So wo duruyɛfo aka akyerɛ wo sɛ wowɔ Stage 3 Kidney Disease? Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra na wo ho adwiriw wo bere a wote nsɛm yi. "Oh me Nyankopɔn, dɛn na ɛbɛba akyi?", "So m'asetra yɛ anohyeto?", ne nea ɛkeka ho Ebia nsɛmmisa pii bɛba w'adwene mu. Nanso mma ɛnhaw wo. Eyi nyɛ w’asetra awiei. Eyi yɛ sɛnkyerɛnne ara kwa a ɛkyerɛ sɛ ɛsɛ sɛ wohwɛ w’akwahosan so kɛse sen sɛnea wotaa yɛ no. Momma yɛnka eyi ho asɛm nnɛ, pefee na ɛnyɛ den, na yɛnhwehwɛ nsɛmmisa a ɛwɔ w’adwenem nyinaa ho mmuae.
Dɛn ankasa ne asaabo mu yare a ɛto so 3?
Sɛ yɛbɛka no tiawa a, asaabo abien a ɛwɔ yɛn nipadua mu no te sɛ super filter abien. Wɔn adwuma titiriw ne sɛ wobeyi nwura ne nneɛma a wɔmpɛ afi mogya no mu na wɔayi afi mu sɛ nsu. Asaabo mu yare yɛ bere a saa nneɛma abien yi dwumadi so tew nkakrankakra.
Asaabo mu yare no wɔ akwan horow 5 so. Ɔfã 3 kyerɛ sɛ w’asaabo so atew ne dwumadi so akodu bɛyɛ sɛnea ɛte daa no fã. Fa no sɛ tebea bi a mfiri 100 biara a ɛwɔ adwumayɛbea bi mu 50 ntumi nyɛ adwuma.
Nnuruyɛfo de sɔhwɛ bi a wɔfrɛ no GFR (Glomerular Filtration Rate) susuw eyi. Sɛ yɛbɛka no tiawa a, saa GFR bo yi kyerɛ wo mogya dodow a w’asaabo betumi ayi afi mu simma biako mu. Wɔ ɔfa 3 mu no, saa GFR boɔ yi wɔ 30 ne 59. Eyi nso wɔ afã mmienu, 3A ne 3B. Wɔ ɔfã 3B mu no, asiane no yɛ kɛse kakra.
Dɛn ne sɛnkyerɛnne ne akwahosan ho nkɛntɛnso a wɔte nka wɔ saa bere yi mu?
Asɛmpa no ne sɛ nnipa dodow no ara a wɔwɔ ɔfã 3 no nnya yare no ho sɛnkyerɛnne pɔtee biara. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne bi.
- Nsa, nan, anaa nansoaa a ɛho ahonhon.
- Akyi yaw (baabi a asaabo no wɔ).
- Nsakrae a ɛba sɛnea wɔtow nsu mu (nsu a wɔtow gu pii anaa kakraa bi).
Nanso, nea asiane wom sen saa sɛnkyerɛnne ahorow yi ne nsunsuanso bɔne a efi asaabo dwumadi a ɛso tew mu ba no. Eyinom ne nneɛma a ɛsɛ sɛ yɛde yɛn adwene si so ankasa.
| Akwahosan ho haw a ebetumi aba | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Mogya Nhyɛso a Ɛkɔ Anim | Asaabo no ntumi mmoa ma wɔhyɛ mogya mmoroso so. Nea ɛka ho no, mogya mmoroso sɛe asaabo no kɛse mpo. Ɛyɛ kyinhyia bɔne a ɛyɛ adwuma wɔ akwan abien no nyinaa so. |
| Mogya a ɛtɔ kɔ nipadua mu | Asaabo no yɛ hormone bi (Erythropoietin) a ɛboa ma mogya mu nkwammoaa kɔkɔɔ. Sɛ asaabo no ntumi nyɛ adwuma yiye a, saa hormone yi nnɔɔso, na ɛde mogya a ɛtɔ kɔ nipadua no mu ba. Eyi betumi ama woate nka sɛ woabrɛ na wunni nkwa bere nyinaa. |
| Nnompe mu Yare | Asaabo no boa ma nnompe no yɛ den denam vitamin D a ɛma ɛyɛ adwuma no so.Sɛ saa adeyɛ yi sɛe a, nnompe no yɛ mmerɛw na efi ase yɛ yaw. |
Sɛ wɔannya saa tebea yi na wɔanhyɛ so a, yare no betumi akɔ so akodu ɔfã 4. Ɔfã 4 yɛ tebea a emu yɛ den yiye a ɛbɛn asaabo a entumi nyɛ adwuma yiye. Sɛ wudu saa bere no mu a, wubehia dialysis ayaresa, a ɛyɛ afiri a ɛtew wo mogya ho, anaasɛ asaabo a wɔde si ananmu, na ama woanya nkwa.
Ɔkwan bɛn so na wobedi ɔfã 3 no so? Dɛn na ɛsɛ sɛ yɛyɛ?
