Ðe kuxiwo le fu ɖem na wò le wò dɔgbo alo dɔgbo mea? Mina míaƒo nu tso dɔgboŋutinunyala aɖe ŋu!

Ɣeaɖewoɣi la, dɔgbo ƒe kuxi ƒomevi vovovowo dzea mía dzi. Dɔgbo le veve sem, míesena le mía ɖokui me be míefu, míesena le mía ɖokui me be míete ŋu ɖua nuɖuɖu o... Edoa dziku ŋutɔŋutɔ ne nu siawo tɔgbe yi edzi le dzɔdzɔm, alo? Eyata ɖe nènya be ɖɔkta aɖe li si bi ɖe dɔléle siwo do ƒome kple nuɖuɖumeŋusẽ mea? Woyɔa ɖɔkta ma be dɔgboŋutinunyala . Mina míaƒo nu tso eŋu tsitotsito egbea.

Amekae nye dɔgboŋutinunyala?

Kpuie ko la, dɔgboŋutinunyala nye ɖɔkta si bi ɖe wò nuɖuɖumeŋusẽ ƒe dɔlélewo me – si fia be ŋutinu siwo katã kpɔa gome le nuɖuɖumeŋusẽ me. Woxɔa hehe gbã abe atikewɔla siwo kpɔa dɔlélewo gbɔ ene. Le atikewɔsuku si ade ƒe etɔ̃ megbe la, nuteƒekpɔkpɔ sua wo si le dɔléle ƒomevi ɖesiaɖe dada me. Emegbe hafi woazu dɔgboŋutinunyala la, ele be woasrɔ̃ nu koŋ ƒe etɔ̃ bubu. Mlɔeba la, woxɔa ɖaseɖigbalẽ tɔxɛ aɖe. Esiae gblɔ be wonye nuɖuɖumeŋusẽ ƒe dɔlélewo ŋuti nunyala bibiwo . Azɔ hã, dzedze tɔxɛwo le wo si be woawɔ dodokpɔ kple atikewɔwɔ aɖewo siwo ɖɔktawo mewɔna o, eye woase dodokpɔ kple atikewɔwɔ mawo me tsonu gɔme.

Ðe ɖevi suewo ƒe nuɖuɖumeŋusẽ ŋuti nunyala bibi aɖe lia? (Ðeviwo ƒe Dɔgboŋutinunyala) .

Ẽ, woli vavã. Míeyɔa wo be `(Ðeviwo ƒe Dɔgboŋutinunyala)`. Wona hehe ɖɔkta siawo gbã abe `(Ðeviwo ƒe Dɔwɔla)` ene. Emegbe woxɔa hehe tɔxɛ si ade ƒe etɔ̃ bubu le nuɖuɖumeŋusẽ ŋu. Woƒe susu nɔa vidzĩwo, ɖevi siwo le zɔzɔm, kple ɖevi suewo ƒe nuɖuɖumeŋusẽ kple aklã ƒe dɔlélewo ŋu wu . Wotsia dzi ɖe ɖeviwo ƒe nunyiame ŋu vevietɔ. Wona hehe ame siawo etɔxɛe be woate ŋu ade dzesi ɖeviwo ƒe dzesiwo ahalé ŋku ɖe woƒe ŋutilã sueawo ƒe ememe ŋu.

Ŋutilã ƒe akpa kawo ŋue dɔgboŋutinunyala léa fɔ ɖo?

Ne èse ŋkɔ sia – (Gastroenterologist) – ‘Gastro’ gɔmee nye dɔgbo , ‘entero’ gɔmee nye dɔgbowo . ‘nunyala’ gɔmee nye eŋutinunyala bibi. Eyata, ƒodo kple dɔgbo koŋue. Gake, míaƒe nuɖuɖumeŋusẽ lolo wu ema sã.

Bu eŋu kpɔ, nuɖoanyi sia dzea egɔme tso nu me tututu ne míele nu ɖum.

Eyome , ŋɔti, nuɖuɖutome, dɔgbo , dɔgbo sue , kple dɔgbo gã nye etɔ.

Menye ema ɖeɖeko o, ke boŋ ŋutinu siwo wɔa ʋumenugbagbeviɣidɔ kple nuɖuɖumeŋusẽ siwo kpena ɖe nuɖuɖu ŋu wòɖua nuɖuɖu hã le eme. Woawoe nye:

• Aklã
• Gallbladder (teƒe si woƒoa ʋumenugbagbeviɣidɔ si tso aklã me nu ƒu hedzrana ɖo) .
• Dɔgbo ƒe dɔléle
• Bile ducts (tube siwo tsɔa ʋumenugbagbeviɣidɔ) .

Eyata dɔgboŋutinunyala dia dɔléle siwo dzena le ŋutinu siawo katã me .

Nukatae wòhiã be míayi dɔgboŋutinunyala gbɔ?

Nyabiase nyui aɖe. Ðewohĩ nuɖuɖumeŋusẽ ƒe dzesiwo le ŋuwò (e.g., dɔgbo ƒe veve, aɖuɖɔtoe, dɔmeɖui), gake ɖewohĩ wò ƒomea ƒe ɖɔkta si nèzãna edziedzi mate ŋu akpɔe o, alo atike siwo woŋlɔ na wò la mawɔ dɔ o. Le nɔnɔme ma me la, anyo be nàkpɔ eŋutinunyala bibi aɖe.

Alo, ne ènya xoxo be nuɖuɖumeŋusẽ ƒe dɔléle sesẽ aɖe le ye ŋu (abe IBD ene) la, anyo wu be nàyi eŋutinunyala bibi aɖe gbɔ be wòakpɔ atike nyuitɔ kekeake nɛ.

Esi wònye be ɖɔkta bibi siawo le numekuku wɔm, le numekuku wɔm, hele dodokpɔ wɔm tso dɔléle siawo ƒomevi ŋu ɣesiaɣi ta la, wote ŋu dea dzesi dɔlélea nyuie wu kabakaba, eye wodaae kple kuxi ʋɛ aɖewo ko .

Dɔléle vevi kawoe dɔgboŋutinunyala daa dɔ na?

Dɔléle geɖewo li . Na míalé ŋku ɖe wo dometɔ vevi aɖewo ŋu.

Dɔgbomedɔlélewo:

• Irritable Bowel Syndrome (IBS), si nye dɔléle si nana aɖuɖɔtoe alo dɔmeɖui enuenu
• Dɔgbo ƒe Dɔléle (IBD) (esia lɔ Crohn ƒe dɔléle kple Ulcerative Colitis ɖe eme) .
• Celiac dɔléle , si nye protein si nye gluten si le lu ƒe wɔ me ƒe nulɔdɔ
• Dɔlékui Siwo Le Dɔgboa Suewo Me Tsitsi Gã (SIBO) .
• Nuɖuɖu ƒe nulɔdɔ kple nuɖuɖu vovovowo ƒe mɔmaɖemaɖeɖenuŋu
• Dɔgbo me abi
• Diverticulitis ( kotoku sue siwo dzɔna le dɔgbo gã me eye woxɔa dɔlékuiwo ) .
• Appendicitis (zi geɖe la, ebiana be woawɔ dɔ na esia) .
• Nu suesuesue siwo tsina le dɔgboa me si woyɔna be ``Colorectal polyps`` (ele vevie be woaɖe esiawo ɖa elabena woateŋu atrɔ azu kansa)
• Ʋusisidɔ

Nuɖuɖutome ƒe dɔlélewo:

• Nu mimi ƒe kuxiwo
• Gastroesophageal Reflux Disease (GERD) nye dɔléle si tsoa dɔgbo me acid si gena ɖe nuɖuɖutome (míeyɔa esia hã be acid reflux) gbɔ.
• Nuɖuɖutome ƒe dɔléle
• Hiatal hernias ( dɔgboa ƒe akpa aɖe si do ɖe akɔta ) .

Aklãdɔlélewo:

• Dɔlékui ƒe aklãdɔ (e.g. aklãdɔléle B, C) .
• Aklã ƒe gbegblẽ le aɖi ta (Toxic hepatitis) .
• Aklãdɔ si me ami le
• Cirrhosis ( aklã ƒe sesẽ ) .

Dɔgbo, ʋumenugbagbeviɣi kple aɖuɖɔtoedɔlélewo:

• Gallstones ƒe kpewo
• Dɔdzẽ ƒe dɔléle
• Dɔgbo ƒe dɔléle

Dzesi kawoe wòle be nàgblɔ na dɔgboŋutinunyala?

Ne dzesi siawo dometɔ aɖe le ŋuwò la, ele vevie ŋutɔ be nàgblɔe na eŋutinunyala bibi aɖe be:

• Ƒodo ƒe vevesese
• Dɔgbo si vuvu
• Nuɖuɖumeŋusẽ ƒe kuxiwo, nuɖuɖumeŋusẽ ƒe dɔmawɔmawɔ nyuie
• Gas kple gas ƒe vevesese
• Aɖuɖɔtoe kple ʋuʋudedi
• Ʋu si dona le dɔgboa me (esia ate ŋu anye dzĩ alo yibɔ) .
• Aɖuɖɔtoe (aɖuɖɔtoe enuenu) .
• Dɔmeɖui alo aɖuɖɔ dodo sesẽ
• Kpekpeme dzi ɖeɖe kpɔtɔ alo lolo si womeɖe o
• Dzimeve (abe alesi wòle le GERD me ene) .
• Ŋutilã kple ŋku ƒe ɣie (Jaundice) .

Nukae Dɔgboŋutinunyala wɔna?

Gbã la, ɖɔktaa ado wò kpɔ le ŋutilã me . Woaka asi wò ƒodo ŋu, atsɔ mɔ̃ aɖo to, eye woate ŋu atsɔ asibidɛ gɔ̃ hã ade wò dɔgbo me (digital rectal exam).

Emegbe, woate ŋu adɔ ʋudodokpɔ , aɖuɖɔ dodokpɔ , alo gotagome nɔnɔmetatawo dodokpɔ abe X-ray ene be woakpɔ nyatakaka bubuwo.

Gake ne dodokpɔ siawo ɖeɖe mete ŋu dea dzesi dɔlélea nyuie o la, wona hehe dɔgboŋutinunyalawo etɔxɛe be woawɔ dɔ siwo wowɔna le dɔgboa me .

Nukae nye endoscopy?

Kpuie ko la, esia bia be woade mɔ̃ didi aɖe si le tsɛ, si te ŋu trɔna bɔbɔe (si woyɔna be endoscope) si me fotoɖemɔ̃ si wotsɔ bla ɖe ŋutilãa me eye woalé ŋku ɖe ememe ŋutinuwo ŋu tẽ. Esia ate ŋu ana nyatakaka gbogbo aɖewo.

Dɔlékuiwo ƒe dodokpɔ ƒomevi vevi geɖe li:

• Upper endoscopy (EGD): Esia bia be woado nuɖuɖutome, dɔgbo, kple dɔgbo suea ƒe akpa gbãtɔ (duodenum) kpɔ kple mɔ̃ si wotsɔ de nu me.
• Small bowel endoscopy (`Enteroscopy`): Wozãa esia tsɔ léa ŋku ɖe dɔgbo sue bliboa ŋu.
• Dɔgbomekpɔkpɔ: Ame geɖe se nya sia. Wodea mɔ̃ aɖe to aɖuɖɔtoea me eye wodoa dɔgbo gã (dɔgbo) bliboa kpɔna.
• Endoscopic ultrasound: Wotsɔa ultrasound mɔ̃ ƒe akpa sue aɖe dea endoscope ƒe nuwuwu eye wodoa ŋutinu ememetɔwo (vevietɔ aɖuɖɔtoe kple dɔgbo) ƒe lãkusi goglowo kpɔna.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Esia nye dodokpɔ si sesẽ vie wu. Wowɔa esia abe etame endoscopy ene, eye wotsɔa nu tɔxɛ aɖe dea ʋukawo kple dɔgbo ƒe ʋukawo me eye woɖea X-ray.
• Polypectomy: Nu suesuesue siwo tsi (polyps) ɖeɖeɖa le dɔgboa alo dɔgbo me le dɔgbo me dodokpɔ me.

Menye ɖeko endoscopy dodokpɔwo kpena ɖe ame ŋu be woakpɔ nusi tututu dɔlélea nye ko o, ke viɖe bubuwo hã le eŋu. Ðɔktaa ate ŋu ato dɔwɔnu suewo me to dɔlékuiwutikea me eye wòaxɔ lãmenugbagbeviwo ƒe kpɔɖeŋuwo (biopsies) atsɔ aɖoe ɖe nudokpɔƒe. Woate ŋu awɔ atike suesuesuewo hã . Le kpɔɖeŋu me, woate ŋu akeke teƒe si xe la, adzudzɔ ʋudodo, alo aɖe dɔdzẽ suesuesuewo ɖa hafi woawɔ dɔ nɛ. Le go geɖe me la, woate ŋu awɔ wo enumake.

Ðe dɔgboŋutinunyalawo hã daa dɔdzẽa?

Ẽ, zi geɖe la, dɔgboŋutinunyalae nye ame gbãtɔ si dea dzesi kansa le nuɖuɖumeŋusẽ me (abe dɔgbo, dɔgbo, nuɖuɖutome, aklã, dɔgbo, aɖuɖɔtoe ene). Woate ŋu azã endoscopy kple biopsy atsɔ adi kansa ƒe tsitsiwo eye woaɖe kpɔɖeŋuwo atsɔ aɖo kpe dɔlélea dzi.

Ne woɖo kpe kansa dzi la, woateŋu awɔ endoscopic dodokpɔ bubuwo atsɔ akpɔ afisi wòkaka ɖo (si woyɔna be `staging`).

Le go aɖewo me la, dɔgboŋutinunyalawo ate ŋu aɖe kansa ƒomevi aɖewo ɖa to dɔlékuiwutike (endoscope) dzi alo atsɔ laser atsrɔ̃ wo.

Kansa ƒomevi siwo wodo ƒome kplii koŋ enye:

• Dɔgbo me kansa
• Dɔdzẽ si le dɔgboa me
• Nuɖuɖutome kansa
• Aklã me dɔdzẽ
• Dɔdzẽ si le dɔgboa me
• Dɔdzẽ si le tsinyegoe me
• Dɔdzẽ si le ʋukawo me

Menye ema ɖeɖeko o, ke boŋ ame aɖe si ŋu kansa ƒomevi bubu le ate ŋu ahiã dɔgboŋutinunyala ƒe kpekpeɖeŋu hã be wòakpɔe ɖa be kansa la kaka ɖe nuɖuɖumeŋusẽ me hã, alo be wòakpɔ kansadɔdamɔnu (e.g., `(Chemotherapy)`, `(Radiation therapy)`) siwo gblẽa nu le nuɖuɖumeŋusẽ ŋu ƒe nugbegblẽ le ame ŋu (e.g., nu/dɔgbo me abi `(Mucositis)`, `(Radiation enteritis)`, ʋuʋudedi, ʋuʋudedi, aɖuɖɔtoe, dɔmeɖui, nunyiame ƒe veve).

Vovototo kae le Dɔgboŋutinunyala kple Dɔgboŋutinunyala dome?

Nyabiase nyui aɖe. Ƒã hafi wozãa nya ``proctologist'' le ŋkeke siawo me. Ke boŋ wosea nya `` dɔlékuiwutike '' wu.

Kpuie ko la, ``Proctologist'' alo ``Colorectal surgeon'' nye amekolawo . Wona hehe wo etɔxɛe be woawɔ dɔ na dɔgbo, dɔgbo, kple dɔgbo ƒe dɔlélewo. Wozãa abe ƒe atɔ̃ ene le amekoko bliboa me le atikewɔsuku megbe, eye emegbe woxɔa hehe tɔxɛ le dɔgbo ƒe akpa si le dɔgboa me.

Gake dɔgboŋutinunyala nye atikewɔla bibi, ke menye amekola o . Eƒe dɔ vevitɔe nye be wòakpɔ dɔlélewo, atsɔ atikewo ada wo, eye wòawɔ dodokpɔwo abe endoscopy ene.

Dɔgboŋutinunyala ate ŋu agblɔ na wò nenye be ehiã be woawɔ dɔ na wò alo mehiã o. Gake mewɔa amekokoa o. Eɖoa wò ɖe dɔdala si wɔa dɔ le dɔgboa me. Esiae nye vovototo vevitɔ.

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

Míaƒe nuɖuɖumeŋusẽ nye ŋutinuwo ƒe ɖoɖo si me kɔ, si do ƒome kple wo nɔewo. Enye nusi yia edzi ɣesiaɣi si me míegbãa nuɖuɖu siwo míeɖuna, míexɔa nunyiame siwo míehiã, eye míenyaa gbeɖuɖɔawo ɖa. Eyata ne nane gblẽ le nuɖoanyi sia ŋu la, míaƒe ŋutilã ase le eɖokui me.

Dɔgbo ƒe dɔmawɔmawɔ nyuie kple nuɖuɖumeŋusẽ ƒe kuxiwo bɔ ŋutɔ. Gake mele bɔbɔe be nànya nusi tututu gbɔ wo tsona o. Ɣemaɣie nèhiã eŋutinunyala bibi aɖe ƒe kpekpeɖeŋu. Dɔgboŋutinunyala ate ŋu ase alesi ŋutinu siawo katã wɔa dɔ ɖekae gɔme, anya nusi tututu gblẽ le wò nuɖuɖumeŋusẽ ŋu, eye wòana atike si nèhiã la wò.

Eyata ne dɔgbo le veve sem atraɖii alo nuɖuɖumeŋusẽ ƒe kuxiwo le ŋuwò la, mègavɔ̃ be yeayi dɔgboŋutinunyala gbɔ o. Ate ŋu ana gbɔdzɔe geɖe wò.

` Nuɖuɖumeŋusẽ, dɔgboŋutinunyala, dɔgbo ƒe dɔlélewo, dɔgbo me nukpɔkpɔ, dɔgbo me nukpɔkpɔ, aklã, dɔgbo