Ðe dɔgbo hã tena ɖe dziwò enuenua? Ate ŋu anye bile acid ƒe dɔmawɔmawɔ nyuie!

Ðe aɖuɖɔtoe enuenu, si nye aɖuɖɔtoe, hã ɖea fu na wòa? Ðe aɖuɖɔtoe si nu tsotso sesẽna, si me tsi le ɣeaɖewoɣi hã le fu ɖem na wò zi geɖe gbesiagbea? Ekema esia nye nusi ate ŋu anɔ vevie na wò. Egbea, míaƒo nu tso nɔnɔme aɖe si woyɔna be Bile Acid Malabsorption (BAM) ŋu . Togbɔ be ŋkɔa aɖi nya sesẽ vie hã la, mina míaɖe eme bɔbɔe.

Nukae Nye Bile Acid ƒe Nusɔsɔmasɔ?

Kpuie ko la, esia nye míaƒe nuɖuɖumeŋusẽ ƒe dɔléle . Vevietɔ la, ate ŋu anye nu vevi aɖe si hea aɖuɖɔtoe si nɔa anyi didi , si fia be aɖuɖɔtoe si nɔa anyi ɖaa vɛ. Ne ʋumenugbagbeviɣidɔlékui siwo le míaƒe dɔgbowo me mexɔ ŋutilãa nyuie o la, woƒoa ƒu ɖe dɔgboa me. Emegbe atike siwo da sɔ le eme la tɔtɔ. Le ʋumenugbagbeviɣidɔ sia si sɔ gbɔ ta la, woɖoa gbedasi ɖe míaƒe dɔgbo me be wòaɖe tsi geɖe ɖe go. Esia tae aɖuɖɔtoe si me tsi le dzɔna ɖo. Bu eŋu abe tsi si le ɖiɖim le pɔmpi me ene, gake esiae dzɔna ne tsi ma do le eɖokui si.

Nukae nye ʋumenugbagbeviɣidɔ?

Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukae nye ʋumenugbagbeviɣidɔ siawo?" Bile nye nusi míaƒe aklã wɔna . Ne aklãa kɔ míaƒe ʋu ŋu la, eɖea gbeɖuɖɔwo abe aɖinuwo, ʋumenugbagbevi kukuwo, kple ʋumemi si sɔ gbɔ ɖe eme ene ɖa eye wòwɔa ʋumenugbagbeviɣidɔ. Acid ƒomevi vovovo siwo le ʋumenugbagbeviɣi sia me ƒoa ƒu wɔa ʋumenugbagbeviɣidɔ . Acid siawo kpena ɖe ame ŋu be amiawo nɔa ʋumenugbagbeviɣia me.

Woɖoa ʋumenugbagbeviɣi sia tso aklã me to ʋumenugbagbeviɣiwo me yia míaƒe dɔgbo suea me be wòakpe ɖe mía ŋu míaɖu nuɖuɖu. Le dɔgbo suea me la, ʋumenugbagbeviɣi siawo kpena ɖe ŋutilãa ŋu wòɖua ami siwo le nuɖuɖu si míeɖuna me eye wòxɔa wo. Ne míewɔ dɔ ma vɔ la, ʋumenugbagbeviɣi siawo gagena ɖe míaƒe ŋutilã me, wotoa ʋukawo me yia aklãa me, eye wogazãa wo ake tsɔ wɔa ʋumenugbagbeviɣidɔ. Esia le abe nusiwo wogbugbɔ zãna ene.

Nukae nye "Malabsorption"?

"Malabsorption" fia ko be míaƒe dɔgbowo mete ŋu xɔa atike siwo wòle be míaxɔ nyuie o. Esia ate ŋu atso kuxi aɖe si le dɔgboa ŋutɔ ŋu gbɔ, alo ate ŋu atso atikewo ƒe masɔmasɔ gbɔ. Le kpɔɖeŋu me, ne atike aɖe sɔ gbɔ akpa alo mesɔ gbɔ akpa o la, dɔgboa mate ŋu axɔe nyuie o.

Ameka dzie nɔnɔme sia gblẽ nu le wu?

Tsã la, womedea dzesi bile acid malabsorption (BAM) le ame geɖe ŋu o elabena mɔnu aɖeke meli si dzi woato anya dɔlélea nyuie o. Gake numekuku siwo wowɔ nyitsɔ laa ɖee fia be aɖuɖɔtoedɔléle siwo wɔa dɔ (FDDs) .Wobu akɔnta be ne mede ɖeke o la, amesiwo ŋu BAM le ƒe 30% ate ŋu axɔe. Dɔléle siwo wɔa dɔ nye nɔnɔme siwo me nusi gbɔ wòtso si me kɔ o eye womedea dzesi wo bɔbɔe to atikewɔlawo ƒe dodokpɔ me o. Le kpɔɖeŋu me, nɔnɔme aɖe si woyɔna be (Irritable Bowel Syndrome - IBS) .

Woate ŋu akpɔ BAM le amesiwo ŋu atikewɔwɔ ƒe nɔnɔme siawo le ŋu:

• Dɔdzẽ si wokpɔna le nusuekpɔmɔ̃ me
• Crohn ƒe dɔlélea
• Dɔgbo ƒe dɔléle si do ƒome kple HIV dɔlékuia
• Aɖuɖɔtoe si nɔa anyi ɖaa le dɔlékuiwo ƒe dɔléle aɖe xɔxɔ vɔ megbe
• Exocrine dɔgbo ƒe dɔmawɔmawɔ nyuie

Azɔ hã, nɔnɔme sia ate ŋu ado mo ɖa le amesiwo le atike aɖewo zãm ŋu:

• Amekoko be woaɖe ileum, si nye dɔgbo suea ƒe akpa mamlɛtɔ ɖa alo atrɔe.
• Amekoko be woaɖe aɖuɖɔtoewo ɖa (cholecystectomy) .
• Radiation therapy , vevietɔ na ƒodo kple akɔta.
• Atikewo zazã .
• Metformin, si nye atike si wozãna na suklidɔ ƒomevi evelia zazã.

Nukae nye esia ƒe dzesiwo?

Dzesi siwo wokpɔna zi geɖee nye:

• Aɖuɖɔtoe si me tsi le
• Ehiã be woayi tsileƒe enuenu
• Vevesese ƒe ʋuʋudedi le ƒodo me
• Hiahiã kpata be woayi tsileƒe kple aɖuɖɔtoe me léle sesẽe

Dzesi siwo gbɔna hã ate ŋu anɔ ame aɖewo ŋu:

• Ƒodo ƒe ʋuʋu
• Gas kple vevesese si wòhena vɛ
• Aɖuɖɔ si me ami le (Steatorrhea) .
• Nuɖuɖumadzroame

Nusiwo wòagblẽ le ame ŋu ɣeyiɣi didi ate ŋu anye:

• Tsikuɖiɖi
• Ðeɖiteameŋu si gbɔ eme togbɔ be egbɔ ɖe eme nyuie hã
• Taɖuame
• Taɖuame
• Xeɖeɖe
• Ame aɖewo lolona, ​​bubuwo hã ƒe lolo dzina ɖe edzi.

Zi geɖe la, amesiwo ŋu dzesi siawo le ƒe afã lɔƒo nɔa wo ŋu ɣesiaɣi . Ɣeaɖewoɣi koe dzesiawo dzena le afã mamlɛa me .

Nukatae ʋumenugbagbeviɣidɔ dzɔna?

Dzesi vevitɔ si ɖea ʋumenugbagbeviɣidɔ ƒe dɔmawɔmawɔ nyuie fiae nye ʋumenugbagbeviɣidɔ (BAD) . Esia tsoa ʋumenugbagbevi dzĩ siwo ƒoa ƒu ɖe míaƒe dɔgbo gã (dɔgbo) me , afisi nuɖuɖu ƒe gbeɖuɖɔ trɔna zua aɖuɖɔ le gbɔ. Zi geɖe la, ʋumenugbagbevi dzĩ siwo le míaƒe dɔgbo suea me ƒe 95% gaxɔa dɔgbo suea ƒe akpa mamlɛtɔ, si nye ileum, hafi ɖoa dɔgbo gã la me.

Gake ne womexɔ ʋumenugbagbeviɣidɔ si sɔ gbɔ alea o la, wotoa dɔgbo gã la me kpena ɖe gbeɖuɖɔ bubuwo ŋu. Le dɔgbo gã me la, ʋumenugbagbeviɣi siawo doa dziku na dɔgboa ƒe akpa si le lãkusia me. Esia wɔnɛ be tsi geɖe dona le eme, eye lãmeka siwo tua aɖuɖɔa yia ŋgɔ la va nɔa dɔ wɔm geɖe wu. Esia tae aɖuɖɔtoetetedɔ dzɔna enuenu eye wòdzɔna zi ɖeka, eye dɔgbo ƒe ʋuʋu hã dzɔna ɖo.

Nukawoe nana be ʋumenugbagbeviɣidɔ dzi ɖena kpɔtɔna?

Fifia biabia lae nye be, nukatae ʋumenugbagbeviɣi siawo ƒoa ƒu ɖe dɔgboa me? Numekulawo ma BAM ɖe nu ene siwo ate ŋu ahe esia vɛ me. Ɣeaɖewoɣi la , wobua amesiawo hã ɖe hatsotso gbãtɔ kple evelia me .

• BAM Gbãtɔ: Esia tsoa míaƒe aklã ƒe ʋumenugbagbeviɣidɔ (ƒomevi 2 kple 4) fũu akpa gbɔ.
• BAM evelia: Esia dzɔna ne míaƒe dɔgbo sue la gblẽ le dɔléle aɖe, amekoko, alo keklẽŋusẽdɔdamɔnu (ƒomevi 1 kple 3) ta.

BAM Ƒomevi 1: Esia tsoa kuxi aɖe si le ileum, si nye dɔgbo suea ƒe akpa mamlɛtɔ gbɔ. Woyɔa esia be malabsorption vavãtɔ elabena kuxia dzea egɔme tso bile acid ƒe tsatsam ƒe absorption ƒe afɔɖeɖea me. Àte ŋu axɔ BAM Ƒomevi 1 hã ne wowɔ dɔ na wò be woɖe dɔgbo suea ƒe akpa mamlɛtɔ ɖa, trɔ asi le eŋu, alo to eŋu abe atikewɔwɔ ƒe nɔnɔme bubu ƒe akpa aɖe ene. Nɔnɔmewo abe Crohn ƒe dɔléle kple keklẽŋusẽdɔdamɔnu hã ate ŋu agblẽ nu le ileum ŋu. Ne nu gblẽ le eŋu vevie la, ekema eƒe xɔxlɔ̃ me gblẽna.

BAM ƒomevi 2: Woyɔa esia ɣeaɖewoɣi be "idiopathic." Esia fia be edzɔna kpata, susu aɖeke manɔmee. Gake numekuku siwo wowɔ fifia ɖee fia be kuxi aɖe si le atikewo ƒe dzesiɖoɖo si le míaƒe dɔgbowo kple aklã dome ŋu gbɔe wòtso. Zi geɖe la, dzesiɖoɖo sia kpɔa ŋusẽ ɖe aklã me ʋu ƒe sisi dzi. Dzesi siawo gblɔa ɣeyiɣi si aklãa awɔ ʋumenugbagbeviɣidɔ geɖe wu ahaɖo wo ɖa, kple ɣeyiɣi si wòatɔ te wo, agbugbɔ axɔ wo, ahagbugbɔ wo awɔ dɔe. Gake le Type 2 BAM me la, gbedasi si nye be "tɔ" la metoa eme nyuie o. Eyata aklãa yia edzi nɔa ʋumenugbagbevi dzĩwo ɖom ɖa—si sɔ gbɔ wu esi ileum ate ŋu axɔ.

BAM Ƒomevi 3 lia: Dɔléle siwo gblẽa nu le ileum ŋu kpe ɖe míaƒe nuɖuɖumeŋusẽ ƒe akpa bubuwo ŋu gbɔe esia tsona. Le kpɔɖeŋu me, nɔnɔmewo abe celiac dɔléle , dɔgbo ƒe dɔléle si nɔa anyi didi , kple Dɔlékui Siwo Le Dɔgbo Sue me ƒe Tsitsi Gã (SIBO) ene .

BAM Ƒomevi 4 lia: Esia dzɔna abe suklidɔtike si nye metformin , si nana ʋumenugbagbeviɣidɔ si gbɔ eme la nono ƒe nugbegblẽ le ame ŋu ene.

Nukae nye nɔnɔme sia ƒe ŋusẽkpɔɖeamedzi ɣeyiɣi didi?

Ne ʋumenugbagbeviɣidɔ sesẽ aɖe li la, ʋumenugbagbeviɣidɔ ate ŋu adze ame dzi le ɣeyiɣi aɖe megbe.Esia ate ŋu adzɔ. Eyae nye be ne woɖe ʋumenugbagbevi dzĩ si sɔ gbɔ akpa do goe le aɖuɖɔ me eye womegatrɔe yi aklãa me o la, ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖe aklãa me be wòawɔ ʋumenugbagbeviɣi o. Ne ʋumenugbagbeviɣi mesɔ gbɔ ɖe dɔgbo suea me o la, egblẽa nu le wò nuɖuɖumeŋusẽ kple nunyiame ŋu.

Ʋumenugbagbeviɣidɔ ƒe anyimanɔmanɔ le dɔgbo suea me ɖea ami kple vitamin siwo me ami le (A, D, E, kple K) ƒe xɔxlɔ̃ dzi kpɔtɔna. Esia ate ŋu ahe nunyuimakpɔɖu kple kuxi tɔxɛ siwo do ƒome kple vitamin siwo me ami le ƒe anyimanɔmanɔ vɛ. Le kpɔɖeŋu me, vitamin D ƒe anyimanɔmanɔ gblẽa nu le ƒuwo ŋu, eye vitamin A ƒe anyimanɔmanɔ gblẽa nu le nukpɔkpɔ ŋu.

Vevietɔ amesiwo ŋu BAM Ƒomevi 1 le hã ate ŋu axɔ vitamin B12 ƒe vevesese . Esia le alea elabena vitamin B12 toa ʋumenugbagbeviɣidɔa me. Le go sia me la, menye BAM ŋutɔ gbɔe gbɔdzɔgbɔdzɔa tso o, ke boŋ nɔnɔme si hea BAM Ƒomevi 1 vɛ - si nye ileum ƒe dɔmawɔmawɔ nyuie. Dzesiwo abe ʋuʋudedi, taɖuame, kple ɖeɖiteameŋu ene ate ŋu akpe ɖe esia ŋu.

Ne ʋumenugbagbeviɣidɔ aɖe le ŋuwò, si ɖea ami ƒe agbɔsɔsɔ dzi kpɔtɔna eye wòxea mɔ na wò be màfiã nuɖuɖumeŋusẽ si sɔ o la, àte ŋu aɖe wò lolo dzi akpɔtɔ. Gake le go aɖewo me la, ʋumenugbagbevi dzĩ ƒe xɔxlɔ̃ nyuie ate ŋu ana ame nalolo. Edze abe esia do ƒome kple lãmenugbagbeviwo ƒe dɔwɔwɔ ene. BAM, alo nɔnɔme siwo henɛ vɛ ate ŋu akpɔ ŋusẽ ɖe alesi wò ŋutilã zãa nuɖuɖumeŋusẽ kple alesi wòdzraa wo ɖo abe ami ene dzi.

Aleke wokpɔa dɔléle sia dzea sii?

Atikewɔwɔ ŋuti mɔfiame siwo li fifia kafui be ele be woado amesiame si ŋu aɖuɖɔtoetetedɔ si nɔa anyi ɖaa si ŋu nusi gbɔ wòtso si me kɔ o kpɔ be bile acid mexɔa ʋu nyuie o hã. Gake dodokpɔ siawo mele afisiafi o. Ðɔkta aɖewo alé ŋku ɖe esia ŋu eye woaŋlɔ atike siwo woyɔna be bile acid sequestrants na wo be woakpɔe ɖa be woana gbɔdzɔe hã.

Dodokpɔ geɖe li siwo woate ŋu azã atsɔ anya ʋumenugbagbeviɣidɔ ƒe dɔmawɔmawɔ nyuie:

• SeHCAT dodokpɔ: Wobua esia be enye dodokpɔ nyuitɔ kekeake si woatsɔ anya BAM, gake dukɔ geɖe, siwo dome Sri Lanka hã le, mekpɔ dɔwɔƒe siwo awɔ esia o. Esia nye nuklia-atikewɔwɔ ƒe nɔnɔmetatawo dodokpɔ . Eyae nye be wodoa keklẽŋusẽ sue aɖe ɖe ŋutilãa me, eye kɔmpiuta léa ŋku ɖe alesi wòzɔna toa ŋutilãa me ŋu heɖea fotoe. Le dodokpɔ sia me la, èmia atikekui si me ʋumenugbagbeviɣidɔ si wowɔ si woyɔna be SeHCAT le kpe ɖe nu sia si me keklẽŋusẽ le ŋu. Kplu sia yia dɔgbo suea me eye ʋumenugbagbevi dzĩ siwo le wò ŋutilã me la xɔae kabakaba alesi wòanya wɔe. Gamma fotoɖemɔ̃ dzidzea SeHCAT ƒe agbɔsɔsɔ le wò ŋutilã me le ŋkeke gbãtɔ dzi kple le ŋkeke adre megbe. Ne SeHCAT ƒe 85% mede 85% o gakpɔtɔ le ŋkeke adre megbe la, woate ŋu akpɔe be BAM le eŋu.

• Serum C4 dodokpɔ:Esia nye ʋudodokpɔ. Wobunɛ be enye tiatia nyuitɔ si kplɔe ɖo le SeHCAT dodokpɔa megbe. Edzidzea enzyme aɖe si woyɔna be C4 ƒe agbɔsɔsɔ le ʋua me. C4 ƒe agbɔsɔsɔ do ƒome kple ʋumenugbagbevi dzĩ agbɔsɔsɔme si wò aklã wɔna. Ne wò C4 ƒe agbɔsɔsɔme sɔ gbɔ la, enye dzesi nyui aɖe be BAM gbãtɔ (ƒomevi 2 kple 4) le asiwò. Le amesiwo ŋu BAM evelia le (ƒomevi 1 kple 3) gome la, C4 ƒe agbɔsɔsɔ ate ŋu asɔ gbɔ hã ne aklãa dze ʋumenugbagbeviɣidɔ geɖe wɔwɔ gɔme be woatsɔ axe fe ɖe woƒe xɔxlɔ̃ si dzi ɖe kpɔtɔ la teƒe. Eyata dodokpɔ sia ɖea vi na ame geɖe. Gake ate ŋu ana alakpanuwo nado tso eme le amesiwo ŋu dɔléle aɖewo le hã ŋu, abe ʋumemi si sɔ gbɔ kple aklãdɔ si me ami mele o si me ami mele o le lãmenugbagbeviwo me ene .

• Fecal Bile Acid Test (Fecal BA test): Esia dzidzea ʋumenugbagbeviɣi ƒe agbɔsɔsɔ si le wò aɖuɖɔ me. Esiae nye mɔ si dzi woato adzidze ʋumenugbagbeviɣidɔ ƒe dɔmawɔmawɔ nyuie wu tẽ wu. Gake le mɔ̃ɖaŋununya gome la, esesẽ vie wu eye lãmesẽdɔwɔƒe tiatia aɖewo koe woate ŋu awɔe le. Dodokpɔ sia bia dzadzraɖo tɔxɛ. Ahiã be nàwɔ ɖe nuɖuɖu tɔxɛ aɖe dzi ŋkeke ʋɛ aɖewo do ŋgɔ, eye emegbe nàƒo aɖuɖɔ ƒe kpɔɖeŋuwo nu ƒu gaƒoƒo 48 sɔŋ. Eŋutinunyalawo ado wò aɖuɖɔ kpɔ be ʋumemi le eme hã le dodokpɔxɔ me. Ne wò ʋumenugbagbeviɣidɔ sɔ gbɔ la, efia be ʋumenugbagbeviɣidɔ si sɔ gbɔ ɖe dɔgbo suea me le gegem ɖe dɔgbo suea me eye wòle yiyim ɖe dɔgbo gã la me, si na be ʋumenugbagbeviɣidɔ natsi.

Nukawoe nye atikewɔmɔnu nyuitɔwo kekeake?

Atike gbãtɔ si wozãna na ʋumenugbagbeviɣidɔ ƒe dɔmawɔmawɔ nyuie nye atikewo ƒe hatsotso aɖe si woyɔna be bile acid sequestrants alo bile acid binders . Cholestyramine kple colestipol ye woŋlɔna na ame wu. Colesevelam nye tiatia si ŋu mɔɖegbalẽ mele o, gake ame aɖewo kpɔnɛ be ezazã le bɔbɔe wu.

Bile acid sequestrants siawo nye nu suesuesue siwo me dzoxɔxɔ nyui le siwo blana ɖe ʋumenugbagbevi dzĩ siwo me dzoxɔxɔ gbegblẽ le ŋu le dɔgboa me, si xea mɔ na wo be womama wo ɖe akpa suesuesue siwo woate ŋu axɔ me o. Kpekpeɖeŋu sia hã xea mɔ na ʋumenugbagbevi dzĩwo be wòagawɔ dɔ ɖe dɔgbo gã la dzi eye wòahe aɖuɖɔtoe vɛ o. Esia kpena ɖe ame ŋu be BAM ƒe dzesiwo dzi ɖena kpɔtɔna.

Ðe atikewɔwɔa ƒe nugbegblẽ aɖewo lia?

Zi geɖe la, atike siawo nɔa atikekui ƒe nɔnɔme me. Ele be woatsaka wo kple tsi aɖe ahano wo. Esesẽna na ame aɖewo be woami eƒe vivi kple eƒe wɔwɔme. Ame bubuwo hã kpɔa BAM ƒe dzesiwo kpakple eƒe nugbegblẽ le ame ŋu siwo medzea ame ŋu o. Esiawo dometɔ aɖewoe nye dɔmeɖui , ʋuʋudedi, ʋuʋudedi, kple gas.

Azɔ hã, bile acid sequestrants ate ŋu abla ɖe vitamin siwo me ami le le dɔgbo suea me ŋu. Esia ate ŋu ana dɔgbo suea nagaxɔ wo o. Ðewohĩ ahiã be ame aɖewo siwo noa ʋumenugbagbeviɣidɔlékuiwo nano vitamin-tikewo. Ðewohĩ ahiã hã be woano wo le mɔ si ato nuɖuɖumeŋusẽ ŋu nu, abe to atike dodo me ene .

Ðe woate ŋu ada nɔnɔme sia keŋkeŋa?

Ne woate ŋu ada bile acid ƒe dɔmawɔmawɔ nyuie la nɔ te ɖe nusi gbɔ wòtso dzi. Woate ŋu ada nusiwo gbɔ wòtsona dometɔ aɖewo, gake bubuwo ya mate ŋu ada o. Ne woda nusi gbɔ wòtso tẽ la, ɣeaɖewoɣi la, BAM ƒe nɔnɔmea ate ŋu anyo ɖe edzi. Le go bubuwo me la, ne womate ŋu ada nusi gbɔ wòtso o hã la, mɔnukpɔkpɔ nyui aɖe li be woate ŋu ada dzesiawo dzidzedzetɔe.

Vevietɔ: Mègatsi dzodzodzoe o! Woate ŋu akpɔ BAM dzi. Nu vevitɔe nye be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi.

Nukae nana dzesiawo gagblẽna ɖe edzi?

Ami agbɔsɔsɔme si le wò nuɖuɖu me ye hea bile acid ƒe tsatsam vɛ. Ne ami sɔ gbɔ ɖe dɔgbo suea me akpa la, aklãa xɔa atike ƒe dzesi si gblɔna nɛ be "wòaɖo ʋumenugbagbeviɣi geɖe ɖa." Ʋumenugbagbeviɣi geɖe fia be ʋumenugbagbeviɣi geɖe le yiyim ɖe dɔgbo gã la me. Esia tae ɖɔktawo kafui be woaɖu nuɖuɖu si me ami mesɔ gbɔ ɖo o be wòakpe ɖe ame ŋu wòakpɔ BAM dzi.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne aɖuɖɔtoe si nɔa anyi ɖaa le ŋuwò le susu aɖeke ta la, bia wò ɖɔkta tso bile acid ƒe dɔmawɔmawɔ nyuie ŋu. Esia nye dɔléle si gɔme womese nyuie o eye womekpɔe nyuie o, eyata menye ɖɔktawo katãe abu eŋu enumake o. Eyata bia wò ɖɔkta be wòado wò kpɔ be ewɔe hã, alo nàɖo wò ɖe eŋutinunyala bibi aɖe si nya nu tso eŋu gbɔ.

Ame geɖe zãa ƒe geɖe tsɔ dzea agbagba be yewoakpɔ dɔléle si sɔ kple atike nyui aɖe na yewoƒe aɖuɖɔtoe si womenya o. Le amesiwo ŋu bile acid ƒe dɔmawɔmawɔ nyuie le gome la, mɔkpɔkpɔ li be ŋkeke mawo awu enu. Ne wonya nu tso nɔnɔmea ŋu geɖe wu eye wozã mɔnu siwo le bɔbɔe be woatsɔ ade dzesii la, dɔlélea didi anyo ɖe edzi.

Togbɔ be nu geɖe li siwo gbɔ bile acid ƒe dɔmawɔmawɔ nyuie tsona hã la, atikewɔwɔa sɔ le nɔnɔmeawo katã me. Ðɔkta si susu be BAM ate ŋu aŋlɔ atike nɛ, ɖewohĩ abe mɔ si dzi wòato aɖo kpe edzi ene. Ame geɖe siwo ŋu BAM le ate ŋu akpɔ woƒe dzesiwo gbɔ dzidzedzetɔe to bile acid sequestrants kple nuɖuɖu ƒe tɔtrɔ me.

Nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata mina míaƒo nu tso nusi ŋu míeƒo nu tsoe egbea ŋu kpuie:

• Bile acid malabsorption (BAM) nye dɔléle si ate ŋu anye nu vevi aɖe si hea aɖuɖɔtoe si nɔa anyi didi vɛ.
• Esia dzɔna elabena dɔgboa mexɔa ʋumenugbagbevi dzĩwo nyuie o, ke boŋ woƒoa ƒu ɖe dɔgbo gã la me, si wɔnɛ be aɖuɖɔtoe si me tsi le la dona.
• Atikewɔwɔ ƒe nɔnɔme vovovowo, amekoko, kple atike aɖewo ate ŋu ahe esia vɛ.
• Dzesiawo ate ŋu anye aɖuɖɔtoe enuenu, dɔgbo ƒe veve, kple ʋuʋudedi.
• Woate ŋu akpɔ dɔlélea to dodokpɔwo abe SeHCAT dodokpɔ, serum C4 dodokpɔ, kple fecal bile acid dodokpɔ ene me .
• Atike vevitɔwoe nye atike siwo woyɔna be bile acid sequestrants kple nuɖuɖu si me ami mesɔ gbɔ ɖo o .
• Le nusi gbɔ wòtso nu la, ate ŋu adae keŋkeŋ alo womate ŋu adae keŋkeŋ o, gake woate ŋu aɖu dzesiawo dzi nyuie.
• Ne aɖuɖɔtoe si nu metsina o le ŋuwò la, kpɔ egbɔ be yedi atikewɔlawo ƒe aɖaŋuɖoɖo.Eye bia nya tso BAM hã ŋu.

Mègatsi dzi o, ne èse nɔnɔme sia gɔme eye nèdae nyuie la, wò hã àte ŋu akpɔ gbɔdzɔe. Nɔ lãmesẽ me!

` Bile acids, aɖuɖɔtoe, dɔgbo, absorption, aklã, dzesiwo, atikewɔwɔ