Sɛ wowɔ asikreyare a, bere aso sɛ wohwɛ w’asaabo so kakra. Asikreyare ho haw titiriw biako ne asaabo a ɛsɛe. Yɛfrɛ saa tebea yi wɔ aduruyɛ mu sɛ " Asikreyare Asaabo Yare." Ebia woate sɛ wo duruyɛfo frɛ no Diabetic Nephropathy . Sɛ yɛbɛka no tiawa a, eyi ne bere a mogya mmoroso ne asikre dodow a ɛkɔ soro a wɔanhyɛ so bere tenten no sɛe w’asaabo no.
Sɛ asaabo no sɛe wɔ saa kwan yi so a, tumi a etumi yiyi nwura fi nipadua no mu na eyi fi nipadua no mu no so tew nkakrankakra. Eyi nsi prɛko pɛ, yare no kɔ so nkakrankakra fa akwan anum so. Nanso nea eye sen biara ne sɛ, sɛ yɛyɛ ayaresa a ɛfata na yɛsakra yɛn asetra kwan a, yebetumi adi tebea yi so na yɛasiw nsɛnnennen ano.
Wɔ asaabo mu yare yi mfiase no, sɛnkyerɛnne biara nni hɔ a wotumi hu. Ɛno nti na ɛho hia sɛ wo ne wo duruyɛfo kasa na anyɛ yiye koraa no, wɔma wɔhwɛ w’asaabo dwumadi pɛnkoro afe biara no.
Mpɛn pii no, wo duruyɛfo bɛhwɛ wo nsu ne wo mogya, na wahwehwɛ protein bi a wɔfrɛ no microalbumin wɔ wo nsu mu titiriw. Eyi yɛ sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ w’asaabo afi ase resɛe.
Dɛn ne asikreyare asaabo mu yare no afã horow 5?
Afei momma yɛnte yare yi afã anum no ase wɔ ɔkwan soronko so na ɛnyɛ den. Sɛ wuhu eyi a, ɛbɛboa kɛse ma wɔahu yare no ntɛm na wɔadi so.
| Prama | Dɛn na ɛto asaabo no? | Nneɛma atitiriw ne nneɛma a ɛsɛ sɛ wɔyɛ |
|---|---|---|
| Ɔfã 1 | Asaabo no reyɛ adwuma denneennen kakra sen sɛnea ɛte daa na ebia ɛbɛyɛ kɛse kakra. | Abɔnten so sɛnkyerɛnne biara nni hɔ. Wobetumi ahu protein (microalbumin) kakraa bi pɛ wɔ nsu no mu. Asetra mu nsakrae ho hia paa. |
| Ɔfã 2 | Asaabo no afi ase reda ɔsɛe kakra adi. Wɔda so ara reyɛ adwuma yiye. | Abɔnten so sɛnkyerɛnne biara nni hɔ. Protein dodow a ɛwɔ nsu mu no dɔɔso kakra sen nea ɛwɔ ɔfã 1. Ɛsɛ sɛ wokɔ so di akwankyerɛ a wɔde ma wɔ ɔfã 1 no akyi. |
| Ɔfã 3 | Asaabo dwumadi so atew kɛse. | Mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ. Ebia nnipa binom akwaa ahonhon, mogya mmoroso, ne mogya a ɛtɔ kɔ nipadua no mu. Ɛho hia sɛ wobɛkɔ oduruyɛfo a ne ho akokwaw wɔ asaabo mu yare (Nephrologist) nkyɛn. |
| Ɔfã 4 | Asaabo no asɛe kɛse. Wɔn dwumadi no sua koraa. | Nsɛnkyerɛnne no bi ne akwaa a ɛho ahonhon ne nsakrae a ɛba mpɛn dodow a ɔtow nsu mu. Potassium, phosphorus, ne acid a ɛwɔ mogya no mu no kɔ soro. Ɛsɛ sɛ nnuruyɛfo hwɛ wɔn so yiye na wɔasiw asaabo a entumi nyɛ adwuma yiye ano. |
| Ɔfã a ɛto so 5 | Asaabo a entumi nyɛ adwuma yiye koraa anaasɛ ɛrebɛn. | Nsɛnkyerɛnne a emu yɛ den ba, na ɛhwehwɛ sɛ wɔde dialysis anaasɛ wɔde asaabo foforo ma. |
Mfiase (Afã 1 ne 2) - Kɔkɔbɔ a Ɛnyɛ Komm
Mma nnsusuw sɛ esiane sɛ wonte biribiara nka wɔ saa mmere abien a edi kan yi mu nti, ɛnyɛ asiane. Eyi ne bere a eye sen biara a ɛsɛ sɛ woyɛ ade ankasa. Eyi ne bere a eye sen biara a wubetumi agyae anaasɛ wobɛtwentwɛn w’asaabo a ɛsɛe no ase.
Nneɛma a wubetumi ayɛ wɔ saa bere yi mu
- Di asikre a ɛwɔ wo mogya mu ne wo mogya mmoroso so: Eyi ne ade a ɛho hia sen biara. Nom nnuru a wo duruyɛfo akyerɛw ama wo no bere ano. Sɛ wubetumi anya afiri bi wɔ fie a wode bɛsusuw asikre ne wo mogya mmoroso a, anka ɛbɛyɛ papa.
