Tsɔe be, wò ɖɔkta susui be kuxi aɖe le wò ayiku ŋu . Eyata, ebiana tso asiwò be nàdo ʋu kpɔ atsɔ akpɔ wò ayiku ƒe dɔwɔwɔ ɖa. Awɔ nuku na wò ne egblɔ na wò be xexlẽme si le nyatakaka ma me toa vovo le to si me nètso nu, alo? "Aleke nye ayiku ƒe dɔwɔwɔ toa vovo le to si me metso nu?" Ðewohĩ ànɔ eŋu bum. Le nyateƒe me la, esia nye kuxi gã aɖe si le edzi yim le atikewɔwɔ ƒe xexeame ɣeyiɣi didi aɖee nye sia, eye wole eɖɔm ɖo fifia. Egbea míele nu ƒom tso eŋu.
Nukae nye sɔsɔŋusẽ sia si dzidzea ayiku ƒe dɔwɔwɔ?
Míaƒe ayikuwo le abe nu eve siwo ŋu ŋusẽ le wu le ŋutilãa me ene. Dɔ vevitɔ si ayiku wɔnae nye be wòaɖe gbeɖuɖɔ siwo mehiã o ɖa le ʋua me eye wòana ŋutilãa nanɔ dzadzɛ. Eyata dzidzenu vevi siwo ɖɔktawo zãna tsɔ léa ŋku ɖe ayikuawo ƒe lãmesẽ ŋu dometɔ ɖekae nye eGFR . Ema tsi tre ɖi na Glomerular Filtration Rate si wobu .
Kpuie ko la, edzidzea alesi wò ayikuwo le wò ʋu ŋu kɔm kabakaba hewɔa dɔ nyuie. Esi wònye be esesẽ be woadzidze esia tẽ ta la, míezãa akɔntabubu ƒe sɔsɔŋusẽ si zãa nuwo abe gbeɖuɖɔ si woyɔna be creatinine ƒe agbɔsɔsɔ le wò ʋu me, wò ƒexɔxɔ, kple wò ŋutsu alo nyɔnu nyenye ene tsɔ bua akɔntae.
eGFR ƒe asixɔxɔ si dzi ɖe kpɔtɔ fia be ayikuawo le dɔ wɔm. Asixɔxɔ sia nye nu vevi aɖe si kpena ɖe ɖɔktawo ŋu wotsoa nya me nenye be ehiã be ame aɖe nadze ʋumenugbagbeviɣidɔ gɔme loo alo woado ayiku na ame.
Afikae kuxia dze egɔme tsoe? Aleke ‘ameƒomevinyenye’ va zu nusi gbɔ wòtso?
Ɣeyiɣi aɖe la, tɔtrɔ wɔnuku aɖe nɔ eGFR ƒe sɔsɔŋuɖoɖo sia me: ‘duɖimekeke’ . Gake esia meku ɖe ameƒomevi vovovowo katã ŋu o. Ne ame aɖe ɖee fia be yenye "Ameyibɔ" ko hafi wòwɔa dɔ.
Eyae nye be yevu kple ameyibɔ si xɔ ƒe, ŋutsu alo nyɔnu, kple creatinine ƒe agbɔsɔsɔ ɖeka xɔ eGFR ƒe xexlẽme eve. Ne yevu ye ameyibɔa nye la, ke sɔsɔŋusẽa doa asixɔxɔ ma ɖe dzi le mɔ si wowɔ nu.
Nu kae dzᴐ? eGFR ɖee fia be ameyibɔ ƒe ayiku ƒe dɔwɔwɔ nyo wu alesi wònɔ ŋutɔŋutɔ. Esia wɔe be wohe ɖe megbe le atikewɔwɔ si hiã la xɔxɔ me, abe ʋumenugbagbeviɣidɔ gɔmedzedze alo wo dede ayiku dodo ƒe ŋkɔwo me ene. Esia nye nu madzɔmadzɔ gã aɖe si womeɖo be woawɔ o.
| eGFR ƒe sɔsɔŋusẽ xoxo (si me ameƒomevinyenye hã le) . | eGFR ƒe sɔsɔŋusẽ yeye (si me to vovovo me tɔwo mele o) . |
|---|---|
| Wobu creatinine ƒe agbɔsɔsɔ, ƒexɔxɔ, ŋutsu alo nyɔnu nyenye kple ‘ameƒomevinyenye’ (eɖanye ameyibɔ alo menye ameyibɔ o) ŋu le akɔntabubua me. | Woɖe ‘duɖimekeke’ ɖa keŋkeŋ le akɔntabubua me. Fifia creatinine ƒe agbɔsɔsɔ, ƒexɔxɔ kple ŋutsu alo nyɔnu nyenye koe wobuna. |
| Woɖee fia be wodzi eGFR ƒe xexlẽme ɖe edzi le ameyibɔ dɔnɔwo me le mɔ si wowɔ nu. | Ebua eGFR le mɔ si sɔ wu nu, eye wòzãa dzidzenu ɖeka ma ke na dɔnɔ siwo tso to ɖesiaɖe me. |
| Esia na be womesɔ o eye wohe ɖe megbe le atikewɔwɔ ƒe atikewo ŋɔŋlɔ kple ɖoɖowɔwɔ ɖe ayiku dodo na ame ŋu me. | Ekpena ɖe ame ŋu be vovototo siwo le amewo ɖoɖo ɖe atikewɔƒewo me dzi ɖena kpɔtɔna. |
Nukatae wotsɔ nya ‘dukɔ’ de eme tso gɔmedzedzea me ke?
Esia tso numekuku siwo wowɔ le ƒe 1990-awo me gbɔ. Numekuku aɖe si wowɔ ɣemaɣi (Modification of Diet in Renal Disease – MDRD study) ɖee fia be ameyibɔwo ƒe ʋu me creatinine sɔ gbɔ wu yevuwo. Wogblɔ be dzixɔse xoxo aɖe si ŋu dzɔdzɔmeŋutinunyalawo tsi tre ɖo fifia be “zi geɖe la, ameyibɔwo ƒe lãmekawo sɔa gbɔ wu yevuwo” gbɔe esia tso.”
Ɣemaɣi la, wobua ameyibɔwo dede numekuku me be enye nu gã aɖe, gake egbea míese egɔme be ‘ameƒomevinyenye’ menye nu gbagbe o, ke boŋ enye hadomenuwɔwɔ.
Ðk .
Mɔzɔzɔ be woaɖɔ vodada sia ɖo
Dzɔgbenyuietɔe la, le ƒe ʋɛ siwo va yi me la, atikewɔsukuviwo, ɖɔktawo, ayikuŋutinunyalawo , kple dɔnɔwo ƒe gomenɔamesi taʋlilawo te ɖikeke le nya sia ŋu. “Ne nugbagbeŋutinunya meli si dzi wotu esia ɖo o la, nukatae míewɔa nu ɖe ameyibɔwo kple amesiwo menye ameyibɔwo o ŋu le mɔ vovovowo nu?” wobia nya sia.
Esia wɔe be Dukɔa ƒe Ayiku Habɔbɔ kple Amerikatɔwo ƒe Ayikuŋutinunya Habɔbɔ wɔ ɖeka ɖo dɔdzikpɔha aɖe si me dɔnɔwo, dzɔdzɔmeŋutinunyalawo, kple atikewɔlawo le. Le woƒe dɔ sesẽ wɔwɔ ta la, le ƒe 2021 me la, woto eGFR ƒe sɔsɔŋusẽ yeye eve vɛ na xexeame si ɖe ‘dukɔmevinyenye’ ƒe nya la ɖa keŋkeŋ .
1. Dzodzro gbãtɔ: Abe xoxoa ene, wozãa creatinine ƒe agbɔsɔsɔ ko (gake ‘dukɔmevinyenye’ manɔmee).
2. Dzodzro evelia: Tsɔ kpe ɖe creatinine ƒe agbɔsɔsɔ ŋu la, wozãa atike bubu si woyɔna be cystatin C hã. Togbɔ be esia de pɛpɛpɛ wu hã la, wokafua sɔsɔŋusẽ gbãtɔ hã elabena cystatin C dodokpɔa mele nudokpɔƒewo katã le xexeame o eye wòxɔ asi ŋutɔ.
