So wowɔ protein wɔ wo nsu mu bere a wugyina hɔ no? Momma yensua Orthostatic Proteinuria ho ade!

Sɛ oduruyɛfo bi ka kyerɛ wo sɛ wo ba no wɔ protein wɔ ne nsu mu a, ebia wobɛte ehu nka kakra, ɛnte saa? Anaasɛ sɛ woyɛ aberante a, ebia w’ankasa wobɛte biribi a ɛte sɛɛ? Nanso mma ɛnhaw wo. Ɛnnɛ yɛbɛka tebea bi a ebia wobɛte ho asɛm wɔ mmere te sɛ eyinom mu ho asɛm, nanso ɛnyɛ nea asiane wom saa. Wɔfrɛ eyi sɛ Orthostatic Proteinuria.

Dɛn ne Orthostatic Proteinuria?

Sɛ yɛbɛka no tiawa a, orthostatic proteinuria yɛ bere a wototo wo ho bere a wugyina hɔ anaa wote ase, na protein dodow a ɛwɔ wo nsu mu no dɔɔso kakra. Nanso, sɛ wototo wo ho anɔpa bere a woada (wɔ w’akyi anaa w’afã) na woada yiye anadwo a, protein dodow a ɛwɔ wo nsu mu no yɛ nea ɛfata. So ɛno nyɛ nwonwa? Wɔsan frɛ eyi sɛ ‘postural proteinuria.’

Eyi yɛ tebea a asiane biara nni ho , a ɛtaa ba. Ɛtaa ba mmofra nkumaa ne mpanyimfo nkumaa so. Nea ɛho hia ne sɛ ɛmma ɔhaw biara anaa ɛnsɛe w’asaabo. Mpɛn pii no, tebea yi ankasa bɛkɔ yiye bere a bere kɔ so no, a wɔrennya ayaresa biara.

Dɛn nti na nipadua no hia protein?

Afei ebia worebisa wo ho sɛ, ‘Dɛn nti na yɛreka protein yi ho asɛm pii saa? Dɛn na protein yi yɛ yɛn nipadua?’ Protein ho hia na ama yɛn nipadua no anya apɔwmuden. Hwɛ nea ɛto saa protein yi:

• Ɛboa ma yɛn nnompe ne yɛn ntini yɛ kɛse na ɛma ɛyɛ kɛse.
• Ɛhwɛ nsu dodow a ɛwɔ yɛn mogya mu no so.
• Nyarewa a yɛbɛko atia no kyerɛ sɛ yɛbɛboa yɛn nipadua mu ahoɔden a ɛko tia nyarewa no .
• Sɛ nipadua no pira a, ɛboa ma wosiesie ntini no.

So eyi yɛ tebea a asiane wom?

Dabi, ɛnyɛ saa koraa . Orthostatic Proteinuria nyɛ asiane. Nhwehwɛmu ada no adi sɛ saa tebea yi mma obi nnya asaabo mu nyarewa a ɛtra hɔ kyɛ, te sɛ Asaabo mu Yare a Enni sabea (CKD). Enti biribiara nni hɔ a enti ɛsɛ sɛ yɛhaw yɛn ho.

Ɛmfa ho sɛnea ɛtaa ba no, nokwarem no, ɛntaa nsi koraa . Ɛka mmerante ne mmabaa 2% kosi 5%. Ɛntaa nsi koraa wɔ nnipa a wɔadi boro mfe 30 mu.

Dɛn ne sɛnkyerɛnne ahorow no?

Orthostatic proteinuria nni sɛnkyerɛnne biara a ɛda adi pefee a wubetumi ahu anaa woate nka. Ɔkwan biako pɛ a wobɛfa so ahu sɛ wowɔ saa tebea yi ne sɛ oduruyɛfo bɛhwɛ protein dodow a ɛwɔ wo nsu mu.

Dɛn na ebetumi de eyi aba?

Nnuruyɛfo ne nnuruyɛ mu nhwehwɛmufo da so ara nnim nea ɛde orthostatic proteinuria ba ankasa. Nanso, wogye di sɛ ebia ɛne asaabo dwumadi ahorow bi wɔ abusuabɔ. Nhwɛso kakraa bi ni:

• Glomeruli a ɛnteɛ: Mogya ntini nketenkete pii a ɛtwetwe mogya wɔ w’asaabo mu. Wɔfrɛ eyinom glomeruli. Nhwehwɛmu bi ada no adi sɛ wɔ nnipa bɛyɛ 43% a wɔwɔ orthostatic proteinuria mu no, saa glomeruli yi afasu yɛ duru kakra sen sɛnea ɛte daa.
• Hemodynamic response a ɛnteɛ: Hemodynamics kyerɛ ɔkwan a mogya fa yɛn mogya ntini mu. Yɛn nipadua mu Renin-Angiotensin-Aldosterone System (RAAS) (nhyehyɛe bi a ɛma hormone, protein, ne enzymes) boa ma yɛhwɛ yɛn mogya so. Enti, ɔhaw ahorow a ɛwɔ RAAS nhyehyɛe yi mu no betumi ama mogya a ɛkɔ nipadua no mu no ayɛ nea ɛnteɛ, na ebetumi aka asaabo no.
• Nutcracker syndrome (anaasɛ Left Renal Vein Entrapment Syndrome): Nnuruyɛfo ne nhwehwɛmufo susuw sɛ sɛ wugyina hɔ a, nhyɛso a ɛwɔ w’adwene benkum ntini no so no betumi ama protein pii afa glomeruli no mu sen bere a woada fam no. Fa no sɛ ɛte sɛ nea wɔrepiapia afiri bi.

