Urinalysis

Urinalysis o le faʻaletino, vailaʻau, ma microscopic suʻesuʻega o miaga. E aofia ai le tele o suʻega e iloa ai ma fuaina faʻatulagaina eseese e pasia le miaga.

E manaʻomia se faʻataʻitaʻi mimi. O le a taʻu atu e lau fomaʻi soifua maloloina poʻo le a le ituaiga o faʻataʻitaʻi vai e manaʻomia. Lua metotia masani o le aoina o miaga o le 24-itula urine aoina ma mama puʻeina faʻataʻitaʻiga faʻasologa.

O le faʻataʻitaʻiga ua lafo i se fale suesue, lea e suʻesuʻeina ai mo mea nei:

FUA FUA MA FAAALIGA

Faʻafefea ona vaʻai le faʻataʻitaʻi i le mata le lavalava:

• E manino pe puaoa?
• E sesega, pe lanu samasama pogisa, poʻo se isi lanu?

FAAALIGA MICROSCOPIC

O le faʻataʻitaʻi faʻataʻitaʻi e siakiina i lalo o le microscope ia:

• Siaki pe i ai ni sela, tioata tioata, faʻateʻa urinary, mucus, ma isi vailaʻau.
• Faʻailoa soʻo se siama poʻo isi siama.

FAAALIGA FAAALIGA (kemisi kemisi)

• O se faʻapitoa faʻapitoa (dipstick) e faʻaaoga e suʻesuʻe ai vailaʻau i le faʻataʻitaʻi o le mimi. O le fasi pepa o loʻo i ai ni vailaʻau e suia le lanu pe a oʻo ina latou fesoʻotaʻi ma mea e fiafia iai.

Faʻataʻitaʻiga o faʻapitoa suʻega urinalysis e ono faia e siaki ai mo faʻafitauli aofia ai:

• Suʻesuʻe mimi sela sela mumu
• Suʻesuʻe suka
• Suʻesuʻega mimi porotini
• Urine pH tulaga faʻataʻitaʻiga
• Ketones vai suʻega
• Bilirubin urine test
• Suʻega faʻapitoa kalave tofotofoga

Nisi vailaʻau suia le lanu o miaga, ae le o se faʻailoga o faʻamaʻi. Atonu e taʻu atu e lau tautua ia oe, taofi le toe inuina o ni vailaʻau e ono afaina ai faʻaiuga o le suʻega.

O vailaʻau e mafai ona suia ai lau lanu miaga aofia ai:

• Chloroquine
• Uʻamea faʻaopopo
• Levodopa
• Nitrofurantoin
• Phenazopyridine
• Phenothiazine
• Phenytoin
• Riboflavin
• Triamterene

O le suʻega e aofia ai na o le masani urination, ma e leai se le mautonu.

A urinalysis mafai ona faia:

• O se vaega o se faʻataʻitaʻi faʻataʻitaʻi fomaʻi e siaki ai vave faʻailoga o faʻamaʻi
• Afai e iai ni faʻailoga o le maʻisuka poʻo le maʻi fatu, pe vaʻaia oe pe a togafitia oe mo nei tulaga
• E siaki ai le toto i le miaga
• E faʻamaonia se faʻamaʻi pipisi o le urinary tract

Ole miaga masani e eseʻese ile lanu mai le toeititi leai se lanu e lanu samasama. O nisi meaʻai, pei o beets ma blackberry, e ono mumu mumu.

E masani lava ole suka, ketones, protein, ma le bilirubin e le mafai ona iloa ile miaga. O mea nei e le masani ona maua i miaga:

• Hemoglobin
• Nitrites
• Maua toto mumu
• Paʻepaʻe toto

E masani ona fesuisuiaʻi vaega eseese o tau masani ile falefaigaluega eseese. O nisi fale suesue faʻaaoga eseese fuataga pe tofotofoina eseese faʻataʻitaʻiga. Talanoa i lau tautua e uiga i le uiga o au faʻapitoa suʻega iʻuga.

Iuga le masani ai ono uiga oe i ai i se maʻi, pei o:

• Faamaʻi pipisi auala
• Maʻa fatugaʻo
• Le maʻi suka pulea
• Pulu poʻo kanesa kanesa

E mafai e lau tautua ona talanoaina faʻamatalaga ma oe.

E leai ni lamatiaga i lenei suʻega.

Afai e faʻaaoga se suʻega ile fale, e tatau ona iloa e le tagata o loʻo faitauina faʻaiʻuga le eseʻesega o lanu, aua o faʻaiʻuga e faʻamatalaina ile faʻaaogaina o se lanu lanu.

Urine foliga ma lanu; Suʻega masani o le miaga; Cystitis - urinalysis; Faamaʻi pipisi - urinalysis; UTI - urinalysis; Urinary tract siama - urinalysis; Hematuria - urinalysis

• Tamaʻi ala urinary
• Tahi auala urinary

Chernecky CC, Berger BJ. Urinalysis (UA) - miaga. I le: Chernecky CC, Berger BJ, eds. Suʻesuʻega a le Falesuesue ma Taualumaga o Suʻesuʻega. 6th ed. St Louis, MO: Elsevier Saunders; 2013: 1146-1148.

Riley RS, McPherson RA. Suʻega masani ole miaga. I totonu: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management e le Laboratory Metotia. 23rd ed. St Louis, MO: Elsevier; 2017: mata 28.