Asaabo yɛ akwaa a ɛho hia paa wɔ yɛn nipadua mu no mu biako. Te sɛ nsu a wɔde yiyi mu no, asaabo no adwuma titiriw ne sɛ ɛbɛyi nwura a ɛwɔ yɛn mogya mu no na ayi afi mu sɛ nsu . Nanso ɛtɔ mmere bi a saa nhyehyɛe a ɛyɛ mmerɛw a wɔde yiyi nneɛma mu yi betumi asɛe. Ɛnnɛ, yɛrebɛka tebea bi a ɛyɛ den kakra a ɛka asaabo, nanso ɛsɛ sɛ yɛn nyinaa hu ho asɛm. Ɛno ne IgA Nephropathy .
Dɛn ankasa ne IgA Nephropathy?
Sɛ yɛbɛka no tiawa a, IgA Nephropathy yɛ tebea a yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no fã bi sɛe asaabo no.
Susuw ho saa kwan yi so. Immunoglobulin A, anaa IgA a ne tiaatwa mu no yɛ protein bi a yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ de ko tia mmoawa a wɔwɔ yɛn nipadua mu. Mpɛn pii no, saa IgA protein yi boa yɛn. Nanso wɔ obi a ɔwɔ IgA Nephropathy nipadua mu no, saa IgA protein ahorow yi bom yɛ akuwakuw nketenkete. Wɔ aduruyɛ mu no, yɛfrɛ eyinom ``immune complexes''.
Saa protein akuwakuw yi ne mogya no tu kwan na ɛkɔhyɛ nneɛma nketenkete a wɔde yiyi asaabo no mu a wɔfrɛ no glomeruli no mu. Saa mfiri a wɔde yiyi mu yi ne baabi a wɔhohoro yɛn mogya ho ankasa. Enti sɛ saa IgA protein akuwakuw no kɔhyɛ saa nneɛma a wɔde yiyi mu yi mu a, ɔfe ba saa mmeae no, na nkakrankakra saa nneɛma a wɔde yiyi nneɛma mu a ɛyɛ mmerɛw no fi ase sɛe. Esiane ɔsɛe yi nti, asaabo no ntumi nyi mogya no mu yiye. Ɛno ne nea yɛfrɛ no IgA Nephropathy.
Dɛn ne yare yi ho sɛnkyerɛnne?
IgA Nephropathy su biako ne sɛ ɛtɔ mmere bi a ebetumi ahintaw nipadua no mu mfe pii a ɛnkyerɛ sɛnkyerɛnne biara . Nanso, bere a yare no kɔ so no, sɛnkyerɛnne ahorow a edidi so yi betumi ada adi:
| Nsɛnkyerɛnne a ɛkyerɛ | Ɔkwan a wubetumi afa so ate nka anaa woahu |
|---|---|
| Mogya a ɛwɔ nsu mu (Hematuria) . | Ebia wo nsu no bɛyɛ pink, kɔkɔɔ, anaa cola. Ɛtɔ mmere bi a, aniwa ntumi nhu eyi na sɛ wɔde nsu mu nhwehwɛmu nkutoo na ehu. |
| Proteinuria (protein a ɛwɔ nsu mu) . | Sɛ ɛte sɛ nea woreyɛ ahurututu pii sen sɛnea wotaa yɛ bere a woretow nsu a, ebetumi aba sɛ esiane sɛ wode protein ne nsu no rema nti. |
| Nsa, anan ne anim a ɛho ahonhon (Edema) . | Sɛ asaabo no ntumi ntutu nsuo yie na yiyi mu a, saa nsuo no boaboa ano wɔ nipadua no mu na ɛma nsa, anan, anan, ne anim hohoro. |
| Mogya Nhyɛso a Ɛkɔ Anim | Sɛ asaabo no sɛe a, ebetumi aka ɔkwan a wɔfa so di mogya mmoroso so, na ama mogya mmoroso aba. Wɔ nnipa binom fam no, eyi ne sɛnkyerɛnne a edi kan a wohu. |
Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?
Nokwarem no, biribiara nni hɔ pɔtee a enti nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade saa na IgA protein ahorow fi ase boaboa ano wɔ asaabo no mu. Nanso nneɛma kakraa bi wɔ hɔ a nnuruyɛfo gye di:
- Awosu mu nkɛntɛnso : Saa yare yi tumi tu mmirika wɔ mmusua mu kodu baabi. Wei kyerɛ sɛ, sɛ obi wɔ w’abusua mu yare no a, ebia wo nso wobɛkɔ asiane bi mu.
- Nneɛma a atwa yɛn ho ahyia: Wogye di sɛ nyarewa bi te sɛ menewa mu yare anaa dwensɔtwaa mu yare betumi ama tebea yi mu ayɛ den anaasɛ ɛbɛma ada adi nea edi kan.
So yare yi yɛ nea asiane wom? Dɛn ne nsɛnnennen a ebetumi aba?
IgA Nephropathy yɛ asaabo mu yare a enni sabea . Wei kyerɛ sɛ ɛkɔ so nkakrankakra bere a bere kɔ so no (ɛtɔ mmere bi a mfe 10-20). Ɛnyɛ obiara na onya asaabo mu yare a emu yɛ den. Nanso wɔ nnipa binom fam no, asaabo a ɛsɛe no kɔ soro nkakrankakra na awiei koraa no ebetumi ama wɔanya asaabo mu yare a ɛba awiei .
Esiane sɛ eyi yɛ yare a ɛkɔ so nkakrankakra nti, sɛ wohu ntɛm na wɔsa no yiye a, ebetumi aboa kɛse ma wɔasiw nsɛnnennen a emu yɛ den ano.
Sɛ asaabo no di huammɔ koraa a, ɛho behia sɛ woyɛ dialysis anaa wɔde asaabo foforo ma wo na ama woanya nkwa. Enti, saa yare yi nyɛ biribi a ɛsɛ sɛ wobu no adewa.
Ɔkwan bɛn so na wɔsa?
Ade a edi kan a ɛsɛ sɛ yɛte ase ne sɛ wontumi nsiesie nneɛma a wɔde yiyi mu (glomeruli) a ɛwɔ asaabo mu a yare yi asɛe no . Enti, ayaresa botae titiriw ne sɛ wɔbɛma yare no akɔ so brɛoo na wɔadi ɔhaw biara a ebetumi aba no so.
Ebia wo duruyɛfo agyina wo tebea no so akamfo ayaresa a edidi so yi mu biako anaa nea ɛboro saa akyerɛ wo.
Asetra mu Nsakrae
- Mogya mmoroso a wobedi so : Eyi ne ade a ɛho hia sen biara. Dodow a nhyɛso no kɔ soro no, dodow no ara na asaabo no sɛe kɛse. Enti, ɛho hia sɛ wudi nhyɛso no so denam nnuru a oduruyɛfo no akyerɛw ama wo no a wode bedi dwuma pɛpɛɛpɛ no so.
- Adidi: Ɛdenam wo duruyɛfo afotu so no, ebia wɔbɛka akyerɛ wo sɛ to protein dodow a ɛwɔ w’aduan mu no ano hye. Nkyene a wɔtew so nso ye ma mogya mmoroso.
- Mu duru a wɔde siw ano: Kɛse mmoroso betumi ama protein a efi asaabo no mu no ayɛ kɛse (proteinuria) na ama asaabo no asɛe kɛse. Enti, ɛho hia paa sɛ wobɛtew wo mu duru so.
- Kwati sigaretnom: Sigaretnom sɛe mogya ntini a ɛyɛ mmerɛw a ɛwɔ asaabo mu no tẽẽ. Enti, sɛ wonom sigaret a, ɛho hia sɛ wugyae koraa.
Nnuru a wɔde ma
Wɔ asetra mu nsakrae akyi no, oduruyɛfo no betumi akyerɛw nnuru ahorow a egyina sɛnea yare no mu yɛ den so.
- Mogya mmoroso nnuru.
- Nnuru te sɛ steroid tew ɔfe ne asaabo a ɛsɛe no so.
- Nnuru a ɛma nipadua no tumi ko tia nyarewa a ɛhwɛ sɛnea nipadua no tumi ko tia nyarewa no dwumadi so.
- Nnansa yi ara wɔde `biologic` nnuru bae.
Wo duruyɛfo na ɔkyerɛ eyinom nyinaa. Enti hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa na woadi n’akwankyerɛ so pɛpɛɛpɛ. Sɛ wowɔ sɛnkyerɛnne ahorow anaasɛ w’adwene mu yɛ wo naa wɔ eyi ho a, hwehwɛ aduruyɛfo afotu ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- IgA Nephropathy yɛ yare a enni sabea a yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no sɛe asaabo no.
- Nsɛnkyerɛnne titiriw no bi ne nsu mu kɔla a ɛsakra (kɔkɔɔ/biribiri), nsu a ɛyɛ ahurututu, akwaa a ɛho ahonhon, ne mogya mmoroso.
- Wɔrentumi nsan nsɛe asaabo a yare yi de ba no. Ayaresa no di yare no nkɔso so nkutoo.
- Mogya mmoroso a wobedi so, aduan pa a wobedi, wo mu duru ano a wobedi, ne sigaretnom a wɔbɛkwati ho hia na ama wɔadi yare no ho dwuma.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi anaasɛ w’adwene mu yɛ wo naa wɔ ho a, mmu w’ani ngu so da. Kɔ wo duruyɛfo nkyɛn ntɛm ara na woanya afotu.
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