LONDON | GENEVA – Sezvo huwandu hwevanhu vane chirwere cheshuga neBP pasi rose huri kuramba huchikwira, vanachiremba vezvirwere zvetsinga vari kuramba vachitsvaga mushonga unozivikanwa seUrinary Albumin (ALB) kuti vaone kukuvara kweitsvo makore akawanda vasati vaedza. Nyanzvi dzezvekurapa dziri kukumbira kuti bvunzo yeALB ishandiswe zvakanyanya munzvimbo dzekurapa varwere vekutanga kuti vadzivise denda risingazivikanwe reChronic Kidney Disease (CKD).

Albumin yemuweti inoreva kuvapo kweprotein yealbumin muweti. Muitsvo ine hutano, glomeruli inoshanda sesefa yakanakisa, ichichengetedza mapuroteni akakosha senge albumin muropa. Zvisinei, kana chidziviriro ichi chekusefa chikakuvadzwa—kazhinji nekuda kweBP yakakwira kana glucose yakakwira muropa—albumin inodonhera muweti. Kunyangwe huwandu hudiki hunoratidza danho rekutanga rechirwere cheitsvo, rinozivikanwa se microalbuminuria.

"Kuongororwa kweropa kwechinyakare kwe creatinine kunokwira chete kana 50% yekushanda kweitsvo yarasikirwa," anotsanangura kudaro Dr. Helen Marquez, nyanzvi yeitsvo paEuropean Kidney Health Institute. "Kuongororwa kweALB, zvakasiyana, kunoshanda sealamu yeutsi. Kunoona kubuda kwemvura kudiki diki kana kukuvara kwacho kuchiri kugadziriswa. Kune varwere vane chirwere cheshuga cheRudzi rwechipiri kana BP, iyi mukana unoponesa hupenyu."

Bvunzo yeALB inowanzoitwa seweti albumin-to-creatinine ratio (UACR) pane weti imwe chete isingawanzoonekwi, zvichiita kuti isapinde mumuviri uye isadhure zvakanyanya. Kusiyana nekuunganidzwa kweweti kwemaawa makumi maviri nemana, UACR inogadzirisa huwandu hweweti, ichipa mhinduro dzakarurama ipapo ipapo. Mitemo yekiriniki iripo inokurudzira kuti vanhu vese vane chirwere cheshuga kana BP yakakwira vaongororwe UACR kanenge gore rega rega.

Ongororo huru dzechangobva kuitwa dzakaratidzawo kuti Urinary Albumin haisi chiratidzo chechirwere cheitsvo chete asi chiratidzo chakasimba chenjodzi yemwoyo. Kuwanda kwacho kwakabatana zvakanyanya nezvirwere zvemwoyo, sitiroko, uye kutadza kushanda kwemoyo, kunyangwe kune vanhu vasina chirwere cheshuga. Kukosha uku kwakapa vanachipangamazano vemwoyo kuti vatore bvunzo yeALB sechikamu chekuongororwa kwemwoyo nguva dzose.

Kunyangwe zvichiratidza kukosha kwayo, huwandu hwekuongorora huchiri hwakaderera zvinotyisa. Ongororo yepasi rose yakaburitswa mwedzi wapera mu *The Lancet Nephrology* yakawana kuti vashoma pane 30% yevarwere vari panjodzi vanoongororwa albuminuria gore rega rega. Zvipingamupinyi zvinosanganisira kusaziva pakati pevarapi vezvirwere uye chokwadi chekuti CKD yekutanga haikonzeri zviratidzo.

“Hatigoni kuvimba nekuti murwere anonzwa sei,” anodaro Dr. Marquez. “Kana kuzvimba kana kuneta kwatanga, kukuvara kweitsvo hakugone kugadziriswa. Tinofanira kuita kuti kuongororwa kweALB kuve kwakajairika sekunge kuongorora BP.”

Masisitimu ehutano muUK neGermany ari kuedza kuzivisa varwere nezvekushandisa magwaro ehutano emagetsi kuti vayeuchidze vanachiremba kuti vaodha bvunzo dzeUACR dzevarwere vanokodzera. Panguva iyi, michina mitsva yekurapa inokwanisa kupa mhinduro dzeALB mumaminitsi mashoma iri kuiswa mumakiriniki emunharaunda.

Kune mamiriyoni evanhu vanorarama nechirwere cheitsvo chisingaperi, kuongororwa kweweti kuri nyore kwealbumin kunopa tariro yakanakisisa yekuchengetedza mashandiro emuviri uye kudzivirira dialysis. Sezvo zvirongwa zvehutano hweveruzhinji zvichiwedzera, shoko rakajeka: tarisa weti, chengetedza itsvo.

Isu vanachiremba veBaysen tinogona kupaKiti yekuyedza yeALB nekukurumidzakuti muwane rukudzo rwekutanga. Tinokugamuchirai kuti mutibate kuti muwane rumwe ruzivo.