Sɛ wuhu mogya kakra wɔ wo nsu mu, anaasɛ sɛ wote ɛyaw kɛse bere a woretow a, ebetumi ayɛ hu kakra, ɛnte saa? Saa nneɛma yi betumi afi asaabo mu abo. Asaabo mu abo ahorow pii wɔ hɔ, na emu biako ne uric acid abo. Ɛnnɛ, yɛbɛka nea enti a wɔhyehyɛ, nea ɛkyerɛ ne sɛnea yebetumi abɔ yɛn ho ban afi tebea yi ho.
Sɛ yɛbɛka no tiawa a, dɛn ne uric acid abo?
Uric acid abo yɛ asaabo mu abo ahorow anan no mu biako. Sɛ yɛbɛka no tiawa a, asaabo mu ɔbo yɛ nneɛma bi a ɛyɛ den a ɛwɔ yɛn nipadua mu a ɛyɛ te sɛ ɔbotan. Wobetumi ayɛ asaabo no mu anaa baabiara wɔ nsu a wɔde gu nipadua mu no mu.
Enti, dɛn ne uric acid?
Uric acid yɛ ade a wɔsɛe no wɔ yɛn mogya mu. Ɛyɛ bere a yɛn nipadua no bubu nnuru a wɔfrɛ no purines mu no . Wohu purine ahorow yi pii wɔ nam mu, titiriw nam kɔkɔɔ, ne nsa te sɛ beer mu.
Mpɛn pii no, uric acid a ɛba no mu dodow no ara tew wɔ mogya no mu, fa asaabo no mu, na ɛkɔ nsu mu. Nanso, uric acid abo no ba wɔ nsɛm abien mu:
- Sɛ uric acid dodow a ɛwɔ wo nsu mu no dɔɔso yiye a .
- Sɛ wo nsu mu yɛ acid kɛse bere nyinaa a .
Wɔ mmere a ɛte sɛɛ mu no, uric acid a entumi ntutu no boaboa ano na ɛyɛ ahwehwɛ nketenkete. Saa ahwehwɛ yi ne nneɛma afoforo bom na ɛde nkakrankakra bɛyɛ abo akɛse.
Dɛn ne abo yi ho sɛnkyerɛnne?
Uric acid abo ho sɛnkyerɛnne te sɛ asaabo mu abo afoforo de no ara pɛ. Nsɛnkyerɛnne titiriw ne ɛyaw. Saa abo yi betumi ayɛ yaw kɛse sɛ ɛkɔhyɛ asaabo no mu anaasɛ ɛkɔfa nsu a ɛkɔ nsu mu no mu a.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɛyaw a emu yɛ den | Ɛyaw a ano yɛ den a ɛba n’akyi, n’afã, yafunu, anaa akyi berɛmo mu. Ebia ɛyaw yi bɛte nka sɛ ɛba na ɛkɔ. |
| Mogya a ɛwɔ nsu mu (Hematuria) . | Sɛ wuhu kɔla a ɛyɛ pink, kɔkɔɔ, anaa bruu wɔ wo nsu mu a. |
| Nsɛnkyerɛnne afoforo a ɛkyerɛ sɛ obi de nsu gu | Ɔhyew bere a woretow nsu, ɛho hia sɛ wɔtaa tow, nsu a ɛyɛ tuntum anaasɛ ɛyɛ huam. |
| Nneɛma afoforo a ɛtaa ba | Akisikuru, ɔfe, atiridiinini, ne atiridiinini. |
Nea ɛho hia sen biara ne sɛ, sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, mmu w’ani ngu so na kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.
Dɛn nti na saa uric acid abo yi ba ankasa?
Nneɛma atitiriw pii nti na ɛte saa.
1. Aduane ne Purines
Nnuan bi wɔ hɔ a purines dɔɔso. Sɛ yedi eyinom daa na yedi pii a, uric acid dodow a ɛwɔ nipadua no mu no kɔ soro.
- Nam kɔkɔɔ (nantwinam, oguammaa, mprako nam) .
- Akwaa nam (mrɛbo, asaabo, ne nea ɛkeka ho) .
