Yu tink se bɔku prɔtin de na yu urine? (Proteinuria) - Lɛ wi fɛn ɔut ɛksaktɔli wetin dis na!

Yu dɔn ɛva notis se yu urine , ɔ yu urine, gɛt smɔl fom? Ɔ sɔntɛm dɔktɔ dɔn du urine test ɛn se, "Yu gɛt smɔl tumɔs prɔtin na yu urine." Na dat wi kin kɔl proteinuria . Fɔ tɔk am simpul wan, dis min se yu urine gɛt mɔ prɔtin pas aw i fɔ gɛt. Sɔntɛnde dis kin bi wan fɔs sayn fɔ se yu kidni nɔ de wok fayn.

Wetin na prɔtin ɛn wetin mek i impɔtant fɔ wi bɔdi?

Tink bɔt am, di prɔtin dɛn tan lɛk di wan dɛn we de wok na wi bɔdi. Dɛn kin du bɔku impɔtant wok dɛn.

• I de ɛp fɔ bil mɔsul ɛn bon dɛn . We wi de rɔn ɛn jomp, we wi de es wet, wi nid strɔng mɔsul dɛn.
• I de rigul di wata we de na wi blɔd .
• Dɛn kin ɛp wi bɔdi fɔ fɛt infɛkshɔn . Dɛn tan lɛk smɔl sojaman dɛn na wi bɔdi.
• Dɛn kin bak fɔ mek di tisu dɛn we dɔn pwɛl .

Dɛn se dɛn prɔtin ya de na wi blɔd. Na de dɛn de du dɛn impɔtant wok. bכt, if fכ sכm rizin dεn protin dεm ya lik kכmכt na di bכdi εn dכn na di urine, dat min se dεn de kכl dεm na di bכdi. If dat apin, i kin afɛkt di wɛlbɔdi na wi wan ol bɔdi.

Yu tink se di prɔtin we de insay di urine siriɔs?

Yɛs, di prɔtin we de insay di urine na sɔntin we de mɔna pipul dɛn fɔ tru , bikɔs sɔm stɔdi dɛn dɔn sho se dis sik kin mek pɔsin day bikɔs ɔf at sik ɛn sik dɛn we de mek pɔsin in at ɛn blɔd.

Sɔntɛnde, dis sik wae dɛn kɔl proteinuria kin bi di fɔs sayn fɔ sik na di kidni we nɔr de mɛn (CKD) . Bɔt sɔm pipul dɛn kin gɛt nɔmal lɛvɛl fɔ di prɔtin na dɛn urine pan ɔl we dɛn gɛt CKD. CKD na we di kidni nɔ de wok smɔl smɔl. If dis kɔntinyu, yu kin nid fɔ transplant yu kidni ɔ dayalaysis. Dayabitis ɛn ay blɔd prɛshɔn na di tu men tin dɛn we kin mek pɔsin in kidni pwɛl. Dis na de tin wae kin mek yu gɛt sik na yu kidni.

Udat de pan denja pas ɔl fɔ gɛt dis sik?

Ɛnibɔdi kin gɛt prɔtinuria. Bɔt yu go gɛt dis sik if:

• If yu dɔn pas 65 ia .
• If ɛnibɔdi na yu famili dɔn gɛt ɔ gɛt kidni sik naw .
• If yu gɛt ɔda sik we de afɛkt yu kidni, lɛk dayabitis .
• Dɛn dɔn si se dis risk kin bɔku pan sɔm etnik grup dɛm (fɔ ɛgzampul, blak pipul dɛm, Hispanik pipul dɛm, Indian pipul dɛm na Amɛrika, ɔ Pasifik Ayland pipul dɛm).

Aw dis sik kin kɔmɔn?

Proteinuria na wan sik wae kin pasmak. Fɔ ɛgzampul, dɛn ripɔt se lɛk 6.7% pan di pipul dɛm na Amɛrika gɛt dis sik.

Aw di prɔtin kin go insay di urine? Wetin kin apin insay di kidni dɛn?

Tink bɔt wi kidni dɛn lɛk wan supa filta. Dɛn men wok na fɔ filta di dɔti tin dɛn ɛn di wata we pasmak na wi blɔd. Dɛn dɔti tin ya we dɛn dɔn filta ɛn wata na dɛn kin kɔmɔt na di bɔdi as urine.

Insay di kidni dɛn, bɔku smɔl smɔl blɔd vesel dɛn de we dɛn kɔl glomeruli . Dis na di fɔs stej we di blɔd de filta. nכmal wan, dεn glomeruli ya nכ de alaw big protin patikyula dεm כ bכdi sεl dεm fכ pas tru insay di urine. I tan lɛk mɛsh siev we de kech big big pat dɛn. כltu, if sכm sכm sכm protin patikyula dεm pas tru dεn glomeruli dεm ya, di lכng tכn tכb dεm (tubules) na di kidni dεm de abzכp dεn protin dεm bak insay di bכdi.

so, protin de stat fכ go insay di urine if sכmtin nכ go rכng wit dis prכsεs:

• If damej de pan ɛni wan pan di glomeruli ɔ di tubules.
• if prכblεm de wit di protin riabsכpshכn prכsεs.

Wetin na di sayn dɛm fɔ dis? Aw wi kin no am?

Bɔku tɛm protɛinuria nɔ kin sho ɛni sayn we i bigin . Na dat mek i kin denja smɔl. Bɔt as di sik de go bifo, sɔm sayn dɛm lɛk:

• Di fes, bɛlɛ, leg, ɔ ankles we de swel (ɛdima) . Sɔm pipul dɛn kin ripɔt se dɛn fes kin ful-ɔp we dɛn wek na mɔnin, ɔ dɛn leg kin swel na ivintɛm.
• Nid fɔ pis bɔku tɛm.
• I nɔ kin izi fɔ yu fɔ blo.
• Taya bad bad wan, taya.
• Nɔs ɛn vɔmit.
• Di it nɔ de te.
• Mɔsul dɛn kin kramp na nɛt.
• Puf arawnd di yay, mɔ na mɔnin.
• Urin we gɛt fom ɔ we gɛt bɔbul. Dis na de fɔs sayn wae bɔrku pipul kin notis. If i fom lɛk sop wata, yu fɔ wɔri.

Impɔtant: Dɛn sayn ya kin rili bi sayn fɔ sho se yu gɛt sik na yu kidni we nɔ de dɔn. If yu si dɛn sayn ya, mɔ di urine we gɛt fom ɛn swel, go to dɔktɔ wantɛm wantɛm.

Wetin na di tin dɛn we kin mek pɔsin gɛt prɔtinuria?

Bɔrku tɛm, prɔtinuria kin kam bikɔs ɔf sɔm kayn mɛrɛsin wae nɔr kin du bad (nɔr kin gɛt kansa) ɔr fɔ sɔm tɛm. Sɔm ɛgzampul dɛn bɔt dɛn tin ya na:

• Dehydration - Dis min se yu nɔ go gɛt bɛtɛ wata na yu bɔdi.
• Swɛl- Na inflamɛns sɔmsay na di bɔdi.
• Lɔw blɔd prɛshɔn (Hypotension).
• Kidni ston dɛn.

Dɔn bak, tin dɛn lɛk fɔ du ɛksɛsayz tranga wan, fɔ strɛs, fɔ tek mɛrɛsin lɛk aspirin ɛvride, ɛn fɔ kol bad bad wan kin mek di prɔtin we de na di urine go ɔp fɔ sɔm tɛm.

Bɔt mɔ siriɔs mɛrɛsin kin pwɛl di kidni dɛn bak ɛn mek dɛn gɛt prɔtinuria. Dɛn kayn kɔndishɔn dɛn ya na:

• Sɔm sik dɛn we de mek pɔsin nɔ ebul fɔ fɛt di sik , lɛk lupus ɛn Goodpasture’s syndrome.
• Akyu kidni inflameshɔn , we dɛn kin kɔl bak glomerulonephritis.
• Plasma sɛl kansa , we dɛn kin kɔl bak multiple myeloma.
• di dεstrukshכn fכ di rεd bכdi sεl dεm de mek hεmoglobin kכmכt na di bכdi (intravascular hemolysis).
• Di sik we de ambɔg di at ɛn di blɔd.
• Proteinuria ɛn ay blɔd prɛshɔn na uman we gɛt bɛlɛ di sem tɛm - dɛn kɔl dis prɛeklampsia.
• Pɔyzin we pɔsin kin gɛt.
• Fizik aksidɛnt/injuri (`Trauma`).
• Kidni kansa.
• At kכndishכn dεm (`Kכnjεstiv at fεil`).

Aw bɔku prɔtin wi fɔ wɔri bɔt na wi urine?

Nɔmal wan, di prɔtin we de insay wi urine fɔ smɔl pas 150 miligram fɔ wan de. If yu urine gɛt pas 150 miligram prɔtin fɔ wan de, dɛn kɔl dat protinuria. di כp limit fכ dis nכmal lεvεl kin difrεn sכmtεm frכm lab to lab.

If yu gɛt bitwin 3 ɛn 3.5 gram prɔtin na yu urine ɛvride, dɛn kin kɔl am nephrotic-range proteinuria . nεfrotik sεndrכm na wan kכndyushכn we nכ kin apin we di kidni dεm kin kכl tu mכch protin insay di urine.

Dis na sik we pɔsin kin pas?

Nɔ, prɔtinuria nɔto sik we pɔsin kin gɛt . Bɔt if ɔda pipul dɛn na yu famili gɛt dis sik, yu go gɛt dis sik. Dis min se i kin bi se i kin gɛt prɛdispɔzishɔn we pɔsin kin gɛt frɔm in mama ɛn papa.

Aw yu kin no dis ɛksaktɔli? Us tɛst dɛn dɛn kin du?

Yu dɔktɔ go fɔs du dipstik tɛst fɔ no if yu gɛt prɔtinuria.. Insay dis tɛst, yu kin pis insay spɛshal kɔntena na yu dɔktɔ in ɔfis ɔ ɔspitul. Dɔn, di dɔktɔ kin dip wan tint plastic stik (dipstik) we dɛn kɔt wit spɛshal kemikal insay di urine sampul. If bɔku prɔtin de na di urine, di stik go chenj in kɔlɔ.

Dɔn, yu dɔktɔ go du wan urinalysis pan di urine sample we lɛf. dis go luk di we aw di urine de luk, di kεmikכl kכmכshכn, εn di insay strכkchכ dεm na di urine כnda maykroskכp. Di dɔktɔ go luk fɔ tin dɛn we nɔ kin de na di urine. Fɔ ɛgzampul, rɛd blɔd sɛl, wayt blɔd sɛl, baktri, ɛn sɔl ɔ prɔtin kristal we kin mek kidni ston.

Wetin fɔ du if yu sɔprayz se yu gɛt sik na yu kidni?

If yu dɔktɔ tink se yu gɛt sik na yu kidni, i go aks yu fɔ ripit tɛst fɔ yu urine tri tɛm insay tri mɔnt. If dɛn fɛn prɔtin na ɛni wan pan di urine sɛmpul dɛm, i go bi se yu gɛt wan sik we nɔ de mɛn (lɔng tɛm). Di kwik we dɛn no dis, na di bɛtɛ chans fɔ kɔntrol ɛn stɔp di sik we de kam pan di kidni.

Apat frɔm dat, dɛn kin du dɛn tɛst ya:

• Kriatinin kliarens tɛst: Kriatinin na kemikal west prodak. Dis tɛst de mɛzhɔ di kayn kriaytinin we de na yu urine ɛn blɔd. If yu kidni dɛn wɛl, dɛn kin pul kriaytinin na yu blɔd ɛn pas am na yu urine. Bɔt if yu kidni nɔ de wok fayn, kriaytinin kin de na yu blɔd.
• Glomerular filtration rate (GFR) blood test: Di GFR de kɔmpia di lɛvɛl dɛn fɔ di protin dɛn we dɛn kɔl kriaytinin ɛn albumin na yu blɔd, bay yu bɔdi saiz, ej, bayolojikal sɛks, ɛn etnik grup. Di GFR kin tɛl yu dɔktɔ aw yu kidni de wok fayn ɛn aw yu kidni sik dɔn go bifo. Dis infɔmeshɔn kin ɛp yu fɔ mek di bɛst tritmɛnt plan.
• bכdi tεst dεm we de mכsu di tכtal protin we de insay di sεrum: Sεrum na di pat pan di bכdi we gεt protin.
• Imej tɛst: Tɛst lɛk CT skan ɛn ɔltra saund kin no prɔblɛm dɛn lɛk kidni ston, tumbu, ɔ urinary tract obstruction.
• Yurin protin εlektroforesis (UPEP): UPEP de alaw yu dכkta fכ luk fכ spεshal kayn protin dεm. Dɛn kin sɛn yu urine sɛmpul to lab. Na de, wan lab tɛknishian kin put ilɛktrik kɔrɛnt pan yu urine sɛmpul. Dis kin sho di kayn prɔtin we de na yu urine.
• Immunofikseshɔn blɔd tɛst (IFE): .Di dɔktɔ kin yuz smɔl nidul ɛn tiub fɔ tek blɔd sɛmpul frɔm wan vein we de na yu an ɔ yu an. Dɛn kin sɛn di blɔd sɛmpul to wan lab fɔ mek dɛn tɛst am fɔ sɔm patikyula prɔtin dɛn we de na di blɔd.
• Kidni bayɔpsi: Insay dis tɛst, yu dɔktɔ kin pul wan rili smɔl pat pan yu kidni. Dɛn kin sɛn di sampul to wan lab. Wan lab tɛknishian de chɛk di kidni sɛmpul ɔnda maykroskɔp fɔ si wetin de mek yu kidni sik ɛn aw bɔku damej dɔn apin.

Aw dɛn kin trit dis?

Di tritmɛnt fɔ proteinuria dipen pan di kɔz . Ɛni wan pan di tin dɛn we kin mek pɔsin sik gɛt in yon tritmɛnt.

If na sik we de mek yu gɛt prɔtinuria , yu tritmɛnt plan kin gɛt fɔ du wit mɛrɛsin, chenj di it we yu de it, ɛn ɛksesaiz . If yu gɛt ay blɔd prɛshɔn, yu dɔktɔ go gi yu mɛrɛsin. If yu gɛt lɔw blɔd prɛshɔn, i fayn fɔ mek dɛn chɛk yu urine ɛn chɛk yu blɔd prɛshɔn ɛvri ia.

If yu gɛt dayabitis , yu nid fɔ kɔntrol di shuga we de na yu blɔd . Yu nid bak fɔ mek dɛn tɛst yu GFR blɔd ɛvri ia.

Bɛlɛ uman dɛn we gɛt histri fɔ gɛt prɛeklampsia fɔ go to dɛn dɔktɔ ɔltɛm fɔ mek dɛn chɛk dɛn. Pan ɔl we prɛeklampsia na siriɔs sik, i kin bɛtɛ insay sɔm dez ɔ wik afta di pikin bɔn.

If yu gɛt prɔtinuria bɔt yu nɔ gɛt dayabitis, ay blɔd prɛshɔn, ɔ ɛni ɔda mɛrɛsin, yu dɔktɔ kin gi yu blɔd prɛshɔn mɛrɛsin fɔ ɛp fɔ mek yu kidni nɔ pwɛl. I fayn fɔ mek dɛn chɛk yu blɔd prɛshɔn ɛn tɛst yu urine ɛvri siks mɔnt fɔ mek shɔ se yu nɔ gɛt sik na yu kidni.

If yu gɛt smɔl ɔ fɔ sɔm tɛm protɛinuria, yu nɔ go nid ɛni tritmɛnt.

Yu tink se we yu drink wata, dat kin mek yu nɔ gɛt bɔku prɔtin na yu urine?

Nɔ, if yu drink mɔ wata, i nɔ go mɛn di prɔtinuria. If yu drink mɔ wata, i go mek yu pis mɔ, ɛn dis kin mek di prɔtin we de na yu urine nɔ bɔku wan tɛm. Bɔt i nɔ go stɔp di kidni fɔ mek di prɔtin we de lik.

Aw a kin kia fɔ misɛf? Us tin dɛn a nid fɔ du?

Di bɛst we fɔ kia fɔ yusɛf na fɔ tek yu mɛrɛsin dɛn jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.

Apat frɔm dat, na sɔm ɔda we dɛn we yu go ɛp:

• Fɔ ridyus di it dɛn we gɛt bɔku prɔtin.
• Fɔ stɔp fɔ it sɔl. Dis go ɛp fɔ mek yu blɔd prɛshɔn go dɔŋ.
• If yu it mɔ it dɛn we gɛt fayv, dat kin ɛp fɔ mek yu nɔ gɛt bɔku bɔku kɔlɔstrel ɛn mek yu blɔd shuga nɔ bɔku.
• Fɔ du ɛksɛsayz ɔ fɔ de du tin ɔltɛm.Tray fɔ du tin dɛn fɔ at le tu awa insay di wik.
• Chek yu blɔd shuga lɛvɛl ɔltɛm.
• Fɔ lɛf fɔ smok ɛn fɔ tek tabak.
• Nɔ tek di mɛrɛsin dɛn we nɔ gɛt stɛroyd we de mek yu bɔdi wam (NSAID) pas nɔmɔ dɔktɔ tɛl yu. Di NSAID dɛn we dɛn kin yuz mɔ na aspirin (Bayer®), ibuprofen (Advil®), ɛn naproxen (Aleve®).

Yu tink se we de fɔ mek dis nɔ apin?

Proteinuria nɔ kin ebul fɔ stɔp ɔltin . Bɔt, yu kin ebul fɔ manej am. Bɔrku tin wae kin mek pɔrsin gɛt prɔtinuria kin kɔntrol wit mɛrɛsin ɛn chenj na yu layf.

Wetin na de luk fɔ pɔrsin wae gɛt proteinuria?

If dɛn no di sik kɔrɛkt wan ɛn trit am di rayt we, di luk fɔ pipul dɛn we gɛt prɔtinuria go fayn.

Bɔt if dɛn nɔ trit am, di prɔtinuria kin ivin mek pɔsin day. Stɔdi dɔn sho se pipul dɛn we nɔ gɛt prɔtinuria kin liv lɔng pas di wan dɛn we gɛt smɔl ɔ siriɔs prɔtinuria.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm:

• If yu nid fɔ pis pas aw yu kin pis, ɔ if yu fil pen we yu de pis.
• If yu urine gɛt fom ɔ gɛt bɔbul.
• If yu fil se yu de nɔs ɔ yu de vɔmit.
• If yu fil se yu ed de tɔn, yu wik, ɔ yu ed nɔr de shayn.
• If yu gɛt swel ɔ puf na yu fes, bɛlɛ, ɔ yu bɔdi we de dɔŋ.
• If yu sik nɔr bɛtɛ afta yu dɔn trit yu.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go si dɔktɔ, yu kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw di dɔktɔ no fɔ tru se a gɛt proteinuria?
• Us kɔndishɔn bin mek a gɛt prɔtinuria?
• Us tɛst dɛn yu kin advays?
• A gɛt smɔl ɔ fɔ shɔt tɛm protɛinuria?
• Us mɛrɛsin ɔ tritmɛnt dɛn yu kin advays?
• A nid fɔ mek ɛni chenj pan di we aw a de it ɔ di we aw a de liv mi layf?
• If a nɔ gɛt proteinuria, us ɔda kɔndishɔn a go gɛt?

Wetin na di difrɛns bitwin Proteinuria ɛn Orthostatic Proteinuria?

כtostatik protinuria ( dεn kכl am bak postural protinuria) min se yuDis min se bɔku prɔtin de na yu urine we yu de pis we yu tinap, bɔt di prɔtin we de na yu urine na nɔmal tin we yu de pis we yu de ledɔm. Dis na wan sik wae dɛn kin si pan yɔŋ pipul dɛm, mɔr lɛk pipul dɛm wae lɔng ɛn tint, ɛn nɔr kin rili denja.

Wetin na di difrɛns bitwin Proteinuria ɛn Transient Proteinuria?

Transiεnt protinuria na wan tεmporari kכndyushכn . Bɔrku tɛm na tin dɛm lɛk fɔ ɛksesaiz tranga wan, strɛs, fiva, ɛn fɔ de na kol pasmak fɔ lɔng tɛm. di transient protinuria kin sכlv insεf we dεn nכ gεt nכ tritmεnt.

Proteinuria na di εlevεt lεvεl fכ di protin na yu urine. If yu gɛt prɔtinuria, yu kin nid fɔ pis bɔku tɛm, ɛn yu urine kin gɛt fom ɔ bɔbul. Yu kin gɛt sɔm kayn sik bak, lɛk fɔ nɔs, vɔmit, taya, ɛn fɔ swel. If yu gɛt dɛn sik ya fɔ pas sɔm dez, i go fayn fɔ mek yu go to dɔktɔ. I kin no di sik we de mek yu gɛt prɔtinuria ɛn gi yu tritmɛnt fɔ ɛp fɔ mek yu kidni dɛn gɛt wɛlbɔdi.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt gud aidia bɔt proteinuria. Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ if yu notis ɛni chenj na yu urine (especially foamy urine) ɔ swel na yu bɔdi. If yu no am kwik, yu kin avɔyd bɔku prɔblɛm dɛn. Di kidni dɛn tan lɛk di savant dɛn we nɔ de tɔk na wi bɔdi. Na wi wok fɔ kia fɔ dɛn gud gud wan. Nɔr wɔri, yu kin kɔntrol dɛn kayn tin ya wit di rayt mɛrɛsin ɛn tritmɛnt.

` proteinuria, protin na urine, kidni sik, foam urine, kidni hεlth, kidni damej, CKD