Nukae dzɔna ɖe wò ayiku ƒe ʋuʋudedi dzi? Mina míasrɔ̃ nu tso Glomerular Dɔléle ŋu!

Ðe nèse le ɖokuiwò me kpɔ abe ɖe nèle aɖuɖɔ si me fu le tom enea? Alo ɖe nèsena le ɖokuiwò me be yeƒe mo kple ŋkuwo vuvu vie ne èfɔ le ŋdi mea? Esia ate ŋu atso kuxi aɖe si le míaƒe ayiku me tsiléƒe sue si woyɔna be glomeruli ŋu gbɔ. Egbea míele nu ƒom tso nɔnɔme sia si woyɔna be Glomerular Disease ŋu.

Nukae Nye Glomerular Dɔléle?

Kpuie ko la, Glomerular Disease nye dɔléle si tso nɔnɔme aɖewo siwo gblẽa nu le glomeruli, si nye ʋuka suesuesue siwo le míaƒe ayiku me ƒe kadodo, siwo nye ayiku ƒe ‘ʋuʋudedi ƒe akpawo’ gbɔ. Glomeruli siawoe ɖea gbeɖuɖɔwo ɖa le míaƒe ʋu me eye woɖea tsi si sɔ gbɔ ɖe mía me ɖa. Eyata ne glomeruli siawo gblẽ eye womete ŋu wɔa dɔ nyuie o la, míeyɔnae be Glomerular Disease.

Dɔléle kple nɔnɔme geɖe ate ŋu agblẽ nu le glomeruli siawo ŋu. Nya vevi evee wozãna tsɔ ɖɔa nusiwo gblẽ sia:

• Glomerulonephritis: Esia nye glomeruli ƒe dɔdzẽ alo vuvu.
• Glomerulosclerosis: Esia nye glomeruli ƒe abi alo eƒe ƒoƒo.

Glomerular Disease ate ŋu agblẽ nu le wò ayiku ŋu, eye le go aɖewo me la, ana ayiku nawɔ dɔ nyuie gɔ̃ hã . Eyata ele vevie ŋutɔ be nànya esia.

Nukae glomeruli siawo siwo le míaƒe ayikuwo me wɔna?

Bu eŋu ale: míaƒe ayikuwo le abe nu vevi eve siwo le míaƒe ŋutilã me ene. Ŋutinu eve siawo siwo le abe gbe ene la le míaƒe akɔta ƒe akpa eveawo, le míaƒe akɔta te tututu.

Ʋu toa ʋukawo me gena ɖe míaƒe ayikuwo me. Ne ʋuka siawo nya ge ɖe ayikuawo me ko la, womana ɖe edzi eye ʋua sina yia ʋuka suesuesue siwo le abe lãgbalẽ ene siwo woyɔna be glomeruli me. Glomerulus ɖesiaɖe (nya ɖeka) do ƒome kple tsidzɔƒe sue aɖe si woyɔna be tubule . Míeyɔa esia be glomerulus kple tubule unit ɖeka sia be nephron . Wogblɔ be ayiku mawo tɔgbe siwo ade miliɔn ɖeka le ayiku ɖeka me. Àte ŋu akpɔ nuɖoanyi si me kɔ alea le susu mea!

Glomeruli siwo wɔa dɔ nyuie la nana ʋumenugbagbeviɣiwo kple proteinwo nɔa ʋukawo me. Elabena woawoe nye nusiwo míaƒe ŋutilã hiã. Le ɣeyiɣi ma ke me la, glomeruli-awo ɖea gbeɖuɖɔwo kple tsi bubuawo ɖa heɖoa tsi ma ɖe doa me. Emae va dzɔna emegbe abe aɖuɖɔ ene. Emegbe aɖuɖɔa toa mɔ̃ gã siwo woyɔna be tsinyegoewo me eye wòƒoa ƒu ɖe tsinyegoea me.

Nukae dzɔna ɖe ayiku ƒe dɔwɔwɔ dzi ne glomerular dɔléle dze?

Azɔ mina míakpɔ nusi dzɔna ne Glomerular Dɔléle sia do mo ɖa. Dɔléle sia gblẽa nu le Glomeruli ŋu. Ekema womate ŋu awɔ dɔ nyuie o.

Nusi wosusu be wòadzɔe nye be protein kple ʋumenugbagbevi dzĩwo nɔa ʋua me. Gake nu siawo dometɔ aɖewo dzea dodo gɔme le aɖuɖɔ me tso glomeruli siwo gblẽ la me. Dɔ siwo protein si le ʋua me abe albumin ene wɔna dometɔ ɖekae nye be wòahe tsi si sɔ gbɔ tso ŋutilãa me ayi ʋukawo me eye wòakpe ɖe eŋu be ayikuwo naɖee ɖa eye wòaɖee ɖa abe aɖuɖɔ ene. Eyata ne protein ƒe agbɔsɔsɔ si le ʋua me dzi ɖe kpɔtɔ la, tsi sia si sɔ gbɔ wu la tea ƒoƒo ɖe ŋutilãa me. Esia tae teƒewo abe mo, asiwo, afɔ, ƒodo, kple afɔkpodzi ene vuvu ɖo.

Azɔ hã, glomeruli siwo gblẽ mete ŋu kɔa gbeɖuɖɔwo nyuie o. Emegbe gbeɖuɖɔ mawo tea ƒoƒo ƒu ɖe ʋua me. Esia menyo na ŋutilãa kura o.

Nukawoe hea Glomerular Dɔléle vɛ?

Nu geɖe li siwo ate ŋu ahe Glomerular Disease vɛ. Na míakpɔ nusiwo wonye ɖa:

• Dɔlékui aɖe, atike alo atike aɖe si gblẽa nu le wò ayiku ŋu, alo atike si míenona gɔ̃ hã ate ŋu akpɔ ŋusẽ ɖe ayiku dzi.
• Dɔléle siwo gblẽa nu le ametia katã ŋu, siwo dome ayikuwo hã le. Le kpɔɖeŋu me , suklidɔ alo lupus .
• Dɔléle siwo nana nephron alo glomerulus vuvu alo abi nɔa eŋu.
• Ɣeaɖewoɣi la, manya wɔ be woake ɖe susu aɖe ŋu o. Ɣeyiɣi mawo tɔgbe li.

Nukae nye Glomerular Dɔléle ƒe dzesiwo?

Enyo, azɔ mina míakpɔ nusiwo nye dɔléle sia ƒe dzesiwo ɖa. Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele be nàtsi dzi ɖe:

• Aɖuɖɔ si me futukpɔ le: Esia fia be protein le wò aɖuɖɔ me. Míeyɔa esia be proteinuria .
• Aɖuɖɔ si ƒe amadede nye pink alo aŋutiɖiɖi: Esia fia be ʋu le aɖuɖɔa me. Woyɔa esia be ʋumenugbagbeviɣidɔ .
• Mo/ŋkuwo ƒe vuvu (vevietɔ le ŋdi me), asiwo, afɔwo, alo afɔkpodzi (vevietɔ le ŋkekea ƒe nuwuwu). Woyɔa abi sia be edema .
• Ʋusɔgbɔdɔ (Hypertension).

Ne dzesi siawo tɔgbe le ŋuwò la, anyo wu be nàyi ɖɔkta gbɔ godoo eye nàdi aɖaŋuɖoɖo.

Aleke ɖɔktawo wɔa anya dɔléle sia pɛpɛpɛ?

Ne èyi ɖɔkta gbɔ la, abia wò dzesiwo gbã eye wòado wò kpɔ nyuie. Emegbe, woate ŋu awɔ dodokpɔ aɖewo, abe:

• Aɖuɖɔtoe me dzodzro:Esia léa ŋku ɖe protein ƒe agbɔsɔsɔ si le aɖuɖɔ me, ne ʋumenugbagbevi dzĩwo le eme, kple alesi ʋumenugbagbevi ɣiwo ƒe agbɔsɔsɔ le (esia ate ŋu akpe ɖe ame ŋu wòanya ne dɔlékui alo dɔdzẽ aɖe le eŋu).
• Ʋudodokpɔ: Esiawo léa ŋku ɖe protein ƒe agbɔsɔsɔ si mede ʋua me o, creatinine ƒe agbɔsɔsɔ (si nana wokpɔa ayiku ƒe dɔwɔwɔ ƒe susu), kple urea nitrogen (si nye gbeɖuɖɔ) ƒe agbɔsɔsɔ. Wobua akɔnta le Glomerular Filtration Rate (GFR) hã ŋu, si nye alesi wò ayikuwo le gbeɖuɖɔwo ƒom nyuie.

Ne dodokpɔ siawo siwo wowɔ le dodokpɔxɔ me ɖee fia be wò ayikuwo gblẽ la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo:

• Ʋudodokpɔ bubuwo: Be woakpɔe ɖa be dɔlékuiwo alo dɔléle siwo dɔlélenutsiŋutete hena vɛ hã.
• Nɔnɔmetatawo dodokpɔ: Dodokpɔ abe ultrasound ene ate ŋu akpɔe ɖa be ayikuawo ƒe nɔnɔme alo woƒe lolome mesɔ o hã.
• Ayiku me Dzodzro: Esia bia be woatsɔ aŋe aɖe lãmenugbagbevi sue aɖe tso ayiku me ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me. Esia akpe ɖe mía ŋu míanya nusi tututu gblẽ.

Nɔnɔme kple atikewɔwɔ vovovo siwo hea Glomerular Dɔléle vɛ

Dɔléle geɖe ate ŋu ahe Glomerular Disease vɛ. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woadi nusi gbɔ wòtso eye woadae, ne anya wɔ. Esia ate ŋu axe mɔ ɖe ayikuawo ƒe nugbegblẽ bubuwo nu. Azɔ mina míalé ŋku ɖe dɔléle vevi aɖewo siwo hea Glomerular Dɔléle vɛ ŋu, tsɔ kpe ɖe kpɔɖeŋuwo kple atikewɔwɔwo ŋu.

Dɔlélenutsiŋutete ƒe Dɔlélewo

Esiawo nye dɔléle siwo me wò ŋutilã ƒe dɔlélenutsiŋutete dzea wò ŋutɔ wò ŋutilã dzi le. Dɔléle siawo ate ŋu adze ŋutilã bliboa dzi, alo ŋutilãa ƒe ŋutinu aɖewo koe woate ŋu adze. Dɔléle siwo dɔlékuiwutikewo hena vɛ siwo gblẽa nu le ayiku ŋu dometɔ aɖewoe nye esi:

• Systemic Lupus Erythematosus (SLE) (si wogayɔna ko be lupus): Dɔléle sia si dɔlélenutsiŋutete hena vɛ ate ŋu adze ŋutilã ƒe akpa geɖe dzi. Ne edze ayikuwo dzi la, ehea dɔléle aɖe si woyɔna be lupus nephritis vɛ. Esia nye glomeruli ƒe dɔdzẽ. Dzoxɔxɔ sia nana abi nɔa ame ŋu eye ayikuawo megawɔa dɔ nyuie o. Dɔdamɔnua lɔ dɔlélenutsiŋutete ƒe atikewo abe Mycophenolate Mofetil alo Cyclophosphamide ene , tsɔ kpe ɖe corticosteroid si woyɔna be Prednisolone ŋu .
• Goodpasture ƒe Dɔléle:Dɔléle sia si dɔlélenutsiŋutete wɔna la dzea ayiku kple lãkusiwo dzi. Le ayiku me la, ehea glomerulonephritis, si nye glomeruli ƒe dɔdzẽ vɛ. Esia ate ŋu agblẽ nu le ayikuawo ŋu tegbee. Atikewɔwɔa dometɔ aɖewoe nye atike siwo tsia dɔlélenutsiŋutete nu kple plasmapheresis (si ɖea dɔlékuiwutike siwo le wò ŋutɔ wò ŋutilã dzi dzem ɖa) .
• IgA Nephropathy: Le dɔléle sia si dɔlélenutsiŋutete hena vɛ me la, dɔlékuiwutike aɖe si woyɔna be Immunoglobulin A (IgA) si tso wò dɔlélenutsiŋutete me la ƒoa eɖokui ɖe glomeruli me. Nusiwo wotsɔ ƒu gbe siawo hea abi vɛ. Atikewo abe Angiotensin-Converting Enzyme Inhibitors (ACE inhibitors) alo Angiotensin Receptor Blockers (ARBs) ene ɖe eme.

Domenyiŋusẽfianu ƒe Aɖuɖɔtoedɔ

• Alport Syndrome: Esia nye domenyiŋusẽfianu ƒe dɔléle. Ate ŋu ana ame nase alo akpɔ nu nyuie kpe ɖe glomerular dɔléle si nɔa anyi didi ŋu. Edzea ŋutsuwo kple nyɔnuwo siaa dzi. Ŋutsuwo ate ŋu axɔ ayikudɔ si nɔa anyi didi wu. Woate ŋu akpɔe le woƒe ƒe blaeveawo me. Kaka ayikuawo naxɔ ƒe 40 la, ate ŋu anɔ dɔ wɔm kura. Atike siwo woatsɔ axe mɔ ɖe ʋu ƒe sisi nue nye atikewɔwɔa.

Glomerular Dɔléle si do ƒome kple dɔlékuiwo

Ɣeaɖewoɣi la, glomerular dɔléle ate ŋu adze ame dzi kaba le dɔlékui aɖe xɔxɔ le ŋutilã ƒe akpa bubu megbe.

• Acute Post-Infectious Glomerulonephritis (PIGN): Glomerular dɔléle sia dzɔna le ŋɔti me dɔléle (Strep throat) alo ŋutigbalẽ ƒe dɔléle si woyɔna be Impetigo (esia mebɔ o) megbe. Dɔlélenutsiŋutete wɔa dɔlékuiwutike geɖe wu alesi wòhiã be woatsɔ awɔ avu kple dɔlékuia. Dɔlékuiwutike siawo yia glomeruli me eye wogblẽa nu le wo ŋu. Zi geɖe la, mehiã be woawɔ atike tɔxɛ aɖeke nɛ o. Gake le go siwo mebɔ o me la, ate ŋu ahiã be woaɖe ayiku alo ayiku dodo na ame .
• Dɔlékuiwo ƒe Dzitodzito me Dɔléle: Esia nye dɔlékui si xɔa dzitodzito me lãkusiwo. Numekulawo meka ɖe edzi haɖe nenye be alesi dɔlélenutsiŋutete wɔa nui ɖe dɔlékuia ŋu gbɔe abi siwo le ayikuawo me tsona loo alo dɔléle ƒe mɔnu bubu aɖe gbɔe wòtso o. Wona dɔlékuiwutikewo abe atike ene.
• Dɔlékuiwo: Aklãdɔléle B , Aklãdɔléle C kpleGlomerular dɔléle ate ŋu atso dɔlékuiwo abe Human Immunodeficiency Virus (HIV) ene hã gbɔ. Dɔdamɔnu tɔxɛ aɖewo li na dɔléle ɖesiaɖe.

Sclerotic Diseases - Dɔléle siwo hea abi vɛ

• Glomerulosclerosis: Nɔnɔme siae nye abi (sclerosis) si le glomeruli ŋu. Lupus kple suklidɔ nye dɔléle siwo ate ŋu ahe glomerulosclerosis vɛ ƒe kpɔɖeŋu eve.
• Aɖudɔ si do ƒome kple suklidɔ: Esiae nye nusi koŋ gbɔ glomerular dɔléle kple ayiku ƒe dɔmawɔmawɔ nyuie tsona le United States. Aɖuɖɔtoedɔ si do ƒome kple suklidɔ nana abi nɔa ayikuwo ŋu eye wònaa sukli ƒe agbɔsɔsɔ dzina ɖe edzi. Glucose nana ʋu sina yia ayikuawo me dzina ɖe edzi, si wɔnɛ be glomeruli ƒe filtration dɔwɔwɔ tea ɖeɖi ame ŋu eye wòdzia ​​ʋu ƒe sisi ɖe edzi. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye ʋusɔgbɔdɔtikewo (vevietɔ angiotensin-converting enzyme inhibitors (ACE inhibitors) alo angiotensin receptor blockers (ARBs) ), kamedede, kple nuɖuɖu nyui.
• Focal Segmental Glomerulosclerosis (FSGS): Nɔnɔme sia ƒe dzesi enye abi (zi geɖe) le glomerulus ƒe akpa ɖeka. FSGS ate ŋu atso dɔléle aɖe si le ɖoɖo nu alo nusi gbɔ wòtso si womenya o gbɔ. Woɖoe be woatsɔ atikewɔwɔ na ʋu ƒe sisi kple ʋumemi ƒe agbɔsɔsɔ dzi akpɔtɔ.

Glomerular Dɔléle Bubuwo

• Membranous Nephropathy: Wogayɔa dɔléle sia be Membranous Glomerulopathy . Enye nu evelia si hea ayikudɔ vɛ wu le ame tsitsiwo me le United States, le aɖudɔ si do ƒome kple suklidɔ megbe. Edo ƒome kple dɔlékuiwutike/dɔlékuiwutike aɖewo siwo woɖo taɖodzinu na . Nɔnɔme sia dzea glomeruli ƒe lãkusi si le lãkusia me dzi. Ame aɖewo hayana ne womewɔ atike na wo o. Wotea atikewo abe angiotensin-converting enzyme inhibitors (ACE inhibitors) , angiotensin receptor blockers (ARBs) , alo calcineurin inhibitors kpɔna ɣeaɖewoɣi.
• Minimal Change Disease (MCD): Esia nye ayikudɔ ƒomevi aɖe. Le esia me la, ne wodoe kpɔ le ayiku ƒe lãmenugbagbeviwo me la, tɔtrɔ aɖeke menɔa glomeruli alo lãkusi siwo ƒo xlãe ƒe wɔwɔme ŋu o kloe. Lipids (nu siwo me ami le) .Ðewohĩ tsidzadza anɔ anyi, gake ayiku aɖeke megblẽ o. MCD ate ŋu adzɔ le ƒe ɖesiaɖe me, gake ebɔ ɖe ɖevi suewo me wu. Atikewɔwɔa lɔ nuɖuɖu si me dze mesɔ gbɔ ɖo o kple ACE mɔxenu alo ARBs . Zi geɖe la, steroid-tikewo nana nɔnɔmea nyona ɖe edzi.

Ðe glomerular dɔlélea ate ŋu ana ayiku nawɔ dɔ nyuiea?

Ẽ, ne wò ayikuwo mete ŋu ɖea gbeɖuɖɔwo ɖa le wò ʋu me o la, woƒoa ƒu ɖe wò ŋutilã me. Nu sia si ƒo ƒu ate ŋu agblẽ nu le wò ayikuwo ŋu eye wòana woadzudzɔ dɔwɔwɔ. Dɔwɔwɔ ƒe bublu sia ate ŋu adzɔ kpata (si nu sẽ) alo vivivi eye wòanɔ anyi ɖaa (si nɔa anyi didi). Le glomerular dɔléle ƒomevi nu la, ayiku ƒe dɔwɔwɔ ate ŋu abu le ŋkeke alo kwasiɖa ʋɛ aɖewo ko me, alo ate ŋu axɔ ƒe bla nanewo hafi wòabu vivivi.

• Ayikuwo ƒe Dɔmawɔmawɔ Nyuie (ARF): Esiae nye ayiku ƒe dɔwɔwɔ ƒe gbegblẽ kpata. ARF ate ŋu ade ame ƒe agbe afɔku me, eye ate ŋu ahiã be woaɖe ʋumenugbagbeviɣidɔ atsɔ awɔ atike kpatae be ayiku nagawɔ dɔ ake. Le ame aɖewo gome la, ayiku ƒe dɔwɔwɔ gadzena ne woda nusi gbɔ ayikua ƒe dɔmawɔmawɔ nyuie tso. Nu aɖeke megblẽ le eŋu tegbee o. Gake ame aɖewo siwo haya tso ARF me ate ŋu axɔ ayikudɔ si nɔa anyi didi (CKD) emegbe .
• Ayikudɔléle si nɔa anyi didi (CKD): Esia nye ayiku ƒe dɔwɔwɔ si meganɔa dɔ wɔm vivivi o. Ðewohĩ dzesi aɖeke manɔ ŋuwò o ƒe geɖe. Woate ŋu aɖu dɔléle siwo hea CKD vɛ la dometɔ aɖewo dzi, gake womate ŋu ada CKD o. Ne ayikuawo nya gblẽ ko la, womate ŋu adzra wo ɖo o. CKD ate ŋu ana ayiku nawɔ dɔ keŋkeŋ.
• Ayikuwo ƒe Dɔmawɔmawɔ Nyuie: Wogayɔnae be Ayikudɔléle si Le Nuwuwu (ESRD) . Esia fia be wò ayikuwo megate ŋu wɔa dɔ o tegbee. Ne ayiku me gblẽ keŋkeŋ la, ahiã be woaɖe ayiku me - ʋudodo alo ayiku me ʋudodo - alo ayiku dodo na wò hafi nàtsi agbe.

Nukae wòle be makpɔ mɔ na ne Glomerular Dɔléle le ŋunye?

Dɔlélea didi kaba kple edada kaba nyea tiatia nyuitɔwo ɣesiaɣi be woakpɔ nu nyuitɔ kekeake. Taɖodzinu si le atikewɔwɔ ŋue nye be woaxe mɔ ɖe ayiku ƒe gbegblẽ nu alo akpɔ eƒe ŋgɔyiyi dzi. Ðo ŋku edzi be ne ède dzesii kaba la, ate ŋu akpe ɖe ŋuwò. Ne nusiwo gblẽ la nu sẽ eye ayikuawo mewɔ dɔ nyuie o la, tiatia siwo woate ŋu awɔ koe nye dialysis alo ayiku dodo na ame.

Ðe woate ŋu axe mɔ ɖe Glomerular Disease nua?

Tɔtrɔ geɖe li siwo nàte ŋu awɔ le agbenɔnɔ me be nàɖe dɔléle siwo gblẽa nu le wò ayiku ŋu xɔxɔ ƒe afɔkua dzi akpɔtɔ eye nànɔ lãmesẽ me. Esiawo dometɔ aɖewoe nye:

• Lé lolo si sɔ me ɖe asi.
• Ðe dze zazã dzi kpɔtɔ; mègatsɔ dze bubu kpe ɖe nuɖuɖu ŋu o.
• Na wò ʋu ƒe sisi nanɔ anyi. Taɖodzinuae nye 120/80 mmHg.
• Ne suklidɔ le ŋuwò la, kpɔ wò ʋumesukli ƒe agbɔsɔsɔ dzi.
• No atike siwo katã wò ɖɔkta ŋlɔ na wò abe alesi tututu nèŋlɔe ene, eye nàwɔ ɖe dɔdzikpɔkpɔ ƒe taɖodzinu siwo katã me míedzro kplii dzi.
• Dzudzɔ atamanono.

Menye nusiwo katã hea glomerular dɔléle vɛ lae woate ŋu axe mɔ na o. Gake ne ènya dze glomerular dɔléle ƒe dzesiwo kpɔkpɔ gɔme ko la, yi ɖɔkta gbɔ. Ele vevie be woadi nusiwo gbɔ wòtso si woate ŋu ada eye woadze atikewɔwɔ gɔme kaba ale si nàte ŋui. Atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàɖu nusiwo gblẽ le wò ayiku ŋu dzi eye wòaxe mɔ na wò be wòagagblẽ ɖe edzi o.

Nukae nye Nephrosis alo Nephrotic Syndrome?

Nephrosis, si wogayɔna be nephrotic syndrome, nye dzesiwo ƒe ƒuƒoƒo. Protein gbogbo aɖe si le ʋua me la dona le aɖuɖɔ me. Esia wɔnɛ be tsi ƒoa ƒu ɖe ŋutilãa me. Dzesiawoe nye:

• Ʋuʋudedi (edema), vevietɔ le ŋkuwo, afɔwo kple abɔwo ŋu.
• Ʋusɔgbɔdɔ.
• Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame.
• Protein ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ le ʋua me.
• Protein ƒe agbɔsɔsɔ si le aɖuɖɔ me ƒe dzidziɖedzi.

