Ðe nugododeƒe yiyi hã le fu ɖem na wò le ŋkeke siawo mea? Mina míaƒo nu tso dɔmeɖui ŋu!

Ðe wòhiãna be nàzã ɣeyiɣi geɖe ɖe nugododeƒe ɣeaɖewoɣia? Ðe nèsena le ɖokuiwò me be yeƒe dɔgbo ƒu? Alo ɖe nèsena le ɖokuiwò me be nane tsi yeƒe dɔgbo me le nugododeƒe yiyi gɔ̃ hã? Esia nye kuxi si le ame geɖe ŋu eye wòhea vevesese aɖewo vɛ. Gake susu aɖeke meli si tae ŋu nakpe mí alo avɔ̃ be míaƒo nu tso eŋu o. Egbea, míaƒo nu tso nɔnɔme sia si woyɔna be aɖuɖɔtoe, alo `(Aɖuɖɔtoe)` ŋu tsitotsito.

Nukae nye dɔmeɖui?

Kpuie ko la, ne èse le ɖokuiwò me be ehiã be yeayi tsileƒe mede zi etɔ̃ le kwasiɖa me o la, woyɔnɛ le atikewɔwɔ me be dɔmeɖui. Gake zi nenie woyia tsileƒe ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame aɖewo yia zi geɖe gbesiagbe, gake ame bubuwo ya yia zi ɖeka alo zi eve ko le kwasiɖa me. Nuka kee wò nɔnɔme si sɔ le o, etɔxɛ na wò, eye wòsɔ. Kuxia doa mo ɖa ne ètra ɖa tso nɔnɔme ma si sɔ gbɔ. Aleke kee wò nugododeƒe ƒe nɔnɔme ɖale o, nu ɖeka aɖe dze ƒã: zi alesi nèlala be yeayi tsileƒe la, zi nenemae wòsesẽna be nàto aɖuɖɔ me. Dzesi vevi geɖe li siwo ate ŋu akpe ɖe ŋuwò nàde dzesi dɔmeɖui:

• Wò aɖuɖɔ ƒu eye wòsesẽ abe kpe ene.
• Mesea veve ne mele nugododeƒe yim, eye esesẽna be maɖe aɖuɖɔ.
• Ne meyi tsileƒe gɔ̃ hã la, mesena le ɖokuinye me be nye dɔgbo mekɔ keŋkeŋ o.

Le nyateƒe me la, nɔnɔme sia si woyɔna be dɔmeɖui bɔ ŋutɔ. Menye wò ɖeɖekoe o, ame miliɔn geɖe le fu kpem le xexeame godoo. Eyata ele vevie be míabu esia be enye nusi sɔ eye míaɖe afɔ siwo hiã.

Aleke dɔmeɖui sia dzɔnae?

Ele bɔbɔe ŋutɔ. Dɔmeɖui dzɔna ne wò dɔgbo (alo dɔgbo gã) xɔ tsi geɖe tso wò aɖuɖɔ me. Esia wɔnɛ be wò aɖuɖɔ ƒuna, sesẽna, eye wòsesẽna be nàto eme. Be míaɖe eme vie la, ne nuɖuɖu si míeɖuna to míaƒe nuɖuɖumeŋusẽ me la, míaƒe dɔgbowo xɔa nunyiamewo vivivi. Gbeɖuɖɔ siwo susɔ tso nuɖuɖu si woɖu me lae nye nusiwo wɔa aɖuɖɔ. Gbeɖuɖɔ sia tsoa dɔgbo suea me yia dɔgbo gã la me. Dɔgbo gã la xɔa tsi tso gbeɖuɖɔ sia me eye wònana wòsẽna. Ne dɔgbo le ŋuwò la, wò nuɖuɖu xɔa ɣeyiɣi didi hafi wòte ŋu toa wò nuɖuɖumeŋusẽ me wu alesi wòle be wòazɔ. Esia naa ɣeyiɣi geɖe wò dɔgbo gã la be wòaxɔ tsi. Nusi do tso emea? Wò aɖuɖɔ va ƒuna, sesẽna, eye wòsesẽna be nàto eme.

