During pregnancy at the woman the load of kidneys with which increase the last at any time can not cope increases. Therefore an important element of medical supervision for the pregnant patient is regular carrying out analyses of urine. They allow the doctor to reveal in future mom possible complications, pathology of kidneys and other possible problems with health in time.
Instruction
1. The analysis of urine can be exact and informative only a case if the woman correctly is prepared for it. The general analysis of urine is planned and allows to define physical properties of urine (volume, color, a smell, density, reaction) and also level of protein, glucose, ketone bodies, erythrocytes, leukocytes and cells of an epithelium. In the absence of deviations such analysis is carried out once month in the first trimester, two times – in the second and once a week - in the last.
2. Collecting urine is made for the general analysis since morning, not earlier than 4 - 6 hours after the previous urination and only after a toilet of genitalia. Use the second portion of urine about 70 ml. At non-compliance with hygiene the level of erythrocytes and leukocytes in urine increases, elements of inflammation of an urethra get to it. Ware for collecting the analysis has to be clean. It is given or in laboratory, or you will sterilize it over steam within 5 - 10 minutes after washing by its brush with laundry soap. It is better to use glass, but not a plastic container. It is not necessary to touch it by a body. Before collecting urine it is necessary to take a shower. To direct a stream of a shower to genitals, and the unidirectional movements, in front back, to wash up them warm flowing water. The following factors can influence the analysis: beet and vitamins, alcohol (excluded not less, than in 24 hours), medicines and a diet. In the presence of one or several factors it is necessary to inform on it your attending physician.
3. During pregnancy, different types of the analysis of urine for the purpose of different detection of pathology can be required. One of them is the analysis of urine across Nechiporenko at whom the average portion of urine in number of 25 – 50 ml gathers. It is appointed at such diseases as pyelonephritis and glomerulonefrit. Therefore the hygiene has to be very careful here.
4. Urine by Zimnitsky's method is given for determination of functional ability of kidneys. It gathers throughout the day each three hours. Eight jars with the indication of time of collecting urine for them are for this purpose used. Morning urine at six in the morning pours out in a toilet bowl. Throughout the three-hour period it is necessary to urinate in the same can, irrespective of urination frequency. If one container was not enough, it is necessary to use additional capacity. If within 3 hours you did not go to a toilet, bank remains empty. Storage of a container is made in the fridge.
5. The analysis on definition of sugar in urine is done at suspiciousness on diabetes or other endocrine diseases. In big, not less than two liters, capacity gathers all daily urine from 9:00 to six in the morning the next day. On the end of collecting it carefully mixes up. 200 ml of urine are cast in the separate capacity which will be analyzed.
6. Rather widespread analysis at pregnant women is definition of a diuresis. He is appointed when developing hypostases, and allows the doctor to judge amount of the liquid detained in an organism. Urine gathers day, from six till six in the morning. Then the amount of the emitted liquid which is compared with quantity drunk in a day is counted.
7. Urine gathers for crops the same as by Nechiporenko's method: only the average portion is necessary. Before collecting the genitalia are washed by boiled water without use of antiseptic solutions. Their getting into the analysis can yield false-negative results. It is important to remember and follow all above-mentioned rules when collecting analyses of urine. The slightest deviation from them can affect correctness of results. It is necessary to conduct hygiene strictly. For collecting urine to use only sterile glasswares, storage of urine in which has to be carried out in the cool darkened place, it is better in the fridge. Strict observance of the provided recommendations will help the doctor to estimate the state of health of future mom truly.