Lɛ wi lan ɔltin bɔt yu urine tɛst (urinalysis) insay wan simpul we.

Adu! yu go don yehri di dokta aks yu fo ‘gi urine sample’ we yu go si dokta, no? Yu kin de tink se, "A nid fɔ du dis bak?" Bɔku tɛm, ɔl wetin wi fɔ du na fɔ gi smɔl urine insay smɔl kɔp. Bɔt wit dis simpul tɛst, we dɛn kɔl ``Urinalysis'', di dɔktɔ kin fɛn bɔku tin bɔt wi bɔdi. Tide, lɛ wi tɔk bɔt dis ``Urinalysis'', wetin i de luk fɔ, ɛn wetin mek i impɔtant.

Wetin na urine test (urinalysis)? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, urinelysis na sɔm tɛst dɛn we dɛn kin du we dɛn kin tek yu urine (we dɛn kin kɔl bak urine ) ɛn luk aw i tan, ilɛksɛf i gɛt blɔd sɛl, prɔtin, ɔ ɔda tin dɛn we nɔ fayn. Dɔktɔ kin yuz dis as pat pan di rutin screening test, ɔr fɔ chɛk if yu gɛt infekshɔn, kidni prɔblɛm, liva sik, ɔr sik lɛk dayabitis.

Bɔku pipul dɛn no dis as di " pee- in-a-cup test." Yɛs, na dat nɔmɔ yu fɔ du. Dɔn di dɔktɔ kin sɛn di sampul to wan lɛb. na de, dεn kin luk am fכs, dεn kin put sכm sכm strip insay fכ luk fכ sכm kεmikכl dεm (dεn kכl dis ``urine dipstick test''), εn las las dεn kin luk am כnda ``maykroskop'' fכ luk fכ כda tin dεm we nכ de si klia wan. Sɔntɛnde, di dɔktɔ kin du di ``dipstik tɛst'' na in yon rum ɛn gi yu di rizɔlt kwik kwik wan.

Wetin rili di urinalysis test de luk fɔ?

tri men pat dεm de fכ wan urinelysis: fכ inspekshכn di urine sεmpl (visual inspekshכn), dipstik egzamin, εn maykroskכpik egzamin. Bɔt nɔto ɔltɛm dɔktɔ dɛn kin ɔda ɔl dɛn tin ya. Di lab test dɛm we dɛn de du dipen pan wetin dɛn de luk fɔ.

Tin dɛn fɔ luk fɔs (Visual Exam) .

Sɔmbɔdi we de na di lab go notis fɔs di tin dɛn we yu kin si pan yu urine sampul, lɛk in kɔlɔ ɛn aw i klia.

• Kɔlɔ: Nɔmal wan, di urine we gɛt wɛlbɔdi kin kam insay difrɛn shed dɛn we gɛt yɔlɔ. I kin bi we nɔ gɛt kɔlɔ, layt yɔlɔ, ɔ dak amber. Dis dipen pan ɔmɔs wata yu dɔn drink, we min se yu urine kɔnsɛntret ɔ diluted.
• Klari: Dɛn kin chɛk di urine bak fɔ si if i klia ɔ i gɛt klawd. Sɔntɛnde, if i rɔtin, we min se i tan lɛk se sɔntin de flɔt rawnd, dɛn kin notis dat bak.

Wetin na dipstik tɛst?

Dis na wetin a bin de tok abaut bifo, di test we yu put smol plastic strip fo yu urine. Smɔl smɔl skwea dɛn de na di strip, ɛn dɛn kin put kemikal pan dɛn. If sɔntin spɛshal de na yu urine, dɛn skwea dɛn de go chenj kɔlɔ. Dis kin ɛp yu fɔ chɛk kwik kwik wan fɔ bɔku tin dɛn.

• Asid (PhH we de na di urine): .dis de mכsu di asid-bεys bεlε na yu urine. Tin dεm lεk kidni prכblεm εn urinary tract infεkshכn (UTI) kin mek di pH inkrεs (bi mכr alkaline). di kכndishכn dεm lεk di kεtoasidכsis we de rilet to dayabitis εn dayariya kin mek di pH dכn (i kin bi mכr asid).
• Bilirubin: If prɔblɛm de wit di liva ɔ di bayl dakt, bilirubin kin de na di urine. Nɔmal wan, dɛn tin ya nɔ kin de na di urine.
• Blɔd (Hemoglobin): Dis tɛst de luk fɔ blɔd na di urine. Infɛkshɔn, injury sɔmsay na di urinary tract, ay blɔd prɛshɔn, ɛn sɔm kayn kansa kin mek blɔd na di urine. Dɔktɔ dɛn kin kɔl dis bak ``hematuria''.
• Glucose: Dis de tεst fכ shuga (glucose) we de insay di urine. Pipul dɛm wae gɛt dayabitis ɔr gestational dayabitis kin gɛt glukɔs na dɛn urine. Pɔsin we gɛt wɛlbɔdi in urine nɔ fɔ gɛt glukɔs.
• di kεtכn dεm: Na wan denja kכndyushכn we kin apin pan pipul dεm we gεt dayabεtis dεn kכl am ``Diabetes-related ketoacidosis.`` Dis tεst de chεk fכ kεtכn dεm na di urine insay dεn tεm dεm ya.
• Lukosayt εsterase: Dis na εnzym. I de ɛp wi bɔdi fɔ fɛt infɛkshɔn. If i positif, we min se i de na di urine, i kin sho se inflamɛns sɔmsay na di urinary tract. Bɔku tɛm dis kin apin bikɔs ɔf wan urinary tract infection (UTI).
• Naytrayt: We baktri infεkshכn de na di urinary tract, di baktri dεm de mek sכmtin we dεn kכl naytrayt. So if naytrayt na ``positiv``, i kin bi sayn fɔ urinary tract infection.
• di protin: dεn de chεk di urine fכ si if di protin dεm lεk `(Albumin) de.` nכmal wan, i fכ de sכm sכm, if i de. di protin lεvεl dεm na di urine kin bכku biכs fכ tin dεm lεk at sik, kidni dεm we dεn dכn pwεl (especially damej we dεn kכz fכ hεy blכd prεshכn כ dayabitis), fכ du εksεsayz pasmak, εn we dεn nכ gεt wata.
• di urine spεsifi k graviti: dis de mכsu di kכnsantreshכn fכ כl di kεmikכl patikyula dεm we dεn sכlv insay di urine. Na fɔ no aw di urine tik. Dis valyu kin bi abnɔmal bikɔs ɔf bɔku sik dɛn.

Wetin na Maykroskɔpik Ɛgzam?

Sɔm tin dɛn de we yu nɔ go ebul fɔ si wit yu yay ɔ wit da dipstik de. Fɔ si dɛn, yu fɔ luk tru maykroskɔp.

• Krɔs: If sɔm kayn kristal dɛn de na di urine, i kin bi sayn fɔ se di kidni ston dɛn de kam.
• di εpitεlial sεl dεm:dis na di kayn sεl dεm we de kכmכt na wi urinary tract. dεn kin list dεm na di ripot as `(Transishכnal εpitεlial sεl dεm)`, `(Rεnal tכbul sεl dεm)` כ `(Squamous εpitεlial sεl dεm)`. Bɔku tɛm, fɔ gɛt smɔl nɔto prɔblɛm. Bɔt if dɛn bɔku, i kin bi sayn fɔ yurinary tract infection, inflamation, ɔ sɔntɛm kansa. if bכku `(Squamous epithelial cells)` de, i min se di sεmpl bin `(contaminated)` frכm di כdasay (fכ egzampl, frכm di skin) we dεn tek am.
• Baktri, yist, parasayt: If dɛn si ɛni wan pan dɛn tin ya na di urine, i kin bi sayn fɔ urinary tract infection (UTI), yist infection, ɔ sexually transmitted infection (STI). bכt sכmtεm, spεshal wan pan uman dεm, dεn kin kam insay frכm rawnd di vagina we dεn tek di sεmpl εn i kin kכntamin.
• Rɛd blɔd sɛl (RBC): If dɛn tin ya pasmak, dat min se blɔd de na di urine, pan ɔl we yu nɔ go si am wit yu yay. Dis kin bi bikɔs ɔf prɔblɛm na di blad, kidni, ɔ ɔdasay na di urinary tract.
• di urinary cast: Dis na sכm sכm pat dεm we lεk tyub we dεn mek wit protin we di kidni sεl dεm de mek. Sɔm kayn kɔst de sho se prɔblɛm de wit di kidni dɛm. Ɔda kayn kɔst dɛn na nɔmal tin.
• Wait blɔd sɛl (WBC): We dɛn tin ya bɔku na big sayn fɔ sho se infɛkshɔn ɔ inflamɛns de sɔmsay na di urinary tract.

Wetin mek a nid fɔ du di urinalysis?

Bɔku rizin dɛn de we mek dɔktɔ go aks yu fɔ tek yu urine tɛst:

• As pat pan yu wɛl bɔdi chɛk-ap ɛvri ia , no sɔm sik dɛn kwik kwik wan.
• If yu gɛt sayn dɛm fɔ urinary tract infection, kidni sik, ɔ dayabitis (e.g., yu de pis ɔltɛm , bɔn we yu de pis , fiva, bak pen).
• Monitor sɔm mɛdikal kɔndishɔn dɛm we bin dɔn de bifo (e.g., chɛk di kɔndishɔn fɔ di kidni dɛm na pɔsin we gɛt dayabitis).
• Wan tɛst we dɛn fɔ du we uman gɛt bɛlɛ .
• If dɛn admit yu na ɔspitul .
• Bifo dɛn du ɛni ɔpreshɔn .

Aw a fɔ rɛdi fɔ mek dɛn du wan urinalysis?

Di gud nyus na dat bɔku tɛm, dis nɔ kin nid ɛni spɛshal pripiamɛnt . Bɔt if yu dɔktɔ ɔ pɔsin we de na di lɛb gi yu spɛshal instrɔkshɔn, yu fɔ fala dɛn kɔrɛkt wan.

• If yu de wɔri se yu nɔ go ebul fɔ pis , drink wan ɛkstra glas wata bifo yu gi di sampul. Bɔt mɛmba se if yu drink bɔku wata ɛn mek yu urine dil, di rizɔlt nɔ go kɔrɛkt.
• Tɛl di dɔktɔ dɛn tin ya bifo tɛm:
• If yu de gɛt mɔntSe dat bikɔs di blɔd we pɔsin kin gɛt we i de gɛt mɔnt ɛn di wata we de kɔmɔt na di uman in vagina kin afɛkt sɔm tɛst rizɔlt dɛn.
• If i nɔ izi fɔ yu fɔ pis na do na os, lɛk shy bladder syndrome, tɛl dɛn dat bak. Dɛn go fɛn we we izi fɔ yu.
• Sɔntɛnde, di dɔktɔ kin tɔk bak se:
• Dɛn fɔ tek di sampul ali mɔnin, ɛn dɛn fɔ tek di fɔs urine sampul we dɛn wek .
• Yu nɔ fɔ it sɔm it dɛn bifo yu du di tɛst.
• Sɔm mɛrɛsin kin afɛkt di rizɔlt ɛn dɛn kin aks yu fɔ stɔp fɔ tek dɛn fɔ sɔm dez . Bɔt mɛmba se yu fɔ jɔs stɔp fɔ tek dɛn if yu dɔktɔ tɛl yu fɔ tek dɛn. Nɔ stɔp dɛn fɔ yusɛf.

Aw fɔ du urine test (urinalysis) kɔrɛkt wan?

Bɔku tɛm, yu go gɛt fɔ go na batrum na yu dɔktɔ in ɔfis ɔ lab fɔ gi yu urine sɛmpul. Dɛn kɔl dis di "klin kech" we. I min se yu kin gɛda di sampul klin wan, we nɔ gɛt dɔti. Fɔ dis, dɛn go gi yu wan smɔl spɛshal kɔp ɛn stɛriyl wayp dɛn. Mek shɔ se yu was yu an fayn fayn wan wit sop ɛn wata bifo yu gɛda di sampul.

If yu gɛt labia, yu fɔ gi di sampul lɛk dis:

1. Fɔs, sidɔm na tɔylɛt ɛn spre yu leg dɛn smɔl apat.

2. Yuz tu pan yu finga dεm fכ ol di labia na di tu say.

3. Waip di insay pat pan di labia wit di steril wayp we dεn gi yu, frכm fכnt to bak . (Nכ wayp frכm bak to fכnt, biכs dis kin bכn jεm frכm di anus fכ go bifo).

4. Tek ɔda steril wayp ɛn was di urethra.

5. Dɔn, fɔs pis smɔl insay di tɔylɛt (dis go pul sɔm pan di jem dɛn we de na di urethra).

6. Dɔn, stɔp fɔ pis fɔ sɔm tɛm, ol di kɔp we dɛn gi yu smɔl fa frɔm di urethra, ɛn pis insay. Yurin te di kɔp ful-ɔp lɛk af, ɔ lɛk aw di dɔktɔ tɛl yu. I nɔ mata if i nɔ ful-ɔp af ɔl.

7. Flush di ɔda wan dɛn (if ɛni wan de) bak insay di tɔylɛt.

If yu gɛt penis, yu fɔ gi di sampul lɛk dis:

1. Klin di ed pan di penis gud gud wan wit di steril wayp we dεn gi. If yu nɔ sakɔmsayz, yu fɔ klin di fɔs skin fɔs bay we yu pul am bak.

2. Dɔn fɔs, pis smɔl insay di tɔylɛt.

3. Stɔp we yu de pis , ol di kɔp we dɛn gi yu dɔŋ yu penis, ɛn pis insay de. Yurin te di kɔp ful-ɔp lɛk af, ɔ lɛk aw yu dɔktɔ tɛl yu. I nɔ mata if i nɔ ful-ɔp af.

4. Flush di ɔda wan dɛn (if ɛni wan de) bak insay di tɔylɛt.

Di tin we impɔtant pas ɔl na fɔ nɔ mek di insay pat pan di kɔp ɔ di insay pat pan di lid tɔch yu bɔdi, yu klos, ɔ ɛni ɔda say. If yu du dat, dat kin mek di sampul dɔti.

Fɔ tek wan sampul tru wan kateshɔn

Insay sɔm spɛshal kes dɛm, fɔ ɛgzampul if yu nɔ ebul fɔ pis yu wan, dɔktɔ ɔ nɔs kin put smɔl tiub (kateta) insay yu urethra fɔ gɛda urine sɛmpul. Bifo dɛn du dis, dɛn go klin di say we de rawnd yu urethra wit wan antiseptik sɔlvushɔn. Dɔn dɛn go put di kateshɔn ɛn gɛda di urine insay wan klin kɔntena. Dɔn dɛn go pul di kateshɔn.

Wetin kin apin afta dɛn dɔn du di urinalysis?

Afta yu gi di sampul, dɛn kin sɛn am to lab fɔ mek dɛn tɛst am. As a bin don tok bifo, sohmtem di dokta kin du `dipstik` tehst rait na dem ofis en gi yu kwik rizulyt.

Aw a go rid mi urinalysis rizulyt?

Tipikli, yu urine test ripɔt go sho tin dɛm lɛk:

• di nem fכ di tεst כ wetin dεn tεst (e.g. Glucose, Protein, RBC).
• Yu rizɔlt: Dis kin bi nɔmba, ɔ `pɔzitiv` (yes) ɔ `nɛgitiv` (nɔ), ɔ diskrɔpshɔn (e.g. kɔlɔ - yɔlɔ, klia - klia). if tin dεm de we dεn kin kכnt, lεk rεd bכdi sεl dεm, wayt bכdi sεl dεm, כ baktri dεm, di rizulεt kin bi ``fכs``, ``mכdarεt``, כ ``bכku``.
• Di nɔmal valyu ɔ rɛnj fɔ da tɛst de.
• Wan chɔt we de sho if yu rizɔlt de insay di nɔmal rɛnj ɔ nɔ de .

Dipen pan di tɛst dɛm we yu dɔktɔ ɔda, yu ripɔt kin gɛt bɔku ɔ smɔl rizɔlt. Dɛn tin ya kin apia lɛk list ɔ tebul.

Wetin na di nɔmal tin dɛn we kin apin we pɔsin de du di urinalysis?

di nכmal valyu dεm kin difrεn sכmtεm frכm lab to lab, bכt in jεnarכl, dεn fכ luk sכmtin lεk dis:

• Kɔlɔ: Layt yɔlɔ to amber.
• Klari: I klia.
• pH valyu: bitwin 4.5 – 8.0.
• Spesifi k Graviti: Bitwin 1.005 – 1.030.
• Glukɔs: I nɔ fayn.
• Keton: Na negativ.
• Bilirubin: Na tin we nɔ fayn.
• Naytrayt: Nɔ `(Nɛgitiv)`.
• Blɔd/Ɛmoglobin: I nɔ fayn.
• Protein: Nɔn ɔ i rili smɔl (Nɛgitiv ɔ Trays).
• Lukosayt Ɛstɛrɛz: I nɔ de du am.
• Wait blɔd sɛl dɛn (WBC): .vεri lכw nכmba dεm we dεn si am כnda maykroskכp (e.g. 0-5 pan HPF).
• rεd bכdi sεl dεm (RBC): nכmba dεm we rili lכw we dεn si am כnda maykroskכp (e.g. 0-2 pan HPF).
• Baktri, yist, kristal, kast: nɔ de ɔ rili smɔl.

Wetin di rizɔlt fɔ urinalysis min?

If di rizɔlt fɔ urine tɛst na ``positiv`` ɔ ausayd di nɔmal rɛnj, i min se yu kin gɛt wɛlbɔdi prɔblɛm. Bɔt wan tin de we wi fɔ mɛmba. Dɔktɔ dɛn nɔ kin no if pɔsin gɛt di sik bay di tin dɛn we dɛn dɔn du we dɛn du di urine test nɔmɔ. If di rizɔlt nɔ nɔmal, di dɔktɔ kin ɔda fɔ mek dɛn du ɔda tɛst fɔ no di tin we mek i apin.

Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?

Bɔku tɛm, yu go gɛt di rizɔlt fɔ yu urine tɛst insay wan ɔ tu biznɛs dez . Yu dɔktɔ go tɛl yu bɔt am, ɔ yu kin ebul fɔ luk am yusɛf na yu ilɛktronik wɛlbɔdi rɛkɔd.

A fɔ wɔri if a gɛt abnɔmal rizɔlt?

Nɔ, jɔs bikɔs wan tɛst rizɔlt nɔr nɔr min se na siriɔs sik. I nɔ min se yu gɛt sɔntin we siriɔs. Yu dɔktɔ go luk di rizɔlt ɛn tɛl yu if na rili prɔblɛm ɔ if yu nid fɔ du mɔ tɛst. I go tek tɛm tink bɔt di sik dɛn we yu bin gɛt trade, di sayn dɛn we yu gɛt naw, ɛn di mɛrɛsin dɛn we yu de tek.

Sɔntɛnde, dɛn tin ya kin afɛkt di rizɔlt fɔ di urine tɛst:

• Sɔm mɛrɛsin ɛn sɔpɔtmɛnt dɛn we yu kin tek, lɛk vaytamɛn dɛn . Fɔ ɛgzampul, mɛtronidazɔl, we na vaytamɛn C sɔpɔtmɛnt.
• kכntaminεshכn kin apin we dεn kכlekt di sεmpl, i kin bi frכm jεm כ כda tin dεm (e.g. vagina dischaj, mεnstral bכdi) .

Ustɛm a fɔ kɔl di dɔktɔ?

If yu notis ɛni nyu chenj na yu urine (e.g., di kɔlɔ we de chenj ɔltɛm, strenj smel, ɔ chenj na di kɔnsistɛns), ɔ if yu gɛt ɛni kwɛstyɔn bɔt yu urine tɛst rizɔlt, mek shɔ se yu tɔk to yu dɔktɔ.

Fɔ dɔn, mɛmba (Take-Home Message) .

Yɛs, fɔ pis insay kɔp kin mek i nɔ izi fɔ yu ɛn i kin mek yu shem. Bɔt dis `Urinalysis` na `noninvasive` tɛst we de gi di dɔktɔ bɔku valyu infɔmeshɔn bɔt yu wɛlbɔdi we nɔ de mek ɛni bad tin ɔ pen to wi bɔdi.

Dis simpul tɛst kin ɛp yu dɔktɔ fɔ no kwik kwik wan wan sik ɔ fɔ disayd if yu nid fɔ du ɔda tɛst. So, nɔr frayd fɔ aks yu dɔktɔ bɔt wetin mek yu nid dis tɛst ɛn wetin di rizɔlt min. Di tin we impɔtant pas ɔl na fɔ mek dɛn no bɔt yu wɛlbɔdi biznɛs!

` Urinalysis, Urinalysis, Urinary Tract Infεkshכn, Kidni Sik, Dayabitis, Yurin Sεmpl