Ðe wò afɔwo, afɔkpodziwo, asiwo, alo mo le vuvu si womate ŋu aɖe o la me toma? Ède dzesii be wò aɖuɖɔ dzena abe futukpɔ enea? Esiawo ate ŋu anye dzesi siwo fia be nya aɖe le wò ayiku, si nye wò ŋutilã ƒe ŋutinu vevitɔwo dometɔ ɖeka, ŋu. Egbea la, míele nu ƒom tso nɔnɔme aɖe si gblẽa nu le ayiku ŋu—si ŋu womeƒoa nu tsoe boo o, gake wòle vevie ŋutɔ be woase egɔme: Glomerulosclerosis.
Le Nya Blewuwo Me la, Nukae Nye Glomerulosclerosis?
Wò ayiku eveawo wɔa dɔ abe ayiku siwo wɔa dɔ nyuie ene. Wokɔa wò ʋu ŋu to gbeɖuɖɔwo ɖeɖe ɖa hetrɔa wo wòzua aɖuɖɔ me. Nu suesuesue siwo le tsɛ siwo le wò ayiku me siwo woyɔna be glomeruli .
Glomerulosclerosis fia abi alo sesẽ si le nu suesuesue siawo siwo wotsɔna tsia tsia me ŋu. Abe alesi abi dzɔna le ŋutigbalẽ ƒe abixɔxɔ vɔ megbe ene la, abi ƒe lãkusiwo va nɔa mɔ̃ siawo me ne wogblẽ, si wɔnɛ be womete ŋu wɔa dɔ nyuie o.
Esia wɔnɛ be protein vevi siwo wòle be wòanɔ wò ʋu me la toa ʋuka si gblẽ la me eye wobuna le wò aɖuɖɔ me . Le atikewɔwɔ me la, woyɔa nɔnɔme sia be `Proteinuria` ( protein le aɖuɖɔ me ).
Nɔnɔme sia ate ŋu adze ame sia ame dzi, eɖanye ƒe ka kee wòɖaxɔ o, togbɔ be ebɔ vie le ŋutsuwo gome hã.
Nukae Hea Nɔnɔme Sia Gbɔ?
Ɣeaɖewoɣi la, womate ŋu ade dzesi nusi gbɔ Glomerulosclerosis tso o. Gake zi geɖe la, enyea nu evelia le atikewɔwɔ me nɔnɔme bubu siwo gbɔ wòtsona me.
Dɔléle si bɔ enye `FSGS` (Focal Segmental Glomerulosclerosis). Esia fia be nusiwo gblẽ la mewɔ ɖeka o; teƒe aɖewo koe wògblẽa nu le (Focal), eye le teƒe mawo me la, filter ɖesiaɖe ƒe akpa aɖe koe abi le (Segmental).
Nusiwo bɔ siwo hea FSGS kple Glomerulosclerosis bliboa vɛ dometɔ aɖewoe nye:
- Suklidɔ : Sukli si le ʋu me si dzi womeɖu o nye afɔku gã aɖe na ayiku ƒe lãmesẽ.
- Lolo akpa : Ame ƒe kpekpeme si gbɔ eme nana ayikuawo tea ɖeɖi ame ŋu vevie.
- HIV Dɔlékui : Dɔlékui sia ate ŋu agblẽ nu le ayiku me lãmenugbagbeviwo ŋu tẽ.
- Dɔlélenutsiŋutete ƒe dɔlélewo abe Lupus ene: Nɔnɔme siawo nana wò dɔlélenutsiŋutete dzea wò ayiku dzi vodadatɔe.
- Sickle cell disease: Domenyiŋusẽfianu si ate ŋu agblẽ ayiku ƒe dɔwɔwɔ me.
- Reflux nephropathy: Nɔnɔme si me aɖuɖɔ sina yia megbe tso tsinyegoea me yia ayikuwo gbɔ, si gblẽa nu le ame ŋu.
- Glomerulonephritis: Glomeruli ƒe dɔdzẽ.
- Atike kple aɖi aɖewo: Nusiwo gblẽa nu le ayiku ŋu ƒe amedzidzedze.
Nukae Nye Dzesiawo?
Le gɔmedzedzea me la, ɖewohĩ dzesi aɖeke madze ƒã na wò o , si tae zi geɖe la, womedea dzesii o ɖo. Ne ele edzi yim la, àte ŋu ade dzesi nu siwo gbɔna:
| Dzesi si dzena | Numeɖeɖe |
|---|---|
| Ʋuʋudedi (Edema) . | Lãmetsi ƒe léle ɖe te dzɔna elabena ayikuawo mete ŋu kɔa nu nyuie o. Àte ŋu ade dzesii be wò afɔwo, afɔkpodziwo, asiwo, ƒodo, alo ŋkuwo ƒo xlãe . |
| Aɖuɖɔtoe ƒe Tɔtrɔ | Le protein ƒe bu ta la, wò aɖuɖɔ ate ŋu adze abe futukpɔ alo bubbly ene . |
| Ʋu ƒe Ʋuʋudedi | Zi geɖe la, ayiku ƒe gbegblẽ hea ʋusɔgbɔdɔ vɛ, si dzi ɖuɖu ate ŋu asesẽ. |
| Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame | Ne protein ƒe agbɔsɔsɔ ɖiɖi le ʋua me la, aklãa xea fe ɖe eta to ʋumemi geɖe wɔwɔ me. |
Zi geɖe la, wokpɔa nɔnɔmea le lãmesẽ dodokpɔ siwo wowɔna edziedzi me, to aɖuɖɔ dodokpɔ siwo ɖea proteinuria fiana alo ʋudodokpɔ siwo ɖea protein ƒe agbɔsɔsɔ si le sue (hypoproteinemia) fiana me.
Aleke Wokpɔa Dɔléleae?
Esi wònye be dzesi siawo srɔ̃a nɔnɔme bubuwo ta la, mɔ si sɔ wu si dzi woato aɖo kpe dɔléle aɖe dzie nye Ayikuwo me Dzodzro .
Nukae Nye Ayiku Ŋuti Nusɔsrɔ̃?
Mègatsi dzodzodzoe o. Wozãa dɔwɔnu sue aɖe si le abe aŋe ene tsɔ ƒoa lãkusi sue aɖe ŋutɔ tso wò ayiku me, eye emegbe wodoa wo kpɔna le nusuekpɔmɔ̃ me be woade dzesi abi siwo le eŋu.
Ɣeaɖewoɣi la, ehiãna be woaɖe kpɔɖeŋu geɖe elabena abi ate ŋu anɔ ayiku ƒe lãkusiwo katã me.
Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò hã be:
- Glomerular Filtration Rate (GFR) dodokpɔ: Be nàdzidze alesi wò ayikuwo le ʋuʋum nyuie.
- Kidney Ultrasound scan: Be nàlé ŋku ɖe wò ayiku ƒe lolome, nɔnɔme, kple eƒe wɔwɔme ŋu.
- Domenyiŋusẽfianu dodokpɔ: Le go siwo mebɔ o me la, be woakpɔe ɖa be nusi gbɔ wòtso ƒe domee li hã.
Nukawoe Nye Atikewɔwɔ ƒe Tiatia?
Nublanuitɔe la, fifia la, womekpɔ atike aɖeke na Glomerulosclerosis o, eye atike aɖeke meli koŋ si dzi woda asi ɖo le xexeame katã be woatsɔ atrɔe o.
Ke hã, mègatsi dzodzodzoe o. Atikewɔwɔ vovovowo ate ŋu akpe ɖe ame ŋu be nɔnɔmea nagagblẽ ɖe edzi o, akpɔ dzesiawo gbɔ, eye wòalé agbenɔnɔ nyui me ɖe asi. Taɖodzinuae nye be woaɖe dɔlélea ƒe ŋgɔyiyi dzi akpɔtɔ eye woakpɔ ayiku ƒe dɔwɔwɔ ta.
Zi geɖe la, atikewɔwɔwo lɔ:
- Ʋu ƒe sisi ƒe atikewo: ACE mɔxenu kple ARB kpena ɖe ame ŋu wòɖua ʋu ƒe sisi dzi eye wòɖea protein ƒe bu le aɖuɖɔ me dzi kpɔtɔna ŋutɔ.
- Dɔlélenutsiŋutete ƒe dɔlékuiwutikewo: Woate ŋu azã atikewo abe steroid ene atsɔ akpɔ dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi.
- Atike siwo ɖea ʋumemi dzi kpɔtɔna (Statins): Be woakpɔ ʋumemi ƒe agbɔsɔsɔ si dzi ɖe edzi gbɔ.
- Aɖuɖɔtoemetikewo: Be woaɖe tsi kple dze si sɔ gbɔ ɖe lãme na ame, si ana avuvu dzi naɖe akpɔtɔ.
- Atike siwo tsia ʋumenugbagbeviɣidɔ nu: Be wòakpe ɖe ame ŋu be ʋu nagaxe o.
- Agbenɔnɔ ƒe tɔtrɔ: Nuɖuɖu si me dze mele o zazã, kamedede edziedzi, kple vitamin siwo sɔ nana.
Vevietɔ wu la, ne wò nɔnɔmea nye evelia le suklidɔ alo lolo akpa megbe la, dɔléle si gbɔ wòtso dzi kpɔkpɔe nye nu vevitɔ kekeake. Ʋu kple aɖuɖɔtoe dzi kpɔkpɔ edziedzi le vevie ŋutɔ.
Ne dɔlélea yi ŋgɔ va ɖo ayiku ƒe dɔmawɔmawɔ nyuie la, ate ŋu ahiã be woawɔ atikewo abe ayiku ɖeɖeɖa alo ayiku dodo na ame ene.
Gbedasi si Wotsɔ Yi Aƒeme
- Glomerulosclerosis nye ayiku ƒe tsilénuwo ƒe abi, si wɔnɛ be womegawɔa dɔ nyuie o.
- Kpɔ dzesiwo abe abi, aɖuɖɔ si me futukpɔ le, kple ʋusɔgbɔdɔ ene ɖa.
- Ne ède dzesi dzesi siawo la, yi ɖɔkta gbɔ enumake.
- Zi geɖe la, ayiku me lãmenugbagbeviwo ɖeɖe hiã hafi woate ŋu anya dɔlélea godoo.
- Togbɔ be womate ŋu adae fifia o hã la, edzikpɔkpɔmɔnu nyuiwo ate ŋu ana dɔlélea nagbɔdzɔ eye wòana wò nyonyo nanyo ɖe edzi. Nudede nyaa me kaba nye nu vevitɔ.
Glomerulosclerosis, ayikudɔ, ayiku ƒe abi, proteinuria, vuvu, ayiku me lãmenugbagbeviwo ɖeɖe
