Míehena ɖe megbe vie le nuƒoƒo tso míaƒe ŋutilã ƒe akpa aɖewo ŋu, alo? Aɖuɖɔtoe nye teƒe mawo dometɔ ɖeka. Ke hã, ele vevie ŋutɔ be míanya lãmesẽkuxi siwo do ƒome kple akpa sia. Ɣeaɖewoɣi la, ahiã be woawɔ dɔ na ame be woakpɔ kuxi siawo gbɔ. Egbea míele nu ƒom tso amekoko mawo dometɔ ɖeka ŋu, si nye Anoplasty. Ne mèse nya sia kpɔ o hã la, nyatakaka siawo nyanya ate ŋu anɔ vevie na wò alo ame aɖe si te ɖe ŋuwò gbeɖeka.
Nukae nye Anoplasty?
Kpuie ko la, anoplasty nye amekoko si dzraa wò akɔta ɖo alo trɔa asi le eŋu. Abe alesi nènyae ene la, aɖuɖɔtoe nye míaƒe dɔgbo gã la ƒe akpa mamlɛtɔ. Enye akpa si le abe mɔ̃ ene si didi abe sentimeta 3-4 ene, eye lãmekawo ƒo xlãe. Lãmetsi siawo (sphincters) kpena ɖe ame ŋu le aɖuɖɔtoe me.
Eyata ne nusi gblẽ le alesi dɔgboa mele dɔ wɔm nyuie o ŋu la, wowɔa dɔ sia tsɔ ɖɔnɛ ɖo. Gblẽƒe siawo dometɔ aɖewo ate ŋu anye esiwo wodzina, gake bubuwo ya ate ŋu ava emegbe le afɔku alo atikewɔwɔ ƒe nɔnɔme aɖe ta.
Anorectal surgery nye amekoko ƒomevi aɖe si me dɔgbo kple dɔgbo gã (rectum) ƒe akpa mamlɛtɔ le.
Nukatae amekoko sia hiã?
Susu vevi eve tae wowɔa dɔ na ame ƒe ŋutilã ƒe akpa aɖewo ɖo. Mina míase wo gɔme nyuie.
| Susu vevitɔ si tae | Kpuie ko la,... |
|---|---|
| Anal Stenosis ƒe Dɔléle | Esia bɔ ɖe ame tsitsiwo me wu. Abi ƒe lãkusiwo dzɔna le dɔgboa me, si wɔnɛ be mɔa dzi ɖena kpɔtɔna. Bu eŋu abe tsi ƒe pɔmpi si me ɖi xɔ aƒe ɖo ene. Wogayɔa esia be "stricture." Esia wɔnɛ be esesẽna be woato aɖuɖɔ me. Ne atikewɔwɔ bubuwo mete ŋu na nɔnɔmea nyo ɖe edzi o ko hafi wòhiã be woawɔ dɔ na ame. |
| Anorectal ƒe Dɔmawɔmawɔ nyuie | Esiawo nye nɔnɔme madeamedzi siwo wodzina kple vidzĩ. Le kpɔɖeŋu me, Imperforate Anus nye nɔnɔme si me aɖuɖɔtoe ƒe ʋuʋu (do) mele o alo xe. Perineal Fistula ƒe dɔléleEfia be menye afisi wòle be akɔta ƒe ʋuƒoa nanɔ o, ke boŋ ele teƒe bubu (zi geɖe le ete). Zi geɖe la, ʋuƒo sia nɔa kpuie, eye ŋutete hã mele esi be wòaɖu aɖuɖɔ dzi o. |
Ɣekaɣie wowɔa dɔ sia na vidzĩ sue aɖe?
Enye nusi sɔ be dzilawo natsi dzodzodzoe ŋutɔ ne wose be kuxi aɖe le vidzĩ si wodzi yeyee ŋu abe esia ene. Gake le ŋgɔyiyi siwo wowɔ le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me ta la, esia gbɔ kpɔnu nyuiwo li.
Woate ŋu aɖɔ vidzidzi ƒe gbɔdzɔgbɔdzɔ bɔbɔe aɖewo ɖo to amekoko bɔbɔe aɖe si me woɖea vidzĩa le me, le vidzĩa dzidzi megbe ŋkeke ʋɛ aɖewo ko.
Gake ahiã be woawɔ dɔ na vidzĩ siwo ƒe nɔnɔme madeamedzi siwo sesẽ wu la zi geɖe.
Le nɔnɔme mawo me la, ɖɔktaa awɔ colostomy gbã . Esia fia be wowɔa ʋuƒo sue aɖe (stoma) ɖe vidzĩa ƒe ƒodo me, si wɔnɛ be mɔ aɖe nɔa vidzĩa ƒe ƒodo me hena ɣeyiɣi aɖe. Esia wɔnɛ be vidzĩa te ŋu ɖea aɖuɖɔ dedie. Emegbe le ɣeyiɣi si sɔ si ɖɔktaa ɖo me la, wowɔa anoplasty be woatsɔ adzra aɖuɖɔtoea ɖo nyuie. Le ema megbe la, ne abiawo haya nyuie la, woɖea ɣeyiɣi kpui aɖe ƒe colostomy la ɖa, eye vidzĩa te ŋu ɖea aɖuɖɔ to aɖuɖɔtoe me le mɔ si sɔ nu.
Aleke wòle be madzra ɖo hafi woawɔ dɔ na ma?
Ne ame tsitsie nènye la, wò ɖɔkta aɖo aɖaŋu na wò be nàkɔ wò dɔgbowo ŋu keŋkeŋ (dɔgbo ƒe dzadzraɖo) hafi woawɔ dɔ na wò. Esia bia be woana atike tɔxɛ aɖe si me tsi le (atike si naa aɖuɖɔtoe) wò nàno. Ne èno esia la, nusianu si le wò dɔgbo me la ado goe kple wò aɖuɖɔ.
Ahiã hã be nàɖu wò nuɖuɖu dzi ŋkeke ɖeka alo eve hafi nàno atike sia. Zi geɖe la, woagblɔ na wò be nàɖu nuɖuɖu si me fibre mesɔ gbɔ ɖo o eye nàno tsi siwo me kɔ ko le ŋkeke mamlɛtɔ dzi. Ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.
Nukae dzɔna le amekokoa wɔɣi?
Taɖodzinu vevitɔ si le anoplasty ŋue nye be woagbugbɔ awɔ aɖuɖɔtoe si le dɔ wɔm. Nusi wò amekola wɔna ate ŋu ato vovo le wò nɔnɔmea nu.
Zi geɖe la, wowɔa amekokoa le atike si naa alɔ̃dɔdɔ ame katã me .
- Le amesi ŋu akɔta ƒe ʋuʋu le gome: Amekolaa ɖea abi si na wòtsi la ɖa. Emegbe aɖuɖɔtoea gakekena ake. Gake emegbe dometsotso sue aɖe va dona le eme. Be woaxe dometsotsoa la, woɖea ŋutigbalẽ sue aɖe (ŋutilã ƒe akpa aɖe) tso aɖuɖɔtoea ƒe gota, tso akɔta, eye wotsɔa wo dea teƒe ma hetsɔa ka blanɛ.
- Ne vidzĩ aɖe ƒe vidzidzi me gblẽ (Anorectal Malformation):Ele be amekolaa nawɔ aɖuɖɔtoe yeye aɖe. Ele be tɔdzisasrã yeye sia nadze egɔme tso dɔgboa me, ato aɖuɖɔtoe ƒe lãmekawo me, eye wòaʋu le teƒe si sɔ. Ne fistulas aɖewo li siwo le ʋuʋum le teƒe siwo mesɔ o la, woatu wo. Ne woɖe vidzĩa hena ɣeyiɣi aɖe la, anɔ afima vaseɖe esime aɖuɖɔtoe yeye si wowɔ la nahaya.
Kuxi kawoe ate ŋu ado mo ɖa le amekoko megbe?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku kple kuxi siwo ate ŋu ado mo ɖa, eye ele vevie be nànya wo.
| Kuxi ƒomevi aɖe | Nuɖᴐɖᴐ |
|---|---|
| Kuxi siwo dona tso eme ɣeyiɣi kpui aɖe | |
| Dɔdzedze | Dɔlékuiwo ate ŋu adze ame dzi esime abi la le hayahayam. Wò atikewɔlawo ƒe ƒuƒoƒoa afia alesi nàwɔ axe mɔ ɖe esia nu la wò. |
| Ʋu ƒe sisi (Hematoma) . | Ʋu ate ŋu aƒo ƒu ɖe abi la me eye wòazu ʋuʋudedi. Woate ŋu akpɔ esia gbɔ to tsikpe kple nutete dede eŋu me. |
| Aɖuɖɔtoe sesẽ (Urinary Retention) . | Ate ŋu asesẽ na ame aɖewo be woaɖe aɖuɖɔ le amekoko vɔ megbe, si ate ŋu abia be woazã atike alo atsɔ aɖuɖɔtoe hena ɣeyiɣi aɖe. |
| Miléle | Dɔmeɖui ate ŋu adzɔ le amekoko vɔ megbe. Ðɔktaa ana atike siwo hiã na esia wò. |
| Kuxi siwo nɔa anyi ɣeyiɣi didi | |
| Aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie | Esia ate ŋu adzɔ ne amekokoa gblẽ nu le lãmekawo alo lãmekawo ŋu. Ðevi aɖewo siwo ƒe vidzidzi me gblẽ la ate ŋu abu lãmeka kple lãmeka siwo hiã tso gɔmedzedzea me ke. Ame aɖewo ate ŋu akpɔ esia gbɔ le ɣeyiɣi aɖe megbe. Wò ɖɔkta aƒo nu tso esia ŋu na wò. |
| Stenosis ƒe ʋuʋu | Ne womekeke aɖuɖɔa gbesiagbe le dɔyɔyɔa me o la, mɔnukpɔkpɔ gã aɖe li be wòagatsi ake. Eyata ele vevie ŋutɔ be woawɔ kekeɖenudɔa abe alesi ɖɔktaa gblɔe ene. |
| Diaper ƒe Ʋuʋudedi | Ne vidzĩwo dze aɖuɖɔ ɖeɖe gɔme to aɖuɖɔtoe me zi gbãtɔ la, woate ŋu axɔ ŋutigbalẽ ƒe ʋuʋudedi sesẽ aɖe le teƒe ma. Esia le alea elabena womezãa ŋutigbalẽa tsɔ ƒoa aɖuɖɔ o. Ami tɔxɛwo ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe esia nu ahadae. |
Aleke ɣeyiɣi si woatsɔ ahayae nye?
Zi geɖe la, dɔyɔyɔa xɔa abe kwasiɖa 4 va ɖo 8 ene. Le ɣeyiɣi sia me la, ahiã be nàwɔ akɔta kekeɖenudɔ gbesiagbe . Esia nye afɔɖeɖe vevi aɖe ŋutɔ le dɔyɔyɔ ƒe ɖoɖoa me. Wotsɔa mɔ̃ tɔxɛ aɖe (dilator) dea aɖuɖɔ me gbesiagbe eye wohenɛ. Wowɔa esia be aɖuɖɔ nagatsi ake eye wòana abi nanɔ eŋu ne ele dɔ dam o.
Esɔ be ʋu nado vie ne èle esia wɔm, eyata mègatsi dzi o. Ðɔktaa ana atike wò be nàtsɔ aɖu vevesesea dzi. Agblɔ na wò hã be nàwɔ ɖe nuɖuɖu tɔxɛ aɖe dzi esime nèle dɔ dam.
Ðo ŋku edzi be nɔnɔme siawo mebɔ boo o. Gake ne wodzɔ la, dɔlékuiwutikewo ɖeɖeɖa nye atikewɔmɔnu si wɔa dɔ ŋutɔ. Vevietɔ esi wònye be ɖewohĩ ɖevi si dzidzi me gblẽ vevie mate ŋu atrɔ ayi nɔnɔme si me wònɔ tsã o ta la, amekoko sia ate ŋu ana mɔnukpɔkpɔ wo be woanɔ agbe abe alesi woate ŋui ene.
Gbedasi si Wotsɔ Yi Aƒeme
- Anoplasty nye amekoko si wowɔna tsɔ ɖɔa akɔta ƒe ʋuʋu le ame tsitsiwo me alo vidzĩwo ƒe vidzidzi ƒe gbɔdzɔgbɔdzɔwo ɖo.
- Ðewohĩ ahiã be woaɖe vidzĩ aɖewo ƒe dɔgbo me hena ɣeyiɣi aɖe hafi woate ŋu ato aɖuɖɔ me hafi woawɔ dɔ vevitɔ na wo.
- Gbesiagbe akɔta keke ɖe enu le amekoko vɔ megbe le vevie be mɔ yeye si wowɔ la nagatsi o.
- Wɔ ɖe wò ɖɔkta ƒe mɔfiame siwo ku ɖe abidzikpɔkpɔ, nuɖuɖu, kple sasrãkpɔ siwo woawɔ atsɔ akplɔe ɖo ŋu dzi.
- Ne èdo go kuxi aɖewo, abe vevesese sesẽ, dɔlékui ƒe dzesiwo (ʋuʋudedi, abibi, ʋuʋudedi), alo aɖuɖɔtoe/aɖuɖɔ ɖeɖe sesẽ ŋutɔ la, gblɔe na wò ɖɔkta enumake.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment