Hematuria - chii? The zvinokonzera hematuria

The excretory hurongwa munhu ikasakendenga chirwere mumwe mumuviri, sezvo utachiona uye makemikari zvinokachidza zvinowa- yabudiswa ne neitsvo. The pathological muitiro iri mupasi zvakananga itsvo, kungawedzera permeability pamusoro glomerulus membranes nokuda ichi vhinza ropa masero. A chirwere kunoratidzwa nokuvapo masero matsvuku eropa ari weti inonzi hematuria. Chii? Chii chinokonzera Fani iyi? Chii kurapwa kunodiwa? Izvi uye nemimwe mibvunzo dzinokurukurwa munyaya.

Marudzi haematuria

Pachishandiswa zvinokonzera, haematuria (chirwere zviratidzo zvinotsanangurwa pazasi) rakakamurwa:

• extrarenal asina chokuita yokukuvara kana chirwere itsvo;
• renal, Virtual nokuda renal zvokurwara;
• postrenal kuti kunoitika apo akarova nokuda Urinary turakiti uye dundira.

Kana Inowanikwa weti ane zvakakwana yakawanda ropa uye weti anova matsvuku, zvino pane makrgematuriya.

Kana masero matsvuku eropa varipo vari weti iri shoma weti uye ruvara inoramba yakafanana, kutaura nemaziso hematuria.

Inobva chokwadi umo pakati ndiripo weti migove ropa anogona chirwere kwokutanga hematuria (mu 1st batch mangé), zvachose (zvikamu zvose matatu), kuguma (mukupera mugove). kuparadzana Izvi zvinoita kuti kuziva pane pamwero nezvezvimwe zvinetso zvedundira nezvechinhu chimwe pathological kwacho: pokukundwa pamusoro, zvapedzisira iri weti kuonekwa masero matsvuku eropa.

Kana kusuruvara Urinary chirwere kazhinji aibatanidza proteinuria uye hematuria. Proteinuria - ndiwo chirwere iyo kunoratidzwa mapuroteni iri weti. The yakawanda mapuroteni iri weti ndicho chiratidzo Urological zvirwere.

haematuria chirwere

zvokurwara Izvi zvinogona pamwe kurwadziwa urethra uye dundira panguva weti, kana tanga nayo. Dzimwe nguva marwadzo haiperi ndine hunhu.

Kurwadziwa lumbar nharaunda, parutivi, pasi pamafudzi chipande kungaratidza itsvo kuzvimba, kunotevera, Nephroptosis (itsvo ptosis).

Common zviratidzo kurasikirwa ropa ndiro zvachose hematuria zviratidzo iyi - paleness, utera, nyota, dzungu.

Angamira jecha, concretions, zvichiratidza urolithiasis. Kana allocating sepombi (elongated clots) ane yeyero kana shava ruvara anogona kutaura lesion (anogumbura kana zvinorwadza) renal parenchyma.

Skin tsvuku, greenish noruvara kunoratidza kusava kushanda gallbladder, chiropa, hemolysis, kuparadzwa masero matsvuku eropa.

Chenjera kana chirwere kubuda ropa kwenguva refu munyika Urinary ino, umo mune pfupi ropa huru clot akaumba overlying pasuo urethra, zvichitungamirira hazvibviri nokuisa dundira. Uyewo, weti goho inogona nemutemo nedombo guru.

Chii chinokonzera izvi ezvinhu?

Kana akawanikwa hematuria, zvikonzero Fani iyi angava akasiyana. Kazhinji anovandudza zvokurwara anomera, anogumbura zvirwere, kukuvara nezvezvimwe zvinetso zvedundira turakiti, itsvo mabwe, glomerulonephritis, tibhii, chirwere cheitsvo, ropa zvirwere.

Kazhinji, hematuria kwava kushoma chaizvo. Vashoma benign ezvinhu umo nemaziso hematuria akaonekwa - chirwere mutete glomerular bhesimendi membranes. Kakawanda, hama varwere ivava kuona zviitiko chirwere. Microhematuria ane yoga hunhu uye kuvandudzwa renal kukundikana hakuitiki.

Microhematuria zvingaitika pashure kwenguva refu kumhanya kana kufamba. Pashure kumira kurovedza muviri erythrocytes apere. Chii akabatanidza kukura Chiitiko yanhasi haina chaiyo kutsunga.

Gross hematuria harimborevi kuwanikwa vanhu hwakanaka. Kazhinji ichi ezvinhu zvinoratidza kwazvo maronda ari Urinary turakiti kana itsvo tishu.

Nei kuitika nonrenal hematuria? Zvikonzero Fani iyi vane ukama kutyora kuvimbika Urinary turakiti mucosa. Previous kuti kukuvara bundu, anogumbura maronda kana kukuvara, kunowanzoguma ulceration. Hematuria dundira ibwe inotungamirwa, kana nemhaka ndima ibwe ureters, urethra, dundira. Anticoagulant ovhadhozi anogona kukonzera ropa pamusoro mucosa nezvezvimwe zvinetso zvedundira turakiti.

Renal hematuria hwapedyo nokuda pezvakaitwa dzinoparadza ari itsvo munyama, zvirwere zviri venous water drainage uye necrotizing vasculitis. Glomerular hematuria immunoinflammatory chokuita glomerular kukuvara bhesimendi Kamudzira kana vachiberekwa abnormalities. Uyezve, renal hematuria kunoitika muna anogumbura uye chepfu maronda ose tubules. Zvokurwara vanogonawo kuva somugumisiro kunowedzera renal intravascular coagulation.

Saka, hematuria - chii uye somugumisiro hwapedyo? ezvinhu akadaro angamuka nokuda zvokurwara dzakasiyana-siyana dzenyika Urinary hurongwa.

yeprostate:

• kenza yeprostate.
• Yeprostate kuzvimba (prostatitis).
• Prostatic hyperplasia isiri yekenza.

Urethra:

• Foreign muviri ari urethra.
• Kunotevera urethra.
• Bundu urethra. Nekenza yacho urethra hariwanikwi uye kunowanzoguma urethrorrhagia - chitarisiko ropa kubva urethra pakati weti.
• Kuzvimba urethra (urethritis).

Upper Urinary turakiti:

• Rakapinza maronda, sevakagurika kunotevera.
• Itsvo mabwe. Kazhinji mhosva hematuria anoita urolithiasis. In renal papilla kuumbwa munyu deposits, zvichiguma abudise mugadziriro akaumba itsvo matombo. Itsvo mabwe anogona hakuiti unooneka, asi nokushatiriswa kana kuzvimba mucous Kamudzira nezvezvimwe zvinetso zvedundira turakiti pane ropa weti.
• Itsvo bundu. An yambira chiratidzo kenza itsvo dziri honye-seropa clots iri weti. Ropa kuonekwe nokuda benign anomera.
• Chirwere.
• Vachiberekwa abnormalities (cysts mu itsvo).
• Ropa zvinetso (hemophilia, nembezo sero kupererwa neropa, neleukemia).
• Renal tsinga thrombosis, renal embolism.
• Cheitsvo: glomerulonephritis (iyi, ropa iri weti zvinogona kuonekwa chete maikorosikopu), pyelonephritis (chirwere ichi ropa weti zvirege achiperekedzwa marwadzo kurwiswa, asi kakawanda kuti chirwere ichi kunoratidzwa fivha, musana marwadzo, zvimwe ropa chepfu).

ureter:

• Injury.
• Achifumira chirwere.
• dombo inotungamirwa ari ureter.
• Ureteral bundu chirwere.

Lower Urinary turakiti:

• Chirwere: Hemorrhagic cystitis (chirwere chakakomba, iyo inozivikanwa nekudeura ropa kubva dundira), schistosomiasis (dundira iri kukanganiswa parasitic Makonye), dundira tibhii.
• Kukuvara of dundira.
• Urolithiasis.
• Dundira bundu (chinokosha kuziva zvinenge nyarara hematuria, izvozvo achapa mukana rokuongorora mangwanani Danho chirwere uye vakabudirira zvakaipa).
• Irradiation of dundira.
• medicament akadaro, sezvo "Cyclophosphamide", anoshandiswa kurapa kenza, kungamutsawo chitarisiko ropa weti.

Diagnostics

Above takakurukura zviratidzo uye zvinokonzera zvakadai mananara sezvo hematuria, inozivikanwa kwatiri. Zvino ngationei kukurukura nzira nechirwere pamusoro zvokurwara ichi. Kuti kuzivisa hematuria, weti kunodiwa kuti azodzidza murabhoritari. Cherechedza kuti ruvara weti hazvirevi hazvo kuti kuvapo ropa. Weti anogona kuva tsvina blue kana chiedza dzvuku Hue nokuda kudyiwa zvimwe zvigadzirwa.

Kudzidza pamusoro Nechiporenko nzira

First mangwanani weti ikaunganidzwa (anenge 150 Rine mamiririta). Asati vaiunganidza nzira compulsorily kupedza mangwanani chimbuzi kuti sikarudzi. Midziyo kwacho inofanira kuva chena. Kuendeswa kune murabhoritari yokutsvakurudza zvinhu zvakakodzera kuti 2 kwemaawa.

Kudzidza daily weti vhoriyamu

Weti yokuenzanisira kutanga kuunganidza kubva weti chamangwanani rechipiri uye kupedza rakatevera zuva rokutanga mangwanani weti. Mukati rimwe zuva weti ikaunganidzwa mune rimwe mudziyo, sezvo vhoriyamu rwakanga rwakakura, hwakakanyiwa zvakanaka uye mugove (150 ML) unokandirwa ari oga mugaba. Mukuita wokuunganidza weti vanofanira kuchengeta utsanana. Kuti achengetedze nani mashoko, inokosha zvisaora kushandiswa.

