So woafa wo mogya ho amanneɛbɔ na woahwɛ nkyerɛwde ne nɔma biara a ɛwɔ mu no na woasusuw nea ne nyinaa kyerɛ ho pɛn? Ɛtɔ mmere bi a, ebetumi ayɛ den kakra sɛ yɛbɛte ase. Wiɛ, eGFR yɛ sɔhwɛ a ɛka yɛn akwahosan ho nsɛm pii kyerɛ yɛn, titiriw yɛn asaabo akwahosan . Ɛnnɛ, momma yɛnka nea GFR yɛ, nea sɔhwɛ yi ka, ne sɛnea ebetumi aboa ma yɛabɔ yɛn asaabo ho ban ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne GFR?
GFR din mũ no nyinaa ne Glomerular Filtration Rate . Ɛwom sɛ edin no yɛ den kakra de, nanso nea eyi kyerɛ no yɛ mmerɛw yiye. Susuw yɛn asaabo abien no ho sɛ ɛyɛ afiri a eye sen biara a wɔde yiyi mu wɔ yɛn nipadua mu. Asaabo no adwuma titiriw ne sɛ ɛbɛyi nwura ne awuduru a ɛho nhia a ɛwɔ yɛn mogya mu nyinaa na atew ho na ayi afi nipadua no mu sɛ nsu .
Enti, GFR yɛ nea ɛkyerɛ sɛnea w’asaabo reyɛ mogya a ɛho tew adwuma yi ntɛmntɛm na etu mpɔn.
Saa din yi fi nneɛma nketenkete ɔpepem pii a wɔde yiyi asaabo mu no mu. Yɛfrɛ eyinom ``Glomeruli.`` Wɔgyina mogya dodow a wɔde saa filters yi hohoro simma biara so na ebu GFR bo no.
Mpɛn pii no, wo GFR a wobɛsusuw tẽẽ no yɛ nea ɛyɛ den kakra na egye bere pii. Ɛno nti na nnuruyɛfo taa de sɔhwɛ bi a wɔfrɛ no `eGFR (estimated Glomerular Filtration Rate) di dwuma. Eyi hwehwɛ sɛ wobɛfa mogya a ɛnyɛ den afi wo hɔ, asusuw sɛnea nneɛma a wɔsɛe no a wɔfrɛ no `Creatinine` wɔ mu no dodow, na afei wode aka nneɛma te sɛ wo mfe ne wo bɔbeasu ho na wode akontaabu nhyehyɛe soronko bi asusuw wo GFR ho.
Creatinine yɛ abɔde mu nwura a yɛn ntini yɛ bere a yɛreyɛ ahoɔden no. Ɛkame ayɛ sɛ asaabo a ɛte apɔw yiyi mu koraa na ɛyi gu nsu mu. Creatinine dodow a ɛkɔ soro wɔ mogya no mu no yɛ sɛnkyerɛnne a ɛkyerɛ sɛ asaabo no mu nsu a ɛtwetwe no asɛe.
Asaabo mu yare no fã ahorow ne GFR gyinapɛn ahorow
Mfaso a ɛwɔ wo eGFR amanneɛbɔ mu no betumi ama woanya adwene pa wɔ sɛnea w’asaabo reyɛ adwuma yiye no ho. Wubetumi agyina saa gyinapɛn yi so ahu asaabo mu yare (ChronicWɔakyekyɛ Asaabo mu Yare a Enni sabea (CKD) mu ayɛ no afã atitiriw 5. Eyi bɛboa wo duruyɛfo no ma wate wo tebea pɔtee no ase.
| Prama | GFR bo a ɛsom (mL/simma/1.73 m2) . | Kyerɛ |
|---|---|---|
| Ɔfã I | 90 anaa nea ɛboro saa | Asaabo dwumadi yɛ nea ɛfata, nanso nsɛnkyerɛnne afoforo te sɛ protein a ɛwɔ nsu mu no betumi akyerɛ sɛ nneɛma bi asɛe. |
| Ɔfã II | Efi 60 kosi 89 | Asaabo dwumadi a ɛso tew kakra. Ɛda so ara wɔ tebea pa mu. |
| Ɔfa IIIa | 45 kosi 59 na ɛwɔ hɔ | Asaabo dwumadi a ɛso tew kakra kosi nea ɛkɔ fam. |
| Ɔfa IIIb | 30 kosi 44 na ɛwɔ hɔ | Asaabo dwumadi a ɛso tew wɔ ɔkwan a ɛkɔ fam anaasɛ ɛyɛ den so. |
| Ɔfã IV | Efi 15 kosi 29 | Asaabo dwumadi a ɛso tew kɛse. |
| Ɔfã V | Wɔn a wonnii mfe 15 | Tebea a asaabo no bɛn anaasɛ entumi nyɛ adwuma koraa. |
Ɛhia:Sɛ wɔkyekyem pɛpɛɛpɛ a, GFR a ɛwɔ aberante a ɔwɔ apɔwmuden mu no yɛ 90-120. Ɛyɛ ade a ɛfata sɛ GFR so tew fi awosu mu bere a yɛrenyin no. Nanso, sɛ GFR nnu 60 a, ɛkyerɛ sɛ asiane wɔ hɔ sɛ obenya asaabo mu yare ne komayare nso.
Hena na ɛsɛ sɛ ɔyɛ GFR sɔhwɛ yi?
Mpɛn pii no, wo duruyɛfo betumi ahwɛ wo GFR bere a wɔreyɛ afe afe nhwehwɛmu no, nanso ɛho hia nso sɛ wobɛhwɛ sɛ wowɔ asiane mu sɛ wubenya asaabo mu yare anaasɛ wowɔ sɛnkyerɛnne ahorow a ɛfa ho a.
Nsɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ yiye wɔ ho:
- Ɛyaw anaa ahotɔ a wɔte nka bere a woretow nsu no.
- Nsu a wɔtow gu pii anaa kakraa bi sen sɛnea ɛte daa.
- Mogya a ɛwɔ nsu mu, ne kɔla yɛ ahurututu anaa bruu.
- Aniwa, yafunu, nsateaa, anaa nansoaa ho a ɛho ahonhon.
- Ɛyaw a ɛkɔ so wɔ akyi mfinimfini, baabi a asaabo no wɔ.
Nnipa a wɔwɔ asiane ahorow:
- Nnipa a wɔwɔ asikreyare .
- Mogya mmoroso, kyerɛ sɛ, nnipa a mogya mmoroso .
- Nnipa a wɔwɔ komayare .
- Sɛ obi wɔ abusua no mu a ɔwɔ asaabo mu yare anaa asikreyare ho abakɔsɛm a .
- Sɛ wotaa nya ɔyare a ɛma wo ho yɛ wo hyew a .
- Nnipa a wɔwɔ nyarewa bi a nipadua no tumi ko tia nyarewa .
- Nnipa a wɔnom sigaret .
Sɛ wowɔ saa sɛnkyerɛnne anaa asiane ahorow yi bi a, ɛbɛyɛ papa sɛ wobɛkɔ wo duruyɛfo nkyɛn ntɛm ara akɔhwehwɛ afotu.
Dɛn na wobetumi ayɛ de abɔ asaabo no ho ban a wɔrentew GFR so?
GFR dodow pa a yɛbɛkɔ so akura mu no kyerɛ sɛ yɛbɛkɔ so akura yɛn asaabo akwahosan mu. Yɛn asetra kwan ne yɛn aduan a yedi no nya eyi so nkɛntɛnso kɛse.
Kae sɛ nsu pii a wobɛnom nkutoo remma asaabo a asɛe dedaw no nsan nyɛ adwuma bio. Ɛyɛ papa sɛ wobɛkɔ so anya nsu denam nsu a wobɛnom so, nanso ɛho hia kɛse mpo sɛ wubedi nneɛma a ɛde asaabo a ɛsɛe ba no so.
Nsakrae a ɛba wɔ aduan mu:
- Tew nkyene a wode di dwuma no so sɛnea wubetumi biara. Tew nkyene dodow a wode gu mu bere a worenoa aduan no so. Gyae nkyene a ɛsono emu biara a wode bɛba pon no so.
- Kwati nnuan a wɔayɛ ho adwuma. Nkyene pii wɔ nneɛma te sɛ soseji, ham, bacon, mpataa a wɔde ahyɛ toa mu, soup a wɔde ahyɛ toa mu, ne noodles a wɔayam no ntɛm ara mu.
- Fa nhabannuru, nnuaba, ne aburow a wɔayɛ no foforo ka w’aduan ho.
- Sɛ wowɔ asikreyare anaa mogya mmoroso a, di aduan ho nhyehyɛe a wo duruyɛfo anaa aduannuru ho ɔbenfo de ama wo no akyi pɛpɛɛpɛ.
Nsakrae a ɛba asetra mu:
- Hwɛ wo mogya mmoroso ne asikre dodow a ɛwɔ wo mogya mu bere nyinaa. Nom nnuru a wo duruyɛfo akyerɛw ama wo no wɔ bere ano.
- Sɛ wonom sigaret a, gyae ntɛm ara. Sigaretnom sɛe akwan a ɛde mogya kɔ asaabo mu no.
- Nnuru bi te sɛ nnuru a wɔde kum ɛyaw a wɔde di dwuma bere tenten no betumi apira asaabo no. Enti, nkɔ so nnom aduru no a wonkɔ oduruyɛfo nkyɛn.
- Kura wo nipadua mu duru a ɛfata mu . Yɛ apɔw-mu-teɛteɛ daa.
Sɛ wowɔ wo GFR ho dadwen bi, anaasɛ amanneɛbɔ no kyerɛ sɛ ɛba fam a, mma wo ho nnpopo na wo ne wo duruyɛfo nkasa ho asɛm. Ɔbɛhwɛ w’akwahosan koraa na wama wo ayaresa ne afotu a wuhia.
Nkrasɛm a Wɔde Kɔ Fie
- GFR (Glomerular Filtration Rate) yɛ sɔhwɛ a ɛho hia a ɛkyerɛ sɛnea w’asaabo retew wo mogya ho yiye.
- eGFR bo a ennu 60 betumi ayɛ asaabo mu yare ho sɛnkyerɛnne a edi kan. Dodow a wohu no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wɔbɛsa.
- Yɛsrɛ sɛ fa nsɛmmisa biara a ebia wowɔ wɔ wo GFR amanneɛbɔ ho no kɔ wo duruyɛfo nkyɛn. Mfa nsɛm a wubehu wɔ Intanɛt so nnyɛ w’ankasa nhwehwɛmu.
- Asikreyare ne mogya mmoroso yɛ asaabo no atamfo atitiriw no mu abien. Di tebea horow yi so yiye.
- Aduan a nkyene nnim, a ahoɔden wom, apɔw-mu-teɛteɛ, ne sigaretnom a wobɛkwati ne mmoa kɛse a wubetumi de ama w’asaabo.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ nsakrae a ɛba wo nsu mu, wo hohoro, anaa w’akyi yaw a, mmu w’ani ngu so na hwehwɛ aduruyɛfo afotu ntɛm ara.
GFR, eGFR, asaabo, asaabo dwumadi ho nhwehwɛmu, creatinine, asaabo mu yare, mogya mu nhwehwɛmu, mogya mu nhwehwɛmu, asaabo a entumi nyɛ adwuma yiye
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