Momma yensua Kidney Function Tests ho ade wɔ nsɛm a ɛnyɛ den mu.

Ebia wo duruyɛfo no aka akyerɛ wo sɛ wɔnyɛ wo mogya mu nhwehwɛmu anaa wɔnyɛ wo nsu mu nhwehwɛmu mfa nhwɛ sɛnea w’asaabo yɛ adwuma, ɛnte saa? Ɛtɔ da bi a, sɛ wɔka kyerɛ yɛn sɛ yɛnyɛ sɔhwɛ a ɛte saa a, yɛte ehu ne ehu kakra nka. Nnipa binom suro sɛ wɔbɛtwe mogya afi ade mu, na ebia ebinom bɛte nka sɛ ɛyɛ nwonwa kakra sɛ wɔbɛma obi nsu kuruwa. Nanso saa nkate ahorow yi yɛ nea ɛfata koraa. Nea ɛho hia ne sɛ saa nhwehwɛmu ahorow yi yɛ adwinnade a ɛho hia yiye a wode behu sɛ w’asaabo wɔ apɔwmuden na ɛyɛ adwuma yiye anaa.

Nea edi kan no, ma yɛnhwɛ nea asaabo yi yɛ? Dɛn nti na ɛho hia yɛn saa?

Sɛ yɛbɛka no tiawa a, yɛn asaabo te sɛ afiri a ɛyɛ nwonwa a wɔde yiyi nipadua no mu. Nnipa dodow no ara wɔ asaabo abien. Wɔwɔ yafunu no akyi, akyi berɛmo no afã abien no nyinaa, wɔ mparow no ase pɛɛ.

Asaabo no dwumadi titiriw ne sɛ ɛbɛtew yɛn mogya ho. Ɛne sɛ, sɛ wobeyi nneɛma fĩ a wɔmpɛ ne nsu a ɛboro so afi mogya no mu na wɔayi afi nipadua no mu sɛ nsu.

Ɛnyɛ ɛno nko, na mmom asaabo no yɛ nnwuma afoforo pii a ɛho hia yiye:

• Ɛyɛ hormone ahorow a ɛhwɛ mogya mmoroso so .
• Ɛma wonya hormone bi a wɔfrɛ no erythropoietin . Eyi ne nea ɛboa ma wɔyɛ mogya mu nkwammoaa kɔkɔɔ. Mogya mu nkwammoaa kɔkɔɔ ne nea ɛde mframa pa kɔ yɛn nipadua mu nyinaa.
• Ɛma vitamin D a ɛho hia na ama nnompe ne ntini ahorow no ayɛ adwuma yiye no yɛ adwuma.

Dɛn nti na ɛsɛ sɛ wɔyɛ asaabo mu nhwehwɛmu?

Ebia wo duruyɛfo wɔ nneɛma pii nti a ɔyɛ asaabo dwumadi ho nhwehwɛmu.

Nea enti titiriw ne sɛ wowɔ ayaresa tebea horow te sɛ asikreyare anaa mogya mmoroso . Saa nyarewa yi betumi asɛe asaabo no bere a bere kɔ so no. Enti, nhwehwɛmu ahorow yi boa ma wɔhwɛ daa sɛ ebia obi a ɔwɔ ayaresa tebea a ɛte saa no asaabo reyɛ adwuma yiye anaa.

Bio nso, sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wowɔ asaabo mu haw a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo.

Nhwehwɛmu ahorow bɛn na wɔyɛ wɔ asaabo ho?

Nhwehwɛmu atitiriw abien na wɔde hwɛ sɛnea asaabo yɛ adwuma: mogya mu nhwehwɛmu ne nsu mu nhwehwɛmu.

Mogya mu Nhwehwɛmu

• Serum Creatinine: Creatinine yɛ ade fĩ a ɛba bere a yɛn ntini yɛ adwuma no. Asaabo a ɛte apɔw yiyi saa creatinine yi fi mogya no mu na ɛyi gu nsu mu. Sɛ asaabo no nyɛ adwuma yiye a, creatinine dodow a ɛwɔ mogya no mu no kɔ soro. Enti nhwehwɛmu yi susuw creatinine dodow a ɛwɔ mogya no mu.
• Mogya mu Urea Nitrogen (BUN): Sɛ yedi nnuan a protein pii wom a, nneɛma a ɛyɛ fĩ a nitrogen wom ba bere a wɔreyam no. Wɔfrɛ no urea. Saa urea yi nso, asaabo no yiyi mu na eyi fi mu. Sɛ asaabo no ntumi nyɛ adwuma yiye a, urea dodow a ɛwɔ mogya no mu no kɔ soro.
• GFR a Wɔabu akontaa (eGFR): .Mpɛn pii no, eyi ne ade titiriw a wɔde susuw asaabo dwumadi. GFR gyina hɔ ma Glomerular Filtration Rate. Ɛne sɛ, mogya dodow a w’asaabo yiyi simma biara. Esiane sɛ ɛyɛ den sɛ wobesusuw eyi tẽẽ nti, wɔde nneɛma te sɛ wo mogya mu creatinine dodow, mfe a woadi, ne bɔbeasu na ebu ho akontaa. Wɔfrɛ ɛno eGFR.

