I-Urinalysis nguNechiporenko: umbhalo

A.Z. U-Nechiporenko uye wavelisa indlela yokuhlalutya umchamo ukufumana nokugqiba inani leesilinda, iiprotheyini, i-erythrocytes, i-leukocyte equlethwe kumchamo. Uroloji sele lide kwaye lisetyenziswe ngokubanzi ngale ndlela. I-Gynecology isoloko isebenzisa uhlalutyo lomchamo ngokweNechiporenko, ingxelo ebonisa izifo ze-urinary. Le ndlela igqiba ukuba isiguli sinesifo esivuthayo-i-pyelonephritis, i-cystitis, okanye ingabandakanyi kubo, kunye nokutyhila i- latent hematuria (igazi kumchamo) kunye ne-latent cylindruria.

Oogqirha babedla ukuba bahlole umchamo we-Nechiporenko, umbhalo ovumela ukuba uphando oluthe gqwaniswa ngalezo ngxaki zokusebenza komzimba eziye zachongwa ngokubanzi kunye nokuhlalutya kweklinikhi. Iziphumo zokuhlalutya umchamo usebenzisa indlela yeNichiporenko zisetyenziselwa kwiindawo ezininzi zonyango. Kulula ukuba ugqirha ukuba aqaphele ukusebenza kwonyango usebenzisa le ndlela yokuxilonga.

Umchamo ungabuthwa njani ukuze kuqhutywe i-urinalysis ngokwe-Nechiporenko, ingxelo efunekayo ukuqinisekisa ukuxilongwa okanye ukuchonga ngokuchanekileyo imeko yendalo? Kufuneka uhambelane nemithetho ethile kwaye ungayikhohlwa ngabo. Ngenxa yeziphumo ezinokwethenjelwa zomchamo, u-Nechiporenko udinga ucoceko olunzulu lwezitho zangasese, kuba ukuba iibhaktheriya ziya kungena kumchamo, ziya kuzisa ugqirha ngendlela engafanelekanga - kwiingcamango ze-bacteriuria (izifo ezahlukahlukeneyo ezivuthayo zezintso kunye namaphecana amanzi).

Ngaphambi kokuthatha uvavanyo (mhlawumbi kwiiyure ezingama-24), akukhuthazwa ukuthatha imithi okanye imifuno engatshintsha umbala we-urine. Ungadli oku kutya: iibhunge, izaqathe, i-antibiotic i-Rifampicin kunye neziyobisi ezandisa i-hemoglobin, njl.

Kufuneka uqokelele isahlulo esiphezulu somchamo wokuqala. Ukuze uphumelele, kufuneka udlulise inxalenye yomchamo ekuqaleni kokucoca kunye neepeyile kwindlu yangasese kumasekhondi ambalwa okuqala, kwaye umchamo, ozahlukana phakathi kokucoca, uqokelela kwisitya esinyumba esenzelwe ukuqokelela umchamo.

Izinto eziziqokelelwayo kufuneka ziswe kwibhabhatri ngokukhawuleza, ngokuhlwa, kwaye kungekudala, ngenxa yokuba u-urinalysis ngokubhekiselele kuNechiporenko (ukucacisa ukufundisisa) unokubonisa ukuphuhliswa kweebhaktheriya (i-bacteriuria).

Uvavanyo lomchamo lwe-Nechiporenko lunamanani alandelayo alandelayo:
I-leukocyte - ngaphantsi kwe-2000 kwi-1 milliliter yomchamo;
I-Erythrocytes - ngaphantsi kwe-1000 nge-1 milliliter yomchamo;
Izilwanyana - ngaphantsi kwama-20 nge-1 milliliters yomlambo.

Ziziphi izifo zendlela yokucoca kunye neentso ezixilonga indlela yeNechiporenko (uhlalutyo lomchamo)? Ukuphambuka okuhlukileyo okuvela kumgangatho oqhelekileyo kuboniswa ngamanani aphakamileyo ahlalutyo olufanayo loluvo (ukuba ukuqokelela umchamo kwenziwa ngokuchanekileyo). Iziphumo zovavanyo lwe-urine lwe-Nechiporenko zivumela oogqirha ukuba baqonde iintlobo zezinto ezingaqhelekanga kwaye kubonisa ukuba kukho izifo ezithile ze-urinary tract, izinso:

1. I-Hematuria - ukwanda kwe-erythrocytes ekukhutsheni umchamo. Ukuba inani le- erythrocytes linyuka, ngoko sinokuthi malunga nezi zifo: izidumbu ze-urinary (ukuba i-hematuria ifunyenwe), isifo seentso zesifo, i-nephrolithiasis (amatye eentso).

2. Ukwandisa i-leukocytes. Esi siphumo senza ukuba kwenzeke ukuxilongwa ngokucacileyo kwinkqubo yokucoca: i-pyelonephritis (okanye ukuvuvukala kweentso), i-nephrolithiasis (okanye amatye eentso).

3. Ukukhulisa iisilinda. Oku kungabonakaliswa njengokuba kukho ukubonakala kwamaprotheni, okwakhiwa kwiibhola zezintso. I-Erythrocytes kunye neeseli ezihamba kwiibhola ze-renal zingafakwa kwiiplini zeprotheni. Ngezikhombisi ezinjalo, izifo ezilandelayo ziyakrokrwa: ukutyhefuza ngezinto ezingenayo i-nephrotoxic, glomerulonephritis kunye ne-pyelonephritis.

Kwakhona kubalulekile ukuba ukhumbule ukuba umxholo ophezulu weeplini (iiprotheyini) kunokubonisa ukuthambekela kwezifo ezinjenge-hypertension, i-toxicosis, ukungaphumeleli kwintliziyo, igciwane. Uhlalutyo lwe-Urine uNechiporenko, ukubhaliselwa kweso sifundo yindlela echanekileyo yokufumanisa isifo se-genitourinary sphere.