Sɛ wohwɛ mogya mu nhwehwɛmu a, ebia wode w’adwene si srade a ɛwɔ wo mu so kɛse, titiriw srade bɔne, LDL. Efisɛ yɛn nyinaa nim sɛ sɛ LDL dodow kɔ soro a, hokwan a ɛwɔ hɔ sɛ obi benya nyarewa te sɛ komayare ne akisikuru no yɛ kɛse. Nanso asɛm no nkɔ awiei wɔ hɔ. Nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔanya komayare no mu 50% nni LDL dodow a ɛkɔ soro. Enti, nnuruyɛfo de sɔhwɛ foforo di dwuma de susuw asiane a ɛwɔ mu no ho pɛpɛɛpɛ. Ɛno ne nea yɛfrɛ no C-Reactive Protein, anaa CRP sɔhwɛ.
Dɛn ankasa ne CRP?
Sɛ yɛbɛka no tiawa a, C-Reactive Protein (CRP) yɛ protein a yɛn mmerɛbo na ɛyɛ. Sɛ ɔfe wɔ hɔ , kyerɛ sɛ, ɔfe a ɛnam nneɛma bi a asɛe so, wɔ wo nipadua mu baabi a, saa CRP dodow yi kɔ soro wɔ mogya no mu.
Susuw ho saa kwan yi so. Ɛnyɛ sɛ srade bɔne (LDL) bata yɛn mogya ntini no afasu ho kɛkɛ, na mmom ɛsɛe no nso. Saa ɔsɛe yi ne nea yɛfrɛ no ɔfe. Ɛte sɛ kuru ketewaa bi. Sɛ nipadua no bɔ mmɔden sɛ ɛbɛsa saa ɔsɛe yi a, ɛyɛ protein soronko a ɛyɛ adwuma sɛ "mmoa kuw." CRP yɛ protein a ɛte saa no mu biako. Ɛne sɛ, sɛ ɔfe wɔ nipadua no mu baabi a, yebetumi ahu afi CRP dodow no mu. Ɛte sɛ nea sɛ yehu wusiw a, yɛfa no sɛ ogya atɔ baabi.
Dɛn nti na oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ CRP nhwehwɛmu?
CRP nhwehwɛmu no susuw C-Reactive Protein dodow a ɛwɔ wo mogya mu. Eyi betumi ama wo duruyɛfo ahu sɛnea ɔfe dodow a ɛwɔ wo nipadua mu no te.
Nhwehwɛmu ahorow bi kyerɛ sɛ CRP yɛ ade a ɛkyerɛ koma ne ntini mu yare (CVD) ho asiane yiye sen LDL srade. Nanso, ɛnyɛ sɔhwɛ pɔtee bi a wɔde hwehwɛ komayare. Ɛkyerɛ sɛ ebia ɔfe bi wɔ nipadua no mu nkutoo. Ná komayare anaa biribi foforo na ɛde ɔfe no aba.
Nsɛm afoforo wɔ hɔ a wɔde sɔhwɛ yi di dwuma:
- Autoimmune Diseases: Wɔyɛ nhwehwɛmu yi nso ma nnipa a wɔwɔ nyarewa te sɛ Lupus anaa Rheumatoid Arthritis. Efisɛ saa nyarewa yi nso de ɔfe ba nipadua no mu. Saa sɔhwɛ yi nso boa ma wohu sɛ ebia aduru a wɔde ma no brɛ saa ɔfe no ase anaa. Nanso, sɔhwɛ yi ntumi nhu baabi a ɔfe no wɔ wɔ nipadua no mu.
- Nyarewa: Sɛ wosusuw sɛ ɔyare bi a ɛwɔ nipadua no mu te sɛ sepsis, fungal infection, anaa nnompe mu yare bi wɔ hɔ a, wɔyɛ nhwehwɛmu yi.
- Komayare ho asiane a ɛto so abien: Wɔde di dwuma nso de hwɛ asiane a ɛwɔ hɔ sɛ obi benya komayare foforo ama obi a wanya komayare dedaw.
- Nyarewa afoforo:Eyi nso boa ma wohu tebea horow te sɛ dwensɔtwaa mu yare a ɛma obi ho hyehye no ne ahurututu mu yare.
Ɔkwan bɛn so na yɛbɛte gyinapɛn ahorow a ɛwɔ CRP amanneɛbɔ no mu ase?
Wo duruyɛfo betumi ahyɛ saa CRP nhwehwɛmu yi sɛ wowɔ ɔyare bi ho sɛnkyerɛnne te sɛ atiridiinini, awɔw, koma bɔ ntɛmntɛm, ɔhome a ɛkɔ soro, akisikuru, ne ɔfe a.
Eyi yɛ mogya mu nhwehwɛmu a ɛnyɛ den koraa. Mpɛn pii no, woyi mogya kakraa bi fi ntini bi a ɛwɔ wo nsa mu mu. Ɛnhwehwɛ sɛ wɔyɛ ahosiesie titiriw biara (te sɛ mmuadadi). Ɛyaw biara nni hɔ gye baabi ketewaa bi a ɛyɛ yaw wɔ baabi a wɔde ade no hyɛ mu. Nanso, nnuru bi a worenom betumi aka nea ebefi nhwehwɛmu yi mu aba. Enti hwɛ hu sɛ wobɛka nnuru a worenom nyinaa akyerɛ wo duruyɛfo.
Sɛ wo nsa ka wo aba no wie a, pon a ɛwɔ ase ha no bɛboa wo ma woate gyinapɛn ahorow no ase. Nanso kae sɛ, saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu. Enti hwɛ hu sɛ wode w’amanneɛbɔ no bɛkyerɛ wo duruyɛfo na woanya afotu.
| Ɔfe a Ɛwɔ Hɔ | CRP bo a ɛsom (mg/dL) . | Ntease/ntease ahorow a ebetumi aba |
|---|---|---|
| Ɔsorokɔ a Ɛkɔ Fam | 1.0 - 10.0 mg/dL na ɛyɛ adwuma | Nyarewa a nipadua no tumi ko tia nyarewa te sɛ ntini mu yare, lupus, komayare, dwensɔtwaa mu yare, ahurututu mu yare. |
| Wɔahyɛ no agyirae sɛ Elevation | 10.0 - 50.0 mg/dL na ɛyɛ adwuma | Mmoawa anaa mmoawa a wɔde nyarewa ba a emu yɛ den, mogya ntini a ɛyɛ hyew (Systemic Vasculitis), akwanhyia a emu yɛ den anaa opira. |
| Ɔsorokɔ a Ɛyɛ Den | Ɛboro 50.0 mg/dL | Mpɛn pii no (90%) fi ɔyare mmoawa a emu yɛ den. Tebea horow te sɛ dengue, asramma, ne hepatitis C nso betumi de aba. |
Wɔtaa bu CRP dodow a ɛboro 10 mg/dL sɛ ɛyɛ ɔfe kɛse ho sɛnkyerɛnne. Nanso, sɔhwɛ yi nkutoo ntumi nhu nea ɛde ba. Ɛho behia sɛ wo duruyɛfo yɛ nhwehwɛmu pii de hu nea ɛde ba.
CRP nhwehwɛmu titiriw (hs-CRP) a ɛhwɛ asiane a ɛwɔ hɔ sɛ komayare wɔ hɔ
Sɔhwɛ bi wɔ hɔ a ɛyɛ mmerɛw sen CRP sɔhwɛ a wɔtaa yɛ, a wɔde susuw asiane a ɛwɔ hɔ sɛ koma ne ntini mu yare (CVD) ho. Wɔfrɛ no High-Sensitivity CRP (hs-CRP) .
