So wo nipadua ho ahonhon? So wo nsu mu ayɛ fĩ? So eyi betumi ayɛ nephrotic syndrome?

So ɛtɔ mmere bi a wosɔre anɔpa na wote nka sɛ w’ani ho ayɛ wo hyew? Anaasɛ wo nan ne wo nansoaa hohoro, na ɛma ɛyɛ den sɛ wobɛhyɛ wo mpaboa? So woahyɛ no nsow pɛn sɛ wo nsu mu ayɛ fĩ sen sɛnea wotaa yɛ no? Eyinom nyɛ nneɛma a wɔanhyɛ da kɛkɛ. Ebia ɔhaw bi wɔ w’asaabo mu wɔ saa sɛnkyerɛnne ahorow yi akyi. Ɛnnɛ yɛreka tebea bi a ɛho hia wɔ aduruyɛ mu a efi sɛnkyerɛnne ahorow te sɛ eyinom a wɔaka abom mu ba ho asɛm. Ɛno ne Nephrotic Syndrome.

Dɛn ankasa ne Nephrotic Syndrome?

Ade a edi kan a ɛsɛ sɛ yɛte ase ne sɛ eyi nyɛ yare pɔtee bi. Ɛkyerɛ sɛnkyerɛnne ahorow a wɔaboaboa ano a ebetumi aba bere a yɛn asaabo ntumi nyɛ adwuma yiye no. Susuw yɛn asaabo ho sɛ mfiridwuma mu nneɛma a wɔde yiyi nneɛma mu a ɛkorɔn. Wɔn adwuma titiriw ne sɛ wɔbɛhohoro yɛn mogya ho na wɔayi nwura a yɛmpɛ ne nsu a ɛboro so afi nipadua no mu sɛ nsu. Mogya ntini a ɛyɛ fɛ yiye a ɛwɔ asaabo no mu na ɛyɛ adwuma a wɔde yiyi mu yi. Yɛfrɛ eyinom glomeruli. Wɔ obi a ɔwɔ apɔwmuden mu no, saa nhyehyɛe a wɔde yiyi nneɛma mu yi mma nneɛma te sɛ protein a ɛho hia ma nipadua no ntwa mu. Wɔkora wɔn so wɔ mogya no mu. Nanso sɛ saa nneɛma pa a wɔde yiyi mu a wɔfrɛ no glomeruli yi sɛe a, protein dodow bi a nipadua no hia sɛ ɛfa mu na efi ase ne nsu no tow. Ɛno ne nea yɛfrɛ no nephrotic syndrome. Saa tebea yi betumi aka mpanyimfo ne mmofra nso, nanso asɛmpa no ne sɛ, aduru bi wɔ hɔ a wɔde sa no.

Dɛn nti na tebea yi ba?

Yebetumi akyekyɛ nea enti a ɛte saa no mu ayɛ no afã atitiriw abien.

Nneɛma a ɛde ba a ɛka asaabo nkutoo (Primary Causes) .

Eyi kyerɛ sɛ nephrotic syndrome ba esiane yare tebea bi a ɛba wɔ asaabo no ankasa mu nti, a yare foforo biara nni nkɛntɛnso biara.

• Nsakrae Kɛse Yare: Eyi ne ade titiriw a ɛde nephrotic syndrome ba mmofra mu . Ɛwom sɛ ɛte sɛ nea wɔn asaabo mu ntini te sɛ nea ɛteɛ wɔ afiri a wɔde hwɛ nneɛma nketenkete mu de, nanso ɔkwan a wɔfa so yiyi mu no nsɛe. Wogye di sɛ ɔyare mmoawa , akisikuru , anaa nnuru bi (titiriw nnuru a wɔde kum ɛyaw te sɛ NSAID ) na ɛde ba.
• Focal Segmental Glomerulosclerosis (FSGS): Eyi yɛ tebea a ɛma asaabo no mu nneɛma a wɔde yiyi mu (glomeruli) no yɛ akuru. Eyi ne ade titiriw a ɛde nephrotic syndrome ba mpanyimfo mu . Mmoawa te sɛ HIV , nnuru bi, awosu mu nneɛma, ne kɛseyɛ mmoroso nyinaa betumi de tebea yi aba .Nneɛma pii te sɛ mogya mmoroso betumi aka eyi.
• Membranous Nephropathy: Eyi yɛ glomeruli no mu ntini a ɛyɛ den. Eyi nso betumi afi tebea horow te sɛ kokoram, asramma, hepatitis B, ne lupus mu aba.

Nneɛma a ɛto so abien a ɛde asaabo sɛe esiane nyarewa afoforo nti

Eyi kyerɛ sɛ nephrotic syndrome ba bere a asaabo no sɛe sɛ aduruyɛ tebea foforo a ɛwɔ nipadua no mu no nkɛntɛnso bɔne no.

• Asikreyare : Asikreyare ne ade a ɛto so abien a ɛtaa de nephrotic syndrome ba mpanyimfo mu. Asikreyare a wontumi nni so no betumi ama asaabo asɛe (asikreyare a ɛma obi dwensɔtwaa).
• Lupus: Eyi yɛ yare a enni sabea a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no mu a ebetumi asɛe asaabo no kɛse.
• Amyloidosis: Protein bi a wɔfrɛ no amyloid betumi ayɛ kɛse wɔ mogya no mu, na ama asaabo asɛe.

Nsɛnkyerɛnne bɛn na ebia wowɔ?

Nsɛnkyerɛnne atitiriw anan na ɛwɔ hɔ a ɛkyerɛ sɛ obi anya nephrotic syndrome. Sɛ wopɛ sɛ wote eyinom ase yiye a, hwɛ pon a ɛwɔ ase hɔ no.

Tebea yi ka mmofra nkumaa dɛn?

Nephrotic syndrome yɛ tebea a ɛntaa nsi wɔ mmofra nkumaa mu. Nanso, sɛ abofra bi nya tebea no ampa a, ebia sɛnkyerɛnne ahorow no bɛyɛ soronko kakra.

• Aniwa a ɛho ahonhon, titiriw bere a wosɔre anɔpa no.
• Anim, nsa, nan, ne yafunu a ɛho ahonhon.
• Nsu a ɛyɛ ahurututu .
• Ɔbrɛ ne ɔbrɛ a wɔte nka kɛse sen sɛnea wɔtaa yɛ no.

Corticosteroids ne aduru a wɔtaa de sa mmofra. Mpɛn pii no, eyinom tumi di sɛnkyerɛnne ahorow no so na ɛma yare no gyae.

Oduruyɛfo, wobɛyɛ dɛn ahu eyi?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Oduruyɛfo no bedi kan abisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm. Enneɛ,

• Nsu mu Nhwehwɛmu: Eyi ho hia na ama wɔahu protein dodow a wɔayi afi nsu mu.
• Mogya mu Nhwehwɛmu: Hwɛ mogya mu srade, albumin dodow, ne asaabo dwumadi afoforo.
• Asaabo mu Nhwehwɛmu: Wɔ tebea horow bi mu no, ebia ɛho behia sɛ woyi ntini ketewaa bi fi asaabo no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Eyi na ɛboa ma wohu nea ɛde asaabo no sɛe ankasa.

Sɛ wɔansa a, nsɛnnennen bɛn na ebetumi aba?

Sɛ wɔansa saa tebea yi yiye a, ebetumi de akwahosan ho haw afoforo a emu yɛ den aba.

• Srade a ɛkɔ soro ne komayare ho asiane: Srade ne srade a ɛwɔ mogya mu a ɛkɔ soro no ma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse.
• Mogya mmoroso: Sɛ asaabo no sɛe a, tumi a etumi yi sodium (nkyene) ne nsu fi nipadua no mu no so tew, na ɛma mogya mmoroso kɔ soro.
• Mogya a Ɛtwetwe:Esiane sɛ protein ahorow a ɛmma mogya ntumi nkɔ nipadua no mu no fi nsu mu nti, asiane a ɛwɔ hɔ sɛ mogya bɛtɔ nipadua no mu no yɛ kɛse.
• Nyarewa: Bere a protein te sɛ immunoglobulins a ɛho hia ma nipadua no mu tumi a ɛko tia nyarewa no yera no, hokwan kɛse wɔ hɔ sɛ obi benya nyarewa te sɛ ahurututu mu yare.
• Asaabo a Ɛnyɛ Yiye: Sɛ wɔansa asaabo no yare bere tenten a, ebetumi adi nkogu koraa, na ɛho behia sɛ wɔde dialysis anaasɛ wɔde asaabo foforo ma na ama atumi atra ase.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa nhyehyɛe no gyina nea ɛde wo nephrotic syndrome ba no so.

Nnuru ahorow a wɔde di dwuma

Ebia wo duruyɛfo bɛkyerɛw nnuru a edidi so yi ama wo:

• Mogya mmoroso nnuru: Nnuru te sɛ ACE inhibitors ne ARBs brɛ nhyɛso a ɛba asaabo so ase na ɛtew protein a ɛba nsu mu no so.
• Nnuru a ɛma nsu fi nipadua mu: Wɔsan frɛ no "nsu mu nnuru," eyinom boa ma nipadua no mu ahonhon so tew.
• Nnuru a ɛma mogya mu srade so tew.
• Nnuru a ɛma mogya yɛ mmerɛw (Anticoagulants): Ɛtew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ no so.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa: Nnuru te sɛ corticosteroids hwɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi so na ɛtew asaabo a ɛsɛe no so.

Eyi nti na aduan a wodi so ho hia no

Nea ɛka nnuru ho no, aduan nso ho hia yiye wɔ yare yi ano aduru mu.

• Tew nkyene (sodium) so: Sɛ wudi nkyene pii a, ebetumi ama nsu no akɔ so, ahohoro, na mogya mmoroso. Kwati nnuan a nkyene pii wom te sɛ soseji, nam a wɔayam, nhabannuru a wɔde ahyɛ toa mu, soup, bisket, ne sauce.
• Tew srade ne srade a ɛwɔ nipadua mu so: Di aduan a srade ne srade a ɛdɔɔso nnim akyi.
• To nsu ano: Ɛtɔ mmere bi a, wo duruyɛfo bɛka akyerɛ wo sɛ to nsu dodow a wonom da biara no ano hye.

Nephrotic Syndrome, Nephrotic Syndrome, asaabo mu yare, ɔfe, protein a ɛwɔ nsu mu, nsu a ɛyɛ ahurututu, asaabo mu yare wɔ Sinhala kasa mu, srade