Sɛ wo duruyɛfo aka akyerɛ wo sɛ wowɔ Asaabo mu Yare a Enni sabea (CKD) a, ebia ɔbrɛ a ɛtra so a wote nka bere nyinaa, ɛyaw a wote bere a woforo antweri, ne ahoɔden a wunni a wode bɛyɛ biribiara no bɛyɛ wo nwonwa. Nnipa pii susuw sɛ eyi ka asaabo mu yare ho. Ɛno yɛ nokware, nanso nea ɛde saa sɛnkyerɛnne ahorow yi pii ba titiriw betumi ayɛ mogya dodow a ɛwɔ wo nipadua mu a yɛfrɛ no mogya a ɛtɔ kɔ nipadua mu wɔ aduruyɛ mu no so tew. Abusuabɔ bɛn na ɛda asaabo ne mogya a ɛso tew wɔ nipadua no mu ntam? Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn nti na nnipa a wɔwɔ asaabo mu yare no mogya sua? Nneɛma atitiriw a enti ɛte saa no bi
Sɛ yɛbɛka no tiawa a, oxygen ho hia na ama nkwammoaa ne akwaa biara a ɛwɔ yɛn nipadua mu atumi atra ase na ayɛ adwuma yiye. Yɛn mogya mu nkwammoaa kɔkɔɔ no de mframa pa a ɛsom bo yi fi ahurututu mu kɔ nipadua no nyinaa mu. Protein a ɛwɔ mogya mu nkwammoaa kɔkɔɔ yi mu a wɔfrɛ no hemoglobin no na ɛkyekyere oxygen no.
Afei susuw ho hwɛ, saa kar ahorow a wɔfrɛ no mogya mu nkwammoaa kɔkɔɔ yi nyin na sɛe wɔ bere bi akyi. Enti, yɛn nipadua no reyɛ mogya mu nkwammoaa kɔkɔɔ foforo bere nyinaa de atua sintɔ yi ho ka. Adwumayɛbea a wɔyɛ mogya mu nkwammoaa kɔkɔɔ yi ne yɛn nnompe mu ntini. Nanso, ahyɛde a ɛne sɛ "mfi ase nyɛ mogya mu nkwammoaa kɔkɔɔ mprempren" no, wɔde ma adwumayɛbea yi a yɛn asaabo frɛ no nnompe mu ntini. Sɛ asaabo mu yare nti sɛe a, adeyɛ yi nyinaa nkɔ yiye. Ɛba wɔ akwan atitiriw abiɛsa so.
| Nea ɛde mogya a ɛyera ba | Sɛ yɛbɛka no tiawa a... |
|---|---|
| EPO hormone a ɛso tew | Asaabo no ntumi nyɛ ‘sɛnkyerɛnne’ a ɛka kyerɛ nnompe mu ntini no sɛ ɛnyɛ mogya mu nkwammoaa kɔkɔɔ no bio. |
| Mogya mu nkwammoaa kɔkɔɔ nkwa nna a ɛyɛ tiaa | Mogya mu nkwammoaa kɔkɔɔ a ɛba nipadua no mu no wuwu ntɛmntɛm sen sɛnea ɛte daa. |
| Aduannuru a enni nipadua mu | Nipadua no nni aduannuru a ehia na ama ayɛ mogya mu nkwammoaa kɔkɔɔ (iron, vitamin B12, folate). |
Nea enti a ɛte saa: ‘Signal’ a wɔde yɛ mogya mu nkwammoaa kɔkɔɔ a wɔhwere
Nkwammoaa titiriw a ɛwɔ yɛn asaabo mu no hwɛ oxygen dodow a ɛwɔ yɛn mogya mu no so bere nyinaa. Sɛ mogya mu nkwammoaa kɔkɔɔ dodow a ɛwɔ yɛn mogya mu no so tew na oxygen dodow so tew a, saa nkwammoaa yi te eyi nka na ɛma hormone bi a wɔfrɛ no erythropoietin (EPO) kɔ mogya no mu. Saa EPO hormone yi kɔ nnompe mu ntini no mu na ɛka kyerɛ no sɛ, "Okay, momma yɛnkɔ adwuma, yɛ mogya mu nkwammoaa kɔkɔɔ pii."
Sɛ wowɔ asaabo mu yare a enni sabea (CKD) a, nkakrankakra w’asaabo sɛe. Esiane saa ɔsɛe yi nti, w’asaabo ntumi nhu oxygen dodow a ɛba fam na ɛnyɛ hormone no EPO. Sɛ EPO no fi hɔ a, nnompe mu ntini no nnya nkrasɛm no. Enti mogya mu nkwammoaa kɔkɔɔ a wɔyɛ no so tew kɛse. Sɛ wontumi nyɛ mogya mu nkwammoaa kɔkɔɔ foforo na ama wɔatumi ne dodow a wowuwu no ahyia a, mogya mu nkwammoaa kɔkɔɔ, anaasɛ mogya a ɛtɔ kɔ nipadua no mu no ho yɛ na.
Nea enti a ɛto so abien: Mogya mu nkwammoaa kɔkɔɔ nkwa nna a ɛyɛ tiaa
Mpɛn pii no, mogya mu nkwammoaa kɔkɔɔ bi a ɛwɔ obi a ɔwɔ apɔwmuden mu no tra ase bɛyɛ nnafua 120 . Ɛno akyi no, wɔsɛe no na wɔde foforo si ananmu.
Nanso esiane awuduru bi a ɛboaboa ano wɔ obi a ɔwɔ asaabo mu yare mogya mu nti, mogya mu nkwammoaa kɔkɔɔ yi nni baabi a ɛfata a wɔbɛtra mu Ne saa nti, wɔn nkwa nna so tew bɛyɛ nnafua 70-80 . Ɛno kyerɛ sɛ, sɛ́ anka wɔbɛtwɛn ma wɔanya mogya mu nkwammoaa kɔkɔɔ foforo no, dedaw no wuwu ntɛm. Eyi nso yɛ ade foforo nti a ɛma mogya a ɛtɔ kɔ nipadua mu no yɛ kɛse.
Nea enti a ɛto so 3: Dade ne aduannuru a wonni
Dade ne ade titiriw a ehia na wɔde ayɛ kar a wɔfrɛ no mogya mu nkwammoaa kɔkɔɔ no. Sɛ dade nni hɔ a, wontumi nyɛ hemoglobin. Sɛ hemoglobin nni hɔ a, oxygen ntumi nkɔ.
Yenya dade fi nnuan te sɛ nhaban momono te sɛ peas, spinach, ne anɔpaduan mu aburow a wɔahyɛ no den mu. Nanso nnipa a wɔwɔ asaabo mu yare a emu yɛ den no mu bɛyɛ fã wɔ dade a enni wɔn mu. Ebia nneɛma pii nti na ɛte saa.
- Iron a wonnya fi aduan mu a ɛnnɔɔso: Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔn a wɔwɔ asaabo no to wɔn aduan ano hye, na ɛno betumi ama wonnya nnuan a iron wom.
- Dade a ɛtwetwe no so tew: Asaabo mu yare betumi atew tumi a nipadua no tumi twetwe dade fi dwensɔtwaa mu no so.
- Mogya a ɛtɔ: Mogya mu nhwehwɛmu a wɔtaa yɛ no ma nipadua no mu mogya sa nkakrankakra. Afei nso, sɛ wɔreyɛ obi dialysis , nipadua no hwere mogya ne dade bi wɔ saa adeyɛ no mu.
Dade akyi no, aduannuru te sɛ vitamin B12 ne folate (Folate/Vitamin B9) nso ho hia na ama mogya mu nkwammoaa kɔkɔɔ ayɛ yiye. Asaabo ayarefo binom nso nni saa aduannuru yi.
Nneɛma afoforo a ɛka mogya a ɛtɔ kɔ nipadua mu
Wɔ nneɛma atitiriw a ɛde ba yi akyi no, nneɛma afoforo pii betumi aka mogya a ɛtɔ kɔ obi a ɔwɔ asaabo mu no.
- Nyarewa a wɔtaa nya
- Ɔfe a enni sabea wɔ nipadua no mu: Eyi ma nipadua no yi nnuru a wɔfrɛ no cytokines, na ɛtew nnompe mu ntini no dwumadi so.
- Aduan pa a wonnya nni
Sɛ mogya a ɛtɔ wo mu esiane asaabo mu yare nti a, ebetumi afi nneɛma yi biako anaa nea wɔaka abom. Enti, eye sɛ woremmɔ hu na wo ne wo duruyɛfo nkasa na woahu nea ɛde ba ankasa.
Henanom na asiane kɛse wom sɛ wobenya mogya a ɛtɔ kɔ nipadua mu?
Ɛnyɛ obiara a ɔwɔ asaabo mu yare na obenya mogya a ɛtɔ kɔ nipadua no mu saa ara, nanso nnipa binom wɔ asiane kɛse mu.
- Sɛ woyɛ ɔbaa a
- Sɛ wowɔ asikreyare a
- Sɛ w’asaabo dwumadi so tew kɛse anaasɛ ɛnyɛ adwuma a
Sɛ wowɔ mogya a ɛtɔ kɔ wo mu ho sɛnkyerɛnne (ɔbrɛ, mmerɛwyɛ, honam ani a ɛyɛ fitaa, adwenemhaw) a, wo duruyɛfo betumi ahyɛ sɛ wɔnkan mogya no nyinaa na wɔnyɛ nhwehwɛmu mfa nhwɛ sɛnea wo dade no te. Eyi na ɛbɛkyerɛ ayaresa a wuhia. Ayaresa ahorow wɔ hɔ a wɔde sa eyi te sɛ dade nnuru ne hormone EPO a wɔde twitwiw nipadua no mu.
Nkrasɛm a Wɔde Kɔ Fie
- Abusuabɔ kɛse da asaabo mu yare a enni sabea (CKD) ne mogya a ɛtɔ kɔ nipadua mu a ebetumi ayɛ ade titiriw a ɛde ɔbrɛ a wote nka no ntam.
- Nea enti titiriw ne sɛ asaabo a asɛe no brɛ hormone EPO a ɛkyerɛ sɛ wɔyɛ mogya mu nkwammoaa kɔkɔɔ no ase.
- Nea ɛka ho no, mogya mu nkwammoaa kɔkɔɔ a wɔsɛe no ntɛmntɛm ne aduannuru te sɛ dade ne vitamin B12 a enni hɔ nso betumi ama mogya atɔ mogya.
- Sɛ wowɔ mogya a ɛtɔ kɔ nipadua mu ho sɛnkyerɛnne anaasɛ wususuw sɛ ebia wowɔ bi a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa. Ayaresa ahorow a etu mpɔn yiye wɔ hɔ a wɔde sa no.
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