Ayikuwo nye míaƒe ŋutilã ƒe ŋutinu vevitɔwo dometɔ ɖeka. Wole abe "filter" eve ene le míaƒe ŋutilã me. Dɔ vevitɔ si ayiku wɔnae nye be wòaɖe gbeɖuɖɔ siwo le ŋutilãa me ahakɔ wo ŋu eye wòaɖe wo ɖa abe aɖuɖɔ ene . Eyata ele vevie ŋutɔ be ayiku siawo nanɔ lãmesẽ me. Egbea míele nu ƒom tso dɔléle aɖe si ate ŋu adze ayikuwo dzi le ɖoɖoezizi me, gake ame aɖeke meƒoa nu tso eŋu fũ o. Emae nye Interstitial Nephritis.
Kpuie ko la, nukae nye Interstitial Nephritis?
Enyo, ŋkɔ sia ɖi nya sesẽ vie, gake le nyateƒe me la, ele bɔbɔe ŋutɔ. Megblɔ va yi be ayikuawo le abe nusi wotsɔna tsia tsii ene. Tube (tubules) suesuesue siwo le nyuie ŋutɔ ƒe kadodo aɖe le filter sia ŋu. Le atikewɔwɔ me la, míeyɔa esiawo be ``tubules''. Interstitial Nephritis nye ne ʋuka sue mawo kple lãkusi siwo ƒo xlã wo la xɔ dzo. Dzoxɔxɔ sia xea mɔ na ayikuawo be womete ŋu wɔa dɔ nyuie o.
Nɔnɔme sia ate ŋu anɔ bɔbɔe ŋutɔ ɣeaɖewoɣi eye wòanyo ɖe edzi le ɣeyiɣi kpui aɖe ko me. Gake ɣeaɖewoɣi la, ate ŋu asẽ vie eye wòanɔ anyi eteƒe nadidi. Zi geɖe la, edzɔna abe atikewɔwɔ me nɔnɔme bubu aɖe ƒe nugbegblẽ le ame ŋu ene.
Dɔléle sia ƒomevi vevi evee li.
Ẽ, woate ŋu ama Interstitial Nephritis ɖe hatsotso vevi eve me. Ame eveawo ƒe nɔnɔme to vovo vie.
| Nɔnɔme si le ame ŋu | Aɖuɖɔtoedɔléle sesẽ si le domedome | Tubulointerstitial Nephritis si nɔa anyi didi |
|---|---|---|
| Duƒuƒu si | Esia dzɔna kabakaba ŋutɔ, le ŋkeke ʋɛ aɖewo ko me. | Esia va nɔa blewu, le ɣeyiɣi aɖe megbe. |
| Aɖuɖɔɖɔɖɔ | Aɖuɖɔ si nèɖena ate ŋu aɖiɖi alo adzi ɖe edzi zi ɖeka, vevietɔ le zã me. | Zi geɖe la, aɖuɖɔtoe nyea nusi gbɔ eme. |
| Nɔnɔme bubuwo | Ne dɔlékui aɖe gbɔe nɔnɔme sia tso la, dzoxɔxɔ, aɖuɖɔtoedɔ, kple akɔtave ate ŋu adzɔ. | Le gɔmedzedzea me la, dzesiawo ɖi ayiku ƒe dɔmawɔmawɔ nyuie. Ʋeʋẽ, ɖeɖiteameŋu si gbɔ eme, nuɖuɖu ƒe dzodzro, lãmetutudɔ, ʋuʋudedi, kple gbɔgbɔ sesẽ ate ŋu adzɔ. |
Nukawoe hea Interstitial Nephritis vɛ?
Susu ɖeka pɛ hã meli si ta nɔnɔme sia tso o, gake nu geɖe ate ŋu ahe nɔnɔme sia vɛ. Na míalé ŋku ɖe susu vevi siwo tae ŋu.
| Susu | Numeɖeɖe kple kpɔɖeŋuwo |
|---|---|
| Atike vɔ̃ɖiwo zazã | Esiae nye nusi gbɔ wòtsona wu . Atike aɖewo ate ŋu agblẽ nu le ayikuwo ŋu. Kpɔɖeŋu aɖewoe nye aspirin, dɔlékuiwutike aɖewo, dɔlékuiwutike siwo me steroid mele o, dɔgbo ƒe dɔléle ƒe atike aɖewo (Proton Pump Inhibitors), kple kansa dada ƒe atike aɖewo (Immune checkpoint inhibitors). |
| Atike Vɔ̃ɖiwo ƒe Nuwɔnawo | Ɣeaɖewoɣi la, dɔléle sia ate ŋu adzɔ hã abe atike si nèno ƒe nulɔdɔ ene. |
| Dɔlékuiwo | Dɔlékui ƒomevi vovovo siwo ate ŋu ahe esia vɛ. Kpɔɖeŋuwo: dɔlékuiwo ƒe dɔlélewo abe E. coli, dɔlékuiwo abe HIV alo herpes ene, syphilis, dɔlékuiwo, kple fungi dɔlékuiwo. Tsɔ kpe ɖe dɔlékui siwo dona le ayikuawo ŋutɔ me ŋu la, esia ate ŋu anye nusi gbɔ wòtso. |
| Dɔlélenutsiŋutete ƒe Dɔlélewo | Ate ŋu atso dɔléle aɖewo siwo gblẽa nu le ŋutilã ƒe dɔlélenutsiŋutete ŋu hã gbɔ. Kpɔɖeŋu aɖewoe nye sarcoidosis, Sjogren ƒe dɔléle, kple lupus. |
Nu vevitɔe nye be, mègadzudzɔ atike aɖe si wò ɖɔkta ŋlɔ na wò la nono le esi wòle ŋkɔ sia me ta ko o. Ne ɖikeke aɖe le mewò la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta .
Nukawoe ate ŋu anye dɔléle sia ƒe dzesiwo?
Nusi doa dzidzɔ na ame le afisia enye be dzesi aɖeke mele ame akpa gãtɔ ŋu kura o, alo esiwo mesẽ ŋutɔ koe dzena o. Gake ame aɖewo ate ŋu ato nusiwo le abe:
- Aɖuɖɔ si dona le lãme na ame dzi ɖe kpɔtɔ
- Aɖuɖɔɖɔɖɔ edziedzi alo agbɔsɔsɔ si dzina ɖe edzi
- Aɖuɖɔtoe kple ʋuʋudedi
- Asrã
- Ŋutilã ƒe ʋuʋudedi
- Ʋusɔgbɔdɔ
- Dzimaɖitsitsi alo zitɔtɔ
- Alɔ̃dɔdɔ fũ akpa
- Ŋkuɖodzi kple susu ƒe tɔtɔ (Tɔtɔ) .
- Ameti bliboa ƒe vuvu alo le teƒe aɖewo
- Kpekpeme ƒe dzidziɖedzi
Ne dɔléle si nɔa anyi didi (si nɔa anyi didi) le ŋuwò la, gbɔgbɔ ate ŋu asesẽ na wò hã . Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò, vevietɔ ne edze le atike yeye zazã gɔmedzedze megbe la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.
Aleke ɖɔkta awɔ anya dɔléle sia pɛpɛpɛ?
Be woaɖo kpe dɔléle sia dzi pɛpɛpɛ la, ele be woawɔ dodokpɔ geɖe le nudokpɔƒe.
- Ayikuwo ƒe dɔwɔwɔ dodokpɔ: Esiawo nye ʋudodokpɔ bɔbɔe siwo ate ŋu afia alesi wò ayikuwo le dɔ wɔm nyuie. Woate ŋu akpɔe hã be gbeɖuɖɔwo, abe uric acid kple phosphate ene, sɔ gbɔ ɖe ʋua me hã.
- Ayiku me lãmenugbagbeviwo ɖeɖe:Esia koe nye mɔ si dzi woato aɖo kpe dɔlélea dzi 100% le ɣeyiɣiawo me. Gake womewɔa esia na amesiame o. Nusi wowɔna le afisiae nye be wotsɔa aŋe nyui aɖe ŋutɔ ɖea lãkusi sue aɖe ŋutɔ tso ayiku me hedoa ekpɔ le nusuekpɔmɔ̃ me. Wowɔa dodokpɔ sia le nɔnɔme tɔxɛwo me, abe be woatso nya me nenye be woana atikewo abe corticosteroids ene alo womatsɔe o.
- Dodokpɔ bubuwo: Wò ɖɔkta ate ŋu adɔ hã be woawɔ fotowo abe ultrasound scan alo radionuclide scanning ene. Scan siawo ate ŋu akpe ɖe ame ŋu woakpɔ ayikuawo ƒe vuvu, vevietɔ ne wosusu be atike aɖe ƒe nulɔdɔ le ame ŋu.
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ ƒe tiatia nɔ te ɖe interstitial nephritis ƒomevi si le ŋuwò kple alesi wòsẽe dzi.
Le Acute Interstitial Nephritis (si dzea egɔme kpata) gome la:
Nu gbãtɔ kple vevitɔe nye be nàdzudzɔ atike si wosusu be ezãna la nono enumake . Gake wò ɖɔkta ƒe aɖaŋuɖoɖo te koe wòle be nàwɔ esia . Mègadzudzɔ atikewo nono le ɖokuiwò si gbeɖe o.
Ne dɔléle aɖe abe lupus ene alo atike aɖe ƒe nulɔdɔ gbɔe esia tso la, ke wò ɖɔkta ate ŋu aŋlɔ atikewo abe corticosteroids ene na wò be wòaɖe abi dzi akpɔtɔ.
Ne nɔnɔmea nu sẽ ŋutɔ eye ayikuwo te dɔmawɔmawɔ nyuie la, ɖewohĩ ahiã be nàzã mɔ̃ aɖe si woyɔna be dialysis atsɔ akɔ ʋu ŋu.
Le Chronic Interstitial Nephritis (si nye ƒomevi si nɔa anyi didi) gome la:
Le afisia hã la, ne atike aɖe li si le dɔlélea hem vɛ la, ele vevie be woadzudzɔe le atikewɔlawo ƒe aɖaŋuɖoɖo nu. Tsɔ kpe ɖe eŋu la, woate ŋu aŋlɔ atike bubuwo na wò be woatsɔ aɖu wò ʋu ƒe sisi dzi eye woaxe mɔ ɖe dɔlélea ƒe ŋgɔyiyi bubu nu.
Nublanuitɔe la, ne ayikuawo gblẽ tegbee la, ate ŋu ahiã be woado ayiku na wò le wò agbemeŋkekewo katã me alo woado ayiku na wò.
Esia tae míegblɔna be ŋkuléle ɖe dzesi ɖesiaɖe ŋu kple atikewɔlawo ƒe aɖaŋuɖoɖo didi ate ŋu axe mɔ ɖe nusiwo gblẽ le eŋu vevie nu.
Gbedasi si Wotsɔ Yi Aƒeme
- Interstitial nephritis nye ayikuwo kple lãkusi siwo ƒo xlãe ƒe ʋuka nyui siwo me woɖea tsi le ƒe dɔdzẽ, si ate ŋu agblẽ nu le ayikuawo ŋu.
- Zi geɖe la, atike aɖewo, dɔlékuiwo, alo nɔnɔme aɖewo siwo gblẽa nu le ŋutilã ƒe dɔlélenutsiŋutete ŋu gbɔe esia tsona.
- Ne dzesiwo abe tɔtrɔ le aɖuɖɔtoe me, vuvu, dzoxɔxɔ, alo ŋutigbalẽ ƒe ʋuʋu ene le ŋuwò la, yi ɖɔkta gbɔ enumake . Vevietɔ ne dzesi siawo dze le atike yeye zazã gɔme vɔ megbe la, gblɔe na wo.
- Dɔléle sia ƒe atikewɔwɔ li. Ne wokpɔe kaba eye wodae la, ate ŋu aɖe ayikuawo ƒe gbegblẽ dzi akpɔtɔ.
- Mègadze atike aɖeke zazã gɔme alo adzudzɔ enono wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee gbeɖe o.
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