So wo duruyɛfo akyerɛw wo aduru bi a wɔfrɛ no ‘nsu mu nnuru’? Ebia ɛyɛ wo mogya mmoroso anaa wo ho a ɛho ahonhon nti. Nnipa pii te nka sɛ wɔn ho nyɛ wɔn dɛ kakra bere a wɔnom nnuru yi efisɛ ehia sɛ wɔtow wɔn ho mpɛn pii. Enti, dɛn ankasa ne nsu mu nnuru yi? Wɔ aduruyɛ mu no, yɛfrɛ wɔn nnuru a wɔde hyɛ nsu mu. Dɛn na wɔyɛ nipadua no? Momma yɛnka eyinom nyinaa ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw a wubetumi ate ase so.
Dɛn ne nnuru a wɔde siw nsu mu? Ɔkwan bɛn so na wɔyɛ adwuma?
Sɛ yɛbɛka no tiawa a, nnuru a ɛma wo ho yɛ hyew yɛ nnuru a ɛboa ma wo nipadua no ma nsu ne nkyene a ɛboro so fi wo nsu mu . Eyi nti na wɔsan frɛ wɔn ‘nsu aduru’ no.
Fa no sɛ sponge bi a wɔde nsu ahyɛ mu. Sɛ yɛpiapia no a, nsu a ɛboro so no nyinaa pue, ɛnte saa? Saa na nnuru yi yɛ yɛn nipadua.
Saa nnuru yi ka yɛn asaabo tẽẽ. Wɔyɛ sɛnkyerɛnne ma asaabo no sɛ "wɔmfa nkyene ne nsu a ɛboro so no nka mogya no mu na wɔtow ngu nsu no mu." Sɛ eyi ba a, dɛn na ɛba?
1. Nsu dodow a ɛwɔ wo mogya ntini mu no so tew: Sɛ wo nipadua hwere nsu a, mogya dodow a di akɔneaba wɔ wo ntini mu nso so tew kakra.
2. Adwuma a ɛwɔ koma no so no so tew: Sɛ nsu a ɛwɔ mogya ntini mu no so tew a, adwuma dodow a ɛsɛ sɛ koma no yɛ no so tew. Te sɛ bere a wode paipu ketewaa bi bata nsu pɔmpɛ ho no, adwuma a ɛwɔ so no so tew. Eyi ho hia yiye ma nnipa a wɔwɔ tebea horow te sɛ komayare .
3. Ɛma mogya mmoroso so tew: Sɛ adwuma a ɛwɔ koma no so so tew na nhyɛso a ɛwɔ mogya ntini no so so tew a, wo mogya mmoroso so. Nnuru bi nso boa ma mogya ntini no trɛw. Eyi nso brɛ nhyɛso no ase.
Wɔtaa nom saa aduru yi sɛ aduru. Nanso ɛtɔ mmere bi a wobetumi de afa nkyene aduru (IV) so ama wɔ ayaresabea. Esiane sɛ wobɛtaa tow nsu nti, ɛbɛyɛ papa sɛ wobɛnom saa aduru yi anɔpa bere biara a ɛbɛyɛ yiye . Anyɛ saa a, ɛsɛ sɛ wosɔre anadwo.
Dɛn ne nnuru atitiriw a ɛma obi ho yɛ hyew?
Nnuru ahorow pii wɔ hɔ a wɔde yi nsu fi nipadua mu. Wɔn mu biara yɛ adwuma denam asaabo no afã horow a ɛka no so. Wo duruyɛfo begyina w’ayaresa tebea so akyerɛ ɔkwan a eye ma wo.
| Nnuru a wɔde gu nsu mu no su | Nnuru a wɔtaa de di dwuma | Nsɛntitiriw |
|---|---|---|
| Thiazide nnuru a ɛma nsu fi nipadua mu | Hydrochlorothiazide, Nnuru a wɔfrɛ no Chlorthalidone | Eyi ne ɔkwan a wɔtaa kyerɛw ma mogya mmoroso. |
| Nnuru a wɔde hyɛ nsu mu a wɔde loop | Furosemide, Bumetanide a wɔde yɛ aduru | Eyinom wɔ tumi kɛse. Wɔde eyinom ma nnipa a wɔn asaabo ntumi nyɛ adwuma yiye (GFR - Glomerular Filtration Rate a ɛba fam). |
| Nnuru a ɛma nsu fi nipadua mu a ɛmma potassium nsɛe | Triamterene, Amiloride a wɔde yɛ aduru | Eyinom remma potassium dodow a ɛwɔ nipadua no mu no so ntew a ɛho nhia. |
| Nnuru a wɔde ka bom | Triamterene ne Hydrochlorothiazide a wɔaka abom | Ahorow abien na ɛwɔ abopon biako mu. Eyi boa ma potassium dodow a ɛkari pɛ kɔ so tra hɔ. |
Tebea bɛn na wɔde saa aduru yi di dwuma?
Nnuru a ɛma obi ho yɛ hyew yɛ nnuru bi a mfaso wɔ so ma tebea horow pii. Wɔde di dwuma titiriw sɛ:
- Mogya mmoroso: Eyi ne ade titiriw a ɛde ba.
- Koma a entumi nyɛ adwuma yiye: Tew adwuma a ɛwɔ koma no so no so.
- Edema: Nan, nsa, ne nansoaa a ɛho ahonhon esiane nsu a ɛboaboa ano nti.
- Cardiomyopathy: Wɔ nsɛm a koma ntini no ayɛ mmerɛw mu.
- Ahurututu mu akisikuru: Eyi yɛ asɛm a egye ntɛmpɛ.
- Ascites: Ascites yɛ nsu a ɛboaboa ano wɔ yafunu mu esiane tebea horow te sɛ mmerɛbo mu yare nti.
- Asaabo a entumi nyɛ adwuma yiye: Bere a asaabo no ntumi nyɛ adwuma yiye.
- Nephrotic syndrome: Tebea a ɛma protein a ɛboro so no fi nsu mu.
- Wɔde di dwuma nso ma tebea pɔtee afoforo te sɛ aniwa mu nhyɛso a ɛkɔ soro ne nhyɛso a ɛkɔ soro wɔ amemene no mu.
Nea ɛho hia sen biara ne sɛ woremfa saa aduru yi nni dwuma da a oduruyɛfo nkyerɛw wo krataa. Afei nso, mfa no esiane sɛ woahu sɛ obi foforo de ama wo na wususuw sɛ wo nso wowɔ yare no ho sɛnkyerɛnne koro no ara nti.
Enti nsunsuanso bɔne biara nni hɔ?
Sɛnea ɛte wɔ aduru biara ho no, nneɛma bɔne bi wɔ hɔ a ebetumi afi mu aba. Nanso, nnipa dodow no ara nnya nsunsuanso bɔne a anibere wom. Eyinom ne nea abu so sen biara:
- Nsu a wɔtaa tow (eyi nyɛ nea ɛde ba ankasa, ɛyɛ sɛnea aduru no yɛ adwuma ara kwa) .
- Dizziness , ɔbrɛ
- Nsu a ɛho ntew. Sɛ woannom nsu a ɛdɔɔso a, eyi betumi aba.
- Ntini mu akisikuru. Ebia eyi fi potassium a ɛba nipadua no mu a ɛba fam.
- Yafunu a ɛyɛ yaw, yafunu a ɛho ayɛ kurukuruwa, anaasɛ ɛyɛ mmerɛw
- Akɔnnɔ
- Ebia nnipa binom benya gout .
- Asikre dodow betumi akɔ soro kakra wɔ nnipa a wɔwɔ asikreyare mu
- Hokwan kakra nso wɔ hɔ sɛ mmarima benya nna mu ɔhaw.
