So wunim mogya ntini nketenkete (fenestrated capillaries) a ɛwɔ ‘mfɛnsere’ wɔ wo nipadua mu no ho asɛm?

So woasusuw sɛnea mogya ntini nketenkete a ɛwɔ yɛn nipadua mu a wɔfrɛ no capillaries no ho hia no ho pɛn? Ntini nketenkete bi wɔ ‘mfɛnsere’ nketenkete te sɛ ntokuru wɔ mu. Ɛno ne nea yɛfrɛ no fenestrated capillaries. Ɛnnɛ, momma yɛnka saa mogya ntini a ɛyɛ nwonwa yi ho asɛm, nea ɛwɔ, baabi a ɛwɔ, nea ɛyɛ, ne sɛnea yebetumi ama wɔn apɔwmuden.

Dɛn ne saa ntini a ɛyɛ fenstrated yi?

Okay, ma yɛnhwɛ nea saa fenestrated capillaries yi yɛ. Latin asɛmfua ‘fenestrae’ kyerɛ ‘mfɛnsere.’ Enti ntokuru nketenkete yi a ɛwɔ saa ntini nketenkete yi mu te sɛ mfɛnsere no ma nneɛma nketenkete ne protein ahorow te sɛ mogya fa mu kɔ yɛn akwaa ne ntini a ɛho hia no mu. Sɛ yɛbɛka no tiawa a, wɔyɛ adwuma te sɛ afiri titiriw bi a wɔde yiyi mu . Ɛhɔ na yɛn nipadua sesa nea ehia ne baabi a enhia.

Ɛhe na eyinom wɔ wɔ yɛn nipadua mu? Dɛn ne wɔn dwumadi?

Afei ebia worebisa wo ho sɛ, ‘Ɛhe na eyinom wɔ yɛn nipadua mu? Dɛn na wɔyɛ?’ Wohu ntini a ɛyɛ fenestrated pii wɔ yɛn asaabo , dwensɔtwaa ketewaa , dwensɔtwaa, ne endocrine glands mu . Ɛsɛ sɛ saa akwaa ahorow yi sesa aduannuru ne nneɛma a wɔsɛe no bere nyinaa wɔ ntini nketenkete ne ntini ahorow no ntam. Ntini a ɛwɔ saa ntini nketenkete yi mu no ma saa nsakrae yi yɛ mmerɛw yiye.

Dwuma bɛn na eyinom di wɔ asaabo mu?

Fenestrated Capillaries ho hia titiriw ma yɛn asaabo. Asaabo no wɔ nneɛma a wɔde yiyi mu a wɔfrɛ no nephrons . Wo de susuw ho hwɛ, saa nephron ahorow yi bɛyɛ ɔpepem biako na ɛwɔ asaabo biako mu! So ɛno nyɛ nwonwa? Wɔ nephron biara mu no, ntini nketenkete a wɔabɔ ho ban a wɔaboaboa ano te sɛ bɔɔl wɔ hɔ. Wɔfrɛ eyi glomerulus . Eyi ne nea ɛyɛ adwuma sɛ filter titiriw .

Ɛnyɛ ɛno nko, na mmom ntini afoforo dodow bi a wɔabɔ ho ban a atwa nsuten a ɛwɔ nephrons no mu ho ahyia nso. Eyinom bom boa ma asaabo no yi nneɛma fĩ fi mogya no mu, ɛyɛ nsu, na ɛsan twetwe aduannuru a nipadua no hia. Ɛte sɛ nsu a wɔde yiyi mu wɔ yɛn fie, nanso ɛyɛ den kɛse.

Ɔkwan bɛn so na eyinom boa nkate afoforo?

• Wɔ dwensɔtwaa ketewa no mu: Saa ntini nketenkete yi boa ma ɛtwe aduannuru a efi aduan a yedi mu. Saa ntokuru yi ma nneɛma te sɛ vitamin ne minerals tumi kɔ mogya no mu ntɛm.
• Sɛ wofa dwensɔtwaa no a: Ɛho hia sɛ wode enzymes ne hormone ahorow ka mogya no ho a ɛboa ma aduan, titiriw asikre ne srade.
• Efi endocrine ntini ahorow mu:Saa ntini ahorow yi de hormone ahorow kɔ yɛn nipadua nyinaa mu. Saa nkwaadɔm yi di nneɛma pii so, a yɛn adwene ne yɛn nyin ka ho. Saa ntini nketenkete yi nso hia mmoa wɔ ɛno mu.

Saa ntini a ɛyɛ fenstrated yi te dɛn?

Susuw sɛnea saa ntini nketenkete yi sua no ho hwɛ. Ntini dodow no ara trɛw yɛ micrometer 3 anaa 4 pɛ. Ɛno kɛse bɛyɛ sɛ akɔre ntaban! Ɛyɛ mmerɛw yiye, ɛnte saa? Wɔwɔ nkwammoaa a ɛtoatoa so abien.

Wɔfrɛ nkwammoaa a ɛwɔ mu no endothelial cells . Wɔfrɛ akyi fã no sɛ epithelial cells . Ɛtɔ mmere bi a nnuruyɛfo frɛ eyi sɛ ase membrane .

Fenestrated capillaries no yɛ nea ɛda adi wɔ ntokuru nketenkete a ɛwɔ wɔn mu fã no mu. Tokuru biara (anaasɛ ‘mfɛnsere’) wɔ ntini a ɛyɛ tratraa. Ɛyɛ adwuma te sɛ diaphragm , akataso ketewaa bi a wotumi bue na wɔto mu. Saa ntini yi ma nneɛma nketenkete (te sɛ aboɔden abo) fa saa ntokuru yi mu ntɛmntɛm.

Nyarewa bɛn na ɛka saa ntini nketenkete yi?

Enti, ɛtɔ mmere bi a ntini a ɛwɔ fenstrated a ɛyɛ adwuma a ɛho hia saa mpo tumi nya nyarewa.

• Asaabo mu Yare a Enni sabea (CKD): Nnipa a wɔwɔ saa tebea yi taa nya ɔhaw ahorow wɔ saa ntini nketenkete yi ho. Titiriw no, asaabo no mu ntini a ɛwɔ akyi no betumi asɛe. Eyinom boa ma woyi nneɛma a wɔsɛe no fi asaabo no mu. Vitamin D a enni nipadua no mu, ɔfe, ne nyarewa ahorow betumi asɛe saa ntini ahorow yi na ama emu ayɛ den. Nnuruyɛfo frɛ tebea yi capillary rarefaction . Sɛ eyi ba a, wo ntini nketenkete no ntumi nyɛ adwuma yiye. Eyi betumi ama obi anya mogya mmoroso , a ɛyɛ mogya mmoroso, ne akwahosan ho haw afoforo.
• Asaabo mu nyarewa afoforo: Asaabo mu nyarewa afoforo te sɛ glomerulonephritis nso betumi aka asaabo no mu nsu a ɛtwetwe no nyinaa. Asaabo mu yare abu so kɛse ankasa. Sɛ wɔansa no yiye a, ebetumi ama asaabo ayɛ adwuma yiye .

Yɛn mu biara mpɛ sɛ obenya asaabo mu haw, enti ɛho hia sɛ yɛma yɛn ani da hɔ wɔ saa nneɛma yi ho.

• Systemic Capillary Leak Syndrome (SCLS): Eyi yɛ tebea a ɛntaa nsi koraa, nanso ebetumi de nkwa ato asiane mu. Ɛsɛe ntini a ɛwɔ ntini no mu no afasu. Eyi betumi ama mogya mmoroso akɔ fam mpofirim.

Yɛbɛyɛ dɛn ama saa ntini a ɛwɔ fenstrated yi anya apɔwmuden?

Afei ebia woredwen ho sɛ, ‘Ɛyɛ, sɛ eyinom ho hia saa a, yɛbɛyɛ dɛn ama wɔanya apɔwmuden?’ Nokwarem no, sɛnea ɛbɛyɛ a saa ntini a ɛwɔ fenstrated yi bɛkɔ so anya apɔwmuden no, ɛsɛ sɛ yɛhwɛ yɛn akwahosan nyinaa so . Saa ntini nketenkete yi boa yɛn nipadua mu nhyehyɛe pii ma ɛyɛ adwuma yiye. Wɔyɛ yɛn mogya a ɛkɔ nipadua no mu no fã . Saa nhyehyɛe no ka mogya ntini, ntini, ne ntini afoforo nyinaa ho.

Ntini mu yare ahorow , anaa nyarewa a ɛfa mogya ntini ho no betumi aka ntini ahorow nyinaa dwumadi. Enti, nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de abɔ yɛn ho ban afi nyarewa yi ne akwahosan ho haw afoforo ho:

• Ɛho hia sɛ woteɛteɛ w’apɔw mu na wokɔ so yɛ nnam. Apɔw-mu-teɛteɛ kakra a wubenya da biara no ho hia yiye.
• Aduan a ɛkari pɛ a wobedi, nsa a wobɛma ano abrɛ ase, ne nnuan a ɛma koma nya ahoɔden a wobɛpaw. Eyi yɛ biribi a obiara ka ho asɛm nnansa yi, nanso ɛho hia ankasa.
• Mu duru a ɛfata a wobɛkɔ so akura mu. Sɛ wo mu duru boro so anaasɛ woyɛ kɛse mmoroso a , bɔ mmɔden sɛ wobɛtew wo mu duru so.
• Sɛ wowɔ nyarewa a enni sabea te sɛ asikreyare ne mogya mmoroso , ɛho hia sɛ wudi so yiye. Ɛsɛ sɛ wudi oduruyɛfo no akwankyerɛ akyi yiye.
• Sɛ woyɛ obi a ɔnom sigaret a, gyae. Eyi nyɛ biribi a ɛsɛ sɛ wobu no adewa, ɛno ne nyarewa pii ntini.