- Mpataa ahorow bi (te sɛ sardines, halibut) ne ɛpo mu nnuan te sɛ shrimp ne crab
- Beer ne nsa ahorow bi
Nanso kae sɛ, ɛnyɛ aduan nkutoo na ɛtaa de ba. Sɛ obi a n’awosu mu yɛ den sɛ obenya abo yi di saa nnuan yi pii a, asiane no yɛ kɛse koraa.
2. Awosu mu nneɛma ne aduruyɛ mu tebea afoforo
Wɔwo nnipa binom a wontumi nni uric acid anaa protein a ɛwɔ wɔn nipadua mu no so yiye. Saa ara na nnipa a wɔwɔ yare bi a wɔfrɛ no gout betumi anya uric acid a ɛdɔɔso wɔ wɔn mogya mu na wɔanya abo.
3. Nneɛma afoforo a ɛde asiane ba
- Kɛse mmoroso: Nipadua mu duru (BMI) a ɛboro 25.
- Nsu a ɛnnɔɔso: Eyi ne ade titiriw a ɛma asaabo mu abo. Sɛ wonom nsu kakraa bi a, wo nsu no mu yɛ den, na ɛma ɛyɛ mmerɛw sɛ abo bɛba.
- Asikreyare a Ɛto so 2.
- Nnuru bi (e.g. nnuru a wɔde hyɛ nsu mu).
- Sɛ obi a ɔwɔ abusua no mu anya asaabo mu abo a.
- Oprehyɛn a wɔde ma obi mu duru so tew (Bariatric oprehyɛn).
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne, ahwɛ wo nipadua mu, na afei ahyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii mfa nkyerɛ sɛ wowɔ saa abo yi anaa.
| Sɔhwɛ su | Dɛn na wɔhwɛ kwan fi eyi mu? |
|---|---|
| Mogya mu Nhwehwɛmu | Hwɛ sɛ uric acid anaa calcium dɔɔso wɔ mogya no mu anaa. |
| Nsu mu nhwehwɛmu | Hwɛ sɛnea uric acid dodow ne acid a ɛwɔ wo nsu mu no te. Ebia wɔbɛka akyerɛ wo sɛ fa nnɔnhwerew 24 nsu a wɔaboaboa ano. |
| Mfoninitwa Sɔhwɛ ahorow | Wobetumi ahyɛ sɛ wɔnyɛ CT scan anaa ultrasound scan na ama wɔahu baabi pɔtee a abo no wɔ ne sɛnea ɛsõ. |
| Abo mu Nhwehwɛmu | Sɛ wɔkyere ɔbo bi na wɔtow gu wɔ nsu mu a, wobetumi de akɔma afiri a wɔde yɛ nhwehwɛmu akɔhwɛ ɔbo ko a ɛyɛ. Eyi betumi aboa ma abo ansi bio. |
Dɛn ne ayaresa ahorow a wɔde sa eyi?
Asɛmpa no ne sɛ nnuru a etu mpɔn wɔ hɔ a wɔde sa uric acid abo.
Nsu ne aduru a eye sen biara!
Ade a edi kan ne nea ɛho hia sen biara wɔ ayaresa mu ne sɛ wobɛnom nsu pii . Ɛyɛ papa sɛ wobɛnom nsuo bɛyɛ lita 3 da biara na woayi nsuo bɛyɛ lita 2.5 afiri mu. Eyi ne nea ɛba bere a wonom nsu no:
- Nsu no mu yɛ mmerɛw, na ɛma nneɛma a ɛma aboɔ yɛ den no so tew.
- Esiane sɛ wɔtaa tow nsu nti, wɔhohoro saa mineral ahorow no fi nipadua no mu ansa na abo ayɛ.
Ɛda adi sɛ abo a ennu milimita 7 no bɛtow wɔ nsu mu wɔ bɛyɛ adapɛn 3 mu bere a nsu pii wɔ hɔ no.
So wobetumi de nnuru asa?
Aane. Sɛ wɔde toto asaabo mu abo ahorow afoforo ho a, mfaso titiriw a ɛwɔ uric acid abo so ne sɛ wotumi de nnuru afra mu.Ebia wo duruyɛfo bɛkyerɛw wo nnuru te sɛ eyinom:
- Nnuru te sɛ Potassium citrate anaa Calcium carbonate : Eyinom brɛ nsu a ɛwɔ nsu mu no ase na ɛma ɛyɛ alkaline. Eyi bɛboa ma abo no apete.
