Ðe nèlé ŋku ɖe ʋudodokpɔ ŋuti nyatakaka aɖe ŋu eye nèkpɔ akpa aɖe si woyɔna be BMP kpɔa? Alo ɖe ɖɔkta aɖe bia tso asiwò kpɔ be nàwɔ dodokpɔ siaa? Ame geɖewo susuna be, "Nukae nye esia?" ne wokpɔ lɛta siawo. Gake mègatsi dzi o. Esia nye ʋudodokpɔ si bɔ ŋutɔ si gblɔa nyatakaka vevi geɖe na wò tso wò ŋutilã ƒe lãmesẽ ŋu. Mina míaƒo nu tso eŋu bɔbɔe eye eme nakɔ egbea.
Kpuie ko la, nukae nye BMP sia?
BMP, alo Basic Metabolic Panel , nye dodokpɔ si me wodzidzea nu vevi 8 le wò ʋu me. Esia ate ŋu ana wò ɖɔkta nakpɔ wò ŋutilã ƒe atikewo ƒe dadasɔ kple lãmenugbagbeviwo ƒe dɔwɔwɔ, si nye mɔnu si dzi míetona trɔa nuɖuɖu si míeɖuna wòzua ŋusẽ.
Bu wò ŋutilã abe ʋu ene. BMP dodokpɔ sia le abe ʋu ƒe nu veviwo, abe mɔ̃memi, tsi ƒe agbɔsɔsɔ, kple batri ene, me dzodzro zi ɖeka. Ate ŋu ana nyatakaka siwo ku ɖe ɖoɖo gã geɖe siwo le ŋutilãa me ƒe dɔwɔwɔ ŋu zi ɖeka.
Nuka tututue BMP di?
Dodokpɔ sia naa nyatakaka tso nu vevi 8 ŋu. Na míakpɔ nusi wonye kple nya si wogblɔna ɖa.
| Nukae wole dodokpɔ wɔm le? | Kpuie ko la,... |
|---|---|
| Glucose ƒe agbɔsɔsɔ | Esiae nye sukli ƒe agbɔsɔsɔ si le wò ʋu me. Esiae nye ŋutilãa ƒe ŋusẽtsoƒe vevitɔ. Ne asixɔxɔ sia sɔ gbɔ la, àte ŋu asusui be nɔnɔme aɖe abe suklidɔ ene le ŋuwò. |
| Calcium si woyɔna be calcium | Calcium hiã vevie na ƒu sesẽwo, kpakple lãmekawo, lãmekawo, kple dzi ƒe dɔwɔwɔ hã. |
| BUN (Ʋu me Urea Nitrogen) . | Esia dzidzea gbeɖuɖɔ si woyɔna be urea ƒe agbɔsɔsɔ le ʋua me. Míaƒe ayikuwo ɖea gbeɖuɖɔ sia ɖa heɖea wo ɖa. Eyata asixɔxɔ sia gblɔ nya vevi aɖe tso míaƒe ayikuwo ƒe lãmesẽ ŋu. |
| Creatinine si wotsɔ wɔa dɔe | Esia nye gbeɖuɖɔ bubu si ayikuwo ɖena ɖa. Ne ɖɔkta lé ŋku ɖe BUN kple Creatinine siaa ƒe asixɔxɔwo ŋu ɖekae la, ate ŋu anya alesi wò ayikuwo le dɔ wɔm nyuie. |
| Electrolytes - dze kple tsi ƒe dadasɔ le ŋutilã me | |
| Sodium si woyɔna be Sodium | Esia le vevie ŋutɔ na tsi agbɔsɔsɔme (tsi ƒe dadasɔ) si le ŋutilã ƒe lãmenugbagbeviwo me dzi ɖuɖu. |
| Potassium si woyɔna be potassium | Potassium hiã hafi lãmekawo kple lãmekawo nawɔ dɔ nyuie. Ekpɔa ŋusẽ gã aɖe ɖe dzi ƒe dɔwɔwɔ hã dzi. |
| Bikarbonate (Bicarbonate - CO2) ƒe lãgbalẽ. | Esia nye alesi wodzidzea carbon dioxide (CO2) si le ʋua me. Esia kpena ɖe ŋutilãa ƒe acid-base ƒe dadasɔ (pH balance) ŋu. |
| Chloride si woyɔna be chloride | Abe sodium ene la, ekpena ɖe ame ŋu hã be tsi nada sɔ le ŋutilãa me. |
Nukatae ɖɔkta agblɔ na wò be nàwɔ BMP dodokpɔ?
BMP dodokpɔ sia ɖea vi ŋutɔ ne ɖɔkta di be yeakpɔ wò lãmesẽ bliboa ƒe susu kaba. Zi geɖe la, wowɔa esia le nɔnɔme siawo tɔgbe me:
- Abe lãmesẽ dodokpɔ edziedzi ƒe akpa aɖe ene: Kpɔe ɖa be nusianu le edzi yim nyuie le wò ŋutilã me hã.
- Le Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU): Esia kpena ɖe ame ŋu be woaɖo dɔlélea gbɔ kaba le nɔnɔme kpata aɖe me.
- Ne dzesi aɖewo le ŋuwò si womate ŋu aɖe o: Ne nane abe ɖeɖiteameŋu alo ʋuʋudedi ene koe le ŋuwò la, esia ate ŋu ana nànya nusi gbɔ wòtso.
- Lé ŋku ɖe atikewɔwɔ ƒe nɔnɔme aɖe ŋu:Ne dɔléle aɖe si nɔa anyi didi abe ʋusɔgbɔdɔ alo ayikudɔ ene le ŋuwò la, wowɔa dodokpɔ sia edziedzi be woakpɔe ɖa be woate ŋu akpɔ dɔlélea dzi hã.
- Ne èdze atike yeye aɖe zazã gɔme: Atike aɖewo ate ŋu agblẽ nu le ayikuwo ŋu. Eyata wowɔa esia be woatsɔ alé ŋku ɖe ayiku ƒe dɔwɔwɔ ŋu ne wole atike ma tɔgbe zazã gɔme dzem.
- Ne èkpɔ dodokpɔ aɖe si mesɔ o tso dodokpɔ aɖe si nèwɔ va yi me: Kpɔe ɖa be nɔnɔmea trɔ alo gakpɔtɔ le nenema hã.
Nukae wòle be nàwɔ hafi adze dodokpɔa gɔme?
Zi geɖe la, woabia tso asiwò be nàtsi nu adɔ gaƒoƒo 8 ya teti hafi awɔ BMP dodokpɔ sia. Esia fia be mele be nàɖu nu alo ano nu bubu aɖeke tsɔ wu tsi o.
Ke hã, esia mehiãna ɣesiaɣi o. Eya ta ele vevie be nàwɔ ɖe mɔfiame siwo ɖɔkta si bia tso asiwò be nàwɔ dodokpɔa na wò la dzi pɛpɛpɛ.
Nukae dzɔna ne ʋu le ŋuwò? Ðe wònye nusi wòle be woavɔ̃ na?
Oo, ao, menye nenema kura o. Esia le bɔbɔe ŋutɔ eye woate ŋu awɔe le miniti ʋɛ aɖewo ko me.
1. Ànɔ zikpui dzi eye woakpɔ ʋuka nyui aɖe, zi geɖe la, le wò abɔta ƒe eme.
2. Tsɔ kotoku sue aɖe klɔ teƒea.
3. Emegbe wotsɔa aŋe sue aɖe ŋutɔ dea ʋukaa me, eye wotsɔa ʋu agbɔsɔsɔme si hiã la dea aŋetu sue aɖe (dodokpɔmɔ̃) me. Àse le ɖokuiwò me be yeƒe lãme le ʋuʋum vie ne wotsɔ aŋea de eme, gake sɛkɛnd ʋɛ aɖewo koe wònɔa anyi.
4. Ne woɖe ʋua la, woɖea aŋea ɖa eye wotsɔa kotoku kakɛ aɖe dea teƒea heminɛ.
5. Emegbe, nàtsɔ aŋɔ vi aɖe asisi ɖe teƒea eye nàwu enu.
Aleke mase nyatakakaa me tsonu gɔmee?
Ne woxɔ wò nyatakaka la, zi geɖe la, nya siawo anɔ eme:
- Nusi wodo kpɔ (e.g. Glucose, Calcium).
- Wò emetsonu (wò dzesi).
- Dodokpɔ ma ƒe didime si sɔ .
- Ðe wò emetsonua sɔ, ɖe wòsɔ gbɔ, alo ɖe wòbɔbɔa?
Tabla si le ete la fia dometsotso siwo sɔ na BMP ƒe asixɔxɔwo. Gake nenɔ susu me na wò be: Agbɔsɔsɔ sia si sɔ ate ŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ. Eyata anyo wu be nàtsɔ wò numekukua me tsonu asɔ kple agbɔsɔsɔ si sɔ le wò nyatakakaa me.
| Dodokpɔ | General Normal Range ƒe didime |
|---|---|
| Glucose ƒe agbɔsɔsɔ | 74 - 99 mg/dL ƒe agbɔsɔsɔme |
| Calcium si woyɔna be calcium | 8.5 - 10.2 mg/dL ƒe kpekpeme |
| BUN | 7 - 21 mg/dL ƒe kpekpeme |
| Creatinine si wotsɔ wɔa dɔe | 0.58 - 0.96 mg/dL ƒe kpekpeme |
| Sodium si woyɔna be Sodium | 136 - 144 mmol/L ƒe kpekpeme |
| Potassium si woyɔna be potassium | 3.7 - 5.1 mmol/L ƒe kpekpeme |
| Bicarbonate (CO2) si wotsɔna ƒoa ƒui . | 22 - 30 mmol/L ƒe kpekpeme |
| Chloride si woyɔna be chloride | 98 - 107 mmol/L ƒe kpekpeme |
Ðe wòle be matsi dzi ne emetsonuwo sɔa?
Nu vevitɔe nye esi: Esi asixɔxɔ ɖeka si le wò nyatakakaa me to vovo na esi sɔ ta la, mefia be dɔléle sesẽ aɖe le ŋuwò o.
Ame siwo le lãmesẽ me abe ɖeka le 20 ɖesiaɖe me ate ŋu akpɔ nusiwo do tso eme si to vovo vie na amesiwo le lãmesẽ me. Ema sɔ.
Nu bubuwo hã ate ŋu akpɔ ŋusẽ ɖe emetsonuwo dzi. Le kpɔɖeŋu me:
- Nane si nèɖu ŋkeke si do ŋgɔ na dodokpɔa.
- Atike aɖewo siwo nènona.
- Dɔléle sue bubuwo.
- Ɣeaɖewoɣi la, vodada sue aɖe gɔ̃ hã ate ŋu adzɔ le dodokpɔxɔa me.
Eyata ne wò dɔwɔwɔ me tsonu mesɔ o la, nu nyuitɔ si nàwɔe nye be nàtsɔ nyatakakaa afia wò ɖɔkta. Wò ɖɔkta abu wò lãmesẽ bliboa, atike siwo nèno, kple wò dzesiwo ŋu be yeanya nusi tututu emetsonuwo fia. Ne ehiã la, aɖe gbe be woagawɔ dodokpɔ bubuwo.
Mègatsi dzodzodzoe ahatso nya me gbeɖe be dɔléle aɖe le ye ŋu to ʋudodokpɔ ŋuti nyatakaka aɖe kpɔkpɔ le ɖokuiwò si alo didi le Internet dzi me o. Ðeko ema ahe nuteɖeamedzi si mehiã o vɛ.
Gbedasi si Wotsɔ Yi Aƒeme
- BMP (Basic Metabolic Panel) nye ʋudodokpɔ si bɔ ŋutɔ eye wòle vevie, si léa ŋku ɖe wò ŋutilã ƒe atikewo ƒe dadasɔ kple ŋutinuwo abe ayiku ene ƒe dɔwɔwɔ ŋu.
- Esia naa nyatakaka tso nu vevi 8 ŋu, siwo dometɔ aɖewoe nye sukli si le ʋu me, calcium, kple ayiku ƒe dɔwɔwɔ.
- Mègatsi dzodzodzoe ne emetsonu aɖe to vovo na alesi wòle be wòanɔ o. Susu bubuwo ate ŋu anɔ eŋu.
- Mɔ nyuitɔ kple ɖeka kolia si dzi nàto akpɔ nyabiase alo dzimaɖitsitsi ɖesiaɖe si le asiwò ku ɖe wò ʋudodokpɔ me tsonu ŋu gbɔe nye be nàƒo nu kple wò ɖɔkta.
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