Urinalysis Result Interpretation
Chimwe chezvinhu zvinowanzoitwa kuongororwa vasati vambovhiyiwa kana panguva yekurapwa kunoitwa urinalysis. Muedzo uyuwo unowanikwa zvikuru mumakiriniki uye mahofisi echiremba, sezvo anoshandiswa kuongorora imwe yezvirwere zvakanyanya kuAmerica: urinary tract infection. Kunyange zvazvo kutonga kunze kwehutachiona hwehutachiona humwe chikonzero chinowanzoita kuti chiyero ichi chinowanzoitwa, chinoitwawo kuti uongorore basa reimpso - chikamu chinokosha chekuongorora kuchengetedzwa kwekupa murwere anesthesia nekuita kuti itsvo dzinoramba dzichishanda zvakanaka mushure mekuita.
The Urinalysis Test
A urinalysis test inotora samuenzaniso yemuyo uye inotsanangura zviri mukati uye makemikari makeup. Kunyange zvazvo inowanzoitwa vasati vavhiyiwa kuti vaone chero nharo dzinenge dziripo, urinalysis inogona kuitwa muhofisi yechiremba kana chirwere chepfungwa, urinary tract infection , kana chimwe chinhu chiri kukanganiswa. Kushandiswa kwemakemikari hakufaniri kukanganiswa nekurongwa kwemishonga yemuyo, iyo inoongorora urini yekushandiswa kwemazuva ano kwezvinodhaka zvisina kukodzera.
Izwi rokuti urinalysis nderimwe rondedzero yekuongorora urini, asi kune marudzi akasiyana eongororo inogona kuitwa. Urini inogona kuongororwa kuti ione kana munhu wacho akashandisa zvinodhaka kana zvinodhaka zvisina kuwanikwa munguva pfupi.
Iko kusanganisa hakusi kuongororwa, kureva kuti migumisiro haisati yaongororwa nechirwere, asi pane inogona kutungamirira mberi kuongororwa kuti aone chaiye chaiyo dambudziko. Somuenzaniso, urinalysis haigoni kushandiswa kuongororodza chirwere cheshuga , asi kana mitsara yacho yakaratidza mazinga maviri epamusoro ye glucose uye ketone, kuedzwa kwechirwere cheshuga kwaizova danho rinotevera rakanaka.
Uyu muedzo unowanzoita danho rokutanga pakuongorora zvinetso zvepoyo, uye zvinowanzoendesa kune kuongorora ropa nerokufungidzira (zvakadai seT CT scan) kana zvinetso zvepfungwa zvichifungidzirwa.
Kuwana Urine Muenzaniso
Mushonga weuyu unogona kuunganidzwa nemurwere pachavo, kazhinji kuburikidza nekukandira muchitoro chisina kuchena, chirongwa chinonzi "clean catch". Kazhinji, murwere anobvunzwa kuti atange kunyorera, uye kana kamwe rukova rwakatanga uye maminetsi mashomanana ekuyerera akadzingwa, muenzaniso unounganidzwa.
Iwe unogona kupiwa tsvina yekuchenesa kushandiswa musati waunganidza shanduro. Izvi zvinoitwa kuti kuderedze njodzi yekusvibiswa paganda rako.
Kana murwere ane catheter yeFoley , mukoti anowanzokohwa samuti kubva kumabhaji asati agonha kusvika kuhomwe yekutakura.
Urinalysis Testing Phase One: Kuona Kuongorora
Kuongorora ruvara uye tsanangudzo yemuenzaniso wemuti ndiyo yekutanga kuedzwa kwakaitwa. Muenzaniso wemuti unoratidzwa uchionekwa nemuvara, ne "zhizha," "uswa," kana kuti "anenge asina kuve" asina kuchena. Mavara asina kuchena anogona kuitika: orange inogona kuva nemigumisiro yechirwere yemishonga yemishonga, tsvuku uye pink zvinogona kuratidza kuvapo kweropa, uye rima jena rinogona kureva kupera mvura.
Urinalysis Testing Phase Two: Chimiro Chekuongorora
pH: Uyu muedzo unotarisa asidi yepamusoro mumuguta. Zvinonyanya kukoshesa zvakakwirira kana zvishoma zvinogona kuratidzira nyaya neitsvo.
