Ðe cystine gbɔe ayiku me kpewo tsona? (Cystine Stones) Mina míanya nu tso esia ŋu tututu!

Ayiku me kpewo nye nusi doa vɔvɔ̃ na mí katã vie, alo? Ðewohĩ èse vevesese ma ŋu nya kpɔ. Gake ènya be ayiku me kpe ƒomevi vovovowoe lia? Egbea míele nu ƒom tso kpe ƒomevi aɖe si mebɔ o gake wòle vevie ŋutɔ ŋu. Emae nye cystine kpewo. Na míakpɔ nusita wodzɔna, dzesi siwo le wo ŋu, kple nusi woate ŋu awɔ tso wo ŋu ɖa.

Kpuie ko la, nukae nye cystine kpewo?

Cystine Stones hã nye ayiku me kpe ƒomevi aɖe. Ayiku me kpewo nye nu sesẽ siwo le abe kpe ene siwo wowɔ to atike vovovowo ƒe ƒuƒoƒo ɖe míaƒe aɖuɖɔ me. Atike aɖe si woyɔna be cystine ye wɔa cystine kpewo . Cystine nye amino acid vevi aɖe na míaƒe ŋutilã. Ne míagblɔe tututu la, enye protein siwo kpena ɖe mía ŋu míetua lãmekawo ɖo eye wodzraa lãmekawo ɖo le míaƒe ŋutilã me ƒe akpa sue aɖe.

Zi geɖe la, míaƒe ayikuwo gaxɔa cystine sia ake ɖe ŋutilãa me. Gake le ame aɖewo gome la, ɖoɖo sia mewɔa dɔ nyuie o. Emegbe, cystine si womate ŋu axɔ o la ƒoa ƒu ɖe aɖuɖɔa me eye le ɣeyiɣi aɖe megbe la, ewɔa kpe. Cystine kpe siawo ate ŋu alolo vie wu ayiku me kpe bubuwo. Eyata ɣeaɖewoɣi la, ehiãna be woaɖe wo ɖa to amekoko me be woatɔ te nusiwo gblẽ le ayiku alo aɖuɖɔtoe ŋu.

Eyata nukae nye Cystinuria?

Nusi koŋ gbɔ cystine kpe siawo tsonae nye domenyiŋusẽfianu ƒe nɔnɔme aɖe si woyɔna be cystinuria . Esia nye nɔnɔme si mebɔ o, si tso domenyiŋusẽfianu me. Kpuie ko la, ne dɔléle sia le ŋuwò la, wò ŋutilã mate ŋu alɔ atike aɖe si woyɔna be cystine nyuie o. Eyata eƒoa ƒu ɖe wò aɖuɖɔ me eye wòwɔa kpewo.

Esi wònye domenyiŋusẽfianu ƒe nɔnɔme sia nye ta la, ele be ɖevi nanyi domenyiŋusẽfianu la ƒe dome tso dadaa kple fofoa siaa gbɔ hafi wòate ŋu axɔe . Anɔ eme be ame si ŋu dɔléle sia le la axɔ cystine stones zi geɖe le eƒe agbemeŋkekewo katã me.

Aleke gbegbee nɔnɔme sia bɔe? Nukawoe nye dzesiawo?

Esia menye nusi dzɔna ɖe amesiame dzi o, ƒã hafi wòbɔ vie. Zi geɖe la, ne èxɔ ame 1 alo 2 le ame 100 siwo ŋu ayiku me kpewo le dome la, wo dometɔ ɖeka alo eve koe axɔ cystine kpewo. Gake nukutɔe la, wokpɔa nɔnɔme sia zi geɖe le ɖeviwo kple sɔhɛ tsitsiwo ŋu . Ame siwo xɔ cystine stones la dometɔ siwo ade 80% xɔa woƒe kpe gbãtɔ hafi xɔ ƒe 20. Gake kpe siawo ate ŋu adzɔ le ƒe ɖesiaɖe me.

Le dzesiawo gome la, woɖi ayiku me kpe bubuwo tɔ ŋutɔ. Zi geɖe la, womesea dzesiawo gɔme o vaseɖe esime kpe aɖe do.

Ɣeaɖewoɣi la, cystine kpe siawo ate ŋu alolo ale gbegbe be woate ŋu axe aɖuɖɔtoea eye woana aɖuɖɔtoedɔléle (UTI) nadze ame dzi .

Kuxi kawoe ate ŋu ado mo ɖa?

Cystinuria nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me, eye ne womekpɔ egbɔ nyuie o la, ate ŋu ahe kuxiwo vɛ. Ele vevie be nàwɔ dɔ kple wò ɖɔkta be nàkpɔ nɔnɔme sia gbɔ.

Kuxi siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye:

• Ayiku me dɔlékuiwo: Kpewo ate ŋu axe mɔ na aɖuɖɔ ƒe sisi eye wòana dɔlékuiwo nage ɖe ayiku me.
• Aɖuɖɔtoe ƒe xexe: Kpe ate ŋu axe mɔ si tsɔa aɖuɖɔ tso ayiku me yia tsinyegoe me (tsinyegoe me).
• Aɖuɖɔtoe me dɔléle (UTIs) enuenu.
• Ayiku ƒe gbegblẽ tegbee:Ne womewɔ atike nɛ ɣeyiɣi didi o la, ayiku ƒe dɔwɔwɔ ate ŋu aɖe akpɔtɔ.

Aleke ɖɔktaa wɔa anya esia? Nukawoe nye atikewɔmɔnuawo?

Ne dzesi siwo ɖi ayiku me kpewo le ŋuwò la, wò ɖɔkta awɔ dodokpɔ geɖe atsɔ anya ne cystine kpe siawoe nye esiawo.

Mɔnu siwo wozãna tsɔ dia dɔlélewoe

• Nyabiase tso ŋuwò tsitotsito: Ðɔkta abia wò dzesiwo kple nenye be kuxi mawo tɔgbe nɔ wò ƒomea me tɔ aɖe hã ŋu.
• Dodokpɔwo: Woate ŋu adɔ be woawɔ aɖuɖɔtoe dodokpɔ kple nɔnɔmetatawo dodokpɔ abe ultrasound scan alo CT scan ene.
• Kpea dodo kpɔ: Ne kpe aɖe le ŋuwò si do le wò aɖuɖɔ me la, àte ŋu aɖoe ɖe dodokpɔxɔ aɖe be woadoe kpɔ be kpe ƒomevi si tututu wònye. Esia koe nye mɔ si dzi woato aɖo kpe edzi 100% be enye cystine kpe.

Dɔdamɔnu siwo wozãna

Taɖodzinu vevitɔ si le cystine kpewo dada ŋue nye be woaxe mɔ na kpe yeyewo ƒe dzɔdzɔ eye woaɖe kpe siwo li xoxo la ɖa. Wò ɖɔkta awɔ atikewɔwɔ ƒe ɖoɖo si asɔ na wò.

• Tɔtrɔ siwo va le agbenɔnɔ kple nuɖuɖu me
• No tsi geɖe: Esiae nye nu vevitɔ kekeake. Wò ɖɔkta ate ŋu agblɔ na wò be nàno tsi lita 3-4 ya teti gbesiagbe. Ema fia be ele be wòazu numame na wò be nàno tsi kplu ɖeka gaƒoƒo ɖesiaɖe. Mègawɔ nuku na wò ne èfɔ le zã me be yeano tsi o. Tsi nana wò aɖuɖɔ me tsi eye wòɖea cystine ƒe ƒuƒoƒo dzi kpɔtɔna.
• Dze (sodium) dzi ɖuɖu: Ðe dze si nèdea wò nuɖuɖu me dzi kpɔtɔ. Ƒo asa na nuɖuɖuwo abe nuɖuɖu siwo wotsɔ gaze me kple nuɖuɖu siwo wofa tsikpe alo esiwo wobla ɖe agba me, siwo me dze sɔ gbɔ ɖo ene.
• Lãwo ƒe protein dzi ɖeɖe kpɔtɔ: Àte ŋu aɖe lãwo ƒe protein abe lã, tɔmelã, kple azi ene ɖuɖu dzi akpɔtɔ eye wò susu nanɔ protein si tso numiemiewo me ŋu boŋ.

• Atikewo

Ne kpe aɖe le veve sem na wò la, wò ɖɔkta aŋlɔ vevesesenutsitikewo na wò. Tsɔ kpe ɖe eŋu la, atike tɔxɛ aɖewo li siwo ate ŋu akpe ɖe ame ŋu be cystine kpe yeyewo nagadzɔ o. Tiopronin kple d-penicillamine nye atike mawo tɔgbe. Esiawo kpena ɖe ame ŋu wòlɔ̃a cystine la. Atikewɔlawo ƒe dzikpɔkpɔ te koe wòle be woano atike siawo .

• Amekoko

Ne kpeawo lolo ŋutɔ, xe mɔ na aɖuɖɔtoe, alo le veve sem vevie la, ahiã be woawɔ dɔ na wo be woaɖe wo ɖa.

• Ureteroscopy: Wotsɔa fotoɖemɔ̃ sue aɖe si te ŋu trɔna bɔbɔe la toa tsinyegoea me be woake ɖe kpea ŋu eye woagbãe ɖe akpa vovovowo me alo aɖee ɖa keŋkeŋ.
• Nephrolithotomy to ŋutigbalẽ me:Dɔwɔwɔ si me woɖea nu sue aɖe le akɔta ƒe ŋutigbalẽ me eye wotsɔa mɔ̃ aɖe toa eme yia ayiku me be woaɖe kpea ɖa. Zi geɖe la, wowɔa esia na kpe gã ŋutɔwo.

Aleke nènɔa agbe ɖe nɔnɔme sia nu? Ðe wònye nusi wòle be woavɔ̃ na?

Cystinuria nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me. Gake ne wokpɔ edzi nyuie la, naneke meli si ŋu woatsi dzi ɖo o. Ƒã hafi nɔnɔmea dea ame ƒe agbe afɔku me. Ne wodae nyuie la, ƒã hafi wòva zua nɔnɔme sesẽwo abe ayiku ƒe dɔmawɔmawɔ nyuie ene.

Be ɖɔktaa nalé ŋku ɖe atikewɔwɔa ƒe dzidzedzekpɔkpɔ ŋu la, awɔ aɖuɖɔtoe dodokpɔwo edziedzi atsɔ akpɔ alesi cystine le aɖuɖɔa me ɖa. Ne ehiã la, woatrɔ asi le atikewɔwɔ ƒe ɖoɖoa ŋu wòasɔ ɖe enu. Esi wònye domenyiŋusẽfianu ƒe nɔnɔme sia nye ta la, anyo hã be nàdi domenyiŋusẽfianu ŋuti aɖaŋuɖoɖo ne èle ɖoɖo wɔm be yeaɖo ƒome.