So wowɔ protein wɔ wo nsu mu? (Proteinuria) - Momma yenhu eyi!

So woahwɛ wo nsuo mu pɛn na woasusu sɛ, “Hmm... eyi yɛ foamier sen sɛnea ɛtaa ba”? Anaasɛ ɛtɔ da bi a wo nsa ne wo nan ho ahonhon a ntease biara nnim? Ɛwom sɛ yɛmfa yɛn adwene nsi saa nneɛma yi so pii de, nanso ɛtɔ mmere bi a ebetumi ayɛ nsɛnkyerɛnne a ɛho hia a yɛn nipadua de rema yɛn. Nsɛnkyerɛnne a ɛho hia saa no biako ne protein a ɛba nsu mu , a ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu `(Proteinuria)`. Momma yɛnka eyi ho asɛm tiawa ne ayamye mu nnɛ.

Dɛn ne proteinuria? (Dɛn ne proteinuria?)

Sɛ yɛbɛka no tiawa a, proteinuria yɛ protein dodow a ɛdɔɔso wɔ wo nsu mu wɔ ɔkwan a ɛnteɛ so. Seesei ebia woredwene sɛ, "Enti ɛno kyerɛ dɛn?"

Susuw ho saa kwan yi so: yɛn asaabo te sɛ nsu a wɔde yiyi mu, anaasɛ afiri a wɔde yiyi mu. Wɔhohoro yɛn mogya ho na wɔyi nneɛma fĩ a nipadua no nhia sɛ nsuo fi hɔ. Nanso wɔyi nneɛma a ɛho hia te sɛ protein fi mogya no mu nso na wɔsan de gu mogya no mu. Ɛno kyerɛ sɛ mpɛn pii no asaabo a ɛwɔ apɔwmuden mma protein ahorow mfi mu.

Nanso, sɛ asaabo mu yare bi sɛe saa asaabo yi a, ɛbɛyɛ te sɛ nea ntokuru a ɛwɔ afiri a wɔde yiyi mu no mu ayɛ kɛse. Afei, protein ahorow te sɛ albumin a nipadua no hia no fi ase yi fi mogya no mu na woyi fi nsu mu. Mpɛn pii no, asaabo mu yare ho sɛnkyerɛnne biara nni hɔ a edi kan, na sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ ebia protein wɔ wo nsu mu ne protein a ɛbɛda adi wɔ wo nsu mu. Mpɛn pii no, wo duruyɛfo no bedi kan ahu eyi bere a ɔreyɛ nsu mu nhwehwɛmu bere a wɔreyɛ aduruyɛ mu nhwehwɛmu daa no .

So proteinuria ahorow bi wɔ hɔ?

Yiw, wobetumi akyekyɛ tebea yi mu ayɛ no ahorow abiɛsa titiriw. Sɛ wopɛ sɛ wote eyi ase yiye a, hwɛ pon a ɛwɔ ase hɔ no.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Mpɛn pii no, yare no ho sɛnkyerɛnne biara nni hɔ wɔ mfiase. Ɛno nti na wɔfrɛ no yare a ɛyɛ komm no. Nanso bere a tebea no mu yɛ den no, ebia wubehu sɛnkyerɛnne ahorow te sɛ:

• Nsu a ɛyɛ ahuru: Sɛ ɛyɛ ahuru te sɛ samina nsu a, ɛyɛ sɛnkyerɛnne titiriw a ɛkyerɛ sɛ protein dɔɔso.
• Edema : Wo nsa, wo nan, wo yafunu, ne w’anim hohoro. Nea enti a ɛte saa ne sɛ protein ahorow a ɛboa nipadua no ma ɛkora nsu so no fi nsu mu.
• Ɛho hia sɛ wɔtaa tow nsu.
• Ɔhome a ɛyɛ den .
• Ɔbrɛ a ɛboro so wɔ nipadua no mu.
• Aduan no nyɛ dɛ.
• Akisikuru ne ɔfe.
• Ntini a ɛyɛ mmerɛw anadwo.

Dɛn na ɛde protein a ɛwɔ nsu mu ba?

Nneɛma pii nti na ɛte saa. Ebinom yɛ bere tiaa mu de na ɛnyɛ aniberesɛm. Nanso akyinnye biara nni ho sɛ ebinom yɛ ntease ahorow a ɛsɛ sɛ yɛhaw yɛn ho.

Nneɛma a ɛde ba wɔ ɔkwan a ɛkɔ akyiri so ne bere tiaa mu de

• Nsu a ɛho ntew
• Huraeɛ
• Apɔw-mu-teɛteɛ a ɛtra so
• Adwennwen a emu yɛ den
• Asaabo mu abo
• Awɔw a ano yɛ den a wɔde wɔn ho bɛhyɛ mu

Ntease ahorow a anibere wom a ɛsɛ sɛ ɛhaw yɛn

Nea ɛde eyi ba titiriw ne nyarewa a ɛsɛe asaabo no. Wɔn mu bi ne asikreyare ne mogya mmoroso ne tebea abien a ɛtaa ba.

Bio nso, protein a ɛwɔ nsu mu nso betumi afi tebea horow a emu yɛ den te sɛ:

• Nyarewa a ɛma nipadua no tumi ko tia nyarewa (e.g. Lupus) .
• Asaabo mu yare `(Glomerulonephritis)`
• Multiple Myeloma, mogya mu kokoram bi
• Preeclampsia, tebea a ɛba ɛnanom a wɔyem mu
• Protein a ɛwɔ nipadua no akwaa mu (Amyloidosis) .
• Awuduru biara a wɔnom. (Sɛ ɛba saa a, kɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ ntɛm ara .)
• Koma ne ntini mu yare
• Asaabo mu kokoram
• Koma a entumi nyɛ adwuma yiye

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Enti sɛ wokɔ oduruyɛfo nkyɛn a, sɛ́ ɛyɛ sɛnkyerɛnne ahorow yi nti anaasɛ biribi foforo biara nti a, ade a obedi kan ayɛ ne sɛ obebisa wo wo sɛnkyerɛnne ahorow no ho asɛm na wahwɛ wo. Afei, sɛ adwenem naayɛ bi wɔ tebea no ho a, obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom.

1. Nsu mu nhwehwɛmu: Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔde nnuru ketewaa bi gu nsu a wode ma no mu na wɔsɔ hwɛ. Sɛ ɛsakra kɔla a, ɛkyerɛ sɛ protein wɔ nsu no mu. Wɔde afiri a wɔde hwɛ nneɛma nketenkete nso hwehwɛ mu hwɛ sɛ nneɛma foforo bi te sɛ mogya mu nkwammoaa ne mmoawa wɔ hɔ anaa.

2. Mogya mu nhwehwɛmu: Eyinom tumi hu sɛnea w’asaabo reyɛ adwuma yiye.

3. Scans: Scans te sɛ `(CT scan)` ne `(Ultrasound)` tumi hu asaabo mu abo, akisikuru, anaa akwanside afoforo.

4. Asaabo mu Nhwehwɛmu: Sɛ wosusuw sɛ asaabo mu yare a emu yɛ den wɔ hɔ a, ebia ebehia sɛ oduruyɛfo no yi ntini ketewaa bi fi asaabo no mu na ɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Eyi betumi aboa ma wɔahu yare no yiye.

Ɔkwan bɛn so na wɔsa?

Ayaresa a wobetumi apaw no gyina nea ɛde protein a ɛwɔ nsu mu ba no so.

• Sɛ esiane asaabo mu yare nti a:Proteinuria betumi ayɛ asaabo mu yare a enni sabea ho sɛnkyerɛnne a edi kan. Enti, ɛho hia paa sɛ wobedi yare no so ansa na asaabo no adi nkogu koraa. Eyi nti, wo duruyɛfo bɛkamfo nnuru, aduan, apɔw-mu-teɛteɛ, ne mu duru a ɛso tew akyerɛ wo. Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔde dialysis.
• Sɛ wowɔ asikreyare anaa mogya mmoroso a: Ɛda adi sɛ wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma woatumi asiw saa tebea horow no ano. Mpɛn pii no, wɔfrɛ nnuru yi sɛ angiotensin-converting enzyme inhibitors (ACE inhibitors) anaa angiotensin receptor blockers (ARBs). Saa nnuru yi boa ma wodi mogya mmoroso so na ɛbɔ asaabo ho ban.
• Wɔ nyinsɛn mu: Sɛ wowɔ mogya mmoroso ne protein wɔ wo nsu mu wɔ nyinsɛn mu a, ebetumi ayɛ tebea a emu yɛ den a wɔfrɛ no ``Preeclampsia.`` Nanso asɛmpa no ne sɛ saa tebea yi kɔ wɔ nna anaa adapɛn kakraa bi mu wɔ akokoaa no awo akyi. Nanso, ɛho hia sɛ wokɔ nnuruyɛbea ahorow daa wɔ wo nyinsɛn no nyinaa mu kɔyɛ wo mogya mmoroso ne wo nsu mu nhwehwɛmu.

So eyi so tew bere a wonom nsu pii no?

Eyi yɛ ɔhaw ma nnipa pii. Nokwarem no, dabi. Sɛ wonom nsu pii a, woto nsu pii. Eyi betumi atew protein dodow a ɛwɔ nsu a epue bere koro mu no so. Eyi kyerɛ sɛ nsu no mu yɛ mmerɛw.

Proteinuria, protein a ɛwɔ nsu mu, asaabo mu yare, nsu a ɛyɛ ahurututu, asikreyare, mogya mmoroso, nipadua a ɛho ahonhon