Ðe dɔgbo le veve sem enuenua? Esia ate ŋu anye dɔgbo ƒe abi (Peptic Ulcer Disease)! Mina míaƒo nu tso esia ŋu.

Ðe nèsenɛ le ɖokuiwò me zi geɖe be yeƒe dɔgbo le bibim, eye yeƒe dɔgbo me meɖea fu na ye oa? Mía dometɔ geɖe ŋlɔna be be esia nye nusi sɔ, ɖewohĩ míesusu be enye "gastritis". Gake ɣeaɖewoɣi la, vevesese sia ate ŋu anye nusi nu sẽ vie wu. Emae nye dɔgbo ƒe abi ƒe nɔnɔme, alo abe alesi ɖɔktawo yɔnae ene la, `Peptic Ulcer Disease (PUD). Eyata, egbea míaƒo nu tso esia ŋu tsitotsito vie, abe ɖe míele egblɔm na mía xɔlɔ̃ aɖe ene. Elabena esia nyanya ate ŋu anɔ vevie na wò ŋutɔ.

Nukae Nye Dɔgbomedɔléle? Kpuie ko la,...

Kpuie ko la, dɔgbo ƒe dɔléle nye abi si le ʋuʋu ɖi si dzɔna ɖe míaƒe nuɖuɖumeŋusẽ ƒe akpa si nye nuɖuɖumeŋusẽ ƒe akpa si míeɖua nuɖuɖu kple nunono le la dzi. Nya "peptic" gɔmee nye "si do ƒome kple nuɖuɖumeŋusẽ." Etso nya "pepsin," si nye nuɖuɖumeŋusẽ vevi aɖe si wowɔna le míaƒe dɔgbo me.

Bu eŋu kpɔ, le míaƒe dɔgbo me la, dɔgbo me acid kple enzyme sia si woyɔna be pepsin le mía me. Eve siawoe kpena ɖe mía ŋu míetsɔa atikewo gbãa nuɖuɖu siwo míeɖuna eye míeɖunɛ. Detsi sia nye esi me acid le ŋutɔ, ne míagblɔe tututu la, egblẽa nu le ame ŋu. Detsi sia gena ɖe míaƒe dɔgbo sue (duodenum) ƒe akpa gbãtɔ me ɣeaɖewoɣi.

Azɔ kpɔ ɖa, wotsɔ lãkusi si kpɔa ame ta, abe akpoxɔnu si kpɔa gliawo ta tso nu sesẽ siwo le eme la me ene. Ametakpɔnu sia sesẽ ŋutɔ le dɔgboa kple dɔgbo suea ƒe akpa gbãtɔ. Gake le amesi ŋu dɔgbo ƒe abi le gome la, ametakpɔnu sia gbɔdzɔna . Emegbe nuɖuɖumeŋusẽ sesẽ mawo ate ŋu aɖu gliawo.

Abi nye ʋuʋudedi si goglo ale gbegbe be wòate ŋu age ɖe dɔgboa ƒe akpa etɔ̃awo katã me. Zi geɖe la, abi siawo dzɔna le dɔgbo alo dɔgbo suea ƒe akpa gbãtɔ (duodenum), elabena afimae nuɖuɖume tsiwo wɔa dɔ le wu. Gake ƒã hafi woate ŋu adzɔ le teƒe bubuwo.

Afikae abi siawo ate ŋu adzɔ le? Ðe ƒomevi aɖewo lia?

Ẽ, míaƒe dɔgbo kple dɔgbo sue (duodenum) ƒe akpa gbãtɔ koŋue abi siawo dzɔna.

• Duodenal ulcers: Esiawoe nye esiwo bɔ wu, eye woƒe xexlẽme ade 80%.
• Dɔgbo me abi: Wokpɔa esiawo le amesiwo ade 20% me.

Gake le go siwo mebɔ kura o me la, dɔgbo me acid ate ŋu age ɖe teƒe bubuwo, si ana abi nadze ame dzi. Le kpɔɖeŋu me:

• Nuɖuɖutome ƒe abi: Ame aɖewo xɔa acid reflux si nɔa anyi didi, si nye ne dɔgbo me acid gena ɖe ŋɔti me. Ne esia yi edzi la, nuɖuɖutome ƒe nutete ate ŋu avuvu vivivi, si ana abi nadze ame dzi. Esia le alea elabena nuɖuɖutome ƒe lãkusi mete ŋu nɔa te ɖe acid nu abe dɔgboa ƒe lãkusi ene o.
• Jejunal ƒe abi:Jejunum nye míaƒe dɔgbo suea ƒe titina. Amekoko aɖewo (e.g., gastrojejunostomy - amekoko si doa ka kple dɔgbo tẽ kple jejunum) ateŋu ana abi na akpa sia.

Aleke gbegbee nɔnɔme sia bɔe?

Le xexeame godoo la, ame 5% va ɖo 10% axɔ dɔgbo ƒe dɔléle (PUD) le woƒe agbemeɣeyiɣi aɖe me. Togbɔ be ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ƒe titinatɔwo kple ŋutsuwo me wu.

Nukae nye esia ƒe dzesiwo? Aleke nèwɔ dea dzesii?

Nukutɔe la, amesiwo ŋu dɔléle sia le dometɔ siwo ade 70% meɖea dzesi aɖeke fiana o . Gake nya siwo ame siwo ƒe dzesiwo dzena la gblɔna wue nye:

• Epigastric pain: Ne míagblɔe tututu la, enye vevesese si tsoa dɔgboa titina , le akɔta te.
• Dyspepsia: Nuɖuɖumeŋusẽ ƒe vevesese siwo dzɔna le nuɖuɖu vɔ megbe ƒe ƒuƒoƒo. Esia lɔ vevesese le ƒodo si le etame, dzobibi , sese le eɖokui me be yeɖi ƒo le nuɖuɖu vɔ megbe, kple sese le eɖokui me be yeƒe lãme yɔ fũu atraɖii ɖe eme.

Dzobibi sia le abe dɔgboa me acid kple enzyme siwo le dɔgboa ƒe akpa si le eme la ɖum ene. Ame aɖewo ɖɔnɛ be "abe nane le tome kum ɖe dɔgboa ƒe eme ene." Àte ŋu ade dzesi afisi tututu vevesesea le gɔ̃ hã.

Togbɔ be esesẽ be woanya nenye be abi la le dɔgboa me alo dɔgbo suea me hã la, kpeɖodzi aɖewo li:

• Ne dɔgbo me abi le ŋuwò la, vevesesea ate ŋu asẽ ɖe edzi le nuɖuɖu vɔ megbe kpuie (le miniti 30 me), elabena ɣemaɣie dɔgbo me tsi geɖe dona.
• Le duodenal ulcer gome la, vevesesea ate ŋu aɖiɖi le nuɖuɖu vɔ megbe. Gake le gaƒoƒo eve va ɖo etɔ̃ megbe la, vevesesea ate ŋu adzi ɖe edzi ne nuɖuɖu kple nuɖuɖumetsiwo to yi dɔgbo suea me. Ame aɖewo bua esia vodadatɔe be dɔwuame, elabena nuɖuɖu naa gbɔdzɔe. Nyɔnyrɔ̃ le zã me le vevesese ta hã bɔ ɖe amesiwo ŋu dɔgbo sue siawo ƒe abi le la me.

Tsɔ kpe ɖe esia ŋu la, àte ŋu akpɔ nu bubuwo hã abe:

• Dɔgbo si vuvu
• Ʋuʋudedi alo ʋuʋudedi enuenu
• Nuɖuɖudzroame ƒe vɔvɔ
• Aɖuɖɔtoe kple ʋuʋudedi

Nukae dzɔna ne womewɔ atike nɛ o? Nukawoe nye kuxi siwo dona tso eme?

Ame aɖewo ƒe dzesiwo dzena le nɔnɔmea me to kuxi bubuwo vɛ vɔ megbe. Esia dzɔna ne womewɔ atike nɛ ɣeyiɣi didi o. Ne menye nenema o la, abiawo ate ŋu adze ʋu sisi gɔme , alo gli la ate ŋu agoglo wu eye wòazu do .

Ne ʋu le dodom le dɔgboa ƒe akpa si le etame la, àte ŋu akpɔ dzesiwo abe:

• Ʋu le aɖuɖɔ me ( black, tarry stool ) .
• Kɔfi si wotsɔ ƒoe ƒe ʋuʋudedi
• Taɖuame alo taɖuame
• Ŋutilã ƒe blɔ (Pallor) .
• Dzi ƒe tsotso kabakaba

Ne do aɖe do le nuɖuɖumeŋusẽ me (dɔgbo ƒe ʋuʋu) la, dzesiwo abe:

• Dɔgbo ƒe vevesese kpata, sesẽ, si nu sẽ
• Ƒodo ƒe vuvu kple vevesese si womate ŋu ado dzi atsɔ o
• Asrã kple vuvɔ

Ne womeda dɔ na wo o ɣeyiɣi didi aɖe la, abiawo ate ŋu ahaya eye emegbe woagadzɔ ake. Le ame aɖewo gome la, abi kple vuvu le nuɖuɖumeŋusẽ me ate ŋu adzi ɖe edzi, si ana dɔgboa naxe mɔ . Esia ate ŋu ahe dzesiwo abe:

• Ʋuʋudedi, vuvu, kple vevesese
• Aɖuɖɔtoe kple ʋuʋudedi
• Nuɖuɖudzroame ƒe vɔvɔ kple lolo dzi ɖeɖe kpɔtɔ
• Ðokuidzimademade kple dɔgbo ƒe dɔmawɔmawɔ nyuie

Nukatae míexɔa dɔgbo ƒe abi siawo? Nukawo koŋ gbɔe wòtsona?

Wotrɔ asi le míaƒe nuɖuɖumeŋusẽ ƒe ametakpɔnu ŋu be wòanɔ te ɖe acid kple enzyme sesẽwo nu eye wòadzra eɖokui ɖo ne egblẽ. Esia nye nyateƒe vevietɔ le dɔgbo kple dɔgbo suea ƒe akpa gbãtɔ. Gake abi dzɔna ne nane do kplamatse dzɔdzɔme ametakpɔnu siawo.

Be ametakpɔkpɔ sia dzi naɖe akpɔtɔ eye be abi nade to ale gbegbe be wòate ŋu age ɖe lãkusia me la, ele be nɔnɔme aɖe si anɔ anyi ɣeyiɣi didi alo si ayi edzi nadzɔ. Dzɔdzɔmeŋutinunyalawo de dzesi nu vevi eve siwo gbɔ PUD siawo ƒe akpa gãtɔ tso:

1. H. pylori (Helicobacter pylori) Dɔlékuiwo ƒe Dɔléle: Dɔlékui sia nɔa xexeametɔwo ƒe afã kloe ƒe dɔgbo kple/alo dɔgbo sue me. Le ame akpa gãtɔ gome la, mehea kuxi aɖeke vɛ o. Gake ne dɔlékuiawo lolo akpa la, ate ŋu agblẽ nugbagbevi suesue bubu siwo le afima ƒe dadasɔ me eye wòahe dɔlékui ƒe dɔwɔwɔ vɛ . Dzoxɔxɔ sia si nɔa anyi ɣeyiɣi didi la gbɔdzɔa gli la eye wòɖea ŋutete si le esi be wòaɖɔ eɖokui ɖo dzi kpɔtɔna. Ɣeaɖewoɣi la, dɔlékuiawo te ŋu dzea glia dzi tẽ gɔ̃ hã.

2. Atike siwo me steroid mele o siwo wua dɔdzẽ (NSAIDs) zazã fũ akpa: Esiawoe nye vevesesenutsitike siwo míeƒlena le atikedzraƒea atikewɔmɔnu manɔmee, abe aspirin kple ibuprofen ene. Esi wonoa wo atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee ta la, ame geɖe noa wo zi geɖe wu alesi wòhiã. Esia kpɔa ŋusẽ ɖe atike siwo da sɔ le míaƒe dɔgbo kple dɔgbo suea me dzi. NSAID-tikewo wɔa dɔ to atike siwo woyɔna be prostaglandins, siwo ɖɔa nusiwo gblẽ le nuɖuɖumeŋusẽ ƒe lãkusi ŋu la ƒe wɔwɔ dzi ɖeɖe kpɔtɔ me.

Tsɔ kpe ɖe susu vevi eve siawo ŋu la, susu bubu siwo mebɔ o hã li:

• Dɔlékui bubuwo
• Ʋu ƒe agbɔsɔsɔ si dzi ɖe kpɔtɔ (`Ischemia`) .
• Ŋutilã me nuteɖeamedzi sesẽ (zi geɖe la, etsoa dɔléle alo afɔku si ate ŋu ade ame ƒe agbe afɔku me gbɔ) .
• Atikewo zazã alo keklẽŋusẽdɔdamɔnu
• Zollinger-Ellison syndrome - nɔnɔme si me dɔgboa wɔa acid fũ akpa
• Crohn ƒe dɔléle - dɔdzẽ ƒe nɔnɔme si le nuɖuɖumeŋusẽ me
• Dɔgbo me kansa

Amekawoe le afɔku gã me be woaxɔ dɔléle sia?

Ne H. pylori dɔlékui le ŋuwò alo nèzãa NSAID enuenu la, anɔ eme be dɔgbo me abi siawo adze dziwò. Afɔkua lolo ŋutɔ vevietɔ ne afɔku siawo evea siaa le ŋuwò.

Tsɔ kpe ɖe eŋu la, atamanono, ahanono, kple atike bubu aɖewo siwo nènona hã ate ŋu akpe ɖe esia ŋu. Togbɔ be nu siawo ɖeɖe mesẽ ale gbegbe be woate ŋu ahe abi vɛ o hã la, ne wotsɔ wo kpe ɖe H. pylori dɔlékui alo NSAID zazã ŋu la, wodzia dɔgbo ƒe abi xɔxɔ ɖe edzi.

Aleke ɖɔktawo dea dzesi esiae?

Ne wò ɖɔkta susu be ƒodo me abi le ŋuwò le wò dzesiwo kple afɔku siwo le eme ta la, woalé ŋku ɖe wò nuɖuɖutome ŋu gbã be abi le ŋuwò hã. Woado H. pylori dɔlékui hã kpɔ.

Le ame geɖe gome la, nuɖuɖutome ƒe akpa si le etame endoscopy (EGD dodokpɔ) ye nyea dɔléle mamlɛtɔ si wokpɔna. Esia bia be woade mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ sue aɖe le eƒe nuwuwu to nu me eye woado nuɖuɖutome, dɔgbo, kple dɔgbo suea ƒe akpa gbãtɔ kpɔ. Le ɣeyiɣi sia me la, woate ŋu aɖe lãkusi sue aɖe (si woɖena le dɔgboa me) hã le dɔgboa me be woatsɔ akpɔe ɖa be H. pylori le eme hã.

Endoscopy ɖea vi ŋutɔ elabena menye ɖeko wònana nèkpɔa nɔnɔmetatawo ko o, ke enaa nètoa dɔwɔnuwo me toa mɔ̃a me ne ehiã eye wòwɔa atikewɔwɔ hã. Le kpɔɖeŋu me, ne ʋu le dodom le abi aɖe ŋu la, àte ŋu adae enumake be wòadzudzɔ.

Dodokpɔ bubuwo:

• Woateŋu awɔ `CT scan (Computed Tomography scan)` alo `GI series X-ray exam` be woakpɔ abi siwo lolo wu.
• Woateŋu awɔ ``Urea gbɔgbɔ dodokpɔ`` alo ``aɖuɖɔ dodokpɔ`` atsɔ ade dzesi ``H. pylori`` dɔlékui ƒe dɔléle.

Nukawoe nye atikewɔmɔnuawo?

Atike vevitɔ si wozãna na dɔgbo me abie nye atike siwo ɖea dɔgbo me acid dzi kpɔtɔna, kpɔa dɔgboa ƒe lãkusi ta, eye wokpena ɖe eŋu wòhayana . Ne dɔlékui aɖe le ŋuwò la, àte ŋu ahiã dɔlékuiwutikewo hã . Nu vevitɔe nye be nàdi nusi gbɔ abi la tso ahadae.

Zi geɖe la, woate ŋu atsɔ atike ɖeɖeko ada abi. Gake ne kuxi aɖewo do mo ɖa, abe abi si me ʋu le dodom le alo abi si me do le ene la, ate ŋu ahiã be woawɔ atike bubuwo. Woate ŋu akpɔ kuxi siawo dometɔ geɖe gbɔ to atikewɔwɔmɔnu bɔbɔewo abe dɔgbo me nukpɔkpɔ ene dzi.

Atikewo

• Dɔlékuiwutikewo: Ne H. pylori alo dɔlékui bubu aɖe le ŋuwò la, wò ɖɔkta aŋlɔ dɔlékuiwutike vovovowo na wò be wòawu dɔlékuiawo. (Kpɔɖeŋu: Amoxicillin, Clarithromycin, Metronidazole ƒe atike)
• Lãmenugbagbeviwo takpɔnu: Atike siawo wɔa dɔ to nutsyɔtsyɔ kple etakpɔkpɔ ɖe ƒodoa me vaseɖe esime wòahaya. (Kpɔɖeŋu: `Sucralfate`, `Misoprostol`, `Bismut ƒe subsalicylate`)
• Histamine receptor blockers (H2 blockers): Atike siawo ɖea acid dzi kpɔtɔna to atike si naa dzesi dɔgboa be wòawɔ acid la xexe me. (Ele kpɔɖeŋu me: `Famotidine`, `Cimetidine`)
• Proton pump inhibitors (PPIs): Atike siawo ɖea dɔgboa me acid dzi kpɔtɔna eye wokpena ɖe dɔgboa ƒe lãkusi ŋu be wòahaya to etakpɔkpɔ me. (Ele kpɔɖeŋu me: Omeprazole, Pantoprazole, Esomeprazole)
• Vevesesenutsitike bubuwo ɖe NSAID teƒe: Ne ènoa NSAID zi geɖe la, àte ŋu aƒo nu kple wò ɖɔkta tso atike bubu aɖe ŋu. Acetaminophen (paracetamol) nye atike si menye NSAID o eye mekpɔa ŋusẽ ɖe dɔgboa ƒe lãkusi dzi nenema ke o.

Atikewɔwɔ ƒe ɖoɖowo

Ne abi sesẽ aɖe si me ʋu le dodom le le ŋuwò la, ahiã be wò ɖɔkta nadae tẽ. Zi geɖe la, woate ŋu awɔ esia le dɔlékuiwo me toto me. Wotɔa ʋua ne wotɔ dzo abi la alo wodo atike ɖe eme. Ne do aɖe le eme la, wotsɔa lãgbalẽ blanɛ.

Ƒã hafi ne abi aɖe xe nuɖuɖutome la, ahiã be woawɔ nudede eme be woagaʋui ake. Esia ate ŋu abia be woano nusiwo le dɔgboa me alo, ƒã ŋutɔ la, amekoko.

Nukae wòle be míawɔ atsɔ akpɔ mía ɖokui ta tso nɔnɔme sia me? (Mɔxexe ɖe enu) .

Nu vevitɔ kekeake siwo nàte ŋu awɔ atsɔ akpɔ ɖokuiwò ta tso dɔgbo ƒe dɔléle me enye:

1. Do H. pylori dɔlékui kpɔ eye nàdae: H. pylori dɔlékui le ame geɖe ŋu gake womenyae o. Àte ŋu anya ne ele ŋuwò ne èwɔ urea gbɔgbɔ dodokpɔ bɔbɔe aɖe. Ne èwɔe nenema la, da dɔ na wò hafi kuxiwo nado mo ɖa. Ne wowɔ atike na wò kpɔ hã la, anyo be nàgadoe kpɔ ake, elabena ate ŋu atrɔ ava ɣeaɖewoɣi.

2. Zã NSAID-tikewo abe alesi wogblɔe ene ko: Ne ezu numame na wò be nàno NSAID-tikewo na vevesese kple vevesese suesuesuewo gbesiagbe la, kpɔ nyuie be màganoe wòagbɔ agbɔsɔsɔ si wokafu ŋu o. Ne ƒodo me abi le ŋuwò kpɔ la, anyo wu be nàƒo asa na wo zazã. Ne ehiã la, tsɔ wo kpe ɖe atike bubu si kpɔa dɔgboa ƒe lãkusi ta ŋu.

Ðe abi siawo ada atike manɔmeea?

Ne woɖe nusi gbɔ abi la tso la, abi la ate ŋu ahaya. Gake zi geɖe la, ehiãna be woado wo kpɔ le atikewɔnyawo me hafi anya nusi gbɔ wòtso. Ne nusi gbɔ wòtsoe nye H. pylori dɔlékui alo atikewɔwɔ ƒe nɔnɔme bubu aɖe la, ahiã be woawɔ atike na ame be woaɖee ɖa.

Ne NSAID-tikewo koe gbɔ wòtso la, abi la ate ŋu ahaya le eɖokui si ne èdzudzɔ wo nono. Ke hã, ele be nàyi ɖɔkta gbɔ atsɔ aɖo kpe esia dzi. Ðewohĩ H. pylori dɔlékui aɖe hã le ŋuwò, eye NSAID ate ŋu ana dɔlékui si megblẽa nu le ame ŋu tsã o la nagagblẽ ɖe edzi.

Nukae dzɔna le atikewɔwɔ vɔ megbe? Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Dɔgbo me abi akpa gãtɔ hayana le kwasiɖa ʋɛ aɖewo megbe . Ele be ame akpa gãtɔ nano atikeawo abe ɣleti eve ene. Atike sia wɔa dɔ ŋutɔ. Gake ahiã be amesiwo ŋu dɔléle siwo nɔa anyi didi abe Zollinger-Ellison ƒe dɔléle ene le nano atikeawo le woƒe agbemeŋkekewo katã me.

Le atikewɔwɔ vɔ megbe la, ɖɔktaa awɔ dodokpɔ siwo akplɔe ɖo atsɔ akpɔe ɖa be abi la haya keŋkeŋ eye dɔlékuia megali o hã. H. pylori nye dɔlékui aɖe si blea aye eye ate ŋu atrɔ ava ɣeaɖewoɣi. Azɔ hã, ne nɔnɔme siwo na abi la yi edzi la, abi la ate ŋu atrɔ ava.

Ƒã ŋutɔ la, dɔgbo me abi siwo nɔa anyi ɖaa ate ŋu anɔ ame aɖewo ŋu eye womehayana ne woda dɔ na wo o. Esiawo ate ŋu ahe kuxiwo abe vevesese ɣeyiɣi didi kple abi siwo keke ta ene vɛ. Le nɔnɔme mawo me la, ate ŋu ahiã be woawɔ dɔ na ame (e.g., be woaɖe abi ƒe lãkusi ɖa (pyloroplasty), alo be woatso lãmeka si kpɔa dɔgboa me acid ƒe wɔwɔme dzi (vagotomy)).

Ðe wòhiã be nàwɔ tɔtrɔ le wò nuɖuɖu kple agbenɔnɔ ŋua?

Nuɖuɖu kple nunono mehea ƒodo me abi vɛ o, gake ne abi le ŋuwò la, nuɖuɖu kple nunono aɖewo (vevietɔ nuɖuɖu siwo me nu ʋeʋĩwo le, siwo me wodea amii) ate ŋu ana woagagblẽ ɖe edzi . Ne dzesiwo le ŋuwò alo ƒodo me abi nɔ ŋuwò tsã la, ele be nàƒo asa na ahanono kple atamanono keŋkeŋ .

Ƒo nu kple wò ɖɔkta tso atike siwo katã nèzãna (vevietɔ NSAID-tikewo) ŋu. Atike aɖewo ate ŋu ahe kuxiwo vɛ ne wozã wo ɖekae.

Ðe womate ŋu ada esia to atike siwo wua acid zazã le aƒeme me oa?

Atike siwo tsia acid nu wɔa dɔ to acid ɖeɖeɖa kple dzesiwo abe dzimeve, dzimeve, kple nuɖuɖumadzroame dzi ɖeɖe kpɔtɔ me. Woate ŋu ana abi aɖe nase le eɖokui me be yeƒe lãme sẽ hena ɣeyiɣi aɖe, gake womedaa abi la o . Ne dɔgbo me abi nɔ ŋuwò kpɔ la, atike siwo wua acid ate ŋu akpe ɖe ŋuwò be woagatrɔ ava o.

Ɣeyiɣi kawoe nye nyuitɔ kekeake siwo nàte ŋu ayi ɖɔkta gbɔ?

Ne èsusu be dɔgbo le ye ŋu la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Togbɔ be atike siwo womeƒlena le atikedzraƒe o ate ŋu aɖu wò dzesiwo dzi hena ɣeyiɣi aɖe hã la, womada abi la o. Ele be woade dzesi nusi gbɔ wòtso eye woakpɔ egbɔ.

Abi si womeda dɔ na o, ne dzesi sesẽ aɖeke mele ŋuwò o gɔ̃ hã, ate ŋu ahe kuxi sesẽwo vɛ. H. pylori, si nye nu vevitɔ si hea dɔgbo me abi vɛ la ƒe dɔléle ate ŋu ahe kuxi bubuwo hã vɛ (abe afɔku si le dɔgboa me kansa xɔxɔ me ene).

Ne èkpɔ dzesi siwo fia be kuxi sesẽwo abe esiawo ene la, yi xɔ si me wowɔa dɔ kpata le enumake:

• Vevesese sesẽ si nɔa ame ŋu ɣesiaɣi.
• Ʋu ƒe dzesiwo le aɖuɖɔ me (aɖuɖɔ yibɔ) alo ʋu si le dodom.
• Ʋu ƒe gege vevie ƒe dzesiwo (palor, fainting).

Nu vevitɔ kekeake siwo dzi wòle be míaɖo ŋkui (Take-Home Message) .

Peptic Ulcer Disease nye dɔléle sesẽ aɖe si gblẽa nu le wò nuɖuɖumeŋusẽ ŋu. Edzɔna ne wò dzɔdzɔme ametakpɔnu gbɔdzɔ. Nɔnɔme sia xɔa ɣeyiɣi hafi va doa mo ɖa eye zi geɖe la, ehiãna be woawɔ atike na ame hafi wòahaya.

Dɔgbo me abi nye dɔléle si bɔ eye woate ŋu adae. Ke hã, ele vevie be nàdi atike ne dzesi sesẽ aɖeke mele ŋuwò o gɔ̃ hã.Ne womewɔ atike na abiawo o la, abiawo ate ŋu agade to ɖe edzi eye woasẽ ɖe edzi. Eyata, mègahe ɖe megbe le nuƒoƒo na ɖɔkta tso wò dzesiwo ŋu o. Wò lãmesẽ ɖe vi ŋutɔ!

` Dɔgbo ƒe abi, dɔgbo ƒe abi, dɔgbo ƒe dɔdzẽ, H. pylori, NSAID, dɔgbo ƒe dɔléle, nuɖuɖumadzroame