CRP sɔhwɛ (C-Reactive Protein Test) - Momma yɛnka eyi ho asɛm!

Ebia woate CRP sɔhwɛ bi ho asɛm. Ebia wo duruyɛfo aka akyerɛ wo sɛ yɛ. Anaasɛ ebia woate sɛ w’adamfo anaa wo busuani bi ayɛ sɔhwɛ yi. Enti, dɛn ne CRP sɔhwɛ yi? Dɛn nti na ɛho hia saa? Momma yɛnka eyinom nyinaa ho asɛm wɔ ɔkwan a ɛnyɛ den so nnɛ, wɔ ɔkwan a wubetumi ate ase so, ɛyɛ?

Dɛn ne CRP? Dɛn nti na ɛho hia ma yɛn nipadua?

Okay, nea edi kan no ma yɛnhwɛ nea CRP yɛ. CRP yɛ asɛmfua tiawa a wɔde frɛ C-Reactive Protein . Eyi yɛ protein soronko bi a yɛn mmerɛbo na ɛyɛ. Afei ebia worebisa wo ho sɛ, dɛn na ɛba eyi so? Sɛ ɔfe wɔ yɛn nipadua no mu baabi a, mmerɛbo no yɛ ho biribi denam protein a wɔfrɛ no CRP yi a ɛyɛ na ɛde ka mogya no ho no so.

Afei ebia woresusuw ho sɛ, ‘Dɛn ne ɔfe?’ Sɛ yɛbɛka no tiawa a, ɔfe yɛ nea yɛn nipadua no ahobammɔ nhyehyɛe no yɛ ho biribi. Fa no sɛ mmoawa anaa mmoawa bi hyɛn wo nipadua mu, anaasɛ wunya opira, te sɛ nea wɔatwa anaa wɔatwa. Afei yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ adwuma. Ɛte sɛ asraafo a wɔbɔ yɛn man ho ban no. Saa nipadua no mu tumi a ɛko tia nyarewa yi ma nkwammoaa soronko bi a wɔfrɛ no inflammatory cells ne cytokines , fi hɔ ma ɛko tia mmoawa no anaasɛ ɛsa baabi a apira no. Ɛno ne bere a ɛho ahonhon, ɛyɛ kɔkɔɔ, ɛyaw, na ɛtɔ mmere bi a ɔhyew ba. Eyi ne nea yɛfrɛ no ɔfe. Ɛtɔ da bi a, ɛnyɛ mmeae a yetumi hu nko na saa ɔfe yi tumi ba, na mmom mmeae a ɛwɔ nipadua no mu a yentumi nhu, te sɛ nkwaa nso.

Enti, sɛ ɔfe wɔ hɔ a, CRP dodow a ɛwɔ mogya no mu no kɔ soro. Mpɛn pii no, yɛn mogya mu CRP dodow sua koraa. Nanso, sɛ ɔfe kɔ soro a, saa CRP dodow yi nso kɔ soro. Ɛne sɛ, sɛ nnuruyɛfo hwɛ CRP dodow a ɛwɔ mogya no mu a, wobetumi anya adwene wɔ sɛ ebia ɔfe wɔ yɛn nipadua mu ne sɛnea emu yɛ den no ho.

Bere bɛn na wɔyɛ CRP sɔhwɛ?

Enti, bere bɛn na nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ CRP nhwehwɛmu yi? Dɛn na yebetumi ahwɛ kwan afi eyi mu?

Wɔde CRP sɔhwɛ no di dwuma titiriw de boa ma wohu anaasɛ wosi so dua sɛ aduruyɛ mu tebea horow bi wɔ hɔ. Nhwɛso kakraa bi ni:

• Mmoawa bi a emu yɛ den te sɛ sepsis betumi de nkwa ato asiane mu.
• Fungal yare mmoawa.
• Wɔfrɛ nyarewa a ɛba bere a mmoawa hyɛn nnompe no mu no osteomyelitis . Eyi nso yɛ ɔyare mmoawa a emu yɛ den.
• Tebea horow a ɛma obi ho hyehye no a ɛba wɔ dwensɔtwaa mu, kyerɛ sɛ, Ɔhyew a Ɛma Ɔyare (IBD) .
• Ntini mu yare ahorow bi, te sɛ ntini mu yare.
• Nyarewa bi yɛ nyarewa a nipadua no tumi ko tia nyarewa a yɛn ankasa nipadua mu tumi a ɛko tia nyarewa dan kɔ yɛn so, sɛ nhwɛso no , ntini mu yare anaa lupus (Systemic Lupus Erythematosus - SLE) .
• Pelvic Inflammatory Disease (PID) yɛ ɔyare a ɛma mmea ho yɛ hyew wɔ akyi berɛmo mu.

Fa no sɛ wo ba kumaa no anya atiridiinini kɛse nna kakraa bi, onnnidi, na ne bo afuw paa. Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ CRP nhwehwɛmu na ama wɔahu ntɛm ara sɛ ɔyare mmoawa bi a emu yɛ den, ebia ɔyare mmoawa bi wɔ nipadua no mu anaa. Nea ebefi eyi mu aba no na ɛbɛkyerɛ ayaresa a edi hɔ.

Ɛnyɛ ɛno nko, na mmom saa CRP sɔhwɛ yi nso boa ma wɔhwɛ sɛ ɔyare mmoawa bi wɔ hɔ bere a wɔresa yare no, sɛ́ ɛyɛ oprehyɛn kɛse anaasɛ oprehyɛn a wɔde hyɛ nipadua mu akyi no.

Nanso ade biako a ɛsɛ sɛ wokae ne sɛ CRP nhwehwɛmu no nkutoo ntumi nka nkyerɛ wo yiye sɛ, ‘Eyi ne yare a ɛwɔ ha’ anaasɛ ‘Eyi ne ɔfe a ɛwɔ nipadua no fã yi mu.’ Enti, sɛ CRP bo no yɛ kɛse a, mpɛn pii no oduruyɛfo no bɛyɛ nhwehwɛmu kakraa bi bio de ahu nea ɛde ba ankasa.

Bere bɛn na ɛsɛ sɛ meyɛ CRP sɔhwɛ?

Afei ebia woresusuw ho sɛ, ‘Enti bere bɛn na ɛsɛ sɛ meyɛ CRP sɔhwɛ yi?’ Mpɛn pii no, oduruyɛfo bɛhyɛ nhwehwɛmu yi bere a worekyerɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa a emu yɛ den no. Saa nsɛnkyerɛnne yi bi ne:

• Merenya atiridiinini a emu yɛ den.
• Nipadua no te awɔw nka na ɛwosow (Chills).
• Ɔhome a ɛkɔ soro (tachypnea).
• Koma a ɛbɔ kɔ soro (tachycardia).
• Akisikuru ne ɔfe rekɔ.

Bio nso, sɛ wɔresa wo yare dedaw anaasɛ wɔresa wo yare wɔ ɔyare bi a enni sabea ho a, nnuruyɛfo nso de CRP nhwehwɛmu yi di dwuma de hwɛ sɛ ayaresa no reyɛ adwuma anaa na ɔfe no so atew anaa. Eyi te saa efisɛ sɛ ɔfe a ɛwɔ nipadua no mu so tew a, CRP dodow nso so tew. Eyi kyerɛ sɛ ayaresa no reyɛ adwuma.

Hena na ɔyɛ CRP sɔhwɛ no? Wɔyɛ no dɛn?

Mpɛn pii no, obi a wɔatete no titiriw, a wɔfrɛ no phlebotomist, na ɔtwe mogya na ɔyɛ CRP nhwehwɛmu yi. Nanso, akwahosan ho adwumayɛfo biara a wɔatete no sɛ ɔntwe mogya betumi ayɛ. Afei wɔde mogya no kɔ aduruyɛdan mu. Aduruyɛ mu nhwehwɛmubea nyansahufo bi a ɔwɔ hɔ siesie nhwɛsode no ma wɔsɔ hwɛ na ɔde mfiri titiriw bi a wɔfrɛ no analyzers di dwuma de hwɛ CRP dodow.

So biribi titiriw bi wɔ hɔ a ɛsɛ sɛ yesiesie yɛn ho ansa na sɔhwɛ yi aba?

Mpɛn pii no, dabi. Bere a mogya mu nhwehwɛmu ahorow bi hwehwɛ sɛ wodi mmuada no, mpɛn pii no, CRP nhwehwɛmu no nhwehwɛ sɛ wɔyɛ ahwɛyiye titiriw biara. Nanso, sɛ wo duruyɛfo de akwankyerɛ titiriw bi ma wo a, akyinnye biara nni ho sɛ ɛsɛ sɛ wudi akyi, ɛyɛ?

Sɛ wode mogya ma a, dɛn na ɛba?

