Amakristalu ku-urine positive: kusho ukuthini nezinhlobo eziyinhloko
-Delile
Ukuba khona kwamakristalu emchameni imvamisa kuyisimo esijwayelekile futhi kungenzeka ngenxa yemikhuba yokudla, ukungena kwamanzi okuncane kanye nezinguquko ekushiseni komzimba, isibonelo. Kodwa-ke, lapho amakristalu ekhona ezindaweni ezinomsoco ophakeme kakhulu, kungakhombisa isifo esithile, njengamatshe ezinso, i-gout kanye nokutheleleka komchamo.
Amakristalu ahambelana nemvula yezinto ezingaba khona emzimbeni, njengemithi nezinhlanganisela eziphilayo, njenge-phosphate, calcium ne-magnesium, isibonelo. Lokhu kunetha kungenzeka ngenxa yezimo eziningana, ikakhulukazi ngenxa yezinguquko ekushiseni komzimba, izifo zomchamo, izinguquko kumchamo we-pH kanye nokuhlushwa okukhulu kwezinto.
Amakristalu angabonakala ngokuhlolwa komchamo, obizwa nge-EAS, lapho isampula yomchamo eqoqwe futhi yathunyelwa khona elabhorethri ihlaziywa ngemicroscope, yenze kube lula ukubona ukuthi kukhona yini amakristalu nezinye izinto ezingajwayelekile emchameni. Ngaphezu kwalokho, ukuhlolwa kwe-EAS kukhombisa i-pH yomchamo, kanye nokuba khona kwamagciwane, ngokwesibonelo. Funda kabanzi ngokuhlolwa komchamo nokuthi ungakwenza kanjani.
Amakristalu amathathu we-phosphate
Izimpawu zamakristalu emchameni
Ukuba khona kwamakristalu akuvamile ukudala izimpawu, ngoba kungamelela okuthile okujwayelekile. Kodwa-ke, lapho etholakala ekugxileni okuphezulu, umuntu angaba nezimpawu ezithile, njengokushintsha kombala womchamo, ubunzima bokuchama noma ubuhlungu besisu, ngokwesibonelo, okungakhombisa izinkinga zezinso, ngokwesibonelo.
Thatha isivivinyo esilandelayo ukuqonda ukuthi ungaba nenkinga yezinso:
- 1. Ukunxanela njalo ukuchama
- 2. Chama ngamanani amancane ngesikhathi
- 3. Ubuhlungu obuhlala njalo ngaphansi komhlane noma ezinhlangothini zakho
- 4. Ukuvuvukala kwemilenze, izinyawo, izingalo noma ubuso
- 5. Ukulunywa umzimba wonke
- 6. Ukukhathala ngokweqile ngaphandle kwesizathu
- 7. Izinguquko kumbala nephunga lomchamo
- 8. Ubukhona begwebu emchameni
- 9. Kunzima ukulala noma izinga elibi lokulala
- 10. Ukuphelelwa isifiso sokudla nokunambitheka kwensimbi emlonyeni
- 11. Ukuzwa ingcindezi esiswini uma uchama
Lapho kukhona lezi zimpawu, okunconyelwa kakhulu ukuya kudokotela ojwayelekile noma i-nephrologist uku-oda izivivinyo futhi, ngalokho, ukuxilongwa nokwelashwa kungaqalwa.