Nsuo mu Nhwehwɛmu

• Nsu mu nhwehwɛmu: Eyi yɛ nsu mu nhwehwɛmu a wɔyɛ no nyinaa. Wɔhwɛ wo nsu mu hwɛ sɛ nneɛma te sɛ mogya, protein, ne asikre wom anaa. Ɛsan nso hwɛ nneɛma te sɛ acid a ɛwɔ wo nsu mu no mu.
• Microalbuminuria: Eyi yɛ nsu mu nhwehwɛmu titiriw bi. Ɛhwehwɛ protein titiriw bi a wɔfrɛ no albumin kakraa bi pɛ wɔ nsu no mu. Ɛnyɛ asaabo a ɛte apɔw na ɛtwetwe protein yi. Albumin a ɛwɔ nsu mu no betumi ayɛ sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ asaabo no afi ase resɛe.
• Nnɔnhwerew 24 Nsuo a Wɔgye Ho Sɔhwɛ: Ɛtɔ da bi a, wo duruyɛfoɔ bɛtumi aka akyerɛ wo sɛ boaboa nsuo a wofa mu da mũ no nyinaa ano na ɔnsɔ nhwɛ. Eyi betumi aboa wo ma woahu nwura dodow a w’asaabo reyi afi hɔ da biara da no pɛpɛɛpɛ.

Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ ahorow yi?

Ɔkwan a wofa so siesie wo ho no betumi ayɛ soronko kakra a egyina sɔhwɛ a woreyɛ no so.

Sɛ wopɛ mogya mu nhwehwɛmu a:

• Ebia wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no. Wo duruyɛfo anaa lab bɛtu wo fo wɔ eyi ho.
• Sɛ wo nsa ho were ayɛ nwunu a, ɛbɛyɛ papa sɛ wode moisturizer bɛhyɛ wo nsa da a edi sɔhwɛ no anim. Eyi bɛma ayɛ mmerɛw ama onipa a ɔregye mogya no sɛ obehu ntini bi.
• Sɛ wosuro nnade a, di kan ka kyerɛ onipa a ɔregye wo mogya no. Wɔbɛboa ma wo bo adwo.

Sɛ wopɛ sɛ woyɛ nsu mu nhwehwɛmu a:

• Mpɛn pii no, ɛho nhia sɛ wɔyɛ ahosiesie titiriw biara na wɔde ayɛ nsu mu nhwehwɛmu. Nanso, ɛyɛ papa sɛ wobɛnom nsu kuruwa biako ansa na woayɛ sɔhwɛ no. Eyi bɛma ayɛ mmerɛw sɛ wɔde nsu dodow a wɔhwehwɛ bɛma.
• Sɛ woyɛ ɔbea na woreyɛ nhwehwɛmu no da bi a worekɔ brayɛ mu a, ka ho asɛm kyerɛ wo duruyɛfo anaa lab, efisɛ brayɛ mu mogya betumi aka nea ebefi amanneɛbɔ no mu aba.

Sɔhwɛ no akyi... wote amanneɛbɔ no ase dɛn?

Sɛ wunya wo sɔhwɛ amanneɛbɔ no a, mma nɔma a ɛwɔ so no nnyɛ wo hu. Wo duruyɛfo ne onipa a oye sen biara a ɔbɛkyerɛkyerɛ nea wɔkyerɛ ma wo mu. Nanso ne nyinaa mu no, nneɛma atitiriw abien wɔ hɔ a ɛsɛ sɛ wohwehwɛ.

1. Glomerular Filtration Rate a Wɔasusuw (eGFR) .

Eyi ne sɛnea asaabo no yiyi mu. Ɔpanyin a ɔwɔ apɔwmuden wɔ eGFR 100 anaa nea ɛboro saa.

• eGFR bo a ɛwɔ 60 kosi 100 ntam:Eyi kyerɛ sɛ ɛwom sɛ asaabo no asɛe kakra de, nanso ɛda so ara yɛ adwuma yiye.
• eGFR bo a ɛba fam sen 60: Eyi betumi akyerɛ sɛ Asaabo mu Yare a Enni sabea (CKD) wɔ hɔ.

2. Nsu mu Albumin ne Creatinine Nkyɛmu (uACR) .

Eyi kyerɛ albumin (protein bi) dodow a ɛwɔ wo nsu mu.

• Botae a ɛfata: ennu 30 mg/g.
• Asiane bo: Sɛ ɛyɛ 300 mg/g anaa nea ɛboro saa a, ɛkyerɛ sɛ asiane kɛse wɔ hɔ sɛ asaabo no bedi huammɔ.

Na sɛ nea efi amanneɛbɔ no mu ba no kyerɛ sɛ obi anya asaabo mu yare ntɛm nso ɛ?

Nea edi kan koraa no, mma wo ho nnpopo. Sɛ wo amanneɛbɔ mu aba kyerɛ sɛ asaabo mu yare no fi ase a, wo duruyɛfo bɛkyerɛkyerɛ anammɔn a edi hɔ a ɛsɛ sɛ woyɛ mu.

• Ebia wɔbɛkyerɛw wo nnuru a ɛbɛma woatumi asiw wo mogya mmoroso ano.
• Ebia wɔde wo bɛkɔ oduruyɛfo a ne ho akokwaw wɔ asaabo mu nyarewa ho, anaasɛ asaabo ho ɔyaresafo nkyɛn .
• Ebia wɔbɛka akyerɛ wo sɛ yɛ nhwehwɛmu daa mfa nhwɛ sɛnea w’asaabo te.
• Ebia wobetu wo fo nso sɛ yɛ nsakrae wɔ w’aduan mu.