Aɖuɖɔ dodokpɔ bɔbɔe aɖe si woatsɔ akpɔ ayiku ƒe lãmesẽ: uACR (Urine Albumin-Creatinine Ratio) .

Ðe dɔléle aɖe le ŋuwò abe suklidɔ alo ʋusɔgbɔdɔ enea? Alo ɖe ayikudɔ le ame aɖe ŋu le wò ƒomea mea? Emegbe ɖewohĩ wò ɖɔkta bia tso asiwò be nàwɔ aɖuɖɔ dodokpɔ si woyɔna be "uACR." Ŋkɔ ma sese ate ŋu ado vɔvɔ̃ na wò vie, "Dodokpɔ gã ka ƒomevie nye esia?" Gake mehiã be woavɔ̃ o. Esia nye aɖuɖɔ dodokpɔ bɔbɔe ŋutɔ si ate ŋu agblɔ nyatakaka vevi geɖe na mí tso wò ayiku ƒe lãmesẽ ŋu. Egbea, míaƒo nu tso wo katã ŋu le mɔ bɔbɔe aɖe ŋutɔ nu.

Nukae Nye Aɖuɖɔtoe me Albumin-Creatinine ƒe Sɔsɔme (uACR)?

Ŋkɔ sia didi vie, eyata mina míayɔe be uACR. Esia nye aɖuɖɔ dodokpɔ. Koŋ la, edzidzea nusiwo woyɔna be albumin kple creatinine ƒe sɔsɔme le wò aɖuɖɔ me. Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukae nye albumin kple creatinine siawo?"

Mina míase egɔme bɔbɔe.

• Albumin: Esia nye protein vevi aɖe ŋutɔ le míaƒe ʋu me. Ele abe agbonudzɔla si kpena ɖe mía ŋu be nuwo nɔa míaƒe ʋukawo me ene. Míaƒe aklãe wɔe. Albumin ƒe dɔ vevitɔe nye be wòaxe mɔ na tsi siwo le dodom le ʋukawo me. Ekpena ɖe ame ŋu hã be woatsɔ nuwo abe vitaminwo, enzymewo, kple lãmetsiwo ene ayi ŋutilã bliboa me.

• Creatinine: Esia nye gbeɖuɖɔ si dona ne míaƒe lãmekawo le dɔ wɔm. Míaƒe lãmekawo zãa ŋusẽ tsɔ ƒoa wo ɖokui ɖe wo nɔewo ŋu hekekena. Creatinine nye gbeɖuɖɔ si dona ne wozã ŋusẽ ma. Emegbe wotsɔa esia kpena ɖe ʋua ŋu.

Azɔ kpɔ nusi dzɔna ɖe ayiku eve siwo le lãmesẽ me dzi ɖa. Wò ayikuwo le abe super filter eve ene. Wo:

1. Albumin , si nye protein xɔasi aɖe si le ʋua me, nɔa ŋutilãa me le esi teƒe be wòado le aɖuɖɔ me.

2. Woɖea gbeɖuɖɔ si womedi o si woyɔna be creatinine le ʋua me la nyuie eye wotsɔa aɖuɖɔ dona le ŋutilãa me.

Gake ne nane gblẽ le ayikuawo ŋu la, do siwo le tsilénu sia me la lolona ɖe edzi. Emegbe, albumin si wòle be woanɔ ŋutilãa me la dzea dodo gɔme kple aɖuɖɔa le agbɔsɔsɔ sue aɖe me. Azɔ hã, creatinine si wòle be woaɖe do goe ate ŋu anɔ ŋutilãa me. Masɔmasɔ siae míetsɔa uACR dodokpɔa dzidzea.

Amekae wole biabiam tso esi be wòawɔ uACR dodokpɔ sia?

Zi geɖe la, ɖɔkta aɖe gbe be woawɔ dodokpɔ sia ne wotsi dzi ɖe wò ayiku ƒe lãmesẽ ŋu, vevietɔ ne nɔnɔme siwo gbɔna dometɔ aɖe le ŋuwò:

• Suklidɔ: Amesiwo ŋu suklidɔ le la ate ŋu agblẽ ayiku me. Eyata woɖo aɖaŋu na suklidɔlélawo be woawɔ dodokpɔ sia edziedzi.
• Ʋusɔgbɔdɔ (Hypertension): Ne womeɖu ʋu ƒe sisi dzi ɣeyiɣi didi o la, ate ŋu agblẽ nu le ʋuka tsɛ siwo le ayiku me ŋu.
• Ayikudɔ si Nɔa Anyi (CKD): Wozãa dodokpɔ sia tsɔ léa ŋku ɖe amesi ŋu ayikudɔ le xoxo ƒe nɔnɔme ŋu.
• Dzidɔléle
• Aklã ƒe ʋuka me dɔléle