Abenfo binom susuw sɛ ebia tumi a ɛtwe ade ba fam nso di dwuma bi. Wosusuw sɛ sɛ wogyina hɔ anaa wɔtra ase kyɛ a, ebetumi ama protein bi ‘atwe’ afi asaabo no mu.

Hena na tebea yi ka no kɛse?

Orthostatic proteinuria ka mmerante ne mmabaa titiriw . Ɛtaa ba mmarimaa nso kakra. Wɔntaa nhu orthostatic proteinuria wɔ mpanyimfo mu.

So nsɛnnennen bi wɔ hɔ?

Dabi, nnuruyɛfo bu orthostatic proteinuria sɛ tebea a ɛnyɛ hu . Ɛnyɛ asiane biara mma w’asaabo, w’akwahosan nyinaa, anaa wo nkwa.

Wobɛyɛ dɛn ahu eyi pɛpɛɛpɛ?

Oduruyɛfo bi bedi kan ayɛ w’aduruyɛ ho abakɔsɛm , afei ɔbɛyɛ wo nipadua mu nhwehwɛmu. Nea ɛka ho no, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii na aboa ma wɔahu sɛ wɔahu yare no.

Wobetumi de wo akɔ nephrologist , oduruyɛfo a ne ho akokwaw wɔ asaabo mu nyarewa ho nso nkyɛn.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Anyɛ yiye koraa no, wo duruyɛfo bɛyɛ nhwehwɛmu abien a wɔde hwehwɛ nsu mu. Bere a wɔreyɛ nsu mu nhwehwɛmu no, wotow gu toa titiriw bi mu, wɔ oduruyɛfo adwumayɛbea anaa ayaresabea.

• Nsuo mu nhwehwɛmu a ɛdi kan: Wɔ yei mu no, oduruyɛfoɔ no bɛfa ‘da nhwɛsoɔ’. Mpɛn pii no eyi ne nsu a woboaboa ano bere a woada yiye anadwo (sɛ́ woda so anaasɛ woda fam) ne ade a edi kan anɔpa.
• Nsu mu nhwehwɛmu a ɛto so abien: Eyi hwehwɛ sɛ wɔfa ‘anadwo nhwɛsode’. Wɔfa saa nhwɛsoɔ yi berɛ a wogyina hɔ anaa wotena ase awia no nyinaa, anwummerɛ anaa anadwo.

Afei, sɛ protein pii wɔ wo nsu a wosu anadwo no mu sen wo nsu a wode gu anɔpa no mu a, wo duruyɛfo betumi asi so dua sɛ wowɔ orthostatic proteinuria.

Dɛn ne ayaresa ahorow no?

Eyi ne asɛmpa a eye sen biara! Orthostatic Proteinuria nhia ayaresa biara . Ɛho nhia sɛ wosakra w’aduan anaa wugyae apɔw-mu-teɛteɛ.

Nanso, sɛ wo anaa wo ba wɔ saa tebea yi a, ɛbɛyɛ papa sɛ wobɛhwɛ wo protein dodow so. Ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ wɔnyɛ wo nsu mu nhwehwɛmu pɛnkoro afe biara mfa nhwɛ sɛnea wo protein dodow te.

So wobetumi asiw eyi ano?

Dabi, wontumi nsiw orthostatic proteinuria ano. Nanso, sɛnea yɛadi kan aka no, ɛnyɛ tebea a epira , enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Enti, wo ne tebea yi tra ase dɛn?

Nkɔmhyɛ a ɛfa tebea yi ho no ye yiye . Eyi nyɛ asaabo mu yare a enni sabea anaa asaabo mu yare foforo biara ho sɛnkyerɛnne. Afei nso, wunhia ayaresa biara.

Mpɛn pii no, orthostatic proteinuria no ankasa kɔ bere a worenyin no.

So ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Ɛwom sɛ orthostatic proteinuria nhia ayaresa biara de, nanso wɔ tebea horow bi mu no, wo duruyɛfo betumi akamfo akyerɛ sɛ wonyɛ wo nsu mu nhwehwɛmu pɛnkoro afe biara mfa nhwɛ sɛnea wo protein dodow te.

Wubetumi abisa oduruyɛfo no nsɛm te sɛ eyinom:

• Wobɛyɛ dɛn ahu no yiye sɛ mewɔ Orthostatic Proteinuria?
• So wokamfo kyerɛ sɛ wɔnyɛ wo nsu mu nhwehwɛmu pɛnkoro afe biara?
• So ɛsɛ sɛ mekɔ nephrologist, oduruyɛfo a ne ho akokwaw wɔ asaabo mu yare ho nkyɛn?

Kae sɛ nsɛm a wɔaboaboa ano

Orthostatic proteinuria yɛ tebea a asiane biara nni ho a nnuruyɛfo taa hu wɔ mmofra nkumaa ne mpanyimfo nkumaa mu.Proteinuria bi a ɛwɔ nipadua no mu. Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ protein dodow a ɛwɔ wo nsu mu bere a wugyina hɔ no dɔɔso sen bere a wote ase anaa woda fam no. Eyi nkyerɛ sɛ mfomso bi wɔ w’asaabo ho. Afei nso, mpɛn pii no, tebea yi ankasa yɛ yiye bere a worenyin no. Sɛ wo anaa wo ba wɔ orthostatic proteinuria a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo no sɛnea wɔbɛyɛ nhwehwɛmu afe biara ho asɛm.

` Orthostatic Proteinuria, Proteinuria, Asaabo, Mmofra, Mmabun, Nsu mu nhwehwɛmu