Ame aɖe le wò ƒomea me, ɖewohĩ xɔ̃wò aɖe gɔ̃ hã, le ayikudɔ lém. Aleke gbegbe wòsesẽna na wò be nànɔ wo kpɔm woanɔ ʋumenugbagbeviɣidɔ wɔm gbesiagbe? Eyata ne àte ŋu ana agbe yeye ame ma to wò ayiku ɖeka nana me ya ɖe? Esia nye nyametsotso gã aɖe ŋutɔŋutɔ. Eye nu bubu aɖe ŋutɔe wònye. Eyata egbea míaƒo nu tso ɖoɖo wɔnuku sia si woyɔna be ayiku nana ŋu ko.
Nukae nye ayiku nana le nya bɔbɔewo me?
Kpuie ko la, ayiku nana nye amekoko be woaɖe ayiku le ame ɖeka ŋu eye woadoe ɖe ame bubu si ƒe ayikuwo le dɔ wɔm nyuie la me.
Bu eŋu kpɔ, ame gbagbe aɖe tsɔ woƒe ayiku ɖeka na. Ame si ƒe ahɔhɔ̃ ku ate ŋu axɔ ayiku eveawo siaa. Nyabiase gãtɔ kekeake si ate ŋu anɔ asiwòe nye be, "Àte ŋu anɔ agbe kple ayiku ɖekaa?" Ẽ, àte ŋui! Ame si ƒe ayiku ɖeka le lãmesẽ me ate ŋu anɔ agbe didi le lãmesẽ me kuxi aɖeke manɔmee.
Nɔnɔme kawoe woate ŋu ada to ayiku nana me?
Ayiku nana kpena ɖe amesi ayiku ƒe dɔmawɔmawɔ nyuie le fu ɖem na ŋu . Ayiku ƒe dɔmawɔmawɔ nyuie nye nɔnɔme si me wò ayiku eveawo siaa mewɔa dɔ nyuie o.
Ayikuwo nye aɖuɖɔtoe ƒe ŋutinu vevi siwo le míaƒe ŋutilã me la dometɔ ɖeka. Woƒe dɔe nye be woaɖe gbeɖuɖɔwo kple tsi siwo mehiã o ɖa le ʋua me eye woaɖe wo ɖa le ŋutilãa me abe aɖuɖɔ ene.
Azɔ hã, ayikuwo le vevie ŋutɔ na elektrikŋusẽ abe potassium kple sodium ene ƒe dadasɔ le ŋutilãa me kple ʋu ƒe sisi dzi ɖuɖu.
Ne ayikuawo mewɔ dɔ nyuie o la, tsi ƒoa ƒu ɖe ŋutilãa me, si wɔnɛ be afɔwo vuvu (edema). Lãmetsiwo ƒoa ƒu ɖe lãkusiwo ŋu (pleural effusion) kple dzitodzitoa ŋu (pericardial effusion). Esia ate ŋu ana dzia nagawɔ dɔ nyuie o, si ana dzi nawɔ dɔ nyuie. Potassium ƒe agbɔsɔsɔ hã ate ŋu adzi ɖe edzi afɔkutɔe, si ana dzi naƒo edziedzi (dzi ƒe tsotso ƒe dɔmawɔmawɔ nyuie) eye dzi naku kpata gɔ̃ hã.
Esia tae ayiku ƒe dɔmawɔmawɔ nyuie nye dɔléle si wua ame ne womewɔ atike nɛ o. Ele be woado ayiku na amesi ŋu dɔléle sia le le eƒe agbemeŋkekewo katã me alo woado ayiku na ame.
Mɔ kawo dzie woato ana ayiku?