Tsɔ kpe ɖe eŋu la, woate ŋu akafu dodokpɔ sia ɣeaɖewoɣi be woatsɔ akpɔ ayiku ƒe afɔkua ne wò Body Mass Index (BMI) wu 30 (lolo akpa) , ènye atamanola , alo èxɔ wu ƒe 50 .

Aleke wowɔa uACR dodokpɔ siae?

Mɔ vovovowo li siwo dzi woato aƒo aɖuɖɔ sia nu ƒu. Wò ɖɔkta agblɔ mɔnu si nyo na wò na wò.

Ðe nanewo li siwo ŋu wòle be madzra ɖo hafi adze dodokpɔa?

Ẽ, be nu nyuitɔ nado tso eme la, ele be nàlé be na nu suesuesue ʋɛ aɖewo.

• No tsi geɖe: Esi wòhiã be aɖuɖɔ si sɔ nanɔ asiwò be wòana kpɔɖeŋua ta la, no tsi geɖe abe alesi nèwɔnɛ ɖaa ene tso ŋkeke si do ŋgɔ na dodokpɔa dzi.
• Ƒo asa na kamedede sesẽ: Ƒo asa na kamedede sesẽ abe duƒuƒu, titri, alo kpekpemewo kɔkɔ gaƒoƒo 24 ya teti hafi dodokpɔa nadze egɔme. Esia le alea elabena kamedede sesẽ ate ŋu ana albumin ƒe agbɔsɔsɔ si le aɖuɖɔ me nadzi ɖe edzi hena ɣeyiɣi aɖe.
• Ðe lãɖuɖu dzi kpɔtɔ: Ƒo asa na lã ɖuɖu gaƒoƒo 24 ya teti hafi nàdoe kpɔ. Lã ɖuɖu ate ŋu atrɔ creatinine ƒe agbɔsɔsɔ hena ɣeyiɣi aɖe.

Azɔ hã, nu ʋɛ aɖewo li siwo wòle be nàgblɔ na wò ɖɔkta godoo , elabena nu siawo ate ŋu akpɔ ŋusẽ ɖe emetsonuwo dzi.

• Ne èle dzinu kpɔm alo ʋu le dodom le ŋuwò le ʋumenugbagbeviɣidɔ ta.
• Ne dɔléle aɖe abe Aɖuɖɔtoedɔléle (UTI) , dzoxɔxɔ , aɖuɖɔtoedɔléle (Periodontitis) , alo dɔlékui ƒe aklãdɔ ene le ŋuwò.

Ne ʋu alo dɔlékuiwo le aɖuɖɔ me le ɣeyiɣi sia me la, emetsonuwo ate ŋu anye esiwo mesɔ o. Eyata ele vevie ŋutɔ be nàgblɔ nya sia na ɖɔktaa do ŋgɔ.

Aleke tututu nèwɔna naa aɖuɖɔ ƒe kpɔɖeŋu?

Mɔfiamewo ateŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ, gake zi geɖe la, wozãa mɔnu aɖe si woyɔna be "Clean Catch." Esia nye nusi wowɔna be woaxe mɔ na dɔlékui siwo tso kpɔɖeŋua godo ƒe tsɔtsɔ kpee. Nudokpɔƒea ana kpɔɖeŋu kplu kple nututunu siwo me dɔlékui mele o wò.

Nusi nàwɔe nye esi:

1. Gbã la, tsɔ adzalẽ klɔ asi nyuie.

2. Klɔ teƒe si ƒo xlã wò vidzinuwo (afisi aɖuɖɔ dona le) nyuie kple atike si me dɔlékui mele o si wona wò.

3. Dze aɖuɖɔtoe gɔme eye nàkɔ aɖuɖɔ gbãtɔ si dona ɖe nugododeƒea la ɖa.

4. Dzudzɔ aɖuɖɔtoe le titina eye nàlé kpɔɖeŋukplu la ɖe aɖuɖɔtoea gbɔ.

5. Miɖe aɖuɖɔ vaseɖe esime kplua nayɔ abe afã ene alo vaseɖe esime wòaɖo agbɔsɔsɔ si dodokpɔxɔa ɖe fia.

6. Emegbe, ɖe kplua ɖa eye nàkɔ aɖuɖɔ si susɔ la ɖe nugododeƒea.

7. Do kplu la ƒe nu sesĩe eye nàtsɔe ana amesi le dodokpɔxɔa me.

Togbɔ be mɔnu sia adze nu sesẽ vie hã la, ele vevie ŋutɔ be nàkpɔ emetsonu siwo de pɛpɛpɛ wu.

