Urinalysis by Nechiporenko: transcript

A.Z. Nechiporenko has developed a method of urine analysis to detect and determine the number of cylinders, protein, erythrocytes, leukocytes contained in urine. Urology has long and widely used this method. Gynecology often uses urine analysis according to Nechiporenko, the transcript of which reveals urinary tract diseases. This method determines whether the patient has inflammatory diseases - pyelonephritis, cystitis, or excludes them, as well as reveals latent hematuria (blood in the urine) and latent cylindruria.

Doctors usually prescribe a urine test for Nechiporenko, the transcript of which allows for a more detailed study of those disorders of the functioning of the body that have been identified in general and clinical analyzes. The results of urine analysis using the Nichiporenko method are used in many medical fields. It is easier for the physician to monitor the effectiveness of the treatment using this diagnostic method.

How can urine be collected in order to conduct a urinalysis according to Nechiporenko, the transcript of which is necessary to confirm the diagnosis or to more accurately determine the state of the organism? You just need to adhere to certain rules and do not forget about them. For reliable results of urine, Nechiporenko needs thorough hygiene of the genitals, because if the bacteria get into the urine, they will direct the doctor along the wrong path - to thoughts of bacteriuria (various inflammatory diseases of the kidneys and urinary tracts).

Before taking the test (preferably within 24 hours), it is not recommended to take medications or vegetables that can change the color of urine. Do not eat these foods: beets, carrots, antibiotic Rifampicin and drugs that increase hemoglobin, etc.

You should collect the average portion of the first morning urine. In order to succeed, you must pass a portion of urine at the beginning of urination and pee in the toilet for the first few seconds, and then urine, which will separate in the middle of urination, you collect in a sterile container specifically designed for collection of urine.

The material that you collected should be brought to the laboratory as soon as possible, the same morning, and not later, because a urinalysis according to Nechiporenko (deciphering the study) can reveal the development of bacteria (bacteriuria).

The urine test for Nechiporenko has the following normative indices:
Leukocytes - less than 2000 per 1 milliliter of urine;
Erythrocytes - less than 1000 per 1 milliliter of urine;
Cylinders - less than 20 per 1 milliliters of urine.

What diseases of the urinary tract and kidney diagnoses the Nechiporenko method (urine analysis)? Different deviations from the norm are indicated by elevated values of different uniform analyzes of this survey (if the urine collection was performed correctly). The results of the urine test of Nechiporenko allows doctors to understand the types of abnormalities and shows the presence of certain diseases of the urinary tract, kidneys:

1. Hematuria - an increase in erythrocytes in the decoding of urine. If the number of erythrocytes is increased, then we can say about these diseases: urinary tract tumors (if hematuria is detected), kidney stone disease, nephrolithiasis (kidney stones).

2. Increase in leukocytes. This result makes it possible to make a definite diagnosis of the urinary system: pyelonephritis (or inflammation of the kidneys), nephrolithiasis (or kidney stones).

3. Raising the cylinders. This can be characterized as the presence of protein impressions, which are formed in the tubules of the kidneys. Erythrocytes and cells that line the renal tubules can be deposited on protein cylinders. With such indicators, the following diseases can be suspected: poisoning with nephrotoxic substances, glomerulonephritis and pyelonephritis.

It is also important to remember that the high content of protein cylinders (protein) may indicate a tendency to such diseases as hypertension, toxicosis, heart failure, gout. Urine analysis Nechiporenko, the transcript of the study is one of the most accurate methods of diagnosing the disease of the genitourinary sphere.