Ukuhlolwa kwamandla adonsela phansi we-Urine

Amandla adonsela phansi e-Urine ukuhlolwa kwelabhorethri okukhombisa ukuminyana kwazo zonke izinhlayiya zamakhemikhali emchameni.

Ngemuva kokunikeza isampula yomchamo, ihlolwa khona manjalo. Umhlinzeki wezokunakekelwa kwempilo usebenzisa idipiki eyenziwe ngephedi ezwela umbala. Umbala ushintsho lwedipstick luzotshela umhlinzeki amandla womchamo wakho. Ukuhlolwa kwe-dipstick kunikeza imiphumela emibi kuphela. Ngomphumela onembe kakhudlwana, umhlinzeki wakho angathumela isampula yakho yomchamo ebhodini.

Umhlinzeki wakho angakutshela ukuthi udinga ukukhawulela ukungenisa kwakho uketshezi amahora ayi-12 kuye kwangama-14 ngaphambi kokuhlolwa.

Umhlinzeki wakho uzokucela ukuthi uyeke ukuthatha imishanguzo okwesikhashana engathinta imiphumela yokuhlolwa. Qiniseka ukuthi utshela umhlinzeki wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi i-dextran ne-sucrose. Ungayeki ukuthatha noma imuphi umuthi ngaphambi kokukhuluma nomhlinzeki wakho.

Ezinye izinto zingathinta nemiphumela yokuhlolwa. Tshela umhlinzeki wakho uma kamuva nje:

• Unanoma yiluphi uhlobo lwe-anesthesia yokuhlinzwa.
• Kutholwe idayi efakwa emthanjeni (okuphakathi kokuqhathanisa) kokuhlolwa kwe-imaging, okufana nokuhlolwa kwe-CT noma kwe-MRI.
• Amakhambi asetshenzisiwe noma amakhambi emvelo, ikakhulukazi amakhambi amaShayina.

Ukuhlolwa kuhilela ukuchama okuvamile kuphela. Akukho ukungakhululeki.

Lokhu kuhlolwa kusiza ukuhlola ibhalansi yamanzi emzimbeni wakho kanye nokuhlungwa komchamo.

I-urm osmolality isivivinyo esithile sokuhlushwa komchamo. Ukuhlolwa kwamandla adonsela phansi komchamo kulula futhi kulula, futhi imvamisa kuyingxenye yokuhlolwa kokuchama okuvamile. Ukuhlolwa kokuchama komchamo kungenzeka kungadingeki.

Ububanzi obujwayelekile bamandla adonsela phansi womchamo ngu-1.005 kuye ku-1.030. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Ukwandiswa kwamandla womchamo okhulayo kungenzeka kube ngenxa yezimo ezinjengalezi:

• Izindlala ze-Adrenal azivezi amahomoni anele (i-Addison isifo)
• Ukwehluleka kwenhliziyo
• Izinga eliphakeme le-sodium egazini
• Ukulahlekelwa uketshezi lomzimba (ukoma)
• Ukuncipha komthambo wezinso (i-renal artery stenosis)
• Ukushaqeka
• Ushukela (ushukela) emchameni
• Isifo semfihlo esingalungile se-ADH (SIADH)

Ukwehla kwamandla womchamo okwehlisiwe kungaba ngenxa yalokhu:

• Ukulimala kumaseli we-kidney tubule (renal tubular necrosis)
• Isifo sikashukela insipidus
• Ukuphuza uketshezi oluningi
• Ukuhluleka kwezinso
• Izinga eliphansi le-sodium egazini
• Ukutheleleka okukhulu kwezinso (pyelonephritis)

Azikho izingozi ngalokhu kuhlolwa.

Ubuningi bomchamo

• Umgudu womchamo wabesifazane
• Umgudu womchamo wabesilisa

UKrishnan A, uLevin A. Ukuhlolwa kwelabhorethri yesifo sezinso: isilinganiso se-glomerular filtration, urinalysis, kanye neproteinuria. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.

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.

IVilleneuve PM, iBagshaw SM. Ukuhlolwa kwe-urine biochemistry. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, abahleli. Ukunakekelwa Okubalulekile I-Nephrology. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 55.