Nukae emetsonuwo gblɔ?

Wotsɔ uACR dodokpɔ me tsonuawo na le miligram/gram (mg/g) me. Nu vevi si dzi wòle be míaɖo ŋkui le afisiae nye be zi alesi uACR ƒe asixɔxɔ ɖiɖi la, zi nenemae wòanyo wu .

Nukae nye uACR ƒe asixɔxɔ si sɔ?

• Wobua agbɔsɔsɔ si mede 30 mg/g o be enye agbɔsɔsɔ si sɔ.
• Esia fia be ayiku ƒe dɔmawɔmawɔ nyuie, dzidɔ, alo ʋusɔgbɔdɔ ƒe afɔkua le sue ŋutɔ.
• Zi geɖe la, ɖɔkta ate ŋu abia tso asiwò be nàgawɔ dodokpɔa ake le ɣleti ʋɛ aɖewo megbe atsɔ aɖo kpe dodokpɔa me tsonu dzi.

Ke ne uACR ƒe asixɔxɔ lolo wu alesi wòle dzɔdzɔmee ya ɖe?

Ne emetsonuwo mesɔ o la, nukae adzɔ emegbe?

Ne wò uACR me tsonu mesɔ o la, wò ɖɔkta awɔ dodokpɔ bubu gbã atsɔ aɖo kpe edzi. Emegbe, woate ŋu aɖo aɖaŋu be nàwɔ dodokpɔ ʋɛ bubu aɖewo atsɔ aku nu me le wò ayiku ƒe nɔnɔme ŋu geɖe wu.

• eGFR (Estimated Glomerular Filtration Rate) dodokpɔ: Esia nye ʋudodokpɔ bɔbɔe aɖe si me wodzidzea alesi ayikuwo le ʋu ƒom nyuie.
• Kidney Ultrasound Scan: Esia ate ŋu alé ŋku ɖe ayiku alo nusiwo xe mɔ na ayikuawo ƒe lolome, woƒe nɔnɔme, kple woƒe anyinɔnɔ ŋu.
• Ayiku me Dzodzro: Le go aɖewo siwo mebɔ o me la, woɖea lãkusi sue aɖe ŋutɔ le ayiku me hedoa eŋu le nusuekpɔmɔ̃ me.

Le dodokpɔ siawo megbe hafi ɖɔktaa ate ŋu aƒo nya ta nyuie le wò nɔnɔmea ŋu eye wòatso nya me le atike si nèhiã ŋu.

Dzesi bubu kawoe wòle be wòana woayi ɖɔkta gbɔ?

Tsɔ kpe ɖe wò uACR dodokpɔ me tsonu ŋu la, ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò la, na wò ɖɔkta nanya enumake. Esiawo ate ŋu anye ayikudɔléle ƒe dzesiwo.

• Tɔtrɔ le aɖuɖɔtoe ƒe nɔnɔme me (aɖuɖɔtoe me yiyi wu alesi wònɔna ɖaa, aɖuɖɔ si me futukpɔ le, ʋu le aɖuɖɔ me - Hematuria ).
• Ŋutilã ƒuƒu, ŋutigbalẽ ƒe ʋuʋu, alo ŋutigbalẽ ƒe viviti dodo.
• Ðeɖiteameŋu si gbɔ eme ƒe seselelãme enuenu.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Asiwo, afɔwo, alo afɔkpodziwo ƒe vuvu ( edema ).

Enye nusi sɔ be vɔvɔ̃ natsi eye nàtsi dzimaɖi ne èva nya be wò ayikuwo mele dɔ wɔm nyuie o. Le ɣeyiɣi mawo me la, bia nya siwo katã le asiwò la wò ɖɔkta. Ne ehiã la, tsɔ wò ƒomea me tɔ alo xɔlɔ̃ vevi aɖe ɖe asi. Woate ŋu akpe ɖe ŋuwò nàse nya siwo wogblɔna na wò la gɔme ahaɖo ŋku edzi.