Chiziviso chakakwana: Ichi chikamu chemuedzo chinoratidza kushanda kwemuti. Kana murwere achinaya mvura, somuenzaniso, simba rakanyanya richave rakakwirira. Kana munhu wacho akanyatso-hydrated, chibereko chepasi chinotarisirwa. Chirwere cheshuga insipidus, mamiriro apo muviri unowedzera huwandu hwemuti, huchaguma nehutsika hwakanyanya.
Purotini: Kuwana mapuroteni mumugini hakusi kuwanikwa kwakakwana. Kunyatsokura mazinga angaratidza chinetso nehupfungwa basa.
Glucose: Kuwana glucose mumuguta hakusi kuwanikwa kwakakwana. Kazhinji, izvi zvinowanikwa kune varwere vane chirwere cheshuga, kunyanya kana chirwere cheshuga chisina kudzorwa.
Ketones: Kuwana ketoni mumuguta hakusi kuwanikwa kwakakwana. Kazhinji, chirwere cheshuga ndicho chinokonzera ketoni mumuguta. Kuwana kweketoni kunowanzokonzera kuongororwa kwechirwere cheshuga, kana kuti kunogona kuratidza kudiwa kwekutarisa glucose kuri nani mumurwere ane chirwere cheshuga.
Leukocytes: Leukocytes ichena masero eropa.
Leukocytes mumuginha zvinowanzoonesa chirwere chekare kana chemazvino mumugwagwa wemuguta.
Ropa: Kuvapo kweropa mumuroti kuwanikwa kusina kujairika. Hazvibviri kutora chikonzero chekubuda ropa pasina kuongororwazve. Zvimwe zvinokonzera zvinosanganisira kutapukisa, kushungurudzwa, mafungiro eminwe, kenza, kuvhiyiwa pane imwe nzvimbo ye urinary, chirwere chepfungwa, chirwere chepfungwa-chakakonzerwa nekuisa katheter ye urinary, nezvimwe zvinokonzera.
hCG: Ichi chirwere chekuzvitakura. Muvarume vevarume, chigumisiro chacho chinowanzotaurwa se "chisina kushanda," apo vakadzi vachava nemukana wakanaka kana wakaipa. Kushandiswa kwemasvondo kunogona kana kuti kusasanganiswa kuongororwa kwekuzvitakura, zvichienderana nehuwandu hwekuongorora urini huri panzvimbo yekuti kuedzwa kunoitwa uye izvo chiremba akaraira.
Urinalysis Testing Phase Three: Microscopic Exam
Chimwe chiduku chemuenzaniso wemuti, kazhinji madonhwe mashomanana, akaiswa pane slide uye akaongororwa pasi pekroscope. Izvo zvinoitwa kuti uone kana kune masero mumuguta anoratidza kuvepo kwekubuda ropa, utachiona kana kusvibiswa.
Mishonga Yakachena Yeropa (WBCs): Vashoma kana kuti hapana WBC inofanira kuva mumuginha. Nhamba dzinokosha dzinowanzoratidza kuti kune hutachiona.
Zviropa Zvitsvuku (RBC): Sezvakaita masero eropa, zvinofanira kunge zvishoma kana masero matsvuku eropa akawanikwa mumugini.
Epithelials: Epithelial cells haafaniri kunge aripo mumuenzaniso wemuti. Chikonzero chinonyanya kukosha chemasero epithelial mune samuenzaniso isungano isina kukodzera yemuguta, zvinoreva kuti chimiro chisina kuchena chakasvibiswa. Kana kusvibiswa kunoratidzwa kunze uye masero epithelial akawanikwa zvakare mumuedzo wechipiri pane imwe yero urine samples, kuongororwa kunozodiwa kunotsanangura kuvapo kwemasero aya.
Mabhakitiriya: Kuvapo kwebhakitiriya kunogona kuratidza utachiona kana kusvibiswa kwemuenzaniso.
Inotadza: A cast, iyo inogona kutumidzwa sehope tsvuku, yakachena, kana hyaline, kazhinji inotaridzika sekidiki kadiki yezai yakasimwa mumugini. Kuvapo kwekukanda hakusi kwepanyama uye kunogona kunge kune mafungiro ezvinetso zvepvo.
Sources:
Urinalysis. Medline Plus. https://www.nlm.nih.gov/medlineplus/ency/article/003579.htm