Ènya nu tso ʋuka suesuesue siwo le wò ayiku me ŋua? (Peritubular Capillaries) Mina míaƒo nu tso esia ŋu!

Hello! Egbea míele nu ƒom tso míaƒe ŋutilã ƒe akpa aɖe si wɔ nuku ŋutɔ eye wòle vevie ŋutɔ la ŋu. Ema nye ʋuka suesuesue siwo le míaƒe ayiku me ƒe kadodo. Míeyɔa ʋuka siawo siwo me ʋu sina tona le ʋukawo me be . Togbɔ be ŋkɔa sesẽ vie hã la, dɔ si amesiawo wɔna la lolo ŋutɔ, abe míaƒe ŋutilã ƒe dɔla siwo meƒoa nu o ene.

Nukae nye ʋuka siawo siwo le ʋukawo me? Nukae wowɔna?

Kpuie ko la, `(Peritubular Capillaries)` siawo nye ʋuka siwo le nyuie ŋutɔ ƒe ɖoɖo, siwo ƒe titrime mede taɖa si le wò ayiku me gɔ̃ hã o. Nya ``peritubular`` gɔmee nye ``ƒo xlã mɔ sueawo.'' Eyata ʋuka siawo le ƒo xlã mɔ suewo ƒe ɖoɖo aɖe le ayiku me. Bu wo abe weintsetse siwo xatsa ɖe tɔdzisasrã siawo ŋu ene.

Azɔ mina míakpɔ nusiwo nye xɔlɔ̃ sue siawo ƒe dɔ veviwo ɖa:

1. Gbeɖuɖɔwo ɖeɖeɖa: Woƒe dɔ vevitɔwo dometɔ ɖekae nye be woakpe ɖe míaƒe aɖuɖɔtoeme ŋu eye woaɖe gbeɖuɖɔ siwo míedi o ɖa le ŋutilãa me. Gbeɖuɖɔ siae dona mlɔeba ne èɖe aɖuɖɔ (aɖuɖɔ).

• Urea: Esia nye gbeɖuɖɔ si me nitrogen le si dona ne míaƒe ŋutilã gblẽ proteinwo me.
• Creatinine: Esia nye gbeɖuɖɔ si dona tso míaƒe lãmekawo me.
• Acids: Wotoa mɔnu sia dzi ɖea acid bubu siwo ƒoa ƒu ɖe ŋutilãa me hã ɖa.

``Peritubular Capillaries`` siawo kpena ɖe ame ŋu be woatsɔ gbeɖuɖɔ siawo kple tsi bubuwo tso ŋutilã me to ``Nephrons`` filtering units siwo le ayiku me la me.

2. Nunyiamewo ƒe gbugbɔgaxɔ: ``Peritubular Capillaries`` siawoe xɔa nunyiame siwo míaƒe ŋutilã hiã eye wòhiã be wòagawɔ dɔ ake ɖe ʋua me. Bu eŋu abe nu xɔasiwo gbugbɔgaxɔ le esi teƒe be nàtsɔ wo aƒu gbe kple gbeɖuɖɔa ene.

• Amino acid siwo le lãme na ame
• Tomenukunuwo
• Sukli si le ʋu me (glucose) .

3. Ʋu kple oxygen nana: Dɔ vevi bubu si `(Peritubular Capillaries)` siawo wɔnae nye be woana ʋu kple oxygen nana lãmenugbagbevi siwo le ayiku ƒe ʋukawo me.

Afika tututue `(Peritubular Capillaries)` siawo le?

Azɔ na míakpɔ afisi tututu nusiawo le ɖa. Ènyaa, le míaƒe ayiku ɖeka me la, unit siwo ade miliɔn ɖeka siwo woyɔna be nephrons . Nephron le abe nusi wotsɔna tsia ayiku me ƒe akpa sue aɖe ene. Ele abe tsilénu si le míaƒe aƒea me ene, gake esesẽ wu sã.

Glomerulus (ne esiawo sɔ gbɔ la, woyɔa wo be glomeruli) si kɔa ʋua, kple mɔ siwo dzi woato agbugbɔ nusiwo woɖe tso eme la axɔ ɖe ŋutilãa me la le nephron ɖesiaɖe si. Ʋuka siwo le gota ƒe ƒuƒoƒo aɖe ƒo xlã mɔ mawo. Ðeko wòle abe ɖe fiasewo yɔ dugã aɖe ƒe ablɔwo dzi ene.

Aleke `(Peritubular Capillaries)` siawo le?

`(Peritubular Capillaries)` siawo le sue ale gbegbe be míete ŋu kpɔa wo kple ŋku o. Ele be míatsɔ `(microscope) alé ŋku ɖe wo ŋu .` Esiawo nye ʋuka ƒomevi tɔxɛ aɖe ŋutɔ. Woyɔa esiawo be `(fenestrated)` ʋukawo. Ema fia be, do sue ŋutɔwo le ʋuka siawo ƒe gliwo ŋu `(pores) .` Abe ʋuʋudedi ene.

Do siawoe nana tsi, tomenu, kple gbeɖuɖɔwo te ŋu zɔna bɔbɔe le ʋuka siawo kple lãkusi siwo ƒo xlãe dome. Do ɖesiaɖe ƒe lãkusi tsɛ aɖe le eŋu . Eʋuna hetua, si wɔnɛ be nu suesuesue gãwo gɔ̃ hã te ŋu toa eme. Ðe esia menye aɖaŋu wɔnuku aɖe oa?

Aleke Peritubular Capillaries xɔa ʋue?

Azɔ mina míakpɔ alesi ʋu gena ɖe `(Peritubular Capillaries)` siawo me kple alesi wògadzonae ɖa. Esia dzɔna le ɖoɖo nu ŋutɔ, abe ʋuɖoɖo ƒe ɖoɖo si ŋu wotrɔ asi le nyuie ene:

1. Gbã la, ʋu toa ʋuka gã siwo woyɔna be ayiku ƒe ʋukawo me vaa ayikuawo me .

2. Ʋuka gã siawo ma zua ʋuka sue siwo woyɔna be afferent arterioles . Esiawoe tsɔa ʋu yia aɖuɖɔtoewo me.

3. Emegbe, glomerulus si le nephron la me la ɖea ʋua ɖa.

4. Ʋu si woɖe tso ʋuka me la toa ʋuka nyui bubu siwo kplɔ wo nɔewo ɖo siwo woyɔna be ‘Efferent arterioles’ me hafi gena ɖe míaƒe amesi ƒe nya wogblɔna, ‘Peritubular Capillaries’ me.

5. Ʋu dona le ayiku ƒe ʋuka siwo le gota la me, toa ʋuka siwo lolona vivivi me, eye wòdona le ayiku me mlɔeba to ayiku ƒe ʋuka vevitɔ me .

Togbɔ be adze nu sesẽ ŋutɔ hã la, esia nye ɖoɖo si wowɔ ɖe ɖoɖo nu ŋutɔ eye wòwɔ nuku ŋutɔ, alo?

Nukae nye dɔléle kple nɔnɔme siwo bɔ siwo gblẽa nu le `(Peritubular Capillaries)` ŋu?

Enyo, dɔléle ka ƒomevie ateŋu agblẽ nu le ``Peritubular Capillaries'' siwo wɔa dɔ vevi sia tɔgbe ŋu? Nublanuinyae nye be, ʋuka sue siawo gɔ̃ hã ate ŋu ado go kuxiwo.

Lãmesẽ ƒe nɔnɔme aɖewo, dɔlélewo, vevietɔ dɔdzẽ kple abi, ate ŋu agblẽ nu le ʋuka siawo siwo le bɔbɔe ŋu. Ne nu sia gblẽ la, ʋuka siawo ƒe kpekpeme dzi ɖena kpɔtɔna. Woyɔa esia be peritubular capillary rarefaction . Kpuie ko la, ʋukawo ƒe xexlẽme dzi ɖena kpɔtɔna eye woƒe dɔwɔwɔ megagblẽna o.

`(Peritubular Capillaries)` siawo siwo gblẽ la ƒe ŋutete le sue ŋutɔ be woahaya. Eyata, `(Peritubular capillary rarefaction)` nɔnɔme sia kpena ɖe nɔnɔme sesẽwo abe Ayikudɔléle si nɔa anyi didi (CKD)` kple Ʋusɔgbɔdɔ `(Hypertension ) ƒe dzɔdzɔ ŋu ŋutɔ. Esiawo nye dɔléle siwo bɔ ŋutɔ. Ne womewɔ atike na ayikudɔ o la, ate ŋu ava zu ayiku ƒe dɔmawɔmawɔ nyuie . Eyata ele vevie ŋutɔ be míanya esia.

Nɔnɔme bubu siwo ate ŋu ahe ayikudɔléle vɛ alo akpe ɖe eŋu dometɔ aɖewoe nye:

• Glomerular dɔlélewo, le kpɔɖeŋu me, Glomerulonephritis.
• Ayiku me dɔléle.
• Aɖuɖɔtoe ƒe mɔxexe.

Nukae nye nɔnɔme siwo bɔ ƒe nɔnɔme siwo do ƒome kple `(Peritubular Capillaries)`?

Fifia àte ŋu anɔ ɖokuiwò biam be, ne nane gblẽ le `(Peritubular Capillaries)` siawo ŋu la, dzesi kawoe míate ŋu anya tso eŋu. Ɣeaɖewoɣi la , nɔnɔme siawo ate ŋu anɔ anyi dzesi aɖeke manɔmee . Emae nye nusi me afɔku le wu. Gake ne dzesiwo dze la, àte ŋu akpɔ nu siawo tɔgbe:

• Axadziveve.
• Asrã.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ eye ɖeɖi te ye ŋu `(Ðeɖiteameŋu)`.
• Tɔtrɔ le wò aɖuɖɔɖɔɖɔ ƒe nɔnɔmewo ŋu. Esia fia be:
• Aɖuɖɔtoe enuenue nye alesi wòhiã be nàɖe aɖuɖɔ enuenu.
• Aɖuɖɔtoe sesẽ.
• Ʋu si le aɖuɖɔ me (ʋumenugbagbeviɣidɔ) .
• Alo vevesese ne wole aɖuɖɔ tom (dysuria) .
• Aɖuɖɔ dzena abe alilikpo ene.
• Vuvu (edema) , vevietɔ le afɔ kple afɔkpodzi.
• Aɖuɖɔtoe me dɔléle siwo gbugbɔna (UTIs).

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukae nye dodokpɔ siwo bɔ siwo léa ŋku ɖe `(Peritubular Capillaries)` ƒe lãmesẽ ŋu?

Ne wò ɖɔkta susu be kuxi aɖe le ``Peritubular Capillaries'' siawo ŋu la, ateŋu aɖo aɖaŋu be nàwɔ dodokpɔ geɖe, abe:

Ayikuwo ƒe dɔwɔwɔ dodokpɔwo

Esia ate ŋu alɔ:

• Aɖuɖɔ dodokpɔ (aɖuɖɔtoe me dzodzro) .
• Ʋudodokpɔwo. Le kpɔɖeŋu me:
• ‘Ʋu me Urea Nitrogen’ (BUN) dodokpɔa .
• 'Creatinine ɖeɖeɖa dodokpɔ' (`(Creatinine ɖeɖeɖa dodokpɔ)`) .
• Dodokpɔ siwo dzidzea ‘Glomerular Filtration Rate si wobu’ (eGFR) .

Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo

Esiawo nye dodokpɔ siwo me vevesese mele o siwo nana nèkpɔa nu le ŋutilãa me:

• CT scan (`(CT scan - Kɔmpiuta dzi Tomography scan)`) .
• MRI (Magnetic Resonance Imaging) dodokpɔ.
• Ayiku me ultrasound dodokpɔ (`(Ayiku (ayiku) ultrasound)`) .

Dodokpɔ siawo ate ŋu ana míanya ayikuawo ƒe nɔnɔme nyuie.

Aleke míewɔna be `(Peritubular Capillaries)` siawo nanɔ lãmesẽ me?

Enyo, eyata aleke míawɔ ana ``Peritubular Capillaries'' sue siawo gake wole vevie ŋutɔ la nanɔ lãmesẽ me? Nya nyuiae nye be, nanewo li míate ŋu awɔ.

Ɣeaɖewoɣi la, ate ŋu asesẽ be woaxe mɔ ɖe nu bubu siwo agblẽ le ʋuka siawo ŋu nu. Gake ne èlé be na wò lãmesẽ bliboa , àte ŋu aɖe ayiku me kuxiwo kple dɔléle bubuwo ƒe afɔkua dzi akpɔtɔ. Nu aɖewo siwo nàte ŋu awɔ atsɔ akpe ɖe ŋuwòe nye esi:

• Ðu nuɖuɖu si naa lãmesẽ gbesiagbe. Atikutsetsewo, amagbewo, kple tsi dzadzɛwoe nye ayikuwo xɔlɔ̃ veviwo. No tsi geɖe ne tsikɔ ​​le wuwòm.
• Ne dɔléle siwo nɔa anyi didi abe Suklidɔ kple Ʋusɔgbɔdɔ ene le ŋuwò la, ɖu wo dzi nyuie eye nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
• Lé kpekpeme si sɔ na wò la me ɖe asi.
• Ne ènoa atama la, dzudzɔ egbea . Atamanono kple atama bubuwo gblẽa nu le wò ʋukawo ŋu eye wòhea ʋukawo me dɔléle (ʋukawo ƒe dɔléle) vɛ .

Nu vevitɔ kekeake si wòle be míatsɔ ayi aƒemee tso ŋutinya sia me!

Ðewohĩ èse alesi gbegbe ``Peritubular Capillaries'' sue siawo siwo le míaƒe ayiku me le vevie la gɔme azɔ. Wole vevie be míaƒe ŋutilã nanɔ lãmesẽ me. Wokpena ɖe ame ŋu woɖea gbeɖuɖɔwo ɖa le ʋua me eye wogaxɔa nunyiame siwo ŋutilãa hiã.

``Peritubular Capillaries'' siawo miliɔn geɖe le wò ayikuwo me. Abe ʋuka sue siawo ene la, ele be míalé be na míaƒe lãmesẽ bliboa hafi míaƒe ŋutilã ƒe akpa bubu ɖesiaɖe nawɔ dɔ nyuie.

Ðo ŋku edzi be: no tsi geɖe, ɖu nuɖuɖu si me nunyiame le, yi atikewɔƒewo ƒe dodokpɔ edziedzi, eye nàlé wò kpekpeme si sɔ na wò. Ekema xɔlɔ̃ sue siawo awɔ woƒe dɔ kple dzidzɔ, eye wò hã ànɔ lãmesẽ me!

` Ayiku, peritubular capillaries, ʋukawo, nephrons, ayikudɔlélewo, aɖuɖɔtoe ƒe ɖoɖo, lãmesẽ