Mina míasrɔ̃ nu tso wò nuɖuɖumeŋusẽ ƒe akpa vevi aɖe ŋu: si nye dɔgbo.

Egbea míele nu ƒom tso míaƒe ŋutilã ƒe akpa vevi aɖe ŋutɔ, gake woŋea aɖaba ƒua edzi ɣeaɖewoɣi, ŋu. Emae nye dɔgbo, alo le Eŋlisigbe me la, dɔgbo. Esiae nye akpa si le míaƒe nuɖuɖumeŋusẽ ƒe nuwuwu. Mina míalé ŋku ɖe nusi wònye, alesi wòwɔa dɔe, kple dɔléle siwo wòate ŋu ahe vɛ ŋu.

Nukae nye dɔgbo?

Kpuie ko la, wò dɔgboe nye wò dɔgbo gã la ƒe akpa mamlɛtɔ. Ènyaa, dɔgbo gã la nye mɔ̃ didi aɖe. Afi siae dɔgbo, dɔgbo, kple dɔgbo le. Wò dɔgboe nye esia ƒe sentimeta 6 mamlɛawo. Emegbe aɖuɖɔtoea dzea egɔme. Esiae nye teƒe mamlɛtɔ si nuɖuɖu si míeɖuna hafi toa míaƒe ŋutilã me eye wòva dona abe gbeɖuɖɔ ene mlɔeba. Ne gbeɖuɖɔ siwo susɔ tso nuɖuɖu ƒe ɖuɖu me, siwo woyɔna be aɖuɖɔ, ɖo aɖuɖɔ me tso dɔgboa me la, woƒoa ƒu ɖe afima vaseɖe esime lãmekawo gblɔ na mí be míayi nugododeƒe.

Vovototo kae le Dɔgbo kple Aɖuɖɔtoe dome?

Wò dɔgbo dzea egɔme tso afisi wò dɔgbo wu enu le. Nu ɖeka ma ke ye wotsɔ wɔ wo ame evea siaa. Eyae nye lãmeka ƒe ƒuƒoƒo, lãkusi ƒe ƒuƒoƒo, lãkusi siwo ɖea nusiwo dona tso ememe hexɔa wo. Gake dɔgboa didi wu sã. Azɔ hã, nuɖuɖu yi edzi le ɖuɖum ne ele tome to dɔgboa me. Gake kaka wòaɖo wò akɔta la, ezu gbeɖuɖɔ sesẽ, alo aɖuɖɔ xoxo. Nusi wò aɖuɖɔ wɔnae nye be wòalé gbeɖuɖɔ sia ɖe asi hena ɣeyiɣi aɖe, axɔ tsi kple elektrikŋusẽ siwo le eme la geɖe wu, eye wòadzrae ɖo vaseɖe esime ɣeyiɣia de be wòaɖee ɖa.

Eyata vovototo kae le aɖuɖɔtoe kple aɖuɖɔtoe dome?

Aɖuɖɔtoea dzea egɔme tso wò dɔgbo ƒe nuwuwu. Enye wò dɔgbo gã la ƒe sentimeta ʋɛ mamlɛawo. Aɖuɖɔtoe mee lãmeka vevi siwo kpɔa wò dɔgbo ƒe ʋuʋu dzi le, si woyɔna be akɔta ƒe lãkusiwo . Esiawoe nana míeléa aɖuɖɔ me ɖe asi hetsɔa aɖuɖɔ toa eme ne míedi.

Aleke dɔgboa wɔa dɔ le míaƒe nuɖuɖumeŋusẽ me?

Dɔ vevitɔ si dɔgboa wɔnae nye be wòaƒo wò aɖuɖɔ nu ƒu ahalée vaseɖe esime ɣeyiɣia de be nàto eme. Wò dɔgboa ɖea dzi ɖi eye wòkekena be wòaxɔ gbeɖuɖɔ siwo dona tso wò dɔgbo me, abe balloon ene. Ema fia be enaa teƒe nɔa eŋu. Ne èlé wò aɖuɖɔ alea la, dɔgboa xɔa tsi kple elektrikŋusẽ siwo susɔ le eme, si wɔnɛ be wòlolona vie. Eɖea nusi woyɔna be mucus hã doa goe be wòakpe ɖe aɖuɖɔa ŋu wòato bɔbɔe. Ne esia yɔ fũ la, lãmekawo ɖoa dzesi ɖe ahɔhɔ̃a be ehiã be nàyi nugododeƒe fifia. Ɣemaɣie míesena le mía ɖokui me be ehiã.

Afikae aɖuɖɔtoea le?

Wò dɔgbo gã la ƒo xlã dɔgbo suea, le ƒodoa ƒe axawo dzi. Aɖuɖɔtoea le dɔgbo gã sia ƒe nuwuwu, le ŋutinu bubu siwo le ƒodoa te te, eye wòbɔbɔ ɖe akɔta ƒe ʋuƒoa gbɔ. Ne míagblɔe tututu la, ele akɔta ƒe do si nye wò ƒodo ƒe akpa si le akɔta ƒe lãmekawo dome. Aɖuɖɔtoea ƒe akpa si le etame la do ƒome kple dɔgbo si woyɔna be sigmoid colon, eye akpa si le ete la do ƒome kple aɖuɖɔtoea.

Aleke gbegbee aɖuɖɔtoea didi?

Zi geɖe la, dɔgboa didi tso sentimeta 10 va ɖo 15. Ema anɔ abe sentimeta 5 alo 6 ene. Gake esiawo ya le etɔxɛ. Ne lãmekawo le dɔ wɔm be yewoatutu aɖuɖɔa ado goe la, ate ŋu aƒo ɖe eme eye wòanɔ kpuie, abe fefenu si le slinky ene. Abe dɔgbo gã la ƒe akpa mamlɛa ene la, eƒe kekeme anɔ abe sentimeta 3 ene. Ema ade eƒe didime ƒe kekeme ƒe afã. Gake ate ŋu akeke, alo akeke hã, be wòadzra aɖuɖɔ si sɔ gbɔ ɖo ɖo hena ɣeyiɣi aɖe, abe tsidzraɖoƒe ene.

Nukawoe nye aɖuɖɔtoea ƒe akpawo?

Aɖuɖɔtoea ƒe nɔnɔme le abe ‘S’ sue aɖe ene. Eƒe goglome eve le eŋu. Akpa si le etame, si woyɔna be sacral flexure , kplɔa wò akɔta ƒe ƒoƒo ɖo. Akpa si le ete, si woyɔna be anorectal flexure , dea dzesi tɔtrɔ tso aɖuɖɔtoe me yi aɖuɖɔtoe me. Bli siawo kpena ɖe ŋuwò nèɖua wò dɔgbo ƒe ʋuʋu dzi (continence).

Woma dɔgboa hã ɖe akpa vovovowo me, abe nudzodzoe tɔ ene. Wotsɔa agbalẽ xatsaxatsa siwo le tsia dzi le ememe, siwo woyɔna be Houston ƒe ʋuƒo .

Xɔ etɔ̃ alo ene siawo siwo le dɔgboa me kpɔa aɖuɖɔ ƒe toto dzi. Woyɔa xɔ mamlɛtɔ be rectal ampulla . Esiae nye nudzraɖoƒe mamlɛtɔ hafi aɖuɖɔ dona. Ne xɔ sia yɔ la, kekeɖenudɔlékui siwo le dɔgboa ƒe gli me la naa dzesi na lãmeka siwo le titina be ɣeyiɣia de be woaɖe aɖuɖɔ. Ne nyaƒoɖeamenua le dzidzim ɖe edzi la, eva sesẽna be woaxe mɔ ɖe enu, ènyaa?

Dɔléle kple nɔnɔme kawoe bɔ siwo gblẽa nu le dɔgboa ŋu?

Dɔléle siwo le dɔgboa me ate ŋu agblẽ nu le lãkusi, lãmeka, alo lãmeka siwo le dɔgboa me ŋu. Esia ate ŋu ana ame nase veve eye wòado kplamatse dɔwɔwɔ nyuie. Na míalé ŋku ɖe nɔnɔme siwo bɔ wu dometɔ aɖewo ŋu:

• Proctitis: Esia nye dɔdzẽ si le dɔgboa me, si ate ŋu ana wòavuvu eye wòabiã. Ate ŋu atso dɔlékui aɖewo gbɔ hena ɣeyiɣi aɖe, vevietɔ gbɔdɔdɔ ƒe dɔlékuiwo (STIs). Ate ŋu atso dɔgbo ƒe dɔléle (IBD) hã gbɔ.Proctitis si nɔa anyi didi hã ate ŋu atso dɔléle siwo nɔa anyi didi abe:
• Aɖuɖɔtoe me abi: Esiawo nye abi siwo le veve sem, siwo le ʋuʋu ɖi. Ɣeaɖewoɣi la, abi siawo ate ŋu ado ʋu.
• Perianal abscess: Esia nye ƒunukpeƒetetedɔ si me vevesese le, si me ʋuʋudedi yɔ fũ, si dzɔna le akɔta, akɔta ƒe ʋuʋu, alo nuto si ƒo xlãe (perineum).
• Colorectal polyps: Tsitsi suesuesue siwo le abe lã ene (polyps) le dɔgboa kple dɔgbo me bɔ. Menye ɣesiaɣie wonyea afɔku o. Gake polyp aɖewo ate ŋu ava zu dɔdzẽ si le dɔgboa me.
• Aɖuɖɔtoe ƒe gege: Le lãmeka siwo léa dɔgboa ɖe teƒea ƒe gbɔdzɔgbɔdzɔ ta la, dɔgboa ate ŋu aɖiɖi eye wòado ɖe akɔta ƒe mɔa me, abe didiƒekpɔmɔ̃ ene.
• Levator syndrome: Nɔnɔme sia xɔ ŋkɔ tso levator ani lãmeka si léa aɖuɖɔtoea ɖe teƒea gbɔ. Enaa vevesese nɔa aɖuɖɔ me ɣeaɖewoɣi. Zi geɖe la, wosusuna be lãmekaa ƒe ʋuʋu gbɔe wòtsona.
• Aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie: Kuxi siwo le lãmeka alo lãmeka siwo le dɔgboa me ŋu ate ŋu ana wòasesẽ be woalé aɖuɖɔ me ɖe asi. Esia ate ŋu ana aɖuɖɔ nado alo atso keŋkeŋ.
• Aɖuɖɔtoe si woxe mɔ na: Aɖuɖɔtoe dodo sesẽ ate ŋu atso ŋutilã kple susu me nuwɔna gbɔ. Esia ate ŋu atso seselelãme si dzi ɖe kpɔtɔ le dɔgboa me alo lãmekawo ƒe dɔmawɔmawɔ nyuie, abe akɔta ƒe dɔmawɔmawɔ nyuie ene gbɔ .
• Aɖuɖɔtoe kple aɖuɖɔ ƒe ʋuʋu: Ne aɖuɖɔtoe me toto sesẽ eye aɖuɖɔ si mesɔ gbɔ o la, ate ŋu ana aɖuɖɔ me kpewo nadzɔ eye wòatsi aɖuɖɔtoe me.

Dzesi kawoe ɖee fia be kuxi aɖe ate ŋu anɔ dɔgboa ŋu?

Ne dzesi siawo dometɔ aɖe le ŋuwò la, anyo be nàƒo nu tso wò dɔgbo ƒe lãmesẽ ŋu na ɖɔkta:

• Ʋu ƒe ɖiɖi kpɔkpɔ le wò awu te alo le nugododeƒe (Rectal bleeding).
• Anorectal pain, alo vevesese le ƒodo ƒe akpa si le anyime alo akɔta.
• Aɖuɖɔtoe ƒe ʋuʋu alo dɔlékui ƒe dzesi siwo ƒo xlã akɔta ƒe ʋuʋu.
• Aɖuɖɔ ƒe tɔtrɔ, le kpɔɖeŋu me, aɖuɖɔ ƒe amadede, eƒe wɔwɔme, alo zi gbɔ zi geɖe ƒe tɔtrɔ.
• Seselelãme enuenu be ehiã be yeaɖe aɖuɖɔ (tenesmus) , alo aɖuɖɔtoe dodo sesẽ kple vevesese (dyschezia) .
• Lã ƒe ƒuƒoƒo si dona tso akɔta (pelvic organ prolapse).

Aleke ɖɔktawo léa ŋku ɖe nye dɔgbo ƒe lãmesẽ ŋui?

Dodokpɔ geɖe li siwo ɖɔktawo zãna tsɔ doa aɖuɖɔtoea kpɔna. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Digital Rectal Exam (DRE): Esia bia be ɖɔkta natsɔ asibidɛ si ŋu asigɛ le, si me ami le la ade wò dɔgbo me. Woate ŋu awɔ DRE sia abe ŋutilãmedɔdada si wowɔna edziedzi ƒe akpa aɖe ene alo abe nyɔnuwo ƒe dɔlélewo dodokpɔ ƒe akpa aɖe ene. Menye wò dɔgbo ɖeɖeko ate ŋu adoe kpɔ o, ke ate ŋu ado wò ʋuka alo vidzidɔ hã kpɔ to dɔgbo ƒe gli me.
• Aɖuɖɔtoe ƒe dekɔnu: Le dodokpɔ sia me la, ɖɔkta tsɔa kotoklobo ƒoa wò dɔgbo ƒe eme eye emegbe wòdea atike si wotsɔ wɔ dɔe la be yeakpɔe ɖa be dɔlékui alo dɔlékuiwo le eme hã.
• Aɖuɖɔ dodokpɔ: Ðɔkta ate ŋu atsɔ wò aɖuɖɔ ƒe kpɔɖeŋu aɖe akpɔe ɖa be dɔlékui, ʋu le dodom, alo ʋumenugbagbevi ɣiwo ƒe dzidziɖedzi ƒe dzesiwo le eŋu hã.
• Anorectal manometry: Dodokpɔ sia dzidzea alesi wò lãmekawo kple lãmekawo wɔa dɔ ɖekae nyuie be woatutu aɖuɖɔ ado goe. Wotsɔa ka aɖe si me ʋuƒo aɖe le la dea wò akɔta, eye wotsɔa tsi dzodzoe dea ʋuƒoa me. Wotsɔa kaƒomɔ̃a ƒe nuwuwu kemɛa doa ka kple mɔ̃ aɖe si dzidzea wò lãmekawo ƒe dɔwɔwɔ.
• Defecography: Le dodokpɔ sia me la, woɖea X-ray alo MRI le wò ŋutinu ememetɔwo ŋu esime nèle agbagba dzem be yeaɖe aɖuɖɔ. Esia nye be woakpɔ alesi ŋutinu kple lãmeka vovovowo le dɔ wɔm. Atikewɔla aɖe doa atike aɖe ɖe wò dɔgbo me, eye emegbe nètoa eme abe aɖuɖɔ ene. Èwɔa esia ne èbɔbɔ nɔ fotoɖeƒe aɖe si ame aɖeke mele o. Woléa ŋku ɖe wò ŋutinuwo ŋu le kɔmpiuta dzi.
• Barium enema: Esia hã nye GI X-ray ƒomevi aɖe. Eɖea wò dɔgbo gã, si me wò dɔgbo hã le, ƒe X-ray fotowo to fluoroscopic, alo video dzi. Barium enema nye amadede si to vovo na wo nɔewo ƒomevi aɖe. Wotsɔe dea wò dɔgbo me abe enema ene. Nɔnɔmetata siwo le yevu kple blɔ la ɖe teƒe siawo fia kɔte.
• Proctoscopy: Proctoscopy nye mɔnu si wozãna tsɔ léa ŋku ɖe wò dɔgbo me to mɔ̃ kpui aɖe si sesẽ (scope) zazã me. Proctoscope nye mɔ̃ si me do le eye akaɖi kple fotoɖemɔ̃ le eƒe nuwuwu. Ne ehiã la, ɖɔkta ate ŋu atsɔ dɔwɔnu aɖe ato mɔ̃a me atsɔ aɖe lãkusi (biopsy).
• Flexible sigmoidoscopy: Ne ehiã be ɖɔktaa nalé ŋku ɖe eme vie, si fia be dɔgbo gã la ƒe akpa mamlɛtɔ, afisi wòdo ƒome kple dɔgbo (wò sigmoid dɔgbo) le la, woate ŋu azã mɔ̃ si didi vie si woyɔna be flexible sigmoidoscope. Ne kuxi aɖe le wò dɔgbo ŋu la, ekemaAte ŋu anye Dɔgbo ƒe Dɔléle (IBD) alo dɔgbo ƒe dɔléle. Dodokpɔ sia bia be woawɔ dɔgbo ƒe dzadzraɖo.

Aleke mawɔ ana nye dɔgbo nanɔ lãmesẽ me?

Togbɔ be menye dɔgbo me dɔlélewo katãe woate ŋu axe mɔ na o hã la, àte ŋu aɖe afɔku si le eme be nàxɔ ɖewo dzi akpɔtɔ ne èwɔ ɖe lãmesẽmenɔnɔ ƒe nɔnɔme bɔbɔe siawo dzi:

• Wɔ gbɔdɔdɔ si me afɔku mele o: Gbɔdɔdɔ ƒe dɔlékuiwo (STI) siwo gblẽa nu le wò akɔta ƒe ʋuʋu ŋu hã ate ŋu axɔ wò dɔgbo. Na woado wò zɔhɛ kpɔ be gbɔdɔdɔ ƒe dɔlékuiwo le eme hã, eye nàzã mɔnu siwo le dedie wu ne ɖikeke le ŋuwò.
• Nuɖuɖu si naa lãmesẽ doa dɔgbo ƒe ʋuʋu nyuie ɖe ŋgɔ: Ƒo nuɖuɖu siwo ŋu wotrɔ asi le fũu o eye nàɖu dzɔdzɔmenuɖuɖuwo abe nuku blibowo, amagbewo, kple atikutsetsewo ene wu. Esia ate ŋu akpe ɖe ame ŋu be wòaxe mɔ ɖe dɔgbo kple teteɖeanyi be wòato aɖuɖɔ me nu, si ate ŋu ahe kuxi bubu geɖe vɛ.
• Na wò dɔgbomekpɔkpɔ: Dɔgbomekpɔkpɔ edziedzi nye mɔ vevi aɖe ŋutɔ si dzi nàto akpɔe ɖa be polyps le dɔgboa me hã eye nàxe mɔ ɖe dɔgbo me dɔdzẽ nu.
• Mègaŋe aɖaba ƒu dzesiawo dzi o: Ne èle veve sem atraɖii, dɔgbo ƒe nɔnɔmewo trɔ, alo aɖuɖɔtoe me toto sesẽ na wò la, yi ɖɔkta gbɔ hafi nɔnɔmea nagblẽ ɖe edzi.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Wò dɔgbo le abe tɔdzisasrã vevi aɖe ŋutɔ si le wò nuɖuɖumeŋusẽ kple wò dɔgbo ƒe ʋuʋu dome ene. Wò dɔgbo le akpa ɖeka eye wò dɔgbo le akpa kemɛ ate ŋu akpɔ ŋusẽ ɖe wò dɔgbo ƒe lãmesẽ dzi, eye le esia ta, wò dɔgbo hã ate ŋu akpɔ ŋusẽ ɖe wò dɔgboa dzi.

Aɖuɖɔtoe me kuxiwo ate ŋu anye nusi me dziɖeleameƒo le ŋutɔ eye wòanye ŋukpe gɔ̃ hã. Ke hã, nu vevitɔ kekeakee nye be nàxɔ kpekpeɖeŋu si nèhiã. Dɔgboŋutinunyala alo dɔgboŋutinunyala ate ŋu akpe ɖe ŋuwò nànya dɔgbo me kuxiwo ahada wo. Eyata, mègatsi dzi o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

` Aɖuɖɔtoe, aɖuɖɔ, nuɖuɖumeŋusẽ, dɔmeɖui, akɔtadɔlélewo, dɔgbomekpɔkpɔ