Le kwasiɖa si va yi me, esi nye atikewɔƒea nɔ nuwuwu gogom la, ɖekakpui aɖe si xɔ ƒe 19 ge ɖe atikewɔƒea, eye wòlé eƒe dɔme sesĩe henɔ hũ ɖem. Eŋkɔe nye Tharindu. Tharindu nɔ kuxi me tom le tsitretsitsi dzɔdzɔe gɔ̃ hã me.
"Ðɔkta Priya, le zã si va yi me la, vevesese fafɛ aɖe nɔ ŋunye ƒo xlã nye akɔta. Gake tso ŋdi sia la, vevesesea trɔ yi nye ƒodo ƒe akpa si le anyime ƒe ɖusime, eye nyemate ŋu ado dzi atsɔe o. Mele ʋuʋum hã eye asrã le ŋunye," Tharindu ɖe eme kple sesẽ.
Esi metsɔ Tharindu mlɔ dodokpɔkplɔ̃a dzi eye mete eƒe ƒodo ƒe ɖusime blewuu (McBurney ƒe Teƒe) ko la, edo ɣli le vevesese ta.
Enumake megblɔ be, "Taridu, menye dɔgbo ƒe veve si sɔ o. Esia nye acute appendicitis . Esia le alea elabena appendix , si nye mɔ̃ sue aɖe si le abe asibidɛ ene le míaƒe dɔgbo gã la ƒe gɔmedzedze la, xɔ dɔ eye wòvuvu. Ele be míadzra wò ɖo na amekoko enumake. Elabena ne womeɖe esia ɖa kaba o la, appendix ate ŋu agbã le eme ƒodo me."
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🚨 Aflaga Dzĩ siwo hiã be woaxɔ ame ɖe kɔdzi enumake
Appendicitis nye atikewɔwɔ kpata si hiã be woakpɔ egbɔ enumake. Ne èkpɔ dzesi siwo gbɔna la, ele be nàyi kɔdzi gã si te ɖe ŋuwò ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ kaba, elabena ɖewohĩ megbeƒua vuvu:
- Vevesese le ɖusime ƒodo ƒe akpa si le anyime la kaka ɖe ƒodo bliboa me zi ɖeka (dzesi vevi aɖe si fia be ƒunukpeƒetetedɔa gbã).
- Asrã sesẽ si me ʋuʋudedi kple ʋuʋudedi madzudzɔmadzudzɔe le.
- Ƒodoa senɛ le eɖokui me be yele ƒoƒom, vuvu, eye wòle veve sem, si wɔe be womate ŋu aka asi eŋu gɔ̃ hã o.
- Dzi ƒe tsotso kabakaba, gbɔgbɔ sesẽ, eye wòsena le eɖokui me be yegbɔdzɔ.
Nukatae appendicitis dzɔna?
Aɖuɖɔtoe nye mɔ̃ sue aɖe si wotu ɖe eƒe nugbɔ ɖeka eye wòle míaƒe nuɖuɖumeŋusẽ ƒe akpa si le anyime le ɖusime.
Ne aɖuɖɔ (fecalith), dɔlékui alo dɔlékui ƒe dɔléle, alo ʋuka siwo vuvu xe mɔ na mɔ̃ sia la, ʋuka si me ʋu sina tona ƒe ʋuʋu va xe keŋkeŋ.
Dɔlékuiwo tsina kabakaba le lãkusi si xe la me, si wɔnɛ be ʋuʋudedi sesẽ aɖe si yɔ fũ kple ʋuʋudedi. Esia nana ʋu sina yia teƒea dzi kpɔtɔna, si wɔnɛ be mlɔeba la, ƒunukpeƒea gbãna hegbãna. Emegbe ʋuʋudedi kple dɔlékuiawo kaka ɖe ƒodoa katã me, si na dɔlékui aɖe si ate ŋu awu ame si woyɔna be peritonitis .
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Appendicitis ƒe vevesese ɖea nɔnɔme bubu fiana wu dɔgbo ƒe vevesese si bɔ:
1. Dzedzeme: Vevesesea dzena gbã abe vevesese fafɛ aɖe le ƒodo titina, ƒo xlã ƒodoa ene.
2. Kaka: Le gaƒoƒo ʋɛ aɖewo me la, vevesese sia ʋuna yia ƒodoa ƒe ɖusime ƒe akpa si le anyime.
3. Dzidziɖedzi:Vevesesea dzina ɖe edzi ŋutɔ ne wole akɔta ƒom, le zɔzɔm, le anyigba ƒom, alo ne wole ƒodoa ƒe ɖusime tem heɖe asi la ɖa (rebound tenderness).
4. Dzesi bubuwo: Nuɖuɖu megadzroa ame kura o, lãmetutudɔ, ʋuʋudedi, kple dzoxɔxɔ si nu mesẽ o.
Amekoko si wowɔna na ƒunukpeƒetetedɔ (Appendicectomy) .
Atike ɖeka kolia si woate ŋu azã tegbee na ƒunukpeƒetetedɔe nye be woawɔ dɔ na amekoko be woaɖe ƒunukpeƒetetedɔ si ŋu dɔlélea le la ɖa. Woyɔa amekoko sia be appendicectomy .
Fifia la, wozãa amekokomɔnu vevi eve tsɔ wɔa esia:
- Laparoscopic Surgery / Keyhole Surgery: Egbegbe amekoko si wowɔna to lãɖeɖe sue siwo ade 3 me le ƒodoa me to fotoɖemɔ̃ kple dɔwɔnu deŋgɔwo zazã me. Vevesesea le sue ŋutɔ eye abi aɖeke mele eŋu o. Dɔnɔa ate ŋu ahaya kaba eye wòatrɔ ayi aƒeme.
- Amekoko le Gaglãgbe: Le nɔnɔme sesẽ siwo me ƒunukpeƒea vuvu eye dɔlékui kaka ɖe ƒodo bliboa me la, esia nye amekoko si wowɔna le kɔnu nu to ƒodoa ƒe axadzi si ƒe didime nye sentimeta 5-10 me. Esia bia be woanɔ kɔdzi ŋkeke ʋɛ aɖewo hafi ahaya.
Nusiwo Nàwɔ & Nusiwo Nàwɔ O
| ✔️ Nusiwo woawɔ (Wowɔ) . | ❌ Mègawɔe o |
|---|---|
| Ne wosusu be ƒunukpeƒetetedɔ le ame ŋu la, dzudzɔ nuɖuɖu kple nunono enumake (Nil to nu me). Esia le vevie na atike si naa alɔ̃dɔdɔ ame hena amekoko kpata. | Mègano vevesesenutsitikewo ɖɔkta ƒe atikewɔmɔnu manɔmee be wòaɖe dɔgboa ƒe vevesese dzi akpɔtɔ o. Esia ate ŋu atsyɔ dzesiawo dzi eye wòahe dɔlélea didi ɖe megbe. |
| Kplɔ dɔnɔa yi kɔdzi gã si te ɖe ŋuwò ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ enumake ne ƒodo me veve aɖe si ŋu ɖikeke le. | Mègana enema, aɖuɖɔtoemetike, alo tsi dzodzoe ƒe aŋetuwo gbeɖe be wòaxɔ dzo na wò dɔgbo o elabena èsusu be enye nuɖuɖumadzroame. Esiawo ate ŋu ana wò akɔta ƒe gbagbã ƒe afɔkua nadzi ɖe edzi ŋutɔ. |
| No dɔlékuiwutike siwo ɖɔkta ŋlɔ na wò la ƒe agbɔsɔsɔ bliboa le amekoko vɔ megbe. | Ƒo asa na kpekpeme kɔkɔ, duƒuƒu, alo kamedede sesẽ le kwasiɖa eve gbãtɔ siwo le amekokoa megbe. |
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