Ukusakazwa kwe-Urinary

Ukusakazwa kwe-Urinary kuyizinhlayiya ezincane ezimise okwe-tube ezitholakala lapho umchamo uhlolwa ngaphansi kwesibonakhulu ngesikhathi sokuhlolwa okubizwa ngokuthi yi-urinalysis.

Ukukhishwa kwe-urinary kungakhiwa ngamaseli amhlophe egazi, amangqamuzana abomvu egazi, amangqamuzana ezinso, noma izinto ezifana namaprotheni noma amafutha. Okuqukethwe ngabalingisi kungasiza ukutshela umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ngabe izinso zakho ziphilile noma azijwayelekile.

Isampula yomchamo oyinikezayo ingadinga ukusuka kumchamo wakho wokuqala ekuseni. Isampula idinga ukuhanjiswa elebhu kungakapheli ihora elingu-1.

Isampula yomchamo wokubamba ehlanzekile iyadingeka. Indlela yokubamba ehlanzekile isetshenziselwa ukuvimbela amagciwane avela endondeni noma esithweni sangasese ekungeneni kusampula yomchamo. Ukuqoqa umchamo wakho, umhlinzeki angakunika ikhithi ekhethekile yokubamba ehlanzekile equkethe isisombululo sokuhlanza kanye nokusula okuyinyumba. Landela imiyalo ngqo ukuze imiphumela inembile.

Akukho ukulungiselela okukhethekile okudingekayo.

Ukuhlolwa kuhilela ukuchama okuvamile kuphela. Akukho ukungakhululeki.

Umhlinzeki wakho anga-oda lokhu kuhlolwa ukuze abone ukuthi izinso zakho zisebenza kahle yini. Kungabuye kuyalwe ukuthi kuhlolwe izimo ezithile, njenge:

• Isifo se-Glomerular
• Isifo sezinso esiphakathi
• Ukutheleleka kwezinso

Ukungabikho kokuphonswa kwamaselula noma ubukhona bezinsimbi ezimbalwa ze-hyaline kuyinto ejwayelekile.

Imiphumela engajwayelekile ingafaka:

• Ama-fatty casts abonakala kubantu abane-lipids emchameni. Ngokuvamile lokhu kuyinkinga ye-nephrotic syndrome.
• Ukusakaza okumbumbulu kuwuphawu lwezinhlobo eziningi zezifo zezinso.
• Ukufakwa kwamangqamuzana egazi abomvu kusho ukuthi kunesilinganiso esincane kakhulu segazi elivela ezinso. Ziyabonakala ezifweni eziningi zezinso.
• Iseli le-tubal epithelial cell cast libonisa ukulimala kwamaseli we-tubule ezinso. Lokhu kusakaza kubonakala ezimweni ezifana ne-renal tubular necrosis, isifo segciwane (njenge-cytomegalovirus [CMV] nephritis), nokwenqatshwa kokufakelwa kwezinso.
• Ama-wax wax angatholakala kubantu abanesifo esithuthukile sezinso nokuhluleka kwezinso isikhathi eside (okungapheli).
• Ukufakwa kwamangqamuzana amhlophe egazi (WBC) kujwayelekile ngokutheleleka kwezinso okunamandla kanye nephritis yangaphakathi.

Umhlinzeki wakho uzokutshela okuningi ngemiphumela yakho.

Azikho izingozi ngalokhu kuhlolwa.

U-Hyaline uphonsa; Izinsimbi eziyimbumbulu; I-renal tubular epithelial casts; U-Waxy uphonsa; Isakaza umchamo; Ama-fatty casts; Iseli elibomvu liyakhishwa; Iseli yegazi elimhlophe liyakhipha

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

U-Judd E, uSanders PW, u-Agarwal A. Ukuxilongwa nokuhlolwa komtholampilo kokulimala kanzima kwezinso. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, abahleli. I-Nephrology Yomtholampilo Ephelele. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2019: isahluko 68.

URiley RS, uMcPherson RA. Ukuhlolwa okuyisisekelo komchamo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 28.