So woasusuw sɛnea mogya a ɛtwetwe no ho hia wɔ yɛn nipadua mu no ho pɛn? Ɛyɛ saa adeyɛ yi nti na mogya tu gyae bere a opira ketewaa bi wɔ hɔ no. Nanso, sɛ mogya tu kɔ nipadua no mu a ntease biara nnim nso ɛ? Ɛno betumi ayɛ nea asiane wom kakra. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm. Ɛno ne Protein S a enni hɔ, anaa `(Protein S a enni hɔ)`.
Sɛ yɛbɛka no tiawa a, dɛn ne Protein S a enni nipadua no mu?
Susuw sɛnea mogya tu wɔ yɛn nipadua mu no ho hwɛ sɛ kar polisini bi a ɔredi kar akwanhyia so. Ɛsɛ sɛ obi wɔ hɔ a ɔbɛma biribiara ayɛ yiye. Saa ara na protein ahorow a ɛho hia sen biara a ɛhwɛ ma mogya tu wɔ yɛn nipadua mu no mu biako ne Protein S.
Afei, Protein S a yenni no kyerɛ sɛ yɛwɔ nea wɔfrɛ no "police officer" anaa Protein S no kakraa bi wɔ yɛn nipadua mu sen sɛnea yehia. Dɛn na ɛba saa bere no? Esiane sɛ obiara nni hɔ a obetumi ahwɛ sɛnea mogya tu no so nti, ɛyɛ adwuma boro so na mogya tu fi ase yɛ nea ɛho nhia.
Mogya a ɛtwetwe a ɛba saa kwan yi so no taa ba wɔ nan no ntini a emu dɔ no mu. Yɛfrɛ eyi sɛ ntini a emu dɔ a ɛma mogya tu (DVT) . Ɛtɔ da bi a, saa mogya a ɛretu yi tumi tetew fi hɔ na ɛne mogya no tu kwan kɔ ahurututu no mu na ɛkyere. Eyi yɛ tebea a ɛyɛ hu sen saa mpo. Yɛfrɛ no ahurututu mu ntini a ɛma mogya tu (PE) . Ɛntaa mma sɛ saa mogya a ɛtɔ yi nso tumi ba amemene anaa yafunu ntini mu.
Nanso ade biako a ɛho hia wɔ hɔ a ɛsɛ sɛ wokae wɔ ha ampa. Ɛne sɛ, ɛnyɛ obiara a ɔwɔ Protein S a enni no yi na mogya tu. Nnipa dodow no ara tra ase sɛnea ɛsɛ a ɔhaw biara nni ho.
Saa tebea yi abu so dɛn? Na bere bɛn na asiane no dɔɔso sen biara?
Protein S a enni nipadua mu no yɛ tebea a ɛntaa nsi ankasa. Mpɛn pii no, efi awosu mu, a ɛkyerɛ sɛ efi awosu mu. Nanso nneɛma bi a efi akyi nso betumi de aba.
Sɛ wowɔ saa tebea yi a, tebea horow bi wɔ hɔ a ebia wobɛkɔ asiane kɛse mu sɛ wubenya mogya a ɛbɛtɔ. Ma yɛnhwɛ nea saa tebea horow no yɛ.
| Hokwan a ɛbɛma asiane akɔ soro | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nyinsɛn a wɔde di dwuma | Wɔ nyinsɛn mu no, nipadua no mu nkwaadɔm mu nsakrae ne nsakrae a ɛba mogya mu no ma awosu mu su a ɛma mogya tu no yɛ kɛse. |
| Mpanyinyɛ | Asiane no kɔ soro bere a obi nyin bere a nipadua no dwumadi so tew na aduruyɛ mu tebea afoforo sɔre no. |
| Nnuru bi | Nnuru a wɔde siw awo ano anaa nnuru foforo a wɔde sa awo, titiriw, ma asiane no yɛ kɛse. |
| Wɔreyɛ no oprehyɛn | Sɛ woyɛ oprehyɛn kɛse wie a, ebia wobɛda mpa so kakra, na ɛno betumi ama mogya no nkɔ yiye na mogya atɔw. |
| Dɛmdie | Wɔ akwanhyia kɛse bi akyi no, nipadua no su a ɛma mogya tu no betumi ayɛ kɛse sɛ nea ɛyɛ ho biribi. |
| Gyinabea koro no ara a wobɛtra bere tenten | Sɛ nhwɛso no, nneɛma te sɛ wimhyɛn a wɔde tu kwan tenten anaa yare a ɛda mpa so betumi atew mogya a ɛkɔ anan mu no so na ama DVT aba. |
Dɛn ne tebea yi ho sɛnkyerɛnne?
Mpɛn pii no, obi a Protein S nni no rennya yare no ho sɛnkyerɛnne biara kosi sɛ mogya bɛtu. Sɛ mogya tu a, ɛsono sɛnkyerɛnne ahorow no a egyina baabi a ɛba no so.
- Sɛ wunya mogya a ɛtɔ (DVT) wɔ wo nan mu a:
- Nan biako a ɛho ahonhon, titiriw baabi a ɛwɔ asen no.
- Ɛyaw anaa nan a ɛyɛ den a wobɛte nka.
- Kɔkɔɔ anaa ɔhyew a ɛte nka wɔ nan no honam ani.
- Sɛ wunya mogya a ɛtɔ (PE) wɔ ahurututu mu (eyi yɛ ntɛmpɛ):
- Ɔhome a ɛyɛ den mpofirim.
- Koko mu yaw, titiriw bere a worehome denneennen no.
- Ahome a wɔhome ntɛmntɛm ne koma a ɛbɔ kɛse a ntease biara nnim.
- Adwene a ɛyɛ basaa anaasɛ n’adwene a ɛyera.
- Mogya a ɛyɛ nsuo a ɛfiri mu ba.
- Bere a nyinsɛn no: Nyinsɛn a atu anaa nsɛnnennen afoforo betumi aba.
- Wɔ mmofra nkumaa mu (wɔ tebea horow a emu yɛ den sen biara mu): Tebea horow a ɛte sɛ ɔyare a ɛma obi hwe ase betumi aba.
Dɛn nti na Protein S a enni nipadua no mu yi ba?
Nneɛma atitiriw abien nti na ɛte saa. Baako yɛ agyapade (agyapade) na ɔfoforo no yɛ nea wonya (wɔnya) .
1. Nneɛma a efi awosu mu ba
Eyi ne nea abu so sen biara. Awosu mu abɔde bi a wɔfrɛ no PROS1 na ɛhwɛ Protein S a ɛba yɛn nipadua mu no so. Sɛ nkwaadɔm mu nsakrae anaa nsakrae bi ba saa awosu mu abɔde yi mu a, Protein S a wɔyɛ no sɛe.
- Sɛ wunya saa awosu mu nkwaadɔm a wɔayɛ no foforo yi fi ɔwofo biako pɛ hɔ a , wubenya Protein S a enni hɔ kakra.
- Sɛ wunya saa awosu mu abɔde yi fi awofo baanu no nyinaa hɔ a , wubenya sintɔ no bi a emu yɛ den yiye. Eyi ho yɛ na koraa.
2. Nneɛma a efi akyi ba
Ayaresa tebea anaa tebea horow bi nso betumi ama Protein S a ɛba nipadua no mu no so atew. Eyi abu so sen awosu mu.
| Nneɛma a ebetumi de abɔnten so aba |
|---|
| Mmɛn mu yare |
| Asaabo mu yare ne nephrotic syndrome |
| Nnuru a wɔde sa kokoram |
| Nyarewa bi a wɔde nyarewa ba |
| Vitamin K a enni nipadua mu |
| Nyinsɛn ne awo ano aduru a wɔde di dwuma |
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Ebia wo duruyɛfo begye eyi ho adwenem naayɛ, titiriw wɔ nsɛm te sɛ eyinom mu:
- Sɛ obi wɔ w’abusua mu wɔ abakɔsɛm a ɛkyerɛ sɛ mogya taa tu (Venous Thromboembolism).
