Mina míasrɔ̃ nu tso tsilénu sue si le wò ayiku me ŋu: Bowman ƒe Kplu.

Èbu míaƒe ŋutilã ƒe akpa sue nenie wɔa dɔ gã aɖe ŋu kpɔa? Egbea míele nu ƒom tso míaƒe ayiku ƒe akpa aɖe si le vevie nenema ke, gake ɖewohĩ womese nu boo aɖeke o, ŋu. Woyɔa esia be Bowman ƒe Kplu. Mina míalé ŋku ɖe alesi kalẽtɔ sue sia le kple nusi wòwɔna ŋu.

Nukae nye Bowman ƒe Kplu?

Kpuie ko la, Bowman ƒe atikekui nye ayiku si le wò ayiku me ƒe akpa aɖe. Enyo, ekema nukae nye nephron? Nephron ye nye nusi ɖea tsi le wò ayiku me. Ele abe tsifamɔ̃ sue siwo le míaƒe tsifamɔ̃ me le aƒeme ene. Bu eŋu kpɔ ko, ayiku ɖeka me aɖuɖɔtoe siwo ade miliɔn ɖeka le! Ema nye miliɔn eve le ayiku eveawo siaa me! Ðe esia mewɔ nuku oa? Akpa aɖe le nephron ɖesiaɖe si woyɔna be glomerulus. Afi siae dɔ si nye gbeɖuɖɔwo ɖeɖe le wò ʋu me dzea egɔme tsoe. Glomerulus nye ʋuka siwo le sue ŋutɔ, siwo le sue ŋutɔ. Woyɔa akpa si ƒo xlã glomerulus, si nye akpa si tsyɔa edzi, be Bowman ƒe atikekui . Ele abe nutsyɔnu si kpɔa glomerulus ta ene. Woyɔa teƒe ƒuƒlu si le atikekui sia ƒe gli eveawo dome be Bowman ƒe teƒe . Woyɔa Bowman ƒe atikekui sia hã be. Le kpɔɖeŋu me, èse ŋkɔwo abe glomerular capsule kple Malpighian capsule enea? Aleae woyɔa wo hã. Azɔ hã, wogayɔa Bowman ƒe teƒea be glomerular capsule space.

Dɔ kae nye Bowman ƒe Kplu la ƒe dɔwɔwɔ?

Bowman ƒe atikekui kple glomerulus ƒo ƒu wɔa ayiku ƒe lãkusi. Esiawo katã nye ayiku ƒe akpa aɖewo. Ènya alesi gbegbe ayikuwo wɔa dɔ na míaƒe ŋutilãe. Wokpɔa míaƒe ʋu ƒe pH dzi, woɖɔa ʋu ƒe sisi ɖo, eye woléa elektrikŋusẽ ƒe dadasɔ le ŋutilãa me. Azɔ hã, abe aɖuɖɔtoe ƒe akpa aɖe ene la, ayikuwo ƒe dɔe nye be woaɖe gbeɖuɖɔwo ɖa le ŋutilãa me to aɖuɖɔtoe me. Eyata nusi Bowman ƒe atikekui sia wɔnae nye be wòkpena ɖe glomerulus ŋu wòɖea ʋua. Molekyul suesuesue siwo le ʋua me gena ɖe Bowman ƒe yamenutome mɔxenu aɖeke manɔmee. Gake zi alesi ayiku ƒe tsilénu le dɔ wɔm nyuie ko la, nuwo abe lãmenugbagbeviwo kple protein gãwo ene nɔa ʋua me eye womedoa go o. Emegbe nu suesuesue siawo toa mɔ̃ suesuesue siwo le ayikuwo me la me. Afimae ayikuawo tsoa nya me le nu suesuesue siwo woagbugbɔ axɔ ɖe ʋua me kple esiwo woaɖe do goe le aɖuɖɔ me ŋu. Mɔ̃ wɔnuku aɖe ŋutɔe wònye, alo?

Afikae Bowman ƒe Kplu la le?

Bowman ƒe atikekui la le ayiku ƒe lãkusi, si nye wò ayiku ƒe gota gome. Ayikuawo le wò akɔta te, le wò dɔgbo megbe. Zi geɖe la, ayiku eve nɔa wò akɔta ƒe akpa ɖesiaɖe. Wole wò dɔgbowo kple dɔgboa dome. Wotsɔa mɔ̃ aɖe si woyɔna be tsinyegoe doa ka kple ayiku ɖesiaɖe.

Aleke Bowman ƒe Kplu la le?

Le nyateƒe me la, ŋku dzro aɖeke mate ŋu akpɔ Bowman ƒe atikekui la o. Èhiã nusuekpɔmɔ̃ hafi nàte ŋu akpɔe. Enye sue nenema gbegbe. Ne èɖɔ eƒe nɔnɔme la, ele abe akplo alo kplu ene. Kapsula sia nyea ƒuƒoƒo eve. 1. Gotagome ƒuƒoƒo: Woyɔa esia be parietal layer. Esia nye lãkusi ƒomevi aɖe si woyɔna be simple squamous epithelium. 2. Ememe ƒuƒoƒo: Woyɔa esia be visceral layer. Esia nye lãmenugbagbevi tɔxɛ siwo woyɔna be podocytes. Nusi doa dzidzɔ na ame ŋutɔŋutɔe nye be podocyte siawo ƒe kekeme siwo le abe asibidɛ ene (pedicles) le wo ŋu. Wotsɔa kekeɖenudɔ siawo doa ka kple wo nɔewo abe asi ene (interdigitation). Esi wodo ƒome alea ta la, nu aɖewo ate ŋu ato wo me, gake nu aɖewo ya mate ŋu ato wo me o. Ne èle lãmesẽ me la, protein kple lãmenugbagbeviwo mate ŋu ato nusiawo me o.

Aleae wokɔa ʋua ŋu hetrɔna yia ŋutilãa me, eye wotsɔa gbeɖuɖɔawo doa goe le ŋutilãa me abe aɖuɖɔ ene to mɔ̃ nyuiawo (tubules) me. Ʋu ƒe sisi le glomerulus (glomerular blood hydrostatic pressure) kpena ɖe esia ŋu. Ne woɖe tsi la ɖa la, tsi kple nunyiamewo gagena ɖe ŋutilãa me ake.

Nukawoe nye dɔléle siwo bɔ siwo gblẽa nu le Bowman ƒe Kplu ŋu?

Dɔléle siwo gblẽa nu le wò ayiku ŋu hã gblẽa nu le Bowman ƒe atikekui ŋu. Dɔléle siwo gblẽa nu le glomeruli siwo ƒo xlã Bowman ƒe atikekui ŋu la te ŋu dzea edzi bɔbɔe. Glomerular dɔléle ƒomevi vovovowo li. Nu sia nu ate ŋu atso nusiwo le nutoa me dzi va ɖo domenyiŋusẽfianu dzi.

• Glomerulonephritis: Esia nye glomeruli ƒe dɔdzẽ , alo vuvu. Ate ŋu atso dɔléle siwo dɔlélenutsiŋutete wɔna , domenyiŋusẽfianu ƒe dɔlélewo , alo dɔlékuiwo gbɔ.
• Glomerulosclerosis: Esiae nye esime glomeruliawo sesẽna eye wozua abi.

Ne womeda dɔléle siawo nyuie o la, ate ŋu ana ayiku nawɔ dɔ nyuie mlɔeba.Nusi koŋ gbɔ glomerular dɔléle kple ayiku ƒe dɔmawɔmawɔ nyuie tsonae nye ayikudɔ si suklidɔ hena vɛ, si woyɔna be suklidɔ ƒe ayikudɔ .

Nukae nye dɔléle siwo gblẽa nu le Bowman ƒe Kplu ŋu ƒe dzesi siwo bɔ?

Glomerular dɔlélewo ƒe dzesiwo ate ŋu anye:

• Protein si sɔ gbɔ akpa le wò aɖuɖɔ me (proteinuria) . Esia ate ŋu ana wò aɖuɖɔ nazu futukpɔ.
• Ʋu si le aɖuɖɔ me (ʋumenugbagbeviɣidɔ) . Esia ate ŋu ana aɖuɖɔa nadze abe pink alo cola ene.
• Protein ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋua me (hypoproteinemia) .
• Ŋutilã ƒe akpa aɖewo abe asiwo kple afɔwo ene ƒe vuvu (edema) , alo ŋkuwo ƒe ʋuʋu.

Nukae nye dodokpɔ siwo wowɔna zi geɖe tsɔ léa ŋku ɖe Bowman ƒe Atikea 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:

• Ʋudodokpɔ : Esiawo ate ŋu akpɔ alesi wò glomeruli le ʋu ƒom nyuie.
• Aɖuɖɔtoe me dzodzro: Esia ate ŋu adzidze nuwo abe protein kple ʋu si le aɖuɖɔ me ene.
• Nɔnɔmetatawo dodokpɔ abe ultrasound ene: Esiawo nana ɖɔktawo te ŋu léa ŋku ɖe wò ayiku ƒe lolome kple nɔnɔme ŋu.
• Ayikuwo ƒe dɔwɔwɔ dodokpɔ: Dodokpɔ siawo ɖea alesi ayikuawo le dɔ wɔm nyuie fiana.
• Ayiku me lãmenugbagbeviwo ɖeɖe: Le esia me la, ɖɔktaa ɖea lãkusi sue aɖe tso ayiku me hedoa ekpɔ le nusuekpɔmɔ̃ me.

Nukae nye atikewɔwɔ na nɔnɔme siwo gblẽa nu le Bowman ƒe Kplu ŋu?

Atike aɖeke meli "si sɔ na amewo katã" na ayikudɔ o. Atike si woaxɔ na wò anɔ te ɖe nɔnɔme si le ŋuwò kple eƒe sesẽ dzi. Dɔléle siwo gblẽa nu le Bowman ƒe atikekui ŋu ƒe atikewɔwɔ ate ŋu anye:

• Nuɖuɖu siwo me dze mesɔ gbɔ ɖo o (Nuɖuɖu siwo me sodium mesɔ gbɔ ɖo o ).
• Atikewo abe dɔlékuiwutikewo , ʋu ƒe sisi ƒe atikewo, dɔlélenutsiŋutete ƒe atikewo, kple steroid .
• Dialysis ƒe dɔwɔwɔ .
• Ayiku dodo na ame .

Nukae mate ŋu awɔ be nye Bowman’s Capsule nanɔ lãmesẽ me?

Wò ayikuwo nanɔ lãmesẽ me nye nu vevitɔ si ana wò Bowman ƒe atikekui nanɔ lãmesẽ me. Ele vevie be nàlé ŋku ɖe wò ayiku ƒe lãmesẽ ŋu eye nànɔ atikewɔlawo ƒe dodokpɔwo me, ʋudodokpɔ, kple aɖuɖɔtoedodokpɔ edziedzi. Esia le vevie ŋutɔ ne ʋusɔgbɔdɔ, lolo akpa, kple/alo suklidɔ le ŋuwò. Àte ŋu aɖe ayiku me kuxiwo ƒe afɔkua dzi akpɔtɔ to:

• Ƒo asa na atamanono alo edzudzɔ.
• Dze si nèɖuna dzi ɖeɖe kpɔtɔ.
• Kamedede gbesiagbe dzi ɖeɖe kpɔtɔ ate ŋu akpe ɖe ŋuwò nàɖe ʋusɔgbɔdɔ dzi akpɔtɔ.
• Ðe seɖoƒe na atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAIDs) zazã . Esiawo nono fũ ate ŋu agblẽ nu le ayikuwo ŋu.
• Kpekpeme si sɔ me léle ɖe asi.
• Lé ŋku ɖe wò ʋu ƒe sisi ƒe agbɔsɔsɔ ŋu ɣesiaɣi.
• Ne suklidɔ le ŋuwò la, kpɔ nyuie le sukli ƒe agbɔsɔsɔ si le wò ʋu me ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta ne metsi dzi ɖe Bowman ƒe Atike alo ayikudɔ ŋu?

Ne èsusu be nane gblẽ le wò ayiku ŋu la, ele be nàyi ɖɔkta gbɔ godoo. Àte ŋu akpɔ dzesiwo abe esiawo ene:

• Tɔtrɔ siwo vaa wò aɖuɖɔ me: aɖuɖɔ si me ʋu le, aɖuɖɔ si do viviti, aɖuɖɔ si me alilikpo alo futukpɔ le.
• Tɔtrɔ siwo vaa aɖuɖɔɖɔɖɔ zi gbɔ zi geɖe.
• Ðeɖiteameŋu si gbɔ eme/ ɖeɖiteameŋu .
• Ʋusɔgbɔdɔ (Hypertension) .
• Lãmetsiwo ƒe ʋuʋu.
• Nuɖuɖu ƒe dzodzro ƒe bu alo ga ƒe vivi si le nuɖuɖu me.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Vuvu, vevietɔ le afɔkpodzi alo asiwo ŋu.

Ne dɔléle siawo dometɔ aɖe le ŋuwò la, wò ɖɔkta ate ŋu ado susu ɖa be nàdo ayiku ƒe dɔwɔwɔ kpɔ edziedzi alo nàdo ʋu kpɔ:

• Ayikudɔléle ƒe ƒome ŋutinya.
• Suklidɔ .
• Dzidɔ .
• Ʋusɔgbɔdɔ .
• Amidada .
• Atike aɖewo zazã enuenu, le kpɔɖeŋu me, ʋusɔgbɔdɔtikewo.

Gbedasi si Wotsɔ Yi Aƒeme

Wò ayiku wɔa dɔ vevi geɖe na wò ŋutilã. Eyata ele vevie be nàɖu wò ʋu ƒe sisi kple sukli ƒe agbɔsɔsɔ dzi eye nànɔ lãmesẽ me. Ne èsusu be nane gblẽ le wò aɖuɖɔtoe ŋu, eɖanye dɔlékui alo tɔtrɔ le wò aɖuɖɔtoe me o la, ƒo nu kple wò ɖɔkta kaba ale si nàte ŋui. Woakpɔ egbɔkpɔnu nyuitɔ kekeake na wò. Ðo ŋku edzi be míaƒe ŋutilã ƒe akpa sue siawoe nana míenɔa lãmesẽ me. Eya ta enye míaƒe agbanɔamedzi be míalé be na wo.

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