Okay, afei ma yɛnhwɛ nea ɛba bere a wode mogya ma no. Eyi ne nea wubenya mu osuahu:

• Wɔbɛtena akongua bi so. Afei akwahosan ho dwumayɛni no bɛhwɛ wo nsa na wapaw ntini bi a ɛnyɛ den sɛ wobɛtwe mogya afi mu. Eyi taa yɛ wo basa no mu, wo nsateaa akyi pɛɛ.
• Sɛ wohu ntini bi pɛ a, wɔhohoro baabi a ɛwɔ no yiye na wɔde aduru a ekum ɔyare mmoawa gu so.
• Afei, wɔde ade ketewaa bi hyɛ ntini no mu na wogye mogya. Saa bere yi de, ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra, te sɛ nea ntɛtea aka wo .
• Bere a wɔde ade no hyɛ mu wie no, wɔboaboa mogya kakra ano wɔ afiri bi a wɔde sɔ hwɛ mu.
• Sɛ wɔboaboa mogya no ano wie a, woyi ade no na wɔde kotoku anaa gauze bi gu beae no so na ama mogya no agyae na wɔde akura mu bere tiaa bi.
• Awiei koraa no, wɔde aduru a wɔde kyekyere nneɛma ho gu baabi a ɛwɔ no. Ɛno ara ne no, adwuma no awie.

Adeyɛ no nyinaa gye nea ennu simma anum, enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.

Dɛn na ɛba wɔ CRP sɔhwɛ no akyi? So asiane ahorow bi wɔ hɔ?

Sɛ wɔfa wo mogya wie a, wɔde kɔ lab kɔhwɛ. Sɛ amanneɛbɔ no san ba pɛ a, mpɛn pii no wɔ da koro anaa nnanu ntam a, ebetumi agye kakra, na wo duruyɛfo no bɛka nea ebefi mu aba no akyerɛ wo.

Afei ma yɛnhwɛ sɛ asiane bi wɔ mogya mu nhwehwɛmu yi a wɔbɛyɛ mu anaa. Nokwarem no, mogya mu nhwehwɛmu yɛ ade a abu so na ɛho hia wɔ nnuruyɛ mu. Asiane kɛse biara nni hɔ koraa. Beae a wɔtwe mogya no betumi ayɛ yaw kakra, anaasɛ akuru kakra wɔ hɔ. Nanso ɛno bɛkɔ yiye ntɛm ara wɔ nna kakraa bi mu.

Dɛn na ɛwɔ CRP amanneɛbɔ no mu? Dɛn ne gyinapɛn ahorow a ɛfata?

CRP amanneɛbɔ a wo nsa ka no taa kura nsɛm bi te sɛ eyi:

• Mogya mu nhwehwɛmu no din kyerɛ nea wɔsusuw wɔ mogya no mu (e.g. C-Reactive Protein).
• Nea efi wo mogya mu nhwehwɛmu mu ba, kyerɛ sɛ, bo a ɛfata.
• Nsusuwii a ɛfata ma saa sɔhwɛ no.
• Nhyehyɛe a ɛkyerɛ sɛ ebia nea efi mu ba no yɛ nea ɛfata, ɛnyɛ nea ɛfata, ɛkorɔn, anaasɛ ɛba fam.

Afei ma yɛnhwɛ nea CRP bo a ɛyɛ daa no yɛ. Saa reference ranges yi betumi ayɛ soronko kakra wɔ lab biara mu. Sɛ wo nsa ka amanneɛbɔ no a, ɛbɛkyerɛ nea CRP bo a ɛyɛ daa no yɛ ma saa lab no.

Nanso mpɛn pii no, CRP dodow a ɛfata no nnu 0.9 mg/dL (milligram wɔ deciliter biara mu). Labs binom mpo ka sɛ ennu 1.0 mg/dL.

Nneɛma pii nti na CRP dodow betumi asesa. Ɛtɔ da bi a, CRP dodow betumi akɔ soro kakra , a nea ɛka ho ne:

• Sigaret a wɔnom.
• Atiridiinini a ɛtaa ba.
• Adwene mu tebea horow te sɛ adwenemhaw.
• Asikyireyareɛ.
• Dae ho haw (Insomnia).
• Gingivitis a ɛyɛ yare.
• Kɛse mmoroso kyerɛ sɛ obi bɛyɛ kɛse mmoroso.
• Tebea horow a ɛma obi ho hyehye no a ɛfa sẽ ntini ho (Periodontitis).
• Nyinsɛn a wɔde di dwuma.
• Nnansa yi opira, te sɛ akisikuru a efi asehwe mu.

Sɛ nhwɛso no, sɛ wonom sigaret da biara da a, ebia wo CRP dodow bɛkɔ soro kakra asen afoforo, mpo a wunnya yare kɛse biara. Afei nso, sɛ woyɛ kɛse paa (woyɛ kɛse mmoroso) a, ɛno nso betumi ama wo CRP dodow akɔ soro kakra. Eyinom ne nea yɛfrɛ no ‘asetra kwan so nsunsuanso’.

Afei nso, ebia mmea ne wɔn a wɔn mfe akɔ anim benya CRP dodow a ɛkɔ soro kakra fi awosu mu. Sɛ wowɔ nsɛmmisa bi fa w’amanneɛbɔ no ho a, hwɛ hu sɛ wobɛbisa wo duruyɛfo no ma wama no mu ada hɔ.

Dɛn na CRP dodow a ɛkɔ soro kyerɛ? Ɛkyerɛ dɛn?

Okay, afei ma yɛnhwɛ nea ɛkyerɛ sɛ wo CRP no korɔn wɔ wo amanneɛbɔ no so a. Sɛ wo CRP kɔ soro kɛse fi dodow a ɛfata , ebia ɛkyerɛ sɛ ɔfe wɔ wo nipadua mu baabi. Nanso sɛnea madi kan aka no, CRP nhwehwɛmu nkutoo ntumi nkyerɛ wo nea ɛde ɔfe no ba anaa baabi a ɛwɔ wo nipadua mu ankasa. Enti, sɛ wo CRP dɔɔso a, ɛda adi sɛ wo duruyɛfo no bɛyɛ nhwehwɛmu kakraa bi bio.

Ɛdenam sɛnea CRP bo no korɔn so no, nea ɛka no betumi ayɛ soronko.

Sɛ CRP boɔ no kɔ soro kakra (Moderate elevation) .

Sɛ CRP bo no yɛ 1.0 mg/dL ne 10.0 mg/dL , yebu no sɛ ɛkɔ soro kakra. Nea efi mu ba te sɛ eyi betumi akyerɛ tebea horow te sɛ:

• Ɔfe a ɛba nipadua no mu, te sɛ ntini mu yare (RA) , nhyehyɛe mu lupus erythematosus (SLE) , anaa tebea afoforo a nipadua no tumi ko tia nipadua no betumi aka nipadua no nyinaa.
• Koma mu yare / koma mu ntini a ɛyɛ mmerɛw.
• Pancreatitis a ɛma obi nya dwensɔtwaa .
• Ahurututu mu yare .

Sɛ CRP boɔ no kɔ soro kɛseɛ (Marked elevation) .

Wobu CRP bo a ɛboro 10 mg/dL sɛ ɛkɔ soro kɛse. Nea ebefi mu aba te sɛ eyi betumi akyerɛ tebea horow a edidi so yi:

• Mmoawa a wɔde nyarewa ba a emu yɛ den.
• Nyarewa a efi mmoawa mu ba.
• Systemic vasculitis (mogya ntini a ɛyɛ hyew).
• Opira kɛse / ahodwiriw.

Sɛ CRP boɔ no yɛ kɛseɛ paa (Severe elevation) .

Sɛ CRP bo boro 50 mg/dL a, wobu no sɛ ɛkɔ soro kɛse.CRP dodow a ɛkɔ soro yiye, titiriw bere a ɛboro 50 mg/dL no, ne ɔyare mmoawa a emu yɛ den wɔ abusuabɔ wɔ bɛyɛ 90% mu. Eyi kyerɛ sɛ sɛ wohu sɛ ɛsom bo saa a, akyinnye biara nni ho sɛ oduruyɛfo no besusuw sɛ ɔyare mmoawa bi na wafi ase ayɛ nhwehwɛmu ne ayaresa a ɛho hia.

Dɛn na CRP bo a ɛba fam kyerɛ?

Enti dɛn na CRP a ɛba fam kyerɛ? Yehui sɛ CRP dodow a ɛfata no nnu 0.9 mg/dL. Enti, nokwarem no, biribiara nni hɔ a wɔfrɛ no level a ɛba fam. Ɛno kyerɛ sɛ, sɛ wo CRP boɔ no ba bɛyɛ 0.5 mg/dL a, ɛno yɛ papa paa, ɛyɛ ade a ɛfata.

