Ɣeaɖewoɣi la, míetsia dzi fũu akpa ɖe nane abe dɔgbo ƒe veve alo aɖuɖɔtoetetedɔ bɔbɔe aɖe si le viwòa ŋu ene ŋu o, alo? Gake ɣeaɖewoɣi, vevietɔ ne ʋu le aɖuɖɔ me (ʋu ƒe aɖuɖɔtoe) la, ate ŋu anye be nane si nu sẽ wu ɣla ɖe megbe nɛ. Esia tae míele nu ƒom tso nɔnɔme aɖe si ŋu wòle be woalé ŋku ɖo, si doa vɔvɔ̃ na ame vie, gake woate ŋu akpɔ egbɔ ne wona nyanya wò nyuie ŋu ɖo. Emae nye HUS, alo Hemolytic Uremic Syndrome.
Nukae nye HUS ko?
Kpuie ko la, Hemolytic Uremic Syndrome (HUS) nye dɔléle si gblẽa nu le ʋuka siwo le bɔbɔe ŋutɔ le wò ayiku me ŋu . Ne ʋuka siawo gblẽ la, ʋuka suesuesuewo dzea wɔwɔ gɔme le wo me.
Bu eŋu ale: míaƒe ayikuwo le abe tsi si kɔa míaƒe ʋu ene. Ʋu ƒe sisi si ŋu míeƒo nu tsoe va yi xea mɔ nyui siwo le ayiku siawo me. Esia fia be ayikuawo mete ŋu wɔa woƒe dɔ si sɔ, si nye be woaɖe gbeɖuɖɔwo ɖa le ʋua me ahaɖe wo ɖa o. Ne nɔnɔme sia nu sẽ la, ate ŋu ana ayiku nawɔ dɔ nyuie gɔ̃ hã .
Nɔnɔme sia ate ŋu adze ame dzi ɣesiaɣi le agbe me, le ɖevi suewo gɔ̃ hã gome. Ne womewɔ atike nɛ kaba o la, ate ŋu ade ame ƒe agbe afɔku me. Gake nya nyuiae nye be ɖevi akpa gãtɔ hayana bliboe ne wowɔ atike na wo nyuie.
Nukawo koŋue hea HUS vɛ?
Zi geɖe la, HUS dzɔna le dɔgbo me dɔléle sesẽ aɖe xɔxɔ vɔ megbe. Nusi koŋ gbɔ dɔlékui siawo tsoe nye dɔlékui ƒomevi aɖe si me dɔlékuiwo le etɔxɛe si woyɔna be `E. coli`. Dɔlékui sia toa tsi si me dɔlékuiwo le kple nuɖuɖu siwo womeɖa nyuie o (vevietɔ lã) dzi. Ɣeaɖewoɣi la, ate ŋu akaka tso ame ɖeka si ŋu dɔlélea le gbɔ ayi ame bubu gbɔ.
Ne dɔlékui siawo ge ɖe ŋutilãa me la, aɖi siwo wowɔna la ƒoa ƒu ɖe ʋua me, si gblẽa nu le ʋuka siwo le ayiku me ŋu eye wòhea HUS vɛ.
Tsɔ kpe ɖe E. coli dɔlékui xɔxɔ ŋu la, nu bubu geɖewo li siwo ate ŋu ahe HUS vɛ.
| Wᴐe be | Numeɖeɖe kpui aɖe |
|---|---|
| Dɔlékui bubuwo | Dɔlékuiwo ƒe dɔlélewo abe HIV alo dzamezã ene. |
| Atike aɖewo | Vevietɔ atike siwo wonana be woatsɔ akpɔ dɔlélenutsiŋutete dzi le ŋutinuwo dodo na ame megbe. |
| Kuxi siwo dona tso fufɔɣi | Esia ate ŋu atso kuxi aɖewo siwo doa mo ɖa le fufɔɣi gbɔ. |
| Dɔlélenutsiŋutete ƒe dɔlélewo | Dɔléle siwo me ŋutilãa ŋutɔ ƒe dɔlélenutsiŋutete dzea eya ŋutɔ ƒe lãmenugbagbeviwo dzi le. |
| Kansa (ƒã hafi) . | Esia ate ŋu atso kansadɔ aɖewo hã gbɔ. |
Ƒomevi bubu aɖe hã li si woyɔna be atypical HUS. Esia nye nɔnɔme si ƒe dome míenyi. Esia fia be wotsɔnɛ yia dzidzimewo me. Zi geɖe la, medzɔna le eɖokui si o, gake woate ŋu “awɔ dɔ” le nɔnɔmea ŋu le susu siwo míeyɔ ɖe etame la dometɔ ɖeka ta.
