![Hyaline nrum hauv cov zis txhais li cas? Hyaline nrum hauv cov zis txhais li cas?](https://i.answers-medical.com/preview/medical-health/13855207-what-does-hyaline-casts-in-urine-mean-j.webp)
Video: Hyaline nrum hauv cov zis txhais li cas?
![Video: Hyaline nrum hauv cov zis txhais li cas? Video: Hyaline nrum hauv cov zis txhais li cas?](https://i.ytimg.com/vi/ntLF6--EWJ0/hqdefault.jpg)
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Hyaline cov tshuaj feem ntau yog tshwm sim los ntawm lub cev qhuav dej, tawm dag zog, lossis tshuaj diuretic. Ntshav ntshav liab nrum yog ib qho cim qhia tias ntshav los rau hauv lub raum tubule. Lawv pom nyob rau ntau yam kab mob cuam tshuam rau glomerulus, suav nrog IgA nephropathy, lupus nephritis, Goodpasture syndrome, thiab granulomatosis nrog polyangiitis.
Ib yam nkaus, puas yog hyaline nrum hauv cov zis?
Lub xub ntiag ntawm squamous epithelial cells tuaj yeem qhia pom kev kis kab mob ntawm zis hnoos qeev. Casts : Casts tau tsim nyob rau hauv tubules ntawm lawv lub raum thaum cov tubules zais cov protein hu ua Tamm-Horsfall protein. Cov no nrum paub zoo li cov tshuaj hyaline thiab tuaj yeem nthuav tawm hauv li qub cov neeg laus ntawm qhov kev txiav txim 0-5 rau LPF.
Ib yam li ntawd, cov piam thaj hauv cov zis txhais li cas? Granular casts yog ib qho cim ntawm ntau hom kab mob hauv lub raum. Lawv yog pom ntau yam mob raum. Lub raum tubular epithelial cell nrum cuam tshuam kev puas tsuaj rau cov tubule hauv lub raum. Cov no casts yog pom hauv cov xwm txheej xws li lub raum tubular necrosis, kab mob kis (xws li CMV nephritis), thiab tsis kam hloov pauv lub raum.
Hais txog qhov no, puas yog hyaline nrum phom sij?
Hyaline cov tshuaj yog hom pom feem ntau pom hauv cov zis. Kab mob, cov tshuaj hyaline yuav pom nrog lub plawv tsis ua haujlwm, thiab tuaj yeem pom ua ke nrog lwm hom nrum hauv ntau yam kab mob hauv lub raum.
Qhov ntau npaum li cas rau kev tso zis hauv zis?
Feem ntau , cov neeg noj qab haus huv yuav muaj ob peb (0-5) hyaline nrum rau lub zog qis zog (LPF). Tom qab ua haujlwm hnyav, ntau dua hyaline nrum tej zaum yuav raug kuaj pom. Lwm hom nrum tau cuam tshuam nrog cov kab mob hauv lub raum sib txawv, thiab hom nrum pom hauv zis tuaj yeem muab cov ntsiab lus raws li qhov teeb meem cuam tshuam rau lub raum.
Pom zoo:
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Cov ntawv pov tseg yog cov cim ntawm ntau hom kab mob hauv lub raum. Lawv pom nyob rau ntau yam kab mob hauv lub raum. Lub raum tubular epithelial cell tau cuam tshuam txog kev puas tsuaj rau cov tubule hauv lub raum. Cov pov tseg no tau pom hauv cov xwm txheej xws li lub raum tubular necrosis, kab mob kis (xws li CMV nephritis), thiab kev hloov pauv lub raum
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Kev kuaj zis tuaj yeem qhia tau tias koj muaj "tsawg", "nruab nrab," lossis "ntau" cov hlwb epithelial hauv koj cov zis. Nws yog ib txwm muaj ib txog tsib squamous epithelial cells ib lub zog muaj zog teb (HPF) hauv koj cov zis. Muaj tus lej tsawg lossis ntau lub cell yuav qhia tau tias: kab mob los yog kab mob tso zis (UTI) mob raum lossis mob siab
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Thaum cov piam thaj hauv ntshav nce mus txog qib ib, cov zis ntau dhau raug tshem tawm los ntawm ob lub raum thiab nkag mus rau cov zis. Qhov no yog vim li cas cov dev thiab cov neeg muaj ntshav qab zib mellitus muaj suab thaj hauv lawv cov zis (glucosuria) thaum lawv cov insulin qis
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Kev tsim cov magnesium ammonium phosphate crystals (triple phosphate crystals) yog tshwm sim los ntawm kev sib xyaw ua ke nrog rau txo qis ntim cov zis ua ke nrog cov kab mob hauv lub raum uas muaj peev xwm tsim cov ammonia thiab ua kom cov zis pH (xws li Proteus lossis Klebsiella-hom kab mob) )
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Crystals nyob rau hauv cov zis yog hu ua crystalluria. Qee lub sij hawm cov pob zeb muaj nyob rau hauv cov neeg noj qab haus huv thiab lwm lub sij hawm lawv yog cov cim qhia ntawm lub cev tsis ua haujlwm, muaj cov pob zeb hauv cov zis ntawm ib qho zoo li muaj pes tsawg leeg (hu ua urolithiasis), lossis kab mob hauv cov zis