All about urine tests for cystitis

In the medical diagnosis of cystitis, urinalysis plays a crucial function. It assists to spot variances from typical worths ​​and to appropriately recommend treatment. There are various kinds of research study.

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Urinalysis

The consultation of a basic urine test for cystitis is obligatory.

If there is an intense swelling of the mucous membrane of the bladder, then protein is formed in the urine. Microscopy of the sediment reveals a boost in the variety of erythrocytes and leukocytes, which suggests the start of the illness. obshchij - 17

Even on a blood test it is not so simple to see the entire image, as on a urine test, it is simple to figure out cystitis even by the look of urine. Urine with cystitis ends up being cloudy, gets the odor of ammonia. Also, finding, germs and fungis often appear in it. The existence of blood in urine suggests the advancement of hemorrhagic cystitis.

Laboratory research study often reveals low level of acidity of urine, however its particular gravity, on the contrary, is high. A basic analysis is not able to reveal whether the infection is just in the bladder, urethra, or it has actually currently passed to the kidneys. So to verify the existence of the illness, it deserves carrying out other diagnostics, for example, an ultrasound scan.

Urine analysis according to Nechyporenko

It makes it possible to more properly discover the variety of leukocytes, erythrocytes and cylinders than a basic urine test for cystitis. A research study is carried out under a microscopic lense, however in the Nechiporenko sample, the variety of aspects in a particular volume of liquid is counted, and not by the variety of noticeable cells.

Form parts of blood in urine are observed in the existence of damage to the kidneys. The detection of erythrocyte casts in urine suggests a kidney reason for hematuria.

Urine analysis according to Nechiporenko is recommended if there are problems in the basic analysis of urine or if it is suspicious.

  • The standard in urine evaluates according to Nechiporenko.
  • Analysis according to Nechiporenko throughout pregnancy.
  • Analysis according to the Nechiporenko approach for kids.
  • How to gather and contribute urine for analysis by the Nechiporenko approach.

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Bacterial sowing

Due to it, it is possible to figure out swelling and recommend proficient anti-bacterial treatment. When performing a seed tank, the product is planted on nutrient media. If there are germs and fungis in it, then they increase rapidly. After recognizing pathogens, physicians identify their level of sensitivity to drugs.

It is necessary to discover the level of sensitivity of microorganisms, since much of them form antibiotic resistance. Decoding of bacterial sowing is carried out in a week.

When carrying out bacterial seeding, the following pathogenic bacteria are discovered.

  • Primary causative representatives of UTI. These germs can individually trigger damage to the genitourinary system.
  • Secondary causative representatives of UTI. These germs act just in the existence of other infections, deteriorated resistance.
  • Doubtful causative representatives of UTI. They do rarely trigger medically substantial UTIs.

In addition to pathogenic germs, the existence of lactobacilli, streptococci, diphtheroid rods can be found in urine.

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Urinalysis of the Zimnitsky

Due to it, inflammatory phenomena in the kidneys are found. The client will require to gather urine within 24 hours every 3 hours. You require to begin gathering urine in the early morning. All urine parts are gathered in a different container. In lab conditions, the particular gravity of these parts will be figured out, in addition to the overall quantity of liquid.

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Addis-Kakovsky approach

This is a unified approach for the quantitative decision of corpuscular aspects in the everyday volume of urine. It is hardly ever utilized in practice since it is time consuming and not without its downsides. To pass such an analysis, the client needs to avoid meat items and restrict the quantity of liquid intoxicated throughout the day on the eve of the research study day.

Express Test

Due to the techniques of reveal diagnostics, you can rapidly perform a research study. There are numerous kinds of tests:

  • reveal test for the decision of biochemical aspects,
  • leukocyte esterase response, it enables you to see pus,
  • fast test with a sign strip that is delicate to nitrites.

Tests in grownups

What kind of tests to take ought to be figured out by the medical professional. Usually, a basic urine test is recommended initially. Even a simple examination of the fluid when performing such a study will help detect the presence of pathology:

  • the urine becomes cloudy
  • it takes on a bloody hue,
  • it sometimes contains traces of mucus and pus,
  • also a strong unpleasant odor appears.

After visual inspection of urine, studies are carried out to identify quantitative and structural changes in its composition.

Certain proportions of the elements contained in urine indicate the state of the body. So, for example, the norm of the level of leukocytes in women is 4 units/ml, and in men – 000 units/ml. The norm of erythrocytes in all adults is 2 units/ml. The norm of the cylinders is 000 units/ml.

An increased level of any indicators indicates inflammation.

Tests in children

Cystitis affects not only adults and the elderly, but also children. That is why parents should be careful about any deviations from the norm. For example, the smell of urine, which is often present with cystitis, should alert you. In this case, you need to go to the clinic and pass urine tests as soon as possible. If treatment is not started on time, interstitial (chronic) cystitis will occur.

If you suspect the presence of inflammation in the urinary system, children are prescribed a basic urine test. When evaluating a sample, doctors pay attention to its color, density, quantity, urine pH, the presence of protein, acetone in it.

Conducting urine tests for cystitis in a child has its own characteristics. Children have their own norms.

The indicators of urine analysis in children are divided into 2 groups: organic and inorganic sediment.

Erythrocytes in a child’s urine are easy to see without a microscope – the urine will have a pink color. The presence of red blood cells indicates the development of pyelonephritis. In a healthy state, the number of erythrocytes should not exceed 2 in one field of view of the microscope.

In boys, the number of leukocytes in a normal state is 0.4, and in girls – 0.6 in the field of view.

Collecting urine from babies is accompanied by certain difficulties: the inability to predict the time of the next urination in a child, the inability to persuade him to urinate in a certain container.

Stages of preparation

  • Urine is collected in the morning. The sample should be examined after a few hours.
  • Before collecting urine, you need to rinse the genitals. To do this, just wash yourself with warm water.
  • It is recommended to collect urine in a clean container.
  • The first dose of urine will not work. It contains bacteria impurities. They will change the results. Therefore, it is advisable to take some urine before collecting a sample.
  • On the eve of the study, it is necessary to remove from the menu all products that can brightly color urine.

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When carrying out the study, the following parameters are considered.

Colour. The urine of a healthy person is yellow. In this case, the liquid is transparent. The color of urine with cystitis can be either yellow or red, while the liquid is cloudy and stinks.

Leukocytes. In healthy men, the number of leukocytes should not be higher than 3 in the field of view, in women – 6 in the field of view. A high white blood cell count indicates a bladder infection. The predominance of neutrophils among leukocytes indicates the existence of bacteria.

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Hemoglobin. Sometimes urine looks normal, but it includes blood impurities.

Erythrocytes. In women, a normal indicator is no more than 3 in the field of view, for men a good indicator is the presence of single erythrocytes.

Protein. The level of protein in the urine with cystitis exceeds 1 g/l. This condition – proteinuria – indicates the development of inflammation.

Glucose. Healthy people do not have it. If it is present, it indicates that the kidneys are weak.

Acidity. In healthy people, the reaction is slightly acidic. If there is an inflammatory process, changes in the reaction may be observed.

Density and specific gravity. The density within the normal range is 1012 g/l – 1022 g/l.

Ketone bodies. The norm is 20-30 mg of this substance.

Urobilinogen. The normal value is no more than 5-10 mg/l.

Bilirubin. It shouldn’t be.

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  • What tests are taken for cystitis in women.
  • How to recognize cystitis yourself.

Conclusion

Urinalysis is the main study that is performed when cystitis is suspected. There are several types of analyzes. They allow you to measure the quantitative indicators of the composition of urine, to identify the causative agents of the disease.

Leukocytosis, an increase in the level of erythrocytes, protein and some other indicators indicate the presence of pathology.

You can determine the inflammatory process by the appearance of urine. It will be opaque, cloudy, bloody discharge, flakes will be observed in it. The urine of a sick person may smell undesirable. For test outcomes to be reliable, urine collection must be carried out properly.

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Tatyana Jakowenko

Editor-in-chief of the Detonic online magazine, cardiologist Yakovenko-Plahotnaya Tatyana. Author of more than 950 scientific articles, including in foreign medical journals. He has been working as a cardiologist in a clinical hospital for over 12 years. He owns modern methods of diagnosis and treatment of cardiovascular diseases and implements them in his professional activities. For example, it uses methods of resuscitation of the heart, decoding of ECG, functional tests, cyclic ergometry and knows echocardiography very well.

For 10 years, she has been an active participant in numerous medical symposia and workshops for doctors - families, therapists and cardiologists. He has many publications on a healthy lifestyle, diagnosis and treatment of heart and vascular diseases.

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