Nanso, sɛ kan no na wo CRP dodow kɔ soro na ɛso atew wɔ mprempren sɔhwɛ no mu a, ɛno yɛ sɛnkyerɛnne pa ara! Ɛkyerɛ sɛ ɔfe a ɛwɔ wo nipadua mu no so retew, anaasɛ ɔfe no ayaresa no yɛ yiye. Wo duruyɛfo no ani begye ɛno nso ho.

So ɛsɛ sɛ mehaw me ho sɛ me CRP dodow no nyɛ nea ɛfata a?

Ebia wobɛhaw kakra bere a wuhu sɛ CRP akenkan a ɛkɔ soro wɔ w’amanneɛbɔ no so no. Ebia wubesusuw sɛ, "Oo, so mewɔ biribi a anibere wom?" Nanso, CRP akenkan a ɛkɔ soro nkyerɛ bere nyinaa sɛ wowɔ yare a emu yɛ den a ehia ayaresa , titiriw sɛ akenkan no kɔ soro kakra pɛ a.

Kae sɛ madi kan aka sɛ sigaretnom, opira nketenkete, ne akwahosan tebea horow bi a ɛtaa ba (te sɛ nyinsɛn) nso betumi ama CRP dodow akɔ soro. Ɛtɔ mmere bi a, mfomso nketenkete a ɛba wɔ mogya a wɔgye, aduruyɛdan mu nhwehwɛmu, anaa nhwehwɛmu mpo mu betumi aka nea efi mu ba no.

Enti, mma w’ankasa nhuruw nkɔ nsɛm a ɛba awiei bere a wuhu nea efi mu ba a ɛyɛ soronko no. Mma wo ho nnyɛ wo hu. Wo duruyɛfo no bɛhwɛ w’amanneɛbɔ no mu, de atoto wo yare no ho sɛnkyerɛnne ho, de atoto w’ayaresa ho abakɔsɛm ho, na sɛ ɛho hia a ɔbɛyɛ nhwehwɛmu foforo de ahu nea enye ankasa.

Ɛtɔ mmere bi a, nnipa a wɔwɔ apɔwmuden bɛyɛ 20 biara mu biako betumi anya nea efi mu ba a ɛboro nea ɛfata so. Enti, nsuro sɛ wo ne wo duruyɛfo bɛkasa. Bisa nsɛm a wowɔ nyinaa. Ɔbɛboa wo na wama wo akwankyerɛ a ɛho hia.

Nneɛma a ɛsɛ sɛ yɛkae (Take-Home Message) .

Okay, enti momma yɛnsan nsusuw nsɛm a ɛho hia sen biara a yɛaka ho asɛm wɔ CRP sɔhwɛ yi mu no bi ho:

• CRP yɛ protein a mmerɛbo no yɛ. Ɛdɔɔso wɔ mogya no mu bere a ɔfe wɔ nipadua no mu no.
• Saa sɔhwɛ yi betumi aboa ma wɔahu nyarewa ne ɔhyew tebea horow te sɛ ntini mu yare , na ebetumi aboa nso ma wɔahu sɛ ebia ayaresa no reyɛ adwuma anaa.
• Sɛ CRP dodow kɔ soro mpo a, ɛno nkutoo ntumi nhu nea yare no yɛ anaa baabi a ɛwɔ. Ebia ɛho behia sɛ wɔyɛ sɔhwɛ foforo.
• CRP bo a ɛfata no nnu 0.9 mg/dL (anaasɛ 1.0 mg/dL).
• CRP dodow nso betumi akɔ soro kakra esiane nneɛma te sɛ sigaretnom, nyinsɛn, opira nketenkete, ne kɛseyɛ mmoroso nti.
• Mma wo ho nnyɛ wo hu bere a wuhu CRP bo a ɛkorɔn no.Wo ne wo duruyɛfo nkasa na nya afotu. Ɔbɛyɛ onipa a oye sen biara a ɔbɛkyerɛ wo kwan.

Enti, mewɔ anidaso sɛ seesei woabua nsɛmmisa a na wowɔ wɔ CRP sɔhwɛ no ho no pii. Mewɔ anidaso sɛ saa nsɛm yi so bɛba wo mfaso. Hwɛ w’akwahosan so bere nyinaa, efisɛ akwahosan ne ahonyade a ɛsen biara!

` CRP Sɔhwɛ, C-Reactive Protein, Ɔfe, Nyarewa, Mogya mu Nhwehwɛmu, Akwahosan, Nsɛnkyerɛnne, Mmerɛbo, Nkwammoaa a ɛko tia nyarewa