Sɛ wokɔ oduruyɛfo nkyɛn a, wɔma wo mogya mu nhwehwɛmu, ɛnte saa? Ebia woahu biribi a wɔfrɛ no "BMP" wɔ saa amanneɛbɔ no so. Nnipa pii haw kakra bere a wohu eyi no, na wosusuw sɛ, "Dɛn ne eyi?" Mma ɛnhaw wo, eyi yɛ sɔhwɛ a abu so yiye, a wɔyɛ no daa. Sɛ yɛbɛka no tiawa a, BMP yɛ sɔhwɛ a ɛkyerɛ sɛnea nneɛma bi a ɛho hia wɔ wo mogya mu dodow te. Eyi betumi ama wo duruyɛfo anya sɛnea wo nipadua akwaa a ɛho hia no bi, titiriw w’asaabo, reyɛ adwuma no ho adwene pa.
Dɛn nti na wɔrebisa yɛn sɛ yɛnyɛ saa BMP sɔhwɛ yi?
Ebia nneɛma pii nti na oduruyɛfo bi bɛka akyerɛ wo sɛ wɔnyɛ BMP nhwehwɛmu.
- Sɛ́ akwahosan ho nhwehwɛmu a wɔyɛ daa no fã: Sɛ wunni nyarewa biara mpo a, wubetumi ama wɔayɛ eyi bere a woreyɛ akwahosan ho nhwehwɛmu afe biara de ahwɛ sɛ ebia biribiara a ɛwɔ wo nipadua mu reyɛ adwuma yiye anaa.
- Hu anaa hwɛ yare bi so: Sɛ wowɔ yare bi te sɛ asikreyare anaa mogya mmoroso a, eyi boa ma wuhu sɛ wotumi nni so ne sɛ ɛreka w’asaabo anaa.
- Hwɛ nkɛntɛnso a nnuru nya: Wɔyɛ nhwehwɛmu yi de hwɛ sɛ nnuru bi a wonom (e.g., nnuru a wɔde sa mogya mmoroso) resakra wo nipadua mu electrolyte dodow anaa.
- Wɔ tebea a egye ntɛmpɛ mu: Sɛ wogye wo kɔ Emergency Treatment Unit (ETU) esiane sɛ woyare nti a, wɔyɛ eyi de hu ntɛm ara sɛ nsu atɔ wo nipadua mu ne sɛ ebia w’asaabo reyɛ adwuma yiye anaa.
Mpɛn pii no, sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ɛda adi sɛ wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ:
- Ɔbrɛ a ɛkɔ so daa
- Sɛ ɔfe kɔ so a
- Adwene a ɛyɛ basaa, ɛyɛ den sɛ wode w’adwene besi biribi so
- Ɔhome a ɛyɛ den
Dɛn na saa BMP yi rehwɛ ankasa?
BMP no titiriw na ɛsɔ nnuru 8 dodow a ɛwɔ wo mogya mu hwɛ. Ma yɛnhwɛ nea wɔyɛ ne nea wɔka.
| Dɛn na wɔresɔ ahwɛ? | Dɛn na ɛno ka? |
|---|---|
| Glucose a ɛwɔ nipadua no mu | Eyi ne wo nipadua no ahoɔden fibea titiriw. Yɛfrɛ no kɛkɛ sɛ "mogya mu asikre." Wɔde eyi hwɛ sɛ wowɔ asikreyare anaasɛ wotumi di so anaa. |
| Calcium a ɛwɔ nipadua no mu | Ɛho hia na ama nnompe ayɛ den, mogya atɔ, na koma ne ntini ayɛ adwuma. |
| Mogya mu Urea Nitrogen (BUN) . | Eyi yɛ ade fĩ a wɔyɛ wɔ nipadua no mu. Asaabo no yiyi mu na ɛkɔ nsu mu. Eyi dodow betumi akyerɛ sɛnea w’asaabo reyɛ adwuma yiye. |
| Creatinine a wɔde yɛ aduru | Eyi nso yɛ ade fĩ a ntini ahorow no na ɛyɛ. Asaabo nso na ɛyi fi hɔ. Te sɛ BUN no, eyi nso ma yenya sɛnea asaabo no yɛ adwuma ho adwene pa. |
| Electrolytes - nkyene a ewo nipadua no mu | |
| Sodium a wɔde yɛ nneɛma | Ɛboa ma wodi nsu dodow a ɛwɔ nipadua no mu so. Sɛ eyi kɔ soro anaa ɛso tew a, ɔhaw ahorow te sɛ nsu a ɛho ntew ne mogya mmoroso betumi aba. |
| Potassium a wɔde yɛ nneɛma | Ɛho hia paa ma koma ne ntini ahorow no dwumadi. Sɛ ne dodow kɔ soro dodo anaasɛ ɛba fam dodo a, ebetumi ayɛ asiane ama koma no. |
| Chloride a wɔde yɛ nneɛma | Te sɛ sodium no, ɛboa ma nipadua no mu nsu ne acid ne base kari pɛ. |
| Nneɛma a ɛma mframa bɔne (Bicarbonate) . | Ɛkyerɛ mogya no mu acid ne base a ɛkari pɛ. Ebetumi nso ama yɛanya sɛnea ahurututu ne asaabo yɛ adwuma ho adwene. |
Nsonsonoe bɛn na ɛda BMP ne CMP ntam?
Ɛtɔ da bi a, ebia wo duruyɛfo bɛkamfo CMP akyerɛ sen sɛ wode BMP bɛyɛ. CMP gyina hɔ ma Comprehensive Metabolic Panel .
Sɛ yɛbɛka no tiawa a, CMP yɛ sɔhwɛ a ɛsõ kakra, a ɛkɔ akyiri sen BMP no.
Wɔ CMP no mu no, nneɛma 8 a BMP no hwɛ akyi no, wɔhwɛ nneɛma afoforo pii, titiriw nneɛma a ɛka wo mmerɛbo dwumadi ho asɛm kyerɛ wo . Saa nneɛma foforo yi ne:
- Albumin ne Total Protein: Eyinom yɛ protein ahorow a mmerɛbo no yɛ. Wɔde aduannuru tebea ne mmerɛbo ne asaabo akwahosan ho nsɛm ma.
- ALP, ALT, AST: Eyinom yɛ enzyme ahorow a ɛwɔ mmerɛbo mu. Sɛ mmerɛbo no sɛe a, eyinom boaboa ano wɔ mogya no mu.
- Bilirubin: Nneɛma fĩ a ɛba bere a mogya mu nkwammoaa kɔkɔɔ dedaw no sɛe no. Eyi nso na mmerɛbo no yi fi hɔ.
Sɛ oduruyɛfo no te nka sɛ ɛsɛ sɛ wɔhwɛ wo mmerɛbo no so titiriw a, ɔbɛkyerɛw CMP ama wo sen sɛ ɔbɛkyerɛw BMP.
Saa mogya mu nhwehwɛmu yi yɛ mmerɛw koraa!
Eyi yɛ mogya mu nhwehwɛmu a wɔyɛ no daa ara kwa. Biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.
1. Mmuadadi: Saa sɔhwɛ yi taa hwehwɛ sɛ wunnidi anaa nnom biribi foforo biara a ɛnyɛ nsu nnɔnhwerew 8-12. Ɛno nti na nnipa dodow no ara kɔ anɔpa kɔma mogya, enti ɛnyɛ den sɛ wobedi mmuada anadwo biako. Nanso, hwɛ hu sɛ wubebisa wo duruyɛfo sɛ ɛsɛ sɛ wudi mmuada na wonom nnuru a wonom daa no anaa.
2. Ahosiesie: Sɛnea ɛbɛyɛ a ɛbɛyɛ mmerɛw sɛ wobɛtwe mogya afi wo nsa mu no, hyɛ ntade a nsa tiaa. Sɛ wonom nsu kuruwa biako ansa na wode mogya ama a, ɛbɛma ayɛ mmerɛw sɛ wubenya ntini bi.
3. Mogya a wɔboaboa ano: Wɔ lab no, wobehu ntini a ɛfata wɔ wo basa mu, atwa wo nsateaa ho ahyia, na wɔde aduru a ekum ɔyare mmoawa asiesie baabi a ɛwɔ hɔ. Afei, wɔde rɔba (tourniquet) bɛtwa abasa no atifi ho ahyia na wɔakyekyere no denneennen. Eyi bɛma wɔahu ntini no yiye.
