Momma yensua IgA Nephropathy (Berger Yare) a ɛsɛe w’asaabo komm no ho ade.

So woahyɛ no nsow pɛn sɛ sɛ wunya atiridii a, wo nsu dan kɔla te sɛ tii? Anaasɛ wuhu sɛ wo nsu mu ahuru pii? Bere a nnipa pii susuw sɛ eyinom yɛ nneɛma a ɛfata no, eyi betumi ayɛ sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ biribi asɛe w’asaabo. Ɛnnɛ yɛrebɛka tebea bi a wɔfrɛ no IgA Nephropathy a ɛka yɛn nipadua komm na ɛyɛ biribi a nnipa pii ntee ho asɛm da ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne IgA Nephropathy?

Eyi yɛ yare ankasa a ɛsɛe asaabo esiane ɔhaw bi a ɛwɔ yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no mu nti. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi yɛ yare a nipadua no tumi ko tia nyarewa .

Susuw yɛn nipadua mu tumi a ɛko tia nyarewa no ho sɛ asraafo dɔm a wɔbɔ ɔman bi ho ban. Saa asraafo dɔm yi wɔ ɔsraani soronko bi, a yɛfrɛ no antibodies . Wɔn adwuma ne sɛ wɔbɛhwehwɛ atamfo te sɛ mmoawa ne mmoawa a wɔhyɛn nipadua no mu na wɔasɛe wɔn. Immunoglobulin A, anaa IgA, yɛ nnuru titiriw a ɛte saa a ɛko tia nyarewa no mu biako.

Obi a ɔwɔ IgA Nephropathy no nsakrae kakra, anaasɛ ɛho nhia wɔ IgA antibodies a wɔyɛ wɔ nipadua no mu no bi mu. Esiane eyi nti, wɔn a wɔbɔ wɔn ho ban afoforo a wɔwɔ yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no mu no ntumi nhu IgA a ɛyɛ nwonwa yi. Wosusuw sɛ ɛyɛ ɔtamfo a ofi abɔnten. Enti, wɔtow hyɛ IgA nwonwaso yi so na wɔbom yɛ akuwakuw akɛse.

Saa ɔsɛe yi mma asaabo no ntumi nkɔ mogya mu yiye. Eyi ma nipadua no hwere nnuru a ɛkari pɛ no. Sɛ wɔansa a, saa ɔsɛe yi betumi akɔ so akodu asaabo mu yare a ɛba awiei.

So biribi pɔtee bi wɔ hɔ a ɛde yare yi ba?

Nyansahufo nnya nhuu nea ɛde yare yi ba ankasa. Nanso ɛnyɛ nea ɛde ɔyare mmoawa ba. Wogye di sɛ ɛwɔ awosu mu abusuabɔ bi. Ɛno kyerɛ sɛ sɛ obi wɔ w’abusua mu a, wo nso wowɔ hokwan ketewaa bi sɛ wubenya bi.

Afei nso, aduruyɛ mu tebea horow bi betumi ayɛ ‘ade a ɛkanyan’ ma eyi fi ase.

Ɛwom sɛ saa yare yi betumi anya mfe biara de, nanso mpɛn pii no, sɛnkyerɛnne ahorow no da adi wɔ nnipa a wonnii mfe 40. Mmarima nso taa nya bi sen mmea mmɔho abien.

Momma yɛnhwehwɛ nea ɛyɛ sɛnkyerɛnne ahorow no ankasa.

Ɔhaw kɛse a ɛwɔ saa yare yi ho ne sɛ ɛnkyerɛ sɛnkyerɛnne biara wɔ ne mfiase. Ɛno nti na nnipa pii nnim mpo sɛ wɔwɔ saa yare yi.

Nanso, sɛnkyerɛnne titiriw a ɛda adi kɛse a nnipa binom nya ne mogya a ɛwɔ nsu mu (hematuria) bere a wɔanya biribi te sɛ atiridiinini, atiridiinini, anaa menewam yare no . Ebia nsu no kɔla te sɛ tii, kɔla te sɛ cola, anaa kɔkɔɔ mpo. Sɛ ɔyare mmoawa no fi hɔ wie a, nsu no san kɔ ne kɔla a ɛfata.

Nsɛnkyerɛnne titiriw foforo ne nsu a ɛyɛ ahuru . Eyi fi protein a ɛba nsu mu (proteinuria) no.

Eyinom akyi no, ebia sɛnkyerɛnne afoforo pii wɔ hɔ:

• Nan mu a ɛho ahonhon, titiriw nansoaa no.
• Mogya mmoroso (Hypertension).
• Sɛ yare no kɔ so kyɛ a, asaabo a entumi nyɛ adwuma yiye ho sɛnkyerɛnne betumi ada adi.

Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, wo duruyɛfo bedi kan ayɛ wo nsu mu nhwehwɛmu de ahwɛ sɛ mogya anaa protein wɔ nsu mu anaa. Nanso esiane sɛ wotumi hu eyinom wɔ asaabo mu nyarewa afoforo pii mu nti, ɛno nkutoo ntumi nsi IgA Nephropathy so dua.

Mma wo ho nnyɛ wo hu bere a wote eyi no. Eyi yɛ sɔhwɛ a wɔyɛ no daa wɔ ayaresabea. Oduruyɛfo no bɛma w’akyi ayɛ mmerɛw, de ade a ɛyɛ fɛ yiye ahyɛ w’asaabo mu, na ɔde scanner atwa w’asaabo no mfonini.Wɔfa ntini ketewaa bi pɛ. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ ebia IgA akuwakuw wɔ hɔ ne sɛnea asaabo no asɛe no kɛse anaa. Ɛnyɛ sɛ nhwehwɛmu yi si yare no so dua nko, na mmom ɛboa oduruyɛfo no ma osi ayaresa a eye sen biara ma wo ho gyinae.

Akwan a wɔfa so sa yare ne sɛnea wɔde di dwuma

Mprempren wonni aduru biara a wɔde bɛsa yare yi. Nanso mma ɛnhaw wo! Mprempren ayaresa ahorow a etu mpɔn yiye wɔ hɔ a ebetumi adi yare no so, atew asaabo a ɛsɛe no so, na aboa wo ma woanya apɔwmuden ne nkwa tenten.

Botae atitiriw a ɛwɔ ayaresa mu ne:

• Mogya mmoroso a wobedi so.
• Protein a ɛba nsu mu a wɔtew so.
• Asaabo a ɛsɛe a brɛ ase.

Eyi nti, wo duruyɛfo betumi akyerɛw wo ayaresa ahorow te sɛ:

• Mogya mmoroso nnuru: Wɔtaa de nnuru te sɛ ACE inhibitors ne ARBs di dwuma ma eyi. Ɛnyɛ sɛ eyinom hwɛ mogya mmoroso so nko, na mmom ɛboa ma wɔbɔ asaabo ho ban nso.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa: Wobetumi de nnuru a wɔde yɛ steroid te sɛ Prednisone anaa nnuru foforo te sɛ Nefecon ama de atew ɔfe a ɛwɔ asaabo mu no so.
• Nnuru foforo a wɔde aba: Nnɛyi nnuru te sɛ Sparsentan (Filspari) ne Iptacopan (Fabhalta) boa ma wɔbɔ asaabo dwumadi ho ban denam protein a ɛba nsu mu a ɛtew so no so.
• Nnuru a ɛma nsu fi nipadua no mu: Sɛ ɛho ahonhon wɔ nipadua no mu a, saa nnuru yi boa ma nsu a ɛboro so no fa nsu mu fi hɔ.
• Nnuru a ɛma mogya mu srade so tew: Ebia nnipa binom srade dodow akɔ soro. Wɔkyerɛw nnuru te sɛ statin ma eyi.

Asetra mu nsakrae ho hia paa

Wɔ nnuru akyi no, nsakrae nketenkete a wobɛyɛ wɔ w’asetra kwan mu no betumi aboa kɛse ma woabɔ w’asaabo ho ban.

• Tew nkyene a wudi so: Tew nkyene dodow a ɛwɔ w’aduan mu no so. Kwati nnuan a wɔakyekyere ne nneɛma a wɔde yɛ aduan dɛdɛ. Nkyene pii wɔ eyinom mu.
• Protein a ɛhwɛ so: Wo ne wo duruyɛfo anaa aduannuru ho ɔbenfo nkasa na ama woahu protein dodow a ɛfata ma wo. Protein pii a wudi no de nhyɛso kɛse ba w’asaabo so.
• Omega-3 srade: Mpataa ngo a wɔde ka ho no yɛ adwene pa. Nanso, hwɛ hu sɛ wubebisa wo duruyɛfo ansa na woanom nnuru biara a wɔde ka wo ho.
• Kwati nnuru a wɔde kum ɛyaw: Nnom nnuru a wɔde kum ɛyaw te sɛ NSAID (e.g. Ibuprofen, Diclofenac) a wunnyaa wo duruyɛfo afotu. Eyinom betumi apira w’asaabo.
• Kwati sigaretnom: Sigaretnom ma mogya a ɛkɔ asaabo mu no so tew na ɛmma mogya mmoroso nnuru nso nyɛ adwuma yiye.
• Hwɛ wo mogya mmoroso daa: Susuw wo mogya mmoroso na kyerɛw to hɔ wɔ fie.