Nya Vevi Siwo Wòle Be Nànya Tso Ayiku ƒe Dɔmawɔmawɔ Ŋu | Nirogi Lanka ƒe agbalẽ

Ðe nètɔ vie be yeabu dɔ si gbegbe wò ayiku sue eveawo wɔna na wò gbesiagbe ŋu kpɔa? Gake ɣeaɖewoɣi la, wò ayikuwo ate ŋu adze agbagba be yewoawɔ dɔ abe alesi wòle be woawɔe ene. Esiae míeyɔna be ayiku ƒe dɔmawɔmawɔ nyuie. Togbɔ be esia aɖi nusi gbɔ eme hã la, le Nirogi Lanka , míexɔe se be wò lãmesẽ gɔmesesee nye dɔwɔnu sẽŋutɔ kekeake si le asiwò. Nyatakakawo xɔxɔ nye afɔɖeɖe gbãtɔ si ana nàkpɔ ŋusẽ ɖe wò nyonyo dzi.

Nukae Nye Ayiku ƒe Dɔmawɔmawɔ?

Kpuie ko la, ayiku ƒe dɔmawɔmawɔ nyuie dzɔna ne wò ayiku ɖeka alo evea siaa megale dɔ wɔm nyuie o. Womete ŋu wɔa woƒe akpa veviwo le wo ɖokui si o. Esia ate ŋu adzɔ le mɔ vevi eve nu: Ayiku ƒe Dɔmawɔmawɔ Nyuie , si dzɔna kpata eye wòdzɔna kabakaba—togbɔ be le go aɖewo me la, ate ŋu anɔ anyi ɣeyiɣi kpui aɖe eye woate ŋu atrɔe ne wodae hã—kple Ayikudɔléle si Menɔa Edzi (CKD) , si fia ayiku ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ vivivi vivivi le ɣeyiɣi aɖe megbe. CKD ye nye ayiku ƒe nya si bɔ wu.

Ne ayiku ƒe dɔwɔwɔ yi edzi le to yim la, ate ŋu aɖo akpa mamlɛtɔ si woyɔna be Ayikudɔléle ƒe Akpa Mamlɛtɔ (ESKD) . Ne atikewɔlawo mede nu eme o la, ESKD ate ŋu ade ame ƒe agbe afɔku me; ŋkeke alo kwasiɖa ʋɛ aɖewo koe dɔnɔ ate ŋu anɔ agbe ne womewɔ atike nɛ o. Gake mègavɔ̃ o—ne èkpɔ egbɔ nyuie helé be nɛ le Nirogi Lanka la, àte ŋu alé agbe nyui me ɖe asi esime nèle agbe kple ayikudɔ gɔ̃ hã.

Nukae Wò Ayikuwo Wɔna?

Na míalé ŋku ɖe ale si ŋutinu siawo wɔa dɔ le wò ŋutilã me ŋu. Wò ayiku eveawo ƒe nɔnɔme le abe gbegãdzi ene eye woƒe lolome anɔ abe wò asibidɛ ene. Ðeka le wò akɔta ƒe akpa ɖesiaɖe, le wò akɔta te tututu. Togbɔ be eve le ame akpa gãtɔ si hã la, anya wɔ bliboe be woanɔ agbe le lãmesẽ me ne ayiku ɖeka koe le dɔ wɔm.

Dɔ vevitɔ si wò ayiku wɔnae nye be wòaɖe aɖinuwo ɖa le wò ŋutilã me . Bu wo be wonye ʋu si woɖena tsoa ʋu me ƒe mɔnu deŋgɔ aɖe: woɖea wò ʋu eye woɖea gbeɖuɖɔwo ɖa, eye emegbe woɖea wo doa goe abe aɖuɖɔ ene.

Ne wò ayikuwo mele dɔ wɔm nyuie o la, gbeɖuɖɔ siawo dzea ƒoƒo ɖe wò lãmenugbagbeviwo me gɔme. Esia nana nèsena le ɖokuiwò me be yeƒe lãme mekɔ o, eye ne womewɔ atike nɛ o la, ate ŋu awu ame mlɔeba. Gake abe alesi míegblɔe ene la, ne wolé be nɛ nyuie helé ŋku ɖe eŋu la, woate ŋu akpɔ nɔnɔme sia gbɔ dzidzedzetɔe.

Aleke gbegbee Ayikuwo ƒe Dɔmawɔmawɔ Bɔe?

Ayiku ƒe dɔmawɔmawɔ nyuie bɔ ŋutɔ. Le dukɔwo abe United States ene me la, ame siwo ade 750,000 ye wògblẽna ƒe sia ƒe, eye le xexeame katã la, ame miliɔn geɖe nɔa dɔléle sia lém. Le Sri Lanka hã la, ame geɖe dzea ŋgɔ nya sia, eye dɔléle siwo kpe ɖe eŋu abe suklidɔ kple ʋusɔgbɔdɔ ene ƒe bɔbɔ gbɔe wòtso koŋ.

Nukae Nye Ayikudɔléle ƒe Akpa Atɔ̃awo?

Be míanya afisi ayikudɔlélea le la, míeléa ŋku ɖe wò eGFR (Estimated Glomerular Filtration Rate) , si wodzidzena to ʋudodokpɔ me ŋu.

Kpuie ko la, eGFR dzidzea alesi wò ayikuwo le gbeɖuɖɔwo ƒom nyuie. Zi geɖe la, ame si le lãmesẽ me ƒe eGFR wu 90. Ne wò eGFR ɖiɖi ɖo ta 0 la, efia be ayikuawo ƒe dɔwɔwɔ ƒe ŋutete aɖeke megali kloe o.

Ayikudɔléle ƒe akpa vevi atɔ̃e li:

• Afɔɖeɖe I: Wò GFR ​​nye 90 alo esi wu nenema. Ayikuwo ate ŋu agblẽ vie, gake ayikuawo gakpɔtɔ le dɔ wɔm nyuie.
• Afɔɖeɖe II: Wò GFR ​​le 60 va ɖo 89. Nusiwo gblẽ la ɖe dzesi wu Afɔɖeɖe I, ke hã woyi edzi le dɔ wɔm nyuie.
• Afɔɖeɖe III: Wò GFR ​​le 30 va ɖo 59. Le afisia la, ayiku ƒe dɔwɔwɔ dzi ɖena kpɔtɔna le mɔ si sɔ nu va ɖo vevie.
• Afɔɖeɖe IV: Wò GFR ​​le 15 va ɖo 29. Ayiku ƒe dɔwɔwɔ gblẽna vevie le afɔɖeɖe sia me.
• Afɔɖeɖe V: Wò GFR ​​mede 15. Esia fia be ayiku ƒe dɔmawɔmawɔ nyuie kloe alo eƒe dɔmawɔmawɔ nyuie keŋkeŋ, eye zi geɖe la, dzesiawo dzena le afɔɖeɖe sia me.

Nukawoe Nye Ayikuwo ƒe Dɔmawɔmawɔ Nyuie ƒe Nuxlɔ̃amedzesi Kaba?

Zi geɖe la, le gɔmedzedzea me la, àte ŋu akpɔ dzesi aɖeke kura o alo esiwo nu mesẽ kura o koe nàkpɔ. Ne èse le ɖokuiwò me be yeƒe lãme sẽ hã la, ayikudɔléle si nɔa anyi didi (CKD) ate ŋu anɔ nu gblẽm le ame ŋu le ememe.

Dzesiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ne wò ayikuwo le agbagba dzem la, àte ŋu ade dzesi nu siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Ðeɖiteameŋu si nɔa anyi ɖaa. Esia de ŋgɔ wu ɖeɖiteameŋu ƒe seselelãme ko; enye ɖeɖiteameŋu deto si gbɔɖeme mekpɔa egbɔ o.
• Aɖuɖɔtoe kple aɖuɖɔtoe, zi geɖe la, nuɖuɖu megadzroa ame o.
• Esesẽna be susu nanɔ nu ŋu alo ahɔhɔ̃ me fuɖename. Sese le eɖokui me be yeƒe susu tɔtɔ alo yemate ŋu atsɔ yeƒe susu aɖo dɔwo ŋu o.
• Edema (ʋuʋudedi). Vevietɔ le wò asiwo, afɔkpodzi, alo ŋkuwo ŋu, vevietɔ ne èfɔ le ŋdi me.
• Tɔtrɔ siwo vaa aɖuɖɔtoe me. Ðewohĩ ahiã be nàɖe aɖuɖɔ enuenu, mègaɖe aɖuɖɔ edziedzi o, alo nàde dzesii be wò aɖuɖɔ le abe futukpɔ ene.
• Lãmetsiwo ƒe ʋuʋu alo lãmekawo ƒe ʋuʋu.
• Ŋutilã si ƒu alo esi le ʋuʋum.
• Ga vivi aɖe si le wò nu me alo nuɖuɖu megadzroa wò o.

Mègatsi dzodzodzoe ne dzesi siawo dometɔ ɖeka alo eve le ŋuwò o, gake ne woyi edzi la, ele be nàyi ɖɔkta gbɔ enumake . Ne èdo go nɔnɔme kpata aɖe la, ƒo ka na 911 alo yi dɔwɔƒe si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ.

Nukawoe Nye Nu Vevi Siwo Hea Ayikuwo ƒe Dɔmawɔmawɔ Gbɔe?

Nu vevi siwo gbɔ Ayikudɔléle si Nɔa Anyi Didi kple ayiku ƒe dɔmawɔmawɔ nyuie si kplɔe ɖo tsonae nyeSuklidɔ Kple Ʋusɔgbɔdɔ . Wo ame evea siaa nye nɔnɔme siwo bɔ, siwo dzi woate ŋu aɖu, siwo míekpɔna enuenu le Nirogi Lanka.

Ne suklidɔ le ŋuwò eye womekpɔ edzi nyuie o la, sukli si le wò ʋu me adzi ɖe edzi enuenu, si ana sukli nasɔ gbɔ ɖe lãme na wò. Ne agbɔsɔsɔ siawo gakpɔtɔ le dzidzim ɖe edzi ɣesiaɣi la, ate ŋu agblẽ nu le wò ayiku kple ŋutinu vevi bubuwo ŋu vevie le ɣeyiɣi aɖe megbe.

Ʋusɔgbɔdɔ, alo ʋusɔgbɔdɔ, dzɔna ne wozi ʋu dzi to wò ʋukawo me kple nyaƒoɖeamenu fũ akpa. Ne womewɔ atike na wò ɣeyiɣi didi o la, dɔléle sia si sɔ gbɔ wu ate ŋu agblẽ nu le wò ayiku ƒe lãkusi tsɛwo ŋu vevie.

Ayiku ƒe dɔmawɔmawɔ nyuie medzɔna le zã ɖeka me o. Nu bubu geɖewo hã li siwo gbɔ wòtsona:

• Polycystic Kidney Disease (PKD): Esia nye domenyiŋusẽfianu ƒe dɔléle si ƒe dome wonyi tso dzilawo gbɔ. Enaa kotoku siwo me tsi yɔ fũ, siwo woyɔna be cysts, tsina le ayikuawo me.
• Glomerular dɔlélewo: Nɔnɔme siawo kpɔa ŋusẽ ɖe ayiku ƒe ŋutete be wòaɖe gbeɖuɖɔwo ɖa le wò ʋu me nyuie.
• Ayikudɔ siwo dɔlélenutsiŋutete ŋutɔ wɔna: Le kpɔɖeŋu me, Lupus . Esia nye dɔléle si tsoa dɔlélenutsiŋutete gbɔ si me wò dɔlélenutsiŋutete dzea wò ŋutɔ wò lãmenugbagbevi siwo le lãmesẽ dzi dzi vodadatɔe. Esia ate ŋu ana ŋutinuwo nagblẽ, ƒunukpeƒewo nase veve, asrã, eye ŋutigbalẽ naxɔ dzo.

Ɣeaɖewoɣi la, ayiku ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ kabakaba le nusiwo womele mɔ kpɔm na o ta. Woyɔa esia be Ayiku ƒe Nuveviwɔame Sesẽ (AKI) . Le nɔnɔme sia me la, ayiku ƒe dɔwɔwɔ dzi ɖena kpɔtɔna kpata, zi geɖe le ŋkeke ʋɛ aɖewo ko me. Dzɔgbenyuietɔe la, nɔnɔme sia te ŋu trɔna zi geɖe.

Nusiwo gbɔ ayiku ƒe abixɔxɔ sesẽ tsona zi geɖe dometɔ aɖewoe nye:

• Atike aɖewo: Etɔxɛe la, vevesesenutsitike aɖewo zazã ɣeyiɣi didi.
• Tsikuɖiɖi sesẽ: Ne tsi si sɔ mele wò ŋutilã me o.
• Aɖuɖɔtoe ƒe xexe: Nɔnɔmewo abe ayiku me kpewo ene ate ŋu atso esia gbɔ.
• Dɔléle siwo le ɖoɖo nu si womeda o: Le kpɔɖeŋu me, dzidɔ alo aklãdɔ.

Nukawoe nye nusiwo ate ŋu ana ayiku nawɔ dɔ nyuie?

Ayiku ƒe dɔmawɔmawɔ nyuie ate ŋu agblẽ nu le ame sia ame ŋu. Gake àte ŋu anɔ afɔku gã aɖe me ne nusiwo gbɔna le ŋuwò:

• Suklidɔ le ŋuwò .
• Ʋusɔgbɔdɔ (ʋu ƒe sisi) le ŋuwò .
• Dzidɔ le ŋuwò .
• Ayikudɔ (si nye domenyiŋusẽfianu ƒe dɔléle) le ƒomea me .
• Wò ayikuwo ƒe wɔwɔme mesɔ o.
• Ameyibɔ alo Afrika Amerikatɔ ƒe dzidzimevi nènye (le domenyiŋusẽfianu tɔxɛ aɖewo ta).
• Èxɔ ƒe 60 kple edzivɔ .
• Èzãa vevesesenutsitikewo tso gbaɖegbe ke, vevietɔ NSAID (Nonsteroidal Anti-inflammatory Drugs) siwo womeƒlena le atikedzraƒe o .

Kuxi kawoe ayiku ƒe dɔmawɔmawɔ nyuie hena vɛ?

Wò ayikuwo wɔa dɔ veviwo. Ne wodo kpo nu la, ate ŋu ahe kuxi vovovowo vɛ, abe:

• Ʋusɔgbɔdɔ.
• Ʋusɔgbɔdɔ: Ayikuwo wɔa lãmetsi aɖe si kpena ɖe ʋumenugbagbevi dzĩwo ŋu. Ne wogblẽ la, nuwɔwɔ sia dzi ɖena kpɔtɔna.
• Ƒumeŋuɖui.
• Lãmetsi si ƒo xlã wò lãkusiwo.
• Lãmetsiŋusẽ ƒe gbegblẽ.
• Elektrikŋusẽ ƒe masɔmasɔ: Tɔtrɔ le mineral siwo le wò ʋu me abe sodium kple potassium ene ƒe agbɔsɔsɔ ŋu.

Taflatse mègasusui be ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesi fia nuwuwu o. Ne èwɔ ɖe wò ɖɔkta ƒe atikewɔwɔ ƒe ɖoɖo dzi pɛpɛpɛ—si ate ŋu anye atikewo zazã, asitɔtrɔ le agbenɔnɔ ŋu, kple mɔxexe ɖe dze kple nunyiame aɖewo ƒe nuɖuɖu nu—la, àte ŋu akpɔ nɔnɔme sia gbɔ nyuie. Gake aɖabaŋeŋe ƒu atikewɔlawo ƒe aɖaŋuɖoɖowo dzi ate ŋu ana wòagagblẽ ɖe edzi eye emetsonu siwo ate ŋu ade ame ƒe agbe afɔku me. Le Nirogi Lanka la, míele afisia be míado alɔ wò mɔzɔzɔ yi dɔdzikpɔkpɔ nyuie wu gbɔ.

Ðe ayiku ƒe dɔmawɔmawɔ nyuie ate ŋu ana ame nakua?

Ẽ, Ayikudɔléle si le Nuwuwu (ESKD) ate ŋu ade ame ƒe agbe afɔku me. Ke hã, abe ale si míegblɔe ene la, ne wowɔ atike na ame geɖe nyuie la, woate ŋu anɔ agbe blibo. Ele vevie ŋutɔ be míaɖo ŋku edzi be fifia la, ayiku ƒe dɔmawɔmawɔ nyuie ƒe atike blibo aɖeke meli o . Atikewɔwɔa ku ɖe wò ayiku ƒe dɔwɔwɔ si susɔ la ta kpɔkpɔ ɣeyiɣi didi alesi nàte ŋui kple hehe ɖe megbe ɖe edzi ŋu.

Aleke wowɔa dea dzesi ayiku ƒe dɔmawɔmawɔ nyuie?

Wò ɖɔkta azã dodokpɔ vovovowo atsɔ akpɔ alesi wò ayikuwo le dɔ wɔm nyuie. Ne wò ɖɔkta susui be ayiku ƒe dɔmawɔmawɔ nyuie le afɔku me la, zi geɖe la, adɔ nusiwo gbɔna:

• Ʋudodokpɔ: Esiawo dzidzea alesi wò ayikuwo le gbeɖuɖɔwo ɖem le wò ʋu me nyuie. Woɖea kpɔɖeŋu aɖe tso ʋuka aɖe si le wò alɔnu me eye wodaae kpɔ le dodokpɔxɔ me. Wotoa dodokpɔ sia dzi nyaa wò eGFR .
• Aɖuɖɔ dodokpɔ: Esiawo léa ŋku ɖe wò aɖuɖɔ me be nusiwo le abe protein alo ʋu ene le eme hã. Woabia tso asiwò be nàtsɔ eƒe kpɔɖeŋu aɖe ana le nugoe dzadzɛ aɖe me hena dodokpɔ le nudokpɔƒe.
• Nɔnɔmetatawo dodokpɔ: Esiawo nana wò ɖɔkta kpɔa wò ayiku le susu me be yeakpɔe ɖa be nusiwo mesɔ o alo mɔxenuwo hã le wo ŋu hã. Nɔnɔmetatawo dodokpɔ siwo bɔ dometɔ aɖewoe nye Kidney Ultrasound , CT Urogram , kple MRI .

Aleke wodaa ayiku ƒe dɔmawɔmawɔ nyuie?

Mɔnu si dzi woato ada ayiku ƒe dɔmawɔmawɔ nyuie nɔ te ɖe nusi gbɔ wòtso kple alesi wò dɔlélea nu sẽe dzi. Togbɔ be ayiku ƒe dɔmawɔmawɔ nyuie nye dɔléle sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me, si womate ŋu ada keŋkeŋ o hã la, atikewɔwɔ ƒe ɖoɖo nyuitɔ le Nirogi Lanka ate ŋu akpe ɖe ŋuwò nànɔ agbe didi wu, si me dzidzeme le wu esime nèle dzesiwo kple kuxiwo gbɔ kpɔm nyuie.

Ne wò ayiku ƒe dɔwɔwɔ le to yim vivivi la, wò lãmesẽnyawo gbɔ kpɔha alé ŋku ɖe wò lãmesẽ ŋu nyuie eye woawɔ mɔnu siwo dzi woato akpɔ dɔwɔwɔ si susɔ la ta ɣeyiɣi didi si woate ŋui. Esiawo ate ŋu anye:

• Ʋudodokpɔ edziedzi.
• Wò ʋu ƒe sisi dzi kpɔkpɔ ɣesiaɣi.
• Atike siwo woŋlɔ na wò siwo wowɔ ɖe wò hiahiãwo nu.

Ne èle End-Stage Kidney Failure me la, atikewɔwɔ veviedodotɔe le vevie be nàlé agbe ɖe te. Atikewɔwɔ ƒe mɔnu vevi eve li: Dialysis kple Kidney Transplantation .

Atike Siwo Wozãna Na Ayikuwo ƒe Dɔmawɔmawɔ nyuie

Le nusi na wò ayikudɔlélea nu la, wò ɖɔkta ate ŋu aŋlɔ nu siwo gbɔna la dometɔ ɖeka alo esi wu nenema na wò:

• Angiotensin-converting enzyme (ACE) inhibitors alo Angiotensin II receptor blockers (ARBs): Esiawo kpena ɖe ŋuwò nèkpɔa wò ʋu ƒe sisi dzi heɖea edzi.
• Aɖuɖɔtoemetikewo: Woyɔa esia zi geɖe be "tsitike," esiawo kpena ɖe wò ŋutilã ŋu wòɖea tsi si sɔ gbɔ ɖe eme ɖa.
• Statins: Wozãa esiawo tsɔ ɖea wò ʋumemi ƒe agbɔsɔsɔ dzi kpɔtɔna.
• Nusiwo doa ŋusẽ ʋumenugbagbeviɣidɔ: Ne ʋusɔgbɔdɔ le fu ɖem na wò la, esiawo kpena ɖe wò ŋutilã ŋu wòwɔa ʋumenugbagbevi dzĩwo.
• Vitamin D kple Calcitriol: Esiawo kpena ɖe ŋuwò nèkpɔa wò ƒu ƒe lãmesẽ ta eye wòxea mɔ na eƒe gbegblẽ.
• Phosphate binders: Esiawo kpena ɖe ŋuwò nèɖea phosphorus si sɔ gbɔ ɖe wò ʋukawo me ɖa.

Dialysis ƒe dɔwɔwɔ

Dialysis wɔa dɔ abe gotagome nusi wotsɔna tsia wò ʋu me ene, si naa wò ayikuwo kpɔa kpekpeɖeŋu si wohiã ne womegate ŋu wɔa dɔ le wo ɖokui si o. Wole ƒomevi vevi eve:

• Ʋumenugbagbeviɣidɔ: Le esia wɔwɔ me la, mɔ̃ aɖe ɖea wò ʋu ɖa. Dɔnɔ akpa gãtɔ wɔa atike sia le kɔdzi alo ʋumenugbagbeviɣidɔdaƒe tɔxɛ aɖe zi etɔ̃ va ɖo ene le kwasiɖa me. Ate ŋu axɔ adzɔ ŋutɔŋutɔ, elabena ahiã be nànɔ mɔ̃a ŋu gaƒoƒo geɖe le ɣeyiɣi ɖesiaɖe me.
• Peritoneal dialysis: Wodea catheter wò ƒodo me, si wɔnɛ be dialysis solution tɔxɛ aɖe sina yia wò ƒodo me. Lãmetsi sia xɔa gbeɖuɖɔ kple tsi si sɔ gbɔ ɖe eme, eye emegbe wogaɖea wo doa goe. Le go geɖe me la, woate ŋu awɔ ʋumenugbagbeviɣidɔ sia le wò ŋutɔ wò aƒeme.

Ayikuwo Dodo Ðe Ame Ŋu

Le Ayiku Dodokpɔ me la , amekola tsɔa ayiku si le lãmesẽ me si tso amesi na wò gbɔ la ɖɔlia wò ayiku si gblẽ. Lãmenugbagbevi sia si wotsɔ na ame ate ŋu atso amesi ku alo nunala gbagbe gbɔ. Àte ŋu anɔ agbe blibo si me lãmesẽ le kple ayiku ɖeka si le dɔ wɔm. Le amedodo megbe la, ahiã be nàno atike le wò agbemeŋkekewo katã me be wò ŋutilã nagagbe ŋutinu yeyea o.

Ðe woate ŋu ada ayiku ƒe dɔmawɔmawɔ nyuie le eƒe nuwuwua?

Wò ŋgɔdonya nɔ te ɖe nu vovovowo dzi. Ne ètsɔ ɖokuiwò na atikewɔwɔ la, àte ŋu anɔ agbe si me dzidzeme kple dzidzɔ le. Ke hã, ele be nàdzra ɖo ɖe nyateƒe si wònye be atikewɔwɔ ahiã le wò agbemeŋkekewo katã me ŋu. Taflatse miɖo ŋku edzi be, ayikudɔ kple kpododonu mate ŋu atrɔ o ; atikewɔwɔwo ku ɖe dɔlélea ƒe ŋgɔyiyi blewu kple dɔlélea dzi kpɔkpɔ ŋu.

Aleke woate ŋu axe mɔ ɖe ayiku ƒe dɔmawɔmawɔ nyuie nu?

Togbɔ be womate ŋu atrɔ ayikudɔléle si nɔa anyi didi (CKD) kple ayiku ƒe dɔmawɔmawɔ nyuie ɣesiaɣi o hã la, àte ŋu aɖe afɔ vevie atsɔ akpɔ wò ayiku ƒe dɔwɔwɔ si susɔ la ta. Numame kple ɖoɖowɔɖi nyuiwo xɔxɔ ate ŋu ana dɔlélea ƒe ŋgɔyiyi nagbɔdzɔ ŋutɔ.

Ne CKD le ŋuwò alo ayiku ƒe dɔmawɔmawɔ nyuie le afɔku me la, bu nusiwo gbɔna ŋu:

• Lé ŋku ɖe wò ayiku ƒe dɔwɔwɔ ŋu ɣesiaɣi (abe alesi wò ɖɔkta ɖo aɖaŋue ene).
• Ne suklidɔ le ŋuwò la, na wò ʋumesukli ƒe agbɔsɔsɔ nanɔ lãmesẽ me .
• Na wò ʋu ƒe sisi nanɔ abe alesi wòle ene, si le lãmesẽ me .
• Ƒo asa na atamanuwo katã , si me atamanono hã le.
• Ðe nuɖuɖu siwo me potassium kple sodium (dze) sɔ gbɔ ɖo dzi kpɔtɔ . Kpɔ wò ɖɔkta alo nuɖuɖuŋutinunyala gbɔ, elabena le dzɔdzɔme nu la, potassium sɔ gbɔ ɖe atikutsetse kple amagbe aɖewo me.
• De atikewɔwɔ ƒe ɣeyiɣi ɖesiaɖe si ŋu nèwɔ ɖoɖo ɖo kple wò lãmesẽdɔwɔla.

Nukae nàte ŋu akpɔ mɔ na ne ayiku megale dɔ wɔm nyuie o?

Atike aɖeke meli si woatsɔ ada ayiku ƒe dɔmawɔmawɔ nyuie o. Gake ne wokpɔ dɔlélea nyuie eye wowɔ atike nɛ ɣesiaɣi la, àte ŋu anɔ agbe didi si ŋu gɔmesese le evɔ màgblẽ nu boo aɖeke le wò agbenɔnɔ ƒe nyonyome ŋu o.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne afɔku aɖewo le wò ayiku ƒe dɔmawɔmawɔ nyuie me la, taflatse wɔ ɖoɖo be nàkpɔ wò ɖɔkta. Esia lɔ:

• Ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) le ŋuwò .
• Èdea dzesi tɔtrɔ siwo va le wò aɖuɖɔtoe me (abe aɖuɖɔtoe enuenu, aɖuɖɔ si mebɔ o, aɖuɖɔ si me futukpɔ le, alo ʋu si le wò aɖuɖɔ me ene).
• Èkpɔa ahɔhɔ̃ me afu alo wòsesẽna na wò be nàɖo nu ŋu.
• Èxɔa ʋuʋudedi alo ʋuʋudedi si nɔa anyi ɖaa .
• Wokpɔ suklidɔ le ŋuwò .
• Ayikudɔ le ŋuwò le ƒomea me .
• Èxɔ abi le ayiku me do ŋgɔ (le kpɔɖeŋu me, ayiku ƒe dɔmawɔmawɔ nyuie kpata).
• Èzãa vevesesenutsitike siwo ƒe ƒomevi nye NSAID enuenu .

Ne èle dzesi siawo dometɔ aɖe kpɔm la, mègaŋe aɖaba ƒu wo dzi o. Afɔɖeɖe si me nunya le wue nye be nàyi ɖɔkta gbɔ enumake aɖabia atikewɔla bibiwo ƒe aɖaŋuɖoɖo.

Nya Siwo Nàbia Wò Ðɔkta

Bu biabia siawo siwo ku ɖe ayiku ƒe dɔmawɔmawɔ nyuie ŋu me dzodzro kple wò lãmesẽdɔwɔla ŋu kpɔ:

• Aleke tututue wokpɔ nye ayiku ƒe dɔmawɔmawɔ nyuie?
• Ne menye ayiku ƒe dɔmawɔmawɔ nyuie o la, nɔnɔme bubu kawoe ate ŋu aɖe dzesi siawo me?
• Nuka gbɔe nye ayiku ƒe dɔmawɔmawɔ nyuie tso?
• Ðe wòhiã be woawɔ ʋumenugbagbeviɣidɔa?
• Dialysis ƒe mɔnu kae nèkafu nam?
• Ðe menye ame si sɔ be woado ayiku na amea?
• Atike kawoe nèkafu?
• Ðe wòle be mawɔ tɔtrɔ aɖewo koŋ le nye nuɖuɖu alo tsi si menona ŋua?
• Zi nenie wòhiã be made ɣeyiɣi siwo woɖo ɖi be makplɔe ɖo?

Ɣekaɣie Wòle Be Nàbu Beléle na Ame Siwo Wokpɔna Le Ame Siwo Dzɔna Le Ame Siwo Dzɔna Me Ŋu le Ayikuwo ƒe Dɔmawɔmawɔ nyuie ta?

Nyametsotso le ɣeyiɣi si me nàtrɔ ayi ame tsitsiwo dzi kpɔkpɔ me na ɖokuiwò alo wò lɔlɔ̃tɔ aɖe nye ame ŋutɔ ƒe tiatia vevie. Wò atikewɔlawo ƒe ƒuƒoƒo ate ŋu akpe ɖe ŋuwò nàfia mɔ wò ayi mɔ nyuitɔ si dzi nàto ayi wò nɔnɔme tɔxɛa dzi. Taɖodzinu vevitɔ si le ame tsitsiwo dzi kpɔkpɔ ŋue nye be woana akɔfafa, bubu, kple kpekpeɖeŋu le ayiku ƒe dɔmawɔmawɔ nyuie ƒe akpa siwo de ŋgɔ wu me. Le ayiku ƒe dɔmawɔmawɔ nyuie gome la, wobua ame tsitsiwo dzikpɔƒe ŋu zi geɖe ne atikewɔwɔwo abe ʋumenugbagbeviɣidɔ alo ayiku dodo na ame ene megawɔa dɔ nyuie o alo womeganye tiatia nyui aɖeke na dɔnɔa o.

Nu Vevi Siwo Wotsɔna Le Nirogi Lanka

Wò ayikuwo nye ŋutinu vevi siwo ƒe dɔe nye be woaɖe gbeɖuɖɔ kple tsi si sɔ gbɔ ɖe wò ŋutilã me ɖa. Ayiku ƒe dɔmawɔmawɔ nyuie fia be ŋutinu siawo megale woƒe dɔ veviwo wɔm o, si ate ŋu ade ame ƒe agbe afɔku me ne womede nu eme nyuie o. Ke hã, mègabu mɔkpɔkpɔ o; tiatia aɖewo abe ayiku ɖeɖeɖa alo ayiku dodo na ame ene ate ŋu akpe ɖe ŋuwò nàlé agbe nyui me ɖe asi. Wò belélename ƒe ɖoɖoa ate ŋu anye atikewo kple asitɔtrɔ tɔxɛ siwo nàwɔ le nuɖuɖu me. De wò atikewɔƒewo ɣesiaɣi. Ne nyabiase alo dzimaɖitsitsi aɖewo le asiwò ku ɖe wò atikewɔwɔ, atikewo, agbenɔnɔ ƒe tɔtrɔ, alo wò belélename ƒe ɖoɖoa ƒe akpa aɖe ŋu la, ƒo nu kple wò ɖɔkta gaglãa.

Nya veviwo: Ayiku ƒe dɔmawɔmawɔ nyuie, Ayikudɔ, Suklidɔ, Ʋusɔgbɔdɔ, Dialysis, Ayiku dodo