Microalbumin (MA, Urine Albumin, Albumin to Creatinine Ratio)
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- Опубліковано 2 чер 2021
- Microalbumin
تحليل ميكروالبيومين في البول.
فحص نسبة الكرياتينين الي الميكروالبومين.
اهم تحليل لمرضي السكر والضغط.
This test measures minute amounts of albumin in the urine and is an early indicator of kidney damage, detecting kidney damage up to 5 years earlier than routine urine protein tests. It is used to identify diabetics at risk for nephropathy.
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/ @clinicalpathology-dr.... - Наука та технологія
Excellent doctor
Great explanations!
شكرا جزيلا شرح واضح
اللهم إنك عفو كريم تحب العفو فاعف عنا
Nice video
عاشت ايدك
Perfect 👍👍👍
بولة فيها دم عند الجفاف والحرارة فقط و التحاليل تكون جيدة ماهي المشكلة دكتور على حسب رأيك
ماهو الفرق بين تحليل الألبومين وتحليل المايكروا ألبومين؟
تحليل الالبومين يقيس مستوي الالبيومين في الدم . بينما تحليل المايكروالبومين يقيس الكميات الصغيرة جدا من الالبومين الموجودة في البول بطريقة خاصة لمعرفة كفاءة الكلية
علما ان عينه البول ليست عشواييه بل ان بعد احثتفاظ البول حوالي اربع ساعات صباحا
هل نجمع العينه عشوائيه او نحتفظ بها لمده 24ساعه
يمكن القياس في العينة العشوائية مباشرة. او تجميع عينة علي مدار 24 ساعة ثم القياس فيها
Great explanation, How many reading is needed to confirm the diagnosis of microalbuminuria and if needed for more than once to confirm it, what are the time intervals to test it
single increase in microalbuminuria is concerning, you don't need to remeasure it again to confirm, you must find the cause of the microalbuminuria and start treatment, after treatment, microalbumin is measured to monitor successful treatment if microalbumin decreased to normal value
@@clinicalpathology-dr.khali5827 if the patient is diabetic and hypertensive and show microalbuminuria of 120, does that require treatment right away and if yes when should I measure it again to evaluate the effectiveness of my treatment
@@arsenaldream2156 he needs to adjust blood sugar and blood pressure because these are the cause of microalbuminuria . high blood glucose and blood pressure leads to changes in the kidneys which cause leakage of albumin. and if this continue for long period it will be harmful for the kidneys. and we use microalbumin test as early indicator in diabetics to prevent diabetic nephropathy (kidney damage due to diabetes). so that he must review with his doctor the dose of treatment for control of blood sugar
@@clinicalpathology-dr.khali5827 so when should it be retested again I already start patient on ARBs and diabetic medications
@@arsenaldream2156 one month, and try to measure fructosamine also to insure steady decreased blood glucose
what is the importance of albumin creatinine ratio in micro albumin urea and why it's better than estimation of micro albumin uria
This ratio confirms that kidney function is disturbed. Because microalbumin alone is affected by dilution of urine so it's result can be misleading .so that we compare it to something constant such as creatinine because body secret constant amount of creatinine every day in urine. So that if the ratio increases this indicates true increase in microalbumin value. Which indicates early kidney damage
Thank you
@@clinicalpathology-dr.khali5827 is this still reversible? like my microalbumine to creatinine ratio is 32.39 mg/g but the normal laboratory range is < 22.12 mg/g.
Im prediabetic and was diagnosed with hypertension been 2 weeks now my BP had normalize to 110/80. nut Im still getting foamy urine.
اذا كان proteinurie 10mg/l
Ceratinurie 2.70 mmol/l
Repport PT /cerat 3.70 mg/mmol/l
لمريضة سكر هل هذا طيبعي ولا في مشكله في كلى
طبيعي. لا مشكلة
@@clinicalpathology-dr.khali5827 جزاك الله خيرا
albumin /creatinine ratio
Comments :
Result
21
Unit
mg/g
Ref. Range
0 - 30 Normal
30 - 300 Microalbuminuria Over 300Gross albuminuria
Because of variability in urinary albumin excretion, two of three specimens collected within a 3 to 6 month period should be abnormal before considering a patient to have albuminuria.
Urine Creatinine
Albumin in urine
38.95
8.08
Previous Visit Results
mg/dL
Test Result Visit Date
albumin /creatinine ratio 35 03/07/2019 12:09:32 PM
من فضلك ممكن اعرف نسبة التحليل ده عالى ولا طبيعى ؟
برجاء افادتى للضرورة
طبيعي
من فضلك لدي نسبة السكر HbA1c : 6٫4
ونسبة الالبومين: 38٫23 مغ/غ
ونسبة الكرياتنين : 10٫72 مغ/ل
ونسبة اليوري : 0٫23 غ/ل
هل هذه النسب تدعو للقلق؟؟..وهل يمكن القول أن الكليتين تضررت؟؟
. النسبة اعلي من الطبيعي. لذلك حاول ضبط مستوي الجلوكوز في الدم واعد القياس كل ستة اشهر
HbA1c 6.9% and Microalbumin is 78.16 mg/L , is it serious? Is is treatable?
Please help
these results are above the normal value, HbA1c should below 5.5, microalbumin below 40. it is not serious right now, but if it continued for long time, it is harmful for kidneys. it is easily treated or adjusted by treating the high glucose level, and decrease the carbohydrates in your diet.
استغفر الله العظيم واتوب اليه استغفر الله استغفر الله العظيم واتوب اليه استغفر الله استغفر الله العظيم واتوب اليه استغفر الله استغفر الله العظيم واتوب اليه استغفر الله استغفر الله العظيم واتوب اليه
Hello, Mine is 33.9. Why the elevation? I’m do the Keto carnivore way of eating.
thank you for your comment
the way of eating not affect microalbumin level. microalbumin usually measure the kidneys health and the amount of the blood reach to it.
your level is slightly increase
be ware that hard exercise can increase it
hypertension can also elevate
and heart diseases
these all increase the blood to kidney and increase level in urine
but the highest increase caused by kidney disease
so you may check it again after 6 months if you do not have any of causes I mentioned before
so do not worry
all will be okay
@@clinicalpathology-dr.khali5827 thank you so much for your response! I just left my medical job few weeks ago due to intense stress and high blood pressure caused by it.
السلام عليكم ورحمة الله وبركاته ، هل تنظيم السكري سيؤدي الى الى انخفاض نسبة مايكروللبومين اللي كان سببه ارتفاع السكر
تنظيم السكري وضبط نسبة الجلوكوز بالدم يؤدي إلي توقف ايه اضرار في الكلية بمعني أنه لا مزيد من التكسير بها. أما الميكروالبيومين ممكن ينخفض إلى الطبيعي مرة أخري بشرط الاستمرار في ضبط السكري
@@clinicalpathology-dr.khali5827 جزاك الله خيرا ورفع الله قدرك وعلمك
Rapport microalb/ creatinurie: 2,12
بينما المعدل الطبيعي 35- 3,8
مادا يعني هذا أرجو من الدكتور الاجابة و شكرا
النتيجة تعتبر طبيعية. المشكلة دائما تكون عن الزيادة عن 35
Hi Doctor,
My sport urine creatinine 40 mg/dl and sport urine protein 9 mg/dl so it is normal or high.
Please respond ASAP I’m very worried. Your’s truly.
I test this randomly after opening fast in Ramadan.
it is normal
@@clinicalpathology-dr.khali5827 thank you so much boss🤞
My ACR level is 296. How to lower it?
Try to adjust your blood sugar if it is above the normal value . And you should measure Hba1c to check if there's an intermittent rise of blood sugar. If they are normal, try to scan the kidneys by ultra sound to detect any stone or abnormalities.
السلام عليكم ورحمة الله وبركاته دكتورنا بالله المايكرو البومين عندي طلع 8.28 هل هو عادي وهل عالي
طبيعي
@@clinicalpathology-dr.khali5827 السلام عليكم ورحمة الله وبركاته شكرا على الرد دكتورنا ،انا انقل القراءة بالضبط 8.28 mg/dl وهنا كاتبين الرنج الطبيعي يكون من 0.2الى 1.9mg/dl ماذا يعني هذا ورحم الله والديك
هل عينة البول تم تجميعها علي مدي 24 ساعة؟@@MrNabilsaleh
@@clinicalpathology-dr.khali5827 لا مرة واحدة
Hallo doctor
my creatin = 0.79
Trigliserida = 62
ureum = 21, 4
micro albumin = 54
could you please explain me, about my kidney base on the result of the test ? is it ok?
microalbumin is higher than normal. you need to measure urine creatinine with microalbumin at the same time to make ratio between them
o ya, my creatin means my creatinine, sorry typo 😁
and if micro albumin 54 and my creatinine 0.79 ..
is it still good or bad ?
@@rodi2708 is this creatinine value in the blood?
@@clinicalpathology-dr.khali5827i dont know exactly, before the test, they took my blood and also my urine. so i m not sure , that is the value of blood or urine doctor 🫣
@@rodi2708 this value is for blood creatinine.
