Biribiara a ɛfa Asaabo ho: So ɛsɛ sɛ yehu yɛn nipadua ‘filter’ no ho asɛm pɛpɛɛpɛ?

Yɛyɛ adwumaden saa da biara da, ɛnte saa? Nanso so wunim sɛ bere a woreyɛ saa nneɛma yi no, akwaa abien a ɛyɛ nwonwa wɔ wo nipadua mu a ɛyɛ adwuma komm, nnɔnhwerew 24 da biara, na ennyae sekan biako mpo? Ɛnonom ne yɛn asaabo. Sɛ yɛbɛka no tiawa a, eyinom ne ‘filter system’ a tumi wom sen biara wɔ yɛn nipadua mu. Sɛ eyinom gyae a, yɛn nipadua nyinaa bɛyɛ basabasa. Enti, momma yɛnka saa asaabo a ɛsom bo yi ho asɛm nnɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne asaabo?

Asaabo yɛ akwaa abien a ɛte sɛ bankye a ne kɛse bɛyɛ sɛ yɛn nsateaa. Wɔwɔ yɛn akyi berɛmo no afã abien no nyinaa, wɔ yɛn akyi ase, wɔ mpampam no ase pɛɛ. Wɔyɛ yɛn nsu a yɛde gu nsu mu no fã titiriw.

Susuw ho hwɛ, w’asaabo yi nsu bɛyɛ lita 180-190 da biara da . Ɛno dɔɔso sɛ ɛbɛhyɛ bathtub kɛse bi ma! Wɔ saa nhwehwɛmu yi mu no, wɔtetew nneɛma a wɔsɛe no ne awuduru mu na wɔyi fi nipadua no mu sɛ nsuo (yɛfrɛ no ‘ nsuo ’). Yɛtaa yi nsuo bɛyɛ lita 1.5 - 2 fi mu da biara. Na nsu a wɔayiyi mu a aka no nso ɛ? Yɛn nipadua no san de di dwuma bio. So ɛnyɛ nwonwa?

Nea ɛka ho no, asaabo nso di dwuma titiriw ma nsu ne nneɛma a ɛho hia a wɔfrɛ no electrolytes (te sɛ sodium ne potassium) dodow a ɛwɔ yɛn nipadua mu no kari pɛ.

Dɛn ne asaabo no dwumadi atitiriw?

Asaabo no nyɛ afiri a wɔde yi mogya mu kɛkɛ. Nneɛma pii wɔ akwaa nketewa abien yi mu sen saa. Momma yɛnhwɛ nneɛma a ɛho hia paa.

Ɔkwan bɛn so na mogya ‘a wɔayiyi’ yi kɔ so?

Eyi yɛ adeyɛ a ɛyɛ den yiye, nanso ɛyɛ nwonwa. Wɔ asaabo biara mu no, nneɛma nketenkete a wɔde yiyi mu a wɔfrɛ no nephrons bɛboro ɔpepem biako na ɛwɔ hɔ . Ɛte sɛ tii a wɔde yiyi tii nhaban. Afã atitiriw abien na ɛwɔ nephron biara mu:

• Glomerulus: Eyi ne ‘filter’ a edi kan. Bere a mogya fa mogya ntini a ɛyɛ fɛ yiye yi mu no, woyi nneɛma te sɛ nsu, nwura, ne nkyene fi mu.
• Adwene mu ntini: Bere a nsu a glomerulus no yiyi no fa saa ntini yi mu no, nipadua no san twetwe nsu, aduannuru, ne nneɛma a ehia no . Nneɛma a wɔsɛe no, nsu a ɛboro so, ne acid nkutoo na woyi fi mu sɛ nsu.

Dɛn ne tebea horow a ɛtaa ba a ebetumi aka asaabo no?

Nea ɛyɛ awerɛhow no, aduruyɛ mu tebea horow pii wɔ hɔ a ebetumi asɛe yɛn akwaa a ɛsom bo yi. Ɛho hia sɛ wuhu eyinom bi.

• Asaabo mu Yare a Enni Sabea (CKD): Eyi yɛ tebea a bere kɔ so no, asaabo no hwere ne dwumadi nkakrankakra. Mpɛn pii no, nea ɛde ba titiriw ne asikreyare a wontumi nni so ne mogya mmoroso .
• Asaabo a Ɛnyɛ Yiye: Asaabo no dwumadi a ɛyera mpofirim (ɛyɛ den) anaa bere tenten (a enni sabea). Eyi yɛ tebea a emu yɛ den yiye.
• Asaabo mu Abo: Nkyene a ɛwɔ nsu mu no boaboa ano na ɛyɛ asinasin nketenkete a ɛte sɛ abo. Sɛ eyinom kɔhyɛ nsu mu a, ebetumi ama obi ate yaw kɛse.
• Asaabo mu Nyarewa:Saa tebea yi ba bere a mmoawa tu kwan kɔ soro wɔ nsu a ɛkɔ asaabo no mu na wɔhyɛn asaabo no mu no.
• Polycystic Kidney Disease (PKD): Eyi yɛ awosu mu tebea. Nkwammoaa (cysts) pii a nsu ahyɛ mu ma no ba wɔ asaabo no mu. Eyi betumi ama asaabo ayɛ adwuma yiye.
• Asaabo mu Kokoram: Kokoram betumi aba bere a asaabo mu nkwammoaa nyin wɔ ɔkwan a ɛnteɛ so no.

Dɛn ne sɛnkyerɛnne ahorow a ɛma wosusuw sɛ ɔwɔ asaabo mu yare?

Ɔhaw kɛse a ɛwɔ asaabo mu nyarewa pii ho ne sɛ ɛnkyerɛ sɛnkyerɛnne ahorow a ɛda adi pefee wɔ ne mfiase . Wɔ nnipa pii fam no, bere a yare no mu yɛ den kakra nkutoo na saa sɛnkyerɛnne ahorow yi da adi. Enti, ɛho hia paa sɛ yɛhwɛ yie kakra wɔ saa nneɛma yi ho.

• Anan, anan, ne anim a ɛho ahonhon: Sɛ asaabo no ntumi nyi nsu ne sodium a ɛboro so no mfi hɔ yiye a, nsu boaboa ano wɔ nipadua no mu na ɛma hohoro. Sɛ wuhu sɛ w’aniwa ho ahonhon bere a wosɔre anɔpa a, ma ɛhaw wo titiriw.
• Nsakrae a ɛba nsu mu:
• Nsu a wɔtow mpɛn pii (titiriw anadwo).
• Mogya a ɛwɔ nsu mu (nsu no betumi ayɛ pink anaa bruu tuntum).
• Nsu a ɛyɛ ahuru (eyi betumi akyerɛ sɛ wɔretu protein pii afi nsu no mu).
• Wora a ɛyɛ wo yaw na ɛyɛ nwunu: Eyi betumi aba bere a nwura boaboa ano wɔ mogya no mu na ɛka honam ani no.
• Ɔbrɛ ne mmerɛwyɛ a ɛkɔ so daa: Sɛ mogya mu nkwammoaa kɔkɔɔ a ɛma mogya mu nkwammoaa kɔkɔɔ (erythropoietin) yɛ no so tew a, mogya a ɛtɔ kɔ nipadua mu no betumi aba na ama wabrɛ.
• Aduan ho akɔnnɔ a ɛyera, akisikuru, ne ɔfe: Saa sɛnkyerɛnne ahorow yi ba bere a nneɛma a wɔsɛe no te sɛ urea kɔ soro wɔ mogya no mu no.
• Ntini mu yaw ne nea ɛyɛ den: Eyi betumi aba bere a wɔasɛe electrolyte kari pɛ no.

Nhwehwɛmu bɛn na wɔyɛ de hwɛ sɛ m’asaabo no te apɔw anaa?

Nhwehwɛmu a ɛnyɛ den pii wɔ hɔ a wo duruyɛfo betumi ayɛ de ahwɛ sɛnea w’asaabo te.

Nneɛma a yebetumi ayɛ na ama yɛn asaabo a ɛsom bo no anya apɔwmuden

Ɛyɛ papa sɛ wubesiw asaabo mu yare ano sen sɛ wubehu amane bere a ayɛ kɛse no. Fa saa suban a ɛnyɛ den yi ka w’asetra mu.

• Nom nsu a ɛdɔɔso: Anyɛ yiye koraa no, nom nsu nkuruwa 8-10 da biara. Eyi boa ma asaabo no yi nwura fi mu ntɛmntɛm.
• Di wo mogya mmoroso ne asikreyare so: Sɛ wowɔ saa tebea horow yi a, fa nnuru a wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ. Saa baanu yi ne asaabo no atamfo akɛse.
• Tew nkyene a wudi so: Tew nkyene dodow a wode ka w’aduan ho no so. Nnuan a wɔakyekyere ne nnuan a wɔde di ntɛmntɛm no wɔ nkyene pii.
• Mfa nnuru a wɔde kum ɛyaw nni dwuma mpɛn pii: Sɛ wokɔ so de nnuru a wɔde kum ɛyaw di dwuma, titiriw NSAIDs (e.g., Ibuprofen, Diclofenac), a wunni oduruyɛfo afotu a, ebetumi asɛe asaabo no.
• Kwati sigaretnom: Sigaretnom sɛe mogya ntini a ɛde mogya kɔ asaabo mu no.
• Kura wo mu duru a ɛfata mu: Yɛ apɔw-mu-teɛteɛ daa. Di aduan a ɛkari pɛ.
• Nya aduruyɛ mu nhwehwɛmu:Titiriw sɛ obi a ɔwɔ w’abusua mu wɔ asaabo mu yare, anaa sɛ wowɔ asikreyare anaa mogya mmoroso a, anyɛ yiye koraa no, ma wɔnhwɛ w’asaabo dwumadi pɛnkoro afe biara.