ʻO ke koko i ka mimi o kahi keiki (a i ʻole hematuria, erythrocyturia) ʻaʻole ia he maʻi kūʻokoʻa, akā he hopena o kekahi maʻi o ka ʻōnaehana genitourinary. I kekahi manawa hiki i ke ʻano o ke koko i loko o ka mimi o kahi keiki ke ʻano ʻokoʻa o ka maʻamau ʻaʻole pono i ka hana lapaʻau a me ka hopohopo, a i kekahi manawa hiki ke lilo i kahi hōʻailona koʻikoʻi o kahi pathology hoʻoweliweli.
ʻO ka maʻamau, ʻike ʻia nā erythrocytes 1-2 wale nō i ka hoʻāʻo mimi. Inā ʻoi aku ka kiʻekiʻe o ke koko ʻulaʻula (3 a ʻoi aku paha) - ʻo ia ka hematuria. ʻElua mau ʻano like ʻole o kēia pathology: microhematuria (ke ʻike ʻia ke koko i loko o ka mimi i ka wā o ka nānā ʻana ma lalo o kahi microscope, ʻaʻole hoʻololi ka mimi o ke keiki i kona kala) a me ka hematuria gross (ke ʻike ʻia ke koko i loko o ka mimi e ka maka ʻōlohelohe. i kekahi manawa, ʻike ʻia ke koko koko).
Ōuli
Me ka microhematuria, ʻaʻole hiki ke ʻike ʻia ke koko i loko o ka mimi o kahi keiki me ka maka ʻōlohelohe, akā hiki ke ʻike ʻia i ka wā o ka nānā ʻana ma lalo o kahi microscope. Me ka nui o ka hematuria, lawa ke koko i loko o ka mimi i ka mimi o ke keiki e hoʻololi i ka waihoʻoluʻu – mai ka poni ʻulaʻula a i ka ʻulaʻula ʻulaʻula a hiki i ka ʻeleʻele, aneane ʻeleʻele. I ka manawa like, pono e hoʻomanaʻo nā mākua i ka hoʻololi ʻana i ke kala o ka mimi e hiki ke hoʻohana i kekahi mau meaʻai kala (beets, cherries, blueberries), nā lāʻau (analgin, aspirin), a ʻaʻohe mea pōʻino i kēia.
I kekahi manawa hiki ke hoʻopili ʻia ke koko i loko o ka mimi o ke keiki me ka ʻeha ma ka ʻōpū o lalo, ma ke kua lalo a me ka wā mimi. ʻO ka paʻakikī o ka mimi ʻana a i ʻole kona hele ʻole ʻana, ʻike ʻia ke kuni, ke anuanu, nāwaliwali a me ka maʻi maʻamau - pili ia i ka maʻi, ʻo ia ka hematuria.
Nā kumu o ke koko i loko o ka mimi o ke keiki
ʻO nā kumu nui o ke koko i loko o ka mimi i nā keiki he mau maʻi o ka ʻōnaehana genitourinary (kidneys, ureter, bladder, urethra):
- cystitis (ka mumū o nā paia o ka ʻōpū);
- urethritis (hoʻāhu o ka urethra);
- pyelonephritis (ka maʻi o nā tubules kidney);
- glomerulonephritis (ka ʻeha o ka glomeruli renal);
- ʻO ka hydronephrosis o ka puʻupaʻa (ka hōʻemi ʻana o ka ʻāpana ureteropelvic, e alakaʻi ana i ka hōʻino ʻana i ke kahe o ka mimi);
- maʻi urolithiasis;
- nā hana ʻino o nā puʻupaʻa a i ʻole ka ʻōpū (kakaʻikahi loa i nā keiki);
- ʻeha i ka puʻupaʻa a i ʻole ka ʻōpū.
