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Saturday, February 18, 2012

Urinary Occult Blood

Urinary occult blood-What is urine occult blood?

Urinary occult blood urine check out, a red blood cell in urine. Erythrocytosis (normal is negative), in terms of its quantity, a few can be called the urine occult blood in urine occult blood can be used as an indicator, in the end is negative or positive, if positive, are a few plus. General urine occult blood consider kidney or urinary tract infections caused by.
Urinary occult blood - the disease
Urinary occult blood can not be observed in the naked eye or under a microscope to the presence of red blood cells, but the reaction if the dipstick test Shique Why is it so? When the red blood cell destruction, containing the heme is released from the urine test stick in order to detect the reaction of the heme. Red blood cells, but why will leave the body broken it? This is because the red blood cells of life itself has to dissolve on their own may also be drinking plenty of water, urine become weak, tension reduction, red blood cells and therefore rupture, as the bubble, whatever occult blood, as hematuria is a kind of warning, should not be underestimated.

Urine occult blood - disease diagnosis
Urinary occult blood occult blood in the different age and sex, basically there are different considerations, such as young women found in the urine occult blood, in addition to clinical symptoms, you should ask whether the proper menstrual period, cystitis is a common cause of; 30-40 year-old male, no obvious symptoms of inflammation, sometimes should take a picture abdominal X-ray to see whether there is the possibility of stones, hematuria or occult blood of elderly men, prostate enlargement as the main consideration factors, but also should receive further intravenous pyelography or ultrasound, take a look at the urinary system tumors.
In addition, urine cytology, take a look at urinary tract epithelial shedding in the urine for the presence of malignant cells, but also detect the malignancy in one, if X-rays, ultrasound, and urine cytology were normal, there is still the presence of occult blood, it is best to accept the vesicourethral check, because the X-ray, ultrasound restrictive, not all tumors can show, this time only with the naked eye directly observed smaller lesions (bladder and urethra mirror), if these checks were not unusual find, this occult blood or hematuria termed "benign cause of idiopathic hematuria" and may be associated with the body's immune mechanism future only regular follow-up can be.
Urinary occult blood - the underlying pathologyUrinary occult blood in general and urinary occult blood statement attributed to the following three reasons, First, inflammation, one stone, Furthermore the tumor. On inflammation, such as glomerulonephritis, pyelonephritis, cystitis, in addition there may be hematuria occurred, the urine test will have occult blood, the stone itself, regardless of the kidney, ureter, or bladder, may cause occult blood Other circumstances, such as the menstrual period, constipation may also be caused by occult blood.Addition, tumors can also cause occult blood, such as kidney, bladder, ureter, benign or malignant, of course, older men because of prostatic hypertrophy also in the force because of residual urine, easy to inflammation of the bladder, prostate surface of vascular congestion, coupled with difficulty in urination, solution the case of hematuria or occult blood in urine after, in fact, enlarged prostate can also be regarded as a kind of tumor, it is a tumor of the prostate, hyperplasia and hypertrophy, urinary tract tumors can not be taken lightly. Intravenous pyelography should be done at this time, if the contrast is no problem, you can exclude transitional cell tumors, usually urine should also be regularly reviewed, and if you still have occult blood, it should be to the Department of Nephrology, treatment, when necessary, a renal biopsy.The most worrying is that nephritis hematuria, many patients, including many children, due to inadequate treatment of kidney disease or disease caused by recurrent disease, hematuria can not find the reason, may also be accompanied by proteinuria and edema appear should no longer be purely symptomatic treatment, but should go to specialist hospitals for review and treatment for kidney disease and past history.Urinary occult blood - to the attention ofUrinary occult blood. Drink lots of water to have a preventive effect of all the composition of urinary stones. Such as make the daily water intake in 2000-4000 ml, so to maintain the daily urine output more than 2000 ml. The magnetized water is more effective prevention and treatment of calcium oxalate stones, can be all day drinking water, respectively, in the early morning, between meals, before bedtime to give. The early morning water intake up to 500-1000 ml. 500 ml of water in order to maintain the urine at night before going to bed, sleep, get up to urinate and then 300-500 ml of water, the remaining water in between meals, respectively Beverage. Drink lots of water can contribute to the discharge of small stones, and dilute the urine and prevents urinary stone crystal formation and stone growth rate and delay. 1985 foreign scholars Vehlensieck drinking water and diet can 2/3 recurrence of gallstone new calculus of suffering no longer.Two. High-fat foods should be fasting during the incubation period should not eat high cholesterol foods (pigs, cattle, chicken offal) brain, liver, kidney, eggs, egg yolk and so on. Should quit smoking, drinking, Eat to eat meat, avoid eating salty and fatty foods.Germany Dr. trademark "strong consumer Stone prime" this product is effective, mild in nature, is a new generation of oral administration of extinction stone hormone preparations, no chemicals and no toxic herbal preparations, after years of research from a variety of valuable herbs mentioned practice made. Disease infestation of gall stones, kidney stones, bladder stones, designed and made by the pharmaceutical industry clinical trials to prove the general under taking "a strong, sharp stones prime" the kidney and gallbladder function, to eliminate the stones indeed excreted from the urine of all stones who will be likely to cause the digestive system, liver dysfunction, gallbladder, bile duct inflammation and liver and gallbladder spasm, embolism, Sifa treatment of stones and surgical operation, but when the stones are not caused serious volume less, the available technology node Lee guided method, the stones from the body emissions to go out. Therefore, and Sifa treatment have a similar effect
