So woafa mogya mu nhwehwɛmu amanneɛbɔ bi pɛn na woahu gyinapɛn ahorow bi a ɛwɔ mu a wɔde nkyerɛwde akɛse akyerɛw asɛmfua "High"? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu biribi a ɛte saa no. Saa ara nso na ɛtɔ da bi a wobɛtumi ahunu sɛ "LDH" boɔ a ɛwɔ w'amanneɛbɔ no mu no yɛ kɛseɛ. Enti sɛ nnipa pii hu eyi a, ɛhaw wɔn. Nanso mma nsuro. Ɛnyɛ bere nyinaa na LDH dodow a ɛkɔ soro no nkyerɛ sɛ yare a emu yɛ den bi wɔ hɔ. Ɛnnɛ, yɛbɛka nea saa LDH yi yɛ, nea sɔhwɛ yi hwehwɛ, ne ne gyinapɛn ahorow ho asɛm wɔ ɔkwan tiawa a wubetumi ate ase so.
Momma yenni kan nhwɛ, dɛn ne LDH?
Sɛ yɛbɛka no tiawa a, LDH yɛ enzyme . Enzyme yɛ protein a ɛma nnuru kɔ yɛn nipadua mu ntɛmntɛm. Ɛte sɛ afiri a ɛma adwuma yɛ ntɛmntɛm wɔ adwumayɛbea bi. LDH enzyme no adwuma titiriw ne sɛ ɛbɛdan asikre a ɛwɔ aduan a yedi mu a wɔfrɛ no glucose no ma ayɛ ahoɔden ama yɛn nkwammoaa. Yɛfrɛ saa adeyɛ yi nkwammoaa mu ɔhome.
Ɛkame ayɛ sɛ saa LDH enzyme yi wɔ yɛn nipadua mu ntini biara mu, nanso ɛdɔɔso titiriw wɔ ntini, mmerɛbo, asaabo, ne mogya mu nkwammoaa kɔkɔɔ mu .
Afei susuw ho hwɛ, sɛ wɔhyehyɛ nkwammoaa foforo wɔ yɛn nipadua mu a, woyi nkwammoaa dedaw a awuwu fi hɔ, ɛnte saa? Wɔ saa adeyɛ a ɛfata no mu no, LDH bi fi saa ntini ahorow no mu kɔ mogya no mu. Enti, ɛyɛ ade a ɛfata koraa sɛ wubenya LDH bi wɔ wo mogya mu.
Enti dɛn ne LDH sɔhwɛ?
LDH nhwehwɛmu kyerɛ LDH dodow a ɛwɔ wo mogya anaa wo nipadua mu nsu afoforo mu. Eyi betumi ama wo duruyɛfo anya adwene sɛ ebia ntini bi asɛe anaa.
Nea enti a ɛte saa ne sɛ, sɛ yɛn nipadua mu ntini bi sɛe esiane opira, opira, anaa yare bi nti a, LDH pii sen sɛnea ɛte daa no fi saa nkwammoaa a asɛe no mu kɔ mogya no mu. Enti sɛ wo LDH dodow kɔ soro a, ɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ nipadua no mu ntini bi asɛe.
Nanso ade a ɛho hia sen biara wɔ ha ne sɛ LDH nhwehwɛmu nkutoo ntumi nhu akwaa anaa baabi pɔtee a asɛe wɔ nipadua no mu. Enti, nnuruyɛfo nam nhwehwɛmu afoforo pii a wɔyɛ de ka LDH nhwehwɛmu yi ho nkutoo so na wohu yare no pɛpɛɛpɛ.
Wɔde din afoforo pii frɛ saa LDH sɔhwɛ yi.
- LD sɔhwɛ
- Lactic dehydrogenase a wɔde hyɛ nipadua mu
- Lactic acid dehydrogenase a ɛwɔ nipadua no mu
Dɛn nti na oduruyɛfo bɛka akyerɛ wo sɛ yɛ saa LDH nhwehwɛmu yi?
Nneɛma pii nti na oduruyɛfo betumi ahyɛ sɛ wɔnyɛ LDH nhwehwɛmu. Wɔtaa yɛ eyi de ka sɛnkyerɛnne afoforo ho de hwehwɛ nsɛm pii. Momma yɛnhwɛ nea enti titiriw no.
| Ntease a enti ɛsɛ sɛ wɔsɔ hwɛ | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Sɛ adwenem naayɛ bi wɔ hɔ sɛ ntini asɛe a | Nya ntease titiriw bi a ɛkyerɛ sɛ ebia akwaa anaa ntini biara a ɛwɔ wo nipadua mu asɛe anaa. |
| Sɛnea ɛbɛyɛ a wɔbɛhwɛ tebea bi a na ɛwɔ hɔ dedaw so | Hwɛ sɛ tebea horow te sɛ mogya a ɛtɔ kɔ nipadua mu, mmerɛbo mu yare, ne asaabo mu yare no tumi nni so anaasɛ ɛreyɛ kɛse anaa. |
| Sɛnea ɛbɛyɛ a wobehu sɛnea kokoram tebea horow bi mu yɛ den no | Wɔ kokoram ahorow bi mu no, LDH dodow betumi ama woanya sɛnea yare no trɛw anaasɛ emu yɛ den ho adwene. |
| Sɛnea ɛbɛyɛ a wobesusuw sɛnea kokoram ayaresa ahorow di yiye | LDH dodow nso boa ma wɔte ase sɛ ebia kokoram ayaresa te sɛ nnuru a wɔde sa yare no di yiye anaasɛ ɛnte saa. |
Sɛ wunnim nea enti a wɔka kyerɛɛ wo sɛ wɔnyɛ nhwehwɛmu yi a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo.
Momma yensua sɛnea yɛbɛyɛ sɔhwɛ yi.
Eyi yɛ mogya mu nhwehwɛmu a ɛyɛ mmerɛw yiye, a wɔyɛ no daa. Biribiara nni hɔ a ɛsɛ sɛ woyɛ de siesie wo ho ma no.
Eyi ne nea ɛtaa ba:
1. Wɔbɛtena akongua so na ɔyarehwɛfo anaa obi a wɔatete no behu ntini bi wɔ wo basa mu. Mpɛn pii no, wɔbɛtwe mogya no afi wo nsateaa mu.
2. Sɛ wuhu baabi a ɛwɔ no wie a, tew ho yiye na fa aduru a ekum mmoawa gu so.
3. Afei, wɔde ade ketewaa bi hyɛ ntini no mu na wɔtwe mogya kakra. Saa bere yi de, ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra, te sɛ ntɛtea a ɔreka wo nsu .
4. Sɛ woboaboa mogya dodow a ɛho hia ano gu afiri a wɔde sɔ hwɛ mu wie a, yi ade no na fa kotoku bi gu baabi a wɔatwe mogya no so na mia so.
5. Afei fa plaster kakra gu beae no na woawie. Ɛnsɛ sɛ adeyɛ no nyinaa gye boro simma anum.
Wɔ tebea titiriw bi mu no, ebia ɛho behia sɛ wɔhwɛ LDH dodow wɔ mmeae afoforo, te sɛ amemene mu nsu (CSF), ahurututu mu nsu, anaa akyi berɛmo mu nsu. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo bɛkyerɛkyerɛ ɔkwan pɔtee a wɔfa so yɛ no mu akyerɛ wo.
Ɔkwan bɛn so na yɛbɛte LDH amanneɛbɔ no ase?
Mpɛn pii no, wubenya amanneɛbɔ no wɔ da koro anaa nnanu ntam. Wɔ ayaresabea anaa baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) mu no, ebia wobehu nea efi mu ba wɔ nnɔnhwerew kakraa bi mu.
Mpɛn pii no, nsɛm te sɛ eyi na ɛwɔ amanneɛbɔ no mu:
- Sɔhwɛ din (LDH) .
- Wo nea efi mu ba (wo LDH bo) .
- Normal Range a Ɛyɛ Fɛ
- Sɛ́ ebia nea efi mu ba no yɛ nea ɛfata, ɛkorɔn, anaasɛ ɛba fam
Dɛn ne LDH dodow a ɛfata?
Saa kwan a ɛyɛ daa yi betumi ayɛ soronko kakra wɔ lab biara mu, nanso mpɛn pii no, gyinapɛn ahorow a ɛyɛ daa no te sɛ nea edidi so yi:
- Mmarima: 135 – 225 units wɔ lita biara mu (U/L) .
- Mmea: 135 – 214 units wɔ lita biara mu (U/L) .
Sɛ wɔkyekyem pɛpɛɛpɛ a, LDH dodow a ɛwɔ mmofra nkumaa mu no dɔɔso sen mpanyimfo . Ɛno yɛ ade a ɛfata.
Dɛn na LDH dodow a ɛkɔ soro kyerɛ?
Sɛ LDH dodow no dɔɔso sen sɛnea ɛte daa a, ɛkyerɛ sɛ nipadua no mu ntini bi asɛe. Saa ɔsɛe yi betumi afi bere tiaa mu (a emu yɛ den) anaa bere tenten (a enni sabea) yare, ɔyare mmoawa, anaa akwanhyia mu.
