Hena ne nephrologist? So ɛsɛ sɛ wohwɛ w’asaabo so yiye?

So woate ‘ Nephrologist ’ ho asɛm pɛn? Ebia wo duruyɛfo de wo akɔ biako nkyɛn. Anaasɛ ebia asaabo mu haw bi haw wo kakra kɛkɛ. Ɛnnɛ, momma yɛnka onii ko a nephrologist yɛ, nea wɔyɛ, ne bere a ɛsɛ sɛ wuhu wɔn ho asɛm.

Hena ankasa ne nephrologist?

Sɛ yɛbɛka no tiawa a, asaabo ho ɔyaresafo yɛ oduruyɛfo a ne ho akokwaw wɔ asaabo mu nyarewa ne ne sa ho. Sɛnea wunim no, asaabo a ɛwɔ yɛn nipadua mu no yɛ yɛn nsu a yɛde fa nsu mu no fã. Wɔte sɛ akwaa abien a ɛte sɛ bankye. Wɔtetew yɛn mogya mu na woyi nneɛma fĩ, nsu a ɛboro so, ne anyinam ahoɔden a ɛma anyinam ahoɔden fi hɔ sɛ nsu. Enti saa asaabo yi akwahosan ho hia paa.

Hena ne Mmofra Ahurututu Ho Oduruyɛfo?

Afei, mmofra nkumaa mpo betumi anya asaabo mu haw. Mmofra asaabo ho ɔyaresafo yɛ oduruyɛfo a ne ho akokwaw wɔ asaabo mu nyarewa ne ne ayaresa mu wɔ obiara so fi mmofra a wɔawo wɔn foforo so kosi mmofra nkumaa ne mpanyimfo nkumaa so. Wonim sɛnea ɔhaw ahorow yi ka mmofra nkumaa nso bere a wɔrenyin no.

Dɛn na nephrologist yɛ?

Okay, afei momma yɛnhwɛ nea nephrologist yɛ ankasa. Wɔn titiriw na wohu tebea horow te sɛ asaabo mu yare ne asaabo a entumi nyɛ adwuma yiye na wɔsa . Ɛnyɛ ɛno nko, na mmom wonim sɛnea asaabo mu yare betumi aka nipadua no afã afoforo nso yiye. Nhwɛsoɔ:

• Nyarewa a nipadua no tumi ko tia nyarewa: Ɛtɔ mmere bi a, yɛn nipadua no ankasa nipadua mu tumi a ɛko tia nyarewa no betumi asɛe yɛn asaabo.
• Koma ne Ntini mu Nyarewa: Asaabo mu haw betumi aka koma no, na koma mu haw betumi aka asaabo no. Abusuabɔ a emu yɛ den da abien no ntam.
• Mogya mmoroso (Hypertension): Mogya mmoroso nyɛ papa mma asaabo, na asaabo mu yare nso betumi ama mogya mmoroso aba.

Ɛsɛ sɛ woyere wo ho yɛ dɛn na ama woabɛyɛ obi a ɔhwɛ ahurututu mu yare ho ɔyaresafo?

Wususuw sɛ sɛ wobɛyɛ obi a ɔhwɛ ahurututu mu ɔyaresafo a, ɛnyɛ den? Nte saa koraa! Ɛyɛ akwantu tenten a wɔahyira so. Susuw nneɛma pii a ɛsɛ sɛ wosua ho hwɛ:

