ʻO ke kānana dipstick urinary kahi ala wikiwiki a maʻalahi hoʻi e hōʻike i nā maʻi like ʻole i ka wā mua. Pākuʻi ʻia nā maʻi e komo pū me nā maʻi metabolic e like me diabetes mellitus (ke kū ʻana o ka glucose a me / a i ʻole nā ​​kino ketone i ka mimi), maʻi maʻi puʻuwai i kekahi manawa ma hope o ka maʻi kō a i ʻole ke kiʻekiʻe o ke koko (hiki ke loaʻa ka protein i ka mimi), nā ʻāpana o ke aʻa mimi a i ʻole ka prostate, e laʻa me ka ukali ʻana i kahi tumo a i ʻole kahi lithiasis (ke kū ʻana o ke koko i ka mimi) a i ʻole nā ​​maʻi urinary (ke alo o nā leukosit a me nā nitrite i ka mimi).

Hana ʻia kahi diptic miki i ke koʻokoʻo ea a i ʻole ka pepa o ka pepa, i manaʻo ʻia e ʻūlū ʻia i ka mimi hou i hōʻiliʻili ʻia, kahi e hoʻopili ʻia ai nā wahi o nā meaola kemika. hiki ke hoʻololi i ke kala i ke alo o kekahi mau mea. Wikiwiki loa ka hopena. Lawe pinepine ia i 1 mau minuke e loaʻa ka hopena hōʻike.

Hiki ke heluhelu ʻia nā pā mimi me ka maka ʻōlohelohe. ʻO ka heluhelu ʻana i ka pā mimi ka mea i wehewehe maʻalahi ʻia i kahi ʻōnaehana pālākiō kala. Hiki i kēia ʻōnaehana ke loaʻa kahi manaʻo o ka noʻonoʻo, ke alo a i ʻole ka ʻole o kekahi mau mea. No ka heluhelu pono hou ʻana, hiki ke hoʻohana i kahi mea heluhelu kaomi mimi. Heluhelu kēia a paʻi i nā hopena. ʻ saidlelo ʻia kēia he hapalua helu: hōʻike ʻia lākou i loko o ka maikaʻi ʻole, a i ʻole i ka maikaʻi, a i ka pālākiō o nā waiwai.

ʻAe nā paʻi mimi i kahi loiloi wikiwiki e hoʻokō ʻia, i hiki ai ke alakaʻi i ke kuhi a i ʻole ke noi no kekahi mau loiloi piha piha. Ke hoʻohana ʻia no nā kumu he nui, ʻae lākou e hoʻāʻo i ka mimi no nā palena he nui i kahi hoʻokolokolo hoʻokahi, e like me:

• nā leukosit a i ʻole nā ​​ʻula koko keʻokeʻo;
• nā nitrite;
• nā polokina;
• pH (ʻakika / alkalinity);
• ʻulaʻula koko a i ʻole nā ​​ʻulaʻula koko;
• hemoglobin;
• ka mānoanoa;
• kino ketone;
• ka glucose;
• bilirubin;
• urobilinogen.

No laila, ke kaukaʻi ʻia i nā kaha, 4 a ʻoi aku ma mua o 10 mau maʻi i hiki ke ʻike ʻia, e like me nā kikoʻī.

• diabetes: ʻo ke kū ʻana o ka glucose i ka mimi e alakaʻi i kahi ʻimi no ka maʻi diabetes a i ʻole kahi mālama anti-diabetic kaulike ʻole. ʻOiaʻiʻo, kahi hemahema a hoʻohana kūpono ʻole paha o ka insulin e ke kino e alakaʻi i ka hoʻonui ʻia o nā kō kō kō, ʻo ia hoʻi i ka nui o ka glucose i loko o ke koko. Hoʻopau ʻia ke kō glucose i ke koko e ka puʻupaʻa i ka mimi. ʻO ke kū ʻana o nā kino ketone e pili ana i ka glucose i ka mimi e hōʻike pū ana hoʻi i ka maʻi diabetes e koi ana i ka lāʻau ulia pōpilikia.
• nā maʻi o ke akepaʻa a i ʻole nā ​​aʻa ʻoʻa: ke kū ʻana o bilirubin, e hopena ana mai ka hoʻohaʻahaʻa ʻana o nā hunaola ʻulaʻula, a me ka urobilinogen i ka mimi e hiki ai ke kānalua i kekahi mau maʻi ate (hepatitis, cirrhosis) a i ʻole ke kahakaha ʻana o nā ala excretion bile, kuleana no ka hoʻonui pono ʻole ʻana o kēia mau pige i loko o ke koko a laila i ka mimi;
• nā maʻi o ka ʻōnaehana urinary: ʻo ka hōʻike o nā protein i ka mimi e hōʻike i ke kīnā ʻole o ke kōpaʻa, e laʻa me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe. ʻOiaʻiʻo, ke kū ʻana o ke koko (nā ʻulaʻula o ke koko) i ka mimi e hōʻike ana i nā ʻano maʻi like ʻole o nā puʻupaʻa a me nā ʻāpana mimi: nā pōhaku, nā puʻupaʻa a i ʻole nā ​​ʻaʻai o ka maʻi huki, a pēlā aku. ka makaʻu o ka hoʻomohala ʻana i ka urolithiasis. ʻO ke ana ʻana o ka urinary pH ka mea hiki, i waena o nā mea ʻē aʻe, e kōkua ai e ʻike i ke kumu o kahi lithiasis a hoʻololi i ka papaʻai o ka mea maʻi lithiasic;
• nā maʻi maʻi urinary tract: ke kū ʻana o nā leukosit a me nā nitrite i loko o ka mimi ʻo ke ʻano o ka bacteria i hiki ke hoʻolilo i nā nitrates mai ka meaʻai i loko o nā nitrites i loko o ka puhā a me ka mimi urinary. Loaʻa i ka mimi i hoʻopili ʻia i kekahi manawa nā kuhi o ke koko a me ka protein. ʻO ka hope loa, hiki i kahi pH alkaline hoʻomau mau ke kuhikuhi i kahi maʻi maʻi urinary tract.

Hiki iā ʻoe ke hoʻāʻo i kāu mimi iā ʻoe iho me kahi kaha hoʻāʻo mimi. Wikiwiki a maʻalahi ka hana. I mea e hōʻino ʻole ai i nā hopena, pono ʻoe:

• hana i ka hōʻoia ma kahi ʻōpū nele;
• holoi i kou mau lima a me nā ʻāpana pilikino me ke kopa a me ka hopena a Dakin, a i ʻole me nā holoi.
• hoʻopau i ka jet mua o ka mimi i loko o ka lua;
• mimi i ka ipu i hāʻawi ʻia me nā kaha me ka hoʻopā ʻole ʻana i ka lihi luna;
• Homogenize loa i ka mimi ma ka huli mālie ʻana i ka ʻōmole i nā manawa he nui;
• e hoʻopulu i nā ʻāpana no ka 1 kekona i ka mimi, e hoʻomāloi loa i nā wahi hana āpau;
• kahe koke ma o ka hala ʻana i ka ʻāpana o ka holehole ma ka pepa absorbent e hemo i ka mimi ʻoi loa;
• heluhelu i ka hopena ma ka hoʻohālikelike ʻana i ke kala i loaʻa me ka laulā colorimetric i hōʻike ʻia ma ka ʻōpala a i ʻole i ka ʻōmole. E hana i kēia, mahalo i ka wā kali e kuhikuhi ʻia e ka mea hana.

ʻO ka manawa heluhelu no nā hopena he 2 mau minuke no nā leukosit a me XNUMX minuke no ka nitrite, pH, protein, glucose, ketone kino, urobilinogen, bilirubin, a me ke koko.

Hoʻomaʻamaʻa no ka hoʻohana

• mai hoʻohana i nā kaha kuapo (ua hōʻike ʻia ka lā pau ma ka pūʻolo);
• e mālama i nā ʻāpana i kahi wahi maloʻo ma kahi mahana wela ma lalo o 30 ° C a i loko o kā lākou pahu mua.
• ʻaʻole hoʻohana hou a ʻokiʻoki i nā ʻāpana;
• hala hou ka mimi;
• pono e noho ka mimi i loko o ka puhapahu no 3 mau hola i mea e loaʻa ai ka manawa i nā koʻohune, inā loaʻa, e hoʻololi i nā nitrates i mau nitrites;
• ʻaʻole pono e hoʻowali ʻia ka mimi. ʻO kēia ka mea ʻaʻole pono ʻoe e inu i ka wai ma mua o ka hoʻāʻo ʻana;
• mai ninini mimi me ka pipette ma ke kaha;
• mai hōʻiliʻili i ka mimi mai kahi pēpē mimi pēpē a i ʻole ka catheter urinary.

Hiki ke unuhi ʻia nā hopena o kahi dipstick mimi i nā ʻano he nui e like me ke ʻano i kuhikuhi ʻia ai. Ma ka laulā, hoʻohana ke kauka iā ia ma ke ʻano he hae, ʻōmaʻomaʻo a ʻulaʻula paha, kahi e hōʻoiaʻiʻo ai iā ia a i ʻole e ao aku iā ia e pili ana i kahi maʻi e pono e hōʻoia ʻia e nā hoʻokolohua ʻē aʻe.

No laila, ʻo ke kiʻekiʻe o ka hoʻoliʻiliʻi o kahi mea - inā he glucose, protein, koko a me nā leukosit - ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi. ʻAʻole pono ka dipstick mimi maʻamau i ka loaʻa ʻole o ka maʻi. Loaʻa i ka mimi o kekahi kanaka i nā nui o nā mea ʻino i kahi pae kiʻekiʻe o ka maʻi, ʻoiai nā kānaka ʻē aʻe e hoʻopuka i nā mea kūlohelohe i kā lākou mimi sporadically.

Ma ka ʻaoʻao ʻē aʻe, ʻoiai he mea nui ka loiloi mimi no ka ʻike ʻana i kekahi mau maʻi, he hōʻailona wale nō ia. Pono e hoʻonui ʻia e nā kālailai ʻē aʻe e hōʻoia a i ʻole nā ​​hopena i loaʻa, e like me:

• kahi loiloi cytobacteriological urinary (ECBU);
• kahi helu koko (CBC);
• ka hoʻokē ʻai ʻana i ke kō kō, ʻo ia hoʻi, ke ana o ka glucose i ke koko ma hope o 8 mau hola o ka hoʻokē ʻai.