Norm of red blood cells in the urine of women after 40-50-60 years. Table causes low elevated treatment

The person does not think about the red blood cells as long as it does not have the disease that affects the cells. Problems of women with an abnormal amount of blood, urine can be caused by disease, iron deficiency or vitamins.

Functions in the body

The elements of the blood, without nuclei, but containing hemoglobin, red blood cells are called. Red blood cells with round curved center, similar to donuts, but without a hole in the middle, the body is 4 to 5 Mill. Tau contain many iron-containing protein - hemoglobin molecule which enters into a compound with oxygen and carbon dioxide.

Thus there is a transport of oxygen to the organs and tissues and transport carbon dioxide to the lungs, where it is exhaled.

The main function of red blood cells:

1. Respiratory: Oxygen delivery and transport of carbon dioxide.
2. Nourishing: transport of amino acids and lipids in tissue.
3. Transport enzymes.
4. Absorption toxins, antibodies.
5. Regulation of acid-base balance, which is carried by hemoglobin.
6. Active participation in hemostasis.

As produced under what conditions

Nucleate red corpuscles in the bone marrow stem cells, but their life is short, only 120 days, and then they die. Development of new red blood cells, called erythropoiesis is dependent on the level of oxygen, which may be reduced due to various reasons, including blood loss, physical exercise, reduction of hemoglobin.

When the kidneys detect low levels of oxygen, they start producing the hormone erythropoietin, as it stimulates the production of red blood cells by the bone marrow.

In that moment, when the kidneys are feeling an excess of oxygen, then slow down the production of erythropoietin, thereby reducing the production of red blood cells. Red blood cells - cells without nuclei, so aging or damaged, they can not share or generate in new cellular structures, and the dead, damaged blood derived from the spleen, liver and lymph nodes.

Norm of red blood cells in the urine of women in the blood depends on its production by the bone marrow. Abnormalities in the bone marrow, causing the production of abnormal red blood cells, these cells acquire wrong size, too large or too small, irregular in shape, such as a crescent, oval.

According to the characteristic features defined types of diseases:

1. Aplastic anemia. If the damage of stem cells inhibit the production of new blood cells. The development of this type of anemia associated with pregnancy, viral infections, intake of certain drugs.
2. Iron-deficiency anemia. Iron deficiency results in insufficient red blood cell production. The cause may be the loss of blood, menses, lack of iron in the diet.
3. Sickle cell anemia. Hereditary disease caused by a mutation in the hemoglobin gene which causes erythrocytes to take the form s sickle. Such cells get stuck in the blood vessels, blocking the blood flow.
4. Normocytic anemia. Report generation of erythrocytes in renal disease, bone marrow.
5. Hemolytic anemia. Premature destruction of red blood cells due to an autoimmune disease, a blood cancer.

Red blood cells are important for the determination of human blood groups. blood type depends on the specific identifier or antigens on the surface of blood cells. Antigens help the immune system to recognize your own type of red blood cells.

The box score

The normal range for red blood cells in the blood of women is considered to be from 4.35 to 5.65 million. Blood in the urine indicates that it appeared the red blood cells. Most of the causes of its not serious, this could contribute to the exercise, but often the deviation performance is a consequence of failure in the body: cardiovascular system, urinary tract, liver, kidneys.

Microscopic examination of urine includes an analysis of organized sediment, which is based on four major components:

Name the elements of blood	Norm	The reasons for the deviation from the norm
erythrocytes BLD	3 red blood cells in the field of view, mature cell diameter - 7-8 mm	The increase in women more than 5 points to erythremia, excess blood disease. In anemia - less than 3 erythrocytes in sight
leukocytes LEU	3-5 units in the field of view	The increase indicates inflammation
columnar epithelium Qi	lack of	The advent of talking about abuse in the urinary tract
squamous epithelium Ep	present	The increase indicates a developing form of nephropathy

Microscopy analysis of urine in general also determine unorganized precipitate which can consist of a plurality of liquid components.

Symptoms of increase and decrease

Symptoms indicating a low level of red blood cells:

1. Fatigue, weakness, due to the reduction amount of oxygen supplied to the tissue.
2. Dizziness, decreased performance.
3. Blanching of the skin, nail plates.
4. Chest pain due to lower oxygen levels.
5. Shortness of breath, numbness of extremities, headache.

The increased number of red blood cells causes symptoms in many respects similar to the decrease symptoms, but there are some differences:

• weakness, fatigue, headache;
• dizziness;
• tinnitus;
• blush;
• often appear bruising on the body;
• problems with hemostasis or bleeding disorder.

The reasons for increases and decreases

At elevated erythrocyte bleeding source is detected and the affected area.

As a rule, these are three main groups of diseases:

1. Disorders caused by disturbances in the body:

• hemophilia;
• intoxication due to viral and bacterial infections;
• thrombocytopenia, or low blood clotting.

