Mina míasrɔ̃ nu tso kuxi siwo ate ŋu ado mo ɖa ne womeɖu suklidɔ dzi o ŋu pɛpɛpɛ!

Dɔléle aɖe si woyɔna be Suklidɔ le ame geɖe ŋu le míaƒe dukɔa me. Ðewohĩ nɔnɔme sia le wò, ƒometɔ aɖe, alo xɔ̃wò aɖe ŋu. Agbenɔnɔ kple suklidɔ nye kuxi, gake ne èɖu edzi nyuie la, àte ŋu anɔ agbe si sɔ. Gake ne míeɖu edzi nyuie o, si fia be ne sukli sɔ gbɔ ɖe ʋu me ɣesiaɣi la, ate ŋu agblẽ nu le ŋutinu siwo le míaƒe ŋutilã me ŋu si míate ŋu asusu o. Egbea míele nu ƒom tso kuxi siwo suklidɔ hena vɛ ŋu. Ne ènya nusiawo la, akpe ɖe ŋuwò ŋutɔ le ɖokuiwò takpɔkpɔ me.

Dzidɔ & Ʋusɔgbɔdɔ

Suklidɔ ƒe kuxi siwo bɔ wu eye afɔku le wo me dometɔ ɖekae nye dzidɔ. Ne sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖe edzi la, míaƒe ʋukawo ƒe gliwo gblẽna, eye ʋumemi kple ami tea ƒoƒo ɖe wo me. Esia wɔnɛ be ʋukawo xana, si wɔnɛ be ʋu ƒe sisi yia dzia me dzi ɖena kpɔtɔna. Esia koŋue hea dzidɔ vɛ.

Nenema kee wòle le nɔnɔme si woyɔna be ʋusɔgbɔdɔ hã gome . Nɔnɔme sia dzɔna ne ʋuka aɖe si tsɔa ʋu yia ahɔhɔ̃a me xe alo gbã. Afɔku sia lolo wu sã na amesi ŋu suklidɔ le.

Wò ɖɔkta alé ŋku ɖe nu siawo ŋu:

Wowɔa dodokpɔ siawo ɣesiaɣi kloe si nèyi ɖɔkta gbɔ.

• Ʋu ƒe sisi : Wotsɔa asigɛ si wotsɔ blaa wò alɔnu dzidzea wò ʋu ƒe sisi. Ele vevie be woana wòanɔ anyi wu 130/80 mmHg.
• Ʋudodokpɔ : Wonoa ʋu sue aɖe tsɔ léa ŋku ɖe ʋumemi gbegblẽ ( LDL cholesterol) kple triglycerides ƒe agbɔsɔsɔ si le mewò ŋu.
• ECG dodokpɔ: Woawɔ ECG (Electrocardiogram) dodokpɔ le ɣeyiɣi si woɖo ɖi na wò zi gbãtɔ be woatsɔ akpɔ wò dzi ƒe dɔwɔwɔ eye woaŋlɔe ɖi.

Ne èkpɔ ʋusɔgbɔdɔ ƒe dzesiwo , ele be nàyi kɔdzi enumake.Ne èkpɔ dzesiwo abe wò mo alo wò ŋutilã ƒe akpa ɖeka ƒe ʋuʋu kpata, nuƒoƒo sesẽ, ŋku eveawo ƒe nukpɔkpɔ sesẽ, alo taɖuame ene la, yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.

Ayiku ƒe gbegblẽ (Diabetic Nephropathy) .

Ayikuwoe nye nusiwo wotsɔna tsia míaƒe ŋutilã me. Woɖea gbeɖuɖɔwo ɖa le ʋua me. Gake ne sukli ƒe agbɔsɔsɔ le ʋu me nɔa kɔkɔm ɣeyiɣi didi aɖe la, ʋuka siwo me wodea amii le ayikuawo me la gblẽna. Woyɔa esia be Suklidɔ ƒe Aɖudɔ .

Le gɔmedzedzea me la, dzesi aɖeke medzena o, gake vivivi la, ayikuawo ƒe dɔwɔwɔ dzi ɖena kpɔtɔna, eye mlɔeba la, ayikuawo ate ŋu ado kpo nu keŋkeŋ.

Eyata ele vevie be amesiame si ŋu suklidɔ le nado ayiku kpɔ zi ɖeka ya teti le ƒea me .

• Aɖuɖɔtoe dodokpɔ : Woalé ŋku ɖe wò aɖuɖɔ me be protein aɖe si woyɔna be albumin hã le eme. Zi geɖe la, womeɖea protein sia doa goe le aɖuɖɔ me o. Gake ne ayikuawo gblẽ la, protein sia ƒoa ƒu ɖe aɖuɖɔ me.
• Ʋudodokpɔ: Woawɔ ʋudodokpɔ atsɔ akpɔ wò creatinine ƒe agbɔsɔsɔ kple GFR (Glomerular Filtration Rate). Kpuie ko la, GFR nye alesi wò ayikuwo kɔa gbeɖuɖɔwo nyuie ƒe dzidzenu.

Lãmetsiŋusẽ ƒe gbegblẽ (Suklidɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle) .

Esia hã nye suklidɔ ƒe kuxi si bɔ ŋutɔ. Sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me gblẽa nu le lãmeka siwo le míaƒe ŋutilã me ŋu. Woyɔa esia be suklidɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle . Ekpɔa ŋusẽ ɖe lãmeka siwo le asiwo kple afɔwo me dzi wu.

Ðe nɔnɔme siawo le asiwòa?

• Asiwo kple afɔwo le ʋuʋum.
• Nye afɔwo se le ɖokuinye me abe ɖe wole dzo dam ene.
• Ɣeaɖewoɣi la, lãmetutudɔ nɔa anyi.

