So woasusuw sɛnea nneɛma nketenkete a ɛwɔ wo nipadua mu no yɛ nnwuma a ɛho hia saa no ho pɛn? Ɛnnɛ, yɛde yɛn ho rehyɛ w’asaabo fã bi a ɛho hia nanso wɔtaa bu ani gu so mu: Bowman’s capsule . Momma yɛnhwehwɛ ɔbran ketewaa yi ne sɛnea ɛma wunya apɔwmuden mu.
Dɛn ne Bowman’s Capsule no?
Sɛ yɛbɛka no tiawa a, Bowman capsule no yɛ nephron a ɛwɔ w’asaabo mu no fã titiriw. Enti, dɛn ne nephron? Fa no sɛ ɛyɛ w’asaabo mu ade a wɔde yiyi nsu mu—te sɛ afiri nketenkete a wɔde yiyi mu wɔ ofie nsu a wɔde tew ho mu no. Nea ɛyɛ nwonwa no, nephrons bɛyɛ ɔpepem biako na ɛwɔ asaabo biara mu! Ɛno yɛ ɔpepem abien a wɔreyɛ adwuma ama wo da biara da. Ɛyɛ nwonwa, ɛnte saa?
Nephron biara wɔ glomerulus , a ɛhɔ na wofi ase yi nwura fi wo mogya mu. Glomerulus yɛ mogya ntini nketenkete bi a ɛyɛ mmerɛw titiriw. Bowman capsule no yɛ kotoku a ɛte sɛ kuruwa a ɛwɔ afasu abien a ɛtwa saa akuwakuw yi ho hyia na ɛbɔ ho ban. Wɔfrɛ baabi a ɛda saa aduru yi afasu abien ntam no Bowman ahunmu .
Ebia wobɛte nso sɛ wɔfrɛ no glomerular capsule anaa Malpighian capsule, bere a ɛtɔ mmere bi a wɔfrɛ Bowman no ahunmu no glomerular capsule space.
Dɛn ne Bowman’s Capsule no Dwumadi?
Bowman capsule ne glomerulus no bom yɛ adwene no ntini no . Wunim sɛnea asaabo ho hia—ɛhwɛ wo mogya mu pH so, ɛhwɛ mogya mmoroso so, na ɛma electrolyte kari pɛ. Sɛ́ wo nsu a wode gu mu no fã no, woyi nneɛma a wɔsɛe no nso fi wo nipadua mu.
Bowman capsule no yɛ adwuma sɛ nea ogye ma filtrate a efi glomerulus no mu. Nneɛma nketenkete a efi wo mogya mu fa mu kɔ Bowman ahunmu, bere a wɔde nkwammoaa ne protein akɛse sie wo mogya mu, sɛ w’asaabo a wɔde yiyi mu no reyɛ adwuma yiye a. Afei nsu a wɔayi afi mu no fa nsukorade nketenkete a wɔfrɛ no tubules mu, baabi a w’asaabo no si nea ɛbɛsan akɔ mogya no mu ne nea ɛbɛtow agu sɛ nsu no ho gyinae. Ɛyɛ adwinnade a ɛyɛ anigye ankasa.
Ɛhe na Bowman’s Capsule no Wɔ?
Bowman’s capsule no wɔ renal cortex , w’asaabo no akyi fã no mu. W’asaabo no wɔ mparow no ase pɛɛ, kɔ wo yafunu akyi, biako wɔ akyi berɛmo no afã biara. Asaabo biara nam afiri bi a wɔfrɛ no ureter so na ɛne akisikuru no di nkitaho.
Bowman no Capsule no Te Dɛn?
