So w’asaabo reyɛ adwuma yiye? Momma yɛnka Creatinine Clearance Test no ho asɛm!

So woasusuw ‘filter system’ ketewaa a ɛwɔ yɛn nipadua mu no ho pɛn? Te sɛ ngo a wɔde yiyi kar mu no, asaabo yɛ akwaa a ɛho hia sen biara a ɛyi nneɛma fĩ fi yɛn nipadua mu na eyi fi hɔ no mu biako. Bere tenten a wɔreyɛ adwuma yiye no, yenni ɔhaw biara. Nanso sɛ wɔn dwumadi so tew kakra mpo a, nyarewa ahorow betumi asɔre wɔ nipadua no mu. Enti, ɛnnɛ yɛrebɛka sɔhwɛ bi a ɛho hia a wobetumi ayɛ de ahwɛ sɛ w’asaabo reyɛ adwuma yiye anaa. Ɛno ne Creatinine Clearance Test no.

Sɛ yɛbɛka no tiawa a, dɛn ne saa creatinine clearance test yi?

Ebia eyi bɛyɛ te sɛ nyansahu mu din, nanso nokwarem no, ɛyɛ mmerɛw koraa. Saa sɔhwɛ yi kyerɛ sɛnea w’asaabo reyɛ adwuma yiye. Nea ɛbɛyɛ na wɔatumi ayɛ eyi no, wosusuw creatinine dodow a ɛwɔ nsu a wɔde fa nsu mu ne mogya mu. Wo duruyɛfo betumi agyina nea afi mu aba yi so ahu sɛ wowɔ asaabo mu yare anaasɛ wunni bi.

Enti dɛn ne saa creatinine yi?

Fa ntini a ɛwɔ yɛn nipadua mu no te sɛ kar engine. Saa engine yi hia ahoɔden, kyerɛ sɛ, pɛtro, na ama ayɛ adwuma. Creatine yɛ nnuru a ɛma yɛn ntini ahoɔden. Sɛ yɛnantew, yetu mmirika, anaa yɛma nneɛma a emu yɛ duru so a, saa ntini yi yɛ adwuma, kyerɛ sɛ, ɛde ahoɔden di dwuma.

Sɛ wode ahoɔden a ɛte sɛɛ, te sɛ wusiw a efi engine mu di dwuma a, nneɛma fĩ bi a wɔfrɛ no creatinine ba na ɛde ka mogya no ho. Eyi ho nni mfaso mma nipadua no. Enti, nea asaabo abien a ɛte apɔw yɛ ne sɛ yi mogya yi mu yiye na wɔde nsu yi creatinine a ɛho nhia no fi hɔ.

Nanso, fa no sɛ w’asaabo no nyɛ adwuma kakra. Dɛn na ɛba saa bere no? Te sɛ bere a kar mu muffler asiw, wusiw no siw na entumi mfi mu yiye no, saa ara na asaabo no nso ntumi nyi saa creatinine yi mu yiye na ɛpam. Afei creatinine dodow a ɛwɔ mogya no mu no kɔ soro sen sɛnea ɛte daa. Ɛno ne nea sɔhwɛ yi hwehwɛ.

Nea ɛka nhwehwɛmu yi ho ne sɛ wobɛboaboa wo nsu ano nnɔnhwerew 24, ne mogya nso. Sɛ wɔde nhwɛsode abien no nyinaa di dwuma a, wobu creatinine dodow a w’asaabo ayi afi mu wɔ nnɔnhwerew 24 mu no ho akontaa.

Nanso, nnuruyɛfo ntaa mfa creatinine clearance test nni dwuma nnansa yi efisɛ nsu a wɔbɛboaboa ano wɔ nnɔnhwerew 24 mu no yɛ den kakra. Mmom no, mprempren wɔde mogya mu nhwehwɛmu a ɛyɛ mmerɛw, a wɔde dodow biako na ɛyɛ a wɔfrɛ no eGFR (a wɔabu akontaa sɛ Glomerular Filtration Rate) ne nsu mu nhwehwɛmu a wɔde di dwuma pɛnkoro a wɔfrɛ no uACR (urine albumin-creatinine ratio) di dwuma kɛse.

Dɛn ne creatinine dodow a ɛkɔ soro ho sɛnkyerɛnne?

Mpɛn pii no, creatinine dodow a ɛkɔ soro wɔ mogya no mu no kyerɛ sɛ asaabo no sɛe kakra na ɛnyɛ adwuma yiye. Sɛ asaabo mu yare ba a, ebia sɛnkyerɛnne biara nni hɔ wɔ mfiase no mu. Ɛno ne nea asiane wom sen biara. Nanso bere a yare no kɔ so no, ebia wubefi ase ate nneɛma a ɛte sɛɛ nka:

Enti bere bɛn na wɔbɛyɛ sɔhwɛ yi?

