Mina míasrɔ̃ nu tso Cystic Kidney Disease ŋu le nya bɔbɔewo me.

Ðe nèsea veve ɣeaɖewoɣi le wò akɔta, axadzi, alo akɔta? Alo ɖe nède dzesi ʋu le wò aɖuɖɔ mea? Esiawo ate ŋu atso ayiku ƒe kuxi aɖe gbɔ. Ame geɖe ŋea aɖaba ƒua nu siawo dzi, gake woate ŋu anye dzesi veviwo. Egbea míele nu ƒom tso nɔnɔme aɖe si woyɔna be ‘Cystic Kidney Disease’ si ame geɖe ate ŋu axɔ, gake womenya nu tso eŋu tututu o la ŋu. Na míakpɔ nusi wònye, nusita wòdzɔna, kple nusi woate ŋu awɔ tso eŋu ɖa.

Nukae Nye Cystic Kidney Disease?

Kpuie ko la, esia nye nɔnɔme siwo me kotoku ɖeka alo esi wu nenema si me tsi yɔ fũ (si woyɔna be cysts) dzɔna le wò ayiku me alo ƒo xlãe. Bu wo abe ʋuƒo sue siwo me tsi yɔ fũ ene. Ne kotoku siawo va le ayikuawo me la, woate ŋu ado kplamatse ayikuawo ƒe dɔ vevitɔ si nye be woaɖe gbeɖuɖɔwo kple tsi si sɔ gbɔ ɖe ʋua me la ɖa. Le ɣeyiɣi aɖe megbe la, nɔnɔme sia ate ŋu ana ayiku nawɔ dɔ nyuie o.

Aleke gbegbee nɔnɔme sia bɔe?

Enɔ te ɖe dɔléle ƒomevi si le ame ŋu dzi ŋutɔŋutɔ. Le kpɔɖeŋu me, ƒomevi si woyɔna be ‘Simple Kidney Cysts’ bɔ ŋutɔ. Le mama dedie nu la, ame ɖeka le ewo ɖesiaɖe me ate ŋu akpɔ wo. Gake ƒomevi bubu siwo le dɔléle ƒe hatsotso sia me la mebɔ vie o.

Nukawoe nye nɔnɔme sia ƒe dzesi veviwo?

Esi wònye be ayiku me dɔléle ƒomevi vovovowoe li ta la, dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Gake dzesi ʋɛ aɖewo li siwo bɔ. Na míalé ŋku ɖe nusiwo wonye ŋu.

Nukatae dɔdzẽ siwo le abe esia ene dzɔna? Nuka gbɔe esia tso?

Susu geɖewo ate ŋu anɔ esia ta. Ƒome aɖewo nye domenyinyi , si fia be woate ŋu atso dzilawo gbɔ ayi ɖeviwo gbɔ le domenyiŋusẽfianu me. Dɔlékui ƒomevi bubuwo ate ŋu adze le eƒe tsitsime, le dɔléle bubuwo, vidzidzi ƒe gbɔdzɔgbɔdzɔ, alo tsitsi ta.

Kpuie ko la, mɔ̃ suesuesue (ayiku me ʋuka) akpe geɖe siwo ɖea ʋu le míaƒe ayikuwo me. Cyst dzɔna ne mɔ̃ siawo dometɔ ɖeka ƒe akpa sue aɖe gbã eye tsi ƒo ƒu ɖe eme.

Amekae le afɔku me wu be wòaxɔ nɔnɔme sia?

Togbɔ be afɔkuwo toa vovo le ƒomevi ɖesiaɖe gome hã la, le goawo katã me la, ame siawo le afɔku si lolo wu me vie:

• Ame siwo xɔ wu ƒe 50.
• Ame siwo ŋu ayikudɔléle si nɔa anyi didi (CKD) alo ayiku ƒe dɔmawɔmawɔ nyuie le.
• Ame siwo ƒe ƒome ŋutinya me dɔléle sia le alo domenyiŋusẽfianu si mesɔ o si do ƒome kplii le.

Aleke ɖɔkta awɔ anya dɔléle siae?

Ne èyi wò ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo ŋu. Abia hã nenye be nɔnɔme siawo dometɔ aɖe nɔ miaƒe ƒomea me kpɔ. Emegbe aɖo aɖaŋu be woawɔ dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema atsɔ akpɔe ɖa be ayiku me kpewo le eŋu hã:

• Ultrasound Scan: Esiae nye mɔnu si wozãna wu, si le bɔbɔe wu eye vevesese aɖeke mele eŋu o.
• CT Scan: Ate ŋu ana ayikuawo ƒe nɔnɔmetata siwo me kɔ wu, siwo me kɔ wu.
• MRI Scan: Esia nye mɔnu bubu si naa nɔnɔmetata siwo me kɔ ŋutɔ.

