Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu agblɔ be, “Wò ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ vie, mina míalé ŋku ɖe eŋu nyuie.” Enye dzɔdzɔme nu be ema nase le eɖokui me be yevɔ̃ɖi vie, alo? Vevietɔ le biabia si nye, “Ðe ahiã be woaɖe ʋu me nam mlɔebaa?” si le susu me na wò. Esia nye nusi ŋu ame geɖe tsi dzi ɖo. Eyata egbea, mina míadzro nusi tututu ʋumenugbagbeviɣidɔ nye, amesiwo hiãe, kple alesi wowɔa eŋudɔe me, si me woɖe na wò ko.
Gbã la, Nuka Tututue Nye Dialysis?
Kpuie ko la, ʋumenugbagbeviɣidɔ nye atikewɔwɔ si léa wò agbe ɖe te si xɔa wò ayiku ƒe dɔ ne womegate ŋu wɔa dɔ nyuie o, zi geɖe la, to mɔ̃ alo atikewɔwɔmɔnu bubu dzi.
Bu wò ayiku eveawo be wonye wò ŋutilã ŋutɔ ƒe ayiku ƒe tsiléƒe. 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, atsɔ aɖe gbeɖuɖɔwo kple tsi si sɔ gbɔ ɖe wò ŋutilã me to aɖuɖɔ me. Le ema godo la, ayikuwo kpena ɖe ŋuwò nèɖua wò ʋu ƒe sisi dzi, wò ƒuwo sẽa ŋu, léa tomenu veviwo abe potassium kple sodium ene ƒe dadasɔ me ɖe asi, eye wowɔa lãmetsi si hiã be woatsɔ awɔ ʋumenugbagbevi dzĩwo.
Ne wò ayiku ƒe dɔwɔwɔ dzi ɖe kpɔtɔ ŋutɔ la, aɖiwo tea ƒoƒo ɖe wò ŋutilã me. Ɣemaɣie ʋumenugbagbeviɣidɔ va zua nusi hiã, si xɔa ame ɖe agbe.
Amekae Hiã Dialysis?
Ne ayikudɔ ɖo afisi wòle vevie ŋutɔ si megate ŋu kpɔa wò ŋutilã ƒe nuhiahiãwo gbɔ o la, ate ŋu ahiã be woado ayiku na wò alo ado ayiku na wò. Nɔnɔmewo abe ʋusɔgbɔdɔ, suklidɔ , lupus, alo ŋutilã me nuveviwɔame gɔ̃ hã ate ŋu ana ayiku nawɔ dɔ nyuie o.
Zi geɖe la, ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo dze alo ʋudodokpɔwo ɖo kpe edzi be gbeɖuɖɔwo ƒe agbɔsɔsɔ va sɔ gbɔ afɔkutɔe. Nausea , ɖeɖiteameŋu si gbɔ eme, ŋutilã ƒe vuvu, kple ʋuʋudedi nye nusiwo ɖenɛ fiana wu dometɔ aɖewo.
Ayikudɔléle ƒe akpa 5 ye li . Ne èɖo Afɔɖeɖe V me, si fia be wò ayikuwo le dɔ wɔm le ŋutete si ade 10%-15% ko me la, woyɔa esia be Ayikudɔléle ƒe Akpa Mamlɛtɔ (ESRD). Le ɣeyiɣi sia me la, ehiã vevie be woaɖe ayiku alo ayiku dodo na ame be wòalé agbe ɖe te.
Ɣeyiɣi si wòle be nàdze ʋumenugbagbeviɣidɔ gɔme kple mɔnu si nyo na wò la, wò lãmesẽnyawo gbɔ kpɔha atso nya me le wò ƒexɔxɔ, ŋusẽ ƒe agbɔsɔsɔ, lãmesẽ bliboa, ʋudodokpɔ me tsonu, kple wò ŋutete be nàkpɔ atikewɔwɔ ƒe ɖoɖoa dzi.
Dialysis Ƒomevi Kawoe Li?
Dialysis ƒomevi vevi eve li. Na míalé ŋku ɖe vovototo siwo le wo dome ŋu.
| Dialysis Ƒomevi | Alesi wòwɔa dɔe | Nɔnɔme Siwo Wozãna Ðesiaɖe |
|---|---|---|
| Ʋumenugbagbeviɣidɔ | Woɖea wò ʋu doa goe le wò ŋutilã me, woɖenɛ to mɔ̃ aɖe (ayiku si wowɔ kple asi) me, eye emegbe wotrɔna vaa gbɔwò. | Kɔdzi alo ʋumenugbagbeviɣidɔdaƒe. Woate ŋu awɔe le aƒeme hã. |
| Akɔta ƒe Ʋuʋudedi | Wokɔ wò ʋu ŋu le wò ŋutɔ wò ŋutilã me. Wotsɔa tsi tɔxɛ aɖe dea wò ƒodo me be wòaxɔ gbeɖuɖɔ, emegbe woɖea tsi le eme. | Zi geɖe la, wowɔa esia le aƒeme. |
Tsɔ kpe ɖe eŋu la, le dɔnɔ siwo ƒe lãme gblẽ vevie le ICU siwo mete ŋu doa dzi le ʋumenugbagbeviɣidɔ edziedzi gome o la, atikewɔwɔ tɔxɛ aɖe li si wozãna gaƒoƒo 24 si woyɔna be Continuous Renal Replacement Therapy (CRRT).
Nyatakaka bubuwo tso Ʋumenugbagbeviɣidɔ ŋu
Le mɔnu sia me la, mɔ̃ aɖe ɖea wò ʋu ɖa. Be woate ŋu awɔ esia la, wowɔa dɔ sue aɖe be wòana wòate ŋu age ɖe wò ŋutigbalẽ te tegbee. Ƒomevi vevi etɔ̃e li:
- Fistula: Esia bia be nàtsɔ ʋuka aɖe kple ʋuka aɖe si le wò alɔnu la aƒo ƒui. Esia nye sika dzidzenu na ʋumenugbagbeviɣidɔ ɣeyiɣi didi gake exɔa abe kwasiɖa 6 ene hafi wòhayana hafi woate ŋu azãe.
- Graft: Wozãa plastic-tube tsɔ doa ka kple ʋuka kple ʋuka. Woate ŋu azã esia kaba (anɔ abe kwasiɖa 2 ene le amekoko megbe) gake menɔa anyi didi abe fistula ene o.
- Catheter : Ne ehiã be woaɖe ʋu na wò enumake la, wotsɔa mɔ̃ si te ŋu trɔna bɔbɔe dea ʋuka gã aɖe me le wò kɔ, akɔta, alo akɔta . Esia nye ɣeyiɣi kpui aɖe ƒe egbɔkpɔnu.
Le atikewɔwɔ me la, èɖina ɖe zikpui dzi esime mɔ̃ɖaŋudɔwɔla aɖe tsɔa aŋe eve dea wò teƒe si nàge ɖo la me. Aŋe ɖeka tsɔa wò ʋu yia mɔ̃ si ŋu woakɔ, eye evelia gbugbɔa ʋu dzadzɛa yia wò ŋutilã me. Zi geɖe la, ɣeyiɣi sia xɔa gaƒoƒo 3-5 eye zi geɖe la, wobiaa esia zi etɔ̃ le kwasiɖa me.
Nyatakaka bubuwo tso Peritoneal Dialysis (PD) ŋu
Mɔnu sia wɔa dɔ le mɔ bubu nu. Wò ƒodo ƒe akpa si le ƒodo me (peritoneum) wɔa dɔ abe dzɔdzɔme nusi wotsɔna tsia nu me ene.
Anɔ abe kwasiɖa 3 hafi nàdze egɔme la, wotsɔa mɔ̃ falɛfalɛ aɖe (catheter) dea wò ƒodo me. Wotoa mɔ̃ sia dzi yɔa tsi si woɖena le ƒodo me ɖe wò ƒodo me. Atikea xɔa gbeɖuɖɔ le gaƒoƒo ʋɛ aɖewo me eye emegbe woɖenɛ dea akplo si me wotsɔa nu ƒua gbe ɖo me. Woyɔa ɖoɖo sia be “nuwo ɖɔliɖɔli.”
Esi wònye be àte ŋu awɔ esia le aƒeme ta la, mehiã be nàzɔ mɔ ayi atikewɔƒe ɣesiaɣi o. Mɔ eve li siwo dzi míato awɔ esia:
- Automated Peritoneal Dialysis: Mɔ̃ aɖe wɔa asitɔtrɔawo na wò ne èle alɔ̃ dɔm le zã me.
- Continuous Ambulatory Peritoneal Dialysis: Ètsɔa asi wɔa asitɔtrɔawo zi ʋɛ aɖewo le ŋkekea me katã.
Ðe Dɔlékuiwo Dona le Dialysis Ŋua?
Dialysis ŋutɔ mevea ame o. Gake àte ŋu akpɔ nugbegblẽ aɖewo le wò kpekpeawo wɔwɔ me alo le wo megbe. Ne èse veve aɖe la, gblɔe na wò atikewɔlawo enumake.
Nusiwo wògblẽna le ame ŋu zi geɖe dometɔ aɖewoe nye:
- Ŋutilã si le ʋuʋum
- Ʋu ƒe sisi (vevietɔ na dɔnɔ siwo ŋu suklidɔ le) .
- Alɔ̃dɔdɔ ƒe tɔtɔ
- 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 sesẽ
Be nànɔ lãmesẽ me esime nèle ʋumenugbagbeviɣidɔ wɔm la, aɖaŋuɖoɖo siawo nenɔ susu me na wò:
- Kpɔ wò nyatakakadzraɖoƒea gbesiagbe be eƒe amadede biã, tsi le dodom, alo vuvu hã. Ne ède dzesi esiawo dometɔ aɖe la, yɔ wò ɖɔkta enumake.
- Na aŋe si wotsɔ tsyɔ wò catheter la dzi nanɔ dzadzɛ eye wòaƒu ɣesiaɣi.
Gbedasi si Wotsɔ Yi Aƒeme
- Ne wò ayiku ƒe dɔwɔwɔ ɖiɖi va anyi wu 10%-15% la, zi geɖe la, ehiãna be woaɖe tsi le wò ŋutilã me be woaɖe gbeɖuɖɔ ɖa le wò ŋutilã me.
- Wole ƒomevi vevi eve: Ʋumenugbagbeviɣidɔ kple Dɔgbomeʋuʋu. Dzro eme kple wò ɖɔkta be nàtso nya me le esi sɔ na wò agbenɔnɔ ŋu.
- Dialysis mevea ame o, togbɔ be eƒe nugbegblẽ le ame ŋu ate ŋu ado mo ɖa hã. Gblɔ vevesese ɖesiaɖe na wò lãmesẽdɔwɔla.
- Ne èbu eŋu kpɔ be yeadzudzɔ atikewɔwɔ la, mègawɔ nyametsotso ma ɖeɖeko o—bia gbe wò atikewɔlawo ƒe ƒuƒoƒo ɣesiaɣi.
- Dialysis nye dɔwɔnu si nàtsɔ adidi wò agbenɔƒe ɖe edzi, ke menye egbɔkpɔnu si sɔ na amesiame o. Dɔwɔwɔ kplikplikpli kple wò ɖɔkta le Nirogi Lanka nye mɔ nyuitɔ si dzi nàto akpɔ wò lãmesẽ gbɔ.
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