Ðe nèfɔna ɣeaɖewoɣi le ŋdi me eye nèsena le ɖokuiwò me be yeƒe ŋkuwo vuvua? Alo ɖe wò afɔwo kple afɔkpodziwo vuvu, si wɔe be wò afɔkpa dodo sesẽa? Ède dzesii kpɔ be wò aɖuɖɔ me fuɖename wu alesi wònɔna ɖaa? Menye nusiwo dzɔna le vome koe esiawo nye o. Kuxi aɖe ate ŋu anɔ wò ayikuwo ŋu le dzesi siawo megbe. Egbea míele nu ƒom tso dɔléle aɖe si le vevie le atikewɔwɔ me si dona tso dzesi siwo le abe esiawo ene ƒe ƒuƒoƒo me ŋu. Emae nye Nephrotic Syndrome.
Nuka tututue nye Nephrotic Syndrome?
Nu gbãtɔ si wòle be míase egɔmee nye be menye dɔléle aɖe koŋ ye nye esia o. Efia
dzesi gbogbo aɖewo siwo ate ŋu ado mo ɖa ne míaƒe ayikuwo mele dɔ wɔm nyuie o. Bu míaƒe ayikuwo be wonye mɔ̃ɖaŋununya deŋgɔ ƒe tsilénu. Woƒe dɔ vevitɔe nye be woakɔ míaƒe ʋu ŋu eye woaɖe gbeɖuɖɔ siwo míedi o kple tsi si sɔ gbɔ ɖe ŋutilãa me ɖa abe aɖuɖɔ ene. Ʋuka siwo le ayikuawo me ƒe kadodo nyui aɖe ŋutɔe wɔa tsiɖɔɖɔdɔ sia. Míeyɔa esiawo be glomeruli. Le ame si le lãmesẽ me gome la, tsiɖɔɖɔ ƒe ɖoɖo sia meɖea mɔ na nuwo abe protein siwo le vevie na ŋutilãa be woato eme o. Woléa wo ɖe ʋua me. Gake ne nu nyui siawo siwo woyɔna be glomeruli gblẽ la,
protein gbogbo aɖe si hiã be ŋutilãa nato wo me eye wòadze dodo gɔme kple aɖuɖɔ. Emae nye nusi míeyɔna be nephrotic syndrome. Nɔnɔme sia ate ŋu adze ame tsitsiwo kpakple ɖeviwo hã dzi, gake nya nyuiae nye be atike aɖe li na esia.
Nukatae nɔnɔme sia dzɔna ɖo?
Míate ŋu ama susu siwo tae wòle alea ɖo la ɖe akpa vevi eve me.
Nusiwo gbɔ wòtsona siwo gblẽa nu le ayikuwo ɖeɖeko ŋu (Nu Gbãtɔ siwo gbɔ wòtso) .
Esia fia be nephrotic syndrome dzɔna le dɔléle ƒe nɔnɔme aɖe si dzɔna le ayikuawo ŋutɔ me ta, dɔléle bubu aɖeke ƒe ŋusẽkpɔɖeamedzi manɔmee.
- Dɔléle si me Tɔtrɔ Susua Le: Esia koŋue hea aɖuɖɔtoedɔléle vɛ le ɖeviwo ŋu . Togbɔ be woƒe ayiku ƒe lãkusiwo dzena abe ɖe wosɔ ene le nusuekpɔmɔ̃ me hã la, alesi woɖea ayiku me la megblẽna o. Woxɔe se be dɔlékuiwo ƒe dɔlélewo , nulɔdɔwo , alo atike aɖewo (vevietɔ vevesesenutsitikewo abe NSAID ene) gbɔe wòtsona.
- Focal Segmental Glomerulosclerosis (FSGS): Esia nye nɔnɔme si me ayikuawo ƒe akpa siwo woɖea tsi le (glomeruli) la va zua abi. Esia koŋue hea aɖuɖɔtoedɔléle vɛ le ame tsitsiwo ŋu . Dɔlékuiwo abe HIV , atike aɖewo, domenyiŋusẽfianu, kple lolo akpa ate ŋu ahe nɔnɔme sia vɛ.Nu geɖe, abe ʋusɔgbɔdɔ ene, ate ŋu akpɔ ŋusẽ ɖe esia dzi.
- Membranous Nephropathy: Esia nye glomeruli ƒe lãkusiwo ƒe ƒoƒo. Esia ate ŋu atso nɔnɔmewo abe kansa, asrã, aklãdɔléle B, kple lupus hã gbɔ.
Nu evelia siwo hea ayiku ƒe gbegblẽ le dɔléle bubuwo ta
Esia fia be ayiku ƒe dɔléle dzɔna ne ayikuawo gblẽ abe atikewɔwɔ ƒe nɔnɔme bubu aɖe si le ŋutilãa me ƒe nugbegblẽ ene.
- Suklidɔ : Suklidɔe nye nu evelia si hea aɖuɖɔtoedɔléle vɛ wu le ame tsitsiwo me. Suklidɔ si dzi womeɖu o ate ŋu ana ayiku nagblẽ (suklidɔ ƒe ayikudɔ).
- Lupus: Esia nye dɔlélenutsiŋutete ƒe dɔléle si nɔa anyi didi si ate ŋu agblẽ nu le ayikuwo ŋu vevie.
- Amyloidosis: Protein ƒomevi aɖe si woyɔna be amyloid ate ŋu aƒo ƒu ɖe ʋua me, si ana ayiku nagblẽ.
Dzesi kawoe ate ŋu anɔ ŋuwò?
Dzesi vevi enee li siwo ɖea aɖuɖɔtoedɔléle fiana. Be nàse nusiawo gɔme nyuie la, kpɔ kplɔ̃ si le ete.
| Dzesi si dzena | Kpuie ko la,... |
|---|
| Proteinuria ƒe ʋuʋu | Protein ƒe dodo fũu akpa le aɖuɖɔ me. Esia ate ŋu ana aɖuɖɔa nadze abe futukpɔ ene wu alesi wònɔna ɖaa . |
| Lãmetsi si sɔ gbɔ ɖe lãme na ame | Ami kple ʋumemi ƒe dzidziɖedzi le ʋu me . Ne protein bu le ŋutilãa me la, aklãa wɔa ami kple ʋumemi geɖe wu, si nye nusi koŋ gbɔ esia tso . |
| Ŋutilã ƒe vuvu (Edema) . | Ʋuʋudedi, vevietɔ le afɔwo, afɔkpodziwo, kple afɔwo ŋu . Ɣeaɖewoɣi la, asiwo kple mo, vevietɔ esiwo ƒo xlã ŋkuwo le ŋdi me, hã ate ŋu avuvu. |
| Albuminemia ƒe agbɔsɔsɔ si mede ame dzi o | Protein ƒomevi aɖe si woyɔna be albumin ƒe ɖiɖi le ʋu me. Protein siae nana tsi nɔa ʋukawo me. Ne woɖee do goe le aɖuɖɔ me la, tsi la dona ɖe lãkusiawo me eye ŋutilãa tea vuvu. |
Aleke nɔnɔme sia kpɔa ŋusẽ ɖe ɖevi suewo dzii?
Nephrotic syndrome nye dɔléle si mebɔ kura le ɖevi suewo me o. Gake ne ɖevi aɖe va dze nɔnɔmea dzi la, dzesiawo ate ŋu ato vovo vie.
- Ŋkuwo ƒe vuvu, vevietɔ ne wofɔ le ŋdi me.
- Mo, asiwo, afɔwo, kple ƒodo ƒe vuvu.
- Aɖuɖɔ si me futukpɔ le .
- Ðeɖiteameŋu kple ɖeɖiteameŋu ƒe seselelãme wu alesi wònɔna ɖaa.
Corticosteroids ye nye atike si wozãna wu na ɖeviwo. Zi geɖe la, nusiawo ate ŋu aɖu dzesiawo dzi eye woana woƒe dɔlélea nu nayi.
Ðɔkta, aleke nèwɔna dea dzesi esia?
Ne dzesi siawo le ŋuwò la, ele vevie be nàkpɔ ɖɔkta kaba ale si nàte ŋui. Ðɔktaa abia wò dɔlélea ƒe dzesiwo gbã. Ɣe ma ɣi,
- Aɖuɖɔtoe Dodokpɔ: Esia le vevie be woatsɔ adzidze protein agbɔsɔsɔme si dona le aɖuɖɔ me.
- Ʋudodokpɔ: Kpɔ ʋumemi ƒe agbɔsɔsɔ, albumin ƒe agbɔsɔsɔ, kple ayiku ƒe dɔwɔwɔ bubuwo ɖa.
- Ayiku me Dzodzro: Le go aɖewo me la, ahiã be woaɖe lãkusi sue aɖe ŋutɔ le ayiku me atsɔ adoe kpɔ le nusuekpɔmɔ̃ me. Esiae kpena ɖe ame ŋu be woanya nusi tututu le ayikuawo gblẽm.
Vevietɔ ne protein si wu gram 3.5 gbesiagbe le aɖuɖɔ me, albumin ƒe agbɔsɔsɔ si bɔbɔ ɖe ʋu me, kple ŋutilã ƒe vuvu ƒe dzesiwo nɔa anyi ɖekae la, eyae nye nu vevitɔ si nana wokpɔa aɖuɖɔtoedɔléle.
Kuxi kawoe ate ŋu ado mo ɖa ne womewɔ atike nɛ o?
Ne womeda nɔnɔme sia nyuie o la, ate ŋu ahe lãmesẽkuxi sesẽ bubuwo vɛ.
- Lãmetsiŋusẽ si sɔ gbɔ kple dzidɔ ƒe afɔku: Ami kple ʋumemi ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me dzia dzidɔ ƒe afɔkua ɖe edzi.
- Ʋusɔgbɔdɔ: Ne ayikuwo gblẽ la, ŋutete si le wo si be woaɖe sodium (dze) kple tsi le ŋutilã me dzi ɖena kpɔtɔna, si wɔnɛ be ʋu ƒe sisi dzina ɖe edzi.
- Ʋu ƒe Ʋuʋudedi:Esi wònye be protein siwo xea mɔ na ʋu ƒe sisi la dona le aɖuɖɔ me ta la, ʋu ƒe sisi le ŋutilãa me ƒe afɔkua dzina ɖe edzi.
- Dɔlékuiwo: Esi proteinwo abe immunoglobulins, siwo le vevie na ŋutilã ƒe dɔlélenutsiŋutete ene bu la, mɔnukpɔkpɔ geɖe li be woaxɔ dɔlékuiwo abe aklãdɔ ene.
- Ayiku ƒe Dɔmawɔmawɔ: Ne womewɔ atike na ayikuawo ɣeyiɣi didi o la, ate ŋu agblẽ keŋkeŋ, si ahiã be woado ayiku alo ayiku dodo na wo hafi woate ŋu anɔ agbe.
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ ƒe ɖoɖoa nɔ te ɖe nusi gbɔ wò aɖuɖɔtoedɔlélea tso dzi.
Atike ƒomeviwo
Wò ɖɔkta ate ŋu aŋlɔ atike siwo gbɔna na wò:
- Ʋu ƒe sisi ƒe atikewo: Atikewo abe ACE inhibitors kple ARBs ene ɖea ayiku ƒe nyaƒoɖeamenu dzi kpɔtɔna eye woɖea protein ƒe dodo le aɖuɖɔ me dzi kpɔtɔna.
- Aɖuɖɔtoemetikewo: Wogayɔnae be "tsitike," esiawo kpena ɖe ame ŋu be woaɖe abi le ŋutilã me dzi akpɔtɔ.
- Atike siwo ɖea ʋumemi dzi kpɔtɔna.
- Ʋu ƒe ʋuʋu (Anticoagulants): Ðe ʋu ƒe sisi ƒe afɔkua dzi kpɔtɔna.
- Atike siwo tsia dɔlélenutsiŋutete nu: Atikewo abe corticosteroids ene kpɔa dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi eye woɖea nusiwo gblẽ le ayikuwo ŋu dzi kpɔtɔna.
Esia tae nuɖuɖu dzi ɖuɖu le vevie ɖo
Tsɔ kpe ɖe atikewo zazã ŋu la, nuɖuɖu hã le vevie ŋutɔ le dɔléle sia dzi ɖuɖu me.
- Ðe dze (sodium) dzi kpɔtɔ: Dze ɖuɖu fũ ate ŋu ana tsi natsi, avuvu, eye wòana ʋu nasɔ gbɔ. Ƒo asa na nuɖuɖu siwo me dze sɔ gbɔ ɖo, abe soseti, lã siwo woda gbe le, amagbe siwo le gaze me, mɔli, bisiklet, kple mɔli ene.
- Ðe ami kple ʋumemi dzi kpɔtɔ: Wɔ ɖe nuɖuɖu si me ami kple ʋumemi mesɔ gbɔ ɖo o dzi.
- Ðe tsi si nàno dzi kpɔtɔ: Ɣeaɖewoɣi la, wò ɖɔkta agblɔ na wò be nàɖe tsi agbɔsɔsɔme si nènona gbesiagbe dzi akpɔtɔ.
Ðo ŋku edzi be ele be nàwɔ ɖe nuɖuɖu ƒe mɔxeɖenu siawo dzi le mɔfiame siwo wò ɖɔkta alo nuɖuɖuŋutinunyala na wò nu.
Gbedasi si Wotsɔ Yi Aƒeme
- Nephrotic syndrome nye dzesi siwo ƒo ƒu tso ayiku me tsi ƒe ʋuʋu ƒe ɖoɖo si le bɔbɔe ƒe gbegblẽ gbɔ.
- Dzesi vevitɔwoe nye ŋutilã ƒe vuvu (vevietɔ le afɔwo kple ŋkuwo ŋu), aɖuɖɔ si me futukpɔ le (le protein si sɔ gbɔ ta), kple ʋumemi ƒe dzidziɖedzi.
- Dɔléle bubuwo abe suklidɔ kple ʋusɔgbɔdɔ hã ate ŋu ahe nɔnɔme sia vɛ.
- Tsɔ kpe ɖe atike siwo woatsɔ ada dɔe ŋu la, ele vevie ŋutɔ hã be woawɔ ɖe nuɖuɖu si me dze kple ami mesɔ gbɔ ɖo o dzi.
- Ne dzesi siawo le ŋuwò la, mègaŋe aɖaba ƒu wo dzi gbeɖe o . Kpɔ wò ɖɔkta kaba ale si nàte ŋui hena aɖaŋuɖoɖo kple atikewɔwɔ nyuitɔ.
Nephrotic Syndrome, ayikudɔ, vuvu, protein le aɖuɖɔ me, aɖuɖɔ si me futukpɔ le, ayikudɔ le Sinhalagbe me, ʋumemi
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee