So ɛtɔ mmere bi a wote nka sɛ woabrɛ ara kwa? Anaasɛ wunya nneɛma te sɛ mmerɛwyɛ, yafunu a ɛyɛ wo yaw, ne adwene mu basaa a ntease biara nnim? Nyarewa bi wɔ hɔ a ɛyɛ nwonwa a ɛka nipadua no wɔ akwan horow a yentumi nsusuw ho mpo so. Ɛnnɛ yɛrebɛka yareɛ bi a ɛntaa nsi kakra ho asɛm, nanso sɛ wɔbɔ wo amanneɛ yie a, wobɛtumi ahunu no ntɛm na woate ɔsɛeɛ a ɛbɛtumi de aba w’asetena mu no so. Wɔfrɛ eyi Wilson Yare .
Dɛn ne Wilson Yare?
Sɛ yɛbɛka no tiawa a, Wilson Yare no yɛ awosu mu yare a ɛntaa nsi a ɛma yɛn nipadua boaboa kɔbere pii ano sen nea ehia. Saa kɔbere yi boaboa ano wɔ yɛn mmerɛbo ne yɛn amemene mu. Yɛn nipadua hia kɔbere kakraa bi ankasa fi aduan mu na ama atumi anya apɔwmuden. Nanso, sɛ wɔansa obi a ɔwɔ Wilson Yare no yare no yiye a, kɔbere dodow a ɛwɔ nipadua no mu no betumi akɔ soro wɔ ɔkwan a ɛyɛ hu so, na ɛde akwaa a ɛde ne nkwa to asiane mu.
Henanom na Wilson yare no ka no kɛse?
Wilson yare no yɛ yare a wonya fi awofo hɔ kɔ mmofra hɔ . Sɛ abofra no betumi anya bi a, ɛsɛ sɛ onya awosu mu abɔde biako a ɛnyɛ ne kwan so fi awofo no mu biara hɔ. Wɔfrɛ eyi sɛ autosomal recessive agyapade. Ɛyɛ den yiye sɛ yɛbɛka onii pɔtee a obenya bi. Nea enti a ɛte saa ne sɛ mpɛn pii no, awofo nkyerɛ sɛ wɔwɔ saa awosu mu abɔde a ɛnteɛ yi wɔ wɔn nipadua mu. Enti, wonnim sɛ wɔyɛ ‘ɔdefo’ a ɔwɔ saa awosu mu abɔde yi. Nanso, sɛ w’abusua mu busuani bi a ɔbɛn wo wɔ saa yare yi a, ebia wo nso wobɛkɔ asiane mu.
Wilson yare no abu so dɛn?
Eyi yɛ yare a ɛntaa nsi koraa . Wobu akontaa sɛ nnipa 30,000 biara mu bɛyɛ biako nya yare no. Nanso, sɛ abusua no mu obi wɔ yare no a, hokwan a ɛwɔ hɔ sɛ afoforo benya bi no yɛ kɛse. Nnipa pii mpo wɔ awosu mu nkwaadɔm a ɛtɔ sin no biako pɛ, a wɔfrɛ no awosu mu nneɛma a wɔde fa nneɛma. Mpɛn pii no, wonnya yare no ho sɛnkyerɛnne, nanso wobetumi de yare no akɔ wɔn mma so. Esiane sɛ wɔn a wɔde yare no kɔ no nni sɛnkyerɛnne biara nti, ɛyɛ den sɛ yɛbɛka nnipa dodow pɔtee a wɔwɔ awosu mu abɔde a ɛnteɛ no wɔ nnipa dodow no ara mu.
Ɔkwan bɛn so na Wilson yare no ka me nipadua?
Sɛ wɔanhu Wilson yare no na wɔansa no ntɛm a, ebetumi de nsɛnnennen a ɛde ne nkwa to asiane mu aba . Kɔbere boaboa ano wɔ nipadua no mu ma ɛyɛ awuduru, titiriw wɔ mmerɛbo ne amemene no mu. Eyi betumi asɛe saa akwaa ahorow yi. Sɛ kɔbere dodow kɔ soro wɔ nipadua no mu a, ɔkwan a wofa so te nka no betumi asesa. Ebia wobɛte nka sɛ woabrɛ paa, woayɛ mmerɛw, na woayɛ yaw ne ɛyaw. Sɛ wowɔ mmerɛwyɛ, ɔbrɛ, anaa ɛyaw a ɛkɔ so daa a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛfo afotu.
Dɛn ne Wilson yare no ho sɛnkyerɛnne?
Wilson yare no ho sɛnkyerɛnne betumi ayɛ soronko kɛse wɔ nnipa biara mu.Ɛwom sɛ eyi yɛ tebea a obi fi awo mu de, nanso bere a kɔbere aboaboa ano wɔ mmerɛbo, amemene, aniwa, anaa akwaa afoforo mu akyi no, sɛnkyerɛnne ahorow no fi ase da adi. Nnipa a wɔwɔ Wilson yare no taa nya yare no ho sɛnkyerɛnne bere a wɔadi fi mfe 5 kosi 40. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne wɔ wɔn mmofraase anaa wɔn a wɔanyinyin mu.
Kae sɛ ɛtɔ mmere bi a saa sɛnkyerɛnne ahorow yi te sɛ mmerɛbo mu nyarewa afoforo anaa adwenemyare, enti nkurɔfo betumi adi mfomso asusuw sɛ ɛyɛ biribi foforo. Ebetumi ayɛ den sɛ wubehu no yiye sɛ ɛyɛ Wilson yare no kosi sɛ wobɛhwehwɛ wo kɔbere dodow mu.
Nsɛnkyerɛnne a ɛfa mmerɛbo ho
Ebia nnipa pii a wɔwɔ Wilson yare no benya mmerɛbo mu yare ho sɛnkyerɛnne. Ebia wɔn mmerɛbo nso bɛyɛ adwuma mpofirim. Nsɛnkyerɛnne no bi ne:
- Bere nyinaa na ɔbrɛ.
- Akisikuru ne ɔfe.
- Aduan no nyɛ dɛ.
- Ɛyaw wɔ yafunu no nifa so, wɔ mmerɛbo no so pɛɛ.
- Nsu a ɛyɛ sum.
- Nsu a wɔde kɔla yɛ hann.
- Aniwa ne honam ani fitaa a ɛyɛ kɔkɔɔ (jaundice).
Sɛ Wilson yare no kɔ so yɛ mmerɛbo mu yare a enni sabea ne mmerɛbo mu yare a enni sabea nkutoo a, ebia nea ɛka ho ne:
- Ɔbrɛ ne mmerɛwyɛ a ɛkɔ so daa.
- Mu duru a ɛso tew a wontumi nsusuw ho.
- Yafunu mu a ɛho ahonhon (ascites).
- Nan ase, nansoaa, ne anan a ɛho ahonhon (edema).
- Wora a ɛyɛ wo yaw.
- Jaundice a emu yɛ den.
Nsɛnkyerɛnne a ɛfa ntini a ɛwɔ mfinimfini no ho
Sɛ kɔbere boaboa ano wɔ nipadua no mu a, nnipa a wɔwɔ Wilson yare no betumi anya sɛnkyerɛnne ahorow a ɛka ntini a ɛwɔ nipadua no mfinimfini no, na ebetumi aka adwenemyare. Ɛwom sɛ eyinom abu so wɔ mpanyimfo mu de, nanso ebetumi aba mmofra nso.
Nsɛnkyerɛnne a ɛfa ntini a ɛma nipadua no yɛ adwuma ho no betumi ayɛ:
- Ɔhaw ahorow a ɛfa ɔkasa, amene, anaa nipadua mu nkitahodi ho.
- Ntini a ɛyɛ den.
- Wosow anaasɛ kankyee a wontumi nni so (ahomegye a enni hɔ).
Wilson yare no ho sɛnkyerɛnne a ɛka adwenemyare:
- Brɛ.
- Nsakrae a ɛba adwene, nipasu, anaa nneyɛe mu.
- Hahaahayɔ.
- Tebea a adwene ne nkate ahorow sɛe na ɛyɛ den sɛ wobehu nsonsonoe a ɛda nokware ne atoro ntam (psychosis).
Nsɛnkyerɛnne a ɛfa aniwa ho
Nnipa pii a wɔwɔ Wilson yare no wɔ nkaa a ɛyɛ ahabammono, sika kɔkɔɔ, anaa bruu (Kayser-Fleischer nkaa) wɔ ani no ano (aniwa no fã tuntum). Saa ``Kayser-Fleischer rings'' yi fi kɔbere a ɛboaboa ano wɔ aniwa no mu. Wo duruyɛfo betumi ahu saa nkaa yi bere a wɔreyɛ aniwa mu nhwehwɛmu titiriw (slit-lamp nhwehwɛmu).
Nnipa pii a wɔwɔ sɛnkyerɛnne a ɛka ntini mu yare na wɔahu sɛ wɔwɔ Wilson yare no wɔ saa ``Kayser-Fleischer nkaa.'' Nnipa a wɔwɔ sɛnkyerɛnne a ɛka mmerɛbo nkutoo no mu bɛyɛ fã pɛ na wotumi hu saa nkaa yi.
Wilson yare no ho sɛnkyerɛnne afoforo
Wilson yare no nso betumi aka wo nipadua no afã afoforo, na ɛde sɛnkyerɛnne ahorow te sɛ:
- Hemolytic anemia fi mogya mu nkwammoaa a ɛpaapae.
- Nnompe ne nkwaa mu haw (ntini mu yare anaa nnompe mu yare).
- Koma ntini mu yare `(cardiomyopathy)`.
- Asaabo mu haw (renal tubular acidosis anaa asaabo mu abo).
Dɛn na ɛde Wilson yare no ba?
Nea ɛde Wilson yare no ba titiriw ne awosu mu nkwaadɔm a wɔfrɛ no ATP7B mu nsakrae . Saa awosu mu abɔde yi na ɛma woyi kɔbere a ɛboro so fi yɛn nipadua mu.
Mpɛn pii no, mmerɛbo no ma kɔbere foforo kɔ nsu (bile) mu. Wɔkora saa bile yi so wɔ akisikuru no mu. Ɛboa ma wɔyam aduan. Bile yi kɔbere, ne awuduru afoforo ne nneɛma a wɔsɛe no fi nipadua no mu fa aduan mu. Sɛ wowɔ Wilson yare a, wo mmerɛbo no gyae kɔbere kakraa bi kɔ bile no mu. Eyi ma kɔbere a ɛboro so no tra wo nipadua mu.
So metumi anya Wilson yare no fi awo mu?
Yiw, wubetumi anya nkwaadɔm mu nsakrae a ɛwɔ ATP7B awosu mu abɔde a ɛde Wilson yare no ba no mu. Eyi kyerɛ sɛ nkwaadɔm mu nsakrae no fi ɔwofo biako hɔ kɔ ɔfoforo hɔ. Sɛ obi benya Wilson yare no a, ɛsɛ sɛ onya awosu mu nkwaadɔm abien a asɛe – biako fi ne maame hɔ na biako fi ne papa hɔ (autosomal recessive) .
Nnipa a wɔwɔ ATP7B awosu mu abɔde biako a enni mutation na biako nso wɔ mutation no nnya Wilson yare no. Nanso wɔyɛ wɔn a wɔde yare no kɔ. Eyi kyerɛ sɛ, egyina wɔn hokafo no awosu mu tebea so no, wobetumi de awosu mu abɔde a ɛte apɔw, tebea a ɛde ɔyare no ba, anaa yare no akɔma wɔn mma.
