To determine the state of internal organs, doctors often prescribe various examinations. One of the frequent studies is the analysis of urine. This examination involves the surrender of biomaterial to determine the functioning of the kidneys, the presence of a trace element in the body and so on.
Urinalysis by Sulkovich
This study is necessary to determine the amount of calcium that is excreted by urine. Urinalysis by Sulkovich is not so common and often prescribed as general, but in some cases it can not be avoided. Most often it is used in pediatrics, but also used in oncology, nephrology, gastroenterology, endocrinology.
What is the purpose of this study?
Children are often prescribed a urine test for Sulkovich to control the intake of vitamin D, which is used to treat and prevent rickets. The child's organism is still imperfect and can not perform many functions at the proper level. This includes, among other things, the synthesis of vitamin D, which is not produced in children in the required quantity.
With hypovitaminosis D and rickets occur. Bones in this pathology experience an acute shortage in the building material - calcium. The legs of the child are warped, the skull and thorax are deformed. To prevent or mitigate these defects, vitamin D can be prescribed. But it can not be taken uncontrollably, as increasing its concentration in the body is no less dangerous than a defect.
Hypervitaminosis of vitamin D can cause seizures. Excess of calcium can be deposited in bone tissue, which leads to a delay in its growth. That's why we have to keep its quantity under control. It helps to carry out this control of urine analysis by Sulkovich.
What do you need to remember when collecting urine for research? To monitor the dose of vitamin D, urine analysis is used by Sulkovich. How to collect it, you need to consult patients or their parents. If the preparation for the study is incorrect, the result may be false positive. It is necessary to exclude from the diet for three days milk and sour-milk products, confectionery, mineral water, coffee.
Gather urine in the morning, before the collection you need to hold the toilet of the genitals with warm water and soap. If the analysis is carried out by a child, then only morning urine is needed. The test can be considered correct only if fresh urine was tested or that was tested no later than two hours after collection. The first portion is discharged, and the remainder is collected in a special container or a clean jar. Before the analysis of the child can not be fed, the biomaterial should be collected on an empty stomach.
If the sample is carried out in an adult, then the analysis that was collected within 24 hours is more effective. On how to submit a urine sample for Sulkovich, it depends how accurate the result of the study will be.
What can be determined by this analysis?
Excess of calcium in the body allows you to determine the analysis of urine by Sulkovich, the decoding of which is quite simple. The excessive presence of calcium in the urine indicates its excess in the body. If a child takes vitamin D, then the dose should be reduced. In parallel with this study, the level of Ca in the blood serum is determined. According to these analyzes, the dose of the drug is adjusted. If vitamin D is not prescribed, then it can be suspected simply insufficient digestibility or excessive urinary excretion. If the analysis is negative in an adult, this may be a sign of hypoparathyroidism.
Adults are examined for suspected thyroid disease, and if sarcoidosis is suspected. The results of the Sulkovich urine test are of great importance in oncology, since many malignant tumors can produce calcium.
The norm of urine for Sulkovich in children
Estimate the result by the degree of turbidity in the presence of oxalic acid. The result can be negative: urine with the addition of the reagent is completely transparent. The positive result can be weakly positive, positive and sharply positive. It is determined by the degree of turbidity, which is estimated on a scale. If the answer is negative, then in the human body, calcium is not enough. If the patient has a positive urine sample according to Sulkovich, whose norm in children is "+" or "++", then this microelement in the body is either normal or excessive. If the sample gave a sharply positive result, that is, "+++" or "++++", then the patient needs further deeper research and appropriate treatment or adjustment of the doses of the element.
What can be the results of the analysis?
The result of the study can be from "-" (negative) to "++++" (sharply positive). When added to the urine of oxalic acid precipitates, which is visually compared with the proposed scale. Urinalysis of Sulkovich, whose norm may change with the intake of vitamin D and calcium preparations in children and adults, is a very revealing test, provided that the biological material is properly collected and all the rules for preparing it are observed. The result, in which there are three or four pluses, may indicate a serious pathology in the body or an incorrectly selected dose of medications.
What does the negative result mean?
Does urine analysis help determine the presence of rickets in Sulkovich? A negative result in this analysis indicates a lack of calcium in the urine. Doctors can safely say that he is not there. In this case, the child may develop rickets or hypoparathyroidism. This result directly shows the lack of vitamin D in children.
What is dangerous for rickets? The appearance of the child changes, its ribs go out a little (a soft part of the last ribs, which normally should be slightly concave inside). The skeletal structure of the skull and legs may change. With the development of this pathology bones soften, so this can not but affect the whole skeleton of the child. At such result of inspection on Sulkovichu it is necessary to address immediately to the expert to receive necessary recommendations on treatment. Most often this is the filling of the body with vitamin D and calcium. But the level of this trace element must be constantly monitored so that its excess does not arise. Replenish the body of the child with calcium and vitamin D can be not only with the help of medications, such children are shown a special diet and frequent stay in the fresh air with ultraviolet solar radiation.
If there is a suspicion of hypoparathyroidism, an additional examination is prescribed by taking a blood test for hypocalcemia.
The result is a few plus points
We have already considered the norm of the results of this analysis. But what if there are three or four pluses in the survey response?
Such a result also does not promise an excellent well-being of the child. After all, the high content of calcium in the blood slows down its growth, disrupts the metabolism and normal functioning of the body. If a child has an elevated calcium content, you need to find out the cause. Urinalysis by Sulkovich helps to know the level of this trace element in order to correct its amount in the body. If a child takes an incorrect dose of vitamin D, which leads to an excess of calcium, then it should be canceled. For this reason, it is important to comply with all the conditions for collecting the biomaterial, so that the results of the analysis are as accurate as possible. After all, the sediment can be formed not only because of calcium, but also because of non-compliance with hygiene rules during the collection of urine.
In the case of an abnormal result, massage, coniferous and salt baths, electrophoresis are prescribed.