Ðe wò aklã ɖo afɔku mea? Nusianu si ku ɖe aklã ƒe ʋusɔgbɔdɔ ŋu le nya bɔbɔewo me

Aklã nye ŋutinu vevi aɖe ŋutɔ le míaƒe ŋutilã me, alo? Ele abe dɔwɔƒe sue aɖe si le míaƒe ŋutilã me ene. Gake aklã sia ate ŋu axɔ dɔlélewo hã. Ɣeaɖewoɣi la, èse ŋutinyawo abe "aklã sesẽ", "aklã gblẽ". Woyɔa dɔléle sesẽ mawo dometɔ ɖeka be aklã me ʋu ƒe sisi. Mina míaƒo nu tso esia ŋu tsitotsito vie egbea, elabena ele vevie ŋutɔ be míanya esia.

Mina míalé ŋku ɖe nusi aklã ƒe ʋumenugbagbeviɣidɔ nye ŋu gbã.

Kpuie ko la, aklã ƒe ʋuʋu nye nɔnɔme si me aklãa gblẽ ɣeyiɣi didi aɖe eye wotsɔ abi ƒe lãkusiwo ɖɔ li aklãmenugbagbevi siwo le lãmesẽ me . Abe alesi abi dzɔna ɖe míaƒe ŋutigbalẽ dzi ne abi le mía ŋu ene la, ne dɔdzẽ aɖe le aklãa me atraɖii, alo nusi míeyɔna be aklãdɔléle , la, abi sia dzɔna ne aklãa le agbagba dzem be yeada gbe le eɖokui ŋu. Gake ne abi sia ƒo ƒu la, aklãa mete ŋu wɔa dɔ nyuie o. Esiae nye aklãa ƒe dɔmawɔmawɔ vivivi ( aklã ƒe dɔmawɔmawɔ nyuie si nɔa anyi didi) ƒe akpa mamlɛtɔ.

Ðe ʋumenugbagbeviɣidɔ ƒe akpa vovovowo lia?

Ẽ, menye nusi dzɔna kpatae nye cirrhosis o. Etsina vivivi, le ɣeyiɣi aɖe megbe.

• Eƒe gɔmedzedze (Compensated Cirrhosis): Le ɣeyiɣi sia me la, wò aklã ƒe dɔwɔwɔ dzi ɖena kpɔtɔna vie, gake wò ŋutilã trɔna ɖe eŋu, eyata ɖewohĩ màkpɔ dzesi gã aɖeke o. Ðewohĩ màkpɔe adze sii gɔ̃ hã o.
• Akpa si kplɔe ɖo (Decompensated Cirrhosis):Ne aklã ƒe gbegblẽ le dzidzim ɖe edzi la, aklã ƒe dɔwɔwɔ dzi ɖena kpɔtɔna ɖe edzi. Ɣemaɣie nèdzea dzesi siwo dze ƒã kpɔkpɔ gɔme. Esia nye nusi ŋu nya ku ɖo vie wu.

Nukae dzɔna ɖe aklã kple ŋutilã dzi le ʋumenugbagbeviɣidɔ ta?

Abi sia si le aklãa me xea mɔ na ʋu kple ɔksidzin ƒe sisi to aklãa me. Nukae dzɔna ɣemaɣi?

• Ŋutete si le aklã ŋu be wòakɔ ʋua ŋu, atrɔ asi le nunyiamewo ŋu, eye wòaɖe aɖinuwo ɖa la dzi ɖena kpɔtɔna.
• Ʋumenugbagbeviɣi kple ʋumenu vevi siwo aklã wɔna la wɔwɔ dzi ɖena kpɔtɔna.
• Abi sia ate ŋu ami ʋuka siwo le aklãa me. Vevietɔ ne womi veins veviwo abe portal vein system ene la, nɔnɔme aɖe si woyɔna be portal hypertension ate ŋu ado mo ɖa. Esia hã nye ʋumenugbagbeviɣidɔ me tsonu sesẽ aɖe.

