Erythrocytes masero matsvuku eropa ayo anotenderera muropa serum. Vanotakura oksijeni uye michina kumatumbu emuviri. Zvisinei, kana kukanganisa, masero matsvuku eropa mumuginho anokwanisawo - mukuzvitakura, chiratidzo chinotyisa.
Hematuria classification
Panguva yepamuviri, muviri wevakadzi unotarisana nemitoro inorema, kugadziriswa. Kurumidza uye kukura kwakanyanya kwema embryo, zvirongwa zvepanyama zvinoratidzirwa nedzimwe nzira. Nemhaka yeizvi, erythrocytes dzinowanzoonekwa mumuhuro panguva yekuzvitakura. Zvichienderana nekuoma kwezviratidzo, mhando dzinotevera dze hematuria dzinozivikanwa:
- microhematuria;
- macrohematuria.
Microhematuria inowanikwa ne microscopy yerine sediment, nenzira ye laboratory. Urini hwekuona hunochengetedza ruvara rwayo. Mu macrohematuria, ropa admixtures, erythrocytes muurini, panguva yekuzvitakura zvakatemwa kuonekwa. Ichi chiitiko chinogara chichiverengerwa navanachiremba sechiratidzo chechirwere. Mhedzisiro inobva muropa mu macrohematuria ndeyi:
- chikafu;
- urethra;
- itsvo.
Pane imwewo maitiro ehematuria zvichienderana nekwakabva eerythrocytes:
- chenhema;
- ichokwadi.
Nhema hematuria
Urwu urwere hwehutano hunoti kana kuonekwa kwe erythrocytes mumuginho kunokonzerwa nezvinokonzera kusabatana nematambudziko uye zvirwere zvepfungwa. Muchiitiko ichi, chiyero che erythrocytes mumuginha chinoramba chiri mukati mezvakakwana. Ruvara rutsvuku runopiwa kune rumwe zvinhu, kwete neropa remasero. Kazhinji, urinha inogona kuwana piniki kana tsvuku tsvina nekuda kwekutora mimwe mishonga kana kudya. Semuenzaniso, kudyiwa manheru e saldi yeeetet inogona kupa urine muvara wakakodzera.
Chokwadi hematuria
Ichokwadi hematuria inonzi apo huwandu hwakanyanya hwe erythrocytes mumuguta hunogadziriswa. Nekusiyana kwechirwere ichi, masero eropa anoenda mune mamwe marapirwo mumvura inonzi renal tubules, mushure mokunge vaisanganiswa nemuji uye vabuda. Kuti aone chinonyatsokonzera, vanachiremba vanopa ruzivo rwakakwana rwechiremba. Ichokwadi hematuria inowanzobatanidzwa nehutano hwekuvhenekera.
Ndezvipi zvakajeka kupa rutivi rwekuongorora urinhe pakuberekwa?
Kuti uwane chinangwa chinokonzerwa nekuongororwa uye kuongorora urini panguva yekuzvitakura kunoratidza mufananidzo chaiwo wezviri kuitika, mukadzi anofanira kutevera mitemo yakawanda kana kuunganidza urinho samuenzaniso. Zvinotenderwa kusati kwaitika ndeye chimbuzi chekunze kwemajini. Kuunganidzwa kwemuti kunofanira kuitwa chete mangwanani.
Iyo nzira yacho pachayo inofanira kushandiswa sezvinotevera:
- Mushure mekushambidza, mukova webhedha unofukidzwa nehutano hwehutano.
- Nekuunganidza zvakakosha kugadzirisa chakaoma chakaoma nyoka mberi, zvinoda kutenga chikafu chekuongorora mune zvemishonga.
- Unganidza chidzidzo chemugove wega wega wemugove, mushure mokunge watora masekondi 3-5 muchimbumba.
- Iko yakagadzirwa zvakasimba nechisimbiso uye ichiendeswa ku laboratory maawa maviri.
Erythrocytes mumuginhi panguva yekuzvitakura - chimiro
Munguva yekubata kwechecheche, mutumbi wemukadzi uri pasi pemutoro. Itsvo dzinotanga kushanda nenzira yakasimbiswa, nekuda kweizvipi zvinosvibisa zvinogona kuputswa. Mukuona kweizvi, erythrocytes inowanikwa mumurini munguva yekuzvitakura ikozvino. Vanachiremba vanobvuma kuvepo kwemauto matsvuku eropa muzamu. Muchiitiko ichi, chimiro che erythrocytes mumugini panguva yekuzvitakura chinowanikwa pa 1 unit mumunda wekuona microscope (mushandi webasa anogadzirisa 1 sero).