Bere bɛn na ɛsɛ sɛ yɛkɔ oduruyɛfo nkyɛn fa saa ntini nketenkete yi ho?

Yɛntaa nkɔ oduruyɛfo nkyɛn nsusuw ntini a ɛma mogya tu ho. Nanso, sɛ sɛnkyerɛnne ahorow bi sɔre a, ebetumi afi ɔhaw bi a ɛwɔ saa ntini a ɛyɛ fenstrated yi ho.

Asaabo mu yare ho sɛnkyerɛnne:

Ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara, titiriw sɛ woreda asaabo mu yare ho sɛnkyerɛnne adi a. Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi anaa:

• Nsakrae a ɛba nsu mu: Eyi betumi ayɛ mogya a ɛwɔ nsu mu (hematuria) , protein a ɛwɔ nsu mu (proteinuria) , anaasɛ ɛho hia sɛ wɔtaa tow nsu.
• Ɔbrɛ a ɛkɔ so daa, ɛyɛ den sɛ ɔde besi biribi so, anaasɛ ɛyɛ den sɛ ɔbɛda.
• Aduan no nyɛ dɛ.
• Sɛ aniwa no ho ahonhon anaasɛ ɛho ayɛ kurukuruwa bɛboro nna kakraa bi a.
• Ntini mu akisikuru.

Sɛ wowɔ saa sɛnkyerɛnne yi mu biako anaa nea ɛboro saa a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn ntɛm ara. Bere a ɛtɔ mmere bi a eyinom yɛ nea ɛfata no, ɛho hia sɛ wuhu asaabo mu haw bi ntɛm.

Nsɛnkyerɛnne a Ɛfa Systemic Capillary Leak Syndrome (SCLS) ho:

Saa tebea a ɛntaa nsi koraa a yɛadi kan aka ho asɛm no, Systemic Capillary Leak Syndrome (SCLS) ., a mogya mmoroso so tew mpofirim. Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Sɛ wo mogya so tew mpofirim na wo nso wowɔ sɛnkyerɛnne a edidi so yi mu biara a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara anaasɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ:

• Yafunu mu yaw ne akisikuru.
• Ɔfe ne te nka sɛ wo koko mu ayɛ wo den.
• Ɛhohoro (edema), titiriw wɔ nan ne nsateaa mu.
• Ɔbrɛ a ɛboro so.
• Tipaeɛ.
• Ti a ɛyɛ hare, adwenemhaw ne adwenemhaw.

Nkrasɛm a yɛpɛ sɛ yɛde kɔ fie

Okay, enti misusuw sɛ wowɔ ntease pa wɔ saa fenestrated capillaries yi a yɛkaa ho asɛm nnɛ no ho. Kae sɛ mogya ntini nketenkete a ‘ɛwɔ mfɛnsere’ yi yɛ yɛn mogya a ɛkɔ nipadua no mu no fã a ɛho hia yiye. Ɛho hia na ama yɛayiyi nwura afi yɛn asaabo mu, ayɛ nsu, atwe aduannuru afi yɛn dwensɔtwaa mu, na yɛde hormone akɔ yɛn nipadua nyinaa mu.

Enti, sɛ yɛbɛma ntini nketenkete a ɛyɛ den yi anya apɔwmuden a, ɛsɛ sɛ yɛhwɛ yɛn akwahosan nyinaa so . Di aduan a ɛkari pɛ, kura wo mu duru a ɛfata, kɔ so yɛ nnam, na kɔhwɛ wo daa sɛnea oduruyɛfo no kamfo kyerɛ no. Saa nneɛma yi bɛyɛ ɔsom kɛse ama yɛn ‘mfɛnsere’ nketewa no ne yɛn nipadua nyinaa nso. Ate aseɛ?

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne w’abusua oduruyɛfo bɛkasa. Ɔbɛtumi ama wo nsɛm pii.

` Fenestrated Capillaries, Ntini a Ɛma Ntini, Asaabo, Nephrons, Mogya a Ɛkyinkyin, Akwahosan