Ɛtɔ mmere bi a, sɛ wokɔ oduruyɛfo nkyɛn a, ebia wobɛte sɛ obi reka sɛ, ‘Ɛsɛ sɛ yɛhwɛ enzyme ahorow bi a ɛwɔ mogya no mu.’ Afei ebia wubesusuw sɛ, ‘Dɛn ne enzyme ahorow yi? Dɛn nti na wɔrehwɛ wɔn?’ Mma ɛnhaw wo, eyi yɛ sɔhwɛ a wɔtaa yɛ a wɔtaa yɛ. Ɛnnɛ, momma yɛnka nea enzyme agyiraehyɛde yi yɛ ne nea enti a ɛka yɛn akwahosan ho nsɛm a ɛho hia kyerɛ yɛn ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne saa enzyme yi?
Fa no sɛ yɛn nipadua yɛ adwumayɛbea kɛse. Nnwuma mpempem pii rekɔ so wɔ adwumayɛbea yi mu sekan biara. Enzyme ahorow te sɛ adwumayɛfo nkumaa a wɔwɔ adwumayɛbea yi mu no. Eyinom yɛ protein bi ankasa. Saa adwumayɛfo yi na ɛboa nnuru mu nsakrae a ɛkɔ so wɔ nipadua no mu na ɛma ahoɔhare kɔ soro.
Enzyme marker test yɛ mogya mu nhwehwɛmu a ɛkyerɛ sɛnea saa adwumayɛfo yi, anaa enzymes, dodow a ɛwɔ wo mogya mu.
Fa akwaa a ɛwɔ yɛn nipadua mu no sɛ adan a ɛsono emu biara wɔ adwumayɛbea yi mu. Mpɛn pii no, saa adwumayɛfo a wɔfrɛ wɔn enzymes yi wɔ wɔn dan (nkwaboaa) mu. Nanso sɛ akwaa bi asɛe, ɛyare, anaa apira a, ɛte sɛ nea wɔabubu ɔfasu bi a ɛwɔ saa dan no mu, na enzyme ahorow a ɛwɔ mu no pue, kyerɛ sɛ, ɛkɔ mogya no mu. Nnuruyɛfo hwɛ enzyme dodow a ɛwɔ mogya no mu de hu sɛ ebia biribi asɛe wɔ nipadua no mu anaa. Ɛtɔ mmere bi a wɔfrɛ eyinom biomarkers . Ɛne sɛ, sɛnkyerɛnne a ɛkyerɛ sɛ yare bi wɔ hɔ.
Enzyme ahorow a ɛwɔ yɛn nipadua mu no yɛ nnwuma a ɛho hia pii. Nhwɛsoɔ:
- Wɔ mogya a ɛkɔ nipadua no mu no mu: Ɛboa ma mogya tu.
- Digestive system: Ɛboa ma yɛyam aduan a yedi no.
- Ntini nhyehyɛe: Ɛboa ma ntini no yɛ adwuma na ɛkeka ne ho.
- Ntini nhyehyɛe: Ɛho hia ma amemene ne ntini ahorow no dwumadi.
- Ɔhome nhyehyɛe: Ɛboa ma wɔhome.
- Nsuo a ɛkɔ nipadua no mu: Ɛboa ma woyi nwura fi nipadua no mu.
Wɔ tebea horow bɛn mu na wɔyɛ enzyme nhwehwɛmu?
Nneɛma atitiriw pii nti na oduruyɛfo betumi aka akyerɛ wo sɛ yɛ nhwehwɛmu a ɛte sɛɛ.
- Nhwehwɛmu: Ɛtɔ mmere bi a, wɔ wo nipadua mu nhwehwɛmu a woyɛ daa afe biara mu no, wɔyɛ nhwehwɛmu yi de hwɛ sɛ akwaa bi asɛe anaa nhyɛso biara wɔ mu, sɛ sɛnkyerɛnne biara nni hɔ mpo a .
- Nhwehwɛmu: Sɛ wowɔ sɛnkyerɛnne ahorow bi, sɛ nhwɛso no, wo koko mu yaw a, wɔde nhwehwɛmu yi di dwuma de hu yare pɔtee bi, te sɛ sɛ ebia ɛyɛ komayare anaa.
- Ayaresa a wɔhwɛ so:Sɛ worenya yareɛ bi ayaresa dedaw a, wɔde nhwehwɛmu yi nso di dwuma de hwɛ sɛ ayaresa no tu mpɔn anaasɛ aduru a wonom no resɛe akwaa afoforo anaa.
Dɛn ne enzyme sɔhwɛ ahorow atitiriw?