Aleke gbegbee ʋumenugbagbeviɣidɔ bɔe?

Cirrhosis nye dɔléle si bɔ vie. Wobunɛ be enye nu vevitɔ si hea kɔdziyiyi kple ku vɛ, vevietɔ le ƒe titina megbe. Esia le alea elabena ele dzidzim ɖe edzi kabakaba. Le kpɔɖeŋu me, le United States la, wogblɔ be ame tsitsi siwo ade 0.25% kple ame tsitsi siwo xɔ tso ƒe 45 va ɖo ƒe 54 dometɔ siwo ade 0.50% xɔ ʋumenugbagbeviɣidɔ. Womate ŋu abu nɔnɔme sia nu tsɛe le Sri Lanka o. Lãmesẽkuxi gã aɖe le xexeame katã.

Nukawoe nye aklã me ʋu ƒe sisi ƒe dzesiwo?

Cirrhosis ƒe dzesiwo nɔ te ɖe alesi dɔlélea nu sẽe dzi. Le gɔmedzedzea me la, ɖewohĩ dzesi aɖeke manɔ eŋu kura o. Alo ate ŋu anye dzesi ʋɛ aɖewo siwo me mekɔ o siwo ɖi dɔléle bubuwo tɔ. Dzesiawo va dzena nyuie wu ne aklãa ƒe dɔwɔwɔ dzi ɖe kpɔtɔ. Le kpɔɖeŋu me, dzesi aɖewo li siwo dzena ne ʋumenugbagbeviɣi meto nyuie o eye wòƒo ƒu ɖe ŋutilã ƒe akpa bubuwo.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe dzesi gbãtɔwo?

Le gɔmedzedzea me la, àte ŋu akpɔ dzesiwo abe:

• Aɖuɖɔtoe alo nuɖuɖudzroame .
• Ðeɖiteameŋu , ɖeɖiteameŋu.
• Malaise nye seselelãme si bɔ be yemele lãmesẽ me o.
• Vevesese le ƒodo si le etame, vevietɔ le ɖusime.
• Akpɔkplɔ ƒe ʋuka siwo me ʋu sina tona nye ʋuka siwo le abe akpɔkplɔ ƒe lãgbalẽ ene le ŋutigbalẽa dzi.
• Asibidɛwo ƒe biã (asibidɛwo ƒe ʋuʋu).

Dzesi kawoe dzena ne dɔlélea le sesẽm ɖe edzi?

Woate ŋu ama dzesi siwo dzena ne ʋumenugbagbeviɣidɔ le edzi yim la ɖe hatsotso eve me: dzesi siwo tso aklã ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ gbɔ kple dzesi siwo tso ʋusɔgbɔdɔ si le agbo nu gbɔ.

Dzesi siwo aklã ƒe dɔwɔwɔ dzi ɖe kpɔtɔ hena vɛ:

• Woyɔa ŋutigbalẽ kple ŋku ƒe ɣie be jaundice.
• Ŋutilã si le ʋuʋum (Pruritus) (si me ʋuʋudedi si me kɔ o).
• Aɖuɖɔ doviviti kple aɖuɖɔ si me kɔ.
• Nuɖuɖumeŋusẽ ƒe kuxiwo, vevietɔ le nuɖuɖu siwo me ami le gome.
• Ami ɣi suesuesue siwo le ŋutigbalẽ alo ŋkume ƒe dzedzeme.
• Kpekpeme dzi ɖeɖe kpɔtɔ kple lãmekawo ƒe gbegblẽ si womeɖe o.
• Ŋusẽkpɔɖeamedzi ɖe ahɔhɔ̃ ƒe dɔwɔwɔ dzi (Hepatic Encephalopathy) – abe ŋkuɖoɖonudzi ƒe bu, tɔtɔ, kple seselelãme ƒe tɔtrɔ ene.
• Motor ƒe dɔmawɔmawɔ nyuie – ʋuʋu, ʋuʋu.
• nyɔnuwo ƒe dzinukpɔkpɔ ƒe masɔmasɔ.
• No ƒe lolome kple vidzidɔ ƒe ɖeɖe le ŋutsuwo me.

Dzesi siwo Portal Hypertension hena vɛ:

• Ƒodo ƒe ʋuʋu, tsi ƒe sisi (ascites).
• Asiwo, afɔwo, afɔwo kple/alo mo ƒe vuvu (edema).
• Ʋu si dona bɔbɔe kple abidede (coagulopathy).
• Ʋu dodo alo ʋu si toa aɖuɖɔ me.
• Aɖuɖɔ ƒe dodo dzi ɖe kpɔtɔ (ate ŋu atso ayiku ƒe dɔmawɔmawɔ nyuie atraɖii gbɔ).
• Yagbɔgbɔ sesẽ (ate ŋu atso gbɔgbɔtsixetsixe si nɔa anyi didi gbɔ).

Nukawoe hea aklãdɔléle vɛ?

Cirrhosis nye nɔnɔme si me aklãa ƒe abi vivivi si tsoa dɔdzẽ si nɔa anyi didi gbɔ. Dɔléle ɖesiaɖe si ana aklãa naxɔ abi atraɖii (aklãdɔ si nɔa anyi didi) ate ŋu ana ame naxɔ aklãdɔ. Nu vevi siwo gbɔ wòtsona dometɔ aɖewoe nye:

• Aklãdɔ si ahanono hena vɛ: Aklã ƒe gbegblẽ si ahanono fũu akpa hena ɣeyiɣi didi aɖe hena vɛ. Togbɔ be ahanonoe nana ʋumenugbagbeviɣidɔ wu hã la, nu geɖe li siwo menye aha sesẽ o.
• Non-alcoholic steatohepatitis (NASH): Nusiwo ami sɔ gbɔ ɖe aklã me gblẽna atraɖii . lãmenugbagbeviwo ƒe dɔwɔwɔ abe ami si sɔ gbɔ ɖe ʋu me, sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me (abe suklidɔ ene), kple ʋusɔgbɔdɔ gbɔe wòtsona.
• Aklãdɔléle C si nɔa anyi didi: Aklãdɔléle C nye dɔlékuiwo ƒe dɔléle. Le ame geɖe gome la, eva zua dɔléle si nɔa anyi didi. Fifia woate ŋu atsɔ dɔlékuiwutikewo adae. Gake ame geɖe menya be ele yewo si o.
• Aklãdɔléle B si nɔa anyi didi: Aklãdɔléle B hã nye dɔlékuiwo ƒe dɔléle. Le ame ʋɛ aɖewo gome la, ate ŋu ava zu nusi nɔa anyi didi. Ne nenemae la, ke enye agbemeŋkekewo katã. Atikewɔwɔ li, gake womate ŋu adae keŋkeŋ o.

Susu aɖewo hã li siwo tae mebɔ o ɖo:

• Dɔlélenutsiŋutete ƒe ʋumenugbagbeviɣidɔ: Dɔléle aɖewo siwo dɔlélenutsiŋutete hena vɛ ate ŋu ana aklãa naxɔ abi atraɖii. Kpɔɖeŋu aɖewoe nye aklãdɔ si dɔlélenutsiŋutete wɔna, ʋumenugbagbeviɣidɔ gbãtɔ, kple ʋumenugbagbeviɣidɔ gbãtɔ.
• Domenyiŋusẽfianu ƒe dɔmawɔmawɔ nyuie: Domenyiŋusẽdɔléle aɖewo ate ŋu agblẽ nu le aklã ŋu to aɖinuwo ƒe ƒuƒoƒo ɖe aklã me me. Kpɔɖeŋu aɖewoe nye glycogen dzraɖoƒe ƒe dɔléle, cystic fibrosis, kple Wilson ƒe dɔléle.
• Aklãdɔ si me aɖi le: Ne ame nɔ nutoa me ƒe aɖi aɖewo ŋu ɣeyiɣi didi alo atike aɖewo (vevesesenutsitike siwo womeƒlena o gɔ̃ hã) zazã yi edzi ate ŋu agblẽ nu le aklãa ŋu.
• Dzitodzito me dɔléle: Aklã ƒe gbegblẽ ate ŋu atso dɔléle siwo nana ʋu ƒoa ƒu ɖe aklã me (abe dzitodzito ƒe dɔmawɔmawɔ nyuie ene) alo dɔléle siwo xea mɔ na ʋu be wòagaɖo aklã me o (abe ʋu ƒe sisi si nɔa anyi didi ene) hã gbɔ.

Amekae le afɔku me wu le nɔnɔme sia me?

Àte ŋu anɔ afɔku gã aɖe me be aklã me ʋu ƒe sisi nadze dziwò ne è:

• Ne èxɔ ƒe 50 kple edzivɔ.
• Ne aha sesẽ nono ƒe ŋutinya le asiwò.
• Ne dɔlékui ƒe aklãdɔléle si nɔa anyi didi le ŋuwò.
• Ne metabolic syndrome ( i.e., nɔnɔmewo abe lolo akpa, ʋusɔgbɔdɔ, suklidɔ, kple ʋumemi ƒe agbɔsɔsɔ ƒe ƒuƒoƒo) le ŋuwò.

Nukawoe nye kuxi siwo dona tso ʋumenugbagbeviɣidɔ me?

Nusiwo dona tso ʋuka me ʋu ƒe sisi kple ʋusɔgbɔdɔ si le agbo nu gbɔ.

Kuxi siwo bɔ:

• Sese le eɖokui me be yele dɔ lém, ɖeɖi te ye ŋu, eye yeƒe susu le fu ɖem na ye le aɖi siwo ƒo ƒu ɖe ŋutilã me ta.
• Dɔlélenutsiŋutete dzi ɖe kpɔtɔ, abi ƒe dɔyɔyɔ tsi megbe.
• Ʋuʋudedi le tsi si le dodom tso ʋukawo me ta.
• Lãmetsiŋusẽ ƒe masɔmasɔ kple eƒe anyimanɔmanɔ.
• Nuɖuɖumeŋusẽ ƒe kuxiwo, nunyiamewo ƒe anyimanɔmanɔ, kple nunyuimakpɔɖu.
• Ahɔhɔ̃a ƒe dɔwɔwɔ ƒe gbɔdzɔgbɔdzɔ suesuesuewo kple lãmekawo dzi ɖuɖu ƒe kuxiwo.

Kuxi sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me:

• Dɔgbo ƒe ʋuʋu kple dɔgbo ƒe ʋu si dona le dɔgboa me.
• Dɔlékuiwo ƒe dɔlékuiwutike si dzɔna le eɖokui si.
• Ayiku ƒe dɔmawɔmawɔ nyuie (Hepatorenal syndrome).
• Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie (Hepatopulmonary syndrome).
• Aklã ƒe dɔmawɔmawɔ nyuie atraɖii.
• Aklã me dɔdzẽ.

Aleke wowɔna kpɔa aklã ƒe ʋumenugbagbeviɣidɔ?

Ðɔkta ado wò ŋutilã kpɔ gbã be yeakpɔe ɖa be ʋumenugbagbeviɣidɔ ƒe dzesiwo le ŋuwò hã. Woabia nya wò tso ɣeyiɣi si me wò dzesiawo dze egɔme kple nenye be wotrɔ le ɣeyiɣi aɖe megbe ŋu. Woabia nya tso wò atikewɔwɔ ŋutinya, atikewo, gbetikewo, kple kpeɖeŋutɔ siwo nènona, wò nuɖuɖu, kple wò agbenɔnɔ hã ŋu. Woadi aklãdɔ alo aklã ƒe gbegblẽ ƒe dzesiwo.

Ema ko hafi woawɔ atikewɔwɔ me dodokpɔwo atsɔ akpɔe ɖa be ʋumenugbagbeviɣidɔ le ame ŋu hã. Esiawo ate ŋu anye:

• Ʋudodokpɔ:Aklã ƒe dɔwɔwɔ dodokpɔ ate ŋu aɖe aklãdɔ kple aklã ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo afia. Esiawo dzidzea nuwo abe aklã me dɔlékuiwo, protein, kple bilirubin ƒe agbɔsɔsɔ ene. Ʋudodokpɔ ate ŋu aɖe nuwo abe ʋu ƒe sisi dzi ɖeɖe kpɔtɔ ene hã afia.
• Nɔnɔmetatawo dodokpɔ: Dodokpɔwo abe ƒodo me ultrasound, CT scan, alo MRI ene ate ŋu aɖe aklãa ƒe lolome, eƒe nɔnɔme, kple eƒe nɔnɔme afia. Nɔnɔmetatawo dodokpɔ tɔxɛ aɖe si woyɔna be elastography ate ŋu adzidze aklãa ƒe sesẽ alo fibrosis.
• Aklã me lãmenugbagbeviwo ɖeɖe: Esia nye dɔ sue aɖe ko. Woɖea lãkusi sue aɖe tso aklã me hedoa wo kpɔna le nudokpɔƒe. Zi geɖe la, wozãa aŋe si me do le tsɔ xɔa kpɔɖeŋu sia. Togbɔ be mehiã ɣesiaɣi o hã la, ŋutilã ƒe akpa aɖe ɖeɖe ate ŋu akpe ɖe ame ŋu wòaɖo kpe ʋumenugbagbeviɣidɔ dzi eye ɖewohĩ woake ɖe nusi gbɔ wòtso ŋu.

Ðe woate ŋu atrɔ aklã ƒe ʋusɔgbɔdɔ alo adaea?

Gake anya wɔ be woatɔ te ʋumenugbagbeviɣidɔ ƒe ŋgɔyiyi alo aɖu edzi . Enɔ te ɖe nusi he dɔlélea vɛ, alesi woate ŋu adae nyuie, kple alesi nèwɔa nu ɖe ​​atikewɔwɔ ŋu nyuie dzi.

Aleke ɖɔktawo daa ʋumenugbagbeviɣidɔ?

Atikewɔwɔ na ʋumenugbagbeviɣidɔ dometɔ aɖewoe nye:

• Ne anya wɔ la, ɖu nusi gbɔ dɔlélea tso dzi (ɖe nusiwo gblẽ le eŋu dzi kpɔtɔ alo nàdzudzɔ).
• Nuɖuɖu kple agbenɔnɔ ƒe tɔtrɔ bɔbɔewo be woaɖe agba si le aklãa dzi dzi akpɔtɔ.
• Dɔléle si nye cirrhosis ƒe kuxiwo dzi kpɔkpɔ alo wo dodokpɔ .
• Abe mɔnu mamlɛtɔ ene la, aklã dodo na ame .

Nusi gbɔ wòtso la dada

Woate ŋu atsɔ atikewo ada aklãdɔ aɖewo. Le kpɔɖeŋu me, dɔlékuiwutikewo ate ŋu ada aklãdɔléle C si nɔa anyi didi, gake ɖeko woate ŋu aɖu aklãdɔléle B si nɔa anyi didi dzi (menye atike o).

Ne aha alo aɖi bubuwo gblẽ nu le aklãa ŋu la, atikewɔwɔ ɖeka koliae nye be nàɖe aɖi mawo ɖa le wò agbe me. Ðewohĩ ahiã be woawɔ atike na ame aɖewo hã le atike muamewo zazã ƒe kuxiwo ta. Ne nusiwo menye aha sesẽ o (abe NASH ene) gblẽ nu le aklãa ŋu la, lãmenugbagbeviwo ƒe dɔwɔwɔ abe ʋumemi, sukli si le ʋu me, kple kpekpeme si gbɔ eme ene dzi ɖuɖu ate ŋu akpe ɖe ame ŋu.

Nuɖuɖu kple agbenɔnɔ

Ne nu bubu aɖe gbɔe wò aklãdɔléle tso hã la, ne èƒo asa na aha sesẽ kple atike siwo gblẽa nu le aklã ŋu la, ate ŋu akpe ɖe ŋuwò nàkpɔ wò aklã ta ɣeyiɣi didi. Nenema kee lãmenugbagbeviwo ƒe nuteɖeamedziwo hã ate ŋui. Ðɔktawo kafui be amesiame si ŋu aklãdɔ ƒomevi ɖesiaɖe le naɖu nuɖuɖu si naa lãmesẽ eye wòadze agbagba be yeƒe kpekpeme nanɔ lãmesẽ me. Ðewohĩ ahiã hã be ame aɖewo nano nuɖuɖu kpeɖeŋutɔ be woatsɔ akpɔ nunyiame ƒe vevesese gbɔ.

Kuxiwo dada

Ne wò ɖɔkta nya kpɔe be ʋumenugbagbeviɣidɔ le ŋuwò ko la, woalé ŋku ɖe dɔléle siwo bɔ hã ŋu. Ʋusɔgbɔdɔ si woyɔna be portal hypertension ye nye eƒe nugbegblẽ le ame ŋu si bɔ wu. Eƒe kuxiwo hã le eŋu, eye wo dometɔ ɖesiaɖe hiã atikewɔwɔ tɔxɛ aɖe.

Ðewohĩ àhiã nanewo abe:

• Dɔwɔwɔ sue aɖe si wowɔna tsɔ xea ʋuka si me ʋu le dodom le.
• Ʋudodo be ʋumenugbagbeviɣiwo nagaɖo wo dome.
• Ayiku me ʋuʋu.
• Oxygen zazã atsɔ ada dɔe.
• Paracentesis kple dɔlékuiwutikewo tsɔ ɖea tsi ɖa le ƒodo me (ascites).
• Aɖuɖɔtoemetikewo kpena ɖe ame ŋu wòxɔa aɖi siwo le nuɖuɖua me heɖea wo ɖa.

Aklã me dɔdzẽ

Aklã me dɔdzẽ nye kuxi bubu si me afɔku le le ʋumenugbagbeviɣidɔ me. Menye amesiame si ŋu aklãdɔ le axɔ aklãdɔ o, gake ame geɖe siwo ŋu aklãdɔléle le la ƒe aklãdɔléle. Ne kansa dze ame dzi kple ʋumenugbagbeviɣidɔ la, woate ŋu ana kansa ƒe atikewo abe keklẽŋusẽ alo atikewɔmɔnu ene. Alo, wò ɖɔkta ate ŋu atso nya me be aklã dodo na ame ye nye tiatia nyuitɔ.

Aklã Dodo na Ame

Ðɔktawo kafui be woado aklã na ame ne wosusu be wò lãmesẽ agblẽ ɖe edzi ne womedo aklã na wò o. Esia ate ŋu adzɔ ne aklã ƒe dɔmawɔmawɔ nyuie le ŋuwò, aklã me kansa le ŋuwò, eye/alo mèle dɔ wɔm na wò aklãdɔlélea o. Ne èdze na aklã dodo na wò la, woatsɔ wò ade dukɔa ƒe ame siwo le lalam ƒe xexlẽdzesiwo me.

Ðe woate ŋu axe mɔ ɖe ʋumenugbagbeviɣidɔ nua?

Zi geɖe la , woate ŋu axe mɔ ɖe aklãdɔléle nu be wòagava zu ʋumenugbagbeviɣidɔ o ne wowɔ nu ɖe ​​eŋu kaba . Enɔ te ɖe edzi ne ènyae kple afɔ siwo nàte ŋu aɖe atsɔ axe mɔ ɖe enu. Esi wònye be dzesi aɖeke menɔa ame geɖe ŋu le eƒe gɔmedzedze o ta la, woate ŋu ade dzesii le lãmesẽ dodokpɔ edziedzi me. Esia naa mɔnukpɔkpɔ wò be nàwɔ tɔtrɔ veviwo alo adze atikewɔwɔ gɔme.

Ðe aklãa ate ŋu ahaya le ʋumenugbagbeviɣidɔ megbea?

Ne ènya xɔ ʋumenugbagbeviɣidɔ ko la, wò aklã meganyona o. Gake megavloe ɖe edzi hã kokoko o . Ne dzesiwo gakpɔtɔ le ŋuwò (compensated cirrhosis) la, àte ŋu anɔ nenema hena ɣeyiɣi aɖe. Ne àte ŋu atɔ te dɔdzẽ si hea ʋumenugbagbeviɣidɔ vɛ alo aɖe edzi akpɔtɔ la, ɖewohĩ dɔlélea mayi ŋgɔ va ɖo afisi wògbɔdzɔ o. Gake ahiã be nàlé be na wò aklã le wò agbemeŋkekewo katã me.

Nukae nye agbenɔƒe ne wole agbe kple ʋumenugbagbeviɣidɔ?

Agbenɔƒe si wokpɔ mɔ na ne wole agbe kple ʋumenugbagbeviɣidɔ la toa vovo le nu geɖe nu:

• Dɔlélea ƒe sesẽme (woxe fe ɖe eta alo womexee o).
• Kuxi siwo me tom nèle.
• Agbetsitsi kple atikewɔwɔwo ƒe dzidzedzekpɔkpɔ.
• Wò lãmesẽ bliboa alo ne dɔléle bubu aɖe le ŋuwò.

Ðɔktawo zãa dzesidemɔnu siwo nye Child-Turcotte-Pugh (CTP) ɖoɖo kple Model for End-Stage Liver Disease (MELD) tsɔ daa wò nɔnɔmea kpɔna eye wokpɔa teƒe si nèle le aklã dodo na ame ƒe lalalawo ƒe xexlẽdzesiwo me.

Le ``compensated cirrhosis`` ƒe gɔmedzedze la, agbenɔƒe ateŋu adidi wu ƒe 15. Ne ʋusɔgbɔdɔ si le agbo nu va do la, eɖea agbenɔƒe dzi kpɔtɔna le ʋu si dona le ememe ƒe afɔku ta. ``Decompensated cirrhosis`` ƒe agbenɔƒe le mama dedie nu anɔ abe ƒe adre ene. Ɣeyiɣi sia ate ŋu anɔ kpuie wu gɔ̃ hã le dɔléle sesẽ siwo womate ŋu ada o kple kuxi bubuwo ta. Le ame aɖewo gome la, ate ŋu anɔ anyi mede ƒe eve o. Gake ele vevie be míaɖo ŋku edzi be akɔntabubu siawo mesɔ na amesiame o.

Aleke malé be na ɖokuinye esime mele agbe kple aklãdɔléle?

Nu siawo ate ŋu akpe ɖe ŋuwò nàdidi wò aklã ƒe agbenɔƒe ɖe edzi:

• Ƒo nuɖuɖu siwo naa lãmesẽ, siwo me nunyiame mele o kple protein siwo me ami mele o .
• Ƒo asa na ahanono, atamanono, kple atike siwo nèno atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee alesi nàte ŋui.
• Zã atikewo abe alesi wò ɖɔkta gblɔe ene ko. Ðo dze kple wò ɖɔkta tso atike ɖesiaɖe si nàno ŋu.
• Mègato atikewɔwɔ me dodokpɔ siwo ŋu wowɔ ɖoɖo ɖo kple dodokpɔ siwo wowɔ be woakpɔ kuxiwo hã ŋu o.