Yɛn nipadua te sɛ afiri a ɛyɛ nwonwa, ɛnte saa? Ɔkwan kɛse nhyehyɛe a ɛwɔ afiri yi mu ne yɛn mogya ntini. Ɛwom sɛ yɛate akwan akɛse te sɛ ntini ne ntini ho asɛm de, nanso so wunim akwan nketewa a ɛwɔ nkyɛnkyɛn a ɛyɛ fɛ yiye a ɛwɔ nhyehyɛe yi mu a ɛkame ayɛ sɛ aniwa ntumi nhu no ho asɛm? Yɛfrɛ eyinom ntini nketenkete. Ɛnnɛ yɛrebɛka capillary soronko bi ho asɛm, capillary bi a ɛwɔ mfɛnsere nketenkete.
Dɛn ne saa ntini a ɛyɛ ‘mfɛnsere’ yi (Fenestrated Capillaries)?
Sɛ yɛbɛka no tiawa a, eyinom yɛ ntini bi a ɛwɔ yɛn mogya ntini nhyehyɛe mu a ɛwɔ ntokuru a ɛyɛ fɛ yiye anaa apon a ɛte sɛ mfɛnsere. "fenestrae" wɔ Latin kasa mu kyerɛ "mfɛnsere," enti wonya edin no fii saa ntease no mu.
Sɛ́ anka wɔbɛma nneɛma afa ntini a ɛteɛ mu no, saa ntini a ‘ɛwɔ mfɛnsere’ yi betumi ama nneɛma nketenkete te sɛ protein afi mogya no mu akɔ akwaa ne ntini ahorow mu. Fa no sɛ wode ahama a ntokuru akɛse kakra wom bedi dwuma sen sɛ wode ahama a wɔde di dwuma daa bedi dwuma. Eyi ma wotumi sesa nneɛma a etu mpɔn kɛse na ɛyɛ ntɛmntɛm.
Dɛn ne adwuma titiriw a eyinom yɛ? Dɛn nti na ɛho hia saa?
Saa ntini nketenkete yi boa ma wɔde mogya, nsu, ne nwura kɔ yɛn nipadua nyinaa mu, nanso wɔn dwumadi a ɛho hia sen biara ne sɛnea asaabo no yɛ adwuma .
Fa no sɛ yɛn asaabo no ne ade a ɛkɔ akyiri sen biara a wɔde yiyi nneɛma mu wɔ nipadua no mu. Wɔfrɛ saa afiri a wɔde yiyi mu yi fã titiriw no glomerulus . Saa glomerulus yi nyɛ hwee sɛ asaawa bɔɔl ketewaa bi a saa ntini a ɛwɔ mfɛnsere mu a yɛkaa ho asɛm no na ɛyɛe. Ɛte sɛ tii a wɔde yiyi mu.
Bere a mogya fa asaawa bɔɔl yi mu no, wɔde saa mfɛnsere nketewa no mu yiyi nneɛma a wɔsɛe no ne nsu a ɛboro so no fi mu. Nanso, nneɛma akɛse a nipadua no hia te sɛ protein ne mogya mu nkwammoaa kɔkɔɔ da so ara wɔ mogya no mu. Afei wɔayi nwura a wɔayiyi mu wɔ saa kwan yi so no fi nipadua no mu sɛ nsu.
Enti, so wote ase? Yɛn asaabo tumi tew mogya no ho yiye na yi nwura fi hɔ esiane ‘mfɛnsere’ soronko a ɛwɔ saa Fenestrated Capillaries yi mu nti.
Saa ntini nketenkete yi nso twa adwene no ntini no ho hyia. Ɛdenam wɔn so no, aduannuru a nipadua no hia fi nneɛma a wɔayiyi mu no san kɔ mogya no mu. Enti, ɛho hia na ama asaabo no ayɛ adwuma yiye.
Ɛhe na eyinom wɔ wɔ yɛn nipadua mu?
Saa ntini titiriw yi wɔ mmeae a ɛsɛ sɛ nipadua no mu nneɛma a ɛsakra no kɔ so ntɛmntɛm na ɛyɛ adwuma yiye. Momma yɛnhwɛ nea saa mmeae atitiriw no yɛ.
| Organ / ntini a ɛyɛ den | Adwuma a ɛkɔ so wɔ hɔ no |
|---|---|
| Asaabo a ɛma obi nya asaabo | Nneɛma a wɔsɛe no a wɔyi fi mogya no mu na wɔyɛ nsuo. |
| Nkwammoaa Nketewa | Aduan a yedi mu a ɛtwe kɔ mogya mu. |
| Pancreas a ɛwɔ nipadua no mu | Enzyme ne hormone te sɛ insulin a ɛma mogya no mu a ɛho hia ma aduan a wɔyam no. |
| Nkwammoaa a Ɛma Nkwammoaa Mu | Nnuru a ɛma nipadua no nya ahoɔden a ɛhyɛ nneɛma te sɛ yɛn adwene ne yɛn nyin so kɔ mogya no mu. |
Dɛn ne nyarewa a ɛka saa ntini nketenkete yi?
Sɛ mogya ntini nketenkete yi sɛe a, akwaa a ɛka ho no dwumadi betumi aka tẽẽ.
Asaabo mu nyarewa
Nnipa a wɔwɔ asaabo mu yare a enni sabea (CKD) betumi asɛe saa ntini nketenkete yi. Titiriw no, ntini nketenkete a atwa adwene no mu ntini no ho ahyia no betumi ayɛ teateaa na ɛnyɛ den pii. Wɔfrɛ eyi `capillary rarefaction`. Sɛ eyi ba a, asaabo no ntumi nyɛ adwuma yiye na akwahosan ho haw afoforo te sɛ mogya mmoroso (Hypertension) betumi aba.
Afei nso, nyarewa te sɛ glomerulonephritis , a ɛyɛ glomeruli a ɛyɛ hyew no betumi asɛe asaabo no mu nsu a ɛtwetwe no nyinaa. Sɛ wɔansa asaabo mu nyarewa a ɛte saa ntɛm a, ebetumi akɔ so akodu asaabo a entumi nyɛ adwuma yiye.
Tebea a ɛntaa nsi koraa nanso emu yɛ den
Systemic Capillary Leak Syndrome (SCLS)Eyi yɛ tebea a ɛntaa nsi koraa na ebetumi de obi nkwa ato asiane mu. Eyi ba bere a ntini nketenkete no afasu sɛe, na ɛma nsu pii fi mogya ntini no mu kɔ ntini a atwa ho ahyia no mu no. Eyi betumi ama wo mogya so atew mpofirim akodu baabi a ɛba fam koraa. Nanso kae sɛ eyi yɛ tebea a ɛntaa nsi koraa.
Enti yɛbɛyɛ dɛn ama mogya ntini nketewa yi atra apɔw?
Biribiara titiriw biara nni hɔ a ɛsɛ sɛ woyɛ wɔ eyi ho. Ade a eye sen biara ne sɛ wobɛkɔ so anya akwahosan pa wɔ ne nyinaa mu. Efisɛ saa ntini nketenkete yi yɛ yɛn mogya a ɛkɔ nipadua no mu no fã. Enti sɛ nhyehyɛe no nyinaa wɔ apɔwmuden a, saa ntini nketenkete yi nso wɔ apɔwmuden.
Nneɛma bi a wubetumi ayɛ ni:
- Apɔw-mu-teɛteɛ daa: Fa asetra kwan a ɛyɛ nnam tom.
- Di aduan a ɛkari pɛ: Di nnuaba ne nhabannuru pii. To nsa ano hye. Paw nnuan a ɛma koma nya ahoɔden.
- Kura mu duru a ɛfata mu: Kura mu duru a ɛfata wo tenten. Sɛ wo mu duru boro so a, bɔ mmɔden sɛ wobɛtew wo mu duru so.
- Di nyarewa a enni sabea ho dwuma: Sɛ wowɔ nyarewa te sɛ asikreyare anaa mogya mmoroso a, di ho dwuma yiye sɛnea wo duruyɛfo kyerɛ wo.
- Kwati sigaretnom koraa: Sigaretnom pira mogya ntini kɛse.
Tebea bɛn mu na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Ɛho hia yiye sɛ wobɛkɔ w’abusua oduruyɛfo nkyɛn sɛ wuhu nsakrae biara wɔ wo nipadua mu a, titiriw sɛ wowɔ sɛnkyerɛnne ahorow a ebetumi ne asaabo mu yare wɔ abusuabɔ a.
| Akwannya | Nsɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ yiye wɔ ho |
|---|---|
| Hwɛ wo duruyɛfo... | |
| Sɛ wowɔ asaabo mu yare ho sɛnkyerɛnne a |
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| Hwehwɛ aduruyɛ ntɛm ara (kɔ ETU)... | |
| Nsɛnkyerɛnne a ebetumi aba wɔ tebea a ɛntaa nsi koraa a wɔfrɛ no SCLS ho no bi ne: | Sɛ sɛnkyerɛnne ahorow a edidi so yi ba bere a mogya mmoroso so tew mpofirim a :
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Nkrasɛm a Wɔde Kɔ Fie
- Fenestrated capillaries yɛ mogya ntini bi a ɛyɛ fɛ yiye a ɛyɛ adwuma te sɛ nhyehyɛe titiriw bi a wɔde yiyi mu wɔ yɛn nipadua mu.
- Eyinom ho hia na ama yɛn asaabo, dwensɔtwaa, ne hormone nhyehyɛe no ayɛ adwuma yiye.
- Ɔkwan a eye sen biara a wobɛfa so ama eyinom anya apɔwmuden ne sɛ wobɛhwɛ w’akwahosan nyinaa so. Ɛno kyerɛ sɛ wubedidi yiye, ateɛteɛ w’apɔw mu, na woakura asetra kwan a ahoɔden wom mu.
- Hu sɛnkyerɛnne ahorow a ebia ɛne asaabo mu yare wɔ abusuabɔ. Sɛ w’adwene mu yɛ wo naa a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo duruyɛfo nkyɛn.
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