- ʻO ke kumu maʻamau o ke koko i loko o ka mimi o ke keiki he mau maʻi ʻeha like ʻole o ka ʻōnaehana urinary. ʻO kēia nā nephritis, glomerulonephritis, pyelonephritis, ʻo ia hoʻi, ka ʻāʻī ʻana o ka puʻupaʻa, a me ka cystitis, ka mumū o ka ʻōpū. Hiki nō hoʻi ka Urolithiasis. Hiki i nā paʻakai i loko o ka mimi ke hana i nā ʻulaʻula ʻulaʻula, nā maʻi hoʻoilina like ʻole (nephritis) a me nā ʻano pilikia āpau me ka coagulopathy (ma kēia hihia, ma waho o ka puʻupaʻa, aia nā hōʻike ʻē aʻe o ke koko). Hiki i ke koko i loko o ka mimi ke ʻano ʻokoʻa o ka maʻamau i nā lā mua ma hope o ka hānau ʻana o kahi keiki - ka mea i kapa ʻia ʻo ka uric acid infarction. ʻO kahi liʻiliʻi o nā erythrocytes i loko o ka mimi o kahi keiki e ʻae koke ʻia ma hope o nā maʻi ʻeha hanu. I kēia hihia, inā ʻaʻole hopohopo ke keiki, a he liʻiliʻi nā erythrocytes, ʻōlelo nā kauka e hoʻihoʻi hou i ka mimi i loko o ʻelua pule a nānā, - wehewehe. keiki keiki ʻo Elena Pisareva.
lapaʻau
ʻO ke kānāwai koʻikoʻi: inā ʻike ʻoe i ke koko i loko o ka mimi o kahi keiki, ʻaʻole pono ʻoe e hoʻomaʻamaʻa iā ʻoe iho a ʻae i nā mea āpau e hele i kāna ala. He mea nui e ʻimi koke i ka ʻōlelo aʻo kino.
lapaʻau '
ʻO ka hōʻoia ʻana o ka hematuria i nā keiki e pili ana i kahi kūkākūkā me kahi pediatrician, kahi e lawe ai ʻo ia i kahi anamnesis, wehewehe i nā hōʻailona a nīnau e pili ana i nā ʻōlelo i hala. Ma hope o kēlā, ua kuhikuhi ʻia kahi hōʻike mimi (maʻamau a kūikawā - e like me Zimnitsky, e like me Nechiporenko), a me nā hoʻokolohua hoʻokolohua e like me: kahi helu koko piha, kahi hoʻāʻo koko e hoʻoholo ai i ka coagulation, e ʻike i ka urea a me ka creatinine, pū kekahi. e like me ka ultrasound o nā ʻōpū o ka ʻōpū, ka ʻōpū a me ka ureter, CT a i ʻole MRI, inā pono, a i ʻole ke kūkākūkā ʻana o nā loea ʻē aʻe - he urologist, he kauā.
Nā lāʻau lapaʻau hou
Eia hou, ʻaʻole ʻo ka hematuria ponoʻī ka mālama ʻia, akā ʻo kona kumu, ʻo ia hoʻi, ka maʻi i ʻike ʻia ke koko i loko o ka mimi. I ka hihia o nā maʻi inflammatory a me nā infectious o nā puʻupaʻa a me ka urinary tract, kuhikuhi ke kauka i ka lāʻau lapaʻau e pono ai - nā lāʻau anti-inflammatory, antibiotics, uroseptics, a me kahi papa o nā huaora e hoʻonui ai i ka palekana. Inā ʻike ʻia ke koko i loko o ka mimi ma hope o ka loaʻa ʻana o ARVI i ke keiki, a laila ʻaʻohe lāʻau lapaʻau i kuhikuhi ʻia, a mālama wale ʻia ke keiki i ʻole e piʻi aʻe kona kūlana.
Kāohi
No laila, ʻaʻole i loaʻa ka pale ʻana i ka hematuria i loko o kahi keiki. Pono e nānā i ke olakino o ke keiki, e pale i ka hypothermia, nā maʻi, nā ʻeha e hiki ai ke alakaʻi i nā maʻi o ka ʻōnaehana genitourinary, a ma nā hōʻailona mua, e nīnau i ke kauka a hoʻokō i kahi hoʻokolokolo piha.
Nā nīnau a me nā pane kaulana
Ua pane ʻo Pediatrician Elena Pisareva i nā nīnau kaulana e pili ana i ka enuresis i nā keiki.