So woama oduruyɛfo bi nsu a wɔde yɛ nhwehwɛmu pɛn? Ebia woahu biribi a wɔfrɛ no ‘Specific Gravity’ wɔ amanneɛbɔ a wunya no so. Ebia ɛyɛ akontaahyɛde bi kɛkɛ, nanso ebia woasusuw nea ɛkyerɛ ho. Ɛka pii fa yɛn nipadua ho ankasa, titiriw sɛnea yɛn asaabo yɛ adwuma. Mma ɛnhaw wo, yɛbɛma ayɛ mmerɛw.
Sɛ yɛbɛka no tiawa a, dɛn ne nsu a ɛtwe ade ba fam pɔtee?
Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye. Ne titiriw no, ɛkyerɛ sɛnea wo nsu no mu yɛ duru, anaasɛ ne kɛse denam toto nsu a ɛnyɛ den na ɛho tew ho no so.
Susuw ho saa kwan yi so. Sɛ yɛde asikre anaa nkyene kakra gu nsu kuruwa mu a, nsu no mu yɛ den kakra, ɛnte saa? Sɛ yɛde pii ka ho a, ɛyɛ den kɛse mpo. Saa na ɛte. Yɛn asaabo te sɛ super filter abien wɔ yɛn nipadua mu. Wɔyi nwura a wɔmpɛ a ɛwɔ mogya no mu no na wɔde nsuo yi fi nipadua no mu. Enti, bere a nneɛma fĩ a ɛte saa dodow a ɛwɔ nsu mu no kɔ soro no, nea ɛkɔ so daa nso kɔ soro. Sɛ nsu a ɛwɔ mu no kɔ soro a, nea ɛyɛ pɛpɛɛpɛ no so tew.
Nneɛma titiriw a wɔsɛe no a wɔtaa hu wɔ nsu mu ne:
- Urea: Eyi yɛ ade a ɛba bere a yedi nnuan a protein wom (te sɛ nam, mpataa, ne nkesua) na ɛpaapae wɔ nipadua no mu.
- Uric Acid: Eyi nso ba bere a nipadua no bubu nnuru a wɔfrɛ no purines a ɛwɔ nnuan bi a yedi mu (titiriw nam ne nsa bi) no.
- Nkyene: Nkyene te sɛ sodium wɔ nnuan a yedi na yɛnom mu.
- Amino acids: Eyinom ne nneɛma atitiriw a ɛkyekye protein ahorow.
Enti, tumi a ɛtwe ade ba fam pɔtee kyerɛ sɛ wo nsu no yɛ nsu kɛse, a ɛkyerɛ sɛ ɛyɛ mmerɛw kɛse . Tumi a ɛtwe ade ba fam pɔtee a ɛkorɔn kyerɛ sɛ ɛyɛ nea wɔsɛe no kɛse, a ɛkyerɛ sɛ ɛyɛ nea ɛyɛ den kɛse .
Dɛn na nea efii sɔhwɛ yi mu bae no ka?
Ɛtɔ da bi a, sɛ yɛnom nsuo pii a, yɛn nsuo betumi ayɛ nsuo. Saa ara na sɛ yɛho fifiri pii na yɛnnom nsuo a ɛdɔɔso a, yɛn nsuo betumi ayɛ den. Eyinom yɛ ade a ɛfata. Nanso, ɛtɔ mmere bi a, nsakrae a ɛba saa gyinapɛn ahorow yi mu no betumi ayɛ akwahosan tebea bi ho sɛnkyerɛnne.
Wubetumi anya eyi ho adwene pa afi pon a ɛwɔ ase ha no so.
| Nsunsuansoɔ | Kyerɛ | Nneɛma a ebetumi de aba |
|---|---|---|
| Nneɛma a ɛtwe ade ba fam pɔtee a ɛtwe ade ba fam | Nsu no yɛ teateaa yiye. Ɛwɔ nsu a ɛyɛ den. |
|
| Nneɛma a ɛtwe ade ba fam pɔtee a ɛkɔ soro (High) . | Nsu no mu yɛ den yiye. Nneɛma a wɔsɛe no no dɔɔso. |
Wobɛyɛ dɛn asiesie wo ho ama sɔhwɛ yi?
Eyi yɛ ade a ɛnyɛ den koraa, nanso ɛho hia yiye sɛ wobɛbɔ oduruyɛfo no amanneɛ wɔ nneɛma kakraa bi ho ansa na wɔayɛ nhwehwɛmu no.
- Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo: Ɛnyɛ nea oduruyɛfo akyerɛw ama wo no nko, na mmom nnuru a wɔde kum ɛyaw, vitamin, Ayurveda nnuru, amammerɛ mu nhabannuru, ne coriander nsu mpo a wotɔ fi nnurutɔnbea nso. Nneɛma bi betumi aka nea efi mu ba no.
- Ka scan biara a woayɛ nnansa yi ho asɛm kyerɛ yɛn: Sɛ nnansa yi ara woayɛ scan a ɛfa nsu titiriw bi (contrast dye) a wode bɛhyɛ wo nipadua mu, te sɛ MRI anaa CT scan mu a, ka ɛno nso kyerɛ yɛn.