Afɔku gãtɔ kekeake si le esia ŋue nye be màte ŋu ase naneke le wò afɔwo me o. Bu eŋu kpɔ be, lã sue aɖe le wò afɔ ŋu, alo ŋù aɖe le eme, gake ne mèse le ɖokuiwò me o ɖe? Lãɖeɖe sue ma ate ŋu atsi, axɔ dɔlékuiwo, eye ɖewohĩ ana wòahiã be nàlã wò afɔ.

Wò ɖɔkta hã ado wò afɔwo kpɔ zi ɖeka ya teti le ƒea me. Woate ŋu atsɔ nane abe nylon ka alo pin sue aɖe ene aƒo wò afɔ be woakpɔe ɖa be àte ŋu ase egɔme hã. Ne màte ŋu ase egɔme o la, ate ŋu anye lãmekawo ƒe gbegblẽ ƒe dzesi.

Dɔ si wòkpɔna ɖe ŋku ƒe nukpɔkpɔ dzi (Diabetic Retinopathy) .

Suklidɔ ate ŋu agblẽ nu le ŋkuwo hã ŋu. Sukli si sɔ gbɔ ɖe ʋu me gblẽa nu le ʋuka tsɛ siwo naa ʋu yia ŋkume ƒe megbeƒu ŋu. Woyɔa esia be suklidɔ ƒe ŋku ƒe dɔléle . Ne womewɔ atike nɛ o la, ate ŋu ana ame nazu ŋkuagbãtɔ.

Eyata ele vevie be amesiame si ŋu suklidɔ le nayi ŋkudɔdala gbɔ zi ɖeka ya teti le ƒea me be woado eƒe ŋkuwo kpɔ.

• Ŋkudodokpɔ: Ðɔktaa ade tsitete wò ŋku me be ŋkua nakeke. Emegbe, woazã ŋkumeɖonu tɔxɛ aɖe atsɔ alé ŋku ɖe wò ŋku ƒe megbe, si nye ŋku ƒe ŋkume , ŋu akpɔe ɖa be nane gblẽ hã.
• Wò nukpɔkpɔ aɖiɖi vie eye kekeli nase le eɖokui me gaƒoƒo ʋɛ aɖewo le dodokpɔ sia megbe. Eyata anyo be nàtsɔ ɣe ƒe ŋkumewu ɖe asi eye nàna ame bubu naku ʋu na wò .

Ele be amesiwo ŋu suklidɔ Ƒomevi 1 le nadze dodokpɔ sia gɔme le ƒe 3-5 me tso esime wokpɔ dɔlélea. Ele be amesiwo ŋu suklidɔ Ƒomevi 2 le nado woƒe ŋkume kpɔ zi gbãtɔ ne wonya kpɔe ko.

Kuxi bubu siwo bɔ

Tsɔ kpe ɖe kuxi vevi siwo míeyɔ ɖe etame ŋu la, kuxi bubu geɖewo ate ŋu ado mo ɖa.

• Nuɖuɖumeŋusẽ ƒe kuxiwo (Gastroparesis): Lãmetsi siwo le dɔgboa me ƒe gbegblẽ nana dɔgboa tsia ƒuƒlu vivivi. Esia hea dzesiwo abe ʋuʋudedi kple ʋuʋudedi ene vɛ. Be woaɖo kpe esia dzi la, ate ŋu ahiã be woawɔ dodokpɔwo abe endoscopy ene.
• Tsitretsitsi ƒe Dɔmawɔmawɔ nyuie: Suklidɔ nana ŋutsuwo ƒe tsitretsitsi ƒe dɔmawɔmawɔ nyuie ƒe afɔkua dzina ɖe edzi. Ele vevie be nàƒo nu tso esia ŋu kple wò ɖɔkta ŋukpe manɔmee. Woate ŋu atsɔ agbenɔnɔ ƒe tɔtrɔ kple atikewo adae.
• Ŋutilã me kuxiwo kple dɔlékuiwo: Ne sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖe edzi la, nɔnɔme nyui aɖe nɔa anyi na dɔlékuiwo kple fungiwo be woatsi. Eɖea ŋutete si le ŋutilãa si be wòada abi hã dzi kpɔtɔna. Esia ate ŋu ana ame naxɔ ŋutigbalẽ me dɔlékuiwo enuenu, aɖuɖɔtoedɔléle, kple aɖuɖɔtoedɔléle.
• Aɖuwo ƒe lãmesẽnyawo: Afɔku le amesiwo ŋu suklidɔ le ŋu be woaxɔ aɖudɔ (gingivitis), aɖu ƒe gbegblẽ, kple aɖu ƒe gege. Eyata ele vevie be nàklɔ aɖuɖɔ kple aɖuɖɔtoe gbesiagbe eye nàyi aɖudɔdala gbɔ edziedzi.

Dodokpɔ siwo wòle be nàwɔ

Be nàxe mɔ ɖe kuxiwo nu la, ele vevie be nànya alesi woate ŋu aɖu wò suklidɔa dzi nyuie. Dodokpɔ siawo kpena ɖe ame ŋu le ema me.

Suklidɔ nye nusi ŋu wòle be woakpɔ egbɔ nyuie. Mègatsi dzodzodzoe o. Ne èwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie, no wò atikewo ɖe game dzi, ɖu wò nuɖuɖu dzi, eye nède kame la, àte ŋu akpɔ ɖokuiwò ta tso kuxi geɖe siwo míeyɔ ɖe etame la me.

Suklidɔ, Suklidɔ ƒe Kuxiwo, Dzidɔ, Ayikudɔ, Lãmetsiŋusẽ ƒe Gbegblẽ, Suklidɔ Dzi ɖuɖu