Urinalysis
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ʻO Urinalysis ke ʻano kino, kemikal, a me ka nānā ʻana microscopic o ka mimi. Pili ia i kekahi mau hoʻokolohua e huki a ana i nā hui like ʻole e hele i loko o ka mimi.
Pono kahi laʻana mimi. E haʻi aku kāu mea mālama ola iā ʻoe i ke ʻano o ka laʻana mimi e pono ai. ʻElua ʻano hana maʻamau o ka ʻohi ʻana i ka mimi he 24-hola ka hōʻiliʻili mimi a hoʻomaʻemaʻe i ka wai miki.
Hoʻouna ʻia kahi laʻana i kahi lab, kahi e nānā ʻia ai no kēia mau mea:
NĀ LĀLĀ PALAPALA A ME KA HIKI ANA
Pehea ka nānā ʻana o ka mimi i ka maka ʻōlohelohe:
- Ua moakāka a kapua paha?
- He mae ʻeleʻele, a melemele ʻeleʻele, a i ʻole he kala ʻē aʻe?
HIKI MICROSCOPIC
Nānā ʻia ka mimi ma lalo o kahi microscope i:
- E hōʻoia inā loaʻa nā pūnaewele, nā aniani mimi, nā pahu mimi, mucus, a me nā mea ʻē aʻe.
- Kuhi i kekahi koʻohune a i ʻole nā mikrobia ʻē aʻe.
NĀ HOPE MAKAHI (chemistry mimi)
- Hoʻohana ʻia kahi kaha kūikawā (dipstick) e hoʻāʻo no nā mea i loko o ka mimi. Loaʻa i ke kaola nā pale o nā kemika e hoʻololi i ke kala ke pili lākou me nā mea hoihoi.
Nā laʻana o nā hoʻokolohua urinalysis kikoʻī e hana ʻia e nānā i nā pilikia i loko o:
- Hōʻike mimi koko ʻulaʻula
- Hōʻike molo glucose
- Hōʻike mimi Protein
- Hōʻike pae mimi pH
- Hōʻike mimi Ketones
- Hōʻike mimi Bilirubin
- Hōʻike umekaumaha kikoʻī
Hoʻololi kekahi mau lāʻau i ke kala o ka mimi, akā ʻaʻole kēia kahi hōʻailona o ka maʻi. E haʻi paha kāu mea lawelawe iā ʻoe e haʻalele i ka lawe ʻana i nā lāʻau i hiki ke hoʻololi i nā hopena hōʻike.
ʻO nā lāʻau i hiki ke hoʻololi i kāu kala mimi e komo pū me:
- Chloroquine
- Pākuʻi hao
- ʻO Levodopa
- Nitrofurantoin
- Phenazopyridine
- Phenothiazine
- ʻO Phenytoin
- Riboflavin
- Triamterene
Pili ka hōʻike i ka urination maʻamau wale nō, a ʻaʻohe pilikia.
Hana ʻia kahi urinalysis:
- Ma ke ʻāpana o kahi hōʻike olakino maʻamau e nānā ai i nā hōʻailona mua o ka maʻi
- Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi kō a pākī paha, a i ʻole e nānā iā ʻoe inā e mālama ʻia ʻoe no kēia mau ʻano
- E nānā i ke koko i ka mimi
- E hōʻoia i kahi maʻi maʻi urinary tract
Kūleʻa ka mimi maʻamau i ke kala mai ka ʻaneʻane ʻole ʻole i ka melemele ʻeleʻele. ʻO kekahi mau meaʻai, e like me ka beets a me nā blackberry, huli paha i ka mimi ʻulaʻula.
ʻO ka maʻamau, ʻaʻohe hiki ke ʻike ʻia ka glucose, ketones, protein, a me ka bilirubin i ka mimi. ʻAʻole i loaʻa maʻamau nā mea aʻe i ka mimi.
- Hemoglobin
- Nā Nitrite
- Nā hunaola ʻulaʻula
- Nā huna koko keʻokeʻo
Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.
Hiki paha i nā hopena maʻamau ke loaʻa i kahi maʻi, e like me:
- Maʻi ʻaʻai Urinary
- Pohaku hakuʻala
- ʻO ka maʻi diabetic maikaʻi ʻole
- ʻO ka maʻi ʻaʻai a maʻi ʻaʻai paha
Hiki i kāu mea hāʻawi ke kūkākūkā me ʻoe i nā hopena.
ʻAʻohe pilikia me kēia hōʻike.
Inā hoʻohana ʻia kahi hoʻokolohua home, pono i ka mea e heluhelu ana i nā hopena e hiki ke haʻi i ka ʻokoʻa ma waena o nā kala, no ka mea ua unuhi ʻia nā hopena me ka hoʻohana ʻana i ka pakuhi kala.
ʻO ke ʻano o ka mimi a me ke kala; Hōʻike mimi maʻamau; Cystitis - urinalysis; Ka maʻi ʻaʻai - urinalysis; UTI - urinalysis; Urinary tract maʻiʻaʻai - urinalysis; Hematuria - urinalysis
ʻĀpana mimi wahine
ʻĀpana mimi kāne
Chernecky CC, Berger BJ. Urinalysis (UA) - mimi. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 1146-1148.
ʻO Riley RS, ʻo McPherson RA. Ninaninau maʻamau o ka mimi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 28.