Aklãdɔléle si me Aɖi Le: Kpɔ nyuie le atikewo, aha sesẽwo, kple atikewo zazã ŋu!

Aklã nye míaƒe ŋutilã ƒe ŋutinu vevitɔwo kple gãtɔwo dometɔ ɖeka. Ewɔa dɔ abe dɔwɔƒe gã aɖe ene le míaƒe ŋutilã me. Aklã wɔa dɔ vevi geɖe, abe aɖi siwo gena ɖe ŋutilãa me ɖeɖeɖa, kpekpeɖeŋu nana le nuɖuɖumeŋusẽ me, kple ŋusẽ dzraɖo ene. Gake ènya be atike aɖewo siwo míenona gbesiagbe, aha sesẽ siwo míenona, alo atike aɖewo siwo míegena ɖe míaƒe ŋutilã me le manyamanya me ate ŋu agblẽ nu le aklã sia si doa vevie nu, si fia be ‘aɖi’ nazu amea? Egbea míele nu ƒom tso nɔnɔme sesẽ sia si woyɔna be ‘Toxic Hepatitis’ le atikewɔwɔ me, si nye aklã me aɖi ŋu.

Kpuie ko la, nukae nye Aɖi Aklãdɔ?

Aɖi Aklãdɔ, alo aklã me aɖi, nye ne aɖi aɖe, si nye nusi gblẽa nu le míaƒe ŋutilã ŋu, gblẽa nu le aklã me lãmenugbagbeviwo ŋu eye wònana aklãa vuvu. Le atikewɔwɔ me la, míeyɔa vuvu sia be ``dɔdzẽ.`` Aɖi sia ateŋu age ɖe míaƒe ŋutilã me le mɔ geɖe nu.

• To nu mimi me: To atike siwo míenona dometɔ aɖewo nono fũ akpa, ahanono, alo to atike bubu mimi me.
• To yagbɔgbɔ me: To atike siwo me aɖi le siwo wotsaka ɖe ya me le dɔwɔƒe aɖewo, ʋudzraɖoƒewo, alo nutatadzraƒe aɖewo gbɔgbɔ me.
• To eƒe xɔxlɔ̃ to ŋutigbalẽ me: Atike sesẽwo, abe nudzodzoeviwutike aɖewo ene, ate ŋu age ɖe ŋutilãa me to ŋutigbalẽ ƒe kadodo me.

Aleae míaƒe aklã gblẽna ne ele agbagba dzem be yeaɖe aɖi siwo gena ɖe ŋutilãa me la ɖa. Ne nu sia gblẽ le ɣeyiɣi aɖe megbe la, aklãa ate ŋu azu dɔmawɔmawɔ tegbee gɔ̃ hã.

Ðe Aklãdɔléle si me Aɖi Le ƒomevi vevi aɖewo lia?

Ẽ, woate ŋu ama nɔnɔme sia ɖe hatsotso vevi eve me le alesi wòdzɔnae nu.

• Acute Toxic Hepatitis: Esia nye dɔléle si dzɔna kpata. Dzesiawo dzea egɔme le gaƒoƒo alo ŋkeke ʋɛ aɖewo megbe le aɖinu la ɖuɖu vɔ megbe. Le kpɔɖeŋu me, nɔnɔme sia ate ŋu ado mo ɖa ne èno atike aɖe fũ akpa (noe wògbɔ eme).
• Aklãdɔléle si Me Aɖi Le Ɣeyiɣi Didi: Esia nye dɔléle si doa mo ɖa vivivi le ɣeyiɣi aɖe megbe. Ɣeaɖewoɣi la, ate ŋu axɔ kwasiɖa geɖe, ɣleti geɖe, alo ƒe geɖe hafi dzesiawo nadze. Amesiwo noa aha ɣeyiɣi didi la ate ŋu axɔ nɔnɔme sia.

Azɔ hã, hatsotso aɖe li si wotu ɖe nusi gbɔ nɔnɔme sia tso dzi. Woate ŋu azã kplɔ̃ si le ete la atsɔ ase esia gɔme nyuie.

Nukae nye aklã ƒe gbegblẽ ƒe dzesiwo?

Aklãdɔléle ƒe dzesi vevitɔ si wonya nyuie wue nye ŋkuwo kple ŋutigbalẽ ƒe ɣie. Míeyɔa esia hã be jaundice , eye le atikewɔwɔ me la, woyɔnɛ be ``Jaundice.'' Tsɔ kpe ɖe esia ŋu la, dzesi bubu geɖewo ateŋu ado mo ɖa.

• Vevesese le ƒodo ƒe ɖusime, le akɔta te
• Ðeɖiteameŋu kple ɖeɖiteameŋu
• Nudzroame
• Aɖuɖɔtoe kple ʋuʋudedi
• Asrã si mebɔ o
• Aɖuɖɔ si ƒe amadede nye ɣie alo aŋutiɖiɖi
• Ƒodo ƒe ʋuʋu, alo ascites
• Ʋuʋudedi (Pruritus) .
• Teƒe alo teƒe siwo le dzo dam le ŋutigbalẽa ŋu

Nukawoe koŋ gbɔ Aɖi Aklãdɔléle tsona?

