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Explanation of analyzes

Elevated white blood cells in the urine of an adult and a child

What it is?

White blood cells (white cells) play the role of cleaners, performing protective functions of the body and in fact, are the basis of human immunity. Two of their species - granular white blood cells and non-grained, differing in structure, perform two different functions, each of which is aimed at protecting the body.

The first - granular, reveal in the body bacteria, viruses and foreign proteins, absorb and dissolve them. Others - not granular, are engaged in the production of antibodies for each specific "enemy", which, together with them, form complexes of insoluble substances that are subsequently excreted from the body.

Leukocytes are able to penetrate into the tissue structure, pass through the capillary walls, localize in any biological fluid of a person.

In terms of the degree of white blood cells in the urine of an adult or child, it is possible to determine in what phase, active or passive, in a certain period of time our "defenders" are located and whether they correspond to normative quantitative indicators.

Content

Increased white blood cell count in urine and norm

leukocytes in urine photo

leukocytes in urine photo

The presence of leukocytes in urine is marked by a very small amount, a normal quantitative indicator is usually considered to be 10 cells per 1 μl in the field of view of the study. For women, the normal allowable rate should not exceed 6 units. leukocytes on 1 / mkl., for men - 3 units. on 1 / μL.

Elevated levels of leukocytes in the urine (leukocyturia) provoke various inflammatory focal processes in the organs of urination. Exceeding the norm of leukocyte cells from 20 units. up to 60 and above, speaks about the presence of purulent inclusions in urine, which in medicine is called pyuria.

Localization of inflammatory foci in pyuria is revealed by the method of analysis of a three-glassed sample - the first one reveals inflammation in the urethra. The second - inflammatory processes in the bladder or kidneys. The third test, after a massage of the prostate, confirms or refutes her inflammation.

What should cause concern?

Although the analysis of urine is a fairly accurate method of investigation, but the reliability of the results depends on a variety of factors - incorrect collection, non-sterile packaging, eating before research, researching loads, etc., all of which entail a second procedure to refine the data.

Anxiety and urgent medical attention for the detection of inflammation should be shown:

  1. With the appearance of sharp, blunt and aching lumbar pain;
  2. Pain symptoms in the pubic region;
  3. Fever, chills and frequent urination;
  4. The appearance of bloody inclusions in urine;
  5. Pain and burning accompanying urination;
  6. With opacity and changes in the structure of urine, the appearance of its unpleasant ambre.

Why the white blood cells in the urine are elevated - look for the cause

white blood cells in urine increased

The cause of increased white blood cells in the urine is due to the formation of several groups of pathological changes in the functions of the urinary system:

  • Infectious and non-infectious inflammatory processes, originating in the structure of the urinary system;
  • Due to the development of neoplasms;
  • Hormonal changes in the period of pregnancy.

When diagnosing such conditions, the species factor of the pathology provocation plays a big role - bacterial or aseptic (etiological), which allows for an accurate, more effective selection of treatment.

The increase of leukocyte cells is a frequent phenomenon with weakened immunological immunity and frequent catheterization procedures. Sometimes there is an increase in white blood cells and erythrocytes in the urine at the same time, which indicates:

  • Pathologists of a traumatic nature;
  • Tumors in the small pelvis;
  • The formation of urolithiasis with the characteristic advancement of stones by the urinary system;
  • Development of inflammatory foci in the prostate or foreign bodies in the urethra.

The frequent cause of elevated white blood cells in the urine of women is the presence of:

  • inflammatory processes in the bladder;
  • bacterial infections in the kidneys;
  • functional renal impairment;
  • infectious and non-infectious foci of inflammation on the mucous membranes of the vagina;
  • urogenital candidiasis ;
  • hemoblastosis and cancer;
  • ischemia and infectious mononucleosis;

The cause of increased white blood cells in the urine during pregnancy

The reason for the increase in leukocytes in the urine during pregnancy in the initial period is the physiological norm due to the activity of the protective functions of immunity, trying to rid the body of the antigenic load.

A slight increase in leukocyte cells is noted at the time of fixation of the zygote (a fertilized cell) to the uterine wall.

Long leukocyturia, this is a signal of pathology. Women in the situation often noted the development of inflammatory processes in the kidney tissue - pyelonephritis of pregnant women, due to increased loads on the kidneys. Such pathology adversely affects the state of the female body and the development of the fetus.

In the period of the whole pregnancy, monitoring is carried out regularly to detect pathological components of urine, this allows early detection of changes in the body and timely treatment, taking into account the gestation period and the sensitivity of the female organism to antimicrobial drugs.

In this case, it is no longer the treatment of elevated white blood cells in the urine, namely, the disease that caused leukocyturia.

Elevated white blood cells in the urine of children

Elevated white blood cells in the urine of children Admissible criterion of leukocytes in the biological fluid of children up to 8 units. for one μl. Urine boys contain fewer leukocyte cells - 5 units. on 1 / μL. But, sometimes in completely healthy children the level of leukocyte cells is 1-2 units per 1 / μL.

Elevated white blood cells in the urine of children are often diagnosed because they do not follow the rules for collecting urine for research, especially in newborns, infants.

If non-compliance with basic hygiene, if the child is not washed, the tests are almost always not reliable. Leukocyte cells enter the urine from the mucous membrane of the reproductive system. It is therefore not surprising that babies are very often referred for additional research.

If the tests confirm leukocyturia, it is necessary to compare what it can be accompanied with, what background pathology can provoke an increase in the number of leukocyte cells.

Accompanying factor can be:

  • allergic reactions;
  • helminthic invasions ;
  • usual diaper rash of the skin;
  • delay in the release of biological secretions, when the baby deliberately restrains urination (long tolerates).

Even if none of these factors is available, with indicators of the increase in leukocyte cells, children should still be examined in order not to miss development:

  1. Inflammatory processes in the genitourinary system;
  2. Pathological abnormalities in metabolic processes;
  3. Anomalies in the development of the ureter, which provoke urine stagnation and reflux symptoms (urine back stroke).

The development of such pathologies occurs secretly or is the result of birth defects. Can lead to persistent impairment of renal function. It is easier to prevent the disease than to treat hard-to-treat, ever-recurring pathology.

How to collect urine in children?

The first morning urine of the child is collected for the study - up to 30 ml. It is placed in a container specially designed for this purpose or in a different clean container. It is desirable to deliver it to the destination in an hour and a half, if this is not possible, short-term storage of biological emissions in a cold place is allowed.

If during this time the urine changed color and became cloudy - this is evidence of the destruction of its uniform elements. Such material for research is not suitable, the indicators will not be reliable.

It is very difficult to collect the morning "material" in infants, so familiarize yourself with certain rules, parents will not interfere.

Rules:

  • For the analysis of the general indicator of urine, it is collected immediately after the awakening of the child.
  • Before this, it should be thoroughly washed with baby detergent.
  • If this is not a special container, but a jar, boil it and put it in order in advance. The container must be dry.
  • Simplify the procedure of the children's urine collection device, attach it to the child according to the instructions.
  • Give the baby a drink of water, go to the bathroom and open the water, this will stimulate it to action.

для сбора мочи горшки, ни эмалированные, ни пластмассовые. Do not use pots, enameled or plastic , to collect urine. It is completely impossible to make them sterile. The indicators after them are off scale, the child is sent to a hospital and treated for non-existent "sores".

Important. For two weeks before taking the tests, stop taking any medications. To exclude any physiotherapeutic procedures, ultrasound and X-ray examination before the analysis.

Interesting

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