Ukuzihlolisisa ngokukhulelwa kuyinkimbinkimbi ebalulekile yokuhlola ukuhlola. Kusekelwe emiphumeleni yokuhlolwa komchamo jikelele ngesikhathi sokukhulelwa ukuthi lesi sifo esibi kakhulu sokuthi i- gestosis ephuzile (preeclampsia) ne-pyelonephritis ingaqashelwa ngisho noma ukubonakaliswa kwemitholampilo kungatholakali. Sizocabangela ukubaluleka kokuhlaziywa okujwayelekile komchamo ngesikhathi sokukhulelwa.
Ukuhlaziywa - ukulotshwe kokukhulelwa
Lapho echaza umphumela wokuhlolwa komchamo, lezi zinkomba ezilandelayo zihlolwe kumama ozayo:
- Umbala kanye nomthamo womchamo. Inani kumele okungenani libe ngu-10 ml, kuyilapho kuphela ingxenye ejwayelekile eqoqwe. Umbala we-urine ngendlela evamile kumele ube yi-straw-yellow.
- I-acidity yomchamo ixhomeke esimweni somsoco wesifazane okhulelwe. Uma umama wesikhathi esizayo ekhetha ukudla okunamaprotheni, khona-ke ukuphendula komchamo kuyoba yinto enamandla. Uma ukudla komama okhulelwe kunenani elikhulu lemifino, izithelo nemikhiqizo yobisi, ukusabela komchamo kuyoba yi-alkaline. Ngomzimba omningi we-acid umvuthwandaba omama abakhulelwe, umuntu angacabanga ngokuthuthukiswa kwe-gestosis yakuqala, ehambisana ne-nausea nokuhlanza.
- Isibonakaliso esibaluleke kunazo zonke se-urinalysis ukuzimisela kweproteinuria . Ngokuvamile, abesifazane abakhulelwe akufanele babe namaprotheni emcimbini wabo. Ukubonakala emcinini weprotheyini ngaphezu kwe-0.033 mg kubonisa isifo sezinso. Lesi sifo siwuphawu lwesigamu sesibili sokukhulelwa futhi kuthiwa yi-gestosis ephuzile (preeclampsia). Ezimweni ezinjalo, ukubukeka kwamaprotheni emcimbini kuhlangene nokunyuka kwengcindezi yegazi kanye ne-edema ye-peripheral. Uma izimpawu zomtholampilo ze-preeclampsia zithuthuka, yilesi isisekelo sokwakhiwa esibhedlela kwesifazane okhulelwe esibhedlela esibhedlela. Ezimweni ezimbi, owesifazane kufanele abelethe ngokusebenzisa ukuhlinzekwa kwesigaba sokuphepha ukuze asindise impilo yomama nengane yakhe.
- I-leukocytes emcimbini okhulelwe ingaba khona kusuka ku-0 kuya ku-5 emkhakheni wokubuka. Ukwanda kwenani lama-leukocyte ekuhlaziyweni okujwayelekile kungakhuluma ngesifo sokuvuvukala kwesistimu ye-urinary. Isizathu esivame kakhulu se-leukocyturia yi-pyelonephritis.
- Esinye isibonakaliso esibalulekile sokuhlaziywa ngokujwayelekile komchamo ekukhulelweni kubonakala amabhaktheriya. I-Bacteriuria ingenye isiqiniseko se-pyelonephritis enamandla kumama ozayo. I-leukocyturia ne-bacteriuria ingase ihambisane nobuhlungu e-back back kanye nokwanda kokushisa komzimba kuze kufike ku-39 °.
- Ukuxubana kwamanzi usawoti kumchamo (urate, phosphate ne-oxalate) ekukhulelweni okujwayelekile kumele kuncishiswe, ngoba iningi lalo liya ekubunjweni kwamasaka omntwana. Ukwandiswa kulezi zinhlanganisela ngesikhathi sokukhulelwa kunikeza isizathu sokusola isifo se-urinary system.
- Ukubonakala kwe-glucose ekuhlaziyweni komchamo jikelele kungakhuluma ngesifo sikashukela sokugaya umzimba .
- Izidumbu ze-ketone akufanele zivame ukuba khona. Ukubukeka kwabo ekuhlaziyweni komchamo kuyisiqinisekiso se-gestosis yokuqala noma isifo sikashukela somama okhulelwe.
- Amaseli e-epithelium flat ne-cylinders angaba khona ekuhloleni umchamo ngesamba esisodwa. Ukwandisa kwabo kungakhuluma nge-pathology ye-urinary system.
- I-Hematuria yanda ukwanda kwama-erythrocytes kumsampula we-urine ngaphezu kwesijwayelekile (0-4 emkhakheni wombono).
Yini okufanele ngiyenze uma imiphumela engafanele yokuhlenga amanzi etholakala emakhakheni akhulelwe?
Ukuhlolwa komchamo ompofu ngesikhathi sokukhulelwa kuyisisekelo sokutadisha okubanzi. Okokuqala, kubalulekile ukuthola ukuthi ngabe lona wesifazane wayeqoqa umchamo ekuseni bese emnika ukuhlaziywa kwesibili. Uma kunesidingo, ukuhlaziywa komchamo kunqunyelwe u-Zimnitskiy noNechiporenko. Ukuqinisekisa noma ukuphikisa ukuxilongwa, izinso ze-ultrasound zibekiwe.
Ungathatha kanjani umchamo ngesikhathi ukhulelwe?
Ukuze uhlaziye, umchamo wasemuva kufanele uqoqwe. Okokuqala, kubalulekile ukuphatha ukwelashwa kwangokwenyama yangaphandle, bese uqoqa ingxenye ephakathi yomchamo ezitsha zobumba. Ukuhlaziywa kufanele kuhanjiswe ebhokisatrili kungakapheli amahora ama-2.5 ngemuva kokuthola.
Ngakho-ke, sabona ukuthi ukuhlaziywa komchamo ngesikhathi sokukhulelwa kuyisifundo esibalulekile sokuhlola okusivumela ukuba sibone ukuthi lezi zifo ezinzima njengegestosis, isifo sikashukela kanye nokuvuvukala kwezinso kanye nomgudu we-urinary.