4. Piercing: Wotra hɔ a wo ho adwo wo. Gye ahome na hwɛ baabi foforo. Sɛ wode ade ketewaa bi hyɛ mu a, wobɛte nka sɛ woabɔ wo kakra, te sɛ nea ntɛtea aka wo . Wɔbɛfa mogya dodow a wɔhwehwɛ no wɔ sikani kakraa bi mu.
5. Wɔayɛ: Woyi ade no, wɔde cotton asinasin bi gu beae no na mia so. Afei wɔde plaster ketewaa bi gu baabi a ɛhɔ yɛ fɛ.
Adeyɛ no nyinaa gye simma kakraa bi pɛ. Wɔde mogya no kɔ lab na wonya amanneɛbɔ no wɔ da koro anaa nnanu mu. Ebia baabi a wɔfaa mogya no bɛyɛ bruu kakra, nanso eyi ankasa besiesie wɔ nna kakraa bi mu.
Sɛ amanneɛbɔ no ba a, wote ase dɛn?
Wɔ w'amanneɛbɔ mu no, biribiara a wɔasɔ ahwɛ no, wɔde wo aba ne "Normal Range" a ɛne no hyia no di anim.
Nea ɛho hia ne sɛ esiane sɛ nea efi mu ba no boro nea ɛfata so kakra nti, ɛnkyerɛ ankasa sɛ ɛyɛ yare a emu yɛ den ho sɛnkyerɛnne.
Normal ranges betumi ayɛ soronko kakra wɔ lab biara mu. Ebia nea ebefi mu aba nso betumi ayɛ soronko a egyina nneɛma te sɛ mfe a woadi, wo bɔbeasu, nnuru a wonom, ne aduan a wudi so.
Enti, nnyina gyinapɛn ahorow a ɛwɔ amanneɛbɔ no mu so mfa nwie. Oduruyɛfo a ɔresa wo yare no nkutoo na obetumi ate ase pɛpɛɛpɛ na waka nea ehia akyerɛ wo. Ɔde eyi bɛtoto wo yare no ho sɛnkyerɛnne ne nhwehwɛmu amanneɛbɔ afoforo ho na wama wo afotu a ɛfata.
So nneɛma bi wɔ hɔ a ebetumi aka nea ebefi mu aba no?
Yiw, nneɛma bi betumi aka sɛnea BMP aba no yɛ pɛpɛɛpɛ.
- Nnuru bi a wonom
- Ɔbrɛ
- Aduan ne anonne a wɔnom ansa na wɔde mogya ama
- Ayaresa tebea foforo biara a na wowɔ saa bere no
- Ɛntaa mma koraa sɛ mfiridwuma mu mfomso bi si wɔ lab no mu.
Sɛ wususuw sɛ ebia biribi te sɛ eyi aka nea efii mu bae no a, wo ne wo duruyɛfo nka ho asɛm nso.
Nkrasɛm a Wɔde Kɔ Fie
- Basic Metabolic Panel (BMP) yɛ mogya mu nhwehwɛmu a wɔtaa yɛ na ɛnyɛ den a ɛma wunya w’akwahosan ho nsɛm pii a ɛho hia.
- Eyi hwɛ asaabo dwumadi, asikre dodow a ɛwɔ mogya mu, ne nipadua no mu nkyene a ɛkari pɛ (electrolytes) titiriw.
- Mma ɛnhaw wo sɛ botae bi a ɛwɔ w'amanneɛbɔ no so no wɔ "Normal Range" no akyi kakra a. Ebia ntease pii wɔ hɔ a enti ɛte saa.
- Mma w’ankasa mfa nea ebefi amanneɛbɔ no mu aba no ho nsɛm nsusuw ho, na mmom wo ne oduruyɛfo a ɔkyerɛw maa no no nsusuw ho. Ɔno nkutoo na obetumi de nkyerɛkyerɛmu a edi mu sen biara ama.










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