Dɔgbo ƒe Xɔxlɔ̃a? Mina míaƒo nu tso esia ŋu!

Ðe wò dɔgbo nɔ veve sem vevie, èse le ɖokuiwò me be yeƒe lãme yɔ fũ, alo nèse le ɖokuiwò me be yele dɔ lém kpɔa? Ðe nèsena le ɖokuiwò me be yemate ŋu aɖu nu o, eye nèsena le ɖokuiwò me be yeaɖe aɖuɖɔa? Ɣeaɖewoɣi la, nusiawo ate ŋu anye nu vevi aɖe ƒe dzesi. Ema nye dɔgboa ƒe xexe, alo nusi ɖɔktawo yɔna be dɔgbo ƒe mɔxexe . Ɣeyiɣie nye nu vevitɔ le go sia me. Eyata egbea, mina míaƒo nu tso esia ŋu tsitotsito, gake wòanɔ bɔbɔe ŋutɔ.

Nukae nye dɔgbo ƒe mɔxexe?

Kpuie ko la, dɔgbo ƒe xexe nye wò dɔgbo sue alo dɔgbo gã , ƒe akpa aɖe alo keŋkeŋ ƒe xexe. Ènyaa, nuɖuɖu siwo míeɖuna la toa dɔgboa me le dɔgboa megbe, afisi wòxɔa nunyiame siwo ŋutilã hiã, eye mlɔeba la, gbeɖuɖɔawo dona ɖa abe aɖuɖɔ ene. Eyata ne dɔgbo sia xe la, nuɖuɖu kple gbeɖuɖɔ dzudzɔa ʋuʋu eye wotsia teƒe ɖeka.

Tsɔe be ne tsido aɖe tsi titina la, tsia yɔa teƒe ɖeka le esi teƒe be wòado go. Esiae dzɔna le afisia hã.

Ne gbeɖuɖɔ, ya, kple nuɖuɖumetsiwo xa ɖe mɔ sia nu la, dɔgbo ƒe lãkusi si le teƒe ma ate ŋu agblẽ. Esia ate ŋu atɔ te dɔgboa ƒe dɔwɔwɔ nyuie eye wòahe kuxi siwo me afɔku le gɔ̃ hã vɛ. Esia tae wòle vevie be nàkpɔ ɖɔkta enumake ne dzesi siawo le ŋuwò.

Nukawoe nye dɔgbo ƒe mɔxexe ƒomevi?

Ðɔktawo daa dɔgbo ƒe xexe siawo ɖe hatsotsowo me koŋ le afisi xexea le nu:

• Dɔgbo Sue ƒe Mɔxexe: Zi geɖe la, nusiwo xea mɔ na dɔgbo sue la ƒe 80% lɔƒo dzɔna le dɔgbo suea me. Dɔgbo sue lae nye akpa si doa ka kple dɔgbo kple dɔgbo gã la. Ne nuɖuɖu to dɔgbo gã la me la, eɖua nu eye nunyiame kple tsi gena ɖe ŋutilãa me.
• Dɔgbo Gã ƒe Mɔxexe: Dɔgbo gã la lɔ wò dɔgbo kple dɔgboa ɖe eme . Nunyiamewo ƒe xɔxlɔ̃ si dzea egɔme tso dɔgbo suea me yi edzi le afisia. Etrɔa asi le nuɖuɖu kple tsi hã ŋu wòzua aɖuɖɔ. Mɔxenuwo katã ƒe 20% lɔƒo dzɔna le dɔgbo gã la me.

Woate ŋu amae hã ɖe hatsotso si me woxe mɔ ɖo nu:

• Mɔxexe Bliboe: Dɔgboa ƒe akpa si ŋu dɔlélea le la xe keŋkeŋ. Naneke mate ŋu ato eme o.
• Mɔxexe ƒe Akpa aɖe: Dɔgboa ƒe akpa aɖe koe xe alo xaxa. Nu aɖewo ate ŋu ato eme.
• Aʋatsomɔxexe: Esia nye nusi wɔ nuku vie. Ehea dzesi siwo fia be ʋua xe mɔ na ʋua evɔ ɖeke mele eŋu ŋutɔŋutɔ o. Dzɔdzɔmeŋutinunyalawo susui be dɔgboa ƒe lãmekawo ƒe dɔmawɔmawɔ nyuie gbɔe wòtso. Gake numekuku geɖe hiã le esia ŋu.

Aleke gbegbee dɔgbo ƒe xexe bɔe?

Dɔgbo suewo ƒe xexe nye nusi ta amewo yia dɔwɔƒe siwo kpɔa nudzɔdzɔ kpatawo gbɔ (EDs) zi geɖe. Dɔgbo ƒe mɔxexe mebɔ le amehawo katã dome nenema gbegbe o. Gake ebɔ ɖe amesiwo ŋu dɔdzẽ le dɔgboa me ŋu wu. Wokpɔa dɔlélea le amesiwo ŋu dɔgbo me kansa le dometɔ siwo ade 40% ŋu ne wotsɔ dɔgbo ƒe xexe ƒe dzesi siwo tso dɔdzẽ aɖe gbɔ va dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ.

Nukae nye dɔgbo sue aɖe ƒe xexe ƒe dzesiwo?

Àte ŋu ase dɔgbo ƒe veve sesẽ kpata si nu fa eye emegbe wòagatrɔ ava (abe ƒutsotsoe ene). Vevesesea ate ŋu anɔ anyi hena ɣeyiɣi aɖe. Dzesi siawo dometɔ ɖeka alo esi wu nenema hã ate ŋu anɔ ŋuwò:

• Dɔgbo ƒe vevesese , ʋuʋudedi, alo sese le eɖokui me be yeɖi ƒo .
• Aɖuɖɔtoe kple ʋuʋudedi .
• Nuɖuɖu mevivina o .
• Malaise - Esia fia be dɔléle ƒe seselelãme si bɔ.
• Aɖuɖɔtoe (zi geɖe la, esia nyea mɔxenu ƒe akpa aɖe ƒe dzesi).
• Tsikuɖiɖi ƒe dzesiwo, abe dzi ƒe tsotso kabakaba kple aɖuɖɔ si do viviti ene.
• Dɔmeɖui sesẽ (ne xexe keŋkeŋ la, ya alo aɖuɖɔ metoa eme o).

Aleke ɖevi sueawo le?

Vidzĩwo kple ɖeviwo ƒe dzesiwo le abe ame tsitsiwo tɔ ene. Gake manya wɔ be woanya afisi vidzĩ le veve sem le o. Woate ŋu ahe woƒe afɔwo ayi woƒe dɔme ahafa avi. Tsɔ kpe ɖe eŋu la, dzesiwo ate ŋu anɔ ɖevi suewo ŋu abe:

• Asrã.
• Ʋu si dona le dɔgboa me.
• Ʋuʋudedi si ƒe amadede nye amadede dzẽ si le amadede dzẽ me.
• Kuviawɔwɔ.
• Dɔgbo senɛ le eɖokui me be yevuvu eye wòte.

Aleke dɔgbo ƒe xexe sena le eɖokui me?

Alesi wòsena le eɖokui me ate ŋu ato vovo le nenye be dɔgbo suea me alo dɔgbo gã la me xe mɔa, kple nusi le edzi yim le dɔgboa me nu. Le goawo katã me la, dɔgbo ƒe xexe nana wòsena le eɖokui me abe vevesese sesẽ aɖe le ƒodo me ene. Le dɔgbo sue aɖe ƒe xexe me la, vevesesea nu sẽna vivivi, le aɖabaƒoƒo ʋɛ aɖewo ɖesiaɖe me. Woate ŋu ase vevesesea le teƒe siwo wu ɖeka hã. Le dɔgbo gã ƒe xexe me la, vevesesea ate ŋu anɔ anyi ɖaa. Vevesesea ate ŋu ase le eɖokui me hã abe ɖe wòle kakam ɖe dɔgboa katã me ene. Gake ne ƒodo le veve sem vevie tsɔ kpe ɖe dzesiwo abe ʋuʋudedi, ʋuʋudedi, kple ʋuʋudedi ene ŋu la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake godoo.

Ðe nàte ŋu ato aɖuɖɔ me ne dɔgbo xe mɔ na wòa?

Ɛ̃. Enɔ te ɖe afisi mɔxenua le kple alesi wòsẽe dzi. Le kpɔɖeŋu me, ne aɖuɖɔ ƒe akpa aɖe xe la, ate ŋu ana wòasesẽ vie be woato aɖuɖɔ me, gake ne woxe keŋkeŋ la, ate ŋu ana manya wɔ be woato aɖuɖɔ me alo ato ya me o.

Nukawoe nana dɔgboa xea mɔ na ame?

Nu vevi geɖewo li siwo gbɔ dɔgbo ƒe xexe tsona:

• Ƒodo ƒe Lãmesẽ: Ne wowɔ dɔ na wò le ƒodo alo akɔta va yi la, àte ŋu axɔ abi le wò ƒodo me le amekoko ma megbe . Esiawo ate ŋu awɔ dɔ abe kasɛt si léna ɖe nu ŋu ene eye woalé wò dɔgbo ƒe akpa aɖewo ɖe wo nɔewo ŋu, si ana wòaxe. Esiae nye afɔku vevitɔ si nana dɔgbo suewo xena le dukɔwo abe United States ene me.
• Hernias: Dɔgboa ƒe akpa aɖe ate ŋu ado go to teƒe si gbɔdzɔ le ƒodoa ƒe gli ŋu. Ne dɔgboa ƒe akpa si do ɖe gota la tsi, alo ne ebla akpa la, ate ŋu ana dɔgboa naxe. Hernias nye nu evelia si gbɔ dɔgbo suewo xena wu.
• Kansa ƒe Dɔdzẽ: Kansa ƒe dɔdzẽ ate ŋu adze dɔgboa ŋutɔ me, alo kansa si tso teƒe bubuwo ate ŋu akaka ɖe dɔgboa me (kansa si kaka) . Dɔdzẽ siawo ate ŋu ana dɔgboa ƒe akpa aɖe naxe alo keŋkeŋ. Nusi koŋ gbɔ dɔgbo ƒe mɔxexe tsoe nye dɔgbo me kansa.

Susu bubuwo hã li:

• Dɔgbo ƒe Dɔléle (IBD): IBD nɔnɔmewo, abe Crohn ƒe Dɔléle ene, ate ŋu ana abi ƒe lãkusiwo nadzɔ ɖe dɔgboa ƒe gliwo me. Abi sia ate ŋu aƒo dɔgboa nu ƒu ahaxee (strictures) .
• Diverticulitis: Esia nye ne kotoku suewo (diverticula) siwo le dɔgboa me va do eye woƒe lãme xɔa dzo. Vuvu sia ate ŋu ana dɔgboa natsi. Abe alesi wòle le IBD gome ene la, abi ate ŋu adzɔ, si ana dɔgboa natsi.
• Intussusception: Esiae nye nu vevitɔ si hea dɔgbo ƒe mɔxexe vɛ na ɖevi siwo mexɔ ƒe 3 haɖe o. Esia dzɔna ne dɔgboa ƒe akpa ɖeka tsi bubu me, abe alesi wole didiƒekpɔmɔ̃ ʋuʋum yi eme ene. Esia ate ŋu ana dɔgboa naxe eye ʋu ƒe sisi ate ŋu axe.
• Volvulus: Wodzia vidzĩ aɖewo kple woƒe dɔgbowo metrɔna nyuie o . Esia ate ŋu ana woƒe dɔgbowo natrɔ (volvulus) , si ate ŋu ana woaxe. Ame tsitsiwo hã ƒe dɔgbo ate ŋu aʋuʋu, gake ƒã ŋutɔ.
• Kekeli ƒe atikewɔwɔ na ƒodo, akɔta, alo dɔgbo: Kekeli ƒe dɔgbo ƒe dɔléle ate ŋu adzɔ abe keklẽŋusẽ ƒe dɔdamɔnu ƒe nugbegblẽ le ame ŋu ene. Esiae nye esime keklẽŋusẽa nana abi nɔa lãmeka siwo le lãmesẽ me ŋu. Abi sia ate ŋu ana dɔgboa natsi eye wòaxe.
• Dutanu ɖuɖu: Ne èmi nane si ŋutilã mate ŋu aɖu o eye womeɖoe be wòaɖu o la, ate ŋu atsi dɔgboa me.

Kuxi kawoe dona tso dɔgbo ƒe xexe me?

Ne womedae kpata o la, kuxi siwo dona tso dɔgbo ƒe xexe me ate ŋu ade ame ƒe agbe afɔku me .

• Dɔgbo ƒe Dodo kple Dɔlékuiwo: Tsi, ya, kple nuɖuɖume tsi siwo ƒo ƒu ɖe dɔgboa ƒe xexe ta ate ŋu ana dɔgboa ƒe nyaƒoɖeamenu nadzi ɖe edzi, si ana dɔgboa nagbã alo ado . Esia ate ŋu ana dɔgboa me nuwo nado ɖe ƒodoa me, si ana dɔlékui si woyɔna be peritonitis , alo dɔlékui si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be sepsis si gblẽa nu le ametia katã ŋu.
• Strangulation - tissue death: Strangulation nana dɔgboa ƒe akpa aɖewo megakpɔa ʋu o. Emegbe lãkusi sia dzea kuku gɔme (Gangrene) . Esia ate ŋu ahe dɔlékui sesẽwo kple ku gɔ̃ hã vɛ.

