Mayeso a Microalbuminuria

Kuyesaku kumayang'ana puloteni yotchedwa albin mumkodzo.

Albumin itha kuwerengedwanso pogwiritsa ntchito kuyezetsa magazi kapena kuyesa mkodzo wina, wotchedwa kuyesa kwa mkodzo wa protein.

Nthawi zambiri mudzafunsidwa kuti mupereke nyemba zazing'ono mukakhala ku ofesi yazaumoyo wanu.

Nthawi zambiri, mumayenera kusonkhanitsa mkodzo wanu kunyumba kwa maola 24. Kuti muchite izi, mupeza chidebe chapadera kuchokera kwa omwe amakupatsani ndi malangizo omwe mungatsatire.

Kuti mayesowo akhale olondola kwambiri, mulinine wa creatinine amathanso kuyezedwa. Creatinine ndi mankhwala osokoneza bongo a creatine. Creatine ndi mankhwala opangidwa ndi thupi omwe amagwiritsidwa ntchito kupatsa mphamvu minofu.

Palibe kukonzekera kwapadera komwe kuyenera kuyesedwa.

Anthu omwe ali ndi matenda ashuga ali pachiwopsezo chowonjezeka cha kuwonongeka kwa impso. "Zosefera" mu impso, zotchedwa nephrons, pang'onopang'ono zimakungunuka ndikumabala pakapita nthawi. Ma nephroni amayamba kutulutsa mapuloteni ena mumkodzo. Kuwonongeka kwa impso kumeneku kumatha kuyamba kuchitika matenda ashuga asanayambe. Kumayambiriro kwa mavuto a impso, kuyezetsa magazi komwe kumayeza impso nthawi zambiri kumakhala kwachilendo.

Ngati muli ndi matenda ashuga, muyenera kuyesedwa chaka chilichonse. Kuyesaku kumayang'ana ngati ali ndi vuto la impso zoyambirira.

Nthawi zambiri, albin amakhala mthupi. Mulibe pang'ono kapena mulibe albin muzitsanzo za mkodzo. Mulingo wama albinini mumkodzo ndi ochepera 30 mg / 24 maola.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyana kapena amatha kuyesa mitundu yosiyanasiyana. Lankhulani ndi dokotala wanu tanthauzo la zotsatira zanu.

Ngati mayeso apeza mulingo wokwanira wa albin mumkodzo wanu, omwe akukuthandizani atha kuyesanso kuyesa.

Zotsatira zosazolowereka zitha kutanthauza kuti impso zanu zikuyamba kuwonongeka. Koma kuwonongeka sikungakhale koipa.

Zotsatira zosazolowereka zitha kunenedwa kuti:

• Mtundu wa 20 mpaka 200 mcg / min
• Osiyanasiyana 30 mpaka 300 mg / 24 hours

Mudzafunika mayeso ena kuti mutsimikizire vuto ndikuwonetsa momwe kuwonongeka kwa impso kungawonongere.

Ngati kuyezetsa uku kukuwonetsa kuti mukuyamba kukhala ndi vuto la impso, mutha kulandira chithandizo vuto lisanakule. Pali mankhwala angapo ashuga omwe awonetsedwa kuti achepetsa kukula kwa kuwonongeka kwa impso. Lankhulani ndi omwe amakupatsani mankhwala enaake. Anthu omwe ali ndi vuto lalikulu la impso angafunike dialysis. Pambuyo pake angafunikire impso yatsopano (kumuika impso).

Chifukwa chodziwika kwambiri cha albin mu mkodzo ndi matenda ashuga. Kulamulira shuga wanu wamagazi kumatha kutsitsa mulingo wa albin mumkodzo wanu.

Mulingo wapamwamba wa albumin amathanso kuchitika ndi:

• Matenda ena amthupi ndi yotupa amakhudza impso
• Matenda ena amtundu
• Khansa zambiri
• Kuthamanga kwa magazi
• Kutupa mthupi lonse (systemic)
• Mitsempha yochepetsedwa ya impso
• Kutentha thupi kapena kuchita masewera olimbitsa thupi

Anthu athanzi atha kukhala ndi mapuloteni ambiri mumkodzo atatha kuchita masewera olimbitsa thupi. Anthu omwe ataya madzi m'thupi amathanso kukhala ndi mulingo wapamwamba.

Palibe zowopsa popereka mkodzo.

Matenda a shuga - microalbuminuria; Ashuga nephropathy - microalbuminuria; Matenda a impso - microalbuminuria; Mapuloteni - microalbuminuria

• Kuyesedwa kwa matenda ashuga ndikuwunika

Bungwe la American Diabetes Association. 11. Mavuto a Microvascular ndi chisamaliro cha phazi: miyezo ya chithandizo chamankhwala a shuga - 2020. Matenda a shuga. 2020; 43 (Suppl 1): S135-S151. PMID: 31862754 pubed.ncbi.nlm.nih.gov/31862754/.

A Brownlee M, Aiello LP, Sun JK, et al. Zovuta za matenda ashuga. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 37.

Krishnan A, Levin A. Laboratory kuwunika matenda a impso: glomerular kusefera, mlingo wa urinalysis, ndi proteinuria. Mu: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, olemba. Brenner ndi Rector a Impso. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 23.

(Adasankhidwa) Riley RS, McPheron RA. Kuwunika koyambirira kwa mkodzo. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. Philadelphia, PA: Elsevier; 2017: mutu 28.