Urinalysis los ntawm Nechiporenko yog ib qho tseem ceeb tshaj plaws ntawm cov cuab yeej. Nws yog siv hauv urology, nephrology thiab lwm yam teb. Qhov kev ntsuam xyuas qis no yog xam cov ntaub ntawv tshaj tawm. Nws tso cai rau koj kom pom cov kev paub ntawm qhov genitourinary uas tau muab zais thiab pib tshem tawm lawv kom sai li sai tau.
Dab tsi yog qhov zis txhais rau Nechiporenko?
Xws li qhov kev tshawb nrhiav tshawb nrhiav tau pom los ntawm ib tug kws tshawb fawb txog Soviet-kws kho mob. Qhov no inventor yog Alexander Zacharovich Nechiporenko. Cov txheej txheem pom zoo los ntawm nws ua rau nws muaj peev xwm txiav txim seb tus naj npawb ntawm cov ntshav ntsiab tam sim no nyob rau hauv cov zis. Kev ceeb toom yog them rau suav cov hauv qab no:
- erythrocytes;
- leukocytes;
- thooj voos kheej kheej.
Lub Nechiporenko txoj kev pom zoo nyob rau hauv xws li mob:
- thaum nyob rau hauv kev tshawb xyuas yav dhau los ntawm cov zis tau qhia txog cov ntshav;
- yog tias tus kws kho mob tau ntshai tias qhov mob ua zais zis ntawm qhov mob hauv txoj hlab ntws ua haujlwm hauv tus neeg mob lub cev;
- nrog ntshav qab zib, vasculitis los yog lwm yam mob uas cuam tshuam rau kev ua haujlwm ntawm ob lub raum;
- thaum tus kws kho mob xav ua kom taug qab lub zog thaum kho.
Qhov kev soj ntsuam ntawm cov zis los ntawm Nechiporenko tuaj yeem ua tau thaum cev xeeb tub. Nws tus kws kho mob tso cai yog tias ib tug poj niam yws yws ntawm qhov mob, qhov mob thiab lwm yam tsis xis nyob hauv cheeb tsam lub raum. Tsis tas li ntawd, xws li tso zis tuaj yeem pub rau cov me nyuam me. Nws tau sau thaum ib tus kws kho mob tshwj xeeb vim muaj kev xav tias yuav tsim txoj kev loj hlob ntawm txoj kev tawm tsam ntawm kev tua kab mob los yog thaum muaj teeb meem ntawm metabolic.
Nechiporenko tsom xam thiab cov zis xwb
Lub vib this rau kev ua cov kev sim ob lub hauv kev soj ntsuam no me ntsis txawv. Ib qho kev ntsuam xyuas siv ib lub tshuab ntsuas. Cov qauv Nechiporenko yog kwv siv siv tshwj xeeb suav chamber. Nrog rau ntaus ntawv no, cov naj npawb ntawm cov ntsiab lus hauv cov kua yog suav. Yuav ua li cas distinguishes lub dav ntsuam ntawm zis raws li Nechiporenko yog tshwm los ntawm cov ntsiab ntawm txoj kev tshawb no. Cov qauv no muab cov lus teb kom ntxaws. Hauv kev sib piv, kev ntsuam xyuas dav dav tsuas qhia cov ntaub ntawv hauv xeev ntawm tus neeg mob.
Dab tsi yog qhov zis tsom qhia rau Nechiporenko?
Kev tshawb nrhiav no yuav pab kom pom qhov kev ntsuam xyuas dav dav yuav tsis qhia tawm. Yuav ua li cas Nechiporenko lub tsom qhia: tus naj npawb ntawm cov ntshav hais nyob rau hauv 1 ml ntawm zis. Nrog rau txoj kev tshawb no, cov kua tshuaj tua kab yog kis los ntawm cov centrifuge. Kev soj ntsuam ntawm zis los ntawm Nechiporenko - tus nqi ntawm zis (ntim ntawm txoj kev tshawb) yog 50 ml. Hauv qab ntawm cov centrifugal rog, cov ntaub ntawv phiv hauv cov roj ntsha kua. Nws yog raug ntim rau hauv ib lub rooj qhwv tshwj xeeb siv suav cov ntshav thiab cov qe ntshav.
Kev soj ntsuam ntawm zis los ntawm Nechiporenko tus kws kho mob appoints nyob rau hauv lub slightest suspicion ntawm pathology ntawm excretory system. Nws yuav pab kom raug tseeb kuaj kab mob xws li:
- cystitis - mob ntawm cov kab mob sib kis, uas yog nrog txiav thaum lub sij hawm tso zis;
- zoo thiab malignant neoplasms;
- pyelonephritis - mob ntawm lub plab hlaus tuaj, nrog kev noj zaub mov tsis zoo, muaj kev sov siab thiab lwm cov cim qhia tsis zoo;
- glomerulonephritis - mob ntev lossis mob ntev, uas yog yus lub plawv hauv ntshav siab thiab o;
- prostatitis;
- kev qaug ntawm lub cev ua los ntawm kev raug mob nrog tshuaj lom;
- infarction ntawm lub raum;
- tseem ceeb hypertension thiab li ntawm.
