Mukati
Ropa mumuguta wemwana (kana hematuria, erythrocyturia) haisi chirwere chakazvimirira, asi chikonzero chechirwere chipi nechipi che genitourinary system. Dzimwe nguva kutaridzika kweropa muweti yemwana kunogona kuve kwakasiyana-siyana kwemaitiro asingadi kupindira mune zvekurapa uye kuzvidya mwoyo, uye dzimwe nguva inogona kuva chiratidzo chinotyisa chekliniki yehupenyu hunotyisa.
Kazhinji, chete 1-2 erythrocytes inowanikwa mumuyedzo weti. Kana nhamba yemasero matsvuku eropa yakakwirira kwazvo (3 kana kupfuura) - iyi yatova hematuria. Kune maviri akasiyana echirwere ichi: microhematuria (kana ropa riri muweti rinoonekwa chete panguva yekuongororwa pasi pemaikorosikopu, weti yemwana pachayo haichinji ruvara rwayo) uye gross hematuria (apo ropa riri muweti rinoonekwa neziso rakashama; dzimwe nguva kunyange magwamba eropa anowanikwa).
zviratidzo
Ne microhematuria, ropa riri mumuguta remwana harigoni kuonekwa neziso rakashama, asi rinogona kuonekwa chete panguva yekuongorora pasi pe microscope. Ne gross hematuria, ropa riri muweti rinokwana kuti weti yemwana ichinje ruvara – kubva papingi rakachenuruka kuenda ku dzvuku rakajeka uye kunyange kusviba, kunenge kutema. Panguva imwecheteyo, vabereki vanofanira kuyeuka kuti kuchinja kwemuvara weti kunogona kukonzera kushandiswa kwezvimwe zvekudya zvemavara (beet, cherries, blueberries), zvinodhaka (analgin, aspirin), uye hapana chakaipa mune izvi.
Dzimwe nguva ropa muweti yemwana rinogona kuperekedzwa nekurwadziwa mudumbu rezasi, muzasi kumashure uye pakuita weti. Kuoma weti kana kusavapo kwayo zvachose, fivha, kutonhora, kushaya simba uye general malaise inogona kuonekwa - zvose zvinoenderana nechirwere, mhedzisiro yacho yaiva hematuria.
Zvikonzero zveropa muweti mumwana
Zvinonyanya kukonzera ropa muweti muvana zvirwere zvegenitourinary system (itsvo, ureter, dundira, urethra):
- cystitis (kuzvimba kwemadziro edundira);
- urethritis (kuzvimba kweiyo urethra);
- pyelonephritis (kuzvimba itsvo tubules);
- glomerulonephritis (kuzvimba renal glomeruli);
- hydronephrosis yeitsvo (kuderera kwechikamu che ureteropelvic, zvichiita kuti kutyorwa kwekubuda kweweti);
- urolithiasis chirwere;
- maitiro akaipa eitsvo kana dundira (kazhinji kashoma muvana);
- kukuvara kuitsvo kana dundira.
- Chinonyanya kukonzera ropa mumuguta wemwana zvirwere zvakasiyana-siyana zvinoputika zveurinary system. Izvi nephritis, glomerulonephritis, pyelonephritis, kureva itsvo kuzvimba, uye cystitis, kuzvimba dundira. Urolithiasis inogonawo kuitika. Minyu mumuguta inogona kubudisa masero matsvuku eropa, zvirwere zvakasiyana-siyana zvenhaka (nephritis) uye marudzi ose ematambudziko nekuvhara ropa - coagulopathy (munyaya iyi, kuwedzera kune itsvo, pachava nezvimwe zviratidzo zvekubuda ropa). Ropa muweti rinogona kunge rakasiyana-siyana remazuva ekutanga mushure mekuberekwa kwemwana - iyo inonzi uric acid infarction. Kuvapo kuduku kwe erythrocytes mumuguta wemwana kunogamuchirwa pakarepo mushure mekuputika kwezvirwere zvekufema. Muchiitiko ichi, kana mwana asingachanetseki, uye pane zvishoma erythrocytes, vanachiremba vanongokurudzira kudzorera weti mumavhiki maviri uye kutarisa, - anotsanangura. chiremba wevana Elena Pisareva.
mabatiro
Mutemo unonyanya kukosha: kana ukaona ropa muweti yemwana, haufaniri kuzvidzora kana kurega zvinhu zvose zvichitora nzira. Zvakakosha kutsvaga mazano ekurapa nekukasika.
Diagnostics
Kuongororwa kwehematuria muvana kunosanganisira kubvunzurudza nechiremba wevana, panguva yaachazotora anamnesis, kujekesa zviratidzo uye kubvunza nezvemashoko apfuura. Mushure maizvozvi, kuongororwa weti kunotarwa (zvizhinji uye zvakakosha - maererano neZimnitsky, maererano neNechiporenko), pamwe chete nekuongorora kwerabhoritari se: kuverengwa kweropa rakazara, kuongororwa kweropa kuti uone coagulation, kuona urea uye creatinine, pamwe chete. se ultrasound yenhengo dzedumbu, dundira uye ureter, CT kana MRI, kana zvichidiwa, kana kubvunzurudza kwevamwe nyanzvi - urologist, chiremba anovhiya.
Mishonga yemazuva ano
Zvakare, haisi hematuria pachayo inorapwa, asi chikonzero chayo, ndiko kuti, chirwere chakakonzera kuonekwa kweropa mumuguta. Muchiitiko chekuputika uye zvirwere zvinotapukira zveitsvo uye urinary turakiti, chiremba anorayira kurapwa kwakakodzera - anti-inflammatory drugs, antibiotics, uroseptics, pamwe chete nekosi yevhithamini kuwedzera hutachiona. Kana ropa riri mumuguta rakaonekwa mushure mokunge mwana ane ARVI, saka hapana kurapwa kunorayirwa, uye mwana anongoonekwa kuitira kuti mamiriro ake arege kuwedzera.
dziviriro
Sezvo zvakadaro, kudzivirira hematuria mumwana hakupo. Zvakakosha kutarisa hutano hwemwana, kudzivirira hypothermia, zvirwere, kukuvadzwa kunogona kutungamirira kuzvirwere zve genitourinary system, uye pazviratidzo zvekutanga, bvunza chiremba uye kuongorora zvakakwana.
Mibvunzo nemhinduro dzakakurumbira
Chiremba wevana Elena Pisareva akapindura mibvunzo yakakurumbira nezve enuresis muvana.