So wunim mogya ntini nketenkete a ɛwɔ w’asaabo mu no ho asɛm? (Peritubular Capillaries) Momma yɛnka eyi ho asɛm!

Hɛlo! Ɛnnɛ yɛrebɛka yɛn nipadua no fã bi a ɛyɛ nwonwa yiye na ɛho hia yiye ho asɛm. Ɛno yɛ mogya ntini nketenkete a ɛwɔ yɛn asaabo mu a ɛyɛ nhama. Yɛfrɛ saa ntini a ɛwɔ akyi no . Ɛwom sɛ edin no yɛ den kakra de, nanso adwuma a eyinom yɛ no sõ yiye, te sɛ yɛn nipadua mu asomfo a wɔyɛ komm no.

Dɛn ne saa ntini a ɛwɔ akyi no? Dɛn na wɔyɛ?

Sɛ yɛbɛka no tiawa a, saa `(Peritubular Capillaries)` yi yɛ mogya ntini a ɛyɛ fɛ yiye nhyehyɛe, a ɛnyɛ den mpo te sɛ nhwi a ɛwɔ w’asaabo mu. Asɛmfua ``peritubular`` kyerɛ sɛ ``atwa akwan nketewa no ho ahyia.'' Enti saa ntini yi twa akwan nketewa nhyehyɛe bi ho hyia wɔ asaabo no mu. Fa no sɛ bobe a wɔde abɔ nsuten yi ho.

Afei ma yɛnhwɛ nea nnamfo nkumaa yi nnwuma atitiriw yɛ:

1. Nneɛma a wɔsɛe no a woyi fi hɔ: Wɔn nnwuma titiriw biako ne sɛ wɔbɛboa yɛn nsu a yɛde gu nipadua mu no na wɔayi nwura a yɛmpɛ afi nipadua no mu. Saa nwura yi ne nea awiei koraa no epue bere a woretow wo ho (pee).

• Urea: Eyi yɛ nwura a nitrogen wom a ɛba bere a yɛn nipadua no bubu protein ahorow no.
• Creatinine: Eyi yɛ ade a wɔsɛe no a efi yɛn ntini mu.
• Acids: Wɔnam saa kwan yi so yi acid foforo a ɛboaboa ano wɔ nipadua no mu nso fi hɔ.

Saa ``Peritubular Capillaries`` yi boa ma wɔde saa nwura yi ne nsuo foforɔ a ɛfiri nipadua no mu fa filtering units ``Nephrons`` a ɛwɔ asaabo mu no mu.

2. Aduannuru a wɔsan twetwe: Saa ``Peritubular Capillaries`` yi ne nea ɛtwetwe aduannuru a yɛn nipadua hia na ɛhia na ama ayɛ adwuma bio akɔ mogya no mu. Fa no sɛ nneɛma a ɛsom bo a wobɛsan de aba mmom sen sɛ wobɛtow ne nwura no agu.

• Amino acid ahorow a ɛwɔ nipadua no mu
• Aboɔden abo a wɔde yɛ nneɛma
• Mogya mu asikre (glucose) .

3. Mogya ne oxygen a wɔde ma: Dwumadi foforo a ɛho hia a saa `(Peritubular Capillaries)` yi yɛ ne sɛ ɛde mogya ne oxygen kɔ nkwammoaa a ɛwɔ asaabo no mu ntini mu no mu.

Ɛhe ankasa na saa `(Peritubular Capillaries)` yi wɔ?

Afei ma yɛnhwɛ baabi pɔtee a eyinom wɔ. So wunim, wɔ yɛn asaabo biako mu no, bɛyɛ ɔpepem biako na ɛwɔ hɔ a wɔfrɛ no nephrons . Nephron te sɛ afiri ketewaa bi a wɔde yiyi mu wɔ asaabo no mu. Ɛte sɛ nsu a wɔde yiyi mu wɔ yɛn fie, nanso ɛyɛ den kɛse.

Nephron biara wɔ glomerulus (sɛ eyinom pii wɔ hɔ a, wɔfrɛ no glomeruli) a ɛtwetwe mogya no, ne akwan nhyehyɛe bi a ɛsan twetwe nneɛma a wɔayiyi no san kɔ nipadua no mu. Ntini a ɛwɔ akyi no atwa saa akwan no ho ahyia. Ɛte sɛ nea sotɔɔ ahorow ayɛ kurow bi mmɔnten so.

Saa `(Peritubular Capillaries)` yi te dɛn?

Saa `(Peritubular Capillaries)` yi sua araa ma yentumi mfa yɛn ani nhu. Ɛsɛ sɛ yɛde `(microscope) hwɛ wɔn .` Eyinom yɛ mogya ntini soronko koraa. Wɔfrɛ eyinom `(fenestrated)` mogya ntini. Ɛno kyerɛ sɛ, saa mogya ntini afasu yi wɔ ntokuru nketenkete paa `(pores) .` Te sɛ filter.

Saa ntokuru yi na ɛma nsu, aboɔden abo, ne nneɛma a wɔsɛe no tumi fa ntini yi ne ntini a atwa ho ahyia no ntam ntɛmntɛm. Tokuru biara wɔ aduru a ɛyɛ tratraa . Ebue na ɛto mu, na ɛma nneɛma nketenkete mpo tumi fa mu. So eyi nyɛ adwini a ɛyɛ nwonwa?

Ɔkwan bɛn so na Peritubular Capillaries no nya mogya?

Afei momma yɛnhwɛ sɛnea mogya kɔ saa `(Peritubular Capillaries)` yi mu ne sɛnea ɛsan fi hɔ bio. Eyi si wɔ nhyehyɛe pa mu, te sɛ kar akwan nhyehyɛe a wɔayɛ no yiye:

1. Nea edi kan no, mogya nam mogya ntini akɛse a wɔfrɛ no renal arteries so na ɛba asaabo no mu .

2. Saa ntini akɛse yi mu paapae yɛ mogya ntini nketenkete a wɔfrɛ no afferent arterioles . Eyinom na wɔde mogya kɔ nephrons no mu.

3. Afei, glomerulus a ɛwɔ nephron no mu no yi mogya no.

4. Mogya a wɔayiyi no fa ntini nketenkete foforo a ɛtoatoa so a wɔfrɛ no ‘Efferent arterioles’ mu ansa na ahyɛne yɛn asɛmti no mu ɔkannifo, ‘Peritubular Capillaries’ no mu.

5. Mogya fi asaabo no mu ntini a ɛwɔ akyi no mu, fa ntini akɛse nkakrankakra mu, na awiei koraa no efi asaabo no mu fa adwene no ntini titiriw no mu .

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɛyɛ den yiye de, nanso eyi yɛ nhyehyɛe a ɛyɛ nwonwa yiye, ɛnte saa?

Dɛn ne nyarewa ne tebea horow a ɛtaa ba a ɛka `(Peritubular Capillaries)`?

Wiɛ, nyarewa bɛn na ebetumi asɛe ``Peritubular Capillaries'' a ɛyɛ adwuma a ɛho hia saa no? Nea ɛyɛ awerɛhow ne sɛ, saa ntini nketenkete yi mpo betumi ahyia ɔhaw.

Akwahosan tebea horow bi, nyarewa, titiriw ɔfe ne akuru betumi asɛe saa ntini a ɛyɛ mmerɛw yi. Sɛ saa ɔsɛe yi ba a, ntini yi mu duru so tew. Wɔfrɛ eyi sɛ peritubular capillary rarefaction . Sɛ yɛbɛka no tiawa a, ntini dodow so tew na wɔn dwumadi sɛe.

Saa `(Peritubular Capillaries)` a asɛe yi wɔ tumi a ɛba fam koraa a ɛma wɔsan nya ahoɔden. Enti, saa `(Peritubular capillary rarefaction)` tebea yi boa kɛse ma tebea horow a emu yɛ den te sɛ Asaabo Yare a Enni sabea (CKD)` ne Mogya Nhyɛso `(Hypertension ). Eyinom yɛ nyarewa a abu so yiye. Sɛ wɔansa a, asaabo mu yare betumi akɔ anim akodu asaabo a entumi nyɛ adwuma yiye . Enti, ɛho hia paa sɛ yehu eyi.

Tebea afoforo a ebetumi de asaabo mu yare aba anaasɛ ɛka ho ne:

• Glomerular nyarewa, sɛ nhwɛso no, Glomerulonephritis.
• Asaabo mu yare.
• Nsuo a ɛkɔ nsuo mu a ɛsiw.

Dɛn ne su horow a ɛtaa ba wɔ tebea horow a ɛbata `(Peritubular Capillaries)` ho?

Afei ebia woresusuw ho sɛ, sɛ biribi anyɛ yiye wɔ saa `(Peritubular Capillaries)` yi ho a, dɛn ne nsɛnkyerɛnne a yebetumi ahu afa ho. Ɛtɔ mmere bi a saa tebea horow yi betumi aba a enni sɛnkyerɛnne biara . Ɛno ne ade a asiane wom sen biara. Nanso, sɛ sɛnkyerɛnne ahorow da adi a, ebia wubehu nneɛma te sɛ eyi:

• Flank ɛyaw.
• Huraeɛ.
• Akisikuru ne ɔfe.
• Ɔbrɛ ne ɔbrɛ a wɔte nka kɛse `(Ɔbrɛ)`.
• Nsakrae a ɛba wo su a wode tow nsu mu. Eyi kyerɛ sɛ:
• Nsu a wɔtaa tow ne hia a ehia sɛ wɔtaa tow nsu.
• Ɛyɛ den sɛ wobɛtow nsu.
• Mogya a ɛwɔ nsu mu (hematuria) .
• Anaasɛ ɛyaw a ɛba bere a woretow nsu (dysuria) .
• Nsu da adi sɛ mununkum.
• Swelling (edema) , titiriw wɔ nan ne nansoaa mu.
• Nsuo mu yare a ɛsan ba bio (UTIs).

Sɛ wowɔ saa sɛnkyerɛnne yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu.

Dɛn ne sɔhwɛ ahorow a wɔtaa yɛ a ɛhwɛ `(Peritubular Capillaries)` akwahosan?

Sɛ wo duruyɛfoɔ susu sɛ ɔhaw bi wɔ saa ``Peritubular Capillaries'' yi ho a, ɔbɛtumi akamfo nhwehwɛmu ahodoɔ bi akyerɛ, te sɛ:

Asaabo dwumadi ho nhwehwɛmu

Ebia eyi bi ne:

• Nsu mu nhwehwɛmu (nsu mu nhwehwɛmu) .
• Mogya mu nhwehwɛmu. Nhwɛsoɔ:
• ‘Mogya mu Urea Nitrogen’ (BUN) sɔhwɛ no .
• 'Creatinine a wɔayi afi mu ho sɔhwɛ' (`(Creatinine a wɔayi afi mu ho sɔhwɛ)`) .
• Sɔhwɛ ahorow a ɛkyerɛ ‘Glomerular Filtration Rate a wɔabu akontaa’ (eGFR) .

Mfoninitwa sɔhwɛ ahorow

Eyinom yɛ sɔhwɛ ahorow a ɛyaw nnim a ɛma wutumi hu nipadua no mu:

• CT scan (`(CT scan - Kɔmputa so Tomography mfonini)`) .
• MRI (Magnetic Resonance Imaging) nhwehwɛmu.
• Asaabo mu nnyigyei a wɔde yɛ nhwehwɛmu (`(Asaabo (asaabo) mu nnyigyei a ɛkɔ akyiri)`) .

Saa nhwehwɛmu ahorow yi betumi ama woanya asaabo no tebea ho adwene pa.

Yɛbɛyɛ dɛn ama saa `(Peritubular Capillaries)` yi anya apɔwmuden?

Okay, enti yɛbɛyɛ dɛn ama saa ``Peritubular Capillaries'' nketewa nanso ɛho hia yiye yi anya apɔwmuden? Asɛmpa no ne sɛ, nneɛma bi wɔ hɔ a yebetumi ayɛ.

Ɛtɔ mmere bi a, ebetumi ayɛ den sɛ wobesiw ntini yi a ɛbɛsɛe bio no ano. Nanso, sɛ wohwɛ w’akwahosan nyinaa so , wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya asaabo mu haw ne nyarewa afoforo so. Nneɛma bi a wubetumi ayɛ de aboa ni:

• Di aduan a ahoɔden wom da biara da. Nnuaba, nhabannuru, ne nsu a ɛho tew yɛ asaabo no nnamfo paa. Nom nsu pii bere a wote nka sɛ sukɔm de wo no.
• Sɛ wowɔ nyarewa a enni sabea te sɛ Asikreyare ne Hypertension a, di so yiye na di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
• Kura mu duru a ɛfata a ɛfata wo mu.
• Sɛ wonom sigaret a, gyae nnɛ . Sigaretnom ne tawa afoforo sɛe wo mogya ntini na ɛde ntini mu yare (vasculopathy) ba .

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛde kɔ fie fi saa asɛm yi mu!

Ebia woate sɛnea saa ``Peritubular Capillaries'' nketenkete a ɛwɔ yɛn asaabo mu yi ho hia no ase mprempren. Ɛho hia na ama yɛn nipadua akɔ so anya apɔwmuden. Wɔboa ma woyi nneɛma fĩ fi mogya no mu na wɔsan twetwe aduannuru a nipadua no hia.

W’asaabo wɔ saa ntini nketenkete yi ɔpepem pii. Te sɛ saa ntini nketenkete yi no, ɛsɛ sɛ yɛhwɛ yɛn akwahosan nyinaa so na ama yɛn nipadua no fã foforo biara ayɛ adwuma yiye.

Kae: nom nsu pii, di aduan a ahoɔden wom, kɔ aduruyɛ mu nhwehwɛmu daa, na ma wo mu duru yɛ nea ɛfata. Afei saa nnamfo nkumaa yi de anigye bɛyɛ wɔn adwuma, na wo nso wubenya apɔwmuden!

` Asaabo, peritubular capillaries, mogya ntini, nephrons, asaabo mu nyarewa, nsuo a ɛkɔ nipadua no mu, akwahosan