Ayiku eve siwo le míaƒe ŋutilã me le abe super filter eve ene. Dɔ vevitɔ si ayiku wɔnae nye be wòaɖe gbeɖuɖɔ kple tsi siwo mehiã o siwo katã le ŋutilãa me la ɖa eye wòaɖe wo ado goe abe aɖuɖɔ ene. Gake le susu vovovowo abe suklidɔ kple ʋusɔgbɔdɔ ene ta la, ayiku siawo ƒe dɔwɔwɔ ate ŋu aɖiɖi vivivi. Ne ayikuawo megawɔa dɔ kura o la, gbeɖuɖɔwo ƒoa ƒu ɖe ŋutilãa me eye wodea agbe afɔku gã aɖe me. Ɣemaɣie míehiã atike si woyɔna be dialysis.
Kpuie ko la, nukae nye ʋumenugbagbeviɣidɔ?
Dialysis nye dɔ si wowɔna le mɔ si wowɔ kple asi nu ne wò ayikuwo le dɔ wɔm, eye wozãa mɔ̃ alo mɔnu bubu aɖe tsɔ wɔa dɔ si wòle be wò ayikuwo nawɔ. Ne míagblɔe tututu la, ebia be nàɖe wò ʋu, nàɖe gbeɖuɖɔwo (abe urea kple creatinine ene) kple tsi siwo mehiã o ɖa, eye nàgbugbɔ ʋu si ŋu nèkɔ la atrɔ ayi wò ŋutilã me. Esia medaa wò ayiku o, gake ekpena ɖe wò ayiku ŋu wòwɔa woƒe dɔ, si wɔnɛ be nènɔa agbe le lãmesẽ me.
Ame kawo ƒomevie hiã be woawɔ ʋumenugbagbeviɣidɔ na wo?
Dialysis hiã na amesiwo ŋu ayikudɔ le eƒe nuwuwu (ESKD), si fia be woƒe ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ wu 15%. Nu vevi geɖewo li siwo gbɔ ayiku ƒe dɔmawɔmawɔ nyuie tsona.
- Ʋusɔgbɔdɔ
- Suklidɔ
- Dɔlélenutsiŋutete ƒe dɔlélewo abe lupus ene
Ɣeaɖewoɣi la, ayikuawo te ŋu doa kpo nu le susu aɖeke manɔmee. Ɣeaɖewoɣi la, dɔléle sesẽ alo afɔku ate ŋu ana ayiku nawɔ dɔ kpata (ayiku ƒe dɔmawɔmawɔ nyuie). Le nɔnɔme sia tɔgbe me la, mɔnukpɔkpɔ li be ayikuawo nahaya.
Dialysis nye dɔléle sesẽ aɖe. Ne wò ɖɔkta tso nya me be ehiã be woaɖe ʋu le ŋuwò eye mèwɔe o la, gbeɖuɖɔ siwo me aɖi le ate ŋu aƒo ƒu ɖe wò ŋutilã me (uremia) eye woazu wò agbe afɔku. Eyata esia nye atikewɔwɔ si xɔa ame ɖe agbe.
Dialysis ƒomevi vevi eve li.
Dialysis ƒomevi vevi eve li. Wò ɖɔkta aɖe mɔnu si nyo na wò la me na wò, le wò agbenɔnɔ kple lãmesẽ ƒe nɔnɔme nu.
| Dialysis ƒomevi | Alesi wòdzɔnae | Ɣeyiɣi kple zi nenie |
|---|---|---|
| Ʋumenugbagbeviɣidɔ | Woɖea ʋu tso ʋuka aɖe si le alɔnu me, toa mɔ̃ (dialyzer) aɖe me tsɔ kɔa eŋu, eye emegbe wogbugbɔna yia ŋutilãa me. Zi geɖe la, wowɔa esia le kɔdzi alo ʋumenugbagbeviɣidɔdaƒe. | Anɔ abe ŋkeke 3 le kwasiɖa me, gaƒoƒo 3-4 le ɣeyiɣi ɖeka me. |
| Akɔta ƒe Ʋuʋudedi | Wodea mɔ̃ aɖe (catheter) ƒodoa me (le dɔgboa me), wodoa tsi tɔxɛ aɖe (dialysate) to eme, eye wozãa ƒodoa ƒe nutsyɔnu (peritoneum) tsɔ kɔa ʋua ŋu. Woate ŋu awɔe le aƒeme. | Àte ŋu awɔe zi 3-5 gbesiagbe (aɖabaƒoƒo 30-40 ɖesiaɖe) alo le zã me esime nèle alɔ̃ dɔm kple mɔ̃ (gaƒoƒo 8-10). |
Ʋumenugbagbeviɣidɔ
Esiae nye mɔnu si bɔ wu. Hafi nàdze atikewɔwɔ sia gɔme la, wowɔa ʋuka gã aɖe (fistula) to ʋuka aɖe kple ʋuka aɖe si le wò alɔnu ƒe kadodo me. Wowɔa esia be wòanɔ bɔbɔe be woatsɔ ʋu ayi ʋu si woɖena le ʋu me la gbɔ ahagbugbɔe ayi ʋu me.