Nukawoe hea dɔmeɖui vɛ?

Nu geɖe ate ŋu ahe dɔmeɖui vɛ. Nu aɖewo le míaƒe agbenɔnɔ me, atike siwo míenona, kple atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu akpɔ ŋusẽ ɖe edzi.

Agbenɔnɔ ƒe nɔnɔmewo

Míaƒe gbesiagbenuwɔna aɖewo ate ŋu anye nu vevi aɖe si nana míetsia dɔme. Kpɔe ɖa be esiawo ku ɖe wò hã ŋu hã:

• Nuɖuɖu si me fibre mesɔ gbɔ ɖo o ɖuɖu : Ne fibre mesɔ gbɔ ɖe nuɖuɖu siwo míeɖuna me o la, aɖuɖɔ mawɔ nyuie o eye mato bɔbɔe o.
• Tsinono dzi ɖeɖe kpɔtɔ (tsi ƒe vɔvɔ): Ne ŋutilãa mekpɔ tsi nyuie o la, aɖuɖɔ ƒuna.
• Kamedede ƒe anyimanɔmanɔ: Ne kamedede dzi ɖe kpɔtɔ la, dɔgbo ƒe dɔwɔwɔ hã dzi ɖena kpɔtɔna.
• Tɔtrɔ le gbesiagbenuwɔnawo me: Nɔnɔme sia ate ŋu ado mo ɖa ne mɔzɔzɔ, nuɖuɣi, ahanono, alo alɔ̃dɔdɔ ƒe ɣeyiɣiwo trɔ.
• Nuwo abe nyinotsi kple cheese ene ɖuɖu fũu akpa: Ame aɖewo ƒe dɔme ɖuna ne woɖu esiawo fũu akpa.
• Nuteɖeamedzi : Megawɔ nuku na wò o, nuteɖeamedzi hã kpɔa ŋusẽ ɖe esia dzi.
• Hehe ɖe megbe ne ehiã be nàyi tsileƒe: Esia nye vodada si ame geɖe wɔna. Ele vevie be nàwɔe ne ehiã.

Atikewo

Atike aɖewo siwo nènona hã ate ŋu ana ame natsi dɔme.

• Vevesesenutsitike sesẽ aɖewo , le kpɔɖeŋu me esiwo me `(Codeine)`, `( Oxycodone - abe Oxycontin®)` kple `( Hydromorphone - abe Dilaudid®)` le.
• Atike siwo me steroid mele o siwo tsia dɔdzẽ nu (NSAIDs) , abe Ibuprofen (Advil®, Motrin®) kple Naproxen (Aleve®) ene.
• Blanuilélenutsitikewo , abe `(Fluoxetine - abe Prozac® ene)` alo `(Amitriptyline - abe Elavil® ene)`.
• Woŋlɔa atike aɖewo siwo tsia acid nu, vevietɔ esiwo me calcium alo aluminum le (abe `Tums®` ene), na dɔgbo ƒe dɔléle .
• Iron-tikekuiwo.
• Nulɔdɔ ƒe atikewo (Antihistamines) , le kpɔɖeŋu me `(abe Diphenhydramine - Benadryl®)`.
• Ʋusɔgbɔdɔ ƒe atike aɖewo , le kpɔɖeŋu me `(Calcium channel blockers)` kple `(Beta-blockers)`.
• Atike siwo wozãna na tagbɔdɔléle aɖewo , abe `(Clozapine - Clozaril®)` kple `(Olanzapine - Zyprexa®)` ene.
• Atike siwo tsia alɔ̃madɔmadɔ nu , le kpɔɖeŋu me `(Phenytoin)` kple `(Gabapentin)`.
• Atike aɖewo na ʋuʋudedi , abe Ondansetron - Zofran® ene.

Atike geɖe abe esiawo ene ate ŋu ana ame natsi dɔme. Ne nya aɖe le asiwò ku ɖe atike si zãm nèle alo nɔnɔme sia ŋu la, bia wò ɖɔkta alo atikewɔla.