Kuv tuaj yeem coj qhov zis mus kuaj rau Nechiporenko?
Qhov tseeb ntawm cov khoom ntawm cov roj ntsha muaj nyob ntawm seb qhov kev txheeb xyuas tau yuav yog li cas. Vim li no, ua ntej ua qhov kev kuaj pom, tus kws kho mob yuav piav qhia meej txog tus neeg mob kom paub meej txog Nechiporenko kev tsom xam. Nws yuav tawm tswv yim txog kev npaj rau kev ntxias. Ntxiv rau, tus kws kho mob yuav qhia seb yuav ua li cas thiaj txheeb cov roj ntsha.
Urinalysis by Nechiporenko - kev npaj
Rau cov txiaj ntsim tau los ua tau raws li kev txhim kho tau, tus neeg mob yuav tsum ua raws li cov lus pom zoo:
- Qhia rau tus kws kho mob txog cov tshuaj noj. Vim tias qee cov tshuaj siv (piv txwv, tshuaj tua kab mob thiab diuretics) cuam tshuam rau cov txiaj ntsig, lawv yuav tsum tau muab pov tseg los ntawm lawv li ob peb hnub.
- Daim duab cuav yuav ua rau muaj kev nyuab siab thiab mob siab rau lub cev, yog li ntawd nws yog ntshaw rau tus neeg mob kom tiv thaiv nws tus kheej ntawm tag nrho cov no.
- Muaj ib hnub ua ntej yuav khaws cov roj ntsha tuaj, koj yuav tsum tsis txhob noj cov khoom uas muaj xim ntxim nyiam. Cov no muaj xws li cov kua txiv hmab txiv ntoo, beet thiab rhubarb. Ntxiv rau, koj yuav tsum tsis txhob haus cawv, khoom qab zib, nqaij nyuj thiab dej qab zib.
- Ua ntej koj dhau qhov ntsuam xyuas rau Nechiporenko, koj yuav tsum tau ntxuav ntxuav qhov chaw mos. Yog tias qhov no tsis ua tiav, cov cell tuag yuav nkag mus rau cov kab mob lom neeg, cuam tshuam cov ntsiab lus.
Tsis tas li ntawd, ib qho kev sim tshuaj ntsuam rau Nechiporenko tsis raug nqi poj niam thaum lub caij ua poj niam. Ntshav tau los ntawm qhov chaw mos los rau hauv cov zis. Raws li qhov tshwm sim, cov kev soj ntsuam no yuav tsis raug kev ntseeg ntxiv. Tsis kam txais qhov kev kuaj mob kuaj mob thiab koj xav tau 2 hnub tom qab xaus kev coj khaub ncaws. Nyob rau hauv qhov chaw mos, cov ntshav corpuscles nyob hauv lub sijhawm no, thiab los ntawm qhov ntawd lawv tuaj yeem tso zis, pauv qhov kev ntsuam xyuas tau. Yog tias nws tseem tos kom tsis txhob muaj peev xwm thiab tsis dhau los yog mus xyuas qhov chaw kuaj xyuas nws yog qhov tsim nyog yuav tsum tau ua ntej, ua ntej yuav sau cov kua roj ntsha tuaj nws yog tsim nyog siv lub qhov zom kom huv si.
Rau ib lub sijhawm, nws yuav tsum tau xa tus menyuam ntawm kev ntsuam xyuas tom qab catheterization. Lub sijhawm ua haujlwm, cov nqaij me muaj peev xwm nyob tau hauv cov qhov zis. Vim tias lawv, cov kev ntsuam xyuas Nechiporenko yuav pom tias muaj cov concentration ntawm cov ntshav liab hauv cov kab dej lom. Tsis tas li ntawd, tus kws kho mob ua ntej ua qhov kev tshawb nrhiav no yog ib qho tseem ceeb kom paub tseeb tias tus neeg mob tsis muaj mob raws plab los yog mob khaub thuas. Xws li pathologies yuav distort cov ntsiab ntawm qhov kev xeem.
Yuav ua li cas sau ib urinalysis los ntawm Nechiporenko?
Ib lub thawv ntim huv huv yuav tsum tau siv coj los ua cov kua roj ntsha. Nws tuaj yeem muas tau nyob rau ntawm lub tsev muag tshuaj ze tshaj plaws. Ib lub thawv me me nrog lub caj dab, uas yuav tsum tau muab tshuaj yaug nrog cov kua txiv hmab txiv ntoo, thiab tom qab ntawd ces nyob rau hauv lub qhov cub microwave yog sterilized rau 2-3 feeb. Ntawm no yog yuav ua li cas kom sau ib urinalysis los ntawm Nechiporenko:
- Nws yog qhov zoo los ntxuav lub qau nrog dej. Los ntxuav thaum uas pom zoo kom tsis muaj xab npum.
- Cov sau ntawm urinalysis by Nechiporenko yog nqa tawm nyob rau hauv thaum sawv ntxov, on ib npliag plab.
- Lub khob nrog kua roj ntsha tuaj yeem yuav tsum tau them tam sim ntawd nrog lub hau kom thiaj li tawm tsam kab tshuam kabmob txawv teb chaws.
Npaum li cas zis raug sojntsuam rau Nechiporenko?
Cov ntaub ntawv txheeb raws roj ntsha tuaj yeem muab xa mus rau lub chaw kuaj mob kom sai li sai tau. Nws tsis tuaj yeem muab cia rau ntev, vim hais tias nyob rau hauv no ib puag ncig cov kab mob yuav vam meej. Qhov tshwm sim ntawm cov zis tsom rau Nechiporenko ua li 2 xuab moos. Nyob rau hauv rooj plaub no, cov khoom siv roj ntsha yuav tsum tsis txhob raug rau qis qis los yog muaj peev xwm siab lossis nyob hauv cheeb tsam ntawm lub hnub ci ncaj qha.
Urinalysis by Nechiporenko - ntawv sau
Hauv kev tshawb nrhiav kev tshawb nrhiav, qhov tseeb ntawm nws cov kev coj ua thiab qhov kev ntsuam xyuas tau ntawm cov txiaj ntsim tau zoo yog qhov tseem ceeb. Tom qab tso zis rau Nechiporenko ua, cov tsis tau ua tib zoo tshawb nrhiav (txhua feem yog suav). Nws yog ib qho tseem ceeb rau tus kws kho mob kom pom tseeb thiab pib kho cov txheej txheem kho kom raws sijhawm.
Urinalysis by Nechiporenko yog tus nquag
Txawm tias ib tug neeg noj qab nyob zoo hauv ib qho roj ntsha tuaj yeem muaj qee cov roj ntsha. Nechiporenko tsom - tus qauv yog raws li nram no (nyob rau hauv 1 ml ntawm cov khoom siv):
- erythrocytes - mus txog 1000 lub hlwb;
- Cov Cylinders - ntau tshaj 20 units;
- leukocytes - txog 2000 lub hlwb;
- protein - yuav tsum tsis txhob yuav;
- hlwb ntawm cov epithelium - ib zaug xwb yog tau.
Tib lub sijhawm, tso zis rau Nechiporenko qhia tias cov poj niam cev xeeb tub tus nqi yog me ntsis siab dua lwm cov neeg mob. Nws yog xam raws kev pom zoo yog tias muaj pes tsawg tus leukocytes nyob rau hauv ib qho kua roj ntsha yog 2000-4000 units. Ntawm cov nqi no tus kws kho mob tsis sau cov kev kho mob, tab sis tsuas yog soj ntsuam tus poj niam tus mob thiab, yog tias tsim nyog, yuav tsum tau xaiv ob txoj kev tshawb fawb.
Urinalysis by Nechiporenko - leukocytes
Cov hlwb no koom nrog kev tiv thaiv kab mob. Lawv nce ntxiv hais tias cov txheej txheem tiv thaiv kab mob yeej muaj nyob rau hauv tus neeg mob lub cev. Yog hais tias tus tsom xam ntawm zis raws li Nechiporenko nce dawb hlwb, nws muaj peev xwm ua ib lub teeb liab ntawm xws li pathological kev:
- o ntawm lub zais zis;
- qhov muaj cov kab mob hauv lub raum;
- pyelonephritis;
- trichomoniasis;
- Candidiasis;
- endometritis thiab lwm yam.
Urinalysis by Nechiporenko - erythrocytes
Cov qe ntshav liab tseem ceeb heev rau lub cev: lawv nqa oxygen thiab lwm yam tshuaj muaj nqi rau lub hlwb cov nqaij thiab cov nruab nrog cev. Ib cov zauv ntawm cov ntsiab lus no qhia tias qhov kev puas tsuaj rau ob lub raum los yog tias cov mucous membrane ntawm txoj hlab ntws tso zis. Nechiporenko lub hom - zis tsom qhia tau tias qhov concentration ntawm erythrocytes ntau tshaj li qub nyob rau hauv xws li pathological kev:
- mob raum;
- yaig ntawm lub ncauj tsev menyuam ;
- hydronephrosis ;
- prostatitis;
- raum pob zeb .
Rau lwm cov "provocateurs", vim tias cov zis tsom raws li cov qauv Nechiporenko qhia tau hais tias muaj cov concentration ntawm cov ntshav liab qog, xws li:
- noj khoom noj los sis mob rog heev;
- Muaj zog load;
- quav quav cawv;
- overheating.
Urinalysis by Nechiporenko - Thooj Voos Kheej
Cov no yog cov protein ntau. Hom phiaj, zis tsom raws li Nechiporenko qhia cylinders ntawm 0. Yog hais tias qhov concentration ntawm tej lub ntsiab lus yog siab tshaj 20 (qhov siab tshaj plaws permissible nqi), qhov no qhia tau hais tias ib tug pathology uas tshwm sim nyob rau hauv lub cev:
- mob plawv;
- amyloidosis ;
- kub siab;
- kab mob siab;
- cov txheej txheem autoimmune.