Ayikudɔ kple ʋusɔgbɔdɔ (Ʋusɔgbɔdɔ le CKD me): Mina míanya nu tso ƒomedodo sia ŋu nyuie

Ne wò ɖɔkta gblɔ na wò be ayikudɔléle si nɔa anyi didi (CKD) le ŋuwò la, ɖeɖiteameŋu si gbɔ eme ƒe seselelãme ɣesiaɣi, vevesese si nèsena ne èlia atrakpui, kple ŋusẽ ƒe anyimanɔmanɔ be nàwɔ naneke awɔ nuku na wò. Ame geɖe susuna be esia nye ayikudɔléle ƒe akpa aɖe. Nyateƒee, gake nusi koŋ gbɔ dzesi siawo dometɔ geɖe tsona ate ŋu anye ʋu ƒe agbɔsɔsɔ si le wò ŋutilã me ƒe ɖiɖi, si míeyɔna le atikewɔwɔ me be ʋusɔgbɔdɔ. Kadodo kae le ayiku kple ʋu ƒe ɖiɖi le ŋutilã me dome? Egbea, míaƒo nu tso esia ŋu bɔbɔe ŋutɔ, le mɔ si gɔme nàte ŋu ase nu.

Nukatae ame siwo ŋu ayikudɔ le ƒe ʋu mesɔ gbɔ o? Susu vevi aɖewo

Kpuie ko la, oxygen hiã vevie hafi lãmenugbagbevi kple ŋutinu ɖesiaɖe si le míaƒe ŋutilã me nanɔ agbe ahawɔ dɔ nyuie. Míaƒe ʋumenugbagbevi dzĩwo tsɔa ɔksidzin xɔasi sia tso lãkusi me yia ŋutilã bliboa me. Protein si le ʋumenugbagbevi dzĩ siawo me si woyɔna be hemoglobin ye blana ɖe oxygen la ŋu.

Azɔ bu eŋu kpɔ, ʋu siawo siwo woyɔna be ʋumenugbagbevi dzĩwo tsina eye wogblẽna le ɣeyiɣi aɖe megbe. Eyata míaƒe ŋutilã le ʋumenugbagbevi dzĩ yeyewo wɔm ɣesiaɣi be yeatsɔ axe fe ɖe gbɔdzɔgbɔdzɔ sia ta. Dɔwɔƒe si wɔa ʋumenugbagbevi dzĩ siawoe nye míaƒe ƒumeŋuɖui. Ke hã, sedede be "woadze ʋumenugbagbevi dzĩwo wɔwɔ gɔme fifia" la nye esi míaƒe ayikuwo naa dɔwɔƒe sia si woyɔna be ƒumeŋuɖui. Ne ayikudɔ gblẽ wo la, nuwɔna sia katã metoa mɔ ɖeka o. Edzɔna le mɔ vevi etɔ̃ nu.

Susu 1: ‘Dzesi’ si woatsɔ awɔ ʋumenugbagbevi dzĩwo ƒe bu

Lãmenugbagbevi tɔxɛ siwo le míaƒe ayiku me léa ŋku ɖe oxygen ƒe agbɔsɔsɔ si le míaƒe ʋu me ŋu ɣesiaɣi. Ne ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ le míaƒe ʋu me eye oxygen ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ la, lãmenugbagbevi siawo dea dzesi esia eye woɖea lãmetsi aɖe si woyɔna be erythropoietin (EPO) ɖe ʋua me. EPO lãmetsi sia yia ƒumeŋuɖui me eye wògblɔna nɛ be, "Enyo, mina míadze dɔ gɔme, awɔ ʋumenugbagbevi dzĩ geɖe."

Ne ayikudɔ si nɔa anyi didi (CKD) le ŋuwò la, wò ayikuwo gblẽna vivivi. Le nusiwo gblẽ alea ta la, wò ayikuwo mete ŋu dea dzesi oxygen ƒe agbɔsɔsɔ si bɔbɔ o eye wowɔa lãmetsi si nye EPO o. Ne EPO megali o la, ƒumeŋuɖui mexɔa gbedasia o. Eyata ʋumenugbagbevi dzĩwo ƒe wɔwɔ dzi ɖena kpɔtɔna ŋutɔ. Ne womete ŋu wɔ ʋumenugbagbevi dzĩ yeyewo be woawɔ ɖeka kple amesiwo kuna ƒe xexlẽme o la, ʋumenugbagbevi dzĩwo, alo ʋusɔgbɔdɔ, meganɔa ŋutilãa me o.

Susu 2: Ʋumenugbagbevi dzĩwo ƒe agbenɔƒe dzi ɖe kpɔtɔ

Zi geɖe la, ʋumenugbagbevi dzĩ aɖe si le ame si le lãmesẽ me me nɔa agbe abe ŋkeke 120 ene . Le ema megbe la, wotsrɔ̃nɛ eye wotsɔa yeye ɖoa eteƒe.

Gake le aɖi aɖewo siwo ƒoa ƒu ɖe amesi ŋu ayikudɔ le ƒe ʋu me ta la, nɔnɔme nyui aɖeke menɔa ʋumenugbagbevi dzĩ siawo si woanɔ o. Esia wɔnɛ be woƒe agbenɔƒe dzi ɖena kpɔtɔna va ɖoa abe ŋkeke 70-80 ene . Ema fia be le esi teƒe be woalala ʋumenugbagbevi dzĩ yeyewo nado la, xoxoawo kuna kaba. Esia hã nye susu bubu si nana ʋusɔgbɔdɔ dzina ɖe edzi.

Susu 3 lia: Iron kple nunyiame ƒe anyimanɔmanɔ

Iron ye nye nu vevitɔ si hiã be woatsɔ awɔ ʋu si woyɔna be ʋumenugbagbevi dzĩwo. Iron manɔmee la, womate ŋu awɔ hemoglobin o. Ne hemoglobin meli o la, womate ŋu atsɔ oxygen o.

Míekpɔa iron tso nuɖuɖuwo abe amagbe dama siwo ƒe aŋgbawo le abe peas, spinach, kple ŋdi me nuku siwo ŋu ŋusẽ le ene me. Gake iron ƒe veve le amesiwo ŋu ayikudɔ sesẽ le ƒe afã lɔƒo. Susu geɖe ate ŋu anɔ esia ta.

• Iron si mesɔ gbɔ o si womeɖuna le nuɖuɖu me o: Ɣeaɖewoɣi la, ahiã be ayikudɔlélawo naxe mɔ ɖe woƒe nuɖuɖu nu, si ate ŋu ana nuɖuɖu siwo me iron sɔ gbɔ ɖo ƒe anyimanɔmanɔ.
• Iron ƒe xɔxlɔ̃ dzi ɖeɖe kpɔtɔ: Ayikudɔ ate ŋu aɖe ŋutilã ƒe ŋutete be wòaxɔ iron tso dɔgboa me dzi akpɔtɔ.
• Ʋu ƒe gege le lãme na ame: Ʋudodokpɔ enuenu nana ʋu le dodom le ŋutilãa me vivivi. Azɔ hã, ne wole ʋuɖɔɖɔdɔ wɔm na ame aɖe la, ʋu kple gayibɔ aɖe buna le ŋutilãa me le dɔ ma wɔwɔ me.

Tsɔ kpe ɖe iron ŋu la, nunyiamewo abe vitamin B12 kple folate (Folate/Vitamin B9) hã le vevie na ʋumenugbagbevi dzĩwo ƒe wɔwɔ nyuie. Nunyiame siawo hã medea ayikudɔléla aɖewo hã o.

Nu bubu siwo gblẽa nu le ʋusɔgbɔdɔ ŋu

Tsɔ kpe ɖe nu vevi siawo siwo gbɔ wòtsona ŋu la, nu bubu geɖewo ate ŋu akpɔ ŋusẽ ɖe ayikudɔléla ƒe ʋusɔgbɔdɔ dzi.

• Dɔlékuiwo xɔxɔ enuenu
• Dzoxɔxɔ si nɔa anyi didi le ŋutilãa me: Esia nana ŋutilãa ɖea atike siwo woyɔna be cytokines, siwo ɖea ƒumeŋuɖui ƒe dɔwɔwɔ dzi kpɔtɔna.
• Nunyuimakpɔɖui

Amekawoe ʋusɔgbɔdɔ ƒe afɔku le wu?

Menye amesiame si ŋu ayikudɔ le akpɔ ʋusɔgbɔdɔ ƒe agbɔsɔsɔ ma ke o, gake ame aɖewo ya le afɔku me wu.

• Ne nyɔnue nènye
• Ne suklidɔ le ŋuwò
• Ne wò ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ ŋutɔ alo mele dɔ wɔm o

Ne ʋusɔgbɔdɔ ƒe dzesiwo le ŋuwò (ɖeɖiteameŋu, gbɔdzɔgbɔdzɔ, ŋutigbalẽ si le ɣie, taɖuame) la, wò ɖɔkta ate ŋu aɖe gbe be woaxlẽ ʋu bliboe ahadoe kpɔ be wò iron ƒe agbɔsɔsɔ. Esiae afia atike si nèhiã. Atike aɖewo li na esia, abe gayibɔtikewo kple lãmetsi si nye EPO dodo ɖe lãme ene.