عملت الحليل طلع 1300 ومرة 5000 وبعدها 48 وبعدها 175 ع التوالي خلال شهر للطفلة 12 سنة وتحليل السكر سلبي والضغط مفيش
لابد من قياس الكرياتين في البول مع micro albumin في نفس الوقت وعمل النسبة بينهم للتأكد من النتائج
@@clinicalpathology-dr.khali5827 انا عملت تحليل كتير اسم التحليل ايه
Sir Mera microalbumin is 22.0 hai creatinine is 64.1 hai and microalbumin creatinine ratio is 34.3 hai sir yeh microalbumin creatinine ratio acr urine test hai please sir aap bataye report kaisi hai meh bahut tension meh hu sir please aap batayega meri health ka swal hai
do not worry. just examine your blood pressure and glucose. if you are not diabetic or hypertensive, then check your kidney function by measuring BUN, creatinine in the blood together with sonar to detect any change in kidney function
@@clinicalpathology-dr.khali5827 dear sir i am unmarried girl 28 year old sir par mehne 6 month pehle test karaya tha tab ve meri report theek thi kft ve theek thi muje uti infection hua tha tab Mera microalbumin 5.0 tha and creatinine in urine 80.75 tha and microalbumin creatinine ratio 6.19thi after six months fer sir my microalbumin is 22.0 hogeya creatinine 64.1 hai and microalbumin creatinine ratio 34.3 hai par sir meri kft report normal hai sir urine report meh epithelial cell 2-4 and yeast cell+ hai baki sab theek hai maine CBC , urine routine examination lft , kft, microalbumin creatinine ratio acr in urine test karaya hai sir par two time hogeya microalbumin trace ho he jata hai i am very concious for health thode time vad test karva leti hu sir aap please batana koi aur test toh nahi rehgeya kidney related meh oh ve karvalugi sir please aap batana keh microalbumin kyu trace hota hai kahi kidney toh nahi fail ho jayegi sir please reply karna
@@gurpreetkaurgur8777how r u now
In DM patient acr 62 mg is how serious sir....need ur ans sir...i am from india
It is higher than normal. You must perform complete kidney function tests
serum creatinine .87
Fsugar .88
pp 143
Hb1ac 6
how serious dr sahab
kidney function is seriously affected, please consult your doctor@@debuganguly
@@clinicalpathology-dr.khali5827 it is reversable sir
@clinicalpathology-dr.khali5827 0.87 serum creatinine level with acr 62.75 mg a dibetic and hypertension patient is highly affected kidney already dr saheb..pls replies...I am vr vr woried
مساء الخير حضرتك يادكتور نتيجه ال
microalbuminuria = 67.98 mg/L
بدون عمل تحليل الكرياتينين في البول وبالتالي لا يوجد ACR.
بس قياس الميكروالبومينوريا فقط
هل النتيجه دي طبيعيه ؟
وكم موجب على شريط تحليل بروتين البول سوف يكافئ هذه القيمه؟
العينة عشوائيه مأخوذه في المساء ولسيدة حامل في الشهر الثامن
النتيجة عالية عن الطبيعي المفروض لحد 30
@@clinicalpathology-dr.khali5827 طب مقارنه بالنتيجه دي لو عملت تحليل البروتين في البول بالشرايط
( dipstick)
كده كام موجب راح يعطيني تقريبا
@@clinicalpathology-dr.khali5827 وبشكر حضرتك على مجهودك واهتمامك بالكومنات والرد علينا الله يكتبه في ميزان حسناتك
Microalubunium 0.218 high
No it is normal. The normal value from zero to 30 micrograms
@@clinicalpathology-dr.khali5827 dr. Sahib ssa Microalubunium 0.218
Urine creatine 65
Microalubium urine creatine ratio spot 3.356
Dr. Sahib mainu ds mera protien leakage kina ja reha main bhut pareshan ha mera 3 sal babby mere hatho pairo pe sweeling rehti hai
Microalbumin 35 mg normal
it is slightly elevated. try to fined the cause and be ware that stress and high blood pressure also increase microalbumin
@@clinicalpathology-dr.khali5827 dear sir my bp normal and sugar nill urine rm test trace albumin microalbumin 35 mg spot morning sample. Pls normal or not pus cell nil RBC nill diposit nill all absent only albumin trace pH 7.5 today check
@@UmeshSingh-sl6ty why you measured microalbumin? are you diabetic? microalbumin is indicated mainly to detect any changes in kidney function in case of diabetes mellitus where its values can increase without any change in the urine examination or kidney parameters. you should make microalbumin: creatinine ratio, it will show if the increase of microalbumin is a true increase or it occurred due to change in amount of water excreted in the urine
@@clinicalpathology-dr.khali5827 dear sir my ultrasound report kidney normal size no problem and mild fatty liver kft normal sodium potassium normal hba1c normal.
@@clinicalpathology-dr.khali5827 dear microalbumin test reson first time uti albumin plus1 and 15 days after albumin trace but last 1.5 months albumin trace why albumin trace normally albumin nill but my case albumin trace
my microalbumine is 3.82 mg/dl
and my microalbumin/creatinine ratios is 32.9 mg/g
I took test because I have foamy urine.
I have Hypertension and Im prediabetic. I just started my telmisaetan now and my BP is normal now 110/80 after a week
can I still reverse this?
microalbumin increase in the urine mainly due to hypertension and uncontrolled diabetes mellitus (untreated). so that you must keep your blood sugar and blood pressure within normal limits. check every 3 months and adjust the dose of your drugs. because if microalbumin increased, it indicates beginning of kidney problems, which is not reversible. so that take care
@@clinicalpathology-dr.khali5827 Thank You very much. but if my blood pressure stays normal, and if I control my sugar there is a possibilty that microalbuminuria will be gone? Thank you for your advice,
Im now plant based and cut all junk food. I also do fasting now. Thanks a lot for the advicd
@@starky17 yes, microalbuminuria will disappear after you adjust blood pressure and sugar
@@clinicalpathology-dr.khali5827 thank you doctor youve been very nice. How long does it take to cure this one? does it take months before the foamy urine be gone and the microalbuminuria?
@@starky17what is ur serum creatinine