Ðe nusiwo léna ɖe ŋuwò abe esia ene le wò dɔgbo mea? Mina míasrɔ̃ nu tso (Abdominal Adhesions) ŋu!

Ðe wowɔ dɔ na wò le ƒodo kpɔa? Alo ɖe wòxɔe le xɔ̃wòwo alo ƒometɔwo dometɔ aɖe ŋua? Ɣeaɖewoɣi la, ame mawo tɔgbe ate ŋu axɔ nu suesuesue siwo léna ɖe woƒe dɔgbo me. Egbea, míaƒo nu tso nɔnɔme aɖe si woyɔna be Abdominal Adhesions ŋu.

Nukawoe nye ƒodo ƒe nulénu siawo? Mina míaɖe eme pɛpɛpɛ!

Kpuie ko la, nusiwo léna ɖe nu ŋu nye abi ƒe lãkusi siwo dzɔna le wò ƒodo me, ŋutinu siwo le wò ƒodo me dome, alo ŋutinu aɖe kple ƒodo ƒe gli dome. Ne míagblɔe tututu la, wodzɔna ne abi bubu haya, abe alesi ko abi dzɔna ne míaƒe ŋutigbalẽ xɔ abi ene.

Bu eŋu kpɔ, ŋutinu vevi geɖewo le wò dɔgbo me.

• Míaƒe nuɖuɖumeŋusẽ , si nye nuwo abe dɔgbo , dɔgbo sue, kple dɔgbo gã ene.
• Nyɔnu ƒe vidzidzi ŋutinuwo nye nyɔnu ƒe vidzidzi ƒe ŋutinuwo .
• Ayikuwo, adrenal glands.
• Aklã .
• Dɔgbo .
• Aɖuɖɔtoe .

Esiawoe nye teƒe siwo nusiwo léna ɖe nu ŋu dzɔna le zi geɖe. Wobɔ ɖe dɔgbo suea me koŋ . Nusiwo léna ɖe ame ŋu siawo dzɔna ne abi, dɔlékui, alo dɔdzẽ le ƒodoa me. Megawɔ nuku na wò o, ɣeaɖewoɣi la, woate ŋu adzɔ le amekoko me gɔ̃ hã, ne wole asi kam ŋutinuawo ŋu gɔ̃ hã. Le nyateƒe me la, wokpɔa nusiwo léna ɖe ame ŋu siawo wu le ƒodo ƒe dɔwɔwɔ vɔ megbe. Abi sia dzɔna abe ŋutilãa ƒe dzɔdzɔme dɔyɔyɔ ƒe akpa aɖe ene, eye ɣeaɖewoɣi la, lãkusiawo tea ƒoƒo ɖe wo nɔewo ŋu.

Aleke gbegbee numame siawo bɔe? Ðe ame sia ame xɔa woa?

Le nyateƒe me la, ame geɖe siwo wowɔ dɔ na le ƒodo me la va zua nusiwo léna ɖe wo nɔewo ŋu siawo. Enye nugbegblẽ le ame ŋu si bɔ wu . Ke hã, dzesi aɖeke mele ame geɖe ŋu o eye mehiã be woawɔ atike na wo o.

Gake, nu bubu aɖe hã li. Nusiwo léna ɖe nu ŋu siawo koŋue nana dɔgbo suea xena . Dɔgbo sue ƒe xexe nye dɔléle sesẽ aɖe si hiã be woakpɔ egbɔ kpata. Efia be dɔgboa xena keŋkeŋ alo eƒe akpa aɖe.

Dzesi kawoe ate ŋu ado mo ɖa ne nusiwo lé ɖe dɔgboa ŋu?

Zi geɖe la, abe alesi megblɔe va yi ene la, nusiwo léna ɖe nu ŋu siawo mehea dzesi aɖeke vɛ o . Ðewohĩ mànya gɔ̃ hã be wole ye si o.

Gake ɣeaɖewoɣi la, nusiwo léna ɖe nu siawo ŋu ate ŋu ana wò dɔgbowo natrɔ ɖe wo nɔewo ŋu. Ele abe tsi ƒe pɔmpi aɖe si le tsia dzi ene. Esia ate ŋu adzɔ kaba le amekoko vɔ megbe, alo ate ŋu adzɔ le ƒe geɖe megbe. Esiae nye ɣeyiɣi si me dɔgbo sue si xea mɔ na dɔgbo sue si ŋu meƒo nu tsoe la dzɔna.

Ne wò dɔgbowo xe la, nuɖuɖu, tsi, ya, kple gbeɖuɖɔ mate ŋu ato wo me o. Àte ŋu akpɔ dzesiwo abe:

• Àte ŋu axɔ dɔgbo vevie .
• Àte ŋu ase le ɖokuiwò me be yeƒe dɔgbo le ƒoƒom alo anɔ veve sem.
• Ʋuʋudedi ate ŋu adzɔ.
• Aɖuɖɔtoe kple ʋuʋudedi ate ŋu adzɔ.
• Dɔgbo ate ŋu ado ɖe ŋgɔ (ƒodo ƒe keke).
• Nɔnɔmewo abe ya si mete ŋu toa ame ŋu o kple aɖuɖɔtoe ƒe ŋutetemanɔamesi (tsitretsitsi) ate ŋu ado mo ɖa.

Vevietɔ: Ne dɔgbo ƒe ʋuʋu ƒe dzesi siawo le ŋuwò la, ele be nàyi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake . Esia ate ŋu ade ame ƒe agbe afɔku me ne womewɔ atike nɛ enumake o.

Nukatae ƒodo me nu siawo siwo léna ɖe ame ŋu la dzɔna? Nukawoe gbɔ wòtsona?

Ƒodo ƒe ʋuʋu dzɔna ne wò ŋutilã dzra lãmenugbagbevi siwo gblẽ le wò ƒodo ƒe do me ɖo. Wole abe abi siwo dzɔna ɖe wò ŋutilã me ene. Ne ŋutinu alo lãkusi aɖe si le wò ƒodo me gblẽ la, wò dɔlélenutsiŋutete ana dɔdzẽ naɖɔ lãmenugbagbevi ma ɖo. Abe dɔyɔyɔ sia ƒe akpa aɖe ene la, abi ƒe lãkusi dzɔna ɖe lãkusi si gblẽ la dzi.

Bu eŋu kpɔ, ne èklo wò klo eye nètsoe la, abi la nu ayi le ɣeyiɣi aɖe megbe eye màde dzesii gɔ̃ hã be ele afima o. Gake menye ɖeko nu siawo siwo léna ɖe dɔgboa me la nu yina o. Ke boŋ anyigba siwo gblẽ la ate ŋu alé ɖe wo nɔewo ŋu.

Wogblɔ be ƒodo ƒe amekoko gbɔe wòtsona be dɔlékuiwo léna ɖe ame ŋu siwo wokpɔ la dometɔ siwo ade 75% tsona . Gake woate ŋu adze egɔme abe abi, atikewɔwɔ, alo atikewɔwɔ ɖesiaɖe si ana ƒodoa navuvu la ƒe ŋuɖoɖo ene. Le kpɔɖeŋu me:

• Dɔlékui siwo le ƒodo alo akɔta.
• Appendicitis ƒe dɔléle.
• Crohn ƒe dɔlélea.
• Diverticulitis ƒe dɔléle.
• Endometriosis ƒe dɔléle.
• Akɔta ƒe dɔléle (PID).
• Kekeli ƒe atikewɔwɔ na wò ƒodo (kansa dada).
• Peritoneal dialysis (ayiku ƒe dɔmawɔmawɔ nyuie ƒe atike).

Amekawoe le afɔku me wu be woaxɔ nusiawo?

Afɔku gãtɔ kekeake si ate ŋu ana ƒodo nalé ɖe ame ŋue nye be woawɔ dɔ na ame le ƒodo me . Etɔxɛe:

• Amekoko le gaglãgbe (Laparotomy):Esiawo lɔ lãɖeɖe gã ɖeka ɖe eme. Adhesion siawo dzɔna le amekoko siwo wowɔna le gaglãgbe ƒe 90% kple edzivɔ me.
• Afɔku si le nusiwo léna ɖe nu siawo ŋu me la dzi ɖena kpɔtɔna vie le amekoko to dɔgbo me , elabena le amekoko to dɔgbo me la, amekolawo wɔa dɔa to lãɖeɖe sue geɖe me tsɔ wu be woawɔ dɔ gã ɖeka.
• Amekoko siwo wowɔna na ŋutinu siwo le wò nuɖuɖumeŋusẽ ƒe akpa si le anyime, abe dɔgbo kple dɔgbo ene .
• Zi nenie wowɔ dɔ na wò ƒodo?
• Amekoko kpata.

Kuxi kawoe ate ŋu ado tso ƒodo ƒe ƒoƒo siawo me? Ðe afɔku le wo mea?

Nusiwo léna ɖe nu ŋu ƒe akpa gãtɔ mehea kuxi aɖeke vɛ o. Gake ne kuxi aɖe do mo ɖa la, kuxiawo ate ŋu alolo ŋutɔ.

Kuxi siwo ate ŋu ado tso eme ate ŋu anye:

• Dɔgbo sue ƒe xexe: Abi ƒe lãkusi sia ate ŋu ana dɔgbo suea ƒe kawo natrɔ alo woaxe, si ana wòaxe. Ne womedae enumake o la, mɔxexe sia ate ŋu ana woaxɔ dɔlékui si ate ŋu awu ame si woyɔna be peritonitis .
• Vevesese atraɖii: Nusiwo léna ɖe nu ŋu siawo ate ŋu ana wò ŋutinuwo nagaʋuʋu faa o. Esia ate ŋu ana wò akɔta alo ƒodo nase veve ɣeyiɣi didi.
• Vidzidzimakpɔmakpɔ: Nusiwo léna ɖe nu ŋu hã ate ŋu ana ame nazu vidzidzi. Abi sia ate ŋu ana azi kple tsinyenye nagado go o, si axe mɔ na fufɔfɔ. Afi si le vidzidɔa me ate ŋu axe mɔ na azi (fugboe) si me vidzidɔ le be wòagage ɖe vidzidɔa ƒe gli me o. Wogayɔa nusiwo léna ɖe vidzidɔa me siawo be vidzidɔa me ƒoƒo , alo Asherman ƒe dɔléle .

Aleke ɖɔktawo dea dzesi esia?

Wò ɖɔkta abia nya wò tso wò dzesiwo kple wò atikewɔwɔ ŋutinya ŋu. Ne dzesiwo le ŋuwò abe ƒodo ƒe vevesese ene, eye ne wowɔ dɔ na wò va yi le ƒodo me la, wò ɖɔkta ate ŋu asusui be nusiwo léna ɖe nu siawo ŋu.

Gake nɔnɔmetatawo ɖeɖe ƒe mɔ̃ɖaŋununya, i.e. scans, mate ŋu ade dzesi nusiwo lé ɖe dɔgboa me tẽ o. Gake dodokpɔ siawo ate ŋu ade dzesi dɔgbo ƒe mɔxenu siwo ate ŋu ado ƒome kple nusiwo lé ɖe wo nɔewo ŋu.

• X-ray kple CT scan siwo woɖe le wò ƒodo ŋu ate ŋu aɖee afia be wò dɔgbo suea xe. CT-dɔdamɔnu hã ate ŋu anya alesi gbegbe mɔxenua nu sẽe.
• Dodokpɔ si woyɔna be hysterosalpingogram (HSG) ate ŋu aɖee afia be wò vidzidɔ alo vidzidɔ ƒe ʋukawo xe.

Mɔ ɖeka kolia si dzi nàto anya kple kakaɖedzi nenye be adhesions le ŋuwò ŋutɔŋutɔe nye be nàwɔ dɔ na wò .

Ðe nèhiã atikewɔwɔ na dɔgbo ƒe ʋuʋua?

Adhesion geɖe meɖea dzesi aɖeke fiana o eyata mehiã be woawɔ atike nɛ o.

Azɔ hã, amekoko geɖe ate ŋu ana ame nalé ɖe eŋu geɖe wu. Bu eŋu ale: Wò amekola ate ŋu atso lãkusi siwo lé ɖe wo nɔewo ŋu la eye "aɖe wo ɖa". Gake ne amekokoa wu enu ko la, mɔ aɖeke meli si dzi woato axe mɔ na lãmenugbagbeviawo be woagalé ɖe wo nɔewo ŋu ake o.

Eyata anɔ eme be wò ɖɔkta aƒo asa na amekoko negbe ɖe atikewɔwɔ me kuxi sesẽ aɖe, abe dɔgbo ƒe xexe ene, do mo ɖa hafi. Ðewohĩ ahiã be woawɔ dɔ na wò hã be woaɖe vidzidɔa ƒe nutete siwo le mɔ xem na wò be màgadzi vi o la ɖa.

Ðe mɔ aɖe li si dzi woato axe mɔ na dɔgbo ƒe nulénu siawo be woagadzɔ oa?

Ne míagblɔe tututu la, naneke meli koŋ si wò ŋutɔ alo wò amekolaa ate ŋu awɔ be dɔgboa megaléna ɖe nu ŋu o.

Gake ʋuʋudediawo nɔa sue wu le amekoko to dɔgboa me, eyata womete ŋu léa nu ɖe ​​wo nɔewo ŋu boo o. Eyata amekolawo le amekoko to dɔgboa me tiam fifia wu amekoko si woawɔ le gaglãgbe na ƒodo ƒe amekoko geɖe.

Azɔ hã, wò amekola ate ŋu ade mɔxenuwo lãkusiawo dome le amekokoa me be woagalé ɖe wo nɔewo ŋu o le abi ƒe lãkusiwo ta. Mɔxenu siawo le nu sesẽwo, tsiwo, gelũhɛwo, kple atike siwo wotsɔna ƒua gbe siwo ƒoa ƒu ɖe ŋutilãa me la me. Gake ne mɔxenu siawo li gɔ̃ hã la, abi ƒe lãkusiwo ƒe wɔwɔme nye dɔyɔyɔ ƒe akpa aɖe si womate ŋu aƒo asa na o.

Numekukuwo yi edzi le egbɔkpɔnu siwo ate ŋu aɖe kuxi siwo nulénu siawo hena vɛ dzi akpɔtɔ la dim.

Nukae nye etsɔme na amesi ŋu dɔléle sia le?

Ne nu geɖe le wò dɔgbo me gɔ̃ hã la, ɖewohĩ dzesi aɖeke madze le ŋuwò gbeɖe o. Gake ne dɔgboa xe wò atraɖii, alo ne èxe keŋkeŋ la, ate ŋu ahiã be woawɔ dɔ na wò.

Ðe dɔgbo ƒe ƒoƒo nu yina le ɣeyiɣi aɖe megbea?

Dɔgbo ƒe ƒoƒo aɖewo ate ŋu anyo ɖe edzi le ɣeyiɣi aɖe megbe. Eye, negbe ɖe wole kuxiwo hem vɛ ko la, zi geɖe la, ɖɔktawo meɖea wo ɖa o.

Gake ɣeaɖewoɣi la, ehiãna be woawɔ dɔ nɛ, ne afɔku li be woagalé ɖe wo nɔewo ŋu ake gɔ̃ hã. Wò ɖɔkta akpe ɖe ŋuwò nàtso nya me le amekoko ƒe viɖe kple kuxiwo ŋu, le wò dzesiwo nu.

Nukae woate ŋu awɔ na vevesese si ƒodo ƒe ʋuʋu hena vɛ?

Ðewohĩ wò ɖɔkta aɖo vevesesenutsitike siwo nàte ŋu aƒle le atikedzraƒe.

Numekuku aɖewo ɖee fia be kamededemɔnu aɖe si woyɔna be lãmeka falɛfalɛwo ƒe ʋuʋu ate ŋu akpe ɖe ame ŋu be wòaɖe vevesese si dona tso lãmeka siwo léna ɖe ame ŋu me dzi akpɔtɔ. Gake ehiã be woagawɔ numekuku geɖe wu be woase viɖe siwo le atikewɔwɔ sia ŋu gɔme.

Ðe woate ŋu aɖe abi ƒe lãkusi (adhesions) sia si le dɔgboa ŋu la ɖaa?

Mɔ ɖeka kolia si dzi woato agbã abi ƒe lãkusi sia, alo nusiwo léna ɖe nu ŋu, enye be woawɔ dɔ na wo . Wò ɖɔkta aƒo nu tso viɖe siwo ate ŋu ado tso amekoko me kple afɔku siwo ate ŋu ado tso eme ŋu na wò, le wò dzesiwo nu.

Ðe nuɖuɖu alo nunono aɖewo li siwo wòle be nàƒo asa na ne nulɔdɔ le ŋuwòa?

Nuɖuɖu "vɔ̃ɖi" aɖeke koŋ meli si wòle be nàƒo asa na ne nusiwo léna ɖe nu ŋu le ŋuwò o. Gake ne dɔléle aɖe le ŋuwò abe dɔgbo ƒe akpa aɖe ƒe xexe ene la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔeWogblɔ be eɖua nuɖuɖu fafɛwo alo nuɖuɖu siwo me fibre mesɔ gbɔ ɖo o. Esia le alea elabena nuɖuɖu mawo te ŋu toa wò dɔgbowo me bɔbɔe wu.

Ɣekaɣie wòle be madi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne dɔgbo le veve sem na wò si womenya o, alo ne esesẽ na wò be nàto aɖuɖɔ alo gas me la, yi wò ɖɔkta gbɔ enumake. Ðewohĩ nusiwo léna ɖe ŋuwò alo wò dɔgbo naxe.

Dɔgbo ƒe xexe keŋkeŋ ate ŋu ade ame ƒe agbe afɔku me! Ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò la, yi atikewɔƒe kpata enumake:

• Dɔgbo ƒe vevesese sesẽ alo ƒodo ƒe ʋuʋu.
• Fuɖename alo vuvu ɖedzesi aɖe.
• Aɖuɖɔtoe alo ʋuʋudedi.

Ebɔ be dɔgbo nalé ɖe ame ŋu le ƒodo ƒe dɔwɔwɔ vɔ megbe. Dzɔgbenyuietɔe la, nusiwo léna ɖe nu ŋu akpa gãtɔ mehea kuxi aɖeke vɛ gbeɖe o. Gake ne èkpɔ dzesi siwo fia be dɔgboa xe mɔ na wò, abe ƒodo me veve, gas dodo sesẽ, alo dɔgbo ƒe ʋuʋu ene la, yi atikewɔƒe kpata enumake. Lãmetsi sia si le abe abi ene ate ŋu ahe kuxiwo vɛ kokoko le ƒe geɖe le amekoko megbe. Nuxlɔ̃amedzesiwo nyanya ate ŋu akpe ɖe ŋuwò nàxɔ kpekpeɖeŋu kaba.

Mlɔeba la, nu vevitɔ kekeake si dzi nàɖo ŋkui (Take-Home Message) .

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe nu la, esiawoe nye nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui:

• Ebɔ ŋutɔ be nusiwo léna ɖe ame ŋu abe esia ene nadzɔ le ƒodo ƒe dɔwɔwɔ vɔ megbe.
• Ke hã, ame akpa gãtɔ mekpɔa dzesi alo kuxi aɖeke tso esia me o, eyata mègatsi dzi o.
• Nu vevitɔe nye be nànya nuxlɔ̃amedzesiwo (ƒodo me vevesese sesẽ, ʋuʋudedi, ʋuʋudedi, kple dɔgbo ƒe ʋuʋu) siwo ate ŋu ado mo ɖa ne nusiwo lé ɖe ame ŋu siawo na nane abe dɔgbo ƒe xexe ene.
• Ne dzesi mawo do mo ɖa la, ate ŋu axɔ ame ɖe agbe be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake evɔ màgblẽ ɣeyiɣi o .
• Hafi woawɔ dɔ na wò la, ƒo nu kple wò ɖɔkta tso nusiwo léna ɖe ame ŋu siawo ŋu. Bia nenye be dɔdamɔnu siwo nye laparoscopy ate ŋu aɖe afɔkua dzi akpɔtɔ hã.

Eyata, mele mɔ kpɔm be nyatakaka sia aɖe vi na wò. Nɔ lãmesẽ me!