Urinary occult blood treatment:Urine occult blood test results came out, occult blood plagued by some people, excluding sports hematuria, drug-induced hematuria, and other objective factors, we should also be related to the examination to diagnosis, rule out urinary tract infection, stones, tumors and other factors should consider the possibility of kidney disease. Should be approaching the hospital, many patients with urinary occult blood is ignored in the early treatment and thus delay treatment.Kidney disease, such as acute and chronic nephritis, pyelonephritis, are hematuria, when the local microcirculation leaving the kidney tissue of a variety of pathological damage, cause damage to kidney ischemia and hypoxia, the release of inflammatory mediators, and start kidney fibrosis process. The glomerular will occur to local pathological changes: mesangial cell proliferation, increased mesangial matrix, glomerular basement membrane changes, resulting in a charge barrier damage, kidney increased permeability, which appears in urine occult blood, proteinuria.Leakage of hematuria, proteinuria, kidney damage further exacerbated, the glomerular also gradually progress to fibrosis, hardening stage. Should be taken to systematically targeted clinical treatment, timely blocking the process of renal fibrosis, to avoid renal failure caused by gradual reduction of functional renal units.Thus, urine occult blood due to kidney damage caused by the patients have to be vigilant, to seize the time to treatment.Urinary occult blood - the prevention ofUrinary occult blood (a) to develop the habit of drinking waterThe water can dilute the urine, reducing the concentration of crystals in the urine, flush the urinary tract is conducive to the prevention of stone formation and to promote urinary stone discharge, the average adult daily drink water or magnetized water 2000 ml or more, have some significance in the prevention of stones.(B) the lifting of the upper urinary tract obstruction factorsActively dealing with urethral stricture, benign prostatic hyperplasia psychosis to relieve urinary tract obstruction.(C) aggressive treatment of urinary tract infections(D) long-term bedridden patients, should encourage and help its many activities, in order to reduce the bone decalcification and increase urine flow unimpeded.(E) to adjust the pH of urineBased on the composition of urinary stones, adjust the urine pH can prevent urinary stone recurrence, such as urate, oxalate stones are formed in acidic urine, phosphate, carbonate stones are formed in alkaline urine.(F) the prevention and treatment of metabolic diseases such as hyperthyroidism should be treated surgically.(G) of dietary modification and drug preventionStone composition appropriate to adjust their diets, such as oxalate stones should eat foods rich in oxalic acid, such as potatoes, spinach, etc., oral vitamin B6 can reduce oxalate excretion in the urine, oral magnesium oxide, increase urine solubility of the oxalate. Phosphate stones should be low-phosphorus low calcium diet, oral ammonium chloride acidification of urine, the dissolution of phosphate. Urate stones, patients should eat purine-rich foods such as liver, kidney, and beans, the mixture of oral citrate or sodium bicarbonate, urine alkalinization, urine pH remained above 6.5.The urinary calculus complicated, easy to relapse in the high incidence and treatment of stones, is still one of the challenging problems facing the clinical Therefore, as far as possible to take preventive measures should consider the specific reason for the individual patient may vary from person to person to formulate preventive measures.Urinary occult blood urinary stones, including kidney stones, ureteral stones, bladder stones and urinary tract stones, waist and abdominal pain, vomiting, nausea and other symptoms in the attack. He pointed out that, in order to prevent urinary stones, and reduce the onset of stone pain, and should drink more water, eat less salt, sugar, high calcium foods, but also to take more exercise.If the water is too small, the urine will be over-concentrated urine salt precipitation, increasing the chance of stone formation. The water, the urine will increase erosion, clean the urinary tract, urinary tract infection, drink plenty of water but also to strengthen the drainage, infection control, reducing the generation of infection stones. Therefore, the summer should pay attention to the water, at least Guarantee 1-2 pounds of water per day.In addition, when thirsty, it's best to not too high beer and other hardness drinks. Also, do not long stay in air-conditioned rooms to avoid air drying, making the body to lose large amounts of water. Often people who work in high temperature environment should be more attention to increase water intake to compensate for a large number of sweat water loss. To develop the habit of drinking water, take the initiative to the water, do not wait for thirst and then drink plenty of water.Diet, eat less animal offal, spinach, tofu, peppers, nuts, salted fish, bacon, salt products. In addition, the low calcium diet to eat more, eat less dairy, more due to dairy products containing calcium. Eat less sugar, because sugar will increase the acidity of the urine concentration of calcium, oxalate and urine, will increase the chance of stone formation.Finally, the prevention of urinary stones, but also pay attention to movement, long-term inactivity can increase the urinary sediment to the formation of stones.Experts point out that should be more activity, more water, eat less salt, sugar, high calcium foods
Urinary occult blood - occult blood +
After centrifugation of urine per high power field under the microscope more than two red blood cells, is said to hematuria. At high magnification, found that 10 red blood cell count, +, 1 + or +1 ", 20 dollars for the" + +, 2 + or +2 "30 dollars for the" + + +, 3 +, or + 40 dollars for the "+ + + +, 4 + or +4 "That plus more, indicating more severe kidney inherent cellular damage. For example, the meaning of occult blood + urine found 20 red blood cells after centrifugation in a high power microscope.

A + indicating that the intrinsic cells of the kidney has begun to damage the kidney's filtration function has begun to attract the damage of the immune complex media, if you can not get effective treatment, the damage will be more and more the number of glomerular hyperplasia, kidney the extent of the damage will gradually increase. At this time we should accept a formal system of treatment, which effectively inhibit the development of renal fibrosis.