Ðe gbeɖuɖɔwo sɔ gbɔ akpa le wò ʋu mea? Woyɔa esia be Azotemia!

Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣi eye wòsesẽna na wò be nàɖe aɖuɖɔa? Alo ɖe ɖɔkta aɖe lé ŋku ɖe wò ʋudodokpɔ ŋu hegblɔ nya aɖe abe, "Gbeɖuɖɔ ʋɛ aɖewo kpee le wò ʋu me" kpɔa? Esiawo ate ŋu anye nɔnɔme aɖe si woyɔna be azotemia ƒe dzesiwo. Mina míaƒo nu tso esia ŋu tsitotsito, elabena ele vevie ŋutɔ na míaƒe ayikuwo ƒe lãmesẽ.

Kpuie ko la, azotemia nye nɔnɔme si me gbeɖuɖɔ siwo le wò ʋu me, vevietɔ gbeɖuɖɔ siwo me nitrogen le, dzina ɖe edzi akpa. Gbeɖuɖɔ siawo dzɔna ne protein siwo le nuɖuɖu si míeɖuna me la me gblẽ. Wodzɔna le wò aklã me gbã. Emegbe wotoa wò ʋukawo me yia wò ayikuwo me. Ayiku siwo le lãmesẽ me ɖea gbeɖuɖɔ siawo ɖa le wò ʋu me eye woɖea wo doa goe le wò aɖuɖɔ me. Eyata ne wò ayikuwo mele dɔ wɔm nyuie o la, gbeɖuɖɔ siawo ƒoa ƒu ɖe wò ʋu me. Emae nye nusi míeyɔna be azotemia.

Azotemia ƒomevi vevi kawoe nye?

Azotemia ƒomevi vevi etɔ̃e li. Na míalé ŋku ɖe nusiwo wonye ŋu. Woda nusiawo ɖe hatsotsowo me le afisi kuxia le na gbeɖuɖɔawo le dzidzim ɖe edzi le nu.

1. Do ŋgɔ na ayiku ƒe Azotemia

Esiae nye ƒomevi si bɔ wu. Edzɔna ne wò ayikuwo mexɔ ʋu nyuie o. Bu eŋu abe tsifamɔ̃ si me tsi si sɔ mele be wòawɔ dɔ o ene. Ne naneke megblẽ le wò ayikuwo ŋu o hã la, ne womekpɔ ʋu nyuie o la, womate ŋu akɔ gbeɖuɖɔwo me o.

Nusiwo ate ŋu ahe esia vɛ enye:

• Ʋu ƒe gege vevie (e.g., ʋu si dona le abi gã aɖe me, amekoko) .
• Tsi ƒe gege ɖe lãme na ame, si nye tsi ƒe vɔvɔ (e.g., tsi nono nyuie, fifia fũ, ʋuʋudedi, aɖuɖɔtoe) .
• Dzi ƒe dɔmawɔmawɔ nyuie nye ne dzia mekɔa ʋu nyuie o.
• Tɔtrɔ siwo vaa ŋutilã ƒe tsi ƒe agbɔsɔsɔ me le aklãdɔ (aklã ƒe dɔmawɔmawɔ nyuie) ta.
• Atike aɖewo zazã atraɖii kple esiwo gbɔ eme, le kpɔɖeŋu me, vevesesenutsitikewo abe ibuprofen kple aspirin ene.
• Ʋu ƒe sisi yi ayikuwo me dzi ɖe kpɔtɔ le atikewɔwɔ ƒe nɔnɔme bubuwo ta.

2. Azotemia si le ame ŋutɔ me

Zi geɖe la, esia ƒomevi dzɔna ne ayikuawo ŋutɔ gblẽ. Ema fia be nane gblẽ le ayikuawo ŋutɔ ŋu. Esia kpɔa ŋusẽ ɖe ayiku ƒe ŋutete be wòaɖe tsi dzi tẽ.

