Sɛ oduruyɛfo no ka kyerɛ wo sɛ wowɔ asikreyare a, ade a edi kan a ɛba w’adwenem ne sɛ wobɛhwɛ asikre a ɛwɔ wo mogya mu no so. Nanso so wunim sɛ asikreyare a wuntumi nni so tumi sɛe wo nipadua mu akwaa foforo a ɛho hia, asaabo no wɔ kokoam? Eyi nyɛ biribi a ɛto nnipa pii, nanso ɛyɛ ɔhaw a ɛtaa de asikreyare ba. Wɔsan frɛ saa tebea yi Asikreyare Asaabo Yare (DKD), Asaabo mu Yare a Enni Sabea (CKD) anaa Asikreyare Asaabo mu Yare. Enti ɛnnɛ, momma yɛnka abusuabɔ a ɛda asikreyare ne asaabo mu yare ntam ho asɛm.
Ɔkwan bɛn so na eyi ba?
Sɛ yɛbɛka no tiawa a, w’asaabo te sɛ ade a wɔde yiyi wo nipadua mu. Asaabo no dwumadi titiriw ne sɛ ɛbɛyi nneɛma fĩ afi mogya no mu na ɛde akɔ nipadua no mu sɛ nsu.
Sɛ wowɔ Asikreyare a Ɛto so Abien a, ebia asikre dodow a ɛwɔ wo mogya mu no bɛkɔ soro bere nyinaa. Susuw ho hwɛ, asaabo yi mu no, nneɛma nketenkete a ɛyɛ fɛ yiye ɔpepem pii wɔ hɔ, na yɛfrɛ no glomeruli. Sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro bere nyinaa a, wɔde saa nneɛma nketenkete a wɔde yiyi mu yi hyɛ nhyɛso kɛse ase. Ɛte sɛ nea tii a wɔde yiyi mu no siw bere a woayiyi nsu a ɛho agu fĩ bere nyinaa no.
Sɛ wɔde saa nhyɛso yi ba bere tenten a, saa nneɛma a wɔde yiyi mu a ɛyɛ mmerɛw yi fi ase sɛe. Awiei koraa no, nneɛma te sɛ albumin, protein a ɛho hia a ɛsɛ sɛ nipadua no sie mpo fi ase fa saa nsu a wɔde yiyi mu yi mu na ɛne nsu no fi mu. Ɔkwan foforo so no, protein fi ase "tu" fi asaabo no mu.
Nsɛnkyerɛnne ne nea wohu
Ade a ɛyɛ hu sen biara wɔ eyi ho ne sɛ wɔ mfiase no, ebia worennya yare no ho sɛnkyerɛnne biara. Ɛwom mpo sɛ w’asaabo asɛe dedaw de, nanso ebia worente nka wɔ ho.
Ɛno nti na ɛho hia kɛse sɛ wobɛma wɔayɛ wo duruyɛfo asaabo mu nhwehwɛmu wɔ bere ano no.
Eyi nti, wɔsɔ nsu a wɔde yɛ nsu ne mogya mu nhwehwɛmu titiriw.
- Nsu mu nhwehwɛmu: Sɛ asaabo no ntumi nyɛ adwuma yiye a, protein bi a wɔfrɛ no albumin bɛdɔɔso dodo wɔ nsu no mu.
- Mogya mu nhwehwɛmu: Eyi betumi ahwɛ sɛ w’asaabo reyɛ yiyi mogya yiye anaa.
Nsonsonoe a ɛda saa akwan abien yi ntam wɔ pon a ɛwɔ ase ha no so.
| Yare no fã bi | Nneɛma a ɛsɛ sɛ wohu |
|---|---|
| Mfiase no | Nsɛnkyerɛnne biara nni hɔ. Enti, ɔkwan biako pɛ a wobɛfa so ahu sɛ wowɔ yare no ne sɛ wobɛyɛ nhwehwɛmu a wo duruyɛfo akyerɛ wo no. |
| Bere a yare no kɔ so (Later Stage) . |
|
Nneɛma bɛn na ɛma asiane no yɛ kɛse?
Bere tenten a wuntumi nni wo asikreyare so no, dodow no ara na asiane a ɛwɔ hɔ sɛ wubenya asaabo mu yare no yɛ kɛse. Sɛ asikre dodow a ɛwɔ wo mogya mu no kɔ soro bere nyinaa a, asiane a ɛwɔ hɔ sɛ wobɛsɛe asaabo no kɔ soro.
Nea ɛka ho no, nneɛma yi nso ma asiane no yɛ kɛse:
- Mogya mmoroso a obi wɔ
- Sigaretnom
- Asaabo mu yareɛ a obi wɔ wɔ abusua no mu (ɛna, agya, anuanom) .
- Komayare a obi wɔ
- Mu duru a ɛkɔ soro (kɛse mmoroso) .
- Apɔw-mu-teɛteɛ a wonnya
- Aduan pa a wonni akyi mfa nni asikreyare so
- Nkyene (sodium) pii a wode bɛka aduan ho
Ɔkwan bɛn so na wɔbɛbɔ asaabo ho ban? (Ayaresa a wɔde siw ano) .
