Ðe wowɔ dɔ na wò nyitsɔ laa, vevietɔ dɔ na wò ƒodoa? Alo ɖe ƒodo me vevesese si womate ŋu aɖe o alo hehe ƒe seselelãme aɖe nɔa ŋuwò zi geɖea? Ɣeaɖewoɣi la, nusi gbɔ wòtso ate ŋu anye nane si ŋu mèbuna gɔ̃ hã o. Enye ŋutinuwo ƒe ƒoƒo ɖe ŋutilãa me. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be ‘adhesions’. Ðewohĩ ŋkɔa nye nu yeye na wò, gake esia nye nɔnɔme si bɔ wu alesi nèsusui. Eyata mina míaƒo nu tso wo katã ŋu le nya bɔbɔewo me egbea.
Nuka tututue nye adhesions?
Kpuie ko la, nusiwo léna ɖe nu ŋu nye
abi siwo dzɔna le míaƒe ŋutilã me . Bu eŋu kpɔ ne wotso wò ŋutigbalẽ le afi aɖe, eye ne abi la haya vɔ la, abi aɖe gakpɔtɔ le afima, alo? Nenema ke adhesions nye abi ƒe lãkusi si dzɔna le ŋutinu eve siwo le ŋutilãa me dome, le teƒe eve siwo mewɔ ɖeka le dzɔdzɔme nu o dome. Esiawo ate ŋu anɔ tsɛ abe cellophane gbadzɛ ene ɣeaɖewoɣi, alo woate ŋu alolo abe ka ene hã. Susu vevitɔ si tae nusiwo léna ɖe nu siawo ŋu dzɔnae nye alesi ŋutilãa daa dɔ le dzɔdzɔme nu. Ne nane abe amekoko, dɔlékuiwo,
nuveviwɔame , alo
keklẽŋusẽ ene gblẽ nu le ŋutilãa ƒe lãkusiwo ŋu la, míaƒe ŋutilã dzea dɔyɔyɔ gɔme. Le dɔyɔyɔ sia me la, ne ŋutinu aɖe si gblẽ la do ka kple ŋutinu bubu kplikplikpli la, lãmenugbagbevi siwo le dɔyɔyɔm le míaƒe ŋutilã me mate ŋu ade vovototo ŋutinu eveawo dome be woto vovo o. Esia wɔnɛ be ŋutinu eveawo doa ka kple wo nɔewo eye wowɔa abi, alo nusi léna ɖe nu ŋu.
Afikae nusiwo léna ɖe nu ŋu dzɔna le wu?
Togbɔ be nusiwo léna ɖe ame ŋu ate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa hã la, teƒe ʋɛ aɖewo li siwo wobɔ ɖo wu. Na míalé ŋku ɖe wo ŋu.
| Teƒe si adhesions le | Ŋusẽkpɔɖeamedzi kple numeɖeɖe |
|---|
| Ƒodo ƒe Adhesions | Esiae nye ƒomevi si bɔ wu. Ame siwo wowɔ dɔ na le ƒodo alo akɔta la dometɔ siwo wu 90% xɔa wo. Nusiwo lé ɖe wo nɔewo ŋu siawo ate ŋu ana dɔgboa nalé ɖe wo nɔewo ŋu, atrɔ, alo alé ɖe wo nɔewo ŋu. Esiawo dometɔ si me afɔku le wu ate ŋu anye nɔnɔme aɖe si woyɔna be dɔgbo ƒe mɔxexe . Esia nye ne nuɖuɖu dzudzɔ zɔzɔ to dɔgboa me keŋkeŋ alo eƒe akpa aɖe. |
| Akɔta ƒe adhesions | Esiawo ate ŋu adzɔ le nyɔnuwo ƒe ŋutinuwo abe vidzidɔ, azigolo, kple vidzidɔ me. Wobɔ vevietɔ le nɔnɔmewo abe akɔta ƒe dɔléle (PID) alo vidzidɔ me dɔléle ta. Nusiwo léna ɖe vidzidɔa me dzia vidzidzi kple fufɔfɔ le vidzidɔa godo ƒe afɔkua ɖe edzi . Woate ŋu ana akɔta nase veve atraɖii hã. |
| Aɖuɖɔtoe ƒe Adhesions | Le aklãdɔ, yɔmekpe, alo akɔtadɔwɔwɔ vɔ megbe la, nusiwo léna ɖe lãkusi siwo tsyɔa lãkusiwo dzi la dome. Esia ate ŋu ana ame nase veve ne èle gbɔgbɔm sesĩe. |
| Dzi ƒe Alɔdzewo | Nusiwo léna ɖe ame ŋu ate ŋu adzɔ le dzitodzito ƒe kotoku si ƒo xlã dzia me, eye ate ŋu ado kplamatse dzia ƒe dɔwɔwɔ. Dɔlékuiwo abe lãmekawo ene hã ate ŋu ana dzitodzitowo nalé ɖe wo nɔewo ŋu, si ana dzia ƒe dɔwɔwɔ naɖe akpɔtɔ. |
Nukawoe nye dzesi siwo dzena le nusiwo léna ɖe ame ŋu ŋu?