Susu veviawo ate ŋu anye:

• Dɔlékui siwo gblẽa nu le ayikuwo ŋu.
• Ayiku ƒe gbegblẽ le dɔlékui sesẽwo abe sepsis ene ta.
• Ʋu ƒe sisi le ayikuwo me.
• Atike aɖewo, vevietɔ atike siwo wozãna tsɔ daa dɔlékuiwo kple dɔlékuiwutike aɖewo.
• Nusiwo gblẽna le ayiku ƒe lãmenugbagbeviwo ŋu le aɖinuwo abe atike vɔ̃ɖiwo, aha sesẽ, kple nudzodzoeviwutike aɖewo ta.
• Nusiwo gblẽ le glomeruli, si nye ayiku ƒe akpa siwo tsia tsia me ŋu.

3. Azotemia si le ayiku megbe

Esia dzɔna ne xexe aɖe xe le wò aɖuɖɔtoe ƒe akpa aɖe. Ele abe tsidzɔƒe si xe ene, si na tsi ƒo ƒu ɖe wò tsinyegoe me. Xexe siawo ate ŋu anɔ tsinyegoewo me, mɔ̃ siwo le wò ayiku kple tsinyegoe dome, wò tsinyegoe me, alo wò tsinyegoe me. Ne aɖuɖɔ mete ŋu do go o la, egatrɔna yia wò ayikuwo me, si gblẽa nu le ŋuwò.

Susu siwo bɔ wue nye:

• Aɖuɖɔtoe me dɔlékuiwo (UTIs) ƒe vuvu.
• Tsinyegoe me kpewo alo tsinyegoe me kpewo.
• Kansa ƒomevi aɖewo (e.g. prostate cancer, vidzidɔ me kansa).
• Ŋutsuwo ƒe ʋuka si me ʋu sina tona ƒe lolome (benign prostatic hyperplasia).

Ðe Azotemia sɔ kple Ayiku ƒe Dɔmawɔmawɔ nyuiea?

Ao, azoteemia mesɔ kple ayiku ƒe dɔmawɔmawɔ nyuie o. Gake ayiku ƒe dɔmawɔmawɔ nyuie koŋue hea azotemia vɛ. Eyae nye be ne ayikuawo mewɔ dɔ nyuie o la, gbeɖuɖɔwo ƒoa ƒu ɖe ʋua me, si nye nusi azotemia nye. Ayiku ƒe dɔmawɔmawɔ nyuie nye nɔnɔme si keke ta wu, si me ayiku ƒe dɔwɔwɔwo katã ate ŋu agblẽ le. Azotemia nye ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesi ɖeka ko.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, azotemia nye dɔléle si bɔ wu alesi nàsusui. Wokpɔe be dɔnɔ siwo woxɔ ɖe kɔdzi ƒe akpa gã aɖe, si ade 16%, ŋu dɔléle sia le. Eyata ele vevie ŋutɔ be míanya esia.

Nukawoe nye Azotemia ƒe dzesiwo?

Zi geɖe la, ɖewohĩ màde dzesi dzesi gã aɖeke o vaseɖe esime nɔnɔmea nu sẽ ɖe edzi. Ðewohĩ ame aɖewo maɖe dzesi aɖeke gɔ̃ hã afia kura o. Le nɔnɔme mawo me la, ne ele dɔléle bubu aɖe dom kpɔ ko hafi ɖɔkta ate ŋu ake ɖe eŋu.

Gake ame aɖewo ate ŋu akpɔ dzesi siawo tɔgbe:

• Aɖuɖɔ si dona ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna ŋutɔ.
• Sese le eɖokui me be ɖeɖi te ye ŋu vevie (ɖeɖiteameŋu), be yemate ŋu awɔ naneke o.
• Nɔnɔme si me womete ŋu tsɔa susu ɖoa nu ŋu o, tɔtɔ ƒe seselelãme.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe), sese le ɖokuiwò me be yeagbɔdzɔ ne èle atrakpui ʋɛ aɖewo liam gɔ̃ hã.
• Akɔtave.
• Vuvu, vevietɔ le afɔ, afɔkpodzi, kple afɔwo me (edema).
• Dzi ƒe tsotso ƒe masɔmasɔ (arrhythmia), dzi ƒe tsotso ƒe tsɔtsɔme ƒe tɔtrɔ.
• Nuɖuɖua mevivina o.

Ne nɔnɔmea nu sẽ la, alɔ̃madɔmadɔ alo alɔ̃madɔmadɔ ate ŋu adzɔ. Eyata ele vevie ŋutɔ be míalé ŋku ɖe dzesi siawo ŋu. Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake.

Nukawoe hea Azotemia vɛ?

Nusiwo hea azotemia vɛ nɔ te ɖe ƒomevi si le ŋuwò dzi. Mina míalé ŋku ɖe nusiwo gbɔ wòtso siwo do ƒome kple ƒomevi etɔ̃ siwo ŋu míeƒo nu tsoe va yi ŋu tsitotsito.

• Do ŋgɔ na ayiku ƒe Azotemia:Zi geɖe la, esia dzɔna ne abi alo dɔléle aɖe le ŋutilãa me gblẽ nu le ʋu si sina yia ayikuwo me ŋu. Le kpɔɖeŋu me:
• Tsikuɖiɖi. Esia ateŋu atso nuwo abe tsinono, fifia geɖe (e.g., ne wole kame dem le ŋdɔ me, kamedede), ʋuʋudedi, alo aɖuɖɔtoe gbɔ.
• Ʋu si dona le lãme na ame.
• Dzobibi sesẽwo.
• Dzi ƒe dɔmawɔmawɔ nyuie.
• Aklãdɔ (aklã ƒe dɔmawɔmawɔ nyuie).

• Azotemia si le ame ŋutɔ me: Esia dzɔna ne ayiku ƒe wɔwɔmewo abe fine filters (glomeruli), mɔ̃ sue siwo kpena ɖe ame ŋu wògbugbɔa tsi, nunyiame, kple mineral (ayiku ƒe ʋukawo), kple ʋuka siwo le ayiku me (ayiku ƒe ʋukawo) me la gblẽ.
• Nɔnɔme siwo hea abi vɛ, le kpɔɖeŋu me, dɔlélewo abe ʋukawo ƒe dɔléle ene.
• Ayiku me dɔlékuiwo.
• Aɖinuwo (e.g., atike aɖewo, ga kpekpewo).
• Nusiwo ʋu sina yia ayiku me dzi ɖe kpɔtɔ ɣeyiɣi didi (hypoperfusion) hena vɛ.

• Postrenal Azotemia: Zi geɖe la, esia dzɔna le aɖuɖɔtoe alo tsinyegoe ƒe xexe ta.
• Aɖuɖɔtoe me dɔlékuiwo (UTIs) ƒe vuvu.
• Kpe siwo le tsinyegoe me.
• Hydronephrosis - Ayikuwo ƒe lolome le aɖuɖɔtoe ƒe ʋuʋu ta.
• Ŋutsuwo ƒe ʋuka si me ʋu sina tona ƒe lolome (benign prostatic hyperplasia).
• Kansa si le aɖuɖɔtoe me.

Ðe Azotemia sɔ kple Tsikuɖiɖia?

Ao, ame eve siawo mesɔ o. Gake tsikuɖiɖi nye nu vevi aɖe si hea azotemia si do ŋgɔ na ayiku vɛ. Eyae nye be ne tsi mesɔ gbɔ le ŋutilãa me o la, ʋu si sina yia ayikuawo me dzi ɖena kpɔtɔna, si ate ŋu ana azotemia nadze ame dzi.

Nusiwo ate ŋu ana tsi vɔ le lãme na ame enye:

• Tsi si sɔ nono.
• Fifia geɖe (e.g. ne èle kame dem le ŋdɔ me, kamedede).
• Ʋuʋudedi.
• Dɔmetɔtrɔ.
• Atike aɖewo, le kpɔɖeŋu me, aɖuɖɔtoemetikewo (si woyɔna hã be tsitikewo).

Ðe esia nye dɔléle si xɔa ame mea?

Ao, Azotemia menye dɔléle si xɔa ame me o. Màte ŋu akakae na ame bubu o.

Ameka dzie nɔnɔme sia gblẽ nu le wu?

Azotemia ate ŋu adze ame sia ame dzi. Gake ate ŋu adzɔ wu ne èxɔ wu ƒe 65. Amesiwo ŋu dɔléle siwo nɔa anyi didi abe suklidɔ kple ʋusɔgbɔdɔ ene le hã le afɔku me wu.

Nukawoe nye kuxi siwo ate ŋu ado tso Azotemia me?

Ne womewɔ atike na azotemia nyuie o la, gbeɖuɖɔ siwo le ʋua me ate ŋu aƒo ƒu ɖe ʋua me wòade afɔku me. Woyɔa esia be uremia. Zi geɖe la, ayikudɔléle si nɔa anyi didi (CKD) gbɔe uremia tsona. Ne womewɔ atike na uremia o la, ate ŋu awu ame.Azɔ hã, kuxi bubuwo abe dzidɔ kple lãmekawo ƒe dɔwɔwɔ ƒe kuxiwo ene ate ŋu ado mo ɖa.

Vovototo kae le Azotemia kple Uremia dome?

Esiawo evea siaa nye nɔnɔme siwo do ƒome kple ayiku.

• Azotemia nye nitrogen kple gbeɖuɖɔ bubuwo ƒe agbɔsɔsɔ fũ le ʋua me. Woate ŋu ade dzesi esia to dodokpɔ le nudokpɔƒe me.
• Uremia nye dɔléle si ƒe dzesi enye be urea kple gbeɖuɖɔ bubuwo sɔ gbɔ ɖe ʋua me. Ne míagblɔe bubui la, ne azotemia ƒe nɔnɔmea nu sẽ eye dzesiwo abe ʋuʋudedi, ʋuʋudedi, ɖeɖiteameŋu, kple tɔtɔ ene do mo ɖa la, woyɔnɛ be uremia.

Kpuie ko la, Azotemia nye gbeɖuɖɔ siwo le ʋu me ƒe dzidziɖedzi, eye Uremia nye dzesiwo ƒe dzedzeme kple nɔnɔmea ƒe gbegblẽ ɖe edzi le gbeɖuɖɔ mawo ta.

Aleke wokpɔa Azotemia ƒe dɔléleae?

Aɖuŋutinunyalae nye ame nyuitɔ kekeake si ate ŋu anya dɔléle sia ahadae. Axɔ wò atikewɔwɔ ŋutinya, abia wò dzesiwo, eye wòado wò ŋutilã kpɔ. Ne wosusu be azotemia le lãme na ame la, abia be woado ʋu me urea nitrogen (BUN) kpɔ eye woado creatinine kpɔ. Creatinine nye gbeɖuɖɔ si lãmekawo ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ wɔna. Esiawo dometɔ ɖesiaɖe ƒe agbɔsɔsɔ fũ nye dzesi be wò ayikuwo mele dɔ wɔm nyuie o.

Ne ʋu ƒe dodo le ŋuwò alo nèle atike aɖewo zãm la, ele be nàgblɔe na wò ɖɔkta hafi awɔ BUN dodokpɔ. Dodokpɔ sia bia be nàɖe ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me atsɔe ayi dodokpɔxɔ me.

Nukae nye BUN ƒe agbɔsɔsɔ si wobuna be enye Azotemia?

Urea nitrogen (BUN) ƒe agbɔsɔsɔ si sɔ le ʋu me la toa vovo le ƒe si nèxɔ kple ŋutsu alo nyɔnu nyenye nu. Ne dodokpɔxɔa ƒe nyatakaka ɖe asixɔxɔ si lolo wu esi sɔ gbɔ fia la, ate ŋu anye azotemia.

Azɔ hã, ɖɔkta aɖe akpɔ wò serum creatinine ƒe agbɔsɔsɔ. Asixɔxɔ si sɔ le ema hã ŋu, le wò ƒexɔxɔ kple ŋutsu alo nyɔnu nyenye nu. Ne ekɔ wu ema la, efia be ayiku me kuxi aɖe le eŋu.

Nukae nye BUN ƒe agbɔsɔsɔ si fia be ayiku ƒe dɔmawɔmawɔ nyuie?

Ðɔktawo menɔa te ɖe BUN ƒe agbɔsɔsɔ ɖeɖeko dzi dea dzesi ayiku ƒe dɔmawɔmawɔ nyuie o. Gake ne wò BUN kple creatinine siaa ƒe agbɔsɔsɔ sɔ gbɔ wu alesi wòle dzɔdzɔmee sã, eye dzesi bubuwo le ŋuwò la, ate ŋu anye ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesi.

Dodokpɔ bubu kawoe wowɔna tsɔ dea dzesi Azotemia?

Ðɔkta ate ŋu awɔ dodokpɔ bubu geɖe:

• Aɖuɖɔtoe me dzodzro: Woɖea wò aɖuɖɔ ƒe kpɔɖeŋu aɖe hedonɛ kpɔna le dodokpɔxɔ me be atikewo, proteinwo, ʋumenugbagbeviɣiwo, kple nu bubu siwo menya kpɔna dzea sii bɔbɔe o hã le eme hã.
• Aɖuɖɔ si dona: Esia dzidzea aɖuɖɔ agbɔsɔsɔme si nèto le gaƒoƒo 24 me.
• Nɔnɔmetatawo dodokpɔ: Woate ŋu awɔ CT scan alo ultrasound scan be woalé ŋku ɖe wò ayiku, tsinyegoe, kple tsinyegoe ŋu nyuie. Esiawo ate ŋu adi nusiwo xe mɔ na wò, kpewo, alo wò ayiku ƒe lolome kple nɔnɔme.
• Ayiku me ɖeɖe: Ɣeaɖewoɣi la, wowɔa dodokpɔ sia be woatsɔ anya nusiwo tututu gblẽ le wò ayiku ŋu. Esia bia be nàtso wò ŋutigbalẽ sue aɖe eye nàzã aŋe sue aɖe atsɔ aɖe lãkusi sue aɖe ŋutɔ tso wò ayiku me. Emegbe woɖonɛ ɖe dodokpɔxɔ aɖe be woadoe kpɔ.

Aleke wodaa Azotemia?

Azotemia dada nɔ te ɖe dɔlélea ƒomevi si le ŋuwò, nusi gbɔ wòtso, kple alesi dɔlélea nu sẽe dzi. Nu vevitɔe nye be woada kuxi si gbɔ azotemia la tso. Ðɔkta awɔ dodokpɔwo atsɔ anya nusi gbɔ wòtso. Atikewɔwɔ ƒe tiatia ate ŋu anye:

• Lãmetsi siwo wodona ɖe ʋuka me: Lãmetsi siwo wodona ɖe ʋuka me tsɔ daa tsikuɖiɖi. Esia nana ʋu sina yia ayikuawo me dzina ɖe edzi, si wɔnɛ be wònɔa bɔbɔe be woaɖe gbeɖuɖɔwo ɖa.
• Atikewo:
• Diuretics - ɖea tsi si sɔ gbɔ ɖe ŋutilã me ɖa.
• Ʋu ƒe sisi dzi ɖuɖu ƒe atike.
• Adrenergic atikewo - Esiawo ƒe ŋusẽkpɔɖeamedzi sɔ kple adrenaline (epinephrine) eye ɣeaɖewoɣi kpena ɖe ʋu ƒe sisi ɖe ayiku ŋu dzina ɖe edzi.
• Corticosteroids - ɖea ayiku me dɔdzẽ dzi kpɔtɔna.
• Plasma volume expanders - atike siwo kpena ɖe ame ŋu be ʋumenugbagbeviɣi gagbugbɔna ne ʋu geɖe bu.
• Aɖuɖɔtoe me stenting: Ne tsinyegoea xe la, wotsɔa mɔ̃ sue aɖe dea eme be wòakpe ɖe aɖuɖɔ ŋu wòatso ayikuawo me ayi tsinyegoea me.
• Dialysis: Wozãa mɔnu sia tsɔ ɖea gbeɖuɖɔwo ɖa le ʋua me ne ayikuawo mele dɔ wɔm nyuie o. Woate ŋu awɔ esia hena ɣeyiɣi aɖe alo ɣeyiɣi didi aɖe.

Nukae dzɔna ne Azotemia le ŋunye?

Ne wokpɔ dɔlélea dze sii kaba eye wodae nyuie la, ame akpa gãtɔ ate ŋu ahaya. Vevietɔ ne wokpɔ kuxi si hea azotemia do ŋgɔ na ayiku alo ayiku megbe gbɔ la, ayikuawo ate ŋu ahaya.

Gake ne womewɔ atike na azotemia o la, ate ŋu ana dɔléle sesẽ bubuwo, abe ayikudɔ si nɔa anyi didi (CKD) ene , xɔxɔ ƒe afɔkua nadzi ɖe edzi, eye ate ŋu ana ame naku gɔ̃ hã. Eyata ele vevie ŋutɔ be nàwɔ ɖe atikewɔwɔ ƒe ɖoɖo si wò ɖɔkta na wò dzi pɛpɛpɛ.

Ðe woate ŋu axe mɔ ɖe Azotemia nua?

Ẽ, àte ŋu akpe ɖe ŋuwò nàxe mɔ ɖe azotemia ƒe dzɔdzɔ nu ne èlé be na wò ayikuwo eye nèwɔ ɖe aɖaŋuɖoɖo siawo dzi:

• Zã atike aɖewo kple ŋuɖɔɖɔɖo:Atike aɖewo, abe nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen), dɔlékuiwutike aɖewo (e.g., penicillin, sulfonamides), kple gbetike aɖewo, ate ŋu agblẽ nu le wò ayiku ŋu ne èno wo le agbɔsɔsɔ gã me. Mèganɔ atike siawo nom atraɖii ne mèbia wò ɖɔkta o. Bia wò ɖɔkta tso atike ƒe agbɔsɔsɔme si le dedie ŋu na wò.
• Da ʋu si dona le ame ŋu: Ne ʋu si sina yia ayikuwo me dzi ɖe kpɔtɔ la, prerenal azotemia ate ŋu adze ame dzi. Ne abi aɖe le eŋu la, tsɔ aŋe blae eye nàblae sesĩe. Ne abi sesẽ aɖe le ŋuwò la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
• Dzra ayikudɔléle kpɔ: Ne ayikudɔ le wò ƒomea me la, anyo be nàbia wò ɖɔkta nenye be èle afɔku me. Ele be woado amesiwo ŋu suklidɔ kple ʋusɔgbɔdɔ le ƒe ayikuwo kpɔ edziedzi.
• Ƒo asa na tsikuɖiɖi: Ele be ame tsitsi nano tsi abe kplu 8 (lita 2-3) gbesiagbe. Ele be wò aɖuɖɔ nakɔ alo wòanye ɣie. Ne edo viviti wu la, ele be nàno tsi geɖe. No tsi geɖe, vevietɔ le ŋkeke siwo dzi yame xɔ dzo kple ne èle kame dem.
• Kpɔ wò ahanono dzi: Aha ate ŋu agblẽ nu le wò ayiku ŋu eye wòagblẽ nu le ʋu ƒe sisi ŋu. Ate ŋu ana tsi nagbɔdzɔ hã. Ele be nyɔnuwo nano aha si mede ɖeka o gbesiagbe. Ele be ŋutsuwo nanye esiwo mede eve o.
• Ƒo nuɖuɖu si naa lãmesẽ si sɔ na wò: Ƒo atikutsetse, amagbe, kple nuku gbogbo aɖewo. Ðe dze (sodium) si nèɖuna dzi kpɔtɔ. Dze ɖuɖu fũ ate ŋu ana ʋu nasɔ gbɔ, si ate ŋu agblẽ nu le wò ayiku ŋu, eye wòana kpewo xɔxɔ ƒe afɔkua nadzi ɖe edzi.
• De kame edziedzi: Ele be nàde kame aɖabaƒoƒo 30 ya teti gbesiagbe, ŋkeke 5 va ɖo 7 le kwasiɖa me. Esia ate ŋu akpe ɖe ame ŋu hã be woaɖu suklidɔ kple ʋusɔgbɔdɔ dzi.
• Dzudzɔ atamanono: Sigaretnono gblẽa nu le ʋukawo ŋu. Ate ŋu akpɔ ŋusẽ ɖe ʋu ƒe sisi yi ayikuwo hã dzi.

Aleke malé be na ɖokuinye?

Ðɔkta awɔ atikewɔwɔ ƒe ɖoɖo si asɔ na wò. Esia ate ŋu alɔ atikewo zazã, agbenɔnɔ ƒe tɔtrɔ, alo atikewɔwɔ gɔ̃ hã ɖe eme. Esia lɔ wò atikewo nono nyuie, tsikuɖiɖi, kple kamedede edziedzi hã ɖe eme. Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ɖɔkta aɖe kpɔe be azotemia le ŋuwò la, ke nɔ ɣeyiɣi siwo me nàkplɔ wò ɖo edziedzi. Azɔ hã, kpɔ wò ɖɔkta ne ède dzesi tɔtrɔ aɖewo le wò dzesiwo ŋu alo ne èva le veve sem yeyee. Gblɔe na wò ɖɔkta hã ne dzesi siwo míeyɔ ɖe etame dometɔ aɖe do mo ɖa.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo dze le ŋuwò la, yi xɔ si me wowɔa dɔ kpata le enumake. Dzesiawo ate ŋu anye:

• Aɖuɖɔ si wotsɔna toa lãme na ame dzi ɖena kpɔtɔna ŋutɔ alo menɔa anyi kura o.
• Vuvu, vevietɔ le afɔkpodzi kple afɔwo me.
• Ga vivi aɖe sese le nu me.
• Ðeɖiteameŋu si gbɔ eme.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Dɔmetɔtrɔ.
• Ƒodo ƒe vevesese.
• Alɔ̃madɔmadɔ.
• Ame ƒe susu ƒe dɔwɔwɔ (coma).

Le ɣeyiɣi siawo tɔgbe me la, atikewɔwɔ kaba ate ŋu axɔ ame ɖe agbe.

Nya kawoe wòle be mabia ɖɔktaa?

Anyo be nàbia nya siawo ne èyi ɖɔkta gbɔ:

• Aleke nàwɔ anya ne Azotemia le ŋunye?
• Ne Azotemia mele ŋunye o la, nɔnɔme bubu kae le ŋunye?
• Dodokpɔ kawoe nèwɔna tsɔ dea dzesi Azotemia?
• Azotemia ƒomevi ka ƒomevie le ŋunye? Nukae hea esia vɛ?
• Atikewɔwɔ kae nèkafu?
• Afɔku alo nugbegblẽ kawoe le atikewɔwɔ si nèkafu me?
• Beléle si akplɔm ɖo ka ƒomevie mahiã le atikewɔwɔ vɔ megbe?
• Ðe nye ayikuwo gblẽ tegbeea?
• Àte ŋu aɖom ɖe aɖuɖɔtoedɔdala aɖea?
• Tɔtrɔ kawoe wòle be mawɔ le nye nuɖuɖu kple agbenɔnɔ me?

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Azotemia nye dɔléle si bɔ si me gbeɖuɖɔwo ƒoa ƒu ɖe wò ʋu me. Esia dzɔna ne abi alo dɔléle aɖe gblẽ nu le wò ayikuwo ŋu eye womete ŋu wɔa dɔ nyuie o.

Esi wònye be zi geɖe la, dzesi aɖeke menɔa eŋu o ta la, ɖewohĩ mànya gɔ̃ hã be dɔléle sia le ye ŋu o. Ate ŋu awɔ nuku na ame ne èva nya nane si le abe esia ene zi ɖeka. Ke hã, ɖɔktawo ate ŋu awɔ dodokpɔwo be woakpɔ nusi gbɔ wòtso eye woana atike nyuitɔ kekeake wò. Ƒo nu kple wò ɖɔkta tso nyabiase alo nu siwo ŋu nètsi dzi ɖo ŋu. Woaɖo wò biabiawo ŋu, ana kpekpeɖeŋu si nèhiã la wò, eye woaɖo aɖaŋu na wò le alesi nàda Azotemia nyuie wu kple alesi nàlé be na wò ayikuwoe ŋu. Eyata mègatsi dzodzodzoe o, wɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo nyuitɔ dzi. Ne ède dzesii kaba eye nèdae nyuie la, ate ŋu akpɔ wò ayiku ta.

` Azotemia, Ayiku, Ʋu ƒe Gbegblẽ, BUN, Creatinine, Ayikudɔ, Nitrogen