Ukuba unesifo seswekile okanye uxinzelelo lwegazi oluphezulu, ugqirha wakho mhlawumbi uya kukuxelela ukuba "unyamekele izintso zakho." Kodwa sazi njani ukuba kukho ingxaki kwizintso zethu? Ezinye izifo zikhula emzimbeni ngaphandle kokubonisa zimpawu, kwaye zisihlasela ngokunyenya. Namhlanje, sithetha ngovavanyo olubaluleke kakhulu olunokusilumkisa kwangaphambili malunga nomonakalo onjalo ofihlakeleyo kwizintso zethu.
Okokuqala, masibone, yintoni i-albumin?
Ngamafutshane, i-albumin luhlobo lweproteni emizimbeni yethu. Ifana nomsebenzi onceda izicubu zethu zikhule kwaye zilungise. Indawo yayo efanelekileyo isegazini lethu. Xa izintso eziphilileyo zicoca igazi, zigcina le proteni ye-albumin ixabisekileyo emzimbeni, ikhupha kuphela inkunkuma engafunekiyo kumchamo.
Nangona kunjalo, xa izintso ziqala ukwenzakala, inkqubo yazo yokucoca ebuthathaka iyaba buthathaka. Emva koko, inxalenye ye-albumin ekufuneka igcinwe emzimbeni iqala "ukuvuza" kunye nomchamo.
Ngoko ke yintoni le microalbumin test?
Igama elithi "Micro" lithetha into encinci kakhulu. Ngoko ke olu vavanyo lukhangela ubungakanani obuncinci kakhulu be-albumin kumchamo wakho. Olu vavanyo lukhethekileyo lunokufumanisa nokuba bubungakanani obuncinci kakhulu obungenakubonwa ngovavanyo lomchamo oluqhelekileyo (Ingxelo Epheleleyo Yomchamo).
Oku kufana nomqondiso wesilumkiso kwangethuba wesifo sezintso. Ukuba kukho ingxaki, olu vavanyo lusinceda siyifumane ngaphambi kokuba ibe mandundu.
Ngubani ofuna ukwenza olu vavanyo?
Xa siyiqonda kwangethuba ingxaki yempilo, singathatha amanyathelo okuyilawula ngaphambi kokuba ibe yimeko enzima. Oku kuyinyaniso nakwisifo sezintso. Kukho iimeko ezininzi eziphambili apho ugqirha wakho angacebisa olu vavanyo:
- Ukuba unesifo seswekile: Isifo seswekile sisona sibangela ukungasebenzi kakuhle kwezintso.
- Isifo seswekile sohlobo 1: Emva kweminyaka emi-5 ufunyaniswe unesi sifo, ugqirha wakho uya kucebisa ukuba wenze olu vavanyo kube kanye ngonyaka.
- Uhlobo lwesibini lwesifo seswekile: Isiqhelo kukuqala ukwenza olu vavanyo kube kanye ngonyaka, ukususela kumhla ofunyaniswe unesifo.
- Ukuba une-high blood pressure: Uxinzelelo lwegazi oluphezulu lunokonakalisa nezintso zakho. Ugqirha wakho uza kuthetha nawe malunga nokuba kufuneka wenze olu vavanyo kangaphi.
- Ukuba kukho ezinye izinto ezinobungozi:
- Ukuba uneminyaka engaphezu kwama-65 ubudala kwaye unezinye izinto ezinokubangela isifo sentliziyo okanye isifo sezintso.
- Ukuba kukho umntu kusapho onesifo sezintso okanye okhe wanesifo.
- Ukuba ungowohlanga oluthile (umz., umAsia) apho isifo sezintso sixhaphakileyo khona.
Kwimeko enjalo, kungcono ukuthetha nogqirha wakho uze ugqibe ukuba uza kuqala nini ukuvavanya kwaye uza kukwenza kangaphi oko.
Kutheni isifo seswekile sichaphazela izintso kangaka?
Masiqonde oku ngomzekelo olula. Khawucinge ukuba izintso zezona zihluzo zinamandla kakhulu emzimbeni wethu. Ezi zihluzo zihluza igazi kwaye zisuse inkunkuma engafunekiyo njengomchamo. Izinto ezilungileyo umzimba ozidingayo (iiproteni ezifana ne-albumin) zihlala ngaphakathi emzimbeni.
Xa unesifo seswekile, amanqanaba eswekile egazini lakho (iglucose) ahlala ephezulu kakhulu. Le swekile igqithisileyo ifana nesanti, iyonakalisa kancinci kancinci izihluzo ezithambileyo (imithambo yegazi emincinci kwizintso). Ekuhambeni kwexesha, imingxunya kwezi zihluzo iba mikhulu, kwaye iiproteni ezixabisekileyo ezifana ne-albumin ekufuneka umzimba uyigcine emzimbeni ziqala ukuvuza emchameni. Uvavanyo lwe-microalbumin lubona loo mngxuma wokuqala.
Ungenza njani uvavanyo?
Kuya kufuneka unikeze isampuli yomchamo ukuze ujonge amanqanaba e-albumin yakho. Zininzi iindlela ugqirha wakho anokuzicela ngazo oku.
| Indlela yovavanyo | Inkcazo |
|---|---|
| Uvavanyo lomchamo oluvela kwibala (isampulu enikwa ngexesha elinye) | Oku kungenziwa ngesampuli yomchamo oyinikayo ngexesha oya kugqirha wakho. Ngokwesiqhelo, kunye ne-albumin, into ebizwa ngokuba yi-creatinine nayo iyalinganiswa. I-Creatinine yimveliso eqhelekileyo yenkunkuma eveliswa zimisipha zethu. Ukujonga umlinganiselo wezi zimbini (i-Albumin/Creatinine Ratio - ACR), unokufumana umbono ochanekileyo ngakumbi nakwisampuli ethathwe nangaliphi na ixesha losuku. |
| Uvavanyo oluQhelekileyo (iisampulu eziqokelelwe ngexesha elithile) | Ukuqokelela wonke umchamo odlulile kwixesha elithile, njengeeyure ezi-2, ezi-4, okanye ezili-12, uze uwuthumele ukuze uvavanywe. |
| Uvavanyo lweeyure ezingama-24 | Ugqirha uza kukunika ibhotile ekhethekileyo. Kufuneka uqokelele lonke ithontsi lomchamo olidlulayo kwixesha leeyure ezingama-24. Xa uqala, bhala ixesha, uze uqokelele umchamo kude kube lelo xesha ngosuku olulandelayo. Ekugqibeleni, qokelela umchamo, uze uyise elabhoratri. Kubalulekile ukugcina ibhotile efrijini ngexesha lokuqokelela. Oku kuya kukunika ulwazi oluchanekileyo. |
Ungaziqonda njani iziphumo?
Amaxabiso anokwahluka kancinci kwilabhoratri nganye, ngoko ke le yimigaqo eqhelekileyo kuphela. Ngugqirha wakho kuphela onokukunika ingcaciso echanekileyo yeziphumo zakho.
- Okuqhelekileyo: Kukho i-albumin encinci okanye akukho kwaphela kumchamo (umz., ngaphantsi kwe-30 mg kuvavanyo lweeyure ezingama-24).
- I-Microalbuminuria: Inqanaba eliphezulu kuneliqhelekileyo le-albumin kumchamo, kodwa isencinci (umz., phakathi kwe-30mg kunye ne-300mg kuvavanyo lweeyure ezingama-24). Olu luphawu lokuqala olubonisa ukuba umonakalo wezintso uyaqala.
- I-Albuminuria yeKlinikhi / iMacroalbuminuria: Inani eliphezulu kakhulu le-albumin kumchamo (umz., ngaphezulu kwe-300mg kuvavanyo lweeyure ezingama-24). Oku kubonisa ukuba umonakalo kwizintso mkhulu kakhulu.
Ukuba iziphumo ziphezulu, kuza kwenzeka ntoni emva koko?
Musa ukoyika ukuba iziphumo zovavanyo lwakho zibonisa ixabiso eliphezulu. Ayibonisi kwangoko ukuba unesifo sezintso. Kuba ezinye izizathu zinokubangela ukunyuka okwethutyana kwamanqanaba e-albumin kumchamo.
Umzekelo:
- Igazi kumchamo
- Ifiva
- Ukuzilolonga kakhulu ngaphambi kovavanyo
- Usulelo lomchamo
- Ezinye izifo zezintso
- Amanye amayeza
Ngoko ke, ugqirha uya kuphinda olu vavanyo kube kanye okanye kabini kwixesha leenyanga ezi-3 ukuya kwezi-6. Ukuba iziphumo zovavanyo ezimbini kwezi zintathu ziphezulu, oko kuthetha ukuba usenokuba nesifo sezintso kwisigaba sokuqala.
Ayizondaba zimbi ezo, ziindaba ezimnandi ngokwenene! Kuba ngoku uyazi ukuba ingxaki iqalile. Ngoko ke, ngokulandela icebiso likagqirha wakho nokulawula isifo sakho seswekile, uxinzelelo lwegazi, ukutya, nokufumana unyango olufunekayo, unokuthintela okanye ulawule umonakalo wezintso.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-microalbumin luvavanyo olubaluleke kakhulu kubantu abanesifo seswekile kunye noxinzelelo lwegazi oluphezulu, njengoko lunokubona iimpawu zokuqala zomonakalo wezintso.
- Oku kufumanisa inani elincinci le-albumin elingenakubonwa kuvavanyo lomchamo oluqhelekileyo.
- Ungakhathazeki ukuba iziphumo zovavanyo ziphezulu. Ugqirha uza kuyalela ezinye iimvavanyo ukuqinisekisa oko.
- Ukufunyanwa kwangoko komonakalo wezintso, unyango olufanelekileyo, kunye notshintsho kwindlela yokuphila kunokuthintela isifo ekubeni sibe sibi kakhulu.
- Soloko uxoxa ngeziphumo zovavanyo lwakho kunye nonyango lwakho nogqirha wakho kuphela.
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