Ðe míaƒo nu tso wò dɔgbo suea ŋu egbea? Esia nye ŋutinu vevi aɖe ŋutɔ!

Egbea míele nu ƒom tso míaƒe ŋutilã ƒe akpa vevi aɖe ŋutɔ ŋu, gake enye esi ŋu míebuna fũu ɣeaɖewoɣi o. Emae nye míaƒe dɔgbo sue , alo le Eŋlisigbe me la, ``Dɔgɔdɔgbo Sue''. Akpa siae kpena ɖe ŋutilãa ŋu wòxɔa nunyiame siwo wòhiã tso nusiwo nèɖuna kple esiwo nènona me. Eyata, mina míalé ŋku ɖe nusi tututu dɔgbo sue sia nye, nusi wòwɔna, dɔléle siwo wòate ŋu axɔ, kple alesi wòana wòanɔ lãmesẽ me ŋu.

Subɔsubɔdɔ kae dɔgbo suea wɔna na míaƒe ŋutilã?

Kpuie ko la, wò dɔgbo suea nye dɔwɔla bibi aɖe ŋutɔ le wò nuɖuɖumeŋusẽ me . Eyae nye vevitɔ si xɔa nunyiame kple tsi si wò ŋutilã hiã tso nuɖuɖu si nèɖuna me. Bu eŋu kpɔ, ne míeɖu nuɖuɖu vɔ la, eyia dɔgboa me eye wògaxɔa tsi vi aɖe. Emegbe eva ɖoa dɔgbo sue sia gbɔ. Afi mae dɔ ŋutɔŋutɔ dzɔna le.

Nusiwo gbɔna koŋue dɔgbo suea wɔa:

• Wogamãa nuɖuɖu ɖe tsi me: Nuɖuɖu si woɖuna ƒe akpa aɖe si dona tso dɔgboa me la mãna ɖe akpa suesuesuewo me le dɔgbo suea me eye wòzua tsi. Be woakpe ɖe esia ŋu , wotsɔa nuɖuɖumeŋusẽ kple enzymewo dea dɔgbo suea me. Aɖuɖɔtoe si tso aklã me kple nuɖuɖumeŋusẽ siwo tso dɔgboa me kpena ɖe esia ŋu.
• Nunyiame kple tsi gena ɖe ŋutilãa me: Dɔgbo suea xɔa vitamin, mineral, carbohydrates, ami, kple protein siwo le nuɖuɖu si nye tsi me. Wowɔa esia to nu suesuesue siwo le abe asibidɛ ene siwo woyɔna be villi siwo le eƒe gli ememetɔ dzi. Esiawo le abe brɔs sue aɖe ƒe ɖawo ene. Wogayɔa ʋuʋudedi siawo ƒe gli ememetɔ be lãkusi .
• Nuɖuɖu tutu ɖe ŋgɔ: Ne woxɔ nunyiame siwo le nuɖuɖu siwo woɖu me vɔ la, wotua akpa susɔe siwo womeɖu o, alo gbeɖuɖɔwo, ɖoa ta dɔgbo gã la gbɔ . Tso afima la, woɖea wo doa goe le ŋutilãa me abe aɖuɖɔ ene. Míeyɔa nuɖuɖu tutu yi ŋgɔ ƒe ɖoɖo sia be peristalsis . Enye lãmeka ƒe ʋuʋu si le abe ƒutsotsoe ene si dzi míate ŋu aɖu o, si le zɔzɔm le dɔgboa me.

Afikae dɔgbo sue sia le? Ɣeyiɣi didi kae wòxɔna?

Ðewohĩ ànɔ ɖokuiwò biam be, ‘Afikae dɔgbo sue sia le le wò ŋutilã me?’ Wò dɔgbo sue la le wò ƒodo me . Eyae nye be, le wò dɔgbo me. Edzena abe mɔ̃ didi aɖe si le pink alo dzĩ ene, si le goglo ŋutɔ eye wòƒo xlãe. Wò dɔgbo gã la ƒo xlã dɔgbo sue sia.

Togbɔ be ŋkɔ le eŋu hã la, esiae nye míaƒe nuɖuɖumeŋusẽ ƒe akpa si didi wu, si nye ``Gastrointestinal Tract.`` Megawɔ nuku na wò o, edidi abe afɔ 22 ene! Ema ade xɔ ɖeka ƒe didime ƒe teƒe eve le mama dedie nu! Àte ŋu akpɔe le susu mea?

Azɔ hã, anyigba si dzi woate ŋu axɔ nunyiame siwo le eme la lolo ŋutɔ. Nusitae nye be ka sue miliɔn geɖe siwo woyɔna be villi kple microvilli suewo gɔ̃ hã li siwo le dɔgboa ƒe gli ememetɔ ŋu. Esiawo naa anyigba si dzi woate ŋu axɔ nunyiamewo le la lolo abe tenisƒoƒe ene! Bu dɔ geɖe si woate ŋu awɔ le teƒe sue ma ŋu kpɔ.

Gake ŋkɔ ‘sue’ la tso eƒe kekeme gbɔ. Eƒe didime anɔ abe sentimeta 2 ene ko . Ema ƒe lolome anɔ abe wò asibidɛ si wotsɔna fiaa nu ene.

Nukawoe nye dɔgbo suea ƒe akpa aɖewo?

Akpa vevi etɔ̃ le dɔgbo sue didi sia ŋu. Dɔ aɖe koŋ le akpa ɖesiaɖe si. Na míalé ŋku ɖe nusiwo wonye ŋu.

1. Duodenum (Duodenum) ƒe ƒuƒoƒo

• Esiae nye dɔgbo suea ƒe akpa gbãtɔ . Afi mae nuɖuɖu doa go dɔgbo suea le ne edo le dɔgboa me vɔ.
• Esia le abe mɔ̃ sue aɖe si didi abe sentimeta 10 ene , si ƒo xlãe vie le ŋɔŋlɔdzesi ‘C’ ƒe nɔnɔme nu.
• Wowɔa nuɖuɖumetsi kple enzyme siwo hiã be woatsɔ aɖu nuɖuɖu la ƒe akpa gãtɔ le afisia eye wodzraa wo ɖo.
• Aɖuɖɔ si dona le wò aɖuɖɔtoe me kple nuɖuɖumeŋusẽ siwo tso wò dɔgbo me va ƒoa ƒu ɖe lãkusi sia me be wòakpe ɖe ŋuwò nàgbã nuɖuɖu. Ele abe nuɖuɖumeŋusẽ ƒe titina ene.

2. Jejunum ƒe ƒuƒoƒo

• Esiae nye dɔgbo suea ƒe titina . Edzea egɔme tso afisi aɖuɖɔtoea wu enu ɖo.
• Esia didi abe afɔ 8 ene ! Woƒoe ɖe enu eye wòle ƒodoa ƒe akpa si le anyime.
• Akpa sia ƒe amadede nye aŋutiɖiɖi . Nusitae nye be ʋuka geɖe le eme. Elabena ehiã be ʋu nazɔ nyuie hafi wòate ŋu axɔ nunyiamewo.
• Lãmetsi siwo le akpa sia ʋãa nuɖuɖua yia ŋgɔ kple megbe, eye wotsakanɛ kple nuɖuɖumemiawo nyuie. Ʋuʋu si meyɔ si woyɔna be peristalsis la tua nuɖuɖua vivivi yia ileum la gbɔ.

3. Ileum ƒe ƒuƒoƒo

• Esiae nye dɔgbo suea ƒe akpa mamlɛtɔ si didi wu .
• Akpa sia xɔa nunyiame siwo ŋutilã hiã tso nuɖuɖu siwo woɖu me ƒe akpa gãtɔ (vitamin B12, ʋumenugbagbeviɣiwo, kple nunyiame susɔe siwo ʋumenugbagbeviɣia mexɔna o).
• Esiae ɖoa gbeɖuɖɔ siwo susɔ tso nuɖuɖu me ɖe dɔgbo gã la me.
• Nuɖuɖu nɔa dɔgbo suea me ɣeyiɣi didi wu, le ileum me, hafi yia dɔgbo gã la me.

Dɔléle kawoe bɔ siwo ate ŋu adze dɔgbo suea dzi?

Eyata, dɔgbo sue si wɔa dɔ vevi sia tɔgbe gɔ̃ hã ate ŋu axɔ dɔlélewo ɣeaɖewoɣi. Mina míalé ŋku ɖe nɔnɔme siwo bɔ wu dometɔ aɖewo ŋu:

• Celiac dɔléle: Esia nye nɔnɔme si me ŋutilãa wɔa nu ɖe ​​protein si woyɔna be gluten (si le nukuwo abe lu kple ƒo ene me) ŋu. Egblẽa nu le dɔgbo suea ƒe lãkusi ŋu.
• Crohn ƒe dɔlélea:Esia nye dɔdzẽ ƒe nɔnɔme si nɔa anyi didi si ate ŋu adzɔ le nuɖuɖumeŋusẽ ƒe akpa ɖesiaɖe. Ate ŋu agblẽ nu le dɔgbo suea hã ŋu.
• Dɔgbo ƒe dɔléle: Esia nye dɔgbo suea ƒe dɔdzẽ. Ate ŋu atso dɔlékui vovovowo (dɔlékuiwo, dɔlékuiwo) gbɔ.
• Dɔgbo ƒe ahɔhɔ̃mekawo ƒe dɔdzẽ (Gastrointestinal neuroendocrine tumors / Carcinoid tumors): Esiawo nye kansa siwo tsina blewu siwo dzea egɔme tso lãmenugbagbevi siwo wɔa lãmetsiŋusẽ me.
• Irritable Bowel Syndrome (IBS): Esia ate ŋu ahe dzesiwo abe ƒodo ƒe veve, ʋuʋudedi, dɔmeɖui, alo aɖuɖɔtoe ene vɛ. Ekpɔa ŋusẽ ɖe dɔgbo suea ƒe dɔwɔwɔ dzi.
• Malabsorption: Esia nye ŋutilã ƒe ŋutete be wòaxɔ nunyiame ɖeka alo esi wu nenema nyuie o. Esia ate ŋu atso nu geɖe gbɔ.
• Meckel ƒe diverticulum: Esia nye nusi wodzina (si nɔa anyi le edziɣi) si le abe kotoku ene le dɔgbo suea ƒe gli me. Ate ŋu ahe kuxiwo vɛ na ame aɖewo.
• Peptic ulcer disease: Abi siwo le dɔgboa kple dɔgbo suea ƒe akpa gbãtɔ (duodenum).
• Scleroderma: Esia nye dɔléle si gblẽa nu le kadodoŋusẽ ŋu, eye ɣeaɖewoɣi la, egbɔdzɔa dɔgbo suea ƒe lãmekawo eye wògblẽa nu le eƒe dɔwɔwɔ ŋu.
• Dɔgbo sue ƒe xexe: Nuxenu si xea mɔ na nuɖuɖu to dɔgbo suea me. Esia ate ŋu anye nudzɔdzɔ kpata.
• SIBO (Small Intestinal Bacterial Overgrowth): Dɔlékui siwo nɔa dɔgboa me zi geɖe la tsina akpa le dɔgbo suea me. Esia ate ŋu ado kplamatse nunyiamewo ƒe xɔxlɔ̃ hã.

Nukae nye dɔgbo sue ƒe kuxi ƒe dzesiwo?

Dɔ vevitɔ si dɔgbo suea wɔnae nye be wòaxɔ nunyiamewo kple tsi. Eyata, ne edze dɔ la, mate ŋu awɔ dɔ sia nyuie o. Emegbe dzesi siawo tɔgbe ate ŋu ado mo ɖa:

• Dɔgbo ƒe vevesese kple vevesese (esia ate ŋu anɔ anyi ɖaa alo ava yi eye wòadzo) .
• Ʋuʋudedi, aɖuɖɔtoe, gas
• Dɔmeɖui (mègatsi dzi o, aɖuɖɔtoe hã ate ŋu anɔ ame aɖewo ŋu, etoa vovo le dɔlélea nu)
• Aɖuɖɔtoetetedɔ (tsi ƒe ʋuʋu, ɣeaɖewoɣi nuɖuɖu ƒe akpa siwo womeɖu o) .
• Aɖuɖɔtoe kple ʋuʋudedi
• Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee (ne èle lolo dzi ɖem kpɔtɔ evɔ mèɖe wò nuɖuɖu dzi kpɔtɔ alo mèle kamedede dzim ɖe edzi o la, ke enye nusi ŋu wòle be nàtsi dzi ɖo)
• Ne wò dɔgbo ƒe vevesese nu sẽ ɖe edzi, vevietɔ ne èle nuɖuɖu siwo me ami le ɖum
• Paleness, ɖeɖiteameŋu (le iron ƒe anyimanɔmanɔ ta) .

Aleke nàwɔ anya ne kuxi aɖe le dɔgbo suea ŋu?

Ne dzesi siwo míeyɔ ɖe etame la dometɔ ɖeka alo esi wu nenema yi edzi le fu ɖem na wò la, anyo wu be nàyi ɖɔkta gbɔ.. Aɖo to wò dzesiwo, wò atikewɔwɔ ŋutinya, eye wòatso nya me le dodokpɔ siwo wòawɔ ŋu. Le kpɔɖeŋu me, ne ɖeko nèle lolo dzi ɖem kpɔtɔ la, abia be woado ʋu kpɔ. Ne dɔgbo le veve sem na wò, dɔgbo le fu ɖem na wò, alo aɖuɖɔtoe le ŋuwò la, aɖe gbe be woawɔ dodokpɔwo atsɔ akpɔ nusi le edzi yim le wò dɔgbo suea me.

Ʋu kple dodokpɔ le dodokpɔxɔ me be woatsɔ ade dzesi dɔgbo sue ƒe kuxiwo

Esia ate ŋu alɔ nusiwo le abe:

• Ʋu Xexlẽme Blibo (CBC): Esia ate ŋu ana woakpɔ nuwo abe ʋusɔgbɔdɔ kple dɔlékuiwo ene.
• Comprehensive Metabolic Panel (CMP): Esia léa ŋku ɖe nuwo abe aklã kple ayiku ƒe dɔwɔwɔ, kple elektrikŋusẽ ƒe agbɔsɔsɔ ŋu.
• Aɖuɖɔtoe me dzodzro
• Dodokpɔwo hena dɔléle tɔxɛwo abe celiac dɔléle kple Crohn ƒe dɔléle (e.g., ʋudodokpɔ siwo dia dɔlékuiwutike tɔxɛwo le ŋutilã me).
• Aɖuɖɔ dodokpɔ: Esiawo ate ŋu akpɔe ɖa be dɔlékuiwo le ame ŋu, ʋu le dodom le ame ŋu, kple nenye be wole nunyiamewo xɔm nyuie hã.

Nɔnɔmetatawo dodokpɔ be woatsɔ alé ŋku ɖe dɔgbo suea ŋu

Esiawo ate ŋu akpɔ dɔgbo suea me:

• Capsule endoscopy: Esia bia be woami capsule si me fotoɖemɔ̃ sue aɖe le. Eɖea foto ne ele dɔgboa me tom. Esia ate ŋu akpe ɖe ame ŋu wòakpɔ dɔgbo suea ƒe akpa siwo wòsesẽna be woakpɔ kple dɔlékuiwutike bubuwo.
• CT scan (Computed Tomography scan): Esia wɔnɛ be woate ŋu aɖe ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetata siwo wotso ɖe wo nɔewo ŋu. Woate ŋu akpɔ dɔgboa ƒe gliwo kple teƒe siwo ƒo xlãe nyuie.
• Enteroscopy: Esia bia be woade endoscope tɔxɛ aɖe (si nye mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ kple kekeli le) to nu alo dɔgbo me be woakpɔ dɔgbo suea me goglo. Woate ŋu awɔ biopsy hã ne ehiã.
• Small bowel X-ray series / Barium follow-through: Womia nusi le abe barium ene eye woɖea X-ray foto geɖe ne ele yiyim to dɔgboa me.
• Upper endoscopy (OGD): Le dɔ sia wɔwɔ me la, wotsɔa endoscope dea nu me be woado duodenum (dɔgbo suea ƒe akpa gbãtɔ), dɔgbo, kple nuɖuɖutome kpɔ.

Nukawoe nye dɔgbo suewo ƒe kuxiwo dada?

Dɔléle geɖewo li siwo gblẽa nu le dɔgbo suea ŋu. Eyata atikewɔwɔ si wonana la toa vovo le dɔlélea kple alesi dɔlélea nu sẽe nu. Ɣeaɖewoɣi la, àte ŋu aɖu dɔlélea dzi ne ètrɔ nusiwo nèɖuna kple nunono . Ɣeaɖewoɣi la, ele be nàno atikewo . Le dɔléle sesẽ bubuwo me la, ate ŋu ahiã be woawɔ dɔ nɛ .

Le kpɔɖeŋu me:

• Ne celiac dɔléle le ŋuwò la, ahiã be nàwɔ ɖe nuɖuɖu si me gluten mele o dzi le wò agbemeŋkekewo katã me.
• Dɔléle si nye peptic ulcer dɔléle le ŋuwò.Ne ele la, ɖɔktaa aŋlɔ atike siwo ɖea acid dzi kpɔtɔna eye wokpɔa dɔgboa ƒe lãkusi ta vaseɖe esime wòahaya. Ne dɔlékui (H. pylori) gbɔe wòtso la, woana dɔlékuiwutikewo.
• Le dɔdzẽ ƒe nɔnɔmewo abe Crohn ƒe dɔléle ene gome la, woate ŋu ana atike siwo ɖea dɔdzẽ dzi kpɔtɔna eye wokpɔa dɔlélenutsiŋutete dzi.
• Gake ne dɔgbo sue aɖe xe mɔ na wò , ɖewohĩ ahiã be woawɔ dɔ na wò be woaɖe nusi xe mɔ na wò la ɖa.

Eyata ele vevie ŋutɔ be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

Aleke mawɔ ana nye dɔgbo suea nanɔ lãmesẽ me?

Mɔ nyuitɔ si dzi nàto ana wò dɔgbo suea nanɔ lãmesẽ me enye be nàna wò nuɖuɖumeŋusẽ bliboa nanɔ lãmesẽ me. Nu aɖewo siwo nàte ŋu awɔ atsɔ akpe ɖe ŋuwòe nye esi:

• Ƒo nu nyuie: Ƒo nuɖuɖu si me atikutsetsewo, amagbewo, kple nuku blibowo (abe bli dzẽ, buckwheat, kple oats ene) sɔ gbɔ ɖo. Seɖoƒe li na nuɖuɖu siwo me ami le, siwo ŋu wotrɔ asi le. Bia nuɖuɖuŋutinunyala tso prebiotics (siwo wokpɔna le akɔɖu, anyitsi, kple galik me) kple probiotics (siwo wokpɔna le yogurt kple notsi si wofli me) tsɔtsɔ kpe ɖe wò nuɖuɖu ŋu ŋu. Esiawo kpena ɖe ame ŋu be dɔlékui nyui siwo le wò dɔgbo me la nanɔ anyi.
• No tsi geɖe: Tsi kple aha siwo me carbon mele o, siwo me caffeine mele o (e.g., atikutsetse me tsi, amititsetse me tsi, gbetikewo) nono le ŋkekea me katã kpena ɖe wò nuɖuɖumeŋusẽ ŋu, si me wò dɔgbo sue hã le, wòɖua nuɖuɖu eye wòɖea gbeɖuɖɔ ɖa.
• Dɔ alɔ̃ nyuie eye nàɖi ɖe eme: Alɔ̃dɔdɔ nyuie kpena ɖe ame ŋu wòdzraa lãmenugbagbevi siwo le ŋutilãa me ɖo eye wòdoa ŋusẽ dɔlélenutsiŋutete. Esia hã le vevie ŋutɔ na dɔgbo suea ƒe lãmesẽ. Dze agbagba nàdɔ alɔ̃ gaƒoƒo 7-8 ya teti gbesiagbe.
• Dzra nuteɖeamedzi dzi: Ènya be nuteɖeamedzi ate ŋu ana nɔnɔme siwo gblẽa nu le dɔgbo suea ŋu, abe Crohn ƒe dɔléle kple dɔgbo si doa dziku (IBS) ene, nagblẽ ɖe edzia? Eyata dze agbagba nàna wò susu naɖe dzi ɖi. Nuwo abe ŋugbledede, yoga, gomekpɔkpɔ le modzakaɖeɖe aɖe me, kple kamedede ene ate ŋu akpe ɖe ŋuwò.
• Nɔ dɔ dzi: Kamedede edziedzi nana ʋu sina yia wò dɔgbowo kple ŋutinu vevi bubuwo me nyona ɖe edzi, edoa ŋusẽ lãmekawo, eye wònaa dɔgboa ƒe ʋuʋu nyona ɖe edzi – lãmeka siwo kplɔa nuɖuɖu to wò nuɖuɖumeŋusẽ me ƒe tete. Aɖabaƒoƒo 30 pɛ ko ƒe azɔlizɔzɔ gbesiagbe gɔ̃ hã nyo.

Mlɔeba la, nusi dzi wòle be woaɖo ŋkui

Mikpɔ ɖa, míaƒe dɔgbo sue ate ŋu anye ‘sue’ le ŋkɔ ɖeɖeko me, gake subɔsubɔdɔ si wòwɔna na míaƒe lãmesẽ bliboa menye nu sue aɖeke o. Ewɔa dɔ gã aɖe le nuɖuɖu siwo tso dɔgboa me tɔtrɔ wòzua nunyiame siwo nye tsi me. Esia xɔa ɣeyiɣi. Nuɖuɖu ate ŋu anɔ dɔgbo suea me gaƒoƒo ade le ɣeyiɣi ɖeka me, eye woagbãe ɖe ɖoɖo nu eye nunyiamewo axɔ ɖe eme. Azɔ hã, ehiã be wòawɔ dɔ aduadu kple nuɖuɖumeŋusẽ ƒe ŋutinu bubuwo hafi ate ŋu awɔ dɔ sia.

Nu bɔbɔewo abe nuɖuɖu nyuie, tsi geɖe nono, kamedede, kple nuteɖeamedzi dzi ɖeɖe kpɔtɔ ene ate ŋu akpe ɖe wò dɔgbo suea ŋu wòanɔ lãmesẽ me eye wòawɔ eƒe dɔ nyuie.

Azɔ hã, ne dzesiwo abe dɔgbo ƒe veve, dɔmeɖui, aɖuɖɔtoe, alo ɖeko nèsena le ɖokuiwò me be yegbɔdzɔ la, mègagblẽ ɣeyiɣi o eye mègavɔ̃ be yeayi ɖɔkta o . Dzesi siawo fia be ɖewohĩ nane gblẽ le wò dɔgbo suea ŋu. Ne ède dzesii hedae kaba la, àte ŋu axe mɔ ɖe kuxi gãwo nu. See? Wò lãmesẽ le vevie na wò abe alesi wòle vevie na mí ene.

` Dɔgbo Sue, Nuɖuɖumeŋusẽ, Nuɖuɖu, Dɔgbo ƒe vevesese, Nuɖuɖumeŋusẽ, Lãmesẽ Agbenɔnɔ