Ɛtɔ mmere bi a, ɛyɛ den ma wo sɛ wobɛhome bere a wonam kwan tiaa bi mpo no? Anaasɛ wo nan hohoro na wote nka sɛ woabrɛ kɛkɛ? Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ mogya mu nhwehwɛmu a wɔfrɛ no BNP. Nnipa pii te saa din yi a, ehu ka wɔn kakra, efisɛ wonnim nea ɛyɛ ankasa. Nanso dɛn ne no ankasa? Dɛn na ehu? Momma yɛnka eyinom nyinaa ho asɛm tiawa koraa, wɔ ɔkwan a wubetumi ate ase so.
Dɛn ankasa ne BNP?
Sɛ yɛbɛka no tiawa a, BNP yɛ protein a wo koma yɛ. BNP gyina hɔ ma B-type Natriuretic Peptide. Nanso nnipa binom nso frɛ no "Amemene" Natriuretic Peptide. Nea enti a ɛte saa ne sɛ nyansahufo dii kan huu saa protein yi wɔ amemene no mu ntini mu. Nanso akyiri yi wohui sɛ yɛn koma titiriw na ɛyɛ, titiriw benkum so ahurututu no.
Susuw ho saa kwan yi so. Wo koma te sɛ pɔmpɛ a ɛyɛ adwuma a ennyae. Ɛtɔ mmere bi a, ɛsɛ sɛ saa pɔmpɛ yi yɛ adwumaden kɛse. Ɛno kyerɛ sɛ koma ntini no fi ase twetwe. Wɔ mmere a ɛte sɛ eyinom mu no, koma no yi protein a wɔfrɛ no BNP yi kɔ mogya no mu.
Saa BNP ahorow yi betumi ayɛ nneɛma bi a ɛyɛ nwonwa:
- Wɔyɛ sɛnkyerɛnne ma asaabo no sɛ, "Nkyene ne nsu pii wɔ nipadua no mu dodo kakra, enti fa nsu yi fi hɔ."
- Ɛsan ka kyerɛ mogya ntini no sɛ "mmue kakra (ntrɛw), na ɛma mogya nkɔ ntɛmntɛm."
Nneɛma abien yi nyinaa ma mogya mmoroso so tew na mogya dodow a ɛsɛ sɛ koma no bɔ no so tew. Eyi ma adwuma a ɛwɔ koma no so no so tew, na ɛno kyerɛ sɛ ɛsɛ sɛ ɛyɛ adwumaden kɛse. Enti BNP te sɛ adamfo a ɔboa koma.
Nanso, sɛ BNP dodow a ɛwɔ wo mogya mu no dɔɔso sen sɛnea ɛte daa a , ɛma wo duruyɛfo nya sɛnkyerɛnne a ɛho hia. Ɛne sɛ, "W'akoma ayɛ basaa dodo." Wɔtaa hu saa tebea yi wɔ komayare mu.
Nhwehwɛmubea ahorow bi yɛ sɔhwɛ a ɛte saa ara a wɔfrɛ no NT-proBNP . Wɔn baanu nyinaa de nsɛm a ɛte saa ara ma, nanso ɛsono sɛnea wɔtaa kɔ baabiara.
Dɛn nti na oduruyɛfo bi bɛkamfo BNP nhwehwɛmu yi akyerɛ?
Ebia nneɛma pii nti na wo duruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ.
- Sɛ wowɔ komayare ho sɛnkyerɛnne ahorow a: Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ tiaa, ɔbrɛ a ɛba bere nyinaa, wo nan ne wo nansoaa a ɛho ahonhon a, nhwehwɛmu yi ho hia yiye na ama woahu sɛ ebia nea ɛde ba no yɛ komayare anaasɛ ahurututu mu haw.
- Sɛ wowɔ komayare dedaw a: Sɛ wɔahu sɛ wowɔ komayare dedaw a, nhwehwɛmu yi boa ma wohu sɛnea emu yɛ den.
- Hwɛ sɛ ayaresa no di yiye anaa:Wɔsan nso hwɛ BNP dodow yi mu hwɛ sɛ nnuru a wɔde rema wo no ama nhyɛso a ɛwɔ wo koma so no so atew ne sɛ ebia ayaresa nhyehyɛe no reyɛ adwuma anaa.
