Bere a yennim no, asaabo yɛ akwaa a ɛyɛ nwonwa yiye a ɛyɛ adwuma nnɔnhwerew 24 da biara wɔ yɛn nipadua mu. Te sɛ odwumayɛni a ɔmmrɛ no, asaabo no yiyi nneɛma fĩ a ɛwɔ yɛn mogya mu no na ɛsan de nneɛma a nipadua no hia kɔ nipadua no mu. Enti ɛnnɛ yɛreka nhyehyɛe ketewaa bi nanso ɛho hia yiye a ɛboa asaabo ma ɛyɛ adwuma kɛse yi ho asɛm. Ɛno ne Bowman’s Capsule no.
Dɛn ne Bowman Kapsule no?
Fa no sɛ yɛn asaabo te sɛ nsu a wɔde yiyi mu wɔ fie. Wɔ saa filter yi mu no, filter cartridge nketewa bɛyɛ ɔpepem biako na ɛtew nsu no ho. Saa ara na yɛn asaabo no mu biara wɔ nneɛma nketenkete a wɔde yiyi mogya mu bɛyɛ ɔpepem biako a ɛtew mogya no ho. Wɔ aduruyɛ mu no, yɛfrɛ saa akuw yi mu biara nephron .
Enti, wɔfrɛ nephron biara fã bi Bowman’s Capsule . Eyi te sɛ kuruwa ketewaa bi, kotoku. Mogya ntini a ɛyɛ fɛ yiye pii a wɔabobɔw wɔ kuruwa yi mu. Yɛfrɛ no glomerulus . Sɛ yɛbɛka no tiawa a, mogya a wɔde yiyi mu no fi ase wɔ ha, ha yi ara, wɔ glomerulus yi ne Bowman capsule a atwa ho ahyia no so. Sɛ saa afã abien yi bom a, yɛfrɛ no adwene mu ntini .
Ɛtɔ da bi a, ebia wo duruyɛfo de din afoforo bedi dwuma ama eyi, nanso ne nyinaa yɛ ade koro:
- Glomerular capsule a ɛwɔ nipadua no mu
- Malpighian aduru a wɔde hyɛ nipadua mu
- Adwene mu ntini a ɛwɔ nipadua no mu
Dɛn ne ade a ɛho hia sen biara a efi eyi mu ba?
Adwuma titiriw a Bowman ntini no yɛ ne sɛ ɛbɛboa glomerulus no ma ayɛ mogya. Te sɛ bere a woreyɛ tii no, tii nhaban no kɔhyɛ filter no atifi na tii nsu no nkutoo na ɛkɔ fam no, biribi a ɛte saa ara si wɔ ha.
Bere a mogya fa saa akwan nketenkete yi mu no, nneɛma a wɔsɛe no, nsu a ɛboro so, ne nneɛma nketenkete afoforo a ɛwɔ mogya no mu no yiyi kɔ Bowman ntini no mu. Nanso, protein akɛse te sɛ mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, ne mogya mu nkwammoaa a ɛho hia ma yɛn nipadua no ntumi mfa saa afiri yi mu. Wɔkɔ so tra mogya kwan no mu.
Nkwammoaa soronko bi a wɔfrɛ no podocytes a ɛwɔ Bowman ntini no mu no boa eyi. Saa nkwammoaa yi wɔ ntini a ɛte sɛ nsateaa a ɛkɔ soro. Saa nsateaa yi ka bom ma ɛyɛ ntini a ɛyɛ fɛ yiye a ɛyɛ nhama. Nneɛma nketenkete nkutoo na ebetumi afa saa ntini yi mu. Saa adeyɛ yi nti na wɔtaa nhu protein anaa mogya mu nkwammoaa wɔ obi a ɔwɔ apɔwmuden nsu mu no.
Sɛ yɛbɛka no tiawa a, Bowman atade te sɛ ɔwɛmfo a ɔwɔ ɔpon no ano. Ɛma nneɛma nketenkete a ɛho nhia mma nipadua no kɔ mu, nanso ɛma nneɛma akɛse a ɛho hia ma nipadua no kɔ mu.
Afei, nsu a wɔayiyi no fa akwan a ɛyɛ fɛ kɛse wɔ asaabo no mu. Wɔ kwan so no, nsu ne aduannuru a nipadua no da so ara hia wɔ saa nsu no mu no san kɔ mogya no mu. Awiei koraa no, woyi nneɛma fĩ a yɛmpɛ a aka no fi yɛn nipadua mu sɛ nsu.
Ɛhe na eyi wɔ? Ne nsusuwii ne dɛn?
Bowman capsule no wɔ asaabo no akyi pɛɛ. Yɛfrɛ no renal cortex . Sɛnea wunim no, yɛn asaabo no wɔ akyi berɛmo no afã abien no nyinaa, mpampam no ase, wɔ akyi.
Ɛwom sɛ wɔka sɛ wɔayɛ no sɛ kuruwa anaa kotoku de, nanso yentumi mfa aniwa nhu ankasa. Yɛde afiri a wɔde hwɛ nneɛma nketenkete nkutoo na etumi hu. Nsu a ɛwɔ mu no te sɛ plasma a ɛwɔ mogya mu no ara pɛ. Nanso, mogya mu nkwammoaa kɔkɔɔ, mogya mu nkwammoaa fitaa, anaa mogya mu nkwammoaa kɔkɔɔ nni mu.
Sɛnea wɔahyehyɛ no, ɛwɔ ntoatoaso abien. Nkwammoaa a wɔfrɛ no simple squamous epithelium na ɛyɛ akyi fã no . Nkwammoaa soronko bi a wɔfrɛ no podocytes a yɛadi kan aka ho asɛm no na ɛyɛ emu fã no.
Nsɛnkyerɛnne a ebetumi akyerɛ sɛ asaabo mu haw bi wɔ hɔ
Sɛ asaabo no di nkogu a, ɛka Bowman ntini no nso. Titiriw sɛ nyarewa ka glomerulus no a, sɛnea etumi yiyi mu no sɛe. Sɛ eyi ba a, nneɛma te sɛ protein a nipadua no hia betumi afi ase akɔ nsu no mu. Sɛ wɔansa saa tebea horow yi a, awiei koraa no, ebetumi ama asaabo ayɛ adwuma yiye.
Enti, ɛho hia paa sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi. Sɛ wowɔ eyinom mu bi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara na woahwehwɛ afotu .
| Nsɛnkyerɛnne a ɛkyerɛ | Susuw eyi ho kakra. |
|---|---|
| Nsakrae a ɛba nsu mu | Nneɛma te sɛ nsu kɔla a ɛsakra, ahurututu a ɛkɔ soro, anaa mogya a ɛtɔ. |
| Nsakrae a ɛba mpɛn dodow a wɔtow nsu mu | Nsu a wɔtow mpɛn pii sen sɛnea wɔtaa yɛ anaasɛ ɛntaa nsi wɔ ɔkwan a ɛnteɛ so. |
| Nipadua a ɛho ahonhon | Ɛhohoro, titiriw wɔ anan, nsa, anaa anim. Eyi betumi afi nsu a ɛkɔ nipadua no mu no mu aba. |
| Ɔbrɛ ne ɔbrɛ | Ɔbrɛ a ɛboro so ba bere a asaabo no ntumi nyi nneɛma fĩ mfi hɔ yiye no. |
| Mogya mmoroso (Hypertension) . | Asaabo mu haw betumi ama mogya mmoroso aba. |
| Aduan ho akɔnnɔ a ɛyera ne akisikuru | Aduan mu dɛ a ɛte sɛ dade a wobɛte nka, aduan a wɔtan, ne ɔfe. |
Ɔkwan bɛn so na oduruyɛfo no hu saa tebea yi?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne na wahwɛ wo. Nea ɛka ho no, ebia wɔbɛyɛ nhwehwɛmu pii de ahu sɛnea w’asaabo reyɛ adwuma yiye.
| Sɔhwɛ | Sɛ yɛbɛka no tiawa a, eyi ne nea woyɛ... |
|---|---|
| Mogya mu nhwehwɛmu | Ɛsusu nneɛma a wɔsɛe no (te sɛ creatinine) dodow a ɛwɔ mogya no mu a ɛsɛ sɛ asaabo no yiyi mu na ɛyi fi hɔ. |
| Nsu mu nhwehwɛmu | Wɔhwɛ nsu no mu hwɛ sɛ nneɛma a ɛnteɛ te sɛ protein ne mogya mu nkwammoaa wɔ hɔ anaa. |
| Ultrasound a wɔde yɛ nhwehwɛmu | Eyi boa ma wohu sɛnea asaabo no kɛse te, sɛnea ɛte, ne sɛ ebia ɔhaw foforo bi wɔ hɔ, te sɛ asaabo mu abo. |
| Asaabo mu Nhwehwɛmu | Wɔ tebea horow bi mu no, wɔde ade ketewaa bi yi ntini ketewaa bi fi asaabo no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. |
Nneɛma a yebetumi ayɛ na ama yɛn asaabo anya apɔwmuden
Yɛn asaabo no fã biara, a Bowman capsule no ka ho, a yɛbɛma ayɛ adwuma yiye no ho hia kɛse ma yɛn akwahosan nyinaa. Enti nneɛma nketenkete bi wɔ hɔ a yebetumi ayɛ de ahwɛ yɛn asaabo so. Eyi ho hia titiriw sɛ wowɔ tebea horow te sɛ mogya mmoroso, asikreyare, anaa kɛseyɛ mmoroso a.
| Nea ɛsɛ sɛ wɔyɛ | Dɛn nti na ɛno ho hia? |
|---|---|
| Kwati nneɛma a wɔde tawa yɛ. | Sigaretnom betumi asɛe mogya ntini a ɛde mogya kɔ asaabo mu no. |
| Tew nkyene a ɛwɔ aduan mu so. | Sɛ wodi nkyene pii a, ebetumi ama mogya mmoroso akɔ soro na ama asaabo no ayɛ nhyɛso. |
| Apɔw-mu-teɛteɛ da biara da. | Apɔw-mu-teɛteɛ boa ma wodi mogya mmoroso ne nipadua mu duru so. |
| To nnuru a wɔde kum ɛyaw ano hye. | Nnuru a wɔde kum ɛyaw a wɔde di dwuma bere tenten ne nea ɛboro so, titiriw NSAID (Nonsteroidal anti-inflammatory drugs) (e.g. Ibuprofen, Diclofenac), pira asaabo no. Fa eyinom di dwuma wɔ aduruyɛ mu afotu nkutoo so . |
| Kura mu duru a ɛfata mu. | Kɛse mmoroso ma asiane a ɛwɔ hɔ sɛ obi benya asikreyare ne mogya mmoroso no yɛ kɛse, na ne nyinaa yɛ nea epira asaabo no. |
| Di mogya mmoroso ne asikre dodow a ɛwɔ mogya mu no so | Sɛ wowɔ asikreyare anaa mogya mmoroso a, ɛho hia sɛ wohwɛ so yiye na ama woabɔ w’asaabo ho ban. |
Yɛnsusuw ɔsom adwuma a yɛn asaabo yɛ komm yi ho pii. Nanso ɛyɛ bere a biribi ankɔ yiye wɔ wɔn so nkutoo na yefi ase nya yare no ho sɛnkyerɛnne ahorow. Enti, yɛ aso ma wo nipadua. Sɛ w’adwene mu yɛ wo naa a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
- Bowman’s Capsule yɛ mogya a wɔde yiyi w’asaabo mu no fã a ɛho hia yiye.
- N’adwuma titiriw ne sɛ ɛbɛyi nneɛma fĩ afi mogya no mu bere a ɛma nneɛma a nipadua no hia te sɛ protein ne mogya mu nkwammoaa kɔ so tra mogya no mu.
- Nneɛma te sɛ nipadua mu ahonhon, nsakrae a ɛba nsu mu, ne ɔbrɛ a ɛtra so betumi ayɛ asaabo mu yare ho sɛnkyerɛnne.
- Sɛ wowɔ saa sɛnkyerɛnne yi bi a, mmu w’ani ngu so da. Hwɛ wo duruyɛfo ntɛm ara sɛnea wubetumi.
- Ɔkwan pa a wobɛfa so abɔ w’asaabo ho ban ne sɛ wubedi asetra pa akyi (aduan pa, apɔw-mu-teɛteɛ, mogya mmoroso ne asikre a wobɛhwɛ so).
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