Mea Kākau: Judy Howell
Lā O Ka Hana: 25 Iulai 2021
HōʻAno Hou I Ka Lā: 16 Nowemapa 2024
Anonim
Urinalysis - OSCE Guide
Wikiō: Urinalysis - OSCE Guide

Anter

He aha ka urinalysis?

ʻO kahi urinalysis kahi hoʻokolohua hoʻokolohua. Hiki iā ia ke kōkua i kāu kauka e ʻike i nā pilikia e hōʻike ʻia e kāu mimi.

He nui nā maʻi a me nā maʻi e hoʻopili i ka hopena o kou kino i nā ʻōpala a me nā toxins. ʻO nā lālā i komo i loko o kēia kou mau māmā, nā puʻupaʻa, ka mimi, nā ʻili, a me nā ʻōpū. Hiki i nā pilikia me kekahi o kēia ke hoʻopili i ka helehelena, ka noʻonoʻo, a me ka ʻike o kāu mimi.

ʻAʻole like ka urinalysis me kahi loiloi lāʻau a i ʻole ka hōʻoia hāpai, ʻoiai ʻo nā hōʻike ʻekolu e pili ana i kahi mimi.

No ke aha e hana ai ka urinalysis

Hoʻohana pinepine ʻia ka urinalysis:

  • ma mua o ke kaha ʻana
  • ma ke ʻano he kānana mua loa i ka wā o ka nānā hāpai ʻana
  • ma ke ʻano he ʻāpana olakino a i ʻole hōʻike kino

E kauoha paha kāu kauka i kēia hoʻokolohua inā manaʻo lākou he ʻano kūpono kāu, e like me:

  • diabetes
  • maʻi maʻi ʻōpū
  • maʻi maʻi ate
  • maʻi maʻi urinary tract

Inā loaʻa iā ʻoe kahi hōʻailona no kekahi o kēia mau ʻano, hiki i kāu kauka ke hoʻohana i ka urinalysis e nānā i ka holomua o nā mālama a i ʻole ke ʻano ponoʻī.


E makemake paha kāu kauka e hana i kahi urinalysis inā ʻike ʻoe i kekahi mau hōʻailona, ​​e like me:

  • abdominal eha
  • ʻeha kua
  • ke koko i kou mimi
  • urination ʻeha

Ke hoʻomākaukau nei no ka urinalysis

Ma mua o kāu hoʻāʻo ʻana, e nānā pono e inu i ka wai i hiki iā ʻoe ke hāʻawi i kahi laʻana mimi kūpono. Eia nō naʻe, hiki i ka inu ʻana i nā wai he nui i kumu i nā hopena kūpono ʻole.

Hoʻokahi a ʻelua paha mau aniani keu o ka wai, hiki ke hoʻopili i ka wai a waiū paha inā ʻae kāu papaʻai, ʻo ia wale nō kāu e pono ai i ka lā o ka hoʻokolohua. ʻAʻole pono ʻoe e hoʻokēʻai a hoʻololi paha i kāu papaʻai no ka hoʻāʻo.

Eia kekahi, e haʻi i kāu kauka e pili ana i nā lāʻau a i ʻole nā ​​mea hoʻopihapiha āu e lawe nei. ʻO kekahi o kēia mau mea e hiki ke hoʻopili i nā hopena o kāu urinalysis:

  • wikamina C nā mea hoʻohui
  • metronidazole
  • riboflavin
  • laxatives anthraquinone
  • methocarbamol
  • nitrofurantoin

Hiki i kekahi mau lāʻau ʻē aʻe ke hoʻopili i kāu hopena. E haʻi i kāu kauka e pili ana i nā mea āu e hoʻohana ai ma mua o ka hana ʻana i kahi urinalysis.


E pili ana i ke kaʻina hana urinalysis

E hāʻawi ʻoe i kāu hāpana mimi ma ke keʻena o ke kauka, ka haukapila, a i ʻole kahi ʻoihana hoʻokolohua loea. Hāʻawi ʻia ʻoe i kahi kīʻaha plastic e lawe i ka lua. Ma laila, hiki iā ʻoe ke mimiki pilikino i loko o ke kīʻaha.

Noi paha ʻoe e kiʻi i kahi laʻana mimi i hopu i ka maʻemaʻe. Kōkua kēia hana i ka pale ʻana i nā maʻi bacteria mai ka peni a me ka ʻōpala mai ke kiʻi ʻana i kahi hāpana. E hoʻomaka me ka hoʻomaʻemaʻe a puni kou urethra me kahi hoʻomaʻemaʻe hoʻomaʻemaʻe premoistened i hāʻawi ʻia e ke kauka. E mimi i kahi mea liʻiliʻi i loko o ka lua, a laila e ʻohiʻohi i kahi laʻana i loko o ke kīʻaha. Hōʻalo i ka hoʻopā ʻana i ka loko o ke kīʻaha no laila ʻaʻole ʻoe e hoʻoili i nā bacteria mai kou mau lima a i ka hāpana.

Ke pau ʻoe, kau i ka uhi ma ke kīʻaha a holoi i kou mau lima. Lawe paha ʻoe i ke kīʻaha mai ka lumipaku a waiho paha iā ia i kahi keʻena i koho ʻia i loko o ka lua.

I kekahi mau hihia, hiki i kāu kauka ke noi iā ʻoe e hana i ka urinalysis me ka hoʻohana ʻana i ka catheter i hoʻokomo ʻia i loko o kāu pēpē ma o kāu urethra. ʻO kēia ke kumu o ka hōʻoluʻolu haʻahaʻa. Inā hōʻoluʻolu ʻole ʻoe i kēia hana, e nīnau i kāu kauka inā aia kekahi ʻano ʻē aʻe.


Ma hope o kou hāʻawi ʻana i kāu laʻana, ua hoʻopau ʻoe i kāu ʻāpana o ka hoʻāʻo. E hoʻouna ʻia kahi laʻana i kahi lab a i ʻole e noho i ka haukapila inā loaʻa iā lākou nā lakohana pono.

Nā Papahana o ka urinalysis

E hoʻohana kāu kauka i hoʻokahi a ʻoi paha o nā hana aʻe e nānā ai i kāu mimi.

Hōʻoiaʻiʻo microscopic

I ka hōʻike microscopic, nānā kāu kauka i nā kulu o kou mimi ma lalo o kahi microscope. Nānā lākou no:

  • nā mea kūpono ʻole i loko o kou mau ʻulaʻula a keʻokeʻo paha, he mau hōʻailona paha ia o nā maʻi, nā maʻi puʻupaʻa, ka maʻi ʻaʻa maʻi, a i ʻole kahi maʻi koko.
  • nā pōaka i hiki ke kuhikuhi i nā pōhaku kōpū
  • maʻi koʻohune infectious a me ka hū
  • nā pūnaewele epithelial, hiki ke hōʻike i kahi tumo

Hōʻoia Dipstick

No ka hōʻike dipstick, hoʻokomo kāu kauka i kahi lāʻau lika i hoʻomaʻemaʻe ʻia i loko o kāu hāpana. Hoʻololi ka lāʻau i ke kala ma muli o ke kū ʻana o kekahi mau mea. Hiki i kēia ke kōkua i kāu kauka e nānā no:

  • bilirubin, kahi huahana o ka make ʻana o ke koko ʻulaʻula
  • koko
  • protein
  • kālele ʻana a i ʻole ka umekaumaha kikoʻī
  • nā hoʻololi i nā pae pH a i ʻole ka waikawa
  • nā kō

Hiki i nā kūpona kiʻekiʻe o nā huna i kou mimi ke hōʻike i kou make wai. Hiki i nā pae pH kiʻekiʻe ke hōʻike i nā pilikia urinary a i ʻole nā ​​pilikia hakuʻala. A ʻo ke kū ʻana o ke kō hiki ke hōʻike i ka maʻi kō.

Hōʻike ʻike

Hiki i kāu kauka ke nānā i kahi laʻana no nā mea kūpono ʻole, e like me:

  • ʻano ʻōpua, ka mea hiki ke hōʻike i kahi maʻi
  • ʻala ʻino
  • he ʻulaʻula a ʻano ʻulaʻula paha, kahi e hōʻike ai i ke koko i kāu mimi

Ke kiʻi nei i nā hopena

Ke loaʻa kāu hopena urinalysis, e nānā hou kāu kauka me ʻoe.

Inā kū ʻole kāu mau hopena, aia ʻelua mau koho.

Inā ua ʻike mua ʻia ʻoe me nā pilikia o ka hakuʻala, nā pilikia o ke urinary, a i ʻole nā ​​ʻano pili ʻē aʻe, hiki i ke kauka ke kauoha hou i nā hoʻokolohua a i ʻole kahi urinalysis e ʻike i ke kumu o nā maʻi maʻamau o kāu mimi.

Inā ʻaʻohe ou mau hōʻailona ʻē aʻe o kahi ʻano paʻa a hōʻike ʻia kahi hōʻike kino ʻana he maʻamau kou olakino holoʻokoʻa, ʻaʻole koi paha kāu kauka i kahi ukali.

Protein i loko o kou mimi

Aia i loko o kāu mimi kahi pae protein. I kekahi manawa, hiki i nā pae protein i loko o kou mimi ke lele aʻe ma muli o:

  • wela nui a anu paha
  • fiva
  • pilikia, pili kino a me ka naʻau
  • hoʻoikaika kino nui loa

ʻAʻole kēia mau kumu i hōʻailona ma nā pilikia nui. Akā ʻo nā kiʻekiʻe kiʻekiʻe o ka protein i loko o kou mimi hiki ke lilo i hōʻailona o nā pilikia e hiki ke kumu i nā maʻi puʻupaʻa, e like me:

  • diabetes
  • nā kūlana puʻuwai
  • kahe koko kiʻekiʻe
  • lupus
  • maʻi leukemia
  • anemia maʻi ʻaʻai
  • rumatika

Hiki i kāu kauka ke kauoha i nā hoʻokolohua ukali e ʻike i nā kūlana e kū i ke kiʻekiʻe o nā protein i loko o kāu mimi.

Ke ukali nei ma hope o ka urinalysis

Inā hoʻi ʻole kāu hopena o ka urinalysis, koi paha kāu kauka i nā hoʻokolohua hou e hoʻoholo ai i ke kumu. Hiki i kēia mau mea ke:

  • hoʻāʻo koko
  • nā hoʻokolohua kiʻi e like me CT scans a i ʻole MRI
  • ʻāpana metabolic ākea
  • moʻomeheu mimi
  • helu piha koko
  • ka ate a i ʻole ka ʻāʻī puʻupaʻa

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