- Sɛ wowɔ asiane mu a: Sɛ wowɔ asiane kɛse mu sɛ wubenya komayare (sɛ nhwɛso no, wowɔ tebea horow te sɛ asikreyare anaa mogya mmoroso) a, wobetumi ayɛ nhwehwɛmu yi nso de anya wo koma akwahosan ho adwene.
Ɔkwan bɛn so na wɔyɛ mogya mu nhwehwɛmu yi? So ɛyɛ biribi a ɛsɛ sɛ yesuro?
Eyi yɛ mmerɛw yiye. Wunni biribiara a enti ɛsɛ sɛ wusuro. Wɔyɛ eyi te sɛ mogya a wɔtwe daa no ara pɛ.
Ɔyarehwɛfo anaa oduruyɛfo bi bɛhohoro ntini bi a ɛwɔ wo nsa mu, de ade ketewaa bi ahyɛ wo mu, na wagye mogya kakraa bi. Ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra bere a wode ade no ahyɛ mu no, nanso ɛbɛtra hɔ sikɔne kakraa bi pɛ.
Sɛ wɔfa mogya no wie a, wɔde plaster anaa aduru ketewaa bi gu baabi a ɛwɔ no. Ebia beae no bɛyɛ te sɛ nea akuru kakra na ayɛ bruu, nanso eyi befi hɔ koraa wɔ da koro anaa nnanu mu. Afei wɔde wo mogya bɛkɔ aduruyɛdan mu akɔhwɛ wo BNP anaa NT-proBNP dodow.
Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye, ɛyɛ ntɛm, na ahobammɔ wom, enti nsuro.
Bere tenten ahe na egye ansa na woanya nea efi mu ba no?
Eyi yɛ mfaso akɛse a ɛwɔ sɔhwɛ yi so no mu biako. Wobetumi anya nea efi mu ba no ntɛmntɛm yiye.
Sɛ wɔde wo kɔ Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) esiane tebea a egye ntɛmpɛ te sɛ ahome a ɛyɛ den nti a, mpɛn pii no wubetumi anya nea efi mu ba yi wɔ simma 15 pɛ mu . Eyi yɛ mmoa kɛse ma nnuruyɛfo ma wosisi gyinae ntɛm wɔ tebea a egye ntɛmpɛ mu.
Nanso, sɛ wowɔ komayare dedaw na wɔreyɛ nhwehwɛmu yi daa, te sɛ nea wɔde bɛhwɛ sɛnea w’ayaresa no rekɔ so a, ebia ebegye da koro anaa nnanu ansa na nea efi mu ba no asan aba.
Ɔkwan bɛn so na wɔbɛkyerɛ BNP aba no ase? Dɛn ne ‘Normal’ level no?
Eyi yɛ asɛmmisa a nnipa pii wɔ. Momma yɛnhwɛ sɔhwɛ mmienu yi mu nkyɛmu wɔ pon te sɛ yei so.
| Sɔhwɛ no din | Mfe a wɔadi | Nsonsonoe a ɛyɛ daa |
|---|---|---|
| BNP na ɔkyerɛwee | De kɔma obiara | Ennu 100 pg/mL |
| NT-proBNP na ɛwɔ hɔ | Wɔn a wonnii mfe 75 | Ennu 125 pg/mL |
| Wɔadi bɛboro mfe 75 | Ennu 450 pg/mL |
Nanso ma eyi ntra w’adwenem. Saa gyinapɛn ahorow yi yɛ akwankyerɛ a wɔde ma wɔ ɔkwan a ɛkɔ akyiri so ara kwa. Saa gyinapɛn ahorow a ‘ɛyɛ daa’ yi betumi ayɛ soronko kakra a egyina mfe a woadi, ayaresa tebea afoforo, ne ɛtɔ mmere bi a wo nipadua mu duru (kɛse mmoroso) so. Enti, wo duruyɛfo nkutoo na obetumi akyerɛ nea efi mu ba no ase pɛpɛɛpɛ. Mfa wo ho nto intanɛt so mfa nsi w’ankasa gyinae.
Sɛ BNP dodow korɔn sen ‘Normal’ a, ɛkyerɛ dɛn?
Mpɛn pii no, BNP dodow a ɛkɔ soro no kyerɛ sɛ nhyɛso bi wɔ koma no so. Sɛ BNP bo boro 100 pg/mL a, ebetumi ayɛ koma a entumi nyɛ adwuma yiye ho sɛnkyerɛnne.
Mpɛn pii no, dodow a BNP bo no kɔ soro no, dodow no ara na ɛyɛ den ma koma no sɛ ɛbɛyɛ adwuma.
Nanso, ɛnyɛ bere nyinaa na nea enti a BNP dodow kɔ soro ne komayare. Saa dodow yi nso betumi akɔ soro esiane akwahosan ho haw afoforo nti. Enti, nnyina sɔhwɛ yi nkutoo so nsi gyinae akɛse.
Nneɛma afoforo a ebetumi ama BNP dodow akɔ soro ne:
- Asaabo mu Yare a Enni Sabea: Sɛ asaabo no ntumi nyɛ adwuma yiye a, BNP dodow a ɛwɔ mogya no mu betumi akɔ soro efisɛ nipadua no ntumi nyi mfi hɔ yiye.
- Koma mu nyarewa afoforo: Wɔ komayare akyi no, BNP betumi akɔ soro wɔ komayare afoforo nso mu.
- Ahurututu mu haw ahorow: BNP dodow nso betumi akɔ soro esiane tebea horow te sɛ mogya a ɛtɔ wɔ ahurututu mu (ahurututu mu embolism) anaa mogya mmoroso wɔ ahurututu mu (ahurututu mu mogya mmoroso) nti.
Sɛ nea efi mu ba ne ‘Abnormal’ a, dɛn na ɛba akyi?
Sɛ wo BNP dodow kɔ soro a, wo duruyɛfo bebu no sɛ ɛyɛ ahodwiriwde no fã biako pɛ. Ɛho behia sɛ ɔyɛ sɔhwɛ pii na ama wanya mfonini no nyinaa.
Sɛ nhwɛso no, ebia wo duruyɛfo bɛkamfo nhwehwɛmu te sɛ eyinom akyerɛ:
- Electrocardiogram (EKG): Ɛhwɛ sɛnea koma no mu anyinam ahoɔden yɛ adwuma.
- Echocardiogram: Koma no mu nhwehwɛmu. Eyi betumi ahwɛ nneɛma pii, te sɛ sɛnea koma no tumi bɔ pɔmpɛ ne sɛnea ne ntini ahorow no te.
- Chest X-ray: X-ray a wɔde hwehwɛ koko mu.
Wo duruyɛfo no besusuw nhwehwɛmu no mu aba yi nyinaa, wo sɛnkyerɛnne ahorow, ne w’ayaresa ho abakɔsɛm ho na ama watumi de aba awiei koraa. Afei ɔbɛyɛ ayaresa nhyehyɛe a eye ma wo.
Sɛ wowɔ nsɛmmisa bi fa nea ebefi mu aba ho a, nsuro sɛ wubebisa wo duruyɛfo. "Oduruyɛfo, wɔka kyerɛɛ me sɛ me BNP level no kɔ soro, ɛno kyerɛ dɛn ankasa?" yɛ hokwan a wowɔ sɛ wubisa.
Nkrasɛm a Wɔde Kɔ Fie
- BNP nhwehwɛmu yɛ mogya mu nhwehwɛmu a ɛnyɛ den a ɛma wonya nsɛm a ɛho hia fa wo koma akwahosan ho, titiriw koma a entumi nyɛ adwuma yiye.
- Biribiara nni hɔ a enti ɛsɛ sɛ wusuro sɛ wobɛyɛ eyi. Ɛte sɛ mogya mu nhwehwɛmu a wɔyɛ no daa ara pɛ.
- Ɛnyɛ bere nyinaa na BNP dodow a ɛkɔ soro no kyerɛ sɛ koma no di huammɔ. Nneɛma afoforo a ɛde ba te sɛ asaabo mu yare nso betumi aka ho.
- Mma nnhuruw nnyina wo sɔhwɛ no mu aba so nnya nsɛm a ɛba awiei. Wo ne wo duruyɛfo nka ho asɛm bere nyinaa.
- Saa nhwehwɛmu yi boa kɛse ma wo duruyɛfo ma ohu wo yiye na wama wo ayaresa a eye sen biara.
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