Ðewohĩ èkpɔ nuŋlɔɖi aɖe le nyatakakaa dzi si gblɔ be "Ayiku ƒe ʋuka" alo "Ayiku ƒe ʋuʋudedi" ne wowɔ scan na wò be nàkpɔ atikewɔwɔ ƒe nɔnɔme bubu aɖe hã. Enye nusi sɔ be míavɔ̃ vie eye míatsi dzimaɖi ne míese nya "dɔdzẽ." Àte ŋu asusu be, "Oo nye Mawu, kansa siae nye esia?" Gake mègatsi dzi o. Le nyateƒe me la, ayiku siawo ƒe akpa gãtɔ meɖea fu o. Eyata egbea, mina míaƒo nu tso esia ŋu eme nakɔ, le gbegbɔgblɔ si gɔme nàte ŋu ase me.

Kpuie ko la, nukae nye ayiku me ʋuʋudedi?

Bu tsi ƒe bɔl sue aɖe ŋu kpɔ. Emae nye nusi ayiku ƒe ʋuʋudedi nye. Zi geɖe la, esiawo nyea kotoku goglo siwo ƒe gli le tsɛ siwo me tsi yɔ fũ. Ne míele tsitsim la, ƒunukpeƒetetedɔ siawo ate ŋu adzɔ ɖe ayiku ƒe anyime alo le nu suesuesue siwo woyɔna be ayiku me le ayiku me.

Fifia àte ŋu anɔ eŋu bum be nukae nye `(nephrons)` siawo hã. Ayiku eve siwo le míaƒe ŋutilã me le abe super filter system ene. Dɔ vevitɔ si ayiku wɔnae nye be wòaɖe gbeɖuɖɔ kple tsi siwo mehiã o le ŋutilãa me ahaɖe wo ɖa eye wòaɖe wo ɖa abe aɖuɖɔ ene. Míeyɔa unit nyui ŋutɔ miliɔn geɖe siwo wɔa filtering function sia be `(nephrons)`.

Ayiku me kpe siawo ƒe lolome le vovovo. Wo dometɔ aɖewo le sue ŋutɔ, gake bubuwo te ŋu tsina abe sentimeta eve ene. Ɣeaɖewoɣi la, wova lolona le ɣeyiɣi aɖe megbe, alo woƒe lolome nɔa ɖeka. Kpe ɖeka alo kpe geɖe ate ŋu anɔ ame si. Woate ŋu adze le ayiku ɖeka alo ayiku eveawo siaa me hã.

Ðe atikutsetse siawo katã sɔa? Ðe ƒomevi vovovowo lia?

Ẽ, ayiku me dɔdzẽ ƒomevi vevi evee li. Ele vevie ŋutɔ be woade dzesi ƒomevi eve siawo, elabena eyae afia ne atikewɔwɔ hiã alo mehiã o. Ðɔktawo zãa mɔnu tɔxɛ aɖe si woyɔna be ``Bosniak classification`` tsɔ dea hatsotso siawo me. Mina míalé ŋku ɖe eŋu bɔbɔe.

Kpuie ko la, ne wò nyatakaka gblɔ be "Simple renal cyst" la, menye naneke si ŋu nàtsi dzi ɖo ne esɔ o. Gake ne woŋlɔ ɖe edzi be "Complex renal cyst" la, ele vevie be nàwɔ dodokpɔ siwo hiã eye nàkplɔe ɖo abe alesi wò ɖɔkta gblɔe ene.

Ðe dɔdzẽ siawo hea dzesiwo vɛa?

Nya nyuiae nye be zi geɖe la, ƒunukpeƒetetedɔ bɔbɔe siawo mehea dzesi aɖeke vɛ o . Le nyateƒe me la, ame miliɔn geɖe li siwo nɔa agbe evɔ womenya be ayiku me dɔdzẽ le yewo ŋu o.

Gake ɣeaɖewoɣi la, dɔdzẽ sia ate ŋu ahe kuxiwo vɛ ne egbã eye wòdze ʋu dodo gɔme, exɔ dɔlékuiwo, alo wòlolo akpa eye wòte ɖe ƒodoa ƒe ŋutinu bubuwo dzi. Ne edzɔ alea la, dzesi siwo gbɔna ate ŋu ado mo ɖa:

• Vevesese alo ʋuʋudedi le axadzi, ƒodo, alo akɔta le akɔta kple akɔta dome.
• Asrã.
• Ehiã be nàɖe aɖuɖɔ enuenu.
• Ʋu le aɖuɖɔ me alo aɖuɖɔ si do viviti me.

Le afisi dɔdzẽa le nu la, ate ŋu akpɔ ŋusẽ ɖe ayiku ƒe dɔwɔwɔ dzi ɣeaɖewoɣi. Azɔ hã, ne dɔdzẽa xe mɔ na ayikuawo be woagaɖe tsi si sɔ gbɔ ɖe ʋua me o la, ʋusɔgbɔdɔ ate ŋu adzɔ.

Nukatae ayiku me dɔdzẽ siawo dzɔna?

Numekulawo menya nusi tututu hea esia vɛ haɖe o. Woxɔe se be ʋuʋudedi siawo dzɔna ne mɔ̃ aɖe si do ƒome kple ayiku ƒe tsiléƒewo (nephrons) ƒe gota gbɔdzɔ, vuvu, eye tsi yɔ eme fũ.

