Enye nusi sɔ be vɔvɔ̃ natsi eye nàtsi dzimaɖi ne wò ɖɔkta gblɔ na wò be wò ayikuwo mele dɔ wɔm nyuie o. Ðewohĩ wogblɔ na wò be ahiã be woawɔ ʋumenugbagbeviɣidɔ na wò. Ame geɖe tsia dzimaɖi ne wose nya siawo, eye womete ŋu bua nusi ava dzɔ le susu me o. Gake ne míese atikewɔwɔmɔnu sia gɔme nyuie la, àse egɔme be esia nye mɔnu vevi aɖe ŋutɔ si ate ŋu axɔ wò agbe. Eyata, egbea míaƒo nu tso ʋumenugbagbeviɣidɔ ŋu le nya bɔbɔewo me.
Kpuie ko la, nukae nye ʋumenugbagbeviɣidɔ?
Bu wò ayikuwo be wonye super filter eve le míaƒe ŋutilã me. Woɖea gbeɖuɖɔ, aɖi, kple tsi siwo sɔ gbɔ ɖe míaƒe ʋu me siwo míedi o ɖa heɖea wo doa goe abe aɖuɖɔ ene. Gake ne ayikudɔ xe mɔ na wo be womete ŋu wɔa dɔ sia nyuie o la, aɖi mawo tea ƒoƒo ɖe ŋutilãa me.
Hemodialysis nye mɔnu si wozãna tsɔ kɔa ʋua ŋu to mɔ̃ aɖe si ɖea nitrogen ƒe gbeɖuɖɔ (urea), gbeɖuɖɔ siwo le lãmekawo me (creatinine), kple acid siwo le ʋua me ɖa, eye wòtrɔa ʋu si ŋu wokɔ la yia ŋutilãa me.
Aleke mɔ̃ sia kɔa ʋu ŋui?
Ʋumenugbagbeviɣidɔlékuiwutike tɔxɛ aɖe le mɔ̃ sia ŋu. Woyɔa esia be ‘dialyzer’. Ame aɖewo hã yɔnɛ be ‘ayiku si wowɔ’. Ʋu si woɖe tso wò ŋutilã me la yia ‘dialyzer’ sia me. Esi ʋua le sisim to mɔ̃ siwo le abe lãgbalẽ ene siwo le sue ŋutɔ siwo le eme me la, gbeɖuɖɔ kple tsi si sɔ gbɔ ɖe ʋua me koe woɖena ɖa.
Woƒoa gbeɖuɖɔ siawo nu ƒu ɖe tsi tɔxɛ aɖe si woyɔna be ‘dialysate’ me. Tsi, dze, kple elektrikŋusẽe nye esia. Fifia wogbugbɔa ʋu dzadzɛ si woɖe gbeɖuɖɔawo katã ɖa la ɖona ɖe wò ŋutilã to mɔ̃a dzi. Woɖea tsi si nye ‘dialysate’ si me gbeɖuɖɔawo le la ɖa le mɔ̃a me. Bu eŋu abe tii ƒe ʋeʋẽ si ɖea tii ƒe aŋgbawo eye tii koe gena ɖe kplua me ene.
Mɔ vevi eve li siwo dzi woato awɔ ʋumenugbagbeviɣidɔ:
Àte ŋu aƒo nu kple wò ɖɔkta ahatso nya me le mɔnu si nyo na wò ŋu.
| Atikewɔwɔ ƒe mɔnu | Nuɖᴐɖᴐ |
|---|---|
| Ʋumenugbagbeviɣidɔ si wowɔna le kɔdzi alo dɔwɔƒe (In-center hemodialysis) . | Esiae nye mɔnu si bɔ wu. Ahiã be nàyi kɔdzi tɔxɛ aɖe alo ʋumenugbagbeviɣidɔdaƒe aɖe hena esia wɔwɔ. Le afima la, dɔnɔdzikpɔla alo mɔ̃ɖaŋudɔwɔla bibi aɖe ana atike sia wò. Zi geɖe la, ahiã be nàyi abe ŋkeke etɔ̃ ene le kwasiɖa me. Nusɔsrɔ̃ ɖesiaɖe axɔ abe gaƒoƒo 3-4 ene. |
| Aƒeme ʋumenugbagbeviɣidɔ | Le go sia me la, àte ŋu awɔ atike sia le aƒeme. Gake kwasiɖa alo ɣleti ʋɛ aɖewo do ŋgɔ na ema la, kɔdzia afia alesi nàwɔe nyuie kple nusi nàwɔ ne kuxi aɖewo do mo ɖa la wò. Le ema megbe la, wò ŋutɔ àte ŋu awɔe le wò ŋutɔ wò didi nu. |
Aƒeme ʋumenugbagbeviɣidɔ ƒomevi aɖewo hã li.
