Ðe kuxiwo le fu ɖem na wò le wò ʋukawo mea? Mina míaƒo nu tso GPA (Granulomatosis kple Polyangiitis) ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ŋutilã le kpekpem ŋutɔ, èsea veve le teƒe aɖewo le susu aɖeke manɔmee, alo ɖe nèsena le ɖokuiwò me ɣesiaɣi be yexɔ dzamezã, gake mele abe dzamezã si bɔ ene oa? Ɣeaɖewoɣi la, le nu siawo megbe la, dɔléle aɖe ate ŋu anɔ anyi si ŋu míesea nu geɖe tsoe o, gake ele vevie be míanya. Ema nye nɔnɔme mawo dometɔ ɖeka si woyɔna be GPA.

Nukae nye GPA (Granulomatosis kple Polyangiitis)? Mina míase egɔme bɔbɔe!

Enyo, azɔ mina míakpɔ nusi GPA (Granulomatosis with Polyangiitis) sia nye ɖa. Mègatsi dzi o, maɖe eme bɔbɔe. Tsã la, woyɔnɛ be `(Wegener ƒe Granulomatosis)`. Gake ŋkɔ `(Granulomatosis with Polyangiitis)` si wozãna fifia la gblɔa nu geɖe tso dɔléle sia ŋu.

Kpuie ko la, GPA nye wò ʋukawo ƒe dɔdzẽ alo vuvu. Ðɔktawo yɔa esia be ``vasculitis.`` Bu eŋu ale: ʋuka siwo le míaƒe ŋutilã katã me le abe tsi ƒe pɔmpiwo ene. Ne nane gblẽ le pɔmpi siawo ŋu la, ʋu ƒe sisi me gblẽna, alo? Emae nye nusi le dzɔdzɔm le afisia.

Fifia nu tɔxɛ eve bubuwo gali ku ɖe GPA sia ŋu:

• Polyangiitis: Esia fia be dɔdzẽa dzɔna le ʋuka vovovo geɖe me le wò ŋutilã me, vevietɔ le sueawo me . Menye nuto ɖeka me koe wòku ɖo o.
• Granulomatosis: Esia aɖi nya sesẽ aɖe, gake ɖeko wòfia be ƒu suesuesue siwo le ƒuƒlu, siwo me dɔdzẽ le siwo woyɔna be granulomas la dzɔna ɖe wò ʋukawo kple ŋutinu aɖewo me. Ʋuka siawo ate ŋu agblẽ nu le wò ʋukawo kple ŋutinuwo ŋu.

Eyata, ``ʋukawo me dɔléle'' ƒe nɔnɔme sia ƒomevi geɖewo li, gake ƒomevi si woyɔna be GPA la gblẽa nu le ʋuka suetɔ kekeake siwo le míaƒe ŋutilã me koŋ ŋu. Esi wònye be ʋuka sue siawo le ŋutilã bliboa me ta la, GPA ate ŋu ahe kuxiwo vɛ le ŋutilã ƒe akpa geɖe, vevietɔ ŋutinu siwo me ʋuka suewo sɔ gbɔ ɖo. Zi geɖe la, egblẽa nu le wò gbɔgbɔtsixetsixe (yagbɔgbɔmɔ̃) kple ayiku ŋu.

Ʋukawo ƒe dɔdzẽ sia ate ŋu ana woavuvu, agbã, eye ʋu nado le wo me gɔ̃ hã. Azɔ hã, ʋukawo ate ŋu axe le abi siwo le wo ŋu ta. Nukae dzɔna ɣemaɣi? Míaƒe lãkusiwo mekpɔa ɔksidzin kple nunyiame siwo wohiã o. Ɣeaɖewoɣi la, GPA ateŋu ahe nɔnɔme aɖe si woyɔna be ``pulmonary-renal syndrome`` gɔ̃ hã vɛ, si me ʋu dona tso ayiku kple lãkusi me.

Dzesi kawoe dzena ne GPA va dze?

Fifia ɖewohĩ èle eŋu bum be, ‘Enyo, ne dɔléle sia tɔgbee nye esia la, aleke míawɔ ade dzesii? Nukawoe nye dzesiawo?’ Mina míaƒo nu tso nya ma ŋu.

