Ne wodo ʋu kpɔ la, ɖe nèkpɔ asixɔxɔ aɖe si woyɔna be ‘BUN’ le nyatakakaa dzi kpɔa? Ðewohĩ wò ɖɔkta ɖe nya sia me na wò. Togbɔ be adze nu sesẽ vie na ame geɖe hã la, le nyateƒe me la, enye dodokpɔ si bɔ ŋutɔ si gblɔa nyatakaka vevi geɖe na wò tso míaƒe ayikuwo ƒe lãmesẽ ŋu. Eya ta, mègavɔ̃ o. Egbea, mina míaƒo nu tso nusi tututu BUN sia nye, nusita wowɔe, kple nusi eƒe dzidzenuwo gblɔ ŋu.
Nukae BUN fia ko?
Enyo, mina míadze egɔme tso gɔmedzedzea me ke. Nya sia BUN tsi tre ɖi na Ʋu Urea Nitrogen . Le Sinhalagbe me la, efia urea nitrogen agbɔsɔsɔme si le ʋua me.
Azɔ tsɔe be míaƒe ŋutilã le abe dɔwɔƒe gã aɖe ene. Nunyiame siwo míeɖuna henona, vevietɔ protein (le kpɔɖeŋu me, lã, tɔmelã, azi, notsi) trɔna zua ŋusẽ kple nusiwo hiã be ŋutilãa natsi le dɔwɔƒe sia. Ne nuwɔna sia dzɔ la, gbeɖuɖɔ aɖe dzɔna. Woyɔa gbeɖuɖɔ ma be urea nitrogen .
Míaƒe aklã mee wowɔa gbeɖuɖɔ siawo gbã. Emegbe, wotsɔa wo kpena ɖe ʋua ŋu eye wozɔa mɔ toa ŋutilã bliboa me. Ne míele mɔ zɔm alea la, ʋu sia toa míaƒe ayikuwo me. Ayikuwo le abe nusiwo wotsɔna tsia nu nyuitɔ kekeake eve siwo le míaƒe ŋutilã me ene. Woƒe dɔ vevitɔe nye be woaɖe gbeɖuɖɔ siawo siwo womedi o la ɖa le ʋua me ahaɖe wo ɖa le ʋua me eye woatsɔ aɖuɖɔ aɖe wo ɖa le ŋutilãa me.
Eyata nusi BUN dodokpɔ sia wɔna enye be wodzidzea urea nitrogen agbɔsɔsɔme si susɔ ɖe wò ʋu me hafi ayikuwo naɖee ɖa.
Kpuie ko la, BUN nye urea nitrogen agbɔsɔsɔme si le wò ʋu me. Esia ate ŋu ana nàkpɔ alesi wò ayikuwo le dɔ wɔm nyuie la ƒe susu vevi aɖe.
Nukatae ɖɔktawo kafu BUN dodokpɔ sia?
Susu geɖewo li siwo tae ɖɔkta ate ŋu abia tso asiwò be nàwɔ BUN dodokpɔ.
- Abe lãmesẽ dodokpɔ si wowɔna edziedzi ƒe akpa aɖe ene: Zi geɖe la, wodzidzea BUN ƒe asixɔxɔ sia abe ʋuxexlẽ blibo ƒe akpa aɖe ene, si wowɔna zi geɖe ƒe sia ƒe alo ɣeaɖewoɣi. Zi geɖe la, wotsɔa esia dea dodokpɔ aɖe si woyɔna be Comprehensive Metabolic Panel (CMP) alo Basic Metabolic Panel (BMP) me .
- Ne èsusu be ayikudɔ le ŋuwò: Ne ayikudɔ ate ŋu adze dziwò la, wò ɖɔkta ate ŋu aɖe gbe be woado wò kpɔ. Esi wònye be zi geɖe la, ayikudɔléle ƒe dzesi aɖeke medzena le eƒe gɔmedzedze o ta la, ate ŋu akpe ɖe ame ŋu woade dzesi amesiwo ŋu afɔku le kaba.
Nu kawoe dzia ayikudɔléle ƒe afɔkua ɖe edzi?
- Ne ayikudɔ le ame aɖe ŋu le wò ƒomea me (dada, fofo, nɔviwo).
- Ne suklidɔ le ŋuwò la .
- Ne ʋusɔgbɔdɔ le ŋuwò la .
- Ne dzidɔ le ŋuwò la .
- Ne ayikudɔ ƒe dzesiwo le dzedzem: Dzesi aɖewo li siwo dzena ne ayikudɔa nu sẽ ɖe edzi. Ne dzesi siawo le ŋuwò la, ele be woado BUN dodokpɔ na wò godoo.
| Ayikudɔ si tsi megbe ƒe dzesi aɖewo | |
|---|---|
| Alesi wòhiã be nàɖe aɖuɖɔ enuenu wu alesi wònɔna ɖaa. | |
| Aɖuɖɔtoe si me futukpɔ le. | |
| Ʋu le aɖuɖɔ me. | |
| Ðeɖiteameŋu kple ɖeɖiteameŋu si gbɔ eme ƒe seselelãme enuenu. | |
| Nuɖuɖua mevivina o. | |
| Ŋutilã ƒe vuvu (vevietɔ asiwo, afɔwo, kple afɔkpodziwo). | |
Nukae wòfia ne BUN ‘dzi ɖe edzi’?
Esia nye nusi ame geɖe vɔ̃na na. Ne wò BUN ƒe agbɔsɔsɔ sɔ gbɔ wu esi wokafu la, ate ŋu afia be wò ayikuwo mele dɔ wɔm nyuie o . Eyae nye be womele urea nitrogen gbeɖuɖɔ siwo le ʋua me la ɖem nyuie o.
Gake BUN si sɔ gbɔ mefia ɣesiaɣi be kuxi aɖe le wò ayikuwo ŋu o. Ne wò ayikuwo le lãmesẽ me 100% hã la, woate ŋu akɔ wò BUN ɖe dzi le susu bubuwo ta.
| Susu | Numeɖeɖe bɔbɔe |
|---|---|
| Nuɖuɖu si me protein sɔ gbɔ ɖo ɖuɖu | Ne èɖu lã, tɔmelã, azi, kple protein shake fũ akpa la, urea gbeɖuɖɔ si dona le ŋutilã me hã adzi ɖe edzi. |
| Tsikuɖiɖi | Ne tsi vɔ le ŋutilãa me la, ʋua ƒoa ƒu. Emegbe urea ƒe agbɔsɔsɔ si le ʋua me dzina ɖe edzi. Edze abe ame aɖe si wɔ dɔ le ŋdɔ me ŋkeke bliboa eye meno tsi aɖeke o ene. |
| Tsitsi | Le dzɔdzɔme nu la, ayiku ƒe dɔwɔwɔ ate ŋu aɖiɖi vie ne míele tsitsim (zi geɖe la, ɖevi suewo ƒe BUN ƒe agbɔsɔsɔ ɖiɖina). |
| Atike aɖewo | Atike aɖewo (e.g. Carbamazepine, Methotrexate, Tetracycline) ateŋu ana BUN ƒe agbɔsɔsɔ nadzi ɖe edzi. |
| Lãmesẽ ƒe nɔnɔme bubuwo | BUN ƒe agbɔsɔsɔ ate ŋu adzi ɖe edzi hã le nɔnɔmewo abe dzobibi, dzidɔ, nuteɖeamedzi ƒe agbɔsɔsɔ gã, ʋu si dona le dɔgboa alo dɔgbo me (GI ʋu ƒe dodo), alo aɖuɖɔtoe ƒe xexe ta. |
Nu vevitɔe nye be màgatsi dzodzodzoe ne wò BUN ƒe agbɔsɔsɔ dzi ɖe edzi o, ke boŋ be nàƒo nu kple wò ɖɔkta be nànya nusi gbɔ wòtso. Wò ɖɔkta aƒo nya ta to menye BUN ƒe agbɔsɔsɔ ɖeɖeko tsɔtsɔ sɔ kple wo nɔewo o, ke boŋ dodokpɔ ƒe asixɔxɔ bubuwo abe creatinine ene hã tsɔtsɔ sɔ kple wo nɔewo me.
Ðe BUN ƒe asixɔxɔ ate ŋu anye ‘bɔbɔe’?
Ẽ, ate ŋu adzɔ. Gake BUN ƒe agbɔsɔsɔ si bɔbɔ ɖe anyi mebɔ boo o. Zi geɖe la, mefiaa lãmesẽkuxi gã aɖe o. Gake susu aɖewo li siwo tae BUN ƒe agbɔsɔsɔ ate ŋu aɖiɖi ɖo.
- Nuɖuɖu si me protein mesɔ gbɔ ɖo o: Ne èɖua amagbe alo nèle nuɖuɖu si me protein mesɔ gbɔ ɖo kura o dzi.
- Ŋutilã ƒe lolome sue:
- Tsi fũu akpa: Tsinono fũ ate ŋu ana ʋua naɖiɖi eye wòaɖe BUN ƒe agbɔsɔsɔ dzi akpɔtɔ.
- Aklãdɔ: Esi wònye be urea dona le aklã me ta la, BUN ƒe agbɔsɔsɔ ate ŋu aɖiɖi le nɔnɔme sesẽ siwo gblẽa nu le aklã ƒe dɔwɔwɔ ŋu me.
Nukae dzɔna do ŋgɔ na ʋudodokpɔ sia kple le ewɔɣi?
Esia nye ʋudodokpɔ si le bɔbɔe ŋutɔ, si wowɔna edziedzi.
Hafi dodokpɔa nadze egɔme
Ne èle ʋumenugbagbeviɣitikewo zãm alo ʋu le dodom le ŋuwò la, gblɔe na wò ɖɔkta do ŋgɔ. Bia wò ɖɔkta nenye be àtsi nu dɔ gaƒoƒo 8-12, elabena woate ŋu awɔ dodokpɔ bubuwo kpe ɖe BUN ŋu.
Le dodokpɔa wɔɣi
- Zi geɖe la, wotiaa ʋuka aɖe tso wò alɔnu si te ɖe abɔta ŋu be wòahe ʋu.
- Wotsɔa nane abe aha sesẽ ene klɔa teƒea, eye wotsɔa aŋe si le sue ŋutɔ tsɔa ʋu sue aɖe dea go sue aɖe me.
- Àse le ɖokuiwò me be yeƒo nu sue aɖe. Teƒea ate ŋu azu blɔ vie le ema megbe, gake abu keŋkeŋ le ŋkeke ɖeka alo eve megbe.
- Emegbe woɖoa ʋu sia ɖe dodokpɔxɔ aɖe. Ate ŋu axɔ ŋkeke ɖeka alo etɔ̃ hafi emetsonuwo nagatrɔ ava.
Nukae dzɔna ne dodokpɔa ƒe nyatakakaa va ɖo?
Ne ènya xɔ dodokpɔa ŋuti nyatakaka ko la, wò ɖɔkta aɖe nusi wòfia na wò la me na wò. Wò ɖɔkta manɔ te ɖe BUN ƒe asixɔxɔ ɖeɖeko dzi awɔ nyametsotso o. Wò ɖɔkta abu nu bubu geɖe ŋu be wòakpɔ wò ayiku ƒe dɔwɔwɔ bliboe.
- Serum Creatinine: Esia nye gbeɖuɖɔ bubu si wodzidzena le ʋu me. Enye dodokpɔ si le vevie wu BUN ne wole ayiku ƒe dɔwɔwɔ ŋu bum.
- Glomerular Filtration Rate si Wobu (eGFR): Esia menye dodokpɔ tẽ o. Enye asixɔxɔ si bua alesi wò ayikuwo le wò ʋu ŋu kɔm kabakabae, eye wozãa nusiwo le abe wò creatinine ƒe agbɔsɔsɔ, ƒe si nèxɔ, kple ŋutsu alo nyɔnu nyenye ene.
Ðɔktaa aƒo dzidzenu siawo katã nu ƒu be wòaƒo nya ta mamlɛtɔ le wò ayikuwo ƒe lãmesẽ ŋu.
Ne BUN ƒe agbɔsɔsɔme sɔ gbɔ la, nukae woate ŋu awɔ atsɔ aɖe edzi akpɔtɔ?
Nu vevi si gɔme wòle be míase le afisia enye be ɖɔktawo meŋlɔa atike na amewo be woade BUN ƒe agbɔsɔsɔ si "ɖiɖi" o. Nusi wowɔna enye be woadi nusi gbɔ BUN ƒe agbɔsɔsɔ si sɔ gbɔ tso eye woada nusi gbɔ wòtso.
Gake ne BUN ƒe agbɔsɔsɔ dzi ɖe edzi le amesi ŋu ayikudɔ mele o la, woate ŋu aɖu edzi to agbenɔnɔ ƒe tɔtrɔ bɔbɔewo me.
Vevietɔ: Ne ayikudɔ le ŋuwò la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta hafi nàwɔ tɔtrɔ siwo gbɔna.
1. No tsi geɖe: Tsikuɖiɖi koŋue nana BUN ƒe agbɔsɔsɔ dzina ɖe edzi. Ne wò creatinine ƒe agbɔsɔsɔ sɔ gake wò BUN dzi ɖe edzi la, anɔ eme godoo be tsikuɖiɖi gbɔe wòtso.
- Ele be ŋutsu nano tsi kplu 13 (anɔ abe lita 3 ene) gbesiagbe.
- Wokafui be nyɔnu nano tsi kplu 9 (anɔ abe lita 2.2 ene) gbesiagbe.
2. 2. .Dzra wò nuɖuɖu si me protein sɔ gbɔ ɖo dzi: Ne ètrɔ ɖe nuɖuɖu si me protein sɔ gbɔ ɖo ŋu la, ate ŋu akpe ɖe ŋuwò nàɖe BUN ƒe agbɔsɔsɔ dzi akpɔtɔ.
| Nuɖuɖu siwo me protein mesɔ gbɔ ɖo o be woaɖu geɖe wu | Nuɖuɖu siwo me protein sɔ gbɔ ɖo be woaɖo seɖoƒe na alo aƒo asa na wo |
|---|---|
| Nukuwo: bli, oats, pasta | Lãwo: Nyilã, Koklolã, Haƒoƒo, Salmon |
| Atikutsetse: akɔɖu, atikutsetsewo, akɔɖu | Notsi me nuɖuɖuwo: notsi, cheese, yogurt |
| Amagbewo: Amagbe damawo, atadi, broccoli | Bubuwo: azi, lãgbalẽ, koklozi, soya, tofu |
| Ami siwo naa lãmesẽ: avocado, nukuwo, akɔɖumi |
Le mama dedie nu la, ame ɖua protein gram 40-60 gbesiagbe. Gake ate ŋu ahiã be amesi ƒe BUN sɔ gbɔ naɖe agbɔsɔsɔ sia dzi akpɔtɔ le woƒe ɖɔkta ƒe aɖaŋuɖoɖo nu.
Gbedasi si Wotsɔ Yi Aƒeme
- BUN nye gbeɖuɖɔ si wowɔna tso protein si míeɖuna me eye ele be ayikuwo naɖee ɖa ahaɖee ɖa.
- Dodokpɔ sia koŋ naa wokpɔa ayikuawo ƒe dɔwɔwɔ ƒe susu .
- Menye ɣesiaɣi si BUN ƒe agbɔsɔsɔ dzi ɖe edzi o la, enye ayikudɔ ƒe dzesi. Nu bubuwo abe tsikuɖiɖi kple nuɖuɖu si me protein sɔ gbɔ ɖo ene hã ate ŋu awɔ akpa aɖe.
- Ame ɖeka kolia si ate ŋu aɖe wò dodokpɔa me tsonu me bliboe enye wò ɖɔkta.
- Ne BUN ƒe agbɔsɔsɔme sɔ gbɔ la, da nusi gbɔ wòtso.Emae nye nu vevitɔ kekeake. Wò agbenɔnɔ kple nuɖuɖu tɔtrɔ le wò ɖɔkta ƒe aɖaŋuɖoɖo nu ate ŋu ana tɔtrɔ gã aɖe nava.
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