2. Diseases caused by damage to renal tissue:

• glomerulonephritis;
• pyelonephritis;
• kidney cancer;
• urolithiasis disease;
• fractures, contusions in the kidneys.

3. Diseases of the urinary tract:

• cystitis;
• damage to the walls of the urinary tract;
• stones in the bladder.

Increasing the amount of erythrocytes is provoked decreasing oxygen level that occurs in disorders:

• heart failure syndrome;
• congenital heart defects;
• COPD;
• nicotine addiction;
• sleep apnea;
• pulmonary fibrosis.

The rarefied air also affects the increase in red blood cells. Dehydration affects the greater concentration of red blood cells with a decrease in blood plasma.

Norm of red blood cells in the urine of women increases, and for other reasons:

• Blood penetration of the vagina into the urethra in the presence of uterine bleeding;
• in the case of cervical erosion occurred due to injuries, venereal disease, hormonal disorders.

The reasons for lowering the level of red blood cells:

1. Anemia. The number of erythrocytes or hemoglobin decreases, and correspondingly reduced ability of blood to carry oxygen. This often occurs in women during menstruation, due to poor nutrition, constant dieting.
2. Cancer. The uncontrolled division of cells in the spleen, lymph nodes, bone marrow and liver violates the regulation of red blood cells, causing their decline.
3. Violations of the autoimmune system. This is due to an erroneous attack organs and cells of the system.
4. Cell cancer, damaging the bone marrow. Leukemia generates abnormal reproduction leukocytes which displace erythrocytes.
5. Iron or folic acid deficiency anemia.
6. Chronic or acute bleeding.

A fall influenced by factors such as pregnancy, vegetarian diet, certain medications.

Indications for study

If the results obtained after passing urine revealed the blood, it is necessary to undergo a full examination to determine the causes of the appearance of red blood cells in the urine.

For this diagnosis is assigned, which is also necessary for patients suffering from anemia, bleeding, hematoma:

1. General blood and urine analysis.
2. Test red blood cells, combined with hemoglobin and hematocrit administered to identify types of anemia.
3. Ultrasound of the genitourinary system.
4. CT urogenital system.

How to determine the

Clinical study of urine involves collecting urine with a special container, and on the basis of test strips, the purpose of which - a preliminary screening.

What do the test strips:

1. On test field scattered visible or disposed compactly green points, which indicate the presence of erythrocytes.
2. Normally, there should be 0-3 in 1 mm in the field of view. A person per day is allocated to 1 million erythrocytes, the erythrocytes which corresponds to 1 to 1 ul of urine.

The urine sediment collected in container visible unmodified or modified erythrocytes or their degradation products.

If the urine color is not changed, and the number of red blood cells is less than 100 in the field of view during the counting under the microscope, there is a microscopic hematuria.

When macrohematuria urine appears red or visible blood clots and the presence of blood is determined visually. Both versions indicate the typical symptoms of the kidney and urinary tract. In some cases, staining of urine occurs due to colorants of some products, such as beet.

Preparation and analysis

Special training for the delivery of the analysis is not required, but the day before should not take alcohol, increased exercise to perform. Normal erythrocytes in the urine of women during the determined delivery general analysis (OAM).

putting the rules are simple:

1. Material for analysis is taken in the morning on an empty stomach.
2. In order to avoid any foreign substances in the urine, the genitals should be washed well before fluid fence.
3. Urine analysis is required "mean". This means that the first part of the urine is not suitable for analysis, as well as the last.
4. For collecting urine is better to buy a special container at the pharmacy.
5. bimomateriala delivery to the laboratory should not exceed 1-1.5 hour.
6. It is not necessary to collect biological material during menstruation, taking certain medications that affect the color of urine, for example, phenazopyridine.

Decoding results

Blank after passing urine analysis is as follows:

The components of the biomaterial	Norm	results analysis
Bil (bilirubin)	—	+
Leu (leukocyte)	3-6 in sight	—
Bld (erythrocytes)	1-3 in sight	—
Uro (urobilinogen)	—	—
pH (acidity)	4–6	6,5
Pro (protein)	There are up to 0.03 g / L or absent	—
S.G (density)	1,013–1,025	1,03
Nit (salt)	—
Ket (ketone bodies)	—
Glu (sugar)	—
Color (color)	Light yellow	Brown

The consolidated result according to this table will be recorded that the color of the urine is dark, all indicators are normal, bilirubin found.

Table of reference values ​​of red blood cells in women:

Age	Norma erythrocytes
15 -18 years	3,9–5,2
18-45 years	3,9–5,1
45-60 years	3,8–5,2
60+	3,8–5,2

The nature of the transformation of red blood cells:

1. Cells of low density contained in urine can be modified: free hemoglobin, colorless, single-loop or duhkonturnye.
2. The urine having a higher density, the red blood cells shrink.
3. Erythrocytes containing hemoglobin, are unaltered, they are present at a slightly acidic or neutral.

The presence of the cylinder in the urine and protein suggests that the red blood cells fall into the urine from the renal vessels.

The results of the urine test is always linked with a blood test. Where there is evidence together - high density urine, bilirubin appearance, high speed erythrocyte sedimentation rate (in the analysis of the blood) - the doctor will call for the examination of the liver, urinary system.

When to see a doctor

In the case of symptoms of unusual bleeding, different color, duration, presence of odors or mucus pieces of the monthly blood loss, should see a doctor and pass the CBC. Also should alert signs of weakness, fatigue, pallor of the skin, chills limbs.

If such symptoms are concerned for several monthsShould not only visit a gynecologist, but also seek the advice of other doctors in the first place to the therapist, and then, if necessary, to a nephrologist, surgeon, hematologist.

How to bring back to normal

The main goal of treatment is to reduce the number of red blood cells in the urine, and the need to address the factors that led to their emergence. Therefore, you should consult with your doctor to determine the cause of the pathology and determine the methods of therapy.

The high content of erythrocytes is reduced using drugs:

• drugs to reduce the production of red blood cells;
• blood thinners.

Medications

To slow down the production of red blood cells, taking into account the state of health and age, drugs are offered:

1. Hydroxyurea. In each particular case is determined by individual selection dose. In the standard procedure drug taking 1 capsule 3-4 times a day, with plenty of water.
2. Interferon alpha. Duration of reception, the dose depends on the severity of the disease. Older women may be affected by the CNS.
3. Maltofer, drug filling iron.

As the diluting means include:

1. Aspirin "York", 0.05-0.1 g 1 time per day.
2. Atsekardol. Not recommended when disturbed functions of kidney, liver, ulcerous diseases. Appointed strictly on doctor's advice.

For the treatment of diseases in which increased levels of erythrocyte preparations are used:

drugs group	Name
Antibiotics to treat infections	Augmentin, furazolidone
Hormonal to prevent heavy menstrual bleeding	Dicynone, Sorbifer
Drugs that prevent the destruction of the autoimmune system's own red blood cells	Prednisone, cyclosporine
The drug produces a hormone that controls the production of red blood cells	erythropoietin

To increase the level of red cells are assigned iron supplements or proposed to use more products containing it.

Vitamins increase the level of red blood cells:

• Vitamin B12, cobalamin;
• folic acid necessary for the creation of new red blood cells;
• Vitamin C helps absorb iron;
• Vitamin D aids in the case, if the anemia is associated with inflammation.

Traditional methods

The norm of red blood cells in the urine of women can be restored with the help of home remedies.

At a reduced level recommended natural products and plants:

• echinacea;
• astragalus;
• beet juice;
• spirulina;
• Rhodiola.

How to prepare a decoction from these herbs:

1. To prepare the broth poured 1 h. l. crushed leaves of the plant in 1 liter of boiling water. The mixture was refluxed for 10 min., Insist 1 hour or more and then filtered.
2. Take tincture daily as a tea, in 1stakanu.

Tincture of echinacea and astragalus can be bought off the shelf in drugstores.

spirulina tablets, purchased at a pharmacy, taking just before eating. On the day of their number should not exceed 8 pcs., Distributed by the number of meals. Beet juice drink for 2-3 items. l. 15-20 min. before a meal, a larger amount causes dizziness and nausea.

Normalize the status of red blood cells to help:

1. Tincture from the bark of barberry. Shredded bark pour 200 ml of water, bring to the boil and left to simmer for 20 minutes. Cool, strain, take 3 tbsp. l. at least 3-4 times a day.
2. Well it helps the production of red blood cells sauna, walk through the area with thin air, physical exercise, reduction in alcohol consumption.

Elevated levels:

• not to use additives containing iron, because they contribute to increase red blood cell production.
• to avoid dehydration;
• eat dark chocolate;
• eat plenty of citrus fruits;
• to include in the diet of green vegetables.

When enlarged spleen avoid physical labor, to prevent its rupture.

Other methods

With increased amount of red blood cells, which can lead to thrombosis, phlebotomy used method. During puncturing operation is carried out blood from a large vein diameter. During periods of remission patients with chronic disorders in the circulatory system can recommend oroterapiyu (mountain air treatment) of hypoxic (rarefied air).

Patients with high urinary erythrocytes recommended drink mineral water with sodium chloride, carbonates.

possible complications

Prediction increased production of erythrocytes depends on the condition of treatment. At the initial stage of polycythemia may not have pronounced symptoms, but if you do not start treatment in time, the disease will only progress. Over time, worsen gas exchange in tissues and organs, there will be blood clots and any vascular complications, such as thrombosis.

Over time, will worsen the brain work, can increase the liver, kidney, there will be a complete depletion of the body, there will be frequent nosebleeds. At low intensity course of the disease organism to a small extent it compensates for the loss, but sooner or later it forces exhausted.

Human hemoglobin requires as air. The protein content affects your overall health, especially in women. It is therefore very important for the body to produce enough red blood cells, and the indicators in the blood, urine, were always within normal limits.

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Author: Anna Belyaeva