchwepheshe, imishini yokusebenza kwayo itholakala kuwo wonke ama-laboratories. Ukuhlaziywa okungakanani okwenziwayo kuya ngomthwalo womsebenzi welabhorethri. Ngokuvamile, iphrinta kungenzeka itholwe ngosuku lwebhizinisi elilandelayo. Ezinye izikhungo zezentengiso zinikeza ukuhlolwa komchamo amahora ama-2 ngezindleko ezengeziwe. Ezigulini ezibhedlela esibhedlela, ukuhlaziya kuthatha imizuzu embalwa kuphela.
Funda izindatshana zethu mayelana nokunye ukuhlaziya:
- I-Fructosamine - kuyini?
- I-hemoglobin ye-Glycated - kungani kubaluleke kakhulu ukuyibheka?
