Yɛn nyinaa nim sɛ asaabo yɛ akwaa a ɛho hia yiye a ɛyi nneɛma fĩ fi yɛn nipadua mu na ɛboa ma nsu ne nkyene a ɛwɔ nipadua no mu no kari pɛ. Nanso sɛ mogya a ɛkɔ saa asaabo yi mu no gyae mpofirim, anaa sɛ wonnya mframa pa a ɛdɔɔso a, dɛn na ɛba? Ɛnnɛ yɛreka tebea bi a emu yɛ den a ebetumi aba ho asɛm. Wɔfrɛ eyi Acute Tubular Necrosis, anaa ATN tiawa.
Sɛ yɛbɛka no tiawa a, dɛn ne Acute Tubular Necrosis (ATN)?
Ebia saa din yi bɛyɛ te sɛ nea ɛyɛ den kakra, nanso momma yɛmma ɛnyɛ mmerɛw. Wɔ yɛn asaabo mu no, yɛwɔ nneɛma nketenkete a ɛte sɛ nsukorade a ɛyi mogya mu. Yɛfrɛ eyinom ``tubules.'' Dwumadi titiriw a saa nsukorabea yi yɛ ne sɛ ɛbɛyi nneɛma a wɔsɛe no, nsu a ɛho nhia, ne nkyene afi yɛn mogya mu na ayi afi nipadua no mu sɛ nsu.
Wɔ tebea bi a wɔfrɛ no Acute Tubular Necrosis mu no, mogya ne mframa pa dodow a ɛkɔ asaabo mu no so tew mpofirim, na ɛma ntini nketenkete yi sɛe ne nkwammoaa a ɛwɔ mu no wuwu. Sɛ saa nhama yi sɛe a, asaabo no ntumi nyɛ n’adwuma yiye. Eyi ma nneɛma a wɔsɛe no, nsu a ɛboro so, ne nkyene boaboa ano wɔ nipadua no mu. Eyi betumi akɔ so akodu asaabo a entumi nyɛ adwuma yiye .
Dɛn ne nneɛma atitiriw a ɛde tebea yi ba?
Fa asaabo no sɛ afifide. Sɛnea afifide wu a nsu nni hɔ no, saa ara na asaabo nso wu a mogya ne mframa pa nni mu. Nneɛma atitiriw abien na ɛde ATN ba.
1. Mogya a ɛkɔ asaabo no mu a ɛnkɔ yiye:
- Asɛm a egye ntɛmpɛ, te sɛ komayare anaa akisikuru betumi ama nipadua no mogya so atew mpofirim, na ama mogya a ɛsen kɔ asaabo no mu no so atew.
- Esiane mogya a ɛtɔ kɛse bere a wɔreyɛ oprehyɛn kɛse anaa akwanhyia a emu yɛ den nti.
- Mogya mmoroso a ɛba fam esiane nsu a ɛho nhia anaasɛ ɔyare mmoawa a emu yɛ den (sepsis) nti.
2. Nneɛma a awuduru wom a ɛkɔ asaabo no mu:
- Contrast dye yɛ aduru a wɔde hyɛ nipadua no mu bere a wɔreyɛ nhwehwɛmu bi te sɛ X-ray anaa CT scan.
- Nnuru a ekum ɔyare mmoawa ne nnuru a wɔde kum nipadua no bi .
- Nnuru afoforo a awuduru wom a wɔnom.
Saa nneɛma yi betumi asɛe ntini a ɛyɛ mmerɛw a ɛwɔ asaabo no mu no tẽẽ na ama anyɛ adwuma yiye.
Hena na ɔwɔ asiane kɛse mu sɛ obenya ATN?
