Mīkini hoʻopili: nā ʻano nui a me nā manaʻo o lākou
Anter
- He aha ia
- 1. Nā paukū Hyaline
- 2. Paukūʻolokaʻa
- 3. Paukū leukocyte
- 4. Paukūʻolokaʻa bacteria
- 5. Cylinder o nā pūnaewele epithelial
- Pehea nā paukū e hana ai
Kūkulu ʻia nā paukū cylinders i loko o nā puʻupaʻa e hōʻike pinepine ʻole ʻia i ka mimi o ka poʻe olakino. No laila, ke nānā ʻia nā paukū i loko o ka hōʻike mimi, he hōʻailona paha ia aia kekahi loli i nā puʻupaʻa, inā he maʻi ia, he mumū a luku paha i nā ʻōnaehana ʻino, no ka laʻana.
Hōʻoia ʻia ke kūmole o nā paukū ma o ka loiloi mimi, EAS a i ʻole ʻano I mimi ninaninau, kahi, ma o ka microscopic analysis, hiki ke nānā i nā paukūʻolokaʻa. ʻO ka maʻamau, ke hōʻoia ʻia ke alo o nā paukū, hoʻololi ʻia kekahi mau ʻaoʻao ʻē aʻe o ka hoʻokolohua, e like me nā leukosit, ka helu o nā hunaola epithelial a me nā erythrocytes, no ka laʻana. Eia pehea e maopopo ai i ka hōʻike mimi.
He aha ia
Kaukaʻi ʻia i ka wahi o ka hoʻokumu a me nā mea i koho ʻia, hiki ke noʻonoʻo ʻia nā paukū he mea maʻamau, akā ke nānā ʻia nā nui o nā paukū a ʻike ʻia nā hoʻololi ʻē aʻe i ka hoʻāʻo mimi, he mea nui e mālama ʻia kahi hoʻokolokolo, no ka mea he hōʻailona paha ia o nā hoʻololi hou aʻe.
ʻO nā ʻano nui o nā paukū mimi a me ka manaʻo hiki ke:
1. Nā paukū Hyaline
ʻO kēia ʻano paukū ka mea maʻamau a hoʻokumu ʻia e ka protein Tamm-Horsfall. Ke loaʻa a hiki i 2 mau puʻukū hyaline i loko o ka mimi, manaʻo ʻia he maʻamau ia, a hiki mai paha ma muli o ka hana o nā hana kino he nui, ka hoʻomaloʻo ʻana, ka wela nui a i ʻole ke koʻikoʻi. Eia nō naʻe, ke ʻike ʻia nā mau puʻupuʻu hyaline, hiki ke hōʻike ʻia o glomerulonephritis, pyelonephritis a i ʻole nā maʻi puʻukū mau.
2. Paukūʻolokaʻa
Kēia ʻano o ka paukūʻolokaʻa, i ka hoʻohui o ka protein Tamm-Horsfall, i hana ʻia me nā ʻulaʻula a he hōʻike pinepine ia o ka hōʻino ʻana i kekahi ʻano o ka nephron, ʻo ia ka ʻāpana hana o nā puʻupaʻa e pili ana i ka hana mimi.
He mea mau ia ma ka hoʻohui i nā paukūʻolokaʻa, i ka mimi ninaninau hiki ke hōʻike i ke alo o nā protein a me nā ʻulaʻula koko ʻulaʻula he nui. Ma waho aʻe o ka hōʻike ʻana i nā pilikia o ka hakuʻala, hiki i nā silima hematic ke hōʻike ʻia i ka hōʻike mimi o ka poʻe olakino ma hope o ka hoʻomaʻamaʻa ʻana i nā haʻuki pili.
3. Paukū leukocyte
Hoʻokumu nui ʻia ka paukū leukocyte e leukocytes a hōʻike mau ʻia kona alo i ka maʻi a i ʻole ka mumū o ka nephron, e pili pinepine ʻia me ka pyelonephritis a me ka nephritis interstitial ākea, kahi mumū non-bacterial o ka nephron.
ʻOiai ʻo ka leukocyte paukū e hōʻike ana i ka pyelonephritis, ʻaʻole pono e noʻonoʻo ʻia ke kū ʻana o kēia hanana i kahi ana diagnostic hoʻokahi, a he mea nui e loiloi i nā palena ʻē aʻe o ka hoʻokolokolo.
[hōʻike-hōʻike manaʻo nui]
4. Paukūʻolokaʻa bacteria
He paʻakikī ke ʻike i ka paukū bacteria, eia naʻe he mea maʻamau ke ʻike ʻia i loko o ka pyelonephritis a hana ʻia e nā koʻohune i pili i ka protein Tamm-Horsfall.
5. Cylinder o nā pūnaewele epithelial
ʻO ke kū ʻana o nā paukū o nā hunaola epithelial i ka mimi he maʻa mau ia o ka luku nui ʻana o ka tubule renal, akā hiki ke pili pū ʻia me ka lāʻau hoʻowalewale ʻia e ka lāʻau, hōʻike ʻia i nā metala kaumaha a me nā maʻi viral.
Hoʻohui ʻia i kēia mau mea, aia nā puʻupuʻu momona, ka lolo a me nā momona, ʻo ka hope i hoʻokumu ʻia e nā momona momona a pili pinepine ʻia me ka nephrotic syndrome a me ka maʻi diabetes. He mea nui ka loiloi i ka hopena o ka hoʻāʻo mimi e ke kauka, keu hoʻi inā hōʻike ka hōʻike i ke kū ʻana o nā paukūʻolokaʻa. No laila, hiki i ke kauka ke hoʻokolokolo i ke kumu o ka paukūʻolokaʻa a hoʻomaka i ka lāʻau kūpono kūpono loa.
Pehea nā paukū e hana ai
Hoʻokumu ʻia nā paukū i loko o ka tubule contort contosed a me ka leho ʻohiʻohi, nā ʻano e pili ana i ka hoʻokumu a me ka hoʻopau ʻana o ka mimi. ʻO kekahi o nā mea nui o nā paukū ʻo ia ka protein ʻo Tamm-Horsfall, kahi protein i hoʻopuka ʻia e ka epithelium tubular renal a hoʻopau ʻia kūlohelohe i ka mimi.
Ke hoʻopau nui ʻia nā protein ma muli o ke koʻikoʻi, hana kino a i ʻole nā pilikia o ka puʻupaʻa, pili paʻa nā protein a hiki i ka hoʻokumu ʻia ʻana o kahi hanana paʻa, nā paukūʻolokaʻa. I ka wā o ke kaʻina hana, hiki i nā mea i loaʻa i ka filtrate tubular (kahi i kapa ʻia he mimi) a hoʻohui ʻia, e like me nā hunaola epithelial, bacteria, pigment, ʻulaʻula a me nā leukocytes.
Ma hope o ke kūkulu ʻia ʻana o nā paukū, hoʻokaʻawale nā proteins constituent iā lākou iho mai ka epithelium tubular a hoʻopau ʻia i ka mimi.
E ʻike i nā kikoʻī e pili ana i ka hana ʻana o ka mimi.