Ukuhlolwa komchamo (i-EAS): kwenzelwa ini, ukulungiselela nemiphumela

-Delile

• Yini ukuhlolwa kwe-EAS
• Ukuhlolwa kokuchama kwamahora angama-24
• Thayipha amanani wesethenjwa wokuhlola umchamo 1
• I-Ascorbic acid emchameni
• Ukulungiselela kanjani ukuhlolwa komchamo
• Ukuhlolwa komchamo ukuthola ukukhulelwa

Ukuhlolwa komchamo, okwaziwa nangokuthi ukuhlolwa komchamo wohlobo 1 noma ukuhlolwa kwe-EAS (Abnormal Elements of Sediment), ukuhlolwa okuvame ukucelwa odokotela ukukhomba izinguquko ohlelweni lokuchama nolwezinso futhi kufanele kwenziwe ngokuhlaziya umchamo wokuqala wosuku , ngoba kugxilwe kakhulu.

Ukuqoqwa komchamo wokuhlolwa kungenziwa ekhaya futhi akudingi ukuzila ukudla, kepha kufanele kuyiwe elebhu kungakapheli amahora amabili ukuze ihlaziywe. Ukuhlolwa komchamo wohlobo 1 kungenye yezivivinyo ezicelwe kakhulu ngudokotela, njengoba kwazisa izici ezahlukahlukene zempilo yomuntu, ngaphezu kokulula nokungenabuhlungu.

Ngaphezu kwe-EAS, kunezinye izivivinyo ezihlola umchamo, njengokuhlolwa komchamo wamahora angama-24 kanye nokuhlolwa komchamo kanye nesiko lomchamo, lapho i-pee ihlaziywa khona ukukhomba ubukhona begciwane noma isikhunta.

Yini ukuhlolwa kwe-EAS

Ukuhlolwa kwe-EAS kucelwa ngudokotela ukuthi ahlole uhlelo lomchamo nezinso, kube wusizo ukukhomba ukutheleleka komchamo nezinkinga zezinso, njengamatshe ezinso nokuhluleka kwezinso, ngokwesibonelo. Ngakho-ke, ukuhlolwa kwe-EAS kusebenza ukuhlaziya izici ezithile zomzimba, zamakhemikhali kanye nokuba khona kwezinto ezingavamile emchameni, njenge:

• Izici zomzimba: umbala, ukuminyana nokubukeka;
• Izici zamakhemikhali: i-pH, i-nitrites, i-glucose, amaprotheni, ama-ketone, ama-bilirubins kanye ne-urobilinogen;
• Izinto ezingajwayelekile: igazi, amabhaktheriya, isikhunta, i-protozoa, isidoda, amafilakisi amafinyila, amasilinda namakristalu.

Ngaphezu kwalokho, ekuhlolweni komchamo, ubukhona nobuningi bama-leukocyte namaseli we-epithelial emchameni kuhlolwe.

Ukuqoqwa kokwenza ukuhlolwa komchamo kungenziwa elabhoratri noma ekhaya futhi umchamo wokuqala ekuseni kufanele uqoqwe, ungawunaki umfudlana wokuqala. Ngaphambi kokwenza iqoqo, kubalulekile ukuhlanza indawo esondelene ngensipho namanzi ukuvimbela ukungcoliswa kwesampula. Ngemuva kokuqoqwa komchamo, isitsha kufanele siyiswe elabhorethri kungakapheli amahora amabili ukuze kwenziwe ukuhlaziywa.

[gqamisa-ukubuyekeza-ukugqamisa]

Ukuhlolwa kokuchama kwamahora angama-24

Ukuhlolwa komchamo kwamahora angama-24 kusiza ukuthola izinguquko ezincane emchameni usuku lonke futhi kwenziwa ngokuqoqa wonke umchamo okhishwe emini esitsheni esikhulu. Ngemuva kwalokho, lesi sampuli siyiswa elabhorethri futhi kwenziwa ukuhlaziywa ukuze kuhlolwe ukwakheka nobungako baso, kusizwa ukuthola izinguquko ezinjengezinkinga zokuhlunga izinso, ukulahleka kwamaprotheni ngisho ne-pre-eclampsia ekukhulelweni. Funda kabanzi mayelana nokuhlolwa komchamo wamahora angama-24.

