2017年12月7日星期四

Hematuria

Hematuria refers to the red blood cells in the urine ≥ 3/HP, centrifugal urine red blood cell >5 /HP, or 12 hour urine Addis count >50 million, which is common in children's urinary tract symptoms. The causes are the urinary tract inflammation, tuberculosis, stones or tumors, trauma, drugs and so on. In recent years, the hematuria, associated with no symptoms, is increasing, and these conditions are mostly for glomerular hematuria, which has attracted wide attention and research.

There are many causes of hematuria
Urinary system diseases: such as all kinds of nephritis (Acute glomerular nephritis, viral nephritis, genetic nephritis, and Henoch-Schonlein Purpura nephritis), stone (Kidney, bladder, urethra), Heart and kidney tuberculosis, A variety of congenital malformation, trauma, tumor etc.

Systemic disease: such as hemorrhagic disease, leukemia in heart failure, sepsis, lack of vitamins c and k, hypercalciuria syndrome, neonatal disorders, etc.
Physical and chemical factors: such as food allergy, radiation, drugs, poisons, movement etc. It is very important to determine where the hematuria occurs in order to make clear the pathogeny. Test three glasses of urine can make sure the sources of hematuria. The method is very simple.

First you should take 3 glasses. And then the first glass takes the forepart urine, the second glass takes the middle urine and the third glass takes the last urine. If the first glass of urine is hematuria, it shows that the blood come from urethra. If the third glass of urine is hematuria, it shows that lesions are in the bladder or urethra. If the three glasses of urine are all blood color, it shows that lesions are in the kidney or urinary tract above bladder.

If you want to make clear which disease causes the hematuria, it can be confirmed only after a variety of experience, like X-ray and CT examination, even kidney biopsy associated with the signs and symptoms.

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