Wò ayikuwo le abe super filter eve ene le míaƒe ŋutilã me. Dɔ vevitɔ si ayiku wɔnae nye be wòaɖe gbeɖuɖɔ siwo mehiã o, siwo me aɖi le kple tsi siwo sɔ gbɔ ɖe ʋua me la ɖa. Gake ne ayiku siawo mewɔa dɔ nyuie o le atikewɔwɔ ƒe nɔnɔme aɖewo ta la, gbeɖuɖɔ ate ŋu aƒo ƒu ɖe ŋutilãa me eye wòahe kuxi sesẽwo vɛ. Afi siae atike si xɔa ame ɖe agbe si woyɔna be hemodialysis va kpena ɖe mía ŋu le.
Kpuie ko la, nukae nye ʋumenugbagbeviɣidɔ?
Ʋumenugbagbeviɣidɔ nye ʋumenugbagbeviɣidɔ ƒe atikewɔwɔ ƒomevi aɖe. Ne wò ayikuwo mete ŋu wɔ woƒe dɔ o la, wozãa mɔ̃ aɖe tsɔ kɔa wò ʋu ŋu boŋ. Kpuie ko la, ewɔa dɔ abe ayiku si wowɔ kple asi ene.
Le dɔ sia wɔwɔ me la, mɔ̃ aɖe ɖea ʋu aɖe le wò ŋutilã me, toa ʋu tɔxɛ aɖe (ayiku si wowɔ kple asi) me tsɔ kɔa eŋu, eye emegbe wòtrɔa ʋu dzadzɛa yia wò ŋutilã me. Esia ɖea nuwo abe gbeɖuɖɔ siwo me nitrogen le (urea), gbeɖuɖɔ siwo tso lãmekawo me (creatinine), kple acid siwo ƒoa ƒu ɖe ʋua me ene ɖa.
Aleke mɔ̃ sia kɔa ʋu ŋui?
Bu eŋu kpɔ, mɔ̃ɖaŋununya wɔnuku aɖe ŋutɔe nye esia. Ʋumenugbagbeviɣidɔlékuiwutikea ƒe akpa vevitɔe nye ʋumenugbagbeviɣidɔlékuiwutike . Esiae míeyɔna hã be "ayiku si wowɔ kple asi."
Wò ʋu toa mɔ̃ akpe geɖe siwo le abe lãgbalẽ ene siwo le nyuie ŋutɔ siwo le ʋumenugbagbeviɣidɔlékuiwutike sia me. Emegbe gbeɖuɖɔwo kple tsi si sɔ gbɔ ɖe ʋua me la sina toa lãgbalẽ nyui siawo me yia axa ɖeka. Wozãa tsi tɔxɛ aɖe si woyɔna be dialysate tsɔ ƒoa gbeɖuɖɔ siawo nu ƒu. Tsi, dze, kple elektrikŋusẽ le tsi sia me.
Wò ʋu, si ŋu wokɔ heɖe le gbeɖuɖɔ me la, trɔna yia wò ŋutilã me to mɔ̃ aɖe me. Mɔ̃a ɖea tsi si woɖena ɖa, si ƒo gbeɖuɖɔawo nu ƒu la ɖa.
Nukawoe nye ʋumenugbagbeviɣidɔdada ƒomevi veviwo?
Mɔ vevi eve li siwo dzi woato awɔ ʋumenugbagbeviɣidɔ. Àte ŋu adzro mɔnu si nyo na wò me kple wò ɖɔkta.
| Atikewɔwɔ ƒe mɔnu | Nuɖᴐɖᴐ |
|---|---|
| Ʋumenugbagbeviɣidɔ si wowɔna le dɔwɔƒea | Le esia ta la, ahiã be nàyi kɔdzi alo dɔwɔƒe si bi ɖe ʋumenugbagbeviɣidɔ me. Dɔnɔdzikpɔla alo mɔ̃ɖaŋudɔwɔla si xɔ hehee wɔa dɔa. Zi geɖe la, ahiã be nàyi abe zi etɔ̃ ene le kwasiɖa me, eye ɣeyiɣi ɖesiaɖe axɔ abe gaƒoƒo 3-4 ene. |
| Le aƒeme (Aƒeme ʋumenugbagbeviɣidɔ) . | Woate ŋu awɔ dɔdamɔnu sia le aƒeme. Le kwasiɖa ʋɛ aɖewo me la, ɖɔktawo kple dɔnɔdzikpɔlawo afia alesi nàwɔe kple alesi nàkpɔ kuxi sue ɖesiaɖe si ate ŋu ado mo ɖa gbɔe wò. Le ema megbe la, wò ŋutɔ àte ŋu awɔ atikewɔwɔa le wò ŋutɔ wò didi nu. |
Ðe ʋumenugbagbeviɣidɔ ƒomevi aɖewo li le aƒemea?
Ẽ, aƒeme atikewɔwɔ ƒomevi vevi etɔ̃e li.
1. Aƒeme ʋumenugbagbeviɣidɔ si wozãna ɖaa: Zi etɔ̃ le kwasiɖa me, gaƒoƒo 3-4 ɣesiaɣi.
2. Ʋu si woɖena le aƒeme gbesiagbe kpuie: Mɔ̃ɖaŋununya yeye aɖe na be woate ŋu ada dɔa ƒe ɣeyiɣi kpui aɖe. Wowɔa esia abe ŋkeke 5-7 ene le kwasiɖa me, eye wòxɔa abe gaƒoƒo eve ene le ɣeyiɣi ɖesiaɖe me.
3. Zã me ʋu si woɖena le aƒeme: Wowɔa esia le zã me esime nèle alɔ̃ dɔm. Wowɔa atikewɔwɔa gaƒoƒo 6-8 le ɣeyiɣi ɖeka me, abe ŋkeke 4-6 ene le kwasiɖa me. Mɔnu sia wɔnɛ be woate ŋu akɔ ʋua ŋu ɣeyiɣi didi wu, eyata woɖea gbeɖuɖɔ geɖe ɖa le ŋutilãa me.
Aleke nèdzrana ɖo hafi wɔa atike nɛ?
Hafi nàdze ʋumenugbagbeviɣidɔ gɔme la, ele be nàwɔ dzadzraɖo aɖewo kwasiɖa alo ɣleti ʋɛ aɖewo do ŋgɔ. Nu vevitɔe nye be woadi mɔ aɖe si dzi woato aɖe ʋu bɔbɔe eye wòagatsɔe ade ŋutilãa me le atikewɔwɔa me. Esia lɔ amekoko sue aɖe ɖe eme.
- Arteriovenous fistula (AV fistula): Le dɔ sia wɔwɔ me la, amekola aɖe doa ka kple ʋuka aɖe kple ʋuka aɖe si le wò alɔnu. Esiae nye mɔnu si sɔ wu eye wònɔa anyi didi wu.
- Arteriovenous graft (AV graft): Ne wò ʋuka kple ʋuka le kpuie akpa be woate ŋu atsɔ wo aƒo ƒui la, amekolaa azã mɔ̃ falɛfalɛ si me do le (graft) atsɔ aƒo wo ame evea nu ƒu.
Ne ehiã be woadze atikewɔwɔ gɔme kpata la, ɣeaɖewoɣi la, woate ŋu atsɔ mɔ̃ falɛfalɛ aɖe si woyɔna be catheter ade ʋuka gã aɖe si le kɔ, akɔta, alo ata me hena ɣeyiɣi aɖe.
Vevietɔ ŋutɔ: Ele be woawɔ nu ɖe wò fistula alo afisi wodoe ɖo ŋu abe ŋku ene. Eya dzie wotona tsɔa wò atikewɔwɔ si xɔa ame ɖe agbe la naa ame. Eyata ele vevie be woakpɔ teƒe ma ta tso dɔlékuiwo kple abixɔxɔ me.
Be nàkpɔ wò fistula/graft ta la, ɖo ŋku nu siawo dzi:
- Mègamlɔ wò kpekpeme ɖe alɔ ƒe axa si dzi fistula la le o.
- Mègado awu alo atsyɔ̃ɖonu (sigɛwo, gaƒoɖokui) siwo alé asi ma me o.
- Mègado akplo ƒe ka ɖe alɔ ma dzi o.
- Mègana woado wò ʋu ƒe sisi (BP) kpɔ alo aɖe ʋu le alɔ si ŋu fistula le la me gbeɖe o.
Ðe wòhiã be nàɖɔ ŋu ɖo etɔxɛe le nuɖuɖu kple nunono ŋua?
Ẽ bliboe. Nuɖuɖu si nèɖuna kpɔa ŋusẽ ɖe ʋumenugbagbeviɣidɔdada ƒe dzidzedzekpɔkpɔ dzi tẽ. Nuɖuɖu aɖewo ate ŋu ana gbeɖuɖɔ si le ʋua me nadzi ɖe edzi, ana tsi nalé ʋu me, ana ʋusɔgbɔdɔ nadzi ɖe edzi, eye dzi ƒe tsotso nadzi ɖe edzi.
Hafi nàdze atikewɔwɔ gɔme la, ayikuŋutinunyala awɔ nuɖuɖu ŋuti ɖoɖo si sɔ na wò. Zi geɖe la, ahiã be nàɖo seɖoƒe na nuɖuɖu siwo me nu siawo le:
| Nunyiame siwo ŋu seɖoƒe li na | Afɔkuwo kple atike si wozãna wògbɔa eme ƒe kpɔɖeŋuwo |
|---|---|
| Potassium si woyɔna be potassium | Dzi ƒe tsotso ate ŋu ava kabakaba le mɔ si me afɔku le nu. Le kpɔɖeŋu me: akɔɖu, avocado, amititsetse, atikutsetse ƒuƒu, tomatos. |
| Phosphorus si woyɔna be phosphorus | Ƒuwo ate ŋu agbã eye ŋutigbalẽa ate ŋu avuvu. Le kpɔɖeŋu me: notsi kple nyinotsibabla, cheese, koklozi, tɔmelã si wotsɔ gaze me, soseti, lãmi, nukuwo. |
| Sodium - dze | Ŋutilãa hiã tsi geɖe (tsikɔwuame ƒe dzidziɖedzi), eyata tsi ate ŋu alé eme eye ʋusɔgbɔdɔ ate ŋu adzi ɖe edzi. Le kpɔɖeŋu me: dze, nuɖuɖuvivinu siwo wotsɔ dea nuɖuɖu me, nuɖuɖu siwo woɖana kabakaba, nuɖuɖu siwo wotsɔa gaze me, numeɖenu siwo wotsɔ dze wɔe. |
Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu kple kuxi siwo dona tso eme?
Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, ʋumenugbagbeviɣidɔ kple kuxi aɖewo ate ŋu ado tso eme. Gake mehiã be nàtsi dzi ɖe esia ŋu o, elabena wò atikewɔlawo ƒe ƒuƒoƒoa alé ŋku ɖe ŋuwò ɣesiaɣi hena esia.
Nusiwo ate ŋu ado tso eme zi geɖe:
- Ʋusɔgbɔdɔ (Hypotension) .
- Aɖuɖɔtoe kple ʋuʋudedi
- Taɖuame kple alɔ̃madɔmadɔ (Syncope) .
- Akɔta alo akɔtave
- Taɖuame
- Ʋuʋudedi (Pruritus) .
- Lãmetsiwo ƒe ʋuʋu
- Afɔ siwo meɖea dzi ɖi o ƒe dɔléle (sese le ame ɖokui me be afɔwo meɖe dzi ɖi o) .
Ne èkpɔa dzesi siawo enuenu la, ƒo nu kple wò ɖɔkta alo dɔnɔdzikpɔla. Woate ŋu aɖu wo dzi to atikewɔwɔ ƒe ablaɖeɖe alo atike aɖewo zazã me.
Kuxi siwo ate ŋu ado ƒome kple fistula/graft:
- Dɔlékuiwo xɔxɔ (abibi, vuvu, vevesese, dzoxɔxɔ) .
- Ʋu ƒe sisi
- Xɔxlɔ̃ le abi ƒe lãkusi ta
Ne èkpɔ nane si le abe esia ene la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Ɣeyiɣi didi kae nàte ŋu anɔ agbe kple ʋumenugbagbeviɣidɔ?
Esia nye kuxi na ame geɖe. Ame si wole ʋumenugbagbeviɣidɔ wɔm na ƒe agbenɔƒe le mama dedie nu anɔ abe ƒe 5-10 ene. Ke hã, esia toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo li siwo nɔa agbe ƒe 20-30 alo esi wu nenema gɔ̃ hã kple nuɖuɖu nyui, atikewɔlawo ƒe aɖaŋuɖoɖo, kple agbenɔnɔ nyui ŋutɔ. Eya ta nu vevitɔ kekeakee nye be ŋusẽ nanɔ ŋuwò eye nàyi atikewɔwɔa dzi nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Ʋumenugbagbeviɣidɔ menye nusi wòle be woavɔ̃ na o. Enye atike si wɔa dɔ ɖe wò ayiku dzi eye wòɖea wò agbe.
- Wɔ ɖe mɔfiame siwo wò ɖɔkta kple nuɖuɖuŋutinunyala na wò dzi pɛpɛpɛ. Nuɖuɖu dzi ɖuɖu le vevie ŋutɔ.
- Lé be na wò fistula alo graft nyuie. Ele abe agbo si age ɖe wò agbe me ene. Ne ède dzesi tɔtrɔ aɖewo (vevesese, abi, abidede) la, gblɔe na wò ɖɔkta enumake.
- Ne èle dzi tsim alo le dzi tsim la, ƒo nu kple wò ƒometɔwo kple ɖɔkta gaglãa. Menye wò ɖeka koe le mɔzɔzɔ sia me o.
- Enye nusi sɔ be ɖeɖi te ŋuwò le atikewɔwɔ ta, gake ne eyi edzi la, na wò atikewɔlawo nanya.
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