Urine analysis according to Nechyporenko administered after the detection of deviations in clinical analysis. With the help of this type of research identifies the elements that indicate the pathology of the kidney and urinary tract. Such elements include leukocytes, erythrocytes, and cylinders. Leukocytes are blood cells whose main task is to fight off infections. The increase in the number of leukocytes in the urine indicates the presence of infectious diseases in the kidney, bladder, urethra. Erythrocytes – red blood cells, whose task is the delivery of oxygen to tissues and organs. The increase in the number of red blood cells in the urine indicates the presence of certain diseases. Cylinders are cast from a protein formed in the renal tubules, the Presence in the urine of a significant number of cylinders indicates kidney diseases, which are accompanied by proteinuria. The presence of bacteria in urine says about infection in the urinary system.
To collect reliable results, before collecting the urine must be carefully wash the vulva, as found on the skin bacteria can get into the urine and to create a false impression about the state of the body. You should not pass urine during menstruation because blood can get into the fluid, and the doctor may suspect the presence of serious diseases. Before testing is not recommended before eating the vegetables that alter urine color (e.g. carrots, beets). For the analysis of urine on Nechiporenko required to collect a Central portion of first morning urine. During urination, the need to miss the first few seconds of urine into the toilet, and then collect the fluid secreted in the middle of urination in a special sterile container. The collected urine, it is desirable to deliver to the lab on the morning of the same day, the delay may cause an increase in the number of bacteria, as a consequence, the result of the study can be false.
Normal results of urine analysis according to Nechyporenko shall be as follows: the content of cells to 1-5 in the field of view or to 2000 in 1 milliliter of red blood cells to 1-3 in field of view or up to 1000 in 1 milliliter, cylinders up to 20 in 1 milliliter. The increase in the number of leukocytes in the urine occurs in cystitis (an inflammatory disease of the bladder), pyelonephritis (inflammation of kidneys), urolithiasis. The increase in red blood cells in the urine is observed in acute and chronic glomerulonephritis (disease of the glomeruli of the kidneys), kidney stones, tumors of kidney and urinary tract. Increase the number of cylinders in the urine is observed in glomerulonephritis, pyelonephritis, poisoning by nephrotoxic substances.
Advice 2: How to pass the analysis on Nechiporenko
Analysis of urine on Nechiporenko is a laboratory method of diagnosis in which the doctor will be able to evaluate the functional state of the kidneys and urinary tract of the patient. As a rule, it is assigned to the patient after the General analysis of urine, if the already identified modifications and deviations from the normal indices.
The evidence for the purpose of the study are: diagnosis of acute and chronic diseases of the urinary system (urinary tract infections, cystitis, pyelonephritis, glomerulonephritis); dynamic observation of the course of the disease; monitor the effectiveness of treatment and others.
For analysis it is necessary to collect the morning middle portion of urine. Hygiene after the morning toilet of the external genitalia the patient begins to urinate in a glass jar first, and then continues into the second sterile container and finishes in third. All containers should be sterile and clean. The large amounts of urine must be in the second Bank. Obtained urine sample is poured into a vacuum tube (special tube holder for urine sample). You can buy in the pharmacy or to the study in the diagnostic center.
In the clinical diagnostic laboratory shipping analysis is carried out for 24 hours at a temperature of +2+24. The duration of studies is 1.5-2 hours. In the analysis of urine on Nechiporenko laboratory doctor determines the number of leukocytes, erythrocytes, and cylinders using special counting chambers. Standards of urine. leukocytes – less than 2000 in 1 ml of urine; red blood cells – no more than 1000 in 1 ml of urine; cylinders – no more than 20 in 1 ml of urine. The doctor evaluates the results of the analysis, diagnoses, and if necessary Commission further research, and also selects a course of treatment if the diagnosis.
For the differential diagnosis between pyelonephritis and glomerulonephritis, it is important to elucidate the extent to which the prevalence of leukocyturia or hematuria. Usually, when chronic or acute course of pyelonephritis in the urine of the patient is determined a considerable increase and predominance of leukocytes. In patients with glomerulonephritis in the urine is dominated by erythrocytes. Increasing the number of cylinders found in diseases such as hypertension, valvular heart disease, heart failure, gout and others.
The analysis of urine on Nichiporenko is laboratory examination of urine, which enables the Clinician to assess the condition of the kidneys and urinary tract. Cylinders - no more than 20 to 1 ml of urine ... How to pass urine on Nichiporenko? After the morning toilet of the genitals is necessary to collect the middle portion of urine.
Urine analysis according to Nechyporenko usually appointed after the General analysis of urine, if the clinical analysis revealed deviations from the standards. The analysis of urine on Nichiporenko will allow more detailed study of these disorders for a proper diagnosis. Before collection of urine necessary to produce hygienic toilet of genitals. Women are advised not to pass urine during menstruation.