Aleke nèwɔna dea dzesi dɔgbo ƒe xexe?

Esi wònye be dɔgbo ƒe xexe nye atikewɔwɔ kpata ta la, zi geɖe la, wokpɔa dɔlélea kaba. Ɣeaɖewoɣi la, wokpɔa dɔlélea le atikewɔwɔ me elabena ɣeyiɣi aɖeke meli woagblẽ o. Dɔlélea didi ate ŋu anye:

• Atikewɔwɔ Ŋutinya: Wò ɖɔkta abia nya wò tso nuwo abe amekoko siwo nèwɔ va yi ene ŋu.
• Lãmesẽdodokpɔ: Ðɔktaa alé ŋku ɖe wò ƒodo ŋu be vuvu, ƒunukpeƒetetedɔ, alo dɔlékui ƒe dzesi bubuwo le eŋu hã. Woate ŋu azã nuƒomɔ̃ hã atsɔ aɖo to gbeɖiɖi siwo fia be dɔgboa xe mɔ na wo.
• Ʋudodokpɔ: Woaxlẽ ʋu bliboa kple elektrikŋusẽ ƒe dodokpɔ . Ʋudodokpɔwo adi dzesi siwo fia be dɔlélea le ame ŋu. Elektrikŋusẽ ƒe agbɔsɔsɔ ate ŋu afia ne tsi vɔ le ŋuwò vevie. Ne nenemae la, ahiã be woana saline (IV tsiwo) wò enumake.

Nɔnɔmetatawo ɖeɖe ƒe mɔnuwo ate ŋu akpe ɖe ɖɔkta ŋu wòakpɔ nusi xe mɔ nɛ eye wòakpɔe ɖa be kuxi aɖewo le eŋu hã. Esiawo dometɔ aɖewoe nye:

• Ƒodo ƒe X-ray: X-ray ate ŋu afia afisi xexea xe. Woate ŋu aɖee afia hã ne ya ƒo xlã dɔgboa alo ƒo xlã diaphragm (lãmeka si ma dɔgboa kple akɔta). Ya si le teƒe siawo ate ŋu afia be dɔgboa ƒe akpa aɖe ku alo do do.
• CT scan (Computed Tomography - CT scan): CT scan ate ŋu awɔ nɔnɔmetata siwo me kɔ wu X-ray. Esia ate ŋu ahiã be nàɖo kpe wò dɔlélea dzi eye nàxɔ nyatakaka siwo de pɛpɛpɛ tso afisi xexea xe kple nusi gbɔ wòtso ŋu.
• Barium Enema X-ray: Esia nye dɔgbo ƒe X-ray. Esi nèle atike si naa alɔ̃dɔdɔ ame me la, ɖɔkta aɖe tsɔa mɔ̃ tsɛ aɖe (catheter) dea wò dɔgbo me.Wotsɔa mɔ̃ sia dea wò dɔgbo me eye wotsɔa tsi si le dedie yɔa eme. Woɖea X-ray fotowo ne tsi sia to wò dɔgbo me. Tsi sia nana wò dɔgbo dzena nyuie le X-ray-nɔnɔmetatawo dzi.

Nɔnɔmetatawo ɖeɖe ƒe mɔnu siawo zãa keklẽŋusẽ. Ne afɔku li be keklẽŋusẽ ate ŋu anɔ ame ŋu (le agbɔsɔsɔ si le dedie gɔ̃ hã me) la, àte ŋu adi mɔnu bubuwo ɖe mɔnu siawo teƒe. Ðewohĩ woate ŋu awɔ ultrasound alo MRI scan na funɔwo kple ɖevi suewo, siwo mezãa keklẽŋusẽ o.

Nukae nye dɔgbo ƒe xexe ƒe atikewɔwɔ?

Ame akpa gãtɔ siwo ƒe dɔgbo me xe la hiã be woawɔ atike na wo enumake le kɔdzi. Zi geɖe la, mɔxenu blibowo hiã be woawɔ dɔ na wo enumake. Woate ŋu ada mɔxenu ƒe akpa aɖewo be wò nɔnɔmea nali ke, eye woatsɔ atike siwo menye amekoko o (abe dɔgbo ƒe ɖiɖiɖeme ene) akplɔe ɖo. Esia katã nɔ te ɖe alesi gbegbe mɔxenua nu sẽe dzi. Atikewɔwɔ ate ŋu anye:

