Kupu Whakataki: Te Hiranga Hauora o te Aroturukitanga o te Mahi Tākihi Moata

Kua noho te mate tākihi mau tonu (CKD) hei wero hauora tūmatanui o te ao. E ai ki ngā tatauranga a te World Health Organization, tata ki te 850 miriona tāngata puta noa i te ao e pāngia ana e ngā momo mate tākihi, ā, ko te horapa o te mate tākihi mau tonu o te ao he tata ki te 9.1%. Ko te mea kino ake ko te korenga o ngā tohu e kitea wawetia ana e te mate tākihi mau tonu, ā, ka ngaro i te tini o ngā tūroro te wā pai mō te wawaotanga. I runga i tēnei papamuri,microalbuminuria, hei tohu tairongo mō te kino wawe o te whatukuhu, kua piki haere te uara. Ko ngā tikanga whakamātautau mahi whatukuhu tuku iho pērā i te creatinine toto me te whakatau tata i te tere tātari glomerular (eGFR) ka whakaatu noa i ngā āhuatanga rerekē ina ngaro te mahi whatukuhu neke atu i te 50%, engari ka taea e te whakamātautau albumin mimi te whakarato i ngā tohu whakatūpato wawe ina ngaro te mahi whatukuhu mā te 10-15%.

Te uara haumanu me te tūnga o nāianei oALBwhakamātautau mimi

Pūmua (ALB) Ko te pūmua tino nui rawa atu i roto i te mimi o te hunga hauora, me te tere whakaputa noa iho i raro i te 30mg/24h. Ina kei roto i te awhe 30-300mg/24h te tere whakaputa albumin mimi, ka tautuhia ko te microalbuminuria, ā, ko tēnei wāhanga te wā matapihi koura mō te wawaotanga ki te whakakore i te kino o te whatukuhu. I tēnei wā, ko te mea e whakamahia whānuitia anaALBKo ngā tikanga kimi i roto i te mahi haumanu ko te radioimmunoassay, te enzyme-linked immunosorbent assay (ELISA), te immunoturbidimetry, me ētahi atu, engari he maha ngā raruraru o ēnei tikanga pēnei i te mahi uaua, te roa o te whakamahinga, te hiahia rānei ki ngā taputapu motuhake. Ina koa mō ngā whare hauora tuatahi me ngā āhuatanga aroturuki kāinga, he uaua ki te whakatutuki i ngā hiahia o te māmā, te tere, me te tika o ngā hangarau o nāianei, ā, ka hua ake he maha ngā tūroro kua pakaru wawe ō rātou whatukuhu kāore i kitea i te wā tika.

Ngā Huarahi Hou o te TikaWhakamātautau Mimi ALBKaiwhakaora

Hei whakautu i ngā herenga o te hangarau whakamātautau o nāianei, kua whakawhanakehia e tā mātou kamupene te Pūnaha Whakamātautau TikaWhakamātautau Mimi ALB He maha ngā whanaketanga hangarau hou kua whakatinanahia e te matū matū. Ka whakamahia e te matū matū matū matū matū matū matatau te hangarau immunochromatographic me te kaha teitei me te motuhaketanga teitei o te paturopi monoclonal albumin tangata hei whakarite i te tika me te pono o te whakamātautau. Ko te auahatanga hangarau e whakaatahia ana i roto i ngā āhuatanga e toru:

• Kua tino pai ake te aro: ka eke te rohe iti o te kitenga ki te 2mg/L, ā, ka taea te kite tika i te paepae mimi o te microalbumin o te 30mg/24h, he pai ake tēnei i te aro o ngā rīpene whakamātautau tuku iho.
• Te kaha ātete-whakararuraru kua whakarei ake: Mā te hoahoa pūnaha ārai ahurei, ka taea e ia te wikitoria i te whakararuraru o ngā piki me ngā heke o te pH mimi, ngā huringa kaha katote me ētahi atu āhuatanga e pā ana ki ngā hua whakamātautau, kia mau ai te pumau o te whakamātautau i raro i ngā āhuatanga rerekē o te tinana.
• Te kimi ine auaha: ka taea e te kaipānui motuhake tautoko te whakatutuki i te kimi ine-haurua ki te ine, ko te awhe kimi e hipoki ana i te 0-200mg/L, hei whakatutuki i ngā hiahia haumanu rerekē mai i te tirotiro ki te aroturuki.

Te Mahi me ngā Painga o te Hua

Kua whakamanahia haumanutia tēnei matū i roto i ētahi hōhipera tuatoru, ā, he tino pai ngā tohu mahi a tēnei matū. Ki te whakatauritea ki te ine i te albumin mimi 24-hāora paerewa koura, neke atu i te 0.98 te tauwehenga hononga; he iti iho i te 5% ngā tauwehenga rerekētanga i roto i te puranga me te puranga, he iti iho i te paerewa ahumahi; 15 meneti noa iho te wā kitea, e tino whakapai ake ana i te whai huatanga o te mahi haumanu. Kei raro nei ngā painga o te hua:

• Te māmā o te mahi: kāore he take mō te maimoatanga matatini i mua, ka taea te tuku tika i ngā tauira mimi ki te tauira, e toru ngā taahiraa o te mahi hei whakaoti i te whakamātautau, ka taea e te hunga kore-toi te whakahaere i muri i te whakangungu poto.
• Ngā hua māmā: mā te whakamahi i te pūnaha whanaketanga tae mārama, ka taea te pānui i te kanohi tahanga i te tīmatanga, ka taea te tātari haurua-taurite i ngā kāri tae ōrite, hei whakatutuki i ngā hiahia o ngā horopaki tono rerekē.
• He ōhanga, he whai hua hoki: he iti ake te utu o te whakamātautau kotahi i ērā o ngā whakamātautau taiwhanga, he mea e tika ana mō te tirotiro nui me te aroturukitanga mō te wā roa, ā, he tino uara ōhanga hauora.

• Uara whakatūpato wawe: ka taea te kite i te kino o te whatukuhu 3-5 tau i mua atu i ngā tohu mahi whatukuhu tuku iho, ka whiwhi i te wā nui mō te wawaotanga haumanu.

Ngā horopaki tono haumanu me ngā taunakitanga aratohu

Te tikaNgā Whakamātautau Mimi ALBtHe whānuitia ngā āhuatanga tono. I roto i te mara o te mate huka, e taunaki ana ngā aratohu a te American Diabetes Association (ADA) kia whakamātauria te albumin mimi i ia tau ki ngā tūroro katoa he mate huka momo 1 ≥ 5 tau te pakeke me ngā tūroro katoa he mate huka momo 2. I roto i te whakahaere toto toto tiketike, e whakarārangihia ana e ngā aratohu toto toto tiketike ESC/ESH te microalbuminuria hei tohu nui mō te kino o ngā okana ūnga. Hei tāpiri, he pai te matū mō ngā āhuatanga maha pēnei i te aromatawai mōrearea o te mate cardiovascular, te tirotiro mahi whatukuhu i roto i ngā kaumātua, me te aroturuki whatukuhu i te wā e hapu ana.

Ko te mea tino whakamīharo ko te tino pai o tēnei hua ki ngā hiahia o te tātaritanga me te maimoatanga ā-rōpū. Ka taea te whakamahi hei taputapu tirotiro whai hua mō te mate tākihi i roto i ngā whare hauora tuatahi pēnei i ngā hōhipera hapori me ngā pokapū hauora o te tāone; i roto i ngā tari nephrology me te endocrinology o ngā hōhipera whānui, ka taea te whakamahi hei taputapu nui mō te whakahaere mate me te aroturuki i te whai huatanga; i roto i ngā pokapū tirotiro hauora, ka taea te whakauru ki roto i ngā kete tirotiro hauora hei whakawhānui ake i te tere kitenga o te whara tākihi wawe; ā, e tūmanakohia ana ka uru atu ki te mākete aroturuki hauora whānau i muri i te whakamanatanga anō a muri ake nei.

Whakamutunga

Ko mātou o Baysen Medical e arotahi tonu ana ki ngā tikanga tātaritanga hei whakapai ake i te kounga o te oranga. E rima ngā tūāpapa hangarau kua whakawhanakehia e mātou - Latex, colloidal gold, Fluorescence Immunochromatographic Assay, Molecular, Chemiluminescence Immunoassay.Whakamātautau ALB FIA mō te aroturuki i te whara o te whatukuhu i te wā tōmua