Ukuhlaselwa kwe-Urinalysis ekukhulelweni kuyisifundo esibalulekileyo sokuhlola i-laboratory. Kusekelwe kwiziphumo zovavanyo lomvhamo ngokubanzi ngexesha lokukhulelwa ukuba olo hlobo lwesifo esibuhlungu njenge- gestosis ekupheleni (i-preeclampsia) kunye ne-pyelonephritis inokuqatshelwa nangona ukubonakaliswa kweklinikhi kungabikho. Siza kuqwalasela ukubaluleka kokuhlalutya ngokubanzi umchamo ngexesha lokukhulelwa.
Urinalysis - umbhalo wokukhulelwa
Xa ekuchazeni umphumo wokuvavanya umchamo, ezi zilandelayo zibonakaliswe kumama ozayo:
- Umbala kunye nomlinganiselo womchamo. Isixa kufuneka sibe ubuncinane kwi-10 ml, ngelixa isahlulo esiqhelekileyo siqokelelwa. Umbala we-urine kwindawo eqhelekileyo kufuneka ube yi-yellow-yellow.
- Ubuncu be-urine buxhomekeke kwimeko yesondlo somfazi okhulelweyo. Ukuba umama wesikhathi esizayo ukhetha ukutya kweprotheni, ukuphendulwa komchamo kuya kubakho. Ukuba ukutya komfazi okhulelweyo ininzi yemifuno, iziqhamo kunye nemveliso yobisi, iimpendulo zomlambo ziya kuba yi-alkaline. Ngomdla we-acid omninzi kumabhinqa abakhulelweyo, umntu unokucinga ngokuphuhliswa kwe-gestosis yokuqala, ehambelana neentlanzi kunye nokuhlanza.
- Isalathisi esibaluleke kakhulu sokugonywa kwe-urinalysis kukumiselwa kweproteinuria . Ngokuqhelekileyo, abafazi abakhulelweyo akufanele babe neprotheni emcinini wabo. Ukubonakala kumchamo weprotheni ngaphezulu kwe-0.033 mg kubonisa isilonda seentso. Le ntsholongwane iyimpawu yesigamu sesibini sokukhulelwa kwaye ibizwa ngokuba yi-gestosis ekupheleni (preeclampsia). Kwiimeko ezinjalo, ukubonakala kweprotheni kumchamo kudibaniswa nokunyuka kwengcinezelo yegazi kunye ne-edema yengingqi. Ukuba iimpawu zeklinikhi zenkqubela phambili ye-preeclampsia, ke oku kusisiseko sokubhedlelelwa esibhedlele kowesifazane okhulelweyo kwisibhedlele esithintekayo. Kwiimeko ezinzima, umfazi kufuneka abelethe ngokusebenzisa utyando lwecandelo lotyando lokugcina ubomi bomama kunye nosana lwakhe.
- I-leukocytes emcinini okhulelweyo ingaba khona ukusuka ku-0 ukuya ku-5 kwintsimi yokujonga. Ukwanda kwenani lama-leukocytes kwisicatshulwa ngokubanzi kunokuthetha ngesifo esivuthayo se-urinary system. Isizathu esivakalayo se-leukocyturia yi-pyelonephritis.
- Esinye isibonakaliso esibalulekileyo sokuhlalutya ngokubanzi umchamo ekukhulelweni kubonakala kubaktheriya. I-Bacteriuria yenye into eqinisekisiweyo ye-pyelonephritis ekhangeleka kumama ozayo. I-Leukocyturia kunye ne-bacteriuria inokuhamba kunye nentlungu ephantsi kwe-back and increase in the temperature of body up to 39 °.
- Ukuxutywa kweetyu kumchamo (urate, phosphate kunye ne-oxalate) ekukhuleleni ngokuqhelekileyo kufuneka kuncitshiswe, kuba ininzi yayo iya ekubunjweni kwamasipha omntwana. Ukwanda kwezi zixhobo ngexesha lokukhulelwa kunika isizathu sokurhaxela i-pathology ye-urinary system.
- Ukubonakala kwe-glucose kwisicatshulwa jikelele somchamo kunokuthetha ngesifo sikashukela sesifo sikashukela .
- Izidumbu zeKetone akufanele zifane . Ukubonakala kwazo ekuhlalutheni umchamo kukuqinisekiswa kwe-gestosis yokuqala okanye isifo sikashukela se-pregnant woman.
- Iiseli zepithelium eplatilium kunye neesilinda zingabakho ekuhlalutheni umchamo ngesinye isixa. Ukwandiswa kwabo kunokuthetha ngokugula kwenkqubo yokucoca.
- I-Hematuria yinyuka kwinani le-erythrocytes kwisampula yomchamo ngaphezu kwesiqhelo (0-4 kummandla wombono).
Yintoni endiyenze ukuba ndiyenze ukuba iziphumo eziphuculweyo ze-urinalysis zifumaneka kubasetyhini abakhulelweyo?
Uvavanyo olubi lwemizi ngexesha lokukhulelwa luyisiseko sophando olubanzi. Okokuqala, kuyimfuneko ukufumanisa ukuba ngaba lona wesifazane wayeqokelela umchamo wekusasa ngokuchanekileyo kwaye wamnika isicatshulwa sesibini. Ukuba kuyimfuneko, uhlalutyo lomchamo lubekwe kuMimnitskiy naNechiporenko. Ukuqinisekisa okanye ukuphikisa ukuxilongwa, izintso ze-ultrasound zisiwe.
Indlela yokuthatha umchamo ngexesha lokukhulelwa?
Ukuhlalutya, umchamo wamanzi kufuneka uqokelelwe. Ekuqaleni, kuyimfuneko ukuqhuba unyango lwezempilo lwangaphandle, ke uqokelele isahluko esiphakathi komchamo kwiitya zokugcina. Uhlalutyo kufuneka lunikezelwe kwibhubhoratri ngaphandle kweeyure ezingama-2.5 emva kokufumana.
Ngaloo ndlela, sabona ukuba uhlalutyo lomchamo ngexesha lokukhulelwa luvavanyo olubalulekileyo oluhlolisayo oluvumela ukuba sikwazi ukubona iipathologi ezinzima njengegestosis, isifo sikashukela kunye nokuvuvukala kweentso kunye nomgudu wamanzi.