Hōʻike umekaumaha kikoʻī

ʻO ka umiki kikoʻī Urine kahi hōʻike keʻena hoʻokolohua e hōʻike ana i ka hoʻoliʻiliʻi o nā kinikona āpau i ka mimi.

Ma hope o kou hāʻawi ʻana i kahi mimi, hoʻāʻo koke ʻia ia. Hoʻohana ka mea mālama ola i kahi dipstick i hana ʻia me ka pale kala ʻole. Hoʻololi ke kala i ka dipstick e haʻi i ka mea hāʻawi i ka umekaumaha kikoʻī o kou mimi. Hāʻawi ka hōʻike dipstick i kahi hopena paʻakikī. No kahi hopena ʻoi aku ka pololei, hoʻouna paha kāu mea hāʻawi i kāu laʻana mimi i kahi lab.

E haʻi paha kāu mea lawelawe iā ʻoe pono ʻoe e kaohi i kāu lawe wai i 12 a 14 mau hola ma mua o ka hoʻāʻo.

E noi ana kāu mea lawelawe iā ʻoe e haʻalele no ka manawa pōkole i nā lāʻau i hiki ke hoʻololi i nā hopena hōʻike. E pono e haʻi aku i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe ai, e like me ka dextran a me ka sucrose. Mai hōʻoki i ka lawe ʻana i kekahi lāʻau i mua o ke kamaʻilio ʻana i kāu mea hāʻawi.

Hiki i nā mea ʻē aʻe ke hoʻopili i nā hopena hōʻike. E haʻi i kāu mea hāʻawi inā ʻoe i kēia manawa:

• Loaʻa kekahi ʻano anesthesia no kahi hana.
• Loaʻa ka pena intravenous (medium medium) no kahi hōʻike kiʻi, e like me kahi scan CT a MRI paha.
• Nā mea kanu i hoʻohana ʻia a i ʻole nā ​​mea lapaʻau kūlohelohe, ʻo nā mea kanu Kina hoʻi.

Hoʻopili wale ka hōʻike i ka urination maʻamau wale nō. ʻAʻohe pilikia.

Kōkua kēia ho'āʻo i ka loiloi i ke kaulike wai o kou kino a me ka mimiki.

ʻO ka osmolality urine kahi hōʻike kikoʻī no ka mimi. ʻOi aku ka maʻalahi a maʻalahi hoʻi o ka mimi kikoʻī gravity, a he maʻa mau ia o ka urinalysis maʻamau. ʻAʻole pono e pono ka hōʻike osmolality mimi.

ʻO ka pae maʻamau no ka umekaumaha kikoʻī ʻo 1.005 a 1.030. 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.

Ma muli o nā kūlana e like me:

• ʻAʻole hana nā adrenal adrenal i nā hormona (Addison maʻi)
• Hewa puʻuwai
• ʻO ke kiʻekiʻe sodium kiʻekiʻe i ke koko
• Loaʻa ka wai o ke kino (make wai)
• Pahu o ke aʻa puʻuwai (renal artery stenosis)
• Pāhaʻi
• Sugar (glucose) i ka mimi
• Syndrome o ka huna huna ADH (SIADH)

ʻO ka emi ʻana o ka mimiki kikoʻī ma muli o:

• Poino i nā puʻupaʻa tubule hakuʻala (necrosis tubular renal)
• Insipidus diabetes
• Ke inu nui nei i ka wai
• Hewa ʻole nā ​​hakuʻala
• Ka pae sodium haʻahaʻa i ke koko
• ʻO ka maʻi ʻino nui (pyelonephritis)

ʻAʻohe pilikia me kēia hōʻike.

Ka piʻi mimi

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

Krishnan A, Levin A. Nānā Laboratory o ka maʻi puʻupaʻa: glomerular filtration rate, urinalysis, a me proteinuria. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 23.

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.

ʻO Villeneuve P-M, Bagshaw SM. Ka loiloi ʻana i ka biochemistry mimi. I: Ronco C, Bellomo R, Kellum JA, Ricci Z, eds. Manaʻo koʻikoʻi koʻikoʻi nephrology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 55.