Momma yensua phosphate binders a wɔde ma asaabo ayarefo ho ade kɛkɛ!

Sɛ wowɔ Chronic Kidney Disease (CKD), anaasɛ woreyɛ dialysis ayaresa a, ebia wo duruyɛfoɔ akyerɛw wo aduru bi a wɔfrɛ no ‘Phosphate Binders’. Ebia worebisa wo ho sɛ, "Dɛn ne aduru yi? Dɛn nti na ɛsɛ sɛ menom eyi?" Nsuro. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw, ntease, na adamfofa su so.

Momma yenni kan nhwɛ, dɛn ne ‘phosphate’ yi?

Sɛ yɛbɛka no tiawa a, phosphate yɛ ade a ɛho hia ma yɛn nipadua. Sɛnea yehia semɛnte ne birikisi na yɛatumi asi ofie no, saa ara na yehia phosphate nso na ama yɛatumi ayɛ nnompe ne sẽ a ɛte apɔw, na ama yɛn nkwammoaa anya ahoɔden, na yɛatumi ayɛ DNA molecule ahorow a yɛn awosu mu nsɛm wom no. Yenya eyinom fi nneɛma a yedi na yɛnom no mu.

Wɔ obi a ɔwɔ apɔwmuden mu no, asaabo no yɛ adwuma te sɛ nea wɔde yiyi mu. Wɔfa phosphate dodow a nipadua no hia na wɔyi nea ɛboro so no fi nsu mu. Nanso, wɔ obi a ɔwɔ asaabo mu yare a enni sabea mu no, asaabo no dwumadi yi sɛe. Afei , phosphate a ɛboro so no fi ase boaboa ano wɔ mogya no mu sen sɛ ebeyi afi nipadua no mu. Yɛfrɛ tebea yi hyperphosphatemia.

Enti dɛn ne saa nneɛma a ɛkyekyere phosphate yi?

Okay, afei ɔfã a ɛho hia no ba. Phosphate binders yɛ aduru titiriw bi a ɛmma phosphate a ɛboro so a ɛwɔ aduan a yedi mu no ntumi nkɔ yɛn mogya mu mfi yɛn dwensɔtwaa mu.

Susuw ho saa kwan yi so. Sɛ wonom saa aduru yi bere a woredidi a, ɛkɔ wo yafunu mu na ɛbata phosphate nketenkete a ɛwɔ w’aduan mu no ho. Ɛte sɛ magnet a ɛrefa dade powder. Saa phosphate "a wɔakyekyere" yi, ɛfiri sɛ nipadua no ntumi nnye, ɛfiri wo nipadua mu tẽẽ wɔ wo nsuo mu. Eyi boa ma wohwɛ phosphate dodow a ɛboaboa ano wɔ wo mogya mu no so.

Nnuan bɛn na phosphate pii wom? Momma yɛnhwɛ eyinom nso!

Te sɛ nnuru a wɔnom no, ɛho hia nso sɛ wohu nnuan a phosphate pii wom na wodi so. Wɔabobɔ nnuan bi a phosphate pii wom din wɔ pon a ɛwɔ ase ha no so. Ɛho nhia sɛ wokwati eyinom koraa, nanso ɛho hia sɛ wudi dodow a wudi so, denam wo duruyɛfo anaa aduannuru ho ɔbenfo afotu so.

Ɔkwan bɛn so na wɔde saa aduru yi di dwuma?

Eyi ne ade a ɛho hia sen biara a ɛsɛ sɛ wodwen ho. Ɛho hia sɛ wudi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Ɛsɛ sɛ wɔnom saa nnuru yi ka adidi ho. Eyi te saa efisɛ ɛsɛ sɛ phosphate a ɛwɔ aduan mu no kɔ yafunu no mu ansa na akɔ dwensɔtwaa no mu. Ɛdenam nnuru ko a worenom so no, wo duruyɛfo betumi atu wo fo sɛ:

• Chew na mene aduan simma 10-15 ansa na woadi.
• Chew na mene bere a wufi ase didi ara pɛ.
• Mene tablet no nyinaa ne aduan a wode ano abien anaa abiɛsa a edi kan no.
• Sɛ ɛyɛ powder a, fa gu nsu mu na fa aduan ano abien anaa abiɛsa a edi kan no nom.
• Chew na mene bere a woadi wie ara pɛ.

Akyinnye biara nni ho sɛ ɛsɛ sɛ woka nnuru foforo biara a worenom (vitamins, nnuru a wɔde sa nyarewa afoforo) kyerɛ wo duruyɛfo, efisɛ ebia nnuru bi ne saa phosphate binders yi bedi nkitaho.

So nnuru a ɛkyekyere phosphate no wɔ nsunsuanso bɔne?

Te sɛ aduru biara no, eyi betumi anya ɔhaw nketenkete. Mpɛn pii no, eyinom nyɛ aniberesɛm. Bere bi akyi no, wo nipadua no yɛ ne su.

• Yafunu mu yaw
• Akisikuru ne ɔfe
• Yafunu a wɔde hyɛ mu ma, gas a wɔde hyɛ mu ma
• Ayamtim
• Ayamtuo
• Nsakrae a ɛba nsu mu kɔla mu (eyi yɛ ade a ɛfata, mma ɛnhaw wo) .
• Nneɛma bi a wɔde kyekyere nneɛma a calcium wom betumi ama calcium dodow a ɛwɔ mogya mu no akɔ soro.

Sɛ saa nsunsuanso bɔne yi haw wo kɛse anaasɛ ɛyɛ den sɛ wubegyina ano a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho.

Sɛ wugyae nnuru nom a wunnya aduruyɛfo afotu a, dɛn na ɛba?

Mma nyɛ eyi da. Sɛ wugyae saa aduru yi nom mpofirim a wunnya wo duruyɛfo afotu a, phosphate dodow a ɛwɔ wo mogya mu no bɛkɔ soro bio ntɛmntɛm. Ebia wubenya yare no ho sɛnkyerɛnne te sɛ eyinom:

• Ɛyɛ akisikuru wɔ nipadua no nyinaa so
• Anofafa ne nsateaa ano a ɛyɛ mmerɛw
• Nnompe mu yaw, titiriw wɔ asen ne mmati mu
• Nipadua a nkwa nnim
• Aniwa a ɛyɛ kɔkɔɔ
• Asiane a ɛkɔ soro sɛ obi benya komayare ne nnompe a abubu

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Sɛ nsunsuanso bɔne no mu yɛ den anaasɛ bere kɔ so no, ɛnkɔ yiye a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Nea ɛka ho no, ɛtɔ mmere bi a phosphate a ɛdɔɔso wɔ mogya mu no betumi ama calcium a ɛwɔ nipadua no mu no so atew. Wɔfrɛ eyi hypocalcemia. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi bi a, ka kyerɛ wo duruyɛfo ntɛm ara:

• Ntini mu akisikuru
• Nkae ho haw ahorow
• Abufuw a wɔte nka (Irritability) .
• Anofafa, tɛkrɛma, nsateaa ano, ne/anaasɛ nan ase a ɛyɛ mmerɛw
• Koma a ɛbɔ a ɛnyɛ ne kwan so (Arrhythmia) .