Enzyme nhwehwɛmu atitiriw pii wɔ hɔ a wɔde hu nyarewa ahorow. Momma yɛnhwɛ nea wɔyɛ.
| Sɔhwɛ Edin | Dɛn na wɔhwehwɛ mu titiriw? |
|---|---|
| Koma mu Enzyme Sɔhwɛ | Hwɛ sɛ koma ntini no asɛe esiane komayare anaa biribi foforo nti anaa. |
| CPK Isoenzymes Sɔhwɛ | Hwɛ sɛ ntini te sɛ ntini (a koma ntini ka ho), amemene, ne ahurututu asɛe anaa . |
| Mmerɛbo mu Enzyme Sɔhwɛ | Hwɛ sɛ yare anaa ɔhaw bi aka mmerɛbo no dwumadi anaa . |
1. Koma mu Enzyme Sɔhwɛ
Sɛ koma ntini no sɛe wɔ tebea a egye ntɛmpɛ te sɛ komayare mu a, protein titiriw abien fi saa nkwammoaa no mu kɔ mogya no mu: Troponin (cTn) ne Creatinine Phosphokinase (CPK) .
Susuw ho saa kwan yi so: Troponin te sɛ ɔsraani titiriw bi a ɔwɔ koma mu nkutoo. Sɛ ɔhaw bi wɔ koma no mu nkutoo a, ɛba mogya no mu. Enti, eyi yɛ sɔhwɛ a edi mu yiye a wɔde hu sɛ obi anya komayare.
Ebetumi agye nnɔnhwerew 12 ansa na troponin dodow a ɛwɔ mogya no mu akɔ soro bere a obi anya komayare akyi. Enti, ɛtɔ mmere bi a nnuruyɛfo san yɛ nhwehwɛmu yi mu nnɔnhwerew kakraa biara. Sɛ troponin dodow no nyɛ papa a, mpɛn pii no ɛkyerɛ sɛ komayare nnya.
Oduruyɛfo betumi ayɛ nhwehwɛmu yi sɛ wowɔ saa sɛnkyerɛnne ahorow yi a:
- Koko mu yaw
- Adwene a ɛyɛ basaa
- Abofono
- Fifiri a ɛboro so
- Ɔhome a ɛyɛ den (dyspnea) .
2. CPK Isoenzymes Test, a ɛka ntini ne ntini ahorow ho asɛm
Enzyme bi a wɔfrɛ no CPK wɔ mmeae te sɛ yɛn ntini, amemene, ne ahurututu mu. Sɛ saa ntini ahorow yi sɛe a, CPK boaboa ano wɔ mogya no mu. Nanso biribi titiriw bi wɔ eyi ho. CPK ahorow (isoenzymes) ahorow wɔ hɔ.
- CK-MB: Eyi wɔ koma ntini mu titiriw .
- CK-MM: Eyi wɔ ntini afoforo (te sɛ nsa ne nan) mu.
Sɛnea polisifo de nsateaa nkyerɛwee di dwuma de hu onii a ɔyɛɛ nsɛmmɔnedi no, saa ara na nnuruyɛfo hwɛ enzyme ahorow te sɛ CK-MB ne CK-MM de hu sɛ ebia asɛe no asɛe koma no anaa ntini foforo.
Saa sɔhwɛ yi boa ma wohu tebea horow a edidi so yi:
- Koma mu yare
- Nnwodwoɔ
- Amemene mu kokoram
- Ntini a ɛyɛ mmerɛw
- Nyarewa afoforo a efi ntini mu (Dermatomyositis, Polymyositis) .
3. Liver Enzyme Test de hwɛ mmerɛbo akwahosan
Sɛ mmerɛbo no sɛe, nyarewa, anaa ɔyare a, ɛma enzyme ahorow pii kɔ mogya no mu. Enzyme ahorow yi mu abien a ɛho hia sen biara ne ALT (Alanine aminotransferase) ne AST (Aspartate aminotransferase) .
Enzyme ALT no, mmerɛbo no titiriw na ɛyɛ. Enti, ALT dodow a ɛkɔ soro wɔ mogya no mu no kyerɛ denneennen sɛ mmerɛbo no asɛe kakra. Wɔ mmerɛbo akyi no, enzyme AST wɔ koma, asaabo, amemene, ne ntini mu nso.
Nea edidi so yi betumi ama mmerɛbo mu enzymes akɔ soro:
- Mmerɛbo mu yare a srade wom
- Nyarewa a efi mmoawa mu te sɛ hepatitis A, B, ne C
- Cirrhosis a ɛwɔ mmerɛbo mu
- Mmerɛbo a ɛsɛe esiane nsa a wɔnom nti
- mmerɛbo mu kokoram
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ wo mogya mu nhwehwɛmu?
Eyi yɛ mogya mu nhwehwɛmu a wɔyɛ no daa, enti ɛho nhia sɛ wosiesie wɔn ho pii. Nanso saa nneɛma yi a wobɛma atra w’adwenem no bɛma ayɛ mmerɛw ama wo ne onipa a ɔregye mogya no.
- Nom nsu pii: Sɛ wonom nsu pii ansa na woayɛ nhwehwɛmu a, ɛma wo ntini no da adi yiye na ɛma ɛyɛ mmerɛw sɛ wobɛtwe mogya.
- Kwati sigaretnom: Sɛ wonom sigaret a, nicotine ma wo mogya ntini mu yɛ den, na ɛma ɛyɛ den sɛ wobɛfa wo mogya.
- Sɛ wosuro a, ka kyerɛ me: Nnipa binom suro nnade (trypanophobia). Ɛyɛ ade a ɛyɛ daa. Sɛ wowɔ ehu a ɛte saa a, di kan ka kyerɛ onipa a ɔretwe wo mogya no. Afei wɔbɛyɛ no wɔ ɔkwan a ɛbɛma wo ho atɔ wo so.
Mpɛn pii no, enhia sɛ wɔyɛ saa enzyme nhwehwɛmu ahorow yi mmuadadi, titiriw wɔ tebea a egye ntɛmpɛ te sɛ komayare mu. Nanso, sɛ biribi foforo nti na wɔreyɛ nhwehwɛmu no a, di wo duruyɛfo akwankyerɛ akyi sɛnea ɛte no pɛpɛɛpɛ.
Dɛn na ɛba wɔ sɔhwɛ no akyi? So asiane ahorow bi wɔ hɔ?
Mpɛn pii no, mogya a wobenya no yɛ mmerɛw yiye, na egye simma kakraa bi pɛ. Afei wɔde ahama ketewaa bi gu baabi a wɔtwee mogya no. Ɛsɛ sɛ wogyaw eyi si hɔ nnɔnhwerew abien kosi abiɛsa na amma ɔyare mmoawa no ankɔ so. Ɛtɔ mmere bi a, baabi a wɔde ade no guu mu no betumi adan bruu kakra na ahuru kakra. Mpɛn pii no, eyi ankasa befi hɔ wɔ nna kakraa bi mu.
Sɛ beae no yɛ yaw bere a wɔatwe mogya no awie a, wubetumi de nsukyenee ahyɛ mu. Afei nso, kwati sɛ wobɛma nneɛma a emu yɛ duru so anaasɛ wobɛteɛteɛ w’apɔw mu denneennen wɔ saa basa no so bɛyɛ da koro.
Mogya mu nhwehwɛmu yɛ adeyɛ a asiane nnim koraa. Nanso, ebia nnipa binom bɛte nka sɛ wɔn ho yeraw wɔn kakra bere a wohu mogya anaa ade a wɔde twitwiw ade no. Sɛ wote nka sɛ wo ho nyɛ wo dɛ a, ka kyerɛ oduruyɛfo anaa ɔyarehwɛfo no ntɛm ara.
Bere tenten ahe na ebegye ansa na amanneɛbɔ no aba? Ɛno akyi no, dɛn na woyɛ?
Wɔ tebea a egye ntɛmpɛ mu, te sɛ komayare no, wogye amanneɛbɔ no ntɛm. Nanso ebetumi agye nna pii ansa na wɔanya sɔhwɛ a wɔyɛ no daa mu aba.
Sɛ wo nsa ka amanneɛbɔ no wie a, wo duruyɛfo no bɛkyerɛkyerɛ nea ɛwɔ mu mu akyerɛ wo.
Kae ade biako. Worentumi nnyina nea efi sɔhwɛ biako mu ba so nsi gyinae akɛse. Ɛyɛ yare bi ho sɛnkyerɛnne bi kɛkɛ. Ebia ɛho behia sɛ wɔyɛ nhwehwɛmu pii na ama wɔahu yare no yiye.
Enti, mma gyinapɛn ahorow a ɛwɔ amanneɛbɔ no mu no nhaw wo ho, tie nea oduruyɛfo no ka no yiye. Bisa no nsɛm biara a wowɔ.
Nkrasɛm a Wɔde Kɔ Fie
- Enzyme agyiraehyɛde yɛ mogya mu nhwehwɛmu a etumi hu sɛ yɛn nipadua mu akwaa ahorow asɛe, titiriw koma, mmerɛbo, ne ntini ahorow.
- Enzyme dodow a ɛkɔ soro wɔ mogya no mu no kyerɛ sɛ enzyme ahorow retu afi akwaa a yɛreka ho asɛm no nkwammoaa mu akɔ mogya no mu. Eyi yɛ yare anaa ɔsɛe ho sɛnkyerɛnne.
- Wɔde sɔhwɛ yi di dwuma de hu yare bi, hwɛ sɛnea ayaresa no di yiye, na wɔde yɛ akwahosan ho nhwehwɛmu a wɔyɛ no nyinaa.
- Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa na ama woate nea afi wo nhwehwɛmu amanneɛbɔ no mu aba no ase yiye. Mma nnhwehwɛ wo ho denam nsɛm a wobɛhwehwɛ wɔ Intanɛt so no so.
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