Urinary dipstick screening inzira inokurumidza uye iri nyore yekuratidza zvirwere zvakasiyana panguva yekutanga. Zvirwere zvinoongororwa zvinosanganisira zvirwere zvemetabolism senge chirwere cheshuga mellitus (kuvapo kweglucose uye / kana miviri yeketone muweti), chirwere cheitsvo dzimwe nguva chinotevera chirwere cheshuga kana BP (kuvapo kweprotein muweti), maronda emuweti kana weti. prostate, semuenzaniso kutevera bundu kana lithiasis (kuvapo kweropa muweti) kana zvimwe zvirwere zveweti (kuvapo kweleukocytes uye kazhinji nitrites muweti).

Weti dipstick inogadzirwa netsvimbo yepurasitiki kana chidimbu chebepa, inotarisirwa kunyikwa muweti ichangobva kuunganidzwa, pane nzvimbo dzemakemikari reagents. kukwanisa kushandura ruvara pamberi pezvimwe zvinhu. Mhinduro yacho inokurumidza zvikuru. Zvinowanzotora miniti imwe kuti uwane mhinduro yebvunzo.

Mitsetse yeweti inogona kuverengwa neziso rakashama. Kuverenga kweiyo weti strip kunonyatso kududzirwa zviri nyore nekuda kwe colorimetric scale system. Iyi sisitimu inoita kuti zvikwanise kuve neruzivo rwekusungwa, kuvapo kana kusavapo kwezvimwe zvinhu. Kuti uwane kuverenga kwakavimbika, muverengi weti dipstick anogona kushandiswa. Izvi zvinoverenga nekuprinda zvabuda. Izvi zvinonzi semi-quantitative: zvinoratidzwa zvingave zvisina kunaka, kana mune zvakanaka, kana muchiyero chehukoshi.

Iyo weti mitsetse inobvumira kuongororwa nekukurumidza kuti kuitwe, izvo zvinogona kutungamira kuongororwa kana chikumbiro cheimwe yakadzama yekuwedzera bvunzo. Kana ichishandiswa kune zvinangwa zvakawanda, inobvumira weti kuti iongororwe kune akawanda ma paramita mukuongororwa kumwe chete, senge:

• leukocytes kana masero machena eropa;
• nitrites;
• mapuroteni;
• pH (asidhi / alkalinity);
• masero matsvuku eropa kana masero matsvuku eropa;
• hemoglobin;
• density;
• ketone miviri;
• iyo glucose;
• bilirubin;
• urobilinogen.

Saka, zvichienderana nemachira, 4 kusvika kune gumi zvirwere zvinogona kuonekwa, kusanganisira kunyanya:

• chirwere cheshuga: kuvapo kweglucose muweti kunofanira kutungamirira kukutsvaga kwechirwere cheshuga kana chirwere chisina kukwana chechirwere cheshuga. Zvechokwadi, kushayikwa kana kushandiswa kusina kunaka kwe insulini nemuviri kunotungamirira kukuwedzera kwehuwandu hwehuga hweropa, kureva muhuwandu hweglucose muropa. Glucose yakawandisa muropa inobva yabviswa neitsvo muweti. Kuvapo kwemitumbi yeketone inobatanidza neglucose mumuguta inoratidzawo chirwere cheshuga chinoda kurapwa kwekukurumidzira;
• Zvirwere zvechiropa kana bile ducts: kuvapo kwebilirubin, kunokonzerwa nekuparara kwemasero matsvuku eropa, uye urobilinogen muweti inoita kuti zvikwanise kufungidzira zvimwe zvirwere zvechiropa (hepatitis, cirrhosis) kana kuvharika kwenzira dzekubudisa bile, inokonzera. nokuda kwekuwedzera kusingaenzaniswi kweaya bile pigments muropa uyezve muweti;
• zvirwere zveurinary system: kuratidzwa kweprotein muweti kunogona kuratidza kusagadzikana kwetsvo, semuenzaniso wakabatana nechirwere cheshuga kana BP. Zvechokwadi, kuvapo kweropa (masero matsvuku eropa) muweti kunoratidza zvirwere zvakasiyana-siyana zveitsvo uye urinary turakiti: matombo, itsvo kana dundira, etc. Kuyera kwehuwandu hwehutachiwana hunoita kuti zvikwanise kuongorora simba rekugadzirisa retsvo uye. njodzi yekukura urolithiasis. Kuyera kweurinary pH kunoita kuti, pakati pezvimwe zvinhu, zvigoneke, kubatsira kuziva kwakabva lithiasis uye kugadzirisa kudya kwemurwere welithiasic;
• Urinary tract infections: kuvapo kwemaleukocyte uye kazhinji manitrites muweti zvinoreva kuti mabhakitiriya anokwanisa kushandura nitrate kubva muchikafu kuita manitrites aripo mudundira kana muurinary tract. Weti ine utachiona dzimwe nguva ine maronda eropa nemapuroteni. Pakupedzisira, inoramba iine alkaline pH inogona kuratidza chirwere cheurinary tract.

