Ðe wobia tso asiwò be woawɔ dɔ na wò le dɔgboa mea? Mègatsi dzi o, mina míaƒo nu tso eŋu!

Ne ɖɔkta gblɔ na wò be ehiã be woawɔ dɔ na wò la, àte ŋu avɔ̃ vie eye nàdi be yeanya nu, alo? Anɔ eme be nyabiase geɖe le ta me na wò, abe nukae wònye, aleke wowɔnɛ ene, eye ɖe wòaveea? Mègatsi dzi o, egbea míaƒo nu tso endoscopy sia ŋu le mɔ bɔbɔe aɖe nu. Le mɔ si gɔme nàte ŋu ase nu.

Nukae nye Endoscopy?

Kpuie ko la, endoscopy nye dɔdamɔnu si nana nète ŋu léa ŋku ɖe wò ŋutilã ƒe akpa si le eme ŋu nyuie . Esia bia be woazã dɔwɔnu didi aɖe si le tsɛ si le abe mɔ̃ ene si woyɔna be endoscope. Zi geɖe la, fotoɖemɔ̃ sue aɖe kple akaɖi aɖe nɔa haƒonu sia ƒe nugbɔ ɖeka. Ðɔktaa tsɔa dɔwɔnua dea wò ŋutilã me eye ne eɖo teƒe si nèdi be yeadoe kpɔ la, nɔnɔmetataawo, eye emegbe woɖea wo fiana le ŋkuléleɖenuŋumɔ̃ dzi.

Bu eŋu abe fotoɖemɔ̃ sue aɖe dede wò ŋutilã me be nàkpɔ nusi le eme ene. Mɔ suewo, alo mɔ̃ suewo, le dɔlékuiwo me kpɔmɔ̃ aɖewo ŋu, siwo dzi nàte ŋu ato ade dɔwɔnu suewo me atsɔ aɖe lãkusi aɖe (si woyɔna be biopsy) alo awɔ dɔ sue aɖe gɔ̃ hã.

Nukawoe nye endoscopy ƒomeviwo?

Endoscopy ƒomevi geɖe li. Gake wo katã wowɔa dɔ le mɔ ɖeka nu. Eyae nye be ɖɔktaa tsɔa dɔwɔnu aɖe si woyɔna be endoscope to dzɔdzɔmeʋuʋu aɖe si le wò ŋutilã me (le kpɔɖeŋu me, wò nu, ŋɔti, alo aɖuɖɔtoe) me alo toa wò ŋutigbalẽ ƒe akpa sue aɖe si wotso la me. Dɔwɔnu sia wɔnɛ be ɖɔktaa te ŋu doa ŋutinu si hiã be woadoe kpɔ alo adae tẽ.

Vovototo vevitɔwo le nuwo abe:

• Dodokpɔa ƒe ŋkɔ: Zi geɖe la, woɖea ŋkɔ sia tso ŋutinu si ŋu wole dodokpɔ wɔm le la me. Le kpɔɖeŋu me, woyɔa dɔgbo ƒe dodokpɔ si woatsɔ ado dɔgbo gã (dɔgbo) kpɔ be ``Colonoscopy''.
• Scope Type: Enye nu ɖeka. Wotu haƒonua ƒe ŋkɔ ɖe ŋutinu si me wole dodokpɔ wɔm le dzi. Eyata, woyɔa endoscope si wozãna na ``Colonoscopy'' be ``Colonoscope''. ``Endoscopes'' ƒomevi vovovowo li. Wo dometɔ aɖewo nye ``flexible'' , si fia be woateŋu abɔbɔ wo bɔbɔe. Wo dometɔ aɖewo nye ``rigid'' , si fia be wole dzɔdzɔe. Mɔ̃wo le dɔlékuiwutike bubu aɖewo me be woaɖe lãkusiwo, ada abiwo, eye woawɔ dɔ bubuwo abe alesi míegblɔe va yi ene.

Azɔ hã, nuwo abe alesi wowɔa dodokpɔae, ŋutinu si wodo kpɔ, kple afisi wotsɔa haƒonua dea eme ene hã to vovo.

Eyata mina míakpɔ nusiwo nye endoscopy ƒomevi vevi siawo ɖaa?

Kpɔ ɖa, ɖewohĩ wotsɔ ŋkɔ siawo dometɔ ɖeka yɔ wò be ɖɔkta.

• Anoscopy: Esia bia be nàde endoscope to wò aɖuɖɔtoe me be wòalé ŋku ɖe wò aɖuɖɔtoe kple dɔgbo ŋu.
• Ƒunukpeƒetetedɔ:Woɖea ƒunukpeƒe sue aɖe ɖe wò ƒunukpeƒe ɖeka dzi eye wotsɔa endoscope dea eme be woatsɔ adi ƒunukpeƒedɔlélewo abe ƒunukpeƒetetedɔ ene.
• Bronchoscopy: Wotsɔa endoscope dea nu me alo ŋɔti me be woatsɔ alé ŋku ɖe yagbɔgbɔ kple lãkusi ŋu.
• Dɔgbomekpɔkpɔ: Wotsɔa dɔgbomekpɔmɔ̃ dea dɔgboa me eye wodoa dɔgbo gã (dɔgbo) bliboa kpɔna.
• Cystoscopy: Wotoa endoscope to wò tsinyegoe me (mɔ̃ si me aɖuɖɔ dona tona) be woatsɔ alé ŋku ɖe wò tsinyegoe kple tsinyegoe ŋu.
• Enteroscopy: Wodea endoscope to nu me (upper enteroscopy) alo rectum (lower enteroscopy) me be woakpɔ dɔgbo suea.
• Esophagogastroduodenoscopy (EGD) alo upper endoscopy: Wotsɔa endoscope dea nu me be woatsɔ alé ŋku ɖe nuɖuɖutome, dɔgbo, kple dɔgbo suea ƒe akpa si le etame ŋu.
• Hysteroscopy: Wodea endoscope to vidzidɔa me be woakpɔ vidzidɔa.
• Laparoscopy: Woɖea nu sue aɖe ɖe ƒodoa me eye wotsɔa endoscope dea eme be woakpɔ ƒodoa ƒe ŋutinuwo kple vidzidzi ƒe dɔwɔwɔ.
• Laryngoscopy: Wodea endoscope to nu me alo ŋɔti me be woatsɔ alé ŋku ɖe larynx (gbe ƒe aɖaka) ŋu.
• Mediastinoscopy: Woɖea nu sue aɖe ɖe no ƒe ƒu tame be woatsɔ alé ŋku ɖe teƒe si le lãkusiwo dome, si me dzi, nuɖuɖutome, kple yagbɔgbɔ (mediastinum) le.
• Neuroendoscopy: Woɖea nu sue aɖe ɖe taɖua ŋu eye wodoa ahɔhɔ̃a kpɔna.
• Proctoscopy (rigid sigmoidoscopy): Wodea dɔlékuiwutike to aɖuɖɔtoe me be woatsɔ ado aɖuɖɔtoe kple akɔta ƒe akpa si le eme la kpɔ.
• Sigmoidoscopy (flexible sigmoidoscopy): Wotsɔa endoscope dea dɔgboa me be woatsɔ alé ŋku ɖe dɔgbo gã la ƒe akpa si le anyime (sigmoid colon) kple akɔta ƒe akpa ŋu.
• Thoracoscopy (si woyɔna hã be pleuroscopy): Woɖea nu sue aɖe ɖe akɔta tsɔ léa ŋku ɖe lãkusiwo kple teƒe siwo ƒo xlã wo ŋu, siwo dometɔ aɖewoe nye akɔta, yagbɔgbɔ, kple akɔta ƒe gli.
• Ureteroscopy: Wodea endoscope to tsinyegoea me be woakpɔ mɔ̃ siwo tsɔa aɖuɖɔ tso ayiku me yia tsinyegoe me.

Eii! Kpɔ alesi ƒomeviwo li ɖa. Gake wowɔa esiawo katã be wòakpe ɖe ŋuwò nàke ɖe kuxi si tututu le wò ŋutilã me ŋu.

Endoscopy Mɔnu Deŋgɔwo

Fifia la, dzɔdzɔmeŋutinunyalawo le mɔnu yeyewo dim be yewoana dɔlékuiwo me dzodzro sia nanɔ bɔbɔe eye wòagagblẽ nu le ŋutilãa ŋu boo o. Kpɔɖeŋu aɖee nye capsule endoscopy . Esia mebia be nàde mɔ̃ aɖe wò ŋutilã me o. Ke boŋ èmia atikekui sue aɖe, abe vitamin-tike ene. Fotoɖemɔ̃ aɖe le atikekui la me. Ne èmie vɔ la, eɖea foto ne ele wò nuɖuɖutome, dɔgbo, kple dɔgbo suea me tom. Esia kpena ɖe ŋuwò nèkpɔa nuwo abe ʋu si le dodom kple dɔdzẽ ene le wò nuɖuɖumeŋusẽ me.

Nukatae míewɔa endoscopy?

Ðɔktawo zãa endoscopy hena taɖodzinu vevi eve. Ðekae nye be woado nɔnɔme aɖewo kpɔ eye eveliae nye be woakpɔ dɔléle aɖe .

Ðewohĩ èse dɔgbomekpɔkpɔ ŋu nya kpɔ. Enye dɔlékuiwutike si ame geɖe lɔ̃na ŋutɔ, si wotsɔ dea dzesii kaba. Eléa ŋku ɖe dɔdzẽ si le dɔgboa me ŋu.

Viɖe gãtɔ kekeake siwo le endoscopy ŋu le dɔléle aɖe didi me dometɔ ɖekae nye be, abe alesi míegblɔe va yi ene la , ate ŋu axɔ lãmeka aɖe si mesɔ o eye wòaɖoe ɖe dodokpɔxɔ me be woadoe kpɔ (biopsy) . Biopsy sia koe nye mɔ si dzi woato anyae kple kakaɖedzi nenye be kansae loo alo menyee o.

Tsã la, endoscopy koŋue wozãna tsɔ doa ŋutinuwo kpɔna. Gake fifia, wozãa endoscopy hã tsɔ daa dɔléle vovovowo, abe ʋu si dona le dɔgboa me nutsitsi nu ene. Tsã la, ne nane si le abe esia ene dzɔ la, ele be woawɔ dɔ gã aɖe na wò.

Dɔléle kawoe woate ŋu akpɔ to endoscopy dzi?

Endoscopy ate ŋu ade dzesi dɔléle siwo le ɖoɖo siwo gbɔna me:

• Nuɖuɖumeŋusẽ: Dɔgbo me dɔlélewo, dɔgbo me dɔdzẽ, kple dɔgbo me kansa.
• Ta kple kɔ: Mimi ƒe kuxiwo kple lãkusidɔ.
• Ƒunukpeƒewo: Ƒunukpeƒetetedɔ, ƒunukpeƒewo ƒe gbagbã kple ƒunukpeƒewo ƒe ʋuʋu.
• Lãmetsiŋusẽ: Ahɔhɔ̃ me dɔdzẽ.
• Yagbɔgbɔ ƒe ɖoɖo: Aklãdɔ kple dɔlékuiwo.
• Aɖuɖɔtoe ƒe ɖoɖo: Aɖuɖɔtoe me dɔléle (UTIs) kple ayiku me kpewo.
• Vidzidzi ƒe ɖoɖo: Ʋu si dona le vidzidɔ me si mesɔ o, vidzidɔ me dɔléle, kple vidzidzi ƒe kuxiwo.

Dɔdamɔnu to endoscopy dzi

Ne wozã endoscope aɖewo la, ɖɔktawo ate ŋu azã dɔwɔnu tɔxɛwo atsɔ awɔ nuwo abe:

• Abi ƒe dɔyɔyɔ.
• Atikewo zazã.
• Tsi si woɖena ɖa.
• Ʋu si dona le ŋutilãa me nu tsotso.
• Lãmetsi alo dɔdzẽ siwo gblẽ la ɖeɖeɖa.
• Teƒe siwo woxe la ʋuʋu, abɔ kple afɔ siwo xaxa la keke ɖe enu.
• Stents (mɔ̃ sue siwo wodana be ŋutinu si xe alo si gblẽ la nanɔ ʋuʋu ɖi).
• Amekoko.

Le kpɔɖeŋu me, le dɔdamɔnu me la, ɖɔktawo wɔa dɔ to lãɖeɖe sue ŋutɔ geɖe me le esi teƒe be woawɔ dɔ gã ɖeka. Woyɔa esia ɣeaɖewoɣi be safui ƒe do ƒe amekoko . Esia mewɔa nuvevi ame boo o wu amekoko si wowɔna le blema. Mɔnu siae wozãna wu fifia tsɔ daa dɔléle geɖe.

Aleke nèdzrana ɖo ɖe endoscopy ŋu?

Wò dzadzraɖo anɔ te ɖe endoscopy ƒomevi si wɔm nèle dzi. Woate ŋu abia tso asiwò be nàwɔ nuwo abe:

• Na woawɔ dodokpɔ siwo hiã: Hafi woawɔ aɖuɖɔtoe dodokpɔ la, woate ŋu abia tso asiwò be nàwɔ aɖuɖɔtoe dodokpɔ atsɔ akpɔe ɖa be aɖuɖɔtoe me dɔléle (UTI) le ŋuwò hã. Hafi woawɔ fugboe ƒe dodokpɔ la, woate ŋu abia tso asiwò be nàwɔ fufɔfɔ dodokpɔ.
• Gblɔ wò atikewɔwɔ ŋutinya: Ele be nàgblɔ dɔléle bubu ɖesiaɖe si le ŋuwò, atike siwo nèzãna, kple vitaminwo na wò ɖɔkta .
• Nutsitsidɔ: Woabia tso asiwò be mègaɖu nu alo ano naneke gaƒoƒo geɖe hafi woawɔ dɔ na wò o. Ne menye nenema o la, woaxe mɔ na wò le nusi nàte ŋu aɖu alo ano nu.
• Klɔ wò dɔgbo ŋu: Hafi woawɔ dɔgbomekpɔkpɔ alo dɔgbomekpɔkpɔ la, woyɔnɛ be dɔgbo dzadzraɖo. Esia fia be woaɖe aɖuɖɔwo katã ɖa.
• Dzudzɔ atike aɖewo nono: Ðewohĩ ahiã be woadzudzɔ atike siwo nana ʋua me mekɔna o, abe warfarin (Coumadin® alo Jantoven®) kple aspirin ene, ŋkeke ʋɛ aɖewo do ŋgɔ na dodokpɔa. Ðewohĩ ahiã hã be nàtrɔ atike bubu siwo nèzãna ŋkeke ʋɛ aɖewo. Kpɔ egbɔ be yewɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
• Dzudzɔ atamanono: Woate ŋu abia tso asiwò be nàdzudzɔ atamanono kple atamanono hafi adoe kpɔ.
• Wɔ ɖoɖo be ame aɖe naku wò ayi aƒeme: Ne wona atike si naa ame ƒe dzi dzea eme alo atike si naa alɔ̃dɔdɔ wò le dodokpɔa wɔɣi la, màte ŋu aku ʋu ne èyi aƒeme gbemagbe ke o. Eyata zi geɖe la, ahiã be nàwɔ ɖoɖo be ame aɖe natsɔ ʋu ayi aƒemee.

Nukae dzɔna le dɔlékuiwo me toto me? Ðe wòvea amea?

Zi geɖe la, endoscopy xɔa miniti 30 va ɖo gaƒoƒo 2 hafi wowɔa dɔa. Esia toa vovo le dodokpɔa ƒomevi nu. Ame akpa gãtɔ yia aƒeme gbemagbe ke wowɔa woƒe dɔgbomekpɔmɔ̃. Gake dɔdamɔnu aɖewo siwo wowɔna tsɔ léa ŋku ɖe dɔlékuiwo ŋu bia be woanɔ kɔdzi zã bliboa.

Le dɔlékuiwo ƒe dɔwɔwɔ akpa gãtɔ gome la, ɖɔktawo zãa atike si naa ame ƒe dzi dzea eme si sɔ . Esia fia be àdɔ alɔ̃ le dɔa wɔwɔ me eye màse veve aɖeke o.. Le nɔnɔme siwo mebɔ kura o me la, ehiã be woaɖe amewo ɖa keŋkeŋ (`(General anesthesia)`) (si fia be woade gbɔgbɔtsixe ƒe mɔ̃ `(Intubation)`). Woateŋu ana ame aɖewo atike si naa teƒe aɖe ko ƒe lãme gbãna (`(Local anesthesia)`) evɔ womadɔa alɔ̃ o, kple atike si naa woƒe dzi dzea eme (`(Sedative)`).

Ne ènya se le ɖokuiwò me be yeɖe dzi ɖi ŋutɔ alo dɔ alɔ̃ ko la, ɖɔktaa ade dɔlékuiwutikea eme vivivi vaseɖe esime wòaɖo teƒe si wodi be yewoadoe kpɔ. Emegbe, woatrɔ asi le eŋu ahalé ŋku ɖe ŋutinu kple akpa siwo wodi be yewoalé ŋku ɖo ŋu le mɔ̃ si léa ŋku ɖe nu ŋu dzi. Ne nanewo mesɔ o la, woaŋlɔ wo ɖi eye ne ehiã la, woatsɔ lãkusi aɖe alo awɔ atike nɛ.

Ne woɖe lã aɖe la, wotua eŋu.

Ðe wòave amea? Ao, le atike si naa ame ƒe lãme gbãna ta la, màse veve aɖeke le dodokpɔa wɔɣi o. Le dodokpɔ aɖewo me, abe dɔgbomekpɔkpɔ ene la, àte ŋu ase le ɖokuiwò me be yeƒe lãme gbã vie ne wotsɔ mɔ̃a de eme. Gake ema nu yina kaba.

Nukae dzɔna le endoscopy megbe?

Wò atikewɔlawo ƒe ƒuƒoƒoa alé ŋku ɖe wò dzesi veviwo ŋu. Àte ŋu ase le ɖokuiwò me be alɔ̃ le ye wum vie le alɔ̃dɔtikea ta. Gake ame akpa gãtɔ yia aƒeme gbemagbe ke. Ahiã be nàɖɔ ŋu ɖo vie gbemagbe eye nàƒo asa na dɔ sesẽ wɔwɔ.

Le endoscopy ƒomevi si wowɔ na wò nu la, bia wò ɖɔkta nusi nàkpɔ mɔ na le wò hayahaya me.

Ðe eƒe nugbegblẽ le ame ŋu aɖewo lia?

Nusiwo wògblẽna le ame ŋu ƒe akpa gãtɔ nyona ɖe edzi le ŋkeke eve alo etɔ̃ gbãtɔawo me . Wonɔa te ɖe dodokpɔ si ƒomevi wowɔ kple afisi wotsɔ endoscope la de eme dzi. Le kpɔɖeŋu me, ne wotsɔ endoscope la de ŋɔti me la, àte ŋu ase ɣlidodo kple ŋɔti me veve vie. Ne wotsɔ dɔgbowo me de dɔgboa me la, àte ŋu ase le ɖokuiwò me be yeƒe lãme yɔ fũ, yeƒe dɔgbo natsi, eye yeƒe lãme nasẽ.

Wò ɖɔkta agblɔ alesi nàɖe vevesese siawo dzi akpɔtɔ eye wòana vevesesenutsitikewo wò ne ehiã.

Ɣeyiɣi didi kae wòxɔna hafi míenyaa emetsonuwo?

Wò ɖɔkta agblɔ ɣeyiɣi si nàte ŋu akpɔ mɔ be yeanya emetsonuwo na wò. Woate ŋu aƒo nu tso eŋu na wò gbemagbe ke, alo woate ŋu abia tso asiwò be nàtrɔ ava le ŋkeke bubu dzi adzro emetsonuwo me.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Endoscopy nye dɔdamɔnu si bɔ si wobuna be mele dedie o . Gake le go siwo mebɔ o me la, kuxiwo abe abixɔxɔ le ememe kple dɔlékuiwo ene ate ŋu ado mo ɖa. Ne èdo go nusiwo gbɔna dometɔ aɖe la , yɔ wò ɖɔkta enumake :

• Dɔlékui ƒe dzesiwo: dzoxɔxɔ, vuvɔ, kple ʋuʋu. Ne teƒe si wotsoe la biã eye wòvuvu.
• Ne aɖuɖɔa nye yibɔ eye wònye tarry .
• Ne vevesese sesẽ alo ʋu le dodom le afisi wotsoe ta.
• Ne kɔdzidɔ alo kɔdzidɔ le ʋu ŋu atraɖii .
• Ne gbɔgbɔ sesẽ na wò la .
• Ne akɔta le veve sem na wò la .

Ðe nèkua drɔ̃e hã tso endoscopy ŋua?

Enɔ te ɖe dodokpɔ si wɔm wole dzi. Le dodokpɔ siwo ku ɖe wò nuɖuɖumeŋusẽ ŋu (Gastrointestinal tract - GI tract) gome la, àte ŋu anɔ alɔ̃ dɔm. Le ƒomevi bubu aɖewo gome la, àte ŋu anɔ ŋudzɔ, gake woate ŋu ana atike wò be wòaɖe vevesesea dzi akpɔtɔ.

Wò ɖɔkta aɖe eme na wò nenye be àdɔ alɔ̃ le dodokpɔa wɔɣi alo màdɔ alɔ̃ o.

Ne wona vevesesenutsitikewo wò hã la, ɖewohĩ mɔ̃ aɖe dede wò ŋutilã me madze nu dodzidzɔname aɖeke o. Gake bu viɖe siwo le eme ŋu kpɔ. Ɣeaɖewoɣi la, dodokpɔ bɔbɔe aɖe abe ultrasound ene gɔ̃ hã ate ŋu aɖe dɔléle aɖe si woato la afia kɔte. Ne edzɔ alea la, mahiã be nàtrɔ ayi ɖɔkta gbɔ aɖawɔ dodokpɔ bubuwo o. Woate ŋu awɔ biopsies aɖewo ne wozã endoscopy ko. Fifia endoscopy ye nye dɔléle aɖewo dada nyuitɔ kekeake. Ate ŋu ana amekoko nawɔ kaba eye wòaɖe ɣeyiɣi si woatsɔ ahaya dzi akpɔtɔ.

Nu vevitɔ kekeake siwo wòle be nànya (Take-Home Message) .

Anɔ abe miniti 30 ene koe endoscopy ƒe dɔwɔwɔ akpa gãtɔ xɔa . Zi geɖe la, àte ŋu ayi aƒeme gbemagbe ke. Nu vevitɔe nye be nàɖo ŋku edzi be ne èwɔ dɔ sia ƒomevi la, ke èle wò lãmesẽ dzi kpɔm. Mehiã be nàvɔ̃ o . Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò la, ƒo nu kple wò ɖɔkta. Ema akpe ɖe ŋuwò nàse le ɖokuiwò me be yeƒe dzi dze eme wu.

Eya ta, ne ele be woawɔ dɔ na wò le dɔgboa me la, dzra ɖo ɖe eŋu nyuie, wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi, eye nusianu anyo!

` Endoscopy, Endoscopy, Diagnostics, Ememe dodokpɔ, Dɔdamɔnu si menye amekoko o, Atikewɔwɔ dodokpɔwo