Ðe nèɖe ʋu kpata kpɔa? Alo ɖe wò aɖuɖɔ va zu yibɔ eye wòlé ɖe nu ŋu zi ɖekaa? Esiawo nye nusiwo doa vɔvɔ̃ na ame eye wogbãa dzi na ame be woase, alo? Gake esiawoe nye nɔnɔme si me afɔku le ŋutɔ si ŋu míele nu ƒom tsoe egbea si woyɔna be ‘Bleeding Varices’ ƒe dzesi vevitɔwo. Esia menye nusi woabu nu tsɛe o, elabena ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Eyata mina míakpɔ nu geɖe tso esia ŋu egbea.
Kpuie ko la, nukae nye ‘varices’?
Varicose veins nye ʋuka siwo vuvu eye wololo le míaƒe nuɖuɖutome alo dɔgbo me. Bu ame aɖewo ƒe afɔ siwo ƒe ʋukawo le blɔ eye wotro la ŋu kpɔ, alo? Esia nye nane si le abe ema ene. Gake esia dzɔna le míaƒe ŋutilã me, le nuɖuɖumeŋusẽ me.
Zi geɖe la, ʋuka siawo siwo vuvu, alo ʋuka siwo me ʋu sina tona, meɖea dzesi aɖeke fiana o vaseɖe esime wogbã eye wodze ʋu dodo gɔme. Ame geɖe menya gɔ̃ hã be wole yewo si o. Gake kuxia dzea egɔme ne ʋuka siawo vuvu, wogbã, eye wodze ʋu dodo gɔme. Ɣemaɣie wòva zua atikewɔwɔ kpata si nu sẽ ŋutɔ.
Nukawoe nye ʋuka siwo me ʋu sina tona ƒe dzesi siwo me afɔku le?
Ne Ʋu ƒe Ʋuʋudedi le ame aɖe ŋu la, ele be woade dzesii enumake. Elabena sɛkɛnd ɖesiaɖe le vevie. Lé ŋku ɖe dzesi siwo le ete ŋu nyuie.
| Dzesi si dzena | Nukae esia fia? |
|---|---|
| Ʋu ƒe ʋuʋu | Vein si vuvu ye nye dzesi si dze ƒã wu be egbã. |
| Aɖuɖɔ yibɔ, si me aŋɔ le, si léna ɖe nu ŋu | Woɖua ʋu si to nuɖuɖumeŋusẽ ƒe akpa si le etame la eye woɖenɛ doa goe le mɔ sia nu. |
| Taɖuame si gbɔ eme kple seselelãme be yeƒe tagbɔ gblẽ | Ʋu ƒe sisi le ʋu gbogbo aɖe si le dodom le ŋutilãa me ta. |
| Dzi ƒe tsotso ƒe dzidziɖedzi | Dzia dzea dɔwɔwɔ gɔme kabakaba be yeatsɔ axe ʋu si bu le ŋutilãa me la teƒe. |
| Dzidziƒoame | Esia nye nɔnɔme sesẽ aɖe ŋutɔ. Ʋu si dona fũu akpa wɔnɛ be ŋutilãa ƒe ŋutinuwo mexɔa ʋu si sɔ o. |
Ne dzesi siawo le ŋuwò la, mèganɔ aƒeme sɛkɛnd ɖeka pɛ hã o. Yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake. Ne womeɖu ʋu ƒe dodo dzi kaba o la, ame ate ŋu aku gɔ̃ hã.
Ne ʋua nu tso gɔ̃ hã la, kuxi sesẽwo abe aklãdɔ, dɔlékuiwutike, kple aklã kple ayiku ƒe dɔmawɔmawɔ nyuie ene ate ŋu ado mo ɖa.
Nukatae ʋuka siawo siwo me ʋu sina tona la dzɔna eye ʋu dona? Nukae nye nusi gbɔ wòtso?
Nusi koŋ gbɔ esia tsoe nye nɔnɔme aɖe si woyɔna be ‘Portal Hypertension’ . Azɔ kpɔ ɖa, ʋuka vevitɔ si tsɔa ʋu tso míaƒe nuɖuɖumeŋusẽ me yia aklã me la woyɔna be ‘Portal Vein’. ‘Portal Hypertension’ nye ne ʋu ƒe sisi le ʋuka sia me dzi ɖe edzi akpa le susu aɖewo ta.
Enyo, ekema nukatae nyaƒoɖeamenu sia le dzidzim ɖe edzi?
Nusi gbɔ esia tsona wue nye aklã ƒe ʋuʋu, si fia be aklãa va zua abi eye wòsesẽna abe kpe ene. Míeyɔa esia le atikewɔwɔ me be ‘Cirrhosis’ .
- Le amesiwo noa aha fũu akpa gome.
- Ame siwo ŋu dɔlékuiwo ƒe dɔléle siwo nɔa anyi didi abe Aklãdɔléle B kple C ene le.
- Cirrhosis ate ŋu adze ame aɖewo siwo ŋu aklãdɔ si me ami le la dzi.
Bu nusi dzɔna ne ʋuwo xaxa le mɔ gã aɖe dzi ŋu kpɔ? Ʋuawo dzea agbagba be yewoato mɔ siwo le axadzi, mɔ sue siwo dzi kpewo le la dzi, alo? Emae nye nusi dzɔna le afisia hã. Ne esesẽ na ʋua (ʋuwo) be wòato aklãa (mɔ gã la) me la, ʋu ma dzea agbagba be yeato ʋuka sue siwo le tsɛ (mɔ siwo le axadzi) siwo le nuɖuɖutome kple dɔgbo me la me.
