Hematuria - abin da yake da shi? A Sanadin hematuria

A excretory tsarin da mutum ya mayar wa kowane cuta a cikin jiki, kamar yadda nazarin halittu da kuma sinadaran da gubobi yawanci excreted da kodan. A pathological tsari ne sarrafa kai tsaye a cikin koda, na iya kara permeability na glomerulus membranes saboda wannan yoyon jini Kwayoyin. A yanayin da aka bayyana ta wurin ja jini Kwayoyin a cikin fitsari da aka kira hematuria. Mene ne wannan? Abin da ya haddasa wannan sabon abu? Abin da magani ake bukata? Wadannan da sauran tambayoyi an tattauna a cikin labarin.

Siffofin haematuria

Bisa ga haddasawa, haematuria (cuta cututtuka aka bayyana a kasa) ne zuwa kashi:

• extrarenal ba a hade tare da wani rauni ko ciwo na koda.
• koda, gwamnatin saboda koda Pathology.
• postrenal cewa faruwa a lokacin da buga da urinary fili da kuma mafitsara.

Idan aka same shi a cikin fitsari na isasshe manyan adadin jini da fitsari zama sosai ja, to, akwai a makrgematuriya.

Idan ja jini Kwayoyin ne ba a cikin fitsari a cikin wani karamin adadin fitsari da kuma launi ya kasance iri guda, magana game da microscopic hematuria.

Kahu a kan gaskiyar a wadda na ba da fitsari rabo jini iya bincikar lafiya farko hematuria (a 1st tsari), total (duk uku rabo), karshen (a cikin karshen rabo). Wannan rabuwa sa ya yiwu don sanin ko a abin da matakin na urinary tsarin tasowa a pathological tsari: da shan kashi na sama, da daga baya a cikin fitsari bayyana ja jini Kwayoyin.

Lokacin ware urinary ciwo sau da yawa a hade proteinuria da hematuria. Proteinuria - shi ne sharadin wanda aka halin gina jiki a cikin fitsari. A ƙara adadin furotin a fitsari ne ya fi kowa alama na urological cuta.

haematuria ciwo

Wannan Pathology iya a tare da jin zafi a cikin mafitsara da kuma mafitsara a lokacin urination, ko riga shi. Wani lokaci ciwo ne m yankẽwa hali.

Pain a cikin lumbar yankin, a gefe, a karkashin kafada ruwa iya nuna koda kumburi, rauni, Nephroptosis (koda ptosis).

Common ãyõyin jini asara ne total hematuria cututtuka a cikin wannan harka - paleness, wani rauni, ƙishirwa, juwa.

Iya tsayawa da yashi, concretions, na nuna urolithiasis. A hali na allocating cylinders (elongated clots) na wani rawaya ko ruwan kasa launi iya magana na rauni (kumburi ko traumatic) koda parenchyma.

Skin rawaya, greenish tabarau nuna wani rashin aiki na gallbladder, hanta, hemolysis, daga halakar da ja jini Kwayoyin.

M ko na kullum shafe tsawon zub da jini a cikin urinary tsarin, a cikin abin da a cikin wani gajeren lokaci a manyan jini gudan jini kafa overlying ƙofar ga mafitsara, da manyan zuwa yiwuwar emptying cikin mafitsara. Har ila yau, fitsari fitarwa za a iya katange da wani babban dutse.

Abin da ya haddasa wannan yanayin?

Idan samu hematuria, dalilan da wannan sabon abu zai iya zama daban-daban. Sau da yawa tasowa Pathology marurai, kumburi cututtuka, raunin da ya faru na urinary fili, koda duwatsu, glomerulonephritis, da tarin fuka, koda cuta, zub da jini cuta.

Yadda aka saba, hematuria ne sosai rare. In mun gwada benign yanayin a cikin abin da microscopic hematuria kamu - wata cuta daga bakin ciki glomerular ginshiki membranes. Mafi sau da yawa, da dangi na wadannan marasa lafiya suna kuma gano lokuta da cutar. Microhematuria yana da wani zama ruwan dare hali da kuma ci gaban na koda gazawar da ba ya faruwa.

Microhematuria iya faruwa bayan shafe tsawon Gudun ko tafiya. Bayan da lõkacin fatara daga jiki aiki erythrocytes bace. Abin da nasaba da ci gaban da sabon abu na yau ba daidai m.

Gross hematuria aka taba samu a lafiya mutane. Wannan yanayin yawanci nuna mai tsanani raunuka na urinary fili ko koda nama.

Me zai iya faruwa nonrenal hematuria? A dalilan da wannan sabon abu suna da alaka da take hakkin da mutunci da urinary fili mucosa. Previous ga lalacewar da ƙari, mai kumburi raunuka, ko cũta, sau da yawa tare da ulceration. Hematuria mafitsara dutse samuwar, ko da wani sakamakon da nassi daga cikin dutse ureters, mafitsara, mafitsara. Anticoagulant yawan abin sama na iya haifar da zubar da jini na mucosa na urinary fili.

Koda hematuria tasowa saboda hallakaswa matakai a koda kyallen takarda, cuta na venous outflow da necrotizing vasculitis. Glomerular hematuria immunoinflammatory dangantawa da glomerular ginshiki membrane lalacewa ko nakasar munanan. Bugu da kari, koda hematuria auku a kumburi da mai guba raunuka na tubules. Pathology kuma iya ci gaba a sakamakon inganta koda intravascular coagulation.

Saboda haka, hematuria - abin da shi ne da kuma a sakamakon tasowa? Irin wannan yanayin na iya tashi saboda da Pathology na sassa daban-daban na urinary tsarin.

prostate:

• Prostate ciwon daji.
• Prostate kumburi (prostatitis).
• Yãfẽwa prostatic hyperplasia.

mafitsara:

• Kasashen waje jiki a cikin mafitsara.
• Illar mafitsara.
• Ƙari mafitsara. Cancers na mafitsara ne rare da aka sau da yawa tare da urethrorrhagia - bayyanar jini daga mafitsara tsakanin urination.
• Kumburi daga cikin mafitsara (urethritis).

Upper urinary fili:

• Iya shiga raunuka, m rauni.
• Koda duwatsu. Sau da yawa cikin hanyar hematuria abubuwa urolithiasis. A koda papilla kafa gishiri adibas, sakamakon a cikin magudanun ruwa tsarin kafa koda duwatsu. Koda duwatsu iya ba bayyana kanta, amma hangula ko kumburi da mucous membrane na urinary fili akwai jini a cikin fitsari.
• Koda ƙari. An gangami alama na koda ciwon daji ne tsutsa-kamar jini clots a cikin fitsari. Jini iya bayyana saboda benign siffofin maruran.
• Kamuwa da cuta.
• Nakasar munanan (cysts a kodan).
• Zub da jini cuta (hemophilia, sickle cell anemia, sankarar bargo).
• Koda jannayẽnsa thrombosis, koda embolism.
• Koda cuta: glomerulonephritis (a wannan yanayin, jini a cikin fitsari za a iya gano kawai tare da wani microscope), pyelonephritis (tare da wannan rashin lafiya jini a cikin fitsari ba a tare da zafi hare-haren, amma mafi sau da yawa ga wannan cutar halin zazzabi, ciwon baya, yiwu jini guba).

ureter:

• Rauni.
• Tashin kamuwa da cuta.
• dutse samuwar a cikin ureter.
• Ureteral ƙari cuta.

Lower urinary fili:

• Kamuwa: hemorrhagic cystitis (tsanani rashin lafiya, wanda aka halin zubar da jini daga cikin mafitsara), schistosomiasis (mafitsara aka shafi parasitic tsutsotsi), mafitsara da tarin fuka.
• Rauni na mafitsara.
• Urolithiasis.
• Mafitsara ƙari (matukar muhimmanci a gane bayyanar m hematuria, shi zai ba da dama don gane asali farkon mataki cutar da kuma sun samu nasarar bi).
• Sakawa a iska mai guba daga cikin mafitsara.
• Irin wannan medicament, kamar yadda "Cyclophosphamide", amfani da su bi ciwon daji, zai iya fararwa da bayyanar da jini da fitsari.

bincikowa da

Sama mun tattauna da bayyanar cututtuka da kuma Sanadin irin mamaki a matsayin hematuria, an sanar da mu. Yanzu bari tattauna hanyoyin da ganewar asali na wannan Pathology. Domin ya bayyana hematuria, fitsari ake bukata don gudanar da wani bincike a cikin dakin gwaje-gwaje. Lura cewa launi na fitsari ba dole ba ne nuna gaban da jini. Fitsari iya zama datti ruwan hoda ko haske ja dafa saboda da amfani da wasu kayayyakin.

Binciken a kan Nechiporenko Hanyar

Da farko safe fitsari da aka tattara (game da 150 ml). Kafin tattara da hanya compulsorily ciyar da safe bayan gida na al'aurar. Kwantena ga tarin dole ne bakarare. Hawa zuwa dakin gwaje-gwaje domin gudanar da bincike abu dole domin 2 hours.

A binciken da kullum da fitsari girma

Fitsari samfurin fara tattara daga na biyu urination na safe da kuma gama gobe na farko safe urination. Cikin rana daya fitsari da aka tattara a cikin wani guda ganga, tun da girma da aka gyarawa, gauraye da kyau da kuma wani rabo (150 ml) da aka jefa a raba ganga. A kan aiwatar da tattara fitsari kamata kalla kiwon lafiya. Domin mafi adana littattafai, musamman hana aifuwa na maza amfani.

Ƙarin hanyoyin bincike

Har ila yau wani sashe laka bincike da madubin likita domin sanin yawan ja jini Kwayoyin a fagen view. Ƙayyade ko mamaki tubules da glomeruli, mai yiwuwa ne ta hanyar zamani da bambanci bincike da madubin likita na fitsari laka.

Bambanci ganewar asali ya shafi wani pelvic duban dan tayi, kuma koda, cystoscopy biopsy ekstretornoy urography, retrograde renografii, koda biopsy nazarin testes da prostate, fitsari al'ada a gina jiki matsakaici (tabbatar da dalilin da kwayan kamuwa da cuta), kwamfuta tomography da x-ray (ganewa na kasashen waje jiki).

Hematuria: cuta magani

Hematuria - shi ne mai alama, don haka da magani daga wannan sabon abu kamata a da za'ayi a tare da lura da tamkar cuta.

Domin taimako kwayoyi amfani da zub da jini "Vikasol", "Dicynonum", aminocaproic acid, alli chloride bayani 10%. Idan jini da asarar ya wuce 500 ml, to replenish da jini girma da ake bukata gudanar da jiko far.

Idan ureter ko mafitsara gano ilimin lissafi, rubũta da amfani da antispasmodics kuma thermal hanyoyin da za su tallafa ta expectoration. Idan da kansa ya bar dutse ba za a iya za'ayi hanzarta kuma cystoscopic hakar.

Domin raunin koda lacerations da hematomas samar da zama dole gaggawa tiyata.

A cikin hali na mai hade da proteinuria da haematuria nada corticosteroids.

Idan kamu kullum hematuria, magani shafi yin amfani da baƙin ƙarfe da kuma bitamin na kungiyar B.

Idan abnormality a cikin yaro

Hematuria a yara ne mafi sau da yawa dangantaka da raunuka na koda parenchyma. A jariri, jim kadan bayan haihuwa, haihuwa lahani bayyana kansu: .. A gaban cysts, koda soso, da dai sauransu A m jarrabawa na yaro dole hada urinalysis.

Kullum koda hemorrhage a wani yaro za a iya jawo da tarin fuka kamuwa da cuta, wanda yake malala bisa ta'adi a farkon yara. Saboda kwayoyin cututtuka na jini coagulation tsarin da kuma zub da jini faruwa mahara hematuria, a wannan yanayin, suna tare da telangiectasia kuma hematoma. A yaro zai iya samun m a cikin fall. Idan hematuria ne ba a Zumuntarku ba tare da compromising da kiwon lafiya na baby ba a cire benign iyalinmu hematuria, dangantawa da irin wannan sabon abu halayyar da tsarin da koda.

Iyaye kasance musamman da hankali. yaro ta damuwa da ya kamata a sanar da abokan su, don haka za a iya bayyana zafi. Ya kamata ka ma kula da jiki zafin rana da kuma urinary riƙewa.

Hematuria a yara za a iya lalacewa ta hanyar wani streptococcal kamuwa da cuta, wanda rinjayar da na koda parenchyma. Kwayar cutar daga cikin manya na numfashi fili stimulates IgA-nephropathy. Mafi sau da yawa, da Pathology ne benign, da kuma ci gaban kullum na koda gazawar da ba ya faruwa. M Hakika na cutar da ake bayyana ta ƙãra jini, proteinuria, babban hematuria.

Hematuria a ciki

Mafi sau da yawa, hematuria a mata a lokacin haihuwa ta auku a cikin 2-3 trimester. A 'ya'yan itace girma, da ureters suna guga man mahaifa - wannan yana da mummunan tasiri a kan na koda aiki. A saboda abin da na stagnation na fitsari a ƙashin ƙugu iya zama da samuwar duwatsu, wanda lalata epithelium da kuma haifar da zubar da jini. Da alama na tasowa hematuria ƙaruwa da cika fuska idan ya mata masu ciki da wahala daga kumburi da kodan ko ta yana da kullum na koda gazawar. Yana da muhimmanci kada su dame igiyar ciki na jini da kuma zub da jini daga urinary fili. Tun da farko idan na tsanani hadari duka biyu uwa da tayin. Duk da yake dauke da jariri activates da jini coagulation tsarin da ta gyara an sanya sama-shirye na musamman. Hematuria a mata a lokacin daukar ciki za a iya lalacewa ta hanyar shan anticoagulants, da kuma kama da zub da jini, shi ne isa ya dauke su.

ƙarshe

Urological cuta a cikin rashi na isasshen magani iya fararwa da ciwon daji, daban-daban kumburi cututtuka, da yawa rikitarwa. A wasu lokuta, kadai alama na cuta daga cikin urinary tsarin ne hematuria. Mẽne ne, da ka koya daga wannan labarin. Kada ka bar ba tare da hankali da wannan sabon abu, kuma idan aka gano nan da nan a tuntuɓi likita. The kawai hanyar da ka kula da kiwon lafiya, da kuma a wasu lokuta rayuwa. Ki kula da kanki!