Abe alesi míedzro eme va yi ene la, susu geɖewo tae. Mina míalé ŋku ɖe wo ŋu tsitotsito vie.

Atikewo kple vitaminwo (Atikewo ƒe aklã me aɖi) .

Esia nye nusi bɔ ŋutɔ be woakpɔ.

• Vevesesenutsitike aɖewo: Vevesesenutsitike aɖewo, vevietɔ esiwo woate ŋu aƒle le atikedzraƒe le atikedzraƒe, le kpɔɖeŋu me, `(Acetaminophen)` (si wokpɔna le atikewo abe `Panadol` le Sri Lanka) kple `(NSAIDs)` (Nonsteroidal anti-inflammatory drugs) (e.g. `Ibuprofen`, `Diclofenac`) ate ŋu agblẽ nu le aklã ŋu ne wozãe wògbɔ eme ƒe agbɔsɔsɔme si wokafu.
• Atike siwo woŋlɔ na ame: Atike aɖewo, abe atike siwo ɖea ʋumemi dzi kpɔtɔna, atike siwo naa ame ƒe lãme gbãna, kple dɔlékuiwutikewo hã ate ŋu agblẽ nu le ame aɖewo ƒe aklã ŋu. Gake mègadzudzɔ wò atikewo nono le esia ta o. Ne nane si ŋu nètsi dzi ɖo la, ƒo nu tso eŋu na wò ɖɔkta.
• Gbetikewo kple Ayurvedatɔwo ƒe atikewo: Nukpɔsusu aɖe le hadomegbenɔnɔ me be ‘Sinhalatɔwo ƒe atikewɔwɔ’ alo ‘kɔnu siwo wozãna’ megblẽa nu le ame ŋu o. Gake nya ma menye nyateƒe bliboe o. Nusiwo gblẽa nu le aklã ŋu ate ŋu anɔ gbetike aɖewo me. Eyata afɔku le eme be woazã esiawo ɖɔkta bibi aɖeke ƒe aɖaŋuɖoɖo manɔmee.
• Vitamin: Vitamin aɖewo, abe vitamin A ene, ɖuɖu fũ akpa hã ate ŋu anye aɖi na aklã.

Srɔ̃ nu tso Acetaminophen ƒe aɖi ŋu koŋ

`Acetaminophen` nye atike si míezãna zi geɖe na dzoxɔxɔ kple ŋutilã ƒe vevesese. Le Sri Lanka la, woateŋu akpɔe le ŋkɔwo abe `Panadol` kple `Paramol` te. Togbɔ be esia nye atike si le dedie ŋutɔ hã la, ate ŋu agblẽ nu le aklã ŋu vevie ne wozãe wògbɔ eme.

Bu eŋu kpɔ, ame aɖe no Panadol-tike eve ɖe taɖuame ta. Le gaƒoƒo ʋɛ aɖewo megbe la, woxɔa agbalẽvi bubu le atikedzraƒea hena dzamezã. Womenya be Acetaminophen hã le agbalẽvi ma me o. To mɔ sia dzi la, woate ŋu agbɔ agbɔsɔsɔme si wozãna gbesiagbe ŋu le manyamanya me.

Le goawo katã me la, mele be ame tsitsi nano acetaminophen (si nye atikekui 8 500mg) si wu miligram 4,000 le gaƒoƒo 24 me o. Ne aklãdɔ le ŋuwò xoxo la, ele be agbɔsɔsɔ sia naɖiɖi wu gɔ̃ hã. Ne èno atike fũ le vo me, ne dzesi aɖeke mele ŋuwò o gɔ̃ hã la, yi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake. Ne ehiã la, àte ŋu aƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Dukɔa ƒe Kɔdzi hã axɔ aɖaŋuɖoɖo.

Ahanono (Ahanono ƒe aklãdɔ si me aɖi le) .

Ahanono fũu akpa nye nu vevi si nana aklã gblẽna. Aha sesẽ nye aɖi si yia aklã me lãmenugbagbeviwo me tẽ. Ne wono aha ɣeyiɣi didi aɖe la, ami ƒoa ƒu ɖe aklãa me, eye emegbe aklãa va zua abi, eye mlɔeba aklãa ate ŋu axɔ abi keŋkeŋ eye mate ŋu awɔ dɔ o (Cirrhosis).

Amekawoe le afɔku gã me be woaxɔ dɔléle sia?

Togbɔ be amesiame ateŋu axɔ `Toxic Hepatitis` hã la, ame aɖewo le afɔku me wu.

• Le nyɔnuwo gome: Esi wònye be nyɔnuwo ƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ to vovo na ŋutsuwo tɔ ta la, woƒe aklã ate ŋu agblẽ le atike aɖewo kple aha sesẽ ta vie.
• Le amesiwo noa aha fũu akpa gome.
• Le amesiwo ŋu aklãdɔ bubu le xoxo (e.g. Aklãdɔléle B, Aklãdɔléle C, Aklã si me Ami le).
• Le amesiwo zãa atike geɖe le ɣeyiɣi ɖeka me gome.
• Le amesiwo wɔa dɔ kple atikewo (e.g. amadededɔwɔƒe, plastic dɔwɔƒewo, dry cleaning dɔwɔƒewo).
• Le amesiwo ŋu domenyiŋusẽfianu ƒe dɔléle aɖewo le gome (e.g. `Alpha-1 antitrypsin ƒe anyimanɔmanɔ`, `Hemochromatosis`).

Ðe esia ate ŋu anye afɔkua? Nukawoe nye kuxi siwo dona tso eme?

Ẽ, ne womeda Toxic Hepatitis enumake o eye womeɖe atike si gblẽa nu le ame ŋu la ɖa o la, ate ŋu ahe kuxi sesẽwo vɛ. Kuxi vevitɔe nye aklã me ʋu ƒe sisi.

Cirrhosis nye nɔnɔme si me aklãmenugbagbevi siwo le lãmesẽ me gblẽna eye wotsɔa abi ƒe lãkusiwo ɖoa wo teƒe. Esia gblẽa aklãa ƒe dɔwɔwɔ nyuie me keŋkeŋ. Mlɔeba la, esia hea aklã ƒe dɔmawɔmawɔ nyuie vɛ . Le nɔnɔme mawo me la, mɔnu ɖeka kolia si dzi woato aɖe ame ƒe agbe ate ŋu anye aklã dodo na ame .

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne èyi ɖɔkta gbɔ la, abia nya geɖe wò gbã tso wò dzesiwo, atike siwo nènona, ne ènoa aha, kple dɔ si nèwɔna ŋu. Emegbe ado wò ŋutilã kpɔ. Ate ŋu awɔ dodokpɔ aɖewo hã atsɔ aɖo kpe dɔlélea dzi.

• Ʋudodokpɔ:
• Aklã ƒe Dɔwɔwɔ Dodokpɔwo: Esiawo ate ŋu alé ŋku ɖe aklã me enzyme ƒe agbɔsɔsɔ ŋu akpɔe ɖa be aklãa gblẽ hã.
• Comprehensive Metabolic Panel `(CMP)`: Dodokpɔ sia kpena ɖe ame ŋu be woase ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ kple ŋutinuwo ƒe dɔwɔwɔ gɔme bliboe.
• Aha alo atike bubuwo ƒe agbɔsɔsɔ dodokpɔ.
• Dodokpɔ bubuwo:
• Scans: CT scan alo MRI scan ate ŋu akpɔ aklã ƒe nɔnɔme kple ŋku.
• Aklãdɔ: Le go aɖewo me la, wozãa aŋe sue aɖe ŋutɔ ɖea lãkusi sue aɖe le aklãa me hedoa wo kpɔna le nusuekpɔmɔ̃ me. Esia ate ŋu akpe ɖe mía ŋu míanya afisi tututu nusiwo gblẽ le eŋu.

Aleke wowɔa atike nɛ? Ðe woate ŋu ada esiaa?

Atike nyuitɔ kekeake na `Toxic Hepatitis` enye be nàƒo asa na nusi le nu gblẽm le aklã ŋu enumake. Atikewɔwɔa nɔ te ɖe alesi gbegbe aklãa gblẽe dzi.

• Atike si gblẽa nu le ame ŋu la dzudzɔ: Ne wò ɖɔkta susui be atike alo vitamin aɖe koŋ le nu gblẽm le aklã ŋu la, aɖo aɖaŋu na wò be nàdzudzɔ enono enumake.
• Ahanono dzudzɔ keŋkeŋ.
• Tɔtrɔ siwo wowɔ le dɔwɔƒe:Ne atikewo gbɔe nɔnɔme sia tso la, ahiã be nàdo ametakpɔnu (ametakpɔnu, asigɛ) le dɔwɔƒe alo woaɖe wò ayi dɔ bubu me.
• Le acetaminophen zazã wògbɔ eme gome la: Wonaa atike tɔxɛ aɖe si wozãna tsɔ wua dɔlékuiwo le kɔdzi. Ne wonae kaba la, esia ate ŋu axe mɔ ɖe nusiwo gblẽ le aklãa ŋu ƒe akpa gãtɔ nu.

Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?

Ne dzesi sesẽ siwo gbɔna dometɔ aɖe do mo ɖa la, ate ŋu anye aklã ƒe dɔmawɔmawɔ nyuie ƒe dzesi. Eyata , yi kɔdzi Kpata Dɔwɔƒe (ETU) si te ɖe ŋuwò gbɔ kaba.

• Ʋu ƒe ʋuʋu.
• Aɖuɖɔtoe yibɔ siwo ŋu aŋɔ le.
• Teƒe siwo le abe abi ene ƒe dzedze zi ɖeka le ŋutilã bliboa me.
• Dzĩ si nu sẽ (Jaundice).
• Nuɖuɖumadzroame sesẽ.
• Delirium, nɔnɔme si me susu mele o.
• Azɔlizɔzɔ sesẽ.