- Aduan a ahoɔden wom: Tew nkyene a wudi so sɛnea wubetumi biara. Twe wo ho fi nnɔkɔnnɔkɔwade, nnuan a srade wom, ne nnuan a wɔde di ntɛmntɛm ho. Fa nhabannuru, nnuaba, ne nhabannuru ka w’aduan ho.
- Dwumadie:Anyɛ yiye koraa no, fa wo ho hyɛ apɔw-mu-teɛteɛ a emu yɛ den mu simma 30 da biara. Nantew, mmirikatu, anaa sakre so a wobɛtra yɛ nneɛma pa a wubetumi apaw.
- Kura mu duru a ɛfata mu: Sɛ wukura mu duru a ɛfata wo tenten a, ɛtew nhyɛso a ɛwɔ w’asaabo so no so.
- Sɛ wonom sigaret a, gyae mprempren: Sigaretnom sɛe mogya ntini a ɛde mogya kɔ asaabo mu no.
Stage 3 ne 4 - Bere a ɛsɛ sɛ yɛhwɛ yiye
Wɔ ɔfã a ɛto so abiɛsa no mu mpo no, ebia worenhu sɛnkyerɛnne atitiriw biara. Nanso, nnipa binom fi ase te wɔn nan ne wɔn nsa ho ahonhon. Ebia wo mogya mmoroso bɛkɔ soro na wubetumi anya mogya a ɛtɔ kɔ wo mu. Saa bere yi de, wo duruyɛfo de wo bɛkɔ oduruyɛfo bi a ne ho akokwaw wɔ asaabo mu yare ho, a wɔfrɛ no asaabo ho ɔyaresafo nkyɛn . Ɛho hia paa sɛ yedi n’akwankyerɛ so.
Ɔfã anan no yɛ tebea a emu yɛ den kɛse. Seesei de, asaabo no dwumadi so atew kɛse. Nsɛnkyerɛnne no bi ne akwaa a ɛho ahonhon, nsakrae a ɛba mpɛn dodow a ɔtow nsu anaa dodow a wɔtow, ne potassium ne phosphorus dodow a ɛkɔ soro wɔ mogya no mu. Saa bere yi de, ɛsɛ sɛ wo ne wo duruyɛfo no yɛ adwumaden kɛse na moatumi asiw asaabo a entumi nyɛ adwuma yiye koraa ano.
Stage 5 - Asaabo a Ɛnyɛ Yie
Eyi ne ɔfã a etwa to. Ɛha yi, asaabo abien no nyinaa dwumadi agyae koraa anaasɛ abɛn koraa sɛ ebegyae. Saa bere yi de, sɛnkyerɛnne ahorow da adi esiane nwura a ɛboaboa ano wɔ nipadua no mu ne awuduru a ɛde ba nti.
- Nkwammoaa a ɛho ahonhon
- Wora a ɛyɛ wo yaw a wontumi nnyina ano
- Ntini mu akisikuru
- Akisikuru ne ɔfe
- Akyi yaw
- Akɔnnɔ
- Nsu kakraa bi pɛ na ɛba anaasɛ enni bi koraa
- Ɔhome a ɛyɛ den, nna a wontumi nna
- Nkae ne nhumu a ɛhaw adwene (Adwene mu naayɛ) .
- Akisikuru a ɛma obi ho kyere no
- Dade dɛ a wɔte nka wɔ w’anom
Sɛ asaabo no betumi atra ase bere a adu saa gyinabea yi a, ɛsɛ sɛ ɛyɛ ne dwumadi wɔ ɔkwan foforo so. Ayaresa atitiriw abien na ɛwɔ hɔ ma eyi.
1. Dialysis: Eyi ne baabi a wɔde afiri mmoa tew nipadua no mogya ho, na woyi nsu a ɛboro so ne nneɛma fĩ fi hɔ. Eyi ahorow abien na ɛwɔ hɔ: Hemodialysis (ɔkwan a wɔfa so yɛ wɔ ayaresabea denam afiri a wɔde bata ho so) ne Peritoneal Dialysis (ɔkwan a wɔfa so fa yafunu mu yɛ wɔ fie).
2. Asaabo a Wɔde Ma: Oprehyɛn a wɔde asaabo a ɛwɔ apɔwmuden (a efi obi a ɔte ase anaa wawu mu) kɔ nipadua no mu.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ wowɔ asikreyare a, kae bere nyinaa sɛ ebetumi aka w’asaabo. Nanso mma ɛnhaw wo, wobetumi adi eyi so.
- Ade a ɛho hia sen biara ne sɛ wobɛma asikre a ɛwɔ wo mogya mu ne wo mogya mmoroso adi yiye bere nyinaa. Fa aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
- Esiane sɛ sɛnkyerɛnne biara nni hɔ wɔ mfiase nti, ma wo duruyɛfo nhwɛ sɛnea w’asaabo yɛ adwuma anyɛ yiye koraa no pɛnkoro afe biara (protein a ɛwɔ wo nsu mu ne creatinine a ɛwɔ wo mogya mu).
- Asetra pa (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wobɛkwati) yɛ adwuma te sɛ ɔfasu kɛse bi de bɔ w’asaabo ho ban.
- Sɛ wohu sɛ wowɔ asaabo mu yare a, mma wo ho nnpopo na di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ. Sɛ wohwɛ so yiye a, wubetumi atra ase a ahoɔden wom.
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