Nnipa binom wɔ asiane mu sɛ wobenya saa tebea yi sen afoforo. Ma yɛnhwɛ nnipa ko a wɔyɛ.
| Asiane a ɛde ba | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Mogya mmoroso a ɛkɔ so ba fam bere tenten | Sɛ mogya mmoroso so tew (ahodwiriw) a, mogya dodow a ɛkɔ akwaa a ɛho hia a asaabo ka ho no so tew. |
| Oprehyɛn akɛse anaa akwanhyia a emu yɛ den | Wɔ nsɛm a ɛte sɛɛ mu no, nipadua no betumi ahwere mogya pii. |
| Nyarewa afoforo a na ɛwɔ hɔ dedaw | Nnipa a wɔwɔ mmerɛbo mu yare , asikreyare , ne asaabo mu yare a wɔadi kan anya no wɔ asiane kɛse mu. |
| Mogya a ɛtwetwe | Sɛ mogya a ɛtɔ gu mogya ntini a ɛde mogya kɔ asaabo mu no mu a, ebetumi asiw mogya no kwan na asɛe ade. |
Dɛn ne eyi ho sɛnkyerɛnne?
ATN ho sɛnkyerɛnne betumi aba mpofirim. Ɛho hia sɛ wohu eyinom.
Sɛ wowɔ saa sɛnkyerɛnne yi mu biako anaa nea ɛboro saa a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Eyi nyɛ tebea a ɛsɛ sɛ wobu ani gu so.
| Nsɛnkyerɛnne a ɛkyerɛ | Dɛn na ɛno kyerɛ? |
|---|---|
| Nsu a ɛba no so tew | Nsu dodow a ɛba da biara no so tew kɛse. Ebia nnipa binom mpo begyae nsu a wɔtow koraa. |
| Nipadua mu ahonhon (Nsu a ɛkɔ nipadua no mu) . | Esiane sɛ asaabo no ntumi nyi nsu a ɛboro so mfi mu nti, anan, anan, nsa, ne anim fi ase hohoro. |
| Akisikuru ne ɔfe | Nwura a ɛboaboa ano wɔ nipadua no mu no betumi ama yafunu no ayɛ basaa na wafe. |
| Dae a ɛtra so ne adwene mu basaayɛ | Ɛyɛ den sɛ wobɛsɔre, nna a ɛnyɛ den, na adwene atu afra betumi aba. Eyinom yɛ sɛnkyerɛnne ahorow a awuduru nya amemene no so nkɛntɛnso. |
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wowɔ saa nsɛnkyerɛnne yi a, wo duruyɛfo no bedi kan ahwɛ wo na wabisa wo wo sɛnkyerɛnne ahorow no ho asɛm. Afei, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si so dua sɛ wɔahu yare no. Mpɛn pii no, nephrologist (oduruyɛfo a ne ho akokwaw wɔ asaabo mu yare ho) bɛhwehwɛ tebea yi mu kɔ akyiri.
- Mogya mu nhwehwɛmu: Eyi titiriw na ɛhwɛ sɛnea nneɛma fĩ a ɛwɔ mogya no mu no dɔɔso. Wɔhwɛ sɛ nneɛma te sɛ `Blood Urea Nitrogen (BUN)` ne `Creatinine` dɔɔso wɔ mogya no mu anaa. Eyinom dodow a ɛkɔ soro no betumi akyerɛ sɛ asaabo no ntumi nyɛ adwuma yiye. Wɔsan nso hwɛ nkyene te sɛ `potassium` dodow a ɛwɔ mogya no mu.
- Nsuo mu nhwehwɛmu: Wɔfa wo nsuo bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Wɔ ATN mu no, wobetumi ahu asaabo mu ntini a asɛe asinasin wɔ nsu no mu.
- Asaabo mu Nhwehwɛmu: Wɔ tebea horow bi mu no, sɛ wɔantumi anhu nea ɛde yare no ba ankasa a, woyi ntini ketewaa bi fi asaabo no mu na wɔhwehwɛ mu. Eyi betumi aboa ma woahu nea asɛe asaabo no mu ntini no ankasa.
Ɔkwan bɛn so na wɔsa?
Botae titiriw a ɛwɔ ATN a wɔsa mu ne sɛ wɔbɛsa nea ɛde ba no . Sɛ nhwɛso no, sɛ ɛyɛ ɔyare mmoawa, wɔde nnuru a ekum ɔyare mmoawa ma, anaasɛ ɛyɛ mogya mmoroso a ɛba fam a, wɔsan de ba sɛnea na ɛte kan no. Sɛ wɔsa nea ɛde ba no a, ɛma asaabo no nya hokwan sa wɔn ho yare.
