Ukuhlolwa kwe-Microalbuminuria

Lokhu kuhlolwa kubheka iphrotheni ebizwa nge-albumin kusampula yomchamo.

I-Albumin nayo ingalinganiswa ngokusebenzisa ukuhlolwa kwegazi noma okunye ukuhlolwa komchamo, okubizwa ngokuthi yi-protein urine test.

Imvamisa uzocelwa ukuthi unikeze isampula elincane lomchamo ngenkathi usehhovisi lomhlinzeki wakho wezokunakekelwa kwempilo.

Ezimweni ezingavamile, kuzodingeka uqoqe wonke umchamo wakho ekhaya amahora angama-24. Ukwenza lokhu, uzothola isitsha esikhethekile kumhlinzeki wakho nemiyalo ethile okufanele uyilandele.

Ukwenza isivivinyo sinembe kakhudlwana, izinga lomchamo le-creatinine nalo lingalinganiswa. I-Creatinine ingumkhiqizo wemfucuza wamakhemikhali we-creatine. I-Creatine yikhemikhali elenziwe ngumzimba elisetshenziselwa ukunikezela amandla emisipha.

Akukho ukulungiselela okukhethekile okudingekile kulolu vivinyo.

Abantu abanesifo sikashukela banengozi eyengeziwe yokulimala kwezinso. "Izihlungi" ezisezinsweni, ezibizwa ngama-nephrons, ziyajiya kancane futhi zibe nezibazi ngokuhamba kwesikhathi. Ama-nephrons aqala ukuvuza amaprotheni athile emchameni. Lokhu kulimala kwezinso nakho kungaqala ukwenzeka ngaphambi kokuba kuqale noma yiziphi izimpawu zesifo sikashukela. Ezigabeni zokuqala zezinkinga zezinso, ukuhlolwa kwegazi okulinganisa ukusebenza kwezinso kuvamile.

Uma unesifo sikashukela, kufanele ube nalokhu kuhlolwa unyaka ngamunye. Ukuhlolwa kuhlola izimpawu zezinkinga zezinso zakuqala.

Imvamisa, i-albhamuin ihlala emzimbeni. Kuncane noma akukho i-albhamuin kusampula yomchamo. Amazinga ajwayelekile e-albhamuin emchameni angaphansi kwamahora angama-30 mg / 24.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma angahlola izinhlobo ezihlukile. Khuluma nodokotela wakho mayelana nencazelo yemiphumela yakho yokuhlolwa.

Uma isivivinyo sithola izinga eliphakeme le-albhamuin kumchamo wakho, umhlinzeki wakho angakucindezela ukuthi uphinde uphinde uhlolisise.

Imiphumela engajwayelekile ingasho ukuthi izinso zakho ziqala ukonakala. Kodwa umonakalo kungenzeka ungakabi mibi.

Imiphumela engajwayelekile nayo ingabikwa njenge:

• Ububanzi buka-20 kuye ku-200 mcg / min
• Ububanzi obungu-30 kuya ku-300 mg / amahora angu-24

Uzodinga ukuhlolwa okwengeziwe ukuqinisekisa inkinga futhi ubonise ukuthi umonakalo wezinso ungaba mkhulu kangakanani.

Uma lokhu kuhlolwa kukhombisa ukuthi usuqala ukuba nenkinga yezinso, ungathola ukwelashwa ngaphambi kokuba inkinga ibe yimbi kakhulu. Kunemithi eminingi yesifo sikashukela ekhonjisiwe ukuthi inciphise ukuqhubeka kokulimala kwezinso. Khuluma nomhlinzeki wakho ngemithi ethile. Abantu abanokulimala okukhulu kwezinso bangadinga i-dialysis. Bangagcina sebedinga izinso ezintsha (ukufakelwa izinso).

Isizathu esivame kakhulu sezinga eliphakeme le-albhamuin emchameni yisifo sikashukela. Ukulawula izinga likashukela egazini kungehlisa izinga le-albhamuin emchameni wakho.

Izinga eliphakeme le-albhamuin kungenzeka futhi nge:

• Ezinye izifo zomzimba nokuvuvukala ezithinta izinso
• Ezinye izifo zofuzo
• Umdlavuza Ongajwayelekile
• Umfutho wegazi ophezulu
• Ukuvuvukala emzimbeni wonke (systemic)
• Umthambo omncane wesinso
• Imfiva noma ukuzivocavoca umzimba

Abantu abaphilile bangaba nezinga eliphakeme lamaprotheni emchameni ngemuva kokuzivocavoca. Abantu abaphelelwe amanzi emzimbeni bangaba nezinga eliphakeme.

Azikho izingozi ngokunikeza isampula yomchamo.

Isifo sikashukela - i-microalbuminuria; I-nephropathy yesifo sikashukela - i-microalbuminuria; Isifo sezinso - i-microalbuminuria; Amaprotheni - i-microalbuminuria

• Ukuhlolwa kwesifo sikashukela nokuhlolwa

I-American Diabetes Association. 11. Izinkinga ze-Microvascular nokunakekelwa kwezinyawo: amazinga ezokwelapha esifo sikashukela - 2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S135-S151. I-PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

UBrownlee M, Aiello LP, uSun JK, et al. Izinkinga zesifo sikashukela. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

UKrishnan A, uLevin A. Ukuhlolwa kwelabhorethri yesifo sezinso: isilinganiso se-glomerular filtration, urinalysis, kanye neproteinuria. Ku: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, ama-eds. IBrenner neRector's The Kidney. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 23.

URiley RS, uMcPheron RA. Ukuhlolwa okuyisisekelo komchamo. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. IPhiladelphia, PA: Elsevier; 2017: isahluko 28.