- Sɛ mogya atɔ wo mpɛn pii a .
- Sɛ mogya atɔ wo ansa na woadi mfe 50, a wonhu nea ɛde ba pɔtee bi a .
- Sɛ mogya a ɛtɔ kɔ mmeae a ɛyɛ soronko a mogya ntumi nkɔ (te sɛ amemene, dwensɔtwaa, mmerɛbo) .
Sɛ adwenem naayɛ a ɛte sɛɛ sɔre a, oduruyɛfo no bɛyɛ nea edidi so yi de ahyɛ nea wɔahu no mu den:
1. Mogya mu nhwehwɛmu: Wɔbɛsɔ wo mogya mu ahwɛ sɛ Protein S dodow ne nneɛma afoforo a ɛfa mogya a ɛtwetwe ho.
2. Nipadua mu nhwehwɛmu: Wɔbɛyɛ nipadua mu nhwehwɛmu a edi mũ de ahwɛ sɛ ɔhaw afoforo wɔ hɔ anaa.
3. W’ayaresa ho abakɔsɛm: Yebebisa wo w’ayaresa tebea ne w’abusua de ho asɛm.
Ɔkwan bɛn so na wɔsa?
Ɔkwan a wɔfa so sa yare no gyina sɛ ebia mogya atɔ wo anaasɛ wunni bi so.
Nea ɛho hia ne sɛ, sɛ mogya mu nhwehwɛmu kyerɛ sɛ wowɔ Protein S a enni wo mu mpo a, sɛ woannya mogya a ɛtɔ da a, ɛda adi kɛse sɛ ɛho renhia sɛ wokɔ so nom nnuru.
Nanso, sɛ mogya atɔ wo dedaw (DVT anaa PE) a, wo duruyɛfo befi ase anom nnuru a ekum mogya a ɛtwetwe mogya . Eyinom yɛ adwuma denam mogya a ɛtwetwe foforo a esiw ano ne nea ɛmma mogya a ɛtɔ dedaw no nnyɛ kɛse no so. Nnuru ahorow a wɔtaa de di dwuma ne:
- Heparin a wɔde di dwuma
- Warfarin a wɔde di dwuma
- Rivaroxaban a wɔde di dwuma
- Apixaban a wɔde di dwuma
- Dabigatran na ɔkyerɛwee
Biribi a ɛsɛ sɛ wuhu ni: Sɛ wo duruyɛfo si gyinae sɛ ɔbɛma wo aduru bi a wɔfrɛ no ``Warfarin,'' a ɛho behia sɛ ɔma wo aduru bi a wɔfrɛ no ``Heparin'' (mpɛn pii no sɛ injection) nna kakraa bi ansa na. Sɛ woanyɛ saa a, ɛtɔ mmere bi a wubetumi anya ɔhaw bi a wɔfrɛ no mogya a ɛtɔ wɔ honam ani ne ntini a ɛyɛ mmerɛw mu. Nanso ɔhaw yi mma wɔ nnuru foforo a wɔde di dwuma mu.
Ebia w’ayaresa no bɛkɔ so fi asram kakraa bi akosi wo nkwa nna nyinaa, a egyina bere a wo mogya a ɛtɔe ne asiane afoforo so.
Dɛn na woyɛ ma nnipa a wɔn mogya ntu, nanso wɔn ho ntɔ wɔn?
Oduruyɛfo no botae ma nnipa a wɔte sɛɛ ne sɛ ɔbɛboa ma mogya a ɛbɛtɔ no ansiw ano.
- Ebia wobetu wo fo sɛ ɛnsɛ sɛ wonom nnuru a ɛma mogya tu kɔ soro, te sɛ nnuru a wɔde siw awo ano.
