Mí katã míenya be zi geɖe la, míaƒe aɖuɖɔ nɔa blɔ. Gake ɣeaɖewoɣi la, nusi nèkpɔna le nugododeƒea ate ŋu aɖe fu na wò vie. Bu eŋu kpɔ ne èkpɔ be wò aɖuɖɔ le ɣie, le ɣie, alo le abe anyi ene gɔ̃ hã? Le nyateƒe me la, edzi ŋɔ vie. Gake ne edzɔ zi ɖeka alo zi eve la, menye nusi ŋu woatsi dzi ɖo o. Gake ne wò aɖuɖɔ nɔa ɣie alea ɣesiaɣi la, ke menye nusi dzi wòle be nàŋe aɖaba aƒui o. Elabena ate ŋu anye lãmesẽkuxi sesẽ aɖe si le wò ŋutilã me ƒe dzesi.
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Nukatae aɖuɖɔa le ɣie alea gbegbe ɖo? Nukawo koŋ gbɔe wòtsona?
Kpuie ko la, míaƒe aɖuɖɔ ƒe amadede nyea aŋutiɖiɖi si sɔ la le ʋumenugbagbeviɣi si míaƒe aklã wɔna ta. Atike aɖe si woyɔna be bilirubin le ʋumenugbagbeviɣi sia me . Bilirubin siae naa aɖuɖɔ ƒe amadede nɔa nuɖuɖumeŋusẽ me.
Eyata ne le susu aɖe ta womewɔ ʋumenugbagbeviɣi sia abe alesi wòle be wòanɔ ene o, alo ne xexe alo xexe aɖe le ʋuka siwo tsɔa tsi si tso aklã me yia dɔgboa me la me la, amadede manɔ aɖuɖɔa ŋu o. Nusi dona tso emee nye aɖuɖɔ si ƒe amadede nye ɣi, ɣi, alo anyi.
Nu vevitɔe nye be zi geɖe la, atikewɔwɔ me nɔnɔme bubu si le ete gbɔe esia tsona, eyata ele vevie be nànya dzesi sia.
Tabla si le ete la yɔ lãmesẽkuxi vevi aɖewo siwo ate ŋu akpɔ ŋusẽ ɖe esia dzi.
| Nᴐnᴐme | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Aklãdɔléle | Aklã ƒe dɔdzẽ si dɔlékuiwo, aɖinuwo, alo ahanono fũu akpa hena vɛ. |
| Cirrhosis ƒe dɔléle | Le aklãa ƒe gbegblẽ ɣeyiɣi didi ta la, esẽna eye megawɔa dɔ kura kloe o. |
| Gallstones ƒe kpewo | Aɖuɖɔtoemekpe siwo dzɔna le aɖuɖɔtoea me ate ŋu age ɖe ʋumenugbagbeviɣiwo me, si axe mɔ na ʋumenugbagbeviɣia ƒe sisi. |
| Biliary ƒe ʋuʋu | Ʋukawo ƒe ʋuʋu alo xexe le susu bubuwo ta. |
| Biliary atresia ƒe dɔléle | Esia nye nɔnɔme si gblẽa nu le vidzĩ suewo koŋ ŋu. Ʋuka siwo me ʋu sina tona la metsi nyuie o alo woxea mɔ na wo tso esime wodzi wo. |
| Dɔdzẽwo | Kansa alo aklã, aɖuɖɔtoe, ʋumenugbagbeviɣimɔ̃, alo dɔgbo ƒe dɔdzẽ bubuwo. |
| Dɔgbo ƒe dɔléle | Dɔdzẽ si le dɔgboa me. |
Aleke ɖɔkta awɔ anya dɔléle siae?
Ne èyi ɖɔkta gbɔ kple dzesi siawo la, abia wò gbã tso wò dzesiwo, nuɖuɖu ƒe nɔnɔmewo, kple atikewɔwɔ ƒe nɔnɔme siwo nènɔ va yi ŋu. Emegbe awɔ ŋutilãmedɔdada.
Be woake ɖe nusi tututu gbɔ wòtso ŋu la, woate ŋu akafu dodokpɔ siwo gbɔna la dometɔ ɖeka alo esi wu nenema.
| Dodokpɔ | Nukae nèkpɔ le esia me? |
|---|---|
| Ʋudodokpɔwo | Srɔ̃ nu tso dɔlékuiwo ƒe nɔnɔme siwo le ŋutilãa me kple vevietɔ aklã ƒe dɔwɔwɔ ŋu. |
| Ƒodo me ultrasound ƒe dodokpɔ | Kpɔe ɖa be ŋutinuwo abe aklã kple aɖuɖɔtoe ene me vuvu, kpewo, alo mɔxenuwo le eŋu hã. |
| CT alo MRI ƒe fotoɖeɖe | Na nàkpɔ nusiwo xe mɔ, kpewo, alo ʋuʋudediwo ƒe nɔnɔmetata si me kɔ wu, si me kɔ wu. |
| ERCP dodokpɔ (Endoscopic retrograde cholangiopancreatography) ƒe dodokpɔ . | Wodea mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ (endoscope) le to nu me be woatsɔ ado ʋumenugbagbeviɣiwo kple dɔgbo ƒe ʋukawo kpɔ. Woate ŋu azã esia hã atsɔ awɔ atikewo, abe nusiwo xe mɔ na nu aɖewo ɖeɖeɖa ene. |
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ nɔ te ɖe nusi gbɔ wò aɖuɖɔ si le blɔ la tso dzi bliboe. Ne wò ɖɔkta nya kpɔ dɔléle aɖe le ŋuwò ko la, awɔ ɖoɖo ɖe atikewɔwɔ ŋu le dɔléle ma si wòkpɔ la nu.
- Tɔtrɔ le nuɖuɖu ŋu: Le kpɔɖeŋu me, ahanono dzi ɖeɖe kpɔtɔ kple nuɖuɖu siwo me ami le dzi ɖeɖe kpɔtɔ.
- Amekoko: Ate ŋu ahiã be woawɔ dɔ na ame be woaɖe nusiwo xe mɔ na ʋumenugbagbeviɣiwo ɖa alo be woaɖe aɖuɖɔtoea ŋutɔ ɖa.
- Atikewo: Le dɔlékuiwo abe aklãdɔ ene gome la, woate ŋu ana atikewo be woatsɔ aɖe aklã ƒe dɔdzẽ dzi akpɔtɔ alo atsɔ aɖe aɖuɖɔtoemekpewo ɖa.
- Aklãdɔ: Esia mehiã le go geɖe me o, gake woate ŋu abu eŋu le nɔnɔme sesẽ aɖewo me.
Ðe míate ŋu axe mɔ na nɔnɔme sia be wòagadzɔ oa?
Le nyateƒe me la, nu geɖe li míate ŋu awɔ atsɔ aɖe afɔku si le nɔnɔme aɖewo siwo nana aɖuɖɔtoe siwo le ɣie la me dzi akpɔtɔ.
- Nuɖuɖu si me nunyiame le: Ƒo nuɖuɖu si da sɔ si me protein si me ami mele o, fibre, ami siwo naa lãmesẽ, kple nuku blibowo le.
- Lé lolo nyuie me ɖe asi: Lolo akpa nana aklãdɔléle ƒe afɔkua dzina ɖe edzi.
- Takpɔkpɔ tso dɔlékui ƒe aklãdɔléle me: Woate ŋu ado atike na aklãdɔléle A kple aklãdɔléle B. Ele vevie hã be woaƒo asa na aŋewo zazã ɖekae eye woawɔ gbɔdɔdɔ dedie.
- Ðe ahanono dzi kpɔtɔ: Ahanono fũ ate ŋu agblẽ nu le wò aklã ŋu vevie.
Ɣeyiɣi kae nye nyuitɔ kekeake si nàte ŋu ayi ɖɔkta gbɔ?
Ne wò aɖuɖɔwo yi edzi le ɣie ŋkeke geɖe la, taflatse yi ɖɔkta gbɔ kaba. Mègaŋe aɖaba ƒu edzi o.
Vevietɔ, ele be nàyi atikewɔƒe enumake ne dzesi siwo gbɔna le ŋuwò:
- Aɖuɖɔ ɣi siwo ƒe amadede nye anyikpe
- Wò tɔeŊutilã kple ŋku ƒe ɣie (jaundice) .
- Aɖuɖɔ doviviti (si ƒe amadede nye tii) .
Dzesi etɔ̃ siawo katã ƒe amesinɔnɔ ɖekae nye kuxi gã aɖe ƒe dzesi le aklã alo ʋumenugbagbeviɣidɔ ŋu, eyata ele vevie be nàkpɔ ɖɔkta kaba ale si nàte ŋui.
Gbedasi si Wotsɔ Yi Aƒeme
- Mègatsi dzi ne wò aɖuɖɔ trɔ zi ɖeka alo zi eve o. Gake ne nɔnɔme sia gakpɔtɔ li la, ke menye nusi sɔ o.
- Zi geɖe la, aɖuɖɔ si me mekɔ o nyea dɔléle aɖe si do ƒome kple aklã, aɖuɖɔtoe, alo dɔgbo ƒe dzesi.
- Aɖuɖɔtoe nye nusi naa aɖuɖɔ ƒe amadede nyea blɔ. Ne ʋumenugbagbeviɣi ƒe sisi nu tso la, aɖuɖɔa va nɔa ɣie.
- Mègaŋe aɖaba ƒu aɖuɖɔ si le ɣie, ŋutigbalẽ ƒe ɣie (jaundice) kple aɖuɖɔ si do viviti ƒe dzesiwo dzi gbeɖe o. Ate ŋu anye nɔnɔme sesẽ aɖe, eyata yi ɖɔkta gbɔ enumake.
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