Nu vevitɔe nye be menye domenyiŋusẽfianue ƒunukpeƒetetedɔ bɔbɔe siawo tso o . Eyae nye be womenyi wo dome tso dzilawo gbɔ o. Woxɔe se be ɣeaɖewoɣi la, ayiku ƒe abi sue aɖe alo mɔ siawo ƒe xexe si menya kpɔna dzea sii bɔbɔe o ate ŋu ahe esia vɛ.

Gake ayiku me ʋuʋudedi ate ŋu ado mo ɖa hã le atikewɔwɔ ƒe nɔnɔme aɖewo ta. Woto vovo tso ƒunukpeƒetetedɔ bɔbɔe siwo sɔ gbɔ.

• Polycystic kidney disease - Esia nye domenyiŋusẽfianu ƒe dɔléle.
• Ayikudɔ si nɔa anyi didi (CKD) .
• Von Hippel-Lindau ƒe dɔlélea
• Tuberous sclerosis complex (TSC) ƒe dɔléle .

Esi nɔnɔme tɔxɛ siawo nye ta la, wò ɖɔkta ana nànya nu tso wo ŋu.

Aleke wowɔna dea dzesi dɔdzẽ siawo? Nukawoe nye atikewɔmɔnuawo?

Zi geɖe la, wokpɔa ayiku me dɔdzẽ le vome. Woke ɖe eŋu le scan si wowɔ le susu bubu aɖe ta me. Ne wokpɔ dɔdzẽ ma tɔgbe la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàgawɔ dodokpɔ geɖe wu atsɔ anya nenye be ele bɔbɔe alo esesẽ.

Dodokpɔ siwo wowɔna tsɔ dea dzesi ame

• Ultrasound Scan: Esia zãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ wɔa ayikuawo ƒe nɔnɔmetata si me kɔ. Enye dodokpɔ si le dedie ŋutɔ si me vevesese alo keklẽŋusẽ aɖeke mele o.
• CT Scan (Computed Tomography Scan): Esia zãa X-ray kple kɔmpiuta mɔ̃ɖaŋununya tsɔ wɔa ayiku ƒe nɔnɔmetata siwo le akpa etɔ̃ (3D) siwo wotso ɖe wo nɔewo ŋu. Esia kpena ɖe ame ŋu be woasrɔ̃ nu tso alesi dɔdzẽa le ŋu tsitotsito.
• MRI (Magnetic Resonance Imaging Scan): Wozãa magnet-ŋusẽ sesẽ aɖe kple radio ƒe ƒutsotsoewo tsɔ wɔa nɔnɔmetata siwo me kɔ ŋutɔ, siwo me kɔ nyuie. MRI le vevie ŋutɔ be woade vovototo ʋuka si me tsi yɔ fũ kple ʋuka sesẽ dome.
• Ayikuwo ƒe dɔwɔwɔ dodokpɔ: Woate ŋu ado ʋu kple aɖuɖɔ kpɔ akpɔ alesi wò ayikuwo le dɔ wɔm nyuie kple nenye be dɔdzẽa gblẽ nu le wo ŋu hã.

Dɔdamɔnu siwo wozãna

Zi geɖe la, ayiku me dɔdzẽ bɔbɔe mehiã be woawɔ atike aɖeke nɛ o . Ðeko wò ɖɔkta agblɔ na wò be nànɔ ŋku lém ɖe eŋu. Ðewohĩ woawɔ scan ƒe sia ƒe alo eve.

Gake ne dɔdzẽ aɖe le veve sem, ne elolo akpa be wòate ŋu aƒo ŋutinu bubu, alo ne ele nu gblẽm le ayiku ƒe dɔwɔwɔ ŋu la, ahiã be woaɖee ɖa. Azɔ hã, ne dɔdzẽa sesẽ eye ɖɔktaa susui be ate ŋu azu kansa la, ate ŋu atso nya me be yeaɖee ɖa.

Wozãa mɔnu vevi eve abe atikewɔwɔ ene:

1. Aspiration and Sclerotherapy: Le afisia la, le scanner ƒe mɔfiafia te la, wotsɔa aŋe si le sue ŋutɔ dea ŋutigbalẽa me yia cyst la me, eye tsi si le eme la dona keŋkeŋ. Ɣeaɖewoɣi la, wodoa tsi tɔxɛ aɖe, abe aha ene, ɖe ʋukaa me be wòagade tsi ake o.

2. Amekoko:Fifia wozãa amekoko to dɔgboa me zi geɖe hena esia wɔwɔ. Esia fia be wotsɔa fotoɖemɔ̃ kple dɔwɔnu tsɛwo dea do sue ŋutɔ geɖe siwo le ƒodoa me me, tsɔ wu be woatsoe gã aɖe. Le afisia la, ɖɔktaa ɖea tsi si le ƒunukpeƒea eye wòtsoa ƒunukpeƒea ƒe gotagli alo fiãnɛ.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne dzesi siwo gbɔna dometɔ aɖe va dze ŋuwò le esi nèva nya be ayiku me dɔdzẽ le ye ŋu vɔ la, yi ɖɔkta gbɔ enumake. Esiawo ate ŋu anye dɔlékuiwo ƒe dzesiwo, woƒe gbagbã, alo kuxi bubuwo.