Ʋuka sue siawo mete ŋu nɔa te ɖe ʋu gbogbo sia kple nyaƒoɖeamenu sia nu o. Nusi dona tso emee nye be ʋukaawo vuvuna abe ʋuʋudedi ene, woƒe gliwo va nɔa tsɛ, eye mlɔeba wogbãna heʋuna le wo ŋu le dziku suetɔ kekeake gɔ̃ hã ta.
Nukawoe nye atike siwo wozãna na nɔnɔme sia si me afɔku le?
Gbã la, ne woxɔe ɖe kɔdzi la, ɖɔktawo ƒe taɖodzinu gbãtɔe nye be woatɔ te ʋu si le dodom le eŋu eye woana dɔnɔa ƒe agbenɔnɔ nali ke. Esia ate ŋu anye be woatsɔ wo aƒo ka na yagbɔgbɔmɔ̃ be ʋu nagage ɖe lãkusiwo me o, kple dɔlékuiwutikewo nana wo be woaxe mɔ ɖe aɖi si le ʋu me nu.Ele be woanae hã.
Ne wonya ɖu ʋua dzi ko la, mɔ vovovowo li siwo dzi woato axe mɔ ɖe ʋu ƒe dodo ake nu eye woada ʋuka siwo me ʋu sina tona.
| Atikewɔwɔ ƒe mɔnu | Woɖe eme kpuie |
|---|---|
| Banding (blanding) ƒe ƒuƒoƒo | Dɔgboŋutinunyala zãa nukpɔmɔ̃ tsɔ gena ɖe nuɖuɖutome eye wòtsɔa rababa suesuesuewo ƒoa xlã ʋuka siwo vuvu la. Esia wɔnɛ be ʋua meganɔa sisim o eye wònana ʋukaawo kuna. |
| Sclerotherapy ƒe atikewɔwɔ | Le esi teƒe be woade rababawo la, wodoa atike tɔxɛ aɖe si xea mɔ na ʋuka siwo vuvu la to dɔlékuiwutikea me. |
| KPEKPEÐEŊU (Transjugular IntraHepatic Portosystemic Shunt) . | Esia nye keklẽŋusẽdɔdamɔnu. Wodea ka aɖe to ʋuka aɖe si le kɔa me me eye wotsɔa ‘stent’ (mɔ̃ sue aɖe) dea aklãa titina. Esia doa ka kple ʋuka si woyɔna be portal vein si me nyaƒoɖeamenu sesẽ le kple vein si sɔ, si wɔnɛ be nyaƒoɖeamenua dzi ɖena kpɔtɔna. |
| DSRS (Distal Splenorenal Ʋuʋudedi) . | Esia nye amekoko si me wotsɔa aɖuɖɔtoe ƒe ʋuka doa ka kple miame ayiku ƒe ʋuka be woatsɔ aɖe nyaƒoɖeamenu si le ʋuka siwo me ʋu sina tona dzi akpɔtɔ eye woaɖu ʋu si dona dzi. |
| Aklã Dodo Ðe Ame Ŋu | Ne aklãa le dɔ wɔm keŋkeŋ eye dɔlélea le eƒe akpa mamlɛawo me (aklãdɔ si ƒe nuwuwu) la, esiae nye egbɔkpɔnu nyuitɔ kekeake. |
Ðe woate ŋu axe mɔ ɖe nɔnɔme sia nua?
Nyateƒee, anya wɔ. Mɔ nyuitɔ si dzi woato axe mɔ ɖe esia nue nye be woada nusi gbɔ wòtsona nyuie, si nye aklãdɔ.Ne wokpɔ aklãdɔ kaba eye wodze edada gɔme la, woate ŋu axe mɔ ɖe ʋuka siawo ƒe tsitsi nu le akpa gãtɔ me.
- Ƒo asa na ahanono keŋkeŋ. Esia koŋue hea ʋumenugbagbeviɣidɔ vɛ.
- Di Aklãdɔléle B kple C ƒe atike nyuitɔ.
- Kpɔ aklã si me ami le dzi to nuɖuɖu nyui kple kamedede me.
Azɔ hã, atike aɖewo, abe beta-blockers na dzidɔ ene, ate ŋu akpe ɖe ame ŋu be woaɖe ʋu ƒe dodo ƒe afɔkua dzi akpɔtɔ to nyaƒoɖeamenu si le ʋuka si le agbo me dzi ɖeɖe kpɔtɔ me. Ele vevie be nàdzro nusiawo katã me kple wò ɖɔkta eye nàwɔ ɖe woƒe mɔfiamewo dzi nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Varices nye ʋuka siwo vuvu le nuɖuɖutome alo dɔgbo me. Zi geɖe la, womeɖea dzesi aɖeke fiana o vaseɖe esime wogbãna eye ʋu dona.
- Ʋu ƒe dodo kple aɖuɖɔ yibɔ si me aŋɔ le ƒe toto nye dzesi siwo nu sẽ wu. Ne èkpɔ esiawo la, yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
- Nusi koŋ gbɔ esia tsoe nye nɔnɔme aɖe si woyɔna be Portal Hypertension, si tso aklãdɔ (vevietɔ ʋumenugbagbeviɣidɔ) gbɔ.
- Ƒo asa na ahanono fũu akpa kple aklãdɔ dada nyuie ate ŋu aɖe nɔnɔme sia ƒe afɔkua dzi akpɔtɔ.
- Ne aklãdɔ le ŋuwò la, bia wò ɖɔkta ɣesiaɣi eye nàwɔ ɖe atikewɔwɔ kple dodokpɔ siwo woŋlɔ na wò dzi pɛpɛpɛ.
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