Ède dzesii kpɔ be wò aɖuɖɔ do viviti wu tsã ne èyi nugododeƒea? Ðewohĩ aŋɔ si le abe aŋɔ ene gɔ̃ hã anɔ eŋu. Esɔ be nàvɔ̃ vie ne èkpɔ nane si le abe esia ene. Gake menye ɣesiaɣie wònyea nusi wòle be woavɔ̃ na o. Ɣeaɖewoɣi ate ŋu atso nane si míeɖu alo atike aɖe si míeno gbɔ. Ke hã, ate ŋu anye kuxi aɖe si le míaƒe ŋutilã me ƒe dzesi hã. Eyata mina míase nya sia gɔme.
Nukatae aɖuɖɔ trɔna yia? Nukawo koŋ gbɔe wòtsona?
Kpuie ko la, míate ŋu ama nusiwo gbɔ aɖuɖɔ yibɔ tsona ɖe hatsotso vevi eve me. Ðekae nye nusiwo gbɔ wòtsona zi geɖe siwo ŋu mele be woatsi dzi ɖo o. Bubue nye nu vevi siwo gbɔ wòtsona siwo ŋu wòle be míatsi dzi ɖo godoo eye míadi atikewɔlawo ƒe aɖaŋuɖoɖo le wo ŋu.
Lé ŋku ɖe kplɔ̃ si le ete ŋu, eye àkpɔ esia nyuie wu.
| Susu siwo tae mele be nàvɔ̃ o, zi geɖe | Nusiwo ŋu wotsi dzi ɖo vevie (ʋu si dona le ŋutinua me) . |
|---|---|
| Iron kpeɖeŋutɔ: Iron kpeɖeŋutɔ siwo nona na ʋusɔgbɔdɔ ate ŋu ana aɖuɖɔ nazu yibɔ alo amadede dzẽ. Esia nye nugbegblẽ le ame ŋu si bɔ. | Peptic Ulcer: Ʋu si dona le abi siwo le dɔgboa alo dɔgbo sue me ta. |
| Atike aɖewo: Atike siwo me bismuth subsalicylate (e.g. Pepto-Bismol) le siwo wozãna na dɔgbo ƒe fuɖename. | Nuɖuɖutome ƒe aɖatsi (Mallory-Weiss Tear): Nuɖuɖutome ƒe aɖatsi dzɔna le ʋuʋudedi alo kɔdzidede fũ ta, si wɔnɛ be ʋu dona. |
| Nuɖuɖu siwo ƒe amadede nye viviti: Blueberry, strawberry, beets, nuɖuɖu siwo ƒe amadede nye yevu si wowɔ, ʋumemi, kple bubuawo. | Nuɖuɖutome ƒe Ʋuʋudedi: Ʋuka siwo le nuɖuɖutome ƒe vuvu kple woƒe gbagbã, si wokpɔna zi geɖe le aklãdɔléle me. |
| Aŋɔ si wotsɔ wɔa dɔe:Nane si wonana abe atike ene le aɖi ƒe nɔnɔmewo me. | Gastritis/Esophagitis: Dzoxɔxɔ sesẽ le amesiawo ƒe gliwo ŋu. |
| Kansa: Kansa siwo dzɔna le nuɖuɖumeŋusẽ ƒe akpa si le etame, abe nuɖuɖutome, dɔgbo, alo dɔgbo ene. |
Nɔnɔme vevitɔ kekeake si ŋu wòle be woatsi dzi ɖo: Ʋu si le dodom le ememe
Esia tae wòle be míatsi dzi ɖo wu ne míaƒe aɖuɖɔwo le yibɔ. Vevietɔ ne wò aɖuɖɔ nye yibɔ, aŋɔ le eme, eye wòʋẽna lilili wu alesi wònɔna ɖaa , zi geɖe la, enyea ʋu ƒe dodo le wò nuɖuɖumeŋusẽ ƒe akpa si le etame (i.e., le nuɖuɖutome, dɔgbo, alo dɔgbo suea ƒe akpa gbãtɔ) ƒe dzesi.
Le atikewɔwɔ me la, woyɔa nɔnɔme sia be Melena . Esia dzɔna ne ʋu si le ŋutilãa me tsaka kple nuɖuɖumemiwo eye eƒe atikewo trɔ, si na wòzu yibɔ.
Bu eŋu kpɔ, ne ʋua do le nuɖuɖumeŋusẽ ƒe akpa si le anyime abe dɔgbo gã ene la, ɣeyiɣi menɔa ʋua si be woaɖu o, eyata edona kple aɖuɖɔa le amadede dzĩ yeye me . Gake ne ʋua le dodom le akpa si le etame la, ʋua zɔ mɔ didi aɖe eye woɖunɛ hafi do. Esia tae wòtrɔna zua yevu ɖo.
Dɔgbo ƒe abi (Bleeding Ulcer) .
Nusi koŋ gbɔ melena tsonae nye dɔgbo ƒe abi. Esiawo nye abi siwo dzɔna le dɔgboa alo dɔgbo suea ƒe lãkusi me. Ne abi siawo te ʋu sisi la, aɖuɖɔa zua yibɔ. Nu vevi eve aɖewoe hea dɔgbo ƒe abi vɛ:
- Dɔlékui aɖe si woyɔna be H. pylori .
- Vevesesenutsitikewo zazã ɣeyiɣi didi alo wògbɔ eme, vevietɔ NSAID (Nonsteroidal anti-inflammatory drugs) (e.g. Aspirin, Ibuprofen, Diclofenac).
Nɔnɔme sia ƒe dzesi bubuwo ate ŋu anye dɔgbo ƒe veve, ʋuʋudedi, ʋuʋudedi, kple ɣeaɖewoɣi aɖuɖɔtoe si le abe kɔfi ƒuƒu ene.
Nuɖuɖutome Kple Dɔgbo me Dɔdzẽ
Togbɔ be mebɔ o hã la, aɖuɖɔ yibɔ ate ŋu anye nuɖuɖutome alo dɔgbo ƒe kansa ƒe dzesi gbãtɔ. Esia tsoa ʋu si dona le kansa ƒe tsitsiwo me gbɔ. Tsɔ kpe ɖe aɖuɖɔ yibɔwo ŋu la, ele vevie be nànɔ ŋudzɔ ɖe dzesi bubuwo abe:
- Nu mimi sesẽ
- Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee
- Akɔtave alo abi
- Dɔgbo ƒe veve enuenu, ʋuʋudedi
- Sese le eɖokui me be yeɖi ƒo le nuɖuɖu vi aɖe ɖuɖu vɔ megbe gɔ̃ hã
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò kpe ɖe aɖuɖɔ yibɔ ŋu la, yi ɖɔkta gbɔ kaba .
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne mèka ɖe edzi 100% be iron kpeɖeŋutɔ gbɔe wò aɖuɖɔ yibɔ tso o la, anyo wu be nàyi ɖɔkta gbɔ hena aɖaŋuɖoɖo. Ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesi siwo gbɔna dometɔ aɖe le ŋuwò. Ðewohĩ ahiã be nàyi kɔdzi si te ɖe ŋuwò wu ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).
| Nuxlɔ̃amedzesi siwo hiã beléle kpata | |
|---|---|
| Ʋuʋudedi kple ʋu | Ne wò ʋuʋudedi trɔ zu dzĩ alo yibɔ, abe kɔfi ƒuƒu ene. |
| Taɖuame sesẽ alo ame ƒe susu ƒe dɔwɔwɔ | Ʋu ƒe sisi ate ŋu aɖiɖi le ʋu si le dodom le ememe ta, si ate ŋu ana: |
| Yagbɔgbɔ sesẽ | Ne èse le ɖokuiwò me be gbɔgbɔ sesẽ na ye aɖabaƒoƒo ʋɛ aɖewo. |
| Dɔgbo ƒe vevesese sesẽ | Dɔgbo ƒe vevesese kpata alo esi womate ŋu ado dzi atsɔ o. |
| Blukɔ kple ɖeɖiteameŋu si gbɔ eme | Ne wò ŋutigbalẽ biã eye ɖeɖi te ŋuwò wu tsã. |
Dodokpɔ ka ƒomevie ɖɔktaa awɔ?
Ne èyi ɖɔkta gbɔ la, woaɖo to wò dzesiwo nyuie eye ne ehiã la, woaɖo wò ɖe aɖuɖɔ dodokpɔ (Stool for Occult Blood test). Esia ate ŋu ade dzesii ne ʋumenugbagbevi makpɔmakpɔ aɖewo le wò aɖuɖɔ me. Ne woɖo kpe ʋu ƒe dodo dzi la, woate ŋu akafu nane abe ʋumenugbagbeviɣidɔ ene hã be woake ɖe nusi gbɔ wòtso ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye ɣesiaɣie aɖuɖɔ yibɔ nyea dɔléle sesẽ aɖe ƒe dzesi o. Iron kpeɖeŋutɔ alo nuɖuɖu aɖewo hã ate ŋu ahe esia vɛ.
- Gake ne aɖuɖɔa nye yibɔ, aŋɔ le eŋu, eye ʋeʋẽ lilili le eŋu (Melena) la, enye dzesi sẽŋu be ʋu le dodom le nuɖuɖumeŋusẽ ƒe akpa si le etame.
- Tsɔ kpe ɖe aɖuɖɔ yibɔ ŋu la, ne dzesi bubuwo abe dɔgbo ƒe veve, taɖuame, ʋu si le dodom, alo gbɔgbɔ sesẽ ene le ŋuwò la, yi ɖɔkta gbɔ kaba .
- Ne mèka ɖe nusi gbɔ wòtso dzi o la, nunya anɔ eme be nàyi ɖɔkta gbɔ ahaɖe wò ɖikekewo ɖa, tsɔ wu be nàsusui. Wò lãmesẽe nye nu vevitɔ kekeake.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee