Ðe nèfɔ ʋudodokpɔ ƒe nyatakaka aɖe kpɔ, lé ŋku ɖe ŋɔŋlɔdzesi kple xexlẽdzesi siwo le edzi ŋu, eye nèbia ɖokuiwò be, "Nukae esia fia?"? Zi geɖe la, míeɖoa to nya si ɖɔkta la gblɔna, gake nya aɖewo siwo le nyatakaka sia me ya míenya o. Nya mawo dometɔ ɖeka si ame geɖe nya nyuie, gake womenya ŋutɔŋutɔ o lae nye "Creatine." Ŋutinya gã aɖe le nya sue sia me ku ɖe míaƒe ŋutilã ƒe ŋutinu vevitɔ kekeake, si nye ayiku, ƒe lãmesẽ ŋu. Eyata egbea, mina míaƒo nu tso eŋu.
Kpuie ko la, nukae nye creatinine?
Bu eŋu kpɔ, ne míaƒe lãmekawo le dɔ wɔm nyuie, si fia be ne míezɔ, ƒu du, alo kɔ kpekpemewo la, gbeɖuɖɔ aɖe dona le ɖoɖo ma me. Gbeɖuɖɔ ma si le dzɔdzɔme nue nye nusi míeyɔna be creatinine. Esia menye nusi míaƒe ŋutilã hiã o. Eyata, ŋutilã ƒe tsilénu deŋgɔtɔ kekeake, si nye míaƒe ayiku eveawo, tsia gbeɖuɖɔ siawo heɖea wo ɖa le ʋua me eye woɖea wo doa goe le aɖuɖɔ me.
Eyata ne ɖɔkta le creatinine ƒe agbɔsɔsɔ si le wò ʋu me dzidzem la, ele ŋku lém ɖe alesi wò ayikuwo le woƒe dɔ si nye be woaɖe wo me la wɔm nyuie ŋu. Zi geɖe la, míeyɔa dodokpɔ sia be serum creatinine dodokpɔ.
Nukae nye creatinine ƒe agbɔsɔsɔ si sɔ?
Esi wònye be lãmekawoe wɔa creatinine ta la, asixɔxɔ sia ate ŋu ato vovo le ame ƒe lãmekawo ƒe lolome kple eƒe ŋutilã ƒe lolome nu. Le goawo katã me la, ŋutsuwo ƒe creatinine sɔ gbɔ vie wu nyɔnuwo elabena woƒe lãmekawo sɔ gbɔ wu.
| Ame | Creatinine ƒe Agbɔsɔsɔme si sɔ (mg/dL) . |
|---|---|
| Le nyɔnuwo gome | 0.6 - 1.1 mg/dL ƒe kpekpeme |
| Le ŋutsuwo gome | 0.7 - 1.3 mg/dL ƒe kpekpeme |
Nu vevitɔe nye be xexlẽdzesi siawo ate ŋu ato vovo vie tso dodokpɔxɔ ɖesiaɖe me, eyata wò ɖɔkta koe ate ŋu ana nàda asixɔxɔ siwo le wò nyatakakaa me kpɔ nyuie.
Ƒomedodo si le creatinine kple ayiku ƒe dɔwɔwɔ (GFR) dome .
Ʋu si le míaƒe ŋutilã me katã toa ayikuwo me zi alafa geɖe gbesiagbe. Woyɔa alesi ayikuwo kɔa ʋua ƒe duƒuƒu siae be Glomerular Filtration Rate , alo GFR . Kpuie ko la, esia nye alesi ayikuwo wɔa dɔ nyuie ƒe dzidzenu.
Wò ɖɔkta mate ŋu adzidze wò GFR tẽ o. Afi mae creatinine dodokpɔa va le.Wobua wò GFR to nusiwo le abe wò ʋu me creatinine ƒe agbɔsɔsɔ, ƒe si nèxɔ, kple ŋutsu alo nyɔnu nyenye ene ɖɔliɖɔli ɖe mɔli tɔxɛ aɖe me. Míeyɔa esia be eGFR (GFR si wobu) .
Kpuie ko la: Ne creatinine ƒe agbɔsɔsɔ le ʋu me dzi ɖe edzi la, ate ŋu afia be ayikuawo ƒe ʋuʋu ƒe ŋutete (GFR) dzi ɖe kpɔtɔ. GFR ƒe xexlẽme si mede 60 o ate ŋu anye ayikudɔ ƒe dzesi.
Nukatae wowɔa creatinine dodokpɔ sia?
Dodokpɔ sia koŋue ɖɔktawo bia be woatsɔ akpɔ alesi wò ayikuwo le dɔ wɔm nyuie hã. Ɣeaɖewoɣi la, woɖea gbe be woawɔ dodokpɔ sia ne dzesi siwo do ƒome kple ayikudɔ le ŋuwò.
- Aɖuɖɔtoe kple ʋuʋudedi
- Nudzroame
- Ðeɖiteameŋu kple gbɔdzɔgbɔdzɔ enuenu
- Alɔ̃madɔmadɔ ƒe kuxiwo
- Tɔtrɔ le aɖuɖɔɖɔɖɔ zi geɖe alo agbɔsɔsɔme si woɖena ŋu
- Afɔwo kple afɔkpodziwo ƒe vuvu
Ne dzesi siawo mele ŋuwò o hã la, zi geɖe la, wò ɖɔkta aɖo aɖaŋu na wò be nàwɔ dodokpɔ sia atsɔ alé ŋku ɖe wò ayiku ŋu ne nɔnɔme aɖewo abe suklidɔ, ʋusɔgbɔdɔ, dzidɔ, alo aklãdɔ ene le ŋuwò . Wowɔa esia hã be woakpɔe ɖa be atike aɖewo le ŋusẽ kpɔm ɖe wò ayiku dzi hã.
Aleke woawɔ dodokpɔae?
Mɔ vevi eve li siwo dzi woato akpɔ creatinine ƒe agbɔsɔsɔ:
1. Ʋudodokpɔ (eGFR Ʋudodokpɔ): Esiae nye mɔnu si wozãna wu. Woɖea ʋu le wò alɔnu abe alesi wowɔnɛ ɖaa ene, wodzidzea creatinine ƒe agbɔsɔsɔ si le eme, eye wobua eGFR ƒe asixɔxɔ. Woate ŋu abia tso asiwò be nàtsi nu adɔ gaƒoƒo ʋɛ aɖewo ɖe esia ta.
2. Creatinine Clearance Test: Womegazãa mɔnu sia fũ o. Le esia me la, ehiã be woaƒo aɖuɖɔ siwo katã dona le gaƒoƒo 24 me nu ƒu ɖe nugo tɔxɛ aɖe me. Wodzidzea creatinine ƒe agbɔsɔsɔ si le aɖuɖɔ ma me be woakpɔ ayikuawo ƒe dɔwɔwɔ ƒe susu.
Nukae emetsonuwo gblɔ?
GFR si bɔbɔ ɖe anyi fia be ayiku ƒe dɔwɔwɔ me gblẽ. Nɔnɔme sia ate ŋu anye kpata (si nu sẽ) alo ɣeyiɣi didi (si nɔa anyi didi).
Ðɔktawo daa ayikudɔléle si nɔa anyi didi ƒe sesẽme ɖe akpa vovovowo me le GFR ƒe asixɔxɔ nu.
| Fefewɔƒe | GFR ƒe asixɔxɔ | Gɔmeɖeɖe |
|---|---|---|
| Nye | 90 alo esi wu nenema | Ayikuwo ƒe dɔwɔwɔ nyuie |
| II | 60-89 me | Dɔwɔwɔ dzi ɖe kpɔtɔ vie |
| IIIa | 45-59 me | Ayikudɔléle si nu mesẽ o si nɔa anyi didi |
| IIIb | 30-44 me | Ayikudɔ si nɔa anyi didi si sɔ |
| IV | 15-29 me | Ayikudɔléle sesẽ si nɔa anyi didi |
| V | Mexɔ ƒe 15 haɖe o | Ayiku ƒe dɔmawɔmawɔ nyuie (zi geɖe la, ebiana be woaɖe ayiku me) . |
Susu bubu siwo tae creatinine ƒe agbɔsɔsɔ si mesɔ o ɖo
Nu vevitɔe nye be creatinine ƒe agbɔsɔsɔ si dzi ɖe edzi mefia ayikudɔléle ɣesiaɣi o. Ɣeaɖewoɣi la, asixɔxɔ sia ate ŋu atrɔ le susu bubuwo ta.
- Kamedede sesẽ: Ne ède kame wògbɔ eme la, wò lãmekawo wɔa creatinine geɖe wu.
- Nuɖuɖu si me lã dzĩ sɔ gbɔ ɖo: Esi wònye be creatinine le lã dzĩ me ta la, eƒe akpa ɖuɖu fũ ate ŋu ana ʋu nadzi ɖe edzi hena ɣeyiɣi aɖe.
- Atike aɖewo: Dɔlékuiwutike aɖewo kple atike bubuwo ate ŋu ana creatinine ƒe agbɔsɔsɔ natrɔ.
- Lãmetsiŋusẽ si gbɔ eme: Creatinine ate ŋu asɔ gbɔ ɖe ŋutilãtutula si wu ame mamã dedie tɔ.
- Tsikuɖiɖi: Ne tsi mesɔ gbɔ le ŋutilãa me o hã la, creatinine ƒe agbɔsɔsɔ ate ŋu aƒo ƒu eye wòaɖe asixɔxɔ gã aɖe afia.
- Dzidɔ kple tsinyegoe me kuxiwo.
Nukae woawɔ ne GFR le sue?
Ne wò ɖɔkta kpɔe be wò GFR le sue la, akpɔ nusi gbɔ wòtso eye wòakafu atike si sɔ na wò.
Nu eve siwo koŋ gbɔ ayikudɔléle si nɔa anyi didi tsonae nye ʋusɔgbɔdɔ kple suklidɔ. Ne nɔnɔme siawo le ŋuwò la, afɔɖeɖe gbãtɔe nye be nàɖu wo dzi nyuie to nuɖuɖu nyui, kamedede, kple atike siwo woŋlɔ na wò me.
Ne nusi gbɔ wòtso me mekɔ o, alo ne dɔlélea nu sẽ la, wò ɖɔkta aɖo wò ɖe ayikuŋutinunyala gbɔ .
Ne èlé ŋku ɖe wò GFR ŋu edziedzi la, ate ŋu akpe ɖe ŋuwò nàkpɔ alesi wò ayiku ƒe dɔwɔwɔ le tɔtrɔm le ɣeyiɣi aɖe megbe. Emegbe wò ɖɔkta ate ŋu atrɔ asi le atike siwo woŋlɔ na wò ŋu wòasɔ ɖe enu.
Ele vevie ŋutɔ be màzã vevesesenutsitike, gbetike, alo atike bubu aɖeke si womeƒlena le atikedzraƒe o ne mèƒo nu kple wò ɖɔkta gbã o. Esiawo dometɔ aɖewo ate ŋu agblẽ nu le wò ayiku ŋu.
Ayiku ƒe dɔwɔwɔ dzi ɖena kpɔtɔna le dzɔdzɔme nu ne míele tsitsim, eyata anyo wu be nàkpɔ esia gbɔ kaba ale si nàte ŋui eye nàkpɔ ayiku ƒe dɔwɔwɔ ɖesiaɖe si le asiwò la ta.
Gbedasi si Wotsɔ Yi Aƒeme
- Creatinine nye gbeɖuɖɔ si dona ne míaƒe lãmekawo le dɔ wɔm. Ayikuwoe ɖenɛ ɖa heɖenɛ ɖa.
- Creatinine ƒe agbɔsɔsɔ le ʋu me dzidzedze (vevietɔ wò eGFR) nye dodokpɔ vevitɔwo dometɔ ɖeka be woatsɔ akpɔ wò ayiku ƒe lãmesẽ.
- Togbɔ be zi geɖe la, creatinine ƒe agbɔsɔsɔ si le ʋu me ƒe dzidziɖedzi alo GFR ƒe ɖiɖi nyea ayikudɔ ƒe dzesi hã la, menye nenemae wònɔna ɣesiaɣi o. Nu bubuwo hã ate ŋu awɔ akpa aɖe.
- Suklidɔ kple ʋusɔgbɔdɔ dzi ɖuɖu nyuie hiã vevie be woakpɔ ayiku ta.
- Dzro wò dodokpɔ me tsonu kple atike ɖesiaɖe si nèzãna (siwo dome vevesesenutsitike siwo womeƒlena o hã le) me kple wò ɖɔkta ɣesiaɣi.











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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee