{"id":143,"date":"2017-01-11T17:01:12","date_gmt":"2017-01-11T16:01:12","guid":{"rendered":"http:\/\/www.mojidoktori.rs\/blog\/?p=143"},"modified":"2017-01-12T13:58:44","modified_gmt":"2017-01-12T12:58:44","slug":"laboratorijska-analiza-urina","status":"publish","type":"post","link":"https:\/\/www.mojidoktori.rs\/blog\/laboratorijska-analiza-urina\/","title":{"rendered":"Laboratorijska analiza mokra\u0107e urina"},"content":{"rendered":"
\n

Laboratorijska analiza mokra\u0107e (urina)<\/strong><\/span><\/a><\/h4>\n<\/div>\n
\n

Analiza urina<\/a> je jedna od korisnijih screening metoda \u010diji rezultati mogu dati osnovne informacije o stanju metabolizma i o stanju genitalno-urinarnog sistema.<\/span><\/p>\n

Rutinski pregled mokra\u0107e je jedna od osnovnih laboratorijskih analiza. Svaki takav pregled sastoji se od tri dela:<\/span><\/p>\n

1. Opis fizi\u010dkih i fizi\u010dko-hemijskih karakteristika mokra\u0107e: izgled, boja, miris, reakcija i specifi\u010dna te\u017eina.<\/span>
\n 2. Hemijska analiza. Naj\u010de\u0161\u0107e hemijske analize su analize na proteine, \u0161e\u0107er, ketonska tela, urobilinogen, bilirubin i nitrite.<\/span>
\n 3. Pregled mokra\u0107nog sedimenta tj. mikroskopski pregled taloga koji se dobije nakon \u0161to se mokra\u0107a centrifugira.<\/span><\/p>\n

<\/span><\/p>\n

Prvi jutarnji urin se uzima u sterilnu posudu pri \u010demu je neophodna odgovaroju\u0107a higijena pacijenta i uzima se ne prvi, ve\u0107 drugi mlaz prve jutarnje mokra\u0107e. Mokra\u0107u treba sakupiti u odgovaraju\u0107u bo\u010dicu, koja mo\u017ee da se kupi u svakoj apoteci, pa treba izbegavati drugu vrstu ambala\u017ee zbog mogu\u0107e kontaminacije.<\/span><\/p>\n

Izgled urina <\/a><\/span>
\n – normalno: bistar izgled<\/span>
\n – zamu\u0107en urin – ukazuje na pove\u0107an broj leukocita, odnosno na neki zapaljenjski proces, kao i na gljivice, bakterije, sluz i sve druge elemente koji se mogu na\u0107i u sedimentu urina.<\/span><\/p>\n

Boja<\/span>
\n – normalno: \u017euta boja. Boja mo\u017ee da varira u zavisnosti od unete koli\u010dine te\u010dnosti – od svetlo \u017eute do tamno \u017eute, a na nju uti\u010du i pove\u0107ana telesna temperatura, znojenje, povra\u0107anje, proliv. \u0160to je mokra\u0107a vi\u0161e koncentrovana, boja je tamnija. Zanimljivo je da ru\u017ei\u010dasta boja mokra\u0107e mo\u017ee da se pojavi, na primer, kada se konzumira ve\u0107a koli\u010dina cvekle ili kupina.<\/span><\/p>\n

– tamnosme\u0111i urin – ukazuje na pove\u0107anje bilirubina, \u0161to je naj\u010de\u0161\u0107e znak o\u0161te\u0107enja jetre, odnosno pojave \u017eutice. Neki ljudi ina\u010de imaju pove\u0107an bilirubin, tako da je njima ovakav izgled urina normalan.<\/span><\/p>\n

– crveni urin – ukazuje na prisustvo hemoglobina, \u0161to naj\u010de\u0161\u0107e ukazuje na o\u0161te\u0107enje bubrega, zbog koga se u urinu javlja krv (naj\u010de\u0161\u0107e kamen u bubregu ili pesak), ali i na razne zapaljenjske procese, o\u0161te\u0107enje mokra\u0107nih kanala i be\u0161ike.<\/span><\/p>\n<\/div>\n

 <\/p>\n

Reakcija – normalno: kisela reakcija, pH se kre\u0107e izme\u0111u 5 i 6<\/span>
\n \u2022 Alkalna reakcija – naj\u010de\u0161\u0107e ukazuje na bakterijsku infekciju.Specifi\u010dna gustina – referentna vrednost 1,012- 1,025, varira u zavisnosti od koli\u010dine unete te\u010dnosti i sposobnosti bubrega da koncentri\u0161e urin<\/span>
\n – Pove\u0107ana gustina mo\u017ee da bude znak dijabetesa, hipertenzije, poreme\u0107aja funkcije hormona nadbubre\u017ene \u017elezde, o\u0161te\u0107enja bubrega. Nastaje i usled pove\u0107anog gubitka vode – povra\u0107anje, dijareja, kao i visoka temperatura.<\/span>
\n – Sni\u017eena je naj\u010de\u0161\u0107e kod pove\u0107anog izlu\u010divanja urina.<\/span>Proteini – normalno: negativni<\/span>
\n -Mogu da budu pozitivni usled pove\u0107ane fizi\u010dke aktivnosti ili u trudno\u0107i, kada to nije znak patolo\u0161kih promena. Pojava proteina u urinu u svim ostalim stanjima znak je nekog zapaljenjskog procesa.<\/span>Glukoza<\/a><\/span>
\n – normalno: negativna<\/span>
\n – pozitivan rezultat glukoze u urinu je uglavnom je povezan sa pove\u0107anim vrednostima ovog parametra u krvi (iznad 10 mmol\/L), \u0161to se naj\u010de\u0161\u0107e de\u0161ava kod dijabeti\u010dara.<\/span>Aceton – normalno: negativan<\/span>
\n -Pozitivan nalaz prisutan kod dijabeti\u010dara<\/span>Bilirubin – normalno: negativan<\/span>Urobilinogen – normalno: negativan<\/span>
\n -Pozitivni rezultati mogu da budu znak o\u0161te\u0107enja jetre ili \u017eu\u010di.<\/span><\/p>\n

Nitriti – normalno: negativan<\/span>
\n – pozitivan nalaz je indikator prisustva bakterija u urinarnom traktu<\/span><\/p>\n

Eritrociti – normalno: negativni ili ih ima jako malo, jedan ili dva u mikroskopskom vidnom polju<\/span>
\n – Nalaz u mokra\u0107i upu\u0107uje na poreme\u0107aj u funkcionisanju bubrega ili mokra\u0107nih puteva, i na mogu\u0107i mokra\u0107ni kamenac. Ovaj nalaz mo\u017ee da se javi i posle te\u0161kog fizi\u010dkog rada ili povrede<\/span><\/p>\n

Eritrociti sve\u017ei – normalno: negativni<\/span>
\n – Pozifivni su naj\u010de\u0161\u0107e znak prisustva mokra\u0107nih kamenaca ili peska u bubregu i mokra\u0107nim<\/span>
\n putevima.<\/span><\/p>\n<\/div>\n

\u00a0<\/span><\/div>\n
Eritrociti bledi – normalno: negativni<\/span>
\n – Pozitivni su naj\u010de\u0161\u0107e znak skoro prele\u017eane infekcije ili hroni\u010dne bolesti bubrega.Leukociti<\/a> – normalno: do 5<\/span>
\n – Nalaze se u sedimentu mokra\u0107e kada se radi postojanju zapaljenskog procesa i infekciji. Obi\u010dno se uz veliki broj leukocita javlja i pove\u0107an broj bakterija, pa je u ovakvoj situaciji preporuka uraditi i urinokulturu.<\/span>Cilindri – normalno: negativni. Cilindri su forme koje nastaju u bubre\u017enim kanali\u0107ima i poprimaju njihov oblik.<\/span>
\n – Pozitivan nalaz ukazuje na hroni\u010dno bubre\u017eno oboljenje. U urinu zdravih osoba mogu se na\u0107i samo tzv. hijalini cilindri i to retko. \u0106elijski, granulirani i vo\u0161tani cilindri znak su patolo\u0161kih stanja i njihova identifikacija ima zna\u010daja za postavljaje dijagnoze ili pra\u0107enje toka bolesti.<\/span>Epitelne \u0107elije plo\u010daste – normalno: malo<\/span>
\n – Ove \u0107elije obla\u017eu urinami trakt. Njihova pojava u urinu u bilo kom obimu nema ve\u0107i dijagnosti\u010dki zna\u010daj.<\/span>Epitelne \u0107elije okrugle – normalno: negativne<\/span>
\n – Pozitivan nalaz ukazuje naj\u010de\u0161\u0107e na o\u0161te\u0107enje bubrega.<\/span>Bakterije – normalno: negativne<\/span>
\n – Bakterija mo\u017ee biti malo, \u0161to ne mora nu\u017eno ukazivati na infekciju ve\u0107 kontaminaciju usled nepravilno uzetog uzorka. Ukoliko ih je u uzorku mokra\u0107e dosta (ili kako se to nekad u laboratorijskom izve\u0161taju navodi \u201emasa\u201c) to je ve\u0107 znak ozbiljne urinarne infekcije.<\/span><\/div>\n

Kristali i soli<\/span><\/h2>\n
Urati amorfni – normalno: negativni<\/span>
\n – Pozitivan nalaz nema dijagnosti\u010dki zna\u010daj.Kristali kalcijum-oksalata – normalno: malo<\/span>
\n – Pozitivan nalaz ne mora da ukazuje na oboljenje, ali mo\u017ee da bude znak peska u bubregu.<\/span>Kristali mokra\u0107ne kiseline – normalno: negativni<\/span>
\n – Pozitivan nalaz ukazuje na neka oboljenja bubrega.<\/span>Kristali tripl-fosfata – normalno: negativni<\/span>
\n – Pozitivan nalaz mo\u017ee da bude znak bakterijske infekcije.<\/span>Sluz – normalno: negativna ili malo<\/span>
\n – Pozitivan nalaz nema ve\u0107i dijagnosti\u010dki zna\u010daj.<\/span>Gljivice<\/a> – normalno: negativne<\/span>
\n – Pozitivan nalaz je naj\u010de\u0161\u0107i znak gljivi\u010dne infekcije, a mogu se javiti i kod dijabeti\u010dara.<\/span>Spermatozoidi<\/a> – normalno: negativni<\/span>
\n – Pozitivan nalaz se javlja kod starijih mu\u0161karaca i ukazuje na o\u0161te\u0107enje prostate.<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Laboratorijska analiza mokra\u0107e (urina) Analiza urina je jedna od korisnijih screening metoda \u010diji rezultati mogu dati osnovne informacije o stanju metabolizma i o stanju genitalno-urinarnog sistema. Rutinski pregled mokra\u0107e je jedna od osnovnih laboratorijskih analiza. Svaki takav pregled sastoji se od tri dela: 1. Opis fizi\u010dkih i fizi\u010dko-hemijskih karakteristika mokra\u0107e:…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[4,10,14,20,93,92,15,7,11,19],"class_list":["post-143","post","type-post","status-publish","format-standard","hentry","category-blog","tag-analiza-urina","tag-bakterije","tag-crveni-urin","tag-eritrociti","tag-gljivice","tag-izgled-urina","tag-kamen-u-bubregu","tag-pregled-mokracnog-sedimenta","tag-tamnosmedi-urin","tag-urobilinogen"],"yoast_head":"\nLaboratorijska analiza mokra\u0107e urina - Popusti i kuponi<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mojidoktori.rs\/blog\/laboratorijska-analiza-urina\/\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Laboratorijska analiza mokra\u0107e urina - Popusti i kuponi\" \/>\n<meta property=\"og:description\" content=\"Laboratorijska analiza mokra\u0107e (urina) Analiza urina je jedna od korisnijih screening metoda \u010diji rezultati mogu dati osnovne informacije o stanju metabolizma i o stanju genitalno-urinarnog sistema. Rutinski pregled mokra\u0107e je jedna od osnovnih laboratorijskih analiza. Svaki takav pregled sastoji se od tri dela: 1. Opis fizi\u010dkih i fizi\u010dko-hemijskih karakteristika mokra\u0107e:…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mojidoktori.rs\/blog\/laboratorijska-analiza-urina\/\" \/>\n<meta property=\"og:site_name\" content=\"Popusti i kuponi\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/mojidoktori.rs\/\" \/>\n<meta property=\"article:published_time\" content=\"2017-01-11T16:01:12+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2017-01-12T12:58:44+00:00\" \/>\n<meta name=\"author\" content=\"Ordinacije@\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@MojiDoktori\" \/>\n<meta name=\"twitter:site\" content=\"@MojiDoktori\" \/>\n<meta name=\"twitter:label1\" content=\"\u041d\u0430\u043f\u0438\u0441\u0430\u043d\u043e \u043e\u0434\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ordinacije@\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u041f\u0440\u043e\u0446\u0435\u045a\u0435\u043d\u043e \u0432\u0440\u0435\u043c\u0435 \u0447\u0438\u0442\u0430\u045a\u0430\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 \u043c\u0438\u043d\u0443\u0442\u0430\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/laboratorijska-analiza-urina\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/laboratorijska-analiza-urina\\\/\"},\"author\":{\"name\":\"Ordinacije@\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#\\\/schema\\\/person\\\/299c5a1124d6a5f07b551b49e3187e6e\"},\"headline\":\"Laboratorijska analiza mokra\u0107e urina\",\"datePublished\":\"2017-01-11T16:01:12+00:00\",\"dateModified\":\"2017-01-12T12:58:44+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/laboratorijska-analiza-urina\\\/\"},\"wordCount\":1013,\"publisher\":{\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/#organization\"},\"keywords\":[\"Analiza urina\",\"bakterije\",\"crveni urin\",\"Eritrociti\",\"gljivice\",\"Izgled urina\",\"kamen u bubregu\",\"Pregled mokra\u0107nog sedimenta\",\"tamnosme\u0111i urin\",\"Urobilinogen\"],\"articleSection\":[\"blog\"],\"inLanguage\":\"sr-RS\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/laboratorijska-analiza-urina\\\/\",\"url\":\"https:\\\/\\\/www.mojidoktori.rs\\\/blog\\\/laboratorijska-analiza-urina\\\/\",\"name\":\"Laboratorijska analiza mokra\u0107e urina - 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