So wowɔ protein wɔ wo nsu mu? (Proteinuria) Momma yɛnhwehwɛ nea eyi yɛ ankasa!

So woahyɛ no nsow sɛ wo nsu mu yɛ ahuru na ɛyɛ bubbly sen sɛnea wotaa yɛ bere a wokɔ tiafi nnansa yi no? Ebia na woamfa w’adwene ansi so kɛse. Nanso, eyi betumi ayɛ yɛn asaabo ho haw bi ho sɛnkyerɛnne ntɛm. Ɛnnɛ yɛreka asɛmti bi a ɛho hia nnipa pii, nanso wonnim no pɛpɛɛpɛ ho asɛm. Ɛno ne protein a wɔde nsu fi nipadua mu, tebea a yɛfrɛ no ‘proteinuria’ wɔ aduruyɛ mu.

Sɛ yɛbɛka no tiawa a, dɛn na protein a ɛwɔ wo nsu mu no kyerɛ?

Fa no sɛ yɛn asaabo yɛ ade a ɛyɛ fɛ yiye a ɛtwetwe tii nhaban. Bere a yɛn mogya fa saa afiri yi mu no, eyi nneɛma fĩ a nipadua no nhia no fi mu na eyi fi mu sɛ nsu. Nanso, nneɛma a ɛho hia te sɛ protein (titiriw albumin) kɔ so tra mogya no mu sen sɛ wobeyi afi mu.

Nanso, sɛ biribi nti asaabo yi mu ntini a ɛwɔ afiri a wɔde yiyi mu fɛfɛɛfɛ no mu yɛ kɛse anaasɛ ɛsɛe a, dɛn na ɛba? Afei, protein ahorow a ɛsom bo a ɛsɛ sɛ nipadua no kura mu no fi ase tu fa saa ntini no mu na ɛne nsu no fi adi. Ɛno ne nea yɛfrɛ no `Proteinuria`.

So protein a wɔhwere nyinaa yɛ aniberesɛm? Momma yɛnhwɛ ne ahorow

Dabi, ɛnyɛ bere nyinaa na protein a ɛwɔ nsu mu no yɛ biribi a ɛsɛ sɛ ɛhaw adwene. Ɛtɔ mmere bi a, ebetumi ayɛ bere tiaa mu de, na ebetumi afi biribi a ɛnyɛ aniberesɛm pii mu aba. Momma yɛnkyekyɛ mu akuwakuw atitiriw abiɛsa.

Mɛyɛ dɛn ahu sɛ mewɔ saa tebea yi? Mpopoeɛ

Mpɛn pii no, sɛ protein dodow a wode fa wo nsu mu no sua a, ebia worenhu sɛnkyerɛnne biara. Nanso sɛ wode protein pii ma, a ɛkyerɛ sɛ w’asaabo asɛe kakra a, ebia wubehu saa sɛnkyerɛnne ahorow yi.

• Nsu a ɛyɛ ahuru anaa ahurututu: Eyi ne sɛnkyerɛnne a edi kan a nnipa pii hu. Sɛ wo nsu mu yɛ ahuru sen sɛnea ɛtaa ba a, ma ɛhaw wo.
• Edema: Ɛhonhon, titiriw wɔ nan, nansoaa, nsa, anaa anim . Nea enti a ɛte saa ne sɛ protein ahorow a ɛwɔ mogya no mu no boa ma nsu kɔ so tra mogya ntini no mu. Sɛ protein yera a, saa nsu yi tu kɔ ntini a atwa ho ahyia no mu, na ɛma ɛho hohoro.
• Aniwa a ɛho ayɛ fĩ bere a wosɔre anɔpa no: Eyi nso yɛ sɛnkyerɛnne a ɛho hia yiye.
• Ɔbrɛ ne ɔbrɛ: Tebea a protein a ɛwɔ mogya mu a ɛso tew ne asaabo dwumadi a ɛso tew de ba.
• Akisikuru ne ɔfe.
• Aduan no nyɛ dɛ.
• Sɛ wohuruhuruw wɔ nan no mu anadwo.

Dɛn nti na eyi ba? Nneɛma atitiriw a ɛde proteinuria ba

Protein a ɛwɔ nsu mu no betumi afi nneɛma a ɛde ba bere tiaa mu ne aduruyɛ mu tebea horow a emu yɛ den a ɛtra hɔ kyɛ nyinaa mu.

Ntease ahorow a ɛtaa ba

• Asikreyare: Asikreyare a wontumi nni so ne ade titiriw a ɛde asaabo mu nyarewa ba yɛn man yi mu. Sɛ asikre dodow a ɛwɔ mogya mu no dɔɔso wɔ bere bi mu a, ɛsɛe asaabo no mu nneɛma a ɛyɛ mmerɛw a ɛtwetwe nneɛma no.
• Mogya mmoroso (Hypertension): Eyi yɛ ɔtamfo titiriw foforo a ɛsɛe asaabo, ne asikreyare. Mogya mmoroso sɛe mogya ntini a ɛwɔ asaabo mu no na ɛma protein fi mu.
• Tebea horow a ɛyɛ hyew wɔ asaabo no mu (Glomerulonephritis): Eyi ba bere a ɔhaw bi a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ asaabo no mu nneɛma a wɔde yiyi mu no so na ɛsɛe no.
• Asaabo mu nyarewa.
• Asaabo mu abo.

Nneɛma afoforo nti

• Nyarewa bi a nipadua no tumi ko tia nyarewa: Sɛ nhwɛso no, lupus.
• Kokoram ahorow bi: sɛ nhwɛso no `Multiple Myeloma`.
• Mogya mmoroso bere a nyinsɛn (Preeclampsia): Sɛ ɛna a onyinsɛn nya saa tebea yi a, ɛho hia sɛ wɔsa no yare ntɛm ara.
• Koma a ɛyɛ den a ɛyɛ mmerɛw.
• Nnuru bi a wɔde di dwuma bere tenten: titiriw nnuru bi a wɔde kum ɛyaw.
• Awuduru: Sɛ nhwɛso no, dade a emu yɛ duru.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne na wahwɛ wo. Afei, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom de si `Proteinuria` tebea no so dua na wɔahu nea ɛde ba.

1. Nsu mu Nhwehwɛmu: Eyi ne sɔhwɛ a ɛyɛ mfitiasede na ɛnyɛ den sen biara. Wɔde aduru ketewaa bi (dipstick) hyɛ nsu a wode ma no mu na wɔsɔ hwɛ sɛ protein wom anaa. Nea ɛka ho no, wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ nsu no mu hwɛ sɛ nkwammoaa anaa protein ahorow afoforo wɔ hɔ anaa.

2. Nnɔnhwerew 24 nsu a wogye ho sɔhwɛ: Eyi hwehwɛ sɛ wobɛboaboa nsu a wuyi afi mu da mũ no nyinaa ano na woasusuw protein dodow a ɛwɔ mu nyinaa. Eyi bɛma woanya protein dodow a woreyi afi mu da koro no ho adwene.

3. Mogya mu nhwehwɛmu: Eyinom hwɛ asaabo dwumadi (e.g. creatinine dodow) ne protein dodow a ɛwɔ mogya no mu.

4. Scans: Wobetumi ayɛ ultrasound anaa CT scan de ahwɛ sɛnea asaabo no te, ne kɛse, ne ɔhaw afoforo.

5. Kidney Biopsy: Eyi nyɛ biribi a obiara betumi ayɛ. Sɛ protein pii wɔ wo nsu mu, anaasɛ ɛyɛ den sɛ wubehu nea ɛde yare no ba a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ. Nea ɛka eyi ho ne sɛ wode ade ketewaa bi a ɛma wo ho yɛ wo yaw no beyi ntini ketewaa bi afi w’asaabo mu na wode afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛte ase wɔ ha ne sɛ ɛnyɛ protein a ɛwɔ nsu mu no na yɛresa, na mmom aduruyɛ tebea a ɛda adi a ɛde ba no.

• Sɛ nea ɛde ba ne asikreyare anaa mogya mmoroso , ɛsɛ sɛ wodi saa tebea horow no so yiye. Ɛho hia sɛ wonom nnuru a wɔakyerɛw ama wo no bere ano, wohwɛ w’aduan so, na woteɛteɛ w’apɔw mu.
• Sɛ nea ɛde ba ne asaabo a ɛyɛ hyew (Glomerulonephritis) a, wobetumi ama nnuru a ɛhwɛ nipadua no mu tumi a ɛko tia nyarewa no so.
• Asetra mu nsakrae: Sɛ wonom sigaret a, wugyae, nkyene ne nnuan a srade wom a wobɛtew so, ne wo mu duru a wobɛhwɛ so ho hia yiye.
• Sɛ asaabo no dwumadi sɛe kɛse a, ebia ɛho behia sɛ wɔyɛ dialysis anaasɛ wɔde asaabo foforo ma.

So nsu pii a wɔnom no ma protein a wɔhwere no so tew?

Eyi yɛ asɛm a nnipa pii bisa. Dabi, nsu pii a wobɛnom no ma wo nsu no yɛ mmerɛw kɛkɛ. Eyi kyerɛ sɛ protein dodow a ɛwɔ nsu mu nhwehwɛmu biako mu no betumi so atew. Nanso protein dodow a wɔayi afi mu da mũ no nyinaa no nyinaa rensakra. Efisɛ nsu a ɛtwetwe wɔ asaabo no mu no da so ara yɛ nea ɛte saa ara. Ɛte sɛ nea wode nsu ahyɛ bokiti mu ma. Nsu a wode bɛka ho no rento tokuru no mu. Enti, ano aduru biako pɛ ne sɛ wobɛfa ayaresa sɛnea wo duruyɛfo akyerɛ wo no.