Uyazazi yini inani le-uACR yakho ekuhlolweni komchamo wakho? (Isilinganiso se-Urine Albumin-Creatinine) – Lokhu kubalulekile empilweni yezinso!

Wake wahlolwa umchamo? Mhlawumbe udokotela ukucele ukuthi wenze ukuhlolwa okubizwa ngokuthi `(Urine Albumin-Creatinine Ratio)` noma `(uACR)`, futhi ungase uzibuze ukuthi kuyini lokho. Ungakhathazeki, lokhu ukuhlolwa okulula kakhulu, kodwa kukutshela ulwazi oluningi olubalulekile mayelana nempilo yezinso zakho. Ake sixoxe ngakho ngokuningiliziwe, kalula.

Kungani lokhu kuhlolwa kwe-`(uACR)` kubaluleke kangaka?

Kalula nje, lokhu kuhlolwa kulinganisa inani le-albumin kanye ne-creatinine emchameni wakho. La mazinga anganika udokotela wakho umbono omuhle wokuthi izinso zakho zisebenza kahle kangakanani.

Iyini le-albumin?

Cabanga nje, i-albumin iyiprotheni enkulu egazini lakho. Yenziwa yisibindi sethu. Umsebenzi wayo oyinhloko ukuvimba uketshezi ukuthi lungaphumi emithanjeni yegazi. Iphinde isize ekuthwaleni izinto ezifana namavithamini, ama-enzyme, nama-hormone emzimbeni wonke. Kufana nomuntu ophethe iphasela.

Ngakho-ke iyini i-creatinine?

I-Creatinine iwumkhiqizo ongcolile owakheka uma usebenzisa into ebizwa ngokuthi i-creatine . I-Creatine isetshenziselwa ukunika imisipha yakho amandla futhi iyisize ifinyele. Ngakho-ke, uma usebenzisa amandla emisipha, i-creatine iyaphuka bese kwakheka i-creatinine bese iqoqana egazini lakho.

Bheka manje, uma izinso zakho ziphilile, zenza lezi zinto:

• I-Albumin igcinwa egazini, ayivunyelwe ukukhishwa emchameni.
• I-Creatinine ihlungwa egazini bese ikhishwa emzimbeni uma uchama.

Kodwa-ke, uma izinso zakho zonakele, inani elincane le-albumin (elibizwa nangokuthi i-microalbumin) lingaqongelela emchameni wakho (isimo esibizwa ngokuthi i-proteinuria) . I-Creatinine nayo ingahlala emzimbeni wakho. Yilokhu ukuhlolwa kwe-uACR okubhekayo.

Lolu vivinyo lwe-`(uACR)` lwenziwa nini?

Udokotela uvame uku-oda lokhu kuhlolwa uma unesifo sikashukela noma isifo sezinso esingamahlalakhona (CKD) ukuhlola isimo sezinso zakho. Ngaphezu kwalokho, lokhu kuhlolwa kungenziwa nasezimweni ezilandelayo:

• Uma une-high blood pressure (umfutho wegazi ophakeme)
• Uma unesifo senhliziyo
• Uma unesifo esifana ne-cirrhosis yesibindi

Ngezinye izikhathi, udokotela angase akuncome lokhu kuhlolwa uma i-body mass index yakho (BMI) ingaphezu kuka-30 (okusho ukuthi ukhuluphele ngokweqile), uma ubhema, noma uma ungaphezu kweminyaka engu-50 ubudala. Konke lokhu kungathinta izinso zakho.

Kwenziwa kanjani lokhu kuhlolwa kwe-`(uACR)`?

Kunezindlela eziningana zokwenza lokhu kuhlolwa kwe-`(uACR)`:

• Isampula yomchamo ethi "Spot": Lesi yisampula yomchamo eyenzeka kanye kuphela. Unikeza lesi sampula ehhovisi likadokotela wakho noma elabhorethri. Silinganisa kahle ukuthi ingakanani i-albumin ne-creatinine emchameni wakho.
• Isampula yomchamo wasekuseni/ngesikhathi: Lesi isampula osiqoqa ekhaya. Uqoqa umchamo wakho esitsheni esikhethekile (`indebe yesampula`) ngokushesha nje lapho uvuka ekuseni, noma ngemva kokuthi ungakachami okungenani amahora amane.
• Ukuqoqwa komchamo amahora angama-24: Udokotela wakho uzokunika ibhodlela elikhulu. Kuzodingeka uchamele kulelo bhodlela njalo uma uchama amahora angama-24. Kuzodingeka ugcine ibhodlela esiqandisini uma ungachami. Le ndlela iyona enembile kakhulu yokuhlolwa kwe-"uACR". Kodwa-ke, odokotela bavame ukwenza lokhu kuphela uma imiphumela evela kwezinye izindlela (isampula yebala noma yasekuseni) ingajwayelekile.

Cabanga ngakho, lokhu kufana nokubuka ukuthi izinso zakho zisebenza kanjani usuku lonke.

Yini okufanele uyenze ngaphambi kokuhlolwa?

Udokotela wakho uzokunikeza imiyalelo eqondile yokuthi ungalungiselela kanjani lolu vivinyo, kodwa ngokuvamile, nazi ezinye izinto okufanele uzikhumbule:

• Phuza amanzi anele: Udinga umchamo owanele ukuze unikeze isampula.
• Gwema ukuvivinya umzimba okunzima amahora angama-24 ngaphambi kokuhlolwa: Ukuvivinya umzimba ngamandla kungandisa okwesikhashana inani le-albumin emchameni wakho.
• Gwema ukudla inyama emahoreni angama-24 ngaphambi kokuhlolwa: Ukudla inyama kungathinta okwesikhashana amazinga akho e-creatinine.

Futhi, ungakhohlwa ukutshela udokotela wakho uma unezinye zalezi zimo:

• Uma usesikhathini , noma uma uphuma igazi ngenxa yama-hemorrhoids .
• Uma unesifo somgudu womchamo (UTI) , umkhuhlane, isifo sezinsini (i-periodontitis), noma i-hepatitis ebangelwa yigciwane .

Ngoba uma kukhona igazi noma amagciwane esampula yomchamo wakho, imiphumela yokuhlolwa ingase ithinteke.

Kwenzekani ngesikhathi sokuhlolwa?

Nakuba kungase kube nokwehluka okuncane kuye ngemiyalelo enikezwe udokotela wakho noma ilebhu, isampula yomchamo yalolu hlolo lwe-"uACR" ivame ukuqoqwa kusetshenziswa indlela ethi "clean catch" . Lokhu kunganciphisa amathuba okungena kwamagciwane kusampula. Udokotela uzokunikeza ibhodlela lokuqoqa umchamo kanye "nezindwangu zokuhlanza ezihlanzekile".

Nansi indlela okuvame ukwenziwa ngayo:

1. Okokuqala, geza izandla zakho kahle ngensipho yokubulala amagciwane.

2. Bese, hlanza indawo yakho yesitho sangasese ngama-wipes anikeziwe.

3. Chamela endlini yangasese.

4. Manje yeka ukuchama isikhashana.

5. Ibhodlela lokuqoqwa komchamo lingelakho.Bamba i-urethra izikhathi eziningana.

6. Gcwalisa ibhodlela ngomchamo njengoba kuqondiswe udokotela (ngokuvamile cishe ingxenye yebhodlela).

7. Yeka ukuchama futhi bese ubeka ibhodlela eceleni.

8. Thulula umchamo osele endlini yangasese.

9. Vala isivalo sebhodlela lomchamo ngokuqinile bese usinika udokotela noma uchwepheshe webhubhu.

Akukho okufanele ukwesabe, lokhu kulula kakhulu.

Kwenzekani ngemva kokuhlolwa?

Ngemva kokunikeza isampula yomchamo, ithunyelwa elabhorethri ukuze ihlolwe.

Ingabe zikhona izingozi ngalolu vivinyo?

Lutho neze. Akukho bungozi ekuqoqweni kwesampula yomchamo. Indlela "yokubamba okuhlanzekile" nayo iyindlela engenabuhlungu futhi engangenisi ukutheleleka.

Injani imiphumela? Isitshelani?

Ukuhlolwa kwe-`(uACR)` kuqhathanisa inani le-albumin kanye ne-creatinine emchameni wakho. Lesi silinganiso sinikezwa ngama-milligram ngegremu (mg/g). Uma inani le-`(uACR)` liphansi, kungcono.

Liyini inani elijwayelekile le-`(uACR)`?

Inani elijwayelekile le-`(uACR)` lingaphansi kuka-30 mg/g . Lokhu kusho ukuthi unengozi encane kakhulu yokwehluleka kwezinso, ukuhlaselwa yinhliziyo, noma isifo sohlangothi. Udokotela angakucela ukuthi uphinde ukuhlolwa kwe-`(uACR)` ezinyangeni ezimbalwa ukuze aqinisekise imiphumela.

Uma inani lakho le-`(uACR)` liphakathi kuka-30 no-299 mg/g , usengozini enkulu yokwehluleka kwezinso, ukuhlaselwa yinhliziyo, noma isifo sohlangothi. Udokotela uzokucela ukuthi uphinde uhlole i-`(uACR)` yakho ezinyangeni ezimbalwa. Uma isesekulelo zinga, ungase ube nesifo sezinso.

Kusho ukuthini uma inani lami le-`(uACR)` liphezulu?

Uma inani lakho le-`(uACR)` liphakeme kancane kunokulindelekile, ungase ube nesifo sezinso esincane . Inani le-`(uACR)` eliphakeme kakhulu lisho ukuthi unesifo sezinso esimaphakathi noma esibi kakhulu .

Yiliphi izinga `(uACR)` elibonisa ukwehluleka kwezinso?

Uma inani lakho le-`(uACR)` lingu- 300 mg/g noma ngaphezulu , futhi kuqinisekiswa ukuthi liyafana lapho uphinda uhlolwa, ungase ube nesifo sezinso. Usengozini enkulu yokwehluleka kwezinso, ukuhlaselwa yinhliziyo, noma isifo sohlangothi.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa kwe-`(uACR)`?

Ezimweni eziningi, ungathola imiphumela yokuhlolwa kwe-`(uACR)` zingakapheli usuku olulodwa noma ezimbili.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Uma imiphumela yakho ingajwayelekile, udokotela wakho cishe uzoyala ukuhlolwa okwengeziwe, njengokuhlolwa kwe-uACR. Ezinye izivivinyo zingenziwa ukuze kutholakale ukuthi unesifo sezinso, njenge:

• Izinga Lokuhlunga Le-Glomerular Elilinganiselwe (eGFR): Lokhu kuyingxenye yokuhlolwa kwegazi okuvamile.
• Ukuhlolwa kwezithombe: Njengokuskena kwe-ultrasound.
• Ukuhlolwa kwezinso:Ukuthatha ingcezu encane yezicubu ezinso bese uyihlola.

Ungesabi ukubuza ngalezi zinto. Udokotela uzochaza konke kuwe.

Kufanele ngimshayele nini udokotela ?

Uma unemibuzo mayelana nemiphumela yokuhlolwa kwakho (uACR), khuluma nodokotela wakho. Uma kudingeka, hlela ukuhlolwa okwengeziwe.

Uma unesifo sezinso, noma uma imiphumela yakho ye-`(uACR)` ikhombisa ingozi yesifo sezinso, shayela udokotela uma uhlangabezana nanoma yiziphi zalezi zimpawu:

• Izinguquko emikhubeni yokuchama: ukuchama okuningi kunokujwayelekile, umchamo onegwebu, igazi emchameni (`(Hematuria)`).
• Isikhumba esomile noma esilumayo, isikhumba siba mnyama.
• Uma uzizwa ukhathele kakhulu (`Ukukhathala`).
• Isicanucanu nokuhlanza.
• Ukuvuvukala kwezandla, izinyawo, noma amaqakala (`(Edema)`).

Okubalulekile: Kuvamile ukuzizwa wesaba futhi ube nobunzima bokuqonda imiphumela yokuhlolwa kwakho (uACR) uma uthola ukuthi izinso zakho azisebenzi kahle. Unelungelo lokubuza imibuzo eminingi. Kungumqondo omuhle ukuhamba nelungu lomndeni noma umngane omethembayo, ubhale phansi lokho okushiwo udokotela wakho, bese ucela usizo lokuhumusha imiphumela ngendlela ongayiqonda.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Uma usheshe uzwe isifo sezinso, kuba lula ngodokotela ukulibazisa noma ngisho nokuvimbela ukwehluleka kwezinso ngokuphelele. Ngakho-ke, uma ucelwa ukuthi wenze lokhu kuhlolwa, ungakweqi. Khuluma nodokotela wakho ngendlela ongazivikela ngayo izinso zakho. Lokhu kuhlolwa kubaluleke kakhulu ekuphileni impilo enempilo. Nakekela impilo yakho, ngoba yinto eyigugu kakhulu onayo!

Ukuhlolwa komchamo , i-uACR, i-albumin, i-creatinine, isifo sezinso, isifo sikashukela, umfutho wegazi ophakeme