Krev v moči

19.4.2012 , Julius Jakubík

Krev v moči je patologický příznak, který může mít velké množství příčin. Je li krev v moči doprovázena bolestí, jedná se většinou o zánět močových cest. Krev v moči bez bolesti je také vážný příznak, může být totiž způsobena rostoucím nádorem. Samostatnou kapitolou je krev v moči při úrazech s masivním krvácením...

Krev v moči

Hematurie je odborný název pro přítomnost krve v moči. Musíme si uvědomit, že ne každé červené zbarvení moče znamená nutně přítomnost krve v moči. Nicméně při změně barvy moči bychom měli navštívit našeho praktického lékaře nebo urologa. Když si při močení všimneme červené barvy moče, tak si musíme položit otázku, jestli máme nebo nemáme bolesti.

Záněty močových cest

Nejčastější příčinou krve v moči spojené s bolestivým, častým močením, nepříjemným pocitem v podbřišku, častějším nočním močením je zánět močového měchýře. Cystitida, zánět měchýře, je převážně nemocí mladých žen. Nebývá při něm horečka, proto lidé často nevyhledají lékařskou pomoc a z banální cystitidy se může vytvořit zánět ledvinné pánvičky. Ten má projevy již závažnější s vysokou horečkou, celkovou slabostí, schváceností, silnou tupou bolestivostí v bederní oblasti. Oba stavy, zánět měchýře i ledvinné pánvičky, se léčí antibiotiky, ale zatímco u cystitidy stačí mnohdy třídenní terapie, u zánětu pánvičky se antibiotika užívají jeden až dva týdny. Při zánětu močových cest bychom se měli dostavit k lékaři, aby byla možná rychlá a efektivní léčba. Jako prevence cystitidy se dá sexuálně aktivním ženám doporučit vymočení ihned po pohlavním styku a zvýšená hygiena pohlavních orgánů.

 

Když se z ničeho nic objeví prudká bolest v bedrech, která vyzařuje po přední straně břicha do třísla, někdy až do šourku nebo stydkých pysků, a k tomu je ještě krev v moči, tak se s velkou pravděpodobností jedná o ledvinovou koliku neboli záchvat bolesti při přítomnosti ledvinových kamenů. Měli bychom co nejrychleji vyhledat lékařskou pomoc, aby se předešlo poškození ledvin.

Absence bolesti

Objevení se krve v moči bez jakékoliv bolesti je vždy podezřelé a mělo by být vyšetřeno u urologa, protože může znamenat nádorové postižení ledvin, močových cest nebo močového měchýře. V případě krve v moči bez bolesti vyhledejme lékařskou pomoc.

Závažné krvácení do vylučovacího traktu

Při pádech z výšky na záda nebo kostrč, při autonehodách, rvačkách nebo napadení se mohou poranit ledviny a v důsledku toho se objeví krev v moči. V takovém případě musíme okamžitě vyhledat lékařskou pomoc, protože hrozí velká krevní ztráta nejenom močí, ale i vykrvácením do břišní dutiny, která může zůstat skrytá po dlouhou dobu a ohrozit člověka na životě. Lidé, hlavně vyššího věku, často berou léky na ředění krve typu Warfarin, který v určitých případech může být příčinou krvácení do moči. Při tomto stavu hrozí další krvácení, které by se samo od sebe nezastavilo, proto je nezbytné navštívit co nejrychleji lékaře.

Myoglobinurie

Někdy, když se člověk po delší době nečinnosti rozhodne, že si pořádně zasportuje, můžou se na druhý den kromě bolesti ve svalech objevit i bolesti v bedrech a tmavě červené až hnědé zabarvení moči. Nejde o krev, ale o částice svalových vláken, konkrétně svalové barvivo myoglobin, které se z netrénovaných a náhle přetížených svalů uvolní a dostane do moči. Člověk s takovými obtížemi by se měl nechat urychleně vyšetřit u lékaře, protože v případě opožděného léčebného zásahu hrozí trvalé poškození funkce ledvin.

Krev v moči a vliv stravy

Jak jsem již zmiňoval, ne každé červené zbarvení moči znamená přítomnost krve. Potraviny jako červená řepa, ostružiny, rebarbora, některé léky např.: rifampicin, ibuprofen můžou zabarvit moč i bez přítomnosti krve. Když ale nejsme si jistí, co způsobilo červené zbarvení moče, navštivme radši lékaře, abychom nepromeškali možnost časné léčby případné závažnější nemoci.

Poučení na závěr

Krev v moči by člověk neměl bagatelizovat, je lepší se poradit s lékařem ať už praktickým, nebo specialistou (urologem) o významu nálezu a dalším postupu v léčbě vyvolávající příčiny tohoto příznaku.

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12. března 2016 4:13

jarda: haha

3. června 2015 13:22

jarda: haha

3. června 2015 13:22

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