Ama-erythrocytes amangqamuzana egazi abomvu ajikeleza nge-serum yegazi. Bathuthela i-oxygen nezakhi kumathisini omzimba. Kodwa-ke, uma kwenzeka ukwephulwa, amangqamuzana egazi abomvu kumchamo nawo angakhona - ekukhulelweni, uphawu olusongelayo.
Ukuhlukaniswa kwe-Hematuria
Ngesikhathi sokukhulelwa, umzimba wabesifazane utholakale emithwalweni enzima, ukulungiswa kabusha. Ukuthuthukiswa okusheshayo nokunamandla kombungu, izinqubo zomzimba zibhekene nenkambo ehlukumezayo. Ngenxa yalokhu, i-erythrocyte ivame ukuvela emcimbini ngesikhathi sokukhulelwa. Ngokuya ngobukhulu bezimpawu, lezi zinhlobo ezilandelayo ze-hematuria ziyahlukaniswa:
- i-microhematuria;
- macrohematuria.
I-microhematuria itholakala nge-microscopy ye-sedine sediment, ngendlela ye-laboratory. Umchamo obonakalayo ugcina umbala wawo. E-macrohematuria, i-admixtures yegazi, i-erythrocytes emcimbini, ngesikhathi sokukhulelwa kunqunywa ngokubonakalayo. Lesi simo sihlale sibalwa odokotela njengesibonakaliso se-pathology. Imithombo eyinhloko yegazi ku-macrohematuria yilezi:
- isisindo;
- urethra;
- izinso.
Kukhona esinye isigaba se-hematuria kuye ngokuthi umthombo wama-erythrocyte:
- amanga;
- kuyiqiniso.
I-hematuria yamanga
Lolu hlobo lwengozi luthi uma ukubukeka kwama-erythrocytes emcimbini kungenxa yezimbangela ezingahlobene nezifo nezifo zezinso. Kulesi simo, izinga le-erythrocytes emcinini lihlala phakathi kobubanzi obujwayelekile. Umbala obomvu unikezwa ezinye izinto, hhayi ngamaseli egazi. Ngokuvamile, umchamo ungathola i-hue ebomvu noma ebomvu ngenxa yokuthatha izidakamizwa ezithile noma ukudla. Isibonelo, ukudliwa kusihlwa sesaladi ye-beet kunganika umchamo umbala ofanelekile.
I-hematuria yeqiniso
I-hematuria yeqiniso kuthiwa uma izinga eliphezulu le-erythrocytes emcinini lihleliwe. Ngalokhu kuhluka kwesifo, amangqamuzana egazi athola ukwelashwa okuthile emathinini we-renal, emva kwalokho ahlangana nomchamo futhi aphume. Ukuthola isizathu esiqondile, odokotela banquma ukuhlolwa okuphelele kwesiguli. I-hematuria yeqiniso ihlale ihlotshaniswa ne-pathology ye-urinary system.
Kulungile kanjani ukunikela ngokuhlaziywa komchamo ngesikhathi ukhulelwe?
Ukuze uthole umphumela womgomo wokuhlolwa nokuhlaziywa komchamo ngesikhathi ukhulelwe kubonakala isithombe sangempela salokho okwenzekayo, owesifazane kudingeka alandele imithetho embalwa lapho eqoqa isampula yomchamo. Ukuphoqeleka ngaphambi kwenqubo yindlu yangasese yezobulili zangaphandle. Ukuqoqwa komchamo kufanele kwenziwe kuphela ekuseni.
Inqubo ngokwayo kufanele isetshenziswe kanje:
- Ngemuva kokuhlanza, ukungena emgodini kuhlanganiswe ne-hygienic tampon.
- Ukuze uthole ukuqoqwa kubalulekile ukulungiselela isitsha esinyumba oyinyumba kusengaphambili, kuyadingeka ukuthenga isitsha sokuhlaziywa ekhemisi.
- Qoqa ukutadisha ingxenye eyodwa kuphela ye-urine, emva kokuhlunga imizuzwana engu-3-5 endlini yangasese.
- Isiqukathi sifakwe ngokuqinile ngesembozo futhi sithunyelwa ebhokisatri amahora amabili.
Ama-erythrocytes emceni ngesikhathi sokukhulelwa - okujwayelekile
Ngesikhathi sokubeletha usana, isidumbu sowesifazane sithweswe umthwalo. Izinso ziqala ukusebenza ngendlela eqinisiwe, ngenxa yezinqubo zokuhlunga zingaphula. Ngenxa yalokhu, i-erythrocytes ivela emcimbini ngesikhathi sokukhulelwa kwamanje. Odokotela bayavuma ukuba khona kwamancane amangqamuzana egazi abomvu kusibonelo. Kule nkinga, ukujwayelekile kwama-erythrocytes emcimbini ngesikhathi sokukhulelwa kuhlelwe ku-1 unit emkhakheni wokubukwa kwe-microscope (isisebenzi selebhu silungisa iseli elingu-1).
Ama-erythrocytes emceni ngesikhathi ukhulelwe aphakanyisiwe
I-Hematuria ivame kakhulu kwabesifazane abakhulelwe. Umsebenzi oyinhloko odokotela kuleli cala ukuveza indawo eqondile yenqubo yokwelapha, izimbangela ze-hematuria. Uma owesifazane enama-erythrocyte amaningi emcimbini wakhe ngesikhathi ekhulelwe, le ndlela yokuxilongwa isetshenziswa njengendlela "yokuhlolwa oku-ezintathu". Ivumela ukukhomba indawo yokuvela kwamaseli abomvu egazi. I-urine iqoqwe ngeziqukathi ezingu-3. Kuye ngesabelo lapho amangqamuzana egazi abomvu athola khona, udokotela udonsela iziphetho ezifanele:
- amaseli egazi engxenyeni yokuqala - eshaywa yi-urethra;
- Kwesibili, izibilini noma izinso zithintekile;
- okwesithathu - isisu.
I-Erythrocytes emceni ngesikhathi sokukhulelwa - izimbangela
Ukubonakala emcimbini ofihliwe wamaseli abomvu ngokuvamile kubonisa ukuthi kukhona ukuvuvukala noma ukutheleleka ohlelweni lwe-urogenital. Ezimweni ezinjalo, ukwanda kwama-erythrocytes emcimbini ngesikhathi sokukhulelwa kuhambisana nalokhu:
- ubuhlungu esithombeni esingaphansi, emuva kwesiphansi ;
- isilawuli;
- ukunganaki nokushisa uma uchama;
- ukwanda kokushisa;
- ubuthakathaka;
- ikhanda.
Ukuxilongwa ezimweni ezinjalo kudlulisa udokotela kuphela. Phakathi kokuphazamiseka okuvamile lapho i-hematuria ibonakala khona kwabesifazane abakhulelwe, izizathu zalesi sifo zingaba kanje:
- i-cystitis ;
- i-glomerulonephritis;
- i-pyelonephritis;
- ukutheleleka kwegciwane lesisu.
Odokotela baxwayisa ukuthi hhayi kuphela izifo ze-urinary system kungaba khona i-hematuria - izimbangela zingafihla ezifweni ezivamile, njenge:
- ukucindezeleka komzimba;
- i-diathesis enegazi elimnandi;
- i-anemia ;
- i-aneurysms yemithwalo yegazi;
- isifo sikashukela.
Ama-erythrocytes emgodini ngesikhathi sokukhulelwa - ukwelashwa
I-erythrocytes ephakeme emcimbini ngesikhathi sokukhulelwa yimbangela yokuhlolwa okuphelele komama ozayo kanye nokusungulwa kwesizathu. Ubuchopho obunzima bokuphulwa okunjalo kubangelwa ukungavumeleki kokusebenzisa izidakamizwa ezithile ngesikhathi sokubeletha. Ukwelashwa kwezifo kufanele kuthuthukiswe kuphela udokotela ngemuva kokusungula imbangela eqondile. Ukusetshenziswa ngokuzimela kwemithi kungalimaza kakhulu impilo kamama nomntwana. Ukutholakala kwe-renal pathology kudinga ukunakekelwa esibhedlela.
Ukukhethwa kwezidakamizwa kwenziwa, ngokusho imbangela yokubonakala kwama-erythrocyte emcimbini ngesikhathi sokukhulelwa. Uma ukutholakala kwabo kungenxa yokuphuma kwangaphakathi, izidakamizwa ze-haemostatic zingahle zenziwe:
- Dicycin;
- I-Vikasol;
- aminocaproic acid.
Ukwelashwa kwenziwa ngokucabangela ubukhulu bokugula kanye nobude bokukhulelwa. Odokotela bazama ukusebenzisa ubuncane bezidakamizwa ku-trimester yokuqala, njengoba lokhu kungathinta kakhulu ukuthuthukiswa komntwana wesisu. Uma kukhona izingqinamba ku-ureter noma urethra, ama-antispasmodics asetshenziswa:
- I-Spazmalgon;
- I-Drotaverine;
- I-Papaverine;
- Kodwa-shpa.
Uma ukukhishwa okwehlukile kwetshe kunzima, sebenzisa i-cystoscopy noma i-extraction yokuhlinzwa ngezigaba ezisheshayo. Ukulimala kwezinso, okuhambisana nokuhlukana kwezicubu, ukwakheka kwe-hematomas, i-macrogematuria, umbala womchamo obomvu obomvu, kudinga ukunakekelwa okuphuthumayo okuphuthumayo. Ezimweni ezinjalo, ukulondolozwa kokuphila komama okhulelwe kuza kuqala. Uma i-hematuria ehlanganisiwe neproteinuria ingadinga ukusetshenziswa kwe-corticosteroids.