Kungaba yini
Umphumela wokuhlolwa komchamo ungakhombisa ubukhona bamakristalu, okukhombisa ukuthi yiluphi uhlobo olubonwayo. Imvamisa embikweni kukhonjiswa ukuthi kukhona amakristalu angavamile, ambalwa, amaningana noma amaningi, asiza udokotela enqubweni yokuxilongwa. Izimbangela eziyinhloko eziholela ekwakhekeni kwamakristalu yilezi:
- Ukuphela kwamanzi emzimbeni: Ukungeniswa kwamanzi okuphansi kubanga ukwanda kokuhlungwa kwezinto ezakha amakristalu ngenxa yamanzi amancane. Lokhu kuvuselela imvula kasawoti, okuholela ekwakhekeni kwamakristalu;
- Ukusetshenziswa kwemithi: Ukusetshenziswa kwemithi ethile kunganciphisa futhi kuholele ekwakhekeni kwamanye amakristalu, njengoba kunjalo nge-sulfonamide crystal ne-ampicillin crystal, ngokwesibonelo;
- Ukutheleleka ngomchamo: Ukuba khona kwama-microorganism ohlelweni lokuchama kungaholela ekwakhekeni kwamakristalu ngenxa yokuguqulwa kwe-pH, okungavumela imvula yamakhemikhali athile, njenge-phosphate crystal kathathu, ngokwesibonelo, engatholakala kwizifo zofuzo;
- Ukudla kwe-Hyperprotein: Ukusetshenziswa ngokweqile kwamaprotheni kungalayisha ngokweqile izinso futhi kuholele ekwakhekeni kwamakristalu ngenxa yokwanda kokuhlushwa kweprotheyini ukugaya ngomkhiqizo, i-uric acid, engabonakala ngaphansi kwesibonakhulu ngamakristalu e-uric acid;
- Drop: I-Gout yisifo sokuvuvukala nesibuhlungu esibangelwa ukwanda kokuhlushwa kwe-uric acid egazini, kodwa futhi kungabonakala emchameni, lapho kubonakala amakristalu e-uric acid;
- Itshe lezinso: Amatshe ezinso, abizwa nangokuthi amatshe ezinso noma i-urolithiasis, angenzeka ngenxa yezici eziningana, ezibonakala ngezimpawu zesici, kepha futhi ngokuhlolwa komchamo, lapho kukhonjwa khona amakristalu amaningi e-calcium oxalate, ngokwesibonelo.
Ukuba khona kwamakristalu emchameni nakho kungaba umphumela wamaphutha azalwa nawo we-metabolism noma okukhombisa izifo esibindini, isibonelo. Ngakho-ke, kubalulekile ukuthi uma kukhona ushintsho olutholakala ekuhlolweni komchamo, udokotela ucela ukuhlolwa kwamakhemikhali noma kwe-imaging ukusiza ukuxilongwa futhi, ngalokho, aqale ukwelashwa okuhle kakhulu.
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Izinhlobo zamakristalu
Uhlobo lwe-crystal lunqunywa imbangela ne-pH yomchamo, amakristalu ayinhloko:
- I-calcium oxalate crystal, enesimo semvilophu futhi evame ukutholakala emchameni nge-pH ene-asidi noma engathathi hlangothi. Ngaphezu kokucatshangelwa njengokutholakele okujwayelekile, uma kumanani aphansi, kungakhombisa amatshe ezinso futhi imvamisa kuhlobene nokudla okunothe nge-calcium nokungenisa amanzi amancane, ngokwesibonelo. Lolu hlobo lwe-crystal lungabonakala ngobuningi besifo sikashukela, isifo sesibindi, isifo sezinso esibi futhi njengomphumela wokudla okunothe ngovithamini C, isibonelo;
- Uric acid crystal, okuvame ukutholakala kwimichamo ye-pH ene-asidi futhi imvamisa ihlobene nokudla okunamaprotheni amaningi, njengoba i-uric acid ingumphumela wokuwohloka kwamaprotheni. Ngakho-ke, ukudla okuphezulu kwamaprotheni kuholela ekuqongeleleni kwe-uric acid nasemvuleni. Ngaphezu kwalokho, ukutholakala kwamakristalu e-uric acid emchameni kungahle kukhombise i-gout nephritis engapheli, isibonelo. Funda konke nge-uric acid.
- Kathathu phosphate crystal, etholakala emchameni one-pH ene-alkaline futhi iqukethe i-phosphate, i-magnesium ne-ammonia. Lolu hlobo lwe-crystal ekugxileni okuphezulu lungakhombisa i-cystitis ne-prostate hypertrophy, esimweni samadoda.
Ezinye izifo zesibindi zingakhonjiswa ngokuba khona kwezinhlobo ezithile zamakristalu emchameni, njenge-tyrosine crystal, leucine, bilirubin, cystine kanye ne-ammonium biurate, ngokwesibonelo. Ukuba khona kwamakristalu e-leucine emchameni, ngokwesibonelo, kungakhombisa ukuqina kwesibindi noma i-hepatitis yegciwane, okudinga ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa.