Wò Nuɖuɖumeŋusẽ ƒe Akpa Vevi aɖe: Mina Míasrɔ̃ Nu Tso Aɖuɖɔtoe Ŋu | Nirogi Lanka ƒe agbalẽ

Egbea, míele nu ƒom tso wò ŋutilã ƒe akpa vevi aɖe si zi geɖe womedea dzesii o vaseɖe esime nane se le eɖokui me be yemegblẽ o: si nye dɔgbo. Esi wònye wò nuɖuɖumeŋusẽ ƒe akpa mamlɛtɔ ta la, eƒe dɔwɔwɔ kple nya siwo bɔ gɔmesese le vevie na wò lãmesẽ bliboa. Mina míadzro nusi wònye, alesi wòwɔa dɔe, kple nɔnɔme siwo ate ŋu akpɔ ŋusẽ ɖe edzi le Nirogi Lanka afisia me.

Nukae nye Aɖuɖɔtoe?

Kpuie ko la, wò dɔgboe nye wò dɔgbo gã la ƒe akpa mamlɛtɔ. Ðewohĩ ènya dɔgbo gã la be enye nusi legbe si le abe mɔ̃ ene si me dɔgbo, dɔgbo, kple dɔgbo ƒe mɔ le. Wò dɔgbo didi abe sentimeta 6 ene eye wònye "xɔ" mamlɛtɔ si me gbeɖuɖɔwo le hafi dona le wò ŋutilã me. Ne gbeɖuɖɔ siwo woɖu—alo aɖuɖɔ—le ʋuʋum tso dɔgboa me la, woƒoa ƒu ɖe dɔgboa me, afisi wònɔna vaseɖe esime wò lãmekawo naɖee afia be ɣeyiɣia de be nàɖe aɖuɖɔ.

Vovototo kae le dɔgbo kple dɔgbo dome?

Wò dɔgbo dzea egɔme tso afisi tututu wò dɔgbo wu enu le. Togbɔ be woƒe lãmenugbagbeviwo ƒe wɔwɔme sɔ—abe lãmekawo ƒe ƒuƒoƒo kple lãkusi siwo ɣlaa nu ene—la hã la, vovototo vevi aɖewo le wo dome. Dɔgboa didi wu sã eye wòyia edzi trɔa asi le nuɖuɖu ŋu. Kaka gbeɖuɖɔ naɖo dɔgboa me la, ezu aɖuɖɔ xoxo. Dɔ vevitɔ si wò dɔgbo wɔnae nye be wòadzra gbeɖuɖɔ sia ɖo hena ɣeyiɣi aɖe esime wòle tsi kple elektrikŋusẽ siwo susɔ la xɔm, eye nàlée ɖe asi vaseɖe esime nèle klalo be yeato eme.

Vovototo kae le aɖuɖɔtoe kple akɔta dome?

Aɖuɖɔtoea dzea egɔme tso afisi wò dɔgbo wu enu le, si tsi tre ɖi na nuɖuɖumeŋusẽ ƒe sentimeta ʋɛ mamlɛawo ŋutɔ. Lãmetsi vevi siwo nye anal sphincter muscles , siwo naa nèlɔ̃na faa kpɔa wò dɔgbo ƒe ʋuʋu dzi, si wɔnɛ be nèléa aɖuɖɔ alo ɖea asi le eŋu ne ehiã.

Aleke dɔgboa wɔa dɔ le wò nuɖuɖumeŋusẽ me?

Dɔ vevitɔ si dɔgboa wɔnae nye be wòadzra aɖuɖɔ ɖo vaseɖe esime nàɖo nugododeƒe. Ne gbeɖuɖɔwo tso dɔgboa me va la, dɔgboa ɖea dzi ɖi eye wòkekena abe ʋuƒo ene be wòate ŋu axɔe. Le nudzraɖoƒe sia la, eyia edzi xɔa tsi kple elektrikŋusẽ siwo susɔ be aɖuɖɔa nasẽ, evɔ wòɖea ʋuʋudedi ɖa be wòakpe ɖe eŋu wòato nyuie. Ne dɔgboa nya yɔ ko la, kekeɖenudɔlékuiwo naa dzesi na wò ahɔhɔ̃ be ɣeyiɣia de be nàzã nugododeƒe.

Afikae aɖuɖɔtoea le?

Wò dɔgbo gã la xatsa ɖe dɔgbo sue si le ƒodoa me ŋu. Aɖuɖɔtoea le mɔ sia ƒe nuwuwu tututu, eye wòɣla ɖe ƒodo ƒe ŋutinu bubuwo te eye wòƒo xlãe ɖo ta aɖuɖɔtoea gbɔ. Le ŋutilã ƒe wɔwɔme nu la, enɔa akɔta ƒe do , si le wò ƒodo kple wò akɔta ƒe lãmekawo dome. Aɖuɖɔtoea ƒe akpa si le etame la doa ka kple dɔgbo si woyɔna be sigmoid colon, gake akpa si le ete la doa ka kple aɖuɖɔtoea.

Aleke gbegbee aɖuɖɔtoea didi?

Zi geɖe la, dɔgboa didi tso sentimeta 10 va ɖo 15 (anɔ abe sentimeta 5 va ɖo 6 ene). Enye nu tɔxɛ aɖe ŋutɔ; esi lãmekawo le dɔ wɔm be yewoatutu gbeɖuɖɔwo ado goe la, ate ŋu aƒo ƒu ahanɔ kpuie abe slinky ene. Abe dɔgboa ƒe akpa bubuwo ene la, eƒe kekeme anɔ abe sentimeta 3 ene, gake ete ŋu kekena ŋutɔ wu akpa bubuwo , eye wòwɔa dɔ abe tsidzraɖoƒe ene be woadzra aɖuɖɔ geɖe ɖo hena ɣeyiɣi aɖe.

Nukae nye dɔgbo ƒe wɔwɔme ememetɔwo?

Aɖuɖɔtoea ƒe nɔnɔme le abe "S" vie ene eye wòle ƒoƒom gã eve. Akpa si le etame, si nye sacral flexure , kplɔa wò akɔta ƒe ƒoƒo ɖo, gake akɔta ƒe akpa si le ete la dea dzesi tɔtrɔ yi akɔta ƒe mɔa me. Curve siawo le vevie na be nàlé aɖuɖɔtoe me ɖe asi , si kpena ɖe ŋuwò nèɖua dɔgbo ƒe ʋuʋu dzi.

Le ememe la, woma aɖuɖɔtoea ɖe akpa siwo le tsia dzi siwo woyɔna be Houston ƒe ʋukawo me . Woyɔa xɔ mamlɛtɔ be rectal ampulla .Ne xɔ sia yɔ la, kekeɖenudɔlékui siwo le dɔgboa ƒe gli me ɖoa dzesiwo ɖe wò lãmeka siwo le titina, si gblɔna na wò be ɣeyiɣia de be nàɖe aɖuɖɔ. Ne nyaƒoɖeamenu le dzidzim ɖe edzi la, tsitretsitsi ɖe didia ŋu va sesẽna ɖe edzi vivivi.

Nukawoe nye nɔnɔme siwo bɔ siwo gblẽa nu le dɔgboa ŋu?

Dɔléle siwo le dɔgboa me ate ŋu agblẽ nu le lãkusi, lãmekawo, alo lãmekawo ŋu, si ana ame nase veve eye wòagawɔ dɔ nyuie o. Nɔnɔme siwo bɔ dometɔ aɖewoe nye esi:

• Proctitis: Esia nye dɔdzẽ alo vuvu le dɔgboa ƒe lãkusi me. Ate ŋu atso dɔlékuiwo, siwo dometɔ aɖewoe nye gbɔdɔdɔ ƒe dɔlékuiwo, alo nɔnɔme siwo nɔa anyi didi abe Dɔgbo ƒe Dɔléle (IBD) ene gbɔ .
• Aɖuɖɔtoe me abi: Esiawo nye abi siwo le veve sem, siwo le ʋuʋu ɖi, siwo ate ŋu ana ʋu nado le wo me.
• Perianal abscess: Kotoku si me vevesese le, si me ʋuʋudedi yɔ fũ, si dzɔna le aɖuɖɔtoe, akɔta, alo akɔta ƒe akpa si ƒo xlãe me.
• Colorectal polyps: Nu suesuesue siwo tsina le aɖuɖɔtoe ƒe lãkusi dzi. Togbɔ be wo dometɔ geɖe nye esiwo ŋu dɔlékui aɖeke mele o hã la, ɖewo ate ŋu ava zu dɔdzẽ si le dɔgboa me , eyata ehiã be woalé ŋku ɖe wo ŋu nyuie.
• Aɖuɖɔtoe ƒe gege: Ne lãmeka siwo lé dɔgboa gbɔdzɔ la, dɔgboa ate ŋu adzo le eƒe nɔnɔme si sɔ me eye wòado ɖe akɔta alo ato eme, abe alesi wòle le didiƒekpɔmɔ̃ ene.
• Levator syndrome: Wotsɔ levator ani lãmeka si doa alɔ dɔgboa ƒe ŋkɔ na nɔnɔme sia, eye wòhea dɔgboa ƒe vevesese ɣeaɖewoɣi vɛ, eye anɔ eme be lãmekawo ƒe ʋuʋu gbɔe wòtso.
• Aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie: Ne dɔgbo ƒe lãmekawo alo lãmekawo gblẽ la, ate ŋu asesẽ na wò be nàɖu aɖuɖɔ ƒe ʋuʋu dzi, si ana be tsi nado le wò lɔlɔ̃nu faa me.
• Aɖuɖɔtoe si woxe mɔ na: Ŋutilã alo dɔwɔwɔ ƒe nyawo, abe akɔta ƒe dɔmawɔmawɔ nyuie , afisi lãmekawo mete ŋu wɔa dɔ nyuie le o ene, ate ŋu ana aɖuɖɔtoe me nasesẽ ŋutɔ.
• Aɖuɖɔtoe kple aɖuɖɔ ƒe ʋuʋu: Ne aɖuɖɔtoe me toto sesẽ ate ŋu ana aɖuɖɔ nasesẽ, wòaƒu, eye wòatsi dɔgboa me, si abia be atikewɔlawo nade nu nyaa me.

Nukawoe nye nuxlɔ̃amedzesi siwo fia be dɔgbo me kuxi aɖe le ame ŋu?

Ne èkpɔ tɔtrɔ siwo nɔa anyi ɖaa le dɔgbo ƒe nɔnɔmewo me, ʋu le dodom le dɔgboa me, vevesese sesẽ, alo dzesi aɖe si ɖea fu na wò la, taflatse te ɖe wò lãmesẽdɔwɔla ŋu alo yi dɔwɔƒe si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ enumake.

Ne èle dzesi siwo gbɔna dometɔ aɖe kpɔm la, ele vevie be nàdzro wò dɔgbo ƒe lãmesẽ me kple lãmesẽdɔwɔla:

• Ʋu si dona le dɔgboa me: Ʋu ƒe teƒetetewo kpɔkpɔ le wò awu te alo nugododeƒe ƒe agba me kpɔkpɔ.
• Anorectal pain: Vevesese le ɖokuiwò me le aɖuɖɔtoe me alo eƒe golɔgoewo me, alo vevesese atraɖii le wò ƒodo ƒe akpa si le ete alo akɔta ƒe nuto me.
• Aɖuɖɔtoe me ʋuʋu alo dɔlékui ƒe dzesiwo: Aɖuɖɔtoe si nɔa anyi ɖaa alo dzikudodo ƒe dzesi siwo dzena le akɔta ƒe ʋuʋu gbɔ.
• Tɔtrɔ siwo vaa wò dɔgbo ƒe nɔnɔmewo me: Tɔtrɔ ɖedzesiwo le wò dɔgbo ƒe amadede, eƒe wɔwɔme, alo eƒe aɖuɖɔtoe ƒe ʋuʋu zi gbɔ zi geɖe me.
• Tenesmus alo dyschezia: Seselelãme si nɔa ame me ɣesiaɣi be ehiã be yeaɖe aɖuɖɔ (tenesmus), alo be yease sesẽ kple vevesese esime yele aɖuɖɔ tom (dyschezia).
• Pelvic organ prolapse: Seselelãme be ƒu alo nu gbogbo aɖe do tso akɔta ƒe ʋuʋu me.

Aleke ɖɔktawo daa wò dɔgbo ƒe lãmesẽ kpɔe?

Dɔdamɔnu vovovowo li siwo dzi ɖɔktawo zãna tsɔ doa aɖuɖɔtoea kpɔna. Mina míalé ŋku ɖe nusi wobia ŋu:

• Digital Rectal Exam (DRE): Le dɔ sia wɔwɔ me la, ɖɔkta si do asigɛ si me ami le la tsɔa asibidɛ dea wò dɔgbo me blewuu be yease le ye ɖokui me be yeƒe dɔgbo mesɔ o. Zi geɖe la, `(DRE)` sia nyea ŋutilã alo nyɔnuwo ƒe dodokpɔ si wowɔna ɖaa ƒe akpa aɖe. Menye aɖuɖɔtoe ɖeɖekoe nana ɖɔktaa te ŋu daa akɔ o, ke boŋ eƒe ʋuka (le ŋutsuwo me) alo vidzidɔ kple vidzidɔ (le nyɔnuwo me) hã toa dɔgbo ƒe gli me.
• Aɖuɖɔtoe ƒe dekɔnuwo:Le dodokpɔ sia me la, ɖɔkta zãa kotoklobo tsɔ xɔa kpɔɖeŋu aɖe tso wò dɔgbo ƒe lãkusi me, eye emegbe woɖonɛ ɖe dodokpɔxɔa me be wòalé ŋku ɖe dɔlékui alo dɔlékuiwo ƒe dɔlékuiwo ŋu hã.
• Aɖuɖɔ dodokpɔ: Wò ɖɔkta ate ŋu abia be woaxɔ aɖuɖɔ be yeadae kpɔ be dɔlékui ƒe dzesiwo, ʋumenugbagbevi ɣiwo, alo ʋumenugbagbevi ɣiwo ƒe xexlẽme dzi ɖe edzi hã.
• Anorectal manometry: Dodokpɔ sia dzidzea alesi wò lãmekawo kple lãmekawo wɔa dɔ ɖekae nyuie be wòana aɖuɖɔtoe nanɔ bɔbɔe. Wotsɔa ka tsɛ aɖe si te ŋu trɔna bɔbɔe si me ʋuƒo sue aɖe le la dea wò dɔgbo me. Wotsɔa tsi dzodzoe dea ya balloon la me, eye wotsɔa catheter la doa ka kple kɔmpiuta be wòadzidze wò akɔta ƒe lãmekawo ƒe nyaƒoɖeamenu kple woƒe dɔwɔwɔ ɖekae.
• Defecography: Nɔnɔmetatawo ŋuti numekuku sia (si zãa X-ray alo MRI) léa wò ŋutinuwo le dɔwɔwɔ me ne èle agbagba dzem be yeaɖe aɖuɖɔ. Mɔ̃ɖaŋudɔwɔla aɖe atsɔ atike si naa vovototodedeameme ade wò dɔgbo me. Ànɔ teƒe si ame aɖeke mele o esime ɖɔktaa le ŋku lém ɖe wò lãmeka ememetɔwo kple woƒe wɔwɔmewo ƒe ʋuʋu ŋu le ŋkuléleɖenuŋumɔ̃ dzi be yeade dzesi dɔwɔwɔ ƒe kuxi ɖesiaɖe.
• Barium enema: Esia nye `GI X-ray` dodokpɔ tɔxɛ aɖe. Wotsɔa amadede si to vovo na wo nɔewo si woyɔna be barium dea wò dɔgbo me abe enema ene, si wɔnɛ be woate ŋu akpɔ wò dɔgbo kple dɔgbo gã ƒe nɔnɔmetata siwo to vovo ŋutɔ, siwo wotsɔ fluoroscopic (video X-ray) wɔe.
• Proctoscopy: Dodokpɔ sia zãa nukpɔkpɔmɔ̃ kpui aɖe si sesẽ si me akaɖi kple fotoɖemɔ̃ le tsɔ léa ŋku ɖe wò dɔgbo ƒe eme ŋu. Ne ehiã la, ɖɔkta ate ŋu ato dɔwɔnuwo me ato mɔ̃ sia me be woaɖe lãmenugbagbeviwo ƒe dɔwɔwɔ le lãme na ame.
• Sigmoidoscopy si te ŋu trɔna bɔbɔe: Ne ehiã be wò ɖɔkta nalé ŋku ɖe nu ŋu ayi ŋgɔe la, woate ŋu azã mɔ̃ si didi wu si te ŋu trɔna bɔbɔe atsɔ ado wò dɔgbo ƒe akpa mamlɛtɔ si woyɔna be sigmoid dɔgbo la kpɔ. Esia kpena ɖe ame ŋu wòdea dzesi nɔnɔmewo abe Inflammatory Bowel Disease (IBD) alo dɔgbo me dɔlékuiwo ene. Taflatse de dzesii be dɔ sia bia be woadzra dɔgbo ɖo (dɔgbo dzadzraɖo) do ŋgɔ.

Aleke nàwɔ ana wò dɔgbo nanɔ lãmesẽ me?

Togbɔ be menye dɔgbo ƒe nɔnɔmewo katãe woate ŋu axe mɔ na o hã la, lãmesẽmenɔnɔ ƒe nɔnɔme siawo zazã ate ŋu aɖe wò afɔkuwo dzi akpɔtɔ ŋutɔ:

• Wɔ gbɔdɔdɔ si me afɔku mele o: Gbɔdɔdɔ ƒe dɔlékuiwo (STI) ate ŋu agblẽ nu le akɔta kple dɔgbo ƒe akpawo ŋu bɔbɔe. Kpɔ egbɔ be wodo wò kple wò zɔhɛ siaa kpɔ edziedzi eye nàzã ametakpɔnu atsɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu.
• Lé nuɖuɖu si me fibre sɔ gbɔ ɖo me ɖe asi: Ðe nuɖuɖu siwo ŋu wotrɔ asi le dzi kpɔtɔ eye nàlé fɔ ɖe nuku blibowo, amagbewo, kple atikutsetsewo ŋu. Esia doa dɔgbo ƒe ʋuʋu edziedzi ɖe ŋgɔ, si xea mɔ na dɔgbo kple teteɖeanyi si ate ŋu ahe dɔgbo ƒe nya geɖe vɛ.
• Na wò dɔgbomekpɔkpɔ edziedzi: Dɔwɔnu si wowɔna edziedzi `(Colonoscopy)` nye sika dzidzenu si wotsɔ dea dzesi polyps kple mɔxexe ɖe dɔgbo kple dɔgbo me dɔdzẽwo nu hafi woava zu nu sesẽ.
• Mègaŋe aɖaba ƒu dzesiawo dzi o: Ne èle veve sem atraɖii, tɔtrɔ le wò dɔgbo ƒe ɖoɖowɔɖi ŋu, alo wò vevesese la, yi ɖɔkta gbɔ kaba. De dzesii kaba nye nu vevi aɖe si ana woakpɔ dɔlélea gbɔ nyuie.

Susu mamlɛawo tso Nirogi Lanka gbɔ

Bu wò dɔgbo be enye tɔdzisasrã vevi aɖe le wò nuɖuɖumeŋusẽ me. Le eƒe ŋutilã ƒe kadodo kple wò dɔgbo kple wò dɔgbo siaa ta la, dɔgbo ƒe lãmesẽ me léle ɖe asi le vevie ŋutɔ na wò dɔgbo ƒe akpa si le ete ƒe nyonyo bliboa.

Aɖuɖɔtoe ƒe vevesese gbɔ kpɔkpɔ ate ŋu anye nusi agblẽ nu le ame ŋu le ŋutilã me eye zi geɖe la, ŋukpena na ame, gake afɔɖeɖe vevitɔ kekeakee nye kpekpeɖeŋu didi. Dɔgboŋutinunyala alo dɔgboŋutinunyala (si nye dɔgbo ƒe lãmesẽ ŋuti nunyala bibi) ate ŋu ana woakpɔ dɔlélea nyuie eye woawɔ atikewɔwɔ ƒe ɖoɖo nyui aɖe. Mègakpe fu le ɖoɖoezizi me o—do asi ɖe dɔnyala bibi aɖe gbɔ. Ne ʋu le dodom le ŋuwò kpata, vevie alo nèse veve vevie la, taflatse yi dɔwɔƒe si te ɖe ŋuwò le nudzɔdzɔ kpatawo gbɔ kpɔƒe si te ɖe ŋuwò alo nàƒo ka na dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ le mia gbɔ enumake.

Tags: Aɖuɖɔtoe, Aɖuɖɔ, Nuɖuɖumeŋusẽ, Aɖuɖɔtoe, Anorectal dɔlélewo, Colonoscopy