Jini a cikin fitsarin yaro
Jini a cikin fitsarin yaro shine dalilin damuwa mai tsanani ga iyaye. Za mu gaya muku abin da cututtuka na hematuria na iya sigina, lokacin da kuke buƙatar ganin likita da gaggawa, kuma lokacin da jajayen ƙwayoyin jini a cikin fitsari sune yanayin al'ada.

Jini a cikin fitsari na yaro (ko hematuria, erythrocyturia) ba cuta ce mai zaman kanta ba, amma sakamakon kowane cuta na tsarin genitourinary. Wani lokaci bayyanar jini a cikin fitsarin yaro na iya zama bambance-bambancen al'ada wanda baya buƙatar taimakon likita da damuwa, wani lokacin kuma yana iya zama wata babbar alama ta asibiti na cututtukan cututtukan da ke barazanar rayuwa.

Yawanci, erythrocytes 1-2 ne kawai ake samun a gwajin fitsari. Idan adadin jajayen ƙwayoyin jini ya fi girma (3 ko fiye) - wannan ya riga ya zama hematuria. Akwai bambance-bambancen guda biyu na wannan pathology: microhematuria (lokacin da aka gano jini a cikin fitsari kawai yayin bincike a karkashin na'urar hangen nesa, fitsarin yaro da kansa ba ya canza launinsa) da babban hematuria (lokacin da jini a cikin fitsari ya bayyana ga ido tsirara. wani lokacin ma ana samun gudan jini).

Alamun

Tare da microhematuria, jinin da ke cikin fitsari na yaro ba za a iya gani da ido tsirara ba, amma ana iya gano shi kawai yayin bincike a karkashin na'urar hangen nesa. Tare da babban hematuria, jini a cikin fitsari ya isa fitsarin yaro ya canza launi - daga kodadde ruwan hoda zuwa ja mai haske har ma da duhu, kusan baki. A lokaci guda, iyaye su tuna cewa canjin launi na fitsari na iya haifar da amfani da wasu kayan abinci masu launi (beets, cherries, blueberries), kwayoyi (analgin, aspirin), kuma babu wani abu mai hatsari a cikin wannan.

Wani lokaci jini a cikin fitsari na yaro yana iya kasancewa tare da ciwo a cikin ƙananan ciki, a cikin ƙananan baya da kuma lokacin yin fitsari. Wahalar fitsari ko rashinsa gaba ɗaya, zazzabi, sanyi, rauni da rashin jin daɗi na iya bayyana - duk ya dogara da cutar, wanda sakamakonsa shine hematuria.

Abubuwan da ke haifar da jini a cikin fitsari a cikin yaro

Babban abubuwan da ke haifar da jini a cikin fitsari a cikin yara shine cututtuka na tsarin genitourinary (koda, ureter, mafitsara, urethra):

  • cystitis (kumburi na ganuwar mafitsara);
  • urethritis (kumburin fitsari);
  • pyelonephritis (kumburi na koda tubules);
  • glomerulonephritis (kumburi na renal glomeruli);
  • hydronephrosis na koda (ƙunƙwasa sashin ureteropelvic, wanda ke haifar da cin zarafi na fitsari);
  • cutar urolithiasis;
  • mugayen tsarin kodan ko mafitsara (mafi wuya a cikin yara);
  • rauni ga koda ko mafitsara.

– Mafi yawan abin da ke haifar da jini a cikin fitsarin yaro shine cututtuka daban-daban na kumburin tsarin fitsari. Waɗannan su ne nephritis, glomerulonephritis, pyelonephritis, wato kumburin koda, da cystitis, kumburin mafitsara. Urolithiasis kuma yana yiwuwa. Gishiri a cikin fitsari na iya haifar da jajayen ƙwayoyin jini, cututtuka daban-daban na gado (nephritis) da kowane nau'i na matsaloli tare da zubar da jini - coagulopathy (a cikin wannan yanayin, ban da koda, za a sami wasu bayyanar jini). Jini a cikin fitsari zai iya zama bambance-bambancen al'ada a cikin kwanakin farko bayan haihuwar yaro - abin da ake kira uric acid infarction. Ƙananan kasancewar erythrocytes a cikin fitsari na yaro yana da karɓa nan da nan bayan cututtuka masu tsanani na numfashi. A wannan yanayin, idan yaron ya daina damuwa, kuma akwai 'yan erythrocytes, likitoci sun ba da shawarar sake shan fitsari a cikin makonni biyu da dubawa, - ya bayyana. likitan yara Elena Pisareva.

Jiyya

Mafi mahimmancin doka: idan kun lura da jini a cikin fitsari na yaro, ba ku buƙatar yin magani da kanku ko barin duk abin da ya dace. Yana da mahimmanci a nemi shawarar likita nan da nan.

kanikancin

Binciken hematuria a cikin yara ya hada da shawarwari tare da likitan yara, a lokacin da zai dauki anamnesis, bayyana alamun bayyanar cututtuka kuma ya tambayi game da maganganun da suka gabata. Bayan haka, an wajabta gwajin fitsari (jama'a da na musamman - bisa ga Zimnitsky, a cewar Nechiporenko), da kuma irin waɗannan gwaje-gwajen gwaje-gwaje kamar: cikakken adadin jini, gwajin jini don tantance coagulation, don gano urea da creatinine, kazalika. kamar duban dan tayi na gabobin ciki, mafitsara da ureter, CT ko MRI, idan ya cancanta, ko shawarwarin wasu kwararru - likitan urologist, likitan fiɗa.

Magungunan zamani

Har ila yau, ba hematuria ba ne ake yi wa kansa magani, amma dalilinsa, wato, cutar da ta haifar da bayyanar jini a cikin fitsari. Idan akwai cututtuka masu kumburi da cututtuka na kodan da urinary fili, likita ya rubuta maganin da ake bukata - magungunan anti-inflammatory, maganin rigakafi, uroseptics, da kuma hanyar bitamin don ƙara yawan rigakafi. Idan jini a cikin fitsari ya bayyana bayan yaron ya sami ARVI, to, ba a ba da magani ba, kuma ana lura da yaron kawai don kada yanayinsa ya tsananta.

rigakafin

Kamar yadda irin wannan, rigakafin hematuria a cikin yaro ba ya wanzu. Wajibi ne don kula da lafiyar yaron, don hana hypothermia, cututtuka, raunin da zai iya haifar da cututtuka na tsarin genitourinary, kuma a farkon bayyanar cututtuka, tuntuɓi likita kuma ku yi cikakken jarrabawa.

Shahararrun tambayoyi da amsoshi

Likitan yara Elena Pisareva ya amsa tambayoyin shahararrun game da enuresis a cikin yara.

A wasu lokuta ya kamata yaro ya ga likita cikin gaggawa idan jini ya bayyana a cikin fitsari?

– Na farko, idan ka ga jini a cikin fitsarin yaro da ido tsirara – abin da ake kira fitsari shi ne kalar gangar jikin nama. Na biyu, idan bayyanar jini a cikin fitsari yana tare da zazzabi ko zafi a yankin koda ko lokacin fitsari. Hakanan ya kamata ku tuntuɓi likita idan jini a cikin fitsari yana tare da bayyanar pitechiae - ƙananan raunuka a kan fata, in ji likitan yara Elena Pisareva.

Yaushe jini a cikin fitsarin yaro zai iya zama yanayin al'ada wanda baya buƙatar magani?

- Hematuria na iya zama al'ada a farkon kwanakin rayuwar yaro - abin da ake kira uric acid infarction, wanda kwayoyin jajayen jini ke bayyana a cikin fitsari. Har ila yau, hematuria na iya zama amsawa ga kamuwa da cuta - ba daidai ba ne, amma ba lallai ba ne a bi da shi lokacin da, a cikin kwanaki na farko bayan kamuwa da cututtukan numfashi mai tsanani, ko kuma a yanayin zafi mai zafi, ƙwayoyin jini guda ɗaya sun bayyana a ciki. fitsari. Wannan cuta ce ta Pathology, amma ba mu yi maganinta ba, yana tafiya da kansa,” in ji likitan.

Menene rikitarwa da sakamakon zai iya haifar da bayyanar jini a cikin fitsari na yaro?

- Hematuria a cikin kanta yana da matsala mai tsanani, bayyanar wasu matsala mai tsanani a cikin jiki - mafi yawan lokuta yana hade da kodan. A kowane hali, yaro da ko da karamin adadin erythrocytes a cikin fitsari ya kamata a bincika a hankali, ko da kuwa ko wani abu ya dame shi ko kuma kawai ya nuna gwaje-gwaje, ya jaddada likitan yara Elena Pisareva.

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