Thayipha amanani wesethenjwa wokuhlola umchamo 1

Amanani esithenjwa sohlobo 1 lokuhlolwa komchamo kufanele abe:

• pH: 5.5 kanye 7.5;
• Ubuningi: kusuka ku-1.005 kuya ku-1.030
• IziciUkungabi noshukela, amaprotheni, amaketoni, i-bilirubin, i-urobilinogen, igazi ne-nitrite, amanye (ambalwa) ama-leukocyte namaseli we-epithelial angavamile.

Uma ukuhlolwa komchamo kuveza i-nitrite enhle, ukutholakala kwegazi nama-leukocyte amaningi, ngokwesibonelo, kungahle kukhombise ukutheleleka ngomgudu womchamo, kepha kuphela ukuhlolwa kwesiko lomchamo okuqinisekisa ubukhona noma cha bokutheleleka. Kodwa-ke, uhlobo 1 lokuhlolwa komchamo akufanele lusetshenziswe lodwa ukuxilongwa kwanoma iyiphi inkinga yomchamo. Qonda ukuthi yini i-uroculture nokuthi yenziwa kanjani.

I-Ascorbic acid emchameni

Imvamisa, inani le-ascorbic acid emchameni (uvithamini C) nalo liyalinganiswa ukuze kuqinisekiswe ukuthi ngabe kukhona yini ukuphazamiseka empumeleni we-hemoglobin, glucose, nitrites, bilirubins kanye namaketoni, ngokwesibonelo.

Ukwanda kwenani le-ascorbic acid emchameni kungahle kube ngenxa yokusetshenziswa kwemithi noma izithasiselo zikavithamini C noma ukusetshenziswa ngokweqile kokudla okunothe ku-vitamin C.

Ukulungiselela kanjani ukuhlolwa komchamo

Ngokuvamile, akukho ukunakekelwa okukhethekile okudingekayo ngaphambi kokuhlolwa umchamo, kepha abanye odokotela bangakucela ukuthi ugweme ukusebenzisa izengezo zikavithamini C, i-anthraquinone laxatives noma ama-antibiotic, njengeMetronidazole, ezinsukwini ezimbalwa ngaphambili, ngoba ingashintsha imiphumela.

Kubalulekile futhi ukuqoqa kahle umchamo, ngoba ukuqoqwa komfudlana wokuqala noma ukungabi nenhlanzeko efanele kungaholela emiphumeleni engakhombisi isimo sesiguli. Ngaphezu kwalokho, akukhuthazwa ngabesifazane ukuthi bahlolwe umchamo ngesikhathi sabo sokuya esikhathini, njengoba imiphumela ingashintshwa.

Ukuhlolwa komchamo ukuthola ukukhulelwa

Kukhona ukuhlolwa komchamo okuthola ukukhulelwa ngenani le-hormone hCG emchameni. Lokhu kuhlolwa kunokwethenjelwa, kepha lapho ukuhlolwa kwenziwa kusenesikhathi noma ngokungalungile umphumela ungahamba kabi. Isikhathi esifanelekile sokuthi kwenziwe lolu vivinyo usuku olungu-1 ngemuva kosuku lapho ukuya esikhathini bekufanele ngabe kuvela khona, futhi kufanele kwenziwe ngokusebenzisa umchamo wokuqala wasekuseni, njengoba le hormone igxile kakhulu emchameni.

Ngisho noma ukuhlolwa kwenziwa ngesikhathi esifanele, umphumela ungaba ongemuhle wamanga ngoba kungenzeka ukuthi umzimba awukakakhiqizi i-hormone hCG ngobuningi obanele bokutholwa. Kulokhu, ukuhlolwa okusha kufanele kwenziwe ngemuva kweviki eli-1. Lokhu kuhlolwa komchamo kucaciselwe ukuthola ukukhulelwa, ngakho-ke okunye ukuhlolwa komchamo njengokuhlola umchamo wohlobo 1 noma isiko lomchamo, ngokwesibonelo, akuboni ukukhulelwa.