Yu gɛt mɛrɛsin lɛk dayabitis ɔr ay blɔd prɛshɔn? Ɔ ɛnibɔdi na yu famili gɛt kidni sik? Dɔn yu dɔktɔ go dɔn aks yu fɔ du wan urine tɛst we dɛn kɔl "uACR." We yu yɛri da nem de, i go dɔn mek yu fred smɔl, "Us kayn big tɛst dis?" Bɔt nid nɔ de fɔ mek yu fred. Dis na wan rili simpul urine test we kin tɛl wi bɔku valyu infɔmeshɔn bɔt di wɛlbɔdi fɔ yu kidni. Tide, wi go tɔk bɔt ɔl dis insay wan rili simpul we.
Wetin na di Yurin Albumin-Kriatinin Rεshכ (uACR)?
Dis nem long likli, so mek wi kol am uACR. Dis na tɛst fɔ urine. i de bכs mכsu di rεshכn fכ tin dεm we dεn kכl albumin εn kriatinin na yu urine. Naw yu kin de wɔnda, "Wetin na dɛn albumin ɛn kriaytinin ya?"
Lɛ wi ɔndastand am simpul wan.
- Albumin: Dis na wan rili impɔtant prɔtin we de insay wi blɔd. I tan lɛk pɔsin we de kia fɔ di get we de ɛp fɔ kip tin dɛn insay wi blɔd vesel. Na wi liva mek am. Di men wok we albumin de du na fɔ stɔp di wata we de kɔmɔt na di blɔd vesel dɛn. I de ɛp bak fɔ transpɔt tin dɛn lɛk vaytamɛn, ɛnzaym, ɛn ɔmon ɔlsay na di bɔdi.
- Kriatinin: Dis na west tin we kin kɔmɔt we wi mɔsul dɛn de wok. Wi mɔsul dɛn de yuz ɛnaji fɔ kɔntrakt ɛn strɛch. Kriatinin na west tin we dɛn kin mek we dɛn yuz da ɛnaji de. Dɔn dɛn kin ad dis to di blɔd.
Naw luk wetin kin apin wit tu wɛlbɔdi kidni dɛm. Yu kidni dɛn tan lɛk tu supa filta dɛn. Dɛn:
1. Albumin , we na wan valyu prɔtin we de insay di blɔd, de insay di bɔdi instead fɔ kɔmɔt na di urine.
2. Dɛn kin filta di dɔti we dɛn nɔ want we dɛn kɔl kriaytinin we de na di blɔd fayn fayn wan ɛn kɔmɔt na di bɔdi wit urine.
Bɔt if ɛnitin dɔn pwɛl di kidni dɛn, di ol dɛn na dis filta kin big. afta dat, di albumin we dεn fכ kip na di bכdi de bigin fכ kכmכt wit di urine sכm sכm. Dɔn bak, di kriaytinin we fɔ kɔmɔt kin de insay di bɔdi. Na dis imbalans we wi de mɛzhɔ wit di uACR tɛst.
Udat dɛn de aks fɔ tek dis uACR tɛst?
Dɔktɔ go ɔltɛm ɔda dis tɛst if dɛn gɛt wɔri bɔt yu kidni dɛn wɛlbɔdi, mɔ if yu gɛt ɛni wan pan dɛn tin ya:
- Dayabitis: Pipul wae gɛt shuga kin gɛt bɔrku risk fɔ pwɛl dɛn kidni. So, dɛn kin advays pipul dɛn we gɛt dayabitis fɔ du dis tɛst ɔltɛm.
- Ay blɔd prɛshɔn (Hypertension): If dɛn nɔ kɔntrol blɔd prɛshɔn fɔ lɔng tɛm, i kin pwɛl di dilik blɔd vesel dɛn na di kidni.
- Kronik Kidni Disease (CKD): Dɛn kin yuse dis tɛst fɔ wach aw pɔrsin wae dɔn ɔlrɛdi gɛt kidni sik de.
- At sik we pɔsin kin gɛt
- Sirosis na di liva
Apat frɔm dat, sɔntɛnde dɛn kin se dɛn fɔ du dis tɛst fɔ no if yu Bɔdi Mas Indeks (BMI) pas 30 (fat) , yu de smok , ɔ yu dɔn pas 50 ia .
Mɛmba se dɛn mek dis tɛst fɔ no di kidni we kin pwɛl kwik kwik wan, we i bigin. Di kwik we dɛn kin no am, na di mɔ i kin izi fɔ wi fɔ trit am fɔ mek i nɔ wɔs.
Aw dɛn kin du dis uACR tɛst?
Bɔku we dɛn de fɔ gɛda dis urine sɛmpul. Yu dɔktɔ go tɛl yu us we fɔ du am fayn fɔ yu.
| Sampul tayp | Aw fɔ du am |
|---|---|
| "Spot" urine sampul | Dis na di we aw dɛn kin du am pas ɔl. Yu gi yu urine sample wan tɛm, we yu go si yu dɔktɔ ɔ na lab. I rili izi fɔ du. |
| Sample wit wan mɔnin/taym frɛm | Yu kin gɛda di sampul na os. Bɔku tɛm, di fɔs urine sɛmpul we yu gi na mɔnin na di fɔs tin we yu kin du. Ɔ, yu kin gɛda di sampul afta yu nɔ pis fɔ at le 4 awa. |
| 24 awa urine sampul | Dis na di we we kɔrɛkt pas ɔl. Di lab go gi yu wan big bɔtul. Yu fɔ pis insay da bɔtul de ɛvri tɛm we yu de pis fɔ 24 awa. Insay da tɛm de, dɛn fɔ put di bɔtul na frij. Dɔktɔ go rifer yu to dis we if di tin dɛn we de kɔmɔt frɔm ɔda we dɛn nɔ de du am. |
Ɛni tin dɛn de we a nid fɔ rɛdi fɔ bifo di tɛst?
Yɛs, fɔ mek yu gɛt di rayt rizɔlt, yu nid fɔ tek kia ɔf sɔm smɔl smɔl tin dɛn.
- Drink bɔku wata: Bikɔs yu nid fɔ gɛt inof urine fɔ gi di sampul, drink bɔku wata lɛk aw yu kin drink frɔm di de bifo di tɛst.
- Nɔ ɛksesaiz tranga wan: Nɔ ɛksesaiz tranga wan lɛk fɔ rɔn, jomp, ɔ fɔ es wet fɔ at le 24 awa bifo di tɛst. Dis na bikɔs if yu du ɛksɛsayz tranga wan, dat kin mek di albumin we de na di urine go ɔp fɔ sɔm tɛm.
- Limit mit fɔ it: Nɔ it mit fɔ at le 24 awa bifo di tɛst. If yu it mit, i kin chenj di kriaytinin lɛvɛl fɔ sɔm tɛm.
Dɔn bak, sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ, bikɔs dɛn tin ya kin afɛkt di rizɔlt.
- If yu de gɛt mɔnt ɔ yu de blɔd bikɔs ɔf ɛmoroyd.
- If yu gɛt wan sik lɛk Urinary Tract Infection (UTI) , fiva , gum infection (Periodontitis) , ɔ vayral ɛpatitis .
If blɔd ɔ baktri de na di urine dis tɛm, di rizɔlt kin nɔ kɔrɛkt. So, i rili impɔtant fɔ tɛl di dɔktɔ bɔt dis bifo tɛm.
Aw ɛksaktɔli yu kin gi urine sɛmpul?
Instrɔkshɔn kin difrɛn smɔl frɔm wan lab to di ɔda lab, bɔt dɛn kin yuz wan we we dɛn kɔl "Klin Kech." Dis na sɔntin we dɛn kin du fɔ mek dɛn nɔ ad jem dɛn we kɔmɔt na do na di sampul. Di lab go gi yu wan sampul kɔp ɛn steril wayp.
Na dis na wetin fɔ du:
1. Fɔs, was yu an fayn fayn wan wit sop.
2. Klin di say we de rawnd yu jεnital (we di urine de kכmכt) gud gud wan wit di stεril wayp we dεn gi yu.
3. Start fɔ pis ɛn ɛmti di fɔs urine we kɔmɔt na di tɔylɛt.
4. Stɔp fɔ pis midway ɛn ol di sampul kɔp nia di urethra.
5. Urinate te di kɔp ful-ɔp lɛk af ɔ te di lɛvɛl we di lab sho.
6. Dɔn, pul di kɔp ɛn flash di urine we lɛf na di tɔylɛt.
7. Klos di kɔp in mɔt tayt ɛn gi am to di pɔsin we de na di lab.
Pan ɔl we dis we fɔ du tin kin tan lɛk se i nɔ izi fɔ du, i rili impɔtant fɔ mek yu gɛt di kɔrɛkt rizɔlt.
Wetin di rizɔlt dɛn se?
di uACR tεst rizulεt dεn gi insay miligram/gram (mg/g). Di impɔtant tin fɔ mɛmba ya na dat di mɔ di uACR valyu smɔl, na di mɔ i bɛtɛ .
Wetin na nɔmal uACR valyu?
- wan valyu dכn 30 mg/g dεn kin kכnsidr am as nכmal lεvεl.
- Dis min se yu gɛt rili smɔl risk fɔ mek yu kidni nɔ wok fayn, at atak, ɔ strok.
- Bɔku tɛm, di dɔktɔ kin aks yu fɔ ripit di tɛst insay sɔm mɔnt fɔ kɔnfirm di rizɔlt.
Wetin fɔ du if di uACR valyu ay pas di nɔmal?
| uACR valyu (mg/g) 1.1. | Minin |
|---|---|
| Bitwin 30 ɛn 299 | Dis min se yu gɛt smɔl risk fɔ gɛt kidni sik. sכm sכm albumin de kכmכt na di kidni dεm. Di dɔktɔ go ɔda ɔda tɛst fɔ kɔnfirm dis. |
| 300 ɔ mɔ | Dis min se yu de pan big risk fɔ gɛt kidni sik ɔ yu dɔn ɔlrɛdi gɛt kidni sik. Di risk fɔ mek yu kidni nɔ wok fayn, at atak, ɔ strok kin rili bɔku. |
Nɔr frayd we yu yɛri di wɔd kidni sik. If yu uACR valyu smɔl, dat nɔ min se yu kidni dɛn dɔn pwɛl ɔl. Na wɔnin we se, "Pe atɛnshɔn, tek akshɔn naw."
If di tin dɛn we kin apin nɔ kin fayn, wetin kin apin afta dat?
If yu uACR rizɔlt nɔ nɔmal, yu dɔktɔ go fɔs du ɔda tɛst fɔ kɔnfɔm am. Dɔn, dɛn kin se yu fɔ du sɔm ɔda tɛst dɛn fɔ no mɔ bɔt aw yu kidni dɛn de.
- eGFR (Estimated Glomerular Filtration Rate) test: Dis na simpul blɔd tɛst we de sho aw di kidni dɛn de filta blɔd fayn fayn wan.
- Kidni Ultrasound Scan: Dis kin chɛk di saiz, shep, ɛn prɛzɛns fɔ ɛni tumbu ɔ blok na di kidni.
- Kidni Bayopsi: Sɔm tɛm dɛn we nɔ kin apin so ɔltɛm, dɛn kin tek wan rili smɔl tisu frɔm di kidni ɛn chɛk am ɔnda maykroskɔp.
Na afta dɛn tɛst ya nɔmɔ di dɔktɔ kin kam fɔ no di kɔrɛkt tin bɔt yu sik ɛn disayd us tritmɛnt yu nid.
Us ɔda sayn dɛn fɔ mek yu go to dɔktɔ?
Apat frɔm yu uACR tɛst rizɔlt, if yu gɛt ɛni wan pan dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. Dɛn tin ya kin bi sayn fɔ sho se yu gɛt sik na yu kidni.
- di chenj dεm we de apin na di urine patεn (we yu de pis pas aw yu kin pis, fכm urine, blכd na di urine - Hematuria ).
- Dray skin, i de it, ɔ di skin de dak.
- Fɔ fil bɔku tɛm fɔ taya pasmak.
- Nɔs ɛn vɔmit.
- swel na di an, fut, ɔ ankles ( edema ).
Na nɔmal tin fɔ mek yu fred ɛn wɔri we yu kam fɔ no se yu kidni nɔ de wok fayn. Na dɛn kayn tɛm dɛn de, aks yu dɔktɔ ɔl di kwɛstyɔn dɛn we yu gɛt. If nid de, tek yu fambul ɔ yu tayt padi wit yu. Dɛn kin ɛp yu fɔ ɔndastand ɛn mɛmba wetin dɛn de tɛl yu.
Mɛsej we dɛn kin kɛr go na os
- uACR na simpul urine test we de tɛl yu bɔku valyu infɔmeshɔn bɔt di wɛlbɔdi fɔ yu kidni.
- Ɛspɛshali if yu gɛt dayabitis ɔ ay blɔd prɛshɔn, mek dɛn du dis tɛst di tɛm we yu dɔn sɛtul lɛk aw yu dɔktɔ tɛl yu fɔ du.
- Di lɔwa di uACR valyu, na di bɛtɛ. If di valyu smɔl pas 30 mg/g, na rili gud kɔndishɔn.
- Nɔ wɔri if di rizɔlt dɛn go ɔp. I min se na tɛm fɔ pe mɔ atɛnshɔn to yu kidni dɛm.
- Di kwik we dɛn no di sik na di kidni, na di mɔ i izi fɔ kɔntrol am ɛn mek i nɔ wɔs.
- Duya tɔk to yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ wɔri we yu gɛt bɔt yu tɛst rizɔlt.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt