Ŋutinya si le megbe na ayiku: (Renal Cortex) ye nye míaƒe ŋutilã!

Egbea míele nu ƒom tso ayiku, si nye ŋutinu vevi aɖe ŋutɔ le míaƒe ŋutilã me ŋu. Etɔxɛe la, ayiku ƒe akpa si le gota wu, si nye ayiku ƒe lãkusi . Esia aɖi nya aɖe ko, gake enye teƒe wɔnuku aɖe ŋutɔ le míaƒe ŋutilã me si wɔa dɔ geɖe le ɖoɖoezizi me. Eyata, mina míasrɔ̃ nu tso esia ŋu tsitotsito vie, abe ɖe míele nu ƒom na mía xɔlɔ̃ aɖe ene, alo?

Nukae nye Ayiku ƒe Dɔwɔnu? Afikae wòle?

Kpuie ko la, nya "Cortex" fia zi geɖe be míaƒe ŋutilã ƒe ŋutinu aɖe ƒe gotagome ƒuƒoƒo alo eƒe nutsyɔnu. Eyata, Ayiku ƒe Akpa si woyɔna be Renal Cortex ye nye míaƒe ayiku ƒe akpa si le gota wu. Ame aɖewo hã yɔnɛ be "Ayiku ƒe lãkusi". "Ayiku ƒe lãkusi" sia ƒo xlã ayiku ƒe akpa ememetɔ, si nye medulla . Ele abe aŋɔ ene. Gake, menye afima koe "Renal Cortex" sia le o, ke boŋ ametakpɔnu aɖe hã tsyɔ edzi, si nye lãkusi sesẽ aɖe si woyɔna be "Renal Capsule". Bu eŋu abe sabala ƒe ŋutigbalẽ ene, esiawo nyea ƒuƒoƒo vovovowo.

Fifia, le `(Renal Cortex)` sia me la, míaƒe ŋutilã ƒe ʋukɔklɔ ƒe akpa siwo hiã vevie, si nye ` (Nephrons)`, dzea egɔme. Enye nusi womate ŋu asusu o, `(Nephrons)` siwo ade miliɔn ɖeka abe esia ene le ayiku ɖeka me! Ðe mewɔ nuku oa? Nu vevitɔ si wotsɔna tsia nu le `(Nephron)` sia mee nye glomerulus . `(Glomerulus)` sia do ƒome kple mɔ̃ aɖe si nye `(Tubule). Mɔ sia dzie woɖea gbeɖuɖɔ ɖa eye nusiwo ŋutilãa hiã la gagena ɖe ŋutilãa me. Le `(Renal Cortex)` me la, mɔ siawo trona vie, woxatsa, eye `(Convoluted).` Gake le `(Medulla), si nye ayiku ƒe akpa ememetɔ me la, mɔ siawo le dzɔdzɔe vie.

Na míalé ŋku ɖe afisi míaƒe ayikuwo le ŋu. Wole míaƒe akɔta, le akɔta te tututu, le ƒodo megbe. Zi geɖe la, ayiku ɖeka nɔa akɔta ƒe akpa ɖesiaɖe. Ne míagblɔe tututu la, le dɔgboa kple lãkusia dome. Tso ayiku ɖesiaɖe dzi la, akpa aɖe si le abe mɔ̃ ene si woyɔna be tsinyegoe , si doa ka kple tsinyegoea dzea egɔme.

`(Renal Cortex)` sia ƒe amadede nye dzĩ si le blɔ . Esiae nye ayiku ƒe akpa si le gota wu. Etsyɔa `(Medulla)`, si nye ayiku ƒe akpa ememetɔ dzi. Le `(Medulla)` me la, dzogoe etɔ̃ ƒe akpa suesuesuewo le eme, siwo woyɔna be ayiku ƒe piramidwo. `(Renal Cortex)` la tsyɔa `(Renal Pyramids)` siawo dzi abe kposɔ ene.

Nuka tututue dzɔna le Ayiku ƒe Dɔgbo me? Dɔ kae ayiku wɔa dɔ?

