So w’ani reyɛ kɔkɔɔ? Momma yensua bilirubin sɔhwɛ no ho ade.

So woahu akokoaa a wɔawo no foforo a ne honam ani yɛ kɔkɔɔ kakra pɛn? Anaasɛ ɔpanyin bi a n’ani yɛ kɔkɔɔ? Yɛtaa frɛ eyi sɛ ‘atiridii kɔkɔɔ’. Ade titiriw nti a honam ani yɛ kɔkɔɔ yi ne bilirubin dodow a ɛkɔ soro wɔ nipadua no mu. Enti ɛnnɛ yɛbɛka nea bilirubin yɛ, nea enti a ɛho hia ma yɛn nipadua, ne biribiara a ɛfa bilirubin sɔhwɛ a wɔyɛ de hu ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne bilirubin?

Bilirubin yɛ biribi a yɛn nipadua yɛ bere nyinaa. Ɛyɛ aduru a ɛyɛ borɔdɔma-kɔla kɔkɔɔ. Susuw ho hwɛ, mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn nipadua mu no nso wɔ nkwa nna pɔtee bi. Sɛ mogya mu nkwammoaa kɔkɔɔ yi sɛe wɔ bere tiaa bi akyi a, wɔyɛ bilirubin sɛ ade a efi saa adeyɛ no mu ba.

Enti bilirubin a ɛba saa kwan yi so no fa mogya no mu kɔ yɛn mmerɛbo mu. Berɛbo no ne super purification center wɔ yɛn nipadua mu. Nea mmerɛbo no yɛ ne sɛ ɛfa bilirubin yi, sesa ne nnuru, na esiesie no wɔ ɔkwan bi so a ebetumi ayi afi yɛn nipadua mu. Wɔde bilirubin a wɔasiesie yi ka bile ho na ɛfa dwensɔtwaa no mu, na awiei koraa no, ɛde nsu fi mu ba.

Saa ɔhaw no betumi ayɛ biribi te sɛ eyi:

• Ebia wo mogya mu nkwammoaa kɔkɔɔ no resɛe ntɛmntɛm sen sɛnea ɛte daa.
• Ebia wo mmerɛbo no ntumi nyɛ adwuma yiye na ebia ɛrentumi nyɛ bilirubin a wɔde gu nwura yi ho adwuma yiye.
• Anaasɛ, ebetumi asi kwan no so baabi wɔ ɔkwan a efi mmerɛbo no so kɔ abɔnten no so a nsu no ka ho.

Dɛn nti na ɛsɛ sɛ yɛyɛ bilirubin nhwehwɛmu?

Nnuruyɛfo de sɔhwɛ yi di dwuma de hu tebea horow pii na wɔhwɛ sɛnea yare no rekɔ so bere a wɔreyɛ ayaresa no. Ɛboa mpanyimfo ne mmofra titiriw sɛ wobehu:

• Mmɛn ne mmerɛbo mu nyarewa: Mmɛn mu nyarewa te sɛ akisikuru, mmerɛbo mu yare, ne tebea horow te sɛ akisikuru.
• Mogya a ɛtɔ kɔ nipadua mu: Mogya a ɛtɔ kɔ nipadua mu no bi wɔ hɔ, sɛ nhwɛso no, mogya a ɛtɔ kɔ mogya mu. Eyi ne bere a mogya mu nkwammoaa kɔkɔɔ sɛe ntɛmntɛm sen sɛnea wɔyɛ no. Saa sɔhwɛ yi nso ho hia na ama wɔahu tebea horow a ɛtete saa.
• Jaundice: Sɛnea yɛadi kan aka ho asɛm no, sɛ bilirubin dodow a ɛwɔ nipadua no mu kɔ soro a, honam ani ne aniwa no dan kɔkɔɔ. Wɔfrɛ eyi jaundice. Saa sɔhwɛ yi ho hia na ama wɔahu nea ɛde tebea yi ba.

Bilirubin dodow a ɛkɔ soro abu so kɛse wɔ mmofra a wɔawo wɔn foforo mu. Nnuruyɛfo begyina mfe a akokoaa no adi, ne su, ne bilirubin dodow a ɔwɔ so ahu sɛ ebia ayaresa ho hia anaa.

Ɔkwan bɛn so na wɔyɛ sɔhwɛ yi?

Akwan titiriw abien na ɛwɔ hɔ a wɔfa so susuw bilirubin dodow. Baako nam nsu mu nhwehwɛmu so, na biako nso nam mogya mu nhwehwɛmu so. Nsu mu nhwehwɛmu a wɔtaa yɛ (Urine Full Report) hwehwɛ bilirubin. Sɛ wo nsu mu da bilirubin adi a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhu dodow pɔtee a ɛwɔ wo mogya mu.

Wɔtaa de mogya a wɔde yɛ bilirubin nhwehwɛmu na ɛyɛ. Ɔyarehwɛfo anaa lab technician de ade ketewaa bi begye mogya kakraa bi afi ntini bi a ɛwɔ wo nsa mu no mu. Wɔ mmofra a wɔawo wɔn foforo fam no, wɔtaa fa mogya denam ade ketewaa bi a wɔde twitwa wɔn nan ase were no so. Wɔde mogya yi kɔ aduruyɛdan bi mu kɔhwɛ.

Nea ɛka ho no, ɔkwan foforo bi wɔ hɔ a ɛnyɛ yaw, titiriw ma nkokoaa nkumaa. Wɔfrɛ no Transcutaneous Bilirubin Measurement . Wɔ eyi mu no, oduruyɛfo no de afiri ketewaa bi si wo moma so anaa wo ti so na ɔde susuw bilirubin dodow denam hann a ɛkɔ ntɛmntɛm a ɔde fa honam ani no so. Eyi nhia sɛ wɔde ade a wɔde hyɛ mu.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Ebia wɔbɛtu wo fo sɛ ɛnsɛ sɛ wodi anaa nnom biribiara nnɔnhwerew 4 ansa na wɔayɛ mogya mu nhwehwɛmu. Afei nso, ebia wo duruyɛfo betu wo fo sɛ gyae nnuru bi a wobɛnom ansa na woayɛ nhwehwɛmu no bere tiaa bi, efisɛ ebetumi aka nea efi nhwehwɛmu no mu ba no. Ɛho hia paa sɛ wobɛka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.

• Nnuru a ebetumi ama bilirubin dodow akɔ soro: Nnuru bi a ekum ɔyare mmoawa, asramma nnuru, morphine, awo ano aduru, ne steroid bi.
• Nnuru a ebetumi ama bilirubin dodow so atew: barbiturates, caffeine, penicillin, ne salicylates a wɔde di dwuma kɛse.

Dɛn na sɔhwɛ ho amanneɛbɔ no ka?

Bilirubin nhwehwɛmu amanneɛbɔ no de afã abiɛsa titiriw ka ho.

1. Total Bilirubin: Eyi ne bilirubin dodow a ɛwɔ mogya no mu nyinaa.

2. Unconjugated (Indirect) Bilirubin: Eyi ne bilirubin "raw" a ɛba bere a mogya mu nkwammoaa kɔkɔɔ no asɛe na mmerɛbo no nnya nyɛɛ ho adwuma.

3. Conjugated (Direct) Bilirubin: Eyi yɛ bilirubin a "wɔayɛ ho adwuma" a wɔde akɔ mmerɛbo no mu, wɔasesa no wɔ nnuru mu, na wɔasiesie no sɛ wɔbɛyi afi nipadua no mu.

Dɛn ne dodow a ɛfata?

• Mpanyimfo (a wɔadi boro mfe 18): .Bilirubin dodow nyinaa yɛ nea ɛfata kodu miligram 1.2 wɔ mogya deciliter biara mu (1.2 mg/dl). Ɛsɛ sɛ bilirubin dodow a wɔde afrafra (Direct) no nnu 0.3 mg/dl.
• Nkokoaa a wɔawo wɔn foforo: Wɔn bilirubin dodow betumi akɔ soro akodu 12 mg/dl.

Mpɛn pii no, bilirubin dodow a ɛwɔ mmarima mu no kɔ soro kakra sen mmea.

Dɛn na bilirubin dodow a ɛkɔ soro kyerɛ?

Sɛ ɔpanyin bi bilirubin dodow boro 2.0 mg/dl a, ɛkyerɛ sɛ ɔwɔ jaundice. Sɛ abofra a wɔawo no foforo dodow boro 15 mg/dl a, nnuruyɛfo kamfo kyerɛ sɛ wɔmfa sa yare.

Nneɛma a ebetumi ama bilirubin dodow akɔ soro:

• Mogya a ɛtɔ kɔ nipadua mu
• Cirrhosis a ɛwɔ mmerɛbo mu
• Sɛnea obi yɛ n’ade wɔ mogya a wɔde ma no ho
• Gilbert Syndrome - Eyi yɛ awosu mu tebea a ɛtaa ba a enzyme a ɛboa ma bilirubin bubu no nni hɔ.
• Hepatitis a ɔyare mmoawa de ba
• Mmerɛbo mu yare a nsa wom
• Abo a wɔde yɛ akisikuru

Bio nso, sɛ obi de ne ho hyɛ apɔw-mu-teɛteɛ a emu yɛ den yiye mu , te sɛ mmirikatu a ɛyɛ den a, ebetumi ama bilirubin dodow akɔ soro bere tiaa bi.

So ɛsɛ sɛ wohaw wo ho wɔ bilirubin dodow a ɛba fam ho?

Wɔntaa mmu bilirubin dodow a ɛba fam sɛ ɛyɛ ɔhaw. Caffeine anaa nnuru bi betumi ama ne dodow akɔ fam. Ɛntaa mma sɛ wɔde bata nyarewa bi a nipadua no tumi ko tia nyarewa te sɛ ntini mu yare ho, nanso eyi ntaa nyɛ ade a ɛhaw adwene.

Mpɛn pii no, ebetumi agye nnɔnhwerew kakraa bi anaa da koro ansa na wɔanya sɔhwɛ no mu aba. Sɛ wunya nea efi mu ba no wie a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa nea ɛkyerɛ ne anammɔn a ɛsɛ sɛ wutu ho.