Nea ɛsɛ sɛ wuhu fa Asaabo Yare ho

Asaabo yɛ akwaa nketewa abien, nanso ɛho hia sen biara wɔ wo nipadua mu. Mpɛn pii no, wɔyɛ wɔn adwuma komm, enti ɛkame ayɛ sɛ yenhu sɛ ɛsom bo. Nanso, sɛ asaabo yi dwumadi sɛe kakra mpo a, nipadua no nyinaa fi ase te nea efi mu ba no nka. Ɛnnɛ, momma yɛnka asaabo mu nyarewa yi ho asɛm, te sɛ nea yɛne yɛn adamfo rekasa no.

Dɛn na ɛrekɔ so wɔ saa asaabo yi so ankasa?

Fa w’asaabo sɛ nneɛma abien a tumi wom sen biara wɔ wo nipadua mu. Wɔwɔ w’akyi berɛmo no afã abien no nyinaa, wɔ w’asen atifi pɛɛ. Wɔnyɛ filters kɛkɛ, wɔyɛ pii sen saa. Sɛ yɛbɛka no tiawa a, eyinom yɛ nneɛma atitiriw a asaabo a ɛte apɔw yɛ no bi. Sɛ asaabo no sɛe a, entumi nyɛ adwuma yi yiye. Afei, nneɛma fĩ ne nsu a ɛboro so boaboa ano wɔ nipadua no mu, na ɛde nneɛma te sɛ anansoro a ɛho ahonhon, akisikuru, ɔbrɛ, nna a wontumi nna, ne ahome a ɛyɛ den ba. Sɛ wɔansa a, saa ɔsɛe yi betumi akɔ so akodu asaabo a entumi nyɛ adwuma yiye koraa. Ɛno yɛ tebea a emu yɛ den yiye, na ɛde nkwa mpo to asiane mu.

Dɛn ne asaabo mu nyarewa atitiriw?

Wobetumi akyekyɛ asaabo mu yare mu ayɛ no ahorow atitiriw abien. Biako yɛ yare a ɛba nkakrankakra bere a bere kɔ so no, na biako nso yɛ tebea a ɛba mpofirim.

Asaabo mu Yare a Enni Sabea (CKD) .

Eyi ne ɔkwan a wɔtaa de di dwuma. CKD yɛ tebea a asaabo no ntumi nyi mogya mu yiye bɛboro asram 3. Ɛnkɔ so mpofirim. Ɛkɔ so nkakrankakra, wɔ mfe pii mu. Ade a ɛyɛ hu sen biara ne sɛ, yare no ho sɛnkyerɛnne biara nni hɔ wɔ mfiase no. Ɛno nti na nnipa pii nnim sɛ wɔwɔ saa yare yi. Asikreyare ne mogya mmoroso ne nneɛma atitiriw abien a ɛde CKD ba. Ɛwom sɛ ayaresa ntumi nsa yare no koraa de, nanso etumi siw ne kɛse so.

Asaabo mu nyarewa ahorow afoforo

CKD akyi no, asaabo mu nyarewa afoforo pii wɔ hɔ.

• Polycystic Kidney Disease : Eyi yɛ awosu mu yare. Nkwammoaa a nsu ahyɛ mu ma no ba asaabo no so . Eyi ma asaabo no dwumadi so tew.
• Glomerulonephritis: Ɛsɛe mogya a wɔde yiyi nneɛma nketenkete (glomeruli) a ɛwɔ asaabo no mu no. Saa tebea yi nso betumi aba bere a obi anya menewam yare bi (strep infections) akyi.
• Lupus Nephritis: Lupus yɛ yare a nipadua no tumi ko tia nyarewa a ɛtow hyɛ nipadua no ankasa nkwammoaa a ɛte apɔw so. Saa tebea yi ba bere a wɔtow hyɛ asaabo no so no.
• Pyelonephritis : Eyi yɛ ɔyare a ɛba asaabo mu a ɛka asaabo. Sɛ saa ɔyare mmoawa yi taa ba a, ebetumi asɛe asaabo no daa.

Dɛn na ɛde asaabo mu yare ba?

Nneɛma ahorow na ɛde asaabo mu yare ba. Momma yɛnhwɛ emu biara wɔ ɔkwan soronko so.

Nea Ɛde Asaabo mu Opira a Ɛyɛ Den Ba

Eyi ne bere a asaabo no hwere adwuma mpofirim wɔ nna kakraa bi mu. Eyi betumi afi:

• Mogya a ɛtɔ dodo esiane akwanhyia kɛse bi nti.
• Nsu a ɛho ntew kɛse wɔ nipadua no mu.
• Sepsis (ahodwiriw) a ɔyare mmoawa a emu yɛ den de ba.
• Nnuru bi, te sɛ nnuru a wɔde kum ɛyaw , nnuru a ekum ɔyare mmoawa , ne awuduru.
• Nsuo mu nsuo a ɛsiw esiane aboɔ a ɛwɔ nsuo mu anaasɛ prostate gland a ayɛ kɛseɛ wɔ mmarima mu nti.

Nea ɛde Asaabo mu Yare a Enni sabea Ba

Nneɛma atitiriw a enti asaabo no yɛ mmerɛw nkakrankakra bere a bere kɔ so no ne:

• Asikreyare: Asikre dodow a ɛkɔ soro wɔ mogya mu a wontumi nni so mfe pii no sɛe asaabo no tẽẽ.
• Mogya Nhyɛso: Sɛ wɔmma mogya mmoroso bere tenten a wontumi nni so a, ɛsɛe mogya ntini a ɛyɛ mmerɛw a ɛde mogya kɔ asaabo mu no.
• Nnuru a wɔde kum ɛyaw a wɔde di dwuma bere tenten: Nnuru a wɔde kum ɛyaw a wɔde di dwuma bere tenten, titiriw NSAIDs (e.g., Ibuprofen, Naproxen), a oduruyɛfo afotu mma no, epira asaabo no kɛse.
• Awosu mu nneɛma a ɛde ba: Sɛ obi a ɔwɔ w’abusua mu anya asaabo mu yare a, ebia wo nso wobɛkɔ asiane mu.

Dɛn ne eyi ho sɛnkyerɛnne?

Eyi ne ade a ɛho hia sen biara. Wɔ asaabo mu yare a enni sabea mu no, ebia sɛnkyerɛnne biara nni hɔ a wotumi hu kosi sɛ asaabo no mu 70%-80% bɛsɛe. Ɛno nti na wɔsan frɛ saa yare yi "kumfo a ɔyɛ komm." Sɛ yare no mu yɛ den kakra a, sɛnkyerɛnne te sɛ:

• Asen, anan, ne ɛtɔ mmere bi a anim a ɛho ahonhon.
• Ɔbrɛ a ɛtra so a wɔte nka sɛ nkwa nnim.
• Akisikuru ne ɔfe a ɛtaa ba.
• Aduan ho akɔnnɔ a ɛyera na ɛyɛ dade dɛ wɔ anom.
• Wora a ɛyɛ wo yaw.
• Dae a wontumi nna anaasɛ ɛyɛ den sɛ ɔbɛda.
• Nsakrae a ɛba mpɛn dodow a wɔtow nsu mu (ɛkɔ soro anaasɛ ɛso tew).
• Ɔhome a ɛyɛ den.
• Ɛyɛ den sɛ wobedi mogya mmoroso so.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara kɔhwehwɛ afotu.

Ɔkwan bɛn so na wobetumi ahu yare no?

Wo duruyɛfo no bedi kan abisa w’abusua abakɔsɛm, nnuru a wonom, ne wo sɛnkyerɛnne ahorow ho asɛm. Afei, wɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii de si so dua sɛ wɔahu yare no, te sɛ:

• Mogya mu nhwehwɛmu: Titiriw no, Serum Creatinine nhwehwɛmu no susuw nneɛma fĩ dodow a ɛwɔ mogya no mu na ɛbu asaabo dwumadi (eGFR).
• Nsu mu nhwehwɛmu:Wɔhwɛ sɛ protein anaa mogya mu nneɛma nketenkete bi wɔ nsu no mu. Asaabo a ɛte apɔw no nnyi protein mfi mu.
• Ultrasound Scan: Eyi betumi ahwɛ sɛnea asaabo no kɛse te, sɛnea ɛte, ne sɛ ebia abo bi wɔ nsu mu anaa.
• Kidney Biopsy: Wɔ tebea horow bi mu no, woyi ntini ketewaa bi fi asaabo no mu de hu nea ɛde yare no ba ankasa.

Ɔkwan bɛn so na wɔsa?

Wontumi nsa asaabo mu yare a enni sabea (CKD) no yare. Nanso, sɛ wohu ntɛm a, ayaresa a ɛfata ne asetra mu nsakrae betumi agyae anaasɛ ama asaabo a ɛsɛe bio no ayɛ brɛoo kɛse. Botae titiriw a ɛwɔ ayaresa mu ne: 1. Nea ɛde yare no ba (e.g., asikreyare, mogya mmoroso) a wobedi so. 2. Nsɛnkyerɛnne no a wobedi so. 3. Asaabo a ɛbɛsɛe bio a wobesiw ano.

Nnuru a wɔde di dwuma

Ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ ACE inhibitors anaa ARBs de ahyɛ wo mogya mmoroso so. Ɛnyɛ sɛ nnuru yi hwɛ wo mogya mmoroso so nko, na mmom ɛboa ma wobɔ w’asaabo ho ban denam protein dodow a wode fa wo nsu mu a ɛtew so no so. Ebia wɔbɛkyerɛw nnuru nso ama asikre a ɛwɔ wo mogya mu, atew wo srade so, na wɔasa mogya a ɛtɔ kɔ wo mogya mu.

Adidie

Eyi ho hia paa. Asaabo ayarefo hia aduan titiriw bi. Mpɛn pii no, ɛsɛ sɛ woto nnuan a nkyene (sodium), potassium, ne phosphorus pii wom ano hye. Ebia ɛsɛ sɛ woto protein ne nsu a wonom nso ano hye. Aduan ho ɔbenfo betumi ama wo afotu a eye sen biara wɔ eyi ho. Wo duruyɛfo de wo bɛkɔ biako nkyɛn.

Dialysis a wɔde hyɛ nipadua mu

Sɛ asaabo no dwumadi so atew kɛse na edu adwene mu yare a ɛba awiei (ESRD) no ho a, ɛsɛ sɛ wɔde afiri bi boa adwuma a ɛsɛ sɛ asaabo no yɛ, a ɛne sɛ ɛbɛtew mogya no ho. Wɔfrɛ eyi dialysis .

• Hemodialysis: Nea ɛka eyi ho ne sɛ wode wo nipadua bɛka afiri bi a ɛtwe wo mogya na ɛsan kɔ wo nipadua mu no ho. Ɛho behia sɛ wokɔ ayaresabea anaa dialysis center nnafua 2-3 dapɛn biara na woayɛ eyi.
• Peritoneal Dialysis: Eyi yɛ ɔkwan a wobetumi ayɛ wɔ fie. Wɔde nsu titiriw bi fa afiri bi a wɔde ahyɛ yafunu no mu mu, na wɔde nsu no twetwe nneɛma fĩ a efi mogya no mu.

Asaabo a Wɔde Ma Afoforo

Asaabo mu yare a ɛba awiei no ayaresa a eye sen biara ne asaabo a wɔde bɛma obi foforo a ahoɔden wom. Wobetumi ayɛ eyi afi obi a ɔte ase (abusua muni anaa obi foforo) anaa obi a wawu hɔ. Sɛ wɔde nipadua foforo ma wo yiye a, wubetumi atra ase sɛnea ɛsɛ a womfa dialysis nni dwuma. Asaabo Yare, Asaabo Yare a Enni Sabea, Asikreyare, Mogya Nhyɛso a Ɛkɔ Anim, Dialysis, Asaabo a Wɔde Si Asaabo Mu, Asaabo Yare Sinhala