Ɣesiaɣi si nèxɔ dzamezã alo nèse le ɖokuiwò me be ɖeɖi te ye ŋu le mɔ si mebɔ o nu la, anɔ eme be wò dzɔdzɔmeŋutete gbãtɔ ayi wò ɖɔkta gbɔ. Zi geɖe la, le wò aɖaŋuɖoɖo xɔxɔ me la, wò ɖɔkta ada wò dzesiwo kpɔ eye ne ehiã la, abia be woado wò kpɔ le nudokpɔƒe be wòakpɔ wò lãmesẽ nyuie wu. Togbɔ be ʋu kple aɖuɖɔ dodokpɔ edziedzi nye egbegbe atikewɔwɔ ƒe akpa si wozãna ɖaa hã la, ènya be atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya le ŋgɔ yim ɣesiaɣia? Mɔ siwo dzi wotona wɔa dodokpɔ siawo—kple alesi míeɖea wo me tsonu gɔmee—le tɔtrɔm vivivi. Egbea la, míele tɔtrɔ ɖedzesi aɖewo siwo wowɔ nyitsɔ laa le dodokpɔ siwo bɔ le dodokpɔxɔ me siwo ŋu wòle be nànya nu tsoe la me dzrom.
Lãmetsi Dodokpɔ (Lipid Profile) – Ðe Nutsitsidɔ Gahiãa?
Ne èxɔ wu ƒe 40 alo nèle wò kpekpeme dzi kpɔm la, wò ɖɔkta ate ŋu abia edziedzi be woado ʋumemi kpɔ, si woyɔna be ‘Lipid Profile’. Kpuie ko la, dodokpɔ sia dzidzea ami ƒomevi vovovo siwo le wò ʋu me.
Dodokpɔ sia ku ɖe dzesi vevi ene ŋu:
- Lãmetsi Katã: Lãmetsi agbɔsɔsɔme si le wò ʋu me katã.
- HDL (High-Density Lipoprotein): Woyɔnɛ zi geɖe be “ ʋumemi nyui ”. Zi geɖe la, agbɔsɔsɔ si sɔ gbɔ wu nyona na wò dzi ƒe lãmesẽ.
- LDL (Low-Density Lipoprotein): Wonyae be “ʋumemi gbegblẽ”. Agbɔsɔsɔme si sɔ gbɔ la nana dzidɔ kple ʋusɔgbɔdɔ ƒe afɔkua dzina ɖe edzi .
- Triglycerides ( Triglycerides ): Ami ƒomevi bubu si le wò ʋu me.
Ƒe geɖe enye sia la, wogblɔna na mí be ele be míatsi nu adɔ gaƒoƒo 8-12 hafi dodokpɔ sia nava, eye míaƒo asa na nuɖuɖu kple nunono katã. Ðɔktawo ɖoa aɖaŋu le esia ŋu tso blema ke elabena woxɔe se be nuɖuɖu si woɖu ate ŋu ana emetsonuwo natrɔ ŋutɔ, vevietɔ triglyceride ƒe agbɔsɔsɔ.
Eyata nukae trɔ?
Numekuku siwo wowɔ nyitsɔ laa ɖee fia be le ame akpa gãtɔ gome la , nutsitsidɔ mehiã vevie o. Nuɖuɖu siwo nèɖuna mekpɔa ŋusẽ ɖe wò LDL kple HDL ʋumemi ƒe agbɔsɔsɔ dzi boo o. Gake nuɖuɖu aɖewo siwo me ami sɔ gbɔ ɖo alo esiwo me sukli sɔ gbɔ ɖo ate ŋu ana triglyceride ƒe agbɔsɔsɔ nadzi ɖe edzi hena ɣeyiɣi aɖe.
Esia fia be ne èwɔ dodokpɔa nutsitsidɔ manɔmee eye wò xexlẽme bubuawo sɔ gake wò triglycerides sɔ gbɔ la, wò ɖɔkta ate ŋu abia tso asiwò be nàtrɔ ava hena nutsitsidɔ dodokpɔ si akplɔe ɖo. Esia kpena ɖe ame ŋu be eme nakɔ nenye be atikewɔwɔ me dzitsitsi ŋutɔŋutɔe nye be kɔkɔƒea nye alo ɣeyiɣi kpui aɖe ƒe nuɖuɖu si nèɖu nyitsɔ laa me tsonu koe.
Ɣebubuɣi si wò ɖɔkta abia be woawɔ ami ƒe nɔnɔmetata aɖe la, bia wo nenye be ehiã be nàtsi nu adɔ vavã. Le go geɖe me la, àte ŋu adzo le nutsitsidɔ ƒe fuɖenamea dzi keŋkeŋ.
Suklidɔ Dodokpɔ
Suklidɔ nye lãmesẽkuxi si bɔ, eye ame geɖe le do ŋgɔ na suklidɔ ƒe afɔɖeɖe me evɔ womenya o. De dzesii kaba le vevie ŋutɔ hafi woate ŋu akpɔ dɔlélea gbɔ nyuie.
Tso blema ke la, ɖɔktawo ɖoa ŋu ɖe Suklidɔ si wowɔna le Nutsitsidɔ me alo Suklidɔlékui ƒe Dodokpɔ (OGTT) si me wonoa suklidɔlékui aɖe eye woalala gaƒoƒo eve ŋu. OGTT ate ŋu anye nusi mebɔ o, elabena ebia be woatsi nu dɔ le ŋdi me eye woalala gaƒoƒo eve le dodokpɔxɔa me.
Mɔnu kae le bɔbɔe wu? HbA1c dodokpɔa!
Nyitsɔ laa la, ɖɔktawo va le ŋudzedze kpɔm ɖe...Hemoglobin A1c , alo ` HbA1c ` dodokpɔ ko, hena suklidɔ didi kple ŋkuléle ɖe eŋu.
Kpuie ko la, dodokpɔ sia dzidzea wò ʋumesukli (glucose) ƒe alafa memamã si kpe ɖe hemoglobin, si nye protein si le wò ʋumenugbagbevi dzĩwo me ŋu. Esi wònye be ʋumenugbagbevi dzĩwo nɔa agbe abe ŋkeke 90-120 ene ta la, dodokpɔ sia naa wò ʋumesukli ƒe agbɔsɔsɔ le ɣleti 2-3 siwo va yi me le mamã dedie nu . Mehiã be nàtsi nu adɔ hena dodokpɔ sia o, eye woate ŋu awɔe le ŋkekea ƒe ɣeyiɣi ɖesiaɖe me.
Nuxlɔ̃ame ƒe nuŋlɔɖi kpui aɖe...
Togbɔ be `HbA1c` dodokpɔa sɔ eye kakaɖedzi le eŋu hã la, ateŋu masɔ 100% na ame ɖekaɖeka siwo ŋu lãmesẽkuxi aɖewo le, vevietɔ esiwo gblẽa nu le ʋumenugbagbevi dzĩwo ŋu o.
Le kpɔɖeŋu me:
- Ʋusɔgbɔdɔ: Ʋusɔgbɔdɔ ƒomevi aɖewo ate ŋu ana HbA1c me tsonu nadze abe ɖe wowɔe be wosɔ gbɔ alo ɖiɖi wu alesi wole ŋutɔŋutɔ ene.
- Sickle Cell Disease: Domenyiŋusẽfianu ƒe nɔnɔme siwo gblẽa nu le ʋumenugbagbevi dzĩwo ŋu hã ate ŋu atrɔ HbA1c ƒe xexlẽme ƒe nyateƒetoto.
Esia mefia be HbA1c nye dodokpɔ gbegblẽ o, gake efia be mele be nàɖo ŋu ɖe xexlẽdzesi ɖeka pɛ hã ŋu atsɔ awɔ atikewɔwɔ ŋuti nyametsotsowo o. Ne wò dodokpɔa me tsonu sɔ kple liƒo la, wò ɖɔkta abu wò atikewɔwɔ ŋutinya—abe ʋusɔgbɔdɔ si li xoxo ene ŋu—eye ate ŋu abia be woawɔ nutsitsidɔ ƒe dodokpɔ bubuwo ne ehiã.
Aɖuɖɔtoe me dzodzro – Ðe wòhiã ƒe sia ƒea?
Enye numame na mía dometɔ geɖe be woawɔ aɖuɖɔtoe me dzodzro edziedzi abe ƒe sia ƒe ƒe dodokpɔ si wowɔna be woalé ŋku ɖe ayiku ƒe dɔwɔwɔ ŋu ahalé ŋku ɖe dɔlékuiwo ŋu hã ƒe akpa aɖe ene.
Nukpɔsusua trɔ!
Xexeame katã ƒe lãmesẽhabɔbɔ gãwo ɖo aɖaŋu fifia be ne dzesi aɖeke mele ŋuwò o la , aɖuɖɔtoe me dzodzro edziedzi meɖea vi boo aɖeke le atikewɔnyawo me o. Ke boŋ ele be woadzra dodokpɔ siawo ɖo ɖi na ɣeyiɣi si me dzesiawo dze le.
| Nɔnɔme si me wòle | Kafukafu si Woɖo Fifia |
|---|---|
| Ne aɖuɖɔtoedɔ ƒe dzesiwo le ŋuwò la: (le kpɔɖeŋu me, dzobibi, vevesese, aɖuɖɔtoe enuenu, ʋeʋẽ) | Wokafui vevie be woawɔ aɖuɖɔtoe me dzodzro. |
| Abe dodokpɔ si wowɔna edziedzi ƒe akpa aɖe ene, dzesi aɖeke manɔmee | Zi geɖe la, mehiã o. |
| Ne èfɔ fu | Ele be woalé ŋku ɖe eŋu edziedzi abe beléle na ame do ŋgɔ na vidzidzi ƒe akpa aɖe ene. |
Eyata aleke míeléa ŋku ɖe ayiku ƒe dɔwɔwɔ ŋu?
Fifia ɖɔktawo ɖoa ŋu ɖe ʋudodokpɔ si woyɔna be `eGFR (estimated Glomerular Filtration Rate)` ŋu koŋ be woatsɔ akpɔ alesi wò ayikuwo le dɔ wɔm nyuie. Zi geɖe la, wotsɔa esia dea `Basic Metabolic Panel` (ʋudodokpɔ ƒe agbalẽvi si wowɔna edziedzi) si wozãna ɖaa me. Enaa wokpɔa ayiku ƒe dɔwɔwɔ nyuie wu aɖuɖɔtoe me dzodzro.
Gbedasi si Wotsɔ Yi Aƒeme
- Cholesterol (Lipid Profile): Zi geɖe la, megahiã be woatsi nu dɔ o, gake yi ɖɔkta gbɔ gbã ɣesiaɣi.
- Suklidɔ (HbA1c): Dɔwɔnu nyui aɖe si nàtsɔ alé ŋku ɖe wò sukli si le wò ɣleti 2-3 ƒe mamã dedie nu ŋu, togbɔ be nɔnɔme aɖewo abe ʋusɔgbɔdɔ ene ate ŋu akpɔ ŋusẽ ɖe emetsonuwo dzi hã.
- Aɖuɖɔtoe me dzodzro: Ne dzesi aɖeke mele ŋuwò o (eye mèfɔ fu o) la, zi geɖe la, mehiã be nàdoe kpɔ edziedzi o. EGFR dodokpɔ si wotu ɖe ʋu dzi la nye esi ŋu kakaɖedzi le wu le ayiku ƒe lãmesẽ me dzodzro me.
- Afɔɖeɖe Vevietɔ: Mègadze agbagba gbeɖe be yeaɖe wò dodokpɔ me tsonuawo gɔme alo awɔ lãmesẽnyawo ŋuti nyametsotsowo le xexlẽdzesi ɖeka dzi o. Wò ɖɔkta koe ate ŋu aɖe emetsonu siawo gɔme le wò lãmesẽ bliboa ƒe nyawo nu. Dzro wò dodokpɔxɔ ƒe nyatakakawo me kple wò lãmesẽdɔwɔla ɣesiaɣi.
Lab dodokpɔwo, atikewɔwɔ dodokpɔwo, ʋumemi, Lipid Profile, suklidɔ, HbA1c, aɖuɖɔ dodokpɔ, Aɖuɖɔtoe me dzodzro, lãmesẽ, Ʋudodokpɔ, Lab Report
