So mewɔ asaabo mu yare? Meyɛ dɛn hu? (Asaabo mu Yare) .

So wunim sɛ asaabo mu yare yɛ yare a ɛtaa ba komm, a enni sɛnkyerɛnne biara? Nnipa pii nhu sɛnkyerɛnne biara mfiase no. Ɛno nti na nnipa a wɔwɔ Asaabo mu Yare a Enni sabea no mu 90% nnim mpo sɛ wɔwɔ bi. Nanso sɛ yenim yare a ɛyɛ komm yi na yehu ne kɔkɔbɔ nsɛnkyerɛnne a, yebetumi ahu yare no na yɛanya ayaresa ntɛm, na yɛakwati akwahosan ho haw akɛse. Enti momma yɛnka ɔtamfo a ɔyɛ komm yi ho asɛm nnɛ.

Dɛn ankasa ne asaabo mu yare?

Okay, di kan ma yɛnhwɛ nea saa asaabo yi yɛ ne nea ɛyɛ. Eyinom yɛ akwaa nketewa abien a ɛwɔ w’akyi berɛmo no afã abien no nyinaa, a ne kɛse bɛyɛ sɛ bankye abien. Ɛwom sɛ wɔyɛ nketewa de, nanso wɔyɛ adwuma kɛse. Sɛ yɛbɛka no tiawa a, wɔn adwuma titiriw ne sɛ wobeyi nsu ne nneɛma fĩ a ɛho nhia a ɛwɔ yɛn mogya mu no afi hɔ na wɔayɛ nsu. Wɔboa nso ma wohwɛ wo mogya so. Enti, sɛ biribi sɛe wɔ saa asaabo yi mu na ɛnyɛ adwuma yiye a, yɛfrɛ no asaabo mu yare.

Dɛn ne asiane ahorow a ɛka eyi?

Nneɛma bi ma asiane a ɛwɔ hɔ sɛ obi benya asaabo mu yare no yɛ kɛse. Momma yɛnhwɛ nea wɔyɛ:

• Asikreyare: Eyi ne ade titiriw a ɛde asaabo mu nyarewa ba wɔ Sri Lanka ne wiase nyinaa. Sɛ asikre dodow kɔ soro wɔ mogya mu bere tenten a, mogya ntini a ɛyɛ mmerɛw a ɛwɔ asaabo mu no sɛe.
• Mogya Nhyɛso: Sɛ wɔanhyɛ nhyɛso no so a, mogya ntini a ɛde mogya kɔ asaabo no mu no bɛsɛe, na ama asaabo no dwumadi so atew.
• Koma Yare: Abusuabɔ a emu yɛ den da koma ne asaabo ntam. Sɛ yare bi wɔ koma no mu a, ebetumi aka asaabo no, na sɛ yare bi wɔ asaabo mu a, ebetumi aka koma no.
• Sigaretnom: Sigaretnom betumi ama mogya a ɛkɔ asaabo mu no so atew, na ɛma asaabo no sɛe kɛse bio.
• Kɛse mmoroso: Nipadua mu duru a ɛboro so ma asaabo no yɛ basaa. Eyi ma asiane a ɛwɔ hɔ sɛ obi benya asikreyare ne mogya mmoroso no yɛ kɛse.
• Mpanyinyɛ: Asaabo dwumadi so tew fi awosu mu bere a yɛrenyin no.

Nsɛnkyerɛnne bɛn na ɛsɛ sɛ yɛhwɛ yiye?

Bere a asaabo mu yare mu yɛ den bere kɔ so no, nneɛma fĩ ne nsu a ɛho nhia fi ase boaboa ano wɔ yɛn nipadua mu. Afei, saa sɛnkyerɛnne ahorow yi betumi ada adi. Hwɛ yiye wɔ eyinom ho.

Ɔkwan bɛn so na wobetumi ahu yare no?

Sɛ wususuw sɛ asiane wɔ hɔ sɛ wubenya asaabo mu yare, anaasɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no bi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn.Munhyia na nya afotu. Ɔbɛhwehwɛ wo mu na wahyɛ sɛ wɔnyɛ nhwehwɛmu pii mfa nhwɛ sɛnea w’asaabo yɛ adwuma. Eyi hwehwɛ sɛ wɔyɛ nhwehwɛmu atitiriw abien: nsu mu nhwehwɛmu ne mogya mu nhwehwɛmu.

Nsuo mu Nhwehwɛmu

Wɔ nhwehwɛmu yi mu no, wɔfa wo nsu mu bi na wɔhwɛ sɛ mogya anaa. Ɛsan nso hwɛ sɛ protein bi a wɔfrɛ no albumin wɔ hɔ anaa. Asaabo a ɛte apɔw no nnyi protein yi mfi nsu mu. Albumin a ɛwɔ nsu mu no betumi akyerɛ sɛ asaabo no asɛe kakra.

Mogya mu Nhwehwɛmu

Eyi hwɛ sɛnea ade fĩ bi a wɔfrɛ no ‘creatinine’ dodow a ɛwɔ mogya no mu titiriw. Creatinine yɛ ade fĩ a yɛn ntini na ɛyɛ. Asaabo a ɛte apɔw yiyi mu. Sɛ asaabo no sɛe a, ɛyɛ den sɛ wobeyi saa creatinine yi afi mogya no mu. Afei creatinine dodow a ɛwɔ mogya no mu no kɔ soro. Enti, ɛdenam creatinine dodow a ɛwɔ mogya no mu a ɔde bɛtoto wo mfe ne wo bɔbeasu ho so no, oduruyɛfo no betumi asusuw sɛnea w’asaabo reyɛ adwuma yiye (Glomerular Filtration Rate - GFR).

Ɔkwan bɛn so na wɔsa?

Sɛ asaabo mu yare ba pɛ a, ɛntaa nkɔ koraa. Tebea no betumi asɛe nkakrankakra bere a bere kɔ so no. Ɛno nti na yɛka sɛ ɛho hia sɛ wohu yareɛ no ntɛm sɛdeɛ ɛbɛyɛ yie. Sɛ wɔsa yare ntɛm a, ebetumi asiw asaabo a entumi nyɛ adwuma yiye ano anaasɛ ɛkyɛ.

‘Aduru biako a ɛfata obiara’ nni hɔ a wɔde sa eyi. Ayaresa no gyina nneɛma pii so, a nea ɛde w’asaabo mu yare bae ka ho. Wo duruyɛfo bedi kan akyerɛw nnuru a ɛbɛma woatumi asiw wo tebea horow a ɛwɔ hɔ dedaw, te sɛ asikreyare ne mogya mmoroso ano. Nea ɛka ho no, wɔbɛkyerɛw nnuru nso a wɔde bɛsa yare no ho sɛnkyerɛnne a asaabo mu yare de ba, te sɛ mogya a ɛtɔ kɔ nipadua mu anaa ɛho a ɛhoa.

Asetra mu nsakrae ho hia paa!

Te sɛ nnuru no, nsakrae nketenkete a yɛbɛyɛ wɔ yɛn asetra kwan mu no betumi aboa kɛse ma yɛabɔ yɛn asaabo ho ban.

• Apɔw-mu-teɛteɛ na kura mu duru a ɛfata mu. Eyi ho hia paa.
• Tew protein ne nkyene a wudi so na ama nhyɛso a ɛwɔ w’asaabo so no so atew. Kɔ wo duruyɛfo anaa aduannuru ho ɔbenfo nkyɛn wɔ eyi ho.
• Sɛ wonom nsa a, di so.
• Sɛ woyɛ obi a ɔnom sigaret a, eyi ne bere a eye sen biara a ɛsɛ sɛ wugyae.
• Mfa nnuru a wɔde kum ɛyaw a wɔtɔn a wɔmfa nnuru nhyɛ mu nni dwuma, titiriw NSAIDs (Nonsteroidal Anti-inflammatory Drugs) (e.g. Ibuprofen, Diclofenac). Eyinom pira asaabo no kɛse. Bisa wo duruyɛfo ansa na woanom aduru biara.

Yɛn botae titiriw ne sɛ yɛbɛma w’asaabo ayɛ adwuma yiye sɛnea yebetumi bere tenten biara a yebetumi. Sɛ obi asaabo asɛe koraa a, ebehia sɛ wɔde dialysis anaa asaabo foforo ma no na ama wanya nkwa.