Yu dɔn ɛva notis se yu urine de fom smɔl? Ɔ di dɔktɔ dɔn ɛva gi yu smɔl bɔtul ɛn aks yu fɔ ‘bring urine sample’? Dis kin rili kɔmɔn. We wi chɛk di urine dis kayn we, wi kin no bɔku tin bɔt wi bɔdi. Wan pan di impɔtant tɛst dɛn na fɔ chɛk if prɔtin de na di urine. Sɔntɛm yu dɔn yɛri bɔt dis. Lɛ wi tɔk bɔt ɔltin rili simpul ɛn fayn tide.
Fɔs, lɛ wi si, wetin na dis urine protein test?
Fɔ tɔk am simpul wan, dis de sho ɔmɔs prɔtin de na yu urine. Infakt, wi ɔl gɛt smɔl smɔl prɔtin na wi urine. Na nɔmal tin, ɛn natin nɔ de fɔ wɔri bɔt. bכt if dis amoun bכku bכku wan, wi kin kכl am mεdikal wan ``proteinuria'' .
Tink bɔt wi kidni dɛn lɛk tin we dɛn kin yuz fɔ mek ti. Di wok we dis strɛna de du na fɔ filta di dɔti tin dɛn we de insay di blɔd ɛn pul dɛn kɔmɔt lɛk urine. Bɔt dis strɛna nɔ de filta impɔtant tin dɛn we di bɔdi nid, lɛk di prɔtin dɛn we de na di blɔd, bɔt i de kip dɛn insay di bɔdi. if fכ sכm rizin di pores dεm na dis strεna we dεn kכl di kidni dεm big כ if i dכn pwεl, di protin dεm we fכ kip na di bכdi dεn tu bigin fכ filta kכmכt εn kכmכt wit di urine. dat na di kכndishכn we dεn kכl `(proteinuria)`.
So dis tɛst de mek wi no se ‘di kidni dɛn nɔ de wok fayn.’ Na dat mek dis tɛst rili impɔtant.
Fɔ us rizin dɛn dɔktɔ go tɛl yu fɔ du dis tɛst?
Bɔku tɛm, bɔku rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis tɛst. I kin bi pat pan di chɛk-ap we dɛn kin du ɛvri ia, ɔ i kin bi bikɔs ɔf wan patikyula mɛrɛsin. Lɛ wi tek tɛm luk di men rizin dɛn.
| Rizin fɔ tɛst | Wan simpul ɛksplen |
|---|---|
| Infεkshכn na di urinary tract (UTI) . | If yu sɔspɛkt se yu gɛt urinary tract infection (UTI), dis tɛst kin ɛp fɔ kɔnfɔm am. |
| Fɔ no if pɔsin gɛt sik na di kidni | Dis impɔtant mɔ fɔ pipul dɛn we gɛt sik lɛk dayabitis ɔ ay blɔd prɛshɔn fɔ no bifo tɛm if dɛn kidni dɔn afɛkt. |
| We uman gɛt bɛlɛ | dis tεst implεnt fכ no di denja kכndyushכn dεm lεk prεeklampsia we kin apin pan mama dεm we bεlε. |
| Fɔ no aw di tritmɛnt dɛn de wok fayn | If pɔsin dɔn ɔlrɛdi gɛt tritmɛnt fɔ kidni sik, dɛn kin du dis tɛst bak fɔ si if di tritmɛnt dɔn wok fayn ɛn dɛn dɔn kɔntrol di sik. |
Sɔntɛnde, yu dɔktɔ go aks yu fɔ gi yu urine sɛmpul jɔs wan tɛm. Ɔda tɛm dɛn, dɛn kin aks yu fɔ gɛda urine fɔ 24 awa. Dis go dipen pan yu kɔndishɔn.
Yu nid fɔ rɛdi fɔ dis tɛst?
Dis na tɛst we rili simpul, so nid nɔ de fɔ pripia bɔku. Bɔku tɛm, dɛn nɔ nid fɔ fast. Bɔt sɔm tin dɛn kin afɛkt di tɛst rizɔlt smɔl. So i fayn fɔ mek wi no bɔt dat.
- Di wata we nɔ de na di bɔdi: We di bɔdi nɔ gɛt wata, di urine kɔnsɛntreshɔn de go ɔp ɛn di prɔtin lɛvɛl kin go ɔp.
- Urinary tract infection (UTI): Di rizulyt kin difrɛn if infekshɔn de.
- Fɔ ɛksesaiz pasmak: If yu ɛksesaiz tranga wan di de bifo di tɛst, di prɔtin lɛvɛl na yu urine kin go ɔp fɔ sɔm tɛm.
- Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we yu kin tek kin afɛkt di tin dɛn we kin apin bak.
- Sɔm skan dɛn: Di kɔntrast day we dɛn kin yuz fɔ sɔm imej tɛst dɛn kin afɛkt di rizɔlt bak.
So, we yu go si yu dɔktɔ, mek shɔ se yu tɛl am klia wan bɔt ɔl di mɛrɛsin dɛn we yu de tek naw (ivin vaytamɛn) ɛn ɛni ɔda mɛrɛsin we yu gɛt. Dɔn i go gi yu di rayt advays.
Aw ɛksaktɔli yu kin gi urine sɛmpul?
Dis na tin we rili simpul. Di klinik ɔ ɔspitul go gi yu wan klin (steril) bɔtul we gɛt lid ɛn wan antimaikrobial wayp. Dɔn fala dɛn step ya.
1. Fɔs, was yu an fayn fayn wan: Was yu an fayn fayn wan wit sop.
2. Opin di bɔtul kap:Opin di lid fayn fayn wan so dat yu nɔ go tɔch di insay.
3. Klin: Klin di say we de rawnd di urethra (frɔnt to bak fɔ uman dɛn) wit klin klos. Dɛn kɔl dis di ``klin-kɛt'' we. Dɛn kin du dis fɔ mek dɛn nɔ ad baktri we kɔmɔt na yu skin to di sampul.
4. Start fɔ pis: Fɔs, pas sɔm urine na di tɔylɛt.
5. Hol di midul: If yu nɔ stɔp yu urine flɔ, ol di bɔtul na di midul ɛn ful-ɔp am wit di amount we yu nid (we dɛn mak pan di bɔtul). Dis dεn kכl am ``mid-stream`` sεmpl.
6. Flush di ɔda wan dɛn dɔŋ di tɔylɛt: We di bɔtul dɔn ful-ɔp, pul am ɛn flash di urine we lɛf dɔŋ di tɔylɛt.
7. Klos di lid tayt: Klos di lid fɔ di bɔtul tayt ɛn gi am to di ɔfisa we gɛt fɔ du wit am.
If dɛn aks yu fɔ gɛda 24 awa sɛmpul, dɛn go gi yu wan big bɔtul ɛn instrɔkshɔn dɛn. Ɔl di sɛmpul dɛn fɔ de na frij te dɛn kɛr dɛn go bak na ɔspitul.
Wetin di tɛst rizɔlt dɛn se?
Bɔku tɛm, yu ripɔt go kam insay sɔm dez. Di dɔktɔ go rivyu am ɛn ɛksplen am to yu.
nכmal wan, di amoun fכ di protin we de kכmכt na di urine fכ hεlty pכsin fכ wan de nכ de sכmtεm 150 miligram (150mg). enitin we ay pas dat dεn kin tek am se na ``proteinuria''.
Bɔt mɛmba se, jɔs bikɔs yu gɛt bɔku prɔtin na yu urine nɔ min se na siriɔs sik. Sɔm tin kin de fɔ sɔm tɛm, we nɔ kin rili siriɔs, ɛn rizin dɛn kin de fɔ mek wi wɔri.
Fɔ sɔm tɛm ɛn nɔto so siriɔs rizin dɛn
| Rizin | Tɔk bɔt |
|---|---|
| Di wata we nɔ de na di bɔdi | We di bɔdi nɔ gɛt wata, di prɔtin lɛvɛl kin go ɔp fɔ sɔm tɛm. |
| Fɔ ɛksesaiz pasmak | Dis kin apin fɔ sɔm tɛm afta we yu dɔn wok tranga wan. |
| Lɔw blɔd prɛshɔn (Hypotension) . | Dis kin mek bak di blɔd prɛshɔn go dɔŋ fɔ sɔm tɛm. |
| Kidni Ston dɛn | Kidni ston kin bi rizin bak fɔ dis. |
Siriɔs kɔndishɔn dɛn we yu fɔ wɔri bɔt
| Mɛdikal kɔndishɔn | Tɔk bɔt |
|---|---|
| Kidni sik we nɔ de mɛn | If di prɔtin kɔntinyu fɔ pas na di urine, na big sayn fɔ sho se di kidni dɛn de pwɛl. |
| Risk fɔ gɛt at sik | Dɛn kin tek dis bak as sɔntin we kin mek pɔsin gɛt at sik. |
| Di sik dɛn we de ambɔg di imyun sistɛm | Sik dɛm lɛk lupus ɔ Goodpasture’s syndrome kin pwɛl di kidni dɛm bak ɛn mek di prɔtin lik kɔmɔt. |
| Ɔda sik dɛn | Dis kin apin bak pan kansa kכndyushכn lεk kכnjestiv at fεil, kidni kεnsar, εn mכltipl maylכma. |
Di tin we impɔtant pas ɔl: Dis tɛst ripɔt nɔmɔ nɔ go ebul fɔ tɛl yu us sik yu gɛt. Na jɔs sɔntin we de sho di dɔktɔ. So, di tin we impɔtant pas ɔl na fɔ nɔ wɔri bɔt di valyu dɛn we de na di ripɔt, bɔt fɔ tɔk to di dɔktɔ bɔt am ɛn fala in advays.
If di tin dɛn we kin apin nɔ kin fayn, wetin kin apin afta dat?
If yu prɔtin lɛvɛl go ɔp, yu dɔktɔ go chɛk yu fɔs. Dɔn, dɛn kin du sɔm ɔda tɛst dɛn fɔ no di rayt tin we mek dɛn du dis. Fɔ ɛgzampul:
- Mɔ tɛst fɔ urine
- Blɔd tɛst (chɛk aw di kidni de wok) .
- Ultrasound skan fɔ di kidni dɛn
Afta yu dɔn du ɔl dis ɛn fɛn di rayt rizin, yu dɔktɔ go disayd us tritmɛnt we fayn fɔ yu.
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ?
If yu gɛt wan ɔ mɔ pan dɛn sik ya, ɔ if yu sik de wɔs, mek shɔ se yu tɛl yu dɔktɔ.
| Simptom dɛm fɔ wach fɔ | |
|---|---|
| Swɛlin (Edima) . | Swel, mɔ na di fes, bɛlɛ, anklɛ, ɔ fut. |
| Urin we gɛt fom | Foamy urine lɛk bia we yu de urinate. |
| I nɔ izi fɔ blo (Dyspnea) . | Fɔ blo shɔt, fɔ fil se i nɔ izi fɔ blo. |
| Taya we nɔ kɔmɔn | Fɔ fil taya pasmak fɔ natin. |
| Vɔmit ɛn nɔs | Nɔs ɛn vɔmit. |
| Di mɔsul dɛn we de shek shek | Nɔs ɔ rɔl na di leg, mɔ na nɛt. |
| Fil fɔ it | I nɔ kin want fɔ it igen. |
Mɛsej we dɛn kin kɛr go na os
- di prεsεns fכ protin na di urine (proteinuria) na imכtant tin we de sho se prכblεm de wit di kidni dεm.
- Dis na tɛst we rili simpul ɛn we nɔ de mek yu fil pen, so nɔ fred if yu dɔktɔ tɛl yu fɔ du dis.
- di ay protin lεvεl na di urine kin kכz bak bay tεmporari kכndyushכn dεm lεk di wata we de kכmכt εn fכ du εksεsayz pasmak, so i nכ kin bi siriכs kכndyushכn כltεm.
- Ilɛk wetin go apin to yu tɛst ripɔt, mek shɔ se yu tɔk bɔt am wit yu dɔktɔ bifo yu disayd fɔ du ɛnitin fɔ yusɛf.
- If yu gɛt sɔm sayn dɛn lɛk fɔ swel na yu fes ɔ yu leg, ɔ fɔ mek yu urine we gɛt fom, nɔ ignore dɛn. Go to dɔktɔ wantɛm wantɛm.
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