Esi wò ɖɔkta gblɔ na wò be Stage IV Chronic Kidney Disease le ŋuwò la, ànya se le ɖokuiwò me be vɔvɔ̃ kple dzidziƒoame gã aɖe. Ðewohĩ èsusui be, ‘Nye agbe wu enu fifia.’ Gake le nyateƒe me la, susu aɖeke meli si tae dzi naɖe le mía ƒo nenema gbegbe ɖo o. Esia nye nɔnɔme sesẽ aɖe, gake ne èwɔ atike na wò nyuie, nèɖu nu nyuie, eye nèɖu nu nyuie la, àte ŋu anɔ agbe didi ahakpɔ dzidzɔ. Eyata, mina míaƒo nu tso nusianu ŋu eme nakɔ eye wòanɔ bɔbɔe egbea.
Renal function (eGFR)
Measure kidney function based on creatinine value
Gbã la, mina míalé ŋku ɖe ayikudɔléle ƒe afɔɖeɖewo ŋu.
Ayikudɔléle si nɔa anyi didi (CKD) ƒe akpa vevi atɔ̃e li. Bu eŋu abe atrakpui ene.
- Gbãtɔ (1 kple 2): Le ɣeyiɣi sia me la, ate ŋu agblẽ nu le ayikuawo ŋu vie, gake wogakpɔtɔ le dɔ wɔm nyuie. Zi geɖe la, dzesi gã aɖeke medzena le afɔɖeɖe sia me o.
- Afɔɖeɖe 3: Kaka fifia naɖo la, ayikuawo ƒe afã lɔƒo megate ŋu wɔa dɔ o. Esiae nye esime lãmesẽkuxi bubu siwo do ƒome kple ayiku ƒe dɔmawɔmawɔ nyuie (e.g., ʋusɔgbɔdɔ, ʋusɔgbɔdɔ) dzea dodo gɔme.
- Afɔɖeɖe 4: Afi siae ayikuawo ƒe gbegblẽ nu sẽna le . Le ɣeyiɣi sia me la, wò ɖɔkta ana atikewɔwɔ ƒe ɖoɖo vevi aɖe wò be wòakpɔ dɔ sue ɖesiaɖe si wò ayikuwo gblẽ ɖi la ta.
- Afɔɖeɖe 5: Esiae nye akpa mamlɛtɔ. Le afisia la, ayikuawo do kpo nu keŋkeŋ kloe. Dialysis alo ayiku dodo na ame hiã vevie hafi woate ŋu anɔ agbe.
Mina míase nusi tututu afɔɖeɖe enelia sia (Afɔɖeɖe IV) nye gɔme.
Ayikudɔ si nɔa anyi didi (CKD) dzɔna ne ŋutilã me abi alo, zi geɖe la, atikewɔwɔ me nɔnɔme bubuwo abe suklidɔ kple ʋusɔgbɔdɔ ene gblẽ nu le ayikuawo ŋu. Ayiku siwo gblẽ la mete ŋu kɔa ʋu nyuie o.
Kpuie ko la, ayikuwo le abe dɔwɔƒe aɖe le míaƒe ŋutilã me ene. Dɔ vevi siwo wowɔna dometɔ aɖewoe nye esi:
- Ŋutilã me tsiwo ƒe dadasɔ me léle ɖe asi
- Míaƒe lãmetsiŋusẽwo dzi kpɔkpɔ
- Ʋu ƒe sisi dzi ɖuɖu
- Ƒuwo ƒe lãmesẽ me nɔnɔ
- Ʋumenugbagbevi dzĩ siwo ŋutilã hiã la wɔwɔ
Le akpa enelia me la, ayikuawo megate ŋu wɔa dɔ sia nyuie o. Eyata kuxi siwo gbɔna ƒe afɔkua dzina ɖe edzi. Be nàƒo asa na nusiawo la, ele be nàɖɔ ŋu ɖo vevie le wò nuɖuɖu kple agbenɔnɔ ŋu.
- Dzi kple ʋukawo me kuxiwo
- Ʋusɔgbɔdɔ, si fia be ʋu ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna le ŋutilãa me
- Ƒu ƒe kuxiwo
- Ʋusɔgbɔdɔ si dzi womeɖu o
- Ðeɖiteameŋu fũ kple ŋusẽ ƒe anyimanɔmanɔ le nunyiame nyui ƒe anyimanɔmanɔ ta
Clinical vitamins and nutritional supplements
Clinically proven high quality vitamins, minerals and immune nutritional supplements.
Check Availability →Ayikuwo ƒe Dɔmawɔmawɔ Kple Edada
Kaka afɔ enelia naɖo la, ayikuawo ƒe dɔwɔwɔ medea ŋgɔ kura o. Yikuawo ƒe ŋutete be woawɔ dɔ ƒe dzidzenu aɖe li, si míeyɔna be Glomerular Filtration Rate (GFR) . Ne GFR ƒe asixɔxɔ sia ɖiɖi va anyi wu 15% la, míeyɔa nɔnɔme ma be ‘Ayiku ƒe Dɔmawɔmawɔ nyuie’.
Togbɔ be womate ŋu ada ayikudɔ si nɔa anyi didi keŋkeŋ o hã la, atikewɔmɔnu siwo wɔa dɔ ŋutɔ li siwo ate ŋu axɔ wò agbe eye wòana nànɔ lãmesẽ me. Mègatsi dzi o, wò ɖɔkta atia atike si sɔ na wò.
Atikewɔwɔmɔnu vevi geɖewo li. Na míalé ŋku ɖe wo ŋu.
| Atikewɔwɔ ƒe mɔnu | Kpuie ko la,... |
|---|---|
| Ayikuwo Dodo Ðe Ame Ŋu | Amekoko si wowɔna tsɔ doa ayiku si le lãmesẽ me (tso ame gbagbe alo esi ku gbɔ) ɖe ŋutilãa me. Zi geɖe la, ayiku yeyea dzea dɔwɔwɔ gɔme le amekokoa megbe. Ke hã, ahiã kokoko be nàno atike le wò agbemeŋkekewo katã me. |
| Ʋumenugbagbeviɣidɔ (HD) . | Woɖoa wò ʋu ɖe mɔ̃ aɖe si wɔa dɔ abe ayiku si wotsɔ asi wɔe ene, ɖea gbeɖuɖɔwo kple tsi bubu siwo le eme, eye emegbe wogbugbɔa ʋu si ŋu wokɔ la yia wò ŋutilã me. Woate ŋu awɔ esia le kɔdzi alo le aƒeme. |
| Dɔgbomeʋuʋu (PD) . | Wowɔa esia le aƒeme. Woɖoa tsi tɔxɛ aɖe ɖe dɔgboa me to mɔ̃ (catheter) si wotsɔ amekoko de eme dzi. Le gaƒoƒo ʋɛ aɖewo megbe la, woɖea tsi la ɖa kpe ɖe gbeɖuɖɔa ŋu, eye wotsɔa tsi yeye dea eme. Ele be woawɔ esia gbesiagbe. |
Alesi woawɔ ʋumenugbagbeviɣidɔ
Be míate ŋu awɔ ʋumenugbagbeviɣidɔ la, ele be míawɔ ɖoɖo aɖe si ate ŋu aɖe ʋu le ŋutilãa me bɔbɔe eye wòatrɔe ayi ŋutilãa me. Mɔnu vevi 3 li na esia.
- Fistula ƒe dɔléle:Esiae nye mɔnu nyuitɔ kekeake si wozãna wu. Ðɔktaa wɔa dɔ sue aɖe eye wòdoa ka kple ʋuka aɖe kple ʋuka aɖe si le wò alɔnu. Esia wɔnɛ be ʋukaa sẽna ɖe edzi eye wònɔa bɔbɔe be woatsɔ aŋe ade eme ahahe ʋu.
- Graft: Ne wò ʋukawo gbɔdzɔ eye womate ŋu awɔ fistula o la, wotsɔa mɔ̃ sue aɖe si wowɔ kple asi dea ʋuka aɖe kple ʋuka aɖe dome be woatsɔ aƒo wo nu ƒu.
- Catheter: Ne ehiã be woaɖe ʋuka kpata alo hena ɣeyiɣi kpui aɖe la, wotsɔa mɔ̃ gã aɖe dea ʋuka gã aɖe si le kɔ alo akɔta me. Tube sia ƒe nuwuwu ɖeka le ŋutilãa godo.
Aleke woawɔ akpɔ ayiku ƒe dɔwɔwɔ si susɔ la ta?
Be nàgagblẽ nu le wò ayiku ŋu geɖe wu o la, ele vevie ŋutɔ be nàɖu dɔléle bubu siwo le wo hem vɛ dzi nyuie.
Ʋu ƒe Ʋuʋudedi
Ne ʋu ƒe sisi dzi ɖe edzi la, ʋukawo va ƒoa ke eye wotsina. Emegbe ele be dzia nawɔ dɔ sesĩe wu be wòatsɔ ʋu akɔ ɖe ʋu me. Ne womeɖu esia dzi o la, ʋusɔgbɔdɔ alo dzidɔ ate ŋu adzɔ. Eyata ele vevie be woano ʋusɔgbɔdɔtike si ɖɔkta ŋlɔ na wò ɖe game dzi.
Suklidɔ Kple Lãmetsiŋusẽ si sɔ gbɔ ɖe lãme na ame
Ne womete ŋu ɖu sukli kple ʋumemi dzi o la, ami ate ŋu aƒo ƒu ɖe ʋukawo me, si ana ʋu natsi, eye wòana dzidɔ alo ʋusɔgbɔdɔ ƒe afɔkua nadzi ɖe edzi. Ðo dze kple wò ɖɔkta tso nuɖuɖu ƒe ɖoɖo nyuitɔ kekeake si nàwɔ na wò ŋu. Ðewohĩ ahiã be nàɖe nuɖuɖu siwo me sukli kple ami sɔ gbɔ ɖo dzi akpɔtɔ. Ne ehiã la, bia be woaɖo ye ɖe nuɖuɖuŋutinunyala aɖe gbɔ.
Ʋusɔgbɔdɔ
Ne ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖe ŋutilãa me o la, lãmenugbagbevi siwo ate ŋu atsɔ ɔksidzin mesɔ gbɔ o. Ekema ele be dzia nawɔ dɔ sesĩe wu. Esia ate ŋu ana dzi nawɔ dɔ nyuie. Le esia ta la, ɖɔktaa aŋlɔ nuwo abe gayibɔtikewo ene na wò.
Dɔléle siwo do ƒome kple ƒu kple mineral
Ne ayikuawo mewɔ dɔ nyuie o la, calcium dona le ƒuawo me eye wògena ɖe ʋua me. Ne calcium si le ʋua me dzi ɖe edzi la, ʋukawo ate ŋu asesẽ eye woaxe. Ðɔktaa ate ŋu aɖo aɖaŋu be woano kpeɖeŋutɔtikewo abe vitamin D ene na esia.
Ne èkpɔ nusiawo katã gbɔ nyuie la, àte ŋu aɖe nyaƒoɖeamenu si le wò ayikuwo dzi dzi akpɔtɔ eye nàkpɔ woƒe dɔwɔwɔ si susɔ la ta ɣeyiɣi didi si nàte ŋui.
Gbedasi si Wotsɔ Yi Aƒeme
- Togbɔ be ayikudɔléle ƒe afɔɖeɖe 4 lia nye dɔléle sesẽ aɖe hã la, àte ŋu anɔ agbe nyuie ne èzã atike nyuitɔ kple agbenɔnɔ nyuie. Nɔ anyi sesĩe.
- Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ, vevietɔ le atikewo kple nuɖuɖu gome. Mègadzo le atike aɖeke zazã dzi alo adzi wò atike ƒe agbɔsɔsɔme ɖe edzi alo aɖe edzi akpɔtɔ o.
- Ðo dze kple wò ɖɔkta gaglãa tso atikewɔmɔnu siwo nàte ŋu awɔ (ʋumenugbagbeviɣidɔ, ayiku dodo) ŋu eye nàtia esi nyo na wò.
- Ʋu ƒe sisi, suklidɔ, kple ʋumemi ƒe agbɔsɔsɔ dzi ɖuɖu nye nu nyuitɔ kekeake si nàte ŋu awɔ atsɔ akpɔ wò ayiku ta.
- Ne dzesiwo abe ɖeɖiteameŋu si gbɔ eme, gbɔgbɔtsixetsixe, kple afɔwo ƒe vuvu ene dzi ɖe edzi la, mègaŋe aɖaba ƒu wo dzi eye nàkpɔ wò ɖɔkta enumake o.
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