Nu vevitɔ le afisiae nye be
nusiwo léna ɖe nu ŋu akpa gãtɔ mehea dzesi aɖeke vɛ o . Woate ŋu anɔ ŋutilãa me evɔ mànyae gɔ̃ hã o. Ne nusiwo lé ɖe ame ŋu siawo do kplamatse ŋutinu aɖe ƒe dɔwɔwɔ ko hafi dzesiawo dzena. Dzesi
siwo bɔ ate ŋu anye:
- Ne wò dɔgbowo me léna ɖe nu ŋu la, àte ŋu ase veve si le hehem le wò ƒodo me ne èle kame dem alo le teteɖeanyi wɔm.
- Ne nyɔnuwo ƒe vidzidɔ alo vidzidɔ me tsiwo , woate ŋu ase veve le gbɔdɔdɔ me.
- Aklã ƒe ƒoƒo ate ŋu ana ame nase veve alo gbɔgbɔ nasesẽ ne èle gbɔgbɔm sesĩe.
- Akɔtave ate ŋu atso dzitodzito ƒe nusiwo léna ɖe ame ŋu ta.
Dɔgbo ƒe Mɔxexe - Esia nye nudzɔdzɔ kpata aɖe!
Kuxi sesẽtɔ kekeake si dona tso adhesions me enye dɔgbo ƒe xexe. Wobua esia be enye atikewɔwɔ kpata. Esia dzɔna ne nusiwo lé ɖe wo nɔewo ŋu xe mɔ na dɔgboa, si wɔnɛ be nuɖuɖu mete ŋu toa eme o. Ele vevie be nàde dzesi nɔnɔme sia ƒe dzesiwo.
- Vevesese sesẽ aɖe si ƒoa ame le ƒodo me si va kpata eye wònɔa anyi aɖabaƒoƒo ʋɛ aɖewo. Vevesese sia ate ŋu asẽ ɖe edzi le nuɖuɖu vɔ megbe.
- Ʋuʋudedi kpe ɖe vevesesea ŋu. Ne èɖe aɖuɖɔ vɔ la, adze abe ɖe vevesesea nu fa hena ɣeyiɣi aɖe ene.
- Ʋuʋudedi kple vuvu.
- "chiri chiri" ƒe gbeɖiɖi sesẽ aɖe sese tso dɔgboa me.
- Le ɣeyiɣi aɖe megbe la, nɔnɔme sia ate ŋu asẽ ɖe edzi. Vevesesea va nɔa anyi ɖaa, dɔgboa ƒe ɖiɖiwo nu tsona, eye ya kple aɖuɖɔ ƒe sisi nu tsona keŋkeŋ. Asrã ate ŋu adze ame dzi.
Mègaŋe aɖaba ƒu dzesi siawo dzi o, vevietɔ ne wowɔ dɔ na wò le ƒodo va yi. Esiawo ate ŋu anye dɔgbo ƒe xexe ƒe dzesiwo. Kpɔ wò ɖɔkta enumake. Alo yi kɔdzi si te ɖe ŋuwò wu ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) .
Aleke nàwɔ anya ne nusiwo lé ɖe wo nɔewo ŋu le wo ŋu?
Menye nane si woate ŋu ade dzesi nusiwo lé ɖe ame ŋu bɔbɔe to dodokpɔwo abe X-ray kple CT scan ene me o. Ne scan mawo ɖe nane fia abe dɔgboa ƒe xexe ene gɔ̃ hã la, womate ŋu agblɔe kple kakaɖedzi nenye be nusi gbɔ wòtsoe nye nusiwo lé ɖe wo nɔewo ŋu o. Mɔ ɖeka kolia si dzi woato anya 100% nenye be adhesions le eme ŋutɔŋutɔe nye le amekokoɣi. Zi geɖe la, wozãa mɔnu aɖe si woyɔna be
laparoscopy hena esia. Le esia me la, wowɔa do sue aɖe ɖe ƒodoa me, wotsɔa fotoɖemɔ̃ dea eme eye wodoa ƒodoa ƒe eme. Ne wokpɔ nusiwo lé ɖe wo nɔewo ŋu le dodokpɔ ma tɔgbe me la, zi geɖe la, woate ŋu aɖe wo ɖa le amekoko ma ke me.
Nukawoe nye atike siwo wozãna na esia?
Ne dzesi aɖeke mele eŋu o la, mehiã be woada atike siwo léna ɖe nu ŋu o. Gake ne dzesiawo dze la, atikewɔmɔnu aɖewo li. Atikewɔwɔ vevitɔe nye be woatso nusiwo lé ɖe wo nɔewo ŋu siawo ahaɖe wo me to amekoko me. Míeyɔa esia
be adhesiolysis . Amekokomɔnu vevi eve li siwo wozãna na esia.
| Amekoko ƒe mɔnu | Aleke woawɔe? |
|---|
| Laparoscopy ƒe dɔwɔwɔ | Le mɔnu sia si woyɔna hã be "keyhole surgery" me la, wotsɔa fotoɖemɔ̃ kple dɔwɔnuwo toa lãɖeɖe sue geɖe me be woatso nusiwo lé ɖe wo nɔewo ŋu ahaɖe wo ɖa. |
| Laparotomy ƒe dɔwɔwɔ | Esia nye "amekoko si wowɔna le gaglãgbe." Woɖea nu gã aɖe ɖe ƒodoa me, si wɔnɛ be woate ŋu akpɔ ŋutinu ememetɔwo tẽ eye woɖea nusiwo lé ɖe wo ŋu la ɖa. |
Gake kuxi si le afisiae nye be amekoko be woaɖe nusiwo lé ɖe wo nɔewo ŋu ɖa ate ŋu ana nusiwo lé ɖe wo nɔewo ŋu yeyewo nadzɔ. Esi amekoko hã gblẽa nu le lãmekawo ŋu ta la, ŋutilãa ƒe dɔyɔyɔ gadzea egɔme ake.
Ðe màte ŋu axe mɔ na nusiwo léna ɖe nu ŋu be woagadzɔ oa?
Togbɔ be manya wɔ be woaxe mɔ ɖe enu keŋkeŋ o hã la, amekolawo ɖea afɔ vovovowo tsɔ ɖea afɔku si le ame ŋu be woalé nu ɖe ame ŋu le amekoko me dzi akpɔtɔ.
- Ɣeyiɣi si wòxɔna hena amekoko dzi ɖeɖe kpɔtɔ.
- Wɔ nu ɖe lãkusia ŋu blewuu ŋutɔ eye nàɖɔ ŋu ɖo.
- Lãmetsiawo ƒe tsidzadza nana le amekoko me.
- Asigɛ tɔxɛwo zazã (siwo me starch mele o, esiwo me latex mele o).
- Le go aɖewo me la, wotsɔa agbalẽ tɔxɛ siwo le abe film ene dana ɖe ŋutinuwo dome be woagalé ɖe ŋutinuwo dome o.
Ne èle dzadzram ɖo ɖe amekoko ɖesiaɖe ŋu la, àte ŋu aƒo nu tso esia ŋu kple wò ɖɔkta hã.
Gbedasi si Wotsɔ Yi Aƒeme
- Adhesions nye abi ƒe lãkusi ememetɔ siwo dzɔna le ŋutilãa me, vevietɔ le amekoko vɔ megbe.
- Nusiwo léna ɖe nu ŋu ƒe akpa gãtɔ megblẽa nu le ame ŋu o, gake ɖewo ate ŋu ahe nɔnɔme sesẽwo abe vevesese, vidzidzi sesẽ, alo dɔgbo ƒe xexe ene vɛ.
- Ne ame aɖe si wowɔ dɔ na va yi la ƒe ƒodo le veve sem vevie, eɖea aɖuɖɔ, eye wòvuvu la, ate ŋu anye dɔgbo ƒe xexe ƒe dzesi eye wònye atikewɔwɔ kpata. Yi ɖɔkta gbɔ enumake.
- Zi geɖe la, amekoko me koe wokpɔa alesi tututu nusiwo lé ɖe wo nɔewo ŋu le.
- Ne wotso nusiwo lé ɖe wo nɔewo ŋu heɖe wo ɖa abe atikewɔwɔ ene gɔ̃ hã la, afɔku li be woagadzɔ ake.
- Ne èkpɔ dzesi aɖewo siwo mebɔ o le amekoko vɔ megbe alo le ɣeyiɣi bubu aɖe me la, mègahe ɖe megbe gbeɖe le nuƒoƒo tso eŋu na wò ɖɔkta o.
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee