Ðe ʋumemi sɔ gbɔ ɖe viwò suea mea? (Pediatric High Cholesterol) Mina míaƒo nu tso esia ŋu!

Zi geɖe la, mí katã míeƒoa nu tso ʋumemi si le ame tsitsiwo ŋu, si fia be ami si le ʋua me ŋu. Gake ènya be ʋumemi ƒe kuxi sia ate ŋu anɔ ɖevi suewo gɔ̃ hã ŋua? Le nyateƒe me la, ɣeaɖewoɣi la, ate ŋu anye nu vevi aɖe vie. Eyata, mègatsi dzi o. Egbea, mina míaƒo nu tso nusi ʋumemi si sɔ gbɔ ɖe ɖevi suewo me, alo abe alesi ɖɔktawo yɔnae ene, `(Pediatric High Cholesterol)`, nye, nusita wòdzɔna, kple nusi míate ŋu awɔ tso eŋu.

Nukae ʋumemi ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ɖevi suewo me fia?

Kpuie ko la, ʋumemi si sɔ gbɔ ɖe ɖeviwo me fia be ʋumemi si le viwòa ƒe ʋu me sɔ gbɔ wu esi sɔ. Cholesterol sia nye ami ƒomevi aɖe si le míaƒe ʋu me si woyɔna be `(Lipids)`. Ami ƒomevi bubu aɖe hã li si woyɔna be `(Triglycerides)`, si hã ateŋu asɔ gbɔ le ɖevi aɖewo me. Le nyateƒe me la, míaƒe ŋutilã hiã ami siawo dometɔ aɖewo, elabena wokpena ɖe ŋutilãa ƒe dɔwɔwɔ vovovowo ŋu. Gake kuxiwo doa mo ɖa ne nusiawo dzi ɖe edzi akpa.

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Aleke mawɔ anya kple kakaɖedzi be ʋumemi sɔ gbɔ ɖe vinyea ŋu alo ne ʋumemi sɔ gbɔ ɖe eme?" Ðɔktawo wɔa ʋudodokpɔ hena esia. Woyɔa esia be "Lipid Panel." Dodokpɔ sia ate ŋu ana nànya nusi tututu ami siawo nye. Ðo ŋku edzi be ʋumemi ƒe agbɔsɔsɔ si sɔ le ɖevi suewo me to vovo vie tso ame tsitsiwo tɔ gbɔ.

Kpɔ ami ƒe agbɔsɔsɔ si sɔ, si sɔ, kple esi mesɔ o le ɖevi suewo me ɖa.

(Le afisia la, mesɔ o ne ʋumemi nyui si woyɔna be HDL ʋumemi koe dzi ɖe kpɔtɔ.)

| Lipid Ƒomevi | mg/dL si sɔ | Liƒodzidɔ mg/dL | mg/dL si mesɔ o |

| :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ :---------------------------------------------------------------------------------------------------------------------------------------------------------------- :--------------------------- | :-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| Lãmetsiŋusẽ ƒe Kakaɖedzi | < 170 ƒe xexlẽme | 170 - Ƒe 199 | ≥ 200 ƒe xexlẽme |

| LDL ʋumemi (ʋumemi "vɔ̃ɖi") | < 110 ƒe xexlẽme | 110 - 129 | ≥ 130 ƒe xexlẽme |

| HDL ʋumemi (ʋumemi "nyui") | > 45 ƒe xexlẽme | 40 - 45 ƒe xexlẽme | < 40 ƒe xexlẽme |

| Triglycerides (ƒe 0-9) | < 75 ƒe xexlẽme | 75 - 99 | ≥ 100 ƒe xexlẽme |

| Triglycerides (ƒe 10-19) | < 90 ƒe xexlẽme | 90 - 129 ƒe xexlẽme | ≥ 130 ƒe xexlẽme |

Vevietɔ: Dzidzenu siawo ate ŋu atrɔ vie ne ame tsi, eyata anyo wu be nàƒo nu kple wò ɖɔkta be nànyae kple kakaɖedzi.

Nukae nye ʋumemi ƒe agbɔsɔsɔ si le ɖevi me ƒe dzesiwo?

Zi geɖe la, ʋumemi si sɔ gbɔ ɖe ɖevi me meɖea dzesi aɖeke si dze ƒã fiana o . Esiae nye nusi me afɔku le wu. Gake ne ʋumemi ƒe agbɔsɔsɔme sɔ gbɔ ŋutɔ, vevietɔ ne domenyiŋusẽfianu gbɔe wòtso la, ɖevia ate ŋu ato nusiwo gbɔna me:

• Waxy, ami ƒe ƒuƒoƒo siwo le ŋutigbalẽa ŋu (Xanthoma) .
• Nusi le ɣie, si le abe ʋuʋudedi ene le ŋkume alo le egbɔ (Xanthelasma) .
• Corneal Arcus: Kplɔ̃ ɣi alo ɣi aɖe si ƒo xlã ŋku ƒe ŋkume.

Ne èkpɔ dzesi siawo tɔgbe la, ele be nàkpɔ ɖɔkta enumake godoo.

Nukatae ɖevi ƒe ʋumemi dzina ɖe edzi?

Susu geɖewo li siwo tae ɖevi ƒe ʋumemi ate ŋu asɔ gbɔ ɖo. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Nuɖuɖu kple nunono: Nuɖuɖu ƒomevi siwo ɖevia ɖuna, vevietɔ nuɖuɖu siwo me ami le kple esiwo vivina.
• Kamedede ƒe agbɔsɔsɔme: Agbɔsɔsɔme si ɖevia ƒua du, tia kpo, ƒoa fefe, kple kamedede.
• Dɔléle bubuwo: Nɔnɔmewo abe lolo akpa, suklidɔ, kple ayikudɔ (Nephrotic Syndrome).
• Atikewo: Atike aɖewo hã ate ŋu ana ʋumemi nadzi ɖe edzi.
• Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi: Domenyiŋusẽfianu siwo ƒe dome wonyi tso dzilawo gbɔ hã ate ŋu anye susu vevi aɖe si gbɔ esia tso.

Zi geɖe la, ɖevi siwo ŋu ʋumemi sɔ gbɔ ɖo la ƒe ʋumemi sɔ gbɔ ɖe wo dada alo wo fofo me kpɔ, alo ate ŋu anɔ atikewo zãm be woatsɔ aɖu woƒe ʋumemi dzi.

Lãmetsi si sɔ gbɔ ɖe lãme na ame le domenyiŋusẽfianu ta

Domenyiŋusẽfianu wɔa akpa gã aɖe le kuxi sia me. Na míakpɔ alesi ema wɔa dɔe ɖa.

Ƒomea me Lãmetsiŋusẽ ƒe Ʋusɔgbɔdɔ (FH) .

Esia nye domenyiŋusẽfianu ƒe nɔnɔme. Nusi dzɔna enye be wodzia ɖevi kple ʋumemi "vɔ̃ɖi" (LDL Cholesterol) sɔ gbɔ. Zi geɖe la, esia nyea domenyinyi ne dzilaawo dometɔ ɖeka koe domenyiŋusẽfianua le.

Ðɔkta ate ŋu asusu ɖevi aɖe si ƒe LDL ƒe agbɔsɔsɔ si womeɖe o si nye 160 mg/dL alo esi wu nenema. LDL ƒe agbɔsɔsɔ si nye 130 mg/dL alo esi wu nenema le ɖevi si dzilawo ŋu FH le hã nye nusi ŋu woatsi dzi ɖo.

Domenyiŋusẽfianu vovovowo gbɔe wòtso

Domenyiŋusẽfianu bubuwo hã li tsɔ kpe ɖe `(FH)` ŋu. Ðevi si ƒe domenyiŋusẽfianu geɖe gbɔ ʋumemi sɔ gbɔ ɖo fia be ɖevia nyi domenyiŋusẽfianu geɖe ƒe dome tso dzila eveawo siaa gbɔ siwo doa `LDL` ƒe agbɔsɔsɔ ɖe dzi. Le nɔnɔme sia me la, `LDL` ƒe agbɔsɔsɔ ate ŋu anɔ dzidzim ɖe edzi vivivi le ɣeyiɣi aɖe megbe, eye ate ŋu anye be womadze ƒã o vaseɖe esime wonye sɔhɛwo. Togbɔ be domenyiŋusẽfianu siawo dzia dzidɔ ƒe afɔkua ɖe edzi hã la, womesẽna abe `(FH)` ene o. Zi geɖe la, ehiãna be ɖevi siwo ŋu `(FH)` le nadze atikewɔwɔ gɔme kaba wu ɖevi siwo ŋu domenyiŋusẽfianu geɖe tso.

Lipoprotein (a) .

`(Lipoprotein (a))` (woyɔnae be "lipoprotein little A") nye ʋumemi ƒomevi tɔxɛ aɖe si woate ŋu anyi tso dzilawo gbɔ na ɖeviwo. Ame siwo me `(Lipoprotein (a))` sɔ gbɔ ɖo la le afɔku gã aɖe me be woaxɔ dzitodzito me dɔléle. Ate ŋu awɔ akpa aɖe hã be ʋusɔgbɔdɔ mebɔ ɖe ɖeviwo me o.

Ne afɔku siwo gbɔna dometɔ ɖeka alo esi wu nenema le viwòa ŋu la, ɖɔkta ate ŋu aɖe gbe be woado ʋu kpɔ be woalé ŋku ɖe woƒe `(Lipoprotein (a))` ƒe agbɔsɔsɔ ŋu:

• Be wokpɔe be ``Ƒome me ʋumemi ƒe agbɔsɔsɔ fũ`` le eŋu.
• Esi ʋuka me ʋu ƒe sisi ƒe ʋusɔgbɔdɔ si womenya nusi gbɔ wòtso o la dze edzi va yi.
• `(Lipoprotein (a))` ƒe agbɔsɔsɔ gã si le vidadaa alo fofoa me.
• Nɔvi alo dzila si dzidɔ dze le eƒe ɖevime la ƒe amesinɔnɔ.

Nukatae triglyceride ƒe agbɔsɔsɔ si le ɖevi me dzina ɖe edzi?

Susu vevi siwo tae triglyceride sɔ gbɔ ɖe ɖeviwo me ɖoe nye:

• Amidada
• Suklidɔ
• Atike aɖewo

Domenyiŋusẽfianu ate ŋu atso triglycerides si sɔ gbɔ hã gbɔ, gake womebɔ abe FH ene o. Ne ɖevi ƒe nutsitsidɔ (gaƒoƒo 12 ƒe nutsitsidɔ) ƒe ʋudodokpɔ ɖee fia be triglycerides nye 500 mg/dL alo esi wu nenema le susu bubu aɖeke ta la, ɖɔktawo ate ŋu asusui be domenyiŋusẽfianu aɖe gbɔe wòtso.

Kuxi kawoe ate ŋu ado mo ɖa le ʋumemi si sɔ gbɔ ɖe ɖeviwo me ta?

Ðevi siwo ŋu ʋumemi sɔ gbɔ ɖo (`LDL` cholesterol) ate ŋu axɔ lãmesẽkuxiwo ne wole tsitsim. Ami siwo le ʋukawo me (atheroma) si ate ŋu axe mɔ na ʋu ƒe sisi koŋ gbɔe esiawo tsona. Esia ate ŋu aɖe ʋu ƒe sisi yi dzi, ahɔhɔ̃, alo afɔwo me dzi akpɔtɔ. Ðewohĩ èse nɔnɔme siawo ŋu nya kpɔ:

• Dzidɔ
• Gbagbãdᴐ
• Ʋuka Siwo Le Gome ƒe Dɔléle

Bu eŋu kpɔ ko, ne woɖu kuxi siawo dzi le ɖevime la, aleke gbegbe wòakpe ɖe ŋuwòe be nàƒo asa na dɔléle sesẽ mawo ne ètsi!

Kuxi kawoe ate ŋu ado mo ɖa le triglycerides ƒe dzidziɖedzi le ɖeviwo me ta?

Ne `(Triglycerides)` ƒe agbɔsɔsɔ sɔ gbɔ akpa la, ɖevia ateŋu axɔ `(Pancreatitis).` Ne `(Triglycerides)` ƒe agbɔsɔsɔ sɔ gbɔ ɣeyiɣi didi la, ateŋu awɔ akpa aɖe hã le ami ƒe sisi ɖe ʋukawo me vaseɖe afi aɖe. Gake mekpɔa ŋusẽ gã aɖeke abe `(LDL)` ʋumemi ene o.

Aleke ɖɔktawo wɔa dea dzesi ʋumemi si sɔ gbɔ ɖe ɖeviwo me?

Ðevi siwo ɖo sukudede ate ŋu atsɔ ʋudodokpɔ bɔbɔe aɖe akpɔ woƒe ʋumemi ƒe agbɔsɔsɔ. Le go aɖewo me la, ahiã be nàtsi nu adɔ gaƒoƒo 12 ya teti hafi ado ʋu kpɔ. Bia wò ɖɔkta nenye be esia hiã.

Ele vevie ŋutɔ be woawɔ dodokpɔ sia ne dzidɔ le ame aɖe ŋu le ƒomea me, alo ne ʋumemi sɔ gbɔ ɖe dzilawo me. Nusiwo do tso ʋudodokpɔa me ate ŋu afia ne ɖevia ƒe ʋumemi alo triglycerides sɔ gbɔ.

Aleke woawɔ ada ʋumemi si sɔ gbɔ ɖe ɖeviwo me?

Afɔɖeɖe gbãtɔ si nàwɔ atsɔ aɖu ʋumemi ƒe agbɔsɔsɔ dzi enye be nàwɔ tɔtrɔ le viwò ƒe nuɖuɖu ŋu eye nàdzi kamedede si wòwɔna ɖe edzi.Wò ɖɔkta aɖo aɖaŋu na wò le esia ŋu. Ne tɔtrɔ siawo ɖeɖe meɖe viwòa ƒe ʋumemi ƒe agbɔsɔsɔ dzi kpɔtɔ va ɖo afisi wòle be wòanɔ dedie o la, ɖɔkta ate ŋu akafu atike (na ɖevi siwo xɔ wu ƒe 8).

Ðe vinyea hiã atikea?

Ðewohĩ ahiã. Ðɔktawo kafu atike siwo wotu ɖe eŋutinunyalawo ƒe aɖaŋuɖoɖo siwo tso habɔbɔwo abe Dukɔa ƒe Dzi, Aklã Kple Ʋu Ŋuti Nusrɔ̃ƒe kple Amerika Dzi Habɔbɔ ene gbɔ dzi. Nɔnɔme aɖewo siwo me ɖɔkta ate ŋu ana atike viwòae nye esi:

• Ne LDL ƒe agbɔsɔsɔ sɔ gbɔ wu 190 mg/dL:
• Ne afɔku bubu aɖeke mele ɖevia si be wòaxɔ dzitodzito me dɔléle o.
• Ne wò LDL ƒe agbɔsɔsɔ nye 160 mg/dL alo esi wu nenema, eye nusiwo gbɔna dometɔ aɖe le ŋuwò:
• Nusiwo ate ŋu ana ɖevia naxɔ dzitodzito me dɔléle.
• Dzidɔ dze dzilaawo dometɔ ɖeka dzi le eƒe ɖevime, alo ami aɖewo le dzia ƒe ʋukawo me (coronary artery plaque).
• Ne wò ʋumemi ƒe agbɔsɔsɔ meɖo afisi nèdi be yeaɖo le ɣleti ade ƒe tɔtrɔ le wò nuɖuɖu kple kamedede ŋu megbe o.
• Ne wò LDL ƒe agbɔsɔsɔ sɔ gbɔ wu 130 mg/dL la, ke nusiwo gbɔna dometɔ aɖe le ŋuwò:
• Wokpɔe be dzilaawo dometɔ ɖeka xɔ `(FH)`.
• Dzitodzito me dɔléle ƒe afɔkuwo abe lolo akpa, ʋusɔgbɔdɔ, atamanono (ɖevi alo ame siwo ƒo xlã wo), HDL ƒe agbɔsɔsɔ si bɔbɔ, Kawasaki Dɔléle ƒe ŋutinya, ayikudɔ, ŋutinuwo dodo na ame, Ðeviwo ƒe ƒunukpeƒetetedɔ, Lupus, alo HIV le ɖevia ŋu.
• Ne wò LDL ƒe agbɔsɔsɔ sɔ gbɔ wu 100 mg/dL la, ke nusiwo gbɔna dometɔ aɖe le ŋuwò:
• Suklidɔ Ƒomevi I alo II le ɖevia ŋu.
• Kawasaki Dɔléle le ɖevia ŋu, si nana ʋuka siwo me ʋu sina tona le ʋukawo me ʋuna.

Atike kawoe wonaa ɖeviwo ɖe ʋumemi ta?

Statins ye nye tiatia gbãtɔ na ɖevi siwo ƒe LDL sɔ gbɔ ɖo. Le kpɔɖeŋu me:

• Atorvastatin (Atike si woyɔna be Lipitor®) .
• Rosuvastatin (Crestor®) ƒe atike .
• Simvastatin (Zocor®) ƒe atike .

Aleae statin-tikewo ɖea ɖevi ƒe LDL ƒe agbɔsɔsɔ dzi kpɔtɔnae nye esi:

• Enaa aklãa megawɔa ʋumemi o.
• Eɖea ʋumemi si sɔ gbɔ ɖe ʋua me ɖa eye wòkpena ɖe ŋutilãa ŋu be wòazãe nyuie.

Ezetimibe nye atike evelia si ɖea LDL ƒe agbɔsɔsɔ dzi kpɔtɔna. Ewɔa dɔ to mɔxenu na ʋumemi ƒe gege tso dɔgboa me yi ʋua me.

Lipoprotein si sɔ gbɔ ƒe atikewɔwɔ (a) .

Agbenɔnɔ ƒe tɔtrɔ mekpɔa ŋusẽ ɖe `(Lipoprotein (a))` ƒe agbɔsɔsɔ dzi abe `(LDL)` ƒe agbɔsɔsɔ dzi o. Fifia la, atike tɔxɛ aɖeke meli woatsɔ ada `(Lipoprotein (a))` ƒe agbɔsɔsɔ si sɔ gbɔ o. Ke hã, wole atikewo dom kpɔ. Ne viwòa ƒe `(Lipoprotein (a)` ƒe agbɔsɔsɔ sɔ gbɔ la, ɖɔkta ate ŋu akafui be wòalé fɔ ɖe afɔku bubu siwo ate ŋu ana dzitodzito me dɔlélewo dzi ɖeɖe kpɔtɔ ŋu.Esiawo dometɔ aɖewoe nye:

• Nuɖuɖu siwo naa dzidɔ ɖuɖu.
• Kamedede si sɔ xɔxɔ.
• Atikewo zazã atsɔ ada ʋumemi ƒe agbɔsɔsɔ bubuwo.
• Ƒo asa na atamanono.

Triglycerides si sɔ gbɔ ƒe atikewɔwɔ

Viwòa ƒe ɖɔkta ate ŋu aɖo aɖaŋu na wò be:

• Tɔtrɔwɔwɔ le viwòa ƒe nuɖuɖu kple kamedede ŋu.
• Tɔmelãmi ƒe kpeɖeŋutɔ (si ade 4000 mg gbesiagbe).
• Atike bubuwo (le nɔnɔme tɔxɛ siwo me ɖeviwo ƒe triglyceride sɔ gbɔ ŋutɔ me).

Ðe woate ŋu atrɔ ʋumemi si sɔ gbɔ ɖe ɖeviwo mea?

Ẽ, ate ŋui! Atikewɔwɔ ate ŋu akpe ɖe viwòa ƒe ʋumemi ƒe agbɔsɔsɔ dzi akpɔtɔ va ɖo afisi wòle dedie. Esia ate ŋu aɖe kuxi sesẽ siwo ate ŋu ado mo ɖa le etsɔme hã dzi akpɔtɔ. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nànya ʋumemi ƒe agbɔsɔsɔ si tututu viwòa ɖo kple alesi nàwɔ aɖo afima.

Aleke mate ŋu akpe asi ɖe vinye ƒe ʋumemi dzi ɖeɖe kpɔtɔ ŋu?

Àte ŋu akpe asi ɖe viwòa ƒe ʋumemi ƒe agbɔsɔsɔ dzi ɖeɖe kpɔtɔ ŋu ne ède dzi ƒo nɛ be:

• Na nuɖuɖu siwo me ami bliboa mesɔ gbɔ ɖo o. Ele be ami nanye viwòa ƒe gbesiagbe nuɖuɖumeŋusẽ katã ƒe 30% alo esi mede nenema o. Nuɖuɖuŋutinunyala ate ŋu akpe ɖe ŋuwò nàbu akɔnta le agbɔsɔsɔ sia ŋu eye nàwɔ nuɖuɖu ŋuti ɖoɖowo.
• Ƒo asa na ami siwo woyɔna be trans eye nàɖo seɖoƒe na ami siwo me ami ʋeʋĩ le. Ami siwo me ami ʋeʋĩ le nye ami siwo sesẽna zi geɖe le xɔme ƒe dzoxɔxɔ nu, abe lãmiwo, akɔɖumi, kple detsiƒonu ene. Ele be ami siwo me ami ʋeʋĩwo le nanye esiwo mede 10% le wò gbesiagbe nuɖuɖumeŋusẽ katã me o. Ke boŋ tia ami siwo me ami mele o, abe amititsetse ƒe ami, avocado-mi, kple flaxseed-mi ene.
• Ðe ʋumemi si le nuɖuɖu me dzi kpɔtɔ. Ele be ɖeviwo naɖu ʋumemi si mede 300 mg o gbesiagbe.
• Ƒo asa na nyinotsi siwo me ami sɔ gbɔ ɖo. Na notsi si me ami le 2% ɖevi siwo xɔ tso ɣleti 12-24 dome. Na notsi si me ami mele o ɖevi siwo xɔ wu ƒe 2.
• Na nuɖuɖu siwo me fibre sɔ gbɔ ɖo. De dzi ƒo na viwòa be wòaɖu nuɖuɖu siwo me fibre sɔ gbɔ ɖo, abe amagbewo, atikutsetsewo, nukuwo, mɔli, kple nuku blibowo ene.
• De kamedede edziedzi ƒe dzi ƒo. Aerobic dɔwɔnawo abe gasɔdodo, duƒuƒu, azɔlizɔzɔ, kple tsiƒuƒu ateŋu akpeɖe HDL ("nyui") ʋumemi ƒe agbɔsɔsɔ ɖe edzi eye wòaɖe dzitodzito me dɔléle ƒe afɔkua dzi akpɔtɔ.
• Kpe ɖe viwòa ŋu be eƒe kpekpeme nanɔ lãmesẽ me.Àte ŋu abia wò ɖɔkta be kpekpeme ƒe didime ma nye hã.

