Ðe viwòa ƒe dɔgbo le veve sem veviea? Ate ŋu anye Ʋumenugbagbeviɣidɔ (HUS)!

Ðe aɖuɖɔtoe le viwò suea ŋu eye eƒe dɔgbo le vevem ŋkeke ʋɛ aɖewoe nye esia? Ðewohĩ àkpɔ ʋu gɔ̃ hã le eme. Enye nusi sɔ be wò, abe dzila ene, nàtsi dzi vevie ne edzɔ nenema. Ne dzesi siawo tɔgbe le ŋuwò la, ate ŋu anye nusi yi ŋgɔ wu dɔgbo ƒe vevesese dzro aɖe ko. Egbea míele nu ƒom tso nɔnɔme aɖe si ate ŋu anye nu sesẽ, gake woate ŋu adae ŋutɔ ne wokpɔe dze sii kaba ŋu. Emae nye (Hemolytic Uremic Syndrome) , alo (HUS) kpuie.

Nukae nye Ʋumenugbagbeviɣidɔ (HUS)? Mina míase egɔme bɔbɔe.

Enyo, azɔ mina míalé ŋku ɖe nusi nye esia (HUS) ŋu. Kpuie ko la, enye nɔnɔme si me ʋuka suesuesue siwo le míaƒe ayikuwo me xena . Bu eŋu abe tsi ƒe pɔmpi si xe eye tsia dzudzɔ sisi ene. Mɔxexe sia na nu vevi etɔ̃ dzɔna:

1. Wò ʋumenugbagbevi dzĩwo tsrɔ̃na: Le atikewɔwɔ me la, woyɔa esia be ʋusɔgbɔdɔ si me ʋu sina tona . Ʋumenugbagbevi dzĩwoe tsɔa ɔksidzin yia míaƒe ŋutilã katã me. Eyata ne wogblẽ wo la, ɔksidzin agbɔsɔsɔme si ŋutilãa hiã la dzi ɖena kpɔtɔna.

2. Ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖena kpɔtɔna: Woyɔa nɔnɔme sia be ʋumenugbagbeviɣidɔ . Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi suesuesue siwo kpena ɖe míaƒe ʋu ŋu ne míele ʋu ɖum. Ne nusiawo dzi ɖe kpɔtɔ la, esesẽna be woadzudzɔ ʋudodo, eye abi ate ŋu adze ametia katã dzi.

3. Ayiku ƒe gbegblẽ: Esiae nye nusi me afɔku le wu. Ne ayikuawo mewɔa dɔ nyuie o la, womete ŋu ɖea gbeɖuɖɔ siwo ƒoa ƒu ɖe ŋutilãa me la ɖa o. Wogayɔa esia be (Acute Kidney Injury - AKI) .

Togbɔ be HUS ate ŋu adze amesiame dzi hã la, zi geɖe la, dɔlékui aɖe , vevietɔ Escherichia coli , si woyɔna zi geɖe be E. coli , gbɔe wòtsona. Dɔlékui siae hea aɖuɖɔtoe vɛ, vevietɔ aɖuɖɔtoe si me ʋu le. Gake dɔléle nye dzesiwo ƒe ƒuƒoƒo, eye HUS ate ŋu adzɔ le nu bubu siwo gbɔ wòtso tsɔ wu E. coli hã ta.

Menye ayikuwo ɖeɖekoe nɔnɔme sia (HUS) ate ŋu agblẽ o, ke ɣeaɖewoɣi la, ŋutinu bubuwo abe dzi kple ahɔhɔ̃ ene hã ate ŋu adze edzi. Gake ayiku dzie wògblẽa nu le wu.

Vevietɔ wu: Ne aɖuɖɔtoe si me ʋu le le mia alo viwòa ŋu alo aɖuɖɔtoe le eŋu wu ŋkeke etɔ̃ la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Ne womewɔ atike na HUS o la, ate ŋu asẽ eye wòate ŋu ade eƒe agbe afɔku me gɔ̃ hã.

Ðe HUS ƒomevi vovovowo lia?

Ẽ, (HUS) ƒomevi vevi geɖewo li. Mina míasrɔ̃ nu vi aɖe tso wo ŋu:

1. "Typical" (HUS): Esiae nye ƒomevi si bɔ wu . Zi geɖe la, dɔlékui aɖe, vevietɔ E. coli, si gblẽa nu le míaƒe dɔgbo sue kple dɔgbo ŋu gbɔe wòtsona.

2. "Atypical" (HUS) (aHUS): Esia mebɔ vie o.Zi geɖe la, domenyiŋusẽfianu gbɔe esia tsona, si fia be wonyinɛ tso dzilawo gbɔ na viwo.

3. "Secondary" (HUS): Esia ƒomevi dzɔna le kadodo me kple atikewɔwɔ ƒe nɔnɔme bubuwo. Le kpɔɖeŋu me, ate ŋu atso atike aɖewo, dɔlékui bubuwo, alo fufɔfɔ gbɔ.

Mina míasrɔ̃ nu geɖe tso "Atypical" (HUS) (aHUS) ŋu vie.

(aHUS) nye nɔnɔme si mebɔ kura o. Ate ŋu ahe dzesi siwo do ŋgɔ la ke vɛ hã:

• Ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ dzi ɖe kpɔtɔ.
• Ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ.
• Ayiku ƒe dɔmawɔmawɔ nyuie kpata (ayiku ƒe dɔmawɔmawɔ nyuie) .
• Ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) alo ʋu ƒe sisi dzi makpɔmakpɔ.

Zi geɖe la, domenyiŋusẽfianu ƒe dɔléle sia (aHUS) nyea . Eyae nye be tɔtrɔ aɖewo (trɔtrɔ) le míaƒe domenyiŋusẽfianuwo me gbɔe wòtsona. Gake ne domenyiŋusẽfianu ƒe nɔnɔme sia li gɔ̃ hã la, dɔlékui, dɔléle, alo nuto aɖe ƒe nɔnɔme aɖe gbɔe wòtsona.

Aleke gbegbee (HUS) bɔe?

Ame siwo xɔa aɖuɖɔtoe si dɔlékui (E. coli) hena vɛ la dometɔ siwo ade 5% va ɖo 15% axɔ HUS . Ƒomevi si woyɔna be (aHUS) mebɔ kura o. Edzɔna le ame abe ɖeka le miliɔn ɖeka me ene.

Nukawoe nye (HUS) ƒe dzesi veviwo?

Ele vevie ŋutɔ be nànya dzesi siawo.

Dzesi gbãtɔ siwo wokpɔna:

• Aɖuɖɔtoe: Zi geɖe la, ʋu kpena ɖe eŋu.
• Ƒodo ƒe vevesese.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Taɖuame .
• Vuvɔ kple dzoxɔxɔ.

Nu bubu siwo woate ŋu akpɔ:

• Nuveviwɔame bɔbɔe.
• Ŋutilã si le ɣie (pale): No ƒe eme kple nu me gɔ̃ hã ate ŋu azu ɣie.
• Tɔtɔ.
• Nudzisesẽ.
• Nɔnɔme siwo le abe ʋusɔgbɔdɔ ene.
• Dzi ƒe tsotso kabakaba (arrhythmia).

Ne (HUS) ƒe nɔnɔmea nu sẽ la, ʋumenugbagbevi dzĩ siwo gblẽ ate ŋu ana ʋu natsi eye wòagblẽ ŋutinuwo abe ayiku ene. Ekema ayikuawo mate ŋu akɔ gbeɖuɖɔwo me nyuie o. Esiae míeyɔna be (Acute Kidney Injury - AKI) . Eƒe dzesiwoe nye esi:

• Ʋu si le aɖuɖɔ me (hematuria).
• Aɖinuwo ƒe agbɔsɔsɔ si le ʋua me ƒe dzidziɖedzi: Esia ate ŋu ana ame nase le eɖokui me be yele dɔ lém.
• Ʋusɔgbɔdɔ.
• Yagbɔgbɔ sesẽ (gbɔgbɔtsixetsixe).
• Edema: Ate ŋu avuvu, vevietɔ le afɔ kple afɔkpodzi.
• Aɖuɖɔ ƒe dodo dzi ɖe kpɔtɔ (oliguria).

Nukawo koŋue hea (HUS) vɛ?

E. coli dɔlékui ƒomevi aɖewo gbɔe HUS ƒe dɔléle akpa gãtɔ tsona. Dɔlékui siawo wɔa aɖi aɖe si woyɔna be Shiga toxin . Aɖi sia gblẽa nu le míaƒe dɔgbo suea ƒe lãkusi ŋu eye wòhea aɖuɖɔtoe vɛ. Aɖi sia hã gena ɖe ʋukawo me, eye wògblẽa ʋumenugbagbevi dzĩwo eye wògblẽa nu le ayikuwo ŋu.