• Nea edi kan no, mfe anan a ɔde kɔlege adesua.
• Afei ɛsɛ sɛ wusua ade mfe anan wɔ aduruyɛ sukuu mu.
• Ɛnkɔ awiei wɔ hɔ. Ɛsɛ sɛ wonya mfe abiɛsa ntetee a ɛfa atrae ho. Wɔ eyi mu no, wonya ntetee titiriw wɔ Internal Medicine anaa Pediatrics mu.
• Ɛno akyi no, ɛsɛ sɛ woyɛ mfeɛ mmienu anaa mmiɛnsa nteteeɛ titire wɔ asaabo mu nyarewa ho, kyerɛ sɛ, ``Fellowship.`` Eyi ne nephrology fã a emu dɔ sen biara.
• Ebinom nya afe biako ntetee foforo ma wɔyɛ wɔn ho titiriw wɔ asaabo a wɔde si ananmu (Transplant Nephrology) anaasɛ nneɛma a wɔde wɔn ho hyɛ mu a ɛfa asaabo mu nyarewa ho (Interventional Nephrology) mu.
• Awiei koraa no, wɔ Sri Lanka no, wɔhwehwɛ sɛ wɔkyerɛw wɔn din wɔ Sri Lanka Aduruyɛ Bagua no mu, na wɔ amannɔne aman mu no, wɔhwehwɛ sɛ wonya adansedi krataa titiriw (Board Certification) fi bagua ahorow a wogye tom wɔ saa aman no mu hɔ.

Woahu, ahofama kɛse bɛn ara ni! Ɛno nti na wɔwɔ asaabo ho nimdeɛ a emu dɔ saa no.

Dɛn ne Transplant Nephrology ne Interventional Nephrology?

Yɛadi kan aka ntetee titiriw foforo a wɔfrɛ no `( Transplant Nephrology)` ne `(Interventional Nephrology)` ho asɛm. Momma yɛnhwɛ nea wɔyɛ.

• Transplant Nephrology yɛ adwuma titiriw bi a ɛfa asaabo ne dwensɔtwaa a wɔde si ananmu ho, ne ayarefo a wɔde saa nipadua foforo yi ma wɔn no hwɛ. Eyi kyerɛ sɛ, sɛ wɔde asaabo bi si ananmu wie a, ɛyɛ wɔn asɛyɛde sɛ wɔde afotu ma wɔ nnuru a ehia na ama ayɛ adwuma yiye kosi sɛ ɛbɛka nipadua no ho yiye.
• Interventional Nephrology yɛ adwuma titiriw a ɛyɛ adwuma titiriw wɔ mogya ntini a wɔyɛ na wɔma ɛkɔ so kɔ so, titiriw ma dialysis (mogya a wɔde tew ho). Wɔyɛ asaabo mu nhwehwɛmu nso, a ɛyɛ ntini nketenkete a woyi fi asaabo no mu. Wɔatete wɔn yiye wɔ:
• Catheters a wɔde bɛhyɛ mu na woyi afi mu (eyinom yɛ nsukorade a ɛyɛ mmerɛw na ɛyɛ tokuru a wɔde nsu gu nipadua no mu na efi mu ba).
• Stent a wɔde besisi hɔ (eyinom yɛ plastic nhama a wɔde gu mogya ntini mu na ama abue).
• Mogya a ɛyɛ mmerɛw a wobeyi afi hɔ.
• Fistulograms (eyi hwɛ sɛ nkitahodi a ɛnteɛ bi wɔ asaabo no mu, i.e. fistula).
• Asaabo mu nhwehwɛmu a wɔyɛ.

Dɛn ne tebea horow a ɛtaa ba a nephrologist sa?

Nyarewa ahorow bɛn na nephrologist sa? Tebea horow a wɔtaa sa no bi ni:

• Asikreyare Asaabo Yare ne asaabo mu nyarewa afoforo a asikreyare de ba. Asikreyare yɛ asaabo no tamfo kɛse.
• Mogya mmoroso.
• Asaabo a Ɛnyɛ Den.
• Cystic Asaabo Yare.
• Asaabo mu abo. Nnipa pii ate eyi ho asɛm.
• Nephrotic Syndrome a Ɛyɛ Adwene a Ɛyɛ Fɛ.
• Adwene mu yare a ɛba awiei.
• Hemolytic Uremic Syndrome a ɛma mogya tu.
• Nsuo mu Nyarewa (UTIs).
• Asaabo mu Nyarewa.
• Hyponatremia (sodium dodow a ɛba fam wɔ nipadua no mu) ne electrolyte afoforo a ɛnkari pɛ.
• Toxic Overdoses a ɛhwehwɛ sɛ wɔyɛ dialysis.
• Glomerulonephritis (GN): Eyi ne bere a asaabo nketewa a wɔde yiyi mu no ho hyehye no.

Nhwehwɛmu ne akwan horow bɛn na nephrologist yɛ?

Nhwehwɛmu ne akwan bɛn na akisikuru ho ɔbenfo de hwehwɛ nyarewa na ɔsa?

• Mfoniniyɛ mu nhwehwɛmu ahorow: Eyinom bi ne X-ray, CT scan, ne ultrasound. Eyinom betumi aboa ma wɔahu sɛnea akisikuru no te, ne kɛse, ne sɛnea ɛwɔ asaabo no mu.
• Asaabo Dwumadi Ho Nhwehwɛmu: Eyinom yɛ nhwehwɛmu a ɛkyerɛ wo sɛnea w’asaabo reyɛ adwuma yiye pɛpɛɛpɛ. Nea ɛka ho ne mogya mu nhwehwɛmu ne nsu mu nhwehwɛmu.
• Dialysis: Sɛnea yɛadi kan aka no, sɛ w’asaabo ntumi nyɛ adwuma yiye a, dialysis afiri betumi ayɛ adwuma no ama wo. Eyi hwehwɛ sɛ afiri bi fa wo mogya, yi nneɛma fĩ ne nsu a ɛboro so fi mu, na afei wɔde mogya a wɔahohoro no san kɔ wo nipadua mu.
• Kidney Biopsy: Wɔ eyi mu no, nephrologist no yi ntini ketewaa bi fi w’asaabo mu na ɔde kɔ lab. Eyi boa kɛse wɔ asaabo mu yare a wohu mu.
• Asaabo a Wɔde Ma Wo Ho Hwɛ: Sɛ wɔma wo asaabo foforo a, oduruyɛfo a ɔyɛ asaabo foforo de asaabo a ɛte apɔw (a efi obi a ɔde ma no hɔ) bɛhyɛ wo hwene mu. Mpɛn pii no, w’ankasa asaabo a adi huammɔ no bɛkɔ so atra wo nipadua mu. Nephrologist bi ne wo oprehyɛn ho ɔyaresafo bɛyɛ adwuma de aboa wo ma woasiesie wo ho ama oprehyɛn no na wama wo ɔhwɛ a wuhia bere a wo ho retɔ wo no.

Nsonsonoe bɛn na ɛda Nephrologist ne Urologist ntam?

Eyi yɛ biribi a ɛma nnipa pii adwene tu fra. Nsonsonoe bɛn na ɛda nephrologist ne urologist ntam? Saa adwene a ɛyɛ basaa yi sɔre efisɛ wɔn baanu nyinaa adwuma no wɔ abusuabɔ bi.

Sɛ yɛbɛka no tiawa a, asaabo ho oduruyɛfo a ne ho akokwaw wɔ tebea horow a ɛka asaabo no ho.Sɛ wowɔ ɔhaw bi a ɛka w’asaabo anaa w’asaabo dwumadi a, oduruyɛfo a oye sen biara ma wo ne asaabo ho ɔyaresafo.

Ntini ho ɔyaresafo yɛ oduruyɛfo a ɔhwehwɛ nyarewa a ɛka nsu a ɛkɔ nsu mu no na ɔsa. Wo nsuo a ɛkɔ wo nsuo mu no bi ne wo akisikuru, wo nsuo a ɛkɔ wo nsuo mu, nsuo a ɛkɔ wo nsuo mu, ne wo asaabo. Wɔn ho akokwaw nso wɔ ɔbarima ne ɔbea awo nhyehyɛe no ho sɛnkyerɛnne, tebea horow, ne ayaresa mu. Sɛ wowɔ ɔhaw bi wɔ wo nsu a wode gu mu anaa wo awo ho a, ɛsɛ sɛ wokɔ oduruyɛfo a ɔhwɛ nsu mu.