Erythrocytes mumukaka panguva yekuzvitakura inokudzwa
Hematuria inowanzoonekwa nevadzimai vane pamuviri. Basa guru rechiremba munyaya iyi ndechokusimbisa nzvimbo chaiyo yehutano hwehutano, izvo zvinokonzera hematuria. Apo mukadzi ane zvakawanda zve erythrocytes mumuginha wake panguva yekuzvitakura, iyi nzira yekuongororwa inoshandiswa se "tatu-shot test". Inobvumira kuziva nzvimbo yakabva masero matsvuku eropa. Urini inounganidzwa mumakamuri matatu. Zvichienderana nechikamu umo masero matsvuku eropa anoonekwa, chiremba anotora mhedziso yakakodzera:
- masero eropa mumutsara wokutanga - akaroorwa ne urethra;
- mune yechipiri, mutezo kana kuti itsvo dzinobatwa;
- mune chechitatu - chidimbu.
Erythrocytes mumukaka panguva yekuzvitakura - zvinokonzera
Kuonekwa mumuganda wakavigwa wemasero matsvuku eropa kunowanzoita kuvapo kwekuvhiringidza kana utachiona muurrogenital system. Mumamiriro ezvinhu akadaro, kuwedzera kweyerythrocytes mumugini panguva yekuzvitakura kunoenderana ne:
- kurwadziwa mucheche pasi, kumucheto kumashure ;
- resi;
- kusagadzikana uye kupisa paunenge uchibhururuka;
- kuwedzera mukushisa;
- kushaya simba;
- headache.
Kuongororwa mumamiriro ezvinhu akadaro kunobudisa chiremba chete. Pakati pezvinetso zvinowanzoitwa ne hematuria mumadzimai ane pamuviri, zvikonzero zvechirwere ichi zvinogona kunge zvinotevera:
- cystitis ;
- glomerulonephritis;
- pyelonephritis;
- utachiona hwehutano hwemagetsi.
Vanachiremba vanonyevera kuti kwete chete nezvirwere zvekuvhenekera zvinogona kuvepo hematuria - zvikonzero zvinogona kuvanda mune zvirwere zvakafanana, zvakadai se:
- arterial hypertension;
- hemorrhagic diathesis;
- anemia ;
- aneurysms yemidziyo yeropa;
- chirwere cheshuga.
Erythrocytes muurini panguva yekuzvitakura - kurapwa
Kuwedzera kweyerythrocytes mumugini panguva yekuzvitakura kune zvikonzero zvekuongororwa kwakakwana kweamai vane ramangwana nekugadzwa kwechikonzero. Kuoma kwechirwere chekuputsa kwakadaro kunokonzerwa nokusabvumirwa kwekushandisa zvimwe zvinodhaka munguva yekuita gumbo. Kurapa kwezvirwere kunofanira kusimbiswa chete nachiremba mushure mekugadza chikonzero chaicho. Kushandisa zvakakwana kwemishonga kunogona kukanganisa utano hwaamai uye fetus. Kuonekwa kwechirwere chechirwere kunoda kugara muzvipatara.
Kusarudzwa kwezvinodhaka kunogadzirwa, maererano nechikonzero chekuonekwa kwe erythrocytes mumugini panguva yekuzvitakura. Kana kuvepo kwavo kwakaguma kwekubuda ropa mukati, haemostatic mishonga inogona kunyorwa:
- Dicycin;
- Vikasol;
- aminocaproic acid.
Kurapa kunoitwa nekufungisisa kuoma kwemararamiro uye nguva yehutumbi. Vanachiremba vanoedza kushandisa zvigadzirwa zvemishonga mumutambo wekutanga, sezvo izvi zvinogona kukanganisa kushandiswa kwe fetus ye fetus. Kana pane zvipfeko murereter kana urethra, antispasmodics inoshandiswa:
- Spazmalgon;
- Drotaverine;
- Papaverine;
- Asi-shpa.
Kana zvakasununguka kubva kune dombo zvakaoma, shandisa cystoscopy kana kubudiswa kwekuvhiya pamatanho ekupedzisira. Kuora kwepoyo, pamwe chete nokuputika kwemasukisi, kuumbwa kwehematomas, macrogematuria, urin kuveza muhuni mutsvuku, zvinoda kurapwa nokukurumidza. Mumamiriro ezvinhu akadaro, kuchengetedza hupenyu hwevakadzi vane pamuviri kunouya kutanga. Apo kubatanidzwa hematuria neproteinuria kunogona kushandiswa kushandiswa kwe corticosteroids.