Ade a edi kan a ɛsɛ sɛ yɛte ase ne sɛ, wontumi nsakra nneɛma a wɔasɛe no dedaw no koraa. Nanso mma ɛnhaw wo. Nneɛma pii wɔ hɔ a yebetumi ayɛ de asiw asaabo a ɛsɛe bio no ano na yɛadi nyarewa afoforo a aba no so. Eyi ne bere a ɛho hia sen biara wɔ w’asetra mu.
Asetra mu nsakrae
Ɛho hia paa sɛ wudi saa nneɛma yi akyi pɛpɛɛpɛ.
| Nea ɛsɛ sɛ yɛyɛ | Dɛn nti na ɛno ho hia? |
|---|---|
| Oduruyɛfo no a wobehyia no wɔ da a wɔahyɛ da ayɛ no | Eyi ho hia na ama woatumi ahwɛ wo tebea no na woayɛ nsakrae biara a ɛho hia. Ebia ɛho behia nso sɛ wokɔ asaabo ho ɔbenfo (Nephrologist) nkyɛn. |
| Mogya mmoroso ne asikreyare ano aduru | Eyinom yɛ asaabo no atamfo akɛse abien. Sɛ wodi abien yi so a, ebetumi atew asaabo a ɛsɛe no so kɛse. |
| Aduan a wɔsakra no | Eyi ho hia paa. Wo duruyɛfo betu wo fo sɛ to nnuan a protein, nkyene, potassium, ne srade pii wom ano hye. |
| Sigaretnom a wɔbɛtwe wɔn ho koraa | Sigaretnom sɛe akwan a ɛde mogya kɔ asaabo mu no. |
| Apɔw-mu-teɛteɛ ne mu duru a wɔhwɛ so | Mu duru a ɛfata a wobɛkɔ so akura mu no so wɔ mfaso ma akwahosan nyinaa. |
| Nnuru bi a wɔde kum ɛyaw a wɔbɛkwati | Nnuru bi a wɔde kum ɛyaw (NSAID) te sɛ ibuprofen ne naproxen betumi asɛe w’asaabo. Bisa wo duruyɛfo ansa na woanom aduru biara. |
Nnuru a oduruyɛfo no betumi akyerɛw ama obi
Ɛdenam wo tebea so no, wo duruyɛfo betumi akyerɛw nnuru a ɛte sɛ eyinom ama wo.
- Nnuru a ɛma mogya mmoroso so tew: Nnuru te sɛ ACE inhibitors anaa ARBs.
- Nnuru a ɛma nsu fi nipadua no mu: Ɛboa ma woyi nsu ne nneɛma fĩ a ɛho nhia a ɛnam nsu mu boaboa ano wɔ nipadua no mu no fi hɔ.
- Nnuru a ɛma mogya mu srade so tew.
- Ayaresa a wɔde sa mogya a ɛtɔ kɔ nipadua mu: Erythropoietin a wɔde twitwiw nipadua no mu, a ɛboa ma mogya mu nkwammoaa kɔkɔɔ ba.
- Vitamin D ne Phosphate binders: Ma nnompe mu yɛ den na hwɛ phosphate dodow a ɛwɔ mogya no mu no so.
Asaabo mu yare a ɛto so 3 no nyɛ w’asetra awiei. Ɛyɛ hokwan kɛse a wode bɛsan asusuw w’asetra kwan ho na woafi ase afa ɔkwan foforo a wobɛfa so akɔ akwahosan so.
Nhwehwɛmu ada no adi sɛ ɛnyɛ obiara a ɔwɔ ɔfã 3 na obenya nkɔso akodu ɔfã 4. Ɛno kyerɛ sɛ sɛ wudi wo duruyɛfo afotu akyi pɛpɛɛpɛ na woyɛ nsakrae wɔ w’asetra mu a, akyinnye biara nni ho sɛ wubetumi akura asikreyare a wowɔ mprempren no mu na woatra ase apɔwmuden, akyɛ. Egye ahofama ne ahosodi ara kwa. Kɔka wo duruyɛfo ho wɔ akwantu yi mu.
Nkrasɛm a Wɔde Kɔ Fie
- Asaabo mu yare a ɛto so 3 kyerɛ sɛ asaabo no ahwere ne dwumadi bɛyɛ fã. Nanso eyi nyɛ owu asotwe.
- Ɛwom sɛ wontumi nsan asaabo a asɛe no akyi de, nanso wobetumi agyae yare no anaasɛ wɔtwentwɛn so.
- Ɛsɛ sɛ wo botae titiriw yɛ sɛ wobɛma wo mogya mmoroso ne asikreyare (sɛ wowɔ bi a) adi wo so yiye.
- Nom aduru a oduruyɛfo no akyerɛw ama wo no bere ano pɛpɛɛpɛ. Nnyae aduru biara a wobɛnom a wunsusuw ho.
- Di aduan ho afotu (nkyene, protein, ne potassium a wobɛtew so) akyi pɛpɛɛpɛ.
- Mma nntwa ayaresabea ahorow ne aduruyɛ mu nhwehwɛmu biara a wɔayɛ ho nhyehyɛe so. W’asetra gyina so.
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