Iwe unogona kuyedza weti yako pachako nemucheka wekuongorora weti. Nzira yacho inokurumidza uye iri nyore. Kuti udzivise kukanganisa mhedzisiro, unofanirwa:

• ita bvunzo padumbu risina chinhu;
• geza maoko ako nenhengo dzakavandika nesipo kana mhinduro yeDakin, kana kunyangwe nemapukuta;
• bvisa jet yekutanga yeweti muchimbuzi;
• kuita weti mubhodhoro rakapihwa nemitsetse pasina kubata kumucheto kwepamusoro;
• Nyatsoita homogenize weti nekutenderedza bhodhoro zvishoma nezvishoma;
• soak zvimedu zve 1 sekondi muweti, kunyorovesa zvachose nzvimbo dzese dzakasimba;
• kurumidza kunyura nekupfuura chidimbu chemutsetse papepa rinonwisa kuti ubvise weti yakawandisa;
• verenga mhedzisiro nekuenzanisa ruvara rwakawanikwa ne colorimetric renji inoratidzwa papakeji kana pabhodhoro. Kuti uite izvi, remekedza nguva yekumirira inotsanangurwa nemugadziri.

Nguva yekuverenga yemhedzisiro inowanzoita maminetsi maviri eleukocytes uye 2 miniti yenitrite, pH, protein, glucose, ketone miviri, urobilinogen, bilirubin, uye ropa.

Kuchenjerera kwekushandiswa

• usashandise mitsetse yakapera (zuva rekupera rinoratidzwa pasuru);
• chengetedza mitsetse munzvimbo yakaoma pane ambient tembiricha iri pasi pe30 ° C uye mune yavo yekutanga kurongedza;
• usamboshandisa zvakare kana kucheka zvidimbu;
• weti inofanira kunge ichangobva kupfuura;
• weti inofanira kuramba iri mudundira kweanenge maawa matatu kuitira kuti mabhakitiriya, kana aripo, ave nenguva yekushandura nitrate kuita nitrites;
• weti haifanirwe kunyungudika zvakanyanya. Izvi zvinoreva kuti haufanirwe kunwa mvura yakawandisa usati waongororwa;
• usambodira weti ine pipette pamucheka;
• usatore weti kubva mubhegi reweti yemucheche kana catheter yeweti.

Mhedzisiro yeurini dipstick inogona kududzirwa nenzira dzakawanda zvichienderana nemamiriro ezvinhu ayo akarayirwa. Kazhinji, chiremba anoshandisa iyo semureza, yakasvibirira kana tsvuku, iyo inomusimbisa kana kumunyevera pamusoro pekuvapo kwechirwere chinofanira kusimbiswa nemimwe miedzo.

Nokudaro, iyo yakakwirira yehuwandu hwezvinhu - ingave glucose, mapuroteni, ropa kana leukocytes - zvinowanzoita kuti chirwere chivepo. Iyo yakajairika weti dipstick zvakare haivimbisi kusavapo kwechirwere. Weti yevamwe vanhu inenge iine zvinhu zvakawandisa zvisina kujairika padanho repamusoro rechirwere, nepo vamwe vanhu vachiburitsa zvinhu zvisina tsarukano muweti yavo nguva nenguva.

Kune rumwe rutivi, kunyange zvazvo kuongorora weti kwakakosha zvikuru pakuona zvimwe zvirwere, inongova kuongororwa. Inofanirwa kuwedzeredzwa nekumwe ongororo yekusimbisa kana kusaita mibairo yakawanikwa, senge:

• urinary cytobacteriological examination (ECBU);
• nhamba yeropa (CBC);
• kutsanya shuga yeropa, ndiko kuti, kuyerwa kweglucose muropa mushure memaawa masere ekutsanya.