Zvimwe nzira tsvakurudzo

Also takura emadhaka microscopy kuona uwandu masero matsvuku eropa mumunda maonero. Kuona kana kushamiswa tubules uye glomeruli, kunobvira achishandisa danho musiyano microscopy kuti weti emadhaka.

Differential chirwere inosanganisira pelvic Ultrasound, uye itsvo, cystoscopy biopsy ekstretornoy urography, retrograde renografii, renal biopsy zvidzidzo testes uye prostate, weti tsika nenzira inotonhorera svikiro (Kutsunga noutachiona), kombiyuta tomography uye X-ray (vasabatwa ane muviri wokumwe).

Hematuria: kurapwa chirwere

Hematuria - iri chiratidzo, saka kurapa Fani iyi yaifanira pavanoparidza pakurapa runotikurudzira chirwere.

Nokuti ruyamuro mishonga inoshandiswa ropa "Vikasol", "Dicynonum", aminocaproic acid, calcium yakawanda chloride mhinduro 10%. Kana kurasikirwa ropa kwazvo 500 Rine mamiririta, kuti muzadze vhoriyamu ropa waida kuitisa aizomupa mishonga.

Kana ureter kana urethra zvakwakafukurwa calculus, akarayira kushandisa antispasmodics uye chafariz pachishandiswa zvichaita kufambisa expectoration kwayo. Kana pasina kusiya ibwe haigoni kuitwa expeditiously uye cystoscopic dzokubudisa.

For Kukuvara itsvo lacerations uye hematomas anoumba anodiwa nechimbichimbi kuvhiyiwa.

Kana mubatanidzwa proteinuria uye haematuria yakatarwa corticosteroids.

Kana chirwere chisingaperi hematuria, kurapwa kunosanganisira kushandisa simbi uye mavhitaminzi kuti boka B.

Kana abnormality ari mwana

Hematuria muvana kakawanda chokuita maronda ari renal parenchyma. In paucheche, nguva pfupi pashure pokuberekwa, pakupona anozviratidza: .. Kuvapo cysts, itsvo chipanje, etc. The chokudzivirira kuzviongorora mwana anofanira zvinosanganisira urinalysis.

Chirwere renal ropa ari mwana anogona kukonzerwa tibhii utachiona, iyo inoyerera rinopikisa mu muduku. Nokuda kuti majini nezvirwere ropa coagulation maitiro uye ropa kuitika kakawanda hematuria, muchiitiko ichi, vari achiperekedzwa telangiectasia uye hematoma. Mwana anogona tichirwadziwa vari kuwa. Kana hematuria ari hama ropa pasina zvinopesana hutano mwana haasi kunze benign rwapedyo hematuria, chokuita kudaro kutanga chakanangana nemamiriro itsvo.

Vabereki vanofanira kunyatsongwarira. hwomwana hanya zvinofanira yazivisa navo, saka anogona kuratidza kurwadziwa. Unofanirawo kuteerera kupisa muviri uye Urinary chengetedzo.

Hematuria muvana zvinogona kukonzerwa ne- streptococcal chirwere, izvo kunokanganisa renal parenchyma. Nemavhairasi chirwere rokumusoro kufema turakiti kunomutsa IgA-nephropathy. Kakawanda, zvokurwara riri benign, uye kukura echirwere renal kukundikana hakuitiki. Akaipa weboka chirwere kunoratidzwa wakawedzera BP, proteinuria, kwakakomba hematuria.

Hematuria mu pamuviri

Kakawanda, hematuria vakadzi panguva mukubereka vana kunoitika muna 2-3 trimester. The muchero kukura, asi ureters vari chakati dumbu - ichi ane kunambwa renal ushande. Mhedzisiro yacho kurega kunotanga kuti weti iri chiuno vangava paumbwe mabwe, izvo kukuvadza epithelium uraire ropa. Mukana wokuti dzichiri hematuria inowedzera zvinoshamisa kana vakadzi vane pamuviri vanotambura kuzvimba itsvo kana iye ane chirwere renal kukundikana. Zvakakosha kwete kuvhiringidza uterine ropa uye nekudeura ropa kubva Urinary turakiti. Sezvo nyaya nengozi vose mai uye mudumbu wokutanga. Apo akatakura mwana zvaanopa simba ropa coagulation maitiro uye kururamiswa dzayo basa kugamuchira gadziriro chaidzo. Hematuria vakadzi panguva nhumbu inogona kukonzerwa nokutora anticoagulants, uye kusunga kubuda kweropa, Zvaringana vabatirane.

mhedziso

Urological chirwere pasina zvakakwana kurapwa kungamutsawo kenza, siyana anogumbura zvirwere, vakawanda matambudziko. Mune zvimwe zviitiko, chete chiratidzo chirwere nezvezvimwe zvinetso zvedundira ndiyo hematuria. Chii, wadzidza nyaya ino. Usasiya pasina kuteerera Fani iyi, uye kana kuona pakarepo kutaura chiremba. The chete nzira iwe urambe utano hwako, uye mune zvimwe zviitiko muupenyu. Zvichengetedze!