Wò aklãŋutinunyala: Amekae nye aklãŋutinunyala?

Èse "Aklãŋutinunyala" ŋkɔ kpɔa? Ðewohĩ wò ƒomea ƒe ɖɔkta (PCP) ɖo wò ɖe eŋutinunyala bibi ma tɔgbe gbɔ, alo nènɔ amesi gbɔ nàkpɔ le dɔléle aɖe si do ƒome kple aklã ŋu bum. Eyata ɖe míaƒo nu tso esia ŋu tsitotsito vie egbea? Nyati sia aɖe nu geɖe me tso eŋu na wò.

Amekae nye aklãŋutinunyala sia? Kpuie ko la,...

Kpuie ko la, aklãdɔdala nye ɖɔkta si bi ɖe dɔlélewo kple nɔnɔme siwo do ƒome kple aklã me. "aklãŋutinunyala" ƒe akpaa gɔmee nye "aklã" eye "-dɔdala" fia eŋutinunyala bibi le nyati aɖe koŋ me. Eyata, ne wotsɔ eve siawo ƒo ƒui la, "aklãŋutinunyala" ƒe susua va doa mo ɖa.

Tsɔ kpe ɖe eŋu la, eŋutinunyala siawo se dɔléle siwo le ʋumenugbagbeviɣidɔ si me ŋutinu siwo do ƒome kple aklã abe aɖuɖɔtoe kple dɔgbo ene hã le hã gɔme nyuie.

Ŋutinu ka ƒomevie aklãŋutinunyala daa dɔ na?

Ame geɖe yia aklãdɔdala gbɔ be woakpɔ aklãdɔlélewo ahada wo, vevietɔ aklãdɔléle si nɔa anyi didi kple eƒe kuxiwo . Gake kadodo ate ŋu anɔ aklãdɔ kple ŋutinu bubuwo ƒe dɔlélewo dome.

Bu eŋu kpɔ, wò aklã nye ʋuka si me ʋu sina tona ƒe akpa aɖe. Ŋutinu bubu siwo le ɖoɖo sia mee nye aɖuɖɔtoe kple dɔgbo. Wo katã wodo ƒome kple wo nɔewo. Eyata ne ŋutinu ɖeka ŋue wògblẽ nu le la, ate ŋu agblẽ nu le ŋutinu bubuawo hã ŋu.

Ðe aklãŋutinunyala kple dɔgboŋutinunyala nye ame vovovo evea? Alo ame ɖeka koe wonyea?

Nyabiase aɖe si le ame geɖe si lae nye esi. Aklãŋutinunyala ɖesiaɖe nye dɔgboŋutinunyala. Eyae nye amesi xɔ hehe tɔxɛ le nuɖuɖumeŋusẽ ŋu. Gake menye dɔgboŋutinunyala ɖesiaɖee nye aklãŋutinunyala o.

Be míaɖe eme vie la, Gastroenterology nye atikewɔwɔ ƒe akpa si srɔ̃a nu tso nuɖuɖumeŋusẽ ƒe ŋutinuwo katã ŋu (aklã hã le eme). Aklãŋutinunya nye nu ma ke ƒe dɔ tɔxɛ bubu. Eyae nye be dɔgboŋutinunyala ate ŋu atsɔ eƒe hehexɔxɔa aɖo aklãdɔlélewo ɖeɖeko dzi eye wòazu aklãŋutinunyala.

Kpuie ko la, dɔgboŋutinunyala ate ŋu ada aklãdɔlélewo hã. Gake aklãŋutinunyala nye amesi yi nu me yi ŋgɔ wu eye wòbi ɖe dɔ ma me.

Ekema ɖe nàte ŋu abia aklãŋutinunyala hã tso aɖuɖɔtoe kple dɔgbo ŋua?

Ẽ, àte ŋu abia aklãŋutinunyala tso kuxi aɖe si do ƒome kple wò aɖuɖɔtoe alo dɔgbo ŋu. Elabena wona hehe wo le ŋutinu mawo hã me. Ke hã, woƒe...Nusi koŋ ŋu wotsia dzi ɖoe nye aklãa.

Zi geɖe la, le aɖuɖɔtoe alo dɔgbo ƒe kuxi aɖe gome la, zi geɖe la, àyi dɔgboŋutinunyala gbɔ. Ðɔkta siwo bi ɖe dɔgboa me hã li (Dzidɔŋutinunyalawo), gake womebɔ vie o.

Nukatae nye ɖɔkta aɖom ɖe aklãŋutinunyala gbɔ?

Wò ɖɔkta gbãtɔ (PCP) ate ŋu aɖo wò ɖe aklãdɔdala gbɔ ne wosusu be aklãdɔ le ŋuwò. Esia ate ŋu atso esi wokpɔa nusiwo mesɔ o le wò ʋu ƒe akpa alo aklã ƒe dɔwɔwɔ dodokpɔwo me ta.

Ɣeaɖewoɣi la, dɔgboŋutinunyala si da aklãdɔ na wò va yi gɔ̃ hã ate ŋu aɖo wò ɖe aklãdɔdala gbɔ ne wosusu be wò nɔnɔmea bia be aklãdɔdala nanya nu tso eŋu.

Nɔnɔme kawoe aklãŋutinunyala daa dɔ na?

Wò ɖɔkta ate ŋu aɖo wò ɖe aklãŋutinunyala gbɔ be wòakpɔ dɔléle siwo gbɔna ahada wo:

Aklãdɔlélewo:

• Aklã ƒe dɔdzẽ si dɔlékui aɖe hena vɛ, le kpɔɖeŋu me, aklãdɔléle B alo C.
• Aklãdɔléle si ahanono hena vɛ kple aklãdɔléle si woyɔna be steatohepatitis.
• Aklãdɔléle si me ami mele o kple Steatohepatitis. Esia bɔ ŋutɔ fifia.
• Autoimmune Hepatitis nye aklã ƒe dɔdzẽ si ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dze aklãa dzi hena vɛ.
• Aklãdɔléle si me Aɖi Le.
• Wilson ƒe Dɔléle - Esia nye domenyiŋusẽfianu ƒe nɔnɔme.
• Aklã ƒe ʋuka me dɔléle. Esia nye nɔnɔme sesẽ aɖe ŋutɔ.
• Aklã ƒe Dɔmawɔmawɔ Nyuie alo Ɣeyiɣi Didi.
• Aklã me kansa gbãtɔ.

Biliary Tract Dɔlélewo:

• Ʋumenugbagbeviɣi ƒe sisi ƒe xexe (Cholestasis).
• Biliary ƒe ʋuʋu.
• Sclerosing Cholangitis Gbãtɔ.
• Biliary Cholangitis Gbãtɔ.
• Aɖuɖɔtoe me Dɔdzẽ.

Ne èkpɔ xexlẽdzesi sia la, ɖewohĩ èse alesi aklãdɔdala wɔa akpa vevi aɖee gɔme, alo?

Amekae nye Aklãdɔdala sia si Wodoa Ame Na?

Aklãdɔdada ƒe Aklãdɔdada nye ɖaseɖigbalẽ tɔxɛ bubu si Dɔgboŋutinunyala ate ŋu awɔ. Esiawoe nye:Woléa ŋku ɖe aklãdɔléle si le eƒe nuwuwu kple eƒe kuxiwo ŋu etɔxɛe, kpakple atikewɔwɔ do ŋgɔ na aklã dodo kple emegbe.

Aklãdɔdala siwo doa aklã na ame wɔa dɔ le kɔdzi gã siwo doa aklã na ame. Hehe tɔxɛ le wo si be woatsɔ ade dzesii ne aklã dodo na ame nye tiatia nyuitɔ kekeake na wò eye woakpɔ dziwò le dɔa katã me .

Kuxi kawoe aklãdɔdala si wodoa ʋu na ame kpɔa egbɔ?

Le aklãdɔléle ƒe akpa mamlɛawo me la, wò lãmesẽnyawo va sesẽna ɖe edzi. Wona hehe aklãdɔdala siwo doa aklã na ame be woakpɔ hiahiã siawo gbɔ. Wokpɔa kuxi vovovowo gbɔ, siwo dometɔ aɖewoe nye:

• Nyaƒoɖeamenu sesẽ le ʋuka siwo do ƒome kple aklãa me (Portal Hypertension).
• Ascites ƒe dɔléle.
• Aɖuɖɔtoe ƒe lolome kple eƒe dɔwɔwɔ fũ akpa (Hypersplenism).
• Nuɖuɖutome ƒe Ʋuʋudedi Kple Dɔgbo ƒe Ʋuʋu.
• Aklãdɔléle ƒe ʋuʋu alo ʋuʋudedi.
• Aklãdɔ nye dɔléle si me aklã gblẽa nu le ahɔhɔ̃a ŋu le.
• Ayiku ƒe Dɔmawɔmawɔ nyuie (Hepatorenal Syndrome) .
• Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie (hepatopulmonary syndrome) .

Ne wodo aklã dzidzedzetɔe gɔ̃ hã la, kuxi yeyewo ate ŋu ado mo ɖa le dɔlélenutsiŋutete ƒe atike siwo nèzãna ta. Aklãŋutinunyala hã kpɔa nusiawo dzi nyuie. Kpɔɖeŋuwo:

• Dɔléle enuenu kple vevie.
• Ʋusɔgbɔdɔ (Hypertension).
• Suklidɔ si sɔ gbɔ ɖe ʋu me kple Suklidɔ Ƒomevi 2 lia.
• Ƒuwo ƒe ƒuƒu (Osteoporosis).
• Ayikudɔléle si le ŋgɔ yim kple ayiku ƒe dɔmawɔmawɔ nyuie.
• Aklãdɔléle si gbugbɔna dzɔna.

Aleke woawɔ azu aklãŋutinunyala?

Ne èwu atikewɔwɔ bliboa ƒe dzeside nu vɔ ko hafi nàte ŋu atiae be yeawɔ dɔ tɔxɛ le Aklãdɔléle me. Esia fia be woawu ƒe ene ƒe atikewɔwɔ ŋuti ɖaseɖigbalẽ kple ƒe etɔ̃ ƒe nɔƒe ƒe ɖoɖo nu.

Le ema megbe la, aklãŋutinunyalawo wu ƒe etɔ̃ ƒe hadede ƒe ɖoɖo bubu nu le dɔgboŋutinunya me. Wozãa ɣeyiɣi ɖedzesi aɖe tsɔ srɔ̃a aklãŋutinunya.

Ame aɖewo xɔa ɖaseɖigbalẽ gbã be wonye dɔgboŋutinunyala eye emegbe wowɔa hehenana ƒe ɖoɖo tɔxɛ aɖe si me wotsia dzi ɖe aklãŋutinunya ŋu. Zi geɖe la, hadede ƒe ɖoɖo siawo xɔa ƒe ɖeka va ɖo ƒe eve.

Ame bubuwo tiae be yewoazu Aklãdɔdala si Wodona Ðe Ame Ŋu. Be dɔgbomedɔdalawo nawɔ esia la, ele be woawu ƒe ɖeka ƒe hehexɔxɔ ƒe ɖoɖo aɖe nu, ato dodokpɔ aɖe me, eye woaxɔ ɖaseɖigbalẽ.

Amekae nye Ðeviwo ƒe Aklãŋutinunyala sia?

Ðeviwo ƒe aklãŋutinunyala nye ɖeviwo ƒe dɔdala si xɔ hehe bubuwo le dɔgbo kple aklãŋutinunya me. Wodaa dɔgbo ( GI), aklã, kple ʋuka me dɔlélewo le vidzĩwo, ɖevi siwo le zɔzɔm, kple ɖevi suewo ŋu.

Mɔzɔzɔ sia dzea egɔme kple atikewɔwɔ ŋuti ɖaseɖigbalẽ kple ƒe etɔ̃ ƒe nɔƒe le Ðeviwo ƒe Atikewɔwɔ Gã me. Le ema megbe la, wogawɔ ƒe etɔ̃ ƒe nɔƒe bubu le Ðeviwo ƒe Dɔgboŋutinunya me.

Ðeviwo ƒe dɔgboŋutinunyala ate ŋu abi ɖe aklãŋutinunya me le woƒe nɔƒea nɔnɔ me, alo woate ŋu awu aklãŋutinunya ƒe hadomekpekpeɖeŋunadɔ nu emegbe eye woava zu ɖeviwo ƒe aklãŋutinunyala.

Tsɔ kpe ɖe eŋu la, woate ŋu axɔ ɖaseɖigbalẽ ɖe ɖeviwo ƒe dɔgboŋutinunyala le Pediatric Transplant Hepatology me. Eŋutinunyala bibi siawo dze koŋ be woada dɔ na ɖevi siwo ŋu aklã ƒe dɔmawɔmawɔ nyuie kple aklã me kansa le.

Wò aklã nye ŋutinu gã aɖe ŋutɔ si le titina le wò ŋutilã me. Menye le esi ta koe o, ele nenema ŋutɔŋutɔ. Nu geɖe ate ŋu agblẽ nu le aklã ŋu. Azɔ hã, ne aklãa dze dɔ la, ate ŋu agblẽ nu le ŋutinu kple ŋutilã ƒe dɔwɔwɔ geɖe ŋu. Eyata aklãdɔlélewo dada nye dɔ sesẽ aɖe vie. Hehe si hiã la keke ta eye wògoglo. Azɔ hã, ebia agbagbadzedze geɖe le susu me. Gake, nu vevitɔ kekeakee nye be mlɔeba la, aklãdɔdalawo xɔa ame geɖe ƒe agbe.

Nu vevi siwo dzi nàɖo ŋkui (Take-Home Message) .

• Aklãŋutinunyala nye ɖɔkta si bi ɖe aklã kple ʋumenugbagbeviɣidɔ ƒe dɔlélewo me.
• Aklãŋutinunyala ɖesiaɖe nye dɔgboŋutinunyala, gake wobi ɖe aklãdɔlélewo ŋuti sidzedze deto wu me.
• Ne wò ƒomea ƒe ɖɔkta alo dɔgboŋutinunyala aɖe susui be aklãdɔ le ŋuwò la, woate ŋu aɖo wò ɖe aklãŋutinunyala gbɔ.
• Wodaa aklãdɔ vovovowo abe Aklãdɔ, Aklãdɔ, kple Ami ƒe Aklãdɔ ene.
• Aklãdɔdala siwo doa aklã na ame bubuwo hã li siwo bi ɖe aklã dodo na ame me.
• Àte ŋu abia kpekpeɖeŋu tso ɖeviwo ƒe aklãŋutinunyala gbɔ le aklãdɔléle siwo le ɖeviwo ŋu me.

Eyata ne aklãdɔ le ŋuwò alo ame aɖe si nènya la, nu vevitɔe nye be nàyi atikewɔla bibi si sɔ gbɔ.

` Aklã, aklãdɔ, eŋutinunyala, aklãŋutinunyala, dɔgboŋutinunyala, aklã dodo na ame, aɖuɖɔtoe