Ɔkwan bɛn so na wohu Wilson yare no? (Nyare a Wɔahu) .
Sɛnea ɛbɛyɛ na woahu Wilson yare no, wo duruyɛfo no bebisa w’abusua aduruyɛ ho abakɔsɛm ne w’ankasa w’ayaresa ho abakɔsɛm de abɔ mmɔden sɛ obehu sɛ ebia tebea yi betumi de wo sɛnkyerɛnne ahorow no aba anaa.
Nnuruyɛfo bɛhwehwɛ wo mu ahwɛ sɛ nsɛnkyerɛnne foforo bi wɔ hɔ a ɛkyerɛ sɛ wo mmerɛbo, w’amemene, anaa w’ani so haw wo anaa. Wɔ aniwa mu nhwehwɛmu mu no, oduruyɛfo no bɛyɛ ``slit-lamp nhwehwɛmu.`` Eyi yɛ sɔhwɛ a wɔde kanea soronko bi di dwuma de hwehwɛ ``Kayser-Fleischer rings.``
Sɛ wosusuw sɛ ɔwɔ Wilson yare a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya ne nsu mu nhwehwɛmu.
Nhwehwɛmu bɛn na wɔde hu Wilson yare no?
Wɔnam mogya mu nhwehwɛmu, nsu mu nhwehwɛmu, awosu mu nhwehwɛmu, anaa mmerɛbo mu nhwehwɛmu so hu Wilson yare no.
Mogya mu nhwehwɛmu
Mogya mu nhwehwɛmu betumi ahwɛ nneɛma pii a ɛwɔ wo mogya mu:
- Ceruloplasmin: Ceruloplasmin yɛ protein a ɛde kɔbere kɔ mogya mu. Nnipa a wɔwɔ Wilson yare no nni ceruloplasmin dodow a ɛba fam.
- Kɔbere: Ebia nnipa a wɔwɔ Wilson yare no kɔbere pii anaa ɛba fam wɔ wɔn mogya mu.
- Alanine transaminase (ALT) ne aspartate transaminase (AST): ALT ne AST yɛ mmerɛbo mu enzyme ahorow a ɛkɔ soro bere a mmerɛbo no asɛe no.
- Mogya mu nkwammoaa kɔkɔɔ: Ebia nnipa a wɔwɔ Wilson yare no mogya mu nkwammoaa kɔkɔɔ dodow a ɛba fam (anemia).
Sɛ aduruyɛ mu nhwehwɛmu afoforo ntumi nkyerɛ sɛ Wilson yare no wɔ hɔ anaasɛ ennye ntom a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mfa nhwɛ sɛ awosu mu nsakrae a ɛde Wilson yare no ba anaa.
Nnɔnhwerew 24 nhwehwɛmu a wɔde gye nsu
Wɔ nnɔnhwerew 24 mu no, wobɛboaboa wo nsu ano wɔ fie, wɔ ade titiriw bi a kɔbere nnim a wo duruyɛfo de ama wo mu. Aduruyɛdan bi bɛsɔ kɔbere dodow a ɛwɔ wo nsu mu ahwɛ. Nnipa a wɔwɔ Wilson yare no kɔbere dɔɔso sen sɛnea ɛte daa wɔ wɔn nsu mu.
mmerɛbo mu nipadua mu nhwehwɛmu
Sɛ mogya ne nsu mu nhwehwɛmu ntumi nkyerɛ sɛ Wilson yare no wɔ hɔ anaasɛ ennye ntom a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ mmerɛbo mu nhwehwɛmu. Wɔ saa adeyɛ yi mu no, wo duruyɛfo no yi ntini ketewaa bi fi wo mmerɛbo mu. Ɔyare ho ɔbenfo bi de afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ ntini no mu hwehwɛ mmerɛbo mu nyarewa pɔtee bi te sɛ Wilson yare, mmerɛbo a asɛe, ne mmerɛbo mu yare ho sɛnkyerɛnne. Wɔde mmerɛbo mu ntini bi kɔ adwumayɛbea bi kɔhwɛ sɛ kɔbere wɔ hɔ anaa.
Mfoninitwa sɔhwɛ ahorow
Sɛ wowɔ sɛnkyerɛnne ahorow a ɛfa wo ntini ahorow ho a, wo duruyɛfo betumi de mfoninitwa nhwehwɛmu adi dwuma de ahwehwɛ Wilson yare anaa tebea afoforo a ɛwɔ amemene no mu ho sɛnkyerɛnne. Ebia eyinom bi ne:
- MRI (Magnetic Resonance Imaging) .
- `X-ray`
- `CT scan` (Kɔmputa so Tomography Scan) .
Ɔkwan bɛn so na wɔsa Wilson yare no?
Ade titiriw a wɔde wɔn adwene si so wɔ Wilson yare no ayaresa mu ne sɛ wɔbɛtew kɔbere a awuduru wom a ɛwɔ wo nipadua mu no so, asiw akwaa a ɛsɛe ano, na wɔasiw sɛnkyerɛnne ahorow a ɛba bere a akwaa ahorow no ntumi nyɛ adwuma yiye no ano . Nea ɛka ayaresa no ho ne:
- Nnuru a ɛyi kɔbere fi nipadua no mu (chelating agents - e.g. D-penicillamine, Trientine, Tetrathiomolybdate) a wɔnom.
- Zinc a wɔnom na amma kɔbere ankɔ dwensɔtwaa mu.
- Aduan a kɔbere nnim a wobedi.
Nnipa a wɔwɔ Wilson yare no hia ayaresa wɔ wɔn nkwa nna nyinaa mu. Sɛ wogyae ayaresa no a, mmerɛbo no betumi ayɛ adwuma yiye. Wo duruyɛfo no bɛyɛ mogya ne nsu mu nhwehwɛmu daa de ahwɛ sɛnea ayaresa no reyɛ adwuma yiye.
Dɛn ne nnuru a wɔde sa Wilson yare no?
Ebia wo duruyɛfo bɛkyerɛ wo nnuru ahorow a ɛbɛma kɔbere dodow a ɛwɔ wo nipadua mu no so atew.
Nneɛma a wɔde yɛ chelating
Nneɛma a ɛma chelating yɛ adwuma denam kɔbere a woyi fi wo nipadua mu no so. Eyinom ho nhwɛso bi ne:
- Penicillamine a wɔde di dwuma
- Trientine na ɔkyerɛwee
Sɛ wofi ase sa yare a, nnuruyɛfo ma nnuru a wɔde yɛ chelating no dodow kɔ soro nkakrankakra. Ɛsɛ sɛ wɔde dodow a ɛkɔ soro di dwuma kosi sɛ wobeyi kɔbere a ɛboro so a ɛwɔ nipadua no mu no afi hɔ. Sɛ Wilson yare no ho sɛnkyerɛnne nya nkɔso na nhwehwɛmu ahorow si so dua sɛ kɔbere wɔ baabi a asiane biara nni ho a, oduruyɛfo no betumi akyerɛw nnuru a wɔde yɛ chelating a ɛba fam sɛ ayaresa a wɔde siesie. Nkwa nna nyinaa a wɔde siesie no mma kɔbere ntumi boaboa ano bio.
Saa nnuru yi betumi anya nsunsuanso bɔne, enti ɛho hia sɛ wubisa wo duruyɛfo sɛ ɛsɛ sɛ wonom nnuru bi te sɛ vitamin, anaasɛ woyɛ ahwɛyiye biara ansa na woayɛ wo oprehyɛn anaa.
Zinc a wɔfrɛ no Zinc
Zinc mma kɔbere ntumi nkɔ dwensɔtwaa no mu. Ebia wo duruyɛfo bɛkyerɛw zinc sɛ aduru a wɔde siesie bere a ɔde nnuru a ɛma chelating ayi kɔbere a ɛboro so afi hɔ awie no. Sɛ wowɔ Wilson yare no nanso wunni sɛnkyerɛnne biara a, ebia wo duruyɛfo bɛda so ara akyerɛw wo zinc.
Ɔkwan bɛn so na wɔsa Wilson yare no bere a wɔyem?
Sɛ woanyinsɛn a, ɛsɛ sɛ wubisa wo duruyɛfo sɛnea wobedi Wilson yare no ho dwuma wɔ wo nyinsɛn no nyinaa mu. Esiane sɛ akokoaa no hia kɔbere kakraa bi nti, ebia wo duruyɛfo bɛkyerɛw nnuru a wɔde yɛ chelating a ɛnyɛ den. Ebetumi aboa sɛ wubenya awo ho oduruyɛfo a onim Wilson yare no yiye.
Afei nso, bisa wo duruyɛfo sɛ ebia asiane biara nni ho sɛ wobɛma wo nufu bere a woresa Wilson yare no yare no anaa.
Sɛ wowɔ Wilson yare a, nnuan bɛn na ɛnsɛ sɛ wudi?
Sɛ wowɔ Wilson yare a, ebia wo duruyɛfo betu wo fo sɛ kwati nnuan bi a kɔbere pii wom. Titiriw no, ɛsɛ sɛ wokwati:
- Akutu, te sɛ clams ne oysters
- Brɛboɔ
Nnuan afoforo a kɔbere pii wom:
- Kyokolate
- Nnuaba a ayow
- Bean a ayow ne peas
- Nnua a wɔde yɛ nsenia
- Nnuadewa (te sɛ akutu, atoko) .
Bere a wo kɔbere dodow so atew denam ayaresa so na wɔafi ase ayɛ ayaresa a wɔde siesie no wie a, wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia wubetumi adi saa nnuan yi bi wɔ ɔkwan a ɛfata so anaa.
Sɛ wo tap nsuo fi abura mu anaasɛ ɛfa kɔbere nsuo afiri mu a, hwɛ kɔbere dodoɔ a ɛwɔ wo nsuo mu. Ebia wobɛpɛ nso sɛ wode nsu a wɔde yiyi kɔbere fi wo tap nsu mu.
Sɛ woresusuw ho sɛ wobɛnom nnuru a wɔde ka aduan ho te sɛ vitamin a, wo ne wo duruyɛfo nkasa ansa na woanom. Ebia kɔbere wɔ nnuru bi a wɔde ka aduan ho.
So nsɛnnennen bi wɔ ayaresa no mu?
Wilson yare no betumi de nsɛnnennen aba, nanso sɛ wohu ntɛm na wɔsa no a, ebetumi atew asiane a ɛwɔ hɔ sɛ ebefi mu aba no so. Nnuru a wɔde sa Wilson yare no nso betumi anya nkɛntɛnso bɔne, enti bisa wo duruyɛfo nea ɛsɛ sɛ wohwɛ yiye wɔ ho.
Mmerɛbo a entumi nyɛ adwuma yiye
Wilson yare no betumi ama mmerɛbo no ayɛ adwuma yiye. Eyi ne bere a mmerɛbo no hwere adwuma mpofirim a wɔmmɔ no kɔkɔ. Nnipa a wɔwɔ Wilson yare no mu bɛyɛ 5% wɔ mmerɛbo mu yare a emu yɛ den bere a wɔahu sɛ wɔwɔ bi no. Ebia tebea yi bɛhwehwɛ sɛ wɔde mmerɛbo foforo ma.
Nnipa a wɔn mmerɛbo mu yare denneennen esiane Wilson yare nti no nso taa nya asaabo a entumi nyɛ adwuma yiye ne mogya a ɛtɔ kɔ nipadua no mu bi a wɔfrɛ no hemolytic anemia.
Cirrhosis a ɛma obi ho kyere no
Cirrhosis yɛ tebea a ɛma mmerɛbo mu ntini a ɛte apɔw si akuru ntini ananmu, na ɛma mmerɛbo no ntumi nyɛ adwuma yiye. Ntini a akuru no nso siw mogya a ɛfa mmerɛbo no mu no kwan kodu baabi. Bere a mmerɛbo no kɔ so yɛ adwuma no, mmerɛbo no fi ase di huammɔ.
Nnipa a wɔahu sɛ wɔwɔ Wilson yare no mu 35% kosi 45% wɔ cirrhosis bere a wɔahu sɛ wɔwɔ bi no.
Cirrhosis ma asiane a ɛwɔ hɔ sɛ obenya mmerɛbo mu kokoram no yɛ kɛse. Nanso, nnuruyɛfo ahu sɛ nnipa a wonya mmerɛbo mu kokoram esiane Wilson yare no nti no ntaa nnya mmerɛbo mu kokoram sen wɔn a wonya akisikuru esiane nneɛma afoforo nti no.
Mmɛn a entumi nyɛ adwuma yiye
Awiei koraa no, akisikuru betumi ama mmerɛbo no ayɛ adwuma yiye. Mmerɛbo a entumi nyɛ adwuma yiye ne bere a wo mmerɛbo asɛe kɛse ma egyae adwumayɛ. Wɔsan frɛ eyi mmerɛbo mu yare a ɛba awiei. Ebia tebea yi bɛhwehwɛ sɛ wɔde mmerɛbo foforo ma.
Ɔkwan bɛn so na wɔsa Wilson yare no mu nsɛnnennen?
Sɛ Wilson yare no ma obi nya akisikuru a, ebia wo duruyɛfo betumi de nnuru anaa oprehyɛn asa wo nsɛnnennen no.
Sɛ Wilson yare no ma mmerɛbo no di huammɔ denneennen anaasɛ mmerɛbo no di huammɔ a enni sabea esiane mmerɛbo a ɛyɛ mmerɛw nti a, ebia ebehia sɛ wɔde mmerɛbo foforo ma. Nnipa binom a wɔde mmerɛbo foforo ma wɔn no ho tɔ wɔn koraa fi Wilson yare no mu. Nanso wo duruyɛfo no bɛhwɛ wo yiye ahwɛ ahu sɛ nipadua foforo a wɔde bɛma wo no ayɛ yiye.
Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?
Wilson yare no ayaresa yɛ adeyɛ a ɛkɔ so wɔ wɔn nkwa nna nyinaa mu . Bere a egye ansa na wo ho atɔ wo no gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den so. Nanso, wɔ asram anan kosi asia ayaresa akyi, na wɔde ayaresa a wɔde siesie daa di akyi no, wo sɛnkyerɛnne ahorow no so betumi atew kɛse. Wo duruyɛfo bɛyɛ nhwehwɛmu daa de ahwɛ sɛnea wo Wilson yare no ayaresa no reyɛ adwuma yiye. Ɔbɛyɛ nsakrae wɔ wo nnuru dodow mu nso ma ɛne wo nipadua ahiade ahyia.
Sɛ mewɔ Wilson yare a, dɛn na ɛsɛ sɛ mehwɛ kwan?
Ɛdenam sɛnea wɔahu sɛ wowɔ yare no so no, ebia wubenya sɛnkyerɛnne ahorow a ɛfa Wilson yare no ho anaasɛ wunnya bi. Sɛ wowɔ sɛnkyerɛnne ahorow a, ebetumi de wo nkwa ato asiane mu sɛ woannya ayaresa a. Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo ayaresa nhyehyɛe akyi pɛpɛɛpɛ na ayi kɔbere a awuduru wom afi wo nipadua mu na asiw akwaa a ɛsɛe no ano.
Wilson yare no yɛ tebea a ɛkɔ so wɔ ne nkwa nna nyinaa mu, na enni ano aduru biara. Wilson yare a wɔansa no no nkwa nna tiaa. Nnipa a wohu sɛ wɔwɔ Wilson yare na wɔde mmerɛbo foforo ma wɔn yiye no nkwa nna pa. Nanso, bere a wɔde nipadua foforo ama wɔn akyi mpo no, ebehia sɛ wɔtra aduruyɛfo hwɛ ase wɔn nkwa nna nyinaa.
So wobetumi asiw Wilson yare no ano?
Wilson yare no fi awosu mu nsakrae a wonya fi awo mu, enti wontumi nsiw ano. Sɛ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ Wilson yare no a, wo ne wo duruyɛfo nka awosu mu nhwehwɛmu ho asɛm na ama woate asiane a ɛwɔ hɔ sɛ wubenya Wilson yare no anaasɛ wobɛwo abofra a ɔwɔ awosu mu tebea yi ase.
Mɛyɛ dɛn ahwɛ me ho?
Sɛ wowɔ Wilson yare a, wubetumi ahwɛ wo ho denam w’aduru a wobɛnom sɛnea wo duruyɛfo akyerɛ wo no na woayi nnuan a kɔbere pii wom afi w’aduan mu no so. Sɛ wosa yare a, wubetumi atew wo yare no ho sɛnkyerɛnne so na asiw ɔhaw ahorow a ɛde wo nkwa to asiane mu ano.
Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?
Sɛ wo Wilson yare no ho sɛnkyerɛnne no mu yɛ den, titiriw sɛ na kan no atu mpɔn a, ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn. Ebia eyi bɛkyerɛ sɛ ɛsɛ sɛ wosakra nnuru dodow a wode di dwuma no.
Sɛ wo Wilson yare no ho sɛnkyerɛnne resiw wo kwan sɛ wobɛyɛ wo da biara da dwumadi ahorow a wotaa yɛ, titiriw sɛ wuntumi nnidi, worefe bere nyinaa, wunya adwene mu yare, wo honam ani yɛ kɔkɔɔ (jaundice), anaasɛ wo yafunu mu yɛ wo yaw kɛse a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ ntɛm ara anaa frɛ 911.
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
- So ɛho behia sɛ wɔma me mmerɛbo foforo?
- Nnuru a wɔkyerɛw ma wɔn de sa Wilson yare no mu nsunsuanso bɔne bɛn na ɛwɔ hɔ?
- Sɛ minyinsɛn a, so me ba no benya Wilson yare no?
- Sɛ minyinsɛn a, so metumi anom m’aduru no?
- Bere tenten ahe na ɛsɛ sɛ menom aduru a wokyerɛw maa me no?
Awiei koraa no, kae (Take-Home Message) .
Wilson yare no a wobehu ntɛm na wɔasa no ne akwan a eye sen biara a wɔfa so sa awosu mu tebea a ɛwɔ wɔn nkwa nna nyinaa mu yi. Ebia ebehia sɛ woyɛ nsakrae wɔ w’asetra mu na ama kɔbere a ɛwɔ w’aduan mu no so atew. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn na wahwɛ ahu sɛ w’ayaresa no reyɛ adwuma de atew kɔbere dodow a ɛwɔ wo nipadua mu no so. Ayaresa a ɛfata betumi aboa wo ma wo ho atɔ wo na asiw ɔhaw ahorow a ɛde wo nkwa to asiane mu ano. Mma wo ho nnyɛ wo hu, ade a ɛho hia sen biara ne sɛ wobɛma w’ani ada hɔ na woadi wo duruyɛfo afotu akyi.
` Wilson yare, kɔbere, mmerɛbo, amemene, awosu mu nyarewa, cirrhosis, Keiser-Fleischer nkaa











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