Ngaba uyazi ixabiso le-uACR yakho kuvavanyo lwakho lomchamo? (Umlinganiselo we-Urine Albumin-Creatinine) – Oku kubalulekile kwimpilo yezintso!

Ngaba wakha wavavanywa umchamo? Mhlawumbi ugqirha ukucele ukuba wenze uvavanyo olubizwa ngokuba yi-`(Urine Albumin-Creatinine Ratio)` okanye `(uACR)`, kwaye usenokuzibuza ukuba yintoni loo nto. Ungakhathazeki, olu luvavanyo olulula kakhulu, kodwa lukuxelela ulwazi oluninzi oluxabisekileyo malunga nempilo yezintso zakho. Makhe sithethe ngalo ngokweenkcukacha, ngokulula.

Kutheni olu vavanyo lwe-`(uACR)` lubaluleke kangaka?

Ngamafutshane, olu vavanyo lulinganisa ubungakanani be-albumin kunye ne -creatinine kumchamo wakho. La manqanaba anokunika ugqirha wakho umbono olungileyo wokuba izintso zakho zisebenza kakuhle kangakanani.

Yintoni le albumin?

Khawucinge nje, i-albumin yiproteni ebalulekileyo egazini lakho. Yenziwa sisibindi sethu. Umsebenzi wayo ophambili kukuthintela ukuvuza kolwelo kwimithambo yegazi. Ikwanceda ekuthwaleni izinto ezifana neevithamini, ii-enzymes, kunye neehomoni emzimbeni wonke. Kufana nomntu ophethe ipasela.

Ngoko ke yintoni i-creatinine?

I-Creatinine yinkunkuma eyenziwa xa usebenzisa into ebizwa ngokuba yi-creatine . I-Creatine isetyenziselwa ukunika izihlunu zakho amandla kwaye izincede ziqine. Ngoko ke, xa usebenzisa amandla ezihlunu, i-creatine iyaphuka kwaye i-creatinine iyenzeka kwaye iqokelelane egazini lakho.

Ngoku khangela, ukuba izintso zakho ziphilile, zenza ezi zinto:

• I-Albumin igcinwa egazini, ayivumelekanga ukuba ikhutshwe kumchamo.
• I-Creatinine iyahluzwa egazini ize ikhutshwe emzimbeni xa uchama.

Nangona kunjalo, ukuba izintso zakho zonakele, inani elincinci le-albumin (ekwabizwa ngokuba yi -microalbumin) linokuqokelelwa kumchamo wakho (imeko ebizwa ngokuba yi-proteinuria) . I-Creatinine isenokuhlala emzimbeni wakho. Yile nto ijongwa luvavanyo lwe-uACR.

Olu vavanyo lwe-`(uACR)` lwenziwa nini?

Ugqirha udla ngokuyalela olu vavanyo ukuba unesifo seswekile okanye isifo sezintso esingapheliyo (CKD) ukujonga imeko yezintso zakho. Ukongeza, olu vavanyo lunokwenziwa kwezi meko zilandelayo:

• Ukuba une-high blood pressure (i-Hypertension)
• Ukuba unesifo sentliziyo
• Ukuba unesifo esifana ne-cirrhosis yesibindi

Ngamanye amaxesha, ugqirha unokucebisa olu vavanyo ukuba i-body mass index yakho (BMI) ingaphezulu kwama-30 (oko kuthetha ukuba utyebile kakhulu), ukuba uyatshaya, okanye ukuba ungaphezulu kweminyaka engama-50 ubudala. Zonke ezi zinto zinokuchaphazela izintso zakho.

Lwenziwa njani olu vavanyo lwe-`(uACR)`?

Kukho iindlela ezahlukeneyo zokwenza olu vavanyo lwe-`(uACR)`:

• Isampulu yomchamo ethi "Spot": Le yisampulu yomchamo eyenzeka kube kanye. Unika le sampulu eofisini kagqirha wakho okanye kwilebhu. Ilinganisa ngqo ukuba ingakanani i-albumin kunye ne-creatinine kumchamo wakho.
• Isampulu yomchamo wasekuseni/ngexesha elifanelekileyo: Le yisampulu oyiqokelela ekhaya. Umchamo wakho uwuqokelela kwisitya esikhethekileyo (`indebe yomzekelo`) kwangoko nje ukuba uvuke kusasa, okanye emva kokuba ungachamanga ubuncinane iiyure ezine.
• Ukuqokelelwa komchamo iiyure ezingama-24: Ugqirha wakho uza kukunika ibhotile enkulu. Kuya kufuneka uchamele kuloo bhotile rhoqo xa uchama iiyure ezingama-24. Kuya kufuneka ugcine ibhotile efrijini xa ungachami. Le ndlela yeyona ichanekileyo kwiimvavanyo ze-"uACR". Nangona kunjalo, oogqirha badla ngokwenza oku kuphela ukuba iziphumo ezivela kwezinye iindlela (isampuli yebala okanye yasekuseni) aziqhelekanga.

Cinga ngayo, oku kufana nokubukela indlela izintso zakho ezisebenza ngayo imini yonke.

Yintoni omele uyenze ngaphambi kovavanyo?

Ugqirha wakho uza kukunika imiyalelo ethile malunga nendlela yokulungiselela olu vavanyo, kodwa ngokubanzi, nazi izinto ekufuneka uzikhumbule:

• Sela amanzi aneleyo: Kufuneka ube nomchamo owaneleyo ukuze ukwazi ukunika isampuli.
• Kuphephe ukwenza umthambo onzima iiyure ezingama-24 ngaphambi kovavanyo: Ukuzilolonga ngamandla kunokunyusa okwethutyana inani le-albumin kumchamo wakho.
• Kuphephe ukutya inyama kwiiyure ezingama-24 ngaphambi kovavanyo: Ukutya inyama kunokuchaphazela okwethutyana amanqanaba akho e-creatinine.

Kwakhona, ungalibali ukuxelela ugqirha wakho ukuba unayo nayiphi na kwezi meko:

• Ukuba usexesheni , okanye ukuba uphuma igazi ngenxa ye-hemorrhoids .
• Ukuba une -urinary tract infection (UTI) , umkhuhlane, i-infection yeentsini (i-periodontitis), okanye i-viral hepatitis .

Kuba ukuba kukho igazi okanye iintsholongwane kwisampulu yomchamo wakho, iziphumo zovavanyo zinokuchaphazeleka.

Kwenzeka ntoni ngexesha lovavanyo?

Nangona kusenokubakho utshintsho oluncinci ngokuxhomekeke kwimiyalelo enikwe ngugqirha wakho okanye elebhu, isampuli yomchamo yolu vavanyo lwe-"uACR" idla ngokuqokelelwa kusetyenziswa indlela ethi "clean catch" . Oku kunokunciphisa amathuba okuba iintsholongwane zingene kwisampuli. Ugqirha uza kukunika ibhotile yokuqokelela umchamo kunye nezinye "ii-sterile wipes".

Nantsi indlela ekwenziwa ngayo rhoqo:

1. Okokuqala, hlamba izandla zakho kakuhle ngesepha yokubulala iintsholongwane.

2. Emva koko, hlamba indawo yakho yesini ngee-wipes ezibonelelweyo.

3. Chamela endlwini yangasese.

4. Ngoku yeka ukuchama okwethutyana.

5. Ibhotile yokuqokelelwa komchamo yeyakho.Bamba i-urethra izihlandlo ezininzi.

6. Gcwalisa ibhotile ngomchamo njengoko ugqirha eyalele (ngesiqhelo malunga nesiqingatha sebhotile).

7. Yeka ukuchama kwakhona uze ubeke ibhotile ecaleni.

8. Galela umchamo oseleyo kwindlu yangasese.

9. Vala isiciko sebhotile yomchamo kakuhle uze usinike ugqirha okanye ingcali yelebhu.

Akukho nto yokoyika, oku kulula kakhulu.

Kwenzeka ntoni emva kovavanyo?

Emva kokuba unike isampuli yomchamo, ithunyelwa kwilabhoratri ukuze ivavanywe.

Ngaba kukho naziphi na iingozi ngolu vavanyo?

Akunjalo konke konke. Akukho mngcipheko wokuqokelela isampuli yomchamo. Indlela "yokubamba okucocekileyo" ikwayindlela engenabuhlungu kwaye ayingenisi ntlungu.

Zinjani iziphumo? Zisixelela ntoni?

Uvavanyo lwe-`(uACR)` luthelekisa ubungakanani be-albumin kunye ne-creatinine kumchamo wakho. Olu linganiselo lunikwa ngee-milligrams ngegram (mg/g). Okukhona ixabiso le-`(uACR)` liphantsi, kokukhona lingcono.

Lithini ixabiso eliqhelekileyo elithi `(uACR)`?

Ixabiso eliqhelekileyo le-`(uACR)` lingaphantsi kwe-30 mg/g . Oku kuthetha ukuba unobungozi obuphantsi kakhulu bokungasebenzi kakuhle kwezintso, ukuhlaselwa yintliziyo, okanye isifo sohlangothi. Ugqirha angakucela ukuba uphinde uvavanyo lwe-`(uACR)` kwiinyanga ezimbalwa ukuqinisekisa iziphumo.

Ukuba ixabiso lakho le-`(uACR)` liphakathi kwama-30 nama-299 mg/g , usemngciphekweni omkhulu wokungasebenzi kakuhle kwezintso, ukuhlaselwa yintliziyo, okanye isifo sohlangothi. Ugqirha uza kukucela ukuba uphinde uvavanye i-`(uACR)` yakho kwiinyanga ezimbalwa. Ukuba isesekuloo nqanaba, usenokuba nesifo sezintso.

Kuthetha ukuthini ukuba ixabiso lam `(uACR)` liphezulu?

Ukuba ixabiso lakho le-`(uACR)` liphezulu kancinci kunokuba bekulindelwe, usenokuba nesifo sezintso esincinci . Ixabiso le-`(uACR)` eliphezulu kakhulu lithetha ukuba unesifo sezintso esiphakathi okanye esinzima .

Lithini inqanaba le-`(uACR)` elibonisa ukungasebenzi kakuhle kwezintso?

Ukuba ixabiso lakho le-`(uACR)` liyi- 300 mg/g okanye ngaphezulu , kwaye kuqinisekiswa ukuba liyafana xa uphinda uvavanywa, usenokuba nesifo sezintso. Ukwasemngciphekweni omkhulu wokusilela kwezintso, ukuhlaselwa yintliziyo, okanye isifo sohlangothi.

Kuthatha ixesha elingakanani ukwazi iziphumo zovavanyo lwe-`(uACR)`?

Kwiimeko ezininzi, ungazifumana iziphumo zovavanyo lwe-`(uACR)` kungekapheli usuku okanye ezimbini.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Ukuba iziphumo zakho aziqhelekanga, ugqirha wakho usenokuyalela iimvavanyo ezongezelelweyo, ezifana novavanyo lwe-uACR. Ezinye iimvavanyo zingenziwa ukunceda ekufumaneni ukuba unesifo sezintso, ezifana nezi:

• Isantya sokuhluza seGlomerular esiQikelelweyo (eGFR): Le yinxalenye yovavanyo lwegazi oluqhelekileyo.
• Uvavanyo lokuthatha imifanekiso: Njenge-ultrasound scan.
• I-biopsy yezintso:Ukuthatha iqhekeza elincinci lesicwili esisezintsoni uze usihlolisise.

Ungoyiki ukubuza ngezi zinto. Ugqirha uza kukuchazela yonke into.

Ndifanele ndimtsalele umnxeba nini ugqirha ?

Ukuba unemibuzo malunga neziphumo zovavanyo lwakho lwe-`(uACR)`, thetha nogqirha. Ukuba kuyimfuneko, cwangcisa ezinye iimvavanyo.

Ukuba unesifo sezintso, okanye ukuba iziphumo zakho (uACR) zibonisa umngcipheko wesifo sezintso, fowunela ugqirha ukuba ufumana naziphi na kwezi mpawu:

• Utshintsho kwimikhwa yokuchama: ukuphuma komchamo omninzi kunesiqhelo, umchamo onamagwebu, igazi kumchamo (`(Hematuria)`).
• Ulusu olomileyo okanye olurhawuzelelayo, ulusu luba mnyama.
• Ukuba uziva udiniwe kakhulu (`Ukudinwa`).
• Isicaphucaphu nokuhlanza.
• Ukudumba kwezandla, iinyawo, okanye amaqatha (`(Edema)`).

Kubalulekile: Kuqhelekile ukuba noloyiko kwaye ube nobunzima bokuqonda iziphumo zovavanyo lwakho (uACR) xa ufumanisa ukuba izintso zakho azisebenzi kakuhle. Unelungelo lokubuza imibuzo emininzi. Kungumbono olungileyo ukuhamba nelungu losapho okanye umhlobo othembekileyo, ubhale phantsi oko ugqirha wakho akuthethayo, kwaye ucele uncedo lokutolika iziphumo ngendlela onokuyiqonda.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Okukhona ufumanisa isifo sezintso kwangethuba , kokukhona kulula koogqirha ukulibazisa okanye ukuthintela ukungasebenzi kakuhle kwezintso ngokupheleleyo. Ngoko ke, ukuba uceliwe ukuba wenze olu vavanyo, ungaluphosi. Thetha nogqirha wakho ngendlela onokuthi uzikhusele ngayo izintso zakho. Olu vavanyo lubaluleke kakhulu ukuze uphile ubomi obusempilweni. Nyamekela impilo yakho, kuba yeyona nto ixabisekileyo onayo!

Uvavanyo lomchamo , i-uACR, i-albumin, i-creatinine, isifo sezintso, isifo seswekile, uxinzelelo lwegazi oluphezulu