Mí katã míenya alesi gbegbe meɖea dzi ɖi ne ame ƒe dɔme nasẽ ŋkeke ɖeka alo eve o. Gake bu nusi adzɔ ne nɔnɔme sia yi edzi ɣleti geɖe ŋu kpɔ? Emae nye nusi míeyɔna be "Chronic Constipation". Esia doa dziku ŋutɔŋutɔ eye ate ŋu ado kplamatse gbesiagbedɔwo. Eyata egbea, mina míaƒo nu tso nusi woate ŋu awɔ tso dɔmeɖui sia si nɔa anyi ɖaa ŋu.
Hafi míano atike la, ɖe wòle be míate nusiawo kpɔ gbãa?
Ne èyi ɖɔkta gbɔ la, maŋlɔ atike na wò enumake o, ke boŋ agblɔ na wò gbã be nàwɔ tɔtrɔ aɖewo le wò gbesiagbenuwɔnawo ŋu. Elabena zi geɖe la, tɔtrɔ bɔbɔe siawo ate ŋu akpɔ kuxi sia gbɔ.
- Ƒo nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu: Kpuie ko la, tsɔ amagbe , atikutsetse , mɔli, kple nuku blibo geɖe kpe ɖe wò nuɖuɖu ŋu. Agba damawo abe aŋanyi, kale, kple collard greens, atikutsetsewo abe papaya, akɔɖu, kple mango, oats, kple gbewo katã nye tiatia nyuiwo. Ele vevie hã be woaɖe nuɖuɖu siwo me fibre mesɔ gbɔ ɖo o, abe nyinotsi kple lã ene dzi akpɔtɔ .
- No tsi geɖe: Tsi hiã vevie hafi míaƒe nuɖuɖumeŋusẽ nate ŋu awɔ dɔ nyuie. Be dɔgbo nate ŋu aʋuʋu bɔbɔe la, ele be tsi nanɔ ŋutilãa me nyuie. Na wòazu numame na wò be nàno tsi lita 2-3 ya teti gbesiagbe.
- Kamedede: Ne èle kame dem la, wò dɔgbo ƒe lãmekawo wɔa dɔ, si kpena ɖe wò aɖuɖɔ ŋu wòtoa wò dɔgbowo me bɔbɔe. Ne wò ɖɔkta ɖe mɔ la, te kamedede bɔbɔewo abe azɔlizɔzɔ ŋkeke ʋɛ aɖewo le kwasiɖa me ene kpɔ.
- Mègahe tsileƒe yiyi ɖe megbe o: Ame aɖewo, eɖanye le dɔme alo le tsatsam o, tsia tsileƒe yiyi, le kuviawɔwɔ ta alo le susu bubu aɖe ta. Esia nye numame gbegblẽ ŋutɔ. Yi tsileƒe ne ènya se le ɖokuiwò me be ehiã ko. Azɔ hã, mègawɔ kaba o, di wò ɣeyiɣi nàwɔe.
Zi geɖe la, tɔtrɔ siawo ɖeɖe ate ŋu anye wò kuxia gbɔ kpɔnu nyui aɖe. Gake ne menye nenema o la, ɖewohĩ ahiã be woagawɔ atike na wò. Atikewɔwɔ ƒe ƒomevi anɔ te ɖe nusi gbɔ wò vidzidzi tso dzi.
Nukae Nye Akɔta ƒe Lãmetsihehe?
Ɣeaɖewoɣi la, akɔta ƒe lãmeka siwo kpena ɖe ŋuwò nètoa aɖuɖɔ me gbɔe dɔmeɖui tsona. Ne míagblɔe tututu la, ele be lãmeka siawo naɖe dzi ɖi ne èɖe aɖuɖɔ. Gake le ame aɖewo gome la, lãmeka siawo me sẽna. Woate ŋu agbugbɔ ana hehe esia to ŋutilãmedɔdala ƒe kpekpeɖeŋu me. Woyɔa hehe sia be "biofeedback." Le afisia la, kamededeŋutinunyala la tsɔa mɔ̃ sue aɖe si woyɔna be catheter dea wò dɔgbo me. Edzidzea wò lãmekawo ƒe tete. Ne èle kame dem la, mɔ̃ aɖe fiaa wò nenye be wò lãmekawo le sesẽm loo alo womeɖe asi le wo ŋu o. Esia ate ŋu akpe ɖe ŋuwò nàsrɔ̃ alesi nàɖe dzi ɖi na wò lãmekawo ne èle dɔgboa ƒom.
