Peoria

Peoria (synonym leukocyturia) - pus in the urine. To identify pyuria by microscopic examination of urine sediment. It is accepted to speak about piuria, if in the Deposit urine (collected by the catheter in women or after using the toilet head of the penis in men), there are over 6 cells in the visual field of the microscope. If you have a large number of pus in the urine, it is cloudy, with cereals and threads. A more accurate idea of the intensity of pyuria can be obtained by counting uniform of urine in the accounts chamber (method Kakhovskogo - Addis, see the Urine). If pyuria the number of leukocytes in the daily volume of urine exceeds 3 million Pus in the urine reaches any of the urinary system or from prostate cancer. In rare cases, pyuria caused by the rupture of the abscess from the adjacent organs.
There are Juriy initial, final and complete. Tentatively to establish the location of the inflammatory process using trekhsloynoy samples. The patient is asked to urinate in turn in three glasses. If the material is determined in the first glass (initial, primary Peoria), inflammation is localized in front of the urethra; if only in the third glass (terminal, the end Peoria), inflammation is localized to the prostate gland or seminal vesicles. The presence of a large number of leukocytes in all three glasses is a sign of inflammation of the kidney, renal pelvis or in the bladder. To identify the causes of long-term Jurii need detailed urological examination. Peoria almost always accompanied by bacteriuria. The absence of normal bacteria in the urine indicates the so-called aseptic piuria observed, for example, at a tuberculosis of the kidneys.
Pyuria in children is usually a sign of infectious-inflammatory process in the kidneys. Downstream are acute Juriy when developing acute infection in the kidney and chronic piuria, growing on the soil of congenital anomalies and diseases of the urinary organs. Before treatment Jurii the child, it must be urological research.
Treatment of pyuria early, proactive and comprehensive. In the acute period required bed rest, drink plenty of water, vitamins, proper diet, devoid of extractive and irritating substances, sulfanilamida, antibiotics, sanation of focal infection. When chronic Jurii treatment depends on the nature of pathologic process.

Peoria (pyuria; from the Greek. pyon - pus and uron - urine; synonym leukocyturia) - pus in the urine. About P. say, if in the Deposit urine (collected by the catheter in women or after using the toilet the head of the penis in men) have 6 or more blood in the field of view. The presence of pus proved diffuse opacification of urine, the presence of lumps of pus, cereals and threads in newly urine. The coloration of the urine with the rich content of pus becomes greenish-yellow. In the case of pyelonephritis, accompanied by polyuria, urine watery, pale yellow, with a nonsetting haze. With alkaline reaction urine when P. gets dirty-brown or grayish in color. To identify P. by microscopic examination of urine sediment (figure). However, it is more accurate examination of urine sediment for Chukovskomu - to Addis, where in the accounts chamber produce counting uniform of urine (the number of leukocytes in P. reaches 40 million in the daily volume of urine). Pus in the urine can get from urinary organs or of the prostate gland and seminal vesicles. In rare cases P. happens due to a breakthrough in the bladder of ulcers parameters, appendiceal abscess, etc.
Clinically there are acute and chronic Juriy that can be expressed in terms P. initial (pyuria initialis), end (pyuria terminalis) and full (pyuria totalis). To install (approximately) localization of the inflammatory process in the urinary tract can trekhsloynoy breakdown. The patient urinates in turn in three glasses. The presence cloudy urine only in the first glass (initial I.) indicates inflammation in the anterior part of the urethra; in the third glass (terminal P.) - on inflammation in the prostate gland and seminal vesicles. The presence cloudy urine in all three glasses (total P.) is a sign of inflammation in the kidney, renal pelvis, bladder, and also revealed in the urinary tract purulent. When P. renal origin irrigation of the bladder does not affect the degree of P. localization of the inflammatory process in the bubble P. becomes less pronounced.
When the electron microscope staining of urine sediment for Sternheimer - Malunu leukocytes are painted either red or pale blue.
However, in patients with pyelonephritis you can often find pale blue white blood cells, increased in size by 2-3 times, grit in the protoplasm with Brownian motion. This type of leukocytes took the name of cells Sternheimer - Malvina.
Most accurately distinguish Juriy when mattery-inflammatory process in the renal parenchyma from P. caused cystitis, by identifying active blood in urine sediment on a method proposed by C. S. Rabinskii and C. E. Radomana. Such leukocytes are contained in the urine with active inflammatory process in the kidneys and are absent for cystitis. To identify the source of P. you with a simultaneous study of urine from the bladder and kidney lohanki obtained by catheterization ureters. To identify the causes long-term, total P. necessary detailed urological examination.
P. almost always accompanied by bacteriuria (see). The absence of pathogens in the urine indicates the so-called aseptic P., which is characteristic of tuberculosis of the kidneys. Aseptic pastels can also be observed in gonorrheal lesions of the upper urinary tract.

Microscopic picture of urine sediment when Iurii: mattery, epithelial cells, and Escherichia coli.