Erythrocytes ndi maselo ofiira a magazi omwe amazungulira m'magazi a seramu. Amanyamula oksijeni ndi zakudya ku ziwalo za thupi. Komabe, ngati mwakhululukidwa, maselo ofiira a mumkodzo amatha kutero - pathupi, chizindikiro choopseza.
Makhalidwe a Hematuria
Pakati pa mimba, thupi la amayi limatengedwa ku katundu wolemera, kukonzanso. Kukula mwamsanga komanso koopsa kwa kamwana kameneka, kayendedwe kabwino ka thupi kamakhala kosavuta. Chifukwa cha ichi, erythrocyte nthawi zambiri zimawoneka mkodzo panthawi yoyembekezera. Malingana ndi kuopsa kwake kwa zizindikiro, mitundu yotsatira ya hematuria ndi yosiyana:
- microhematuria;
- macrohematuria.
Microhematuria imadziwika ndi microscopy ya mchere wamadzi, ndi njira ya ma laboratory. Mkuyu wamaso umasunga mtundu wake. Mu macrohematuria, admixtures a magazi, erythrocytes mu mkodzo, pa nthawi ya mimba ali otsimikizirika. Chodabwitsa ichi nthawi zonse chimawerengedwa ndi madokotala ngati chizindikiro cha matenda. Maziko aakulu a magazi mu macrohematuria ndi awa:
- chikhodzodzo;
- chiwonongeko;
- impso.
Palinso mtundu wina wa hematuria malingana ndi gwero la erythrocytes:
- chinyengo;
- zoona.
Bodza la hematuria
Matendawa amatchulidwa pamene maonekedwe a erythrocytes mu mkodzo amachokera chifukwa cha zomwe sizikugwirizana ndi matenda ndi matenda a impso. Pachifukwa ichi, mlingo wa erythrocytes mu mkodzo umakhalabe mwachibadwa. Mtundu wofiira wapatsidwa kwa zinthu zina, osati ndi maselo a magazi. Kawirikawiri, mkodzo ukhoza kupeza pinki kapena ubweya wofiira chifukwa chomwa mankhwala kapena chakudya. Mwachitsanzo, kudya madzulo a saladi ya beets kungapereke mkodzo mtundu woyenera.
Zoonadi hematuria
Hematuria yeniyeni imanenedwa ngati mnofu waukulu wa erythrocytes mu mkodzo uli wokhazikika. Ndi matenda osiyanasiyanawa, maselo amagazi amatha kupatsidwa mankhwala enaake mumachubu yamphongo, kenaka amasakaniza mkodzo ndikubwera. Kuti adziwe chifukwa chenichenicho, madokotala amatipatsa kufufuza kwakukulu kwa wodwalayo. Zoona kuti hematuria nthawi zonse imagwirizanitsidwa ndi matenda a urinary system.
Kodi ndi bwino bwanji kupatula kukambirana kwa mkodzo pathupi?
Pofuna kupeza zotsatira zokhudzana ndi kufufuza ndi kukonzanso mkodzo pamene mimba ikuwonetsa chithunzi chenicheni cha zomwe zikuchitika, mkazi ayenera kutsatira malamulo angapo pokonzekera mkodzo. Chovomerezeka musanayambe ndondomekoyi ndi chimbudzi cha ma genitalia akunja. Kuchotsa mkodzo kumachitika kokha m'mawa.
Ndondomeko yoyenera iyenera kukhazikitsidwa motere:
- Pambuyo kutsuka, khomo la chiberekero liri ndi chiyero chaukhondo.
- Pofuna kusonkhanitsa m'pofunika kukonzekera chidebe chosawuma pasadakhale, ndikofunika kugula chidebe kuti chiwerengedwe mu mankhwala.
- Sungani phunziro lokha la magawo ambiri a mkodzo, mutatha kupatula masekondi 3-5 mu chimbudzi.
- Chidebecho chimawombedwa mwamphamvu ndi chivindikiro ndi kutumizidwa ku labotale kwa maola awiri.
Erythrocytes mu mkodzo pamene ali ndi mimba - chizoloŵezi
Pakati pa mwana wodwala, thupi la mkazi limakhala lolemera. Impso zimayamba kugwira ntchito molimbikitsidwa, chifukwa cha njira zowonongeka zomwe zingaswedwe. Poganizira izi, erythrocytes amawoneka mkodzo pa nthawi yomwe ali ndi mimba. Madokotala amavomereza kupezeka kwazing'ono kwa maselo ofiira a m'magazi. Pankhaniyi, chizoloŵezi cha erythrocytes mu mkodzo panthawi ya mimba chimayikidwa pa 1 unit mu maonekedwe a microscope (wogwira ntchito labu amakonza 1 selo).
Erythrocytes mu mkodzo pamene ali ndi pakati ali okwera
Hematuria kawirikawiri amayi oyembekezera. Ntchito yaikulu ya madokotala pankhaniyi ndi kukhazikitsa malo enieni omwe amachititsa kuti matendawa asokonezeke, zomwe zimayambitsa hematuria. Pamene mkazi ali ndi erythrocyte ambiri mumtambo wake pamene ali ndi mimba, njira iyi ya kugwiritsira ntchito imagwiritsidwa ntchito ngati "katatu katemera". Amalola kuzindikira malo omwe amachokera maselo ofiira a magazi. Mitsempha imasonkhanitsidwa muzitsulo zitatu. Mogwirizana ndi mbali imene maselo ofiira a m'magazi amadziŵika, dokotala akupeza zogwirizana ndi izi:
- maselo a magazi m'gawo loyambirira - atagwidwa ndi urethra;
- Mphindi yachiwiri, ureters kapena impso zimakhudzidwa;
- lachitatu - chikhodzodzo.
Erythrocytes mu mkodzo pamene ali ndi mimba - zimayambitsa
Maonekedwe a mitsempha yofiira yamagazi nthawi zambiri amasonyeza kukhalapo kwa kutupa kapena matenda mu urogenital. Zikatero, kuwonjezeka kwa erythrocytes mu mkodzo pa nthawi yoyembekezera kumaphatikizidwa ndi:
- ululu m'mimba pamunsi, m'munsi kumbuyo ;
- chotsalira;
- kusokonezeka ndi kuyaka pamene mukukodza;
- kuwonjezeka kwa kutentha;
- kufooka;
- mutu.
Kuzindikira pazochitika zotero kumangotulutsa dokotala yekha. Pakati pa mavuto omwe amapezeka m'mimba mwa amayi omwe ali ndi pakati, zifukwa za matendawa zingakhale motere:
- cystitis ;
- glomerulonephritis;
- pyelonephritis;
- matenda a chiwerewere.
Madokotala amachenjeza kuti osati kokha ndi matenda a urinary system angakhale alipo hematuria - zomwe zimayambitsa zikhoza kubisala matenda omwe amapezeka, monga:
- matenda owopsa;
- chiwonongeko;
- magazi ;
- Aneurysms ya mitsempha ya magazi;
- matenda a shuga.
Erythrocytes mu mkodzo panthawi yoyembekezera - mankhwala
Matenda a erythrocyte opitirira mkaka pa nthawi yomwe ali ndi mimba ndi chifukwa chowunika momveka bwino amayi amtsogolo ndi kukhazikitsidwa kwa chifukwa. Kuvuta kwa mankhwalawa chifukwa cha kuphwanya kumeneku kumachitika chifukwa cholephera kugwiritsa ntchito mankhwala ena pa nthawi ya chiwerewere. Chithandizo cha matenda chiyenera kupangidwa kokha ndi dokotala atatha kukhazikitsa chifukwa chenichenicho. Kugwiritsa ntchito mankhwala moyenera kungakhudze thanzi la mayi ndi fetus. Kuzindikira kwa matenda a chiwindi kumafuna hospitali.
Kusankha mankhwala osokoneza bongo kumapangidwa, malinga ndi chifukwa cha maonekedwe a erythrocytes mu mkodzo pamene ali ndi mimba. Ngati kukhalapo kwawo ndiko chifukwa cha kutuluka m'magazi, mankhwala osokoneza bongo amatha kuuzidwa:
- Dicycin;
- Vikasol;
- aminocaproic asidi.
Mankhwalawa amachitikira kuganizira kukula kwa matenda komanso nthawi ya mimba. Madokotala amayesera kugwiritsa ntchito mankhwala osachepera m'miyezi itatu yoyamba, chifukwa izi zingakhudze kukula kwa mwana wamwamuna. Ngati pali zovuta mu ureter kapena urethra, antispasmodics amagwiritsidwa ntchito:
- Spazmalgon;
- Drotaverine;
- Papaverine;
- Koma-shpa.
Ngati kugwiritsidwa ntchito payekha kwa mwala kuli kovuta, gwiritsani ntchito cystoscopy kapena kuchotsa opaleshoni pamapeto pang'ono. Kuvulala kwa impso, kuphatikizapo kuphulika kwa ziphuphu, kupanga mapangidwe a chiwindi, macrogematuria, utoto wa mkodzo wofiira kwambiri, kumafuna chisamaliro chofulumira. Zikatero, kuteteza moyo wa mayi wapakati kumabwera poyamba. Kuphatikizapo hematuria ndi proteinuria kungafune kugwiritsa ntchito corticosteroids.