Tɔtrɔ sia le dzɔdzɔm kabakaba ŋutɔ le atikewɔwɔ me le xexeame godoo. Enye dzidzɔ vavã be tɔtrɔ si xɔ ƒe ewo le edzi yim le ɣleti ʋɛ aɖewo ko me.
Nukatae vovototo sia le vevie na mí?
Àte ŋu asusu be, Amerikatɔwo ƒe kuxie nye esia, nukae le vevie na mí? Gake atikewɔwɔ nye xexeame katã ƒe nu. Dzɔdzɔmeŋutinunya me ŋgɔyiyi alo ɖɔɖɔɖo si dzɔna le xexeame ƒe akpa aɖe kpɔa ŋusẽ ɖe xexeame katã dzi.
- Dɔwɔwɔ Nyuie Wu: Esia wɔnɛ be gome le dɔnɔ aɖe si, le xexeame ƒe akpa sia akpa kple dukɔ ɖesiaɖe si me wòtso, be woakpɔ dɔlélea le mɔ si sɔ nu eye wòade pɛpɛpɛ wu.
- Vodadawo ɖɔɖɔɖo le atikewɔwɔ me: Esia nye alesi atikewɔwɔ nye dɔ si le eɖokui yeyem ɣesiaɣi hele eya ŋutɔ ƒe vodadawo ɖɔm ɖoe ƒe kpɔɖeŋu vevi aɖe.
- Dɔnɔa ƒe gbe sese: Dɔnɔa ƒe gbe hã nye nu sesẽ aɖe si na tɔtrɔ sia va. Esia ɖe alesi wòle vevie be woaɖo to dɔnɔwo ƒe nukpɔsusuwo, tsɔ wu be atikewɔlawo ɖeɖe nawɔ nyametsotsowo fia.
Nyateƒee, tɔtrɔ le sɔsɔŋusẽ sia ŋu maɖe lãmesẽkuxiwo katã ɖa le zã ɖeka me o. Hadomegbenɔnɔ kple ganyawo ƒe nu geɖewoe nana wodzɔna. Gake esia nye afɔɖeɖe sesẽ aɖe si le vevie ŋutɔ le mɔ ma nu.
Ne ayikudɔ le ŋuwò alo ame aɖe si nènya la, ƒo nu kple wò ɖɔkta gaglãa tso wò atikewɔwɔ me dodokpɔwo kple atikewɔwɔ ŋu. Bia wo tso wò eGFR, nusi wòfia, kple atikewɔmɔnu nyuitɔwo kekeake na wò ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- eGFR (si wobu be Glomerular Filtration Rate) nye akɔntabubu vevi aɖe si dzidzea ayiku ƒe dɔwɔwɔ.
- eGFR ƒe sɔsɔŋusẽ si wozã va yi la tsɔ ‘ameƒomevinyenye’ (vevietɔ na ameyibɔwo) de sɔsɔŋuɖoɖoa me, si na be wowɔ nu ɖe dɔnɔwo ŋu madzemadzee eye wòhe ɖe megbe.
- Esi wose egɔme be ‘ameƒomevinyenye’ menye nugbagbeŋutinunya o, ke boŋ enye hadomenukpɔsusu ta la, woto eGFR ƒe sɔsɔŋusẽ yeye siwo le dzɔdzɔe wu vɛ fifia siwo me ‘ameƒomevinyenye’ mele o.
- Tɔtrɔ sia nye afɔɖeɖe vevi aɖe si woatsɔ aɖe tasɔsɔmasɔ le lãmesẽnyawo gbɔ kpɔkpɔ me dzi akpɔtɔ eye woawɔ nu ɖe dɔnɔwo katã ŋu le mɔ dzɔdzɔe nu.
- Ne nane si ŋu nètsi dzi ɖo le wò atikewɔwɔ ŋuti nuŋlɔɖiwo kple atikewɔwɔ ŋu la, ele vevie ŋutɔ be nàƒo nu tso eŋu gaglãa eye eme nakɔ na wò ɖɔkta.
Ayikudɔ, eGFR, creatinine, ayiku dodokpɔ, lãmesẽ ƒe tasɔsɔmasɔ, atikewɔwɔ, ayikudɔ
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