Abe wò aɖuɖɔtoe ƒe akpa aɖe ene la, ayiku ƒe lãkusi kpɔa gome le wò ayiku ƒe dɔwɔwɔ me tẽ. Menye ŋutinu aɖe si ɖea gbeɖuɖɔ ɖa koe ayiku nye o. Wowɔa nu geɖe wu ema. Kpɔe ɖa:

• Eɖɔa elektrikŋusẽ kple tsi ƒe dadasɔ ɖo: Ekpena ɖe ame ŋu be dze kple tsi ƒe agbɔsɔsɔ si sɔ nanɔ ŋutilãa me.
• Ekpɔa wò ʋu ƒe sisi kple tsi agbɔsɔsɔme si le wò lãmenugbagbeviwo godo (extracellular fluid) dzi.
• Ekpena ɖe ʋumenugbagbevi dzĩwo wɔwɔ ŋu.
• Eléa ŋutilãa ƒe acid kple base ƒe dadasɔ me ɖe asi.
• Ewɔa akpa aɖe le vitamin D ƒe wɔwɔ me.
• Ekpɔa calcium kple phosphate ƒe dadasɔ dzi.
• Ekpena ɖe sukli ƒe wɔwɔme hã ŋu (Glucogenesis): Togbɔ be aklãe wɔa sukli (sukli) si míehiã la ƒe akpa gãtɔ ŋutɔŋutɔ hã la, ayiku hãe wɔa ɖewo.

Bu alesi gbegbe nu geɖe yia edzi le lãkusi sue sia me ŋu kpɔ! Ewɔ nuku ŋutɔŋutɔ, alo?

Nukawoe nye dɔléle siwo bɔ siwo ate ŋu agblẽ nu le Ayiku ƒe lãkusi ŋu?

Nublanuitɔe la, dɔléle vovovowo li siwo gblẽa nu le ayiku ŋu. Esiawo dometɔ aɖewo ateŋu akpɔ ŋusẽ ɖe ``Renal Cortex'' hã dzi.

• Ayikudɔléle si nɔa anyi didi (CKD): Esia nye ayiku ƒe dɔwɔwɔ ƒe gbegblẽ vivivi. Zi geɖe la, suklidɔ alo ʋusɔgbɔdɔ gbɔe wòtsona.
• Ayiku me Dɔdzẽ: Ayiku me Lãmenugbagbeviwo ƒe Dɔdzẽe nye ayiku me dɔdzẽ ƒomevi si bɔ wu.
• Ayiku ƒe Dɔmawɔmawɔ / Ayiku ƒe Dɔmawɔmawɔ: Esia ateŋu adzɔ kpata `Acute` alo ateŋu ava zu nusi nɔa anyi didi le ɣeyiɣi aɖe megbe. End- Stage Renal Disease nye nɔnɔme si me ayikuwo megale dɔ wɔm nyuie o. Emegbe ehiã be woawɔ ʋumenugbagbeviɣidɔ.
• Ayikuwo ƒe Dɔléle (Pyelonephritis): Dɔlékui sia ƒomevi ate ŋu adzɔ ne dɔlékuiwo abe dɔlékuiwo ene zɔ mɔ yi wò tsinyegoewo me yi wò ayikuwo me. Dzesi siawo doa mo ɖa zi ɖeka. Ðɔktawo aŋlɔ dɔlékuiwutikewo na esia.
• Ayiku me Kpewo: Krystal ate ŋu adzɔ ɖe wò aɖuɖɔ me eye wòaxe mɔ na aɖuɖɔ ƒe sisi. Ɣeaɖewoɣi la, kpe siawo te ŋu toa wo ɖokui si. Alo atikewɔmɔnu aɖewo li siwo dzi woato agbã wo alo aɖe wo ɖa.
• Ayiku me Ʋuʋudedi / Ayiku ƒe Ʋuʋudedi: Ʋuʋudedi siwo le abe kotoku ene siwo me tsi yɔ fũ ate ŋu adze ayikuawo dzi. Kuku siawo ate ŋu agblẽ nu le ayikuwo hã ŋu. Ðɔktawo aɖe nusiawo ɖa ne ehiã.
• Polycystic Kidney Disease (PKD): Esia nye domenyiŋusẽfianu ƒe nɔnɔme. Le nɔnɔme sia me la, ƒunukpeƒetetedɔ geɖe va dona ɖe ayikuawo dzi. PKD ate ŋu ana ʋusɔgbɔdɔ kple ayiku nawɔ dɔ nyuie o. Ele be amesiwo ŋu PKD le nanɔ atikewɔlawo ƒe dzikpɔkpɔ te ɣesiaɣi.

Nɔnɔme aɖewo siwo nu sẽ wu

Tsɔ kpe ɖe esia ŋu la, dɔléle bubu geɖewo li siwo do ƒome kple ayiku, eye wo dometɔ aɖewo nye esiwo nu sẽ ŋutɔŋutɔ.

• Acidosis ƒe dɔléle:Ne ayikuawo mele dɔ wɔm nyuie o la, aɖi si le ʋua me ate ŋu adzi ɖe edzi. Esia ate ŋu ahe lãmesẽkuxi geɖe vɛ. Ne womewɔ atike nɛ o la, ate ŋu ade ame ƒe agbe afɔku me.
• Acute alo Chronic Interstitial Nephritis: Esia nana ayikuawo vuvu, si ate ŋu ana ayiku nawɔ dɔ nyuie.
• Diabetic Nephropathy alo Hypertensive Nephropathy: Ʋusɔgbɔdɔ kple suklidɔ si dzi womeɖu o gblẽa nu le ayikuwo ŋu. Wogayɔa esia be `(Nephropathy)`.
• Glomerular Diseases: Dɔléle siawo ate ŋu ana wò glomeruli navuvu alo agblẽ, si ate ŋu ana ayiku nawɔ dɔ nyuie o.
• Dɔléle si me Tɔtrɔ Sue Le: Esia hã nye ayikudɔ. Le esia me la, glomeruliwo gblẽna eye protein gbogbo aɖewo dona le aɖuɖɔ me.
• Proteinuria kple Nephrotic Syndrome: Proteinuria nye ne protein sɔ gbɔ ɖe wò aɖuɖɔ me. Esia ate ŋu anye ayiku ƒe gbegblẽ ƒe dzesi. Ne protein geɖe le wò aɖuɖɔ me la, ate ŋu anye Nephrotic Syndrome ƒe dzesi. Esia nye ne ayiku siwo gblẽ la na protein gbogbo aɖe tso wò ʋu me yi wò aɖuɖɔ me.
• Uremia: Aɖi siwo wòle be ayikuwo nakɔ le dzɔdzɔme nu eye woaɖe wo ado goe le aɖuɖɔ me la ƒoa ƒu ɖe ʋua me boŋ. Uremia ate ŋu ade ame ƒe agbe afɔku me ne womewɔ atike nɛ o.

Nukawoe nye ayikudɔléle ƒe dzesi kple dzesi siwo bɔ?

Ayikukuxi geɖe meɖea dzesiwo fiana le woƒe gɔmedzedze o. Emae nye nusi me afɔku le wu. Ne ayiku ƒe gbegblẽ le edzi yim la, àte ŋu adze nusiwo le abe:

• Lãmetsiwo ƒe Ʋuʋudedi: Lãmetsiwo ƒe ʋuʋu ate ŋu atso elektrikŋusẽ ƒe masɔmasɔ le ŋutilãa me ta. Zi geɖe la, esiae nana lãmekawo tena. Gake ate ŋu agblẽ nu le lãmeka ƒe hatsotso ɖesiaɖe ŋu.
• Aɖuɖɔ doviviti alo aɖuɖɔ si me ʋu le: Ne nusiwo woɖena le ayiku me gblẽ la, ʋumenugbagbevi dzĩwo ate ŋu age ɖe aɖuɖɔa me. Woyɔa esia be ``Hematuria''.
• Aɖuɖɔ si me futukpɔ le: Ne kuɖɔ le aɖuɖɔa me la, efia be protein sɔ gbɔ akpa.
• Ŋutilã si le ʋuʋum, si ƒuna: Tomenu kple nunyiame siwo le ʋua me ƒe masɔmasɔ ate ŋu ana ŋutigbalẽa navuvu eye wòaƒu.
• Aɖuɖɔɖɔɖɔ enuenu: Kuxi aɖewo siwo le gbeɖuɖɔwo ɖeɖeɖa ŋu ate ŋu ana wòahiã be nàɖe aɖuɖɔ zi geɖe.
• Ŋku siwo vuvu alo afɔkpodzi kple afɔ siwo vuvu: Ne ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ la, protein kple sodium tea ŋutilãa me léle ɖe asi. Esia hea edema, alo vuvu vɛ.
• Alɔ̃dɔdɔ ƒe kuxiwo, ɖeɖiteameŋu kple nuɖuɖumadzroame: Ne aɖiwo ƒo ƒu ɖe ʋua me la, wò alɔ̃dɔdɔ, nuɖuɖudzroame kple ŋusẽ ate ŋu aɖe akpɔtɔ.

Aleke woawɔ akpɔ (Renal Cortex) ƒe lãmesẽ?

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

• Nɔnɔmetatawo dodokpɔ: Le kpɔɖeŋu me, X-ray, CT scan, MRI, ultrasound, alo nuklia atikewɔwɔ ƒe nɔnɔmetatawo. Esiawo ate ŋu aɖe ayikuawo ƒe nɔnɔme siwo mesɔ o alo woƒe xexe afia. Le kpɔɖeŋu me, woate ŋu adzidze ayiku ƒe lãkusi ƒe titrime. Ne lãkusia le sue la, efia be ayikuawo gblẽ.
• Ʋudodokpɔ: Esiawo ate ŋu alé ŋku ɖe alesi wò glomeruliwo le ʋu ƒom nyuie ŋu.
• Ayikuwo Me Dzodzro: Le dɔ sia wɔwɔ me la, ɖɔktaa ɖea ayiku ƒe lãkusi sue aɖe hedoa wo kpɔna le nusuekpɔmɔ̃ me.
• Ureteroscopy: Le dɔ sia wɔwɔ me la, ɖɔkta toa mɔ̃ aɖe (endoscope) to wò tsinyegoe me be yeadi nusiwo mesɔ o le wò tsinyegoe kple tsinyegoewo me.
• Aɖuɖɔtoe me dzodzro: Dodokpɔ sia dzidzea nu tɔxɛ aɖewo le aɖuɖɔ me, abe protein kple ʋu ene, be woatsɔ ade dzesi nusiwo mesɔ o ɖesiaɖe si ate ŋu afia be dɔléle alo dɔlékui aɖe le ame ŋu.
• Ayikuwo ƒe Dɔwɔwɔ Dodokpɔwo / Ayikuwo ƒe Dɔwɔwɔ Dodokpɔwo: Dodokpɔ siawo ɖea alesi wò ayikuwo le dɔ wɔm nyuie fiana. Woyɔa ʋudodokpɔ ɖeka be `(Creatinine).` Esia ateŋu ada ayiku ƒe dɔwɔwɔ kpɔ eye wòakpɔ alesi wò ayikuwo le gbeɖuɖɔwo ɖem le wò ʋu me nyuie.

Nukae nye dɔléle siwo do ƒome kple Ayiku ƒe lãkusi ƒe atikewo?

Dɔléle siwo gblẽa nu le wò ayiku kple ayiku ƒe lãkusi ŋu dada nɔ te ɖe nɔnɔme si le ŋuwò dzi. Le kpɔɖeŋu me, ne dɔlékui aɖe le ŋuwò la, wò ɖɔkta aŋlɔ dɔlékuiwutikewo na wò.

Ne nane le ŋuwò si wòle be woaɖe ɖa, abe ayiku me kpe, dɔdzẽ, alo kansa ene la, ahiã be woawɔ dɔ na wò alo awɔ dɔ na wò.

Aleke mawɔ ana nye ayikuwo nanɔ lãmesẽ me? Ele vevie ŋutɔ!

Ele vevie be nàdo wò ayikuwo kpɔ edziedzi be nàlé ŋku ɖe wò ayikuwo ƒe lãmesẽ ŋu. Esia le vevie ŋutɔ ne lãmesẽkuxiwo abe ʋusɔgbɔdɔ, lolo akpa, kple suklidɔ ene le ŋuwò. Àte ŋu aɖe ayiku me kuxiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ to:

• Ƒo asa na atamanono alo dzudzɔ. Ðe wòsɔ be míagblɔ nya sia gɔ̃ hãa?
• Ðe dze si gbɔ eme ɖuɖu dzi kpɔtɔ. Esia ate ŋu akpɔ ŋusẽ ɖe mineral siwo da sɔ le wò ʋu me dzi.
• No tsi geɖe. Esia kpena ɖe ayikuawo ŋu woɖea aɖinuwo ɖa.
• Dzi kamedede gbesiagbe ɖe edzi. Esia ate ŋu akpe ɖe ame ŋu wòaɖe 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 wò ayiku ŋu.
• Lé lolo si sɔ me ɖe asi.
• Lé ŋku ɖe wò ʋu ƒe sisi ŋu edziedzi. Esia akpe ɖe ŋuwò nàde dzesi dzidzenu ɖesiaɖe si kɔ wu alesi nèkpɔ mɔe kaba.
• Lé be na sukli ƒe agbɔsɔsɔ le wò ʋu me eye nàna wò suklidɔa naɖu edzi.

Vovototo kae le (Renal Cortex) kple (Renal Medulla) dome?

Ayiku la nye lãmenugbagbevi siwo me ʋuʋudedi le. Woyɔa esia be ayiku ƒe lãkusi . Akpa eve siwo woyɔna be cortex kple medulla ye le eme. Abe alesi míegblɔe va yi ene la, ayiku ƒe lãkusi nye ayiku ƒe akpa si le gota, eye ayiku ƒe akpa si le eme.

`(Renal Cortex)` nye nuku vie le dzɔdzɔme nu. `(Medulla)` la le gbadzaa wu.

Togbɔ be ʋukawo le akpa eveawo siaa ŋu hã la, glomeruli, ʋuka siwo le tsatsam, kple ʋukawo le lãkusia me. Esia tae eƒe dzedzeme le abe lãgbalẽgolo ene ɖo. Tubu siwo le medulla me la le dzɔdzɔe vie eye woyɔa wo be collecting tubules (elabena woƒoa aɖuɖɔ nu ƒu). Henle ƒe loops , alo tubules nuƒoƒoƒu ƒe akpa siwo le abe U ene hã le medulla la ŋu.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ le ayiku me kuxiwo ŋu?

Ne èsusu be ayiku me kuxi aɖe le ye ŋu la, ele be nàyi ɖɔkta gbɔ godoo. Àte ŋu akpɔ dzesiwo abe esiawo ene:

• Tɔtrɔ le wò aɖuɖɔ me (abe ʋu si le wò aɖuɖɔ me alo amadede ɣi aɖe ene) alo tɔtrɔ le wò aɖuɖɔtoe me (abe alesi wòhiã be nàyi nugododeƒe zi geɖe alo vevesese ne èle aɖuɖɔ tom ene).
• Ŋutilã si ƒu alo esi le ʋuʋum.
• Ðeɖiteameŋu si gbɔ eme.
• Ʋusɔgbɔdɔ (Hypertension).
• Lãmetsiwo ƒe ʋuʋu.
• Nuɖuɖu ƒe dzodzro ƒe bu alo ga ƒe vivi si le nuɖuɖu me.
• Dɔgbo ƒe vevesese alo ʋuʋudedi.
• Vuvu, vevietɔ le afɔkpodzi alo asiwo ŋu.

Ne dɔléle aɖewo le ŋuwò la, wò ɖɔkta ate ŋu abia be woado ayiku ƒe dɔwɔwɔ kpɔ edziedzi:

• Ne ayikudɔ le ame aɖe ŋu le ƒomea me kpɔ.
• Suklidɔ.
• Dzidɔ.
• Ʋusɔgbɔdɔ.
• Lolo akpa alo lolo akpa.
• Ne èle atike aɖewo nom edziedzi (e.g., ʋusɔgbɔdɔ ƒe atikewo).

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Eyata ne èdi be yealé be na wò ayikuwo la, ele be nàdze wò lãmesẽ bliboa dzi kpɔkpɔ gɔme gbã. Ema fia beKpɔ wò ʋu ƒe sisi kple sukli ƒe agbɔsɔsɔ dzi, no tsi geɖe, ɖu nu nyuie. Azɔ hã , dɔ alɔ̃ nyuie eye nàde kame. Ne ède dzesi tɔtrɔ aɖewo le wò aɖuɖɔtoeme alo vevesese aɖe ŋu la, ƒo nu tso eŋu na wò ɖɔkta eye nàwɔ dɔ aduadu akpɔ egbɔkpɔnu. Ðo ŋku edzi be míaƒe ayikuwo nye dɔwɔla siwo mewɔa nu o, eyata ehiã be míalé be na wo nyuie!

` Ayiku, ayiku ƒe lãkusi, ayiku ƒe lãkusi, ayiku ƒe dɔléle, ayiku ƒe dɔwɔwɔ, aɖuɖɔtoe ƒe ɖoɖo, ayiku ƒe lãmesẽ