Egbɔkpɔnu siwo tso atikewo me
Ne agbenɔnɔ ƒe tɔtrɔ mekpe ɖe ŋuwò o la, wò ɖɔkta ate ŋu aŋlɔ atike na wò. Atike ƒomevi vovovowo li. Ne dɔgbo ƒe dɔléle si doa dziku (IBS) alo dɔgbo ƒe dɔmawɔmawɔ nyuie si nɔa anyi didi gbɔe wò dɔgbo le la, ke ɖɔkta ate ŋu aŋlɔ atike aɖe abe lubiprostone (Amitiza) ene na wò. Esia wɔa dɔ to wò dɔgbowo nana be tsi geɖe nado me. Ɣe ma ɣi:
- Dɔgbo ƒe vevesese dzi ɖena kpɔtɔna.
- Ame kukuwo va fa miamiamia.
- Teteɖeanyi le aɖuɖɔtoe me dzi ɖena kpɔtɔna
- Zi nenie nèyia tsileƒe dzina ɖe edzi.
Wozãa atikewo abe `linaclotide (Linzess)` kple `plecanatide (Trulance)` hã le nɔnɔme siawo tɔgbe me. Tsɔ kpe ɖe eŋu la, le nusi gbɔ wòtso nu la, ɖɔkta ate ŋu ado atike bubuwo ɖa. Le kpɔɖeŋu me:
- `Misoprostol (Cytotec)`: Esia doa ŋusẽ dɔgbowo. Atike sia mesɔ na funɔwo o.
- `Colchicine/probenecid (Col-Probenecid): Enaa dɔgbo ƒe ʋuʋu zi geɖe dzina ɖe edzi. Womekafu esia na amesiwo ŋu ayikudɔ le o.
- `OnabotulinumtoxinA ( Botox )`: Esia nana ŋutigbalẽa fa eye wòɖea vevesese dzi kpɔtɔna.
Atike Siwo Wotsɔna Ðea Aɖuɖɔtoe Ƒomeviwo
Àte ŋu ate aɖuɖɔtoemetikewo (
aɖuɖɔtoemetikewo ) hã kpɔ. Gake
ɣeyiɣi kpui aɖe koe wòle be woazã esiawo eye le ɖɔkta ƒe aɖaŋuɖoɖo te ko. Aɖuɖɔtoemetike vovovowo wɔa dɔ le mɔ vovovowo nu. Na míalé ŋku ɖe nusiwo wonye ŋu.
| Aɖuɖɔtoe ƒomevi | Alesi wòwɔa dɔe kple kpɔɖeŋuwo |
|---|
| Fiber ƒe Kpekpeɖeŋunanuwo | Esiawo kpena ɖe aɖuɖɔa ŋu eye wòdzia eƒe lolome ɖe edzi, si wɔnɛ be wònɔa bɔbɔe be woato eme. Le kpɔɖeŋu me: Psyllium (Metamucil), Methylcellulose (Citrucel), Kalsium polycarbophil (FiberCon) ƒe lãgbalẽ. |
| Aɖuɖɔ Falɛfalɛwo | Woɖea tsi tso dɔgboa me hetsɔnɛ dea aɖuɖɔa me be wòafa. Esia ana aɖuɖɔa magasesẽ abe kpe ene o. Le kpɔɖeŋu me: Docusate sodium (Colace), Docusate calcium (Surfak) ƒe ƒuƒoƒo. |
| Amisisiwo | Esiawo wɔa ametakpɔnu aɖe ƒoa xlã ʋuʋudedia, si wɔnɛ be eƒe tsi meganɔa tsia me o eye wòkpena ɖe eŋu be tsi nado le eme bɔbɔe. Mineral ami nye nu mawo dometɔ ɖeka. |
| Osmotics ƒe dɔwɔwɔ | Esiawo kpena ɖe ame ŋu be tsi nɔa aɖuɖɔa me. Esia wɔnɛ be aɖuɖɔa nɔa fafɛ. Gake ele be amesiwo ŋu dzidɔ alo ayikudɔ le naɖɔ ŋu ɖo ŋutɔ ne wole nusiawo zãm. Le kpɔɖeŋu me: Magnesium hydroxide (Magnesia ƒe Notsi), Lactulose (Kristalose), Polyethylene glycol (Miralax). |
| Nusiwo doa ŋusẽ ame | Esiawo kpena ɖe ame ŋu be dɔgboa tea eye wòtutua aɖuɖɔa yia ŋgɔ. Zi geɖe la, ɖɔktawo kafua nusiawo ne dɔdamɔnu bubuwo do kpo nu. Le kpɔɖeŋu me: Bisacodyl (Dulcolax), Senna (Senokot). |
Ðo ŋku edzi be womeɖo aɖaŋu be woazã atike siawo ƒomevi be woazã aɖuɖɔtoe ɣeyiɣi didi wò ɖɔkta ƒe aɖaŋuɖoɖo manɔmee o. Esia wɔwɔ ate ŋu ana wò ŋutilã magate ŋu aɖe aɖuɖɔ ɖa le mɔ si sɔ nu o.
Ɣekaɣie wòhiã be woawɔ dɔ na ame?
Ne atikewɔwɔ bubuwo katã mekpena ɖe wò dɔmeɖui ŋu o la, amekoko ate ŋu anye mɔnu mamlɛtɔ. Gake esia menye nusi amesiame ate ŋu awɔ o. Enɔ te ɖe nusi le wò kuxia hem vɛ dzi. Le kpɔɖeŋu me, ne wò dɔgbo xe, wò dɔgbo me ge, alo wò dɔgbo me ʋuʋu la, amekoko ate ŋu aɖɔe ɖo. Azɔ hã, ne wò dɔgbo ƒe akpa aɖe mele dɔ wɔm nyuie o eye wòle wò dɔgbo hem vɛ la, amekoko ate ŋu aɖe akpa ma ɖa. Zi geɖe la, ƒã ŋutɔ hafi wowɔa esiawo. Eyata wò ɖɔkta koe anyae kple kakaɖedzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye nusi dzi woaŋe aɖaba aƒu dɔmeɖui atraɖii nye o. Ele vevie ŋutɔ be nàdi nusi koŋ gbɔ wòtso.
- Hafi nàdze atikewo zazã gɔme la, te nu bɔbɔewo abe fibre dede wò nuɖuɖu me, tsi geɖe nono, kple kamedede ene kpɔ.
- Ne èzãa aɖuɖɔtoemetikewo la, ne ɖɔkta ɖo aɖaŋu na wò eye ɣeyiɣi kpui aɖe koe nàwɔe. Ne woyi edzi zãe la, ate ŋu ahe kuxi bubuwo vɛ.
- Ne nu siawo dometɔ aɖeke mewɔ dɔ o la, mègavɔ̃ alo ŋu nakpe wò be yeaƒo nu tso eŋu na wò ɖɔkta o. Aɖo aɖaŋu le atikewɔwɔ si sɔ na wò wu ŋu.
Aɖuɖɔtoe, dɔmeɖui si nɔa anyi didi, dɔmeɖui dada sinhala, dɔmeɖui ƒe atike, aɖuɖɔtoe,
aɖuɖɔtoe ( laxative ) sinhala, nusiwo hea aɖuɖɔtoe vɛ
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee