Na míasrɔ̃ nu geɖe tso aklãdɔléle ŋu! Mina míaƒo nu tso esia ŋu!

Aklã nye ŋutinu vevi aɖe ŋutɔ le wò ŋutilã me. Ewɔa dɔ abe nusi wotsɔna tsia nu me le míaƒe ŋutilã me ene. Eɖea aɖinuwo ɖa le ʋua me heɖea wo ɖa. Gake, seɖoƒe li na nusi filter sia ate ŋu akpɔ, alo? Ɣeaɖewoɣi la, dɔ sia tututu ate ŋu agblẽ nu le aklãa ŋu . Eyata egbea, mina míaƒo nu tso aklãdɔlélewo ŋu.

Nukae Nye Aklãdɔléle?

Ne míegblɔ be ‘aklãdɔ’ la, zi geɖe la, ɖɔktawo nɔa nu ƒom tso nɔnɔme siwo gblẽa nu le aklã ŋu vivivi, le ɣeyiɣi aɖe megbe, alo esiwo nɔa anyi didi ŋu . Esiawo ate ŋu atso dɔlékuiwo ƒe dɔlékuiwo , aɖi vovovowo, alo lãmenugbagbeviwo ƒe dɔwɔwɔ ƒe nɔnɔme aɖewo gbɔ. Nu wɔnukuae nye be ŋutete wɔnuku aɖe le aklãa si be wòadzra eɖokui ɖo. Gake ne wole ezãm atraɖii la, ŋutete ma dzi ɖena kpɔtɔna vivivi.

Aklãdɔléle si nɔa anyi didi ƒe afɔɖeɖe kawoe le?

Zi geɖe la, aklãdɔléle ƒe akpa vevi ene li siwo nɔa edzi yim ɣeyiɣi didi aɖe. Na míalé ŋku ɖe nusiwo wonye ŋu.

Afɔɖeɖe 1: Aklãdɔléle

Akpa gbãtɔe nye aklãdɔ. Kpuie ko la, esiae nye aklã ƒe lãkusi ƒe vuvu. Abe alesi ko ne míexɔ abi le teƒe aɖe, evuvu, ne aklãa gblẽ alo aɖi le eme ene la, vuvu sia dzɔna le ema ta. Esia dzɔna be wòaɖe dɔlékuia ɖa eye wòadze dɔyɔyɔ gɔme. Woate ŋu akpɔ esia gbɔ ne avuvu kpata, hena ɣeyiɣi aɖe (aklãdɔ sesẽ). Gake ne nu gblẽ le eŋu alo aɖi le eŋu atraɖii la, abi la yia edzi. Le aklãdɔ (aklãdɔléle si nɔa anyi didi) ƒe nɔnɔme sia si nɔa anyi didi ta la, ne aklãa le agbagba dzem be yeada gbe le eɖokui ŋu le ɣeyiɣi aɖe megbe la, abi (fibrosis) dzea egɔme nɔa dzɔdzɔm mlɔeba.

Afɔɖeɖe 2: Fibrosis

Akpa eveliae nye fibrosis. Esiae nye esime abi ƒe lãkusiwo va ƒoa ƒu ɖe aklãa me vivivi, si wɔnɛ be wòsẽna eye wòsẽna. Ele abe avɔ xoxo aɖe ene. Abi ƒe lãkusi sia ɖea ʋu ƒe sisi yi aklãa me dzi kpɔtɔna, si fia be oxygen kple nunyiame ʋɛ aɖewo koe yia aklãa me. Aleae aklãa dzea dɔwɔwɔ gɔme vivivi. Nukutɔe la, woate ŋu atrɔ fibrosis sia ƒe ɖewo. Eyae nye be ne woɖe nusiwo gblẽ le eŋu dzi kpɔtɔ alesi dze la, aklã me lãmenugbagbeviwo ate ŋu agbugbɔ awɔ eye abi ƒe lãkusiwo dzi naɖe akpɔtɔ.

Afɔɖeɖe 3: Aɖuɖɔtoedɔ

Akpa etɔ̃liae nye aklãdɔ, si nye aklã ƒe abi si nu sẽ, si womate ŋu atrɔ o, si nɔa anyi ɖaa.Afi siae fibrosis va zua nusi womate ŋu atrɔ o. Ne lãmenugbagbevi siwo le lãmesẽ me sɔ gbɔ le aklãa me be wòate ŋu awɔ dɔ la, lãkusia megate ŋu gbugbɔa nu yeye o. Gake le afɔɖeɖe sia gɔ̃ hã me la, mɔ aɖewo li siwo dzi woato atɔ te nusiwo gblẽ alo aɖe nusiwo gblẽ la dzi akpɔtɔ. Esi ʋumenugbagbeviɣidɔ te ŋusẽkpɔkpɔ ɖe aklã ƒe dɔwɔwɔ dzi la, ɖewohĩ màde dzesi vovototo boo aɖeke le gɔmedzedzea me o, elabena wò ŋutilã le agbagba dzem be yeaxe fe si bu la teƒe.

Afɔɖeɖe 4: Aklã ƒe dɔmawɔmawɔ nyuie

Akpa mamlɛtɔ, alo enelia, enye aklã ƒe dɔmawɔmawɔ nyuie. Esiae nye ɣeyiɣi si me aklã megate ŋu wɔa dɔ be wòakpɔ ŋutilãa ƒe nuhiahiãwo gbɔ o. Wogayɔa esia be decompensated cirrhosis – si fia be ŋutilã megate ŋu ɖoa aklã ƒe bu la teƒe o. Ne aklãa ƒe dɔwɔwɔwo le gbegblẽm vivivi la, èdzea eƒe ŋusẽkpɔɖeamedziwo sese gɔme le wò ŋutilã bliboa me. Aklã ƒe dɔmawɔmawɔ nyuie atraɖii nye nusi yia edzi vivivi, gake ne womedo aklã na ame o la, ate ŋu ana ame naku mlɔeba. Ðo ŋku edzi be míehiã aklã hafi míate ŋu anɔ agbe.

Aleke gbegbee aklãdɔlélewo bɔe?

Ne míeƒo nu tso alesi aklãdɔ sia bɔe ŋu la, ewua ame abe miliɔn 2 ene ƒe sia ƒe le xexeame katã. Ema ade 4% le ame siwo katã kuna me. Kuxi siwo dona tso ʋumenugbagbeviɣidɔ me gbɔe ame akpa gãtɔ kuna. Ŋutsuwo ate ŋu axɔ dɔléle sia abe zi gbɔ zi eve ene wu nyɔnuwo.

Nukawoe nye aklãdɔléle ƒe dzesi gbãtɔwo?

Zi geɖe la, aklãdɔléle siawo siwo nɔa anyi didi meɖea dzesi gã aɖeke fiana le woƒe gɔmedzedze o. Gake ɣeaɖewoɣi la, ate ŋu adze egɔme abe aklãdɔ si nu sẽ kpata ene. Le kpɔɖeŋu me, ne dɔlékui ƒe aklãdɔléle le ŋuwò la, eƒe akpa aɖe si nu sẽna hafi wòva zua nusi nɔa anyi didi. Le ɣeyiɣi ma me la, ate ŋu adzɔ be asrã, dɔgbo nave wò, eye wò lãme nasẽ ŋkeke ʋɛ aɖewo. Ne dɔlélenutsiŋutete mete ŋu wɔ avu kple dɔlélea o la, eva zua dɔlékui si nɔa anyi didi.

Nu bubu aɖewo siwo hea aklãdɔ vɛ hã ate ŋu ana dzesiwo nadze kpata abe esiawo ene le gɔmedzedzea me. Zi geɖe la, aklãdɔ ƒe dzesi gbãtɔwo medzena gaglãa tututu o. Woate ŋu anye:

• Ƒodo si le etame ƒe vevesese.
• Aɖuɖɔtoe aloNuɖuɖu mevivina o .
• Ðeɖiteameŋu kple lãmetutudɔ (se le eɖokui me be ɖeɖi te ye ŋu zi geɖe eye yeƒe lãme mesẽ o).

Nukae nye aklãdɔléle ƒe dzesi siwo tsi megbe?

Ne wò aklã te dɔmawɔmawɔ nyuie la, àte ŋu adze dzesi geɖe wu kpɔkpɔ gɔme. Esiae nye esime aklãdɔ le eƒe sesẽƒe wu. Aklã ƒe dɔmawɔmawɔ nyuie ƒe nugbegblẽ gbãtɔwo dometɔ ɖekae nye be ʋumenugbagbeviɣi ƒe sisi va xea mɔ. Aklã megate ŋu wɔa ʋumenugbagbeviɣidɔ nyuie alo tsɔnɛ yia dɔgbo suea me o. Ke boŋ ʋumenugbagbeviɣidɔ dzea sisi gɔme ɖe ʋukawo me. Esia ate ŋu ahe dzesi aɖewo koŋ vɛ:

• Jaundice (ŋku kple ŋutigbalẽ ƒe ɣie ƒe ɣie).
• Aɖuɖɔ si do viviti .
• Aɖuɖɔ si ƒe amadede le keklẽm si toa ame ŋu .
• Nuɖuɖu ɖuɖu sesẽ, vevietɔ nuɖuɖu siwo me ami le.
• Kpekpeme dzi ɖeɖe kpɔtɔ kple lãmekawo ƒe gbegblẽ.
• Gbɔgbɔ si ʋẽna lilili.
• Ahɔhɔ̃ ƒe dɔwɔwɔ ƒe gbegblẽ vie (aklã ƒe tagbɔdɔ).
• Pruritus (ʋuʋudedi ko evɔ ʋuʋudedi aɖeke mele ŋutigbalẽa ŋu o).

Ne aklãdɔ le sesẽm ɖe edzi la, ate ŋu agblẽ nu le wò ʋu ƒe sisi, lãmetsiŋusẽ, kple nunyiame ƒe nɔnɔme ŋu. Esia ate ŋu adze le mɔ vovovowo nu. Àte ŋu ade dzesi dzesi siawo tɔgbe le wò ŋutigbalẽ kple ɖa ŋu:

• Kplu na ɖawo.
• Terry ƒe ɖawo (aɖabɛwo le ɣie, eye woƒe nugbɔwo koe le pink).
• Nail clubbing nye ɖa ƒe gɔme ƒe vuvu kple eƒe ƒoƒo.
• Akpɔkplɔ ƒe ʋuka siwo me ʋu sina tona .
• Teƒe dzĩ suesuesue siwo le ŋutigbalẽa dzi ``(petechiae)``.
• Ami ɣiwo ƒoa ƒu ɖe ŋutigbalẽ alo ŋkume, eye wòdzena abe ʋuʋudedi suesuesuewo ene.
• Abi kple ʋu si dona le ame ŋu bɔbɔe .
• Asibidɛwo ƒe dzodzro.

Àte ŋu akpɔ dzesiwo hã be tsi le dodom tso ʋukawo me eye wòƒo ƒu ɖe ŋutilã ƒe akpa vovovowo:

• Ƒodo ƒe vuvu (ascites).
• Afɔkpodzi, afɔ, asiwo, kple mo ƒe vuvu (edema).

Nɔnɔme siwo ku ɖe ŋutsu alo nyɔnu nyenye ŋu

Nyɔnuwo ate ŋu akpɔ dzesi siawo tɔgbe le aklãdɔ ta:

• Dzinukpɔkpɔ si mebɔ o.
• Vidzidzi sesẽ (Nyɔnu ƒe vidzidzi).

Ŋutsuwo ate ŋu akpɔ dzesiwo abe:

• Vidzidɔ siwo le ɖeɖem kpɔtɔ.
• Ŋutsu ƒe no me lãkusi si lolo.

Kuxi siwo dona tso aklãdɔléle si le eƒe nuwuwu me

Aklãdɔléle si le eƒe nuwuwu nye nɔnɔme si me aklã mete ŋu dzraa eɖokui ɖo o eye vivivi la, eƒe dɔmawɔmawɔ nyuie, si woyɔna be decompensated cirrhosis kple aklã ƒe dɔmawɔmawɔ nyuie. Nusiwo gblẽa nu le ame ŋu vevie wu le afɔɖeɖe sia mee nye ʋusɔgbɔdɔ si le agbo nu kple aklã me dɔdzẽ . Nɔnɔme eve siawo ƒe kuxiwoe nye nu vevitɔ si hea kɔdziyiyi kple ku vɛ na amesiwo ŋu ʋumenugbagbeviɣidɔ kple aklã ƒe dɔmawɔmawɔ nyuie.

Ʋusɔgbɔdɔ si woyɔna be portal hypertension

Ʋusɔgbɔdɔ si le agbo me tsoa abi siwo le aklãa me gbɔ, si nana be ʋuka si le agbo me la tea ɖe edzi. Ne ʋuka si le agbo nu ƒe nyaƒoɖeamenu dzi ɖe edzi la, ŋutilãa trɔa ʋu yia ʋuka bubu siwo do ƒome kplii la me. Emegbe ʋukaawo lolona, ​​wokekena, eye wova nɔa ƒuƒuie. Ʋuka siawo ate ŋu ado, agbã, alo ado ʋu. Ʋu si dona le ememe sia ate ŋu anye kpata, sesẽ, eye wòate ŋu ade ame ƒe agbe afɔku me.

Togbɔ be mebɔ o hã la, kuxi bubuwo ate ŋu ado mo ɖa:

• Aɖuɖɔtoe ƒe lolome kple eƒe dɔwɔwɔ fũ akpa (hypersplenism).
• Yagbɔgbɔ ƒe dɔmawɔmawɔ nyuie `(hepatopulmonary syndrome)`.
• Ayiku ƒe dɔmawɔmawɔ nyuie (aklã me dɔléle).

Aklã me Dɔdzẽ

Togbɔ be menye amesiame si ŋu aklãdɔ le ɣeyiɣi didi aɖe lae axɔ aklãdɔléle si nye hepatocellular carcinoma o hã la, aklãdɔléle si nɔa anyi didi le ame geɖe siwo ŋu aklãdɔléle le. Dɔdzẽ, dɔyɔyɔ, kple abi ƒe tsatsam nana wònɔa bɔbɔe be aklã me lãmenugbagbeviwo atrɔ eye woazu kansa. Ðɔktawo susui be aklãdɔlékui siwo nɔa anyi didi, vevietɔ, ate ŋu akpɔ ŋusẽ ɖe aklã me lãmenugbagbeviwo ƒe DNA hã dzi.

Nukawoe hea aklãdɔléle vɛ?

Aklãdɔ ƒomevi siwo wu 100 ye li, gake wodzena ɖe hatsotso sue vevi geɖe me. Nusiwo gbɔ wòtso dometɔ aɖewoe nye:

• Dɔlékuiwo ƒe dɔlélewo: Dɔlékuiwo ƒe dɔléle siwo nɔa anyi didi abe aklãdɔléle B kple aklãdɔléle C ene ate ŋu ahe aklãdɔléle si nɔa anyi didi vɛ.
• Aklãdɔ si ahanono hena vɛ: Ahanono fũ ate ŋu ana aklãdɔléle sesẽ alo esi nɔa anyi didi. Ne esia yi edzi la, ate ŋu ana aklã ƒe dɔmawɔmawɔ nyuie kple aklã ƒe dɔmawɔmawɔ nyuie. Esia nye nusi gbɔ wòtsona le míaƒe dukɔa me vie.
• Aklãdɔ si me aɖi le: Aklãdɔléle sesẽ alo esi nɔa anyi didi ate ŋu atso aɖinuwo, abe atike siwo wozãna le dɔwɔƒewo alo atikewo ene zazã ɣeyiɣi didi me.
• Aklãdɔ si me ami mele o (NAFLD): Lãmetsiŋusẽ ƒe nɔnɔme siwo do ƒome kple lolo akpa, sukli ƒe agbɔsɔsɔ le ʋu me, kple ʋumemi (ami) ƒe agbɔsɔsɔ si sɔ gbɔ ate ŋu ana ami si sɔ gbɔ ɖe aklãa me. Esia ateŋu ahe dɔdzẽ vɛ (non-alcohol related steatohepatitis – NASH). Wokpɔa nɔnɔme sia le ame geɖe hã ŋu le ŋkeke siawo me, vevietɔ le nuɖuɖu gbegblẽ ta.
• Biliary stasis: Vidzidzi ƒe nɔnɔme aɖewo, abe biliary atresia kple cystic fibrosis ene, ate ŋu ana ʋumenugbagbeviɣi naƒo ƒu eye wòagblẽ nu le aklãa ŋu to mɔxexe ɖe ʋumenugbagbeviɣi ƒe sisi to ʋukawo me nu alo xe mɔ nɛ me. Nusiwo gbɔ wòtsona le vidzidzi megbe dometɔ aɖewoe nye biliary stricture kple gallstones.
• Dɔlélenutsiŋutete ƒe dɔlélewo: Dɔlélenutsiŋutete ƒe nɔnɔmewo abe aklãdɔléle si dɔlékuiwutikewo tsona, aklãdɔléle gbãtɔ, kple ʋumenugbagbeviɣidɔ gbãtɔ ate ŋu ana aklã alo ʋumenugbagbeviɣidɔ navuvu eye abi nanɔ eŋu ɣeyiɣi didi.
• Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie siwo ƒe dome míenyi: Dɔléle siwo nana aɖiwo ƒoa ƒu ɖe ʋua me, abe glycogen storage disease (GSD), Wilson ƒe dɔléle, hemochromatosis, kple Gaucher dɔléle ene, ate ŋu agblẽ nu le aklãa ŋu ɣeyiɣi didi.
• Dzitodzito me dɔlélewo: Nɔnɔme siwo gblẽa nu le aklã kple ʋu ƒe sisi to eme ŋu, abe Budd-Chiari ƒe dɔléle, ʋu ƒe sisi, dzitodzito me dɔléle, kple ɖusime dzi ƒe dɔmawɔmawɔ nyuie ene, ate ŋu agblẽ nu le aklãa ŋu ɣeyiɣi didi.

Nukawoe nye nusiwo ate ŋu ana ame naxɔ aklãdɔ?

Ðewohĩ aklãdɔ ate ŋu adze dziwò wu ne è:

• Ne èno aha sesẽ akpa.
• Ne èno atikewo to ʋuka me la, woyɔnɛ be ``atike siwo wodona ɖe ʋuka me''.
• Ne èzãa vevesesenutsitikewo abe aspirin alo paracetamol ene enuenu (vevietɔ le agbɔsɔsɔ gã me atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee).
• Ne metabolic syndrome (lolo akpa, ʋusɔgbɔdɔ, suklidɔ, kple ʋumemi ƒe agbɔsɔsɔ si mele lãmesẽ me o ƒe ƒuƒoƒo) le ŋuwò .
• Ne èdoa go atike siwo me aɖi le enuenu.
• Ne èdoa go ame bubuwo ƒe ʋu alo ŋutilã me tsi enuenu (e.g. lãmesẽdɔwɔlawo, tattoo artists).

Aleke woawɔ anya aklãdɔ?

Ðɔkta si le ŋku lém ɖe aklãdɔléle ŋu la ado wò kpɔ le ŋutilã me gbã. Woadi dzesiwo kple dzesiwo eye woabia nu tso wò dzesiwo ŋu. Woate ŋu abia nya tso wò nuɖuɖu, agbenɔnɔ, kple wò lãmesẽ ŋutinya hã ŋu. Emegbe, woazã dodokpɔ siwo wowɔna le dodokpɔxɔ me kple nɔnɔmetatawo ɖeɖeɖa atsɔ anya ne aklãdɔ le ŋuwò. Esiawo ate ŋu anye:

• Ʋudodokpɔ: Aklã ƒe dɔwɔwɔ dodokpɔ siwo kplɔ wo nɔewo ɖo ate ŋu aɖe aklãdɔ ƒe dzesiwo, dɔlélea ƒe sesẽme, kple aklã ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo afia. Esiawo dzidzea nuwo abe aklã me dɔlékuiwo, protein, kple bilirubin ƒe agbɔsɔsɔ ene. Ʋudodokpɔ ate ŋu aɖe nugbegblẽ le ame ŋu abe abi, dɔléle tɔxɛwo, alo ʋu ƒe sisi dzi ɖeɖe kpɔtɔ hã afia.
• Nɔnɔmetatawo dodokpɔ: Ƒodo me ultrasound, CT scan (computed tomography scan), alo MRI (magnetic resonance imaging) scan ate ŋu aɖe aklã ƒe lolome, nɔnɔme, kple nɔnɔme afia. Esia ate ŋu akpe ɖe ame ŋu wòade dzesi abi, ƒunukpeƒetetedɔ, kple fibrosis.
• Elastography: Esia nye nɔnɔmetatawo dodokpɔ tɔxɛ aɖe si me wozãa ultrasound alo MRI mɔ̃ɖaŋununya tsɔ dzidzea aklãa ƒe sesẽ, alo fibrosis ƒe agbɔsɔsɔme.
• Dɔlékuiwo ƒe dɔwɔwɔ:Ne wò ɖɔkta di be yealé ŋku ɖe wò ʋukawo me la, ahiã be woazã nɔnɔmetatawo ɖeɖe ƒe mɔnu aɖe si woyɔna be endoscopy. Esia bia be nàde fotoɖemɔ̃ sue aɖe (endoscope) to wò nu me eye nàtsɔe ayi wò nuɖuɖumeŋusẽ me. Emegbe woate ŋu azã EUS (endoscopic ultrasound) alo ERCP (endoscopic retrograde cholangiopancreatography) atsɔ akpɔ ʋumenugbagbeviɣiwo.
• Nukliaŋusẽ ƒe nɔnɔmetatawo ɖeɖe: Esia bia be woado keklẽŋusẽ si megblẽa nu le ame ŋu o ɖe ŋutilãa me eye woazã gamma fotoɖemɔ̃ atsɔ ade dzesii. Le alesi wò aklã xɔa nusi le eme nu la, ate ŋu afia afisi mele dɔ wɔm nyuie o.
• Aklã me lãmenugbagbeviwo ɖeɖe: Esia nye dɔ sue aɖe ko. Woɖea lãkusi sue aɖe tso aklã me hedonɛ kpɔna le nudokpɔƒe. Zi geɖe la, wozãa aŋe si me do le tsɔ xɔa kpɔɖeŋu sia. Woate ŋu awɔ aklã me lãmenugbagbeviwo ƒe dɔwɔwɔ atsɔ akpɔe ɖa be kansa hã le eme, aɖo kpe ʋumenugbagbeviɣidɔ dzi, eye woake ɖe nusi gbɔ wòtso ŋu.

Aleke wodaa aklãdɔlélewoe?

Atikewɔwɔ tɔxɛ aɖewo le aklãdɔ ƒomevi aɖewo ŋu. Le kpɔɖeŋu me, wonaa dɔlékuiwutikewo na dɔlékui ƒe aklãdɔ, eye wonaa corticosteroid kple dɔlélenutsiŋutete ƒe dɔlélewo na dɔléle siwo dɔlélenutsiŋutete wɔna. Gake zi geɖe la, agbenɔnɔ ƒe tɔtrɔe nye aklãdɔléle ƒe atike vevitɔ. Aɖi siwo gena ɖe aklã me dzi ɖeɖe kpɔtɔ le vevie na aklãdɔ ɖesiaɖe. Esia le vevie ŋutɔ na aklãdɔ si ami, aha sesẽ, alo aɖi bubuwo hena vɛ.

Gake ele vevie be woakpɔe kaba hafi woate ŋu ada aklãdɔ nyuie hafi wòagblẽ nu le eŋu tegbee. Nublanuitɔe la, menye amesiamee wokpɔa dɔlélea le ɣeyiɣi si me woate ŋu atrɔ dɔlélea o. Ne aklãdɔ alo aklã ƒe dɔmawɔmawɔ nyuie le ŋuwò xoxo la, àte ŋu ahiã atike bubuwo na kuxiwo abe ʋusɔgbɔdɔ si le agbo nu alo aklã me dɔdzẽ ene. Ðewohĩ wò aklã mate ŋu ahaya o, eye mlɔeba la, ahiã be woado aklã na wò.

Aleke woawɔ aɖe aklãdɔléle ƒe afɔkua dzi akpɔtɔ?

Àte ŋu awɔ nusiawo atsɔ akpɔ ɖokuiwò ta tso aklãdɔléle me:

• Atikewɔmɔnu: Atike aɖewo li siwo akpɔ ame ta tso dɔlékui ƒe aklãdɔléle A kple B si me.
• Dzadzɛnyenye nyui: Nuwo abe asikɔklɔ le nugododeƒe zazã vɔ megbe, nuɖuɖu dzadzraɖo dedie, kple aŋewo zazã dedie ate ŋu akpe ɖe ame ŋu be dɔlékuiwo nagakaka o.
• Seɖoƒe li na ahanono eye nàno atikewo abe alesi wogblɔe ene: Ne atike muamewo zazã ƒe kuxi aɖe le ŋuwò (e.g., `Atikewo Zazã ƒe Dɔléle – SUD`), atikewɔwɔ xɔxɔ ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe aklãdɔ si aɖiwo hena vɛ nu.
• Lãmetsiŋusẽ ƒe dɔwɔwɔ abe ʋumemi (ami) kple sukli si le ʋu me dzi ɖuɖu: Àte ŋu axɔ kpekpeɖeŋu tso ɖɔkta gbɔ le esia ta.

Ðe aklãdɔ ate ŋu atrɔa?

Woate ŋu atrɔ aklãdɔléle gbãtɔ ne wokpɔ nusi gbɔ wòtso eye wò kple wò atikewɔlawo miewɔ dɔ ɖekae be miaɖee ɖa alo aɖu edzi. Esia nɔ te ɖe nusi gbɔ wòtso kple alesi woate ŋu adae nyuie dzi. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, màte ŋu atrɔ nusiwo gblẽ xoxo la o. Gake àte ŋu axe mɔ ɖe nu bubu siwo agblẽ nu alo ana wòanɔ blewu. Womate ŋu atrɔ aklã ƒe dɔmawɔmawɔ nyuie atraɖii o, gake ate ŋu axɔ ƒe geɖe hafi wòagagblẽ ɖe edzi.

Ðe woate ŋu ada aklãdɔa?

Woate ŋu ada aklãdɔ ƒomevi geɖe. Zi geɖe la, aklãdɔ si aɖi kple aha sesẽ hena vɛ la nyona ɖe edzi ne èdzudzɔ aɖi mawo zazã ko. Woate ŋu ada aklãdɔ si me ami le si metso ahanono me o ne wotrɔ asi le nuɖuɖu kple agbenɔnɔ ŋu. Womate ŋu ada aklãdɔ ƒomevi bubu aɖewo o, gake woate ŋu atsɔ atike akpɔ wo gbɔ. Domenyiŋusẽ ƒe dɔléle aɖewo, dɔléle siwo dɔlélenutsiŋutete hena vɛ, kple dɔlékuiwo ƒe dɔlékuiwo ate ŋu abia be woawɔ atike na wo le woƒe agbemeŋkekewo katã me.

Nukae wòle be mawɔ ne aklãdɔ le agbe?

Ne aklãdɔ le ŋuwò la, wɔ nusiawo nàtsɔ alé be na wò aklã:

• Lé nuɖuɖu nyui me ɖe asi: Tsɔ nuɖuɖu blibowo, atikutsetsewo kple amagbewo, kple protein siwo me ami mele o ɖo nɔƒe gbãtɔ.
• BMI (Body Mass Index) si le lãmesẽ me léle ɖe asi: Kpɔ wò ɖɔkta tso esia ŋu.
• Ƒo asa na ahanono, atamanono, kple atike siwo womeƒlena le atikedzraƒe o: Bia wò ɖɔkta be wòakpe ɖe ŋuwò nàdzudzɔ.
• No atikewo abe alesi woŋlɔe na wò ene ko: Ƒo nu kple wò ɖɔkta tso atike yeye ɖesiaɖe si nàno ŋu.
• Ametakpɔkpɔ tso dɔlékuiwo me: Tsɔ dzadzɛnyenye nyui kple gbɔdɔdɔ ƒe nuwɔna siwo le dedie xe mɔ na agba bubu ɖe aklãa dzi.
• Yi wò ɖɔkta ƒe ɣeyiɣiwo dzi: Do wo kpɔ edziedzi eye nàde dzesi kuxi siwo dona tso eme kaba.