Egbea míele nu ƒom tso nɔnɔme aɖe si me afɔku le si mía vi suewo ate ŋu axɔ ŋu, gake ɖewohĩ míenyae nyuie o. Ɣeaɖewoɣi ne míekpɔ ɖevi aɖe si ƒe ƒodo lolo eye eƒe abɔwo le ƒuƒlu la, míesusuna be nu bubu aɖe ate ŋu agblẽ. Gake esia ate ŋu anye nunyiame ƒe veve vevie si woyɔna be (Kwashiorkor) . Eyata, ele vevie ŋutɔ be nànya esia.
Nukae nye Kwashiorkor? Mina míase egɔme bɔbɔe.
Kpuie ko la, Kwashiorkor nye dɔléle si protein ƒe anyimanɔmanɔ vevie hena vɛ . Protein le vevie na míaƒe ŋutilã ƒe tsitsi, vevietɔ ɖevi suewo. Eyata, Kwashiorkor dzɔna ne ŋutilãa mexɔ protein kple nunyiame sue vevi aɖewo ƒe agbɔsɔsɔ si hiã o.
Nusi dzɔna le go sia mee nye be ne protein mesɔ gbɔ o la, ŋutilãa ƒe lãkusiwo ƒoa tsi nu ƒu hevuvuna. Míeyɔa esia be `(edema)` le atikewɔwɔ me. Vuvu siae nye nɔnɔme vevitɔ si na Kwashiorkor to vovo tso nunyuimakpɔɖu ƒe nɔnɔme bubuwo gbɔ. Àte ŋu akpɔe be ɖevia ƒe abɔwo le sue, gake asiwo, afɔwo, mo, kple vevietɔ dɔgbo ya vuvu. Ne ame si menya nu tso eŋu o kpɔ dɔgbo ma si vuvu la, ɣeaɖewoɣi ate ŋu abui be ɖevia ɖu nu nyuie eye wòɖi ƒo. Gake le nyateƒe me la, nunyuimakpɔɖu sesẽ aɖe le fu ɖem nɛ .
Amekae nɔnɔme sia gblẽa nu le wu (Kwashiorkor)?
Kwashiorkor nye nɔnɔme si ƒã hafi wokpɔna le dukɔ deŋgɔwo abe Europa kple Amerika ene me. Wokpɔnɛ zi geɖe le dukɔ madeŋgɔwo me. Afɔkua lolo wu le dukɔ siwo me ahedada, nuɖuɖu ƒe veve, dzadzɛnyenye ƒe anyimanɔmanɔ, kple dɔléle siwo xɔa ame me bɔ ɖo me.
Togbɔ be Kwashiorkor ate ŋu adze amesiame si xɔ ƒe ɖesiaɖe dzi hã la, edzea ɖevi suewo dzi wu, vevietɔ amesiwo xɔ tso ƒe 3 va ɖo 5. Ƒe sia mee woɖea no na ɖevi akpa gãtɔ le no me eye wotsɔa nuɖuɖu bubuwo dea wo me. Ɣeaɖewoɣi la, nuɖuɖu si wonana wo ate ŋu anye esi me carbohydrates sɔ gbɔ ɖo (i.e. nuɖuɖu siwo me starch le abe bli, abolo, kple mɔli) gake protein kple nunyiame bubuwo mesɔ gbɔ ɖe eme o. Esiae nye esime kuxia va bɔ ɖe edzi.
Vovototo kae le (Kwashiorkor) kple (Marasmus) dome?
Fifia ɖewohĩ ànɔ ɖokuiwò biam be, ɖe Kwashiorkor koe nye nunyuimakpɔɖui sesẽa? Ao, bubu aɖe hã li si woyɔna be Marasmus . Kwashiorkor kple Marasmus nye protein-ŋusẽ ƒe nunyuimakpɔɖu sesẽ ƒomevi eve siwo lãmesẽdɔwɔlawo de dzesii le xexeame godoo.
Vovototo vevitɔ si le eve siawo domee nye:
- Kwashiorkor nye protein ƒe anyimanɔmanɔ koŋ .
- Marasmus nye nɔnɔme si me nunyiame gãwo katã, abe protein, carbohydrates, kple ami ene, dzi ɖena kpɔtɔna, si fia be woɖea calorie siwo katã woɖuna dzi kpɔtɔna.
Kpuie ko la, ne èkpɔ ame aɖe si ŋu marasmus le la, eƒe ƒuwo nɔa tsɛ ŋutɔ. Zi geɖe la, womele nuɖuɖumeŋusẽ si sɔ xɔm o. Wole nu ɖum vie ko, alo woƒe ŋutilã le ŋusẽ geɖe zãm (le kpɔɖeŋu me, tso nane abe aɖuɖɔtoe si nɔa anyi ɖaa ene gbɔ), alo evea siaa. Gake adze abe amesi ŋu kwashiorkor le la mele nuɖuɖumeŋusẽ si sɔ xɔm o le vuvua ta ene, gake protein si sɔ mele wo si o.
Nukae nye Kwashiorkor ƒe dzesiwo? Aleke míewɔna dea dzesii?
Enyo, eyata aleke míawɔ ade dzesi nɔnɔme sia (Kwashiorkor)? Dzesi kawoe ɖevi ate ŋu akpɔ? Ele vevie ŋutɔ be míanya nusiawo, elabena ekema míate ŋu awɔ afɔɖeɖe kaba.
- Vuvu (edema): Esiae nye dzesi vevitɔ. Vevietɔ le afɔkpodzi, afɔ, asiwo, kple mo me la, vuvu dzɔna abe ɖe tsi yɔ ŋutilãa me fũ ene.
- Ƒodo ƒe keke (ƒodo gã): Ƒodoa lolona le tsi ƒe ƒuƒoƒo (ascites) ta. Ame aɖewo hã yɔa esia be "tummy tuck".
- Taɖa ƒe tɔtrɔ: Taɖa ƒuna, gbãna, ɖa ƒuna, ɣeaɖewoɣi taɖa ƒe amadede trɔna, wòzua keklẽ (amadede ƒe amadede dzi ɖena kpɔtɔna).
- Ŋutilã ƒe kuxiwo (Dermatitis): Ŋutilãa ƒuna eye wòzua ƒuƒuie. Le teƒe aɖewo la, ate ŋu adze abe ƒuƒu alo teƒe dzĩwo ene. Ne exɔ abi la, mahaya kaba o.
- Aklã si lolo: Esia ate ŋu anye aklãdɔ si me ami le ƒe dzesi.
- Lãmetsiwo ƒe gbegblẽ: Lãmetsi siwo le abɔ kple afɔwo me va nɔa tsɛ eye wole tsɛ. Gake nukutɔe la, ami si le ŋutigbalẽ te le ŋutigbalẽa te ate ŋu anɔ nenema.
- Tsikuɖiɖi: Tsi ƒe anyimanɔmanɔ le ŋutilã me.
- Nuɖuɖumadzroame: Nuɖuɖu ƒe dzodzro kple nuɖuɖu ƒe dzodzro ƒe vɔvɔ.
- Dzikudodo kple ɖeɖiteameŋu si gbɔ eme: Zi geɖe la, ɖevia doa dziku, kuviatɔ, eye metsɔa ɖeke le fefe me o.
- Ðeviwo ƒe tsitsi nɔa blewu: womele kɔkɔm o, womele lolom ɖe edzi o, eye wole sue wu ɖevi bubu siwo nye woƒe ƒemetɔwo.
Kuxi bubu siwo ate ŋu ado mo ɖa le Kwashiorkor ta
Tsɔ kpe ɖe dzesi siawo ŋu la, ne womeda dɔlélea (Kwashiorkor) nyuie o la, ate ŋu ahe kuxi sesẽwo vɛ. Esiawo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
- Sukli ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me (Hypoglycemia).
- Ŋutilã ƒe dzoxɔxɔ dzi ɖeɖe kpɔtɔ `(Hypothermia)`.
- Ʋu ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ (Hypovolemia) kple dzidziƒoame si dona tso eme (hypovolemic shock).
- Elektrikŋusẽ ƒe masɔmasɔ le ŋutilãa me le tsikuɖiɖi ta.
- Dɔlélenutsiŋutete gbɔdzɔ ŋutɔ. Esia wɔe be dɔlékuiwo (abe asrã, dzamezã, aɖuɖɔtoe, aɖuɖɔtoedɔléle ene) dzɔna enuenu, eye abi xɔa ɣeyiɣi didi hafi wohaya.
- Aklã ƒe ʋuʋu (aklã ƒe sesẽ) kple aklã ƒe dɔmawɔmawɔ nyuie.
- Dɔgboa (si wɔa enzyme siwo kpena ɖe mía ŋu míeɖua nuɖuɖu) dzi ɖena kpɔtɔna, si hea nuɖuɖumeŋusẽ ƒe kuxiwo vɛ.
- Nuɖuɖumeŋusẽ ƒe lãkusi (gastrointestinal mucosa) ƒe ƒuƒu. Esia ate ŋu ana dɔlékui siwo le dɔgbo suewo me natsi akpa ɣeaɖewoɣi.
- Ðeviwo ƒe tsitsi kple ahɔhɔ̃ ƒe tsitsi hehe ɖe megbe vevie.
- Mlɔeba la, nutsitsidɔ ate ŋu ahe ku gɔ̃ hã vɛ.
Nukatae esia (Kwashiorkor) dzɔna? Nukawoe gbɔ wòtsona?
Wobu protein ƒe anyimanɔmanɔ be eyae nye nu vevitɔ si gbɔ Kwashiorkor tsona. Numekula geɖe xɔe se be esia koŋ gbɔe wòtso. Ke hã, ame aɖewo melɔ̃ ɖe esia dzi bliboe o. Elabena le go aɖewo me la, protein tsɔtsɔ kpe ɖe nuɖuɖua ŋu mete ŋu xe mɔ na Kwashiorkor alo da dɔe o. Esia ɖee fia be protein ƒe anyimanɔmanɔ nye ŋutinyaa ƒe akpa aɖe ko, ate ŋu anye nu bubu siwo gbɔ wòtso.
Nya vevi siwo ku ɖe Kwashiorkor ŋue nye:
- Nuɖuɖu si me carbohydrates sɔ gbɔ ɖo ɖuɖu: Vevietɔ le Afrika, Titina Amerika, kple Anyieheɣedzeƒe Asia ƒe akpa dahewo, siwo nye nuto siwo me afɔku le ŋutɔ la, zi geɖe la, ehiãna be amewo naɖu carbohydrate ƒomevi ɖeka ko. Le kpɔɖeŋu me, amagbe siwo me starch le abe bli, bli, cassava, kple mɔli vivi ene. Esiawo ƒe asi bɔbɔ eye wo kpɔkpɔ le bɔbɔe wu nuɖuɖu siwo me protein sɔ gbɔ ɖo (abe tɔmelã, lã, azi, notsi, kple lãmi ene). Esia nye nyateƒe vevietɔ le kɔƒenutowo me afisi wowɔa agbledede le. Bu eŋu kpɔ, le ƒome aɖewo me la, bli kple mɔli ƒuƒu koe woate ŋu ana ɖeviwo ŋkeke bliboa. Emegbe womekpɔa protein si sɔ o. Vidada siwo me protein mesɔ gbɔ ɖo o ate ŋu atsɔ dɔléle ma ana wo viwo.
- Nuɖuɖu si woatsɔ aɖo eteƒe si mesɔ o le notsotso vɔ megbe: Ŋkɔ Kwashiorkor tso Afrika-dukɔ Ghana ƒe gbe me. Efia nane abe "dɔléle si vidzĩ tsitsia xɔna ne vidzĩ yeyea va ɖo." Esia fia nɔnɔme aɖe si bɔ ŋutɔ. Ne wodze no nana vidzĩ yeye gɔme la, woɖea no na vidzĩ tsitsi si gakpɔtɔ le no nam la zi ɖeka. Emegbe le nunɔamesiwo ƒe anyimanɔmanɔ, nunyiame ŋuti manyamanya, alo evea siaa ta la, vidzĩ si woɖe no na la mekpɔa nuɖuɖu nyuitɔ si woatsɔ aɖo eteƒe o. Emegbe eƒe nunyiame ƒe nɔnɔme gblẽna. Bli alo mɔli vi aɖe koe vidada aɖewo naa wo vi sue. Gake woŋlɔna be be yewoatsɔ nane si me protein sɔ gbɔ ɖo abe lãmi, tɔmelã sue aɖe, alo azi tutu ene akpe ɖe eŋu, alo ga mele wo si be woatsɔ awɔe o.
Tsɔ kpe ɖe esia ŋu la, nu bubu geɖewo hã li siwo ate ŋu akpe ɖe Kwashiorkor ƒe ŋgɔyiyi ŋu:
- Vitamin veviwo (abe vitamin A, vitamin B) kple mineral (abe iron, zinc ene) ƒe anyimanɔmanɔ.
- Antioxidants (esiawo nye nusiwo kpɔa ŋutilã ƒe lãmenugbagbeviwo ta) ƒe anyimanɔmanɔ le nuɖuɖu me.
- Aflatoxins nye aɖi siwo tsoa aŋɔ ƒomevi aɖe si tsina ɖe nukuwo kple atikutsetse siwo wodo le yame ƒe dzoxɔxɔ kple fafa me dzi.
- Dɔlékuiwo abe nudzodzoewo kple dɔléle siwo xɔa ame abe aɖitsi, asrã, kple HIV ene. Dɔléle siawo gbɔdzɔa ŋutilãa eye woɖea nunyiamewo ƒe xɔxlɔ̃ dzi kpɔtɔna.
- Nɔnɔme vevi siwo tea ɖeɖi ame ŋu le agbe me, abe dɔwuame, ahedada, aʋawɔwɔ, kple dzɔdzɔmefɔkuwo ene.
Aleke wokpɔa dɔlélea le Kwashiorkor ŋu?
Aleke ɖɔktawo wɔa anya dɔléle sia nyuie (Kwashiorkor)?
Zi geɖe la, ɖɔkta akpɔ dɔlélea gbã to ɖevia dodokpɔ kple dzesi siwo ŋu míeƒo nu tsoe va yi (vevietɔ vuvu, ŋutigbalẽ ƒe tɔtrɔ, kple ɖa ƒe tɔtrɔ) didi me .
Kpeɖe eŋu la:
- Bia vidadaa alo edzikpɔla tso ɖevia ƒe nuɖuɖu, nuɖuɖu ƒomevi siwo woɖuna gbesiagbe, kple nenye be protein si sɔ le wo xɔm hã ŋu.
- Bia nu tso dɔléle siwo nèxɔ va yi kple dɔlékui siwo yia edzi ŋu.
- Wodzidzea ɖevia ƒe kpekpeme kple eƒe kɔkɔme ƒe sɔsɔme kple eƒe kɔkɔme ɖe ƒe si wòxɔ nu hetsɔnɛ sɔna kple Xexeame ƒe Lãmesẽ Habɔbɔ ƒe tsitsi ƒe nɔnɔmetatawo. Dzidzenu siawo ate ŋu ana ɖɔktaa nanya alesi ɖevia ƒe nunyuimakpɔɖui nu sẽe kple alesi gbegbe wògblẽ nu le woƒe tsitsi ŋui.
Aleke wowɔa nu ɖe Kwashiorkor ŋui?
Kwashiorkor nye dɔléle si hiã be woawɔ atike na ame kpata. Zi alesi wohe atikewɔwɔ ɖe megbe ɣeyiɣi didi la, zi nenemae kuxi geɖe ate ŋu ado mo ɖae. Xexeame ƒe Lãmesẽ Habɔbɔ (WHO) gblɔ afɔɖeɖe 10 siwo dzi wòle be woawɔ ne wole nunyuimakpɔɖui sesẽwo dam. Ele be woawɔ nusiawo nyuie ŋutɔ, le atikewɔlawo ƒe dzikpɔkpɔ te le kɔdzi.
1. Mɔxexe Ðe Suklidɔ ƒe Ʋusɔgbɔdɔ Nu/Edada: Ne wona nuɖuɖu ɖevi siwo mekpɔa nu nyui ɖuna o zi ɖeka la, sukli si le woƒe ʋu me ate ŋu aɖiɖi le mɔ si me afɔku le nu. Eyata wonaa tsi siwo wowɔ etɔxɛe (siwo me sukli le) vivivi.
2. Mɔxexe Ðe Dzoxɔxɔ ƒe Dɔléle Nu/Edada: Esesẽna na lã siwo mekpɔa nu nyui ɖuna o be woaɖɔ woƒe ŋutilã ƒe dzoxɔxɔ ɖo. Eyata ehiã be woana dzoxɔxɔ nanɔ wo ŋu (kple awu dzodzoewo, avɔwo).
3. Mɔxexe ɖe Tsikuɖiɖi Nu/Dɔdada: Wotsɔa atike tɔxɛ aɖe si woyɔna be RESOMAL (`REhydration SOlution for MALnutrition`) naa tsikuɖiɖi le Kwashiorkor. Wotrɔ asi le eŋu be wòana tsi kple dze (vevietɔ sodium) nada asɔ le ŋutilãa me eye wòalé eme ɖe asi. Woate ŋu anae to nu me alo ne ehiã la, to mɔ̃ me.
4. Elektrikŋusẽ ƒe masɔmasɔwo ɖɔɖɔɖo: Elektrikŋusẽ ƒe masɔmasɔ le ŋutilã me, abe potassium kple magnesium ene, nu sẽ ŋutɔ eye ate ŋu ade ame ƒe agbe afɔku me. Esiawo ate ŋu atrɔ, vevietɔ ne ame aɖe si nunyiame mele o gadze nuɖuɖu gɔme ake. Lãmesẽdɔwɔlawo dzea agbagba be yewoaɖɔ nusiawo ɖo gbã, zi geɖe to (RESOMAL) egbɔkpɔnua dzi.
5. Mɔxexe Ðe Dɔlékuiwo Nu/Dɔdada: Le dɔlélenutsiŋutete si gbɔdzɔ si va kpe ɖe Kwashiorkor ŋu ta la, dɔlékui ɖesiaɖe nye afɔku gã aɖe na hayahaya. Eyata ne ɖikeke aɖe li gɔ̃ hã la, wonaa dɔlékuiwutike siwo ƒe dɔwɔwɔ keke ta.
6. Nunyiame suesuesue siwo mehiã o ɖɔɖɔɖo:Woɖɔa vitamin kple mineral vevi siwo mehiã o abe vitamin A, folic acid, zinc, kple iron ene ɖo. Gake ne ɖevia haya vie ko hafi wonaa gayibɔ.
7. Dze nuɖuɖu nana gɔme nyuie: Esia nye afɔɖeɖe vevi aɖe ŋutɔ. Nunyuimakpɔɖui ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ (alesi ŋutilãa wɔa ŋusẽ kple eŋudɔwɔwɔ) trɔ. Ne wogadze nuɖuɖu gɔme ake la, woƒe lãmenugbagbeviwo ƒe dɔwɔwɔ gadzea tɔtrɔ gɔme ake. Gake ne esia dzɔ kabakaba akpa la, kuxi aɖe si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be ``refeeding syndrome'' ateŋu ado mo ɖa. Eyata wodzea nuɖuɖu nana gɔme nyuie ŋutɔ, le agbɔsɔsɔ sue aɖe me, zi geɖe gbesiagbe, le ŋkuléle ɖe wo ŋu nyuie me. Vevietɔ le (Kwashiorkor) me la, ele be woagbugbɔ protein ade eme vivivi, vivivi.
8. Tsitsi si woatsɔ alé ɖevia: Ne ɖevia ƒe nɔnɔmea li ke eye wòdze abe ɖe wòle mɔ dzi ɖe nuɖuɖu ŋu nyuie ene ko la, wodzia nuɖuɖumeŋusẽ kple protein agbɔsɔsɔme si wonana ɖe edzi vivivi. Xexeame ƒe Lãmesẽ Habɔbɔ to atike siwo wowɔ etɔxɛe, siwo me nunyiame le, siwo wowɔ xoxo siwo wotsɔ daa dɔe (RUTF) vɛ. Woate ŋu ana esiawo to nu me alo to mɔ̃ me, ne ehiã. Esiae nye nunyiame ƒe ɖɔɖɔɖo ƒe akpaa. Esia ateŋu axɔ kwasiɖa geɖe (zi geɖe la, kwasiɖa 2-6).
9. Na seselelãme ƒe ʋuʋu kple seselelãme ƒe kpekpeɖeŋu: Ðevi siwo ŋu Kwashiorkor le ate ŋu anye kuviatɔwo kple kuviatɔwo ɣeyiɣi didi. Woƒe susu, ahɔhɔ̃mekawo, kple hadome tsitsi ate ŋu atɔ te le nunyuimakpɔɖu ta. Dɔwɔna siwo ʋãa ame abe fefenuwo, nuƒoƒo, kple lɔlɔ̃ kple lɔlɔ̃ nana wo be wòakpe ɖe wo ŋu woagatsi ake nye atikewɔwɔ ƒe ɖoɖoa ƒe akpa aɖe. Ne anya wɔ la, lãmesẽdɔwɔlawo hã ana ɖevia dada nakpɔ gome le ɖoɖo sia me.
10. Dzadzraɖo ɖe vidzĩa kplɔkplɔ ɖo le hayahaya megbe: Hafi woaɖe asi le vidzĩa ŋu le kɔdzi la, lãmesẽdɔwɔlawo naa hehe kple aɖaŋuɖoɖo vidadaa (alo edzikpɔla) tso nunyiame, no nana, alesi woadzra nuɖuɖu si da sɔ ɖo, nuɖuɖu kple tsi ƒe dzadzɛnyenye, kple mɔxexe ɖe dɔléle nu ŋu. Ne ehiã la, wonaa dɔlékuiwutikewo. Ne anya wɔ la, kpe asi ɖe eŋu be nuɖuɖu si li ke, si me nunyiame le nasu asiwò.
Aleke woawɔ axe mɔ ɖe Kwashiorkor nu?
"Enyo be woaxe mɔ ɖe dɔléle aɖe nu tsɔ wu be woadae ne edze dɔ vɔ megbe." Eyata nanewo li míate ŋu awɔ atsɔ axe mɔ ɖe (Kwashiorkor).
- Hehenana kple nyanyanana: Ele vevie ŋutɔ be woafia nu dzilawo kple nutoa me tɔwo tso nunyiame veviwo ŋu, no nana ƒe vevienyenye (no nana no ɖeɖeko hena ɣleti 6 ya teti, emegbe no nana kple nuɖuɖu kpeɖeŋutɔ vaseɖe ƒe 2), ɖeviwo kple vidadawo ƒe nunyiame ƒe hiahiãwo. Ele vevie hã be woafia alesi woadze nuɖuɖu siwo kpena ɖe wo nɔewo ŋu gɔme le ƒe nyuitɔ me kple le mɔ nyuitɔ nu.
- Nunyiame ƒe kpekpeɖeŋu: Dziɖuɖua kple habɔbɔ vovovowo ƒe nunyiame ŋuti ɖoɖowo wɔwɔ. Le kpɔɖeŋu me, nunyiame kpeɖeŋutɔ (e.g. Thriposha) nana vidada funɔwo, vidada siwo le no nam wo viwo kple ɖevi suewo. Azɔ hã, nutoa me nukuwo (abe moringa, spinach, peas, soya) siwo naa protein kple nunyiame suesuesuewo dodo ɖe ŋgɔ.
- Dɔlélewo dzi ɖuɖu: Dɔléle siwo woate ŋu akaka (abe aɖuɖɔtoe, gbɔgbɔtsixetsixe) kple dɔlékuiwo dzi ɖuɖu. Esiawo gbɔdzɔa ŋutilãa eye woɖea nunyiamewo ƒe xɔxlɔ̃ dzi kpɔtɔna. Dzadzɛnyenye ƒe nyonyome (asikɔklɔ, tsi dzadzɛ nono, nugododeƒewo zazã) kple dɔlékuiwutikewo nana le ɣeyiɣi nyuitɔ dzi kpena ɖe ame ŋu ŋutɔ le mɔxexe ɖe nunyuimakpɔɖu nu me.
- Nuɖuɖu ƒe dedienɔnɔ: Ele be nuɖuɖu siwo me nunyiame le nasu ƒome ɖesiaɖe si.
Nukae adzɔ ne womewɔ atike na Kwashiorkor o? Mɔkpɔkpɔ kawoe li be woahaya?
Esia nye nusi wòle be míanya godoo.
Ne womewɔ atike na Kwashiorkor o la, ate ŋu awu ame. Ku ate ŋu atso dɔlékuiwo xɔxɔ, tsikuɖiɖi, dzi ƒe dɔmawɔmawɔ nyuie, alo aklã ƒe dɔmawɔmawɔ nyuie gbɔ.
Ne wodze atikewɔwɔ gɔme gɔ̃ hã la, afɔku li be kuxi si míeyɔ va yi si woyɔna be ``refeeding syndrome.'' Esia tae wowɔa atikewɔwɔ to kɔdziyiyi kple atikewɔlawo ƒe dzikpɔkpɔ te.
Ke hã, ɖevi siwo wowɔ atike na dzidzedzetɔe hewɔa dɔ na wo ɖe game dzi heɖɔa wo ɖo la ate ŋu ahaya nyuie. Togbɔ be Kwashiorkor ƒe ŋusẽkpɔɖeamedzi aɖewo li siwo nɔa anyi didi (e.g., tsitsi ƒe kuxi, nusɔsrɔ̃ ƒe kuxiwo) hã la, woate ŋu nu ayi.
Kuxi siwo tso kwashiorkor gbɔ la nu sẽna ɖe edzi eye wonɔa anyi didi zi alesi womewɔ atike nɛ o. Ðewohĩ ɖevi aɖewo ahaya keŋkeŋ tso woƒe tsitsi kple tsitsi ƒe megbetsitsi me gbeɖe o. Woate ŋu ayi edzi anɔ aklãdɔ kple dɔgbo ƒe dɔmawɔmawɔ nyuie.
Eyata ɖo ŋku edzi be zi alesi wokpɔ dɔlélea kaba eye wodze edada gɔme la, zi nenemae emetsonuwo nyona ɖe edzii.
Mlɔeba la, ɖewohĩ Kwashiorkor madze abe nunyuimakpɔɖu ene o le esi wòvuvu kple eƒe ʋuʋu ta. Ate ŋu ahe nusiwo womele mɔ kpɔm na o, siwo ɣla abe nuɖuɖu ƒe dzodzro kple aklãdɔ si me ami le ene hã vɛ. Be woate ŋu ada Kwashiorkor nyuie la, ele vevie be woase egɔme. Ðewohĩ nuɖuɖu si me protein sɔ gbɔ ɖo nana le aƒeme ko masɔ gbɔ o, eye ate ŋu anye afɔku gɔ̃ hã. Eyata ne Kwashiorkor ƒe dzesiwo le ŋuwò la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba, vevietɔ le ɖevi suewo gome. Zi alesi nède nu nyaa me kaba la, zi nenemae nunyuimakpɔɖui maɖe fu na wò o.
Eyata nu vevi kawo dzie wòle be míaɖo ŋkui tso ŋutinya sia me?
Ðo ŋku esia dzi nyuie:
- Kwashiorkor nye nunyuimakpɔɖu ƒe nɔnɔme sesẽ aɖe si protein ƒe anyimanɔmanɔ hena vɛ , vevietɔ ɖevi suewo.
- Dzesi vevitɔwoe nye ƒodo gã, abɔ kple afɔ siwo vuvu, gake ŋutilã tsɛ . Tsɔ kpe ɖe eŋu la, tɔtrɔ ate ŋu ava ŋutigbalẽ kple taɖa me, nuɖuɖu magadzro ame o, eye wòado dziku.
- Esia nye nɔnɔme si ate ŋu awu ame, eyata ele vevie be woakpɔ egbɔ enumake. Mègadze agbagba be yeadae le aƒeme o.
- Ku ɖe ɖevia ƒe nuɖuɖu ŋu, vevietɔKpɔ egbɔ be yele nuɖuɖu siwo me protein sɔ gbɔ ɖo (abe tɔmelã, lã, azi, notsi, lãmi, kple peas ene) nam viwòa. Kpɔ egbɔ be viwòa le nunyiame nyuitɔ xɔm ne ele no ɖem le no me.
- Dzadzɛnyenye (asikɔklɔ, tsi dzadzɛ) kple mɔxexe ɖe dɔléle nu (atikewɔmɔnu) kpena ɖe ame ŋu be nɔnɔme sia dzi ɖena kpɔtɔna.
- Ne dzesi siawo dometɔ aɖe le viwòa ŋu la, mègahe ɖe megbe o eye nàyi ɖɔkta alo kɔdzi si te ɖe ŋuwò. Atikewɔwɔ kaba ate ŋu axɔ ɖevia ɖe agbe eye wòaɖe nusiwo wòagblẽ le eŋu ɣeyiɣi didi dzi akpɔtɔ.
` Kwashiorkor, nunyuimakpɔɖu, protein ƒe veve, ɖeviwo ƒe nunyiame, ʋuʋudedi, ʋuʋudedi, nunyiame ƒe veve

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