So wowɔ ahwehwɛ te sɛ eyinom wɔ wo nsu mu? Momma yɛnka eyi ho asɛm!

Sɛ woayɛ wo nsu mu nhwehwɛmu pɛn na amanneɛbɔ no ka sɛ "Crystals in the urine" a, ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho nyɛ wo den kakra. Ebia wubesusuw sɛ, "O me Nyankopɔn, dɛn ne eyi?" Nanso, ɛnyɛ bere nyinaa na ɛyɛ biribi a anibere wom. Enti, ɛnnɛ yɛbɛka nea saa ahwehwɛ yi yɛ, sɛnea ɛyɛ, ne nea ɛsɛ sɛ yɛma yɛn ani da hɔ ho asɛm.

Dɛn ankasa ne saa ‘ahwehwɛ’ yi a ɛwɔ nsu mu?

Sɛ yɛbɛka no tiawa a, ahwehwɛ nketenkete yi fi ase ba bere a mineral dodow a ɛwɔ wo nsu mu no kɔ soro na nsu a ɛwɔ wo nsu mu no so tew no. Fa no sɛ asikre bi a wode bɛpete nsu kuruwa mu. Sɛ nsu kakraa bi na ɛwɔ hɔ a, asikre no nyinaa nwene na ɛtra ase. Saa na ɛkɔ so wɔ ha nso. Saa asinasin nketewa yi boaboa ano na ɛyɛ saa ahwehwɛ yi. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi `(Crystalluria)` .

Ɛtɔ mmere bi a saa abo yi fa nsu mu fi nipadua no mu a ɛmma ɔhaw biara mma. Nanso, abo bi tumi nyin yɛ akɛse na ɛbom yɛ abo. Yɛsan frɛ wɔn asaabo mu abo . Saa abo yi betumi akɔhyɛ nsu a ɛkɔ nsu mu no mu na asiw nsu a ɛsen no kwan. Sɛ eyi ba a, tebea horow a emu yɛ den te sɛ asaabo mu opira a emu yɛ den (AKI) anaa adwene mu yare a emu yɛ den (ARF) betumi aba.

Abo ahorow bɛn na wɔtaa hu wɔ nsu mu?

Sɛ lab bi de afiri a wɔde hwɛ nneɛma nketenkete hwɛ wo nsu mu nhwɛsode bi a, wubetumi ahu ahwehwɛ ahorow ahorow. Aboɔden abo ahorow na ɛyɛ ahwehwɛ biara. Ahwehwɛ ahorow atitiriw a wubehu no bi ni:

• Ammonium biurate : Wɔtaa hu eyinom wɔ nsu a alkaline wom mu.
• Bilirubin : Sɛ ɔhaw bi wɔ mmerɛbo no mu a, wobetumi ahu eyinom.
• Calcium oxalate anaa calcium phosphate : Eyinom ne asaabo mu abo ahorow a ɛtaa ba. Nnuan bi a yedi betumi ama wɔn a wɔhyehyɛ no ayɛ kɛse.
• Cystine : Eyi yɛ nea ɛntaa nsi kakra. Awosu mu yare bi na ɛde saa akisikuru yi ba.
• Hippuric acid : Eyi nso nyɛ nea abu so kɛse.
• Leucine : Eyi nso betumi abata mmerɛbo mu haw ahorow ho.
• Struvite (magnesium ammonium phosphate) : Wɔtaa hu eyinom wɔ nsu mu yare ho.
• Tyrosine : Eyi nso ho yɛ na na ɛne mmerɛbo mu yare wɔ abusuabɔ.
• Uric acid : Wobetumi ahu eyinom wɔ nnipa a wɔwɔ tebea horow te sɛ gout nsu mu. Wobetumi nso ayɛ bere a wudi nnuan a protein pii wom dodo no.
• Xanthine na ɔkyerɛwee: Eyi nso fi awosu mu tebea bi a ɛntaa nsi koraa.

Wɔ afiri a wɔde yɛ nhwehwɛmu mu no, wɔde afiri a wɔde hwɛ nneɛma nketenkete hwɛ ahwehwɛ ahorow yi denam sɛnea ɛte so. Ebia ahwehwɛ binom nni nsusuwii pɔtee biara, na yɛfrɛ no ahwehwɛ a enni nsɛ . Afei nso, acidity a ɛwɔ wo nsuo mu, anaa `pH`, nso ka crystals ko a ɛba.

Hena na obetumi anya saa nsu mu abo yi?

Nokwarem no, obiara betumi anya ahwehwɛ wɔ ne nsu mu. Ɛnyɛ bere nyinaa na ɛkyerɛ sɛ wowɔ yare bi. Nanso, sɛnea yɛadi kan aka no, ahwehwɛ ahorow abien a wɔfrɛ no `(Cystine)` ne `(Xanthine)` yɛ soronko. Wɔkyerɛ tebea horow a ɛntaa nsi, a wonya fi awo mu.

Nnipa a ɛyɛ mmerɛw sɛ wobenya asaabo mu abo nso betumi ahu saa abo yi bere a wɔreyɛ nsu mu nhwehwɛmu no.

Sɛ abo wɔ me nsu mu a, ɛka me nipadua dɛn?

Nneɛma nketenkete a ɛwɔ wo nsu mu no bi betumi atwam afi wo nipadua mu ankasa a ɛrempira wo, na ebia worenhu mpo. Ɛno kyerɛ sɛ ebia mfaso nni so kɛse. Nanso, ɔkwan foforo so no, nneɛma nketenkete bi tumi bom yɛ nneɛma te sɛ asaabo mu abo. Ɛno na ɔhaw no sɔre.

Saa abo yi betumi akɔhyɛ nsu a ɛkɔ nsu mu no mu na asiw nsu a ɛsen no ano koraa. Eyi betumi ama asaabo no ate yaw kɛse na asɛe. Abo nketewa bi ankasa twam fi nipadua no mu, nanso ebia ebehia sɛ woyi abo akɛse no wɔ aduruyɛfo afotu ase.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ abo wɔ nsu mu?

Mpɛn pii no, abo a ɛba nsu mu ho sɛnkyerɛnne biara nni hɔ. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba ampa a, nea ɛka ho ne:

• Akyi anaa yafunu mu yaw : Saa ɛyaw yi betumi aba, titiriw sɛ asaabo mu abo ayɛ a. Ɛtɔ da bi a, ɛyaw yi tumi yɛ den paa.
• Atiridii : Sɛ tebea yi ba bere a ɔyare mmoawa bi wɔ hɔ a, wubetumi anya atiridiinini.
• Nsu a mununkum anaasɛ ahuru ayɛ : Ebia sɛnea nsu no te no bɛsakra.
• Ɛho hia sɛ wotaa tow : Ebia wobɛte nka sɛ ɛsɛ sɛ wototo wo ho mpɛn pii sen sɛnea wotaa tow.
• Mogya a ɛwɔ nsuo mu (Hematouria) : Ebia nsuo no bɛyɛ kɔkɔɔ anaa pink.
• Nsu a ɛyɛ huam : Ebia nsu a ɛwɔ hua a ɛyɛ soronko.

Sɛ wowɔ saa sɛnkyerɛnne yi biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.

Dɛn na ɛma aboɔ ba nsuo mu?

Nneɛma ahorow bi betumi ama abo ayɛ wɔ nsu no mu. Momma yɛnhwɛ emu atitiriw no bi:

• Nsu a ɛnnɔɔso (Dehydration) : Eyi ne ade titiriw a ɛde ba. Sɛ wonom nsu kakraa bi da biara a, wo nsu no mu yɛ den kɛse, na ɛma hokwan a ɛwɔ hɔ sɛ nkyene a ɛwɔ abo mu no bɛto hɔ na ayɛ abo no yɛ kɛse.
• Nnuan bi a wodi dodo: Sɛ wodi nnuan a protein wom pii (te sɛ nam, mpataa, nkesua), nnuan a nkyene pii wom, ne nnuaba ne nhabannuru bi (sɛ nhwɛso no, nnuan a oxalate pii wom te sɛ akutu ne tomato) a, ebetumi ama abo ahorow bi ayɛ.
• Nnuru bi : Sɛ nhwɛso no, nnuru bi te sɛ `(Amoxicillin)`, `(Acyclovir)`, `(Sulfonamides)`, `(Atazanavir)` ne `(Methotrexate)` nso betumi ama abo ayɛ wɔ nsu mu.
• Nsuo mu yareɛ : Sɛnea yɛadi kan aka no, nyarewa bi betumi ama abo a ɛte sɛ struvite ayɛ.
• Ethylene glycol awuduru : Eyi yɛ asɛm a egye ntɛmpɛ. Ebetumi afi nnuru bi a wɔnom mu aba.
• Tumor Lysis Syndrome : Saa tebea yi betumi aba esiane kokoram nkwammoaa pii a wɔsɛe no prɛko pɛ (mpɛn pii no sɛ kokoram ayaresa mu nsunsuanso bɔne).

