The significance of the Microalbuminuria test to check the status of kidney damage

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor I Nguyen Hong Phuc - Emergency Resuscitation Doctor, Emergency Resuscitation Department - Vinmec Phu Quoc International General Hospital. The doctor has nearly 20 years of experience in Emergency Resuscitation.

1. Evaluation of kidney damage

According to statistics, chronic kidney disease is an important problem today with more than 1.5 million patients with chronic kidney disease requiring dialysis to maintain life. Chronic kidney disease is often associated with several risk factors such as diabetes mellitus, hypertension, or other endocrine disorders.
Kidney disease causes dangerous complications for the body, which can affect some other organs such as eyes, heart, brain... so the risk of death is very likely. To prevent these dangerous complications as well as reduce the risk of death, patients need to have regular health check-ups to assess kidney damage to detect kidney disease at the earliest.
Especially for patients with pre-existing risk factors such as high blood pressure, diabetes, obesity or smoking patients. When assessing kidney damage, the patient will undergo a full body examination, take the history, perform a physical examination, and perform the necessary laboratory tests for the diagnosis of this pathology. Some of the paraclinical tests that can be done are: blood test, blood biochemical test, urine test...
Most importantly, it is the microalbuminuria index, also known as Microalbuminuria. because this index helps to assess kidney damage earlier than the gross proteinuria as before. Thanks to that, the treatment of kidney disease will also be more effective, and especially has the ability to investigate related diseases such as cardiovascular disease, diabetes, systemic diseases...

2. Microalbuminuria test

As mentioned above, microalbuminuria test is considered as one of the important paraclinical tests in the diagnosis and prognosis of some important medical diseases and seriously affects the patient's health.
Microalbuminuria, also known as microalbuminuria, is present in the body when the kidneys encounter a condition that leaks Albumin into the urine even a small amount, ie when the albumin permeability in the glomeruli becomes high. More unusually, microalbuminuria will appear. Microalbuminuria is performed by immunoassay, or turbidity with an Olympus biochemistry analyzer. Microalbuminuria test is indicated in some cases as follows:
Microalbuminuria test randomly, or can be test to know the ratio Microalbumin / Creatininuria for the purpose of screening patients with acquired endocrine diseases such as diabetes or high blood pressure, and based on those results to assess kidney damage, whether the patient has advanced kidney disease or not. Patients with signs of suspected kidney disease may be prescribed a microalbuminuria test to detect kidney disease early. For patients with kidney disease due to diabetes complications, microalbuminuria test is performed together with some other laboratory tests such as blood glucose test, blood HbA1c test, plasma creatinine and index monitoring. patient's blood pressure to slow the progression of this disease. In the case of patients undergoing microalbuminuria test with high value in diagnosis and prognosis, the doctor should order additional 24-hour microalbuminuria test to confirm the diagnosis.

Microalbuminuria test is clinically meaningful in many cases, namely:
In patients with diabetes and dependent on insulin injections, the long-term appearance of microalbuminuria will be a sign of disease. Progressive renal disease, as well as cardiovascular disease, retinopathy, hypertension, and peripheral nerve damage, should be carefully monitored in these cases. For patients with non-insulin-dependent diabetes, microalbuminuria will signal the state of diabetic kidney disease and predict the patient's risk of death from cardiovascular disease. In patients with kidney damage at an early stage, microalbuminuria will help detect and treat it as soon as possible. For patients with unexplained hypertension or patients with genetic predisposition to hypertension, or cardiovascular complications, microalbuminuria testing will assist in the treatment and control of these conditions. this disease. Microalbuminuria is considered an important indicator of myocardial ischemia or endothelial dysfunction or venous obstruction.

3. Conclusion

Microalbuminuria is not only an important subclinical indicator in the early detection of chronic kidney disease, but also an essential subclinical indicator in a number of other dangerous medical diseases such as cardiovascular disease, Diabetes, hypertension... Therefore, in addition to assessing kidney damage, microalbuminuria test should also be performed when the patient has risk factors for the medical diseases mentioned above.
To detect kidney problems early, you should have regular checkups. Currently, Vinmec International General Hospital has general health checkup packages suitable for each age, gender and individual needs of customers with a reasonable price policy, including:
General health checkup package diamond general health checkup package Vip special health checkup package Comprehensive general health checkup package Standard general health checkup package Patient's examination results will be returned to your home. After receiving the results of the general health examination, if you detect diseases that require intensive examination and treatment, you can use services from other specialties at the Hospital with quality treatment and services. outstanding customer service.

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