Hōʻike Microalbuminuria

Nānā kēia hōʻike no kahi protein i kapa ʻia ʻo albumin i kahi mimi.

Hiki ke ana ʻia i ka albumin me ka hoʻāʻo ʻana i ke koko a i ʻole kahi hōʻike mimi ʻē aʻe, i kapa ʻia ka hōʻike mimi protein.

E noi pinepine ʻia ʻoe e hāʻawi i kahi laʻana mimi liʻiliʻi ʻoiai ma ke keʻena o kāu lawelawe mālama ola.

I nā hihia maʻamau, pono ʻoe e hōʻiliʻili i kāu mimi āpau ma ka home no 24 mau hola. No ka hana ʻana i kēia, e loaʻa iā ʻoe kahi pahu kūikawā mai kāu mea hāʻawi a me nā ʻikepili kikoʻī e hāhai ai.

I mea e ʻoi ai ka hōʻoia, hiki ke ana ʻia ka pae mimi creatinine. ʻO Creatinine kahi huahana neoneo kemika o ka creatine. ʻO Creatine kahi kemika i hana ʻia e ke kino e hoʻohana i ka ikehu i nā mākala.

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike.

ʻO ka poʻe me ka maʻi diabetes e hoʻonui i ka makaʻu o ka hakuʻala. ʻO nā "kānana" i nā puʻupaʻa, i kapa ʻia he nephrons, mānoanoa a mānoanoa ma ka manawa. Hoʻomaka ka nephrons e kulu i kekahi mau protein i loko o ka mimi. Hiki ke hoʻomaka ke hana i kēia ʻino ma mua o ka ʻōpala ma mua o ka hoʻomaka ʻana o nā ʻōnaehana diabetes. I nā wā mua o nā pilikia kīnā, nā hoʻokolohua koko e ana i ka hana o ka puʻupaʻa maʻa mau.

Inā loaʻa ʻoe i ka maʻi diabetes, pono ʻoe i kēia hōʻike i kēlā me kēia makahiki. Nānā ka hōʻoia no nā hōʻailona o nā pilikia o ka hakuʻala mua.

ʻO ka maʻamau, noho ka albumin i loko o ke kino. ʻAʻohe a ʻaʻole albumin i loko o ka mimi. ʻO nā pae albumin maʻamau i ka mimi ma lalo o 30 mg / 24 mau hola.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio me kāu kauka e pili ana i ke ʻano o kāu mau hopena hōʻike.

Inā loaʻa i kahi hōʻike ka pae kiʻekiʻe o albumin i kāu mimi, hāʻawi paha kāu mea hāʻawi iā ʻoe e hana hou i ka hōʻike.

Hiki paha i nā hopena maʻamau ke hōʻino ʻia kou mau puʻupaʻa. Akā ʻaʻole paha maikaʻi ka ʻino.

E hōʻike ʻia paha nā hopena maʻamau e like me:

• Laulā o 20 a 200 mcg / min
• Laulā o 30 a 300 mg / 24 mau hola

Pono ʻoe i nā hoʻāʻo hou e hōʻoia i kahi pilikia a hōʻike i ke ʻano o ka ʻino o ka puʻupaʻa.

Inā hōʻike kēia hōʻike e hoʻomaka nei ʻoe i kahi pilikia o ka puʻupaʻa, hiki iā ʻoe ke mālama i ka lāʻau ma mua o ka piʻi ʻana o ka pilikia. Aia kekahi mau lāʻau lapaʻau diabetes i hōʻike ʻia e lohi i ka holomua o ka hōʻino ʻana o ka puʻupaʻa. E kamaʻilio i kāu mea hoʻolako e pili ana i nā lāʻau kikoʻī. Pono ka poʻe me ka ʻino nui o ka puʻuwai i ka dialysis. Pono paha lākou i kahi puʻupaʻa hou (transplant kidney).

ʻO ke kumu maʻamau o ke kiʻekiʻe o ka albumin i ka mimi ka maʻi diabetes. ʻO ke kaohi ʻana i kāu pae kō kō e hoʻoliʻiliʻi i ka pae albumin i kāu mimi.

Kū paha kahi pae albumin kiʻekiʻe me:

• ʻO kekahi mau maʻi pale ʻole a me nā hōʻeha e hoʻopili ana i ka hakuʻala
• Kekahi mau maʻi kūlohelohe
• Maʻi ʻaʻai liʻiliʻi
• Piʻi koko kiʻekiʻe
• Ka hoʻohauna i loko o ke kino holoʻokoʻa (ʻōnaehana)
• Pēpē ʻaʻa o ka puʻupaʻa
• Fiva a hoʻoikaika kino paha

Hiki i nā kānaka olakino ke kiʻekiʻe o ka protein i ka mimi ma hope o ka hoʻoikaika kino. ʻO ka poʻe i hoʻomake i ka wai e loaʻa paha i kahi pae kiʻekiʻe.

ʻAʻohe pilikia me ka hāʻawi ʻana i kahi mimi.

Diabetes - microalbuminuria; Nephropathy diabetic - microalbuminuria; ʻO ka maʻi kīnā - microalbuminuria; Proteinuria - microalbuminuria

• Nā hōʻoia diabetes a me nā hōʻoia

ʻAhahui Diabetes ʻAmelika. 11. Nā pilikia Microvascular a me ka mālama wāwae: nā kūlana o ka mālama olakino i ka maʻi kō - 2020. Mālama Diabetes. 2020; 43 (Hōʻawi 1): S135-S151. PMID: 31862754 pubmed.ncbi.nlm.nih.gov/31862754/.

Brownlee M, Aiello LP, Sun JK, et al. Nā pilikia o ka maʻi diabetes. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 37.

Krishnan A, Levin A. Nānā Laboratory o ka maʻi puʻupaʻa: glomerular filtration rate, urinalysis, a me proteinuria. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 23.

ʻO Riley RS, ʻo McPheron RA. Ninaninau maʻamau o ka mimi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. Piladelapia, PA: Elsevier; 2017: chap 28.