Ðe wò ŋkuwo le ɣiea? Mina míasrɔ̃ nu tso bilirubin dodokpɔa ŋu.

Èkpɔ vidzĩ si wodzi yeyee si ƒe ŋutigbalẽ le ɣie vie kpɔa? Alo ame tsitsi aɖe si ƒe ŋku biãa? Zi geɖe la, míeyɔa esia be ‘yellow fever’. Nusi koŋ gbɔ ŋutigbalẽ ɣi sia tsoe nye bilirubin ƒe agbɔsɔsɔ si le ŋutilãa me ƒe dzidziɖedzi. Eyata egbea míaƒo nu tso nusi bilirubin nye, nusita wòle vevie na míaƒe ŋutilã, kple nusianu si ku ɖe bilirubin dodokpɔ si wowɔna be woanya nu tso eŋu ŋu.

Kpuie ko la, nukae nye bilirubin?

Bilirubin nye nusi míaƒe ŋutilã wɔna ɣesiaɣi. Enye amadede si ƒe amadede nye aŋutiɖiɖi. Bu eŋu kpɔ, ʋumenugbagbevi dzĩ siwo le míaƒe ŋutilã me hã ƒe agbenɔƒe aɖe li. Ne ʋumenugbagbevi dzĩ siawo gblẽ le ɣeyiɣi aɖe megbe la, bilirubin dona abe nuwɔna ma ƒe akpa aɖe ene.

Eyata bilirubin si wowɔna alea la toa ʋua me yia míaƒe aklã me. Aklãe nye super purification center le míaƒe ŋutilã me. Nusi aklã wɔnae nye be exɔa bilirubin sia, trɔa eƒe atike ƒe nɔnɔme, eye wòdzranɛ ɖo le mɔ si ana wòate ŋu ado le míaƒe ŋutilã me nu. Wotsɔa bilirubin sia si wodzra ɖo la tsakana kple ʋumenugbagbeviɣi eye wòtoa dɔgboa me, eye mlɔeba wòdona kple aɖuɖɔ.

Kuxi ma ate ŋu anye nane si le abe esia ene:

• Ðewohĩ wò ʋumenugbagbevi dzĩwo le gbagbãm kabakaba wu alesi wòle dzɔdzɔmee.
• Ðewohĩ wò aklã mele dɔ wɔm nyuie o eye mate ŋu atrɔ asi le bilirubin gbeɖuɖɔ sia ŋu nyuie o.
• Alo, ate ŋu axe mɔ si tso aklãa yi gota kple aɖuɖɔa ƒe teƒe aɖe .

Nukatae wòhiã be míawɔ bilirubin dodokpɔ?

Ðɔktawo zãa dodokpɔ sia tsɔ dea dzesi nɔnɔme geɖe eye woléa ŋku ɖe dɔlélea ƒe ŋgɔyiyi ŋu le atikewɔwɔ me. Eɖea vi ŋutɔ na ame tsitsiwo kple ɖeviwo be woakpɔ:

• Aklã kple aɖuɖɔtoedɔlélewo: Aklãdɔlélewo abe aklãdɔ, aklãdɔ, kple nɔnɔmewo abe aɖuɖɔtoemekpe ene.
• Ʋusɔgbɔdɔ: Ʋusɔgbɔdɔ ƒomevi aɖewo li, le kpɔɖeŋu me, ʋusɔgbɔdɔ si me ʋu sina tona. Esiae nye esime ʋumenugbagbevi dzĩwo tsrɔ̃na kabakaba wu alesi wowɔa woe. Dodokpɔ sia hã le vevie be woatsɔ ade dzesi nɔnɔme mawo.
• Jaundice: Abe alesi míedzro eme va yi ene la, ne bilirubin ƒe agbɔsɔsɔ le ŋutilã me dzi ɖe edzi la, ŋutigbalẽa kple ŋkuwo trɔna zua ɣie. Woyɔa esia be ʋumenugbagbeviɣidɔ. Dodokpɔ sia le vevie be woake ɖe nusi gbɔ nɔnɔme sia tso ŋu.

Bilirubin ƒe agbɔsɔsɔ si sɔ gbɔ ɖe vidzĩ yeyewo me ŋutɔ. Ðɔktawo anɔ te ɖe ƒe si vidzĩa xɔ, eƒe ƒomevi, kple bilirubin ƒe agbɔsɔsɔ dzi akpɔe ɖa be ehiã hã.

Aleke wowɔa dodokpɔ siae?

Mɔ vevi eve li siwo dzi woato adzidze bilirubin ƒe agbɔsɔsɔ. Ðeka toa aɖuɖɔ dodokpɔ me, eye evelia toa ʋudodokpɔ me. Aɖuɖɔtoe dodokpɔ si bɔ (Urine Full Report) dia bilirubin. Ne bilirubin le wò aɖuɖɔ me la, wò ɖɔkta aɖe gbe be woado ʋu kpɔ be wòakpɔ agbɔsɔsɔ si tututu le wò ʋu me.

Zi geɖe la, wotsɔa ʋu doa bilirubin kpɔna. Dɔnɔdzikpɔla alo dodokpɔxɔ me dɔwɔla aɖe atsɔ aŋe sue aɖe axɔ ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Le vidzĩ yeyewo gome la, zi geɖe la, woɖea ʋu ne wotsɔ aŋe sue aɖe ƒo ŋutigbalẽ si le afɔkpodzia ŋu. Woɖoa ʋu sia ɖe nudokpɔƒe be woadoe kpɔ.

Tsɔ kpe ɖe eŋu la, mɔnu bubu aɖe li si me vevesese mele o, vevietɔ na vidzĩ suewo. Woyɔe be Bilirubin Dzidzedze si Toa Ŋutilã Me . Le esia me la, ɖɔktaa tsɔa mɔ̃ sue aɖe dana ɖe wò akɔta alo ta dzi eye wòzãnɛ tsɔ dzidzea bilirubin ƒe agbɔsɔsɔ to kekeli si zɔna kabakaba to ŋutigbalẽa me toto me. Esia mehiã be woatsɔ aŋe aƒoe o.

Aleke wòle be nàdzra ɖo hafi adze dodokpɔa gɔmee?

Woate ŋu aɖo aɖaŋu na wò be mègaɖu nu alo ano naneke gaƒoƒo 4 hafi woado ʋu na wò o. Azɔ hã, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàdzudzɔ atike aɖewo nono hena ɣeyiɣi aɖe hafi woawɔ dodokpɔa, elabena woate ŋu akpɔ ŋusẽ ɖe dodokpɔa me tsonu dzi. Ele vevie ŋutɔ be nàgblɔ atike siwo katã nèzãna la na wò ɖɔkta.

• Atike siwo ate ŋu ana bilirubin ƒe agbɔsɔsɔ nadzi ɖe edzi: Dɔlékuiwutike aɖewo, asrãtikewo, morphine, vidzidzitikewo, kple steroid aɖewo.
• Atike siwo ate ŋu aɖe bilirubin ƒe agbɔsɔsɔ dzi akpɔtɔ: barbiturates, caffeine, penicillin, kple salicylates siwo ƒe agbɔsɔsɔme sɔ gbɔ.

Nukae dodokpɔa ƒe nyatakakaa gblɔ?

Akpa etɔ̃ koŋue le bilirubin dodokpɔ ŋuti nyatakaka me.

1. Total Bilirubin: Esia nye bilirubin ƒe agbɔsɔsɔ bliboa le ʋua me.

2. Unconjugated (Indirect) Bilirubin: Esia nye bilirubin "raw" si dzɔna ne ʋumenugbagbevi dzĩwo gblẽ eye aklã mewɔ dɔ le eŋu haɖe o.

3. Conjugated (Direct) Bilirubin: Esia nye bilirubin si "wotrɔ asi le" si wotsɔ yi aklã me, wotsɔ atike trɔ asi le eŋu, eye wodzrae ɖo be woaɖee ɖa le ŋutilã me.

Nukae nye agbɔsɔsɔ si sɔ?

• Ame tsitsiwo (siwo xɔ wu ƒe 18):Bilirubin ƒe agbɔsɔsɔ bliboa sɔ va ɖo miligram 1.2 le ʋu desilita ɖeka me (1.2 mg/dl). Ele be bilirubin ƒe agbɔsɔsɔ si wotsɔ ƒo ƒu (Tɔtrɔ) nade 0.3 mg/dl.
• Vidzĩ siwo wodzi yeyee: Woƒe bilirubin ƒe agbɔsɔsɔ ate ŋu ade 12 mg/dl.

Zi geɖe la, bilirubin ƒe agbɔsɔsɔ le ŋutsuwo me sɔa gbɔ vie wu nyɔnuwo.

Nukae bilirubin ƒe agbɔsɔsɔ si sɔ gbɔ fia?

Ne ame tsitsi ƒe bilirubin ƒe agbɔsɔsɔ wu 2.0 mg/dl la, ke enyea ʋusisidɔ ƒe dzesi. Ne vidzĩ yeye ƒe agbɔsɔsɔ wu 15 mg/dl la, ɖɔktawo kafui be woadae.

Nusiwo ate ŋu ana bilirubin nasɔ gbɔ ɖe lãme na ame:

• Ʋusɔgbɔdɔ
• Aklã ƒe ʋuka me dɔléle
• Alesi wowɔa nui ne wodo ʋu nɛ
• Gilbert Syndrome - Esia nye domenyiŋusẽfianu si bɔ si me enzyme si kpena ɖe ame ŋu wògbãa bilirubin la menɔa anyi o.
• Dɔlékui ƒe Aklãdɔléle
• Ahatsunono ƒe aklãdɔléle
• Gallstones ƒe kpewo

Tsɔ kpe ɖe eŋu la, kamedede sesẽ ŋutɔ , abe duɖimekeke ene, me nɔnɔ ate ŋu ana bilirubin ƒe agbɔsɔsɔ nadzi ɖe edzi hena ɣeyiɣi aɖe.

Ðe wòle be nàtsi dzi ɖe bilirubin ƒe agbɔsɔsɔ si bɔbɔ ŋua?

Zi geɖe la, womebua bilirubin ƒe agbɔsɔsɔ si bɔbɔ be enye kuxi o. Caffeine alo atike aɖewo ate ŋu ana eƒe agbɔsɔsɔ naɖiɖi. Ƒã hafi wogblɔna be edo ƒome kple dɔléle aɖewo siwo dɔlélenutsiŋutete hena vɛ, abe ƒunukpeƒetetedɔ ene, gake zi geɖe la, esia menye nusi ŋu woatsi dzi ɖo o.

Zi geɖe la, ate ŋu axɔ gaƒoƒo ʋɛ aɖewo alo ŋkeke ɖeka hafi woate ŋu akpɔ dodokpɔa me tsonu. Ne ènya kpɔ emetsonuwo ko la, ele vevie be nàƒo nu kple wò ɖɔkta tso nusi wofia kple afɔ siwo wòle be nàɖe ŋu.