- Allopurinol: Saa aduru yi ma uric acid dodow a ɛwɔ mogya mu no so tew.
Sɛ worenom saa aduru yi mpo a, ɛho hia sɛ wonom nsu pii.
Bere bɛn na ɛho hia sɛ wɔyɛ oprehyɛn?
Ɛtɔ mmere bi a, ɛho hia sɛ wɔyɛ oprehyɛn.
- Sɛ ɔbo no sõ yiye a .
- Sɛ ɔbo no siw nsu a ɛsen no kwan koraa a .
- Sɛ ɔyare mmoawa bi wɔ hɔ a .
- Sɛ ɔbo no ntwam wɔ adapɛn 4-6 akyi a.
Mprempren akwan a ɛkɔ akyiri yiye wɔ hɔ a ɛnyɛ den pii a wɔfa so yɛ eyi.
- ESWL (Extracorporeal shock wave lithotripsy): Ɔkwan a wɔfa so bubu abo denam nnyigyei asorɔkye a ahoɔden kɛse wom a efi nipadua no akyi a wɔde mena no so.
- Ureteroscopy: Wɔde afiri a ɛyɛ tratraa paa a mfoninitwa afiri wom fa nsukorabea no mu na wobubu ɔbo no nketenkete anaasɛ woyi fi hɔ tẽẽ.
- PCNL (Percutaneous nephrolithotomy): Wɔ abo akɛse ho no, adeyɛ a ɛhwehwɛ sɛ wotwa n’akyi ketewaa bi na wɔkɔ asaabo no mu de yi ɔbo no.
Mɛyɛ dɛn atumi asiw abo yi ano bio?
Sɛ ɔbo bi ba pɛ a, ɛda adi sɛ ɛbɛsan ayɛ bio wɔ mfe 5-7 mu. Enti, siw ano ho hia paa.
| Do's | Don'ts / Tew so |
|---|---|
| Nom nsu pii. Anyɛ yiye koraa no, nom nsu nkotoku 3-4 da biara. | Tew nam kɔkɔɔ ne akwaa nam (mrɛbo, asaabo) a wudi daa no so. |
| Di nhabannuru ne nnuaba pii . | To beer ne nsa a wobɛnom ano hye . |
| Kura mu duru a ɛfata mu . | Tew anonne ne nnuan a asikre wom so , titiriw nea atoko srade a fructose pii wom. |
| Di aburow a wɔayam ne nufusu a srade nnim. | Tew ɛpo mu nnuan te sɛ sardines, halibut, ne shrimp a wudi daa no so . |
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa?
Sɛ wususuw sɛ wowɔ asaabo mu abo na wowɔ sɛnkyerɛnne ahorow a edidi so yi a, kɔ oduruyɛfo nkyɛn ntɛm ara, anaa kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU).
- Sɛ wowɔ atiridiinini a ɛboro Celsius 38.6 (Fahrenheit 101.5) a .
- Sɛ ɛyaw a wontumi nnyina ano wɔ hɔ a .
- Sɛ mogya tu kɛse bi a ɛne nsu no retu a.
- Sɛ akisikuru ne ɔfe kɔ so a.
- Sɛ wowɔ aduruyɛ mu tebea foforo te sɛ asikreyare a.
Nkrasɛm a Wɔde Kɔ Fie
- Uric acid abo yɛ tebea a ɛyɛ yaw, nanso wobetumi asa no yiye.
- Ɔkwan a eye sen biara na ɛyɛ mmerɛw a wobɛfa so asiw abo yi ano ne sɛ wobɛnom nsu a ɛdɔɔso da biara.
- Hwɛ yiye wɔ w’aduan ho. Ɛho hia paa sɛ wɔto nam kɔkɔɔ, ɛpo mu nnuan bi, ne nsa a wɔnom ano hye.
- Sɛ mogya wɔ wo nsu mu, ɛyaw a emu yɛ den, anaa atiridiinini a, mmu w’ani ngu so da. Hwehwɛ nnuruyɛfo afotu ntɛm ara.
- Wobetumi adi tebea yi so yiye denam nnuru a wo duruyɛfo akyerɛw ama wo no a wode bedi dwuma pɛpɛɛpɛ na woayɛ nsakrae wɔ w’asetra mu no so.
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