Chronic kidney disease Diagnosis နာတာရှည်ကျောက်ကပ်ရောဂါအား စစ်ဆေးခြင်း

ကျေးဇူးပါ ဆရာ အရမ်းကိုကျေးဇူးတင်ပါတယ် ကျောက်ကပ် ကောင်း မကောင်း ကိုကျတော့ ဆီးစစ်ရင်သိနိုင်တာလားဆရာ

၁။ Blood test သွေးစစ်ခြင်း

A blood test measures the levels of waste products in your blood, such as creatinine and urea. This test helps the doctor calculate how well your kidneys are filtering blood, which is called the glomerular filtration rate (GFR). The doctor will also consider your age, size, and gender when calculating the GFR.

The test measures the levels of a waste product called creatinine in your blood.

A doctor uses your blood test results, plus your age, size, and gender to calculate how many millilitres of waste your kidneys should be able to filter in a minute.

This calculation is known as your estimated glomerular filtration rate (eGFR).

Healthy kidneys should be able to filter more than 90ml/min. You may have CKD if your rate is lower than this.

၂။ Urine test ဆီးစစ်ခြင်း

A urine test checks for albumin, a protein that can pass into the urine when the kidneys are damaged. This test is called the urine albumin-creatinine ratio (uACR). 

check the levels of substances called albumin and creatinine in your urine – known as the albumin:creatinine ratio, or ACR

check for blood or protein in your urine

Alongside your eGFR, urine tests can help give a more accurate picture of how well your kidneys are working.

၃။ Other tests အခြားစစ်ဆေးနည်းများ

Ultrasound scan, MRI scan or CT scan – to see what the kidneys look like and check whether there are any blockages

a kidney biopsy – a small sample of kidney tissue is removed and the cells are examined under a microscope for signs of damage

၄။ Test results and stages of CKD ရောဂါအဆင့်များ

Your eGFR results is given as a stage from 1 of 5:

stage 1 (G1) – a normal eGFR above 90ml/min, but other tests have detected signs of kidney damage

stage 2 (G2) – a slightly reduced eGFR of 60 to 89ml/min, with other signs of kidney damage

stage 3a (G3a) – an eGFR of 45 to 59ml/min

stage 3b (G3b) – an eGFR of 30 to 44ml/min

stage 4 (G4) – an eGFR of 15 to 29ml/min

stage 5 (G5) – an eGFR below 15ml/min, meaning the kidneys have lost almost all of their function

Your ACR result is given as a stage from 1 to 3:

A1 – an ACR of less than 3mg/mmol

A2 – an ACR of 3 to 30mg/mmol

A3 – an ACR of more than 30mg/mmol

For both eGFR and ACR, a higher stage indicates more severe kidney disease.

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