Ne èyi ɖɔkta gbɔ la, wodoa ʋu na wò, alo? Anɔ eme be èkpɔ nane si woyɔna be "BMP" le nyatakaka ma dzi. Ame geɖe tsia dzi vie ne wokpɔ esia, wobiaa wo ɖokui be, "Nukae nye esia?" Mègatsi dzi o, esia nye dodokpɔ si bɔ ŋutɔ, si wowɔna edziedzi. Kpuie ko la, BMP nye dodokpɔ si me wodzidzea nu vevi aɖewo ƒe agbɔsɔsɔ le wò ʋu me. Esia ate ŋu ana wò ɖɔkta nakpɔ alesi wò ŋutilã ƒe ŋutinu vevi aɖewo, vevietɔ wò ayikuwo, le dɔ wɔm nyuie.
Nukatae wole biabiam tso mía si be míawɔ BMP dodokpɔ sia?
Susu geɖe ate ŋu anɔ anyi siwo tae ɖɔkta ate ŋu abia tso asiwò be woado BMP kpɔ.
- Abe lãmesẽ dodokpɔ edziedzi ƒe akpa aɖe ene: Ne dɔléle aɖeke mele ŋuwò o hã la, àte ŋu ana woawɔ esia le ƒe sia ƒe ƒe lãmesẽ dodokpɔ me be nàkpɔe ɖa be nusianu si le wò ŋutilã me le dɔ wɔm nyuie hã.
- De dzesi dɔléle aɖe alo lé ŋku ɖe eŋu: Ne dɔléle aɖe abe suklidɔ alo ʋusɔgbɔdɔ ene le ŋuwò la, esia kpena ɖe ŋuwò nàkpɔe ɖa be wote ŋu le edzi ɖum hã eye ne ele ŋusẽ kpɔm ɖe wò ayikuwo dzi hã.
- Kpɔ atikewo ƒe ŋusẽkpɔɖeamedzi ɖa: Wowɔa dodokpɔ sia be woakpɔe ɖa be atike aɖewo siwo zãm nèle (e.g., ʋusɔgbɔdɔ ƒe atikewo) le wò ŋutilã ƒe elektrikŋusẽ ƒe agbɔsɔsɔ trɔm hã.
- Le nɔnɔme kpata aɖe me: Ne woxɔ wò ɖe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) le esi nèdze dɔ ta la, wowɔa esia be woatsɔ anya kaba ne tsi vɔ le wò ŋutilã me eye ne wò ayikuwo le dɔ wɔm nyuie.
Le goawo katã me la, wò ɖɔkta aɖo aɖaŋu na wò wu be nàdo dodokpɔ sia ne dzesiwo abe esiawo ene le ŋuwò:
- Ðeɖiteameŋu ɣesiaɣi
- Ne ʋuʋudedi yi edzi
- Tɔtɔ, susu tsɔtsɔ ɖo nu ŋu sesẽ
- Yagbɔgbɔ sesẽ
Nuka tututue BMP sia le ŋku lém ɖo?
BMP la doa atike 8 ƒe agbɔsɔsɔ kpɔna le wò ʋu me koŋ. Mina míalé ŋku ɖe nu siwo wonye kple nya siwo wogblɔna ŋu.
| Nukae wole dodokpɔ wɔm le? | Nukae nya ma gblɔ? |
|---|---|
| Glucose ƒe agbɔsɔsɔ | Esiae nye wò ŋutilã ƒe ŋusẽtsoƒe vevitɔ. Ðeko míeyɔnae be "ʋu me sukli." Wozãa esia tsɔ kpɔae ɖa be suklidɔ le ŋuwò loo alo ne wole edzi ɖum hã. |
| Calcium si woyɔna be calcium | Ele vevie be ƒuwo nasẽ, ʋu ƒe sisi, kple dzi kple lãmekawo ƒe dɔwɔwɔ. |
| Ʋu me Urea Nitrogen (BUN) . | Esia nye gbeɖuɖɔ si wowɔna le ŋutilã me. Ayikuwoe ɖenɛ ɖa eye wòɖenɛ doa goe le aɖuɖɔ me. Esia ƒe agbɔsɔsɔme ate ŋu afia alesi wò ayikuwo le dɔ wɔm nyuie. |
| Creatinine si wotsɔ wɔa dɔe | Esia hã nye gbeɖuɖɔ si lãmekawo wɔna. Ayikuwo hã ɖenɛ ɖa. Abe BUN ene la, esia hã naa ayiku ƒe dɔwɔwɔ ŋuti susu nyui aɖe. |
| Electrolytes - dze siwo le ŋutilã me | |
| Sodium si woyɔna be Sodium | Ekpena ɖe ame ŋu be wòaɖu tsi agbɔsɔsɔme si le ŋutilãa me dzi. Ne esia dzi ɖe edzi alo dzi ɖe kpɔtɔ la, kuxiwo abe tsikuɖiɖi kple ʋusɔgbɔdɔ ene ate ŋu ado mo ɖa. |
| Potassium si woyɔna be potassium | Ele vevie ŋutɔ na dzi kple lãmekawo ƒe dɔwɔwɔ. Ne eƒe agbɔsɔsɔ va sɔ gbɔ akpa alo ɖiɖi akpa la, ate ŋu anye afɔku na dzia. |
| Chloride si woyɔna be chloride | Abe sodium ene la, ekpena ɖe ŋutilãa ƒe tsi kple acid-base ƒe dadasɔ ŋu nyuie. |
| Ya si woyɔna be carbon dioxide (Bicarbonate) . | Efia ʋua ƒe acid-base ƒe dadasɔ. Ate ŋu ana woakpɔ alesi lãkusi kple ayiku wɔa dɔe hã. |
Vovototo kae le BMP kple CMP dome?
Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu akafu CMP ɖe BMP teƒe. CMP tsi tre ɖi na Comprehensive Metabolic Panel .
Kpuie ko la, CMP nye dodokpɔ si lolo vie, si me wodzro tsitotsito wu BMP.
Le CMP me la, tsɔ kpe ɖe nu 8 siwo ŋu BMP la léa ŋku ɖo ŋu la, woléa ŋku ɖe nu bubu geɖewo ŋu, vevietɔ nusiwo gblɔa wò aklã ƒe dɔwɔwɔ na wò . Nu bubu siawoe nye:
- Albumin Kple Protein Katã: Esiawo nye protein siwo aklã wɔna. Wonaa nyatakakawo tso nunyiame ƒe nɔnɔme kple aklã kple ayiku ƒe lãmesẽ ŋu.
- ALP, ALT, AST: Esiawo nye enzyme siwo le aklã me. Ne aklãa gblẽ la, esiawo ƒoa ƒu ɖe ʋua me.
- Bilirubin: Gbeɖuɖɔ si dona ne ʋumenugbagbevi dzĩ xoxowo gblẽ. Aklã hã ɖea esia ɖa.
Ne ɖɔktaa kpɔe be ehiã be woalé ŋku ɖe wò aklã ŋu etɔxɛe la, aŋlɔ CMP na wò ɖe BMP teƒe.
Ʋudodokpɔ sia le bɔbɔe ŋutɔ!
Ʋudodokpɔ si wowɔna edziedzi koe esia nye. Naneke meli si ŋu woatsi dzi ɖo o.
1. Nutsitsidɔ: Zi geɖe la, dodokpɔ sia bia be màɖu nu alo ano naneke tsɔ wu tsi o hena gaƒoƒo 8-12. Esia tae ame akpa gãtɔ yia ŋdi me be yewoana ʋu, eyata ele bɔbɔe be woatsi nu adɔ zã bliboa. Ke hã, kpɔ egbɔ be yebia wò ɖɔkta nenye be ehiã be nàtsi nu adɔ ahano atike siwo nèzãna edziedzi.
2. Dzadzraɖo: Be wòanɔ bɔbɔe be nàɖe ʋu le wò alɔnu la, do awu siwo ƒe abɔwo le kpuie. Ne èno tsi kplu ɖeka hafi do ʋu la, ana wòanɔ bɔbɔe be woake ɖe ʋuka aɖe ŋu.
3. Ʋudodo: Le dodokpɔxɔa me la, woakpɔ ʋuka si sɔ le wò alɔnu, ƒo xlã abɔta, eye woatsɔ dɔlékuiwutike akɔ teƒea. Emegbe, woatsɔ rababa (tourniquet) aƒo xlã abɔ si le etame eye woablae sesĩe. Esia ana be ʋukaawo nadze nyuie.
4. Afɔɖeɖe: Èɖea dzi ɖi. Gbugbɔ gbɔgbɔ eye nàɖe ŋku ɖa. Ne ède aŋe sue aɖe eme la, àse le ɖokuiwò me be yeƒe lãme gbã vie, abe anyidi aɖe ɖu ye ene . Woaxɔ ʋu agbɔsɔsɔme si hiã le sɛkɛnd ʋɛ aɖewo megbe.
5. Wowɔe vɔ: Woɖea aŋea ɖa, wotsɔa kotoku kakɛ aɖe dea teƒea eye wominɛ ɖe anyi. Emegbe wotsɔa aŋɔ sue aɖe ƒoa teƒea.
Dɔwɔwɔ bliboa xɔa miniti ʋɛ aɖewo ko. Woɖoa ʋua ɖe dodokpɔxɔa eye wokpɔa nyatakakaa le ŋkeke ɖeka alo eve megbe. Teƒe si woɖe ʋua le ate ŋu anye blɔ vie, gake esia atso le eɖokui si le ŋkeke ʋɛ aɖewo megbe.
Ne nyatakakaa va ɖo la, aleke nèse egɔmee?
Le wò nyatakaka me la, wotsɔa wò emetsonua kple "Normal Range" si sɔ kplii do ŋgɔ na nusianu si wodo kpɔ.
Nu vevitɔe nye be esi wò dɔwɔwɔ me tsonuawo to vovo vie ta la, mefia kokoko be enye dɔléle sesẽ aɖe ƒe dzesi o.
Nusiwo sɔ ate ŋu ato vovo vie tso dodokpɔxɔ ɖeka me yi bubu gbɔ. Wò emetsonuwo hã ate ŋu ato vovo le nusiwo abe ƒe si nèxɔ, ŋutsu alo nyɔnu nyenye, atike siwo nènona, kple nuɖuɖu si nèɖuna nu.
Eyata mèganɔ te ɖe asixɔxɔ siwo le nyatakakaa me dzi aƒo nya ta o. Ðɔkta si le dɔ wɔm na wò koe ate ŋu ase egɔme pɛpɛpɛ eye wòagblɔ nusi hiã na wò. Atsɔ esia asɔ kple wò dzesiwo kple dodokpɔ bubuwo ŋuti nyatakakawo eye wòaɖo aɖaŋu nyuitɔ wò.
Ðe nanewo li siwo ate ŋu akpɔ ŋusẽ ɖe emetsonuwo dzia?
Ẽ, nu aɖewo ate ŋu akpɔ ŋusẽ ɖe BMP me tsonu ƒe nyateƒenyenye dzi.
- Atike aɖewo siwo nènona
- Nuteɖeamedzi
- Nuɖuɖu kple nunono siwo woxɔ hafi na ʋu
- Atikewɔwɔ ƒe nɔnɔme bubu ɖesiaɖe si nɔ ŋuwò ɣemaɣi
- Ƒã ŋutɔ la, mɔ̃ɖaŋununya me vodada aɖe dzɔna le dodokpɔxɔa me.
Ne èsusu be nane si le abe esia ene ate ŋu akpɔ ŋusẽ ɖe wò dɔwɔwɔ me tsonu dzi la, ƒo nu tso eŋu kple wò ɖɔkta hã.
Gbedasi si Wotsɔ Yi Aƒeme
- Basic Metabolic Panel (BMP) nye ʋudodokpɔ si bɔ ŋutɔ eye wòle bɔbɔe, si naa nyatakaka vevi geɖe tso wò lãmesẽ ŋu.
- Esia léa ŋku ɖe ayiku ƒe dɔwɔwɔ, sukli ƒe agbɔsɔsɔ le ʋu me, kple ŋutilãa ƒe dze ƒe dadasɔ (electrolytes) ŋu koŋ.
- Mègatsi dzi ne asixɔxɔ aɖe le wò nyatakaka dzi le "Normal Range" godo vie o. Susu geɖewo ate ŋu anɔ anyi siwo tae.
- Mègaƒo nya ta le nyatakakaa me tsonu ŋu le ɖokuiwò si o, ke boŋ dzro eme kple ɖɔkta si ŋlɔe na wò. Eya koe ate ŋu ana numeɖeɖe si de pɛpɛpɛ wu.
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