Abe alesi míegblɔe va yi ene la, GPA gblẽa nu le gbɔgbɔtsixe kple ayiku ŋu wu. Gake ate ŋu akpɔ ŋusẽ ɖe ŋutinu kple lãkusi bubu geɖewo hã dzi, kpakple wò nyonyo bliboa hã. Esia le alea elabena etɔa ŋku ʋuka sue siwo le ŋutilã bliboa me.

Ɣeaɖewoɣi la, lãmekawo ƒe vevesese kple ƒunukpeƒeveame (ƒunukpeƒetetedɔ) ate ŋu atso ʋukawo me dɔléle si le wò kadodoŋusẽwo me gbɔ.Tsɔ kpe ɖe nu siawo tɔgbe ŋu la, àte ŋu ase le ɖokuiwò me be yeƒe lãme sẽ . Azɔ hã, ɖeɖiteameŋu atraɖii, nuɖuɖu ƒe dzodzro, kple lolo dzi ɖeɖe kpɔtɔ nye dzesi siwo bɔ.

Yagbɔgbɔ ƒe dɔwɔwɔ ƒe dzesiwo

Ame geɖe susuna gbã be GPA le yewo si eye wodia atike le gbɔgbɔtsixe ƒe dzesiwo ta. Le gɔmedzedzea me la, dzesi siawo ate ŋu aɖi dzamezã, dzamezã, alo dzamezã si bɔ. Gake wodina be yewoanɔ anyi eteƒe nadidi wu alesi wònɔna ɖaa. Kpɔe ɖa be esiawo dometɔ aɖe le asiwò hã:

• Taɖuame sesẽ alo nyaƒoɖeamenu le sinus ƒe nuto me.
• Sinus dɔlékuiwo dzɔna enuenu.
• Sisi nɔa ŋɔti me ɣesiaɣi, eye ƒunukpeƒewo ƒoa xlã ŋɔtiawo.
• Nye ŋɔti le ʋuʋum.
• Ʋu si dona le ŋɔti me enuenu le susu aɖeke manɔmee.
• Tome le veve sem.
• Mesea veve le nye akɔta.
• Kɔdzidɔ si nu metsina o le ŋunye.
• Gbɔgbɔtsixe ƒe seselelãme (abe kɔdzidɔ ene).

Ne GPA le sesẽm ɖe edzi la, àte ŋu axɔ ƒunukpeƒetetedɔ (polychondritis) si le wò to, ŋɔti, kple ŋɔti me. Esia ate ŋu ahe dzesi siwo nu sẽ wu vɛ, abe:

• Noa vuvu ale gbegbe be ŋɔti tame nyrɔna ɖe eme (woyɔa esia hã be saddle nose).
• Kɔ, alo yaƒoƒomɔ̃a ƒe akpa si le etame, va nɔa kpuie (subglottic stenosis). Esia ate ŋu ana gbe nase le ɖiɖim eye wòase kpẽ ne wole gbɔgbɔm (ɣlidodo alo ʋuʋudedi).
• To ememetɔ ƒe dɔdzẽ ate ŋu ana ame natɔtɔ (vertigo) eye wòana ame ƒe to nasesẽ.

Azɔ hã, ɖewohĩ ʋu le dodom le wò lãkusiwo me. Ne edzɔ alea la, ɖewohĩ gbɔgbɔ sesẽ na wò wu, alo àte ŋu akɔ ʋu gɔ̃ hã .

Dzesi siwo do ƒome kple ayiku

Ðewohĩ màse veve aɖeke le wò ayiku me ne GPA le ŋuwò o. Gake àte ŋu ade dzesi tɔtrɔwo le wò aɖuɖɔ me. Le kpɔɖeŋu me, aɖuɖɔ si me futukpɔ le alo ʋu si le wò aɖuɖɔ me. Azɔ hã, mo alo afɔwo ƒe vuvu (edema) nye ayikudɔléle ƒe dzesi bubu.

Ne GPA le asiwò la, ɖɔktawo alé ŋku ɖe wò ayiku ŋu edziedzi, ne dzesi aɖeke medze le ŋuwò gbeɖe o gɔ̃ hã. Esia le alea elabena ɖewohĩ GPA makpɔ ŋusẽ ɖe wò ayiku dzi le eƒe gɔmedzedze o, gake le ɣeyiɣi aɖe megbe la, akpɔ ŋusẽ ɖe wò ayiku dzi godoo kloe.

Dzesi siwo do ƒome kple ŋku

GPA ate ŋu akpɔ ŋusẽ ɖe wò ŋkuwo hã dzi. Ate ŋu ana ŋkua naxɔ abi le ŋkua ƒe akpa si le gota alo eƒe eme. Esia ate ŋu ana ŋku nase veve, aƒoe, abiã, eye wòavuvu . Le nɔnɔme sesẽwo me la, ate ŋu adzɔ be ame nagate ŋu akpɔ nu o.

Ŋutilã ƒe dzesiwo

Vasculitis le wò ŋutigbalẽ me ate ŋu ahe dzesiwo abe:

• Ŋutilã ƒe akpa si le abe blɔ-dzẽ ƒe nɔnɔme (ŋutilã si me fli le ene).
• Tete siwo ƒe amadede nye aŋutiɖiɖi, dzĩ, alo aŋutiɖiɖi (purpura) dzena.
• Kpe sesẽwo (nodules) alo ʋuʋudedi sue siwo le abe ʋuʋudedi ene (papules) ate ŋu adze le ŋutigbalẽa ŋu.
• Abi siwo meda o (abi) ate ŋu adzɔ.

Lãmetsiŋusẽ ƒe dzesiwo

GPA ate ŋu akpɔ ŋusẽ ɖe wò lãmekawo hã dzi. Zi geɖe la, ekpɔa ŋusẽ ɖe wò lãmeka siwo le gota gome dzi – lãmeka siwo tso wò aklã me yi wò ŋutilã ƒe akpa bubuwo.

Dzoxɔxɔ kple vuvu ate ŋu agblẽ nu le lãmeka ɖeka ko ŋu, si ana dzesiwo nadze le teƒe ɖeka (mononeuropathy). Gake zi geɖe la, lãmeka geɖe ŋue wògblẽa nu le (polyneuropathy). Dzesiawo ate ŋu anye:

• Motor ƒe dzesiwo: Abe lãmekawo ƒe gbɔdzɔgbɔdzɔ ene.
• Sidzenuwo ƒe dzesiwo: lãmetutudɔ, ʋuʋudedi, alo lãmekawo ƒe vevesese.
• Lãmetsiŋusẽ si le eɖokui si, si kpɔa ʋu ƒe sisi, tsinyegoe ƒe dɔwɔwɔ, alo fifia dzi ƒe dɔwɔwɔ ƒe gbegblẽ.

Nukawoe nye kuxi sesẽ siwo ate ŋu ado mo ɖa le GPA ta?

Ne womekpɔ GPA dzi nyuie o la, ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi eye wòagblẽ nu le ŋutinuwo ŋu vevie. Eyata ele vevie be nànya esia. Kuxi sesẽ siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye esi:

• Ʋu si dona le aklã me: Esia ate ŋu ana gbɔgbɔ nasesẽ eye gbɔgbɔtsixe natsi.
• Glomerulonephritis si yia ŋgɔ kabakaba: Esia ate ŋu ana ayiku nawɔ dɔ nyuie.
• Nukpɔkpɔ alo to ƒe bublu tegbee.
• Ŋutilã ƒe seselelãme ƒe bu alo ŋutetemanɔamesi be wòaɖu lãmekawo dzi (peripheral neuropathy).

Nukae nana GPA va nɔa ŋgɔ yim?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, ‘Nukatae dɔléle sia ƒomevi dzɔna ɖo?’ Le nyateƒe me la, GPA, abe `(vasculitis)` ƒomevi bubuwo ene, nye `(autoimmune disease` . Esia adze abe ɖe gɔmesese sesẽ vie ene, gake maɖe eme bɔbɔe.

Zi geɖe la, míaƒe dɔlélenutsiŋutete le abe míaƒe ametakpɔla ene. Ewɔa avu kple dɔlélewo kple dɔlékuiwo to dɔdzẽ hehe vɛ me. Gake le dɔléle siawo siwo dɔlélenutsiŋutete wɔna me la, mía ŋutɔwo ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbevi kple lãkusi siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe. Le GPA me la, dɔlélenutsiŋutete dzea mía ŋutɔwo míaƒe ʋukawo dzi.

Nukae nye nusiwo koŋ ʋãa ame siwo hea GPA vɛ?

Numekulawo menya nusi tututu hea dɔléle siwo dɔlélenutsiŋutete ƒe dɔlélewo vɛ haɖe o. Ke hã, woxɔe se be nu geɖewoe nana wodzɔna. Ɣeaɖewoɣi la, nuteɖeamedzi nana míaƒe dɔlélenutsiŋutete wɔa dɔ fũ akpa, si ate ŋu ana míaƒe dɔmawɔmawɔ nyuie siawo ƒomevi nawɔ dɔ nyuie. Dɔlékui kple dɔlékuiwo ƒe dɔléle sesẽ aɖewoNumekukuwo hã ɖee fia be GPA dzɔna le...

GPA le dɔlélewo ƒe hatsotso aɖe si woyɔna be ANCA-associated vasculitis, alo AAV . Esiawo nye ʋukawo me dɔléle ƒomevi siwo me dɔlékuiwutike aɖe koŋ si woyɔna be ANCA le. Numekulawo xɔe se be ANCA sia wɔa akpa vevi aɖe le dɔléle siawo ƒe dɔdzẽ hehe vɛ me, si me GPA hã le.

Aleke nàwɔ anya ne GPA le asiwò?

Ne GPA ƒe dzesiwo le ŋuwò la, wò ɖɔkta abia wò dzesiwo gbã eye wòado wò ŋutilã kpɔ. Ne wò dzesiwo kple atikewɔwɔ ŋutinya ɖee fia be ɖewohĩ GPA le ŋuwò la, woaɖe gbe be woawɔ dodokpɔ aɖewo atsɔ aku nu me yi ŋgɔe.

Dodokpɔ siwo wozãna tsɔ nya nenye be GPA le asiwò dometɔ aɖewoe nye:

• Ʋudodokpɔ: Esia hã léa ŋku ɖe ANCA dɔlékuiwutike siwo míeyɔ va yi ŋu hã.
• Aɖuɖɔtoe me dzodzro: Eléa ŋku ɖe ʋu kple protein si le wò aɖuɖɔ me ŋu.
• Akɔta ƒe X-ray kple CT scan: Esiawo léa ŋku ɖe wò lãkusi ƒe nɔnɔme ŋu.
• Biopsy: Woɖea lãkusi sue aɖe tso lãkusi, lãkusiwo (no me do), alo ayiku me eye wodoa wo kpɔ le nusuekpɔmɔ̃ me be woakpɔe ɖa be dɔdzẽ ƒe nɔnɔme aɖewo koŋ li hã.

Nukawoe nye atike siwo wozãna na GPA (Wegener ƒe Granulomatosis)?

Enyo, azɔ mina míalé ŋku ɖe alesi wowɔa nu ɖe ​​GPA ŋui ŋu. Ðɔktawo daa GPA to atike siwo ɖea dɔdzẽ dzi kpɔtɔna eye wotsia dɔlélenutsiŋutete nu (corticosteroids kple dɔlélenutsiŋutete ƒe atike bubuwo) zazã me.

Atike siawo dometɔ aɖewo ƒe ŋusẽ de ŋgɔ wu bubuwo. Atike siwo wò ɖɔkta kafu na wò la ƒo ƒu anɔ te ɖe alesi wò dɔlélea nu sẽe kple alesi wòate ŋu agblẽ nu le ŋuwòe dzi.

Atikewɔwɔ vevi siwo woatsɔ ada GPA si le dɔ wɔm:

• Wonaa corticosteroids (e.g., prednisone) ƒe agbɔsɔsɔ gbogbo aɖewo. Woɖea agbɔsɔsɔ siawo dzi kpɔtɔna vivivi le ɣeyiɣi aɖe megbe.
• `(Rituximab)`: Esia nye biologic atike yeye. Esiae nye atikewɔwɔ si wozãna zi geɖe wu fifia.
• Cyclophosphamide (na dɔléle sesẽwo) alo methotrexate (na dɔléle sesẽwo): Wozãa atike siawo hã tsɔ daa kansa. Gake ne wonae hena GPA (le agbɔsɔsɔ si bɔbɔ wu sã me) la, wowɔa dɔ abe dɔlélenutsiŋutete ƒe dɔlékuiwutikewo ene.
• Avacopan: Woate ŋu azã atike sia abe atike bubu ene atsɔ aɖe corticosteroids ƒe agbɔsɔsɔ dzi akpɔtɔ.

Ne kuxi sesẽwo le ŋuwò la, ɖewohĩ ahiã be woawɔ atike bubuwo na wò. Le kpɔɖeŋu me:

• Dialysis (ne ayikuwo mewɔ dɔ nyuie o) .
• Ŋutilãwo ƒe ŋutinuwo dodo na ame

GPA ƒe nɔnɔmeNe wonya ɖo ``eƒe tsɔtsɔke'' ƒe afɔɖeɖe aɖe gbɔ, si fia be dzesiawo bu eye dɔlélea va le alɔ̃ dɔm ko la, wonaa atike siwo fa wu be woalé nɔnɔme ma me ɖe asi. Zi geɖe la, esia lɔ:

• `(Rituximab)`
• Dɔlélenutsiŋutete ƒe atike fafɛwo: Le kpɔɖeŋu me, `(azathioprine)`, `(methotrexate)` alo `(mycophenolate mofetil)`.

Le wò atikewɔwɔa katã me la, woayi edzi anɔ dodokpɔwo wɔm na wò be woatsɔ alé ŋku ɖe wò nɔnɔmea kple alesi nèle nu wɔm ɖe atikewɔwɔ ŋui ŋu. Wò ɖɔkta atrɔ asi le atike si woŋlɔ na wò kple agbɔsɔsɔme si nàzã ŋu le alesi nèwɔ nui nu.

Ðo ŋku edzi be atikewo katã ate ŋu agblẽ nu le ame ŋu. Woate ŋu adzɔ ɣesiaɣi le atikewɔwɔ me. Eyata ate ŋu ahiã be woatrɔ atikewo be woaxe mɔ ɖe eƒe nugbegblẽ aɖewo nu alo aɖe wo dzi akpɔtɔ. Ele be nàwɔ nyametsotso siawo katã le wò ɖɔkta ƒe aɖaŋuɖoɖo me.

Nukae ava nɔ le etsɔme na nɔnɔme sia? (Nukpɔsusu) .

GPA nye agbemenɔnɔme si hiã beléle na ame le eƒe agbemeŋkekewo katã me. Ne woda dɔa nɛ la, dɔlélea ate ŋu ayi gbɔdzɔe eye dzesiawo nu ayi. Gake dzesiawo ate ŋu atrɔ ava (gbugbɔgadzɔ hã).

Ðewohĩ ahiã be nàno atike ɣeaɖewoɣi le wò agbemeŋkekewo katã me be nàɖu dɔlélea gbugbɔgadzɔ dzi. Esi atike siawo tea wò dɔlélenutsiŋutete ɖe to ta la, ahiã be nàlé be na wò geɖe wu hã be nàkpɔ ɖokuiwò ta tso dɔléle bubuwo me.

Ðe wòanya wɔ be woanɔ agbe si sɔ kple GPA?

Ne èwɔ atike nyuie la, àte ŋu anɔ agbe si sɔ vie kple GPA. Abe alesi wòle le dɔléle geɖe siwo nɔa anyi didi gome ene la, ɣeyiɣi aɖewo ate ŋu anɔ anyi siwo dzi woaɖe akpɔtɔ eye woagadze dɔ ake. Eyata dɔlélea ƒe zɔzɔ ate ŋu anɔ dzi yim vie.

Nukae nye ame si si GPA le ƒe agbenɔƒe?

Ne womewɔ atike na ame o la, ame ƒe agbenɔƒe le mama dedie nu anɔ abe ɣleti atɔ̃ ene, eye ame siwo mede 50% o nɔa agbe wu ƒe ɖeka. Gake le atikewɔwɔ me la, numekuku siwo wowɔ le wo yometiti me ɖee fia be ame siwo wu 80% gakpɔtɔ le agbe le ƒe enyi megbe . Eyata àte ŋu akpɔ alesi gbegbe wòle vevie be woawɔ atike na ame, alo?

Nukae nye nusi gbɔ ku tsona wu le GPA me?

Hafi woawɔ atike nɛ la, ŋutinuwo ƒe dɔmawɔmawɔ nyuiee nye ku ƒe afɔku gãtɔ kekeake le GPA me. Le atikewɔwɔ me la, ne wò dɔlélenutsiŋutete gbɔdzɔ la, èle afɔku gã aɖe me be nàxɔ dɔlékui siwo ate ŋu ade wò agbe afɔku me .

Aleke wòle be malé be na ɖokuinye esime mele agbe kple GPA?

Ne èle agbe kple dɔléle si nye autoimmune dɔléle si nɔa anyi didi abe GPA ene la, ele vevie be nànya nu tso wò ŋutilã ŋu vie. Ne èle sesem le ɖokuiwò me be yele lãmesẽ blibo me gɔ̃ hã la , ele be nànɔ dedie.

Ðe afɔ aɖewo nàtsɔ akpɔ ɖokuiwò ta tso dɔléle siwo bɔ me esime nèle dɔlélenutsiŋutete ƒe atikewo zãm. Ne ède dzesi dzesi yeye alo esi mebɔ o la, .Na wò ɖɔkta nanya enumake.

GPA ate ŋu akpɔ ŋusẽ ɖe dziwò le mɔ geɖe nu, eye wo dometɔ aɖewo ate ŋu ade wò agbe afɔku me. Ne míede dzesii be nane gblẽ eye woda atike nɛ kaba ate ŋu ana tɔtrɔ gã aɖe nava.

Ame geɖe ate ŋu anɔ agbe dzesi aɖeke manɔmee, hena ɣeyiɣi aɖe ya teti, ne wowɔ atike na wo. Gake wò atikewɔlawo ƒe ƒuƒoƒoa ayi edzi anɔ ŋku lém ɖe wò nɔnɔmea ŋu. Woanye wò agbeme zɔhɛwo le wò lãmesẽ me léle ɖe asi me.

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

Enyo, na maƒo nu tso nusiwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me la dometɔ aɖewo ŋu kpuie:

• GPA (Granulomatosis with Polyangiitis) nye dɔléle si dɔlélenutsiŋutete ŋutɔ wɔna si gblẽa nu le ʋukawo ŋu, vevietɔ ʋuka suewo. Zi geɖe la, egblẽa nu le gbɔgbɔtsixe kple ayiku ŋu.
• Dzesiawo to vovo. Dzesiawo ate ŋu anye dzesi siwo bɔ abe vuvɔ ene, gbɔgbɔ sesẽ, ŋɔti me ʋu, ŋutigbalẽ ƒe ʋuʋu, ƒunukpeƒeveame, ŋku ƒe kuxiwo, kple aɖuɖɔ ƒe tɔtrɔ.
• Esia ate ŋu anye nɔnɔme sesẽ aɖe, eyata ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ne dzesiwo le ŋuwò.
• Dɔdamɔnu siwo wɔa dɔ nyuie li. Dɔdamɔnu siawo ate ŋu aɖu dɔlélea dzi eye wòana wòanɔ anyi le eƒe tsɔtsɔke me.
• Esia nye wò agbemeŋkekewo katã ƒe nɔnɔme, eyata ele be nàyi edzi anɔ atikewɔlawo ƒe dzikpɔkpɔ te, azã atike siwo woŋlɔ na wò nyuie, eye nàlé be na wò ŋutilã.
• Mega tsi dzi o! Ne ènya nu tso eŋu eye nèɖo aɖaŋu na wò nyuie le atikewɔwɔ me la, àte ŋu anɔ agbe nyui kple nɔnɔme sia. Menye wò ɖeka koe o, eye ɖɔktawo hã li siwo akpe ɖe ŋuwò.

` GPA, Granulomatosis kple Polyangiitis, Wegener ƒe Granulomatosis, Vasculitis, Ʋukawo ƒe dɔléle, Dɔlélenutsiŋutete ƒe dɔlélewo, Ayikudɔlélewo, Yagbɔgbɔdɔlélewo