Mina míadi nusi tututu nu siawo nye le wò ayiku ŋu.

Egbea míele nu ƒom tso ŋutinu vevi aɖe ŋutɔ le míaƒe ŋutilã me ŋu. Emae nye ayikuwo. Ðewohĩ èse ayiku ŋu nya kpɔ, gake ɖe nènya alesi gbegbe woƒe dɔa sesẽe kple alesi gbegbe wògblẽa nu le míaƒe lãmesẽ ŋuia? Mina míaƒo nu tso nusiawo katã ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye ayiku?

Kpuie ko la, ayiku nye ŋutinu eve siwo le abe gbe ene siwo kplɔa wò ʋu hekɔa eŋu. Wonye wò aɖuɖɔtoe ƒe akpa vevi aɖe.

Bu eŋu kpɔ, wò ayikuwo ɖea tsi si ade lita 200 gbesiagbe. Ema sɔ gbɔ be wòayɔ tsileƒe gã aɖe! Le esia wɔwɔ me la, ayikuawo ɖea gbeɖuɖɔ, siwo dona le ŋutilãa me abe aɖuɖɔ ene la ɖa. Ame akpa gãtɔ ɖea aɖuɖɔ si ade lita eve dona gbesiagbe. Wogbugbɔa tsi lita 198 bubuawo gena ɖe ŋutilãa me ake.

Ayikuawo hã kpena ɖe ŋuwò be tsi (siwo ƒe akpa gãtɔ nye tsi) kple elektrikŋusẽ siwo le wò ŋutilã me la nada asɔ. Elektrikŋusẽ siawo nye tomenu veviwo abe sodium kple potassium ene.

Amekawoe le afɔku gã aɖe me be ayiku me kuxiwo nadze wo dzi?

Amesiwo ŋu suklidɔ alo ʋusɔgbɔdɔ le lae ate ŋu axɔ ayiku me kuxiwo. Tsɔ kpe ɖe eŋu la, afɔkuwo, ʋufɔkuwo, kple abi siwo woxɔna le kamedefefewo me hã ate ŋu agblẽ nu le ayiku ŋu.

Nuka tututue dzɔna ɖe ayikuwo dzi?

Wò ayikuwo wɔa dɔ vevi geɖe. Vevietɔ wue nye be woaɖe aɖinuwo kple gbeɖuɖɔwo ɖa le ʋua me. Esiawo dometɔ aɖewoe nye gbeɖuɖɔ siwo me nitrogen le (urea), lãmekawo ƒe gbeɖuɖɔ (creatinine), kple acid. Bu eŋu ale: woɖea ʋu si ade kplu afã to ayikuawo me le aɖabaƒoƒo ɖesiaɖe me.

Aleae nuwɔna sia dzɔnae nye esi:

• Ʋu toa ʋuka gã aɖe si woyɔna be ayiku ƒe ʋuka me yia ayikuawo me.
• Emegbe woɖea ʋu sia toa ʋuka nyui ŋutɔ siwo le ayikuawo me la me.
• Ʋu si woɖe le mɔ sia nu la trɔna yia wò ʋuka me to ʋuka gã bubu si woyɔna be ayiku ƒe ʋuka me.
• Aɖuɖɔ si dona la toa lãmeka siwo woyɔna be ureters me yia tsinyegoea me. Tsinyegoea dzraa aɖuɖɔ ɖo vaseɖe esime nàɖe aɖuɖɔ.

Nu bubu siwo dzɔna ɖe ayiku ŋu dometɔ aɖewoe nye:

• Ekpɔa wò ʋu ƒe acid-base balance (pH balance) dzi.
• Ne sukli mesɔ gbɔ le ʋua me o la, wowɔa sukli (glucose).
• Ewɔa protein aɖe si woyɔna be renin, si nana ʋu ƒe sisi dzina ɖe edzi.
• Ewɔa lãmetsi eve siwo woyɔna be calcitriol kple erythropoietin. Calcitriol nye vitamin D ƒomevi aɖe si kpena ɖe ŋutilã ŋu wòxɔa calcium. Erythropoietin kpena ɖe ŋutilãa ŋu wòwɔa ʋumenugbagbevi dzĩwo.

Adrenal gland le ayiku ɖesiaɖe tame. Esia naa lãmetsiwo abe cortisol ene dona. Cortisol nye lãmetsi aɖe si kpena ɖe wò ŋutilã ŋu wòwɔa nu ɖe ​​nuteɖeamedzi ŋu.

Cortisol hã kpɔa gome le:

• Ekpɔa lãmenugbagbeviwo ƒe dɔwɔwɔ dzi.
• Eɖea dɔdzẽ dzi kpɔtɔna.
• Eɖɔa ʋu ƒe sisi ɖo.
• Enaa sukli ƒe agbɔsɔsɔ le ʋu me dzina ɖe edzi.

Aleke nye ayikuwo ɖea ʋu ɖae?

Ayiku ɖesiaɖe ƒe tsilénu siwo wu miliɔn ɖeka le ayiku ɖesiaɖe me si woyɔna be nephrons. Akpa siawoe nye nephron:

• Glomeruli : Esiawo nye nuwo ƒe wɔwɔme siwo me ʋuka nyui geɖe ŋutɔ le. Ʋu ƒe ʋuʋu ƒe akpa gbãtɔ dzɔna le afisia. Emegbe woɖoa nusi woɖe tso eme la ɖe ayiku ƒe ʋukawo me. Woyɔa nuwɔna sia be glomerular filtration.
• Ayiku me ʋukawo : Ayiku sue siawo gaxɔa tsi, nunyiame, kple tomenu abe sodium kple potassium ene. Wotoa mɔnu aɖe si woyɔna be kaka dzi ɖea acid kple gbeɖuɖɔ siwo sɔ gbɔ, siwo dome tsi hã le, ɖa. Wotsɔa gbeɖuɖɔ susɔeawo toa ayikuawo ƒe nuƒoƒoƒu ƒe mɔ̃wo me eye mlɔeba woɖea wo doa goe le ŋutilãa me abe aɖuɖɔ ene.

Ðe wòanya wɔ be woanɔ agbe kple ayiku ɖeka?

Ẽ, ayiku ɖeka koe nàte ŋu anɔ agbe . Ɣeaɖewoɣi la, ɖɔktawo ɖea ayiku ɖeka le ``radical nephrectomy`` amekoko me na nɔnɔmewo abe kansa ene.

Nu siawo ate ŋu akpɔ ŋusẽ ɖe ame aɖe dzi be ayiku ɖeka koe nanɔ esi:

• Ayiku ɖeka ɖeɖe le kansa alo abi ta.
• Ayiku nana ame bubu be woado ayiku na ye.
• Ayiku ƒe agenesis nye ayiku ɖeka ko ƒe anyinɔnɔ le vidzidzi me.
• Wodzii kple ayiku eve, ɖeka koe wɔa dɔ (ayiku ƒe dɔmawɔmawɔ nyuie).

Afikae wò ayikuwo le?

Wò ayikuwo le wò akɔta te, le wò dɔgbo megbe . Zi geɖe la, wonɔa wò akɔta ƒe akpa eveawo. Wole wò dɔgbowo kple dɔgboa dome. Wotsɔa ayiku ɖesiaɖe doa ka kple wò tsinyegoe to tsinyegoe me.

Nukawoe nye ayiku ƒe akpa veviwo?

Wò ayikuwo nye ŋutinu si gɔme sese sesẽ ŋutɔ, si ƒe akpa vovovowo le eme. Ayiku ƒe ŋutilã ƒe akpa vevi aɖewoe nye esi:

• Kidney capsule : Esia nye kadodoŋusẽ alo ami si tsyɔa ayikuwo dzi. Ekpɔa ayikuawo ta tso abixɔxɔ me, enaa woƒe liƒo dzina ɖe edzi, eye wòdoa ka kple lãkusi siwo ƒo xlã wo.
• Ayiku ƒe ʋuka : Esiae nye ʋuka gã si kpɔa ʋu ƒe sisi yi ayiku me dzi. Ne wogbɔ ɖe eme la, ame akpa gãtɔ ƒe ayikuwo kɔa ʋu si wu kplu 5 (lita 1.2) vie le miniti ɖeka me.
• Ayiku ƒe lãkusi: Esiae nye ayiku ƒe akpa si le gota wu. Nephrons (ʋu-ɖemɔ̃wo) dzea egɔme tso afisia. Ayiku ƒe lãkusi hã wɔa lãmetsi aɖe si woyɔna be erythropoietin (EPO). Esia kpena ɖe ƒumeŋuɖui ŋu wòwɔa ʋumenugbagbevi dzĩwo.
• Ayiku ƒe lãkusi : Esia nye ayiku ƒe akpa si le eme. Nephrons ƒe akpa gãtɔ le eme, tsɔ kpe ɖe glomeruli kple ayiku ƒe ʋukawo ŋu. Ayiku ƒe ʋukawo tsɔa aɖuɖɔ yia teƒe aɖe si woyɔna be ayiku ƒe akɔta.
• Ayiku ƒe ʋuʋudedi : Nu siawo siwo le abe piramid ene ɖoa aɖuɖɔ ɖe tsinyegoewo me. Tsikuɖiɖi kple atike aɖewo, vevietɔ atike siwo me steroid mele o (NSAIDs) ate ŋu agblẽ nu le ayiku ƒe lãkusi siawo ŋu.
• Ayiku ƒe akɔta : Nu sia si le abe funnel ene la ƒoa aɖuɖɔ nu ƒu eye wòɖonɛ ɖe tsinyegoeawo me. Aɖuɖɔtoea toa tsinyegoeawo me yia tsinyegoea me, afisi wodzranɛ ɖo le.
• Ayiku ƒe ʋuka : Vein siae nye ʋuka vevitɔ si tsɔa ʋu si woɖe tso ayiku me trɔna yia dzia me. Ayiku ƒe ʋuka aɖe le ayiku ɖesiaɖe ŋu.

Mina míasrɔ̃ nu tso ayiku ƒe amadede, lolome, kple kpekpeme ŋu vie.

Wò ayikuwo ƒe amadede nyea aŋutiɖiɖi . Ayiku ɖesiaɖe didi abe sentimeta 4 va ɖo 5 ene, eye eƒe lolome anɔ abe asibidɛ si wobla ene .

Ayiku ɖesiaɖe ƒe kpekpeme toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Esia ate ŋu ato vovo le nuwo abe wò kɔkɔme, wò kpekpeme, ƒe si nèxɔ, wò ŋutilã ƒe lolome (BMI), kple afisi nèle nu.

• Ne ŋutsue nènye la, ayiku si le ɖusime ƒe kpekpeme ate ŋu atso gram 79 (anɔ abe pounde 1/5 ene) va ɖo gram 223 (si wu kilogram 1/2 vie). Miame ayiku ƒe kpekpeme ate ŋu atso gram 74 (si mede pounde 1/5 vie o) va ɖo gram 235 (si wu kilogram 1/2 vie).
• Ne nyɔnue nènye la, ayiku si le ɖusime ƒe kpekpeme ate ŋu atso gram 55 (si wu kilogram 1/10 vie) va ɖo gram 274 (anɔ abe kilogram 3/5 ene). Miame ayiku ƒe kpekpeme ate ŋu atso gram 67 (anɔ abe kilogram 3/20 ene) va ɖo gram 261 (si mede kilogram 3/5 vie o).

Nukawoe nana ayiku gblẽna?

Wò ayikuwo wɔa dɔ vevi aɖe ŋutɔ le wò ŋutilã me. Eyata, atikewɔwɔ ƒe nɔnɔme vovovowo ate ŋu akpɔ ŋusẽ ɖe wo dzi. Nɔnɔme siwo bɔ siwo gblẽa nu le ayiku ŋu dometɔ aɖewoe nye esi:

• Ayikudɔ si nɔa anyi didi (CKD) : Nɔnɔme sia ate ŋu ana ayikuawo nadzudzɔ dɔwɔwɔ nyuie. Zi geɖe la, suklidɔ alo ʋusɔgbɔdɔ gbɔe CKD tsona.
• Ayiku me dɔdzẽ : Ayiku me lãmenugbagbeviwo ƒe dɔdzẽe nye ayiku me dɔdzẽ ƒomevi si bɔ wu.
• Ayiku ƒe dɔmawɔmawɔ nyuie / ayiku ƒe dɔmawɔmawɔ nyuie: Ayiku ƒe dɔmawɔmawɔ nyuie ate ŋu ava kpata (acute) alo ate ŋu anye ayiku ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ ɣeyiɣi didi (si nɔa anyi didi). Ayikudɔ si le eƒe nuwuwu enye ne ayikuawo dzudzɔ dɔwɔwɔ keŋkeŋ. Esiae nye esime wòhiã be woawɔ ʋu si woɖena le ʋu me (atike si me woɖea ʋu le ɖe ayiku teƒe).
• Ayiku ƒe dɔléle (pyelonephritis) : Ayiku ƒe dɔléle ate ŋu adzɔ ne dɔlékuiwo zɔ mɔ yi dzi le aɖuɖɔtoe me eye woge ɖe ayiku me. Dɔlékui siawo hea dzesiwo dzena kpata. Ðɔktawo tsɔa dɔlékuiwutikewo daa dɔ na wo.
• Ayiku me kpewo : Ayiku me kpewo nye kristalo siwo dzɔna le aɖuɖɔ me eye woate ŋu axe mɔ na aɖuɖɔ ƒe sisi. Ɣeaɖewoɣi la, kpe siawo toa wo ɖokui si. Ne menye nenema o la, ɖɔktawo ate ŋu ada wo to wo gbagbã alo wo ɖeɖe ɖa me.
• Ayiku me ʋuʋudedi : Esiawo nye kotoku siwo me tsi yɔ fũu siwo dzɔna le ayiku me. Kuku siawo ate ŋu agblẽ nu le ayikuwo ŋu. Ðɔktawo ate ŋu aɖe wo ɖa.
• Polycystic kidney disease (PKD) : Nɔnɔme sia nana be cyst geɖe dzɔna le ayiku me. PKD nye domenyiŋusẽfianu ƒe nɔnɔme. Ate ŋu ana ʋusɔgbɔdɔ kple ayiku nawɔ dɔ nyuie o. Ame siwo ŋu PKD le hiã na atikewɔlawo ƒe dzikpɔkpɔ edziedzi.

Tsɔ kpe ɖe esia ŋu la, atikewɔwɔ me nɔnɔme bubu geɖewo ate ŋu agblẽ nu le ayikuwo ŋu. Wo dometɔ aɖewoe nye:

• Acidosis : Acid si sɔ gbɔ la ƒoa ƒu ɖe ayikuwo me, si ate ŋu ahe lãmesẽkuxi geɖe vɛ eye ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
• Acute or interstitial nephritis : Ne wodo dɔlékuiwutike aɖewo vɔ la, ayikuawo ate ŋu avuvu eye mlɔeba la, woado kpo nu.
• Azotemia : Nitrogen ƒe gbeɖuɖɔwo ƒoa ƒu ɖe ayikuwo me. Ne womewɔ atike nɛ o la, ate ŋu awu ame.
• Caliectasis : Tsi si sɔ gbɔ ɖe lãme na ame nana calyces (afisi aɖuɖɔ dzea ƒoƒo gɔme le) vuvu. Ne womewɔ atike nɛ o la, ate ŋu ana ayiku nawɔ dɔ nyuie o.
• Suklidɔ si do ƒome kple ayikudɔ alo ʋusɔgbɔdɔ : Ayiku ƒe gbegblẽ dzɔna le suklidɔ si dzi womeɖu o alo ʋusɔgbɔdɔ si nɔa anyi didi ta.
• Glomerular diseases : Dɔléle siawo nana abi alo gblẽa nu le glomeruli ŋu, si ate ŋu ana ayiku nawɔ dɔ nyuie.
• Minimal change disease and nephrotic syndrome : Nɔnɔme siawo nana protein si sɔ gbɔ ɖe ayiku me le aɖuɖɔ me.
• Papillary necrosis ƒe dɔléle: Ayiku ƒe lãkusi kakɛwo kuna le ayiku ƒe lãkusi kple lãkusi me. Lãmetsi sia ate ŋu agbã eye wòaxe ayikuawo, si ana ayiku nawɔ dɔ nyuie.
• Proteinuria : Esia fia be protein sɔ gbɔ ɖe wò ayiku me. Esia ate ŋu anye ayiku ƒe gbegblẽ ƒe dzesi.
• Pyelonephritis : Esia nye ayiku me dɔléle kpata si nana ayikuwo vuvu (edema). Ate ŋu ade ame ƒe agbe afɔku me.
• Uremia : Aɖi siwo dona le aɖuɖɔ me zi geɖe la ƒoa ƒu ɖe ʋua me. Ne womewɔ atike nɛ o la, ate ŋu awu ame.

Nukawoe nye ayiku me kuxiwo ƒe dzesi gbãtɔwo?

Ayikukuxi geɖe meɖea dzesi gã aɖeke fiana le woƒe gɔmedzedze o. Ne ayikuwo le gbegblẽm ɖe edzi la, àte ŋu ade dzesi nuwo abe:

• Lãmetsiwo ƒe ʋuʋu : Lãmetsiwo sesẽna le elektrikŋusẽ ƒe masɔmasɔ ta.
• Aɖuɖɔ si ƒe amadede nye viviti alo aɖuɖɔ si me ʋu le : Ne nusiwo wotsɔna tsia ayiku me gblẽ la, ʋumenugbagbeviwo dona ɖe aɖuɖɔa me.
• Aɖuɖɔ si me futukpɔ le : Ne kuɖɔwo le aɖuɖɔa me la, ate ŋu anye protein si sɔ gbɔ wu ƒe dzesi.
• Ŋutilã si ʋãna, si ƒuna : Ŋutilãa ʋãna le mineral kple nunyiame siwo le ʋua me ƒe masɔmasɔ ta.
• Aɖuɖɔtoe enuenu : Ðewohĩ ahiã be nàɖe aɖuɖɔ enuenu le kuxi siwo le gbeɖuɖɔwo ɖeɖeɖa ŋu ta.
• Ŋkuwo ƒe vuvu alo afɔkpodzi kple afɔwo ƒe vuvu : Ne ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ la, protein kple sodium ate ŋu alé ŋutilãa me ɖe asi, si wɔnɛ be wòvuvu.
• Alɔ̃madɔmadɔ, ɖeɖiteameŋu, kple nuɖuɖumadzroame : Ne aɖiwo ƒo ƒu ɖe ʋua me la, wò alɔ̃dɔdɔ, nuɖuɖudzroame, kple ŋusẽ ate ŋu atrɔ.

Nukawoe nye dodokpɔ siwo wowɔna zi geɖe tsɔ léa ŋku ɖe nye ayikuwo ƒe lãmesẽ ŋu?

Ðɔktawo zãa dodokpɔ geɖe tsɔ dzidzea ayiku ƒe dɔwɔwɔ hedea dzesi ayiku me kuxiwo. Ðewohĩ wò ɖɔkta aɖo aɖaŋu na wò be nàwɔ dodokpɔwo abe esiawo ene:

• Nɔnɔmetata deŋgɔwo : X-ray, CT scan, MRI, ultrasound, alo nukliatike ƒe nɔnɔmetatawo ate ŋu aɖe ayikuawo ƒe nɔnɔme siwo mesɔ o alo esiwo xe mɔ na wo afia.
• Ʋudodokpɔ : Ʋudodokpɔ ɖea alesi wò glomeruli le ʋu me tsim nyuie fiana.
• Ayiku me ɖeɖe : Le ayiku me ɖeɖe me la, ɖɔktaa xɔa wò ayiku ƒe lãkusi sue aɖe hedoa wo kpɔna le nusuekpɔmɔ̃ me.
• Ureteroscopy : Ðɔktaa tsɔa mɔ̃ aɖe (si nye endoscope) toa wò tsinyegoe me yia wò tsinyegoe kple tsinyegoewo me be yeakpɔe ɖa be nusiwo mesɔ o hã.
• Aɖuɖɔtoe me dzodzro: Aɖuɖɔtoe me dzodzro dzroa wò aɖuɖɔ me. Edzidzea nu tɔxɛ aɖewo, abe protein alo ʋu ene.

Aleke mawɔ ana nye ayikuwo nanɔ lãmesẽ me?

Ele vevie be nàdo wò ayikuwo kpɔ edziedzi eye nàdo ʋu kple aɖuɖɔ kpɔ be nàlé ŋku ɖe wò ayikuwo ƒe lãmesẽ ŋu. Àte ŋu awɔ nu siwo gbɔna be nàɖe ayiku me kuxiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ:

• Dzudzɔ atamanono alo aƒo asa na atamanono (wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ mɔ siwo dzi nàto adzudzɔ).
• Ðe dze zazã fũu akpa dzi kpɔtɔ , elabena esia ate ŋu akpɔ ŋusẽ ɖe mineral ƒe agbɔsɔsɔ si le ʋua me dzi.
• No tsi geɖe .
• Increase daily exercise , esia ate ŋu aɖe ʋusɔgbɔdɔ dzi akpɔtɔ.
• Ðe seɖoƒe na atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAIDs) zazã , elabena esiawo nono fũ ate ŋu agblẽ nu le ayikuwo ŋu.
• Lé lolo si sɔ me ɖe asi .
• Lé ŋku ɖe wò ʋu ƒe sisi ƒe agbɔsɔsɔ ŋu .
• Ne suklidɔ le ŋuwò la, lé be na sukli si le wò ʋu me .

Ðe tsi geɖe nono nyo na ayikuwoa?

Ẽ, tsi si sɔ nono nyo na wò ayikuwo ŋutɔ . Tsi kpena ɖe wò ayiku ŋu wòɖea aɖinuwo kple gbeɖuɖɔwo ɖa to aɖuɖɔ me. Ekpena ɖe ŋuwò hã be wò ʋukawo nanɔ lãmesẽ me, si wɔnɛ be wò ʋu te ŋu tsɔa nunyiamewo yia wò ayikuwo gbɔ bɔbɔe.

Azɔ hã, tsi geɖe nono nye susu nyui aɖe be woatsɔ axe mɔ ɖe ayiku me kpewo kple aɖuɖɔtoe me dɔlékuiwo (UTIs) nu. Ne tsi sɔ gbɔ ɖe wò ayikuwo me la, ayiku me kpewo madze wò o. Ne èno tsi geɖe la, anɔ eme be UTI hã madze ŋuwò o elabena èɖea aɖuɖɔ zi geɖe. Esia le alea elabena ne èɖe aɖuɖɔ la, dɔlékui siwo hea UTI vɛ la klɔa wo doa goe.

"Zi geɖe la, àte ŋu anya ne èle tsi nom wòsɔ gbɔ to wò aɖuɖɔ ƒe amadede nu. Ne èle tsi nom wòsɔ gbɔ la, ele be wò aɖuɖɔ nanye ɣie alo eme kɔ. Ne tsi vɔ le ŋuwò la, wò aɖuɖɔ azu ɣie."

Tsi agbɔsɔsɔme kae wòle be mano be nye ayikuwo nanɔ lãmesẽ me?

Le mama dedie nu la, ele be ŋutsuwo nano tsi si ade kplu 13 (lita 3) gbesiagbe. Ele be nyɔnuwo nano tsi abe kplu 9 (si wu lita 2 vie) gbesiagbe.

Ðe wòanya wɔ be woano tsi fũu akpaa? Nukae adzɔ ne èwɔe?

Ẽ, anya wɔ be woano tsi fũu akpa. Ne èwɔe alea la, àte ŋu axɔ nɔnɔme aɖe si woyɔna be tsi ƒe ahamumu alo hyponatremia (primary polydipsia). Ne womewɔ atike na nɔnɔme siawo o la, ate ŋu ana ame natsi dzodzodzoe, ame natsi alɔ̃ me, eƒe susu natrɔ, eye wòaku gɔ̃ hã.

Ayikuvee nye esia loo alo akɔtavea? Aleke nèwɔ nya?

Amewo tɔtɔna le ayikuveve kple akɔtave dome elabena woƒe gbeɖiɖi ɖi wo nɔewo. Enyo, na míakpɔ alesi míase esia gɔmee ɖa.

Zi geɖe la, akɔtavea dzɔna le wò akɔta ƒe akpa si le anyime.

Wosea ayiku ƒe vevesese le ŋutilãa ƒe gogloƒe ke, le akɔta ƒe akpa si le etame . Zi geɖe la, àse vevesesea le akpa eveawo, le akɔta ƒe titina vaseɖe etame (zi geɖe la, le akɔta te, le akɔta ƒe ɖusime alo miame). Vevesese sia ate ŋu akaka ɖe teƒe bubuwo hã, abe ƒodo alo akɔta ƒe akpa ene.

Ayiku alo aɖuɖɔtoe ƒe vuvu alo xexe gbɔe ayiku ƒe vevesese tsona. Dzesiawo dometɔ aɖewoe nye asrã, ʋuʋudedi, ʋuʋudedi, kple vevesese ne wole aɖuɖɔ tom.

Ɣekaɣie wòle be maƒo nu tso nye ayiku ŋu na ɖɔkta?

Ayiku ƒe nɔnɔmewo ate ŋu ahe dzesi vovovowo vɛ. Ne wò ayikuwo mele dɔ wɔm nyuie o la, àte ŋu akpɔ dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Tɔtrɔ le aɖuɖɔ alo aɖuɖɔtoe ƒe nɔnɔmewo ŋu (abe tsileƒe yiyi zi geɖe ene).
• Tɔtɔ alo susu ƒe dɔwɔwɔ sesẽ.
• Ŋutilã si ƒu alo esi le ʋuʋum.
• Ðeɖiteameŋu sesẽ.
• Ʋusɔgbɔdɔ (ʋusɔgbɔdɔ).
• Lãmetsiwo ƒe ʋuʋu.
• Nuɖuɖu ƒe dzodzro ƒe bu alo ga ƒe vivi si le nuɖuɖu me.
• Dɔgbo ƒe vevesese alo ʋuʋudedi.
• Vuvu, vevietɔ le asiwo alo afɔkpodzi ŋu.

Ne dɔléle siawo dometɔ aɖe le ŋuwò la, ele be nàdo wò ayiku ƒe dɔwɔwɔ kpɔ edziedzi:

• Ne ayikudɔ le ame aɖe ŋu le ƒomea me kpɔ.
• Suklidɔ.
• Dzidɔ.
• Ʋusɔgbɔdɔ.
• Lolo akpa alo lolo akpa.
• Ne èzãa atike aɖewo, abe ʋusɔgbɔdɔ ƒe atike ene, edziedzi.

Eyata, gbedasi mamlɛtɔ si woatsɔ ayi aƒemee:

Eyata, fifia ènya be ayikuwo nye ŋutinu sue eve gake wole vevie le míaƒe ŋutilã me. Tso ʋua ŋuti kɔklɔ dzi va ɖo ŋutilãa me tsi ƒe agbɔsɔsɔ, mineral dze, kple lãmetsiŋusẽ ƒe wɔwɔme dadasɔ dzi la, ayiku eve siawo kpena ɖe ame ŋu le nu vevi ŋutɔ geɖe me.

Eyata ele vevie ŋutɔ be nàna wò ayikuwo nanɔ lãmesẽ me . Àte ŋu alé be na wò ayiku ne èwɔ nu tsɛwo abe tsi geɖe nono, dze nono dzi ɖeɖe kpɔtɔ, kamedede, kple atamanono ene.

Ne ayikudɔ ate ŋu adze dziwò, alo ne dzesi siwo míeyɔ ɖe etame dometɔ aɖe le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ ŋukpe alo vɔvɔ̃ manɔmee . Ðo ŋku edzi be ne wokpɔe kaba la, ate ŋu ada dɔléle geɖe!

"Abe alesi wò ayikuwo akpɔ dziwò le wò agbemeŋkekewo katã me ene la, ele be nàlé be na wo kple lɔlɔ̃!"

` Ayiku, ayikudɔ, ayiku siwo le lãmesẽ me, aɖuɖɔtoe, ʋukɔklɔ, ayiku ƒe dɔwɔwɔ, ayiku ƒe lãmesẽ