- Sɛ wɔreyɛ wo oprehyɛn, woanyinsɛn, anaasɛ woada mpa so kakra esiane akwanhyia bi nti , wobetumi akamfo akyerɛ wo sɛ fa nnuru a ɛma mogya yɛ mmerɛw di dwuma bere tiaa bi wɔ saa bere no nkutoo mu.
Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho?
- Sɛ worenom Warfarin a: Ɛho behia sɛ wɔma wɔhwɛ wo INR bere ne bere mu .Ɛho behia sɛ woyɛ mogya mu nhwehwɛmu. Wei bɛhwɛ sɛ `(Warfarin)` dodow a wɔde rema wo no teɛ anaa. Efisɛ ebia ɛho behia sɛ wɔsesa aduru yi dodow bere ne bere mu.
- Sɛ worenom nnuru a ɛma mogya tu a: Hwɛ yiye na mogya antu. Hwɛ yiye bere a wode nneɛma a ano yɛ nnam te sɛ nnade redi dwuma no. Ɛyɛ papa sɛ wode brɔs a ɛyɛ mmerɛw ne anyinam ahoɔden a wɔde twitwiw sẽ bedi dwuma.
- Hu DVT ne PE ho sɛnkyerɛnne: Ɛsɛ sɛ wutumi hu sɛnkyerɛnne te sɛ nan a ɛho ahonhon, koko mu yaw, ne ahome a ɛyɛ tiaa sɛ ɛba a.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn na mekɔ ETU?
### Frɛ wo duruyɛfo ntɛm ara wɔ nsɛm yi mu:
- Sɛ wohwe ase anaa wunya akwanhyia foforo bere a worenom nnuru a ɛma mogya tu a.
- Sɛ mogya bi a ɛyɛ soronko bi ba a (e.g. hwene mu mogya, mogya a ɛwɔ nsu anaa nsu mu).
- Sɛ wususuw sɛ wowɔ DVT (mogya a ɛtɔ wɔ nan mu) a .
### Sɛ wowɔ saa sɛnkyerɛnne yi a, kɔ Emergency Department (ETU) ntɛm ara:
- Sɛ worenom nnuru a ɛma mogya tu na worefe mogya anaasɛ worefe mogya a .
- Sɛ wobɔ wo ti anaasɛ mpofirim ara wo ti yɛ wo yaw kɛse a .
- Sɛ mogyatɔw bi wɔ hɔ a wontumi nsiw ano a .
- Sɛ wususuw sɛ wowɔ PE (mogya a ɛtwetwe wɔ ahurututu mu) (ahome a ɛyɛ tiaa mpofirim, wo koko mu yaw, koma a ɛbɔ ntɛmntɛm, adwenemhaw) ho sɛnkyerɛnne ahorow a .
Nkrasɛm a Wɔde Kɔ Fie
- Protein S a enni nipadua mu no yɛ tebea a ɛma mogya mu su a ɛma mogya tu no yɛ kɛse. Mpɛn pii no, wonya eyi fi awo mu.
- Ɛnyɛ obiara a ɔwɔ saa sintɔ yi na mogya tu. Nnipa dodow no ara nni ɔhaw biara.
- Hu bere nyinaa wɔ sɛnkyerɛnne ahorow te sɛ nan a ɛho ahonhon, ɛyaw (DVT) ne ahome a ɛyɛ tiaa mpofirim ne koko mu yaw (PE).
- Sɛ wɔama wo nnuru a ɛma mogya yɛ mmerɛw a, fa sɛnea wo duruyɛfo ka kyerɛ wo no pɛpɛɛpɛ, wɔ dodow a ɛfata mu, bere a ɛfata mu. Nnyae nnuru no nom da.
- Sɛ sɛnkyerɛnne biara a ɛyɛ hu ba mpofirim a, nsuro sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara anaasɛ wobɛkɔ Emergency Treatment Unit (ETU).
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