Ède dzesii kpɔ be viwò si wodzi yeyee ƒe ŋutigbalẽ le ɣie viea? Ðewohĩ woƒe ŋku ɣiwo hã le ɣie vie. Woyɔa esia be ʋumenugbagbeviɣidɔ. Vidzĩ siwo wodzi yeyee dometɔ geɖe xɔa nɔnɔme sia. Eyata mègatsi dzi le gɔmedzedzea me o. Zi geɖe la, menye nya vevi aɖekee wònye o eye wòanyo ɖe edzi le eɖokui si le ŋkeke ʋɛ aɖewo megbe. Gake ɣeaɖewoɣi la, nɔnɔme sia ate ŋu asẽ eye ate ŋu agblẽ nu le vidzĩa ƒe ahɔhɔ̃ ŋu. Woyɔa nɔnɔme ma si me afɔku le be ‘Kernicterus’. Egbea, míaƒo nu tso nyateƒenya siwo ŋu wòle be dzila ɖesiaɖe nanya ŋu.
Nukatae vidzĩwo xɔa aɖuɖɔtoe?
Kpuie ko la, ne ʋumenugbagbevi dzĩ siwo le míaƒe ŋutilã me gblẽ le dzɔdzɔme nu la, atike ɣi aɖe si woyɔna be bilirubin dona. Zi geɖe la, míaƒe aklã ɖea bilirubin sia ɖa le ŋutilãa me. Gake vidzĩ si wodzi yeyee ƒe aklã metsi haɖe be wòate ŋu awɔ dɔ sia nyuie o. Eyata bilirubin sia ƒoa ƒu ɖe vidzĩa ƒe ʋu me. Ɣemaɣie vidzĩa ƒe ŋutigbalẽ kple ŋkuwo trɔna zua ɣie. Esiae nye nusi míeyɔna be jaundice.
Bu eŋu kpɔ, nɔnɔme sia dzɔna le vidzĩ siwo wodzi le Sri Lanka ƒe 60% - 80% lɔƒo me vaseɖe afi aɖe. Eyata esia bɔ ŋutɔ. Gake ne bilirubin ƒe agbɔsɔsɔ sia va zu nusi dzi womate ŋu aɖu o, si fia be ne womewɔ atike nɛ o la, bilirubin ma yia ahɔhɔ̃a me eye wògblẽa nu le ahɔhɔ̃mekawo ŋu. Esia nye ahɔhɔ̃ ƒe gbegblẽ si womate ŋu atrɔ o eye womate ŋu axe mɔ na o si woyɔna be Kernicterus. Ðɔktawo yɔa nɔnɔme sia hã be Bilirubin-Induced Neurologic Dysfunction, alo BIND.
Kpɔ nyuie ŋutɔ le dzesi siawo ŋu!
Ele vevie ŋutɔ be nànya ne ʋusɔgbɔdɔ le viwòa ŋu. Eye ele vevie wu be míade dzesii ne ele vevie dom nu. Tabla si le ete ate ŋu akpe ɖe ŋuwò nàse dzesi siawo gɔme nyuie.
