Ðe wòahiã be woawɔ ʋumenugbagbeviɣidɔ na wò hãa? Mina míadi nusianu tso esia ŋu!

Ɣeaɖewoɣi la, míaƒe ɖɔkta gblɔna be, "Wò ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ vie, mina míalé ŋku ɖe esia ŋu." Le ɣeyiɣi mawo me la, míevɔ̃na vie, alo? Vevietɔ biabia si nye "Ðe wòahiã be mawɔ ʋuɖɔɖɔdɔa?" doa mo ɖa le míaƒe susu me le afi aɖe. Le nyateƒe me la, esia nye vɔvɔ̃ si le ame geɖe si. Eyata egbea, mina míaƒo nu tso nusi tututu ʋumenugbagbeviɣidɔ nye, amesiwo hiãe, kple alesi wowɔae le mɔ bɔbɔe ŋutɔ nu, le mɔ si gɔme nàte ŋu ase nu.

Gbã la, mina míakpɔ nusi ʋumenugbagbeviɣidɔ nye ɖa.

Kpuie ko la, ʋumenugbagbeviɣidɔ nye ne wò ayikuwo megate ŋu wɔa woƒe dɔ nyuie o, eye wowɔa esia le mɔ si wowɔ kple asi nu, to mɔ̃ alo mɔnu bubu aɖe ƒe kpekpeɖeŋu me. Bu eŋu ale: wò ayikuwo le abe super filter eve ene. Wonye ŋutinu siwo le abe gbe ene siwo le wò akɔta ƒe akpa eveawo, le wò akɔta te tututu. Woƒe dɔ vevitɔe nye be woaɖe wò ʋu eye woaɖe gbeɖuɖɔ kple tsi si sɔ gbɔ ɖe wò ŋutilã me ɖa abe aɖuɖɔ ene. Tsɔ kpe ɖe eŋu la, wò ayikuwo hã kpɔa wò ʋu ƒe sisi dzi, nana wò ƒuwo sẽa ŋu, léa minerals abe potassium kple sodium (dze) ƒe agbɔsɔsɔ si sɔ ɖe wò ʋu me, eye wòwɔa lãmetsiŋusẽ siwo kpena ɖe ʋumenugbagbevi dzĩwo ŋu. Ne wò ayikuwo dzudzɔ dɔwɔwɔ nyuie la, aɖiwo tea ƒoƒo ɖe wò ŋutilã me. Ɣemaɣie ʋumenugbagbeviɣidɔ va zua atike si xɔa ame ɖe agbe.

Amekawoe hiã be woawɔ atike na wo le ʋumenugbagbeviɣidɔ me?

Ne ayikudɔa nu sẽ, si fia be wò ayikuwo gbɔdzɔ akpa be woate ŋu awɔ ɖe wò ŋutilã ƒe dɔwɔwɔ dzi la, ate ŋu ahiã be woado ayiku na wò alo ado ayiku na wò. Nɔnɔmewo abe ʋusɔgbɔdɔ, suklidɔ , lupus, afɔku aɖewo, alo le susu aɖeke manɔmee gɔ̃ hã gbɔe ayikudɔ ate ŋu atso. Zi geɖe la, wodzea ʋumenugbagbeviɣidɔ gɔme ne èdze ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo kpɔkpɔ gɔme alo ne ʋudodokpɔ ɖee fia be aɖi geɖe le wò ʋu me. Dzesiawo dometɔ aɖewoe nye ʋuʋudedi , ɖeɖiteameŋu, ʋuʋudedi, kple ʋuʋudedi .Wò ɖɔkta atso nya me le ɣeyiɣi si me wòle be nàdze ʋumenugbagbeviɣidɔ gɔme kple mɔnu si nyo na wò wu, le wò ƒexɔxɔ, ŋusẽ ƒe agbɔsɔsɔ, lãmesẽ bliboa, ʋudodokpɔ me tsonu, kple alesi nètsɔ ɖokuiwò na wò atikewɔwɔ ƒe ɖoɖoa nu.

Dialysis ƒomevi kawoe li?

Dialysis ƒomevi vevi eve li. Mina míalé ŋku ɖe vovototo si le wo ame evea dome ŋu bɔbɔe. Gakpe ɖe eŋu la, mɔnu tɔxɛ aɖe li si woyɔna be `Continuous Renal Replacement Therapy (CRRT),` si wozãna blewu gaƒoƒo 24 gbesiagbe na dɔnɔ siwo dze dɔ vevie le Intensive Care Unit (ICU) siwo mete ŋu doa dzi le ʋumenugbagbeviɣidɔ edziedzi o.

Nya geɖe tso ʋumenugbagbeviɣidɔ ŋu vie

Le mɔnu sia me la, mɔ̃ aɖe ɖea ʋu tso wò ŋutilã me. Esia bia be woawɔ amekoko sue aɖe atsɔ awɔ teƒe aɖe si age ɖe wò alɔnu ƒe ŋutigbalẽ te si ate ŋu aƒo ka kple ʋukawo. Mɔnu vevi etɔ̃e li na esia.

• Fistula: Esia bia be nàtsɔ ʋuka aɖe kple ʋuka aɖe si le wò alɔnu la aƒo ƒui. Esiae nye mɔnu nyuitɔ kekeake si nɔa anyi ɖaa wu. Gake exɔa abe kwasiɖa 6 ene hafi woate ŋu azãe.
• Graft: Esia bia be woatsɔ plastic-tube aƒo ʋuka aɖe kple ʋuka aɖe nu ƒu. Woate ŋu azã esia hena kwasiɖa 2 pɛ ko. Gake menɔa anyi didi abe fistula ene o.
• Catheter : Ne ehiã be nàdze ʋuɖeɖe gɔme kaba la, wotsɔa mɔ̃ si te ŋu trɔna bɔbɔe (catheter) dea ʋuka gã aɖe si le wò kɔ, alɔnu, alo akɔta me . Esia nye ɣeyiɣi kpui aɖe ƒe egbɔkpɔnu.

Le atikewɔwɔa me la, esi nèmlɔ zikpui dzi la, mɔ̃ɖaŋudɔwɔla aɖe tsɔa aŋe eve dea fistula alo graft si le wò alɔnu me. Aŋe ɖeka hea ʋu doa goe le wò ŋutilã me, kɔa eŋu to mɔ̃ aɖe dzi, eye aŋe evelia trɔa ʋu si ŋu wokɔ la yia wò ŋutilã me. Dɔdamɔnu sia xɔa abe gaƒoƒo 3-5 ene eye wowɔa esia abe zi etɔ̃ le kwasiɖa me.

Nyatakaka tso Peritoneal Dialysis (PD) ŋu tsitotsito

Mɔnu sia to vovo vie. Le afisia la, lãkusi tsɛ si le wò ƒodo ƒe do (peritoneum) me la wɔa dɔ abe dzɔdzɔmenu si wotsɔna tsia nu me ene. Anɔ abe kwasiɖa 3 hafi wò atikewɔwɔa nadze egɔme la, wowɔa amekoko sue aɖe tsɔ dea mɔ̃ falɛfalɛ aɖe (catheter) wò ƒodo me tegbee. Emegbe wotsɔa tsi si woɖena le ƒodo me toa mɔ̃ sia dzi gena ɖe wò ƒodo me. Lãmetsi sia wɔa dɔ tsɔ ɖea gbeɖuɖɔwo ɖa le wò ʋu me le gaƒoƒo ʋɛ aɖewo me. Emegbe woɖea gbeɖuɖɔawo ɖe kotoku bubu me. Woyɔa ɖoɖo sia be "nuwo ɖɔliɖɔli." Àte ŋu awɔ esia le aƒeme, eyata mehiã be nàyi kɔdzi zi geɖe o. Mɔ eve li siwo dzi míato awɔ esia:

• Automated Peritoneal Dialysis: Nuwo ɖɔliɖɔli ƒe ɖoɖo sia dzɔna le zã ɖeka me, esime nèle alɔ̃ dɔm, to mɔ̃ aɖe zazã me.
• Continuous Ambulatory Peritoneal Dialysis: Ele be nàwɔ asitɔtrɔ sia kple asi, zi geɖe gbesiagbe.

Ðe ʋumenugbagbeviɣidɔ ƒe nugbegblẽ aɖewo lia?

Dialysis mevea ame o. Gake àte ŋu akpɔ nugbegblẽ aɖewo le atikewɔwɔa me alo le ewɔwɔ vɔ megbe. Ne èse veve aɖe la, gblɔe na wò ɖɔkta enumake. Nusiwo wògblẽna le ame ŋu zi geɖe dometɔ aɖewoe nye:

• Ŋutilã si le ʋuʋum
• Ʋu ƒe sisi (vevietɔ le suklidɔlélawo gome) .
• Alɔ̃dɔdɔ ƒe kuxiwo
• Lãmetsi ƒe agba si gbɔ eme
• Dɔlékuiwo (vevietɔ le afisi wodoa ka le) .
• Blanuiléle alo seselelãme ƒe tɔtrɔ
• Aɖuɖɔtoe kple ʋuʋudedi
• Lãmetsiwo ƒe ʋuʋu
• Ðeɖiteameŋu si gbɔ eme

Lé be na nu siawo be nànɔ lãmesẽ me le atikewɔwɔ sia me:

• Kpɔ wò nyatakakadzraɖoƒea ɖa gbesiagbe be eƒe amadede biã, ʋuʋudedi, alo vuvu hã le eŋu hã. Ne ède dzesi esiawo dometɔ aɖe la, yɔ wò ɖɔkta enumake.
• Na aŋe si wotsɔ tsyɔa ka si wotsɔ blaa ka la dzi nanɔ dzadzɛ eye wòaƒu ɣesiaɣi.

Gbedasi si Wotsɔ Yi Aƒeme

• Ne ayiku ƒe dɔwɔwɔ ɖiɖi va anyi wu 10%-15% la, ate ŋu ahiã be woawɔ atike na ayiku me be woaɖe gbeɖuɖɔwo ɖa le ŋutilãa me.
• Ʋuʋudedi ƒomevi vevi eve li: ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ. Ðo dze kple wò ɖɔkta be wòatso nya me le mɔnu si nyo na wò ŋu.
• Dialysis zazã mevea ame o, gake eƒe nugbegblẽ aɖewo ate ŋu ado mo ɖa. Gblɔ nu tso vevesese ɖesiaɖe ŋu na wò ɖɔkta.
• Ne ehiã be nàdzudzɔ atikewɔwɔ la, mègatso nya me le ɖokuiwò si o, gake kpɔ egbɔ be yedzro eme kple wò ɖɔkta.
• Dialysis nye atikewɔwɔ si nana ame ƒe agbe didi, ke menye atike si sɔ na amesiame o. Ele vevie be nàƒo nu kple wò ɖɔkta tso nusi nyo na wò nɔnɔmea ŋu.

Dialysis, ayikudɔ, ayiku ƒe dɔmawɔmawɔ nyuie, hemodialysis, peritoneal dialysis, dialysis sinhala, ayiku ƒe dɔmawɔmawɔ sinhala