Ðe lupus le ŋuwò alo ame aɖe si nènya? Ekema ɖewohĩ èse be dɔléle sia ate ŋu adze ŋutilã ƒe akpa geɖe dzi. Tsɔ kpe ɖe ŋutigbalẽ kple ƒunukpeƒewo ŋu la, lupus ate ŋu agblẽ nu le ayiku siwo nye ŋutinu vevi ŋutɔ le míaƒe ŋutilã me hã ŋu. Egbea míele nu ƒom tso ŋusẽ si lupus kpɔna ɖe ayiku dzi, si nye dɔléle aɖe si woyɔna be Lupus Nephritis. Mègatsi dzi o, mina míaƒo nu tso esia ŋu bɔbɔe.
Kpuie ko la, nukae nye Lupus Nephritis?
Enyo, gbã la, mina míase nusi Lupus nye gɔme. Lupus nye dɔléle si dɔlélenutsiŋutete ŋutɔ hena vɛ . Eyae nye be dɔlélenutsiŋutete, si kpɔa míaƒe ŋutilã ta tso dɔléle me la dzea mía ŋutɔwo ƒe lãmeka kple ŋutinu siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe. Ele abe mía ŋutɔwo ƒe aʋakɔ si le mía ŋutɔwo míaƒe dukɔ dzi dzem ene. Lupus ƒomevi si bɔ wue nye Systemic Lupus Erythematosus (SLE) .
Fifia, ne míaƒe dɔlélenutsiŋutete dze míaƒe ayikuwo dzi alea la, ewɔa dɔdzẽ, si fia be wovuvuna, eye wògblẽa nu le ayikuawo ŋu. Emae nye nɔnɔme si míeyɔna be Lupus Nephritis .
Ayikuawo le abe nu eve siwo le míaƒe ŋutilã me ene. Ne womewɔ dɔ nyuie o la, kuxi gãwo ate ŋu ado mo ɖa. Lupus Nephritis ate ŋu ana ayikuwo nate ŋu awɔ nusiwo gbɔna nyuie o:
- Gbeɖuɖɔwo ɖeɖe le ʋua me kple wo ɖeɖe ɖa.
- Lãmetsi, dze, acid, kple mineral ƒe agbɔsɔsɔ si le ŋutilãa me léle ɖe asi le agbɔsɔsɔ si sɔ me.
- Ʋu ƒe sisi kple ʋu ƒe agbɔsɔsɔ dzi ɖuɖu.
- Lãmetsiŋusẽ ƒe agbɔsɔsɔ dzi kpɔkpɔ.
Ne womekpɔ nɔnɔme sia gbɔ nyuie o la, ate ŋu ahe ayiku ƒe dɔmawɔmawɔ nyuie kple ayikudɔléle si le eƒe nuwuwu gɔ̃ hã vɛ mlɔeba, si abia be woawɔ atike nɛ le eƒe agbemeŋkekewo katã me. Eyata ele vevie ŋutɔ be míanya esia.
Amekae ate ŋu axɔ nɔnɔme sia wu?
Be ame naxɔ Lupus Nephritis la, ele be wòaxɔ lupus (SLE) gbã. Mina míalé ŋku ɖe amesiwo le afɔku gã me be woaxɔ lupus ŋu:
- Le nyɔnuwo gome: Ame enyi le ewo ɖesiaɖe si ŋu lupus le la nye nyɔnuwo. Afɔkua lolo ŋutɔ na amesiwo xɔ tso ƒe 15 va ɖo ƒe 44. Gake nukutɔe la, ne ŋutsu aɖe xɔ lupus la, anɔ eme be woaxɔ Lupus Nephritis.
- Domenyinu: Ne lupus le ƒomea me la, ame bubuwo hã ɖoa afɔku me.
- Domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedzi: Dɔléle sia bɔ ɖe Asiatɔwo, Afrikatɔwo, kple Amerikatɔ Gbãtɔwo dome wu.
- Nutoa me ƒe nɔnɔme: Woxɔe se be dɔlékui aɖewo, dɔlékuiwo, kple atike siwo me aɖi le ƒe amedzidzedze hã ate ŋu ahe esia vɛ.
- Dɔléle bubu siwo dɔlélenutsiŋutete hena vɛ: Ne dɔléle bubu si dɔlélenutsiŋutete wɔna le ame ŋu xoxo la, afɔku si le eme be wòaxɔ lupus ate ŋu adzi ɖe edzi vie.
Ame tsitsi siwo ŋu lupus le la dometɔ siwo ade 50% , alo abe ɖeka le eve ɖesiaɖe me, ate ŋu axɔ lupus nephritis. Ðevi siwo ŋu lupus le la dometɔ siwo ade 80% , alo abe ene le atɔ̃ ɖesiaɖe me, ate ŋu axɔ ayikudɔ sia.
Nukawoe ate ŋu anye esia ƒe dzesiwo?
Zi geɖe la, Lupus Nephritis ƒe dzesiwo dzena abe ƒe atɔ̃ ene le lupus ƒe dzesiwo ƒe gɔmedzedze megbe. Gake ɣeaɖewoɣi la, lupus ƒe dzesi gbãtɔ kple ɖeka kolia ate ŋu anye ayiku ƒe gbegblẽ. Ele vevie be nànya dzesi siawo.
Tsɔe be wò afɔwo, vevietɔ wò afɔkpodziwo, vuvu. Alo ne èfɔ le ŋdi me la, wò ŋkuwo vuvu. Wò aɖuɖɔ me futukpɔ wu alesi wònɔna ɖaa. Zi geɖe la, esiawoe nye dzesi gbãtɔ siwo nède dzesii.
Mina míalé ŋku ɖe dzesi siawo ŋu nyuie.
| Dzesi si dzena | Numeɖeɖe bɔbɔe |
|---|---|
| Ʋuʋudedi (Edema) . | Afɔwo, afɔkpodziwo, afɔwo, alo ŋkuwo ŋu ƒe vuvu le tsi si ƒo ƒu ɖe ŋutilãa me ta. |
| Protein si le aɖuɖɔ me (Proteinuria) . | Aɖuɖɔa va zua futukpɔ (abe adzalẽ ƒe ʋuʋudedi ene) le protein ƒe dodo le aɖuɖɔa me ta. |
| Ʋu si le aɖuɖɔ me (Hematuria) . | Ʋu sue aɖe si le aɖuɖɔ me. Ðewohĩ ŋku ƒuƒlu mate ŋu akpɔe o, gake aɖuɖɔa ƒe amadede ate ŋu anye pink alo aŋutiɖiɖi. |
| Ʋu ƒe Ʋuʋudedi | Ʋu ƒe sisi le ayiku ƒe dɔmawɔmawɔ nyuie ta. |
| Kpekpeme ƒe dzidziɖedzi | Kpekpeme ƒe dzidziɖedzi kpata le tsi si ƒo ƒu ɖe ŋutilãa me ta. |
| Lupus ƒe dzesi bubuwo | Ƒunukpeƒewo ƒe vevesese alo vuvu, lãmekawo ƒe veve, dzoxɔxɔ si womate ŋu aɖe o, kple ʋuʋudedi dzĩ si le abe kpakpaluʋui ene le mo. |
Aleke ɖɔkta awɔ ake ɖe esia ŋu?
Ne dzesi siawo le ŋuwò la, wò ɖɔkta ado wò kpɔ gbã, abia wò dzesiwo kple atikewɔwɔ ŋutinya, eye emegbe wòaɖe gbe be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.
- Ʋudodokpɔwo:
- Dɔlékuiwutikewo ƒe ʋudodokpɔ: Esiawo léa ŋku ɖe protein (dɔlékuiwutike) aɖewo siwo dɔlélenutsiŋutete wɔna ƒe agbɔsɔsɔ si dzi ɖe edzi ŋu. Esiawo bɔ ɖe lupus me wu.
- Ayiku ƒe dɔwɔwɔ dodokpɔ: Edzidzea nuwo abe creatinine ene be yeakpɔ alesi ayikuawo le dɔ wɔm nyuie.
- Aɖuɖɔtoe Dodokpɔwo:
- Aɖuɖɔtoe me dzodzro: Eléa ŋku ɖe aɖuɖɔa me be ʋu, protein, alo nu bubu siwo mesɔ o le eme hã.
- Aɖuɖɔ me protein dodokpɔ: Edzidzea protein agbɔsɔsɔme si tututu le aɖuɖɔ me.
- Ayikuwo Ŋuti Numekuku:
Esiae nye mɔ nyuitɔ si dzi woato anya Lupus Nephritis godoo eye woanya alesi gbegbe ayiku gblẽe. Wozãa aŋe nyui aɖe tsɔ ɖea lãkusi sue aɖe ŋutɔ le ayikua me eye wodonɛ kpɔ le nusuekpɔmɔ̃ me. Zi geɖe la, wowɔa esia le kɔdzi, le atike si wua alɔ̃dɔdɔ si mesẽ o me.
Nukawoe nye atike siwo wozãna na esia?
Taɖodzinu vevi eve li le lupus nephritis dada me. Ðekae nye be woaɖu dzesiwo dzi. Bubue nye be woatɔ te nu bubu siwo gblẽ le ayikuwo ŋu alo woaɖe wo dzi akpɔtɔ. Zi geɖe la, atikewɔwɔ bia be woazã atikewo kple tɔtrɔ le nuɖuɖu ŋu.
| Atikewɔwɔ ƒe mɔnu | Nukae dzɔna ɖe edzi? |
|---|---|
| Atike siwo tsia dɔlélenutsiŋutete nu | Atike siawo wɔa dɔ to dɔlélenutsiŋutete ƒe ŋutete be wòadze mía ŋutɔwo ƒe ayiku dzi dzi ɖuɖu me. Corticosteroids ye nye atike si wozãna wu hena esia wɔwɔ. |
| Ʋu ƒe sisi ƒe atikewo | Atikewo abe ACE inhibitors kple ARBs ene kpɔa ʋu ƒe sisi dzi eye woɖea protein ƒe dodo le aɖuɖɔ me dzi kpɔtɔna, si ate ŋu aɖe ayiku ƒe gbegblẽ dzi akpɔtɔ. |
| Atike siwo naa tsinyegoe me tsi | Wogayɔa esiawo be ‘tsitikewo’. Wokpena ɖe ame ŋu be woaɖe abi dzi akpɔtɔ to tsi si sɔ gbɔ ɖe ŋutilãa me ɖeɖeɖa abe aɖuɖɔ ene me. Wokpena ɖe ame ŋu hã be ʋu ƒe sisi dzi ɖena kpɔtɔna. |
| Tɔtrɔ siwo va le nuɖuɖu me | Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàɖe teteɖeanyi si le wò ayikuwo ŋu dzi akpɔtɔ eye nàɖe sodium si nèɖuna dzi akpɔtɔ . Woate ŋu abia tso asiwò hã be nàɖe nuɖuɖu siwo me protein sɔ gbɔ ɖo abe lã kple nyinotsi ene dzi akpɔtɔ. Anyo wu be nàƒo nu tso esia ŋu kple wò ɖɔkta kple nuɖuɖuŋutinunyala eye nàto nuɖuɖu ŋuti ɖoɖo si sɔ na wò vɛ. |
Ðe wòle be woawɔ ʋumenugbagbeviɣidɔ na amesiamea?
Ao, medzɔna ɖe amesiame dzi o. Ame siwo ŋu Lupus Nephritis le ƒe 10% va ɖo 30% va xɔa ayiku ƒe dɔmawɔmawɔ nyuie mlɔeba. Ne edzɔ alea la, ahiã be nàbu atikewɔwɔ siawo ŋu:
- Dialysis: Mɔnu si wozãna tsɔ ɖea gbeɖuɖɔwo ɖa le ʋua me to mɔ̃ zazã me ne ayikuawo mele dɔ wɔm nyuie o.
- Ayiku Dodo Ðe Ame Ŋu: Amekoko ƒe ayiku si le dɔ wɔm la tsɔtsɔ ɖɔ li ayiku si le lãmesẽ me.
Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ kpata?
Ne lupus le ŋuwò la, nya tɔtrɔ ɖesiaɖe si ava wò ayikuwo me. Ne èkpɔ dzesi siwo gbɔna dometɔ ɖeka alo esi wu nenema kpata la, ate ŋu anye ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesi . Ne edzɔ alea la , yi atikewɔƒe enumake . Ne ehiã la, yi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le (ETU) si te ɖe ŋuwò.Yi.
- Dɔgbo ƒe vevesese
- Aɖuɖɔtoe sesẽ, alo aɖuɖɔ sue aɖe ŋutɔ ƒe dodo
- Ðeɖiteameŋu alo alɔ̃dɔdɔ fũ akpa
- Aɖuɖɔ si me futukpɔ alo ʋu le
- Ŋutilã si le ʋuʋum
- Ʋu ƒe sisi ƒe dzidziɖedzi kpata
- Nudzroame
- Aɖuɖɔtoe kple ʋuʋudedi
- Yagbɔgbɔ sesẽ
- Ŋutilã ƒe vuvu
Agbenɔnɔ kple nɔnɔme sia ate ŋu asesẽ, gake ne wowɔ atike na ame geɖe eye woɖo aɖaŋu na wo le atikewɔnyawo me nyuie la, wote ŋu nɔ agbe si sɔ. Nu vevitɔe nye be nànɔ kadodo me kple wò ɖɔkta edziedzi eye nàwɔ dodokpɔ kple atikewɔwɔ siwo katã nèhiã.
Gbedasi si Wotsɔ Yi Aƒeme
- Lupus Nephritis nye ayiku ƒe gbegblẽ kple abi si lupus (SLE) hena vɛ.
- Afɔwo ƒe vuvu, ŋkuwo ƒe vuvu, aɖuɖɔ si me futukpɔ le, kple ʋusɔgbɔdɔ ate ŋu anye dzesi vevitɔ siwo do ƒome kple esia .
- Ne wokpɔ dɔléle sia kaba hedae la, ate ŋu aɖe nusiwo gblẽ le ayiku ŋu dzi akpɔtɔ ŋutɔ.
- Dɔdamɔnua dometɔ aɖewoe nye dɔlélenutsiŋutete ƒe atikewo, ʋusɔgbɔdɔtikewo, kple nuɖuɖu ƒe tɔtrɔ.
- Ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ eye nàde atikewɔƒewo ɖe game dzi.
- Ne dzesiwo do mo ɖa kpata la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
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