Esia ate ŋu anye nyati sesẽ kple ŋukpe be woaƒo nu tso eŋu. Gake le nyateƒe me la, ɖokuidziɖuɖu alo ŋutetemanɔamesi be màte ŋu aɖu wò dɔgbo dzi o nye kuxi si bɔ ɖe ame geɖe si, vevietɔ ne wole tsitsim. Menye nɔnɔme sesẽ aɖekee wònye o, gake ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò gbesiagbegbenɔnɔ kple hadomekadodowo dzi. Esia tae wòle vevie be nànya nu tso eŋu nyuie eye nàxɔ aɖaŋuɖoɖo nyuitɔ ɖo.
Nuka tututue nye dɔgbo ƒe dɔmawɔmawɔ nyuie?
Kpuie ko la, ŋutete si bu be nàɖu wò dɔgbo dzi lae nye nusi míeyɔna le atikewɔwɔ me be dɔgbo ƒe dɔmawɔmawɔ nyuie. Esia ƒe ɖoƒe vovovowo ate ŋu anɔ anyi.
Ðo ŋku edzi be ɣeaɖewoɣi la, àte ŋu ato aɖuɖɔ sue aɖe ŋu le manyamanya me ne èle gas tom. Ðewohĩ ame bubuwo mate ŋu aɖu alesi woƒe aɖuɖɔ tonae dzi bliboe o. Esia ate ŋu anye ɣeyiɣi kpui aɖe ƒe kuxi si va nyona ɖe edzi alo ate ŋu anye nɔnɔme si anɔ anyi ɖaa.
Esia wɔnɛ be ame geɖe vɔ̃na be yewoade ha kple amewo, ayi wɔnawo wɔƒe, alo ado go xɔlɔ̃wo. Vɔvɔ̃ae nye be, "Ke ne esia dzɔ ɖe dzinye evɔ nyemenya gɔ̃ hã o ɖe?" Gake nu nyuitɔ kekeakee nye be atikewɔmɔnu siwo wɔa dɔ ŋutɔ li na esia. Eyata le esi teƒe be ŋu nakpe wò ahalé blanui le eŋu la, afɔɖeɖe gbãtɔ si wòle be nàwɔe nye be nàƒo nu kple wò ɖɔkta.
Nukae nye nɔnɔme sia ƒe dzesiwo?
Esia ƒe dzesi vevitɔe nye be womete ŋu ɖua dɔgbo ƒe ʋuʋu dzi o, gake alesi wòdzɔnae ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.
- Dzudzɔ Nugododeƒe: Ehiã kpata, vevie be nàyi nugododeƒe, gake aɖuɖɔa dona hafi nàte ŋu aƒu du ayi nugododeƒe gɔ̃ hã.
- Passive incontinence: Mèsena le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ o, gake ède dzesii be aɖuɖɔ ƒo ɖi wò awu te vie.
- Dɔgbo ƒe kuxi bubuwo: Tsɔ kpe ɖe dzesi vevi siawo ŋu la, àte ŋu akpɔ nu bubuwo hã. Le kpɔɖeŋu me:
- Dɔmetɔtrɔ
- Miléle
- Ʋuʋudedi kple gas
Nu vevitɔe nye be nàƒo nu kple ɖɔkta ne dzesi aɖe le ŋuwò abe esia ene, evɔ màɣlae o. Elabena ne wokpɔ nusi gbɔ wòtso la, edada le bɔbɔe wu sã.
Nukawoe nye susu siwo tae wòle alea ɖo?
Menye nu ɖeka aɖeke meli si nana be dɔgboa megate ŋu ɖua dɔgboa dzi o, gake nu geɖe ate ŋu ahe nɔnɔme sia vɛ. Ɣeaɖewoɣi la, nu geɖe ate ŋu aƒo ƒu ahe nɔnɔme sia vɛ. Na míalé ŋku ɖe nu vevi siwo gbɔ wòtso ŋu.
