Uma unesifo sikashukela noma umfutho wegazi ophakeme, udokotela wakho cishe uzokutshela ukuthi "unakekele izinso zakho." Kodwa sazi kanjani ukuthi kunenkinga ngezinso zethu? Ezinye izifo zikhula ngaphakathi emzimbeni ngaphandle kokubonisa izimpawu, bese zisihlasela ngesinyenyela. Namuhla, sikhuluma ngokuhlolwa okubaluleke kakhulu okungasixwayisa kusengaphambili ngomonakalo onjalo oyimfihlo ezinso zethu.
Okokuqala, ake sibone, iyini i-albumin?
Kalula nje, i-albumin uhlobo lweprotheyini emizimbeni yethu. Kufana nesisebenzi esisiza izicubu zethu zikhule futhi zilungise. Indawo yayo efanele isegazini lethu. Lapho izinso eziphilile zihlanza igazi, zigcina le phrotheyini ye-albumin ebalulekile emzimbeni, ikhipha kuphela imfucuza engafuneki emchameni.
Kodwa-ke, lapho izinso ziqala ukulimala, uhlelo lwazo lokuhlunga olubucayi luyaba buthaka. Bese kuthi, enye i-albumin okufanele igcinwe emzimbeni iqala "ukuvuza" nomchamo.
Ngakho-ke luyini lolu vivinyo lwe-microalbumin?
"Micro" isho okuncane kakhulu. Ngakho-ke lokhu kuhlolwa kubheka amanani amancane kakhulu e-albumin emchameni wakho. Lokhu kuhlolwa okukhethekile kungathola ngisho namanani amancane kakhulu angeke atholakale ngokuhlolwa komchamo okuvamile (Umbiko Ogcwele Womchamo).
Lokhu kufana nesibonakaliso sesixwayiso sokuqala sesifo sezinso. Uma kunenkinga, lokhu kuhlolwa kusisiza ukuthi siyibambe ngaphambi kokuba ibe yimbi kakhulu.
Ubani ofuna ukwenza lolu vivinyo?
Uma siqaphela inkinga yempilo kusenesikhathi, singathatha izinyathelo zokuyilawula ngaphambi kokuba ibe yisimo esibucayi. Lokhu kuyiqiniso nangesifo sezinso. Kunezimo eziningana eziyinhloko lapho udokotela wakho angancoma khona lokhu kuhlolwa:
- Uma unesifo sikashukela: Isifo sikashukela siyimbangela ehamba phambili yokwehluleka kwezinso.
- Isifo sikashukela sohlobo 1: Ngemva kweminyaka emihlanu yokutholakala unesifo, udokotela wakho uzoncoma ukuthi wenze lokhu kuhlolwa kanye ngonyaka.
- Isifo Sikashukela Sohlobo 2: Umkhuba ojwayelekile ukuqala ukwenza lokhu kuhlolwa kanye ngonyaka, kusukela ngosuku otholakale ngalo unesifo.
- Uma une-high blood pressure: Umfutho wegazi ophezulu ungalimaza nezinso zakho. Udokotela wakho uzokhuluma nawe ngokuthi kufanele wenze lokhu kuhlolwa kangaki.
- Uma kunezinye izinto eziyingozi:
- Uma uneminyaka engaphezu kwengu-65 ubudala futhi unezinye izinto ezibangela isifo senhliziyo noma isifo sezinso.
- Uma kukhona emndenini onesifo sezinso noma oke waba naso.
- Uma ungoweqembu lohlanga (isib. abantu base-Asia) lapho isifo sezinso sivame khona.
Kulesi simo, kungcono ukukhuluma nodokotela wakho bese unquma ukuthi uzoqala nini ukuhlola nokuthi uzokwenza kangaki.
Kungani isifo sikashukela sithinta izinso kangaka?
Ake sikuqonde lokhu ngesibonelo esilula. Cabanga ukuthi izinso ziyisethi yezihlungi ezinamandla kakhulu emzimbeni wethu. Lezi zihlungi zihlunga igazi futhi zisuse imfucuza engafuneki njengomchamo. Izinto ezinhle umzimba ozidingayo (amaprotheni afana ne-albumin) zihlala ngaphakathi emzimbeni.
Uma unesifo sikashukela, amazinga kashukela egazini lakho (i-glucose) ahlala ephezulu kakhulu. Lo shukela oweqile ufana nesihlabathi, kancane kancane ulimaza izihlungi ezithambile (imithambo yegazi emincane ezinso). Ngokuhamba kwesikhathi, izimbobo kulezi zihlungi ziyakhula, futhi amaprotheni abalulekile njenge-albumin umzimba okudingeka uwagcine emzimbeni aqala ukuvuza emchameni. Ukuhlolwa kwe-microalbumin kuthola lokho kuvuza kokuqala.
Ungenza kanjani isivivinyo?
Kuzodingeka unikeze isampula yomchamo ukuze uhlole amazinga akho e-albhamuin. Kunezindlela eziningana udokotela wakho angakucela ngazo lokhu.
| Indlela yokuhlola | Incazelo |
|---|---|
| Ukuhlolwa Komchamo Ongacacile (isampula enikezwa ngesikhathi esisodwa) | Lokhu kungenziwa ngesampula yomchamo oyinikezayo ngesikhathi uya kudokotela wakho. Ngokuvamile, kanye ne-albumin, into ebizwa ngokuthi i-creatinine nayo iyalinganiswa. I-Creatinine iwumkhiqizo ojwayelekile wokungcola okhiqizwa yimisipha yethu. Uma ubheka isilinganiso salezi ezimbili (i-Albumin/Creatinine Ratio - ACR), ungathola umbono onembile ngisho nasesampula ethathwe nganoma yisiphi isikhathi sosuku. |
| Ukuhlolwa Okunesikhathi (amasampula aqoqwe ngesikhathi esithile) | Ukuqoqa wonke umchamo odlule esikhathini esithile, njengamahora angu-2, 4, noma angu-12, bese uwuthumela ukuze uhlolwe. |
| Ukuhlolwa Kwamahora Angama-24 | Udokotela uzokunika ibhodlela elikhethekile. Udinga ukuqoqa wonke amaconsi omchamo owadlula esikhathini samahora angama-24. Uma uqala, bhala isikhathi, bese uqoqa umchamo kuze kube yileso sikhathi ngosuku olulandelayo. Ekugcineni, qoqa umchamo, bese uyisa ibhodlela elabhorethri. Kubalulekile ukugcina ibhodlela esiqandisini ngesikhathi sokuqoqa. Lokhu kuzokunikeza ukufundwa okunembile kakhulu. |
Ungayiqonda kanjani imiphumela?
Amanani angahluka kancane kusuka elabhorethri kuya kwelebhu, ngakho-ke lezi yiziqondiso ezijwayelekile kuphela. Udokotela wakho kuphela ongakunikeza incazelo enembile kakhulu yemiphumela yakho.
- Okuvamile: Kukhona i-albumin encane noma ayikho nhlobo emchameni (isb., ngaphansi kuka-30 mg esivivinyweni samahora angama-24).
- I-Microalbuminuria: Izinga le-albumin elingaphezu kwejwayelekile emchameni, kodwa kuseyinani elincane (isb., phakathi kuka-30mg no-300mg esivivinyweni samahora angu-24). Lesi yisibonakaliso sokuqala esiyisixwayiso sokuthi umonakalo wezinso uyaqala.
- I-Albuminuria Yomtholampilo / I-Macroalbuminuria: Inani eliphezulu kakhulu le-albumin emchameni (isb., ngaphezu kwama-300mg esivivinyweni samahora angama-24). Lokhu kubonisa ukuthi umonakalo wezinso mkhulu kakhulu.
Uma umphumela uphezulu, kuzokwenzekani ngokulandelayo?
Ungesabi uma imiphumela yakho yokuhlolwa ikhombisa inani eliphezulu. Akubonisi ngokushesha ukuthi unesifo sezinso. Ngoba ezinye izizathu zingabangela ukwanda kwesikhashana kwamazinga e-albumin emchameni.
Ngokwesibonelo:
- Igazi emchameni
- Imfiva
- Ukuzivocavoca ngokweqile ngaphambi kokuhlolwa
- Ukutheleleka komgudu womchamo
- Ezinye izifo zezinso
- Eminye imithi
Ngakho-ke, udokotela uzovame ukuphinda lokhu kuhlolwa kanye noma kabili esikhathini esiyizinyanga ezintathu kuya kweziyisithupha. Uma imiphumela yezivivinyo ezimbili kulezo ezintathu iphezulu, kusho ukuthi ungase ube nesifo sezinso esiteji sokuqala.
Akuzona izindaba ezimbi lezo, empeleni kuyizindaba ezinhle! Ngoba manje usuyazi ukuthi inkinga isiqalile. Ngakho-ke, ngokulandela iseluleko sikadokotela wakho nokulawula isifo sakho sikashukela, umfutho wegazi, ukudla okudlayo, nokuthola ukwelashwa okudingekayo, ungavimbela noma ulawule ukulimala kwezinso.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-microalbumin kuyindlela ebaluleke kakhulu kubantu abanesifo sikashukela kanye nomfutho wegazi ophakeme, njengoba kungabona izimpawu zokuqala zokulimala kwezinso.
- Lokhu kuthola inani elincane le-albumin elingenakutholakala ekuhlolweni komchamo okuvamile.
- Ungakhathazeki uma umphumela owodwa wokuhlolwa uphezulu. Udokotela uzo-oda ezinye izivivinyo ukuze aqinisekise lokho.
- Ukutholwa kusenesikhathi komonakalo wezinso, ukwelashwa okufanele, kanye nokushintsha indlela yokuphila kungavimbela lesi sifo ukuba singabi sibi kakhulu.
- Xoxa njalo ngemiphumela yokuhlolwa kwakho kanye nokwelashwa nodokotela wakho kuphela.
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