Mina míanya nu tso wò aɖuɖɔ ƒe Heheɖemegbe Tɔxɛ ŋu. Nukatae esia le vevie na ayiku ƒe lãmesẽ?

Egbea míele nu ƒom tso aɖuɖɔ dodokpɔ bɔbɔe aɖe ŋutɔ si ate ŋu akpe ɖe ŋuwò nàkpɔ alesi wò ayikuwo le dɔ wɔm nyuie ŋu. Esiae nye nusi ɖɔktawo yɔna be "Specific Gravity of Urine" dodokpɔ. Anɔ eme be èsee kpɔ. Mina míalé ŋku ɖe nusi tututu dodokpɔ sia wɔna, alesi wowɔae, kple nusi míate ŋu asrɔ̃ tso emetsonuwo me ŋu.

Nukae nye aɖuɖɔ ƒe nuheŋusẽ koŋ? Mina míase egɔme bɔbɔe!

Kpuie ko la, wò aɖuɖɔ ƒe nuheŋusẽ tɔxɛ dzidzea alesi wò ayikuwo le tsi ƒe dadasɔ me le wò ŋutilã me nyuie eye wòle gbeɖuɖɔ siwo mèdi o (i.e. atikewo) ɖem ɖa le wò ʋu me. Esia dzidzea alesi wò aɖuɖɔ le ʋeʋẽme tẽ ne wotsɔe sɔ kple tsi si sɔ.

Bu eŋu kpɔ be, gbeɖuɖɔ siawo ƒomevi ate ŋu anɔ wò aɖuɖɔ me:

• Urea: Urea nye nusi dzɔna ne ŋutilãa gbã protein siwo míeɖuna.
• Uric acid: Esia dzɔna ne míaƒe ŋutilã gblẽ atike siwo woyɔna be purines me. Purine nye atike siwo le dzɔdzɔme nu siwo le nuɖuɖuwo abe lã, tɔmelã, kple biya ene me.
• Dze (vevietɔ sodium): Dze le nuɖuɖu geɖe siwo míeɖuna me, kple atike aɖewo me. Le nyateƒe me la, wokpena ɖe ame ŋu be tomenu bubu siwo le ʋua me la da sɔ eye wotsɔa nunyiamewo yia ŋutilã bliboa me.
• Amino acids: Esiawoe nye proteinwo ƒe xɔtunu veviwo.

Fifia, ne nuheŋusẽ tɔxɛ si le wò aɖuɖɔ me bɔbɔ la, efia be tsi sɔ gbɔ ɖe wò aɖuɖɔ me akpa. Esia fia be aɖuɖɔa me tsi, eye ɖewohĩ èle tsi nom fũu akpa. Le go bubu me la, nuheŋusẽ tɔxɛ si lolo fia be gbeɖuɖɔwo sɔ gbɔ akpa le aɖuɖɔa me, eye aɖuɖɔa ƒoa ƒu. Esia ate ŋu atso tsikuɖiɖi gbɔ.

Gake menye ɣesiaɣie dzidzenu siawo trɔna le tsi agbɔsɔsɔme si wozã ta o. Ɣeaɖewoɣi la, nuheŋusẽ ƒe asixɔxɔ tɔxɛ sia hã ate ŋu atrɔ le atikewɔwɔ ƒe nɔnɔme aɖe si gblẽa nu le ayikuwo ŋu ta.

Wotsɔ ŋkɔ bubu geɖewo hã yɔa dodokpɔ sia be ``Aɖuɖɔ ƒe Heheɖemegbe Tɔxɛ''. Wò ɖɔkta ate ŋu azã ŋkɔ siawo dometɔ ɖeka:

• Aɖuɖɔtoe ƒe agbɔsɔsɔme dodokpɔ
• Aɖuɖɔtoe ƒe nuheŋusẽ tɔxɛ
• Aɖuɖɔtoe SG
• SG ƒe aɖuɖɔ dodokpɔ
• Aɖuɖɔtoe me dzodzro le nuheŋusẽ tɔxɛ aɖe ŋu
• Aɖuɖɔ ƒe nuheŋusẽ tɔxɛ dodokpɔ
• Aɖuɖɔ ƒe agbɔsɔsɔme
• Tsi ƒe agbatsɔtsɔ dodokpɔ
• Tsi ƒe veve dodokpɔ

Nukae aɖuɖɔ ƒe nuheŋusẽ koŋ gblɔ na mí?

Dodokpɔ sia ɖea atike siwo katã le wò aɖuɖɔ me ƒe agbɔsɔsɔme fiana.

Nukawoe nye susu siwo tae ne wò aɖuɖɔ me tsi (si ƒe nuheŋusẽ le sue)?

• Tsi nono fũu akpa:Ame aɖewo noa tsi geɖe le numame ta.
• Suklidɔ Insipidus nye nɔnɔme si me ŋutilãa mewɔa lãmetsi si nye `(Vasopressin)` (si woyɔna hã be `(Antidiuretic Hormone)` alo `(ADH)`) wòsɔ gbɔ o, alo ayikuwo mewɔa nu ɖe ​​eŋu nyuie o. Lãmetsi sia kpɔa tsi agbɔsɔsɔme si le ŋutilãa me dzi.
• Ayiku ƒe dɔléle: Le kpɔɖeŋu me, `(Pyelonephritis)`.
• Ayikudɔléle si nɔa anyi didi (CKD): Ayikuwo ƒe dɔwɔwɔ ƒe gbegblẽ le ɣeyiɣi aɖe megbe.
• Ayiku ƒe dɔmawɔmawɔ nyuie.

Nukawoe nye susu siwo tae ne wò aɖuɖɔ me tsi (high specific gravity)?

• Tsikuɖiɖi: Tsi si sɔ nono le ŋkekea me.
• Aɖuɖɔtoe: Ne èɖea aɖuɖɔ atraɖii la, tsi geɖe dona le wò ŋutilã me.
• Aɖuɖɔtoe: Nenema kee wòle le aɖuɖɔ si me mekɔ o hã gome.
• Antidiuretic Hormone (ADH) ƒe wɔwɔ fũ akpa le ŋutilã me: Woyɔa esia be Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH).
• Ʋu si mesɔ gbɔ o yi ayikuwo me: Le kpɔɖeŋu me, `(Prerenal azotemia)`.
• Adrenal glands ƒe kpododonu be woawɔ lãmetsiŋusẽ si sɔ: Wogayɔa esia be ``Addison ƒe dɔléle''.

Ɣekaɣie wowɔa aɖuɖɔ ƒe nuheŋusẽ ƒe dodokpɔ sia?

Ne ɖɔkta aɖe susu be kuxi aɖe le wò ayikuwo ƒe tsi agbɔsɔsɔme si le wò ŋutilã me ƒe dadasɔ alo gbeɖuɖɔwo ɖeɖeɖa le wò ʋu me ŋu la, ateŋu aɖo aɖaŋu be woado ``Aɖuɖɔ ƒe Heheɖemegbe Tɔxɛ'' dodokpɔ.

Aleke nèwɔa dodokpɔ siae? Ele bɔbɔe ŋutɔ!

Ele bɔbɔe ŋutɔ. Nusi nàwɔ koe nye be nàtsɔ aɖuɖɔ ƒe kpɔɖeŋu aɖe ade kplu dzadzɛ aɖe me. Emegbe la, ɖɔkta alo ame aɖe si le dodokpɔxɔa me atsɔ ``Dipstick'' ade kpɔɖeŋua me. ``Dipstick'' nye plastik alo pepa sue aɖe. Lãmenugbagbevi suesuesue siwo wotsɔ atikewo tsyɔ la le eme. Lãmenugbagbevi siawo ƒe amadede trɔna le wò aɖuɖɔ ƒe nuheŋusẽ koŋ nu. Emae gblɔa asixɔxɔ si le eŋu na wò.

Ɣeaɖewoɣi la, be woakpɔ emetsonu si sɔ pɛpɛpɛ wu la, wò ɖɔkta ateŋu atsɔ wò aɖuɖɔ ƒe kpɔɖeŋu ʋee aɖewo ade mɔ̃ aɖe si woyɔna be ``Refractometer.`` ``Refractometer`` nye atikewɔmɔ̃ si dzidzea kekeli agbɔsɔsɔme si to wò aɖuɖɔ me. Ne tsi le wò aɖuɖɔ me wu, si fia be eƒe ʋeʋẽ lilili la, kekeli geɖe toa eme. Ne eƒo ƒu wu, si fia be eƒo ƒu la, kekeli ʋɛ aɖewo koe toa eme.

Nukae wòle be nànya hafi adze dodokpɔa gɔme?

• Ðɔktaa abia wò atikewɔwɔ ŋutinya bliboa eye wòabia nya geɖe hã.
• Anɔ abe atike ɖesiaɖe si nàno (si ɖɔkta ŋlɔ na wò, si nèƒle tso atikedzraƒe, Ayurveda-tikewo, gbetikewo gɔ̃ hã) .Ele vevie be míayɔ esia elabena atike aɖewo ate ŋu akpɔ ŋusẽ ɖe dodokpɔ sia me tsonu dzi. Eyata woate ŋu abia tso asiwò be nàdzudzɔ wo nono ŋkeke ʋɛ aɖewo do ŋgɔ na dodokpɔa. Gake mègadzudzɔ atike aɖeke nono o vaseɖe esime wò ɖɔkta nagblɔ na wò.
• Ne wodo atike na wò nyitsɔ laa eye wowɔ dodokpɔ ɖesiaɖe (abe MRI alo CT scan ene) si zãa vovototodedeameme la, gblɔ ema hã na wò ɖɔkta, elabena ate ŋu akpɔ ŋusẽ ɖe emetsonuwo dzi.
• Wò ɖɔkta agblɔ nusi tututu wòle be nàwɔ hafi awɔ dodokpɔa na wò. Ɣeaɖewoɣi la, woate ŋu abia tso asiwò be nàɖe tsi si nènona dzi akpɔtɔ abe gaƒoƒo 12 ene hafi woawɔ dodokpɔa.

Nukae dzɔna le dodokpɔa wɔɣi?

Zi geɖe la, ahiã be nàna aɖuɖɔ ƒe kpɔɖeŋu le ɖɔkta ƒe dɔwɔƒe alo dodokpɔxɔ. Ele vevie ŋutɔ be nàklɔ asi nyuie kple adzalẽ hafi nàɖe aɖuɖɔ ɖe kplua me.

Ne esesẽna na wò be nàɖe aɖuɖɔ le aƒea godo (ame aɖewo wɔnɛ, eye woyɔnɛ be "shy bladder syndrome"), gblɔe na wò ɖɔkta do ŋgɔ. Woate ŋu ana kplu wò nàtsɔ ayi aƒemee atsɔ kpɔɖeŋua ana wò, alo aɖo aɖaŋu bubu si asɔ na wò wu.

Azɔ hã, ne èle dzinu kpɔm la, yɔ ema hã, abe alesi dzinukpɔkpɔ ƒe ʋu ate ŋu akpɔ ŋusẽ ɖe aɖuɖɔ ƒe nuheŋusẽ tɔxɛ hã dzi ene.

Ne ètsɔ kpɔɖeŋua na vɔ la, atikewɔlawo agblɔ nusi nàwɔ kplii na wò.

Nukae dzɔna le dodokpɔa megbe?

Ne ètsɔ aɖuɖɔ ƒe kpɔɖeŋua na vɔ la, atikewɔlawo awɔ ``Dipstick'' dodokpɔ enumake alo aɖoe ɖe dodokpɔxɔa be woadoe kpɔ kple ``Refractometer''.

Nukawoe dona tso eme? Nukae wogblɔna na mí?

Aɖuɖɔ ƒe nuheŋusẽ tɔxɛ ƒe didime si sɔ le 1.0101 kple 1.030 dome (tsi ƒe nuheŋusẽ tɔxɛ anɔ abe 1.000 ene).

• Ne wò aɖuɖɔ ƒe nuheŋusẽ tɔxɛ mede 1.0101 o la, efia be wò aɖuɖɔ me tsi akpa eye wòle ʋeʋẽm.
• Ne wò aɖuɖɔ ƒe nuheŋusẽ tɔxɛ wu 1.030 la, efia be gbeɖuɖɔ geɖe le wò aɖuɖɔ me akpa eye wòƒo ƒu.

Ɣeyiɣi didi kae wòxɔna hafi míenyaa emetsonuwo?

Ne ɖɔkta zã `(Dipstick)` la, woateŋu anya emetsonuwo enumake kloe. Ke hã, ne wozã `(Refractometer)` la, ate ŋu axɔ ɣeyiɣi didi vie.

Zi geɖe la, wowɔa aɖuɖɔ ƒe nuheŋusẽ ƒe dodokpɔ sia kpe ɖe aɖuɖɔ dodokpɔ bubu geɖe ŋu. Eyata àxɔ dodokpɔawo katã me tsonu ɖekae, zi geɖe la, le dɔwɔŋkeke ɖeka va ɖo eve me. Wò ɖɔkta ate ŋu aƒo ka na wò agblɔ emetsonuwo na wò, alo ate ŋu aɖoe ɖe wò to kɔmpiuta dzi.

Ne emetsonuwo mesɔ o la, nukae nàwɔ kplɔe ɖo?

Ne wò aɖuɖɔ ƒe nuheŋusẽ tɔxɛ mesɔ o la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàgawɔ dodokpɔ bubuwo atsɔ anya nusi tututu gbɔ wòtso. Dodokpɔ siawo anɔ te ɖe ne wò aɖuɖɔ me tsi alo ƒo ƒu kple atikewɔwɔ ƒe nɔnɔme si wosusu be ele ŋuwò dzi. Esiawo ate ŋu anye:

• Ʋudodokpɔ: Le kpɔɖeŋu me, `(Osmolality ʋu dodokpɔ)`, `(Comprehensive Metabolic Panel - CMP)`, `(Ʋu Urea Nitrogen - BUN) dodokpɔ`.
• Nɔnɔmetata dodokpɔwo: `(MRI - Magnetic Resonance Imaging)`, `(CT scan - Computed Tomography scan)`, alo `(Ayiku ƒe ultrasound)` le ayikuwo ŋu.
• Aɖuɖɔtoe dodokpɔ bubuwo wɔwɔ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ƒo ka na wò ɖɔkta ne:

• Ne mèxɔ wò dodokpɔ me tsonu le ŋkeke ʋee aɖewo megbe o.
• Ne ède dzesi tɔtrɔ aɖewo le wò aɖuɖɔ me (abe amadede, ʋeʋẽ, zi gbɔ zi geɖe ene).
• Ne nyabiase aɖewo le asiwò ku ɖe emetsonuwo ŋu.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Aɖuɖɔɖɔɖɔ ɖe kplu me ate ŋu anye nusi mebɔ o vie eye wòakpe ŋu na ame, gake dodokpɔ sia si woyɔna be wò aɖuɖɔ ƒe nuheŋusẽ tɔxɛ la nye mɔnu si dzi ɖɔktawo tona kabakaba, si mewɔa nuvevi ame o, si dzi woato akpɔ alesi wò ayikuwo le dɔ wɔm nyuie.

Ne wò dɔwɔwɔ me tsonu mede agbɔsɔsɔ si wokpɔ mɔ na o la, wò ɖɔkta ate ŋu atso nya me kaba nenye be ehiã be woadoe kpɔ ake alo nenye be yeadze atikewɔwɔ gɔme.

Eyata esi esia le susu me na wò la, ne nya aɖe le asiwò la, mègahe ɖe megbe gbeɖe be yeabia wò ɖɔkta o. Nu vevitɔ kekeakee nye be nànɔ ŋudzɔ ɖe wò lãmesẽ ŋu!

` Aɖuɖɔ ƒe nuheŋusẽ tɔxɛ, ayiku ƒe lãmesẽ, aɖuɖɔ dodokpɔ, aɖuɖɔ ƒe agbɔsɔsɔ, ayiku ƒe dɔléle, tsikuɖiɖi