- So wɔbɛka akyerɛ wo sɛ to nsu a wonom no ano hye? Ɛtɔ mmere bi a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ to nsu a wonom, a nsu ka ho, ano bɛyɛ nnɔnhwerew 12 ansa na woayɛ nhwehwɛmu no. Eyi yɛ nea wɔde hwɛ hu sɛ sɔhwɛ no mu aba no yɛ nokware sɛnea wobetumi.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Mpɛn pii no, wɔbɛma wo kuruwa ketewaa bi a ɛkata so a efi afiri a wɔde yɛ nhwehwɛmu anaa oduruyɛfo adwumayɛbea hɔ de ma wo nsu a wɔde yɛ nsu.
1. Nea edi kan no, fa samina hohoro wo nsa yiye .
2. Afei, ɛsɛ sɛ wode nsu bi kɔ mu na wokyere nsu a edi hɔ a ɛwɔ kuruwa no mu no. Yɛfrɛ eyi sɛ ``clean-catch`` kwan.
3. Sɛ ɔbaa bi a, .Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo anaa lab adwumayɛfo no sɛ ɛyɛ wo bra a, efisɛ ebetumi aka nea ebefi mu aba no.
Ɛyɛ den ma nnipa binom kakra sɛ wɔbɛtow nsu wɔ fie akyi. Ɛnyɛ biribiara a ɛsɛ sɛ yɛfɛre. Sɛ wowɔ ɔhaw a ɛte saa a, ka kyerɛ wo duruyɛfo, ɔbɛkyerɛ wo ɔkwan a ɛyɛ mmerɛw.
Afei wɔsɔ nhwɛsode no hwɛ wɔ lab. Akwan abien na ɛwɔ hɔ a wɔfa so yɛ eyi. Biako ne sɛ wode krataa ketewaa bi a wɔfrɛ no dipstick bɛhyɛ nsu no mu. Strip no kɔla sesa ma wonya adwene a ɛyɛ mmerɛw wɔ sɛnea wɔde ahyɛ mu no ho. Ɔkwan a ɛyɛ pɛpɛɛpɛ kɛse ne sɛ wode afiri bi a wɔfrɛ no refractometer bedi dwuma.
Ɔkwan bɛn so na yɛbɛte nea efi mu ba no ase?
Mpɛn pii no, `Specific Gravity` bo a ɛwɔ onipa a ɔwɔ apɔwmuden nsu mu no yɛ 1.010 kosi 1.030 . (Lab binom nso bu saa botae yi sɛ 1.005 - 1.030).
- Sɛ ne bo nnu 1.010 a: Wo nsuo no ayɛ mmerɛw dodo. Ebia worenom nsu pii.
- Sɛ ɛboɔ no boro 1.030 a: Wo nsuo no ayɛ kɛseɛ dodo. Ebia wo ho nsu atɔ wo.
Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛsɛ sɛ woyɛ akyi?
Nha wo ho. Esiane sɛ w’amanneɛbɔ no fi nea ɛfata so kakra nti, ɛnkyerɛ sɛ ɛyɛ asɛm kɛse. Ebetumi ayɛ biribi a ɛnyɛ den te sɛ nsu dodow a wonom anaa wo fifiri dodow.
Nanso, sɛ oduruyɛfo no adwenem yɛ no naa wɔ mfaso yi ho a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii bio na ama wɔahu nea ɛde ba ankasa.
- Mogya mu nhwehwɛmu: Nneɛma te sɛ ``Blood Urea Nitrogen - BUN'' nhwehwɛmu, a ɛhwɛ asaabo dwumadi.
- Nsu mu nhwehwɛmu afoforo.
- Scans: Ultrasound scan, MRI anaa CT scan a wɔde hwɛ asaabo no.
Eyi nyinaa akyi no, wo duruyɛfo no bɛkyerɛkyerɛ nea ɛde wo yare no bae ne nea ɛsɛ sɛ woyɛ akyi mu akyerɛ wo.
Nkrasɛm a Wɔde Kɔ Fie
- Nsu a ɛtwe ade ba fam pɔtee yɛ sɔhwɛ a ɛnyɛ den a ɛkyerɛ sɛnea w’asaabo kari pɛ wɔ nsu ne nwura a ɛwɔ wo nipadua mu no mu.
- Mpɛn pii no, nsu a ɛkɔ soro (nsu a ɛyɛ den) no fi nsu a ɛho nhia. Nsu a ɛba fam (nsu a nsu wom) taa fi nsu pii a wɔnom. Nanso, abien no nyinaa betumi anya aduruyɛ mu nneɛma afoforo.
- Mma nnhuruw nkɔ nsɛm a efii sɔhwɛ no mu bae no so.Wo ne wo duruyɛfo nka ho asɛm bere nyinaa.
- Ansa na wobɛyɛ nhwehwɛmu no, sɛ wobɔ oduruyɛfo no amanneɛ wɔ nnuru a wonom nyinaa ne scan ahorow a wɔayɛ nnansa yi ho a, ɛbɛboa kɛse ma woanya nea efi mu ba no pɛpɛɛpɛ.
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