Míaƒe ŋutilã le abe mɔ̃ wɔnuku aɖe ene, alo? Mɔdodo gã ƒe ɖoɖo si le mɔ̃ sia me ye nye míaƒe ʋukawo. Togbɔ be míese mɔ gãwo abe ʋukawo kple ʋukawo ene ŋu nya hã la, ɖe nènya nu tso axadzimɔ sue siwo le nyuie ŋutɔ siwo le ɖoɖo sia me siwo ŋku mate ŋu akpɔ o kloe ƒe kadodoa ŋua? Míeyɔa esiawo be ʋuka siwo me ʋu sina tona. Egbea míele nu ƒom tso ʋuka ƒomevi tɔxɛ aɖe ŋu, si nye ʋuka ƒomevi aɖe si ƒe fesre suesuesuewo le.
Nukae nye ʋuka siawo siwo ŋu ‘fesre le’ (Fenestrated Capillaries)?
Kpuie ko la, esiawo nye ʋuka ƒomevi aɖe si le míaƒe ʋukawo me si ƒe dowo alo ʋuƒo siwo le abe fesre ene le sue ŋutɔ. "fenestrae" le Latingbe me gɔmee nye "fesrewo," eyata gɔmesese ma mee woɖe ŋkɔa tsoe.
Le esi teƒe be ʋuka siawo siwo ŋu ‘fesre le’ nana nuwo nato ʋuka siwo sɔ me la, woate ŋu ana nu suesuesue gãwo abe proteinwo ene nato ʋua me ayi ŋutinuwo kple lãkusiwo me. Bu eŋu abe alesi nàzã lãgbalẽ si me dowo lolo vie le ɖe lãgbalẽ si wozãna edziedzi teƒe ene. Esia wɔnɛ be woate ŋu aɖɔli nuwo nyuie wu eye wowɔa wo kabakaba wu.
Dɔ kae nye esiawo ƒe dɔ vevitɔ? Nukatae wole vevie nenema gbegbe ɖo?
Ʋuka siawo kpena ɖe ame ŋu be woatsɔ ʋu, tsi, kple gbeɖuɖɔ ayi míaƒe ŋutilã katã me, gake woƒe dɔ vevitɔ kekeakee nye ayiku ƒe dɔwɔwɔ .
Bu míaƒe ayikuwo be eyae nye nusi de ŋgɔ wu ɖesiaɖe le ŋutilãa me. Woyɔa tsilénu sia ƒe akpa vevitɔ be glomerulus . Glomerulus sia menye naneke wu ka sue aɖe si wotsɔ fesre me ʋuka mawo siwo ŋu míeƒo nu tsoe la wɔ o. Ele abe tii ƒe ʋeʋẽ ene.
Ne ʋu to ka ƒe bɔl sia me la, woɖea gbeɖuɖɔwo kple tsi si sɔ gbɔ ɖe eme to fesre sue mawo me. Gake nu gã siwo ŋutilã hiã, abe protein kple ʋumenugbagbevi dzĩwo ene, gakpɔtɔ le ʋua me. Emegbe woɖea gbeɖuɖɔ siwo woɖena le mɔ sia nu la doa goe le ŋutilãa me abe aɖuɖɔ ene.
Eyata ɖe nèse egɔmea? Míaƒe ayikuwo te ŋu kɔa ʋua ŋu nyuie eye wòɖea gbeɖuɖɔwo ɖa le ‘fesre’ tɔxɛ siwo le Fenestrated Capillaries siawo me ta.
Ʋuka siawo ƒo xlã ayiku ƒe ʋukawo hã. To wo dzi la, nunyiame siwo ŋutilãa hiã tso nusiwo woɖe tso eme me la gagena ɖe ʋua me. Eyata wole vevie na ayikuwo ƒe dɔwɔwɔ nyuie.
Afikae esiawo le le míaƒe ŋutilã me?
Ʋuka tɔxɛ siawo le teƒe siwo wòle be ŋutilãa ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ nadzɔ kabakaba ŋutɔ eye wòawɔ dɔ nyuie le. Mina míalé ŋku ɖe nusiwo teƒe vevi mawo nye ŋu.
| Ŋutinu / lãkusi | Dɔ si yia edzi le afima |
|---|---|
| Ayikuwo | Gbeɖuɖɔwo ɖeɖe tso ʋua me kple aɖuɖɔtoewo wɔwɔ. |
| Dɔgbo Suewo | Nunyiame siwo tso nuɖuɖu siwo míeɖuna me ƒe gege ɖe ʋukawo me. |
| Dɔgbo ƒe dɔléle | Enzyme kple lãmetsiwo abe insulin ene dodo ɖe ʋua me siwo hiã na nuɖuɖumeŋusẽ. |
| Dɔlékuiwo ƒe Dɔlékuiwo | Lãmetsiŋusẽ siwo dona ɖe ʋukawo me siwo kpɔa nuwo abe míaƒe seselelãme kple tsitsi ene dzi. |
Dɔléle kawoe gblẽa nu le ʋuka siawo ŋu?
Ne ʋuka sue siawo gblẽ la, ate ŋu akpɔ ŋusẽ ɖe ŋutinu siwo do ƒome kplii ƒe dɔwɔwɔ dzi tẽ.
