So wobisaa sɛ wɔnyɛ BUN sɔhwɛ? Momma yɛnhwɛ nea eyi yɛ (BUN - Mogya Urea Nitrogen Sɔhwɛ) .

So wo duruyɛfoɔ maa wo mogya mu nhwehwɛmu na ɛkaa sɛ 'BUN'? Ebia woahu asɛmfua yi wɔ w’amanneɛbɔ dedaw ahorow no so. Sɛ wote saa din yi a, nnipa bebree dwene sɛ, "Dɛn ne eyi?" Nanso biribiara nni hɔ a ɛsɛ sɛ wosuro ankasa. Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa a ɛkyerɛ wo nsɛm a ɛho hia a ɛfa wo nipadua akwahosan ho, titiriw w’asaabo. Enti ɛnnɛ, momma yɛnhwehwɛ nea BUN sɔhwɛ yi yɛ ankasa, nea ɛhwehwɛ, ne nea amanneɛbɔ no ka.

Sɛ yɛbɛka no tiawa a, dɛn ne Mogya mu Urea Nitrogen (BUN)?

Eyi yɛ mmerɛw yiye sɛ yɛbɛte ase. Susuw ho saa kwan yi so...

Protein a yedi (sɛ nhwɛso no, nam, mpataa, nkesua, nufusu, atoko, ne nea ɛkeka ho) no yam wɔ yɛn mmerɛbo mu na ɛdan ahoɔden. Wɔ saa adeyɛ yi mu no, wɔyɛ nnuru bi a wɔfrɛ no ‘Urea Nitrogen’ sɛ ade a ɛka ho, kyerɛ sɛ, sɛ ade a wɔsɛe no. Eyi yɛ biribi a mfaso nni so mma yɛn nipadua.

Afei urea nitrogen yi kɔ yɛn mogya mu, na ɛne mogya no tu fa nipadua no nyinaa mu, na ɛkɔ asaabo no mu. Dwumadi titiriw biako a asaabo a ɛte apɔw yɛ ne sɛ ɛbɛyi mogya no mu, ayi nneɛma fĩ yi afi mu, na ayi afi nsu mu.

Enti, sɛ w’asaabo wɔ apɔwmuden na ɛyɛ adwuma yiye a, eyi BUN yi mu dodow no ara fi mu. Kakraa bi pɛ na ɛka mogya no mu. Nanso, sɛ mmerɛwyɛ anaa yare bi wɔ asaabo no mu a, wontumi nkɔ yi BUN yi mu yiye. Afei BUN dodow a ɛwɔ mogya no mu no kɔ soro sen sɛnea ɛte daa. Ɛno ne nea BUN sɔhwɛ no susuw .

Dɛn nti na oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ BUN nhwehwɛmu?

Ebia nneɛma pii nti na ɛsɛ sɛ woyɛ BUN sɔhwɛ.

• Sɛ́ akwahosan nhwehwɛmu a wɔyɛ no daa no fã: Ɛtɔ da bi a mogya mu nhwehwɛmu a wɔde ahyɛ mu (`Comprehensive Metabolic Panel - CMP` anaa `Basic Metabolic Panel - BMP`) a wunya wɔ w’afe afe nhwehwɛmu no mu no ka BUN nhwehwɛmu yi ho.
• Sɛ wususuw sɛ asaabo mu yare a: Sɛ wo duruyɛfo susuw sɛ wowɔ asaabo mu yare a, wɔbɛyɛ eyi de asi so dua.
• Sɛ wowɔ asiane mu sɛ wubenya asaabo mu yare a: Sɛ wowɔ tebea horow te sɛ asikreyare, mogya mmoroso, komayare, anaa sɛ obi a ɔwɔ w’abusua mu anya asaabo mu yare a, wo nso wowɔ asiane mu, enti wɔyɛ nhwehwɛmu yi de hwɛ sɛnea w’asaabo te.
• Ansa na wobefi ase anom nnuru: Ansa na wobefi ase anom aduru a ebetumi aka asaabo no, wɔyɛ nhwehwɛmu yi de hu sɛnea asaabo no fi mfiase.
• Sɛ wɔde obi kɔ ayaresabea a: Eyi yɛ sɔhwɛ a wɔtaa yɛ de hwɛ nipadua mu nsu dodow ne asaabo dwumadi bere a wɔde no kɔ ayaresabea esiane ayaresa tebea horow bi nti.

So wowɔ saa sɛnkyerɛnne ahorow yi? Afei ka kyerɛ wo duruyɛfo.

Sɛ wowɔ sɛnkyerɛnne a edidi so yi mu biako anaa nea ɛboro saa a, ebetumi ayɛ asaabo mu haw ho sɛnkyerɛnne. Enti hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho.

• Nsakrae a ɛba nsu dodow a wode fa mu (ɛkɔ soro anaasɛ ɛso tew).
• Nsu a ɛyɛ ahurututu, mogya wom, anaa ne kɔla yɛ bruu.
• Ɛyaw a wobɛte nka bere a woretow nsu no.
• Nsa, nan, nansoaa, aniwa, anim, anaa yafunu a atwa ho ahyia a ɛho ahonhon.
• Nan a ɛnyɛ nea ɛyɛ komm bere a wɔada.
• Ɛyaw wɔ akyi, wɔ asaabo no fã.
• Ɔbrɛ a ɛtra so a wɔte nka bere nyinaa.

Mɛyɛ dɛn asiesie me ho ama BUN mogya mu nhwehwɛmu?

Eyi yɛ mmerɛw yiye.