| Dzesi ƒomevi | Nusi wòle be nàkpɔ |
|---|---|
| Dzesi siwo dzena le ʋumenugbagbeviɣidɔ si bɔ ŋu | |
| Ŋutilã ƒe amadede ƒe tɔtrɔ | Ʋuʋudedi ɣi alo aŋutiɖiɖi si dzea egɔme tso vidzĩa ƒe mo eye wòsina yia akɔta, dɔgbo, abɔwo, kple afɔwo dzi. Esia ate ŋu asesẽ vie be woakpɔ le vidzĩ siwo ƒe ŋutigbalẽ le ɣie me. Le ɣeyiɣi ma me la, lé ŋku ɖe ŋku ƒe ɣiwo ŋu. |
| Nyɔnyrɔxɔxɔ sesẽ | Alɔ̃dɔdɔ atraɖii, nyɔnyrɔ̃ sesẽ, alo alɔ̃madɔmadɔ kura. |
| Kuxi siwo le notsi nono me | Notsi alo notsi nono nono sesẽ alo ɖekematsɔleme. |
| Dzimaɖitsitsi si gbɔ eme | Amenyenye si meɖea dzi ɖi o wu alesi wònɔna ɖaa, fa avi zi geɖe, eye wòsesẽna be woafa akɔ nɛ. |
| Aŋekotoku siwo xɔ dzo ƒe xexlẽme | Aŋekotoku siwo me tsi le gbesiagbe ƒe xexlẽme le ʋɛ wu alesi wòle dzɔdzɔmee. |
| Dzesiwo ne nɔnɔmea nu sẽ eye wòtrɔ zu Kernicterus | |
| Alɔ̃dɔdɔ fũ akpa | Nɔnɔme si me ŋusẽ mele o, agbemanɔsitɔ ŋutɔ. |
| Avifafa si mebɔ o | Avifafa si dzi womate ŋu aɖu o, si ƒoa nu, si ƒe gbe kɔkɔ. |
| Asrã | Vidzĩa ƒe ŋutilã senɛ le eɖokui me be asrã le ye ŋu. |
| Ŋutilã ƒe tɔtrɔ | Ŋutilã bliboa va zua agbemanɔsitɔ (kuviawɔwɔ) alo le go bubu me la, ŋutilãa va sẽna, lãmekawo ʋuʋuna. |
| Ŋku ƒe ʋuʋu | Ŋku ƒe ʋuʋu si mesɔ o. |
Nu vevitɔe nye be, ne ède dzesi dzesi siawo dometɔ aɖe la, yi ɖɔkta gbɔ kaba.
Ne ɖevia le tsitsim la, kernicterus si womewɔ atike na o ate ŋu ahe dzesi bubuwo vɛ, siwo dometɔ aɖewoe nye alɔ̃madɔmadɔ, ʋuʋu kple tsitsi ƒe kuxiwo, tosese ƒe kuxiwo, mo dzi mate ŋu akpɔ mo dzi o, kple aɖu ƒe ɖiɖi.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Zi geɖe la, bilirubin ƒe agbɔsɔsɔ ɖoa eƒe kɔkɔƒe le ŋkeke 3-5 dome le vidzidzi megbe. Esia tae ɖɔktawo kple dɔnɔdzikpɔlawo léa ŋku ɖe viwòa ŋu be eƒe lãme sẽ hã gaƒoƒo 8-12 ɖesiaɖe ne ele kɔdzi. Woléa ŋku ɖe eŋu hã hafi nètrɔna yia aƒeme tso kɔdzi.
Fifia, àte ŋu akpɔ wò bilirubin ƒe agbɔsɔsɔ ŋuti nukpɔsusu si me kɔ to kekelidzidzenu sue aɖe si woda ɖe wò ŋutigbalẽ dzi zazã me. Ne èsusu be yeƒe ʋusɔgbɔdɔ sɔ gbɔ la, ʋudodokpɔ koe nye mɔ si dzi nàto anyae kple kakaɖedzi. Emae nye mɔ si de pɛpɛpɛ wu.
Ne viwòa ƒe bilirubin sɔ gbɔ la, wò ɖɔkta anɔ te ɖe gaƒoƒo agbɔsɔsɔme si wòxɔ le viwòa dzidzi megbe kple nenye be afɔku bubuwo le viwòa ŋu dzi atso nya me le atikewɔwɔ ŋu. Ne wodze atikewɔwɔ gɔme vɔ gɔ̃ hã la, woate ŋu aɖe gbe be woado ʋu geɖe wu akpɔe ɖa be bilirubin ƒe agbɔsɔsɔ gatrɔ va ɖo eƒe nɔnɔme nyuitɔ me hã.
Nukawoe nye atike siwo wozãna na esia?
Zi geɖe la, mehiã be woawɔ atike na lãmetutudɔ si nu mesẽ o. Gake ne bilirubin ƒe agbɔsɔsɔ sɔ gbɔ, alo ne afɔku aɖewo li, abe vidzĩa dzidzi kaba ene la, ehiã be woawɔ atike nɛ.
1. Na nuɖuɖu nyuie.
Ne vidzĩa mele no me notsi alo notsi kplu xɔm wòsɔ gbɔ o la, bilirubin si ƒo ƒu ɖe ŋutilãa me la metoa aɖuɖɔ kple aɖuɖɔ me o. Ele be aŋekotoku 6 ya teti nanɔ vidzĩ si wodzi yeyee ŋu gbesiagbe. Azɔ hã, ele be eƒe aɖuɖɔ natrɔ tso amadede dzẽ dzẽ me ava zu ɣie. Esiawo nye dzesi siwo fia be vidzĩa le nunyiame si sɔ xɔm.
2. Fotodamɔnu - ema fia be woakpɔ kekeli
Esia bia be woaklẽ akaɖi blɔ tɔxɛ aɖe ɖe vidzĩa ƒe ŋutigbalẽ dzi. Woate ŋu awɔ esia le kɔdzi alo le aƒeme gɔ̃ hã. Kekeli sia gblẽa bilirubin ƒe akpa suesuesueawo me eye wònana woɖea wo doa goe le ŋutilãa me bɔbɔe. Togbɔ be wosusui tsã be ɣe ƒe keklẽ nyo hã la, womegakafunɛ o elabena ate ŋu atɔ dzo vidzĩa ƒe ŋutigbalẽ. Fotoɖeɖefia nye mɔnu si le dedie ŋutɔ. Ɣeaɖewoɣi la, vidzĩa ate ŋu akpɔ nu suesuesuewo, abe aɖuɖɔtoe ene.
3. Lãmetsiwo nana
Ele vevie ŋutɔ be viwòa nakpɔ tsi geɖe esime nèle akaɖia dzi. Ele be nàyi edzi anɔ no nam alo anɔ no nam le aŋetu me. Ne tsi vɔ le viwòa ŋu ŋutɔ la, ahiã be nàna tsi si wodona ɖe ʋuka me lae.
4. Ʋudodo
Ƒã hafi wowɔa esia. Ne vidzĩa mele nu wɔm ɖe atike bubuwo ŋu o eye ahɔhɔ̃a ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo ɖem fia ko hafi wozãnɛ tsɔ ɖea bilirubin ƒe agbɔsɔsɔ dzi kpɔtɔna zi ɖeka.
Gbedasi si Wotsɔ Yi Aƒeme
- Jaundice bɔ ɖe vidzĩ yeyewo me, gake mègabui nu tsɛe o. Ne ède dzesii be amadede ɣi aɖe le viwòa ƒe ŋutigbalẽ alo ŋkuwo ŋu , yi ɖɔkta gbɔ enumake.
- Ne bilirubin ƒe agbɔsɔsɔ va sɔ gbɔ akpa la, ate ŋu ahe nɔnɔme si me afɔku le si woyɔna be ‘kernicterus’ vɛ, si gblẽa nu le ahɔhɔ̃a ŋu.
- Nɔ ŋudzɔ ɣesiaɣi be yeakpɔ dzesiwo abe no nana sesẽ, alɔ̃dɔdɔ fũ akpa, kple avifafa sesĩe ene.
- Atikewɔwɔ si ɖɔkta nana, vevietɔ fotoɖemɔ̃, le vevie na vidzĩa ƒe nyonyo. Mègadzudzɔ atikewɔwɔ gbeɖe atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
- Ne ɖikeke alo vɔvɔ̃ aɖe le mewò la, ƒo nu tso wo ŋu na wò ɖɔkta gaglãa. Nyabiase bometsinya aɖeke meli o, vevietɔ ne wole viwòa ŋu bum.
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