Uvavanyo oluthile lomxhuzulane

Umchamo othile womxhuzulane luvavanyo lwelebhu olubonisa uxinizelelo lwazo zonke izinto zamachiza kumchamo.

Emva kokuba unikeze isampuli yomchamo, ivavanywa kwangoko. Umboneleli ngononophelo lwempilo usebenzisa idipstick eyenziwe ngephedi enovakalelo lombala. Umbala utshintsho lwedipstick uza kuthi uxelele umboneleli womxhuzulane othile womchamo wakho. Uvavanyo lwe-dipstick lunika kuphela iziphumo ezibi. Ukufumana iziphumo ezichanekileyo, umboneleli wakho angathumela isampuli yakho yomchamo kwilebhu.

Umboneleli wakho unokukuxelela ukuba kuya kufuneka unciphise ukuthatha kwakho ulwelo iiyure ezili-12 ukuya kwezi-14 phambi kovavanyo.

Umboneleli wakho uya kukucela ukuba uyeke okwethutyana nawaphi na amayeza anokuchaphazela iziphumo zovavanyo. Qiniseka ukuba uxelela umboneleli wakho ngawo onke amayeza owathathayo, kubandakanya i-dextran kunye ne-sucrose. SUKUYEKE ukuthatha nawaphi na amayeza ngaphambi kokuba uthethe nomboneleli wakho.

Ezinye izinto zinokuchaphazela neziphumo zovavanyo. Xelela umboneleli wakho ukuba kutshanje:

• Ngaba wayenalo naluphi na uhlobo lwe-anesthesia yotyando.
• Ifunyenwe idayi efakwa ngaphakathi (umahluko ophakathi) kuvavanyo lokucinga, njenge-CT okanye iMRI scan.
• Amayeza asetyenzisiweyo okanye amayeza endalo, ngakumbi amayeza amaTshayina.

Uvavanyo lubandakanya kuphela ukuchama okuqhelekileyo. Akukho buhlungu.

Olu vavanyo lunceda ukuvavanya ukulinganisela kwamanzi emzimbeni wakho kunye nokuxinana komchamo.

I-urm osmolality luvavanyo oluthe ngqo ngakumbi loxinzelelo lomchamo. Uvavanyo lomxhuzulane oluthile lulula kwaye lulula ngakumbi, kwaye ihlala iyinxalenye yovavanyo lokuchama rhoqo. Uvavanyo lokuchama komchamo alunakufuneka.

Uluhlu oluqhelekileyo lomxhuzulane othile we-urine ngu-1.005 ukuya ku-1.030. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Ukonyuka komchamo othile kunokuba ngenxa yeemeko ezinje:

• Iincindi zamadlala azivelisi iihomoni ezaneleyo (isifo iAddison)
• Ukumelwa yintliziyo
• Inqanaba le-sodium ephezulu egazini
• Ukuphulukana nolwelo lomzimba (ukomisa)
• Ukunciphisa i-artery yezintso (i-renal artery stenosis)
• Umothuko
• Iswekile (iswekile) kumchamo
• Isifo sokungafuneki kwe-ADH (SIADH)

Ukuncipha komchamo othile kunokuba ngenxa:

• Umonakalo kwiiseli zesifo sezintso (renal tubular necrosis)
• Isifo seswekile
• Ukusela ulwelo oluninzi
• Ukungaphumeleli kwezintso
• Inqanaba le-sodium ephantsi egazini
• Usulelo olunzima lwezintso (pyelonephritis)

Akukho bungozi kolu vavanyo.

Ukuxinana komchamo

• Iphecana lomchamo labasetyhini
• Indoda yokuchama

UKrishnan A, uLevin A. Uvavanyo lwelabhoratri yesifo sezintso: inqanaba lokuhluza i-glomerular, umchamo kunye neproteinuria. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ii-eds. Brenner kunye noMphathi weZintso. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.

URiley RS, uMcPherson RA. Uvavanyo olusisiseko lomchamo. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 28.

IVilleneuve PM, iBagshaw SM. Uvavanyo lwe-urine biochemistry. Ku: Ronco C, Bellomo R, Kellum JA, Ricci Z, ii-eds. Unonophelo olubalulekileyo lweNephrology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 55.