Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu sɛ ‘mrɛbo mu enzymes’ dɔɔso, anaasɛ mmerɛbo mu enzymes a ɛkɔ soro wɔ mogya mu nhwehwɛmu mu no. Ebia wubesusuw sɛ, "Oh me, so biribi asɛe wɔ me mmerɛbo mu?" Nanso mma ɛnhaw wo. Mpɛn pii no, eyi yɛ bere tiaa mu tebea. Momma yɛmfa nsɛm a ɛnyɛ den nka eyi ho asɛm nnɛ.
Dɛn ne mmerɛbo mu enzyme ahorow yi?
Sɛ yɛbɛka no tiawa a, mmerɛbo mu enzymes yɛ protein soronko a ɛwɔ yɛn mmerɛbo mu. Wɔboa yɛn nipadua ma ɛyɛ nnwuma a ɛho hia pii, te sɛ adwumayɛbea adwumayɛfo.
Dwumadi atitiriw a saa enzyme ahorow yi yɛ no bi ne:
- Ɛboa ma wɔyɛ bile.
- Wɔyɛ nneɛma a ehia ma mogya a ɛbɛtɔ.
- Wɔkyekyɛ nneɛma te sɛ aduan ne nnuru a yedi no mu wɔ ɔkwan bi so a nipadua no betumi atwe.
- Ɛpaapae na eyi awuduru a ɛkɔ nipadua no mu no fi hɔ.
- Ɛboa ma wɔko tia nyarewa.
mmerɛbo mu enzyme ahorow atitiriw pii wɔ hɔ a yɛtaa hu wɔ mogya ho amanneɛbɔ mu:
- Alanine transaminase (ALT) a wɔde di dwuma wɔ ɔkwan a ɛyɛ hu so.
- Aspartate transaminase (AST) a wɔde hyɛ nipadua mu no .
- Alkaline phosphatase (ALP) a wɔde yɛ aduru a wɔfrɛ no phosphatase (ALP) .
- Gamma-glutamyl a wɔde fa nneɛma mu (GGT) .
Fa no sɛ yɛn mmerɛbo no yɛ balloon. Saa enzymes yi wɔ saa balloon no mu. Sɛ biribi sɛe mmerɛbo no, te sɛ opira anaa ɔyare mmoawa a, balloon no bɛtwe kakra na enzymes no akɔ mogya no mu. Ɛno ne bere a mogya mu nhwehwɛmu bɛma wɔahu sɛ saa enzymes yi dodow akɔ soro.
Dɛn nti na oduruyɛfo no reyɛ eyinom ahwɛ?
Wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mmerɛbo dwumadi mu nhwehwɛmu (LFT) bere a woreyɛ wo afe afe nhwehwɛmu daa no, titiriw sɛ wowɔ asiane mu sɛ mmerɛbo bɛsɛe (sɛ nhwɛso no, nsa a wɔnom boro so, asikreyare) anaasɛ sɛ wowɔ mmerɛbo mu yare ho sɛnkyerɛnne ahorow a.
Nanso kae sɛ ɛnyɛ bere nyinaa na enzymes a ɛkɔ soro no kyerɛ sɛ yare a emu yɛ den bi wɔ hɔ. Ɛtɔ mmere bi a eyi betumi ayɛ bere tiaa mu de .
Dɛn ne nneɛma atitiriw a ɛma enzyme dodow yi kɔ soro?
Nneɛma pii nti na mmerɛbo mu enzymes tumi kɔ soro. Ebinom yɛ nketewa koraa, bere a afoforo nso yɛ aniberesɛm kɛse . Momma yɛnhwɛ nneɛma atitiriw a ɛde ba no.
| Sɛnti | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Srade Mmerɛbo Yare | Eyi yɛ ade a ɛtaa de ba nnansa yi. Ebetumi afi nsa a wɔnom ne nneɛma a ɛnyɛ nsa (kɛse mmoroso, asikreyare) mu aba. |
| Nnuru bi | Nneɛma te sɛ nnuru a ɛtew srade so (sɛ nhwɛso no, statin), nnuru a wɔde kum ɛyaw (sɛ nhwɛso no, paracetamol a wɔnom dodo), nnuru bi a ekum ɔyare mmoawa, ne nnuru a wɔde sa akisikuru betumi ama enzyme ahorow no akɔ soro. |
| Hepatitis a ɛma obi nya mmerɛbo mu yare | Mpɔtorɔ a ɛyɛ hyew a mmoawa ahorow ahorow de ba. Nhwɛso ahorow: `Hepatitis A`, `Hepatitis B`, `Hepatitis C`. Bio nso, tebea bi wɔ hɔ a wɔfrɛ no `Alcoholic Hepatitis` a nsa na ɛde ba ne `Autoimmune Hepatitis` a ɔhaw bi a ɛwɔ nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa mu na ɛde ba. |
| Nsã a wɔnom | Nsã a wɔnom boro so anaasɛ ɛkyɛ no sɛe mmerɛbo no tẽẽ. |
| Vitamin ne nhabannuru a wɔde ma no bi | Sɛ obi nom nhabannuru bi a wonnya nnuruyɛfo afotu, te sɛ vitamin A anaa iron a ɛboro so a, ebetumi apira mmerɛbo no nso. |
So ntease foforo bi wɔ hɔ a ɛka eyi ho?
Yiw, ntease afoforo pii betumi aba. Wɔntaa nyɛ pii kakra, nanso ɛho hia sɛ wohu wɔn.
- Hemochromatosis: Dade a ɛboaboa ano dodo wɔ nipadua no mu.
- Cirrhosis: Ɛkame ayɛ sɛ mmerɛbo no mu yɛ den koraa, ɛyɛ akuru, na entumi nyɛ adwuma bio.
- Kokoram tebea: Kokoram a ɛba mmerɛbo mu anaasɛ kokoram a ɛtrɛw fi mmeae afoforo kɔ mmerɛbo no mu.
- Celiac yare: Ɛyɛ protein gluten no ho akisikuru.
- Wilson yare no:Kɔbere a ɛboaboa ano dodo wɔ nipadua no mu.
- Thyroid yare a ɛwɔ nipadua no mu.
- Ntini mu tebea horow.
Dɛn ne tebea yi ho sɛnkyerɛnne?
Ade a ɛho hia wɔ ha ne sɛ nnipa pii nhu sɛnkyerɛnne biara . Bere a wɔyɛ mogya mu nhwehwɛmu esiane biribi foforo nti nkutoo na wohu mmerɛbo mu enzymes a ɛkɔ soro.
Nanso, sɛ nea ɛde enzyme a ɛkɔ soro yi ba ne mmerɛbo a ɛsɛe a, sɛnkyerɛnne ahorow a edidi so yi betumi aba.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Jaundice a ɛyɛ mmerɛw | Aniwa ne honam ani fitaa a ɛyɛ kɔkɔɔ. |
| Nsu a ne kɔla yɛ tuntum | Kɔla tuntum a ɛte sɛ tii kɔla a wobɛfa. |
| Nsu a ɛyɛ kɔla a ɛyɛ mmerɛw | Ɛbɛyɛ nea ɛyɛ fitaa, te sɛ dɔte kɔla. |
| Yafunu mu yaw | Ɛyaw a wɔte nka, titiriw wɔ yafunu no nifa so, wɔ mpampam ase. |
| Ɔbrɛ a ɛtaa ba | Ɔbrɛ a wɔte nka bere nyinaa a ntease biara nnim. |
| Ɛyɛ akisikuru | Ɛho a ɛyɛ wo yaw wɔ honam ani. |
| Aduan ho akɔnnɔ a ɛyera, akisikuru, ne ɔfe | Aduan ho akɔnnɔ a ɛyera ne akisikuru. |
Dɛn na ɛsɛ sɛ meyɛ mprempren? Dɛn ne ayaresa ahorow no?
Sɛ wo mogya mu nhwehwɛmu kyerɛ sɛ enzymes akɔ soro a, ade a edi kan a wo duruyɛfo bɛyɛ ne sɛ obebisa wo w’abakɔsɛm nyinaa ho asɛm. Obebisa biribiara ho asɛm, a nnuru a wonom, nnuru a wode ka aduan ho, ne nsa a wonom ka ho.
Asɛmpa no ne sɛ nnipa a wɔn enzymes a ɛkɔ soro no mu bɛyɛ nkyem abiɛsa mu biako san ba wɔn tebea mu wɔ adapɛn abien kosi anan mu, a wonnya ayaresa biara.
Enti, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu foforo wɔ adapɛn kakraa bi akyi. Sɛ wo enzyme dodow da so ara dɔɔso a, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii na ama wɔahu nea ɛde ba.
- Mogya mu nhwehwɛmu afoforo: Sɛ wɔbɛhwehwɛ nneɛma te sɛ hepatitis mmoawa.
- Scans: Yafunu mu ultrasound scan, CT scan, anaa MRI.
- Wɔde kɔ oduruyɛfo a ɔyɛ ɔbenfo nkyɛn: Ebia wɔbɛka akyerɛ wo sɛ kɔ oduruyɛfo a ne ho akokwaw wɔ mmerɛbo mu nyarewa ho, aka ‘Hepatologist’ nkyɛn.
Ayaresa no gyina yare a ɛde ba a ɛmaa enzyme no kɔɔ soro no so koraa. Sɛ nea ɛde ba no yɛ aduru bi a, wɔbɛsesa aduru no. Sɛ nea ɛde ba ne Fatty Liver a, wɔbɛkamfo asetra mu nsakrae (mu duru a ɛso tew, apɔw-mu-teɛteɛ) ho nyansa. Enti, ɛsono ayaresa a wɔde bɛma obiara.
Dɛn na yebetumi ayɛ na ama mmerɛbo no ayɛ yiye?
Bere a yentumi nsiw nyarewa bi ano no, nneɛma pii wɔ hɔ a yebetumi ayɛ de abɔ akwaa a ɛsom bo a wɔfrɛ no yɛn mmerɛbo yi ho ban.
- Kwati nsanom anaasɛ to ano hye sɛnea wo duruyɛfo kyerɛ no.
- Di aduan a ɛkari pɛ na ahoɔden wom . Tew nnuan a ngo, asikre, ne esiam pii wom so.
- Yɛ apɔw-mu-teɛteɛ daa. Sɛ obi nantew simma 30 da biara mpo a, ɛyɛ ade kɛse.
- Di wo nipadua mu duru so. Kɛse mmoroso yɛ ade titiriw a ɛde Fatty Liver ba.
- Sɛ wowɔ asikreyare a, hwɛ asikre dodow a ɛwɔ wo mogya mu no so yiye .
- Mfa nnuru, vitamin, anaa nhabannuru biara nni dwuma a wo duruyɛfo no mpene so. Ka biribiara a worenom ho asɛm kyerɛ wo duruyɛfo.
- Nya Hepatitis A ne B ho vaccine.
- Mfa nnade, ahwehwɛ, ne nea ɛkeka ho a afoforo de adi dwuma nni dwuma.
Nkrasɛm a Wɔde Kɔ Fie
- Mma wo ho nnpopo bere a wuhu mmerɛbo mu enzymes a ɛkɔ soro wɔ wo mogya mu nhwehwɛmu mu no. Mpɛn pii no, ɛyɛ bere tiaa mu tebea.
- Nneɛma ahorow te sɛ nnuru, aduan a wodi, ne ɔyare mmoawa a wɔde nyarewa ba no betumi de enzymes a ɛkɔ soro aba.
- Nnipa pii nnya yare no ho sɛnkyerɛnne biara.
- Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛka eyi ho asɛm pefee. Ɔbɛma wo akwankyerɛ a wuhia.
- Asetra pa a wubedi akyi ne ɔkwan a eye sen biara a wobɛfa so abɔ wo mmerɛbo ho ban.
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