So ɛyɛ ɔyare mmoawa sɛ akisikuru bɛba wo nsu mu?

Dabi, ɛnte saa koraa. Sɛ wowɔ ahwehwɛ wɔ nsu mu a, tebea bi a wɔfrɛ no `(Crystalluria)`, nyɛ nea ɛde ɔyare ba. Sɛ wowɔ nsu mu yare mpo a, ɛnyɛ nea ɛde ɔyare no ba afoforo so. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Nhwehwɛmu bɛn na wɔyɛ de hu sɛ ebia abo wɔ nsu no mu anaa?

Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ wo nsu mu nhwehwɛmu, sɛ afe afe nhwehwɛmu no fã anaasɛ egyina wo sɛnkyerɛnne ahorow so. Wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa nsu a wɔde yɛ nsu yi mu wɔ afiri a wɔde yɛ nhwehwɛmu mu hwɛ sɛ abo bi wɔ hɔ anaa, na sɛ ɛte saa a, ɛyɛ ɔkwan bɛn so.

Ɛtɔ da bi a, ebia ɛho behia sɛ oduruyɛfo no yɛ nhwehwɛmu afoforo (e.g., mogya mu nhwehwɛmu, scans) na ama wɔahu yare no pɛpɛɛpɛ.

Woyɛ dɛn sa abo a ɛwɔ nsu mu?

Ayaresa no gyina nea ɛde akisikuru no ba so. Mpɛn pii no, wobetumi adi tebea no so denam nsu pii a wɔbɛnom ne nnuan bi (te sɛ nkyene ne asikre) a wɔbɛtew so.

• Nsuo : Ɛho hia paa sɛ anyɛ yie koraa no wobɛnom nsuo lita 2-3 da biara.
• Aduan : Sɛ wowɔ abo a calcium oxalate wom a, wobetumi aka akyerɛ wo sɛ tew nnuan a oxalate pii wom (spinach, rhubarb, beetroot, nnuaba, chocolate) a wudi no so. Sɛ wowɔ uric acid abo a, ebia ɛho behia sɛ wotew nnuan a purines pii wom (nam kɔkɔɔ, ɛpo mu nnuan, nsa) a wudi so. Wo ne wo duruyɛfo anaa aduannuru ho ɔbenfo nka eyi ho asɛm na nya afotu.
• Nnuru : Sɛ aduru pɔtee bi na ɛde saa akuru yi ba a, oduruyɛfo no betumi asesa aduru no anaasɛ ɔbɛtew dodow a wɔde ma no so.
• Tebea a ɛwɔ ase no a wɔbɛsa : Sɛ saa abo yi fi aduruyɛ mu tebea foforo te sɛ nsu mu yare anaa mmerɛbo mu yare nti a, saa tebea no a wɔbɛsa no nso bɛtew abo a ɛba no so.
• Asaabo mu abo a wɔde sa yare : Sɛ abo no aboaboa ano na ayɛ abo akɛse a, ebia ɛho behia sɛ wɔyɛ oprehyɛn anaa ɔkwan foforo so na wɔayi afi hɔ.

Nea ɛho hia sen biara ne sɛ wubedi aduruyɛ mu afotu akyi na ɛnyɛ sɛ wobɛsa wo ho yare.

Wobɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ abo bɛba wo nsu mu no so?

Wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya nsu a ɛkɔ wo nsu mu ne asaabo mu abo so denam anammɔn a ɛnyɛ den yi a wubedi akyi so:

• Nom nsu pii, titiriw nsu. Bɔ mmɔden sɛ anyɛ yiye koraa no wobɛnom nsu nkuruwa 8-10 da biara.
• Kura wo nipadua mu duru a ɛfata mu. Kɛse mmoroso ma asiane a ɛwɔ hɔ sɛ obenya asaabo mu abo no yɛ kɛse.
• To protein a wudi no ano hye. Protein a wɔnom boro so no betumi ama abo ahorow bi ayɛ.
• Wo ne wo duruyɛfo anaa aduan ho ɔbenfo a wɔakyerɛw ne din nkasa na woahu calcium, oxalate, ne vitamin C dodow a wuhia na ama woanya apɔwmuden. Ɛtɔ mmere bi a, calcium a wɔbɛtew so no betumi ama ɔhaw no ayɛ kɛse ankasa. Enti ɛho hia sɛ wuhu nea ɛsɛ sɛ woyɛ ankasa.
• Tew nnuan a wɔayɛ no foforo a wudi so. Nkyene ne asikre pii wɔ eyinom mu. Mmom no, fa nhabannuru a wɔayɛ no foforo, nnuaba, ne nnuan a wɔayɛ wɔ fie di kan.

Sɛ mewɔ saa tebea yi a, dɛn na ɛba?

Mpɛn pii no, sɛ abo wɔ wo nsu mu a, ɛnyɛ ɔhaw kɛse. Sɛ wowɔ ayaresa mu tebea afoforo a ɛsɛ sɛ wosa a, w’akwahosan nyinaa begyina ɛno so. Sɛ wudi akwankyerɛ a ɛfata akyi na woyɛ asetra mu nsakrae kakraa bi a ɛnyɛ den a, wubetumi adi tebea yi ho dwuma yiye.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi, titiriw sɛ wowɔ ɛyaw anaa atiridiinini a nsakrae a ɛba wo nsu mu (kɔla, mogya, hua) ka ho a , hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Asaabo mu abo anaa abo a ɛba wɔ baabi foforo wɔ nsu mu (ureteral stones) betumi ama obi ate yaw kɛse. Afei nso, wotumi ma awuduru boaboa ano wɔ nipadua no mu, na ɛde ɔhaw afoforo ba.

Enti, kae sɛ ahwehwɛ a ɛwɔ nsu mu (Crystalluria) abu so kakra. Wotumi hu wɔn wɔ nnipa a wɔwɔ apɔwmuden koraa nsu mu, ne nnipa a wɔwɔ ayaresa tebea horow bi nsu mu nso. Ebia wobehu wɔn mpo wɔ akwanhyia mu bere a wɔreyɛ nsu mu nhwehwɛmu a wɔyɛ daa no. Ɔkwan a eye sen biara a wobɛfa so asiw saa ahwehwɛ yi ano ne sɛ wobɛnom nsu a ɛdɔɔso.

Nkrasɛm a Wɔde Kɔ Fie

• Ahwehwɛ a ɛwɔ nsu mu no ba bere a aboɔden abo a ɛwɔ nsu no mu no kɔ soro na ne nsu so tew no.
• Bere a ahwehwɛ bi nyɛ asiane biara no, ebi betumi aboaboa ano na ɛde ɔhaw ahorow te sɛ asaabo mu abo aba.
• Nea ɛde ba titiriw ne nsu a wɔnom, nnuan bi, nnuru bi, ne nsu mu yare a wɔnom.
• Ɛwom sɛ ɛnyɛ bere nyinaa na sɛnkyerɛnne ahorow no da adi de, nanso wobetumi ahu ɛyaw, atiridiinini, ne nsakrae a ɛba nsu mu.
• Wobetumi adi tebea yi so denam nsu pii a wobɛnom, w’aduan a wobɛhwɛ so, ne sɛ ɛho hia a, wobɛsa wo yare so.
• Sɛ wowɔ sɛnkyerɛnne ahorow a ɛfa asaabo mu abo ho (ɛyaw a emu yɛ den, atiridiinini, nsu a mogya wom) a, hwehwɛ nnuruyɛfo afotu ntɛm ara.
• Kae bere nyinaa sɛ nsu pii a wobɛnom no bɛbɔ wo ho ban afi ɔhaw pii te sɛ eyi ho.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa w’abusua oduruyɛfo. Kɔ so nya apɔwmuden!

` Nsuo mu aboɔ, asaabo mu aboɔ, nsuo mu nhwehwɛmu, Crystalluria, akwahosan, aduane, nsuo