Fifia la, míesea ayikudɔ ŋu nya zi geɖe , alo? Gake ame geɖe menya be ayikudɔléle hã le afɔku me o. Ɣeaɖewoɣi la, ne dzesiwo dze gɔ̃ hã la, míeléa ŋku ɖe wo ŋu boo o. Le esia ta la, kaka ame geɖe nayi ɖɔkta gbɔ la, dɔlélea ate ŋu asẽ vie. Eyata, ele vevie ŋutɔ be míalé be na ayikuwo ƒe lãmesẽ. Woyɔa ɖɔkta bibi aɖe si kpena ɖe mía ŋu le mɔzɔzɔ sia me be Aɖuŋutinunyala . Mina míakpɔ amesi nye Aɖudɔdala sia ɖa, kple nɔnɔme siwo me wòle be míakpɔ ɖeka le.
Kpuie ko la, amekae nye Aɖuŋutinunyala sia?
Aɖuŋutinunyala (si woyɔna be ‘neph-ro-lo-gist’) nye ɖɔkta si bi ɖe ayiku kple dɔléle siwo do ƒome kplii didi kple wo dada me. Ne míagblɔe tututu la, enye ɖɔkta si bi ɖe ayikudɔlélewo me . Ɣeaɖewoɣi la, wogayɔa dɔ sia be ayikudɔdada .
Míaƒe ŋutilã ƒe ŋutinu vevitɔwo dometɔ ɖekae nye ayiku. Wole abe ʋuʋudedi eve ene. Woɖea míaƒe ʋu ɖa eye woɖea gbeɖuɖɔ siwo míedi o kple tsi si sɔ gbɔ ɖe eme ɖa abe aɖuɖɔ ene . Ne nuwɔna sia mewɔa dɔ nyuie o la, aɖiwo tea ƒoƒo ɖe míaƒe ŋutilã me.
Ne nɔnɔmewo abe suklidɔ, lolo akpa, dzidɔ, kple ʋusɔgbɔdɔ ene le ŋuwò la, anɔ eme be ayikudɔ adze dziwò. Azɔ hã, ame si ŋu ayikudɔ le hã ate ŋu axɔ ʋusɔgbɔdɔ alo dzidɔ. Eyata nusiawo katã do ƒome kple wo nɔewo.
Nu nyuitɔ kekeakee nye be ne wokpɔ ayikudɔ kaba , woate ŋu aɖu nusiwo gblẽ le eŋu dzi eye ɣeaɖewoɣi gɔ̃ hã woate ŋu atrɔe. Esia tae nèhiã aɖudɔdala ƒe kpekpeɖeŋu ɖo.
Vovototo kae le Aɖudɔdala kple Aɖuɖɔtoedɔdala dome?
Esia nye nusi tɔtɔa ame geɖe. Ne ayiku me kuxi aɖe le ŋuwò la, èbiaa ɖokuiwò be ɖe wòle be yeayi Aɖudɔdala alo Aɖuɖɔtoedɔdala gbɔ hã. Togbɔ be wo ame evea siaa daa ayiku ƒe kuxiwo hã la, woƒe dɔ tɔxɛwo to vovo. Mina míase vovototo sia gɔme nyuie.
| Ðɔkta bibi aɖe | Nu vevitɔ si dzi woƒe susu nɔa nu ŋu le |
|---|---|
| Nephrologist (ayikuŋutinunyala) . | Ayikuwo ƒe dɔwɔwɔ kple dɔléle siwo gblẽa nu le eŋu koŋue woƒe susu nɔa wo ŋu. Le kpɔɖeŋu me, ayikudɔ si nɔa anyi didi (CKD), ayiku ƒe dɔmawɔmawɔ nyuie, kple ʋusɔgbɔdɔ si ayikudɔ hena vɛ. Dialysis kple beléle na ame le ame dodo megbe hã nye woƒe akpa aɖe. Womewɔa amekoko o. |
| Aɖuɖɔtoedɔdala (aɖuɖɔtoemedɔdala) . | Woƒe susu nɔa aɖuɖɔtoe bliboa ŋu , si nye ayiku, tsinyegoe, tsinyegoe, kple tsinyegoe. Woléa ŋku ɖe ŋutsu ƒe vidzidzi ƒe dɔlélewo hã ŋu. Wonye amekolawo . Le kpɔɖeŋu me, Aɖuɖɔtoedɔdala wɔa amekokodɔwo abe ayiku me kpewo ɖeɖeɖa kple dɔdzẽ siwo le aɖuɖɔtoe me ɖeɖeɖa ene. |
Kpuie ko la, ne wò kuxia ku ɖe ayiku ƒe dɔwɔwɔ ŋu (e.g. creatinine si sɔ gbɔ ɖe ʋu me) la, Aɖuŋutinunyala akpe ɖe ŋuwò. Gake ne wò kuxia bia be woawɔ dɔ na wò (e.g. ayiku me kpewo) la, ele be nàyi Aɖuɖɔtoedɔdala gbɔ.
Ɣekaɣie wòle be nàkpɔ Aɖudɔdala?
Zi geɖe la, wò ƒomea ƒe ɖɔkta (Atikewɔla Gãtɔ) aɖo wò ayi ayikuŋutinunyala gbɔ. Ne afɔku alo dzesi siwo gbɔna dometɔ aɖe le ŋuwò la, nunya anɔ eme be nàƒo nu kple wò ɖɔkta eye nàkpɔ ayikudɔdala.
Nusiwo ate ŋu ahe afɔku vɛ
- Ayikudɔléle le ƒomea me: Ne ayikudɔ le dawò, fofowò, alo nɔviwòwo ŋu la, ke èle afɔku gã aɖe me.
- Suklidɔ: Suklidɔ nye nu vevi aɖe si nana ayiku gblẽna. Eyata ele be amesiame si ŋu suklidɔ le nalé be na eƒe ayiku.
- Ʋusɔgbɔdɔ: Ʋusɔgbɔdɔ ate ŋu agblẽ nu le ʋuka tsɛ siwo naa ʋu yia ayikuwo ŋu.
Dzesi siwo ŋu wòle be míakpɔ nyuie le
Ne dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema le ŋuwò la, lé to ɖe wo ŋu.
| Dzesi si dzena | Srɔ̃ nu tso esia ŋu |
|---|---|
| Aɖuɖɔ si me futukpɔ le | Esɔ be kuɖɔ aɖewo nanɔ ŋuwò ne èle aɖuɖɔ tom eye emegbe wo nu yi. Gake ne èkpɔ kuɖɔ suesuesue geɖe siwo le abe adzalẽ ƒe ʋuʋudedi ene la, ke enye dzesi be protein sɔ gbɔ ɖe aɖuɖɔ me fũ akpa (proteinuria). Esia ate ŋu anye ayiku ƒe gbegblẽ ƒe dzesi gbãtɔ . |
| Aɖuɖɔtoedɔléle enuenu (UTI siwo nɔa anyi didi) . | Ne aɖuɖɔtoedɔlélewo dzɔna enuenu la, dɔlékuia ate ŋu akaka ayi ayikuwo me, si ate ŋu agblẽ nu le ayikuawo ŋu tegbee. |
| Ayiku me Kpe Siwo Gbugbɔna | Ayiku me kpewo ate ŋu agblẽ nu le ayikuwo ŋu eye woahe dɔlékuiwo vɛ. Ne nɔnɔme sia dzɔna enuenu la, ele vevie be nàlé ŋku ɖe nusi gbɔ wòtso ŋu hã. |
| Tete | Ne ayikuwo mete ŋu ɖe tsi kple dze si sɔ gbɔ ɖe eme o la, afɔ, afɔkpodzi, asiwo, alo mo tea vuvu. Ŋkuwo ƒe vuvu, vevietɔ le ŋdi me hã nye dzesi si bɔ. |
| Ŋutilã si le ʋuʋum kple ƒu/ƒunukpeƒewo ƒe vevesese | Ne ayikuawo mewɔ dɔ nyuie o la, calcium kple phosphorus ƒe dadasɔ le ʋua me gblẽna. Esia ate ŋu ana ame naƒoe vevie eye wòana ƒu nase veve. Woyɔa nɔnɔme sia be Ayiku ƒe Ƒumeŋuɖui. |
| Nɔnɔme bubuwo | Ayikudɔ ƒe dzesiwo dometɔ aɖewoe nye ɖeɖiteameŋu enuenu, gbɔgbɔtsixe tsia ame ƒo, nuɖuɖu megadzroa ame o, lãmetutudɔ, kple ʋu le aɖuɖɔ me. |
Ðe wòle vevie be woakpɔ ayikuŋutinunyala le ayikudɔléle ƒe gɔmedzedzea?
Ẽ, keŋkeŋ. Woma ayikudɔléle ɖe akpa 5 me. Le afɔɖeɖe 1-3 ƒe gɔmedzedze la, ŋutete aɖe gakpɔtɔ le ayikuawo ŋu be woaɖe ʋu. Ne èyi ayikuŋutinunyala gbɔ le ɣeyiɣi sia me la, ate ŋu aŋlɔ atike siwo ana dɔlélea nagagblẽ ɖe edzi o eye wòakpɔ ayiku ƒe dɔwɔwɔ ta ɣeyiɣi didi si wòanya wɔ. Kaka afɔ 4-5 naɖo la, ayiku ƒe dɔwɔwɔ ate ŋu aɖe akpɔtɔ ŋutɔ alo atɔ te keŋkeŋ gɔ̃ hã. Ɣemaɣi la, ahiã be nàbu ayiku dodo alo ayiku dodo na ame ŋu.
Ðo ŋku edzi be mègalala vaseɖe esime dzesiwo nadze le ŋuwò o. Ne afɔku aɖewo le ŋuwò la, yi ɖɔkta gbɔ edziedzi be nàlé ŋku ɖe wò ayiku ŋu.
Aɖuŋutinunyala nye eŋutinunyala bibi si si sidzedze kple hehe deŋgɔ le le go sia me. Le atikewɔsuku megbe la, woxɔa hehe ƒe geɖe le Ememe Atikewɔwɔ me, eye woxɔa Fellowship in Nephrology kplɔe ɖo. Eyata woate ŋu aɖo aɖaŋu nyuitɔ kekeake kple atike nyuitɔ kekeake na wò ayiku ƒe lãmesẽ.
Gbedasi si Wotsɔ Yi Aƒeme
- Aɖuŋutinunyala nye ɖɔkta si bi ɖe ayikudɔlélewo didi kple wo dada me.
- Ne suklidɔ le ŋuwò, ʋusɔgbɔdɔ, alo ayikudɔ le wò ƒomea me la, ke àɖo afɔku me hã.
- Mègaŋe aɖaba ƒu dzesiwo abe aɖuɖɔ si me futukpɔ le, ŋutilã ƒe vuvu, ɖeɖiteameŋu enuenu, kple ŋutigbalẽ si le ʋuʋum ene dzi o.
- Ne èdi be yeatsɔ atikewo aɖu ayiku ƒe kuxi aɖe dzi amekoko manɔmee la, èyia Aɖuɖɔtoedɔdala gbɔ. Ne ehiã be woawɔ dɔ na wò la, èyia Aɖuɖɔtoedɔdala gbɔ.
- Ne dzesi aɖewo le ŋuwò la, yi wò ƒomea ƒe ɖɔkta gbɔ gbã. Aɖo wò ɖe aɖuɖɔtoedɔdala gbɔ ne ehiã.
- Zi alesi wokpɔ ayikudɔ kaba la, zi nenemae mɔnukpɔkpɔ si li be atikewɔwɔ nyui nado tso eme la dzina ɖe edzii.
Aɖuŋutinunyala, ayiku, ayikudɔ, ayikudɔ, tsinyegoeŋutinunyala, ayiku ƒe dɔmawɔmawɔ nyuie, dialysis, ayikuŋutinunyala
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