Ðe wò ayikuwo le protein geɖe ɖem do goea? Mina míaƒo nu tso Nephrotic Syndrome ŋu!

Ðe wò afɔwo, abɔwo, alo mo te vuvu zi ɖekaa? Alo ɖe wò aɖuɖɔ le abe vidzĩ ƒe ŋutilã si vuvu enea? Ðe wòdzena abe futukpɔ ene ne èle aɖuɖɔ tom ? Esiawo ate ŋu anye kuxi sue aɖe na wò ayikuwo, si ate ŋu atso atikewɔwɔ ƒe nɔnɔme aɖe gbɔ. Egbea míele nu ƒom tso ayikudɔléle mawo dometɔ ɖeka ŋu, si nye ‘Nephrotic Syndrome’. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye Nephrotic Syndrome?

Kpuie ko la, ayiku ƒe dɔléle nye nɔnɔme si me míaƒe ayikuwo ɖea protein geɖe doa goe le aɖuɖɔ me. Ðɔktawo yɔa esia be ``proteinuria''. Ne míagblɔe tututu la, ne protein si wu gram 3 (si kpekpe vie wu United States ƒe gaku ɖeka) dona le aɖuɖɔ me gbesiagbe la, emae nye nɔnɔme sia ƒe dzesi vevitɔ. Esia sɔ gbɔ abe zi gbɔ zi 20 ene wu agbɔsɔsɔ si ayiku siwo le lãmesẽ me ɖena doa goe.

Azɔ bu míaƒe ayikuwo be wonye nusi wotsɔna tsia ayiku me . Ʋuka suesuesuewo le ʋuʋudedi sia ŋu, siwo míeyɔna be `(glomeruli)` . `(glomeruli)` siawo ɖea gbeɖuɖɔwo ɖa (le kpɔɖeŋu me, nitrogen ƒe gbeɖuɖɔ `(urea)`, lãmeka me gbeɖuɖɔ `(creatinine)`, kple acid), kpakple tsi si mehiã o tso ʋua me. Emegbe woɖea wo doa goe abe aɖuɖɔ ene. Zi geɖe la, le ayiku si le lãmesẽ me la, `(glomeruli)` la ɖea nusiwo ŋutilã hiã, abe proteinwo ene, ɖa, eye wònana wonɔa ʋu me, vevietɔ protein `(albumin)` . Gake ne `(glomeruli)` siawo gblẽ la, womewɔa dɔ nyuie o. Emegbe la, protein xɔasiwo abe `(albumin)` ƒoa ƒu ɖe aɖuɖɔ me bɔbɔe.

Ðe esia de ame ƒe agbe afɔku mea?

Ẽ, nephrotic syndrome nye dɔléle sesẽ aɖe . Ne womedae nyuie o la, ate ŋu ahe kuxi bubuwo vɛ eye wòagblẽ nu le wò agbenɔnɔ gɔ̃ hã ŋu. Eyata ele vevie ŋutɔ be nànya esia eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesiwo le ŋuwò.

Amekae xɔa aɖuɖɔtoedɔléle?

Amesiame ate ŋu atu esia ɖo. Gake amesiwo ŋu ayikudɔ si do ƒome kple suklidɔ le, amesiwo ŋu nulɔdɔ aɖewo le, kple amesiwo ŋu ayikudɔ sia ƒomevi (si ŋu ayikudɔ le) le ƒomea me la ate ŋu axɔe.

Esia menye dɔléle si bɔ ŋutɔ o.

• Edzea ɖevi siwo ade 1 le 50,000 ɖesiaɖe me ƒe sia ƒe. Wokpɔnɛ zi geɖe le ɖevi siwo xɔ tso ƒe 2 va ɖo ƒe 5. Ŋutsuviwo ate ŋu axɔe zi gbɔ zi eve wu nyɔnuviwo.
• Le ame tsitsiwo gome la , esia dzɔna le ame akpe alafa ɖesiaɖe me abe etɔ̃ ene ƒe sia ƒe.

Aleke nephrotic syndrome kpɔa ŋusẽ ɖe ŋutilãa dzii?

Ne woɖe protein siwo le vevie ŋutɔ na míaƒe ŋutilã la do goe le aɖuɖɔ me la, kuxi vovovowo doa mo ɖa.

• Protein aɖewo kpena ɖe ame ŋu be ʋu nagatsi o . Ne womebu o la, ʋukawo ate ŋu adzɔ.
• Protein ƒomevi vevi bubue nye`(Dɔlékuiwutikewo)` . Esiawo kpena ɖe míaƒe dɔlélenutsiŋutete ŋu wòwɔa avu kple dɔlélewo kple dɔlékuiwo. Ne nusiawo bu la, míate ŋu axɔ dɔlékuiwo bɔbɔe. Le kpɔɖeŋu me:
• `(Aklãdɔ)` (Aklãdɔ) .
• Cellulitis (dɔlékui aɖe si xɔa ŋutigbalẽa) .
• Peritonitis (dɔlékui si xɔa ƒodo ƒe akpa si le ƒodoa me) .

Nukawoe nye nephrotic syndrome ƒe dzesiwo?

Ele vevie be nàlé ŋku ɖe dzesi siawo ŋu nyuie:

• Protein `(albumin)` geɖe ƒe amesinɔnɔ le aɖuɖɔ me (`(albuminuria)`) : Protein `(albumin)` si wu gram 3.5 dona gbesiagbe.
• Ami kple ʋumemi ƒe agbɔsɔsɔ si le ʋua me ƒe dzidziɖedzi (hyperlipidemia) .
• Vuvu (`(edema)`) : Zi geɖe la, afɔ, afɔkpodzi, kple afɔwo vuvu. Ɣeaɖewoɣi la, asiwo kple mo hã ate ŋu avuvu. Bu eŋu kpɔ, ne viwòa fɔ le ŋdi me eye teƒe si ƒo xlã woƒe ŋkuwo dze abe ɖe vuvu ene la, ema hã ate ŋu anye esia ƒe dzesi.
• Albumin protein ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ le ʋu me (hypoalbuminemia) .
• Nuɖuɖu mevivina o .
• Sese le eɖokui me be agbe mele ye ŋu o eye ɖeɖi te ye ŋu ɣesiaɣi .
• Dɔgbo ƒe vevesese (afisiafi tso akɔta va ɖo ƒodo ƒe anyime).
• Aɖuɖɔ si me futukpɔ le , abe adzalẽtsi ene.

Nu bubue nye be míaƒe ŋutilã bua mineral kple vitamin veviwo, vevietɔ calcium kple vitamin D , le mɔ sia nu. Le ɖevi suewo gome la, esia ate ŋu akpɔ ŋusẽ ɖe tsitsi dzi. Taɖa ƒe vuvu, ɖa siwo gbɔdzɔ, kple ƒu ƒe gbɔdzɔgbɔdzɔ ƒe dɔlélewo abe ``(Osteoporosis)`` (ƒu ƒe ʋuʋu ƒe dɔléle) hã ateŋu adzɔ.

Nukawoe nye kuxi siwo bɔ wu le aɖuɖɔtoedɔléle me?

Ne womewɔ atike nɛ o la, kuxiwo abe:

• `(Acute kidney injury)` - Nɔnɔme si me ayikuwo dzudzɔa dɔwɔwɔ nyuie zi ɖeka.
• Ʋusɔgbɔdɔ - Ʋumenugbagbevi siwo le lãmesẽ me siwo tsɔa oxygen yia ŋutilã ƒe ŋutinuwo me ƒe anyimanɔmanɔ.
• Coronary artery disease - Ami siwo le ʋuka siwo naa ʋu yia dzi me.
• Ʋusɔgbɔdɔ - Ʋu ƒe sisi si kɔ wu alesi wòle dzɔdzɔmee esi wòle mɔ zɔm to ʋukawo me.
• Hypothyroidism - Thyroid gland meɖea thyroid hormone si sɔ ɖe ʋua me o.

Nukawoe hea aɖuɖɔtoedɔléle vɛ?

Zi geɖe la, `(glomeruli)` siawo gblẽna le ayikudɔlélewo ta. Ðɔktawo kple numekulawo meka ɖe nusita dɔléle siawo kpɔa ŋusẽ ɖe `(glomeruli)` dzi tẽ dzi haɖe o. `(glomeruli)` siawo siwo gblẽ lae nye nu vevitɔ si hea nephrotic syndrome vɛ. Dɔléle siawo dometɔ aɖewoe nye:

• `(Amyloidosis)` : Le esia me la, protein ƒomevi aɖe si woyɔna be amyloid la nɔa míaƒe ŋutinu veviwo me. Esia dzɔna zi geɖe le ayikuwo me. Emegbe ayikuawo ƒe ʋuʋu ƒe ŋutete dzi ɖena kpɔtɔna.
• `(Aɖudɔ si do ƒome kple suklidɔ)`Nephropathy: Esia nye ne ayikuwo mewɔa dɔ nyuie o. Nɔnɔme sia dzɔna ne suklidɔ gblẽ nu le ayiku me lãmeka ɖeka alo esi wu nenema ŋu. Esia ate ŋu ana ame natsi dzodzodzoe, lãmekawo nagbɔdzɔ, eye wòase veve.
• Focal segmental glomerulosclerosis (FSGS) : Esia nana abi nɔa glomeruli ƒe akpa suewo ŋu. Esia ate ŋu ana ayiku navuvu, ayiku nawɔ dɔ nyuie o, eye protein nanɔ aɖuɖɔ me.
• Lupus : Lupus nye dɔléle si dɔlélenutsiŋutete ƒe dɔlélenutsiŋutete wɔna. Enaa abi, vuvu, kple vevesese le ŋutilã bliboa me. Ate ŋu agblẽ nu le ayikuwo hã ŋu.
• Membranous nephropathy : Le esia me la, míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea ayiku siwo me woɖea tsi le la dzi.
• Minimal change disease (MCD) : Esia hã nye ayikudɔ ƒomevi aɖe si me ayikuwo mewɔa dɔ nyuie o. Gake ayiku ƒe lãmenugbagbeviwo me dzodzro meɖea nu gã aɖeke si gblẽ le glomeruli alo ayiku ƒe lãkusi ŋu fiana o. Togbɔ be ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ɖevi suewo me wu.

Aleke wowɔa dea dzesi aɖuɖɔtoedɔléle?

Ðɔktawo wɔa dodokpɔ geɖe tsɔ dea dzesi dɔléle sia:

Aɖuɖɔtoe dodokpɔwo

Wodea dzesi esia to aɖuɖɔtoe me dzodzro me, si léa ŋku ɖe wò aɖuɖɔ ƒe dzedzeme, atikewo ƒe wɔwɔme, kple nusuekpɔmɔ̃ ƒe dzedzeme ŋu.

• Dipstick dodokpɔ : Le dodokpɔ sia me la, èɖea aɖuɖɔ ɖe nugoe tɔxɛ aɖe me le ɖɔkta ƒe dɔwɔƒe alo kɔdzi. Emegbe ɖɔkta alo dɔnɔdzikpɔla tsɔa pepa si wotsɔ atike wɔe (dipstick) dea nugoa me. Ne albumin le wò aɖuɖɔ me la, aɖuɖɔtoea ƒe amadede atrɔ.
• Aɖuɖɔ me protein dodokpɔ : Wowɔa dodokpɔ siawo ne ehiã be woadzidzee wòade pɛpɛpɛ wu.
• Aɖuɖɔ ƒe kpɔɖeŋu ɖeka : Woɖoa esia ɖe dodokpɔxɔ. Woalé ŋku ɖe alesi gbegbe `(albumin)` kple `(creatinine)` le wò aɖuɖɔ me ŋu (`(albumin-to-creatinine ratio)`). Ne `(albumin)` si wu miligram 30 le `(creatinine)` gram ɖeka me la, ema ateŋu anye kuxi.
• Gaƒoƒo 24 ƒe aɖuɖɔtoe nuƒoƒoƒu : Ðɔktaa ana aŋetu aɖe wò be nàtsɔ aƒo wò aɖuɖɔ nu ƒu le aƒeme. Gbesigbe woawɔ dodokpɔa:
• Nu gbãtɔ le ŋdi me, ne èfɔ la, nàɖe aɖuɖɔ ayi nugododeƒe abe alesi nèwɔnɛ ɖaa ene.
• Emegbe nàɖe aɖuɖɔ ɖe aŋetu ma me ŋkeke bliboa vaseɖe esime nàmlɔ anyi le zã me.
• Le ŋufɔke la, ne ènya fɔ ko la, nàɖe aɖuɖɔ ɖe aŋetu ma ke me zi mamlɛtɔ.
• Emegbe ele be nàtsɔ kpɔɖeŋu ma ayi ɖɔkta ƒe dɔwɔƒe alo ayi dodokpɔxɔ, afisi wodzidzea `(albumin)` ƒe agbɔsɔsɔ ko le.

Ʋudodokpɔwo

Le esia me la, ɖɔkta zãa aŋe tsɛ aɖe tsɔ ɖea ʋu sue aɖe tso ʋuka aɖe si le wò alɔnu me. Woɖonɛ ɖe dodokpɔxɔ aɖe be woadoe kpɔ. Ne `(albumin)` alo protein bubuwo ƒe agbɔsɔsɔ si le ʋua me le sue la , ate ŋu anye nephrotic syndrome. Woléa ŋku ɖe ʋumemi kple `(triglyceride)` ƒe agbɔsɔsɔ si le ʋua me hã ŋu. Ne `(albumin)` le sue la, esiawo ateŋu adzi ɖe edzi.

Ayiku me lãmenugbagbeviwo ƒe dɔwɔwɔ

Le dɔ sia wɔwɔ me la, ɖɔktaa ɖea lãkusi sue aɖe le wò ayiku me hedoa ekpɔ le nusuekpɔmɔ̃ me. Wotua teƒea hafi wowɔa dɔa nɛ, eyata màse veve aɖeke o. Woate ŋu ana alɔ̃dɔtike sue aɖe hã wò be wòakpe ɖe ŋuwò nàɖe dzi ɖi. Emegbe ɖɔktaa tsɔa aŋe toa wò ŋutigbalẽ me dea wò ayiku me be yeaxɔ lãkusia ƒe kpɔɖeŋu.

Gake ne suklidɔ le ŋuwò eye wò ɖɔkta susui be ayiku ƒe dɔléle le ame ŋu la, zi geɖe la, mehiã be woaɖe ayiku me o. Wò atikewɔwɔ ŋutinya, aɖuɖɔtoetetedɔ, kple ʋudodokpɔ ate ŋu akpe ɖe ŋuwò nànya nephrotic syndrome si suklidɔ hena vɛ.

Ðe woate ŋu ada aɖuɖɔtoedɔlélea?

Esia menye dɔléle si woate ŋu ada keŋkeŋ o . Gake nya nyui aɖe li! Ne edzɔ ɖe ɖevi suewo dzi la, zi geɖe la, edzona le woƒe ɖevime, abe ƒe 18-20 ene.

Atikewɔwɔ ate ŋu aɖu dzesiawo dzi eye wòatɔ te nusiwo agblẽ le ayikuwo ŋu geɖe wu.

Atikewɔwɔ bia be woada nusi gbɔ wòtso, ʋusɔgbɔdɔ, ʋumemi, abi, kple dɔlékuiwo xɔxɔ ƒe afɔkua dzi ɖeɖe kpɔtɔ. Zi geɖe la, ebia atikewo zazã kple tɔtrɔ le nuɖuɖu ŋu .

• Ʋusɔgbɔdɔtike aɖewo ate ŋu akpe ɖe ame ŋu woaɖu ayikudɔ si hea ayiku ƒe dɔléle vɛ la dzi. Le kpɔɖeŋu me:
• `(Angiotensin-trɔtrɔ enzyme (ACE) mɔxenuwo)`
• `(Angiotensin ƒe xɔla ƒe mɔxenuwo (ARBs))`
• Atike siawo ɖea nyaƒoɖeamenu si le glomeruli me dzi kpɔtɔna eye woɖea albumin si dona le aɖuɖɔ me dzi kpɔtɔna. Ame geɖe ate ŋu ahiã atike eve alo etɔ̃ be woatsɔ aɖu woƒe ʋu ƒe sisi dzi.
• Tsɔ kpe ɖe ACE mɔxenu alo ARB ŋu la, wò ɖɔkta ate ŋu aŋlɔ tsinyegoe me atike na wò . Aɖuɖɔtoemetikewo kpena ɖe wò ayikuwo ŋu woɖea tsi si sɔ gbɔ ɖe wò ʋu me ɖa. Woate ŋu akpe ɖe ame ŋu hã be woaɖe ʋu ƒe sisi kple abi dzi akpɔtɔ. Atike bubu siwo ɖea ʋu ƒe sisi dzi kpɔtɔna dometɔ aɖewoe nye beta-blockers kple calcium channel blockers .
• Ðɔkta ateŋu aŋlɔ ``statin`` atikewo be woatsɔ aɖe ʋumemi dzi akpɔtɔ.
• Ne nephrotic syndrome le ŋuwò la, anyo hã be nàxɔ influenza (flu) ƒe atike kple pneumococcal vaccine ƒe sia ƒe. Pneumococcal vaccine ateŋu akpɔ ame ta tso dɔlékui siwo woyɔna be pneumococcus (e.g. to me dɔlékuiwo, aklãdɔ, meningitis) hena vɛ me.
• Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu aŋlɔ atike siwo naa ʋu me ʋu sina tona (anticoagulants) na wò, gake ne ʋu ƒe sisi va le ŋuwò ko hafi wonaa esiawo. Womexea mɔ na aɖuɖɔtoedɔ alo eƒe dzesiwo o.

Ðe wòhiã be nàɖɔ ŋu ɖo le nuɖuɖu kple nunono ŋua?

Nuɖuɖu kple nunono mekpɔa ŋusẽ gã aɖeke ɖe ame tsitsiwo ƒe aɖuɖɔtoedɔléle ƒe dzɔdzɔ alo mɔxexe ɖe enu dzi o. Gake ne nɔnɔme sia le ŋuwò la, .Woate ŋu aɖe dzesi aɖewo dzi akpɔtɔ ne wowɔ tɔtrɔ le nuɖuɖu ŋu.

• Dze (sodium) dzi ɖeɖe kpɔtɔ le wò nuɖuɖu me ate ŋu akpe ɖe ŋuwò nàɖe abi dzi akpɔtɔ . Sodium si le nuɖuɖu si míeɖuna me ƒe akpa gãtɔ tsoa dze me. Tsi geɖe nono hã ate ŋu akpe ɖe ame ŋu be wòaɖe abi dzi akpɔtɔ.
• Ami kple ʋumemi dzi ɖeɖe kpɔtɔ le wò nuɖuɖu me ateŋu akpeɖe ŋuwò nàɖu ``hyperlipidemia'' (ʋumemi si sɔ gbɔ) dzi. Anyo wu be nàɖo seɖoƒe na nuɖuɖuwo abe nyinotsi siwo me ami sɔ gbɔ ɖo, lã dzĩ, lã si ŋu wotrɔ asi le, cheese, nuɖuɖu siwo wofli, abolo siwo woɖa, kple nu viviwo ene.

Aleke malé be na ɖokuinye?

Mɔ nyuitɔ si dzi nàto akpɔ wò dzesiwo gbɔe nye be nàno wò atikewo abe alesi wò ɖɔkta gblɔe ene . Anyo hã be nàɖu nuɖuɖu si me potassium kple protein sɔ gbɔ ɖo, gake sodium, ami, kple ʋumemi mesɔ gbɔ o.

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Esia toa vovo le nusi gbɔ aɖuɖɔtoedɔlélea tso nu. Ame aɖewo ƒe lãme ate ŋu adze egɔme le ŋkeke ʋɛ aɖewo megbe tso esime wodze atikewɔwɔ gɔme. Le ame bubuwo gome la, ate ŋu axɔ kwasiɖa geɖe alo ɣleti geɖe gɔ̃ hã. Ele vevie be nàgbɔ dzi ɖi.

Nukae dzɔna ɖe amesi ŋu aɖuɖɔtoedɔléle le dzi?

Ne wokpɔ dɔlélea le wo ŋu eye wodae nyuie la, nu nyuiwo dona tso eme na amesiwo ŋu aɖuɖɔtoedɔléle le . Ame akpa gãtɔ wɔa nu nyuie ɖe atikewɔwɔ ŋu eye wogena ɖe tsɔtsɔke me (`(remission)`). Esia fia be dzesiawo nu yina. Ne nephrotic syndrome nɔ ŋuwò le ɖevime abe alesi míegblɔe va yi ene la, ate ŋu adzɔ be wòadzo keŋkeŋ kaka nàɖo tsitsime.

Ðe woate ŋu axe mɔ ɖe aɖuɖɔtoedɔléle nua?

Womate ŋu axe mɔ ɖe Nephrotic syndrome nu o , gake atikewɔwɔ nyuie na nɔnɔme siwo gbɔ wòtso (e.g., suklidɔ, ʋusɔgbɔdɔ) kple nuɖuɖu ƒe tɔtrɔ ate ŋu akpe ɖe ame ŋu be dzesiawo nanyo ɖe edzi eye wòaɖe ayiku ƒe gbegblẽ dzi akpɔtɔ.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne ayikudɔ ƒe dzesiwo le ŋuwò, vevietɔ aɖuɖɔ si me futukpɔ le kple aɖuɖɔ si me vuvu le, si nɔa anyi wu ŋkeke ʋɛ aɖewo la, yi ɖɔkta gbɔ enumake . Zi alesi wokpɔe kaba la, zi nenemae edada nɔa bɔbɔe.

Nya kawoe wòle be nàbia ɖɔktaa?

Àte ŋu abia nya siawo ne èyi ɖɔkta gbɔ:

• "Aleke nèwɔ nya be nephrotic syndrome le ŋunye?"
• "Ðe wòhiã be magawɔ dodokpɔ bubuwo atsɔ aɖo kpe wò dɔlélea dzia?"
• "Ne nephrotic syndrome mele ŋunye o la, nɔnɔme bubu kae ate ŋu anɔ ŋunye?"
• "Nɔnɔme kae na mexɔ nephrotic syndrome?"
• "Èsusu be nye nephrotic syndrome ayi ɖe tsɔtsɔke me kple atikewɔwɔa?"
• "Ðe vinye ƒe aɖuɖɔtoedɔlélea nu ayi ne ele tsitsima?"
• "Atike alo atikewɔwɔ kawoe nèkafu?"
• "Ðe wòhiã be mawɔ tɔtrɔ aɖewo le nye nuɖuɖu ŋua?"

Vovototo si le Nephrotic Syndrome kple Nephritic Syndrome dome

Esiawo evea siaa nye nɔnɔme siwo gblẽa nu le ayiku ŋu.

• Nephrotic syndrome ƒe dzesi vevitɔe nye protein gbogbo aɖe si le aɖuɖɔ me.
• Nephritic syndrome ƒe dzesi vevitɔe nye ayiku ƒe dɔdzẽ . Zi geɖe la, dɔlékuiwo, ʋukawo ƒe dɔléle, alo ʋukawo ƒe gbegblẽ gbɔ ate ŋu atso dɔdzẽ sia.

Vovototo si le Nephrotic Syndrome kple Glomerulonephritis dome

Glomerulonephritis hã nye ayikudɔ. Eƒe dzesiwo sɔ kple nephrotic syndrome. Gake vovototo vevitɔe nye protein agbɔsɔsɔme si dona le eme .

• Ne nephrotic syndrome le ŋuwò la, èɖea protein si wu gram 3.5 doa goe gbesiagbe.
• Ne Glomerulonephritis le ŋuwò la, protein si mede gram 3.5 o dona gbesiagbe.

Nukae nye aɖuɖɔtoedɔléle si wodzina?

Esia nye nɔnɔme si nɔa anyi le vidzidzi me . Ate ŋu ana ayiku nawɔ dɔ tegbee, zi geɖe la, ne woxɔ tso ƒe 2 va ɖo ƒe 8. Esia nye ayikudɔ si wodzina. Ema fia be etso dzilawo gbɔ na ɖeviwo.

Mlɔeba la, nusiwo dzi nàɖo ŋkui (Take-Home Message) .

Eyata kpuie ko la, ayiku ƒe dɔléle nye nɔnɔme si me ayikuwo ɖea protein geɖe doa goe le aɖuɖɔ me. Ne dzesiwo abe ƒodo me vevesese, aɖuɖɔ si me futukpɔ le, vuvu, nuɖuɖu ƒe dzodzro, kple ɖeɖiteameŋu enuenu si nɔa anyi wu ŋkeke ʋɛ aɖewo le ŋuwò la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Ðo ŋku edzi be ne ède dzesi wò ayiku kaba eye nèdae la, ate ŋu akpe ɖe ŋuwò nànɔ lãmesẽ me eye nàxe mɔ ɖe kuxi sesẽwo nu . Mègatsi dzodzodzoe o, ɖeko nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi. Medi be nàhaya kaba!

` Nephrotic Syndrome, Ayikudɔléle, Protein, Vuvu, Aɖuɖɔtoe dodokpɔ, Ðeviwo ƒe dɔlélewo, Nephrotic Syndrome