Pyuria: yintoni, iimpawu kunye nonyango
Umxholo
IPyuria, ekwabizwa ngokuba yi-pus kumchamo, iyahambelana nobukho beepycyte ezininzi, ezibizwa ngokuba ziiukocyte, kumchamo. Ubukho be-lymphocyte kumchamo kuthathwa njengesiqhelo, nangona kunjalo xa inani elikhulu libonwa kuvavanyo okanye xa ezinye iinguqu zichongiwe okanye umntu eneempawu, inokuba luphawu losulelo, iingxaki zezintso okanye isifo se-autoimmune, umzekelo.
I-Pyuria ichongiwe ngohlobo lokuvavanywa komchamo wokuqala, okwabizwa ngokuba yi-EAS okanye uviwo (lweeNdawo ezingaqhelekanga zeSediment), kuthathwa njengokungaqhelekanga xa kuhlolwe ii-lymphocyte ezingaphezu kwe-5 kwicandelo ngalinye kuvavanyo lwe-microscope. Kubalulekile ukuba unobangela we-pyuria uchongwe ukuze unyango olufanelekileyo lunconywe.
Iimpawu pyuria
Iimpawu zepyuria (ubovu kumchamo) zihlala zinxulumene nonobangela wokunyuka kwenani leeukocyte, kwaye kunokubakho:
- Iintlungu kunye nobunzima xa uchama;
- Ukutsha;
- Ubuhlungu emazantsi omqolo;
- Ukutshiza kummandla wesini;
- Ukunciphisa isixa umchamo;
- Uziva ngesinyi esipheleleyo kunye esinzima, nasemva kokuba uye kwigumbi lokuhlambela;
- Rhoqo umnqweno wokuchama.
Ukwanda kwenani leukocyte kumchamo kunokubakho ngenxa yeemeko ezininzi, ikakhulu ngenxa yosulelo lwefungus, iiparasites okanye ibhaktiriya, ngaphandle koko kunokwenzeka ngenxa yezifo ezizimela komzimba, ukusetyenziswa kwamayeza okanye iingxaki zezintso, ikakhulu ukudumba. Funda ngezinye izinto ezibangela ii-leukocyte eziphezulu kumchamo.
Uxilongo lwenziwa njani
Ukuchongwa kwe-pyuria kwenziwa ikakhulu ngokuvavanya umchamo wohlobo lwe-1, apho kwenziwa khona uhlalutyo olukhulu noluncinci. Uhlalutyo lwe-macroscopic luhambelana novavanyo lweempawu zomchamo, ikakhulu umbala kunye nokungaguquguquki, okuxhomekeke kwinani lee-lymphocyte ezinokuba mhlophe ngakumbi kwaye zibe nembonakalo yobisi.
Ngokuvavanya ngemicroscopic, kunokwenzeka ukuba uchonge ubukho beeseli ezingaphezu kwe-5 kwicandelo ngalinye, okanye ngaphezulu kwe-10 000 leeseli ngoml womchamo, ubonakalisa ubofu kumchamo. Ukongeza, kwezi meko kuqhelekile ukubona inani elikhulu leeseli ze-epithelial, ubukho beeseli ezibomvu zegazi, kwezinye iimeko, kunye nobukho beebhaktiriya, ifungi okanye iiparasites.
Ukuba ubukho befungus okanye ibhaktiriya buchongiwe, inkcubeko yomchamo ibonakalisiwe ukuze into encinci ejongene nosulelo kunye novakalelo lwayo kunye neprofayili yokuxhathisa ichongiwe kwaye, ngenxa yoko, unyango olufanelekileyo kakhulu luqalisiwe. Qonda ukuba yenziwa njani inkcubeko yomchamo.
Ukuba kufunyaniswe ukuba i-pyuria ayihambelani nobukho be-microorganisms, iimvavanyo zegazi zinokuboniswa ukuba ziphande ezinye izizathu zokunyuka kwe-lymphocyte, ukongeza kuvavanyo lweeyure ezingama-24, ngakumbi ukuba ngexesha lokuhlolwa kwemikroskopu ibonakele, enokuba luphawu lotshintsho kwizintso.
Unyango lwe-pyuria
Unyango lwe-pyuria luxhomekeke kwisizathu kwaye nokuba akukho zimpawu. Kwimeko apho ubofu kumchamo bubangelwa bubukho beentsholongwane kwaye umntu uneempawu, ukusetyenziswa kwee-antimicrobials, ezinje ngeFluconazole, iMiconazole okanye iMetronidazole, umzekelo, ekufuneka isetyenziswe ngokwesindululo sikagqirha, inokubonakaliswa ngu ugqirha.
Ngamanye amaxesha, kunokucetyiswa ukusetyenziswa kwe-corticosteroids kunye neziyobisi ezichasayo, ukongeza kwisikhokelo sokusetyenziswa kwamanzi amaninzi kunye nokuphindwaphindwa koviwo emva konyango ukujonga ukuba ipyuria iyaqhubeka na kwaye nokuba unyango belusebenza kakuhle.