Ɣeaɖewoɣi la, ŋu kpea mí le gbɔgbɔ vɔ̃ si míesena ne míele dze ɖom la ta. Ne ʋeʋẽa medzo o eɖanye aleke kee míeklɔ aɖuwo, zã numeklɔtikewo, eye míewɔ nusianu si míate ŋui be míaɖee ɖa o la, ɖewohĩ masɔ o. Vevietɔ ne ʋeʋẽ wɔnuku aɖe le wò gbɔgbɔ me si vivina vie, abe atikutsetse gbegblẽwo, alo azi gbegblẽwo ene la, ate ŋu anye aklã me kuxi sesẽ aɖe ƒe dzesi. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be Fetor Hepaticus . Egbea, míaƒo nu tso eŋu bɔbɔe.
Nukae nye Fetor Hepaticus?
Kpuie ko la, Fetor Hepaticus nye ʋeʋẽ aɖe koŋ si dona tso wò gbɔgbɔ me ne wò aklã mele dɔ wɔm nyuie o le atikewɔwɔ ƒe nɔnɔme aɖe ta. Aklãe nye nusi koŋ tsia míaƒe ŋutilã me. Eɖea aɖinuwo ɖa le ʋua me, abe nuɖuɖu siwo míeɖuna kple atike siwo míenona ene.
Gake ne aklãa dze dɔ la, aklãa ɖeɖeɖa ƒe mɔnu sia mewɔa dɔ nyuie o. Emegbe la, atike aɖewo siwo me aɖi le siwo wòle be woaɖe le ʋua me la ƒoa ƒu ɖe ʋua me le esi teƒe be woaɖe wo ɖa. Emegbe aɖi siawo siwo ƒo ƒu la dona kple míaƒe gbɔgbɔ. Ɣeaɖewoɣi la, ʋeʋẽ sia ate ŋu atso wò fifia kple aɖuɖɔ gɔ̃ hã me.
Nu vevitɔe nye be, menye gbɔgbɔtsixe ƒoƒo si tso nu me dzadzɛnyenye manyomanyo gbɔ koe esia nye o. Esia nye nuxlɔ̃amedzesi vevi aɖe ŋutɔ le nɔnɔme sesẽ aɖe si le wò ŋutilã me ŋu.
Nuka tututue esia ʋẽna lilili? Aleke wòto vovo tso ʋeʋẽ bubuwo gbɔe?
Ʋeʋẽ sia ate ŋu asesẽ vie be woade dzesii, elabena alesi amesiame bua nusi wònye ate ŋu ato vovo. Gake ale si ɖɔktawo ɖɔe enye si:
- Eʋẽna abe aŋɔ ene.
- Eƒe vivi vivina nukutɔe.
- Ɣeaɖewoɣi la, ate ŋu aʋẽ abe aɖuɖɔ ene.
- Ʋeʋẽ aɖe si wotsaka kple azi gbegblẽwo kple galik.
- Gbe si wotso yeyee ƒe ʋeʋẽ.
Atikewɔwɔ ƒe nɔnɔme bubuwo ate ŋu ana gbɔgbɔtsixe naƒo ame, gake Fetor Hepaticus ya to vovo. Mina míase vovototo sia gɔme nyuie.
| Alesi ʋeʋẽa le | Numeɖeɖe kple atikewɔwɔ ƒe nɔnɔme si do ƒome kplii |
|---|---|
| Aklã ƒe ʋeʋẽ lilili | Ʋeʋẽ si le abe azi/sabala ene si me ʋuʋudedi le, vivi, si gblẽ. Nu siaEdo ƒome kple aklãdɔléle sesẽwo. |
| Trimethylaminuria (tɔmelã ƒe ʋeʋẽ) . | Tɔmelã ƒe ʋeʋẽ lilili. Esia nye lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe nɔnɔme bubu. |
| Uremic Fetor (amonia ƒe ʋeʋẽ) . | Ʋeʋẽ aɖe abe ammonia alo bleach ene. Esia nye ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesi . |
| Keto Gbɔgbɔ (Atikutsetse ƒe Ʋeʋẽ) . | Acetone ƒe ʋeʋẽ, abe atikutsetse alo ɖaƒoƒo ƒe atike ene. Esia ate ŋu adzɔ le suklidɔ ƒe ketoacidosis me. |
Nukatae wòʋẽna alea?
Ʋeʋẽ sia koŋ tsoa atike siwo wowɔna le míaƒe ŋutilã me siwo woyɔna be `Dimethyl sulfide` (galik ƒe ʋeʋẽ) kple `methyl mercaptan` (azi/kabɔb ƒe ʋeʋẽ si gblẽ) gbɔ koŋ. Wogayɔa esiawo be `Volatile Organic Compounds` (VOC).
