Kuyesa mkodzo kosavuta kuti muwone thanzi la impso: uACR (Mkodzo wa Albumin-Creatinine Ratio)

Kodi muli ndi matenda monga matenda a shuga kapena kuthamanga kwa magazi? Kapena pali wina aliyense m'banja mwanu amene ali ndi matenda a impso? Ndiye dokotala wanu mwina anakupemphani kuti muyese mkodzo wotchedwa "uACR." Kumva dzina limenelo kungakuchititseni mantha pang'ono, "Ndi mayeso otani awa?" Koma palibe chifukwa chochita mantha. Iyi ndi mayeso osavuta kwambiri a mkodzo omwe angatiuze zambiri zamtengo wapatali zokhudza thanzi la impso zanu. Lero, tikambirana zonsezi m'njira yosavuta.

Kodi Chiŵerengero cha Albumin-Creatinine (uACR) cha Mkodzo n'chiyani?

Dzinali ndi lalitali pang'ono, choncho tiyeni tilitche kuti uACR. Iyi ndi njira yoyezera mkodzo. Kwenikweni imayesa chiŵerengero cha zinthu zotchedwa albumin ndi creatinine mu mkodzo wanu. Tsopano mwina mukudabwa kuti, "Kodi albumin ndi creatinine ndi chiyani?"

Tiyeni timvetse mosavuta.

• Albumin: Iyi ndi puloteni yofunika kwambiri m'magazi mwathu. Ili ngati mlonda wa pachipata yemwe amathandiza kusunga zinthu mkati mwa mitsempha yathu yamagazi. Imapangidwa ndi chiwindi chathu. Ntchito yayikulu ya Albumin ndikuletsa madzi kutuluka m'mitsempha yamagazi. Imathandizanso kunyamula zinthu monga mavitamini, ma enzyme, ndi mahomoni m'thupi lonse.

• Creatinine: Ichi ndi chinyalala chomwe chimapangidwa minofu yathu ikamagwira ntchito. Minofu yathu imagwiritsa ntchito mphamvu kuti ikokere ndi kutambasula. Creatinine ndi chinyalala chomwe chimapangidwa mphamvuyo ikagwiritsidwa ntchito. Kenako chimawonjezedwa m'magazi.

Tsopano onani zomwe zimachitika ndi impso ziwiri zathanzi. Impso zanu zili ngati zosefera ziwiri zazikulu.

1. Albumin , puloteni yofunika kwambiri m'magazi, imasungidwa m'thupi m'malo motulutsidwa mu mkodzo.

2. Zinyalala zosafunikira zomwe zimatchedwa creatinine m'magazi zimasefedwa bwino ndikutulutsidwa m'thupi ndi mkodzo.

Komabe, ngati impso zawonongeka, mabowo omwe ali mu fyuluta iyi amakula. Kenako, albumin yomwe iyenera kusungidwa m'thupi imayamba kutuluka ndi mkodzo pang'ono. Komanso, creatinine yomwe iyenera kutulutsidwa ikhoza kukhalabe m'thupi. Ndi kusalinganika kumeneku komwe timayesa ndi mayeso a uACR.

Ndani akupemphedwa kuti achite mayeso a uACR awa?

Dokotala nthawi zambiri amalamula mayesowa ngati ali ndi nkhawa yokhudza thanzi la impso zanu, makamaka ngati muli ndi vuto lililonse mwa izi:

• Matenda a shuga: Anthu omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu cha kuwonongeka kwa impso. Chifukwa chake, odwala matenda a shuga amalangizidwa kuti ayezedwe nthawi zonse.
• Kuthamanga kwa magazi (Kuthamanga kwa magazi): Ngati kuthamanga kwa magazi sikulamuliridwa kwa nthawi yayitali, kungawononge mitsempha yamagazi yofewa mu impso.
• Matenda a Impso Osatha (CKD): Mayesowa amagwiritsidwa ntchito poyang'anira momwe munthu alili kale ndi matenda a impso.
• Matenda a Mtima
• Matenda a chiwindi (cirrhosis)

Kuphatikiza apo, mayesowa nthawi zina angalimbikitsidwe kuti aone ngati impso yanu ili ndi BMI yoposa 30 (yonenepa kwambiri) , ngati mukusuta fodya , kapena muli ndi zaka zoposa 50 .

Kodi mayeso a uACR awa amachitika bwanji?

Pali njira zingapo zosonkhanitsira mkodzo uwu. Dokotala wanu adzakuuzani njira yomwe ili yoyenera kwa inu.

Kodi pali zinthu zina zomwe ndiyenera kukonzekera ndisanachite mayeso?

Inde, kuti mupeze zotsatira zoyenera, muyenera kusamalira zinthu zing'onozing'ono zingapo.

• Imwani madzi ambiri: Popeza mukufunika kukhala ndi mkodzo wokwanira kuti mupereke chitsanzo, imwani madzi ambiri monga mwachizolowezi kuyambira tsiku lisanafike mayeso.
• Pewani kuchita masewera olimbitsa thupi otopetsa: Pewani kuchita masewera olimbitsa thupi otopetsa monga kuthamanga, kulumpha, kapena kunyamula zolemera kwa maola osachepera 24 mayeso asanachitike . Izi zili choncho chifukwa kuchita masewera olimbitsa thupi otopetsa kungawonjezere kwakanthawi kuchuluka kwa albumin mu mkodzo.
• Chepetsani kudya nyama: Pewani kudya nyama kwa maola osachepera 24 musanayesedwe . Kudya nyama kungapangitse kuti creatinine isasinthe kwakanthawi.

Komanso, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu, chifukwa zinthuzi zingakhudze zotsatira zake.

• Ngati mukusamba kapena mukutuluka magazi chifukwa cha matenda a hemorrhoids.
• Ngati muli ndi vuto monga matenda a urinary tract infection (UTI) , malungo , matenda a chingamu (Periodontitis) , kapena matenda a chiwindi (virus hepatitis ).

Ngati pali magazi kapena mabakiteriya mu mkodzo panthawiyi, zotsatira zake zingakhale zolakwika. Chifukwa chake, ndikofunikira kwambiri kuuza dokotala za izi pasadakhale.

Kodi mumapereka bwanji chitsanzo cha mkodzo molondola?

Malangizo angasiyane pang'ono malinga ndi labu, koma nthawi zambiri amagwiritsa ntchito njira yotchedwa "Clean Catch." Izi zimachitika kuti tipewe kuwonjezera majeremusi kunja kwa chitsanzo. Labu idzakupatsani kapu ya chitsanzo ndi zopukutira zoyera.

Nayi chochita:

1. Choyamba, sambani m'manja mwanu bwino ndi sopo.

2. Tsukani bwino malo ozungulira maliseche anu (komwe mkodzo umatuluka) pogwiritsa ntchito chopukutira chopanda tizilombo chomwe chaperekedwa.

3. Yambani kukodza ndi kutulutsa mkodzo woyamba womwe umatuluka m'chimbudzi.

4. Siyani kukodza pakati ndipo gwirani kapu ya chitsanzo pafupi ndi mkodzo.

5. Kodzani mpaka chikhocho chitadzaza theka kapena mpaka mulingo womwe wasonyezedwa ndi labu utafika.

6. Kenako, chotsani chikhocho ndikutsanulira mkodzo wotsalawo kuchimbudzi.

7. Tsekani pakamwa pa chikho mwamphamvu ndipo mupereke kwa munthu amene ali mu labu.

Ngakhale njira iyi ingawoneke ngati yovuta pang'ono, ndikofunikira kwambiri kupeza zotsatira zolondola kwambiri.

Kodi zotsatira zake zikuti chiyani?

Zotsatira za mayeso a uACR zimaperekedwa mu ma milligrams/gram (mg/g). Chofunika kukumbukira apa ndichakuti mtengo wa uACR ukatsika, umakhala wabwino kwambiri .

Kodi mtengo wabwinobwino wa uACR ndi wotani?

• Mtengo wochepera 30 mg/g umaonedwa kuti ndi mulingo wabwinobwino.
• Izi zikutanthauza kuti muli ndi chiopsezo chochepa kwambiri cha kulephera kwa impso, matenda a mtima, kapena sitiroko.
• Kawirikawiri, dokotala angakupempheni kuti mubwereze mayesowo pakatha miyezi ingapo kuti atsimikizire zotsatira zake.

Nanga bwanji ngati mtengo wa uACR uli wapamwamba kuposa wamba?

Ngati zotsatira zake sizili zachilendo, nchiyani chimachitika pambuyo pake?

Ngati zotsatira za uACR zanu sizili bwino, dokotala wanu adzachita kaye mayeso ena kuti atsimikizire. Kenako, angakulangizeni mayeso ena angapo kuti afufuze bwino momwe impso zanu zilili.

• Mayeso a eGFR (Estimated Glomerular Filtration Rate): Iyi ndi mayeso osavuta a magazi omwe amayesa momwe impso zikusefera magazi.
• Kujambula kwa Ultrasound ya Impso: Izi zingathandize kuona kukula, mawonekedwe, ndi kupezeka kwa chotupa chilichonse kapena kutsekeka kwa impso.
• Kufufuza kwa Impso: Nthawi zina, chidutswa chaching'ono kwambiri cha minofu chimatengedwa kuchokera ku impso ndikuwunikidwa pogwiritsa ntchito maikulosikopu.

Pambuyo pa mayeso amenewa, dokotala angadziwe bwino za vuto lanu ndikusankha chithandizo chomwe mukufuna.

Ndi zizindikiro zina ziti zomwe ziyenera kukupangitsani kupita kwa dokotala?

Kuwonjezera pa zotsatira za mayeso anu a uACR, ngati muli ndi zizindikiro zotsatirazi, dziwitsani dokotala wanu nthawi yomweyo. Izi zitha kukhala zizindikiro za matenda a impso.

• Kusintha kwa mkodzo (kukodza kwambiri kuposa nthawi zonse, mkodzo wokhala ndi thovu, magazi mu mkodzo - Hematuria ).
• Khungu louma, kuyabwa, kapena mdima wa khungu.
• Kumva kutopa kwambiri pafupipafupi.
• Kusanza ndi kusanza.
• Kutupa kwa manja, mapazi, kapena akakolo ( edema ).

Ndizachibadwa kuchita mantha komanso kuda nkhawa mukazindikira kuti impso zanu sizikugwira ntchito bwino. Nthawi ngati zimenezi, funsani dokotala wanu mafunso onse omwe muli nawo. Ngati kuli kofunikira, tengani wachibale wanu kapena mnzanu wapamtima. Angakuthandizeni kumvetsetsa ndi kukumbukira zomwe akukuuzani.