Nusiwo wòle be nànya tso Ayiku ƒe Dɔmawɔmawɔ nyuie ŋu!

Èbu dɔ si gbegbe ayiku sue eve siawo siwo le míaƒe ŋutilã me wɔna ŋu kpɔa? Ɣeaɖewoɣi la, ayiku siawo ate ŋu agblẽ. Ne edzɔ alea la, míeyɔnɛ be Ayiku ƒe Dɔmawɔmawɔ nyuie. Togbɔ be nya sia ate ŋu anye nyati si doa vɔvɔ̃ na ame aɖewo hã la, ele vevie be woanyae.

Nukae Nye Ayiku ƒe Dɔmawɔmawɔ?

Kpuie ko la, ayiku ƒe dɔmawɔmawɔ nyuie nye nɔnɔme si me wò ayiku ɖeka alo evea siaa mewɔa dɔ nyuie o. Esia fia be womate ŋu awɔ woƒe dɔ le wo ɖokui si o. Esia ate ŋu adzɔ le mɔ eve nu. Ðekae nye ayiku ƒe dɔmawɔmawɔ nyuie . Esia nye nɔnɔme si vaa ame dzi kpata. Gake ɣeaɖewoɣi la, enɔa anyi ɣeyiɣi kpui aɖe eye woate ŋu adae. Ƒomevi bubue nye ayiku ƒe dɔmawɔmawɔ nyuie atraɖii . Esia nye ayikuawo ƒe gbegblẽ vivivi le ɣeyiɣi aɖe megbe. Esiae nye nɔnɔme si bɔ ɖe ame akpa gãtɔ me wu.

Ayiku ƒe dɔmawɔmawɔ nyuie ƒe nɔnɔme sia ate ŋu ayi ŋgɔ vivivi va ɖo eƒe akpa mamlɛtɔ, si nye ayikudɔléle si nye Nuwuwu (ESKD) . Le nyateƒe me la, ne womewɔ atike na ESKD o la, ate ŋu ade ame ƒe agbe afɔku me. Ŋkeke alo kwasiɖa ʋɛ aɖewo koe ame si ŋu dɔléle sia le ate ŋu anɔ agbe ne womewɔ atike nɛ o. Gake mègatsi dzi o, ne wowɔ atike na ame nyuie la, woate ŋu akpɔ ayiku ƒe dɔmawɔmawɔ nyuie dzi eye wòanɔ agbe nyui.

Nukae dzɔna ɖe míaƒe ayikuwo dzi?

Azɔ na míakpɔ nusi ŋutinu siawo siwo woyɔna be ayiku wɔna ɖe míaƒe ŋutilã ŋu ɖa. Wò ayikuwo le abe gbe eve ene. Woƒe lolome anɔ abe wò asibidɛ ene. Ènya afisi wolea? Wole wò akɔta te tututu, ɖo ta megbe. Ayiku eve siwo wɔa dɔ nyuie le ame akpa gãtɔ si. Gake ne ayiku ɖeka wɔ dɔ nyuie la, àte ŋu anɔ agbe bɔbɔe.

Ayikuwo ƒe dɔ vevitɔe nye be wòaɖe aɖinuwo ɖa le míaƒe ŋutilã me . Bu wo be wonye nusi wotsɔna tsia nu me. Woɖea wò ʋu ɖa eye woɖea gbeɖuɖɔ siwo mèdi o ɖa le eme abe aɖuɖɔ ene (si míeyɔna hã be aɖuɖɔ ).

Eyata bu eŋu kpɔ, nukae adzɔ ne ayiku siawo mewɔa dɔ nyuie o? Gbeɖuɖɔ mawo ƒoa ƒu ɖe ŋutilãa me. Ne edzɔ alea la, èdzea dɔ gɔme, eye ne womewɔ atike nɛ o la, àte ŋu aku mlɔeba. Gake abe alesi megblɔe va yi ene la, ame akpa gãtɔ ate ŋu aɖu nɔnɔme sia dzi ne wodae nyuie.

Aleke gbegbe ayiku ƒe dɔmawɔmawɔ nyuie bɔe?

Na míakpɔ alesi gbegbe woyɔa nɔnɔme sia be ayiku ƒe dɔmawɔmawɔ nyuie ɖa. Le dukɔ abe Amerika ene me la, dɔléle sia dzea ame siwo ade 7.5 lakh dzi ƒe sia ƒe. Ne èlé ŋku ɖe xexeame godoo la, ame siwo ade miliɔn 2 ye le dɔléle sia lém. Ame ʋɛ aɖewo ŋutɔe le míaƒe dukɔa hã me, vevietɔ le esi dɔlélewo abe suklidɔ kple ʋusɔgbɔdɔ ene bɔ ta.

Nukawoe nye ayikudɔléle ƒe akpa atɔ̃awo?

Ne míeƒo nu tso ayikudɔléle ƒe afɔɖeɖewo ŋu la, míeléa ŋku ɖe wò eGFR (Estimated Glomerular Filtration Rate) ŋu.Woyɔa asixɔxɔa. Esia nye ʋudodokpɔ.

Kpuie ko la, eGFR nye alesi wò ayikuwo tsia nuwo me nyuie ƒe dzidzenu. Zi geɖe la, ame si le lãmesẽ me ƒe eGFR wua 90. Ne eGFR nye 0 la, efia be ayikuawo mele dɔ wɔm kura o.

Ayikudɔléle ƒe akpa vevi atɔ̃e li:

• Afɔɖeɖe I: Wò GFR ​​wu 90. Le ɣeyiɣi sia me la, wò ayikuwo le dɔ wɔm nyuie, togbɔ be nu gblẽ le eŋu vie hã.
• Afɔɖeɖe II: Wò GFR ​​ate ŋu anɔ 60 va ɖo 89. Ayikuwo gblẽ wu le afɔɖeɖe I me, gake wogale dɔ wɔm nyuie kokoko.
• Afɔɖeɖe III: Wò GFR ​​ate ŋu anɔ 30 va ɖo 59. Le afɔɖeɖe sia me la, ayiku ƒe dɔwɔwɔ ate ŋu anɔ bɔbɔe alo wòasẽ ŋutɔ.
• Afɔɖeɖe IV: Wò GFR ​​ate ŋu anɔ 15 va ɖo 29. Afi siae ayiku ƒe dɔwɔwɔ dzi ɖena kpɔtɔna ŋutɔ le.
• Afɔɖeɖe V: Wò GFR ​​mede 15. Esia fia be wò ayikuwo gogo alo wodo kpo nu keŋkeŋ. Zi geɖe la, ɣeyiɣi sia mee dzesiawo dzea egɔme dzena.

Nukawoe nye ayiku ƒe dɔmawɔmawɔ nyuie ƒe nuxlɔ̃amedzesi kaba?

Zi geɖe la, ayikudɔléle kaba mekpɔa dzesi aɖeke o , alo dzesi siwo mesẽ o koe wòdzena. Gake ne mède dzesi naneke o hã la, ayikudɔléle si nɔa anyi didi (CKD) ate ŋu agblẽ nu le ame ŋu tso ememe.

Ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ne wò ayikuwo mele dɔ wɔm nyuie o la, di dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Ðeɖiteameŋu ƒe seselelãme si gbɔ eme (ɖeɖiteameŋu). Menye ɖeɖiteameŋu ɖeɖeko o, ke boŋ ɖeɖiteameŋu si medzona o eɖanye aleke kee nèdɔ alɔ̃ o.
• Aɖuɖɔtoe kple ʋuʋudedi. Esia ate ŋu akplɔ nuɖuɖu ƒe dzodzro ƒe vɔvɔ ɖo.
• Sese le eɖokui me be yetɔtɔ alo be yeƒe susu nanɔ nu ŋu. Kpɔe ɖa le susu me be yeƒe ta le ƒoƒom vie, eye màte ŋu atsɔ susu aɖo nane ŋu o.
• Ʋuʋudedi (edema). Vuvu, vevietɔ le asiwo, afɔkpodzi, alo mo ŋu. Ame aɖewo gblɔna be yewoƒe ŋkuwo vuvu ne yewofɔ le ŋdi me.
• Tɔtrɔ le zi nenie nèɖea aɖuɖɔ ŋu. Ðewohĩ ahiã be nàɖe aɖuɖɔ zi geɖe alo aɖuɖɔ si nètona la dzi aɖe akpɔtɔ. Ðewohĩ aɖuɖɔ si me futukpɔ le hã anɔ ŋuwò.
• Lãmetsiwo ƒe ʋuʋu alo lãmekawo ƒe ʋuʋu.
• Ŋutilã si ƒu alo esi le ʋuʋum.
• Nuɖuɖu ƒe dzodzro ƒe vɔvɔ, alo ga ƒe vivi si le nu me.

Mègavɔ̃ be ayiku me gblẽ le ye ŋu le esi dzesi siawo dometɔ ɖeka alo eve le ye ŋu ta ko o. Gake ne nusiawo gakpɔtɔ li la, ele be nàkpɔ ɖɔkta godoo .

Nukawo koŋ gbɔe ayiku ƒe dɔmawɔmawɔ nyuie tsona?

Nu vevi eve siwo gbɔ ayikudɔléle si nɔa anyi didi kple ayiku ƒe dɔmawɔmawɔ nyuie tsonae nye suklidɔ kple ʋusɔgbɔdɔ . Esiawo evea siaa nye dɔléle siwo bɔ ŋutɔ le míaƒe dukɔa me.

Ne suklidɔ le ŋuwò, ne womeɖu edzi nyuie o la, sukli ƒe agbɔsɔsɔ le wò ʋu me anɔ kɔkɔm ɣesiaɣi (suklidɔ ƒe agbɔsɔsɔ fũ). Ne sukli ƒe agbɔsɔsɔ le ʋu me gakpɔtɔ le dzi yim la, ate ŋu agblẽ nu le wò ayiku kple ŋutinu bubuwo ŋu.

Ʋusɔgbɔdɔ fia be ʋu le zɔzɔm to ʋukawo me sesĩe akpa, sesẽ akpa. Ne womewɔ atike nɛ ɣeyiɣi didi o la, ŋusẽ sia si sɔ gbɔ wu ate ŋu agblẽ nu le ayikuawo ƒe lãkusiwo ŋu.

Ayiku ƒe dɔmawɔmawɔ nyuie menye nusi dzɔna kpata o. Nu bubuwo hã li siwo ate ŋu akpɔ ŋusẽ ɖe edzi:

• Polycystic Kidney Disease (PKD): Esia nye domenyiŋusẽfianu ƒe dɔléle si ƒe dome wonyi tso dzilawo dometɔ ɖeka gbɔ. Le esia me la, ƒunukpeƒetetedɔ (cysts) siwo me tsi yɔ fũu la dzɔna le ayikuawo me.
• Glomerular dɔlélewo: Dɔléle siawo gblẽa nu le ayiku ƒe ŋutete be wòaɖe gbeɖuɖɔwo ɖa.
• Ayikudɔ siwo dɔlélenutsiŋutete ŋutɔ wɔna: Le kpɔɖeŋu me, dɔléle aɖe si woyɔna be lupus . Esia nye dɔléle si dɔlélenutsiŋutete wɔna, si fia be ŋutilãa ƒe dɔlélenutsiŋutete dzea eya ŋutɔ ƒe lãmenugbagbeviwo dzi. Esia ate ŋu ana ŋutinuwo nagblẽ, ƒunukpeƒewo nase veve, asrã, eye ŋutigbalẽ naxɔ abi.

Ɣeaɖewoɣi la, ayiku ƒe dɔmawɔmawɔ nyuie ate ŋu adzɔ kpata le susu aɖe si womele mɔ kpɔm na o ta. Woyɔa esia be Ayiku ƒe Nuveviwɔame Sesẽ . Le go sia me la, kasia ayikuawo megate ŋu wɔa dɔ o. Nɔnɔme sia ate ŋu adzɔ le ŋkeke ʋɛ aɖewo megbe. Gake zi geɖe la, enɔa anyi ɣeyiɣi kpui aɖe ko.

Nusiwo gbɔ ayiku ƒe dɔmawɔmawɔ nyuie kpata tsona zi geɖee nye:

• Atike aɖewo, vevietɔ vevesesenutsitike aɖewo, ate ŋu ahe esia vɛ.
• Tsikuɖiɖi sesẽ. Ne tsi mesɔ gbɔ le ŋutilãa me o.
• Aɖuɖɔtoe ƒe mɔxexe. Esia ate ŋu atso nane abe aɖuɖɔtoe me kpe ene gbɔ.
• Dɔléle siwo le ɖoɖo nu siwo womeda o. Le kpɔɖeŋu me, dzidɔ alo aklãdɔ.

Nukawoe nye nusiwo ate ŋu ana ayiku nawɔ dɔ nyuie?

Amesiame ate ŋu axɔ ayiku ƒe dɔmawɔmawɔ nyuie. Gake àte ŋu adze afɔku geɖe wu ne nusiwo gbɔna dometɔ aɖe le ŋuwò:

• Ne suklidɔ le ŋuwò la .
• Ne ʋusɔgbɔdɔ (ʋusɔgbɔdɔ) le ŋuwò .
• Ne dzidɔ le ŋuwò la .
• Ne ayikudɔ (si nye domenyiŋusẽfianu ƒe dɔléle) nɔ wò ƒomea me tɔ aɖe ŋu .
• Ne wò ayikuwo ƒe wɔwɔme mesɔ o .
• Ne ameyibɔe nènye (le domenyiŋusẽfianu aɖewo ta).
• Ne èxɔ wu ƒe 60 la .
• Ne èle vevesesenutsitikewo zãm ɣeyiɣi didi aɖe la , vevietɔ NSAID (Nonsteroidal Anti-inflammatory Drugs) siwo nàte ŋu axɔ bɔbɔe tso atikedzraƒe.

Kuxi kawoe ayiku ƒe dɔmawɔmawɔ nyuie hena vɛ?

Ayikuwo wɔa dɔ vovovowo le míaƒe ŋutilã me. Eyata ne ayikuawo do kpo nu la, ate ŋu ahe kuxi vovovowo vɛ. Le kpɔɖeŋu me:

• Ʋusɔgbɔdɔ.
• Ʋusɔgbɔdɔ. Ema fia be ʋu ƒe anyimanɔmanɔ. Ayikuawo wɔa lãmetsi aɖe si kpena ɖe ame ŋu wòwɔa ʋumenugbagbevi dzĩwo. Ne ayikuawo gblẽ la, edzi ɖena kpɔtɔna.
• Ƒumeŋuɖui.
• Lãmetsi si ƒo xlã wò lãkusiwo.
• Lãmetsiŋusẽ ƒe gbegblẽ.
• Elektrikŋusẽ ƒe dadasɔmakpɔmakpɔ. Esia nye tɔtrɔ le dze abe sodium kple potassium ƒe agbɔsɔsɔ si le ʋua me ŋu.

Gake mègasusui be esi wokpɔ ayiku ƒe dɔmawɔmawɔ nyuie le ŋuwò ta la, àku o. Ne èwɔ ɖe wò ɖɔkta ƒe atikewɔwɔ ƒe ɖoɖo dzi—si ate ŋu anye atikewo, agbenɔnɔ ƒe tɔtrɔ, kple dze kple nuɖuɖu aɖewo dzi ɖeɖe kpɔtɔ—la, àte ŋu akpɔ wò nɔnɔmea gbɔ nyuie. Gake ne mèɖo to wò ɖɔkta o la, wò ayiku ate ŋu agblẽ ɖe edzi eye àte ŋu aku gɔ̃ hã.

Ðe ayiku ƒe dɔmawɔmawɔ nyuie le eƒe nuwuwu ate ŋu ahe ku vɛa?

Ẽ, ayikudɔléle si le eƒe nuwuwu (ESKD) ate ŋu awu ame. Gake abe alesi megblɔe va yi ene la, ne wowɔ atike nɛ nyuie la, ame akpa gãtɔ ate ŋu anɔ agbe kple ayiku ƒe dɔmawɔmawɔ nyuie. Nu vevitɔ si dzi wòle be míaɖo ŋkui enye be ayiku ƒe dɔmawɔmawɔ nyuie ƒe atike aɖeke meli o . Ema fia be ne woda dɔ na wò gɔ̃ hã la, wò ayikuwo mawɔ dɔ abe alesi wowɔe hafi dɔlélea va dze dziwò ene o. Dɔdamɔnua ƒe taɖodzinue nye be wòalé wò ayiku ƒe dɔwɔwɔ si susɔ la ta ɣeyiɣi didi alesi wòanya wɔe eye wòana woƒe gbegblẽ kabakaba nagbɔdzɔ.

Aleke wowɔa dea dzesi ayiku ƒe dɔmawɔmawɔ nyuie?

Ðɔkta ate ŋu azã ayiku ƒe dɔwɔwɔ dodokpɔ vovovowo atsɔ akpɔ alesi wò ayikuwo le dɔ wɔm eye wòanya ne ayiku me gblẽ. Ne wò ɖɔkta susui be ayiku ƒe dɔmawɔmawɔ nyuie le afɔku me la, dodokpɔ siawoe wowɔna zi geɖe:

• Ʋudodokpɔ: Esiawo léa ŋku ɖe alesi wò ayikuwo le gbeɖuɖɔwo ɖem le wò ʋu me nyuie ŋu. Ðɔkta tsɔa aŋe tsɛ aɖe ɖea ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Emegbe wodoa ʋua kpɔna le dodokpɔxɔ me. Wozãa ʋudodokpɔ sia hã tsɔ léa ŋku ɖe eGFR ƒe xexlẽme si míeyɔ va yi ŋu.
• Aɖuɖɔtoe dodokpɔ: Esiawo dzidzea nu aɖewo le wò aɖuɖɔ me, abe protein alo ʋu ene. Ahiã be nàɖe aɖuɖɔ ɖe nugoe tɔxɛ aɖe me le ɖɔkta ƒe dɔwɔƒe alo kɔdzi. Emegbe woado aɖuɖɔ si woɖe tso eme la akpɔ le dodokpɔxɔ me.
• Nɔnɔmetatawo dodokpɔ: Dodokpɔ siawo na ɖɔkta léa ŋku ɖe wò ayiku kple nuto siwo ƒo xlãe ŋu be yeakpɔe ɖa be nanewo mesɔ o alo xe mɔ ɖe enu hã. Nɔnɔmetatawo dodokpɔ siwo bɔ dometɔ aɖewoe nye ayiku ƒe ultrasound , CT urogram, kple MRI .

Aleke wodaa ayiku ƒe dɔmawɔmawɔ nyuie?

Ayiku ƒe dɔmawɔmawɔ nyuie dada nɔ te ɖe nusi gbɔ nɔnɔmea tso kple eƒe sesẽ dzi. Ðɔktawo mate ŋu ada ayiku ƒe dɔmawɔmawɔ nyuie keŋkeŋ o, eye enye dɔléle si ate ŋu ade ame ƒe agbe afɔku me. Gake atikewɔwɔ ate ŋu akpe ɖe ŋuwò nànɔ agbe didi eye nàkpɔ dzesiwo kple kuxiwo gbɔ.

Ne wò ayikuwo le dɔ wɔm vivivi la, ɖɔkta ate ŋu azã mɔnu vovovo geɖe atsɔ alé ŋku ɖe wò lãmesẽ ŋu ahalé ayikuwo ƒe dɔwɔwɔ me ɖe asi ɣeyiɣi didi si wòanya wɔ. Mɔnu siawo ate ŋu anye:

• Ʋudodokpɔ enuenu.
• Ʋu ƒe sisi me léle kpɔ edziedzi.
• Atikewo.

Ne ayiku ƒe dɔmawɔmawɔ nyuie le wò nuwuwu la , ehiã be woawɔ atike na wò be nànɔ agbe. Atike vevi eve li na ayiku ƒe dɔmawɔmawɔ nyuie: ayiku ɖeɖeɖa kple ayiku dodo na ame .

Atike siwo wozãna na ayiku ƒe dɔmawɔmawɔ nyuie

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

• Angiotensin-converting enzyme (ACE) inhibitors alo angiotensin II receptor blockers (ARBs): Atike siawo kpena ɖe ŋuwò nèɖea wò ʋu ƒe sisi dzi kpɔtɔna.
• Aɖuɖɔtoemetikewo: Esiawo kpena ɖe ame ŋu wòɖea tsi si sɔ gbɔ ɖe ŋutilãa me ɖa. Ame aɖewo hã yɔa esiawo be ‘tsitike’.
• Statins: Esiawo kpena ɖe ŋuwò nèɖea ʋumemi ƒe agbɔsɔsɔ dzi kpɔtɔna.
• Erythropoietin-stimulating agents: Esiawo kpena ɖe ame ŋu be ʋumenugbagbevi dzĩwo nate ŋu awɔ ne ʋusɔgbɔdɔ le ŋuwò.
• Vitamin D kple Calcitriol: Esiawo kpena ɖe ame ŋu be ƒuwo nagagblẽ o.
• Phosphate binders: Esiawo kpena ɖe ŋuwò nèɖea phosphorus si sɔ gbɔ ɖe wò ʋu me ɖa.

Dialysis ƒe dɔwɔwɔ

Dialysis nye mɔnu si dzi nàto akpe ɖe wò ŋutilã ŋu wòaɖe ʋu. Bu eŋu abe alesi nàna wò ayikuwo nagbɔ ɖe eme ale be mahiã be woawɔ dɔ sesĩe nenema o ene. Dialysis ƒomevi eve li:

• Hemodialysis: Esia nye mɔ̃ si kɔa wò ʋu ŋu edziedzi. Ame geɖe siwo ƒe ayiku mewɔa dɔ nyuie o la yia kɔdzi alo ʋumenugbagbeviɣidɔdaƒe hena ʋumenugbagbeviɣidɔ wɔwɔ ŋkeke etɔ̃ va ɖo ene le kwasiɖa me. Esia ate ŋu ate ɖeɖi ŋuwò vie, elabena ele be nàtsɔe aƒo ka na mɔ̃a gaƒoƒo geɖe le ɣeyiɣi ɖeka me.
• Aɖuɖɔtoe me tsi si woɖena le lãme na ame:Le dɔ sia wɔwɔ me la, ɖɔkta dea mɔ̃ sue aɖe (catheter) wò ƒodo ƒe ŋutigbalẽ te eye wòtsɔnɛ doa ka kple akplo si me tsi si woɖena le ƒodo me le. Lãmetsi sia sina tso akploa me yia wò ƒodo me, afisi wòɖea gbeɖuɖɔ kple tsi bubu ɖa le eye wòtrɔna yia akploa me. Ɣeaɖewoɣi la, woate ŋu awɔ dɔlékuiwutike le aƒeme.

Ayikuwo Dodo Ðe Ame Ŋu

Le ayiku dodo me la, amekola tsɔa ayiku si le lãmesẽ me ɖɔlia wò ayiku si gblẽ. Ayiku sia si le lãmesẽ me (ame si naa ayiku) ate ŋu atso ame si ku alo ame gbagbe si naa ayiku gbɔ. Àte ŋu anɔ agbe nyuie ne ayiku ɖeka le lãmesẽ me. Ne wodo ayiku na wò la, ahiã be nàno atike le wò agbemeŋkekewo katã me be wòagagblẽ ayiku si wodo na wò la nu o. Atike siawo wɔa dɔ be wò ŋutilã nagagbe ayiku yeyea o.

Ðe wòanya wɔ be woahaya tso ayiku ƒe dɔmawɔmawɔ nyuie le eƒe nuwuwu mea?

Enɔ te ɖe nu geɖe dzi. Ne wowɔ atike na wò nyuie la, àte ŋu anɔ agbe si me dzidzɔ le, si me dzidzeme le. Ke hã, ele be nàkpɔ mɔ be yeahiã atikewɔwɔ le yeƒe agbemeŋkekewo katã me. Ðo ŋku edzi be womate ŋu atrɔ ayikudɔ alo ayiku ƒe dɔmawɔmawɔ nyuie o , ɖeko woate ŋu awɔe blewu.

Aleke woawɔ axe mɔ ɖe ayiku ƒe dɔmawɔmawɔ nyuie nu?

Togbɔ be womate ŋu atrɔ ayiku ƒe dɔmawɔmawɔ nyuie kple ayikudɔléle si nɔa anyi didi (CKD) o hã la, nanewo li nàte ŋu awɔ atsɔ akpɔ wò ayiku ƒe dɔwɔwɔ ta. Lãmesẽ ƒe numamewo kple ɖoɖowɔɖiwo ate ŋu ana wò ayikuwo nagawɔ dɔ o.

Ne CKD alo ayiku ƒe dɔmawɔmawɔ nyuie le ŋuwò la, anyo be nàwɔ nusiawo:

• Lé ŋku ɖe wò ayiku ƒe dɔwɔwɔ ŋu edziedzi (do wo kpɔ abe alesi wò ɖɔkta kafui ene).
• Ne suklidɔ le ŋuwò la, na sukli ƒe agbɔsɔsɔ si le ʋu me nanɔ agbɔsɔsɔ si sɔ me .
• Na wò ʋu ƒe sisi nanɔ afisi wòle be wòanɔ .
• Ƒo asa na atamanuwo (abe atamanono ene) zazã.
• Ƒo asa na nuɖuɖu siwo me potassium kple sodium (dze) sɔ gbɔ ɖo . Anyo wu be nàbia ɖɔkta alo nuɖuɖuŋutinunyala tso esia ŋu, elabena potassium sɔ gbɔ ɖe atikutsetse kple amagbe aɖewo hã me.
• Kpɔ egbɔ be yeyi ɣeyiɣi ɖesiaɖe si nèɖo be yeawɔ kple yeƒe ɖɔkta.

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

Atike blibo aɖeke meli na ayiku ƒe dɔmawɔmawɔ nyuie o. Gake ne wokpɔ dɔlélea nyuie hedae nyuie la, àte ŋu anɔ agbe didi wu evɔ tɔtrɔ boo aɖeke manɔ wò agbenɔnɔ ƒe nyonyome ŋu o.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne nusiwo ate ŋu ana ayiku nawɔ dɔ nyuie le ŋuwò la, ke yi ɖɔkta gbɔ. Ema fia be:

• Ne ʋusɔgbɔdɔ le ŋuwò la .
• Ne ède dzesi tɔtrɔ le wò aɖuɖɔtoe me (aɖuɖɔɖɔɖɔ enuenu, aɖuɖɔtoe si mebɔ o, aɖuɖɔtoe si me futukpɔ le, ʋu).
• Ne ahɔhɔ̃ me kuɖiɖi alo susu tsɔtsɔ ɖo nu ŋu sesẽ na wò.
• Ne ʋuʋudedi alo ʋuʋudedi le ŋuwò la .
• Ne suklidɔ le ŋuwò la .
• Ne ayikudɔ dze ame aɖe dzi le wò ƒomea me la .
• Ne ayiku ƒe kuxi aɖe nɔ ŋuwò va yi (e.g., ayiku ƒe dɔmawɔmawɔ nyuie kpata).
• Ne ènoa NSAID-tikewo edziedzi la .

Ne nane le asiwò abe esia ene la, mègaŋe aɖaba ƒu edzi o. Nunya le eme be nàkpɔ ɖɔkta kaba ale si nàte ŋui ahaxɔ aɖaŋuɖoɖo.

Nya kawoe wòle be nàbia ɖɔktaa?

Bu nya siawo biabia wò ɖɔkta tso ayiku ƒe dɔmawɔmawɔ nyuie ŋu kpɔ:

• Aleke nèwɔ nyae kple kakaɖedzi be ayiku ƒe dɔmawɔmawɔ nyuie le ŋunye?
• Ne ayiku ƒe dɔmawɔmawɔ nyuie mele ŋunye o la, nɔnɔme bubu kae ate ŋu anɔ ŋunye?
• Nukae le nye ayiku ƒe dɔmawɔmawɔ nyuie hem vɛ?
• Ðe wòhiã be woawɔ ʋumenugbagbeviɣidɔa?
• Dialysis ka ƒomevie nèkafu?
• Ðe mesɔ na ayiku dodo na amea?
• Atike ka ƒomevie nèkafu nam?
• Ðe wòhiã be mawɔ tɔtrɔ aɖewo le nye nuɖuɖu ŋua?
• Zi nenie wòhiã be mava be mawɔ atike nɛ?

Ɣekaɣie wòle be woabu beléle na dɔnɔdzikpɔƒe ŋu le ayiku ƒe dɔmawɔmawɔ nyuie ƒe nɔnɔmewo me?

Nyametsotso le ɣeyiɣi si me wò alo wò lɔlɔ̃tɔa naxɔ beléle na ame tsitsiwo ŋu nye ame ŋutɔ ƒe nyametsotso. Wò atikewɔlawo ƒe ƒuƒoƒo ate ŋu akpe ɖe ŋuwò nàtso nya me le nusi anyo na wò nɔnɔmea ŋu. Taɖodzinu si le beléle na ame tsitsiwo ŋue nye be woana akɔfafa kple kpekpeɖeŋu amesiwo ŋu dɔléle si le eƒe nuwuwu, abe ayiku ƒe dɔmawɔmawɔ nyuie ene le. Zi geɖe la, beléle na ame tsitsiwo le ayiku ƒe dɔmawɔmawɔ nyuie me dzɔna ne atikewɔwɔwo abe ayiku ɖeɖeɖa alo ayiku dodo na ame ene megawɔa dɔ o alo womate ŋu awɔe o.

Eyata nu kawo dzie wòle be míaɖo ŋkui tso nusiawo katã me?

Ayikuwo nye ŋutinu veviwo le míaƒe ŋutilã me. Woɖea gbeɖuɖɔwo kple tsi si sɔ gbɔ wu ɖa. Ne wò ayikuwo mewɔ dɔ nyuie o la, efia be womele dɔ wɔm nyuie o. Ne womewɔ atike na esia o la, ate ŋu awu ame. Gake mègatsi dzi o, ʋumenugbagbeviɣidɔ alo ayiku dodo na ame ate ŋu akpe ɖe ŋuwò nàyi edzi anɔ agbe nyui. Wò atikewɔwɔ ƒe ɖoɖoa ate ŋu anye atikewo nono kple nuɖuɖu tɔxɛ aɖe dzi wɔwɔ. Kpɔ egbɔ be yewɔ ɣeyiɣi siwo katã nèwɔ na wò ɖɔkta. Ne nyabiase alo dzimaɖitsitsi aɖewo le asiwò ku ɖe wò atikewɔwɔ, atikewo, agbenɔnɔ ƒe tɔtrɔ, alo nu bubu aɖe si le wò atikewɔwɔ ƒe ɖoɖoa me ŋu la, ƒo nu kple wò ɖɔkta.

` Ayiku ƒe dɔmawɔmawɔ nyuie, ayikudɔ, suklidɔ, ʋusɔgbɔdɔ, ʋumenugbagbeviɣidɔ, ayiku dodo na ame