Urinalysis for cystitis: what to take, how to prepare, decipher
A similar disease is an inflammatory process that occurs and quickly develops in the bladder. In this regard, the most effective, as well as informative way to diagnose the disease is to conduct a general analysis of urine in cystitis.
Types of urinalysis
Bacteria that stimulate the inflammatory process, the products of vital activity, abnormalities in the functioning of the bladder and the resulting consequences affect a variety of indicators. Often, a competent expert can make a reliable diagnosis, based only on the results of a urine test. However, there are also alternative methods of diagnosis.
The most common urine tests for cystitis, which are prescribed by a doctor, include:
- urine biochemistry;
- urine culture;
- analysis of Nechiporenko.
All these types of studies are not mandatory and can be prescribed at the discretion of the doctor who will be treating. It makes sense to conduct them in the event that there are any doubts or there is a justified necessity. These studies with developing cystitis can give the doctor additional information, will allow to detect some concomitant diseases, determine the type and nature of the pathogen.
Let us examine in more detail, what tests must be given for cystitis.
What effect does the composition of urine have on cystitis?
To confirm the presence of a disease such as cystitis, it will be sufficient to begin with a general examination of the urine of the patient. It is worth noting that even a visual examination of the urine sample will determine the presence of changes in its quality. For example, if there is cystitis for a urine sample, the following changes will be characteristic:
- The color of the urine changes. There may be reddish shades of different saturation. They depend on the amount of blood contained in the urine.
- The urine becomes turbid.
- Traces of pus may be present if the disease is acute or severe.
- There may be mucus that appears due to inflammation of the epithelial cells.
Characteristic signs of cystitis in urine
Quantitative and structural changes are further detected in a laboratory study. For the urine of a patient suffering from cystitis, the following symptoms are characteristic:
- Elevated level of leukocytes in the sample. This indicator is a sure sign that there is an inflammatory process.
- Increase in the number of red blood cells. It is taken into consideration if there are more than two erythrocytes in the field of vision.
- There are changes in the acid-base balance of urine.
- There may be a slight increase in protein levels.
- Microorganisms that caused inflammation in the bladder can be detected.
Depending on the result of urinalysis in cystitis, the patient will be diagnosed and prescribed treatment. Many factors of treatment depend on the quantitative changes of each indicator. For example, the presence of protein in the urine and an increase in its number with cystitis is insignificant. But if there is too much of it in the sample of urine, this may be evidence of the presence of another disease, for example, pyelonephritis.
Norm
In fact, the urine of a healthy person is characterized by a certain proportion of the elements that are in its composition. The results of urine tests should reflect a violation or compliance with this proportion. For example, the Nechiporenko analysis can reveal the ratio of the cylinders, erythrocytes and white blood cells in the urine. If the composition of urine is normal, then for one milliliter it will have indicators that are reflected below:
- the normal amount of red blood cells in urine analysis in men and women is 1000;
- number of leukocytes: for men should be at the level of 2000, for women - 4000;
- the number of cylinders in both sexes is 20.
These are the main indicators of a general urine test for Nechiporenko cystitis.
Deviations from this norm indicate the presence of an inflammatory process that develops in the genitourinary system and its organs. A variety of quantitative indicators indicate not only the presence of cystitis, but also other diseases, for example, prostate adenoma, urolithiasis and others.
Decoding of the urine test for cystitis
The color is determined visually. In norm it is light and medium shades of yellow. Children's urine is lighter than in adults. A dark tone speaks of pathology.
Smell is determined with the help of smell, with an unpleasant odor suggest pathology.
Transparency is assessed visually. In the norm - it is transparent or slightly turbid.
The density is measured with a meter, the norm is 1010( 1018) -1025( 1026) g / l.
Estimate acid-base reaction - acidic from 5.1 to 7.08.
Organic substances. Glucose, bilirubin, bile acids in the norm of urine should not contain. A lot can be protein, but this is already a deviation.
If a suspected cystitis is suspected, a general blood test can be assigned. If there are no such diseases, the blood test will show results that are within the normal range. If there are deviations, but they are insignificant, this indicates only the presence of an inflammatory process, but no more.
Urinalysis for women with cystitis - how to prepare? This will be discussed later.
Preparing for collecting the biomaterial for the
study The patient is primarily interested in the objectivity of the result of the study. That is why it is worthwhile to study several important rules that must be observed in order to avoid obtaining an incorrect result. The collection of the biomaterial for the urine sample should be carried out in the manner described below:
- Drinks and meals should be consumed throughout the day preceding the day of collection of urine samples, which have the maximum neutrality of their composition. It is recommended to abandon products containing dyes, as well as from fruits, vegetables and diuretics.
- The biomaterial should be collected only on the morning of the day when the urine test for cystitis in women is due. If you do this in advance, the day before, during the storage time, individual indicators, for example, acid-base balance, may change. This will undoubtedly affect the result of the research.
- Before collecting urine, it is necessary to wash the external genitalia with special care. This is necessary in order to avoid unnecessary impurities in the urine collection container.
- For the same reason, it is necessary to collect an average portion of urine. That is, the first portion should be skipped, after that you need to substitute a jar and collect the middle portion and, without waiting for the end of the process of urination, remove the container. The composition of this particular material will be the most objective. The amount of collected biomaterial should not be less than 100 milliliters.
- If we talk about additional precautions, then during the collection of the sample it is recommended to dilute the labia into the sides in order to avoid them washing with urine.
How do I take a urinalysis for cystitis in the laboratory? The biomaterial collected by the described method must be delivered to honey.establishment for a short period( 2 hours).
Diagnosis
After the laboratory has performed the required study, the result will be given to the treating doctor who will examine it and make a diagnosis. After this, the attending physician selects the most effective method of treatment. If the body has an inflammatory process, it is very important to pass the diagnosis exclusively to a specialist, and not to engage in self-medication. Only a specialist is able to make the correct diagnosis, to identify the pathogen of inflammation and to determine which antibiotics he is sensitive to.
Treatment of
To date, doctors do not have a common opinion on the issues of treatment with the help of folk remedies. Some of them may just be useless, and some can do harm. Be that as it may, it is necessary to exclude them before carrying out the research on cystitis due to the fact that they are able to influence the result. The same applies to a method such as heating an inflamed bladder.
Very often women in periods when cystitis is exacerbated, apply a heating pad to the lower abdomen. The overwhelming majority of specialists believe that such heating brings only harm, not good. The pathological process in the inflamed organ can be at the peak of its development, and during this period it should not be exposed to elevated temperatures.
During the whole course of cystitis therapy, one should abstain from sexual intercourse. In addition, doctors often insist on the need for testing the sexual partner. This is required in order to exclude a possible hidden inflammatory process. What will the urine test show for cystitis after treatment?
Repeated urine analysis
Basically, after 10-14 days after the drug treatment is started, the urinalysis becomes normal. But it's worth remembering that this does not mean a complete recovery. The inflammatory focus can not be eliminated completely. That's why you should not interrupt treatment or neglect the doctor's recommendations. Such actions can only aggravate the problem.
The overwhelming number of cases of transition of a cystitis to the chronic form is connected with such rather hasty actions of the patient.
Recommendations of
Until the treatment course that the doctor appointed has finished, all the recommendations of the specialist should be strictly observed. Only this will allow to recover faster, without fear that the cystitis will pass into the chronic form or there will be complications that will require more complex procedures for diagnosis and longer treatment. It is extremely undesirable to start the inflammatory process. The earlier a patient turns to a specialist, the more favorable will be the prognosis of the disease.
So, we explained in detail how to properly pass a urine test for cystitis.