raum yog cov khoom nruab nrog lub luag haujlwm rau kev ua haujlwm ntawm lub cev. Ua tsaug rau kev ua haujlwm ntawm cov kabmob no, txhua yam khoom nkag mus rau hauv cov hlab ntsha yog lim. Lawv muaj lub luag haujlwm los tswj cov dej ntsev thiab electrolyte metabolism. Tsis tas li ntawd, lawv tsim cov tshuaj hormone "erythropoietin", uas yog qhov tsim nyog rau kev ua haujlwm ntawm hematopoiesis. Lub raum ua haujlwm tuaj yeem ntsuas tau los ntawm urinalysis. Muaj ntau ntau txoj hauv kev sim los ua qhov kev tshawb fawb no. Ntxiv nrog rau qhov tseeb tias, raws li lub xeev ntawm cov kua dej tawm, ib tus tuaj yeem paub txog qhov muaj cov txheej txheem inflammatory thiab ua txhaum ntawm kev lim dej ntawm lub raum, qee zaum muaju muaj nyob hauv cov zis. Feem ntau, lawv yuav tsum tsis yog. Yog li ntawd, cov tsos ntawm crystals nyob rau hauv kev tsom xam cov zis qhia tau hais tias kev ua haujlwm tsis zoo. Qee zaum, cov kev hloov no tau pom nyob rau hauv lub xub ntiag ntawm pob zeb. Qee lub sij hawm qhov tshwm sim no qhia tias muaj kev cuam tshuam rau qee yam kab mob raum. Nyob rau tib lub sijhawm, tus kab mob nws tus kheej kuj tseem tsis tau txhim kho.
Crystals hauv cov zis: qhov ua rau pom ntawm cov neeg noj qab haus huv
Crystals yog ib qho tsub zuj zuj ntawm cov ntsev uas tsim cov urinary sediment. Lawv qhov tsosnyob rau hauv ib qho me me tsis yog ib qho kev sib txawv thiab qee zaum tshwm sim hauv cov neeg noj qab haus huv. Yog hais tias cov crystals nyob rau hauv cov zis yog ho nce, qhov no qhia tau hais tias ib tug ua txhaum ntawm mineral metabolism. Cov laj thawj hauv qab no rau qhov pom ntawm cov ntsev hauv OAM yog qhov txawv:
- Qhov tseem ceeb ntawm qee yam khoom noj hauv kev noj haus. Cov no muaj xws li nqaij, txiv lws suav, asparagus, sorrel, lingonberries. Qhov tseeb yog tias cov zaub mov no muaj ntau cov kua qaub uas crystallize thiab precipitate.
- tawm hws ntau dhau thaum ua haujlwm.
- Noj qee cov tshuaj tua kab mob (cov tshuaj ntawm sulfonamide pawg, ampicillin).
- Cia dej tsis lim.
- Alkaline zis tshuaj tiv thaiv. Pom pom muaj kab mob hauv lub raum.
Yog tias, vim yog cov laj thawj saum toj no, amorphous crystals tshwm sim hauv cov zis, qhov no tsis yog qhov mob. Txawm li cas los xij, tsis tu ncua noj cov khoom noj uas muaj kua qaub ntau yog xav tias yog qhov ua rau muaj qhov tshwm sim ntawm lub raum pob zeb.
Pom ntawm amorphous crystals hauv pathology
Crystals hauv cov zis tuaj yeem txawv. Nws nyob ntawm seb cov ntsev lawv tsim los ntawm. Cov crystals yog subdivided rau hauv phosphates, urates thiab calcium oxalates. Tag nrho cov tshuaj no tuaj yeem ua rau lub raum lossis lub zais zis pob zeb. Qee zaum, pob zeb muaj ntau cov ntsev sib txawv ib zaug. Phosphates feem ntau precipitated los ntawm lub zais zis kab mob (cystitis), thiab lawv kuj tshwm sim vimnce secretion ntawm parathyroid hormone. Urates yog tsub zuj zuj ntawm uric acid ntsev. Kev tsim tawm ntau dhau ntawm cov tshuaj no qhia tau tias muaj kev ua txhaum ntawm cov ntxhia hauv cov metabolism hauv lub cev (gout). Tsis tas li ntawd, urates feem ntau muaj nyob rau hauv cov zis nyob rau hauv cov kab mob ntawm lub raum cov ntaub so ntswg (nephritis, CRF). Feem ntau, calculi muaj cov calcium, uas tau tso tawm ntau thiab cov ntaub ntawv muaju. Oxalates hauv cov zis tau pom hauv cov kab mob xws li pyelonephritis thiab ntshav qab zib mellitus.
Qhov muaj qee yam ntawm cov muaju yog ib txwm qhia txog cov kab mob pathological. Cov no suav nrog cov ntsev ntawm hypuric acid, tsub zuj zuj ntawm cov roj cholesterol, bilirubin, leucine, tyrosine, hematoidin. Feem ntau, cov tshuaj no yuav tsum tsis txhob tso tawm los ntawm lub raum.
Cov tsos mob ntawm muaj cov muaju hauv cov zis
Feem ntau, muaj cov muaju hauv cov zis tsis tshwm sim nws tus kheej. Tshwj xeeb tshaj yog tias muaj me me ntawm ntsev tsub zuj zuj. Cov tsos mob tshwm sim nrog kev tsim cov pob zeb thiab kev loj hlob ntawm urolithiasis. Hauv qhov no, kev ua haujlwm ntawm lub raum raug cuam tshuam vim kev cuam tshuam ntawm pelvicalyceal system. Tsis tas li ntawd, pob zeb tuaj yeem khaws cia hauv lub zais zis thiab nkag mus rau hauv cov ducts. Yog li ntawd, ib qho mob xws li lub raum colic tsim. Tus neeg mob yws ntawm qhov mob hnyav nyob rau sab nraub qaum, txuas mus rau hauv plab thiab thaj tsam inguinal. Vim lub fact tias muaj pob zeb nyob rau hauv lub ureter, kev tso tawm ntawm cov kua yog nyuaj. Mob hauv lub raum colic muaj zog heev uas tus neeg mob siv txoj haujlwm yuam kev: ntawm nws sab nrog ob txhais ceg coj mus rau lub plab. Crystals nyob rau hauv cov zis ntawm tus me nyuam feem ntau pom vim inflammatory pathologies (mob thiab mob pyelonephritis, cystitis). Cov kab mob xws li kub taub hau, xeev siab, mob hauv qab thiab plab (feem ntau nyob rau ib sab).
Kev kuaj pom muaj cov muaju hauv cov zis: kev txiav txim siab ntawm kev sim
Urates, phosphates thiab calcium crystals nyob rau hauv cov zis yog pom nyob rau hauv kev tshuaj xyuas microscopic. Ntxiv rau OAM, kuaj ntshav biochemical tau ua. Lub xub ntiag ntawm crystals nyob rau hauv cov zis yog qhia los ntawm ib tug "+". Piv txwv li, qhov nkag "urates +++" txhais tau hais tias cov tshuaj no muaj nyob rau hauv ntau qhov ntau. Qib pH kuj raug txiav txim. Yog tias qhov ntsuas no zoo li qub, kev kuaj xyuas qhov tob ntxiv yog ua tiav. Urinalysis yog ua raws li Zimnitsky, Nechiporenko, ultrasound ntawm lub raum, excretory urography. Qee zaum, nws yog ib qho tsim nyog los ua kev tshawb fawb ntawm cov qog parathyroid. Ntxiv nrog rau kev kuaj ntsuas thiab ntsuas ntsuas, nws yuav tsum paub tias: cov khoom noj dab tsi uas tus neeg tau noj ua ntej noj OAM, nws puas haus dej tsis tau lim.
Amorphous crystals hauv zis: kho
Tom qab nrhiav pom qhov ua rau pom cov muaju hauv cov zis, kev kho mob tau sau tseg. Yog tias muaj pob zeb loj hauv lub raum, yuav tsum tau phais. Nyob rau hauv cov ntaub ntawv uas muaju tshwm sim tawm tsam keeb kwm ntawm ib co kab mob (pyelonephritis, ntshav qab zib mellitus, gout), kev kho mob yuav tsum tau coj mus rau lub hauv paus pathology. Nrog rau kev loj hlob ntawm lub raum colic, cov tshuaj antispasmodic tau sau tseg (cov ntsiav tshuaj "No-shpa", "Drotaverine"), uroseptics.
Yuav ua li cas tiv thaiv kev tsim cov muaju hauv cov zis
Txhawm rau tiv thaiv kev tsim cov muaju hauv cov quav tso zis, nws yog qhov yuav tsum tau noj OAM ib ntus. Tom qab tag nrho, feem ntau cov ntsev ntxiv tsis yog nrog cov tsos mob. Nws yuav tsum nco ntsoov tias cov muaju tsis tshua tsim nrog cov khoom noj kom zoo. Yog li ntawd, nws tsim nyog noj cov zaub mov uas muaj cov kua qaub hauv qhov txwv. Nws tsis pom zoo kom haus dej "raws" unfiltered. Nyob rau hauv lub xub ntiag ntawm inflammatory thiab metabolic kab mob, nws yog tsim nyog los ua raws li tus kws kho mob cov tshuaj.