Dɔléle siwo do ƒome kple ayiku
Amesiwo ŋu ayikudɔléle si nɔa anyi didi (CKD) le ate ŋu agblẽ nu le ʋuka siawo ŋu. Vevietɔ la, ʋuka siwo ƒo xlã ayiku ƒe ʋukawo ƒe kadodo ate ŋu azu tsɛ eye womaganɔ ʋeʋẽm o. Woyɔa esia be `capillary rarefaction`. Ne esia dzɔ la, ayikuwo mete ŋu wɔa dɔ nyuie o eye lãmesẽkuxi bubuwo abe ʋusɔgbɔdɔ (Hypertension) ene ate ŋu ado mo ɖa.
Azɔ hã, dɔlélewo abe glomerulonephritis , si nye glomeruli ƒe dɔdzẽ ene ate ŋu agblẽ nu le ayikuawo ƒe ʋuʋu ƒe ɖoɖo bliboa ŋu. Ne womekpɔ ayikudɔ mawo gbɔ kaba o la, woate ŋu ayi ŋgɔ ava zu ayiku ƒe dɔmawɔmawɔ nyuie.
Nɔnɔme si mebɔ kura o gake wòsẽ ŋutɔ
Dɔléle si nye Systemic Capillary Leak Syndrome (SCLS) ƒe dɔléle si nye .Esia nye nɔnɔme si mebɔ kura o eye ate ŋu ade ame ƒe agbe afɔku me. Esia dzɔna ne ʋuka siwo me ʋu sina tona ƒe gliwo gblẽ, si wɔnɛ be tsi gbogbo aɖe dona tso ʋukawo me yia lãkusi siwo ƒo xlãe me. Esia ate ŋu ana wò ʋu ƒe sisi naɖiɖi zi ɖeka va ɖo afisi wòaɖiɖi ŋutɔ. Gake ɖo ŋku edzi be nɔnɔme sia nye esi mebɔ kura o.
Eyata aleke míawɔ ana ʋuka sue siawo nanɔ lãmesẽ me?
Naneke tɔxɛ aɖeke meli woawɔ tso esia ŋu o. Nu nyuitɔ kekeakee nye be nàlé lãmesẽ bliboa me ɖe asi. Elabena ʋuka siawo nye míaƒe ʋu ƒe sisi ƒe akpa aɖe. Eyata ne nuɖoanyi bliboa le lãmesẽ me la, ke ʋuka sue siawo hã le lãmesẽ me.
Nu siwo nàte ŋu awɔ dometɔ aɖewoe nye esi:
- De kame edziedzi: Wɔ agbenɔnɔ si me dzo le.
- Ðu nuɖuɖu si da sɔ: Ƒo atikutsetse kple amagbe geɖe wu. Ðe ahanono dzi kpɔtɔ. Tia nuɖuɖu siwo naa dzidɔ.
- Lé kpekpeme nyui me ɖe asi: Lé kpekpeme si sɔ ɖe wò kɔkɔme nu. Ne èlolo akpa la, dze agbagba nàɖe wò lolo dzi akpɔtɔ.
- Kpɔ dɔléle siwo nɔa anyi didi gbɔ: Ne dɔlélewo abe suklidɔ alo ʋusɔgbɔdɔ ene le ŋuwò la, kpɔ wo gbɔ nyuie le wò ɖɔkta ƒe mɔfiamewo nu.
- Ƒo asa na atamanono keŋkeŋ: Sigaretnono gblẽa nu le ʋukawo ŋu ŋutɔ.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ele vevie ŋutɔ be nàkpɔ wò ƒomea ƒe ɖɔkta ne ède dzesi tɔtrɔ aɖewo le wò ŋutilã me, vevietɔ ne dzesi siwo ate ŋu ado ƒome kple ayikudɔ le ŋuwò.
| Mɔnukpɔkpɔ | Dzesi siwo ŋu wòle be míakpɔ nyuie le |
|---|---|
| Kpɔ wò ɖɔkta ɖa... | |
| Ne ayikudɔ ƒe dzesiwo le ŋuwò |
|
| Di atikewɔƒe enumake (yi ETU)... | |
| Dzesi siwo ate ŋu anɔ nɔnɔme si mebɔ kura o si nye SCLS ŋu dometɔ aɖewoe nye: | Ne dzesi siwo gbɔna do mo ɖa kple ʋu ƒe sisi kpata la :
|
Gbedasi si Wotsɔ Yi Aƒeme
- Fenestrated capillaries nye ʋuka nyui aɖe ƒomevi aɖe si wɔa dɔ abe ʋuka tɔxɛ aɖe si me woɖea ʋu le le míaƒe ŋutilã me ene.
- Esiawo le vevie na míaƒe ayiku, dɔgbo, kple lãmetsiŋusẽ ƒe dɔwɔwɔ nyuie.
- Mɔ nyuitɔ si dzi nàto ana amesiawo nanɔ lãmesẽ me enye be nàlé be na wò lãmesẽ bliboa. Ema fia be nàɖu nu nyuie, ade kame, eye nàlé agbe nyui nɔnɔ me ɖe asi.
- Nya dzesi siwo ate ŋu ado ƒome kple ayikudɔ. Ne ɖikeke aɖe le mewò la, mègahe ɖe megbe le wò ɖɔkta gbɔ yiyi me o.
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