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Decryption of analyzes

Cells of the squamous epithelium in the urine: rate, causes of increase and value

All glands and mucous membranes in various human organs cover the epidermis lining the surface, consisting of various types of cells.

In separate organs, it is classified by different types - squamous (flat) or by various other structural types of various configurations characteristic of certain organs of the body. Detection of squamous epithelium in the urine, in a standard general laboratory examination of urine, is a very frequent phenomenon.

The urine of a person, passing along his own route, washes many vessels and organs entering the urinary system. And the detection of a single epithelial cell type, or several, in its study helps the physician to specify the pathological processes.

After all, it depends on the species of epithelial cells found in the urine sediment, what further direction in the diagnosis will determine the doctor.

Cells of the squamous epithelium are covered with the surface of all serous membranes of internal organs. Its cells consist of certain sections of the renal tubules of the nephron and the small excretory ducts of the glands. With the passage of urine through the urethral system, leaching occurs, or peeling of individual particles of the coating or whole layers that settle in the urine sediment.


Causes of flat epithelium in the urine

Urinary epithelial cells

The presence of squamous cell epithelium in the urine almost always indicates inflammatory reactions in the body. The reasons provoking it can be multiple and they are due to:

  1. Consequences of exposure to viruses, bacteria or fungal parasites that cause inflammatory reactions and damage to the bladder cavity.
  2. Dysmetabolic processes in the renal tissues caused by impaired metabolic processes leading to renal dysfunction and the development of salt diathesis (crystalluria).
  3. The consequence of pharmacological treatment that provoked destructive and functional disorders in the kidneys.
  4. Different etiology of urethritis.
  5. Male urological problem caused by inflammatory processes in the prostate.

An interesting fact is that the insignificant presence of cellular squamous epithelium in the female urine and in the male, have different interpretations of the results. In the female urine, such an indicator is quite normal, and in the male - a sure indicator of urinary system problems.

The rate of flat epithelium in the urine of women and men

flat epithelium-in-urine

Studies of urine sometimes show the presence in it of various cellular types of epithelial coverage (transitional, renal or flat). This is facilitated by the distinctive features of epithelial cells in various organs, which makes it possible to determine whether or another diagnosis.

In the study of urine is determined as the species classification of epithelial cells, and their quantitative ratio. Preliminary diagnosis is based precisely on the species of the cell sediment and its quantity.

When the doctor deciphers the urine, certain regulatory indicators are considered. Small changes in parameters are acceptable, but in a healthy person, parameters must meet certain standards.

The rate of epithelium in the urine:

  • children 0-1 / Negative;
  • in men, 0-1-2-3-4-5 in sight.
  • women 0-1-2 in sight.

Their going beyond the established standards, means the development of negative pathologies in the body. The control data (comparative) of a specific analysis helps the doctor to assess the rate of development of the pathological process and select the appropriate timely treatment.

  • As the norm of the flat epithelium in the urine in men is considered from three to five cells that are in sight, the area under the microscope.
  • Normal in women, squamous cells in urine should not be present at all, or be present in a single manifestation. If a certain amount is exceeded, a control analysis is appointed to exclude the factor of incorrect collection of urine for the study.

Can this be considered a pathology, or is it the norm, what is the reason?

Why is squamous epithelium elevated in women?

The rate of flat epithelium in the urine of women Quantitative normative excess of squamous epithelium in the female urine usually characterizes the pathology in the urethral system. But, since the squamous type of epithelial lining is a vaginal lining, its appearance in the urine sediment is generally not associated with urological problems, but is caused by desquamation in the process of collecting material for analysis. Or get into the composition of the urine can from the urethral canal or bladder.

Due to the special anatomical structure of the urethral and genital systems, women are prone to an increased tendency to manifest pathologies in the mucous coating of the kidney tissue structures and the development of inflammation reactions within the bladder wall structure.

The processes of inflammatory reactions cause intense exfoliation of the cell lining of the mucous membrane, which explains the presence of a large number of flat epithelial cells in the urine.

Even before the identification of such signs in urine are noted:

  • decrease urination;
  • its turbidity and peculiar smell;
  • soreness in the lower abdomen;
  • frequent urination, accompanied by pain;
  • the presence in the urine of small inclusions of blood clots.

Such symptoms may be due to genital infections, thrush or urethritis , which, if desired, can be quickly cured. Or the reason may be hiding in the long-term course of mesangioproliferative glomerulonephritis, as a result of which the accumulation of immunoglobulin “A” in the kidneys occurs. This causes inflammatory reactions in the renal tissues and functional disorders in the organ.

The disease has a slow course and may not manifest itself for years, since there are no signs at the beginning of development. It is detected only after detection in analyzes of squamous cell inclusions, erythrocytes and protein compounds. This pathology is characterized by:

  • frothy and dark urine;
  • swollen limbs;
  • hypertension;
  • pain syndrome in the renal zone.

Prolonged treatment with analgesics - Paracetamol, Ibuprofen, Aspirin leads to an increase in squamous cell epithelium in female urine.

The consequences of such treatment are - the development of oliguria (quantitative reduction of urination), pain in the renal zone, intoxication signs.

Causes of increased flat epithelium in pregnant women

It is the state of pregnancy of women due to the increased titer of squamous epithelium in the urine, which is quite characteristic and does not cause much concern.

During this period, the urine excretion system works in a heightened mode, women are characterized by frequent urination, contributing to the desquamation of the epithelial cover.

In addition to this, in the process of carrying a pregnancy, the enlarged uterus squeezes the urethral organs, as a result of which their anatomical position changes, therefore cellular standard indicators in analyzes may slightly differ from the standard.

Concern about the excess of the presence in the analyzes of squamous epithelium, as it is a sure sign of the development of urethritis, cystitis , pyelonephritis .

Inflammatory reactions can spread very quickly, and appropriate measures must be taken urgently to protect the fetus.

  • The permissible rate of sediment in the urine in pregnant women should not exceed 5 cells in the zone of visibility. In such situations, the patient must be under the full supervision of a physician. Early diagnosis will help eliminate the cause with minimal "losses".

Elevated squamous epithelium in children

Elevated squamous epithelium in children Epithelial cells in the analyzes of urine are found even in infants, this can be explained by new living conditions, when the child needs to adapt to them, which is considered to be a completely permissible phenomenon.

As the child grows, the stats change completely; they should not exceed one to three units of cellular presence in the urine analysis. Quantitative excess means the same causes that are characteristic of adults - infections and inflammation in the urinary system.

In order to avoid an erroneous diagnosis, the collection of urine for research should be carried out in compliance with all hygienic rules and sterilization of the container for the material.

A sharp increase in the urine of a child's squamous epithelium indicates undesirable changes in its fragile organism:

  • The development of inflammation in the urinary system, urethritis or cystitis.
  • Inflammatory reactions in the genitals.
  • Renal pathologies and exacerbations of congenital kidney diseases.
  • About violations of blood circulation in the excretory system.
  • Urolithiasis and increased urine excretion of salt formations.
  • On the possible neurological pathologies that provoke the retention of urine in the bladder.
  • On the reverse course of urine (reflux).
  • Spasm of the urinary system and salt deposits as a result of prolonged pharmacotherapy.
  • About purulent processes, poisoning and other intoxication processes.

What needs to be done? - treatment and drugs

At the first signs of urination discomfort, you should immediately visit the doctor and pass the necessary tests, collected according to all the rules, to avoid repeating the procedure and errors in diagnosis. Treatment methods will depend on the results of the analysis, indicators of urinary sediment.

If urethritis is detected, a course of antibiotic therapy with the drugs Azithromycin, Clarithromycin, Cefazolin or Ceftriaxone is performed.

Immunostimulants and vitamin therapy are prescribed. During the entire course of treatment (up to 10 days), a sparing diet is recommended, excluding spicy and fried foods, abundant drinking, and excluding drinks containing alcohol.

Chronic urethritis is treated with antiseptic drugs administered by droplets in the urethral canal. The duration of the treatment course is determined depending on the severity of the process and is assigned individually.

Inflammatory reactions in the bladder are stopped by antibiotic therapy - Levoflaksocin, Furadonin, Ofloxacin, Bactrim. Anesthetic nonsteroids are added - drugs of the “Canephron”, “Fitolysin”, “Cystone” classes, or their analogues.

If the cause of the pathology is renal nephropathy, it is necessary to urgently exclude the drugs taken, which may be involved in the manifestation of such a pathology.

The treatment is carried out with the use of hormonal therapy - Triamcinolone, Prednisalon, etc. according to the individual treatment regimen. Independent selection of drugs and self-treatment, only complicate the situation.

  • It should be remembered - effective treatment and the absence of complications, is possible only with early diagnosis.

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