Asaabo yɛ akwaa a ɛho hia paa wɔ yɛn nipadua mu no mu biako. Nanso ɛtɔ mmere bi a, nsakrae a ɛba yɛn ankasa nipadua mu tumi a ɛko tia nyarewa mu no betumi asɛe asaabo no. Tebea a ɛte saa no biako ne immunoglobulin A ntini mu yare titiriw, anaasɛ
IgA ahurututu mu yare ara kwa. Wɔ eyi mu no, antibody bi a wɔfrɛ no IgA boaboa ano wɔ asaabo no mu, na ɛma ɛhohoro na ɛnyɛ adwuma yiye. Ɛnnɛ, yɛbɛka saa yareɛ yi ne aduru soronko a wɔfrɛ no Tarpeyo a wɔde ma no ho asɛm.
Ɔkwan bɛn so na aduru a wɔfrɛ no Tarpeyo no yɛ adwuma?
Sɛ yɛbɛka no tiawa a, IgA Nephropathy fi ase bere a yɛn nipadua no fi ase yɛ IgA antibodies (IgA1) a ɛnyɛ ne kwan so no. Mpɛn pii no, nipadua mu nkwammoaa a ɛko tia nyarewa te sɛ yɛn nipadua mu tumi a ɛko tia nyarewa no awɛmfo. Wɔbɔ yɛn ho ban fi nneɛma te sɛ mmoawa ne mmoawa ho. Nanso wɔ saa yare yi mu no, sintɔ ketewaa bi wɔ IgA antibodies a wɔyɛ no mu. Saa nnuru a ɛko tia nyarewa a asɛe yi bata ho na ɛyɛ akuwakuw akɛse. Yɛn nipadua mu tumi a ɛko tia nyarewa no hwɛ saa akuwakuw yi te sɛ nea ɛyɛ ɔtamfo. Enti, nipadua no mu tumi a ɛko tia nyarewa no fi ase ko tia saa akuwakuw yi. Saa ɔko yi kɔ so wɔ asaabo no mu. Eyi ma
ɔfe ba asaabo no mu nneɛma a ɛyɛ mmerɛw a wɔde yiyi nneɛma mu a wɔfrɛ no glomeruli no mu. Bere kɔ so no, saa
ɔfe yi ma akuru wɔ saa mmeae no na ɛsɛe asaabo no.
Saa ade a ɛsɛe yi ma asaabo no ntumi ntutu mogya ne nneɛma a wɔsɛe no yiye. Eyi ma mogya ne protein fa nsu a ɛnsɛ sɛ woyi fi mu no mu. Sɛ saa ɔsɛe yi kɔ so a, ebia asaabo no rentumi nyɛ adwuma yiye na ɛho behia sɛ wɔyɛ no dialysis anaasɛ wɔde asaabo foforo mpo .
Ebia obi a ɔwɔ saa yare yi rennya ɔhaw kɛse mfiase no. Nanso, bere kɔ so no, saa sɛnkyerɛnne ahorow yi betumi ada adi esiane asaabo a asɛe nti.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|
| Mogya a ɛwɔ nsu mu | Nsu betumi ayɛ pink anaa kɔkɔɔ. |
| Nsu a ɛrehuruhuruw | Eyi ba efisɛ protein foforo wɔ nsu no mu. |
| Nipadua a ɛho ahonhon | Nsa, anan, anan, ne anim betumi ahonhon, titiriw anɔpa. |
| Mogya mmoroso | Mogya mmoroso. |
| Ɔbrɛ ne ɔbrɛ | Ɔbrɛ a wɔte nka bere nyinaa. |
| Yafunu ase yaw | Ɛyaw a ɛba akyi berɛmo mu. |
Nnuruyɛfo taa sa yare yi denam sɛnkyerɛnne ahorow te sɛ mogya mmoroso a wodi so ne nnuru a ɛma nipadua no tumi ko tia nyarewa no so. Nea ɛka eyi ho ne nnuru te sɛ nnuru a ɛma nipadua no tumi ko tia nyarewa ne corticosteroids. Nanso, nnuru a wɔtaa de di dwuma yi betumi anya nsunsuanso bɔne pii a wɔmpɛ bere a wɔnom bere tenten no. Eyi ne baabi a aduru
Tarpeyo ba Tarpeyo nso yɛ corticosteroid, nanso
nea ɛyɛ soronko ne sɛ ɛkɔ beae ankasa a wɔyɛ
IgA antibodies a ɛde ɔhaw ba no. Wɔyɛ nnuru a ɛko tia nyarewa no wɔ yɛn dwensɔtwaa no fã pɔtee bi a wɔfrɛ no ileum. Tarpeyo kɔ hɔ tẽẽ na ɛtew IgA1 a ɛnteɛ yi a wɔyɛ so. Enti, asaabo a ɛyɛ hyew ne nea ɛsɛe no so tew, na steroid nnuru a wɔtaa de di dwuma no mu nsunsuanso bɔne a ɛtra hɔ kyɛ nso so tew.
Ɔkwan bɛn so na ɛsɛ sɛ mede saa aduru yi di dwuma?
Tarpeyo yɛ aduru a ɛba wɔ capsule mu. Ɛsɛ sɛ wɔnom
anɔpa biara, anyɛ yiye koraa no dɔnhwerew biako ansa na wɔadi .
- Mmu, nwe, anaa nsɛe aduru no. Ɛsɛ sɛ wɔmene no nyinaa.
- Nni bobe aba anaa nnom bobe nsu bere a worenom aduru yi. Yɛbɛka nea enti a ɛte saa ho asɛm akyiri yi.
Nea ɛho hia paa: Nnyae aduru yi nom a wo ne wo duruyɛfo nkasa. Sɛ wokɔ so nom nnuru a wɔfrɛ no corticosteroids te sɛ Tarpeyo a, wo nipadua no gyae steroid hormone ahorow a efi awosu mu no yɛ. Sɛ wugyae aduru no nom mpofirim a, wo nipadua no bɛhwere steroid dodow a ehia na ebia wubehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woagyae. Sɛ nhwɛso no, ebia wobɛbrɛ kɛse, wo nipadua mu ayɛ wo yaw, wo ho ayɛ wo yaw, wo mogya so atew, na wo ti ayɛ wo yaw. Enti, sɛ wugyae aduru no nom a, ɛsɛ sɛ woyɛ saa
nkakrankakra denam dodow a wobɛtew so (tapering) so . Wo duruyɛfo bɛkyerɛ wo ɔkwan pa a wobɛfa so ayɛ eyi.
Ɔkwan bɛn so na wɔasua mfaso a ɛwɔ aduru yi so ho ade?
Wɔ nhwehwɛmu kɛse bi a wɔyɛe de huu Tarpeyo ahobammɔ ne sɛnea etu mpɔn mu no, wɔde totoo placebo ho. Placebo yɛ aduru a wɔde yɛ atoro a aduru biara nni mu. Eyi yɛ sɛnea ɛbɛyɛ a wobehu nsonsonoe a ɛda nnipa a wɔnom aduru ankasa ne wɔn a wɔnom dummy pill no ntam. Ná wɔn a wɔde wɔn ho hyɛɛ nhwehwɛmu no mu nyinaa wɔ IgA nephropathy na na protein foforo wɔ wɔn nsu mu. Na wɔn nyinaa nso renom mogya mmoroso nnuru te sɛ ACE inhibitors anaa ARBs, a ɛtew nhyɛso a ɛba asaabo so no so. Wogyinaa nneɛma abien so paw wɔn a wɔde wɔn ho hyɛɛ mu no:
- Protein ne creatinine a ɛwɔ nsu mu (UPCR): Eyi kyerɛ protein dodow a wɔayi afi nsu mu wɔ nnɔnhwerew 24 mu.
- Estimated glomerular filtration rate (eGFR): Eyi kyerɛ sɛnea w’asaabo reyɛ adwuma yiye ne sɛnea ɛtwetwe nwura yiye. Nnipa a wɔwɔ nhwehwɛmu no mu no asaabo dwumadi so tew kakra kosi nea ɛkɔ fam.
Wɔ nhwehwɛmu yi mu no, wɔmaa kuw biako Tarpeyo asram 9, na wɔmaa kuw foforo no placebo. Asram 9 akyi no, wogyaee ayaresa no na wɔhwɛɛ wɔn asram 15 bio.
Mfaso bɛn na wɔada no adi wɔ nhwehwɛmu ahorow mu?
Nhwehwɛmu no kyerɛe sɛ nnipa a wɔnom Tarpeyo no asaabo a ɛsɛee no sua koraa sen wɔn a wɔnom placebo no. Saa mfaso yi kɔɔ so wɔ asram 9 a wɔde nom aduru no akyi.
Protein dodow a ɛso tew wɔ nsu mu
Wɔ asram 9 awiei no, protein dodow a ɛwɔ wɔn a wɔnom Tarpeyo no nsu mu no so tew 35%, bere a wɔde toto 5% pɛ ho wɔ wɔn a wɔnom placebo no mu. Wɔkɔɔ so tew saa so asram 24.
| Berɛ | Tarpeyo (% a ɛso tew wɔ UPCR mu) . | Placebo (% a ɛso tew wɔ UPCR mu) . |
|---|
| Asram 3 na ɛwɔ hɔ | 5% . | 4% . |
| Asram 6 na ɛwɔ hɔ | 24% na ɛwɔ hɔ. | 8% . |
| Asram 9 na ɛwɔ hɔ | 35% na ɛwɔ hɔ. | 5% . |
| Asram 24 na ɛwɔ hɔ | 34% na ɛwɔ hɔ. | 4% . |
Asaabo dwumadi (eGFR) .
Wɔ asram 24 awiei no, wɔn a wɔnom Tarpeyo no asaabo dwumadi so tew kakraa bi sen wɔn a wɔnom placebo no. Botae pa (+) kyerɛ sɛ asaabo dwumadi atu mpɔn, na bo a enye (-) kyerɛ sɛ asɛe kɛse.
| Berɛ | Tarpeyo (eGFR nsonsonoe) . | Placebo (eGFR nsonsonoe) . |
|---|
| Asram 9 na ɛwɔ hɔ | + 1.5 mL/simma/1.73 m2 | - 4.0 mL/simma/1.73 m2 |
| Asram 24 na ɛwɔ hɔ | - 5.3 mL/simma/1.73 m2 | - 11.2 mL/simma/1.73 m2 |
Saa nhwehwɛmu yi kyerɛe sɛ Tarpeyo a wɔnom asram 9 no betumi ama asaabo no asɛe no brɛoo. Eyi betumi aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so na ama asaabo a entumi nyɛ adwuma no akyɛ. Nanso ma ɛntra w’adwenem sɛ ebia ɛsono nea efi mu ba yi wɔ onipa biara mu.
Ɔkwan bɛn so na wobetumi asiw nsunsuanso bɔne ano na wɔadi ho dwuma?
Tarpeyo yɛ aduru a esiw nipadua no mu tumi a ɛko tia nyarewa ano, enti
ɛda adi sɛ wubenya ɔyare mmoawa. Ebia wubenya atiridiinini, atiridiinini, ne nsu mu yare mpɛn pii. Twe wo ho fi nnipa a wɔwɔ nyarewa a ɛde ɔyare ba te sɛ akisikuru ne akisikuru ho. Ɔkwan pa a wobɛfa so asiw nyarewa ano ne sɛ wobɛtaa ahohoro wo nsa na woatwe wo ho afi nnipa a wɔyare ho. Wo ne wo duruyɛfo nkasa mfa nnuru a wɔde bɔ wo ho ban ho. Sɛ wowɔ yareɛ ho sɛnkyerɛnne yi bi a, frɛ wo duruyɛfoɔ ntɛm ara:
- Atiridii anaa awɔw
- Nipadua mu yaw
- Ɛwa
- Ɔbrɛ a ɛtra so
- Ti a ɛyɛ yaw a ɛkɔ so daa
- Anisoadehu sesa anaasɛ nkae a ɛyera
- Ɔhwe a ɛyɛ yaw
Tarpeyo betumi ama
obi ho ahonhon anaasɛ mogya mmoroso . Wo ne wo duruyɛfo nka asetra a ahoɔden wom ho asɛm, a aduan ne apɔw-mu-teɛteɛ ka ho. Nkyene a wobɛtew w’aduan mu, nsu pii a wobɛnom, ne apɔw-mu-teɛteɛ a emu nyɛ den te sɛ nantew betumi aboa ma wo ho a ɛhoa no so atew na woadi mogya mmoroso so. Nneɛma afoforo a ɛtaa de ba ne
akisikuru, yafunu a ɛyɛ yaw, ntini a ɛyɛ mmerɛw, akisikuru, ne tiyɛ . Sɛ wowɔ akisikuru a, di honam ani hwɛbea ho nhyehyɛe pa te sɛ nnuru a wɔde tew ho brɛoo ne nnuru a ɛma wo ho yɛ hyew a ngo nnim akyi. Ɛnyɛ eyinom nyinaa ne nneɛma bɔne a ebetumi afi mu aba no. Sɛ wowɔ sɛnkyerɛnne bi a ɛhaw wo a, wo ne wo duruyɛfo nka ho asɛm.
Nhwehwɛmu bɛn na ɛsɛ sɛ wɔyɛ bere a wɔrenom aduru no?
Wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu ahorow na ama wɔahu sɛnea wo nipadua reyɛ n’ade wɔ aduru no ho. Eyinom ne nneɛma atitiriw no:
- Mogya mmoroso a wɔde susuw
- Nsu mu nhwehwɛmu de hwɛ protein dodow a ɛwɔ nsu mu
- Mogya mu nhwehwɛmu de hwɛ sɛnea asaabo no yɛ adwuma
- Mogya mu nhwehwɛmu a ɛkyerɛ sɛ obi anya hepatitis B mmoawa
Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?
Nnuru ne nnuan bi betumi aka sɛnea Tarpeyo yɛ adwuma. Enti, ɛho hia yiye sɛ woka
nnuru a worenom nyinaa (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo . Hwɛ yiye titiriw wɔ nea edidi so yi ho:
- Nnuru bi a ekum fungal ne nnuru a ekum ɔyare mmoawa (sɛ nhwɛso no, clarithromycin (Biaxin), itraconazole (Sporanox), ketoconazole (Nizoral)) .
- Nnuru bi a wɔde sa HIV
- Grapefruit anaa grapefruit nsuo
Eyi nyɛ nsɛm a wɔahyehyɛ a edi mũ, enti hwɛ hu sɛ wobɛka biribiara a wobɛnom ho asɛm akyerɛ wo duruyɛfo.
Hwehwɛ ɔkwan a wobɛfa so anya saa aduru yi.
Tarpeyo yɛ aduru titiriw bi. Eyi kyerɛ sɛ ne bo yɛ den na wɔde yɛ ayaresa tebea pɔtee bi. Enti, ebia wɔrennya bi wɔ nnurutɔnbea ahorow nyinaa. Mpɛn pii no, wobetumi anya nnuru a ɛte sɛɛ wɔ ayaresabea nnurutɔnbea anaa nnurutɔnbea titiriw. Wo duruyɛfo bɛkyerɛ wo kwan wɔ ɔkwan a wobɛfa so anya saa aduru yi ne baabi a wubenya no mu.
Nkrasɛm a Wɔde Kɔ Fie
- IgA Nephropathy yɛ yareɛ a w’ankasa wo nipadua mu ahoɔden a ɛko tia nyarewa no sɛe w’asaabo.
- Tarpeyo yɛ ayaresa a wɔde wɔn ani asi so a ɛtew IgA antibodies a ɛnteɛ a ɛde yare yi ba no so.
- Fa saa aduru yi sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ. Nnyae aduru no nom anaasɛ nsakra dodow a wode ma no da a wonkɔ wo duruyɛfo nkyɛn.
- Hu asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa no. Sɛ wunya yare no ho sɛnkyerɛnne te sɛ atiridiinini ne ɔfe a, hwehwɛ aduruyɛfo afotu ntɛm ara.
- Kɔ so ne wo duruyɛfo nni nkitaho daa na yɛ nhwehwɛmu a ɛho hia wɔ bere ano.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru foforo biara, vitamin, anaa Ayurvedic/nhabannuru a worenom ho.
IgA nephropathy, Tarpeyo, asaabo mu yare, protein a ɛwɔ nsu mu, eGFR, corticosteroid, nipadua mu ahoɔden a ɛko tia nyarewa
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