Nsonsonoe foforo a ɛho hia ne sɛ ntini ho animdefo wɔ oprehyɛn ho ntetee. Wɔde wɔn ho gye asaabo mu haw ahorow mu bere a ɛho hia sɛ wɔyɛ oprehyɛn te sɛ asaabo mu kokoram anaa asaabo mu abo nkutoo. Nephrologists nyɛ oprehyɛn. Wɔde nnuru ne akwan foforo sa asaabo no yare.

Bere bɛn na ɛsɛ sɛ mekɔ nephrologist nkyɛn?

Okay, afei ebia woresusuw ho sɛ, ‘Bere bɛn na ɛsɛ sɛ mekɔ nephrologist nkyɛn?’ Sɛ wowɔ asaabo mu yare ho sɛnkyerɛnne bi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ asaabo ho oduruyɛfo nkyɛn. Nsɛnkyerɛnne no bi ni:

• Abɔdeɛ mu Abusua Abakɔsɛm a Ɛfa Asaabo Yareɛ Ho: Sɛ wo busuani bi a ɔwɔ mogya mu anya asaabo mu yareɛ a, wowɔ asiane kɛseɛ mu. Nephrologist betumi aboa ma wɔasiw asaabo mu yare ano anaasɛ obehu na wasa no ntɛm.
• Asikreyare: Asikreyare betumi asɛe asaabo. Sɛ wowɔ asikreyare a, asiane kɛse wom sɛ wubenya asaabo a entumi nyɛ adwuma yiye.
• Mogya Nhyɛso: Mogya mmoroso nso betumi asɛe asaabo no. Sɛnea wunim no, asaabo no de mogya ntini di dwuma de yi mogya mu. Sɛ nhyɛso kɔ soro a, sɛnea mogya ntini yi tumi dannan ne ho no so tew, na ɛno betumi atew mogya ne mframa pa dodow a ɛkɔ asaabo no mu no so. Eyi betumi ama asaabo ayɛ adwuma yiye.
• Nsakrae a ɛba wo nsu a wobɛtow mu: Sɛ wuhu nsakrae biara wɔ wo nsu mu anaa wo nsu a wototɔ mu a, ebetumi ayɛ asaabo mu yare ho sɛnkyerɛnne. Sɛ nhwɛso no, ebia ebehia sɛ wototo wo ho mpɛn pii, woto nsu pii, wo nsu betumi ayɛ te sɛ ahuru, anaasɛ wo nsu no kɔla bɛyɛ tuntum.
• Amemene mu Nsuo: Eyi nso betumi ayɛ asaabo mu yare ho sɛnkyerɛnne. Ɛnyɛ aduruyɛ mu tebea, nanso nnuruyɛfo de asɛmfua yi di dwuma de kyerɛkyerɛ nneɛma te sɛ nsusuwii a ɛyɛ brɛoo ne te a wɔte nka sɛ wɔatwetwe w’adwene. Sɛ wuhu sɛ w’adwene tu fra, wo werɛ fi, anaasɛ ɛyɛ den ma wo sɛ wode w’adwene besi biribi so a, hu ɛno nso.

Dɛn na ɛba da a edi kan a obi kɔ akisikuru ho oduruyɛfo nkyɛn no?

Dɛn na ɛba da a edi kan bere a wokɔ nephrologist nkyɛn no? Nea ɛtaa ba ni:

• Wo deɛSɛ yɛhwɛ aduruyɛ ho kyerɛwtohɔ dedaw no nyinaa.
• Wo yare no ho sɛnkyerɛnne ahorow ho asɛm a wubebisa .
• Wɔyɛ nipadua mu nhwehwɛmu .
• Wɔhyɛ nneɛma te sɛ mogya mu nhwehwɛmu, nsu mu nhwehwɛmu, ne mfoniniyɛ mu nhwehwɛmu .

Wobɛyɛ dɛn asiesie wo ho ama nsrahwɛ a wobɛkɔ akɔsra obi a ɔhwɛ ahurututu mu yare ho ɔyaresafo nkyɛn?

Ɛho hia yiye sɛ wusiesie wo ho ma da a edi kan a wobɛkɔ akɔhwɛ ahurututu ho oduruyɛfo. Nneɛma bi a wubetumi ayɛ ni:

• Sɛ nkrataa bi wɔ hɔ a wɔka kyerɛ wo sɛ hyehyɛ ansa na woakɔ oduruyɛfo nkyɛn a, hyehyɛ.
• Kyerɛw nsɛmmisa bi a wususuw sɛ ɛho hia sen biara sɛ wo ne oduruyɛfo no susuw ho na fa kɔ ``Nsɛmmisa a Wɔahyehyɛ`` so .
• Sɛ nsakrae bi aba w’akwahosan mu nnansa yi a, ma ɛntra w’adwenem.
• Yɛ wo sɛnkyerɛnne nyinaa ho kyerɛwtohɔ wɔ ``Symptom Diary'' mu. Kyerɛw nneɛma te sɛ da a yare no ho sɛnkyerɛnne no fii ase, bere, ne bere tenten a atra hɔ.
• Hu w'abusua aduruyɛ ho abakɔsɛm . Saa nsɛm yi bɛboa wo duruyɛfo ma wahu yare no.
• Hyɛ ntade a ɛyɛ fɛ na ɛnyɛ den sɛ wobɛhyɛ . Nneɛma te sɛ T-shirt, shirt, skirt, ne pants.
• Kyerɛw oprehyɛn ahorow a wɔayɛ wo no din .
• Sɛ wowɔ nhwehwɛmu a efi nnuruyɛfo afoforo hɔ a, fa ne bi ka wo ho.
• Fa wo duruyɛfo titiriw ne nnuruyɛfo afoforo a wotaa kɔ wɔn nkyɛn no din ne wɔn telefon nɔma .
• Sɛ worehwɛ wo mogya mmoroso wɔ fie a, fa wo mogya mmoroso kyerɛwtohɔ no ka wo ho.
• Fa nnuru a worenom mprempren nyinaa din sie . Fa nnuru a wɔkyerɛw ma obi, nnuru a wɔtɔn, vitamin, ne nnuru a wɔde ka aduan ho ka ho.
• Fa wo insurance nkrataa no kɔ.
• Sɛ ɛbɛyɛ yiye a, fa w’adamfo anaa w’abusua muni bi ka wo ho. Wobetumi akyerɛw nsɛm, aboa wo ma woabisa nsɛm, akae wo nea oduruyɛfo no ka, na wɔaboa wo ma woayɛ nhwehwɛmu ho nhyehyɛe.
• Bisa bere a wɔde bedi akyi nso ho asɛm .

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Enti, efi nea yɛaka ho asɛm nnɛ no mu no, mewɔ anidaso sɛ wowɔ adwene pa wɔ onii ko a ɔyɛ nephrologist, nea wɔyɛ, ne bere a ɛsɛ sɛ wuhu wɔn ho. Asaabo yɛ akwaa a ɛyɛ komm, nanso ɛho hia paa wɔ yɛn nipadua mu. Ɛno nti na ɛho hia kɛse sɛ wohwɛ w’asaabo akwahosan so no.

Sɛ wowɔ adwenem naayɛ bi wɔ asaabo mu yare ho, sɛ wowɔ sɛnkyerɛnne bi, anaa sɛ obi a ɔwɔ w’abusua mu wɔ asaabo mu yare a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ aduruyɛ mu afotu. Sɛ ɛho hia a, kɔ nephrologist nkyɛn. Wɔwɔ hɔ sɛ wɔbɛboa wo. Sɛ wohu yare bi ntɛm a, ɛyɛ mmerɛw koraa sɛ wɔbɛsa. W’asaabo a wobɛhwɛ so no wɔ wo nsam!

` Asaabo, nephrologist, asaabo mu yare, dialysis, urinary system, mogya mmoroso, asikreyare