| Susu | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Lãmetsi siwo ƒo xlã aɖuɖɔtoea ƒe gbegblẽ | Esiae nye nusi gbɔ wòtsona wu. Le vidzidzi me (vevietɔ vidzidzi to vidzidɔ me) la, lãmeka siwo ƒo xlã aɖuɖɔtoe (anal sphincters) alo lãmekawo ate ŋu agblẽ. Esia tae nyɔnuwo ate ŋu axɔ nɔnɔme sia zi gbɔ zi eve wu ŋutsuwo ɖo. Nusiwo gblẽ sia ate ŋu adzɔ le amekoko le aɖuɖɔtoea hã ta. |
| Dɔmetɔtrɔ | Aɖuɖɔtoe siwo me mekɔ o dzi ɖuɖu sesẽna wu aɖuɖɔ sesẽwo. Dɔlékuiwo alo nɔnɔmewo abe Irritable Bowel Syndrome (IBS) ene hã ate ŋu ahe aɖuɖɔtoe vɛ. |
| Dɔmeɖui sesẽ | Ne womeɖe aɖuɖɔ o ŋkeke geɖe la, ate ŋu ana aɖuɖɔ gã aɖe si ƒu (aɖuɖɔ si ŋu ŋusẽ le) natsi aɖuɖɔtoea me. Esia ate ŋu ana lãmekawo nagbɔdzɔ eye wòana aɖuɖɔ si me tsi le la nado go. Esia bɔ ɖe ame tsitsiwo dome. |
| Lãmetsiŋusẽ ƒe gbegblẽ | Dɔlélewo abe suklidɔ, abixɔxɔ le aklã me, kple lãmeka siwo me ʋu sina tona ene ate ŋu agblẽ nu le lãmeka siwo kpɔa aɖuɖɔtoe ƒe lãmekawo dzi ŋu. |
| Atikewɔwɔ ƒe nɔnɔme bubuwo | Nɔnɔmewo abe Inflammatory Bowel Disease (e.g., Crohn ƒe dɔléle, Ulcerative colitis), keklẽŋusẽ ƒe atikewɔwɔ na kansa, ʋusɔgbɔdɔ, kple dɔgbo ƒe gege hã ate ŋu ahe esia vɛ. |
Ðɔkta, aleke nèwɔna dea dzesi esia?
Ne èyi wò ɖɔkta gbɔ la, abia nyawo wò eye wòado wò ŋutilã kpɔ be yeanya nusi le edzi yim. Digitál rectal exam ate ŋu alé ŋku ɖe lãmeka siwo ƒo xlã aɖuɖɔtoea ƒe ŋusẽ ŋu. Tsɔ kpe ɖe eŋu la, woate ŋu aɖo aɖaŋu be woawɔ dodokpɔ bubuwo atsɔ akpe ɖe ŋuwò nànya nusi tututu gbɔ wòtso.
- Aɖuɖɔ dodokpɔ: Ne aɖuɖɔtoe le ŋuwò la, àte ŋu akpɔ nusi gbɔ wòtso, abe dɔlékui aɖe ene.
- Endoscopy: Wodea mɔ̃ aɖe si me fotoɖemɔ̃ le la me to aɖuɖɔtoea me be woatsɔ ado dɔgboa ƒe eme. Woateŋu awɔ esia to mɔnuwo abe ``Anoscopy``, ``Sigmoidoscopy``, alo ``Colonoscopy`` zazã me.
- Anorectal manometry: Dodokpɔ si dzidzea lãmeka siwo le dɔgboa me ƒe nyaƒoɖeamenu kple ŋusẽ.
- Endosonography: Wotsɔa ultrasound tube dea dɔgboa me be woatsɔ akpɔe ɖa be kuxi aɖewo le lãmekawo kple gliwo ŋu hã.
- Ahɔhɔ̃mekawo ƒe dodokpɔwo: Kpɔ lãmeka siwo kpɔa lãmekawo dzi ƒe dɔwɔwɔ ɖa.
- MRI scan: Esia kpena ɖe ame ŋu wòkpɔa lãmekawo kple akɔta ƒe akpa bubuwo ƒe nɔnɔmetata tsitotsito.
Nukawoe nye atike siwo wozãna na esia?
Nya nyuiae nye be zi geɖe la, woate ŋu ada nɔnɔme sia , eye le go aɖewo me la, woate ŋu adae keŋkeŋ. Atikewɔwɔ nɔ te ɖe nusi gbɔ wò nɔnɔmea tso kple eƒe sesẽ dzi.
Atikewɔwɔ si menye amekoko o
Gbã la, ɖɔktaa le agbagba dzem be yeaɖu esia dzi amekoko manɔmee.
- Tɔtrɔ siwo va le nuɖuɖu me:
- Tsɔ fibre si ade gram 20-30 kpe ɖe wò nuɖuɖu ŋu gbesiagbe. Esia akpe ɖe ŋuwò nàna wò aɖuɖɔ natsi eye wòana wòanɔ bɔbɔe be nàɖu wo dzi.
- Ðe caffeine (tii, kɔfi) si nèɖuna dzi kpɔtɔ.
- No tsi kplu geɖe gbesiagbe be nàxe mɔ ɖe dɔmeɖui nu.
- Atikewo:
- Atikewo abe `(Imodium)` siwo ɖea aɖuɖɔtoe ƒe ʋuʋu zi geɖe kple eƒe nuwɔwɔ kpata dzi kpɔtɔna.
- Atikewo abe `(Methylcellulose)` siwo naa aɖuɖɔ si me tsi le la ƒoa ƒu.
- Vevietɔ: Ele be woazã atike siawo dometɔ ɖesiaɖe le atikewɔlawo ƒe aɖaŋuɖoɖo te ko .
- Kamedede kple hehexɔxɔ:
- Kegel kamededewo: Kamedede siawo doa ŋusẽ akɔta ƒe lãmekawo to lãmeka siwo wozãna tsɔ léa aɖuɖɔ ɖe te la sesẽna heɖea dzi ɖi me.
- Dɔgbo ƒe hehexɔxɔ: Ne èzu numame na wò be nàyi nugododeƒe le ɣeyiɣi ɖeka me gbesiagbe la, ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe dɔgbo ƒe ʋuʋu nu le ɣeyiɣi siwo mèdi o me.
- Biofeedback: Wozãa sensor device tsɔ naa hehe be woatsɔ ade dzesi dɔgbo ƒe lãmekawo ahado ŋusẽ wo nyuie.
Amekoko ƒe atikewɔwɔ
Ne atikewɔwɔ bubuwo medze edzi o ko hafi wobua amekoko ŋu.
- Dɔwɔwɔ na lãkusi ƒe dɔwɔwɔ: Esia bia be woagbugbɔ abla ɖe akɔta ƒe lãmeka siwo gblẽ la ŋu ahado ŋusẽ wo (sphincteroplasty).
- Sacral lãmeka siwo doa ŋusẽ ame:Wotsɔa mɔ̃ sue aɖe si doa ŋusẽ akɔta ƒe lãmekawo dea ŋutigbalẽa te.
- Colostomy: Ƒã ŋutɔ hafi wowɔa esia, eye ne atikewɔwɔ bubuawo katã do kpo nu ko hafi. Le dɔ sia wɔwɔ me la, wotsɔa dɔgbo gã la vaa ŋutigbalẽ si le ƒodoa dzi la dzi eye woɖea mɔ wòƒoa ƒu ɖe kotoku me.
Egbegbe mɔnu siwo menye amekoko o
Esiawo nye mɔnu yeyewo vie, siwo me afɔku mele boo o wu amekoko.
- Radiofrequency anal sphincter remodeling: Ezãa dzoxɔxɔ ƒe ŋusẽ tsɔ naa aɖuɖɔtoe ƒe lãmekawo ƒoa ƒu hedoa ŋusẽ wo.
- Biomaterials siwo woate ŋu ado: Wodoa nusiwo le abe silicone ene ɖe dɔgbo ƒe lãmekawo me be woƒe titrime kple dɔwɔwɔ nadzi ɖe edzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Ðokuidzimademade menye naneke si ŋu wòle be ŋu nakpe le o. Enye lãmesẽkuxi si bɔ si ame geɖe doa goe.
- Zi geɖe la, woate ŋu akpɔ nɔnɔme sia gbɔ dzidzedzetɔe ahadae, eyata mègana mɔkpɔkpɔ o.
- Afɔɖeɖe vevitɔ kekeake kple gbãtɔ si wòle be nàwɔe nye be nàƒo nu tso esia ŋu kple wò ɖɔkta gaglãa.
- Tɔtrɔ bɔbɔe siwo woawɔ le nuɖuɖu kple agbenɔnɔ me gɔ̃ hã ate ŋu ana tɔtrɔ gã aɖe nava.
- Mègakpe fu wò ɖeka o, di atikewɔlawo ƒe aɖaŋuɖoɖo eye nàtia atike si sɔ na wò wu.
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