Anɔ eme be E. coli dɔlékuia axɔ wò tso:

• Lã siwo womeɖa nyuie o: vevietɔ nyilã, nyilã si wotu.
• Notsi kple atikutsetse me nunono siwo wometsɔ dɔlékuiwutike o: Pasteurization nye dzoxɔxɔ fafɛ si wua nusiwo gblẽa nu le ame ŋu abe dɔlékuiwo ene.
• Atikutsetse kple amagbe siwo womeklɔ o, siwo ƒo ɖi.

Wogayɔa E. coli ƒomevi siawo siwo wɔa aɖi be Shiga toxin-producing E. coli (STEC) . STEC ƒomevi si bɔ wu le Dziehe Amerika enye E. coli O157:H7 .

Ƒã ŋutɔ la, atike aɖewo kple nu aɖewo hã ateŋu ahe "secondary (HUS)" vɛ. Kpɔɖeŋuwo:

• Atike siwo tsia kansa nu (Atike siwo wozãna tsɔ daa dɔlékuiwo): abe (bleomycin), (cisplatin), (gemcitabine).
• Dɔlélenutsiŋutete ƒe atikewo: abe (cyclosporine), (tacrolimus).
• Quinine: Atike si wozãna na asrãdɔ.
• Atike aɖewo : (oxymorphone), (ecstasy), (cocaine).

Ðe (HUS) xɔa ame mea?

Ao, HUS menye dɔléle si xɔa ame me o.

Gake woate ŋu akaka E. coli dɔlékuiwo. Woate ŋu axɔ dɔlékui sia to nuɖuɖu alo nunono si me dɔlékuiwo le me, alo ne wodo go ame alo lã si ŋu aɖuɖɔtoe si ŋu E. coli le ƒe aɖuɖɔ. Eyata ele vevie be míaɖɔ ŋu ɖo vevie le dzadzɛnyenye ŋu.

Amekae ate ŋu axɔ (HUS) wu?

Togbɔ be ame sia ame ate ŋu axɔ HUS hã la, ame siwo gbɔna la le afɔku me wu:

• Le ɖevi sue siwo mexɔ ƒe 5 haɖe o gome.
• Le amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ (immunocompromised) gome.
• Ne ame aɖe si le wò ƒomea me xɔ HUS do ŋgɔ (vevietɔ aHUS).
• Ne E. coli dɔlékui aɖe le ŋuwò: Vevietɔ tso nuwo abe lã si womeɖa nyuie o kple notsi si me dɔlékuiwutike mele o gbɔ.
• Kakaɖedzi tẽ kple amesi ŋu aɖuɖɔtoe si (E. coli) hena vɛ.

Aleke nàwɔ anya ne (HUS) le ŋuwò? (Dɔléle ƒe dzesi) .

Ne èyi ɖɔkta gbɔ la, awɔ nusiawo:

• Bia nu tso wò atikewɔwɔ ŋutinya ŋu .
• Bia nu tso wò ƒomea ƒe atikewɔwɔ ŋutinya ŋu .
• Wowɔa ŋutilãmedɔdada .

Ne nu siawo na ɖikeke va le nɔnɔme aɖe si woyɔna be (HUS) ŋu la, ɖɔktaa aɖe gbe be woagawɔ dodokpɔ geɖe.

Dodokpɔ ka ƒomevie wowɔna?

• Aɖuɖɔtoe me dzodzro: Woɖea wò aɖuɖɔ ƒe kpɔɖeŋu aɖe heléa ŋku ɖe protein alo ʋu ŋu.
• Ʋudodokpɔ: Woɖea ʋu tsɔ léa ŋku ɖe nuwo abe ʋumenugbagbevi dzĩwo ƒe xexlẽme, ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ, kple alesi wò ayiku kple aklã le dɔ wɔm nyuie ŋu.
• Aɖuɖɔ dodokpɔ: Woɖea aɖuɖɔ ƒe kpɔɖeŋu eye wokpɔnɛ be dɔlékui siwo hea HUS vɛ, abe E. coli O157 ene, le eme hã.
• Domenyiŋusẽfianu dodokpɔ: Ɣeaɖewoɣi la, woate ŋu aɖo wò ʋu ƒe kpɔɖeŋu aɖe ɖa be woado domenyiŋusẽfianu kpɔ. Esia ate ŋu akpe ɖe ŋuwò nànya ne domenyiŋusẽfianu ƒe nɔnɔme aɖe abe aHUS ene le ŋuwò kple atikewɔwɔ si nyo na wò.
• Ayiku me ɖeɖe: Esia bia be woaɖe ayiku ƒe akpa sue aɖe ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me akpɔ alesi gbegbe wògblẽ ayikuawo kple nusi gbɔ wòtso. Menye amesiamee hiã esia o.

Aleke dodokpɔwo ate ŋu aɖo kpe edzi be HUS le ŋuwò?

• Tso aɖuɖɔ dodokpɔwo me: Ne ʋu alo protein le aɖuɖɔ me.
• Ʋudodokpɔ: Ne ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi dzĩwo ƒe agbɔsɔsɔ le sue, alo ne xexlẽme siwo ɖea ayiku ƒe dɔwɔwɔ fiana (abe creatinine ene) dzi ɖe edzi.
• Aɖuɖɔ dodokpɔ: Ne wokpɔ dɔlékuiwo abe (E. coli O157) ene.
• Ayikuwo me dzodzro: Woate ŋu akpɔ nusiwo koŋ gblẽ le ayikuwo ŋu.

Aleke wowɔa nu ɖe ​​(HUS) ŋui?

Ne wokpɔe be HUS le ŋuwò la, ahiã be woaxɔ wò ɖe kɔdzi ahada dɔ na wò. Atikewɔwɔ ƒe tiatia aɖewoe nye:

• Lãmetsi siwo wodona ɖe ʋuka me (IV) kple/alo nuɖuɖu nana to mɔ̃ me (nuɖuɖu le dɔgboa me): Esia kpena ɖe ame ŋu be tsi meganɔa lãme na ame o eye wònaa nunyiame si hiã.
• Atikewo:
• Wodzea agbagba be yewoaɖe nusiwo gblẽ le ayikuwo ŋu dzi akpɔtɔ to atike siwo ɖea ʋu ƒe sisi dzi kpɔtɔna (atike siwo wua ʋusɔgbɔdɔ) nana me .
• Woate ŋu ana atike tɔxɛwo abe eculizumab alo ravulizumab ene amesiwo ŋu aHUS le . Hafi woadze atike siawo zazã gɔme la, ele vevie be woado atike na meningococcal kple pneumococcal dɔlélewo, elabena atike siawo nana dɔléle mawo xɔxɔ ƒe afɔkua dzina ɖe edzi.
• Ðewohĩ ahiã be nàno dɔlékuiwutikewo kwasiɖa eve ya teti.
• Ʋudodo: Ʋumenugbagbevi dzĩwo kple ʋumenugbagbevi dzĩwo nana amesi ŋu (HUS) le le vevie ŋutɔ. Ʋumenugbagbevi dzĩwo ɖea ʋusɔgbɔdɔ ƒe dzesiwo, abe gbɔgbɔtsixetsixe kple dzi ƒe tsotso kabakaba ene dzi kpɔtɔna. Ʋumenugbagbevi dzĩwo kpena ɖe ʋua ŋu wòtsina nyuie, si wɔnɛ be ʋu si dona le lãme na ame kple ƒoƒo dzi ɖena kpɔtɔna.

Ne ayikuawo gblẽ vevie la, ate ŋu ahiã be woakɔ ʋua me be woakɔ ʋua ŋu vaseɖe esime ayikuawo nahaya. Ne ayikuawo do kpo nu keŋkeŋ le HUS ta la, ate ŋu ahiã be woado ayiku na ame .

Ðe woate ŋu ada HUS keŋkeŋa?

Ẽ, ame geɖe hayana tso HUS me evɔ megblẽa nu le woƒe lãmesẽ ŋu tegbee o.

Ke hã, ame aɖewo, vevietɔ ɖevi suewo, ate ŋu axɔ ayikudɔléle si nu mesẽ o (CKD) le 20% va ɖo 50% me. Ayikudɔ si le nuwuwu (ESK) ateŋu adze le 3% va ɖo 5% me. Numekukuwo ɖee fia be CKD dzea ame tsitsi siwo ade 45% dzi.

Ame siwo xɔ HUS la dometɔ siwo wu 85% gaɖoa woƒe ayiku ƒe dɔwɔwɔ me keŋkeŋ. Gake ne wohaya keŋkeŋ gɔ̃ hã la, mɔnukpɔkpɔ sue aɖe li be ʋusɔgbɔdɔ alo ayiku me kuxi bubuwo nadze wo dzi le etsɔme.

Ðe woate ŋu axe mɔ ɖe HUS nua?

Nu aɖewo siwo nàte ŋu awɔ atsɔ akpe ɖe ŋuwò nàxe mɔ ɖe E. coli dɔlékui, si nye nu vevi aɖe si hea HUS vɛ nu lae nye esi. Esiawo le vevie ŋutɔ na wò kple wò ƒomea:

• Ƒo asa na tsiƒuƒu le teƒe ƒoɖiwo (tawo, tɔsisiwo), vevietɔ ne èsusu be dɔlékuiwo sɔ gbɔ ɖe tsia me.
• Ne aɖuɖɔtoe le ŋuwò la, mègayi tsi ƒum o.
• Ƒo asa na aha siwo wometsɔ dɔlékuiwutike o (siwo womeɖa o) nono (notsi, atikutsetse me tsi).
• Klɔ nuɖanuwo (hɛwo, fɔkpawo, gazewo) kple teƒe siwo wodzraa nuɖuɖu ɖo (nudzraɖoƒewo, lãtsoƒewo, nuɖugbawo) ŋu nyuie ɣesiaɣi.
• Miɖa azi kple lã si wofli nyuie vaseɖe esime dzoxɔxɔ si le ememe nade Celsius dzidzenu 71 (Fahrenheit 160) ya teti, eye miɖa koklolã vaseɖe dzoxɔxɔ si nye Celsius 74 (Fahrenheit 165) le ememe.
• Ne èle lãwo ƒe tsikpe ɖem ɖa la, dae ɖe microwave alo fridzi me. Mègaɖe tsikpe ɖa le teƒe si wodzraa nuɖuɖu ɖo alo le tsi dzodzoe me o.
• Na nuɖuɖu ƒuƒu kple esi woɖa nanɔ vovo.
• Klɔ asi nyuie kple adzalẽ kple tsi dzodzoe hafi nàɖu nu, ne èzã tsileƒe vɔ, ne èɖɔli ɖeviwo ƒe aŋekotoku suewo vɔ, eye ne èka asi agblemelãwo ŋu vɔ.

Bu eŋu kpɔ ko, ne èwɔ ɖe afɔɖeɖe bɔbɔe siawo dzi la, àte ŋu akpɔ ɖokuiwò ta tso nɔnɔme sesẽ aɖe abe esia ene me.

Nukae nàte ŋu akpɔ mɔ na ne (HUS) le ŋuwò?

Ne wokpɔ dɔlélea nyuie hedae nyuie la, amesiwo ŋu HUS le ƒe akpa gãtɔ hayana bliboe evɔ womegblẽa nu le woƒe lãmesẽ ŋu tegbee o. Gake afɔku li be ʋusɔgbɔdɔ alo dɔléle bubu siwo agblẽ nu le ayikuwo ŋu le etsɔme.

HUS ƒe dɔléle sesẽwo, vevietɔ ne edze ŋutinu bubuwo abe ahɔhɔ̃ ene dzi, ate ŋu awu ame ne womewɔ atike nɛ o.

Mɔnukpɔkpɔ kawoe li be woatsi agbe (HUS)?

Ne wokpɔ dɔlélea nyuie eye wodae nyuie la, ame siwo wu 90% tsia agbe le HUS me. Eyata ele vevie be màgatsi dzodzodzoe o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ne dzesiwo le ŋuwò.

Aleke malé be na ɖokuinye?

Ne aɖuɖɔtoe sesẽ aɖe le ŋuwò alo viwòa ŋu la, ele vevie ŋutɔ be nàdze agbagba agbugbɔ tsi ade wò ŋutilã me.Nunono siwo naa tsi gbugbɔna, abe Jeevani ene, ate ŋu akpe ɖe ame ŋu wòaɖɔli elektrikŋusẽ si bu. Ðewohĩ ahiã be woana notsi alo notsi notsi vidzĩwo kple ɖevi suewo. Bia ɖɔkta tso mɔ nyuitɔ si dzi nàto ana tsi nanɔ viwòa ŋu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Yi ɖɔkta enumake ne dzesi siawo le ŋuwò:

• Aɖuɖɔtoe si me ʋu le.
• Aɖuɖɔtoe si nɔa anyi wu ŋkeke etɔ̃.
• Ŋutilã ƒe vuvu.
• Ŋutilã si ƒoa abi bɔbɔe.
• Ðeɖiteameŋu sesẽ.

Nya kawoe wòle be mabia ɖɔktaa?

Àte ŋu abia nya siawo ɖɔktaa:

• Aleke nàwɔ aɖo kpe edzi nenye be Hemolytic Uremic Syndrome le ŋunye?
• Aleke wòwɔ xɔ Hemolytic Uremic Syndrome?
• Ne Hemolytic Uremic Syndrome mele ŋunye o la, atikewɔwɔ me dɔléle bubu kae ate ŋu anɔ ŋunye?
• Atikewɔwɔ kawoe nèkafu?
• Ðe nye ayikuwo agblẽ tegbeea?
• Ðe ʋusɔgbɔdɔ alo ayiku ƒe kuxi bubuwo ava dze dzinye le etsɔmea?

Nukae nye Hemolytic Uremic Syndrome ƒe etɔ̃lia?

Triad nye dzesi vevi etɔ̃ siwo ɖea atikewɔwɔ ƒe nɔnɔme aɖe fiana ƒe ƒuƒoƒo.

Hemolytic Uremic Syndrome ƒe etɔ̃lia ƒe akpa aɖewoe nye:

1. Nusiwo gblẽ le wò ʋumenugbagbevi dzĩwo ŋu (microangiopathic hemolytic anemia) .

2. Ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ vivivi le wò ʋu me (thrombocytopenia) .

3. Ayiku ƒe abixɔxɔ sesẽ .

Ne aɖuɖɔtoe le ŋunye la, ɖe ema fia be Hemolytic Uremic Syndrome le ŋunyea?

Esi aɖuɖɔtoe le ŋuwò ta la, mefia be Hemolytic Uremic Syndrome le ŋuwò o. Gake ne aɖuɖɔtoe si me ʋu le le ŋuwò, alo ne wò aɖuɖɔtoea nu sẽ (vaseɖe esime aɖuɖɔtoe si me tsi le alo exɔ wu ŋkeke etɔ̃) la, ele be nàkpɔ ɖɔkta godoo.

Vovototo kae le (Hemolytic Uremic Syndrome) kple (Thrombotic Thrombocytopenic Purpura - TTP) dome?

Hemolytic Uremic Syndrome (HUS) kple Thrombotic Thrombocytopenic Purpura (TTP) nye nɔnɔme eve siwo ɖi wo nɔewo. Le TTP me la, ʋu ƒe sisi le ʋuka suewo me. Togbɔ be tsã la, ɖɔktawo ƒoa HUS kple TTP nu ƒu ɖekae hã la, fifia wobua wo be wonye nɔnɔme vovovowo.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Zi geɖe la, aɖuɖɔtoe nyea dɔléle si nɔa anyi ɣeyiɣi kpui aɖe, gake meɖea dzi ɖi o. Zi geɖe la, enyona ɖe edzi le ŋkeke ɖeka alo eve megbe. Gake ne aɖuɖɔtoe si me ʋu le le ŋuwò, alo ne aɖuɖɔtoe le ŋuwò wu ŋkeke etɔ̃, tsɔ kpe ɖe ɖeɖiteameŋu, ɣie, alo aɖuɖɔ si mebɔ o ne èyi tsileƒe ŋu la, ɣeyiɣia de be nàyi ɖɔkta gbɔ enumake.

Nɔnɔme aɖe si woyɔna be Hemolytic Uremic Syndrome ate ŋu agblẽ nu le wò ayikuwo ŋu vevie eye wòagblẽ nu le ŋutinu bubuwo ŋu.Zi alesi nèwɔ atike na esia kaba la, zi nenemae wò ayikuwo magblẽ ɣeyiɣi didi o. Eya ta, nya dzesiawo, lé dzadzɛnyenye me ɖe asi, eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne nane si ŋu nètsi dzi ɖo. Wò lãmesẽ le vevie na wò ŋutɔ!

` Hemolytic Uremic Syndrome, HUS, Ayikudɔ, Aɖuɖɔtoe, E. coli, Ʋumenugbagbevi dzĩwo, Ʋumenugbagbevi dzĩwo, Ðeviwo ƒe Lãmesẽ