Ðe dɔgbo hã le veve sem enuenua? Ðe ʋu le wò aɖuɖɔ mea? Ðe wòate ŋu anye Ulcerative Colitis? Mina míaƒo nu tso esia ŋu!

Ðe nèsena le ɖokuiwò me hã zi geɖe be yeƒe dɔgbo mevona o, abe dɔgbo si yɔ fũ kple dzobibi enea? Ne ètsɔa ʋu vi aɖe toa wò aɖuɖɔ me ɣeaɖewoɣi la, ele be nàtsi dzi ɖe eŋu vie. Esia ateŋu anye nɔnɔme aɖe si woyɔna be `(Ulcerative Colitis - UC)` ƒe dzesi. Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye `(Ulcerative Colitis - UC)`? Kpuie ko la,...

Kpuie ko la, Ulcerative Colitis nye dɔléle si le wò agbemeŋkekewo katã me si hea abi kple abi vɛ le wò dɔgbo kple dɔgbo me. Enye dɔlélewo ƒe hatsotso gã aɖe si woyɔna be Inflammatory Bowel Disease (IBD) ƒe akpa aɖe. Ðewohĩ èse Crohn ƒe dɔlélea hã kpɔ, alo? Ema hã dze le hatsotso ɖeka me kple IBD.

Ne UC le ŋuwò la, àte ŋu akpɔ nuwo abe aɖuɖɔ si me ʋu le dodom le, dɔgbo ƒe ʋuʋu, kple aɖuɖɔtoe enuenu ene . Ðo ŋku edzi be ɣeyiɣi aɖewo li siwo me dzesi siawo nu sẽna ɖe edzi, si míeyɔna be "flare-ups." Eye emegbe ɣeyiɣi bubuwo hã li siwo me nàte ŋu anye esi me dzesi aɖeke mele o keŋkeŋ, si míeyɔna be "eƒe tsɔtsɔke."

Ðe `(UC)` ƒomevi aɖewo li?

Ẽ, UC ƒomevi vovovowoe li. Woda esiawo ɖe hatsotsowo me le afisi wò dɔgbo me vuvu kple abiawo le nu . Zi geɖe la, edzea egɔme tso wò dɔgbo ƒe akpa mamlɛtɔ, si te ɖe wò dɔgbo ŋu wu. Ate ŋu adze egɔme tso afima eye wòakaka ɖe dɔgboa me. Woƒe ƒomeviwoe nye esi:

• Ulcerative proctitis: Le esia me la, wò dɔgbo ƒe akpa mamlɛtɔ koe dɔdzẽa nɔa.
• (Proctosigmoiditis): Le afisia la, dɔdzẽa le dɔgbo ƒe akpa mamlɛtɔ (aɖuɖɔtoe) kple dɔgbo gã la ƒe akpa si le ete, si le abe ‘S’ ene (sigmoid colon).
• (Left-sided colitis): Abe alesi ŋkɔa ɖee fia ene la, esia gblẽa nu le dɔgboa ƒe miame ŋu.
• (Pancolitis): Le go sia me la, abi kple abi ate ŋu akaka ɖe dɔgbo bliboa me .

Nɔnɔme sia (UC) ate ŋu anye esi nu mesẽ o, si mesẽ o, alo nu sesẽ, le wò dzesiwo nu. Azɔ hã, ƒomevi aɖe si nu sẽ ŋutɔ, gake mebɔ kura o, si woyɔna be ``fulminant ulcerative colitis'' li. Ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi eye ahiã be woakpɔ egbɔ enumake.

Aleke gbegbee woyɔa nɔnɔme sia be `(Ulcerative Colitis)`?

Ne wotsɔ Crohn ƒe dɔlélea kpe ɖe eŋu la, wobu akɔnta be dɔléle siawo dometɔ ɖeka le ame 250 ɖesiaɖe ɖesiaɖe me le Dziehe Amerika kple Europa. Le United States ɖeɖe dzaa la, wobu akɔnta be ame siwo ade 900,000 ye le UC dɔlélea lém. Wole nɔnɔme sia kpɔm geɖe wu le Sri Lanka hã.

Nukae nye Ulcerative Colitis ƒe dzesiwo?

Zi geɖe la, UC ƒe dzesiwo nu sẽna ɖe edzi le ɣeyiɣi aɖe megbe.Ɛ̃. Gbã la, àte ŋu ade dzesi dzesi suesuesue suesuesuewo abe esiawo ene:

• Ƒodo ƒe keke: Esia ate ŋu adzɔ kple ʋu alo madzɔ o.
• Aɖuɖɔtoe ƒe dzidziɖedzi: Esia ate ŋu anye zi ene gbesiagbe alo esi mede nenema o.
• Nugododeƒe yiyi ƒe didi: Hiahiã kpata si dzi ɖuɖu sesẽ.
• (Tenesmus): Nya sia nye nya si wɔ nuku vie, alo? Kpuie ko la, enye seselelãme be ele be yeayi nugododeƒe gake màte ŋu ayi o, seselelãme be yeku ɖe yeƒe dɔgbo me.
• Dɔgbo ƒe veve alo eƒe tete vie.

Emegbe ne dɔlélea le sesẽm ɖe edzi la, dzesi siwo sɔ alo esiwo nu sẽ abe esiawo ene hã ate ŋu ado mo ɖa:

• Ele be woayi nugododeƒe enuenu, wu zi ene gbesiagbe.
• Ʋu, ʋuʋudedi, alo ʋuʋudedi le aɖuɖɔ me. Esia nye dzesi si ŋu wòle be woatsi dzi ɖo godoo.
• Dɔgbo ƒe vevesese sesẽ.
• Sese le eɖokui me be ɖeɖi te ye ŋu ŋutɔ (ɖeɖiteameŋu). Sese le eɖokui me be ɖeɖi te ye ŋu akpa be yeate ŋu awɔ naneke o.
• Lolo dzi ɖeɖe kpɔtɔ kpata.
• Sese le eɖokui me be yeƒe lãme le ʋuʋum.
• Asrã.

Le nyateƒe me la, dzesi siwo nu mesẽna o nɔa amesiwo ŋu UC le ƒe afã lɔƒo ŋu le dɔlélea ƒe ʋuʋu me. Gake ame bubuwo ate ŋu ase dzoxɔxɔ, aɖuɖɔtoe si me ʋu le dodom le, aɖuɖɔtoe, kple dɔgbo ƒe ƒoƒo sesẽ.

Ðe dzesi bubu aɖewo li tsɔ kpe ɖe dɔgboa ŋua?

Ẽ, megawɔ nuku na wò o, amesiwo ŋu UC le dometɔ siwo ade 25% ate ŋu akpɔ dzesiwo le dɔgboa godo, le ŋutilã ƒe akpa bubuwo . Esia le alea elabena dɔdzẽ si le dɔgboa me ate ŋu akaka ɖe ŋutilã ƒe akpa bubuwo abe ƒuwo, ƒunukpeƒewo, ŋkuwo, ŋutigbalẽ, kple aklã ene ɣeaɖewoɣi.

• Ƒunukpeƒewo ƒe vevesese kple vuvu.
• Ŋkuwo ƒe biã, dɔdzẽ, ʋuʋudedi.
• Aɖuɖɔtoe, abi, alo abi siwo le veve sem le ŋutigbalẽa ŋu.

Nukatae `(Ulcerative Colitis)` sia dzɔna? Nuka gbɔe wòtso?

Womenya nusi tututu gbɔ nɔnɔme sia tso haɖe o. Gake ɖɔktawo kple numekulawo xɔe se be enye nɔnɔme sesẽ aɖe, eye afɔku geɖe siwo le eme la va kpe ta . Ame akpa gãtɔ lɔ̃ ɖe edzi be edo ƒome kple míaƒe ŋutilã ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ si mesɔ o .

Bu eŋu kpɔ, dɔ vevitɔ si míaƒe dɔlélenutsiŋutete wɔnae nye be wòakpɔ míaƒe ŋutilã ta tso dɔlékuiwo kple nu gbegblẽ bubu siwo tso gota la si me. Gake ɣeaɖewoɣi la, dɔlélenutsiŋutete sia dzea mía ŋutɔwo ƒe lãmeka siwo le lãmesẽ me dzi dzedze gɔme vodadatɔe. Ɣemaɣie dɔdzẽ kple lãmenugbagbeviwo ƒe gbegblẽ sia ƒomevi dzɔna. Le `(UC)` me la, amedzidzedze sia dzɔna ɖe dɔgboa ƒe akpa si le eme dzi.

Nukawoe nye afɔku siwo le eme? Amekae ate ŋu axɔe bɔbɔe wu?

Togbɔ be amesiame ate ŋu axɔ Ulcerative Colitis hã la, ame aɖewo le afɔku me wu. Kpɔe ɖa be nyateƒenya siawo ku ɖe ŋuwò hã:

• Ƒe si woxɔ: Zi geɖe la , sɔhɛ siwo xɔ tso ƒe 15 va ɖo ƒe 30, alo ame tsitsi siwo xɔ ƒe 60 megbe la dzea dɔléle sia .
• Ameƒomevinyenye kple to si me wotso: Numekuku aɖewo ɖee fia be yevuwo, vevietɔ Ashkenazi Yudatɔwo, ƒe dzidzimeviwo le afɔku me wu. Gake numekuku bubuwo hiã be woatsɔ anya alesi gbegbe esia gblẽa nu le dukɔ abe Sri Lanka ene ŋui.
• Domenyiŋusẽfianu: Esia hã nye nu vevi aɖe. Ne UC alo Crohn ƒe dɔléle le ame aɖe si le wò ƒometɔ kplikplikpli me (i.e., dzilawo, nɔviwo, viwo) la, anɔ eme be dɔlélea adze dziwò. Ame siwo ŋu UC le la dometɔ siwo ade 20% ƒe ƒometɔ aɖe si ŋu dɔléle siawo dometɔ ɖeka le.
• Dɔgbo me nugbagbevi suesuesuewo: Míaƒe nuɖuɖumeŋusẽ, vevietɔ dɔgbo gã la, nye afisi nugbagbevi miliɔn geɖe (dɔlékuiwo, dɔlékuiwo, fungiwo) le. Woyɔa nuƒoƒoƒu sia be ``gut microbiome''. Ele abe lãwo ƒe agbenɔnɔ ƒe ɖoɖo sue aɖe si le míaƒe dɔgbowo me ene. Numekukuwo ɖee fia be vovototo gã aɖe le nugbagbevi suewo ƒe nɔnɔme sia me le amesiwo ŋu ``UC'' le me ne wotsɔe sɔ kple amesiwo ŋu dɔlélea mele o. Togbɔ be womenya nusi tututu gbɔ wòtso haɖe o hã la, wosusu be esia hã kpena ɖe ``UC'' ƒe dzɔdzɔ ŋu.

Nu ɖeka si dzi wòle be nàɖo ŋkui enye be wò nuteɖeamedzi kple wò nuɖuɖu mehea wò UC vɛ tẽ o. Gake ne UC le ŋuwò xoxo la, nu siawo ate ŋu ana wò dzesiwo nasẽ ɖe edzi. Eyata ne wokpɔe be UC le ŋuwò la, nu nyuitɔ si nàte ŋu awɔe nye be nàlé ŋku ɖe nusiwo aʋã wò ŋu nyuie eye nàƒo asa na wo alesi nàte ŋui.

Kuxi bubu kawoe ate ŋu ado mo ɖa le Ulcerative Colitis ta?

Ulcerative Colitis ƒe amesinɔnɔ nana be lãmesẽkuxi bubu geɖe xɔxɔ ƒe afɔkua dzina ɖe edzi. Esiawo ate ŋu abia be atikewɔlawo nalé ŋku ɖe wo ŋu ahawɔ atike na wo bubuwo.

• Ʋusɔgbɔdɔ: Ʋu si dona le ame ŋu atraɖii, blewu, eye ɣeaɖewoɣi kpata, si dona le dɔgboa me ate ŋu ana ʋu ƒe agbɔsɔsɔ si le ŋutilãa me dzi naɖe akpɔtɔ, si ana ʋusɔgbɔdɔ, si nye ʋumenugbagbevi dzĩwo dzi ɖeɖe kpɔtɔ.
• Dɔgbo me kansa: Amesiwo ŋu UC le, vevietɔ amesiwo ŋu dɔlélea le ƒe geɖe la, ate ŋu axɔ dɔgbo me kansa wu ame bubuwo. Wò afɔku nɔ te ɖe afisi dɔdzẽa le le wò dɔgbo me kple ɣeyiɣi didi si nèxɔ UC dzi. Ele vevie be nàƒo nu tso esia ŋu kple wò ɖɔkta eye nàdo wò kpɔ edziedzi.
• Ƒumeŋuɖui: Dzoxɔxɔ le dɔgboa me ate ŋu agblẽ nu le ƒuwo kple ƒunukpeƒewo ŋu ɣeaɖewoɣi, si ana ƒuwo nagbɔdzɔ, si nye nɔnɔme si woyɔna be ƒumeŋuɖui.
• Sclerosing cholangitis gbãtɔ:Esia nye ŋkɔ si gɔme sese sesẽ vie. Kpuie ko la, ne dɔdzẽ si le dɔgboa me kaka ɖe aklãa me la, ate ŋu ana ʋuka siwo le aklãa me navuvu eye abi naƒo wo. Lãmetsi sia si gblẽ ate ŋu agblẽ aklã ƒe dɔwɔwɔ me.
• Kuxi siwo le ɖeviwo ƒe tsitsi kple tsitsi ŋu: Ne UC le ɖevi sue aɖe ŋu la, dɔgbo gã la ƒe dɔwɔwɔ ate ŋu aɖiɖi, si ana ŋutilãa ƒe ŋutete be wòaxɔ nunyiame siwo hiã na tsitsi kple tsitsi dzi akpɔtɔ. Ne èle atikewo nom na UC la, ate ŋu ahiã be nàna vitamin viwòa tsɔ kpe ɖe kpeɖeŋutɔ bubuwo ŋu.

Kuxi siwo hiã be woawɔ atike na wo kpata

Kuxi siawo nye afɔku vie, eye ne nane si le abe esia ene dzɔ la , ele be woaxɔ wò ɖe kɔdzi enumake eye woawɔ atike na wò kpata (ER atikewɔwɔ).

• Tsikuɖiɖi Sesẽ: Ne èɖea aɖuɖɔ enuenu la, ate ŋu ana tsi geɖe nabu le wò ŋutilã me, si ate ŋu ana tsi nagbɔdzɔ vevie. Ne edzɔ alea la, ahiã be woana tsi si wodona ɖe ʋuka me wò le kɔdzi.
• Dɔgbo ƒe Ʋuʋu: Esia nye nɔnɔme si me afɔku le ŋutɔ. Do si le dɔgboa ƒe gli ŋu nye atikewɔwɔ kpata eye wòhiã be woawɔ dɔ nɛ enumake.
• Ʋu le dodom vevie: Ne ʋu geɖe le dodom le abi la ŋu la, ahiã be woado ʋu na ame.
• Megacolon si me aɖi le: Esia hã nye dɔléle si mebɔ o gake ate ŋu ade ame ƒe agbe afɔku me. Vuvu sesẽ nana dɔgboa dzudzɔa dɔwɔwɔ keŋkeŋ, si wɔnɛ be dɔgboa lolona (megacolon), si wɔnɛ be aɖinuwo dona ɖe ʋukawo me.
• Ʋu ƒe sisi: UC nana ʋu ƒe sisi ƒe afɔkua dzina ɖe edzi le ŋutilã ƒe ʋukawo ( veins , arteries , kple capillaries) me. Le afisi ʋumenugbagbeviɣi siawo dzɔna le nu la, woate ŋu ade ame ƒe agbe afɔku me.

Aleke wowɔa dea dzesi Ulcerative Colitis? Dodokpɔ kawoe wowɔna?

Ne èsusu be UC le ye ŋu la, wò ɖɔkta abia wò dzesiwo gbã, awɔ ŋutilãmedɔ, eye wòabia be IBD le wò ƒomea me hã. Emegbe, woate ŋu aɖe gbe be woawɔ dodokpɔ geɖe atsɔ aɖe nɔnɔme bubu siwo ƒe dzesiwo sɔ kple UC tɔ ɖa eye woatsɔ aɖo kpe UC dzi.

• Ʋudodokpɔ: Woate ŋu axɔ wò ʋu aɖe atsɔ akpɔe ɖa be ʋusɔgbɔdɔ hã. Ʋusɔgbɔdɔ ate ŋu afia be ʋu le dodom le dɔgboa alo dɔgbo me. Ʋudodokpɔ siawo ate ŋu adi nu bubuwo hã, abe dɔlékuiwo ene.
• Aɖuɖɔ ƒe kpɔɖeŋuwo: Woado wò aɖuɖɔ ƒe kpɔɖeŋu aɖe akpɔe ɖa be dɔlékui, dɔlékuiwo, alo dɔdzẽ ƒe dzesi aɖewo li hã.
• Nɔnɔmetatawo dodokpɔ: Woate ŋu aɖe fotowo atsɔ alé ŋku ɖe dɔgboa kple dɔgbo ƒe akpa si le eme ŋu.
• (Barium ƒe lãgbalẽŋudɔwɔnu) .Enye X-ray ƒomevi tɔxɛ aɖe. Ate ŋu ade dzesi nuwo abe dɔgbo ƒe vuvu ene.
• CT scan (Computed Tomography scan) kple MRI (Magnetic Resonance Imaging) ate ŋu aɖee afia kɔte be dɔgboa vuvu, vevietɔ le UC ƒe dɔléle siwo sɔ kple esiwo nu sẽ me.
• X-ray zazã edziedzi hã ate ŋu akpɔ kuxi siwo me afɔku le abe megacolon alo do si le dɔgboa me ene hã.
• Dodokpɔ siwo wowɔna le dɔgboa me: Esiae nye dodokpɔ vevitɔ si ŋu kakaɖedzi le wu si woatsɔ anya UC. Endoscope nye mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe eye fotoɖemɔ̃ sue aɖe le eƒe nugbɔ ɖeka. Wotsɔa mɔ̃ sia toa wò dɔgbo me eye ɖɔkta ate ŋu akpɔ wò dɔgbo ƒe eme. Woate ŋu axɔ lãkusi sue aɖe hã (biopsy) tso teƒe siwo ŋu ɖikeke le eye woaɖoe ɖe dodokpɔxɔ me be woaɖo kpe dɔlélea dzi. Dodokpɔ vevi siwo wowɔna le dɔgboa me tsɔ dea dzesi UC enye dɔgbomekpɔkpɔ kple sigmoidoscopy .

Aleke wodaa Ulcerative Colitis ƒe dɔléleae?

Taɖodzinu vevi eve li le UC dada me. Ðekae nye be nàɖe wò dzesiwo (flare-ups) dzi akpɔtɔ eye nàtsɔ wò ade dɔlélea ƒe tsɔtsɔke me. Taɖodzinu bubue nye be nàlé wò tsɔtsɔke me ɖe asi ne èle tsɔtsɔke me xoxo. Wowɔa esia koŋ kple atikewo eye ɣeaɖewoɣi amekoko .

Atikewo

Ðɔktawo zãa atike vovovowo (wo ɖeɖe alo wo katã) tsɔ ɖea dɔdzẽ dzi kpɔtɔna eye wodaa abi siwo le dɔgboa me. Ne abi kple abi dzi ɖe kpɔtɔ la, mɔnukpɔkpɔ sua lãmekaawo si be woahaya. Esia hã ɖea wò dzesiwo dzi kpɔtɔna, eye wò vevesese kple dɔgbo ƒe ʋuʋu dzi ɖena kpɔtɔna.

• (Aminosalicylates): Zi geɖe la, woŋlɔa sulfasalazine (Azulfidine®) na UC si mesẽ o va ɖo esi sɔ gbɔ. Gake ne sulfa ƒe nulɔdɔ aɖe le ŋuwò la, gblɔe na wò ɖɔkta. Wò ɖɔkta ate ŋu aŋlɔ atike si me aminosalicylate si menye sulfa o, abe mesalamine (Canasa®, Delzicol®, Asacol® HD, Pentasa®, Lialda®, Apriso®) ene na wò.
• Corticosteroids: Ne UC sesẽ le ŋuwò la, woate ŋu ana corticosteroid, abe prednisone (Deltasone®) alo budesonide (Entocort® EC, Uceris®) ene. Gake esi wònye be nugbegblẽ ɖedzesi aɖewo le corticosteroid siawo ŋu ta la, ɣeyiɣi kpui aɖe koe ɖɔktawo kafua wo.
• Dɔlélenutsiŋutete ƒe dɔlékuiwutikewo: Wonaa atike siawo be woatsɔ akpɔ wò dɔlélenutsiŋutete dzi be wòagawɔ dɔ fũu akpa eye wòadze wò ŋutɔ wò ŋutilã dzi o, si fia be woatsɔ ana dɔlélenutsiŋutete nafa. `(6-mercaptopurine (Purixan®, Purinethol®))`, `(azathioprine (Azasan® kple Imuran®))` alo `(methotrexate (Trexall®))` nye atike mawo tɔgbe.
• (Nu gbagbewo ŋuti nunyalawo):Esiawo nye atike yeyewo vie, eye wowɔa dɔ ŋutɔ. Wozãa wo tsɔ daa UC ƒe dɔléle siwo le titina va ɖo esiwo nu sẽ. Atike siawo wɔa dɔ to dɔlélenutsiŋutete ƒe akpa aɖewo koŋ siwo kpɔa gome le dɔdzẽ me ƒe dɔwɔwɔ dzi ɖuɖu me. Dɔlékuiwutikewo dometɔ aɖewoe nye infliximab (Remicade®), adalimumab (Humira®), golimumab (Simponi®), vedolizumab (Entyvio®), kple ustekinumab (Stelara®).
• (Janus kinase (JAK) inhibitors - small molecule drugs): Atikewo abe `(Tofacitinib (Xeljanz®))` wɔa dɔ to mɔxexe ɖe enzyme tɔxɛ aɖe ƒe dɔwɔwɔ nu le ŋutilã me si hea dɔdzẽ vɛ me. `(Upadacitinib (RinvoQ®))` nye `(JAK mɔxenu) ƒomevi bubu.`

Amekoko

Ne womeɖu dzesiawo dzi o togbɔ be wozã atike hã, alo ne UC he kuxi sesẽwo vɛ la, amekoko ate ŋu anye mɔnu mamlɛtɔ. Ame siwo ŋu UC le la dometɔ siwo ade 30% ahiã be woawɔ dɔ na wo le woƒe agbemeɣeyiɣi aɖe me. Azɔ hã, ɖevi siwo ŋu UC le dometɔ siwo ade 20% ate ŋu ahiã be woawɔ dɔ na wo.

Amekoko ƒomevi vevi eve li na UC. Wo ame evea siaa lɔ dɔdamɔnu aɖe si woyɔna be proctocolectomy , si bia be woaɖe wò dɔgbo kple dɔgbo ƒe akpa aɖe alo eƒe akpa aɖe ɖa.

1. (Proctocolectomy kple ileal pouch): Esiae nye amekoko si bɔ wu eye wolɔ̃a zazã wu na UC. Le dɔ sia wɔwɔ me la, amekolaa ɖea wò dɔgbo kple wò dɔgbo ƒe akpa mamlɛtɔ, gake edzona le wò dɔgbo me. Emegbe, wozãa wò dɔgbo suea ƒe akpa aɖe tsɔ wɔa kotoku sue aɖe (ileal pouch) eye wotsɔe doa ka kple wò dɔgbo. Ne èhaya tso amekokoa me vɔ la, dɔgbo sue sia wɔa dɔ abe dɔgbo yeye ene, si wɔnɛ be wò dɔgbo ƒe ʋuʋu nyuie.

2. (Proctocolectomy kple ileostomy): Ɣeaɖewoɣi la, manya wɔ be woawɔ ``ileal pouch'' o. Ne aleae wòle la, wò atikewɔlawo ate ŋu aɖo aɖaŋu be woawɔe ɖaa (ileostomy) (ileal pouch manɔmee). Le esia me la, amekolaa ɖea wò dɔgbo bliboa, wò dɔgbo ƒe akpa mamlɛtɔ, kple wò dɔgbo. Emegbe, wowɔa do sue aɖe ɖe wò ƒodo (ƒodo) me eye wotsɔa kotoku (ileal stoma) dea wò ŋutilã ƒe gota gome be wòaƒo aɖuɖɔ nu ƒu. Ahiã be nàkɔ kotoku sia me kɔklɔ edziedzi.

Aleke woawɔ axe mɔ ɖe Ulcerative Colitis ƒe dzesiwo ƒe ʋuʋu nu?

Ne UC le ŋuwò la, ele vevie be nàdze agbagba aɖe wò flare-ups dzi akpɔtɔ. Mɔ nyuitɔ si dzi nàto awɔ esiae nye be nàde dzesi nusiwo aʋã wò eye nàƒo asa na wo alesi nàte ŋui. Aɖaŋuɖoɖo aɖewo siwo akpe ɖe ŋuwò nàƒo asa na nusiwo bɔ siwo hea dɔlélea vɛ lae nye esi:

• Nuteɖeamedzi dzi ɖuɖu:Nuteɖeamedzi ate ŋu anye nu vevi aɖe si gbɔ UC ƒe ʋuʋu tsona. Eyata, dɔ alɔ̃ nyuie gaƒoƒo 7 ya teti le zã me, de kame edziedzi , eye nàwɔ nusiwo ana wò susu nadze akɔ anyi, abe ŋugbledede ene.
• Ƒo asa na NSAID: Ne asrã alo ŋutilã le veve sem na wò la, no atike abe acetaminophen (Tylenol®) ene. Atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAIDs) abe ibuprofen (Motrin®, Advil®) ene ate ŋu ana UC ƒe dzesiwo nagagblẽ ɖe edzi.
• Ƒo asa na nuɖuɖu siwo nana wò dzesiwo gagblẽna ɖe edzi: Menye amesiamee nuɖuɖu ɖeka ma ke gblẽa nu le o. Nusi na wò dzesiwo gagblẽ ɖe edzi na wò ate ŋu masɔ le ame bubu gome o. Gake ame geɖe siwo ŋu UC le kpɔe be nyinotsibabla kple nuɖuɖu siwo me fibre sɔ gbɔ ɖo nana dɔlélea nu sẽna. Ƒo nu kple wò ɖɔkta alo nuɖuɖuŋutinunyala aɖe be wòawɔ nuɖuɖu ŋuti ɖoɖo si awɔ dɔ na wò eye maxɔ nunyiame siwo wò ŋutilã hiã la le asiwò o.

Anyo be nàŋlɔ nusiwo nana wò dzesiwo gagblẽna ɖe edzi, abe nuɖuɖuwo kple nɔnɔmewo ene, ƒe ŋkekenyuigbalẽ sue aɖe. Ne miegblɔe na miaƒe ɖɔkta la, miate ŋu atso nya me ɖekae le mɔ nyuitɔ siwo dzi miato aƒo asa na nu mawo ahakpɔ miaƒe nɔnɔmea gbɔe ŋu.

Ne Ulcerative Colitis le ŋunye la, nukae wòle be makpɔ mɔ na?

Nɔnɔmea (UC) toa vovo ŋutɔ tso ame ɖeka gbɔ yi bubu gbɔ. Ðewohĩ dzobibi ɖeka koe anɔ ame aɖewo ŋu le woƒe agbe me eye bubu maganɔ wo ŋu gbeɖe o. Dɔlélea ƒe dzesi siwo nɔa anyi didi siwo dzi ɖuɖu sesẽna ate ŋu anɔ ame bubuwo ŋu.

Ke hã, le ame geɖe gome la, dzesiawo va dona eye wodzona. Eyae nye be woɖɔlia wo nɔewo le ɣeyiɣi siwo me dzesiawo dzina ɖe edzi (flare-ups) kple ɣeyiɣi didi siwo me dzesi aɖeke mele o (remissions) dome. Le amesiwo ŋu UC le ƒe 30% lɔƒo gome la, dzesiawo nu sẽna ɖe edzi vivivi le ɣeyiɣi aɖe megbe, wova nɔa dzidzim ɖe edzi, eye mlɔeba la, ehiãna be woawɔ dɔ na wo.

Ame akpa gãtɔ kpɔa woƒe UC dzi to asaƒoƒo na nusiwo hea dɔlélea vɛ kple woƒe atikewo nono abe alesi woŋlɔe ene. Ele be nàyi wò ɖɔkta hã gbɔ edziedzi be wòalé ŋku ɖe wò lãmesẽ ŋu. Le kpɔɖeŋu me, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàdo dɔgbo me dɔdzẽ kpɔ edziedzi atsɔ akpɔe ɖa be dɔgbo me kansa hã le eme, le afɔku si le mewò nu. Wò ɖɔkta aɖe nusiawo katã me na wò.

Ðe woada Ulcerative Colitis keŋkeŋ gbeɖekaa?

"Atike" ɖeka kolia na nɔnɔme siae nye amekoko be woaɖe wò dɔgbo kple dɔgboa ɖa. Gake abe alesi míegblɔe va yi ene la, ame akpa gãtɔ ate ŋu akpɔ nɔnɔmea gbɔ nyuie ne wozã atikewo eye ne ehiã la, woate ŋu awɔ dɔ na wo, eye woanɔ agbe si sɔ. Taɖodzinu vevitɔ si le UC dada ŋue nye be woakpɔe ɖa eye woalé eme ɖe asi ɣeyiɣi didi si woate ŋui. Wò atikewɔlawo ƒe ƒuƒoƒoa akpe ɖe ŋuwò le esia wɔwɔ me.

Ɣekaɣie wòle be maƒo ka na nye ɖɔkta?

Ne `(UC)` le ŋuwò la, yɔ wò ɖɔkta enumake alo yi kɔdzi si te ɖe ŋuwò ne èkpɔ dzesi siawo dometɔ aɖe:

• Ne èle aɖuɖɔ tom wògbɔ eme, mèdzudzɔ o.
• Ne ʋu le dodom le aɖuɖɔ me, alo ne ʋu le dodom le aɖuɖɔ me.
• Ne vevesese sesẽ kple dzoxɔxɔ sesẽ nɔa ŋuwò enuenu.

Dzesi siawo tɔgbe ɖenɛ fiana be wò nɔnɔmea ate ŋu agblẽ ɖe edzi, eyata ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba.

Nukae wòle be mabia nye ɖɔkta?

Ne UC le ŋuwò la, mègavɔ̃ be yeabia nya aɖeke wò ɖɔkta o. Zi alesi nènya nu tso wò nɔnɔmea ŋui la, zi nenemae wòanɔ bɔbɔe na wò be nàkpɔ egbɔe. Nyabiase aɖewo siwo nàte ŋu abiae nye esi:

• Aleke UC ƒomevi si le ŋunye kpɔa ŋusẽ ɖe nye etsɔme lãmesẽ dzi (nyagblɔɖi)?
• Nukae nye afɔku si le asinye be maxɔ kuxi bubuwo tso UC gbɔ?
• Atikewɔwɔ kawoe nèkafu nam?
• Afɔku alo nugbegblẽ kawoe mate ŋu akpɔ mɔ na tso atikewɔwɔ siawo me?
• Aleke mawɔ atrɔ nye agbenɔnɔ be wòaxe mɔ ɖe dzobibi nu? (Ku ɖe nuwo abe nuɖuɖu, kamedede, nuteɖeamedzi dzi ɖuɖu, kple bubuawo ŋu)
• Ne dzesiawo gagblẽ ɖe edzi la, nukae mate ŋu awɔ le aƒeme be makpɔ wo gbɔ?

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ulcerative Colitis nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me, si nana ame gbɔdzɔna vie. Gake ne èwɔ atike na wò nyuie eye nèɖo aɖaŋu na wò, eye nèwɔ tɔtrɔ siwo hiã le wò agbenɔnɔ me la, àte ŋu akpɔ nɔnɔmea gbɔ nyuie ahanɔ agbe si me lãmesẽ le.

Ele vevie ŋutɔ be nàwɔ dɔ kplikplikpli kple wò atikewɔlawo ƒe ƒuƒoƒoa. No wò atikewo abe alesi wò ɖɔkta gblɔe ene, eye nàno ɖe game dzi. Mègadzudzɔ wò atikewo nono ne dzesi aɖeke mele ŋuwò o gɔ̃ hã o, elabena esia ate ŋu ana wò dzesiawo nagafɔ ɖe te eye wòana wòasesẽ be nàɖu wò nɔnɔmea dzi.

Se afɔku si le wò kuxiwo me kple alesi ema akpɔ ŋusẽ ɖe wò belélename ƒe ɖoɖoa dzii gɔme. Le kpɔɖeŋu me, ate ŋu ahiã be woado ʋu kpɔ alo awɔ dɔ na wò enuenu wu amesi si UC mele o. Ƒo nu kple wò ɖɔkta tso mɔ nyuitɔ siwo dzi nàto alé wò dɔlélea ƒe tsɔtsɔke me ɖe asi eye nàlé wò lãmesẽ bliboa me ɖe asi ŋu. Menye wò ɖeka koe o, eye ɖɔktawo, dɔnɔdzikpɔlawo, kple ame vevi aɖewo li siwo ate ŋu akpe ɖe ŋuwò le mɔzɔzɔ sia me.

` Aɖuɖɔtoedɔléle, Dɔgbo ƒe Abi, Dɔgbo ƒe Vevesese, IBD, Crohn ƒe Dɔléle, Aɖuɖɔtoe, Ʋu le Aɖuɖɔ me, Nuɖuɖumeŋusẽ