What does urine analysis show for Nechiporenko? To decipher the analysis of urine according to Nechiporenko. How to take urine by Nechiporenko

Quite often the doctor after the received general results appoints additional studies, in particular a urine sample according to Nechiporenko's method. It is important for a true diagnosis. What does urine analysis show for Nechiporenko? Today we will talk about this.

When appointed

This study will be required if the clinical (general) analysis showed any deviations from existing norms.

In order to conduct and then decipher the analysis of urine according to Nechiporenko, the laboratory doctor needs 1 ml of liquid, in which the number of its constituent elements is calculated. The entire counting process is performed using a special laboratory instrument.

The following indicators are considered to be the norm:

• Leukocytes - no more than 2000 units;
• Erythrocytes - no more than 1000 units;
• Cylinders - no more than 20 units.

Any deviations from the above indices indicate pathological processes affecting the genito-urinary system of a person.

So, answering the question: "What shows the analysis of urine by Nechiporenko?" - we can say that this study helps to identify deviations in its composition, and therefore help in diagnosing the corresponding disease.

Urinalysis by Nechiporenko: leukocytes

The increased number of leukocytes confirms the presence of infection and inflammation in the urogenital system. The most common cause of this increase is cystitis. This is called inflammation of the bladder. Due to the increased number of leukocytes, urine loses its natural transparency and becomes more turbid, a copious sediment appears, having a loose or mucous consistence.

Erythrocytes

With an increased index of erythrocytes, first of all, their structure is determined. These particles are changed and unchanged. If there is a large number of red blood cells with a changed structure, this indicates a kidney disease.

Cylinders

Even a slight increase in this indicator is a sign of an abnormal process affecting the kidney tissues. Cylinders are of different types, therefore, depending on the species identified, the final diagnosis is made.

Since the subject of our conversation is the question of what the urinalysis shows in Nechiporenko, so the main diseases are listed below, under which the urine composition changes . It is for the diagnosis of these very complex diseases and this study is intended.

Urine by Nechiporenko: what analysis shows

As mentioned earlier, this study contributes to a more accurate diagnosis, indicating certain abnormalities.

The most common urine for Nechiporenko helps diagnose the following diseases.

1. Cystitis. This disease manifests itself as an inflammation of the inner mucous layer of the bladder. With the acute course of the disease, the urine becomes cloudy, a thick precipitate is clearly visible in it. Usually it is a viscous gelatinous mass containing a large amount of mucus.
2. Pyelonephritis is an inflammation of a non-specific nature that affects the kidneys and the renal pelvis. This disease is characterized by the presence in the analysis of hyaline cylinders. In the case of more severe organ damage, waxy and granular cylinders may be detected. With a chronic type of disease, the prevalence of the number of leukocytes over the detected erythrocytes is recorded.
3. Acute glomerulonephritis is characterized by the presence of blood in the urine. Its color can vary from the color of "meat slops" to a greenish shade, if other pigments are present. In the sediment hyaline cylinders can be determined. But when diagnosing acute glomerulonephritis, the presence of the cylinders is not critical. More important is the detection of hemoglobin and erythrocyte types of cylinders.
4. Chronic glomerulonephritis. In this disease, changes in the quantitative composition of urine depend on the severity of the disease. The presence of waxy cylinders indicates an extremely unfavorable prognosis.
5. Renal stone disease, the main symptom of which is renal colic, is accompanied by the appearance of a small amount of blood in the urine. This is due to damage to the mucous urinary tract. Phosphates are stones that have a more rounded shape. They cause minor injuries. Blood in such cases appears much less often. Oxalates with exceptionally sharp corners can severely damage the mucous membrane of the urinary tract, and, therefore, often cause minor bleeding. In the sediment present in the urine, salts are found, in their chemical composition corresponding to the existing stone.

Preparation for the analysis

On the eve of the delivery of urine for laboratory testing, it is worth noting vegetables and fruits that can change its color. Also, do not take diuretics.

The material collected for the study should be delivered to the laboratory of the polyclinic on the same day. Long storage of liquid can affect its physical properties, promote the multiplication of bacteria or the destruction of elements present in the sediment. Such inaccurate data can prevent the installation of a correct diagnosis and lead to unpleasant consequences.

We pass urine on Nechiporenko

Let's see how to pass urine on Nechiporenko. This analysis will require morning urine, as it accumulates during the night, so it is not subject to daily fluctuations. The volume of fluid required for the study should be at least 70 ml.

Also important is the air temperature during the delivery of the analysis to the laboratory. Too much chilled material also gives the wrong result: a precipitate appears in the form of salts. It can be interpreted as having kidney disease.

Before passing the urine to Nechiporenko it is advisable not to take any medications. This can greatly distort the results of research.

Collection

Nechiporenko analysis: how to collect? First of all, it is necessary to hold the toilet of the external genitalia. Soap and boiled water are perfect for this. If there is no opportunity to visit the bathroom, then you can use a solution of furatsilina or solution of potassium permanganate. If you do not follow this important rule, then the material collected for analysis can give incorrect results. There appear "redundant" erythrocytes and leukocytes, which make it difficult to diagnose the disease.

Collect the sample in a clean, dry container (glass jar), washed in the most careful way. The main rule in the collection of urine by the method of Nechiporenko is the collection of her average portion. To do this, you must first urinate a little in the toilet, then collect.

During collection, try not to touch the bottle of the body so that unnecessary elements do not get there. Then close the container and take it to the laboratory.

Now you know what the given sample is assigned for, and also what the urine test for Nechiporenko shows. As a rule, the attending physician directs to this study not only when a diagnosis is required, but also for monitoring the overall treatment process. Sometimes it is required to pass this test more than once, because the results are "blurred" for various reasons.