• Tsi siwo wodona ɖe ʋuka me (IV): Woana tsi siwo wodona ɖe ʋuka me kple elektrikŋusẽnamɔ̃ wò be nàtsɔ ada tsikuɖiɖi.
• Nasogastric Tube: Ðewohĩ ahiã be nàde tube sia eme be wòaɖe tsi kple ya si ƒo ƒu le esi wòxe ta la ɖa. Esia nye mɔ̃ didi aɖe si le tsɛ si wotsɔ dea wò ŋɔti me eye wotsɔa ka dea wò dɔgbo alo dɔgbowo me.
• Atikewo: Woate ŋu ana atike siwo tsia aɖuɖɔtoeme nu be woadzudzɔ aɖuɖɔtoe kple aɖuɖɔtoe, eye woate ŋu ana vevesesenutsitikewo be woaɖe vevesese dzi akpɔtɔ.
• Dɔgbo ƒe Gbɔɖeme: Be nàna ɣeyiɣi si xe mɔa nakɔ eye dɔgboa nate ɖe eƒe lolome si sɔ nu la, ahiã be nàdzudzɔ nuɖuɖu alo nunono. Alo, woate ŋu ana tsi tɔxɛ aɖe wò nàno si me nunyiame siwo le nuɖuɖua me le.
• Amekoko: Ne wò dɔgbo xe keŋkeŋ la, zi geɖe la, ehiãna be woawɔ dɔ na wò. Wò ɖɔkta ate ŋu aɖe abi alo dɔdzẽ ɖesiaɖe si le xexea hem vɛ la ɖa. Ƒã hafi woate ŋu aɖe lãkusi siwo ŋu dɔléle le hã ɖa. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu ade stent ( abe mesh tube ene) be wòana mɔxenua nanɔ ʋuʋu ɖi, si ana wòakpɔ xexea gbɔ amekoko bubu aɖeke manɔmee. Alo, woate ŋu ade stent abe ɣeyiɣi kpui aɖe ƒe atike ene vaseɖe esime wò lãme nasẽ ale gbegbe be woawɔ dɔ na wò atsɔ aɖɔ nusi xe la ɖo.

Nukae nàte ŋu akpɔ mɔ na ne dɔgbo aɖe xe mɔ na wò?

Ame geɖe hayana le atikewɔwɔ vɔ megbe. Dzesi siwo ɖee fia be mɔxenua le dɔyɔyɔm dometɔ aɖewoe nye aɖuɖɔtoe, ʋuʋudedi dzi ɖeɖe kpɔtɔ, kple ŋutete si le ame si be wòaɖe aɖuɖɔ. Le go bubu me la, ne xexea na do aɖe do le dɔgboa me la, nɔnɔmea ate ŋu ade ame ƒe agbe afɔku me. Eyata ele vevie be nàdi atike hafi kuxiwo nado mo ɖa eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne dzesiawo nya dze ko.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Kpɔ ɖɔkta ne nusiawo dometɔ aɖe le ŋuwò:

• Asrã.
• Aɖuɖɔtoe si nɔa anyi ɖaa.
• Dɔgbo ƒe vevesese alo ʋuʋudedi sesẽ si vaa ame gbɔ eye wòdzona alo nɔa anyi ɖaa.
• Tsikuɖiɖi ƒe dzesiwo.

Nya kawoe wòle be mabia nye ɖɔkta?

Àte ŋu abia nya siawo tɔgbe:

• Nukatae nye dɔgbo xe mɔ na?
• Atikewɔwɔ ka ƒomevie mehiã?
• Ðe mele afɔku me be dɔgbo naxe mɔ nam le etsɔmea?
• Kuxi kawoe wòle be manya tso atikewɔwɔ me?
• Aleke wòle be matrɔ nye nuɖuɖu kple dɔwɔnawo ƒe agbɔsɔsɔ esime mele hayahayam?

Mlɔeba la, nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui

Ne dɔgbo ƒe xexe ƒe dzesiwo le ŋuwò la, wɔ nu kaba eye nàdi atikewɔƒe. Ame geɖe dina be yewoahe ɖɔkta yiyi ɖe megbe ne yewose veve, eye wosusuna be menye nya gã aɖekee o. Gake ne míeƒo nu tso dɔgbo ƒe xexe ŋu la, "elala be wòado" menye tiatia nyui aɖeke gbeɖe o. Mègaŋe aɖaba ƒu ƒodo ƒe vevesese dzi o , vevietɔ ne wowɔ dɔ na wò le ƒodo va yi alo afɔku aɖe abe IBD ene le ŋuwò. Dɔgbo ƒe xexe nye dɔléle si woate ŋu ada. Mègahe ɖe megbe o.

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