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Monday 18 March 2013

Albumin In Urine During Pregnancy







Albumin In Urine During Pregnancy









Albumin is a carrier protein of the human body. It is created in the liver and is

 used to transport lipids and fat soluble molecules through the water-based 


environment of the blood. Without this molecule, many vitamins and essential


 fats would never reach their intended destination cells. Albumin’s role in disease


 mostly involves the indications of some kinds of heart disease and a predisposition


 for a stroke. In addition to this, there is the occurrence of a condition called 


albuminuria. This is an abnormal state in which albumin is excreted in the urine. 


This normally does not happen because the cells of the kidneys called podocytes


 act like a sieve that only allow very simple molecules to pass and ensure that


 red blood cells and bigger molecules like albumin stay in the blood stream. 


Therefore, if albuminuria occurs, it is a sign of kidney failure. However, this is not


 absolute and in some situations albuminuria can occur even without overt 


indications of kidney disease.
One of these conditions is albuminuria during
pregnancy. 
There are two possibilities here.


 Albumin levels in 
the serum can suddenly drop 


during pregnancy and 
this is a condition caused by 


hemodilution. 
This simply means that the increased 


amount of blood 
in the body of a pregnant woman 


causes the levels
 of albumin to drop. This condition 


is closely 
monitored as it should resolve itself. In the

 other case, there can suddenly be elevated levels
 of albumin that is excreted in the urine.
 This is a dangerous sign because it is an indication of a premature delivery on its way.
In other situations, anything that doesn’t fall in the 
reference range of 3.5 – 5.5 units per liter of blood is 
a sign of hypoalbuminemia or hyperalbuminemia.
 Albuminuria is a condition that is especially useful 
in diabetics. This is a disease that slowly kills off the
 cells


 of the body one by one with the acidosis that it causes.

 Renal function is one of the first casualties that signal
 the onset of the more serious side of this disease. 
The podocytes cells that are destroyed by diabetes 
then start to slowly leak out albumin but are unable to excrete creatinine – a metabolic
 by product from the muscles. A ratio called the creatinine-albumin ratio is then used
 to calculate the intensity of the problem. Usually, dialysis is one of the only 
possibilities left if the kidneys have been destroyed



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