Esiane sɛ ɛyɛ microscopic nti, wontumi mfa aniwa nhu Bowman capsule no. Wɔka ho asɛm sɛ ɛwɔ nsɛso te sɛ kuruwa na wɔde ntoatoaso abien na ɛyɛe:
1. Akyi fã: Wonim no sɛ parietal layer , na ɛyɛ squamous epithelium ntini a ɛnyɛ den.
2. Inner layer: Wɔfrɛ no visceral layer , na wɔde nkwammoaa titiriw bi a wɔfrɛ no podocytes na ɛyɛe. Nea ɛyɛ anigye no, podocytes wɔ nsateaa a ɛte sɛ nsateaa a ɛkɔ soro (pedicles) a ɛbɔ wɔn ho wɔn ho (a ɛkyekyere wɔn ho). Saa nhyehyɛe yi ma nneɛma bi twam bere a esiw afoforo kwan—ne titiriw no, ɛmma protein ne mogya mu nkwammoaa ntumi mfi mu bere a wowɔ apɔwmuden no.
Eyi ne ɔkwan pɔtee a wɔfa so yi mogya; wɔde nwura fa nsukorabea ahorow mu ma awiei koraa no ɛbɛyɛ nsu. Mogya mu nsu a ɛwɔ glomerulus no mu no na ɛma saa adeyɛ yi kɔ so, na ɛhwɛ hu sɛ nsu ne aduannuru san twetwe bere a woyi nwura fi hɔ no.
Tebea horow a Ɛtaa Ka Bowman’s Capsule no
Tebea horow a ɛka w’asaabo no taa nya Bowman capsule no nso so nkɛntɛnso, efisɛ ɛyɛ mmerɛw kɛse wɔ nyarewa a ɛwɔ glomeruli a atwa ho ahyia no ho. Wonim eyinom sɛ glomerular nyarewa na ebetumi afi nneɛma a atwa yɛn ho ahyia anaa awosu mu nneɛma mu aba.
- Glomerulonephritis: Eyi kyerɛglomeruli no mu ɔfe , a ebetumi afi nipadua no mu tumi a ɛko tia nyarewa, awosu mu tebea horow , anaa ɔyare mmoawa mu aba.
- Glomerulosclerosis: Eyi hwehwɛ sɛ glomeruli no mu akuru anaasɛ ɛyɛ den.
Sɛ wɔansa tebea horow yi a, awiei koraa no ebetumi ama asaabo ayɛ adwuma yiye . Ade titiriw a ɛde nsɛm yi ba ne asikreyare a ɛma obi nya nephropathy .
Nsɛnkyerɛnne a Ɛtaa Ba a Ɛkyerɛ Nsɛm a Ɛfa Asaabo Ho
Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya glomerular nyarewa no bi ne:
- Protein a ɛboro so wɔ nsu mu (proteinuria), a ebetumi ayɛ te sɛ nea ɛyɛ ahurututu.
- Mogya a ɛwɔ nsu mu (hematuria) , a ebetumi ama ayɛ pink anaa cola.
- Protein dodow a ɛba fam wɔ mogya mu (hypoproteinemia).
- Edema (a ɛho ahonhon) wɔ nsa, anan, anaa aniwa ho.
Nhwehwɛmu a Wɔtaa Yɛ de Hu Asaabo Akwahosan
Ebia wo duruyɛfo bɛkamfo nea edidi so yi akyerɛ sɛ wɔmfa nhwɛ sɛnea w’asaabo yɛ adwuma:
- Mogya mu nhwehwɛmu : Sɛnea ɛbɛyɛ a wobɛhwɛ sɛnea w’asaabo reyɛ yiyi nwura no yiye.
- Nsu mu nhwehwɛmu: Wɔde hwɛ sɛ protein anaa mogya wɔ nsu mu.
- Ultrasound: Sɛnea ɛbɛyɛ a wubehu w’asaabo kɛse ne sɛnea ɛte.
- Asaabo dwumadi ho nhwehwɛmu: Mogya/nsu mu nhwehwɛmu a edi mũ a wɔyɛ wɔ asaabo akwahosan ho.
- Asaabo mu nhwehwɛmu: Ntini ketewaa bi a wɔde afiri a wɔde hwɛ nneɛma nketenkete ayɛ mu nhwehwɛmu.