Nuɖuɖu nyuitɔ kawoe matsɔ ana vinyea?

Tia nuɖuɖu vovovowo be nàkpɔ egbɔ be viwòa kpɔ nunyiame siwo katã wòhiã. Nuɖuɖu siwo me nunyiame le siwo ate ŋu akpe ɖe ame ŋu wòaɖu ʋumemi ƒe agbɔsɔsɔ dzi la dometɔ aɖewoe nye esi:

Le ŋdi nuɖuɖu gome la:

• Atikutsetse
• Nuku blibo ƒe nuku
• Oatmeal ƒe nuɖuɖu
• Helatɔwo ƒe yogurt

Le ŋdɔnuɖuɖu kple fiẽnuɖuɖu gome la:

Tsɔ USDA MyPlate ƒe kpɔɖeŋua yɔ viwò ƒe agba me:

• Protein si me ami mele o abe koklolã, tɔmelã, gbewo (1/4 le agba me) .
• Nuku blibowo (kplu ƒe akpa 1/4) .
• Atikutsetsewo kple amagbewo (1/2 le agba me) .
• Notsi si me ami mesɔ gbɔ ɖo o ƒe nuɖuɖu

Nuɖaɖamɔnu siwo naa lãmesẽ dometɔ aɖewoe nye abolomeƒe, nuɖaɖa, kple yaƒoƒo. Ƒo asa na nuɖaɖa deto.

Nuɖuɖu viviwo:

• Atikutsetse
• Amagbewo
• Nuku kple nuku ƒomeviwo
• Nuku blibo ƒe crackers
• Notsi si me ami mesɔ gbɔ ɖo o

Nunonowo:

Tia tsi kple notsi si me ami mesɔ gbɔ ɖo o. Ƒo asa na soda, notsi vivi, atikutsetsenono, kple kamedefefewo.

Ɣekaɣie wòle be makplɔ vinye ayi ɖɔkta gbɔ?

Wò ɖɔkta agblɔ zi nenie wòle be nàkplɔ viwòa ava ɖɔkta gbɔ na wò. Ahiã be nàlé ŋku ɖe viwòa ƒe ʋumemi ƒe agbɔsɔsɔ hã ŋu edziedzi. Ele be nàna woalé ŋku ɖe viwòa ƒe ʋumemi ƒe agbɔsɔsɔ hã ŋu le ɣleti ade megbe tso esime nèwɔ tɔtrɔ ɖesiaɖe le nuɖuɖu ŋu alo ɣleti eve le atike yeye ɖesiaɖe zazã gɔmedzedze megbe.

Mlɔeba la, nane si ŋu wòle be míabu.

Esi wònye be ezu numame na mí be míase ʋumemi ŋuti nya le ame tsitsiwo me ta la, ele bɔbɔe be míaŋlɔ be be ɖevi suewo gɔ̃ hã ate ŋu akpɔ kuxi sia – vaseɖe esime wòadzɔ ɖe mía ŋutɔwo mía vi dzi. Eye emegbe esesẽna be nàdzudzɔ eŋu bubu. Mègatsi dzi o, viwò ƒe ɖɔktawo se wò dzimaɖitsitsiwo gɔme, eye wole afisia be yewoakpe ɖe wò ƒome bliboa ŋu. Bia wò nyawo, srɔ̃ nu alesi nàte ŋui. Miwɔ dɔ ɖekae be miawɔ agbenɔnɔ si naa dzi nadze ame ŋu.

Ʋumemi dada le eƒe ɖevime ate ŋu ana mɔnukpɔkpɔ nyuitɔ kekeake nasu viwòa si be wòanɔ lãmesẽ me le etsɔme.

` Ðeviwo ƒe ʋumemi, ʋumemi si sɔ gbɔ, Ðeviwo ƒe ʋumemi si sɔ gbɔ, dzidɔ, nuɖuɖu si naa lãmesẽ, agbenɔnɔ, Lipid panel