Bere a worenom saa aduru yi no, ɛda adi sɛ wo duruyɛfo no bɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu daa mfa nhwɛ sɛnea w’asaabo yɛ adwuma ne electrolyte dodow te sɛ potassium. Ɛho hia yiye sɛ wobɛma wɔayɛ sɔhwɛ ahorow yi daa.
Dɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho bere a merenom aduru yi?
Sɛ worenom nnuru a ɛma obi ho yɛ hyew a, ɛsɛ sɛ wohwɛ yiye wɔ nneɛma nketenkete kakraa bi nso ho.
1. Tew nkyene a wudi so: Sɛ wudi nkyene pii a, ebetumi asiw aduru yi a etu mpɔn no kwan. Enti tew nkyene dodow a ɛwɔ w’aduan mu no so.
2. Nom nsu pii na ama wo ho atɔ wo: Sɛ wotaa tow wo ho a, ebetumi ama wo nipadua mu nsu ayɛ wo hyew. Enti, nom nsu dodow a ɛfata da biara. Bisa wo duruyɛfo no nsu dodow a ɛsɛ sɛ wonom da biara.
3. Nsesa aduru no dodow: Sɛ wo ho tɔ wo mpo a, nnyae aduru no nom anaasɛ nnsesa dodow no kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
4. Mma aduruyɛ mu nhwehwɛmu ne bere a woakɔhwɛ no nmpa wo ti so: Ma wɔnyɛ wo mogya ne wo nsu mu nhwehwɛmu wɔ bere ano sɛnea wo duruyɛfo akyerɛ wo no. Afei nso, hwɛ hu sɛ wobɛkɔ bere a woahyɛ da ayɛ nhyehyɛe no.
5. Sɛ woanyinsɛn anaa woreyɛ nhyehyɛe sɛ wobɛwo akokoaa a: Ka kyerɛ wo duruyɛfo ntɛm ara, efisɛ nnuru a ɛfata betumi asesa bere a wonyinsɛn no.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wuhyia nea edidi so yi mu biara a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa:
- Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm wɔ ɔkwan a ɛnteɛ so (koma a ɛbɔ) .
- Sɛ wote nka sɛ wo ho ayɛ wo hyew bere nyinaa a (Dizziness) .
- Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ nsu a ɛwɔ wo mu, te sɛ w’ano ne w’ano a ɛyɛ wo hyew , nsu a ɛba wo mu no so tew na wo nsu a ɛyɛ tumm, anaasɛ wote nka sɛ woabrɛ kɛse a.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a woafi ase renom aduru foforo no. Egye nna kakraa bi na woatumi de ‘nsu aduru’ no ayɛ wo su. Nanso kae sɛ, sɛ wotaa tow nsu a, ɛkyerɛ sɛ aduru no reyɛ adwuma. Sɛ worehyia ɔhaw wɔ nsunsuanso bɔne ho a, wo ne wo duruyɛfo nkasa mfa nsakrae a wobɛdan akɔ aduru foforo so no ho.
Nkrasɛm a Wɔde Kɔ Fie
- Diuretics, anaa ‘nsuo aduru’ yɛ aduru bi a ɛnam nsuo so yi nsuo ne nkyene a ɛho nhia fi nipadua no mu.
- Wɔtaa de eyinom di dwuma ma mogya mmoroso, komayare, ne nipadua a ɛho ahonhon.
- Ɛtaa ba sɛ obi taa tow nsu bere a ɔrenom aduru yi no. Enti, ɛbɛyɛ papa sɛ wobɛnom aduru no anɔpa.
- Hu nneɛma bɔne te sɛ nsu a ɛtɔ ne potassium a ɛba fam. Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
- Sɛ wowɔ nneɛma bɔne bi a ɛnyɛ wo dɛ a, ka kyerɛ wo duruyɛfo ntɛm ara. Mma nnnyae nnuru no nom da anaasɛ w’ankasa nnsesa dodow a wɔde ma no.

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