Tsɔ kpe ɖe eŋu la, àte ŋu ado ʋu kpɔ ahawɔ aɖuɖɔtoe me dzodzro hã be nàkpɔ alesi wò ayikuwo le ʋu ƒom nyuie.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔ nɔ te ɖe dɔléle si ƒomevi le ŋuwò, alesi dɔdzẽawo le, kple alesi wò dzesiawo nu sẽe dzi.

Na Ayiku ƒe Ʋuʋudedi Blewuwo

Zi geɖe la, ƒunukpeƒetetedɔ bɔbɔe siwo me dzesi aɖeke mele o eye womehea kuxi aɖeke vɛ o la mehiã be woawɔ atike tɔxɛ aɖeke na wo o. Wò ɖɔkta awɔ ƒe sia ƒe ƒe dodokpɔ atsɔ akpɔe ɖa be ƒunukpeƒea le lolom ɖe edzi hã . Gake ne ƒunukpeƒea le vevesese alo kuxi bubuwo hem vɛ la, àte ŋu awɔ nu siwo gbɔna:

• Fine-needle aspiration: Ne wole ŋku lém ɖe scan la ŋu la, wotsɔa aŋe nyui aɖe dea eme be woaɖe tsi si le cyst la me ɖa.
• Amekoko to ʋuka me: Woɖea dɔdzẽa ɖa alo dzoae to fotoɖemɔ̃ zazã me to lãɖeɖe sue aɖe me.

Ne ayiku ƒe dɔmawɔmawɔ nyuie dzɔ

Ne dɔlélea nu sẽ eye wòna ayiku megawɔa dɔ nyuie o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atikewo abe:

• Dialysis: Mɔ̃ si wɔa wò ʋu ŋuti kɔklɔ ƒe dɔ si wò ayiku mate ŋu awɔ o.
• Ayiku Dodo Ðe Ame Ŋu: Ayiku si le lãmesẽ me dodo na ame gbagbe alo ame kuku.
• Atikewo na ʋusɔgbɔdɔ: Atikewo (`antihypertensives`) nana be woatsɔ aɖu ʋu ƒe sisi dzi.
• Agbenɔnɔ ƒe tɔtrɔ: Àte ŋu aɖu ʋu ƒe sisi dzi ne èwɔ nuwo abe kamedede gbesiagbe, wò lolo nyuie me léle ɖe asi, kple atamanono ene.

Nukae nye Cystic Kidney Disease ƒomevi vovovoawo?

Ẽ, dɔléle sia ƒomevi vevi geɖewo li. Domenyiŋusẽfianu gbɔe wo dometɔ aɖewo tsona, evɔ bubuwo ya xɔa ame le agbe me.

Nuɖuɖu kawoe wòle be nàƒo asa na ne ayiku me kpewo le ŋuwò?

Ne ayikudɔ le ŋuwò eye wò ayikuwo mele dɔ wɔm nyuie o la, ele vevie be nàƒo nu kple ayikuŋutinunyala aɖe be wòawɔ nuɖuɖu ŋuti ɖoɖo si sɔ na wò. Le goawo katã me la, ahiã be nàɖo seɖoƒe na nusiwo gbɔna:

• Nuɖuɖu siwo me dze (sodium) sɔ gbɔ ɖo: Nuwo abe atadi, tɔmelã ƒuƒu, lãmi, kple nuɖuɖu siwo wotsɔ gaze me.
• Nuɖuɖu siwo me protein sɔ gbɔ ɖo: Nuwo abe lã, tɔmelã, kple azi ene dzi ɖeɖe kpɔtɔ le agbɔsɔsɔ si hiã me.
• Nuɖuɖu siwo me Potassium kple Phosphorus sɔ gbɔ ɖo: Notsi, nukuwo, akɔɖu, amititsetse, mɔli, kple bubuawo.
• Ele vevie hã be nàde nuɖuɖu siwo naa dzi naa lãmesẽ geɖe wu wò nuɖuɖu me.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?

Dzesi siawo ate ŋu anye ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo. Ne esiawo dometɔ ɖeka alo esi wu nenema le asiwò la, yi ɖɔkta gbɔ enumake alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).

Togbɔ be womate ŋu ada dɔléle sia keŋkeŋ o hã la, ne wodae nyuie eye wotrɔ agbenɔnɔ la, woate ŋu aɖu dɔlélea dzi, ate ŋu aɖe nusiwo gblẽ le ayiku ŋu dzi akpɔtɔ, eye àte ŋu anɔ agbe nyuie ƒe geɖe. Eyata ne dzesiwo le ŋuwò la, ele vevie be màgatsi dzodzodzoe ahaƒo nu kple wò ɖɔkta o.