A lot of people regard hematuria as hemoglobin, hemoglobinuria as hematuria, from the appearance of the naked eye, the two are not good to distinguish, then, what is the difference between hemoglobinuria and hematuria?
Clinically, the difference between hematuria and hemoglobinuria is distinguished by microscopic examination of urinary sediments.
The difference between hemoglobinuria and hematuria:
Hematuria: refers to the urine contains a certain amount of red blood cells, known as hematuria. Because of the amount of bleeding can be pale red, mist, wash meat, water samples or blood samples, and even mixed with clots. Every liter urine contains more than 1ml of blood, can appear pale red, for the naked eye hematuria. The appearance of washed meat samples is common in acute glomerulonephritis. Microscopically, hematuria refers to a change in the appearance of urine, which can be seen in a microscopic examination for more than a normal number of erythrocytes. Generally speaking, every high power field of vision can see more than 3 red blood cells, then it can be defined as microscopic hematuria.
Hemoglobinuria: hemoglobin in normal plasma is less than 50mg/L, forming large molecules with hepatic globin and cannot be filtered from the glomerulus. When intravascular hemolysis occurs and hemoglobin exceeds the binding capacity of the globin, free hemoglobin is filtered out of the glomerulus to form different levels of hemoglobinuria. In acid urine, hemoglobin can be oxidized to methemoglobin and brown. If the content is very large, it is dark brown and soy sauce. Hemoglobinuria and hematuria are different, the former supernatant after centrifugation was still red; hematuria after centrifugation, supernatant is not transparent, microscopic examination of red blood cells or occasional clastic dissolution of red blood cells, occult blood test positive.
If you have a redness of the urine, no matter what the situation is, it indicates that your body has disease, so you should go to the hospital as soon as possible, and treat it as soon as possible. Believe that reading this article, we have a certain understanding of the differences between hemoglobin and hematuria, if you have a kidney disease knowledge requires a detailed understanding, you can consult our online expert, our experts will reply as soon as possible.