Red blood cells in the urine during pregnancy: rate, causes
Before each visit to the doctor pregnant pass laboratory tests. Select the red blood cells in the urine during pregnancy is normal. However, increased values in the mean results in malfunctions of the organism, that poses a serious threat to the child. Red blood cells in the urine occur as a result of disease or physiological features. For reliable results it is necessary to observe the rules of collection of material for a urine test.
Red blood cells in the urine during pregnancy: norm
Leukocytes and erythrocytes are excreted with the urine from each individual. Consequently, their normal performance in the field of the microscope: for men 3-5, women to 1. The norm for a pregnant woman the same. In the case where another laboratory testing revealed an increased number of red blood cells, the doctor prescribes a re-analysis using the catheter. If in this case, the analysis showed the level 5 and above, diagnosed with «gross hematuria», then additional research is underway to identify the root causes. The value of erythrocytes from 1 to 5 in the urine of the pregnant woman is called «microhematuria».
What are the reasons?
The appearance in the urine of red blood cells during pregnancy — a reason for careful inspection of the health of the expectant mother. Laboratory analysis of urine allows us to understand the kinds of hematuria: true or false. In the case of hematuria in a pregnant first type erythrocytes appear in the urine after passing through the kidneys. Another reason of true hematuria is constantly and rapidly growing uterus. In these cases, do not worry. Elevated red blood cells in the urine during pregnancy when about of hematuria be the result of:
- find sand or stones in the kidneys (getting to the exit particles hurt and injure tissue)
- beginning uterine bleeding (color of urine, thus, remains the same);
- erosion of the cervix (the endometrium will relax and produce blood cells);
- kidney disease (cystitis, glomerulonephritis);
Steps to determining root cause
To identify the root cause of the increase in the number of red blood cells in urine during pregnancy will help additional analysis and study. First of all, the gynecologist examine a woman on the gynecological chair with the help of mirrors. This way you can diagnose a cervical erosion. The following additional research will be colposcopy — examination using a special microscope, the images which are broadcasted on the computer screen. It is possible to take pictures of the uterus for further observation.
Pregnant women will also take material for cytograms and conduct a bacteriological culture of urine and mucous balloon of the uterus. If you suspect a child in danger will conduct the ultrasound, which does not take harm during pregnancy. In addition, information is obtained from repeated studies of blood and urine. Why it is necessary to conduct so many tests? Protein and red blood cells during pregnancy are a serious threat to the life and health of the child. To prevent complications and needed for many diagnostic procedures.
There are times when after all the additional research of the failures in the system, but RBCs are still present in the analysis. In this case, the reasons can be the higher air temperature on the street or in the room where the pregnant woman spends a lot of time. Enhanced physical exercise, meals with spices and alcohol, and stress can cause red blood cells in the urine.
Rules of urine collection for analysis
Urine analysis is significantly affected by how it was collected. For the most truthful data, you must follow the rules of collection of the investigated material. First of all, the analysis is carried out on morning urine. Before you begin gathering necessary to wash the vulva. Next, use a cotton swab to close the entrance to the vagina. This is done in order to avoid getting substances out of it. The process of collection is as follows: the first portion of urine (10 ml) is poured, medium is collected and again poured last. The collection of material for analysis is produced in a special container that you buy at the pharmacy. Also important is the time between collection and the start of the study. The norm is 1 hour. This period of time (prior to analysis) a container of material should be in a cool place. The implementation of the rules collection is to ensure correct performance.
The importance of urine analysis
The health of expectant mothers means a lot to them and for the child. Any disease pregnant can cause serious abnormalities in the fetus. With the purpose of timely prevention and detection of diseases is necessary to conduct regular laboratory testing of urine. The presence of protein and red blood cells in a result, doctors have more details to observe pregnant and spend the number of additional diagnostic procedures. In addition, a pathology can flow and develop without symptoms. Tests able to identify and resolve at an early stage. Otherwise, there is a likelihood of miscarriage or developmental abnormalities of the fetus. So important is strict adherence and implementation of all recommendations of the doctor.
White Blood Cells in Urine
White blood cells (WBC, pus cells, leucocytes, LEU)
The main function of white blood cells is fighting various pathogenic agents invading our body. White blood cells are better detected in the first morning urine as it is more concentrated and has more sediment. White blood cells in urine are detected by a microscopic examination and are measured in the amount of white blood cells seen in 1 field of view.
There are usually only a few white blood cells in urine of a healthy person. The presence of leukocytes in urine is referred to as leucocyturia or pyuria (pus in the urine). If urine contains large amounts of pus cells, it becomes muddy, with flakes and fibers.
The increase number of white blood cells in urine usually indicates inflammation in the kidneys (pyelonephritis), urinary tract (cystitis, urethritis, prostatitis) or genitals. In rare cases, an increased amount of white blood cells in the urine may be due to renal disease in tuberculosis, amyloidosis, acute and chronic glomerulonephritis.
High levels of leukocytes are found in the urine of women suffering from genital inflammatory diseases. Additional tests are needed for an accurate diagnosis.
White blood cells may enter the urine from the genital tract (the vagina in women and the urethra in men). Large amounts of leukocytes may be found in the genital tract of healthy individuals due to poor hygiene. Therefore, proper personal hygiene should be performed before collecting a urine sample.
In early childhood leukocyturia (white blood cells in the urine) may be caused by mild diseases due to the high sensitivity of the kidneys. In elderly patients, urinary tract infections (UTIs) may be caused by some functional inertness of the kidneys and intestinal atony.
White Blood Cells in the Urine During Pregnancy
Pregnancy causes hormonal and mechanical changes in the woman’s body. These changes increase the frequency of urinary tract infections (UTIs) during pregnancy. Pregnant women are more likely to develop a kidney infection if they have a urinary infection. The presence of significant numbers of white blood cells in the urine without any of the typical symptoms of UTI is called asymptomatic pyuria. Antibiotic treatment can reduce the risk of kidney infections in pregnant women who have a urine infection but show no symptoms of infection.
WHITE BLOOD CELLS IN URINE DURING PREGNANCY
WHITE BLOOD CELLS IN URINE DURING PREGNANCY
White Blood Cells In Urine During Pregnancy
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Behind me, from the thickest of shadows in that fetid cell a slow, almost inaudible hissing issued; and the louder sound of something large and. . . wet unfolding from the darkness. A moist plop reached my ears and what might be described as my hackles rose straight up. I didn’t look but concluded, “And I won’t be damned.”
The liaisons, falling easily before my superior will did not hesitate. “Very well,” they intoned, “follow us.”
Stepping forward, I reached behind me, and keeping my gaze fixed straight ahead as the sound of a large, not unviscous mass shuffled loathsomely across the tiles, closed the door.
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The red blood cells in urine in children raised: what does it mean and what is their norm
At initial diagnosis the doctors don’t have to assign a complex analysis to identify the deviation of the body of the patient. One of the most simple laboratory tests will tell a lot about a specialist. So that you too can understand the medical terms, let’s see, what does an indicator such as erythrocytes in the sediment of urine, the quantity allowed as normal and the excess. After reading this article, you will learn features of treatment increased content of red blood cells in pregnant women and in children.
What do the red blood cells in the urine
Carries oxygen to all organs and tissues of the body red blood cells are called erythrocytes. How do they get into the urine? These blood cells and plasma proteins and leukocytes in blood filtration by the kidneys should not pass through the membrane, their appearance means the presence of the disease. The normal options such an indicator may be considered, for example, when the person had a strong physical activity, stress, overheating of the body. In such cases it is necessary to retake the tests to rule out pathology.
The increased content of red blood cells in urine is called hematuria. A large number of red blood cells in the urine indicates a problem with the bladder or kidneys, or problems with genitals. For example, this may indicate pyelonephritis, kidney stones or tumors. Outwardly often the change of an indicator does not manifest itself, but if the blood urine becomes pink or red, this condition is called gross hematuria.
Devoid of hemoglobin red blood cells that can be detected by the study, called the modified or leached red blood cells. Such a condition indicates a problem with the kidneys, blood cells for a long time dwelt in urine and hemoglobin come from. Their presence visually, the patient can not see, the opportunity to consider round are colorless corpuscles under the microscope.
Fresh red blood cells, where hemoglobin has not yet managed to break, technicians discovered upon examination of sediment urine in unchanged form, as red biconcave discs. This state of blood cells present in urine, indicates diseases of the urinary organs, for example, urethritis, cystitis, or urinary ducts that held the stone.
The rate of red blood cells
According to the standards of medical laboratory studies, the presence of single blood cells is not considered a pathology, if not exceeded the established norms. So, valid is the presence in the field of view under the microscope 1 of the erythrocyte in the urine in men, and from 1 to 3 blood cells, if the analysis of urine of the woman. If you increase this indicator to look for developing pathology of the body.
The rate of red blood cells in the urine of women during pregnancy does not change up to 3 cells in field of view, but during this period, doctors closely monitor this indicator. The developing fetus when making more pressure on the organs of the future mother, because the organs of the urinary system work with the load. If kidney problems were at the woman and before conception, while waiting for the baby’s chronic illnesses can worsen, so it is very important to pass the necessary tests.
For children of normal content is considered up to 4 blood cells.
Exceeding this norm may indicate not only the diseases of the kidneys or urinary system, but also to any other pathology, which began to appear. The appearance of blood in urine is called hematuria reactive, which often manifests itself in infectious diseases as a response to intoxication.
In General, the analysis of urine
To identify or exclude the presence of red blood cells collected from a patient subjected to General urine analysis. This method of diagnosis is included in the list of mandatory primary survey for all patients, regardless of their presumed diagnosis. Method of analysis like this: the drop is examined under the microscope, the lab technician counts only the number of blood cells, which were found on the surveyed site.
This type of diagnosis is carried out when the overall analysis revealed an excess of red blood cells. Blood cells is also counted under magnification of the microscope, but in separate squares, and then determined their average value. Indicators of red blood cells in the analysis by Nechiporenko are considered normal if their level does not exceed 1000 units per 1 ml.
Treatment increased content of red blood cells in pregnancy
When expecting a child, a woman must regularly do tests, not to miss the high content of red blood cells in the urine, if such a symptom would manifest. Often this indicates a malfunction in the urinary system due to the increasing pressure of the fetus, which is dangerous for the health of mother and child. The woman conducting the ultrasound bladder and kidney to establish the true cause of the ingress of blood in the urine, for example, to exclude uterine bleeding. After diagnosis, a treatment of revealed pathologies.
Video: what to do if increased red blood cells in urine in children
So you did not lose because of bad analysis of your child and knowing what next steps need to be taken, watch the following video. For a few minutes, the doctor-the nephrologist will talk in detail about the causes of hematuria that may affect urine color change and what additional data may need a specialist for accurate diagnosis.