Taɖodzinu si le atikewɔwɔ ŋue nye be woada nusi gbɔ wòtso, ne anya wɔ. Atikewɔwɔa dometɔ aɖewoe nye:

• Wona angiotensin-converting enzyme inhibitors (ACE inhibitors) alo angiotensin receptor blockers (ARBs) be woatsɔ akpɔ ʋu ƒe sisi dzi eye woaxe mɔ na protein be wòagage ɖe aɖuɖɔ me o.
• Ðe dze si le wò nuɖuɖu me dzi kpɔtɔ.
• Wonaa tsinyegoe me atikewo be woatsɔ aɖe tsi ƒe léle ɖe ŋutilã me dzi akpɔtɔ.
• Wonaa corticosteroids alo atike bubu siwo tea dɔlélenutsiŋutete ɖe ame dzi.
• Wona atikewo be woatsɔ aɖe ʋumemi ƒe agbɔsɔsɔ dzi akpɔtɔ.
• Ne dɔlékuiwutikewo ƒe dɔléle aɖe le ŋuwò la, wowɔa plasmapheresis tsɔ ɖea dɔlékuiwutike siwo le wò ŋutɔ wò ŋutilã dzi dzem la ɖa.

Ne nusi gbɔ ayikudɔ tsonae nye ayikudɔ la, womate ŋu adae o. Esi glomeruli siwo le ayiku me mewɔa dɔ nyuie o ta la, gbeɖuɖɔwo kple tsi ƒoa ƒu ɖe ʋua me. Ayikuawo mewɔa dɔ nyuie o. Ne dɔlélea gagblẽ ɖe edzi la, atikewɔwɔa nyea ʋumenugbagbeviɣidɔ alo ayiku dodo na ame.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne Glomerular Disease ƒe dzesiwo alo dzesiwo le ŋuwò, alo ne ède dzesi tɔtrɔ aɖewo le wò lãmesẽ me la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Mègaŋe aɖaba ƒu nu suetɔ kekeake gɔ̃ hã dzi o, elabena zi alesi nèva nyae kaba la, zi nenemae edada nɔa bɔbɔe wu.

Dɔléle kple nɔnɔme vovovowo ate ŋu agblẽ nu le glomeruli siwo le wò ayiku me ŋu. Ele vevie be nànɔ ŋudzɔ ɖe wò ŋutilã ŋu ale be nàte ŋu ayi ɖɔkta kaba ne ède dzesi tɔtrɔ aɖewo.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui tso nyati sia me (Take-Home Message) .

Enyo, eyata fifia èse nusi ŋu míeƒo nu tsoe, Glomerular Dɔléle gɔme nyuie. Nu vevi aɖewo siwo dzi wòle be woaɖo ŋkui lae nye esi:

• Glomerular dɔléle nye nɔnɔme si tsoa ayiku ƒe nusiwo woɖena ɖa (glomeruli) ƒe gbegblẽ gbɔ.
• Nya nyuie le dzesiwo abe aɖuɖɔ si le fu ɖem, ʋu si le aɖuɖɔ me, vuvu, kple ʋusɔgbɔdɔ ŋu. Ne ède dzesi esiawo la, yi ɖɔkta gbɔ enumake.
• Ne dɔlélewo abe suklidɔ kple ʋusɔgbɔdɔ ene le ŋuwò la, ele vevie ŋutɔ be nàɖu wo dzi nyuie be nàkpɔ wò ayiku ta.
• Ne wokpɔ dɔlélea dze sii kaba la, atikewɔwɔ ate ŋu aɖu ayikuawo ƒe gbegblẽ dzi. Eyata mègaŋe aɖaba ƒu dzesi aɖeke dzi o.
• Agbenɔnɔ nyui me léle ɖe asi (nuɖuɖu nyuie, kamedede, kple atamanono) kpena ɖe ame ta kpɔa ame ta tso dɔléle siawo ƒomevi me.

Wò ayikuwo nye ŋutinu vevi eve siwo le wò ŋutilã me. Lé be na wo. Ne kuxi aɖewo le ŋuwò la, mègavɔ̃ be yeaƒo nu kple ɖɔkta o, enyoa?

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