Akɔta ƒe Ʋuʋudedi
Hafi woadze dɔ sia gɔme la, wowɔa dɔ na ame falɛfalɛ aɖe (catheter) wò dɔgbo me. Kɔdzia afia alesi nàdo tsi sia ahaɖee le aƒeme la wò. Mɔnu vevi eve li siwo dzi woato awɔ esia:
- CAPD (Continuous Ambulatory Peritoneal Dialysis): Le esia me la, ètsɔa asi trɔa tsia zi geɖe gbesiagbe.
- APD (Automated Peritoneal Dialysis): Esia bia be woaɖɔli tsi le wo ɖokui si to mɔ̃ aɖe zazã me esime nèle alɔ̃ dɔm.
Ðe afɔku aɖewo le ʋumenugbagbeviɣidɔ mea?
Ẽ, afɔku aɖewo le atikewɔwɔ eveawo siaa me. Afɔku vevitɔe nye alesi wòate ŋu axɔ dɔlékuiwo.
- Le ʋumenugbagbeviɣidɔ me: nuwo abe ʋu ƒe sisi nyuie o, ʋu ƒe sisi, kple abi le afisi wotsɔ aŋea de la ate ŋu adzɔ.
- Peritoneal dialysis: Peritonitis nye dɔlékui si xɔa ƒodo ƒe akpa si le ƒodoa me. Le ɣeyiɣi aɖe megbe la, ƒodo ƒe lãmekawo ate ŋu agbɔdzɔ eye ƒunukpeƒetetedɔ ate ŋu adzɔ.
Wò ɖɔkta ana nànya nu tso afɔku siawo katã ŋu nyuie.
Ðe nàte ŋu anɔ agbe si sɔ esime nèle ʋumenugbagbeviɣidɔ wɔm?
Nyateƒee, àte ŋui. Ame akpa gãtɔ siwo le ʋumenugbagbeviɣidɔ wɔm la wɔa woƒe dɔwo, ƒomegbenɔnɔ, kple modzakaɖeɖewo abe alesi wòle dzɔdzɔmee ene. Àte ŋu azɔ mɔ gɔ̃ hã. Ne èle ʋumenugbagbeviɣidɔ wɔm la, wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàdo ka kple ʋumenugbagbeviɣidɔdaƒe aɖe si le miaƒe nutoa me. Ne èle peritoneal dialysis wɔm la, àte ŋu atsɔ tsikotoku kple mɔ̃ si hiã la ɖe asi.
Kamedede hã nyo. Gake ne èle dɔgbo me ʋuɖɔɖɔdɔ wɔm la, ahiã be nàɖe dɔ sesẽ aɖewo dzi akpɔtɔ esime tsi yɔ wò ƒodo me fũ. Ðo dze kple wò ɖɔkta tso esia ŋu eye nàxɔ aɖaŋuɖoɖo.
Ɣekaɣie nàyɔ ɖɔkta enumake
Ne èkpɔ dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema la, ƒo nu kple wò ɖɔkta kaba ale si nàte ŋui.
| Afɔku ƒe nɔnɔme | Nuɖᴐɖᴐ |
|---|---|
| Dɔlékuiwo ƒe dzesiwo | Asrã, vuvɔ, taɖuame, kple tsi si dona le lãme na ame, eƒe amadede biã, alo eƒe amadede trɔna le afisi mɔ̃a le. |
| Ʋu ƒe sisi ƒe dzesiwo | Taɖuame, alɔ̃madɔmadɔ, tsikɔwuame si mebɔ o. |
| Ƒodo ƒe vevesese | Dɔgbo ƒe vevesese sesẽ si nɔa anyi ɖaa (vevietɔ le amesiwo le dɔgboa me ʋu si woɖena le dɔgboa me la gome). |
| Nɔnɔme bubuwo | Aɖuɖɔtoe sesẽ, ʋuʋudedi kple ʋuʋudedi, ƒodo alo akɔta ƒe vuvu si mebɔ o (aɖuɖɔtoe ƒe dzesiwo). |
Dialysis nye atike vevi aɖe si nana nènɔa agbe henɔa agbe nyuie vaseɖe esime wodo ayiku na wò. Exɔa ɣeyiɣi vi aɖe eye wòwɔa tɔtrɔ gã aɖe le wò agbe me, gake enaa wò agbe wò.
Gbedasi si Wotsɔ Yi Aƒeme
- Dialysis nye ayiku ƒe dɔmawɔmawɔ nyuie ƒe atikewɔwɔ si xɔa ame ɖe agbe, ke menye atike o.
- Wole ƒomevi vevi eve: ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ. Wò ɖɔkta akpe ɖe ŋuwò nàtia mɔnu si nyo na wò.
- Ame geɖe te ŋu nɔa agbe dovevienu, si me dɔwɔɖui kple ƒomegbenɔnɔ hã le, esime wole ʋumenugbagbeviɣidɔ dam.
- Nɔ ŋudzɔ ɣesiaɣi be yeakpɔ dɔlékuiwo, vevesese sesẽ, kple taɖuame ƒe dzesiwo. Ne nane si ŋu nètsi dzi ɖo la, gblɔe na wò ɖɔkta enumake.

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