Ade a ɛho hia sen biara a wubetumi ayɛ de abɔ w’asaabo ho ban ne sɛ wubedi wo asikreyare no so. Ɛno nkutoo betumi atew asiane a ɛwɔ hɔ sɛ wubenya asaabo mu yare no so bɛyɛ nkyem abiɛsa mu biako. Ɛno kyerɛ sɛ, .
- Asikre dodow a ɛwɔ mogya mu a wɔbɛhwɛ bere ne bere mu
- Aduru no a wɔbɛnom sɛnea oduruyɛfo no akyerɛ no pɛpɛɛpɛ
- Aduan a ɛfata a wobedi akyi
- Ayaresabea ahorow a wɔbɛkɔ wɔ nna a wɔahyɛ da ayɛ mu
Afei nso, sɛ wowɔ ayaresa mu tebea afoforo te sɛ mogya mmoroso a, ɛho hia sɛ wudi so yiye.
Ɛho hia yiye sɛ worennom nnuru a wɔde kum ɛyaw a wɔtɔn a wonnya nkɔ wo duruyɛfo nkyɛn. Nnuru bi a ɛma ɛyaw ano brɛ ase sɛ wode di dwuma bere tenten a, ebetumi asɛe w’asaabo. Enti, sɛ wote yaw a, bisa wo duruyɛfo no aduru a ahobammɔ wom sen biara a ɛsɛ sɛ wonom.
Sɛ wonom sigaret a, gyae nnɛ. Sɛ wo mu duru boro so a, tew wo mu duru so. Wo duruyɛfo betumi aboa wo wɔ eyinom nyinaa mu.
Dɛn ne ayaresa ahorow no?
Sɛ nhwehwɛmu kyerɛ sɛ w’asaabo asɛe a, wo duruyɛfo botae a edi kan bɛyɛ sɛ obesiw yare no ano na ansɛe. Nea ɛbɛyɛ na wɔayɛ eyi no, wɔbɛyɛ nhyehyɛe bi a ɛbɛboa wo ma woadi asikre ne mogya mmoroso so.
Nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ ama eyi nso:
- Sɛ wo mu duru boro so a, tew wo mu duru so.
- Apɔw-mu-teɛteɛ a wɔyɛ no daa
- Nsã ne tawa a wɔbɛtwe wɔn ho afi ho koraa
- Nkyene a wɔtew so
Nnuru nso betumi aboa. Wɔada no adi sɛ nnuru bi a wɔde sa mogya mmoroso, te sɛ ACE inhibitors ne ARBs, ma asaabo mu yare no kɔ so brɛoo. Sɛ wo nni mogya mmoroso mpo a, ebia wo duruyɛfo bɛkyerɛw nnuru yi ama wo de abɔ w’asaabo ho ban. Afei nso, asikreyare nnuru ahorow foforo te sɛ SGLT2 inhibitors , GLP-1 agonists, ne nonsteroidal mineralocorticoid receptor antagonists (MRAs) nso betumi aboa ma wɔadi asaabo mu yare a asikreyare de ba no so.
Afei nso, ebia wo duruyɛfo betu wo fo sɛ tew protein dodow a wudi no so na ama adesoa a ɛda w’asaabo so no so atew.
Dɛn ne Asaabo a Ɛnyɛ Yiye?
Sɛ asaabo mu yareɛ kɔ so kodu baabi a wɔfrɛ no asaabo a entumi nyɛ adwuma yiye a, ɛkyerɛ sɛ w’asaabo reyɛ adwuma wɔ 10% kosi 15% wɔ nea ɛfata mu. Eyi kyerɛ sɛ asaabo no ntumi nyɛ ahotew ne nsu a woyi fi mu adwuma a ehia na ama nipadua no akɔ so ayɛ adwuma no.
Yɛfrɛ saa tebea yi End-Stage Renal Disease (ESRD). Saa ayarefo yi hia sɛ wɔde dialysis anaa wɔde asaabo foforo ma wɔn na ama wɔatumi atra ase.
Nanso mma wo ho nnyɛ wo hu. Ɛnyɛ obiara a asikreyare nti onya asaabo mu yare no na obenya tebea a emu yɛ den yi. Nnipa dodow no ara tumi di yare no ho dwuma denam ayaresa a ɛfata ne asetra mu nsakrae so.
Nea ɛho hia paa ne sɛ wubedi wo asikreyare so yiye, ahwɛ w’akwahosan so, na woadi nhwehwɛmu ne ayaresa a wo duruyɛfo akyerɛ wo no akyi.
Nkrasɛm a Wɔde Kɔ Fie
- Asikreyare a wuntumi nni so betumi asɛe w’asaabo wɔ kokoam.
- Esiane sɛ yare no ho sɛnkyerɛnne biara nni mfiase nti, ɛho hia sɛ worenhuw nsu ne mogya mu nhwehwɛmu a wo duruyɛfo akyerɛw ama wo no.
- Ɔkwan a eye sen biara a wobɛfa so abɔ w’asaabo ho ban ne sɛ wobɛma asikre a ɛwɔ wo mogya mu ne wo mogya mmoroso so.
- Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na wode nnuru foforo biara adi dwuma, titiriw nnuru a wɔde kum ɛyaw.
- Asetra pa (aduan pa, apɔw-mu-teɛteɛ, ne sigaretnom a wogyae) betumi adi asaabo mu yare a ɛkɔ so no so kɛse.
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