ํ™”ํ•™&๋‡จ๊ฒ€์‚ฌ
1. ๋‹จํšŒ ๋‡จ(Random urine)
์ฑ„์ทจ์‹œ๊ฐ„
  • โ‘  ์•„์นจ ์ฒซ ์†Œ๋ณ€(ํŠนํžˆ ์ž„์‹ ๋ฐ˜์‘ ๊ฒ€์‚ฌ)์ด ๋†์ถ•๋˜์–ด ์žˆ์œผ๋ฏ€๋กœ ์ผ๋ฐ˜์ ์ธ ๊ฒ€์‚ฌ์— ๊ฐ€์žฅ ์ ํ•ฉํ•ฉ๋‹ˆ๋‹ค.
  • โ‘ก ๋ฐ˜๋“œ์‹œ ์‹ํ›„ 2์‹œ๊ฐ„ ์ด์ƒ ๊ฒฝ๊ณผํ•˜๊ณ  ์‹ฌํ•œ ์šด๋™์„ ํ•˜์ง€ ์•Š์€ ๋•Œ์— ์ฑ„์ทจ ํ•˜์‹ญ์‹œ์˜ค.
๋ณด๊ด€๋ฐฉ๋ฒ•
  • ์˜๋ขฐํ•˜๊ธฐ ์ „๊นŒ์ง€ ๋ฐ˜๋“œ์‹œ ๋ƒ‰์žฅ ๋ณด๊ด€ ํ•˜์‹ญ์‹œ์˜ค.
์ฑ„์ทจ๋ฐฉ๋ฒ•
  • ์š” ๊ฒ€์‚ฌ๋ฅผ ์œ„ํ•œ ์ฑ„๋‡จ ๋ฒ•์œผ๋กœ๋Š” ์ค‘๊ฐ„ ๋‡จ(Midstream voided urine)๊ฐ€ ๊ฐ€์žฅ ์ ํ•ฉํ•ฉ๋‹ˆ๋‹ค.
  • ๋‚จ์ž๋Š” ํฌํ”ผ๊ฐ€ ์—†๋Š” ์ž๋Š” ๊ทธ๋Œ€๋กœ, ํฌํ”ผ๊ฐ€ ์žˆ๋Š” ์ž๋Š” ์Œ๊ฒฝ ๊ท€๋‘๋ฅผ ๋…ธ์ถœ์‹œ์ผœ ํž˜์ฐจ๊ฒŒ ๋ฐฐ๋‡จ์‹œ์ผœ ์•ž์˜ ๋ฐ˜์€ ๋ฒ„๋ฆฌ๊ณ  ํ›„๋ฐ˜์˜ ๋‡จ๋ฅผ ์ฑ„๋‡จ ํ•˜์‹ญ์‹œ์˜ค.
  • ์ •ํ™•ํ•œ ๋‡จ๊ฒ€์‚ฌ๋ฅผ ์œ„ํ•˜์—ฌ ์„ฑ์ธ ์—ฌ์ž์˜ ์ฑ„๋‡จ๋Š” ์‹ ์ค‘์„ ๊ธฐํ•˜์—ฌ์•ผ ํ•ฉ๋‹ˆ๋‹ค.
  • ์งˆ, ์™ธ์Œ๋ถ€์—์„œ ์œ ๋ž˜ํ•œ ์„ฑ๋ถ„์˜ ํ˜ผ์ž…์„ ์ ˆ๋Œ€๋กœ ํ”ผํ•˜๊ธฐ ์œ„ํ•˜์—ฌ ์™ธ์Œ๋ถ€ ์ฃผ์œ„๋ฅผ ๊นจ๋—์ด ์„ธ์ฒ™ํ•˜์—ฌ ์ค‘๊ฐ„ ๋‡จ๋ฅผ ์ทจํ•ฉ๋‹ˆ๋‹ค.
  • ์›”๊ฒฝ์‹œ๋‚˜ ์งˆ ๋ถ„๋น„๋ฌผ์ด ๋งŽ์€ ๊ฒฝ์šฐ ๊ฒ€์‚ฌ์ž์—๊ฒŒ ๋‡จ ์ƒํƒœ๋ฅผ ์•Œ๋ ค์ฃผ์–ด์•ผ ํ•ฉ๋‹ˆ๋‹ค.
1. 24์‹œ๊ฐ„ ๋‡จ (24hr's urine/day)
์ฃผ์˜์‚ฌํ•ญ
  • 24์‹œ๊ฐ„ ๋‡จ๋ฅผ ๋ฐ›์„ ๋•Œ๋Š” ์•Œ์ฝ”์˜ฌ์ด๋‚˜ ๊ธฐํƒ€ ์˜ํ–ฅ์„ ๋ฏธ์น  ์ˆ˜ ์žˆ๋Š” ์Œ์‹ ๋˜๋Š” ์•ฝ๋ฌผ ๋ณต์šฉ์„ ๊ธˆํ•ฉ๋‹ˆ๋‹ค .
  • ๋ชจ๋“  ์ •๋Ÿ‰์ ์ธ ๊ฒ€์‚ฌ๋Š” 24์‹œ๊ฐ„ ๋‡จ๋ฅผ ์ฑ„์ทจํ•˜์—ฌ ๊ทธ ์–‘์„ ์ •ํ™•ํžˆ ์ธก์ •ํ•˜๊ณ , ์ž˜ ํ˜ผํ•ฉํ•œ ํ›„ ์ ๋‹น๋Ÿ‰์„ ์ถ”์ถœํ•œ ํ›„ ๋ณด๋ƒ…๋‹ˆ๋‹ค . (๋ฐ˜๋“œ์‹œ ์ด ๋‡จ๋Ÿ‰์„ ๊ธฐ๋กํ•˜์—ฌ ์ฃผ์‹ญ์‹œ์˜ค.)
  • ๊ฒ€์‚ฌํ•ญ๋ชฉ์— ๋”ฐ๋ผ ๋ณด๊ด€๋ฐฉ๋ฒ•, ๋ณด์กด์ œ ์ฒจ๊ฐ€ ๋“ฑ์„ ํ™•์ธ ํ•˜์‹œ๊ธฐ ๋ฐ”๋ž๋‹ˆ๋‹ค.
์ฑ„์ทจ๋ฐฉ๋ฒ•
  • ์ฑ„๋‡จ๋ฅผ ์‹œ์ž‘ํ•  ๋•Œ๋Š” ์ผ๋‹จ ๋ฐฉ๊ด‘์„ ์™„์ „ํžˆ ๋น„์šฐ๋„๋ก ๋ฐฐ๋‡จ์‹œํ‚ค๊ณ , ์ด๋•Œ ๋‡จ๋Š” ๋ฒ„๋ฆฌ์‹ญ์‹œ์˜ค.
  • ์ด๋กœ๋ถ€ํ„ฐ 24์‹œ๊ฐ„ ๋‚ด์˜ ๋‡จ๋ฅผ ์ „๋ถ€ ๋ชจ์œผ์‹ญ์‹œ์˜ค.
    ( ์˜ˆ : ์˜ค์ „ 6์‹œ๋ถ€ํ„ฐ ๊ทธ ๋‹ค์Œ๋‚  ์˜ค์ „ 6์‹œ๊นŒ์ง€์˜ ๋‡จ๋ฅผ ๋ชจ์œผ๊ณ ์ž ํ•  ๊ฒฝ์šฐ๋Š”, ์ฒซ๋‚ ์˜ 6์‹œ ์ฒซ ๋‡จ๋Š” ๋ฒ„๋ฆฌ๊ณ  ๋‹ค์Œ ๋‡จ ๋ถ€ํ„ฐ ๋‹ค์Œ๋‚  6์‹œ๊นŒ์ง€ ์ „๋ถ€ ์ฑ„์ทจํ•ฉ๋‹ˆ๋‹ค.)
24์‹œ๊ฐ„ Urine ๋ณด์กด์ œ ์•ˆ๋‚ด
๊ฒ€์ฒด ์ฑ„์ทจ๋ฐฉ๋ฒ• ๋ฐ ์ฃผ์˜์‚ฌํ•ญ
๊ฒ€์‚ฌํ•ญ๋ชฉ ๋ฌด
๋ฐฉ๋ถ€์ œ
6N
HCI
๋น„๊ณ  ๋ณด์กด์กฐ๊ฑด ๊ฒ€์‚ฌํ•ญ๋ชฉ ๋ฌด
๋ฐฉ๋ถ€์ œ
6N
HCI
๋น„๊ณ  ๋ณด์กด์กฐ๊ฑด
17-ketosteroids - - 1% HCI ๋ƒ‰์žฅ Cyclic AMP(cAMP)Cyclic - - Toluene ๋ƒ‰์žฅ
17-OHCS - - 1% HCI ๋ƒ‰์žฅ HVA(Homovanillic Acid) - - ๋ƒ‰์žฅ
5-HIAA - - ๋ƒ‰์žฅ Hydroxyprolime, free - - ๋ƒ‰์žฅ
Aldosterone - - Boric acid ๋ƒ‰์žฅ Hydroxyproline, total - - ๋ƒ‰์žฅ
Arsenic - - ๋ƒ‰์žฅ Mg (Magnesium) - - ๋ƒ‰์žฅ
BUN - - ๋ƒ‰์žฅ Metanephrine - - ๋ƒ‰์žฅ
Cadmium (Cd) - - ๋ƒ‰์žฅ Microalbumin - - ๋ƒ‰์žฅ
Calcium (Ca) - - ๋ƒ‰์žฅ Oxalate - - ๋ƒ‰์žฅ
Catecholamine - - ๋ƒ‰์žฅ Porphobilinogen - - 10% Sod,
Carbonate
์ฐจ๊ด‘/๋ƒ‰์žฅ
Citrate - - ๋ƒ‰์žฅ Pregnanetriol - - ๋ƒ‰์žฅ
Cobalt - - ๋ƒ‰์žฅ Protein EP - - ๋ƒ‰์žฅ
Copper - - ๋ƒ‰์žฅ Protein, Total - - ๋ƒ‰์žฅ
Coproporphyrin - - 10% Sod,
Carbonate
์ฐจ๊ด‘/๋ƒ‰์žฅ Uric acid - - ๋ƒ‰์žฅ
Corticol - - ๋ƒ‰์žฅ VMA - - ๋ƒ‰์žฅ
Creatine - - ๋ƒ‰์žฅ ZN (Zinc) - - ๋ƒ‰์žฅ
Creatinine - - ๋ƒ‰์žฅ ฮด-ALA - or 50%
acetic acid
์ฐจ๊ด‘/๋ƒ‰์žฅ