Uvavanyo lomchamo olula lokujonga impilo yezintso: uACR (Umlinganiselo we-Urine Albumin-Creatinine)

Ngaba unesifo seswekile okanye uxinzelelo lwegazi oluphezulu? Okanye ngaba kukho umntu kusapho lwakho onesifo sezintso? Ngoko ugqirha wakho usenokuba ukucele ukuba wenze uvavanyo lomchamo olubizwa ngokuba yi "uACR." Ukuva elo gama kusenokuba kukoyikise kancinci, "Luhlobo luni lovavanyo olukhulu olu?" Kodwa akukho mfuneko yokoyika. Olu luvavanyo lomchamo olulula kakhulu olunokusixelela ulwazi oluninzi oluxabisekileyo malunga nempilo yezintso zakho. Namhlanje, siza kuthetha ngayo yonke into ngendlela elula kakhulu.

Yintoni i-Urine Albumin-Creatinine Ratio (uACR)?

Eli gama lide kancinci, ngoko masilibize ngokuba yi-uACR. Olu luvavanyo lomchamo. Ngokusisiseko lulinganisa umlinganiselo wezinto ezibizwa ngokuba yi-albumin kunye ne-creatinine kumchamo wakho. Ngoku usenokuba uzibuza, "Zithini ezi albumin kunye ne-creatinine?"

Masiqonde ngokulula.

• I-Albumin: Le yiproteni ebaluleke kakhulu egazini lethu. Ifana nomlindi-sango onceda ukugcina izinto ngaphakathi kwemithambo yegazi yethu. Yenziwa sisibindi sethu. Umsebenzi ophambili we-Albumin kukuthintela ukuvuza kolwelo kwimithambo yegazi. Ikwanceda ukuthutha izinto ezifana neevithamini, ii-enzymes, kunye neehomoni emzimbeni wonke.

• I-Creatinine: Le yinkunkuma eveliswa xa izihlunu zethu zisebenza. Izihlunu zethu zisebenzisa amandla ukufinyela nokuzolula. I-Creatinine yinkunkuma eveliswa xa loo mandla esetyenziswa. Emva koko yongezwa egazini.

Ngoku jonga okwenzekayo kwizintso ezimbini eziphilileyo. Izintso zakho zifana nezihluzi ezimbini eziphambili. Zona:

1. I-Albumin , iproteni exabisekileyo egazini, igcinwa emzimbeni endaweni yokuba ikhutshwe emchameni.

2. Inkunkuma engafunekiyo ebizwa ngokuba yi-creatinine egazini iyahluzwa kakuhle ize ikhutshwe emzimbeni ngomchamo.

Nangona kunjalo, ukuba kukho umonakalo kwizintso, imingxunya ekwesi sihluzo iba mikhulu. Emva koko, i-albumin ekufuneka igcinwe emzimbeni iqala ukuphuma nomchamo ngamanani amancinci. Kwakhona, i-creatinine ekufuneka ikhutshwe isenokuhlala ngaphakathi emzimbeni. Kuku kungalingani esikulinganisa ngovavanyo lwe-uACR.

Ngubani ocelwa ukuba enze olu vavanyo lwe-uACR?

Ugqirha uya kuyalela olu vavanyo ukuba unenkxalabo malunga nempilo yezintso zakho, ingakumbi ukuba unenye yezi meko zilandelayo:

• Isifo seswekile: Abantu abanesifo seswekile basengozini enkulu yokulimala kwezintso. Ke ngoko, abantu abanesifo seswekile bayacetyiswa ukuba benze olu vavanyo rhoqo.
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu): Ukuba uxinzelelo lwegazi alulawulwa ixesha elide, lungonakalisa imithambo yegazi ethambileyo kwizintso.
• Isifo Sezintso Esingapheliyo (CKD): Olu vavanyo lusetyenziselwa ukujonga imeko yomntu osele enesifo sezintso.
• Isifo sentliziyo
• Isifo sesibindi

Ukongeza, olu vavanyo ngamanye amaxesha lunokucetyiswa ukuvavanya umngcipheko wezintso ukuba i-Body Mass Index (BMI) yakho ingaphezulu kwama-30 (utyebile kakhulu) , uyatshaya , okanye ungaphezulu kweminyaka engama-50 ubudala .

Lwenziwa njani olu vavanyo lwe-uACR?

Kukho iindlela ezahlukeneyo zokuqokelela le sampuli yomchamo. Ugqirha wakho uza kukuxelela ukuba yeyiphi indlela efanelekileyo kuwe.

Ngaba kukho izinto ekufuneka ndizilungiselele ngaphambi kovavanyo?

Ewe, ukuze ufumane isiphumo esifanelekileyo, kufuneka ukhathalele izinto ezimbalwa ezincinci.

• Sela amanzi amaninzi: Ekubeni kufuneka ube nomchamo owaneleyo ukuze ufumane isampuli, sela amanzi amaninzi njengesiqhelo ukususela ngosuku olungaphambi kovavanyo.
• Kuphephe ukwenza umthambo onzima: Kuphephe ukwenza umthambo onzima njengokubaleka, ukutsiba, okanye ukuphakamisa iintsimbi ubuncinane iiyure ezingama-24 ngaphambi kovavanyo. Oku kungenxa yokuba umthambo onzima unokunyusa okwethutyana inani le-albumin kumchamo.
• Nciphisa ukutya inyama: Kuphephe ukutya inyama ubuncinane iiyure ezingama-24 ngaphambi kovavanyo. Ukutya inyama kunokutshintsha okwethutyana amanqanaba e-creatinine.

Kwakhona, kukho izinto ezimbalwa ekufuneka uzixelele ugqirha wakho ngokuqinisekileyo , kuba ezi zinto zinokuchaphazela iziphumo.

• Ukuba usexesheni okanye uphuma igazi ngenxa ye-hemorrhoids.
• Ukuba unesifo esifana ne -Urinary Tract Infection (UTI) , umkhuhlane , usulelo lweentsini (Periodontitis) , okanye i-viral hepatitis .

Ukuba kukho igazi okanye iintsholongwane kumchamo ngeli xesha, iziphumo zisenokuba azichanekanga. Kungoko ke, kubaluleke kakhulu ukuxelela ugqirha ngale nto kwangethuba.

Uyenza njani kanye kanye isampuli yomchamo?

Imiyalelo ingahluka kancinci kwilabhoratri nganye, kodwa idla ngokusebenzisa indlela ebizwa ngokuba yi- "Clean Catch." Le yinto eyenziwayo ukuthintela ukongezwa kweentsholongwane ngaphandle kwesampulu. Ilabhoratri iya kukunika ikomityi yesampulu kunye neewipes ezicocekileyo.

Nantsi into omawuyenze:

1. Okokuqala, hlamba izandla zakho kakuhle ngesepha.

2. Coca indawo ejikeleze amalungu akho esini (apho umchamo uphuma khona) kakuhle nge-washer ecocekileyo enikiweyo.

3. Qala ukuchama uze ukhuphe umchamo wokuqala ophuma uye kwindlu yangasese.

4. Yeka ukuchama phakathi uze ubambe indebe yesampulu kufutshane ne-urethra.

5. Chama ide indebe izaliseke malunga nesiqingatha okanye ide ifikelele kwinqanaba eliboniswe yilebhu.

6. Emva koko, susa ikomityi uze uhlambe umchamo oseleyo uye nawo kwindlu yangasese.

7. Vala umlomo wekomityi ngokuqinileyo uze uyinike umntu oselebhu.

Nangona le ndlela ingabonakala inzima kancinci, kubaluleke kakhulu ukufumana iziphumo ezichanekileyo.

Zithini iziphumo?

Iziphumo zovavanyo lwe-uACR zinikwa ngee-milligrams/gram (mg/g). Into ebalulekileyo ekufuneka uyikhumbule apha kukuba okukhona ixabiso le-uACR liphantsi, kokukhona i- .

Yintoni ixabiso eliqhelekileyo le-uACR?

• Ixabiso elingaphantsi kwe-30 mg/g lithathwa njengenqanaba eliqhelekileyo.
• Oku kuthetha ukuba usengozini encinci kakhulu yokungasebenzi kakuhle kwezintso, ukuhlaselwa yintliziyo, okanye isifo sohlangothi.
• Ngokwesiqhelo, ugqirha angakucela ukuba uphinde uvavanyo kwiinyanga ezimbalwa ukuze kuqinisekiswe iziphumo.

Kuthekani ukuba ixabiso le-uACR liphezulu kunesiqhelo?

Ukuba iziphumo aziqhelekanga, kuza kwenzeka ntoni emva koko?

Ukuba iziphumo zakho ze-uACR aziqhelekanga, ugqirha wakho uya kuqala enze olunye uvavanyo ukuqinisekisa oko. Emva koko, banokucebisa ezinye iimvavanyo ezimbalwa ukuze baphande ngakumbi imeko yezintso zakho.

• Uvavanyo lwe-eGFR (Izinga lokuHlunga eliQikelelweyo leGlomerular): Olu luvavanyo lwegazi olulula olulinganisa ukuba izintso zihluza igazi kakuhle kangakanani.
• I-Kidney Ultrasound Scan: Oku kunokujonga ubungakanani, imilo, kunye nokuba khona kwayo nayiphi na i-tumor okanye i-blockages kwizintso.
• I-Biopsy Yezintso: Kwezinye iimeko ezingaqhelekanga, iqhekeza elincinci kakhulu lesicwili lithathwa kwintso lize lihlolwe phantsi kwe-microscope.

Kuphela emva kwezi mvavanyo apho ugqirha anokufikelela kwisigqibo esichanekileyo malunga nemeko yakho aze agqibe ukuba loluphi unyango olufunayo.

Ziziphi ezinye iimpawu ezifanele zibangele ukuba undwendwele ugqirha?

Ukongeza kwiziphumo zovavanyo lwakho lwe-uACR, ukuba unezinye zezi mpawu zilandelayo, yazisa ugqirha wakho ngoko nangoko. Ezi zisenokuba ziimpawu zesifo sezintso.

• Utshintsho kwindlela yokuchama (ukuchama kakhulu kunesiqhelo, umchamo onamagwebu, igazi kumchamo - iHematuria ).
• Ulusu olomileyo, ukurhawuzelela, okanye ukuba mnyama kolusu.
• Ukuziva udiniwe kakhulu rhoqo.
• Isicaphucaphu nokuhlanza.
• Ukudumba kwezandla, iinyawo, okanye amaqatha ( ukudumba ).

Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa ufumanisa ukuba izintso zakho azisebenzi kakuhle. Ngamaxesha anjalo, buza ugqirha wakho yonke imibuzo onayo. Ukuba kuyimfuneko, hamba nelungu losapho okanye umhlobo osenyongweni. Banokukunceda uqonde kwaye ukhumbule oko bakuxelela kona.