Pyuria: kuyini, izimpawu kanye nokwelashwa

-Delile

• Izimpawu ze-pyuria
• Ukuxilongwa kwenziwa kanjani
• Ukwelashwa kwe-pyuria

IPyuria, eyaziwa nangokuthi ubovu emchameni, ifana nobukhona obuningi bama-pyocyte, abizwa nangokuthi ama-leukocyte, emchameni. Ukuba khona kwama-lymphocyte emchameni kubhekwa njengokujwayelekile, kepha lapho kubonakala inani elikhulu esivivinyweni noma lapho kutholakala olunye ushintsho noma umuntu enezimpawu, kungaba uphawu lokutheleleka, izinkinga zezinso noma isifo se-autoimmune, isibonelo.

I-Pyuria ikhonjwa ngohlobo lokuhlolwa komchamo wohlobo 1, owaziwa nangokuthi i-EAS noma ukuhlolwa kwe (Izinto Ezingajwayelekile Zokwehliswa), kubhekwa njengokungajwayelekile lapho kuhlolwe ama-lymphocyte angaphezu kwayi-5 enkambu ngayinye ehlaziywa ekuhlolweni kwe-microscope. Kubalulekile ukuthi kubonakale imbangela ye-pyuria ukuze kunconywe ukwelashwa okufanele kakhulu.

Izimpawu ze-pyuria

Izimpawu zepyuria (ubomvu emchameni) zivame ukuhlobene nembangela yokwanda kwenani lama-leukocyte, futhi kungahle kube khona:

• Ubuhlungu nokungahambi kahle lapho uchama;
• Ukushisa;
• Ubuhlungu phansi emuva;
• Ukulunywa esifundeni sangasese;
• Nciphisa inani lomchamo;
• Ukuzwa kwesinye esigcwele nesindayo, ngisho nangemva kokuya endlini yangasese;
• Isifiso esivamile sokuchama.

Ukwanda kwenani lama-leukocyte emchameni kungenzeka ngenxa yezimo eziningana, ikakhulu ngenxa yokutheleleka ngesikhunta, izimuncagazi noma amagciwane, ngaphandle kwalokho kungenzeka ngenxa yezifo ezizimele, ukusetshenziswa kwemithi noma izinkinga zezinso, ikakhulukazi i-cystitis. Funda ngezinye izimbangela zama-leukocyte aphezulu emchameni.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-pyuria kwenziwa ikakhulukazi ngokuhlola umchamo wohlobo 1, lapho kwenziwa khona ukuhlaziywa okuningana nokuncane. Ukuhlaziywa kwe-macroscopic kufana nokuhlolwa kwezimpawu zomchamo, ikakhulukazi umbala nokuvumelana, okuya ngenani lama-lymphocyte kungaba mhlophe ngokwengeziwe futhi kube nokubukeka kobisi.

Ngokuhlola ngemicroscopic, kungenzeka ukuthi kutholakale ubukhona bamaseli angaphezu kwama-5 enkambu ngayinye, noma ngaphezu kwamaseli ayi-10 000 ml ngayinye yomchamo, okukhomba ubomvu emchameni. Ngaphezu kwalokho, kulezi zimo kujwayelekile futhi ukubona inani elikhulu lamaseli we-epithelial, ukutholakala kwamaseli abomvu egazi, kwezinye izimo, nokuba khona kwama-bacteria, isikhunta noma ama-parasites.

Uma kutholakala ubukhona besikhunta noma ibhaktheriya, isiko lomchamo likhonjiswa ukuze i-microorganism ebhekene nokutheleleka kanye nokuzwela kwayo kanye nephrofayili yayo yokumelana kukhonjwe futhi, ngakho-ke, ukwelashwa okufanele kakhulu kuyaqalwa. Qonda ukuthi isiko lomchamo lenziwa kanjani.

Uma kutholakala ukuthi i-pyuria ayihlobene nokuba khona kwama-microorganisms, ukuhlolwa kwegazi kungakhonjiswa ukuphenya ezinye izimbangela zokwanda kwama-lymphocyte, ngaphezu kokuhlolwa komchamo wamahora angama-24, ikakhulukazi uma ngesikhathi sokuhlolwa okuncane kwamakristalu omchamo ibonakele, okungaba wuphawu lokuguqulwa ezinso.

Ukwelashwa kwe-pyuria

Ukwelashwa kwe-pyuria kuncike embangela nokuthi ngabe zikhona yini izimpawu. Uma kwenzeka ubomvu emchameni kungenxa yokuba khona kwama-microorganisms futhi umuntu abe nezimpawu, ukusetshenziswa kwama-antimicrobial, njenge-Fluconazole, Miconazole noma i-Metronidazole, ngokwesibonelo, okufanele isetshenziswe ngokwesincomo sikadokotela, kungakhonjiswa udokotela.

Kwezinye izimo, ukusetshenziswa kwe-corticosteroids kanye nemithi elwa nokuvuvukala kunganconywa, ngaphezu kokuqondisa ukusetshenziswa kweziphuzo eziningi nokuphindaphindwa kokuhlolwa ngemuva kokwelapha ukubheka ukuthi i-pyuria iyaqhubeka nokuthi ukwelashwa kuphumelele yini.