Ntini nketenkete a ɛwɔ asaabo no mu a ahintaw: Momma yensua Peritubular Capillaries no ho ade kɛkɛ

Yɛn nyinaa nim sɛ asaabo no ne nneɛma a wɔde yiyi yɛn nipadua mu. Te sɛ ngo a wɔde yiyi kar mu no, saa asaabo abien yi yɛ adwuma kɛse de tew yɛn mogya ho na woyi nneɛma fĩ a ɛho nhia sɛ nsu. Nanso so woate abran nketewa a wɔwɔ adwuma kɛse yi akyi, wɔn a wuntumi nhu wɔn mpo no ho asɛm? Saa abran no ne nea yɛfrɛ no `Peritubular Capillaries`. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ den kakra de, nanso adwuma a wɔyɛ no yɛ mmerɛw yiye na ɛho hia. Ɛnnɛ, momma yɛnka ntini nhyehyɛe ketewaa yi ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne saa ntini a ɛwɔ akyi no yi?

Okay, momma yɛnsɛe saa din yi.

• Peri asekyerɛ ne "atwa ho ahyia".
• Tubular kyerɛ "nkwaa nketewa".
• Ntini a ɛma mogya tu ne mogya ntini a eye sen biara wɔ yɛn nipadua mu.

Enti, sɛ yɛbɛka no tiawa a, peritubular capillaries yɛ mogya ntini a ɛyɛ fɛ yiye a ɛkata nsu nketenkete a ɛwɔ yɛn asaabo mu no ho. Fa no sɛ asaabo yɛ kurow kɛse. Afie nketewa bɛyɛ ɔpepem biako na ɛwɔ saa kurow no mu. Yɛfrɛ saa afie yi nephrons . Saa nephrons yi ne akuw a ɛyi mogya no mu na ɛtew ho ankasa. Enti, wɔfrɛ akwan nketewa a ɛwɔ akyirikyiri a ɛkata afie yi mu biara ho (a ɛtwa nephron nsu kwan no ho hyia) no sɛ peritubular capillaries. Ɛnam saa akwan a ɛkɔ akyiri yi so na wɔde nneɛma a ɛho hia (aduannuru) ba afie no mu na wɔfa nwura (nwura) a ɛboaboa ano wɔ afie no mu no kɔ.

Dɛn ne nneɛma atitiriw abien a ɛkɔ so wɔ ntini nketenkete yi mu?

Saa mogya ntini nketenkete a ɛyɛ nhama yi te sɛ akontaabufo a ɔyɛ anifere. Ɛde ahwɛyiye paw nea nipadua no hia ne nea enhia na ɛtetew mu. Yebetumi akyekyɛ adwuma yi mu ayɛ no afã atitiriw abien.

1. Nsuo a ɛfiri mu: Sɛ wɔayiyi asaabo no mu mfitiaseɛ awie a, nwura biara a aka wɔ mogya no mu no fi saa ntini yi mu kɔ adwene no mu ntini no mu. Afei wɔyi saa nneɛma a wɔsɛe no yi gu nsuo no mu.

2. Aduannuru a ɛsan twetwe: Sɛ asaabo no yi mogya mu a, ɛtɔ mmere bi a nneɛma pa a nipadua no hia no bi nso yiyi mu. Susuw ho te sɛ sɛ wo yiyi tii kuruwa bi a, asikre bi kyere wɔ filter no mu ka tii nhaban no ho. Wɔ mmere a ɛtete saa mu no, saa ntini a ɛwɔ akyi no hu saa aduannuru no na ɛsan twetwe kɔ mogya no mu.

Momma yɛnhwɛ saa pon yi so nhwɛ sɛnea saa nneɛma abien yi ho hia.

Sɛ ntini nketenkete yi sɛe a, dɛn na ɛba?

Ɛha na ɛsɛ sɛ yɛdwene yɛn ho paa. Sɛ mogya ntini a ɛyɛ mmerɛw yi fi ase sɛe a, wontumi nyɛ wɔn adwuma yiye. Yɛfrɛ tebea yi peritubular capillary rarefaction . Eyi kyerɛ sɛ saa nsukorade yi mu duru so tew, ɛyɛ teateaa, na ɛsɛe.

Ade a ɛyɛ hu sen biara wɔ eyi ho ne sɛ, sɛ saa akwan yi sɛe pɛ a, hokwan kakraa bi pɛ na ɛwɔ hɔ sɛ ɛbɛsan ayɛ yiye.

Saa ɔsɛe yi betumi de aduruyɛ mu tebea atitiriw abien aba:

1. Asaabo mu Yare a Enni sabea (CKD): .Sɛ ntini a ɛwɔ asaabo no mu no di nkogu a, nkakrankakra asaabo no mu nsu a ɛtwetwe no sɛe. Bere kɔ so no, eyi betumi akɔ so abɛyɛ asaabo mu yare a enni sabea, na awiei koraa no, ɛde asaabo a entumi nyɛ adwuma yiye.

2. Hypertension: Asaabo no na ɛhwɛ nkyene ne nsu dodow a ɛwɔ nipadua no mu so. Sɛ saa ntini nketenkete yi sɛe a, saa tumidi yi yera. Ne saa nti, mogya mmoroso fi ase kɔ soro. Afei nso, mogya mmoroso sɛe saa ntini ahorow yi bio. Ɛte sɛ kyinhyia bɔne bi.