Mɔ vevi eve li siwo dzi woato ana ayiku. Eɖanye tso ame gbagbe aɖe gbɔ, alo tso ame aɖe si ku nyitsɔ laa gbɔ (ahɔhɔ̃ ku). Mɔ vovovowo li siwo dzi ame gbagbe ate ŋu ato adzɔ nu. Mina míaɖe esia me ayi ŋgɔe le kplɔ̃ sia dzi.
| Nudzɔdzɔ ƒe mɔnu | Numeɖeɖe bɔbɔe |
|---|---|
| Tso ƒometɔ gbagbe aɖe gbɔ (Living Related) . | Ayiku nana to ʋu ƒe ƒometɔ (dzilawo, nɔviwo) gbɔ. |
| Tso ame gbagbe si medo ƒome kplii o gbɔ (Living Unrelated) . | Nudzɔdzɔ na xɔ̃wò, srɔ̃wò, alo ame si medo ƒome kplii o. |
| Nudzɔdzɔ si Wofia mɔe | Ame si naa ayiku la tiaa amesi tututu wòatsɔ woƒe ayiku ana. |
| Woƒe Ðekaɖeka | Esia sesẽ vie. Tsɔe be èdi be yeatsɔ ayiku ana yeƒe ƒometɔ, gake wò ʋu ƒe hatsotsowo mesɔ o. Eye àdi be yeatsɔ ayiku ana yeƒe ƒometɔ bubu, gake womewɔ ɖeka o. Gake wò ayiku sɔ kple ƒometɔ evelia, eye ame kemɛa ƒe ayiku sɔ na wò ƒometɔ. Emegbe, nunala eveawo ɖɔlia ayiku. |
| Nudzɔdzɔ si Me Wometsɔa Ðeke Le Eme | Ame si naa ayiku la menya amesi axɔ woƒe ayiku o. Wodzɔa nu kple susu nyui be yewoaɖe amedzro aɖe si hiã kpekpeɖeŋu la ƒe agbe ɖeɖeko. |
Amekae dze ana ayiku esime wòle agbe?
Ayiku nana nye agbanɔamedzi gã aɖe. Eyata ele be nunala la nanɔ lãmesẽ me keŋkeŋ. Dzeside geɖe li siwo gbɔ wòle be woaɖo.
- Ƒe si nèxɔ: Be nàna ayiku la, ele be nàxɔ ƒe 18 ya teti . Elabena ame si metsi wu ema o mate ŋu alɔ̃ ɖe nyametsotso gã ma dzi le se nu o. Gake ƒe si woxɔ ƒe seɖoƒe si kɔkɔ wu aɖeke meli o. Ƒe 90 vi si le lãmesẽ me gɔ̃ hã ate ŋu ana ayiku dzidzedzetɔe.
- Ŋutilã ƒe lãmesẽ:Ðɔkta aɖe ado wò ŋutilã bliboa kpɔ. Woalé ŋku ɖe nu geɖe ŋu, abe wò atikewɔwɔ ŋutinya, ne ayikudɔ le wò ƒomea me dometɔ aɖe ŋu, atike siwo zãm nèle, kple wò ayiku kple ŋutinu bubuwo ƒe dɔwɔwɔ ene. Funɔwo mate ŋu ana ayiku o. Ele be woƒe ŋutilã ƒe lolome ƒe dzesi (BMI) hã nade 35. Ame siwo noa atama alo vape la mate ŋu ana ayiku o. Wowɔa esiawo katã be woakpɔ egbɔ be nunala la le dedie.
- Susu ƒe lãmesẽ: Ðɔktawo ƒe ƒuƒoƒo aɖe hã alé ŋku ɖe wò susu ƒe lãmesẽ ŋu. Esia nye nya gã aɖe, le ŋutilã kple susu siaa gome. Woaƒo nu tso nuteɖeamedzi si ate ŋu ado mo ɖa le amekokoa megbe kple ŋutete si le asiwò be nànɔ te ɖe enu ŋu. Tagbɔdɔdalawo kple hadomekpekpeɖeŋudɔwɔlawo akpɔ gome le esia me. Ɣeaɖewoɣi la, aɖaŋuɖola tɔxɛwo gɔ̃ hã akpɔ gome le ɖoɖo sia me be woakpɔ egbɔ be ame aɖeke mele zi dziwò o .
Dodokpɔ kawoe wòle be woawɔ hafi ana nu?
Hafi atikewɔlawo natso nya me nenye be èsɔ na ayiku la, woawɔ dodokpɔ vovovowo.
- Ʋudodokpɔwo
- Dɔlékuiwutikewo dodokpɔ
- Kansa dodokpɔ siwo sɔ ɖe ƒe si woxɔ nu (e.g., dɔgbomekpɔkpɔ, no me dɔdzẽ ƒe nɔnɔmetata kple Pap smear na nyɔnuwo) .
- Nɔnɔmetatawo dodokpɔ abe X-ray kple CT scan ene
- Dodokpɔwo abe EKG kple kamedede ƒe nuteɖeamedzi dodokpɔ ene tsɔ léa ŋku ɖe dzi ƒe lãmesẽ ŋu
- Aɖuɖɔtoe me dzodzro be woakpɔe ɖa be ayikuawo le lãmesẽ me hã
- Ʋu ƒe sisi dodokpɔ gaƒoƒo 24 sɔŋ
- Fufɔfɔ dodokpɔ
Aleke wowɔa amekokoae?
Zi geɖe la, amekoko be woaɖe ayiku (si woyɔna be `radical nephrectomy`) xɔa abe gaƒoƒo eve va ɖo etɔ̃ ene.
Gbã la, atikewɔla si naa alɔ̃dɔdɔ wò la ana nàdɔ alɔ̃ keŋkeŋ (aɖi si naa alɔ̃dɔdɔ ame le mɔ gbadza nu). Eyata màse veve aɖeke alo anɔ ŋudzɔ o. Emegbe, woade Foley-ka aɖe eme be wòalé ŋku ɖe wò aɖuɖɔ ƒe dodo ŋu.
Le egbegbe mɔ̃ɖaŋununya deŋgɔ ta la, zi geɖe la, wozãa safui ƒe mɔnu (laparoscopic approach) tsɔ wɔa amekoko sia . Esia fia be le esi teƒe be woatsoe gã ɖeka la, woɖea nu suesuesue 3-5 ŋutɔ le wò ƒodo me. Wotsɔa dɔwɔnu tsɛ aɖe si ŋu fotoɖemɔ̃ le (laparoscope) dea to akpa ɖeka me, wokpɔnɛ le ŋkuléleɖenuŋumɔ̃ dzi, eye wozãa dɔwɔnu sue siwo wotsɔ dea ayiku bubuwo me tsɔ ɖea ayikua ɖa. Mɔnu sia wɔnɛ be wòhayana kabakaba eye abi meganɔa eŋu fũ o.
Wotsɔa ayiku si woɖe la yia dɔnɔ si woxɔe gbɔ kaba, zi geɖe la, wotsɔa ayiku si te ɖe eŋu le kɔdzi ma ke me, eye wodonɛ ɖe ame bubu me.
Nukae dzɔna le amekokoa megbe eye aleke eƒe hayahaya le?
Le amekokoa megbe la, woakplɔ wò ayi xɔ si me wohayana le be woalé ŋku ɖe ŋuwò. Ne ènyɔ tso atike si naa alɔ̃dɔdɔ wò me la, àse le ɖokuiwò me be yele kuvia wɔm vie. Woana atike wò be nàtsɔ aɖu vevesesea dzi. Àte ŋu adze nuɖuɖu kple nunono gɔme vivivi.Tso tso aba dzi kple azɔlizɔzɔ kaba ale si wòanya wɔe la, enaa dɔyɔyɔa nɔa kabakaba.
Zi geɖe la, ele be nànɔ kɔdzi ŋkeke eve alo etɔ̃. Ne èyi aƒeme vɔ la, ele vevie ŋutɔ be ame aɖe nanɔ asiwò si akpɔ dziwò kwasiɖa ɖeka ya teti.
Exɔa kwasiɖa 4 va ɖo 6 hafi wòhayana keŋkeŋ eye wògadzea dɔwɔna siwo sɔ gɔme. Le ɣeyiɣi sia me la, ele be nàƒo asa na nu kpekpewo kɔkɔ (si wu kilogram 5) kple ʋukuku (kwasiɖa 2 ya teti). Ne nyɔnue nènye la, woɖoa aɖaŋu na wò be nàƒo asa na fufɔfɔ ƒe ɖeka ya teti.
Viɖe kple afɔku kawoe le ayiku nana me?
Viɖe gãtɔ kekeake si le esia ŋue nye ɖokuidzidzedze si dona tso agbe nana ame bubu me. Azɔ hã, ne woɖe ayiku le ame gbagbe si la, enɔa dɔ wɔm abe ƒe 15-20 ene wu ne woxɔe tso ame kuku gbɔ. Afɔku si le gbegbe me hã le sue wu.
Abe amekoko ɖesiaɖe ene la, afɔku aɖewo le amekoko sia me.
- Ʋu ƒe sisi
- Dɔlékuiwo ƒe dɔléle
- Hernia ƒe ʋuʋu
- Abidede ame ŋu
Le amekoko vɔ megbe la, wò ayiku ƒe dɔwɔwɔ dzi aɖe akpɔtɔ va ɖo afi aɖe. Ema ate ŋu aɖi vɔvɔ̃. Gake le ɣeyiɣi aɖe megbe la, wò ayiku si susɔ la alolo, asẽ ŋu, eye wòadze ame eve ƒe dɔa wɔwɔ gɔme. Eyata, kuxi siwo anɔ anyi ɣeyiɣi didi aɖeke manɔ anyi o.
Nyabiase vevi ʋɛ bubu aɖewo
Ðe ayiku nana nana wò agbenɔƒe nɔa kpuiea?
Ao, numekukuwo ɖee fia be ayiku nana meɖea ayiku nana ƒe agbenɔƒe dzi kpɔtɔna alo dzia ayikudɔléle xɔxɔ le etsɔme ƒe afɔkua ɖe edzi o.
Ke ne nye ŋutɔ mehiã ayiku le nunana vɔ megbe ya ɖe?
Mɔnukpɔkpɔ si li be esia nadzɔ la le sue ŋutɔ. Gake ne edzɔ la, abe ayiku nala ene la, woatsɔ wò aɖo nɔƒe gbãtɔ le ayiku dodo na ame ƒe xexlẽdzesiwo me. Àxɔ ayiku kpuie.
Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?
Le amekoko vɔ megbe la, ne èkpɔ ʋu si le dodom le teƒe siwo wotso la fũu akpa, dɔlékui ƒe dzesiwo (asrã, tsi si le ʋeʋẽm le abi me), ʋu le wò aɖuɖɔ me, alo taɖuame la, na wò ɖɔkta nanya enumake.
Gbedasi si Wotsɔ Yi Aƒeme
- Ayiku nana nye nunana gãtɔ kekeake si ate ŋu axɔ ame aɖe ɖe agbe.
- Ne ayiku ɖeka le lãmesẽ me la, àte ŋu anɔ agbe didi bliboe.
- Hafi woatsɔ ayiku ana la, wowɔa atikewɔwɔ kple susuŋutinunya dodokpɔ sesẽwo ɖe wo nɔewo yome be woakpɔ egbɔ be amesi na ayiku la le dedie.
- Exɔa ɣeyiɣi aɖe hafi wòhayana le amekoko vɔ megbe, eye dzigbɔɖi kple ɖiɖiɖeme le vevie.
- Se meɖe mɔ be woaxɔ ga ɖe ayiku nana ta o. Zi geɖe la, amekokoa ƒe nugblẽfexeɖoɖoe xea atikewɔwɔ ƒe gazazãwo.
- Ne èle esia ŋu bum la, ƒo nu kple wò ɖɔkta hafi nàtso nya me eye nàna nyatakaka kple afɔku siwo katã le eme la nanya nu tso eŋu bliboe.
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