So worehu wo nan, wo nansoaa, wo nsa, anaa w’anim ahohoro a wontumi nkyerɛkyerɛ mu? So woahyɛ no nsow sɛ wo nsu no te sɛ nea ahurututu? Eyinom betumi ayɛ wo asaabo, wo nipadua akwaa a ɛho hia sen biara no biako ho asɛm bi ho sɛnkyerɛnne. Ɛnnɛ, yɛreka tebea bi a ɛka asaabo ho asɛm—wɔntaa nka ho asɛm, nanso ɛho hia sɛ yɛte ase: Glomerulosclerosis.
Wɔ Nsɛmfua a Ɛyɛ Mmerewa mu no, Dɛn ne Glomerulosclerosis?
W’asaabo abien no yɛ adwuma te sɛ nneɛma a wɔde yiyi mu a ɛyɛ adwuma yiye. Wɔtew wo mogya ho denam nwura a woyi fi hɔ na wɔdan no nsu so. Saa ade a wɔde yiyi mu yi nam nneɛma nketenkete a ɛyɛ mmerɛw a ɛwɔ w’asaabo mu a wɔfrɛ no glomeruli so na ɛba.
Glomerulosclerosis kyerɛ akuru anaasɛ ɛyɛ den wɔ saa nneɛma nketenkete a wɔde yiyi mu yi mu. Te sɛ akuru a ɛba bere a obi apira honam ani no, saa nneɛma a wɔde yiyi mu yi nya akuru ntini bere a asɛe no, na ɛmma entumi nyɛ adwuma yiye.
Ne saa nti, protein ahorow a ɛho hia a ɛsɛ sɛ ɛtra wo mogya mu no fa afiri a wɔde yiyi mu a asɛe no mu na ɛyera wɔ wo nsu mu . Wɔ aduruyɛ mu no, wɔfrɛ saa tebea yi `Proteinuria` ( protein a ɛwɔ nsu mu ).
Saa tebea yi betumi aka obiara, ɛmfa ho mfe a wadi, ɛwom sɛ ɛtaa ba mmarima mu kakra de.
Dɛn na Ɛde Tebea Yi Ba?
Ɛtɔ mmere bi a, biribiara nni hɔ a wobetumi ahu nea ɛde Glomerulosclerosis ba. Nanso, ɛtaa yɛ nea ɛto so abien wɔ aduruyɛ mu tebea afoforo a ɛhyɛ ase no akyi.
Ɔkwan a wɔtaa fa so yɛ ne `FSGS` (Focal Segmental Glomerulosclerosis). Eyi kyerɛ sɛ nneɛma a asɛe no nyɛ pɛ; ɛka mmeae bi nkutoo (Focal), na wɔ saa mmeae no mu no, filter biara fã bi pɛ na ɛwɔ akuru (Segmental).
Nneɛma a ɛtaa de FSGS ne Glomerulosclerosis a ɛwɔ hɔ nyinaa ba no bi ne:
- Asikreyare : Asikre a ɛwɔ mogya mu a wontumi nni so no yɛ asiane kɛse ma asaabo akwahosan.
- Kɛse mmoroso : Nipadua mu duru a ɛboro so de ɔhaw kɛse ba asaabo no so.
- HIV Infection : Saa mmoawa yi tumi sɛe asaabo mu nkwammoaa tẽẽ.
- Nyarewa a nipadua no tumi ko tia nyarewa te sɛ Lupus: Saa tebea horow yi ma wo nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ w’asaabo so.
- Sickle cell disease: Awosu mu tebea a ebetumi asɛe asaabo dwumadi.
- Reflux nephropathy: Tebea a ɛma nsu fi akisikuru no mu kɔ akyi kɔ asaabo no mu, na ɛsɛe ade.
- Glomerulonephritis: Glomeruli a ɛyɛ hyew.
- Nnuru ne awuduru bi: Nneɛma a epira asaabo a wɔde wɔn ho hyɛ mu.
Dɛn Ne Nsɛnkyerɛnne no?
Wɔ mfiase no, ebia wunni sɛnkyerɛnne biara a ɛda adi pefee , na ɛno nti na mpɛn pii no wonhu no. Bere a ɛkɔ so no, ebia wubehu nea edidi so yi:
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɔhohoro (Edema) . | Nsu a ɛkɔ nipadua no mu no ba efisɛ asaabo no ntumi nkɔ yiyi mu yiye. Ebia wubehu sɛ wo nan, wo nansoaa, wo nsa, wo yafunu, anaa w’aniwa ho ahonhon . |
| Nsuo mu Nsakraeɛ | Esiane protein a ɛyera nti, wo nsu betumi ayɛ te sɛ nea ɛyɛ ahuru anaasɛ ɛyɛ ahurututu . |
| Mogya Nhyɛso a Ɛkɔ Anim | Mpɛn pii no, asaabo a ɛsɛe no ma obi nya mogya mmoroso, na ebetumi ayɛ den sɛ wobedi ho dwuma. |
| Cholesterol a Ɛdɔɔso | Bere a protein dodow so tew wɔ mogya no mu no, mmerɛbo no tua ka denam srade pii a ɛma ɛyɛ so. |
Wɔtaa hu tebea no bere a wɔreyɛ akwahosan ho nhwehwɛmu daa, denam nsu mu nhwehwɛmu a ɛkyerɛ proteinuria anaa mogya mu nhwehwɛmu a ɛkyerɛ sɛ protein dodow sua (hypoproteinemia) so.
Ɔkwan Bɛn so na Wohu No?
Esiane sɛ saa sɛnkyerɛnne ahorow yi suasua tebea afoforo nti, ɔkwan a edi mu sen biara a wɔfa so si so dua sɛ wɔahu yare no ne Kidney Biopsy .
Dɛn ne Asaabo mu Nhwehwɛmu?
Mma wo ho nnyɛ wo hu. Wɔde adwinnade ketewaa bi a ɛte sɛ nnade di dwuma de boaboa ntini ketewaa bi fi w’asaabo mu, na afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu de hu akuru no.
Ɛtɔ mmere bi a, ɛho hia sɛ wɔyɛ nhwɛsode ahorow pii efisɛ ebia akuru no bɛyɛ mmerɛw wɔ asaabo no mu.
Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ:
- Glomerular Filtration Rate (GFR) sɔhwɛ: Sɛnea ɛbɛyɛ a wubehu sɛnea w’asaabo no reyɛ yiye.
- Kidney Ultrasound scan: Sɛnea ɛbɛyɛ a wobɛhwɛ sɛnea w’asaabo kɛse te, sɛnea ɛte, ne sɛnea ɛte.
- Awosu mu nhwehwɛmu: Wɔ tebea horow a ɛntaa nsi mu no, sɛnea ɛbɛyɛ a wobehu sɛ ebia biribi wɔ hɔ a wonya fi awo mu anaa.
Dɛn Ne Ayaresa a Wobetumi Apaw?
Nea ɛyɛ awerɛhow no, mprempren wonni aduru biara a wɔde sa Glomerulosclerosis, na nnuru pɔtee biara nni hɔ a wɔapene so wɔ amansan nyinaa mu a wɔde bɛdan no.
Nanso, mma wo ho nnpopo. Ayaresa ahorow betumi aboa ma tebea no ansɛe, adi yare no ho sɛnkyerɛnne ahorow ho dwuma, na wɔakura asetra pa mu. Botae no ne sɛ wɔbɛma yare no akɔ so brɛoo na wɔabɔ asaabo dwumadi ho ban.
Mpɛn pii no, ayaresa ahorow no hwehwɛ sɛ:
- Mogya mmoroso nnuru: Nnuru a esiw ACE ano ne ARB boa ma wɔhwɛ mogya mmoroso so na ɛtew protein a ɛyera wɔ nsu mu no so kɛse.
- Nnuru a ɛma nipadua no tumi ko tia nyarewa: Wobetumi de nnuru te sɛ steroid adi dwuma de ahyɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi so.
- Nnuru a ɛtew srade so (Statins): Sɛnea ɛbɛyɛ a wobedi srade a ɛkɔ soro no ho dwuma.
- Nnuru a ɛma nsu fi nipadua mu: Ɛde yi nsu ne nkyene a ɛboro so fi mu, na ɛtew ɔfe so.
- Nnuru a ɛko tia mogya a ɛtwetwe: Sɛnea ɛbɛyɛ a ɛbɛboa ma mogya a ɛbɛtɔ no asiw ano.
- Asetra mu nsakrae: Aduan a nkyene nnim a wobɛfa, apɔw-mu-teɛteɛ daa, ne vitamin a ɛfata a wobɛma.
Nea ɛho hia sen biara no, sɛ wo tebea no yɛ nea ɛto so abien wɔ asikreyare anaa kɛseyɛ mmoroso akyi a, yare a ɛde ba no a wubedi ho dwuma no ho hia sen biara. Mogya ne nsu a wɔbɛhwɛ so daa ho hia.
Sɛ yare no kɔ so ma asaabo ntumi nyɛ adwuma yiye a, ebia ayaresa te sɛ dialysis anaa asaabo a wɔde ma obi foforo ho behia.
Nkrasɛm a Wɔde Kɔ Fie
- Glomerulosclerosis yɛ asaabo no mu nsu a wɔde yiyi mu no mu akuru, na ɛma ɛnyɛ adwuma yiye.
- Hwɛ sɛnea nsɛnkyerɛnne te sɛ ahurututu, nsu a ɛyɛ ahurututu, ne mogya mmoroso.
- Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
- Mpɛn pii no, ɛho hia sɛ wɔyɛ asaabo mu nhwehwɛmu na ama wɔahu yare no yiye.
- Bere a mprempren wontumi nsa no, akwan a etu mpɔn a wɔfa so di yare no ho dwuma betumi ama yare no ayɛ brɛoo na ama wo yiyedi atu mpɔn. Nneɛma a wɔde wɔn ho bɛhyɛ mu ntɛm no yɛ ade titiriw.
Glomerulosclerosis, asaabo mu yare, asaabo mu akuru, proteinuria, akisikuru, asaabo mu nhwehwɛmu