Sɛnea yɛadi kan aka no, mogya mu nhwehwɛmu a wɔtaa yɛ mprempren ne eGFR. Nanso, nsɛm titiriw bi wɔ hɔ a oduruyɛfo no te nka sɛ nea efi mogya mu nhwehwɛmu no nkutoo mu ba no nnɔɔso na ɛnyɛ pɛpɛɛpɛ koraa. Ɛno ne bere a oduruyɛfo no twe adwene si creatinine clearance test, a nea ɛka ho ne sɛ wɔbɛboaboa nsu a wɔde yɛ adwuma nnɔnhwerew 24 ano no ho asɛm.

Nhwɛsoɔ:

• Obi a ne ntini mu yɛ den pii: Fa no sɛ obi a ɔyɛ nipadua ho adwuma a wateɛteɛ n’apɔw mu denneennen wɔ apɔw-mu-teɛteɛ dan mu. Esiane sɛ ɔwɔ ntini pii nti, ɔyɛ creatinine pii sen onipa a ɔte ase no. Enti, sɛ wofa eGFR mogya mu nhwehwɛmu nkutoo so hwɛ a, ebia ne creatinine dodow bɛkyerɛ sɛ ɛsom bo kɛse ara kwa. Eyi betumi ama wɔasusuw sɛ ɔhaw bi wɔ asaabo no ho.
• Obi a ne ntini mu duru sua koraa: Saa ara nso na obi a ne ho yɛ teateaa paa na ne ntini mu duru sua no rennya creatinine kakraa bi. Enti, ebia eGFR bo no bɛkyerɛ sɛ asaabo tebea ye sen nokware.

Wɔ tebea horow a ɛtete saa mu no, ebia oduruyɛfo no bɛka akyerɛ wo sɛ yɛ nnɔnhwerew 24 nhwehwɛmu yi na ama woanya mfonini a edi mu.

Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no?

Sɛ wobɛyɛ sɔhwɛ yi yiye a, wubehia ahosiesie kakra wɔ wo fam. Wo duruyɛfo anaa lab no betu wo fo wɔ eyi ho.

• Nsuo a wɔde gu mu: Lab no bɛma wo ade kɛseɛ soronko bi (toa) a wode bɛboaboa wo nsuo ano Wɔbɛma wo akwankyerɛ nso wɔ sɛdeɛ wode sie nnɔnhwereɛ 24 (sɛ nhwɛsoɔ no, ebia wɔbɛka akyerɛ wo sɛ fa to frigye mu).
• Di akwankyerɛ no akyi pɛpɛɛpɛ: Sɔhwɛ yi nkonimdi gyina wo so. Ɛsɛ sɛ woboaboa nsu biara a wobɛfa wɔ nnɔnhwerew 24 mu ano gu ade no mu. Sɛ wudi mfomso na wohohoro gu tiafi mu a, ebia nea efi sɔhwɛ no mu nyinaa nyɛ nokware. Sɛ ɛba saa a, ɛsɛ sɛ wosan fi ase bio.
• Ka nnuru biara a worenom ho asɛm kyerɛ wo duruyɛfo: Nnuru bi a worenom (e.g., nnuru bi a ekum ɔyare mmoawa, nnuru a ɛma yafunu mu yaw) betumi aka nea efi nhwehwɛmu yi mu ba. Enti ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo. Sɛ wo duruyɛfo ka kyerɛ wo sɛ gyae wɔn nom bere tiaa bi nna a edi nhwehwɛmu no anim nkutoo. Mma w’ankasa nnnyae nnuru nom da.
• Aduan ne anonne:Mpɛn pii no, wubetumi adidi sɛnea ɛsɛ. Nanso, ɛtɔ mmere bi a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ di mmuada anadwo ansa na wɔayɛ nhwehwɛmu no. Ebia wɔbɛka akyerɛ wo nso sɛ kwati nam a wubedi ansa na wɔayɛ sɔhwɛ no ne da a wobɛyɛ no. Esiane sɛ creatine pii wɔ nam mu nti, nam a wubedi no betumi ama creatinine dodow a ɛwɔ wo nipadua mu no akɔ soro bere tiaa bi. Eyi betumi ama woanya atoro aba.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Kyerɛw bere pɔtee a wopɛ sɛ sɔhwɛ no fi ase. Sɛ nhwɛso no, sɛ worefi sɔhwɛ no ase anɔpa nnɔnwɔtwe a, anka wobɛyɛ nea edidi so yi:

1. Fa wo nsu a edi kan no ano: Sɛ wodu 8 a.m. a, fa wo nsu no gu tiafi mu sɛnea ɛte daa na hohoro. Mmommoa no. Eyi ne bere a wo nnɔnhwerew 24 bere no fi ase.

2. Afei boaboa biribiara ano: Efi hɔ, kosi adekyee anɔpa 8 no, boaboa saa nsu no ano gu ade a lab no de ama no mu bere biara a wobɛtow wo ho. Ɛsɛ sɛ woboaboa ano nso sɛ wosɔre anadwo kɔtow wo ho a.

3. Nhwɛsode a etwa to: Ade kyee anɔpa nnɔnwɔtwe (bere a nnɔnhwerew 24 atwam) no, sɛ wonte nka mpo sɛ wobɛtow nsu a, bɔ mmɔden sɛ wobɛboaboa nsu bi ano wɔ ade koro no ara mu. Eyi ne nhwɛso a etwa to.

4. Mogya a Wɔde Ma: Sɛ wowie nnɔnhwerew 24 nsu a wɔde ma no wie a, ɛho behia sɛ wokɔ aduruyɛdan mu kɔma mogya. Mpɛn pii no, wɔfa mogya no bere koro no ara a wode nsu a wɔde gu mu no hyɛ lab no nsa no.

Wɔde mogya a wɔde yɛ nhwehwɛmu yi susuw creatinine dodow a ɛwɔ mogya no mu (serum creatinine). Afei, wɔde creatinine dodow a ɛwɔ nsu mu, dodow a ɛwɔ mogya no mu, ne nsu dodow a wɔaboaboa ano nyinaa gu akontaabu nhyehyɛe bi mu de bu wo creatinine clearance bo.

Ɔkwan bɛn so na yɛbɛte nea efi mu ba no ase?

Sɛ sɔhwɛ no mu aba san ba a, gyaw ma oduruyɛfo no na ɔnkyerɛ ase, efisɛ wuntumi nhu yare bi denam nɔma biako a wobɛhwɛ so.

• Sɛ creatinine clearance value no yɛ kɛse a: Eyi taa kyerɛ sɛ asaabo no ntumi nyɛ adwuma yiye. Nanso, ɛnyɛ bere nyinaa na eyi te saa. Ɛtɔ da bi a, nea efi mu ba no betumi ayɛ soronko esiane nneɛma afoforo nti. Nhwɛsoɔ:
• Koma a entumi nyɛ adwuma yiye
• Akisikuru tebea horow
• Nsu a ɛho ntew (nsu a enni nipadua no mu) .
• Asaabo afoforo a ɛsɛe
• So nea ebefi mu aba no betumi ayɛ nea ɛnteɛ?:Yiw, nneɛma bi betumi aka sɛnea nea ebefi mu aba no bɛyɛ pɛpɛɛpɛ.
• Nsu a wɔboaboa ano yiye.
• Nnuru a ɛka nea efi mu ba no a wɔnom.
• Nnuan a protein pii wom a wodi dodo (nam, mpataa, nkesua).
• Nyinsɛn a wɔde di dwuma.
• Ntini a ɛwɔ nipadua no mu a ɛdɔɔso dodo anaasɛ ɛyɛ kakraa bi dodo.
• Apɔw-mu-teɛteɛ a ɛboro so da a wɔbɛyɛ sɔhwɛ no.

Enti, yɛsrɛ sɛ wo ne wo duruyɛfo nsusuw nsɛmmisa anaa dadwen biara a wowɔ wɔ nea efi mu ba no ho.

Ná ebinom taa bisa nsɛm

So nsu a wɔnom ma creatinine so tew?

Yiw, nsu pii a wobɛnom no betumi ama creatinine dodow a ɛwɔ wo mogya mu no so atew bere tiaa bi. Enti, nnom nsu pii esiane wo su nti, a wowɔ anidaso sɛ wubenya "aba pa" wɔ sɔhwɛ no mu. Nom nsu dodow a wotaa nom da koro no ara. Saa na wunya nea efi mu ba a edi mu sen biara a ɛda wo nipadua tebea ankasa adi.

Creatinine dodow bɛn na ɛkyerɛ sɛ asaabo no ayɛ adwuma yiye?

Eyi ho hia paa. Worentumi nhu sɛ obi asaabo ayɛ adwuma yiye denam ne creatinine dodow a wobɛhwɛ ara kwa so. Oduruyɛfo bi ba saa asɛm no so bere a wasusuw nea efii nhwehwɛmu ahorow pii mu bae, wo mfe a woadi, wo bɔbeasu, ne wo ntini mu duru ho akyi. Nneɛma a ɛfata a wɔde yɛ mogya mu nhwehwɛmu (serum creatinine) ne nea edidi so yi:

Bio, kae: saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu. Na sɛ wɔkorɔn kakra sen saa bo yi a, mma wo ho nnyɛ wo hu. Wo duruyɛfo no rehwɛ wo GFR. Ɛno ne susudua a ɛho hia sen biara.