Zi geɖe la, esiawo nyea nusiwo dona tso míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ me. Wotoa ʋua me yia aklãa me, afisi woɖea wo le heɖea wo ɖa le. Gake ne aklãa dze dɔ la, mate ŋu akɔ wo me o eye woƒe agbɔsɔsɔ dzina ɖe edzi le ʋua me. Ɣemaɣie ʋeʋẽ sia dzea dodo gɔme tso gbɔgbɔ me.
Susu vevi eve ate ŋu anɔ esia ta:
1. Aklã ƒe Dɔmawɔmawɔ: Aklã ƒe lãmenugbagbeviwo gblẽ (e.g. le ʋumenugbagbeviɣidɔ ta) eye aklã mete ŋu wɔa eƒe ʋuʋu ƒe dɔ nyuie o.
2. Portosystemic Shunt ƒe amesinɔnɔ: Portal vein ye nye vein vevitɔ si tsɔa ʋu tso míaƒe nuɖuɖumeŋusẽ me yia aklã me. Ɣeaɖewoɣi la, woate ŋu ato ʋuka sia ŋu eye ʋu si me aɖi le ate ŋu asi ayi ŋutilãa ƒe ʋu ƒe sisi nyuie me tẽ. Esia le alea elabena ŋutilãa wɔa ʋu si me ʋu sina tona be ʋu nagato aklãa me o.
Dzesi bubu kawoe kpena ɖe Fetor Hepaticus ŋu?
Ne Fetor Hepaticus le ŋuwò la, dzesi bubuwo ate ŋu ado mo ɖa le aklãdɔ si le ete alo Portal Hypertension ta. Ele vevie be nànya dzesi siawo hã.
| Dzesi bubu siwo ŋu wòle be woalé ŋku ɖo | |
|---|---|
| Aklã ƒe dɔmawɔmawɔ nyuie ƒe dzesi siwo bɔ | |
| Ŋutilã kple ŋku ƒe ɣie (Jaundice) . | Ŋutilã ƒe ɣie kple ŋku ƒe ɣie. |
| Vevesese le dɔgboa ƒe ɖusime ƒe akpa si le etame | Vevesese le aklã ƒe akpa si le lãme na ame. |
| Tɔtrɔ siwo vaa aɖuɖɔ kple aɖuɖɔ me | Aɖuɖɔ doviviti (abe tii ene) kple aɖuɖɔ si me kɔ (abe anyi ene). |
| Ŋutilã si le ʋuʋum | Ʋuʋudedi le ŋutilã bliboa me teƒe aɖeke si woate ŋu akpɔ alo ʋuʋudedi aɖeke manɔmee. |
| Ʋu si le dodom kple abi ƒe ƒoƒo | Ʋu si dona le ame ŋu si medzudzɔna bɔbɔe o le abi sue aɖe si woxɔ kple abi siwo womenya o ƒe dzedzeme le ŋutilãa ŋu gɔ̃ hã me. |
| Portal Hypertension ƒe dzesiwo | |
| Dɔgbo kple afɔwo ƒe vuvu | Ƒodo ƒe keke (ƒodo me tsi ƒe ƒuƒoƒo) kple afɔwo kple afɔkpodziwo ƒe vuvu. |
| Ʋu dodo alo ʋu si toa aɖuɖɔ me | Esia nye nɔnɔme si hiã kpata ŋutɔ eye wònye nya vevi aɖe. |
| Ŋkuɖodzinyawo kple nuwɔna trɔna | Tɔtɔ, alɔ̃dɔdɔ, kple susumanɔamesi si aɖi ƒe ŋusẽkpɔɖeamedzi ɖe ahɔhɔ̃a dzi hena vɛ. (Aklã ƒe Tagbɔdɔléle) . |
Ðe esia nye nuxlɔ̃amedzesi be ele be nàkpɔ ɖɔkta enumakea?
Ẽ, kakaɖedzitɔe! Fetor Hepaticus nye nuxlɔ̃amedzesi vevi aɖe ŋutɔ si wòle be wòana woakpɔ atikewɔƒe enumake, eɖanye be ènya xoxo be aklãdɔ le ye ŋu alo mènya o.
Dzesi sia fia be wò aklã ƒe nɔnɔmea le gbegblẽm ɖe edzi. Aɖi siwo le ƒoƒom ɖe wò ʋu me la ɖo afi si wole gbɔgbɔm le, si fia be ɖewohĩ aɖi mawo le ŋusẽ kpɔm ɖe wò ahɔhɔ̃ kple lãmekawo dzi.
Ne womewɔ atike na nɔnɔme sia o la, ate ŋu ahe kuxi sesẽ ŋutɔwo vɛ.
- Ʋu si dona le nuɖuɖumeŋusẽ me si dzi womate ŋu aɖu o.
- Ayiku ƒe dɔmawɔmawɔ nyuie (Hepatorenal syndrome).
- Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie (Hepatopulmonary syndrome).
- Ahɔhɔ̃ ƒe dɔwɔwɔ ƒe gbegblẽ (Hepatic encephalopathy).
Tsã la, wogayɔa nɔnɔme sia be "ame kukuwo ƒe gbɔgbɔ." Ema ɖe alesi esia ade ame ƒe agbe afɔku me fia. Gake mègavɔ̃ o. Egbea la, atikewɔwɔ de ŋgɔ ŋutɔ. Atikewɔwɔwo abe aklã dodo na ame ene li eye atikewɔwɔ nyui ŋutɔwo li be woatsɔ aɖu dzesiawo dzi.
Nu vevitɔe nye be nàyi ɖɔkta gbɔ ne ènya de dzesi dzesi siawo dometɔ aɖe ko. Ado wò kpɔ, awɔ dodokpɔ siwo hiã, eye wòaŋlɔ atike si sɔ na wò wu.
Gbedasi si Wotsɔ Yi Aƒeme
- Fetor Hepaticus nye ʋeʋẽ vivi si me ʋuʋudedi le si ɖe dzesi le gbɔgbɔ me. Enye aklãdɔ sesẽ ƒe dzesi.
- Esia menye gbɔgbɔtsixe ƒoƒo si sɔ si nu me dzadzɛnyenye manyomanyo hena vɛ o.
- Ne dzesi sia le ŋuwò alo ame aɖe si nènya la, bu eŋu be enye nuxlɔ̃ame vevi aɖe ŋutɔ .
- Taflatse yi ɖɔkta gbɔ kaba ale si nàte ŋui kaba.
- Ne wokpɔ aklãdɔ le ŋuwò xoxo hã la, ele vevie be nàgadi atikewɔlawo ƒe aɖaŋuɖoɖo ake, elabena dzesi yeye sia ɖee fia be wò nɔnɔmea le gbegblẽm ɖe edzi.
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Nukae nye Vidzidɔ si Vuvu?
Esia mesɔ o! Esia nye ne ŋutsu ƒe ‘Akɔta/Aɖuɖɔtoe’ ɖeka alo evea siaa lolo/vuvu le mɔ si mebɔ o nu zi ɖeka (Akɔta ƒe vuvu), ɣeaɖewoɣi kple vevesese si womate ŋu ado dzi atsɔ o (ɣeaɖewoɣi la, vevesese aɖeke menɔa eŋu o). Esia nye nuxlɔ̃amedzesi vevi aɖe si fia be ʋuka me ʋu sina tona, tsi ƒe ƒoƒo ɖe lãme na ame, alo nu gbegblẽ/kansa ƒe nugbegblẽ le aɖuɖɔtoea me.
💬 Nukae nye susu vevi siwo tae ŋutsu ƒe vidzidɔwo vuvu/lolona zi ɖeka?
Susu vevi geɖewo li siwo tae nye esia: 1) ‘Hydrocele’ - kotoku si me tsi yɔ fũu ƒo xlã vidzidɔa si lolona (vevesese mele eŋu o). 2) Inguinal Hernia - ʋuʋudedi si le lãkusi me. 3) 'Epididymitis' - aɖuɖɔtoe me dɔléle/STI si nana be vidzidɔa gblẽna (veve kple dzoxɔxɔ). 4) Susu si me afɔku le wu: Ne ƒu sue aɖe si sesẽ abe kpe ene do vevesese aɖeke manɔmee la, ke enye ‘Akɔta ƒe Kansa’ godoo!
💬 Nukae nye 'Testicular Torsion', si nye nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me si dzɔna ne aɖuɖɔtoewo vuvu? Nukatae wòhiã be nàwɔ kaba ayi kɔdzi?
Afɔku gãtɔ kple esi nu sẽ wue nye ‘Testicular Torsion’! Ema fia be ne èle alɔ̃ dɔm/fefe la, ʋuka si le vidzidɔa me la trɔna zi ɖeka eye wòƒoa ka. Emegbe le sɛkɛnd ɖeka me la, vevesese/ʋuʋudedi si womate ŋu ado dzi atsɔ o, si le ɣli dom la nɔa anyi! Ne edzɔ alea la, yi kɔdzi le gaƒoƒo 6 me eye nàwɔ dɔ nɛ be wòaɖe ka la, vidzidɔa azu yibɔ, agblẽ keŋkeŋ eye wòahiã be woatsoe tegbee (Gangrene/Loss of testicle)!
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