Sɛ wɔma obi asaabo foforo a, ɛte sɛ nea wanya asetra foforo. Nanso wɔ oprehyɛn kɛse a ɛte saa akyi no, ɛtɔ mmere bi a nsɛnnennen a wɔnhwɛ kwan betumi asɔre. Sɛ nhwɛso no, ɔyare mmoawa a emu yɛ den a ebetumi aba obi a wɔde asaabo foforo ama no so no, wɔfrɛ no BK Viral Nephritis. Eyi betumi aka sɛnea w’asaabo foforo no yɛ adwuma na asiw asaabo a wɔde bɛma foforo no kwan mpo. Nanso mma ɛnhaw wo, sɛ yenim eyi yiye a, akwan bi wɔ hɔ a yɛbɛfa so abɔ yɛn ho ban afi tebea yi ho. Enti, momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ.
Dɛn ne saa BK mmoawa yi?
Sɛ yɛbɛka no tiawa a, BK virus nephritis yɛ ɔyare mmoawa a asiane wom a efi BK polyomavirus a ɛda hɔ (ahintaw) wɔ wo nipadua mu bere a wɔde asaabo foforo ama wo akyi no a ɛsan yɛ adwuma no mu ba. Wodii kan huu saa mmoawa yi wɔ 1971 mu wɔ ɔyarefo bi a wɔde asaabo foforo ahyɛ ne din a edi kan "BK" mu. Ɛno nti na wɔfrɛ no BK virus no.
BK mmoawa no yɛ ɔhome mu yare a abu so yiye, a mpɛn pii no enni sɛnkyerɛnne biara, a ɛnam nsu a ɛte sɛ nsu a ɛyɛ nwini so trɛw. Obi a ɔwɔ apɔwmuden nte nka mpo sɛ wɔanya saa mmoawa yi. Nanso, sɛ mmoawa no hyɛn nipadua no mu pɛ a, ebetumi ada yɛn nipadua mu yɛn nkwa nna nyinaa, a ɛremma ɔhaw biara mma.
Nhwehwɛmu kyerɛ sɛ wiase nnipa bɛboro 80% wɔ nnuru a ɛko tia saa mmoawa yi. Eyi kyerɛ sɛ ɛkame ayɛ sɛ yɛn nyinaa anya saa mmoawa yi wɔ yɛn mmofraase. Obi a ɔte apɔw a onni asaabo foforo no, mmoawa yi renpira no wɔ wɔn nipadua mu.
Ɔkwan bɛn so na eyi betumi ayɛ nea asiane wom ama obi a wɔama no asaabo foforo?
Sɛ wɔde asaabo foforo ma wo wie a, wɔbɛma wo nnuru titiriw bi a ɛbɛma wo nipadua no agyae asaabo foforo no. Wɔfrɛ eyinom nnuru a ɛko tia pow ne nnuru a ɛma nipadua no tumi ko tia nyarewa . Saa nnuru yi yɛ adwuma denam wo nipadua no abɔde mu tumi a ɛko tia nyarewa a ɛma ɛyɛ mmerɛw no so. Eyi ma asaabo foforo no tumi dannan ne ho ma ɛne wo nipadua hyia a obiara ntow nhyɛ so.
Nanso sɛ wo nipadua mu tumi a ɛko tia nyarewa no brɛ ase a, tumi a wo nipadua no de ko tia nyarewa afoforo nso so tew. Saa bere no, BK mmoawa a na ɛda wo nipadua mu no "sɔre," a ɛkyerɛ sɛ ɛsan yɛ adwuma bio.
Saa mmoawa a wɔayɛ adwuma yi tow hyɛ w’asaabo foforo no so tẽẽ. Eyi ma asaabo ne nsu a ɛkɔ nsu mu no ho hyehye, anaasɛ ɛhohoro. Eyi ne nea yɛfrɛ no nephritis .
Saa ɔfe yi ma asaabo no ntumi nyɛ adwuma nkakrankakra. Sɛ tebea yi mu yɛ den kɛse a, wɔfrɛ no BK virus nephropathy.Wɔfrɛ no nephropathy. Eyi kyerɛ sɛ asaabo no asɛe kɛse, na awiei koraa no, ebetumi adi nkogu koraa. Wobu akontaa sɛ wɔn a wɔde asaabo ma wɔn no mu bɛyɛ 2% nya saa asaabo mu yare yi.
Dɛn ne BK Viral Nephritis ho sɛnkyerɛnne ahorow?
Mpɛn pii no, nnipa a wɔwɔ saa yare yi nkyerɛ yare no ho sɛnkyerɛnne biara. Nanso, sɛ sɛnkyerɛnne ahorow no da adi ampa a, ɛsɛ sɛ wuhu nneɛma a edidi so yi.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Nsakrae a ɛba nsu mu | Mogya a ɛwɔ nsu anaa nsu mu a ɛdan kɔkɔɔ-biribiri. |
| Ɛyɛ den sɛ wobɛtow nsu | Ɛyaw anaa ɔhyew bere a woretow, ɛyɛ den sɛ wobɛtow. |
| Bladder a ɛnyɛ nea ɛda mpan koraa | Sɛ́ wobɛte nka sɛ nsu da so ara wɔ hɔ bere a woatow nsu awie no. |
| Mu duru a ɛkɔ soro mpofirim | Nipadua mu duru a ɛkɔ soro kilogram biako anaa nea ɛboro saa wɔ bere tiaa bi mu, te sɛ nnɔnhwerew 48. |
| Yeaw | Ɛyaw anaa yafunu a ɛyɛ mmerɛw wɔ yafunu anaa yafunu ase. |
Bio nso, ebia wo duruyɛfo behu nneɛma te sɛ creatinine dodow a ɛkɔ soro ne urea nitrogen dodow a ɛkɔ soro wɔ wo mogya mu ne wo nsu mu nhwehwɛmu amanneɛbɔ ahorow mu.
Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ w’asaabo ho ɔbenfo nkyɛn ntɛm ara. Saa nyarewa yi mu dodow no ara ba wɔ asram abiɛsa a edi kan wɔ asaabo a wɔde ma akyi no mu.Enti ɛsɛ sɛ wohwɛ wo nipadua yiye wɔ saa bere yi mu.
Akwahosan ho asiane bɛn na ɔyare mmoawa yi de ba?
Asiane titiriw a ɛwɔ BK virus nephritis mu ne sɛ wobɛsɛe w’asaabo foforo no. Wɔ tebea horow bi a emu yɛ den mu no, asiane a ɛwɔ hɔ sɛ graft bɛhwere koraa no betumi ayɛ kɛse akodu 30% kosi 80%.
Nea ɛka asaabo a ɛsɛe ho no, saa mmoawa yi betumi de akwahosan ho haw afoforo a emu yɛ den nso aba.
- Kokoram: Mmoawa no betumi ama nkwammoaa anyin wɔ ɔkwan a ɛnteɛ so na ayɛ kokoram akisikuru wɔ akwaa ahorow mu.
- Capillary leak syndrome: Tebea a emu yɛ den a mogya mu nsu a ɛtwetwe fi mogya ntini nketenkete paa mu kɔ ntini, akwaa, ne ntini a atwa ho ahyia no mu ba.
- Encephalitis: Sɛ mmoawa no trɛw kɔ amemene no mu a, amemene no mu ntini betumi ahonhon. Eyi betumi de sɛnkyerɛnne ahorow te sɛ nipasu mu nsakrae ne akisikuru aba.
- Ahurututu mu yare: Mmoawa no trɛw kɔ ahurututu mu na ɛma ɛyɛ den sɛ ɔbɛhome esiane nsu a ɛhyɛ mu ma nti.
- Viral hepatitis: Sɛ mmoawa bi trɛw kɔ mmerɛbo no mu a, ebetumi ama mmerɛbo no ayɛ hyew.
Ɔkwan bɛn so na wobetumi ahu yare yi pɛpɛɛpɛ?
Wo duruyɛfo no bɛyɛ nhwehwɛmu pii de akyerɛ sɛ wowɔ saa yare yi anaa.
| Sɔhwɛ | Dɛn na worehwɛ? |
|---|---|
| Mogya mu nhwehwɛmu | Wɔhwɛ mogya no mu sɛ ebia BK mmoawa no DNA anaa mRNA asinasin bi wɔ hɔ anaa. |
| Nsu mu nhwehwɛmu | Wɔsɔ nsu no hwɛ sɛ ebia nkwammoaa soronko bi wɔ hɔ a wɔfrɛ no "decoy cells." Eyinom yɛ nkwammoaa a efi asaabo mu nkwammoaa a wɔanya ɔyare no mu na ɛba na woyi gu nsu mu. Wɔsan nso sɔ hwɛ sɛ ebia mmoawa no DNA/mRNA asinasin bi wɔ hɔ anaa. |
| Asaabo mu nhwehwɛmu | Eyi ne ɔkwan a wotumi de ho to so sen biara a wɔfa so hu yare no. Woyi ntini nketenkete abien paa fi asaabo no mu na wɔhwehwɛ mu. |
Ɔkwan bɛn so na wobɛsa wo ho yare na woabɔ wo ho ban?
