Ènya be míaƒe ŋutilã ƒe 50% va ɖo 60% nye tsiwoa? Ema fia nuwo abe tsi kple ʋu ene. Lãmetsi sia ƒe agbɔsɔsɔ si da sɔ le vevie na míaƒe lãmesẽ. Gake ne le susu aɖe ta dadasɔ sia me gblẽ, vevietɔ ne tsi ƒe agbɔsɔsɔ si le ŋutilãa me dzi ɖe edzi akpa la, ate ŋu ahe lãmesẽkuxi sesẽ geɖe vɛ. Egbea míele nu ƒom tso nɔnɔme sia si me tsi ƒe dzidziɖedzi le ŋutilã me le ŋu.
Nukae Nye Tsi ƒe Agbɔsɔsɔme (Hypervolemia)?
Kpuie ko la,
Fluid Overload nye ne tsi sɔ gbɔ ɖe wò ŋutilã me akpa. Atikewɔwɔ me nya si wozãna na esiae nye
Hypervolemia . Gɔmesese si le nya sia ŋu le bɔbɔe ŋutɔ. 'Hyper' gɔmee nye "nu geɖe akpa", eye 'vol' gɔmee nye "volume" alo "volume". Eyata Hypervolemia fia be tsi ƒe agbɔsɔsɔ si le ŋutilãa me dzina ɖe edzi. Esia ƒe akpa kemɛ hã li, si woyɔna be Hypovolemia. 'Hypo' gɔmee nye "bɔbɔe". Efia be tsi ƒe agbɔsɔsɔ si le ŋutilãa me dzi ɖena kpɔtɔna, alo nɔnɔme aɖe abe tsikuɖiɖi ene. Gake egbea míele susu hem yi Hypervolemia ƒe nɔnɔme si nye tsi ƒe dzidziɖedzi dzi. Nɔnɔme sia ate ŋu atso susu vovovowo abe dzidɔ, ayiku ƒe dɔmawɔmawɔ nyuie, aklãdɔ (cirrhosis), kple fufɔfɔ gbɔ.
Nukae nye tsi ƒe agbɔsɔsɔ fũ ƒe dzesiwo?
Ne tsi ƒo ƒu ɖe ŋutilãa me la, dzesi vovovowo ate ŋu ado mo ɖa. Ɣeaɖewoɣi la, atikewɔwɔ me nɔnɔme aɖe si le ete si le tsia ƒe agba fũu akpa hem vɛ gbɔe dzesi siawo ate ŋu atso. Esia ate ŋu atso nɔnɔme sesẽwo gbɔ, eyata ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò la, ele be
nàkpɔ wò ɖɔkta godoo .
| Dzesi si dzena | Numeɖeɖe bɔbɔe |
|---|
| Edema ƒe ʋuʋu | Àte ŋu akpɔe be wò afɔwo, afɔkpodziwo, asiwo, alo mo navuvu. Ne teƒe sia si vuvu la gakpɔtɔ le do me ɣeyiɣi kpui aɖe ne ètsɔ wò asibidɛ te edzi la, woyɔnɛ be pitting edema . |
| Ʋu ƒe Ʋuʋudedi | Lãmetsi si sɔ gbɔ ɖe wò ŋutilã me nana wò dzi wɔa dɔ sesĩe, si wɔnɛ be wò ʋu ƒe sisi dzina ɖe edzi. |
| Yagbɔgbɔ sesẽ | Ne tsi bubu gaƒo ƒu ɖe lãkusiwo me la, ate ŋu ana gbɔgbɔ nasesẽ. Àte ŋu ase "crackle" gbeɖiɖi ne èle gbɔgbɔm. Esia nye nudzɔdzɔ kpata eye ele be nàyi atikewɔƒe enumake. |
| Akɔtave | Esia ate ŋu anye nɔnɔme aɖe si woyɔna be Pulmonary Edema ƒe dzesi . Esia nye nɔnɔme si me tsi yɔa lãkusiwo me fũ. Esia hã nye nudzɔdzɔ kpata, yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake. |
| Ŋutilã ƒe vevesese | Àte ŋu ase le ɖokuiwò me be yemele dedie o le nuwo abe taɖuame, ʋuʋudedi, alo dɔgbo ƒe vevesese ta. |
| Kpekpeme ƒe dzidziɖedzi | Zi geɖe la, esiae nyea tsi ƒe agbɔsɔsɔ fũ ƒe dzesi gbãtɔ. Ame akpa gãtɔ ƒe kpekpeme dzina ɖe edzi abe kilo 3-7 ene hafi wodea dzesii be woƒe afɔ alo dɔgbo vuvu. |
Nukatae esia le dzɔdzɔm? Amekawoe le afɔku me wu?
Lãmetsi ƒe agbɔsɔsɔ fũ dzɔna ne wò ayikuwo te sodium (dze) léle ɖe wò ŋutilã me. Zi geɖe la, ayikuwo kpɔa dze kple tsi ƒe dadasɔ le míaƒe ŋutilã me dzi. Ne atikewɔwɔ ƒe nɔnɔme aɖe na ayikuwo lé sodium la, sodium ƒe agbɔsɔsɔ si le ŋutilãa me dzina ɖe edzi. Le esia ta la, ŋutilãa dzea tsi geɖe dodo gɔme.
Kpuie ko la, ne dze sɔ gbɔ ɖe ŋutilãa me akpa la , tsi lénɛ ɖe te be wòana dzea natsi. Esia koŋue hea vuvu vɛ.
Susu kple afɔku ƒe hatsotso geɖewo li siwo ate ŋu ana esia nadzɔ:
- Dzi ƒe Dɔmawɔmawɔ nyuie: Ne wò dzi ƒe lãmeka gbɔdzɔ la, mete ŋu kɔa ʋu nyuie o. Esia fia be wò ayikuwo mekpɔa ʋu si hiã o. Wò ŋutilã dzea agbagba be yeaxe fe ɖe eta to dze kple tsi léle ɖe asi me. Nusi dona tso emee nye tsi si nɔa lãme na ame.
- Ayikuwo ƒe Dɔmawɔmawɔ nyuie : Ayikuwo kɔa míaƒe ʋu ŋu eye woɖea aɖinuwo ɖa . Ne ayikuawo mele dɔ wɔm nyuie o la, womete ŋu ɖea tsi kple dze bubu ɖa le ŋutilãa me o eye woƒoa ƒu ɖe ŋutilãa me.Esia ate ŋu adzɔ le ayiku ƒe nɔnɔmewo abe Nephrotic Syndrome ene hã ta.
- Aklã ƒe Nɔnɔmewo : Aklã ƒe nɔnɔmewo abe aklã ƒe dɔléle ene ate ŋu ana aklãa nagawɔ dɔ nyuie o. Esia ate ŋu ana tsi naƒo ƒu ɖe ƒodo me (si woyɔna be ascites ), eye asiwo, afɔwo, kple mo navuvu.
- Suklidɔ : Suklidɔ ate ŋu agblẽ nu le ayikuwo ŋu, si ate ŋu ana tsi hã naƒo ƒu ɖe ŋutilãa me.
- Dze ɖuɖu fũu akpa: Ne ètsɔ dze geɖe de wò nuɖuɖu me, vevietɔ ne èɖua nuɖuɖu siwo ŋu wotrɔ asi le geɖe la, wò ŋutilã dina be tsi nalé ɖe te.
- Atike aɖewo: Ʋusɔgbɔdɔ kple vevesese ƒe atike aɖewo ate ŋu ana tsi natsi ŋutilãa me abe eƒe nugbegblẽ le ame ŋu ene.
- Fufɔfɔ: Lãmetsiŋusẽ ƒe tɔtrɔ le fufɔɣi kple vidzidɔ si le tsitsim ƒe nyaƒoɖeamenu ɖe ʋukawo ŋu nana tsi ƒe ƒoƒo ɖe ŋutilãa me dzina ɖe edzi.
Aleke wowɔa atike nɛ?
Ne èle tsi ƒe agbɔsɔsɔ fũu dam dam la, wò ɖɔkta adze agbagba gbã be yeada nɔnɔme si gbɔ wòtso si he wò vɛ. Atikewɔwɔ ƒe tiatia ate ŋu ato vovo le wò nɔnɔmea nu.
Atikewɔwɔ ƒe atikewɔwɔ
- Aɖuɖɔtoemetikewo: Wogayɔa esiawo be ‘tsitikewo.’ Atike siawo kpena ɖe ŋutilãa ŋu wòɖea tsi si sɔ gbɔ ɖe eme to aɖuɖɔ me.
- Dialysis: Wozãa atike sia na dɔnɔ siwo ƒe ayiku mewɔa dɔ nyuie o. Mɔ̃ aɖe kɔa ʋua ŋu eye wòɖea tsi si sɔ gbɔ ɖe eme la ɖa.
- Paracentesis: Mɔnu si wozãna tsɔ ɖea tsi le ƒodo me (ascites) to mɔ̃ sue aɖe zazã me.
Agbenɔnɔ ƒe tɔtrɔ
Tsɔ kpe ɖe atikewɔwɔ ŋu la, tɔtrɔ ʋɛ aɖewo siwo míate ŋu awɔ le míaƒe agbenɔnɔ me ate ŋu awɔ akpa gã aɖe le nɔnɔme sia dzi ɖuɖu me.
- Dze dzi ɖuɖu: Esiae nye nu vevitɔ kekeake. Ðe dze si nèdea wò nuɖuɖu me dzi kpɔtɔ. Vevietɔ dze geɖe le nuɖuɖu siwo ŋu wotrɔ asi le abe lãmi, nuɖuɖu siwo wotsɔ gaze me, soseti, abolo, kple bisiklet ene me.
- Da ɖokuiwò gbesiagbe: Da ɖokuiwò le ɣeyiɣi ɖeka me, eye nàdo awu ɖeka. Ne èlolo zi ɖeka la, ate ŋu anye tsiléle. Na wò ɖɔkta nanya nu tso eŋu.
- Tsinono dzi ɖeɖe kpɔtɔ: Woƒe ɖɔkta ɖoa aɖaŋu na dɔnɔ aɖewo be woaɖe tsi agbɔsɔsɔme si woate ŋu ano gbesiagbe dzi akpɔtɔ. Wɔ ɖe mɔfiame siawo dzi nyuie.
- No atike siwo woŋlɔ na wò abe alesi woŋlɔe ene pɛpɛpɛ: No atike si ɖɔkta ŋlɔ na wò, le ɣeyiɣi nyuitɔ dzi kple le agbɔsɔsɔ nyuitɔ me.
- Agbenɔnɔ si me lãmesẽ le:Ƒo asa na atamanono, ɖu ahanono dzi, ɖu nuɖuɖu si naa lãmesẽ, eye nàde kame si sɔ abe alesi wò ɖɔkta gblɔe ene.
Kuxi siwo dona tso eme ne womekpɔ wo gbɔ o
Lãmetsi ƒe agbɔsɔsɔ fũ ate ŋu ahe kuxi sesẽwo vɛ ne womewɔ atike nɛ nyuie o.
- Aklã me Ʋuʋudedi: Nudzɔdzɔ kpata si ate ŋu ade ame ƒe agbe afɔku me si nana gbɔgbɔ sesẽna.
- Dzi ƒe Dɔmawɔmawɔ nyuie: Ne wotsɔ teteɖeanyi geɖe kpe ɖe dzi si gbɔdzɔ xoxo ŋu la, ate ŋu ana nɔnɔmea nagagblẽ ɖe edzi.
- Abi ƒe dɔyɔyɔ si tsi megbe.
- Lãmetsiwo ƒe gbagbã.
Eyata ele vevie ŋutɔ be woadi atikewɔlawo ƒe aɖaŋuɖoɖo ne wonya de dzesi dɔlélea ƒe dzesiwo ko.
Gbedasi si Wotsɔ Yi Aƒeme
- Lãmetsi ƒe agbɔsɔsɔ fũ (Hypervolemia) nye tsi ƒe agbɔsɔsɔ si le ŋutilãa me ƒe dzidziɖedzi fũ akpa.
- Afɔ, asiwo, kple mo ƒe vuvu, lolo zi ɖeka, gbɔgbɔ sesẽ, kple ʋusɔgbɔdɔe nye dzesi vevitɔwo.
- Nɔnɔmewo abe dzidɔ, ayikudɔ, kple aklãdɔ ene ate ŋu anye nusiwo koŋ gbɔ wòtsona.
- Ne gbɔgbɔ sesẽ na wò alo akɔta le veve sem na wò la , bu eŋu be enye nusi dzɔ kpata eye nàyi atikewɔƒe enumake.
- Atikewɔwɔ lɔ ‘tsitikewo’ (tsiɖuɖɔtikewo) kple dɔléle si gbɔ wòtso la dada ɖe eme.
- Dze dzi ɖuɖu le nuɖuɖu me kple kpekpeme dzidzedze gbesiagbe le vevie ŋutɔ le nɔnɔme sia dzi ɖuɖu me.
- Ne nane tsi dzi na wò le esia ŋu la, ƒo nu kple wò ɖɔkta godoo .
Lãmetsi ƒe agbɔsɔsɔ fũ, Ʋusɔgbɔdɔ, Ŋutilã ƒe vuvu, Ʋuʋudedi, Ayikudɔ, Dzidɔ, Ʋusɔgbɔdɔ, Ŋutilã me Tsi, Aklã me Ʋuʋudedi, Aɖuɖɔtoemeŋusẽ, Dialysis, Dzedzikpɔkpɔ
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