Yu no bɔt yu uACR valyu na yu urine tɛst? (Urine Albumin-Creatinine Ratio) – Dis impɔtant fɔ di kidni wɛlbɔdi!

Yu dɔn ɛva du tɛst fɔ yu urine? Sɔntɛm wan dɔktɔ tɛl yu fɔ du wan tɛst we dɛn kɔl `(Urine Albumin-Creatinine Ratio)` ɔ `(uACR)`, ɛn yu kin wɔnda wetin na dat. Nɔ wɔri, dis na rili simpul tɛst, bɔt i de tɛl yu bɔku valyu infɔmeshɔn bɔt di wɛlbɔdi fɔ yu kidni. Lɛ wi tɔk bɔt am ditayli, rili simpul wan.

Wetin mek dis `(uACR)` tɛst impɔtant so?

Fɔ tɔk am simpul wan, dis tɛst de mɛzhɔ di kayn albumin ɛn kriaytinin we de na yu urine. Dɛn lɛvɛl ya kin gi yu dɔktɔ gud aidia bɔt aw yu kidni dɛn de wok fayn fayn wan.

Wetin na dis albumin?

Imajin se albumin na wan men prɔtin we de na yu blɔd. Na wi liva mek am. Di men wok we i de du na fɔ stɔp di wata we de kɔmɔt na di blɔd vesel dɛn. I de ɛp bak fɔ kɛr tin dɛn lɛk vaytamɛn, ɛnzaym, ɛn ɔmon ɔlsay na di bɔdi. I tan lɛk se pɔsin de kɛr pasɛl.

So wetin na kriaytinin?

Kriatin na west tin we kin mek we yu yuz sɔntin we dɛn kɔl kriaytin . Dɛn kin yuz kriaytin fɔ gi yu mɔsul dɛn ɛnaji ɛn ɛp dɛn fɔ kɔntrakt. So, we yu yuz di mɔsul ɛnaji, kriaytin kin brok ɛn kriaytin kin fɔm ɛn gɛda na yu blɔd.

Naw luk, if yu kidni dɛn wɛl, dɛn kin du dɛn tin ya:

• Albumin de kip insay di blɔd, nɔ alaw am fɔ kɔmɔt na di urine.
• Kriatinin de filta frɔm di blɔd ɛn kɔmɔt na di bɔdi we yu de pis.

Bɔt if yu kidni dɛn dɔn pwɛl, smɔl smɔl albumin (we dɛn kin kɔl bak maykroalbumin) kin gɛda na yu urine (wan tin we dɛn kɔl proteinuria) . Kriatinin kin stil de na yu bɔdi bak. Dis na wetin di uACR tɛst de luk fɔ.

Ustɛm dɛn kin du dis `(uACR)` tɛst?

Dɔktɔ kin ɔda dis tɛst if yu gɛt dayabitis ɔ kronik kidni sik (CKD) fɔ chɛk aw yu kidni dɛn de. Apat frɔm dat, dɛn kin du dis tɛst bak pan dɛn tin ya:

• If yu gɛt ay blɔd prɛshɔn (Hypertension) .
• If yu gɛt at sik
• If yu gɛt wan sik lɛk sirosis na di liva

Sɔntɛnde, dɔktɔ kin tɛl yu fɔ du dis tɛst if yu bɔdi mas indeks (BMI) pas 30 (we min se yu fat pasmak), if yu de smok, ɔ if yu dɔn pas 50 ia. Ɔl dɛn tin ya kin afɛkt yu kidni dɛn.

Aw dɛn kin du dis `(uACR)` tɛst?

Bɔku we dɛn de fɔ du dis `(uACR)` tɛst:

• wan ``Spot`` pee sample: Dis na wan tεm urine sεmpl. Yu gi dis sampul na yu dɔktɔ in ɔfis ɔ na lab. I de mɛzhɔ ɛksaktɔli ɔmɔs albumin ɛn kriaytinin de na yu urine.
• Ali mɔnin/taym pee sampul: Dis na sampul we yu kin gɛda na os. Yu kin gɛda yu urine na spɛshal kɔntena (`spɛshal kɔp`) jɔs lɛk aw yu wek na mɔnin, ɔ afta yu nɔ pis fɔ at le 4 awa.
• 24 awa pee collection: Yu dɔktɔ go gi yu wan big bɔtul. Yu go nid fɔ pis insay da bɔtul de ɛvri tɛm we yu de pis fɔ 24 awa. Yu go nid fɔ kip di bɔtul na frij we yu nɔ de pis. dis mεtכd na di mכst akכrd pan di ``uACR'' tεst dεm. Bɔt bɔku tɛm, dɔktɔ dɛn kin du dis nɔmɔ if di tin dɛn we kin kɔmɔt frɔm ɔda we dɛn (spɔt ɔ mɔnin sampul) nɔ kin fayn.

Tink bɔt am, dis tan lɛk we yu de wach aw yu kidni dɛn de wok ɔl di de.

Wetin yu fɔ du bifo di tɛst?

Yu dɔktɔ go gi yu patikyula instrɔkshɔn dɛn bɔt aw fɔ pripia fɔ dis tɛst, bɔt jɔs lɛk ɔl ɔda tin dɛn, na sɔm tin dɛn ya we yu fɔ mɛmba:

• Drink inof wata: Yu nid fɔ gɛt inof urine fɔ gi di sampul.
• Nɔ du ɛksɛsayz tranga wan 24 awa bifo di tɛst: If yu du ɛksɛsayz tranga wan, dat kin mek di albumin we de na yu urine go ɔp fɔ sɔm tɛm.
• Nɔ it mit 24 awa bifo di tɛst: If yu it mit, i kin afɛkt yu kriaytinin lɛvɛl fɔ sɔm tɛm.

Dɔn bak, nɔ fɔgɛt fɔ tɛl yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:

• If yu de gɛt mɔnt , ɔ if yu de blɔd bikɔs ɔf ɛmoroyd .
• If yu gɛt urinary tract infection (UTI) , fiva, gum infection (periodontitis), ɔ vayral ɛpatitis .

Bikɔs if blɔd ɔ baktri de na yu urine sɛmpul, di tɛst rizɔlt kin afɛkt.

Wetin kin apin we dɛn de du di tɛst?

pan ɔl we smɔl difrɛns kin de dipen pan di instrɔkshɔn dɛn we yu dɔktɔ ɔ di lab gi, dɛn kin gɛda di urine sɛmpul fɔ dis ``uACR'' tɛst bay we dɛn yuz di ``klin kech'' we. Dis kin ridyus di chans fɔ mek di jem dɛn go insay di sampul. di dכkta go gi yu wan urine kכlekshכn bכtul εn sכm ``sterile wipes''.

Na dis na aw dɛn kin du am:

1. Fɔs, was yu an fayn fayn wan wit antiseptik sop.

2. Dɔn, klin yu jɛnɛral eria wit di wayp dɛn we dɛn gi yu.

3. Urinate insay di tɔylɛt.

4. Naw, stɔp fɔ pis fɔ sɔm tɛm.

5. Di urine kollekshon botul na yu yon.Grap di urethra bɔku tɛm.

6. Fil di bɔtul wit urine lɛk aw di dɔktɔ tɛl yu (bɔku tɛm na lɛk af pan di bɔtul).

7. Stɔp fɔ pis bak ɛn put di bɔtul na sayd.

8. Ɛmpti di urine we lɛf na di tɔylɛt.

9. Klos di kap fɔ di urine bɔtul tayt ɛn gi am to di dɔktɔ ɔ di lab tɛknishian.

Natin nɔ de fɔ fred, dis na rili simpul tin.

Wetin kin apin afta di tɛst?

Afta yu gi yu urine sɛmpul, dɛn kin sɛn am na di lab fɔ mek dɛn tɛst am.

Ɛni risk de wit dis tɛst?

Nɔto so i bi atɔl. No risk nɔ de fɔ gɛda urine sɛmpul. Di "klin kech" we na di we bak we nɔ de mek pɔsin fil pen ɛn we nɔ de ambɔg pɔsin.

Aw di tin dɛn we kin apin kin tan lɛk? Wetin dɛn de tɛl wi?

di `(uACR)` tεst de kכmpεr di כmכnt dεm fכ albumin εn kriaytinin na yu urine. dis rεshכn dεn gi am insay miligram pan wan gram (mg/g). Di lɔwa di `(uACR)` valyu, na di bɛtɛ.

Wetin na nɔmal `(uACR)` valyu?

wan nכmal `(uACR)` valyu less dan 30 mg/g . Dis min se yu gɛt rili smɔl risk fɔ mek yu kidni nɔ wok fayn, at atak, ɔ strok. Dɔktɔ kin aks yu fɔ ripit di `(uACR)` tɛst insay sɔm mɔnt fɔ kɔnfɔm di rizɔlt.

If yu `(uACR)` valyu de bitwin 30 ɛn 299 mg/g , yu de pan risk fɔ mek yu kidni nɔ wok fayn, at atak, ɔ strok. Dɔktɔ go aks yu fɔ ritest yu `(uACR)` insay sɔm mɔnt. If i stil de na da rεnj de, yu kin gɛt kidni sik.

Wetin i min if mi `(uACR)` valyu ay?

If yu `(uACR)` valyu hכy sכmtεm pas aw yu bin de εkspεkt, yu kin gεt mild kidni sik . Wan `(uACR)` valyu we rili ay min se yu gɛt mɔdaret ɔ siriɔs kidni sik .

Wetin na di `(uACR)` lɛvɛl we de sho se di kidni nɔ de wok fayn?

If yu `(uACR)` valyu na 300 mg/g ɔ pas dat , ɛn dɛn kɔnfyus se na di sem we dɛn de tɛst yu bak, yu kin gɛt kidni sik. Yu kin gɛt bɔku risk bak fɔ mek yu kidni nɔ wok fayn, yu at atak, ɔ yu gɛt strok.

Aw lɔŋ i kin tek fɔ no di rizɔlt fɔ di `(uACR)` tɛst?

Bɔku tɛm, yu kin no di rizɔlt fɔ di `(uACR)` tɛst insay wan ɔ tu dez.

If di tin dɛn we kin apin nɔ kin fayn, wetin yu kin du nɛks?

If yu rizɔlt nɔrmal, yu dɔktɔ go ɔda fɔ du ɔda tɛst, lɛk di uACR tɛst. Dɛn kin du ɔda tɛst dɛn bak fɔ ɛp fɔ no if yu gɛt sik na yu kidni, lɛk:

• εstimat Glomerular Filtration Rate (eGFR): Dis na pat pan wan rutin bכdi tεst.
• Imej tɛst: Lɛk ɔltra saund skan.
• Kidni bayɔpsi:Fɔ tek smɔl pat pan di tisu frɔm di kidni ɛn chɛk am.

Nɔ fred fɔ aks bɔt dɛn tin ya. Di dɔktɔ go ɛksplen ɔltin to yu.

Ustɛm a fɔ kɔl di dɔktɔ ?

If yu gɛt ɛni kwɛstyɔn bɔt yu (uACR) tɛst rizɔlt, tɔk to yu dɔktɔ. If nid de, mek tɛm fɔ du ɔda tɛst dɛn.

If yu gɛt kidni sik, ɔ if yu (uACR) rizɔlt sho se yu gɛt risk fɔ gɛt kidni sik, kɔl dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya:

• di chenj dεm we de apin na di urinate habit: yu de pas mכr urine pas aw yu kin yus, fכm urine, bכdi na di urine (`(Hematuria)`).
• Skin we dray ɔ it, we de mek di skin dak.
• If yu fil se yu taya bad bad wan (`Fatigue`).
• Nɔs ɛn vɔmit.
• swel na di an, fut, ɔ ankles (`(Edema)`).

Impɔtant: I nɔmal fɔ fil frayd ɛn gɛt prɔblɛm fɔ ɔndastand yu (uACR) tɛst rizɔlt we yu kam fɔ no se yu kidni nɔ de wok fayn. Yu gɛt rayt fɔ aks bɔku kwɛstyɔn dɛn. I fayn fɔ go wit yu fambul ɔ yu padi we yu kin abop pan, rayt wetin yu dɔktɔ se, ɛn aks fɔ ɛp fɔ ɛksplen di rizɔlt di we aw yu go ɔndastand.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Di kwik we yu kin no di kidni sik, na di mɔ i kin izi fɔ mek dɔktɔ dɛn delay ɔ ivin mek di kidni nɔ wok atɔl. So, if dɛn aks yu fɔ du dis tɛst, nɔ skip am. Tɔk to yu dɔktɔ bɔt aw yu go protɛkt yu kidni. Dɛn tɛst ya rili impɔtant fɔ liv wɛl bɔdi layf. Tek kia ɔf yu wɛlbɔdi, bikɔs na di tin we yu gɛt we valyu pas ɔl!

` Yurin tɛst, uACR, albumin, kriaytinin, kidni sik, dayabitis, ay blɔd prɛshɔn