Aleke míewɔna dea dzesi HUS ƒe dzesiwo?
HUS ƒe dzesiwo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Enɔ te ɖe nusi gbɔ dɔlélea tso hã dzi. Le HUS, si tso dɔlékui siwo nye `E. coli`, dzesi siwo le wò nuɖuɖumeŋusẽ me dzena gbã hafi wò ayikuwo gblẽna .
Dzesi siwo dzena le gɔmedzedzea me
Esiawoe nye dɔgbo ƒe dɔmawɔmawɔ nyuie ƒe dzesi gbãtɔwo :
- Ʋu ƒe aɖuɖɔtoe – Esia nye nuxlɔ̃amedzesi vevi aɖe ŋutɔ!
- Asrã
- Dɔgbo ƒe vevesese sesẽ
- Ƒodo ƒe ʋuʋu alo vuvu
- Ʋuʋudedi
Dzesi sesẽ siwo ate ŋu ado mo ɖa emegbe
Dzesi siawo ate ŋu adze ne dɔlélea nu sẽ, ʋukawo gblẽ, ʋumenugbagbevi dzĩwo te gbagbã (míeyɔa esia be ʋusɔgbɔdɔ), eye ʋu ƒe sisi le ayikuwo me.
| Dzesi si dzena | Gɔmeɖeɖe |
|---|---|
| Ŋutilã si ƒe ŋutigbalẽ le ɣie | Ŋutilã ƒe amadede ƒe tɔtrɔ le ʋusɔgbɔdɔ ta. |
| Alɔ̃dɔdɔ fũ akpa, kuviawɔwɔ | Ðeɖiteameŋu si gbɔ eme si ŋutilã ƒe gbɔdzɔgbɔdzɔ hena vɛ. |
| Ʋusɔgbɔdɔ | Le ayiku ƒe dɔwɔwɔ ƒe gbegblẽ ta. |
| Yagbɔgbɔ sesẽ | Le tsi ƒe ƒoƒo ɖe ŋutilã me alo ʋu ƒe anyimanɔmanɔ ta. |
| Aɖuɖɔtoe alo ʋu si le aɖuɖɔ me dzi ɖe kpɔtɔ | Ayiku ƒe dɔmawɔmawɔ nyuie ƒe dzesi vevi aɖe. |
| Nuveviwɔame le susu aɖeke manɔmee | Le ʋumenugbagbevi dzĩ siwo kpena ɖe ʋu ŋu ƒe xexlẽme dzi ɖeɖe kpɔtɔ ta. |
| Ʋu si dona le ŋɔti kple nu me | Esia nye ʋumenugbagbeviɣidɔ ƒe dzesi bubu. |
| Tete | Le ayiku ƒe ŋutete be wòaɖe tsi si sɔ gbɔ ɖe eme ta. |
| Alɔ̃madɔmadɔ alo ʋusɔgbɔdɔ | Nɔnɔme sesẽ ŋutɔ siwo ate ŋu ado mo ɖa ne ahɔhɔ̃a ŋue wògblẽ nu le. |
Aleke wowɔa atike na HUS?
Esia menye dɔléle si woate ŋu ada le aƒeme o. Kɔdziyiyi enumake le vevie ŋutɔ. Le kɔdzi la, ehiã be woawɔ atike tɔxɛ na wo.
Atikewɔwɔmɔnu vovovowo li:
- Dodo: Wodoa ʋumenugbagbevi dzĩwo ɖe ʋumenugbagbevi dzĩ siwo gbã teƒe. Wonaa ʋumenugbagbevi dzĩwo hã be woatsɔ aɖu ʋu ƒe dodo dzi ne ʋumenugbagbevi dzĩwo ƒe xexlẽme mede o.
- Tsi siwo wodona ɖe ʋuka me (IV fluids): Wotsɔa tsiwo abe saline ene naa ŋutilãa be tsi kple dze nada asɔ.
- Atikewo: Le nɔnɔme tɔxɛwo abe HUS si mebɔ o ene me la, ɖɔkta ateŋu aŋlɔ atike tɔxɛwo abe `Eculizumab (Soliris)` be wòaxe mɔ ɖe ʋukawo ƒe gbegblẽ geɖe wu nu.
- Dialysis: Ne ayikuawo do kpo nu vevie la, dɔ si wòle be woawɔ, si nye be woaɖe gbeɖuɖɔwo ɖa le ʋua me ahaɖe wo ɖa la, wowɔa dɔ kple mɔ̃ aɖe si woyɔna be ‘Dialysis’ ƒe kpekpeɖeŋu.
- Plasma dodo: Ʋumenugbagbeviɣi nana be ʋu nagate ŋu azɔ.
- Ayiku dodo: Ðewohĩ ahiã be woado ayiku yeye na dɔnɔ siwo ƒe ayiku gblẽ vevie tegbee.
Nukae míate ŋu awɔ atsɔ akpɔ mía ɖokui ta tso HUS si me?
Nusi koŋ gbɔ HUS tsonae nye dɔgbo me dɔlékui, eyata ne míete ŋu ƒo asa na dɔlékui mawo la, míate ŋu aɖe HUS xɔxɔ ƒe afɔkua dzi akpɔtɔ ŋutɔ. Ema fia be dzadzɛnyenyee nye nu vevitɔ kekeake.
Nu bɔbɔe aɖewo siwo dzi nàte ŋu azɔ ɖoe nye esi:
- Klɔ asi enuenu: Kpɔ egbɔ be yetsɔ adzalẽ klɔ asi nyuie hafi nàɖa nuɖuɖu, hafi aɖu nu, le tsileƒe zazã vɔ megbe, kple ne èɖɔ viwòa ƒe aklala vɔ.
- Nuɖuɖu ƒe dedienɔnɔ: Klɔ atikutsetsewo kple amagbewo nyuie hafi nàɖu. Miɖa lã, vevietɔ nyilã, nyuie (anyo wu ne dzoxɔxɔ si ade Celsius 71 alo Fahrenheit 160 ya teti).
- Nufamɔ̃: Mègaɖa lã tso fridzi me tẽ o. Miɖae ne efa nyuie vɔ, le microwave me alo le xɔme ƒe dzoxɔxɔ nu. Dzra lã ƒuƒu kple nuɖuɖu siwo woɖa ɖe vovo ɖe fridzi me.
- Nuɖuɖu siwo me dɔlékuiwutike mele o: Ƒo asa na notsi, cheese, alo atikutsetsenono siwo me dɔlékuiwutike mele o zazã.
- Tsiƒuƒewo: Ne aɖuɖɔtoe le ŋuwò la, mègayi tsiƒuƒewo o. Azɔ hã, ƒo asa na tsiƒuƒu le teƒe ƒoɖiwo.
Gbedasi si Wotsɔ Yi Aƒeme
- Hemolytic Uremic Syndrome (HUS) nye dɔléle si dzea egɔme le gɔmedzedzea me kple dzesiwo abe ʋusɔgbɔdɔ ene eye emegbe ate ŋu agblẽ nu le ayikuwo ŋu vevie.
- Esia dzena zi geɖe le ɖeviwo me, vevietɔ le dɔlékui si nye `E. coli`.
- Ne dzesiwo abe aɖuɖɔtoe si me ʋu le dodom le, ɖeɖiteameŋu si gbɔ eme, aɖuɖɔtoe, kple aɖuɖɔtoe dzi ɖeɖe kpɔtɔ ene le viwò alo wò ŋu la, mègagblẽ ɣeyiɣi eye nàyi ɖɔkta enumake alo ayi kɔdzi ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).
- Togbɔ be esia nye nɔnɔme dziŋɔ aɖe hã la, ame geɖe hayana bliboe ne wowɔ atike na wo nyuie le kɔdzi.
- Dzadzɛnyenye, nuɖuɖu ƒe dedienɔnɔ, kple tsi dzadzɛ nono ate ŋu akpɔ ame ta tso dɔlékui siwo hea dɔléle sia vɛ me.
HUS Sinhala, Hemolytic Uremic Syndrome Sinhala, Ayikudɔ, E. coli Dɔlékui, Ʋu ƒe Aɖuɖɔtoe, Ðeviwo ƒe Dɔléle, Ayiku ƒe Dɔmawɔmawɔ nyuie
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