I zun test-naah i uACR value i hria em? (Urine Albumin-Creatinine Ratio) – Hei hi kal hriselna atan a pawimawh hle!

Zun test i nei tawh em? Doctor pakhatin `(Urine Albumin-Creatinine Ratio)` emaw `(uACR)` emaw tih test ti turin a ti che mai thei a, chu chu eng nge ni tih i ngaihtuah mai thei. Lungngai suh, hei hi test awlsam tak a ni a, mahse i kal hriselna chungchangah thu hlu tak tak a hrilh che a ni. Chipchiar takin sawi ila, awlsam takin.

Engvangin nge he `(uACR)` test hi a pawimawh em em?

A awlsam zawngin, he test hian i zun chhunga albumin leh creatinine awm zat a teh a ni. Heng level te hian i doctor hnenah i kal (kidney) hnathawh that dan tur hriatna tha tak a pe thei a ni.

He albumin hi eng nge ni?

Ngaihtuah teh, albumin hi i thisena protein lian ber a ni. Kan thin (liver) siam a ni. A hna ber chu thisen kalna kawng atanga tui chhuak tur tihtawp a ni. Tin, taksa pum puiah vitamin, enzyme, hormone ang chi thil phurh luh a pui bawk. Mi pakhatin parcel a phur ang mai a ni.

Chuti a nih chuan creatinine chu eng nge ni?

Creatinine hi bawlhhlawh a ni a , creatine tih hming pu thil i hman hian a lo awm thin . Creatine hi i taksa ruhte chakna petu atan leh an inzawm khawm theih nan hman a ni. Chuvangin, taksa chakna i hman hian creatine chu a chhe vek a, creatinine chu a lo piang a, i thisenah a pung khawm ta a ni.

Tunah en teh, i kal (kidney) te hi a hrisel a nih chuan hengte hi an ti thin:

• Albumin hi thisenah a awm reng a, zun atanga chhuah phal a ni lo.
• Creatinine hi thisen atanga filter a ni a, i zun hian taksa atangin a chhuak thin.

Mahse, i kal (kidney) a chhiat chuan i zun ( proteinuria an tih dinhmun) ah albumin ( microalbumin an ti bawk) tlem te te a awm khawm thei a ni. Creatinine pawh i taksaah a awm reng thei bawk. Hei hi uACR test-in a zawn chu a ni.

He `(uACR)` test hi engtikah nge tih a nih?

Doctor chuan diabetes mellitus emaw chronic kidney disease (CKD) i neih chuan i kal dinhmun enfiah turin he test hi a ti tlangpui. Chu bakah, he test hi a hnuaia thil awm danah hian tih theih a ni bawk:

• Thisen sang (Hypertension) i neih chuan .
• Lung natna i neih chuan
• Liver cirrhosis ang chi condition i neih chuan

A châng chuan, doctor chuan i body mass index (BMI) 30 aia tam (chu chu i thau tihna a ni), zu i in a nih chuan, kum 50 aia upa i nih chuan he test hi tih a rawt thei bawk. Heng zawng zawng hian i kal (kidney) a nghawng thei a ni.

He `(uACR)` test hi engtin nge an tih?

He `(uACR)` test hi tih dan kawng hrang hrang a awm a:

• A ``Spot`` pee sample: Hei hi vawi khata zun sample lak a ni. He sample hi i doctor office-ah emaw lab-ah emaw i pe thin. I zun chhunga albumin leh creatinine awm zat chiang takin a teh a ni.
• Zing hma/timed pee sample: Hei hi in lama i lakkhawm sample a ni. Zing i thawh veleh emaw, darkar li tal i zun loh hnuah emaw i zun chu bawm bik (`specimen cup`)-ah i la khawm thin.
• Darkar 24 chhunga zun lakkhawm: I doctor chuan bottle lian tak a pe ang che. Darkar 24 chhung i zun apiangin chu bottle chhungah chuan i zun a ngai ang. I zun loh hunah bottle chu refrigerator-ah i dah a ngai dawn a ni. Hetiang method hi ``uACR'' test zingah chuan a dik ber a ni. Mahse, doctor-te chuan hmanraw dang (spot emaw morning sample) atanga result a dik lo a nih chauhvin an ti tlangpui.

Ngaihtuah teh, hei hi nilengin i kal (kidney) hnathawh dan en ang mai a ni.

Test hmain eng nge i tih tur?

I doctor chuan he test atana inbuatsaih dan tur chiang takin a hrilh ang che, mahse a tlangpuiin, hriat reng tur thenkhat chu hetiang hi a ni:

• Tui in tam: Sample pek tur hian zun i neih a ngai.
• Test hma darkar 24 chhungin exercise hahthlak tak tak loh tur: Exercise chak tak hian i zun chhunga albumin awm zat chu rei lo te chhung atan a tipung thei a ni.
• Test hma darkar 24 chhungin sa ei loh tur: Sa ei hian hun eng emaw chen atan i creatinine level a nghawng thei a ni.

Tin, heng zinga pakhat tal i neih chuan doctor hnenah pawh hrilh theihnghilh suh:

• I thlasik lai a nih chuan , emaw hemorrhoids avanga thisen chhuak i nih chuan .
• Urinary tract infection (UTI) , khawsik, gum infection (periodontitis), emaw viral hepatitis emaw i neih chuan.

A chhan chu i zun sample-ah thisen emaw bacteria emaw a awm chuan test result a nghawng thei a ni.

Test neih chhung hian eng nge thleng?

I doctor emaw lab emaw-in a pek dan azirin danglamna tlem a awm thei a, mahse he ``uACR'' test atana zun sample hi ``clean catch'' method hmanga lakkhawm a ni tlangpui. Hei hian sample chhunga natna hrik lut theihna a ti tlem thei a ni. Doctor chuan zun khawlna bottle leh ``sterile wipes'' thenkhat a pe ang che.

A tih dan tlangpui chu hetiang hi a ni:

1. A hmasain antiseptic sahbawn hmangin i kut uluk takin silfai ang che.

2. Tichuan, i serh hmun chu wipe pek tawh hmangin tifai rawh.

3. Toilet chhungah zun luh.

4. Tunah chuan rei vak lo zun kha bansan rawh.

5. Zun lakna bottle chu i ta a ni.Urethra chu vawi tam tak man rawh.

6. Doctor-in a tih angin bottle chhungah zun khat (a tlangpuiin bottle chanve vel).

7. Zun kha bansan leh la, bottle chu a sir lamah dah rawh.

8. Zun la awm chu toilet-ah empty rawh.

9. Urine bottle cap kha khar nghet takin doctor emaw lab technician emaw hnenah pe rawh.

Hlauh tur a awm lo, hei hi a awlsam hle.

Test zawhah eng nge thleng?

Zun sample i pek hnuah lab-ah test turin an thawn leh thin.

He test hmang hian risk a awm em?

Ni lo tak zet a ni. Zun sample laknaah hian risk a awm lo. "Clean catch" tih dan pawh hi natna nei lo leh invasive lo tak a ni.

Eng ang nge a rah chhuah? Engtin nge min hrilh?

`(uACR)` test hian i zun a albumin leh creatinine awm zat a khaikhin a. He ratio hi gram khatah milligram (mg/g)-in pek a ni. `(uACR)` value a hniam chuan a tha zawk.

`(uACR)` value pangngai chu eng nge ni?

`(uACR)` value pangngai chu 30 mg/g aia tlem a ni . Chumi awmzia chu kal (kidney failure), heart attack emaw stroke emaw i neih theihna a tlem hle tihna a ni. Doctor chuan thla engemaw zat hnuah `(uACR)` test chu result finfiah turin a ti leh thei che a ni.

I `(uACR)` value chu 30 leh 299 mg/g inkar a nih chuan kidney failure, heart attack, stroke i neih theihna a sang hle. Doctor chuan thla engemaw zat hnuah i `(uACR)` chu test leh turin a ti ang che. Chutiang range-a a la awm chuan kal natna i nei mai thei.

Ka `(uACR)` value a sang chuan eng nge a awmzia?

I `(uACR)` value chu beisei aia tlem a nih chuan kal natna na lo tak i nei thei . `(uACR)` value sang lutuk chuan kal natna (kidney disease) hniam tak emaw, na tak emaw i nei tihna a ni .

Kidney failure tilangtu `(uACR)` level chu engzat nge ni?

I `(uACR)` value chu 300 mg/g aia sang a nih chuan , retesting-ah pawh a inang tih finfiah a nih chuan kidney natna i nei thei a ni. Tin, kal (kidney failure), heart attack emaw stroke emaw i vei theihna a sang hle bawk.

`(uACR)` test result hriat nan eng chen nge a ngaih?

A tam zawkah chuan `(uACR)` test result chu ni khat emaw ni hnih emaw chhungin i hmu thei a ni.

Results a dik lo a nih chuan eng nge i tih leh ang?

I result a dik lo a nih chuan i doctor chuan test dang, uACR test ang chi tih a order mai thei. Kidney natna i neih leh neih loh hriat theihna turin test dang pawh tih theih a ni a, chungte chu:

• Estimated Glomerular Filtration Rate (eGFR): Hei hi thisen test dan pangngaia tel a ni.
• Imaging test: Ultrasound scan ang chi.
• Kidney biopsy atanga lak chhuah:Kidney atanga tissue te tak te lak a, enfiah.

Heng thilte hi zawh hlau suh. Doctor chuan engkim a hrilhfiah ang che.

Engtikah nge doctor ka biak ang ?

I `(uACR)` test result chungchanga zawhna i neih chuan Doctor nen inbia ang che. A tul chuan test dang neih belh leh tur a ni.

Kidney natna i neih chuan, emaw, i (uACR) result-in kidney natna i neih theihna a lantir a nih chuan, heng symptoms zinga pakhat tal i neih chuan doctor ko rawh:

• Zun dan inthlak danglamna: a tlangpui aia tam zun chhuah, zun foamy, zun chhunga thisen (`(Hematuria)`).
• Vun a vawt emaw, a hring emaw, vun a dum emaw.
• Chau lutuk (`Fatigue`) i tih chuan.
• Nausea leh luak chhuak.
• Kut, ke emaw, ke ruh emaw a hring (`(Edema)`).

Pawimawh: I kal (kidney) a thawk tha lo tih i hriat chuan hlauhna leh i (uACR) test result hriatthiam harsa i tih hi thil pangngai a ni. Zawhna tam tak zawh theihna i nei. Chhungkaw member emaw, i thian rintlak tak emaw nen kal la, i doctor thusawi chu ziak la, i hriatthiam theih ang anga result hrilhfiah turin tanpuina dil a tha.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Kidney natna i hriat hma chuan doctor-te tan chuan kidney failure tihkhawtlai emaw, ven vek emaw pawh a awlsam zawk. Chuvangin, he test hi ti tura tih i nih chuan skip suh. I kal (kidney) i venhim theih dan tur chu i doctor nen sawiho rawh. Heng test te hi nun hrisel tak neih nan a pawimawh hle. I hriselna enkawl la, i neih hlu ber a nih avangin!

` Zun test, uACR, albumin, creatinine, kal natna, zunthlum, thisen sang