Nsu mu nhwehwɛmu a ɛnyɛ den a wɔde hwɛ asaabo akwahosan: uACR (Urine Albumin-Creatinine Ratio) .

So wowɔ ayaresa tebea bi te sɛ asikreyare anaa mogya mmoroso? Anaasɛ obi wɔ w’abusua mu a ɔwɔ asaabo mu yare? Afei ebia wo duruyɛfo no aka akyerɛ wo sɛ yɛ nsu mu nhwehwɛmu a wɔfrɛ no "uACR." Ebia saa din no a wobɛte no bɛma woabɔ hu kakra, "Sɔhwɛ kɛse bɛn na eyi yɛ?" Nanso ɛho nhia sɛ wobɔ hu. Eyi yɛ nsu mu nhwehwɛmu a ɛyɛ mmerɛw yiye a ebetumi ama yɛanya nsɛm pii a ɛsom bo a ɛfa w’asaabo akwahosan ho. Ɛnnɛ, yɛbɛka ne nyinaa ho asɛm wɔ ɔkwan a ɛnyɛ den koraa so.

Dɛn ne Nsu mu Albumin ne Creatinine Nkyɛmu (uACR)?

Saa din yi tenten kakra, enti momma yɛmfrɛ no uACR. Eyi yɛ nsu mu nhwehwɛmu. Ne titiriw no, ɛkyerɛ sɛnea nneɛma a wɔfrɛ no albumin ne creatinine a ɛwɔ wo nsu mu no yɛ pɛ. Afei ebia woresusuw ho sɛ, "Dɛn ne albumin ne creatinine yi?"

Momma yɛnte aseɛ tiawa.

• Albumin: Eyi yɛ protein a ɛho hia paa wɔ yɛn mogya mu. Ɛte sɛ ɔpon ano hwɛfo a ɔboa ma nneɛma kɔ yɛn mogya ntini mu. Yɛn mmerɛbo na ɛyɛ. Albumin adwuma titiriw ne sɛ ɛbɛma nsu a ɛretu afi mogya ntini no mu no agyae. Ɛboa nso ma nneɛma te sɛ vitamin, enzyme, ne hormone kɔ nipadua no mu nyinaa.

• Creatinine: Eyi yɛ ade fĩ a ɛba bere a yɛn ntini yɛ adwuma no. Yɛn ntini ahorow no de ahoɔden di dwuma de twetwe na ɛtrɛw. Creatinine yɛ ade fĩ a ɛba bere a wɔde saa ahoɔden no di dwuma no. Afei wɔde eyi ka mogya no ho.

Afei hwɛ nea ɛba wɔ asaabo abien a ɛte apɔw ho. W’asaabo te sɛ super filter abien. Wɔn:

1. Albumin , protein a ɛsom bo a ɛwɔ mogya mu no kɔ so tra nipadua no mu sen sɛ ɛbɛkɔ nsu mu.

2. Wɔyi nwura a wɔmpɛ a wɔfrɛ no creatinine a ɛwɔ mogya no mu no yie na wɔde nsuo yi fi nipadua no mu.

Nanso, sɛ asaabo no sɛe a, ntokuru a ɛwɔ saa afiri yi mu no yɛ kɛse. Afei, albumin a ɛsɛ sɛ wɔde sie nipadua no mu no fi ase ne nsu no fi adi kakraa bi. Afei nso, ebia creatinine a ɛsɛ sɛ woyi fi nipadua no mu no bɛkɔ so atra nipadua no mu. Ɛyɛ saa kari a ɛnkari pɛ yi na yɛde uACR sɔhwɛ no susuw.

Hena na wɔrebisa sɛ ɔnyɛ uACR sɔhwɛ yi?

Mpɛn pii no, oduruyɛfo bɛhyɛ nhwehwɛmu yi sɛ wɔwɔ w’asaabo akwahosan ho haw ahorow a, titiriw sɛ wowɔ tebea horow a edidi so yi mu biara a:

• Asikreyare: Nnipa a wɔwɔ asikreyare no wɔ asiane kɛse mu sɛ wɔn asaabo bɛsɛe. Enti, wɔhyɛ asikreyarefo fo sɛ wɔnyɛ nhwehwɛmu yi daa.
• Mogya mmoroso (Hypertension): Sɛ wɔanhyɛ mogya mmoroso so bere tenten a, ebetumi asɛe mogya ntini a ɛyɛ mmerɛw a ɛwɔ asaabo no mu no.
• Asaabo mu Yare a Enni sabea (CKD): Wɔde nhwehwɛmu yi di dwuma de hwɛ sɛnea obi a ɔwɔ asaabo mu yare dedaw no te.
• Koma Yare
• Cirrhosis a ɛwɔ mmerɛbo mu

Bio nso, ɛtɔ mmere bi a wobetumi akamfo nhwehwɛmu yi akyerɛ de ahwɛ asiane a ɛwɔ asaabo mu sɛ wo Body Mass Index (BMI) boro 30 (wayɛ kɛse mmoroso) , wonom sigaret , anaasɛ woadi boro mfe 50 a .

Ɔkwan bɛn so na wɔyɛ saa uACR sɔhwɛ yi?

Akwan pii wɔ hɔ a wɔfa so boaboa saa nsu a wɔde yɛ nsu yi ano. Wo duruyɛfo bɛkyerɛ wo ɔkwan a eye ma wo.

So nneɛma bi wɔ hɔ a ɛsɛ sɛ misiesie me ho ansa na makɔ sɔhwɛ no?

Yiw, sɛ wubenya nea ɛfata a, ɛsɛ sɛ wohwɛ nneɛma nketenkete kakraa bi so.

• Nom nsu pii: Esiane sɛ ɛsɛ sɛ wunya nsu a ɛdɔɔso na ama woatumi de nhwɛsode no ama nti, nom nsu pii sɛnea wotaa yɛ fi da a edi sɔhwɛ no anim.
• Kwati apɔw-mu-teɛteɛ a emu yɛ den: Kwati apɔw-mu-teɛteɛ a emu yɛ den te sɛ mmirikatu, ahuruhuruw, anaa nneɛma a emu yɛ duru a wobɛma so anyɛ yiye koraa no nnɔnhwerew 24 ansa na woayɛ sɔhwɛ no. Nea enti a ɛte saa ne sɛ apɔw-mu-teɛteɛ a emu yɛ den betumi ama albumin dodow a ɛwɔ nsu mu no akɔ soro bere tiaa bi.
• To nam a wudi ano hye: Kwati sɛ wubedi nam anyɛ yiye koraa no nnɔnhwerew 24 ansa na woayɛ sɔhwɛ no. Nam a wodi betumi asakra creatinine dodow bere tiaa bi.

Afei nso, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ampa , efisɛ saa nneɛma yi betumi aka nea ebefi mu aba no.

• Sɛ woreyɛ brayɛ anaasɛ mogya retu wo esiane akisikuru nti a.
• Sɛ wowɔ tebea bi te sɛ Urinary Tract Infection (UTI) , atiridiinini , anom yare (Periodontitis) , anaa mmerɛbo mu yare a ɔyare mmoawa de ba a .

Sɛ mogya anaa mmoawa wɔ nsu no mu saa bere yi a, ebia nea ebefi mu aba no nyɛ nokware. Enti, ɛho hia paa sɛ wudi kan ka eyi ho asɛm kyerɛ oduruyɛfo no.

Ɔkwan bɛn so ankasa na wode nsu a wɔde yɛ nhwɛso ma?

Akwankyerɛ betumi ayɛ soronko kakra wɔ lab biara mu, nanso wɔtaa de ɔkwan bi a wɔfrɛ no "Clean Catch" di dwuma. Eyi yɛ biribi a wɔyɛ de siw mmoawa a efi nhwɛsode no akyi a wɔde bɛka ho no ano. Lab no bɛma wo sample kuruwa ne sterile wipes.

Nea ɛsɛ sɛ woyɛ ni:

1. Nea edi kan no, fa samina hohoro wo nsa yiye.

2. Fa popa a ɛnyɛ ɔyare mmoawa a wɔde ama wo no hohoro baabi a atwa w’akyi berɛmo ho ahyia (baabi a nsuo pue) no yie.

3. Fi ase tow nsu na fa nsu a edi kan a epue kɔ tiafi no mu.

4. Gyae nsu a wobɛtow wɔ mfinimfini na fa kuruwa a wɔde yɛ nhwɛso no bɛn nsu a ɛkɔ nsu mu no.

5. Tow nsu kosi sɛ kuruwa no bɛyɛ fã anaasɛ kosi sɛ wubedu dodow a lab no kyerɛ no ho.

6. Afei, yi kuruwa no na hohoro nsu a aka no kɔ tiafi mu.

7. To kuruwa no ano denneennen na fa ma onipa a ɔwɔ lab no.

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɔkwan yi yɛ den kakra de, nanso ɛho hia yiye sɛ wubenya nea efi mu ba a ɛyɛ pɛpɛɛpɛ sen biara.

Dɛn na nea efi mu ba no ka?

Wɔde uACR sɔhwɛ no mu aba no ama wɔ miligram/gram (mg/g) mu. Ade a ɛho hia sɛ yɛkae wɔ ha ne sɛ dodow a uACR bo no sua no, dodow no ara na eye .

Dɛn ne uACR bo a ɛyɛ daa?

• Wobu dodow a ɛba fam sen 30 mg/g sɛ ɛyɛ dodow a ɛfata.
• Eyi kyerɛ sɛ asiane a ɛwɔ hɔ sɛ w’asaabo bɛkɔ yiye, komayare, anaa akisikuru sua koraa.
• Mpɛn pii no, ebia oduruyɛfo no bɛka akyerɛ wo sɛ san nyɛ nhwehwɛmu no bio wɔ asram kakraa bi mu na ama woahu nea afi mu aba no.

Na sɛ uACR bo no korɔn sen sɛnea ɛte daa nso ɛ?

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛba akyi?

Sɛ wo uACR aba no nyɛ nea ɛfata a, wo duruyɛfo bedi kan ayɛ nhwehwɛmu foforo de asi so dua. Afei, ebia wɔbɛkamfo nhwehwɛmu afoforo kakraa bi akyerɛ de ahwehwɛ w’asaabo tebea mu bio.

• eGFR (Estimated Glomerular Filtration Rate) sɔhwɛ: Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den a ɛkyerɛ sɛnea asaabo no reyɛ mogya yiye.
• Kidney Ultrasound Scan: Eyi betumi ahwɛ sɛnea asaabo no mu akisikuru anaa nea asiw biara no kɛse, ne nsusuwii, ne sɛnea ɛwɔ hɔ.
• Asaabo mu Nhwehwɛmu: Wɔ tebea horow bi a ɛntaa nsi mu no, woyi ntini ketewaa bi fi asaabo no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.

Ɛyɛ nhwehwɛmu ahorow yi akyi nkutoo na oduruyɛfo no betumi anya wo tebea no ho asɛm a edi mu na wasi ayaresa a wuhia ho gyinae.

Nsɛnkyerɛnne foforo bɛn na ɛsɛ sɛ ɛma obi kɔ oduruyɛfo nkyɛn?

Wɔ wo uACR nhwehwɛmu aba akyi no, sɛ wowɔ sɛnkyerɛnne a edidi so yi mu biara a, bɔ wo duruyɛfo amanneɛ ntɛm ara. Eyinom betumi ayɛ asaabo mu yare ho sɛnkyerɛnne.

• Nsakrae a ɛba wɔ nsu a wɔtow mu (nsu a wɔtow gu sen sɛnea wɔtaa yɛ, nsu a ɛyɛ ahurututu, mogya a ɛwɔ nsu mu - Hematuria ).
• Wora a ɛyɛ nwunu, ɛyɛ wo yaw, anaasɛ ɛyɛ tumm.
• Ɔbrɛ a ɛtra so a wɔtaa te nka.
• Akisikuru ne ɔfe.
• Nsa, nan, anaa nansoaa a ɛho ahonhon ( edema ).

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wuhu sɛ w’asaabo ntumi nyɛ adwuma yiye no. Mmere a ɛte saa no, bisa wo duruyɛfo no nsɛm a wowɔ nyinaa. Sɛ ɛho hia a, fa w’abusua muni anaa w’adamfo paa bi ka wo ho. Wobetumi aboa wo ma woate nea wɔka kyerɛ wo no ase na woakae.