- Aƒeme ʋumenugbagbeviɣidɔ si wozãna ɖaa: Le mɔnu sia me la, wowɔa dɔa ŋkeke etɔ̃ le kwasiɖa me, hena gaƒoƒo 3-4 le ɣeyiɣi ɖeka me.
- Gbesiagbe ʋumenugbagbeviɣidɔ kpui aɖe si woɖena le aƒeme: Woate ŋu atsɔ mɔ̃ɖaŋununya yeyewo awɔ esia. Wowɔa esia abe ŋkeke 5-7 ene le kwasiɖa me, gake ɣeyiɣi kpui aɖe koe wòxɔna, abe gaƒoƒo eve ene le ɣeyiɣi ɖeka me.
- Zã me ʋu si woɖena le aƒeme: Wowɔa esia le zã me ne èle alɔ̃ dɔm. Mɔ̃a zɔna gaƒoƒo 6-8 le ɣeyiɣi ɖeka me, abe ŋkeke 4-6 ene le kwasiɖa me. Esia wɔnɛ be woate ŋu akɔ ʋua ŋu ɣeyiɣi didi wu, eyata eɖea gbeɖuɖɔwo ɖa nyuie wu mɔnu bubuwo.
Ameka ŋutɔŋutɔe hiã atikewɔwɔ sia?
Ne ayikudɔ sesẽ aɖe le ŋuwò, si woyɔna be End-Stage Kidney Disease (ESKD) , la, ahiã be woawɔ ʋu na wò. Azɔ hã, le amesi le lalam be woado ayiku na ye gome la, atikewɔwɔ sia hiã vevie be wòatsi agbe vaseɖe esime woado ayiku nɛ.
Ele vevie be míase esia gɔme: Ʋumenugbagbeviɣidɔ menye ayikudɔdada o. Ðeko wòkpena ɖe wò ayikuwo ŋu wowɔa dɔ si wòle be woawɔ, si kpena ɖe ŋuwò nènɔa agbe didi wu.
Nukae dzɔna ne wogbe atikewɔwɔ?
Esia nye nyati si ŋu nya ku ɖo vie, gake ele be míaƒo nu tso eŋu. Ne ame aɖe tso nya me be yemadze ʋumenugbagbeviɣidɔ gɔme o, alo ne edze egɔme eye emegbe wòdzudzɔ la, aɖiwo tea ƒoƒo ɖe ʋua me. Míeyɔa nɔnɔme sia be `(uremia)`. Nublanuitɔe la, nɔnɔme sia wua ame. Ne womewɔ atike na wò o la, ŋkeke alo kwasiɖa ʋɛ aɖewo koe nàte ŋu anɔ agbe.
Esia nye ame ŋutɔ ƒe nyametsotso keŋkeŋ. Gake hafi nàtso nya me alea la, ele be nàƒo nu tso wò dzimaɖitsitsiwo, vɔvɔ̃wo, kple seselelãmewo ŋu na wò ɖɔkta kple wò ƒomea godoo.
Aleke wòle be madzra ɖo hafi awɔ atike nɛ?
Hafi woadze ʋumenugbagbeviɣidɔ gɔme, kwasiɖa ʋɛ aɖewo alo ɣleti ɖeka do ŋgɔ la, ele be woawɔ dzadzraɖo sue aɖe. Eyae nye be, ele be woawɔ ‘mɔ̃ aɖe si dzi woato age ɖe eme’ ale be woate ŋu aɖe ʋu le ŋutilãa me bɔbɔe eye wòatrɔ ayi ŋutilãa me le atikewɔwɔa me. Esia bia be woawɔ dɔ nɛ vie.
Mɔ vevi eve li siwo dzi míato awɔ esia:
- AV fistula (Arteriovenous fistula - AV fistula): Le esia me la, amekola doa ka kple ʋuka aɖe kple ʋuka aɖe le wò alɔnu.
- Arteriovenous graft (AV graft): Ne ʋuka kple ʋuka si le wò alɔnu medidi ale gbegbe be woate ŋu aƒo ƒu o la, amekola zãa mɔ̃ sue aɖe si fa (graft) tsɔ doa ka kple wo ame evea.
Mɔnu siawo evea siaa naa ʋuka sesẽ aɖe si me woate ŋu ade aŋe le bɔbɔe wu le ʋumenugbagbeviɣidɔ me. Esia hã kpena ɖe ʋua ŋu wòsina kabakaba.
Ne ehiã be woadze ʋumenugbagbeviɣidɔ gɔme kpata la, wò ɖɔkta ate ŋu ade mɔ̃ falɛfalɛ aɖe si woyɔna be catheter ʋuka gã aɖe si le wò kɔ, akɔta, alo afɔ me hena ɣeyiɣi aɖe.
Ele vevie ŋutɔ be nàlé be na wò mɔɖeɖe ɖe nu ŋu!
Ele be woabu mɔ̃ sia si nèwɔ la abe nunɔamesi xɔasi aɖee wònye ene. Ne exɔ dɔ alo gblẽ la, womate ŋu adae o. Dɔlékui aɖe ƒe dzesiwo dometɔ aɖewoe nye:
- Vevesese
- Vevesese ne wole tetem ɖe eŋu
- Tete
- Amadede ƒe tɔtrɔ (dzẽ, aŋutiɖiɖi, pink, brown, alo yibɔ) .
- Asrã
Be nàkpɔ mɔɖeɖe ta la, ɖo ŋku nu siawo dzi:
- Mègamlɔ anyi eye akpa si dzi nàto age ɖe eme la dze ŋgɔ anyigba o.
- Mègado awu alo atsyɔ̃ɖonu siwo alé asi ma me o.
- Mègana akploa ƒe ka nadze anyi ɖe mɔ si dzi woato age ɖe eme la dzi o.
- Mègaɖe mɔ gbeɖe be woado ame aɖe ƒe ʋu ƒe sisi kpɔ alo aɖe ʋu le alɔ si dzi woate ŋu age ɖo la me o.
Ðe wòhiã be nàwɔ tɔtrɔ le wò nuɖuɖu ŋua?
Ẽ, keŋkeŋ. Nusi nèɖuna kple nusi nènona kpɔa ŋusẽ ɖe ʋumenugbagbeviɣidɔdada ƒe dzidzedzekpɔkpɔ dzi tẽ. Nuɖuɖu aɖewo dzia gbeɖuɖɔ siwo le ʋua me, tsi ƒe sisi, ʋu ƒe sisi, kple dzi ƒe tsotso ɖe edzi. Eyata ele be nàƒo nu kple ayikuŋutinunyala aɖe be wòawɔ nuɖuɖu ŋuti ɖoɖo si sɔ na wò.
Le goawo katã me la, ele be nàɖo seɖoƒe na nuɖuɖu kple nunono siwo me nu siawo le.
| Nusiwo dzi woaɖo seɖoƒe na | Tamebubu kple kpɔɖeŋuwo |
|---|---|
| Potassium si woyɔna be potassium | Ne potassium ƒe agbɔsɔsɔ dzi ɖe edzi la, dzi ƒe tsotso ate ŋu ava kabakaba le mɔ si mesɔ o nu. Kpɔɖeŋuwo: Akɔɖu, avocado, amititsetse, pear, atikutsetse ƒuƒu (date, raisins), mɔli. |
| Phosphorus si woyɔna be phosphorus | Ne phosphorus dzi ɖe edzi la, ƒuwo ate ŋu agbɔdzɔ eye ŋutigbalẽ me ʋuʋudedi ate ŋu ado. Kpɔɖeŋuwo: notsi kple nyinotsi nuɖuɖuwo (yogurt, cheese), koklozi, soseti, nuɖuɖu siwo wotsɔ gaze me, lãmi, cashews. |
| Sodium - dze | Ne èɖu dze fũ la, tsikɔ wu wò wu eye tsi nɔa wò ŋutilã me. Kpɔɖeŋuwo: dze, nuɖuɖuvivinuwo, ketchup, mɔli siwo wobla ɖe agba me, nuɖuɖu siwo woɖana enumake, nuɖuɖu siwo woƒlena le fiasewo me. |
Nukae dzɔna le atikewɔwɔ me?
Dɔnɔdzikpɔla alo mɔ̃ɖaŋudɔwɔla atsɔ aŋe eve ade mɔ si wowɔ le wò alɔnu la me. Aŋe ɖeka aɖe ʋu le wò ŋutilã me eye wòaɖoe ɖe mɔ̃a me. Ne wotsɔ ʋu si woɖena le lãme na ame si le mɔ̃a me kɔ ʋua ŋu vɔ la, aŋe kemɛa aɖo ʋu dzadzɛa ɖe wò ŋutilã me ake.
Mɔ̃a léa ŋku ɖe wò ʋu ƒe sisi ŋu le atikewɔwɔa katã me. Mɔ̃a ate ŋu adzi ʋu ƒe sisi ɖe edzi alo aɖe edzi hã ne ehiã.
Ðe esia vea amea?
Àse le ɖokuiwò me be yeƒe lãme le ʋuʋum vie ne wotsɔ aŋe eveawo de wò mɔ si dzi nèto la me. Gake màse veve aɖeke o gaƒoƒo geɖe le atikewɔwɔa megbe. Ame geɖe xlẽa agbalẽ, kpɔa television, alo dɔa alɔ̃ le ɣeyiɣi sia me.
Nukatae esia le ɣeyiɣi didi aɖe xɔm?
Ayiku eve siwo le lãmesẽ me kɔa ʋu ŋu atraɖii gaƒoƒo 24 gbesiagbe, ne èle alɔ̃ dɔm gɔ̃ hã. Mɔ̃ si wotsɔna ɖea ʋumenugbagbeviɣidɔ me mate ŋu awɔ ema o. Ayiku siwo le lãmesẽ me kɔa ʋu si ade lita 140 ŋu gbesiagbe. Gake ʋumenugbagbeviɣidɔdada ƒe dɔwɔwɔ nyuie le ʋɛ wu kura. Esia tae wòle be woawɔe gaƒoƒo 3-4 ya teti le ɣeyiɣi ɖeka me.
Le atikewɔwɔ kple eƒe nugbegblẽ le ame ŋu siwo ate ŋu ado tso eme megbe
Ne wowu atikewɔwɔa nu la, woaɖe aŋeawo, akɔ teƒea, eye woatsɔ aŋɔ asisi ɖe eŋu. Le ema megbe la, àte ŋu ayi aƒeme abe ale si nèwɔnɛ ɖaa ene.
Ame geɖe sena le wo ɖokui me be ɖeɖi tea yewo ŋu vie alo ɖeɖi tea yewo ŋu le atikewɔwɔ vɔ megbe. Esia ate ŋu anɔ anyi gaƒoƒo ʋɛ aɖewo. Esia sɔ. Gake ne èle sesem le ɖokuiwò me be yeƒe dzi dze eme ŋutɔ la, gblɔe na wò ɖɔkta.
Nu bubu geɖewo hã li siwo ate ŋu ado ƒome kple ʋumenugbagbeviɣidɔ. Menye amesiamee akpɔ nusiawo teƒe o, gake wonyo be woanya wo.
| Nusiwo dona tso eme zi geɖe | |
|---|---|
| Ʋusɔgbɔdɔ (Hypotension) . | Taɖuame kple alɔ̃dɔdɔ ate ŋu adzɔ. |
| Lãmetsiwo ƒe ʋuʋu | Ate ŋu adzɔ vevietɔ le afɔwo me. |
| Aɖuɖɔtoe kple ʋuʋudedi | Esesẽna na ame aɖewo. |
| Ʋuʋudedi (Pruritus) . | Woate ŋu aɖe esia dzi akpɔtɔ ne wokpɔ phosphorus ƒe agbɔsɔsɔ si le ʋua me dzi. |
| Taɖuame, akɔta alo akɔtave | Esiawo hã ate ŋu adzɔ ɣeaɖewoɣi. |
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò la, na wò ɖɔkta nanya enumake.
- Ʋu ƒe sisi ƒe dzesiwo (taɖuame, alɔ̃madɔmadɔ (syncope)) .
- Aɖuɖɔtoe kple ʋuʋudedi
- Dɔlékui aɖe ƒe dzesiwo le mɔ si dzi woato age ɖe eme (avuvu, abi, vevesese, dzoxɔxɔ) .
- Dɔgbo ƒe vevesese sesẽ
Gbedasi si Wotsɔ Yi Aƒeme
- Ʋumenugbagbeviɣidɔ nye atike si xɔa ame ɖe agbe, si kpena ɖe ŋuwò be nànɔ agbe ne wò ayikuwo megale dɔ wɔm nyuie o. Menye atikee wònye o.
- Ele vevie ŋutɔ be nàtsɔ atike sia aɖu wò nuɖuɖu dzi.Wɔ ɖe mɔfiame siwo wò ɖɔkta kple nuɖuɖuŋutinunyala na wò dzi pɛpɛpɛ.
- Mɔɖeɖe si nèwɔ lae nye wò agbemɔ. Tae nyuie tso dɔlékuiwo kple afɔkuwo me.
- Enye nusi sɔ be ɖeɖi te ŋuwò le atikewɔwɔ vɔ megbe. Gake mègavɔ̃ be yeaƒo nu kple wò ɖɔkta tso vevesese ɖesiaɖe si ate ŋu ado mo ɖa ŋu o.
- Menye wò ɖeka koe le mɔzɔzɔ sia me o. Wò ƒometɔwo, xɔlɔ̃wo, kple atikewɔlawo le afima be yewoado alɔ wò. Wòe nye ame vevitɔ kekeake le wò lãmesẽnyawo gbɔ kpɔha me. Eyata wɔ nyametsotso ɖesiaɖe si ŋu wonya nu tsoe.
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