Ayaresa biako biara nni hɔ a wɔapene so koraa a wɔde sa tebea yi. Nanso, wo duruyɛfo no de akwan horow bedi dwuma de adi tebea no ho dwuma.
- Nnuru a ɛma nipadua no tumi ko tia nyarewa dodow a wɔbɛtew so: Eyi ne ayaresa titiriw. Sɛ wohu sɛ mmoawa no yɛ adwuma a, wo duruyɛfo besi gyinae sɛ ɔbɛtew w’aduru dodow so.
- Nnuru a ɛko tia ɔyare mmoawa: Wobetumi de nnuru bi ama de atew mmoawa dodow a ɛwɔ nipadua no mu so.
- Nnuru afoforo: Ebia ɛho behia sɛ wosakra nnuru a ɛma nipadua no tumi ko tia nyarewa no anaasɛ wɔma wo nnuru a ekum ɔyare mmoawa ma ɔyare mmoawa a ɛto so abien.
Yɛbɛyɛ dɛn atumi abɔ yɛn ho ban afi eyi ho?
Esiane sɛ yɛn nyinaa nya saa mmoawa yi wɔ yɛn mmofraase nti, yentumi nni sɛnea ɛkɔ nipadua no mu no so. Nanso, nneɛma pii wɔ hɔ a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya saa tebea yi bere a wɔde asaabo foforo ama wo akyi no so. Ade a ɛho hia sen biara ne sɛ wobɛkɔ akɔyɛ nhwehwɛmu daa sɛnea wo duruyɛfo de afotu ama wo no.
- Ansa na sɛnkyerɛnne ahorow no bɛda adi no, wɔyɛ mogya ne nsu mu nhwehwɛmu daa de hwɛ sɛ mmoawa no abɛyɛ adwuma anaa.
- Mpɛn pii no, wɔkamfo kyerɛ sɛ wɔbɛhwɛ asram 3 biara wɔ mfe abien a edi kan wɔ nipadua no mu akyi, na afei afe biara mfe anum.
- Sɛ nhwehwɛmu ahorow yi hu ɔyare mmoawa no a, oduruyɛfo no bɛsakra nnuru a ɛma nipadua no tumi ko tia nyarewa no dodow.
Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛhwɛ yare no ho sɛnkyerɛnne nketenkete biara, abɔ wo duruyɛfo amanneɛ ntɛm ara, na woayɛ nhwehwɛmu a ɔkamfo kyerɛ no bere ano. Sɛ woyɛ saa a, wɔbɛbɔ wo ho ban afi ɔyare a emu yɛ den yi ho na wubetumi de w’asaabo foforo no atra apɔwmuden bere tenten.
Nkrasɛm a Wɔde Kɔ Fie
- BK mmoawa yɛ mmoawa a abu so yiye a ɛnyɛ asiane mma nnipa a wɔwɔ apɔwmuden, nanso ebetumi ayɛ asiane ama obi a wɔde asaabo foforo ama no.
- Sɛ wɔde asaabo foforo ma wie a, ebia mmoawa a wɔada wɔ nipadua no mu no asan ayɛ adwuma esiane nnuru a ɛma nipadua no tumi ko tia nyarewa nti.
- Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ nsakrae a ɛba wo nsu mu, ɛyaw a ɛba bere a woretow nsu, ne wo mu duru a ɛkɔ soro mpofirim no ho.
- Ɔkwan a eye sen biara a wobɛfa so abɔ wo ho ban afi tebea yi ho ne sɛ wobɛkɔ so ayɛ nhwehwɛmu daa sɛnea wo duruyɛfo kamfo kyerɛ no.
- Sɛ wowɔ adwenem naayɛ anaa sɛnkyerɛnne bi a, ntwentwɛn wo nan ase na kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu.
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