Ahosiesie: Ansa na nhwehwɛmu yi bɛba no, ka nnuru a wonom nyinaa (a vitamin ne nnuru a wɔde ka aduan ho ka ho) kyerɛ wo duruyɛfo. Nnuru bi betumi aka amanneɛbɔ no. Sɛ wowɔ bi a, wo duruyɛfo bɛka akyerɛ wo sɛ gyae nom nna kakraa bi. Sɛ woreyɛ BUN sɔhwɛ no nkutoo a, wubetumi adidi na woanom sɛnea ɛsɛ. Nanso, sɛ woreyɛ sɔhwɛ afoforo a, ebia wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi. Di akwankyerɛ ahorow yi akyi yiye.

Bere a wɔreyɛ nhwehwɛmu no: Wɔ lab no, mfiridwumayɛfo bi begye mogya ketewaa bi afi ntini bi a ɛwɔ wo basa mu mu. Wobɛte anyinam ahoɔden nka kakra bere a wode ade no ahyɛ mu no. Ɛtra hɔ sikani kakraa bi pɛ.

Sɔhwɛ no akyi: Ebia wobɛte yaw kakra na woapirapira baabi a wɔtwee mogya no. Eyi yɛ ade a ɛfata. Wubetumi atoa wo dwumadi ahorow a wotaa yɛ no so. Wo nsa bɛka amanneɛbɔ no wɔ nna kakraa bi mu, a egyina lab no ne oduruyɛfo no adwuma so.

Dɛn na BUN amanneɛbɔ no ka?

Wo BUN boɔ a ɛwɔ w’amanneɛbɔ no so no yɛ miligram wɔ deciliter biara mu (mg/dL). Mpɛn pii no, ɛsɛ sɛ ɔpanyin a ɔwɔ apɔwmuden BUN bo yɛ 7 mg/dL kosi 20 mg/dL . Nanso, saa bo yi betumi ayɛ soronko kakra a egyina mfe a obi adi, ɔbarima ne ɔbea nna, ne lab so.

Nea ɛho hia sen biara: Sɛ wo BUN akenkan no firi nea ɛfata mu a, mma wo ho nnyɛ wo hu. Nneɛma afoforo wɔ hɔ a ebetumi aka wo BUN akenkan. Enti bere nyinaa fa w’amanneɛbɔ kyerɛ wo duruyɛfo na bisa nkyerɛkyerɛmu.

Momma yɛnhwɛ pon a ɛwɔ aseɛ ha no na yɛnhwɛ deɛ ɛma BUN dodoɔ kɔ soro na ɛkɔ fam.

Sɔhwɛ afoforo a wɔyɛe kaa BUN no ho

Ɛyɛ den sɛ wubegyina BUN dodow no ara so de nsɛm biara aba awiei, enti oduruyɛfo no bɛyɛ nhwehwɛmu kakraa bi bio na ama wanya asaabo no ho mfonini a edi mũ.

Creatinine Nhwehwɛmu

Eyi yɛ mogya mu nhwehwɛmu foforo a ɛho hia a ɛhwɛ sɛnea asaabo no te. Creatinine yɛ ade fĩ a yɛn ntini na ɛyɛ. Asaabo no nso yiyi mu na ɛyi fi mu. Sɛ wode BUN ne Creatinine gyinapɛn ahorow no toto ho a, wubetumi anya adwene a emu da hɔ yiye wɔ sɛnea asaabo no yɛ adwuma ho. Wɔfrɛ eyi sɛ BUN/Creatinine nsusuwii . Mpɛn pii no, ɛsɛ sɛ saa nsusuwii yi yɛ 10:1 kosi 20:1.

GFR sɔhwɛ (Glomerular Filtration Rate) .

Eyi kyerɛ sɛnea w’asaabo yi nwura fi wo mogya mu ntɛmntɛm. Eyi betumi ama woanya adwene pa wɔ w’asaabo dwumadi ho (% asaabo dwumadi). Sɛ wo GFR sua koraa a, ebetumi akyerɛ sɛ asaabo no ayɛ adwuma yiye.

Ɔkwan bɛn so na wobedi BUN dodow so?

Sɛ BUN dodow no kɔ soro a, aduru pɔtee biara nni hɔ a ɛbɛtew so. Oduruyɛfo no behu nea ɛde BUN dodow a ɛkɔ soro ba no na wasa saa tebea no. Sɛ nhwɛso no, sɛ BUN dodow no kɔ soro esiane mogya mmoroso nti a, wɔbɛsa ɛno. Bere koro no ara mu no, obetu wo fo nso sɛ sesa w’aduan ne w’asetra kwan.

Nneɛma a ɛboa ma BUN dodow kɔ fam:

• Nom nsu pii: Ɛyɛ papa sɛ anyɛ yiye koraa no wobɛnom nsu nkuruwa 8-10 da biara. Nanso, sɛ wowɔ asaabo mu yare a emu yɛ den dedaw anaasɛ woreyɛ dialysis a, hwɛ hu sɛ wubebisa wo duruyɛfo no nsu dodow a ɛsɛ sɛ wonom ho asɛm. Nsu pii a wɔnom wɔ mmere a ɛte saa mu nso betumi ayɛ ɔhaw.
• Aduan a protein nnim: Tow nnuan a protein pii wom te sɛ nam ne nufusu mu nneɛma ano hye. Mmom no, fa nnuaba, nhabannuru, aburow, oats, ne pasta ka w’aduan ho.

Ma BUN level nkɔ soro (sɛ ɛba fam a):

Mpɛn pii no, BUN dodow a ɛba fam no nyɛ ɔhaw kɛse. Nanso, sɛ wopɛ sɛ woma ɛkɔ soro a, wubetumi adi nnuan a protein wom pii na wode w’adwene asi mmerɛbo akwahosan so (nsa a wobɛtew so, wo mu duru a wobɛtew).