Saa sɔhwɛ yi ho wɔ mfasoɔ kɛseɛ ma nnipa a wɔwɔ asiane 10%-20% sɛ wɔbɛnya komayareɛ wɔ mfeɛ 10 a ɛreba no mu. CRP dodow, te sɛ srade dodow, betumi aboa ma wɔahu asiane a ɛwɔ hɔ sɛ komayare betumi aba. Nhwehwɛmu bi daa no adi sɛ CRP dodow a ɛkɔ soro a obi wɔ no ma asiane a ɛwɔ hɔ sɛ obenya komayare no yɛ mprɛnsa.
Sɛnea wɔkyerɛ hs-CRP aba no ase ni:
| hs-CRP bo a ɛsom (mg/L) . | Koma ne ntini mu yare (CVD) ho asiane |
|---|---|
| Ennu 1.0 mg/L | Asiane a ɛba fam |
| 1.0 mg/L kosi 3.0 mg/L | Asiane a ɛkɔ fam |
| Bɛboro 3.0 mg/L | Asiane kɛse |
Esiane sɛ CRP dodow betumi ayɛ soronko kakra da biara da nti, eye sɛ wobɛma wɔayɛ nhwehwɛmu yi mprenu, adapɛn abien ntam, na ama wɔahu asiane a ɛwɔ hɔ sɛ wubenya komayare no pɛpɛɛpɛ. Afei nso, sɛ wowɔ hs-CRP dodow a ɛkɔ soro a, ɛnkyerɛ ankasa sɛ wowɔ komayare. Enti ɛho hia sɛ wode toto wo LDL srade dodow ho na ama woanya mfonini no nyinaa.
Sɛ wo CRP dodow kɔ soro a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo CRP dodow dɔɔso a, ayaresa no begyina nea ɛde ba no so. Sɛ wo CRP dodow kɔ soro esiane asiane bi a ɛde komayare ba nti a, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew saa asiane no so:
- Fa aduan a ɛma koma nya ahoɔden: Di nnuan a ngo, nkyene, ne asikre kakraa bi na ɛwom, na nnuaba ne nhabannuru pii wom.
- Di srade a ɛwɔ mogya mu no so.
- Kura wo nipadua mu duru a ɛfata mu.
- Yɛ apɔw-mu-teɛteɛ daa.
- Sɛ wowɔ asikreyare anaa mogya mmoroso a, di so yiye.
- Sɛ wonom sigaret a, gyae ntɛm ara.
- To nsa a wonom ano hye.
Statins, aduru bi a ɛtew srade so no betumi aboa ma komayare ho asiane a ɛwɔ nnipa a CRP dodow a ɛkɔ soro no mu no so atew. Nanso, sɛ wo srade dodow yɛ nea ɛfata a, ebia statin renyɛ mmuae a ɛfata mma CRP dodow a ɛkɔ soro. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa akyerɛ ayaresa a eye ma wo.
Nkrasɛm a Wɔde Kɔ Fie
- CRP sɔhwɛ no susuw ɔfe a ɛwɔ nipadua no mu, na ɛnyɛ yare pɔtee bi.
- Eyi ho wɔ mfaso kɛse ma tebea horow te sɛ komayare ho asiane, ɔyare mmoawa, ne nyarewa a nipadua no tumi ko tia nyarewa a wɔhwehwɛ mu.
- Sɛ wo CRP dodow dɔɔso a, ebia ɛho behia sɛ wo duruyɛfo yɛ nhwehwɛmu pii na ama wahu nea ɛde ba.
- Wɔde sɔhwɛ bi a ɛyɛ mmerɛw kɛse a wɔfrɛ no hs-CRP di dwuma de hwɛ asiane a ɛwɔ hɔ sɛ komayare no pɔtee.
- Asetra mu nsakrae ho hia na ama woatumi adi CRP dodow a ɛkɔ soro ho dwuma, nanso hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ ayaresa biara.











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