Ðe protein sɔ gbɔ akpa le wò aɖuɖɔ mea? (Proteinuria) - Mina míakpɔ nusi tututu esia nye ɖa!

Ède dzesii kpɔ be wò aɖuɖɔ , alo aɖuɖɔ, le fuɖename vi aɖe mea? Alo ɖewohĩ ɖɔkta aɖe wɔ aɖuɖɔ dodokpɔ hegblɔ be, "Protein sɔ gbɔ vie le wò aɖuɖɔ me." Emae nye nusi míeyɔna le atikewɔwɔ me be proteinuria . Kpuie ko la, esia fia be protein sɔ gbɔ ɖe wò aɖuɖɔ me wu alesi wòle be wòanɔ. Esia ate ŋu anye ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesi kaba ɣeaɖewoɣi.

Nukae nye protein eye nukatae wòle vevie na míaƒe ŋutilã alea gbegbe ɖo?

Bu eŋu kpɔ, proteinwo le abe dɔwɔla siwo le míaƒe ŋutilã me ene. Wowɔa dɔ vevi geɖe.

• Ekpena ɖe ame ŋu be lãmekawo kple ƒuwo tua . Ne míele du ƒum henɔ ti kpom, ne míekɔ kpekpemewo la, míehiã lãmeka sesẽwo.
• Eɖɔa tsi agbɔsɔsɔme si le míaƒe ʋu me ɖo .
• Wokpena ɖe míaƒe ŋutilã ŋu wòwɔa avu kple dɔlékuiwo . Wole abe asrafo suewo ene le míaƒe ŋutilã me.
• Woƒe dɔe nye be woadzra lãkusi siwo gblẽ hã ɖo .

Wobui be protein siawo le míaƒe ʋu me. Afi mae wowɔa woƒe dɔ veviwo le. Gake, ne le susu aɖe ta la, protein siawo do le ʋua me eye wova wu enu ɖe ​​aɖuɖɔ me la, ekema efia be wole wo ɖem ɖa le ŋutilãa me. Ne edzɔ alea la, ate ŋu agblẽ nu le míaƒe ŋutilã bliboa ƒe lãmesẽ ŋu.

Ðe protein si le aɖuɖɔ me nye nu vevi aɖea?

Ẽ, protein si le aɖuɖɔ me nye nusi ŋu wotsi dzi ɖo vavã , elabena numekuku aɖewo ɖee fia be nɔnɔme sia nana dzidɔ kple dzitodzito me dɔléle ƒe ku ƒe afɔkua dzina ɖe edzi.

Ɣeaɖewoɣi la, nɔnɔme sia si woyɔna be proteinuria ate ŋu anye ayikudɔléle si nɔa anyi didi (CKD) ƒe dzesi gbãtɔ . Gake protein ƒe agbɔsɔsɔ si sɔ ate ŋu anɔ ame aɖewo ƒe aɖuɖɔ me togbɔ be CKD le wo ŋu hã. CKD nye ayiku ƒe dɔmawɔmawɔ nyuie vivivi. Ne esia yi edzi la, ate ŋu ahiã be woado ayiku na wò alo woaɖe ayiku me. Suklidɔ kple ʋusɔgbɔdɔe nye nu vevi eve siwo nana ayiku gblẽna. Esiawoe nye nusiwo hea ayikudɔ vɛ wu.

Amekae le afɔku me wu le nɔnɔme sia me?

Amesiame ate ŋu axɔ proteinuria. Gake anɔ eme be dɔléle sia adze dziwò ne:

• Ne èxɔ wu ƒe 65 la .
• Ne ayikudɔ nɔ wò ƒomea me tɔ aɖe ŋu alo le eŋu fifia .
• Ne atikewɔwɔ me dɔléle bubu aɖe le ŋuwò si gblẽa nu le wò ayiku ŋu, abe suklidɔ ene .
• Wokpɔe be afɔku sia lolo wu le to aɖewo me (le kpɔɖeŋu me, ameyibɔwo, Hispaniatɔwo, Amerikatɔ Gbãtɔwo, alo Pasifik Ƒukpowo dzi nɔlawo).

Aleke gbegbee nɔnɔme sia bɔe?

Proteinuria nye dɔléle si bɔ vie. Le kpɔɖeŋu me, woka nya ta be ame siwo ade 6.7% le United States la ŋu dɔléle sia le.

Aleke protein wɔna gena ɖe aɖuɖɔ me? Nukae dzɔna le ayikuawo me?

Bu míaƒe ayikuwo be wonye super filter. Woƒe dɔ vevitɔe nye be woaɖe gbeɖuɖɔwo kple tsi si sɔ gbɔ ɖe míaƒe ʋu me ɖa. Gbeɖuɖɔ siawo siwo woɖe tso tsi me kple tsi ye dona le ŋutilãa me abe aɖuɖɔ ene.

Ʋuka suesuesue geɖe siwo woyɔna be glomeruli le ayikuawo me . Esiawoe nye ʋu ƒe ʋuʋu ƒe akpa gbãtɔ. Zi geɖe la, glomeruli siawo meɖea mɔ na protein ƒe akpa gãwo alo ʋumenugbagbeviɣiwo be woato aɖuɖɔ me o. Ele abe lãgbalẽ si wotsɔ lãgbalẽ wɔe si léa kakɛ gãwo ene. Gake ne protein ƒe akpa sue aɖewo to glomeruli siawo me nyateƒe la, ayiku me ʋuka (tubules) didi siwo le tsɛ la gaxɔa protein mawo ɖe ŋutilãa me ake.

Eyata protein dzea yiyi gɔme ɖe aɖuɖɔ me ne nane gblẽ le nuwɔna sia ŋu:

• Ne nu gblẽ le glomeruli alo tubules ŋu.
• Ne kuxi aɖe le protein ƒe gbugbɔgaxɔ ƒe ɖoɖoa ŋu.

Nukae nye esia ƒe dzesiwo? Aleke míewɔna dea dzesii?

Zi geɖe la , proteinuria meɖea dzesi aɖeke fiana le eƒe gɔmedzedze o . Esia tae ate ŋu anye afɔku vie ɖo. Gake ne nɔnɔmea le sesẽm ɖe edzi la, dzesiwo abe:

• Mo, ƒodo, afɔ, alo afɔkpodzi ƒe vuvu (edema) . Ame aɖewo ka nya ta be yewoƒe mo vuvu ne yewofɔ le ŋdi me, alo be yewoƒe afɔwo vuvu le fiẽ me.
• Ehiã be nàɖe aɖuɖɔ enuenu.
• Yagbɔgbɔ sesẽ.
• Ðeɖiteameŋu sesẽ, ɖeɖiteameŋu.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Nuɖuɖua mevivina o.
• Lãmetsiwo ƒe ʋuʋu le zã me.
• Fuɖename le ŋkuwo ŋu, vevietɔ le ŋdi me.
• Aɖuɖɔ si me futukpɔ alo bubbly le. Esiae nye dzesi gbãtɔ si ame geɖe dea dzesii. Ne ewɔ futu abe adzalẽtsi ene la, ele be nàtsi dzi.

Vevietɔ: Le nyateƒe me la, dzesi siawo ate ŋu anye ayikudɔléle si nɔa anyi didi ƒe dzesiwo. Ne èkpɔ dzesi siawo, vevietɔ aɖuɖɔ si me futukpɔ le kple vuvu la, yi ɖɔkta gbɔ enumake.

Nukawoe hea proteinuria vɛ?

Zi geɖe la, proteinuria ate ŋu atso atikewɔwɔ me nɔnɔme siwo megblẽa nu boo aɖeke o (siwo menye kansa o) alo esiwo nɔa anyi ɣeyiɣi kpui aɖe gbɔ. Esiawo ƒe kpɔɖeŋu aɖewoe nye:

• Tsikuɖiɖi - Esia fia be tsi masɔ gbɔ le ŋutilã me o.
• Nutete- Dzoxɔxɔ le ŋutilã ƒe teƒe aɖe.
• Ʋu ƒe sisi le lãme na ame (Hypotension).
• Ayiku me kpewo.

Azɔ hã, nuwo abe kamedede sesẽ, nuteɖeamedzi, atikewo abe aspirin ene nono gbesiagbe, kple vuvɔ si nu sẽ ene ate ŋu ana protein ƒe agbɔsɔsɔ si le aɖuɖɔ me nadzi ɖe edzi hena ɣeyiɣi aɖe.

Gake atikewɔwɔ me nɔnɔme sesẽwo hã ate ŋu agblẽ nu le ayikuwo ŋu eye wòana proteinuria nado. Nɔnɔme mawo dometɔ aɖewoe nye:

• Dɔlélenutsiŋutete ƒe dɔléle aɖewo , abe lupus kple Goodpasture ƒe dɔléle ene.
• Ayiku ƒe dɔléle sesẽ , si woyɔna hã be glomerulonephritis.
• Plasma cell cancer , si wogayɔna be multiple myeloma.
• Ʋumenugbagbevi dzĩwo ƒe tsɔtsrɔ̃ nana hemoglobin ƒoa ƒu ɖe ʋua me (intravascular hemolysis).
• Dzitodzito me dɔléle.
• Proteinuria kple ʋusɔgbɔdɔ le funɔ me le ɣeyiɣi ɖeka me - woyɔa esia be preeclampsia.
• Aɖi tsɔtsɔ de ame me.
• Ŋutilã me afɔkuwo/nuveviwɔame (`Trauma`).
• Ayiku me kansa.
• Dzi ƒe nɔnɔmewo (`dzi ƒe dɔmawɔmawɔ nyuie`).

Protein agbɔsɔsɔme kae wòle be míatsi dzi ɖo le míaƒe aɖuɖɔ me?

Zi geɖe la, ele be protein ƒe agbɔsɔsɔ si le míaƒe aɖuɖɔ me nade miligram 150 gbesiagbe. Ne protein si wu miligram 150 le wò aɖuɖɔ me gbesiagbe la, woyɔa ema be proteinuria. Seɖoƒe si le etame si le agbɔsɔsɔ sia si sɔ ŋu ate ŋu ato vovo vie tso dodokpɔxɔ me yi bubu gbɔ.

Ne protein si ade gram 3 va ɖo 3.5 le wò aɖuɖɔ me gbesiagbe la, woyɔnɛ be nephrotic-range proteinuria . Nephrotic syndrome nye dɔléle si mebɔ kura o si me ayikuwo ɖea protein geɖe doa goe ɖe aɖuɖɔ me.

Ðe esia nye dɔléle si xɔa ame mea?

Ao, proteinuria menye dɔléle si xɔa ame me o . Gake ne dɔlélea le ame bubuwo ŋu le wò ƒomea me la, anɔ eme be wò hã nàxɔe. Esia fia be domenyiŋusẽfianu ate ŋu anɔ anyi.

Aleke tututu nèwɔna dea dzesi esia? Dodokpɔ kawoe wowɔna?

Wò ɖɔkta awɔ dipstick dodokpɔ gbã atsɔ anya proteinuria.. Le dodokpɔ sia me la, èɖea aɖuɖɔ ɖe nugoe tɔxɛ aɖe me le wò ɖɔkta ƒe dɔwɔƒe alo kɔdzi. Emegbe, ɖɔktaa tsɔa aŋetu (dipstick) tsɛ aɖe si ŋu atike tɔxɛ aɖe fa ɖo la dea aɖuɖɔa me. Ne protein sɔ gbɔ ɖe aɖuɖɔa me la, atikplɔa ƒe amadede atrɔ.

Emegbe, wò ɖɔkta awɔ aɖuɖɔtoe me dzodzro le aɖuɖɔ si susɔ la ŋu. Esia alé ŋku ɖe aɖuɖɔtoea ƒe dzedzeme, atike siwo le eme, kple eƒe ememe wɔwɔme ŋu le nusuekpɔmɔ̃ me. Ðɔktaa adi nusiwo mele aɖuɖɔ me le dzɔdzɔme nu o. Le kpɔɖeŋu me, ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, dɔlékuiwo, kple dze alo protein kristalo siwo ate ŋu awɔ ayiku me kpewo.

Nukae nàwɔ ne èsusu be ayikudɔ le ŋuwò?

Ne wò ɖɔkta susui be ayikudɔ le ŋuwò la, abia tso asiwò be nàgawɔ aɖuɖɔ dodokpɔ zi etɔ̃ le ɣleti etɔ̃ me. Ne protein le aɖuɖɔtoeawo dometɔ ɖesiaɖe me la, anɔ eme be dɔléle aɖe si nɔa anyi didi (si nɔa anyi didi) le ŋuwò. Zi alesi wokpɔ esia dze sii kaba la, zi nenemae mɔnukpɔkpɔ si li be woaɖu ayikudɔléle ƒe ŋgɔyiyi dzi ahatɔ tei la nyona ɖe edzii.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ siwo gbɔna:

• Creatinine ɖeɖeɖa dodokpɔ: Creatinine nye atike gbegblẽwo. Dodokpɔ sia dzidzea creatinine ƒe agbɔsɔsɔ si le wò aɖuɖɔ kple ʋu me. Ne wò ayikuwo le lãmesẽ me la, woɖea creatinine le wò ʋu me hetsɔnɛ yia wò aɖuɖɔ me. Gake ne wò ayikuwo mele dɔ wɔm nyuie o la, creatinine nɔa wò ʋu me.
• Glomerular filtration rate (GFR) ʋudodokpɔ: GFR tsɔa protein siwo woyɔna be creatinine kple albumin ƒe agbɔsɔsɔ si le wò ʋu me sɔna kple wo nɔewo, le wò ŋutilã ƒe lolome, ƒe si nèxɔ, gbɔdɔdɔ si nètso, kple to si me nètso nu. GFR ate ŋu agblɔ alesi wò ayikuwo le dɔ wɔm nyuie kple alesi wò ayikudɔa de ŋgɔe na wò ɖɔkta. Nyatakaka siawo ate ŋu akpe ɖe ŋuwò nàwɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake.
• Ʋudodokpɔ siwo dzidzea protein ƒe agbɔsɔsɔ bliboa le ʋumenugbagbeviɣi me: Serum nye ʋua ƒe akpa si me protein le.
• Nɔnɔmetatawo dodokpɔ: Dodokpɔwo abe CT scan kple ultrasound ene ate ŋu ade dzesi kuxiwo abe ayiku me kpewo, dɔdzẽ, alo aɖuɖɔtoe ƒe xexe ene.
• Urine protein electrophoresis (UPEP): UPEP na wò ɖɔkta te ŋu di protein ƒomevi aɖewo koŋ. Woɖoa wò aɖuɖɔ ƒe kpɔɖeŋu ɖe dodokpɔxɔ aɖe. Le afima la, dodokpɔxɔ me dɔwɔla aɖe tsɔa elektrikŋusẽ dea wò aɖuɖɔ me. Esia ate ŋu aɖe protein agbɔsɔsɔme si le wò aɖuɖɔ me afia.
• Dɔlélenutsiŋutete ƒe ʋudodokpɔ (IFE):Ðɔktaa zãa aŋe kple mɔ̃ sue aɖe tsɔ ɖea ʋu tso ʋuka aɖe si le wò alɔnu alo asi me la me. Woɖoa ʋua ɖe dodokpɔxɔ aɖe be woadoe akpɔ be protein aɖewo koŋ le ʋua me hã.
• Ayiku me lãmenugbagbeviwo ɖeɖe: Le dodokpɔ sia me la, wò ɖɔkta ɖea wò ayiku ƒe akpa sue aɖe ŋutɔ ɖa. Woɖoa kpɔɖeŋua ɖe dodokpɔxɔ aɖe. Nudokpɔƒe ƒe mɔ̃ɖaŋudɔwɔla aɖe léa ŋku ɖe ayiku ƒe kpɔɖeŋua ŋu le nusuekpɔmɔ̃ me be yeakpɔ nusi le wò ayikudɔa hem vɛ kple alesi gbegbe wògblẽ nu le eŋu.

Aleke wowɔa nu ɖe ​​esia ŋui?

Proteinuria dada nɔ te ɖe nusi gbɔ wòtso dzi . Nu ɖesiaɖe si gbɔ wòtso la kple eƒe atikewɔwɔ.

Ne ayikudɔ gbɔe proteinuria tsona la , wò atikewɔwɔ ƒe ɖoɖoa ate ŋu anye atikewo, tɔtrɔ le nuɖuɖu ŋu, kple kamedede . Ne ʋusɔgbɔdɔ le ŋuwò la, wò ɖɔkta aŋlɔ atike na wò. Ne ʋusɔgbɔdɔ le ŋuwò la, anyo be nàdo wò aɖuɖɔ kpɔ eye nàdo wò ʋu ƒe sisi kpɔ ƒe sia ƒe.

Ne suklidɔ le ŋuwò la , ele be nàɖu sukli ƒe agbɔsɔsɔ le ʋu me dzi . Ele be woado wò GFR ​​ʋu hã kpɔ ƒe sia ƒe.

Ele be funɔ siwo ŋu preeclampsia le kpɔ la nayi woƒe ɖɔkta gbɔ edziedzi be woado wo kpɔ. Togbɔ be preeclampsia nye dɔléle sesẽ aɖe hã la, zi geɖe la, ehayana le ŋkeke alo kwasiɖa ʋɛ aɖewo me le vidzidzi megbe.

Ne proteinuria le ŋuwò gake suklidɔ, ʋusɔgbɔdɔ, alo atikewɔwɔ me dɔléle bubu aɖeke mele ŋuwò o la, wò ɖɔkta ate ŋu aŋlɔ ʋu ƒe sisi ƒe atike na wò be wòakpe ɖe ŋuwò nàxe mɔ ɖe ayiku ƒe gbegblẽ nu. Anyo be nàdo wò ʋu ƒe sisi kpɔ eye woado wò aɖuɖɔ kpɔ ɣleti ade ɖesiaɖe be nàkpɔ egbɔ be ayikudɔ mele ŋuwò o.

Ne proteinuria si nu mesẽ o alo esi nɔa anyi ɣeyiɣi kpui aɖe le ŋuwò la, ɖewohĩ màhiã atike aɖeke o.

Ðe tsinono ɖea protein si le aɖuɖɔ me dzi kpɔtɔna?

Ao, tsi geɖe nono mada proteinuria o. Tsi geɖe nono ana nàɖe aɖuɖɔ geɖe wu, si ate ŋu aɖe protein ƒe agbɔsɔsɔ si le wò aɖuɖɔ me dzi akpɔtɔ le ɣeyiɣi ɖeka me. Gake maxe mɔ na ayikuawo be woagaɖe protein o.

Aleke malé be na ɖokuinye? Nu kawoe wòle be mawɔ?

Mɔ nyuitɔ si dzi nàto alé be na ɖokuiwòe nye be nàno wò atikewo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ.

Tsɔ kpe ɖe eŋu la, mɔ bubu aɖewo siwo dzi nàto akpe ɖe ŋuwòe nye esi:

• Nuɖuɖu siwo me protein sɔ gbɔ ɖo dzi ɖeɖe kpɔtɔ.
• Dze ɖuɖu dzi ɖeɖe kpɔtɔ. Esia akpe ɖe ŋuwò nàɖe wò ʋu ƒe sisi dzi akpɔtɔ.
• Nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu ɖuɖu ate ŋu akpe ɖe ame ŋu be ʋumemi dzi naɖe akpɔtɔ eye wòana sukli ƒe agbɔsɔsɔ le ʋu me naɖɔ ɖo.
• Kamedede alo kamedede edziedzi.Dze agbagba nàƒo ɖokuiwò ɖe dɔwɔna me gaƒoƒo eve ya teti le kwasiɖa me.
• Kpɔ sukli ƒe agbɔsɔsɔ le wò ʋu me ɖa edziedzi.
• Atamanono kple atamanono dzi ɖeɖe kpɔtɔ.
• Ƒo asa na atike siwo me steroid mele o siwo wua dɔdzẽ (NSAID) nono negbe ɖe ɖɔkta ŋlɔe na wò hafi. NSAID siwo wozãna wue nye aspirin (Bayer®), ibuprofen (Advil®), kple naproxen (Aleve®).

Ðe mɔ aɖe li si dzi woato axe mɔ ɖe esia nua?

Womate ŋu axe mɔ ɖe proteinuria nu keŋkeŋ o . Ke hã, àte ŋu akpɔ egbɔ . Woate ŋu atsɔ atikewo kple agbenɔnɔ ƒe tɔtrɔ aɖu nɔnɔme geɖe siwo hea proteinuria vɛ dzi.

Nukae nye mɔkpɔkpɔ na amesi ŋu proteinuria le?

Ne wokpɔ dɔlélea nyuie eye wodae nyuie la, mɔkpɔkpɔ na amesiwo ŋu proteinuria le la nyo.

Gake ne womewɔ atike na proteinuria o la, ate ŋu ana ame naku gɔ̃ hã. Numekukuwo ɖee fia be amesiwo me proteinuria mele o nɔa agbe didi wu amesiwo ŋu proteinuria fafɛ alo sesẽ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èkpɔ dzesi siawo dometɔ aɖe la, yi ɖɔkta gbɔ enumake:

• Ne ehiã be nàɖe aɖuɖɔ zi geɖe wu alesi nèwɔnɛ ɖaa, alo ne èle veve sem ne èle aɖuɖɔ tom.
• Ne wò aɖuɖɔ me futukpɔ alo kuɖɔ le eme.
• Ne èse le ɖokuiwò me be yeƒe lãme le ʋuʋum alo yeƒe lãme le ʋuʋum.
• Ne èse le ɖokuiwò me be yeƒe ta le ƒoƒom, yegbɔdzɔ, alo yeƒe ta me kɔ.
• Ne wò mo, dɔgbo, alo wò ŋutilã ƒe akpa si le ete vuvu alo vuvu.
• Ne wò dzesiwo meva nyo ɖe edzi le atikewɔwɔ vɔ megbe o.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe:

• Aleke ɖɔktaa awɔ anya kple kakaɖedzi be proteinuria le ŋunye?
• Nɔnɔme kae na proteinuria va dze dzinye?
• Dodokpɔ kawoe nèkafu?
• Ðe proteinuria si nu mesẽ o alo ɣeyiɣi kpui aɖe ƒe dɔléle le ŋunyea?
• Atike alo atikewɔwɔ kawoe nèkafu?
• Ðe wòhiã be mawɔ tɔtrɔ aɖewo le nye nuɖuɖu alo agbenɔnɔ ŋua?
• Ne proteinuria mele ŋunye o la, nɔnɔme bubu kae ate ŋu anɔ ŋunye?

Vovototo kae le Proteinuria kple Orthostatic Proteinuria dome?

Orthostatic proteinuria ( si woyɔna hã be postural proteinuria) fia be wò...Esia fia be protein geɖe le wò aɖuɖɔ me ne èle aɖuɖɔ tom esime nèle tsitrenu, gake protein si le wò aɖuɖɔ me ya sɔ ne èɖe aɖuɖɔ esime nèmlɔ anyi. Esia nye nɔnɔme si wokpɔna zi geɖe le sɔhɛwo me, vevietɔ le ame kɔkɔwo kple ame tsɛwo, eye afɔku mele eme boo o.

Vovototo kae le Proteinuria kple Proteinuria si nɔa anyi ɣeyiɣi kpui aɖe dome?

Proteinuria si nɔa anyi ɣeyiɣi kpui aɖe nye nɔnɔme si nɔa anyi ɣeyiɣi kpui aɖe . Zi geɖe la, nusiwo abe kamedede sesẽ, nuteɖeamedzi, dzoxɔxɔ, kple vuvɔ si nu sẽ ɣeyiɣi didi ene gbɔe wòtsona. Zi geɖe la, proteinuria si nɔa anyi ɣeyiɣi kpui aɖe la nu tsona le eɖokui si atike aɖeke mawɔmawɔe.

Proteinuria nye protein ƒe agbɔsɔsɔ si dzi ɖe edzi le wò aɖuɖɔ me. Ne proteinuria le ŋuwò la, ahiã be nàɖe aɖuɖɔ enuenu, eye wò aɖuɖɔ ate ŋu anye futukpɔ alo kuɖɔ. Àte ŋu akpɔ dɔléle ƒe dzesi siwo bɔ, abe ʋuʋudedi, ʋuʋudedi, ɖeɖiteameŋu, kple vuvu ene hã. Ne dzesi siawo le ŋuwò wu ŋkeke ʋɛ aɖewo la, anyo wu be nàyi ɖɔkta gbɔ. Ate ŋu anya nɔnɔme si le wò proteinuria hem vɛ eye wòaŋlɔ atike siwo akpe ɖe ŋuwò be wò ayikuwo nanɔ lãmesẽ me.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enyo, eyata le nusiwo me míedzro me la, mele mɔ kpɔm be susu nyui aɖe su asiwò tso proteinuria ŋu. Nu vevitɔe nye be nàyi ɖɔkta gbɔ ne ède dzesi tɔtrɔ aɖewo le wò aɖuɖɔ me (vevietɔ aɖuɖɔ si me futukpɔ le) alo wò ŋutilã vuvu. Ne ède dzesii kaba la, àte ŋu axe mɔ ɖe kuxi geɖewo nu. Ayikuwo le abe míaƒe ŋutilã ƒe dɔla siwo meƒoa nu o ene. Enye míaƒe agbanɔamedzi be míalé be na wo nyuie. Mègatsi dzi o, woate ŋu aɖu nɔnɔme siawo dzi to atikewɔlawo ƒe aɖaŋuɖoɖo kple atikewɔwɔ nyuie me.

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