Dɛn ne nneɛma a ebetumi asɛe saa ntini nketenkete yi?

• Asikyireyareɛ
• Hypertension a Wontumi Nhyɛ So
• Asaabo mu nyarewa
• Glomerular nyarewa (nyarewa a ɛka asaabo no mu nneɛma a wɔde yiyi mu) .
• Nsuo a ɛkɔ nsuo mu a ɛsiw

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ asaabo mu haw bi wɔ hɔ?

Mpɛn pii no, asaabo mu yare nkyerɛ sɛnkyerɛnne atitiriw biara wɔ ne mfiase. Nanso sɛ wohwɛ wo nipadua no yiye a, wubetumi ahu nsɛnkyerɛnne no bi. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara .

• Flank ɛyaw wɔ nipadua no afã abien no nyinaa, wɔ mpampam ase.
• Atiridii a ɛba a ntease biara nnim.
• Akisikuru ne ɔfe.
• Ɔbrɛ a ɛboro so wɔ nipadua no mu.
• Nsakrae a ɛba sɛnea wɔtow nsu mu:
• Nsu a wɔtow mpɛn pii sen sɛnea wɔtaa yɛ.
• Ɛyɛ den sɛ wobɛtow nsu.
• Mogya a ɛwɔ nsu mu (hematuria) .
• Ɔhyew anaa ɛyaw a ɛba bere a ɔreto nsu (dysuria) .
• Nsu kɔla a ɛsakra (ɛdan bruu tuntum).
• Ɔhonhon (edema), titiriw wɔ nan, nansoaa no fã.
• Nsuo mu yare a ɛsan ba bio (UTIs).

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ntwɛn kɛkɛ na nnya anidaso sɛ, "Eyi bɛyɛ yiye wɔ nna kakraa bi mu." Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn na woayɛ nhwehwɛmu a ɛho hia.

Dɛn ne nhwehwɛmu ahorow a ɛhwɛ sɛnea asaabo no te yiye?

Ebia wo duruyɛfo bɛkamfo nhwehwɛmu pii a ɛte sɛ eyinom agyina wo sɛnkyerɛnne ahorow so.

1. Asaabo Dwumadi Ho Nhwehwɛmu:

• Nsu mu nhwehwɛmu: Wɔhwɛ nsu mu nneɛma te sɛ protein, mogya, ne asikre.
• Mogya mu Nhwehwɛmu:Wɔsusu nneɛma a wɔsɛe no a wɔfrɛ no `BUN (Blood Urea Nitrogen)` ne `Creatinine` dodow a ɛwɔ mogya no mu. Sɛ eyinom kɔ soro a, ɛkyerɛ sɛ asaabo no ntumi yiyi nneɛma a wɔsɛe no yiye. Sɔhwɛ bi a wɔfrɛ no `eGFR (estimated Glomerular Filtration Rate)` nso betumi ama wɔanya adwene pa wɔ sɛnea asaabo no filtration rate ho.

2. Mfoninitwa Sɔhwɛ ahorow:

• Kidney Ultrasound: Eyi betumi ahwɛ sɛnea abo anaa akwanside afoforo wɔ asaabo no mu kɛse, ne nsusuwii, ne sɛnea ɛwɔ hɔ.
• CT Scan anaa MRI Scan: Sɛ ɛho hia sɛ wohwehwɛ asaabo no mu kɔ akyiri a, wɔde eyinom di dwuma.

Yɛbɛyɛ dɛn abɔ saa ntini a ɛsom bo yi ho ban?

Nokwarem no, biribi titiriw biara nni hɔ a wubetumi ayɛ ama saa peritubular capillaries yi. Nea ɛsɛ sɛ yɛyɛ ara ne sɛ yɛbɛma yɛn asaabo ayɛ yiye. Sɛ asaabo no wɔ apɔwmuden a, saa ntini ketewaa yi nso wɔ apɔwmuden. Ma nneɛma a ɛnyɛ den yi nyɛ wo su.

• Nom nsu pa a ɛdɔɔso da mũ no nyinaa. Nsu a wɔnom ma ɛyɛ mmerɛw ma asaabo no sɛ ɛbɛyi nneɛma fĩ afi mu.
• Di aduan a ɛkari pɛ. Tew nnuan a nkyene, asikre, ne srade pii wom so sɛnea wubetumi biara. Di nnuaba ne nhabannuru pii.
• Di asikreyare ne mogya mmoroso so. Sɛ wowɔ saa tebea horow yi a, nom nnuru a wo duruyɛfo akyerɛw ama wo no bere ano. Nya nhwehwɛmu daa.
• Kura mu duru a ɛfata mu ma wo nipadua. Sɛ obi mu duru boro so a, ɛde nhyɛso kɛse ba asaabo no so.
• Kwati sigaretnom koraa. Sigaretnom yɛ ade titiriw a ɛma mogya ntini sɛe. Eyi ka ntini a ɛwɔ akyi no tẽẽ.
• Nkɔ so mfa nnuru te sɛ nnuru a wɔde kum ɛyaw nni dwuma a wunni aduruyɛfo afotu. Nnuru bi a wɔde kum ɛyaw a wɔde di dwuma bere tenten no pira asaabo no. Wo ne wo duruyɛfo nkasa ansa na wode aduru biara adi dwuma.