Ayaresa a Wobetumi Apaw
Ayaresa biara nni hɔ a "ɛyɛ nea ɛfata obiara"; ɔhwɛ gyina tebea pɔtee no ne sɛnea emu yɛ den no so. Ebia ayaresa no bɛhwehwɛ sɛ:
- Aduan a sodium nnim pii .
- Nnuru a ekum ɔyare mmoawa , mogya mmoroso nnuru, nnuru a ɛma nipadua no tumi ko tia nyarewa , anaa steroid .
- Dialysis a wɔde hyɛ nipadua mu .
- Asaabo a wɔde si ananmu .
Wobɛyɛ Dɛn Atumi Ama W’asaabo Anya Apɔwmuden?
Sɛ wobɔ w’asaabo ho ban a, ɛboa ma Bowman capsule no yɛ adwuma yiye. Ɛho hia sɛ wobɛhwɛ wo ho daa, wobɛyɛ wo mogya mu nhwehwɛmu, na woayɛ wo nsu mu nhwehwɛmu, titiriw sɛ wowɔ mogya mmoroso, woyɛ kɛse mmoroso, anaa asikreyare a. Wubetumi atew asiane a ɛwɔ hɔ no so denam:
- Sigaretnom a wobegyae.
- Nkyene a wɔnom so tew.
- Apɔw-mu-teɛteɛ a wɔbɛyɛ daa de aboa ma wɔadi mogya mmoroso ho dwuma.
- Sɛ wɔtow Nnuru a Ɛnyɛ Steroidal Anti-Inflammatory Drugs (NSAIDs) a wɔde di dwuma ano hye , efisɛ sɛ wɔde di dwuma boro so a, ebetumi asɛe asaabo.
- Mu duru a ɛfata a wobɛkɔ so akura mu.
- Wo mogya mmoroso ne asikre dodow a wobɛhwɛ so bere nyinaa.
Bere Bɛn na Ɛsɛ sɛ Wokɔ Oduruyɛfo?
Sɛ wususuw sɛ asaabo mu nsɛm wɔ hɔ a, kɔ wo duruyɛfo nkyɛn. Kɔkɔbɔ nsɛnkyerɛnne no bi ne:
- Nsakrae a ɛba nsu mu (kɔla, ahurututu, anaa mpɛn dodow a ɛba).
- Ɔbrɛ a ɛkɔ so daa .
- Mogya mmoroso a ɛkɔ soro .
- Ntini mu akisikuru.
- Aduan ho akɔnnɔ a ɛyera anaasɛ dade dɛ a ɛwɔ anom.
- Akisikuru ne ɔfe.
- Asen anaa nsa a ɛho ahonhon.
Sɛ wowɔ asikreyare , komayare , mogya mmoroso, anaa kɛseyɛ mmoroso ho abakɔsɛm a, wo ne w’akwahosan ho ɔyaresafo nkasa, anaasɛ wotaa nom nnuru a ebetumi aka w’asaabo a.
Nkrasɛm a Wɔde Kɔ Fie
W’asaabo yɛ adwuma a ɛma wo nkwa da biara da. Mogya mmoroso ne mogya mu glucose dodow a ɛfata a wobɛkɔ so akura mu no ne anammɔn a ɛho hia sen biara a wubetumi ayɛ.Sɛ wuhu nsakrae biara wɔ wo nsu a wobɛtow mu anaasɛ wunya sɛnkyerɛnne foforo a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Kae sɛ Nirogi Lanka hyɛ wo nkuran sɛ kɔ so yɛ ade —w’akwahosan wɔ wo nsam, na saa nneɛma nketenkete yi ho hia ma wo yiyedi a ɛtra hɔ kyɛ.
Asaabo, Bowman capsule, nephron, glomerulus, asaabo mu yare, nsu a wɔde gu nipadua mu, akwahosan