Saa bere yi de, yɛ nea edidi so yi de boa wo nipadua kosi sɛ w’asaabo bɛsa:
- Aduane: Nea ɛbɛyɛ na woremfa asaabo no nhyɛ wo so dodo no, wɔbɛka akyerɛ wo sɛ to nsu, nkyene (sodium), ne nnuan a potassium pii wom (te sɛ banana ne akutu) ano hye .
- Nnuru: Wobetumi ama nnuru a ɛma nsu fi nipadua no mu na aboa ma wɔayi nsu a ɛboro so afi nipadua no mu. Wobetumi de nnuru nso ama de asiw potassium dodow a ɛwɔ mogya no mu ano.
- Dialysis: Sɛ asaabo no dwumadi asɛe kɛse na nneɛma a wɔsɛe no aboaboa ano akodu baabi a asiane wom a, ebia ebehia sɛ woyɛ dialysis de tew wo mogya ho bere tiaa bi kosi sɛ w’asaabo no bɛsan ayɛ yiye.
Ɛsono bere a wɔde ma obi ho tɔ no wɔ onipa biara mu. Mpɛn pii no, obi a ɔwɔ apɔwmuden a onni nyarewa foforo biara a emu yɛ den betumi ho atɔ no wɔ nna anaa adapɛn kakraa bi mu. Nanso, ebia ebegye bere kakra ansa na obi a ɔwɔ ayaresa mu tebea afoforo ho atɔ no.
So wobetumi akwati tebea yi?
Ɛwom sɛ ɛtɔ mmere bi a ɛyɛ den sɛ yebesiw ATN ano de, nanso nneɛma pii wɔ hɔ a yebetumi ayɛ de atew asiane no so.
- Sɛ wowɔ tebea horow a enni sabea te sɛ asikreyare, mogya mmoroso, komayare, anaa mmerɛbo mu yare a , di ho dwuma sɛnea wo duruyɛfo kamfo kyerɛ no pɛpɛɛpɛ .
- Sɛ woreyɛ sɔhwɛ bi a ɛfa aduru a wɔde yɛ nneɛma a ɛne ne ho bɔ abira a wode bedi dwuma ho a, nom nsu pii ansa na woanom ne bere a woawie. Eyi bɛboa ma asaabo no ayi nnuru no afi wo nipadua mu ntɛmntɛm.
- Mfa nnuru a wɔtɔn a ɛko tia ɔyare mmoawa te sɛ ibuprofen ne naproxen a wunnya aduruyɛfo afotu, titiriw sɛ wowɔ asaabo mu yare dedaw a. Eyinom betumi asɛe w’asaabo.
- Sɛ wɔde mogya rema wo a, hwɛ hu sɛ wo mogya dodow ahyia.
Nkrasɛm a Wɔde Kɔ Fie
- Acute Tubular Necrosis (ATN) yɛ tebea a emu yɛ den a ɛma asaabo sɛe esiane mogya ne oxygen a ɛnkɔ asaabo no mu a ɛnkɔ yiye nti.
- Mmu w’ani ngu sɛnkyerɛnne ahorow te sɛ nsu a ɛso tew, ɔfe, nna a ɛboro so, ne adwene a ɛyɛ basaa so. Sɛ wuhu eyinom a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Sɛ wɔresa tebea yi a, ɛho hia sɛ wɔsa nea ɛde ba no. Sɛ wɔsa wɔn yare yie a, nnipa dodoɔ no ara tumi ho bɛtɔ wɔn.
- Sɛ wɔma nyarewa a enni sabea te sɛ asikreyare ne mogya mmoroso nni dwuma na wɔkwati sɛ wɔde nnuru a wɔde kum ɛyaw bedi dwuma a wonni nnuruyɛfo afotu a, ebetumi aboa ma wɔabɔ asaabo no ho ban.
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