HealthDiseases and Conditions

The epithelium is flat in the urine

Until now, the most common study is a urinalysis, despite a huge number of modern tests. It is simple, inexpensive, quickly executable, but very informative. One of its indicators is the epithelium flat in the urine, which, in combination with others, helps the specialist to identify pathology. However, in itself, it does not matter much.

The epithelium is flat in the urine almost constantly. He gets there from the lower part of the urinary system, mainly from the urethra. These cells are found in healthy people, but their number increases with infection.

The epithelium is flat in urine - the norm:

  • Men are single in the preparation or absent;
  • Women are single in the field of vision or absent.

However, in order for the result to be reliable, it is necessary to properly collect the material for analysis. Therefore, before this, a thorough toilet of the external genitalia should be performed. It is better to put a cotton swab in the vagina. You can not take the analysis during menstruation.

Urine should be collected after waking up in the morning in a sterile jar. You can buy it in a pharmacy or take it to a laboratory. Tanks that have already been used should not be used, or they should be carefully processed.

When collecting the analysis, you should extend the labia minora. Then start urinating in the toilet, then substitute the jar and collect a portion of urine. Approximately 100 ml is sufficient for the analysis. Then continue urinating in the toilet.

The analysis should be taken to the laboratory within an hour. Otherwise, the result may be unreliable. On the jar it is desirable to indicate the time of collection of the analysis.

If urine is taken with a catheter and a flat epithelium is found in it, this may indicate cystitis. This disease is characterized by intense sloughing.

Epithelium flat in the urine can be present, but transient and renal there should not be. Their appearance indicates a pathology. A large number of transitional epithelium is observed in nephrolithiasis, cystitis, pyelonephritis, urological studies (instrumental) and intoxication. However, in a single quantity, it can occur.

If the kidney parenchyma is affected, then in the urine there will be a kidney epithelium that lines their tubule. This occurs in disorders of blood circulation, intoxications, certain infections, pyelonephritis, glomerulonephritis. If, 3 days after the transplant, the kidney epithelium is detected, its cells 15 or more in the field of vision, then there is a threat of rejection of the allograft.

They are also present urine in the following cases:

  • Tubular necrosis;
  • Nephrosclerosis;
  • Poisoning with ethylene glycol, heavy metals;
  • fever;
  • Reception of preparations of bismuth, phenacetin, cortisol, salicylates.

So, the epithelium in the urine is the norm:

  • Renal - is absent;
  • Transitional - absent or single.

The most important indicators of the analysis are leukocytes, protein and bacteria. Their increased amounts indicate an inflammatory process occurring in the genitourinary system.

Also, when analyzing urine, the following indicators are determined:

  • Colour;
  • reaction;
  • transparency;
  • Salts;
  • specific gravity;
  • sugar;
  • slime;
  • Cylinders;
  • Erythrocytes.

Healthy people need this study at least once a year. A person who has a disease of the urinary system needs to perform it much more often.

Urine examination is prescribed in the following cases:

  • In half a month after streptococcal infection (scarlet fever, sore throat);
  • Diseases of the urinary system ;
  • Medical examination;
  • Checking the effectiveness of treatment, monitoring complications, monitoring the disease.

Thus, the epithelium flat in the urine may be present in small amounts. If there are many, this may indicate the presence of inflammation in the urinary organs. Transient and renal epithelium should not normally be present. To obtain a reliable result, you need to collect the analysis correctly.

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