Nneɛma bi a enti ebia LDH dodow bɛkɔ soro ni:
- Mogya a ɛtɔ kɔ nipadua mu
- Asaabo mu yare
- Ahurututu mu yare
- Mmɛn mu yare
- Ntini mu opira
- Nnompe a abubu
- Koma mu yare
- Pancreatitis a ɛyɛ yare
- Nyarewa bi, te sɛ meningitis, amemene mu yare, mononucleosis, ne HIV
- Kokoram ahorow bi: te sɛ lymphoma, mogya mu kokoram, ne multiple myeloma.
Nanso sɛ wuhu eyi a, mma wo ho nnpopo! Esiane sɛ wo LDH dodow dɔɔso nti, ɛnkyerɛ ankasa sɛ wowɔ yare a emu yɛ den a wokae no. Oduruyɛfo rennyina LDH amanneɛbɔ no nkutoo so nsi gyinae kɛse da.
So wobetumi ama LDH akɔ soro esiane nneɛma a ɛnyɛ aniberesɛm nti?
Yiw, akyinnye biara nni ho sɛ ebetumi aba!
Nneɛma afoforo wɔ hɔ a ɛtaa de ba a ɛtɔ mmere bi a ebetumi ama LDH dodow akɔ soro.
- Apɔw-mu-teɛteɛ a emu yɛ den: Fa no sɛ woyɛɛ apɔw-mu-teɛteɛ denneennen wɔ apɔw-mu-teɛteɛ dan mu nnɛra. Ntini nketenkete mpo betumi ama LDH dodow akɔ soro bere tiaa bi.
- Nnuru bi:Nnuru bi te sɛ aspirin ne nnuru a wɔde kum nipadua no nso betumi ama nsakrae aba LDH dodow mu.
- Mfomso a ɛba wɔ mogya a wɔfa mu: Ɛtɔ mmere bi a, sɛ wɔtwe mogya anaasɛ wɔde kɔ aduruyɛdan mu a, mogya mu nkwammoaa kɔkɔɔ bi betumi asɛe (hemolysis). Eyi betumi ama LDH bo a ɛwɔ amanneɛbɔ no so no akɔ soro asen sɛnea ɛte ankasa.
Enti, sɛ wo duruyɛfo hwɛ w’amanneɛbɔ no a, obesusuw nneɛma pii ho, te sɛ wo yare no ho sɛnkyerɛnne, nnuru a wonom, ne w’ayaresa ho abakɔsɛm. Sɛ ɛho hia a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu foforo mfa nhu nea ɛde ba no yiye.
So ɛsɛ sɛ yehu LDH bo a ɛba fam no nso ho asɛm?
Ɛntaa mma koraa sɛ LDH dodow bɛba fam asen sɛnea ɛte daa. Eyi betumi afi awosu mu tebea horow pii a wɔntaa nhu mu aba. Afei nso, ɛtɔ mmere bi a vitamin C a wɔnom boro so no betumi ama LDH dodow akɔ fam.
Nneɛma a ɛsɛ sɛ wubisa wo duruyɛfo
Sɛ wo LDH dodow kɔ soro a, wo ne wo duruyɛfo nsusuw nsɛmmisa biara a wowɔ ho. Sɛ nhwɛso no, wubetumi abisa nsɛm te sɛ:
- Dɛn na wususuw sɛ ɛde me LDH dodow a ɛkɔ soro no ba?
- So ɛsɛ sɛ meyɛ nhwehwɛmu pii na ama mahu nea ɛde eyi ba ankasa?
- (Sɛ woyɛ kokoram ɔyarefo a) Dɛn na saa LDH dodow yi ka fa sɛnea me yare no te ho?
- So saa LDH bo yi betumi akyerɛ me sɛnea me nipadua reyɛ n’ade wɔ m’ayaresa ahorow ho?
Nkrasɛm a Wɔde Kɔ Fie
- Ɛkame ayɛ sɛ LDH yɛ enzyme a ɛfata a ɛwɔ yɛn nipadua mu ntini biara mu. Ɛyɛ ade a ɛfata sɛ wubenya dodow bi wɔ mogya no mu.
- LDH dodow a ɛkɔ soro kyerɛ sɛ nipadua no mu ntini bi asɛe.
- Saa sɔhwɛ yi nkutoo ntumi nkyerɛ baabi pɔtee a nneɛma a asɛe no asi. Enti, wɔtaa de ka sɔhwɛ afoforo ho.
- LDH dodow nso betumi akɔ soro esiane nneɛma a ɛnyɛ aniberesɛm te sɛ apɔw-mu-teɛteɛ a emu yɛ den, nnuru bi, ne mogya mu mfomso nti.
- Sɛ wo LDH dodow dɔɔso wɔ w’amanneɛbɔ mu a, mma wo ho nnyɛ wo hu, wo ne wo duruyɛfo nka ho asɛm na nya afotu a ɛfata.
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