Atikewɔwɔ ƒe nɔnɔme bubuwo

Atikewɔwɔ ƒe nɔnɔme aɖewo hã ate ŋu ahe dɔmeɖui vɛ.

• Dɔlékuiwutikewo ƒe nɔnɔmewo, le kpɔɖeŋu me, ʋumenugbagbeviɣidɔ, suklidɔ, uremia (gbeɖuɖɔwo ƒe ƒuƒoƒo ɖe ʋu me le ayiku ƒe dɔmawɔmawɔ nyuie ta), kple hypercalcemia (calcium ƒe agbɔsɔsɔ si dzina ɖe edzi le ʋu me).
• Dɔdzẽ si le dɔgboa me.
• Dɔgbo ƒe Dɔléle si Doa Dziku (IBS).
• Diverticulitis (dɔlékui si xɔa kotoku sue siwo le dɔgbo gã me).
• Gbɔdzɔgbɔdzɔ le akɔta ƒe lãmekawo ŋu (outlet dysfunction constipation). Lãmetsi siawo kpena ɖe ame ŋu wòdoa aɖuɖɔ.
• Obstructed defecation syndrome (nɔnɔme si nana be aɖuɖɔtoe mexea mɔ na ame o).
• Dɔgbo ƒe pseudo-obstruction (dɔgbo ƒe dɔwɔwɔ nutsitsi hena ɣeyiɣi aɖe).
• Ahɔhɔ̃mekawo ƒe dɔlélewo , abe abixɔxɔ le aklã me, lãmekawo ƒe ʋuʋu, Parkinson ƒe dɔléle, kple ʋusɔgbɔdɔ ene.
• Lazy bowel syndrome (dɔgbo gã la ƒe tete si gbɔdzɔ).
• Dɔgbo ƒe mɔxexe.
• Nuɖuɖumeŋusẽ ƒe wɔwɔme ƒe gbɔdzɔgbɔdzɔwo (e.g., `(Fistula)`, `(Colonic atresia)`).
• Lãmenugbagbevi geɖe ƒe dɔlélewo , le kpɔɖeŋu me `(Amyloidosis)`, `(Lupus)` kple `(Scleroderma)`.
• Fufɔfɔ.

Nukawoe nye dɔmeɖui ƒe dzesiwo?

Ame si ŋu dɔgbo le ate ŋu akpɔ dzesiwo abe:

• Tsileƒe yiyi mede zi etɔ̃ le kwasiɖa me o.
• Aɖuɖɔa ƒu, sesẽ, eye wònyea ƒunukpeƒetetedɔ.
• Esesẽna be woaɖe aɖuɖɔ eye wòsea veve.
• Ewɔna nam abe dɔgbo le veve sem eye wònye lãmetutudɔ ene.
• Mesena le ɖokuinye me be nye dɔgbo yɔ, abe ɖe nye dɔgbo yɔ ene.
• Ne meyi tsileƒe gɔ̃ hã la, mesena le ɖokuinye me be nye dɔgbo mekɔ keŋkeŋ o.

Amekawoe ate ŋu axɔ dɔmeɖui wu? (Afɔku Siwo Le Ame Ŋu) .

Amesiame si xɔ ƒe ɖesiaɖe ate ŋu ase dɔmeɖui ɣeaɖewoɣi. Ke hã, ame aɖewo ate ŋu axɔ nɔnɔme sia ɣesiaɣi (`aɖuɖɔtoe si nɔa anyi didi`). Nusiwo kpɔa ŋusẽ ɖe esia dzi dometɔ aɖewoe nye:

• Ƒe: Zi geɖe la, amesiwo xɔ wu ƒe 65 mewɔa dɔ boo o wu sɔhɛwo, woƒe lãmenugbagbeviwo ƒe dɔwɔwɔ hã nɔa blewu vie, eye lãmeka siwo le nuɖuɖumeŋusẽ ƒe ʋuʋu ƒe ŋusẽ hã ate ŋu aɖe akpɔtɔ.
• Nyɔnu nyenye, vevietɔ le fufɔɣi kple le vidzidzi megbe: Lãmetsiŋusẽ ƒe tɔtrɔ ate ŋu ana ame natsi dɔme. Le fufɔɣi la, vidzĩ si le vidzidɔa me ate ŋu atutu dɔgboawo eye wòana aɖuɖɔtoea naɖe blewu.
• Nuɖuɖu siwo me fibre mesɔ gbɔ ɖo fũ o ɖuɖu.
• Atike aɖewo zazã.
• Ahɔhɔ̃mekawo ƒe dɔléle aɖewo (ahɔhɔ̃ kple aklã ƒe dɔlélewo) kple nuɖuɖumeŋusẽ ƒe dɔlélewo ƒe anyinɔnɔ.

Ðe dɔmeɖui ate ŋu ahe lãmesẽkuxi bubuwo vɛa?

Ẽ, ne wometo aɖuɖɔa me nyuie o eye wòva ɖo ɖe game dzi o la, kuxi aɖewo ate ŋu ado mo ɖa.

• Ʋuka siwo le dɔgboa me ƒe vuvu kple woƒe abi (hemorrhoids).
• Anal fissures (akɔta ƒe ŋutigbalẽ ƒe gbagbã) ne wole agbagba dzem be yewoato aɖuɖɔ sesẽ me.
• Dɔlékuiwo ƒe gege ɖe aɖuɖɔ me le kotoku suewo (diverticula) siwo dzɔna ɖe dɔgbo gã la ƒe gli me (diverticulitis).
• Aɖuɖɔ gbogbo aɖewo ƒe ƒuƒoƒo ɖe dɔgbo kple aɖuɖɔtoe me (Fecal impaction).
• Teteɖeanyi ne èle tsileƒe yim ate ŋu agblẽ nu le akɔta ƒe lãmekawo ŋu. Lãmetsi siawo kpena ɖe ame ŋu hã be woaɖu tsinyegoea ƒe dɔwɔwɔ dzi. Teteɖeanyi ɣeyiɣi didi hã ate ŋu ana aɖuɖɔ nado le tsinyegoea me (stress urinary incontinence).

Vevietɔ: Zi geɖe la, dɔmeɖui menaa aɖiwo ƒoa ƒu ɖe wò ŋutilã me eye wònana nèdzea dɔ o. Wò dɔgbo nye xɔ si ate ŋu alé gbeɖuɖɔwo ɖe te eye wòakeke ɖe enu. Ke hã, negbe ɖe dɔgboa ƒe nɔnɔme sesẽ aɖe le ŋuwò (abe ``Toxic Megacolon'' ene) ko hafi aɖiwo metoa eƒe gliwo me o.

Nukae dzɔna ne èƒo nu tso nya sia ŋu kple ɖɔkta?

Nuƒoƒo na ɖɔkta alo ame bubu ɖesiaɖe tso wò nugododeƒe ƒe nɔnɔmewo (alo eƒe anyimanɔmanɔ!) ŋu ate ŋu anye dɔ sesẽ aɖe. Gake ɖo ŋku edzi be wò ɖɔkta li be yeakpe ɖe ŋuwò. Wonye atikewɔla siwo wona hehee, eye woƒo nu tso lãmesẽnya ɖesiaɖe si ŋu nàte ŋu abu ŋu na dɔnɔwo. Ðɔktaa abia nya wò tso wò atikewɔwɔ ŋutinya, nugododeƒe ƒe nɔnɔmewo, agbenɔnɔ, kple gbesiagbedɔwo ŋu gbã .

Nyabiase siwo ku ɖe atikewɔwɔ ŋutinya ŋu:

• Dɔléle kawoe le ŋuwò fifia eye nèkpɔe va yi?
• Ðe wò lolo dzi ɖe kpɔtɔ alo dzi ɖe edzi nyitsɔ laa?
• Ðe wowɔ dɔ na wò le nuɖuɖumeŋusẽ ŋu va yia?
• Atike kple kpeɖeŋutɔ kawoe nènona tsɔ ɖea dɔmeɖui alo dɔléle bubuwo dzi kpɔtɔna?
• Ðe dɔmeɖui, nuɖuɖumeŋusẽdɔléle, alo dɔdzẽ le dɔgboa me le miaƒe ƒomea mea?
• Ðe wowɔ ``(Colonoscopy)'' na wò kpɔa?

Nyabiase siwo ku ɖe nugododeƒe ƒe numamewo ŋu:

• Zi nenie nèyia nugododeƒe?
• Aleke wò aɖuɖɔ le? (amadede, nusiwo mewɔ ɖeka o) .
• Èkpɔ ʋu alo fli dzĩwo le wò aɖuɖɔ mea?
• Èkpɔ ʋu le nugododezikpui dzi alo le nugododeƒe ƒe pepa dzi le etutu vɔ megbe kpɔa?

Nyabiase siwo ku ɖe agbenɔnɔ kple numamewo ŋu:

• Nukae nèɖuna le ŋkeke si wozãna ɖaa dzi?
• Atikutsetse kple amagbe nenie nèɖuna?
• Tsi nenie nènona?
• Aleke wò kamedede ƒe nɔnɔmewo le?

Tsɔ kpe ɖe eŋu la, ɖɔktaa ado eƒe ŋutilã kpɔ. Esia alɔ wò dzoxɔxɔ, ʋu ƒe sisi, kple ʋu ƒe sisi ɖeɖe ɖe eme. Atsɔ nuƒomɔ̃ aɖo to wò dɔgbo ƒe gbeɖiɖiwo. Aka asi wò dɔgbo hã ŋu be yeakpɔe ɖa be vevesese, vuvu, alo ƒunukpeƒetetedɔ aɖeke hã le ŋuwò hã.

Ðo ŋku edzi be wò ɖɔkta ate ŋu ado wò dɔgbo kpɔ hã. Esia nye dodokpɔ kabakaba si woate ŋu ase kple asibidɛ atsɔ akpɔe ɖa be ƒunukpeƒetetedɔ alo kuxi bubu aɖeke hã le eŋu hã.

Dodokpɔ kawoe wowɔna tsɔ dia nusi gbɔ dɔmeɖui tsona?

Ðewohĩ wò ɖɔkta mawɔ dodokpɔ aɖeke o, alo ate ŋu aɖe gbe be woawɔ dodokpɔ kple dɔdamɔnu vovovowo. Esia anɔ te ɖe wò dzesiwo, atikewɔwɔ ŋutinya, lãmesẽ bliboa, kple nusi ɖɔktaa susu be eya gbɔe wòtso dzi. Zi geɖe la, mehiã be woawɔ dodokpɔ bubu aɖeke hafi anya dɔlélea o. Gake wò ɖɔkta ate ŋu atso nya me be yeado dodokpɔ geɖe wu le wò dzesiwo nu.

• Dodokpɔ siwo wowɔna le dodokpɔxɔ me: Ʋu kple aɖuɖɔ dodokpɔ ate ŋu ade dzesi nɔnɔmewo abe ʋumenugbagbeviɣidɔ, ʋusɔgbɔdɔ, kple suklidɔ ene. Woate ŋu ado aɖuɖɔ ƒe kpɔɖeŋu kpɔ be dɔlékui, dɔdzẽ, kple kansa ƒe dzesiwo le eŋu hã.
• Nɔnɔmetatawo dodokpɔ: Wò ɖɔkta ate ŋu adɔ be woawɔ CT-dɔdamɔnu, MRI-dɔdamɔnu, alo dɔgbo ƒe akpa si le ete ƒe akpa siwo kplɔ wo nɔewo ɖo atsɔ adi kuxi bubu siwo ate ŋu ana wò dɔgbo natsi. Gake zi geɖe la, womeɖoa esiawo ɖe ɖoɖo nu o.
• Colonoscopy: Ðɔkta ateŋu awɔ ``Colonoscopy`` alo ``Sigmoidoscopy`` - esia bia be woatsɔ mɔ̃ si me fotoɖemɔ̃ le (``scope``) ade dɔgbo me be woakpɔ dɔgbo gã la me. Le ɣeyiɣi sia me la, woateŋu axɔ lãkusi ƒe kpɔɖeŋu (``Biopsy``) atsɔ akpɔe ɖa be kansa alo kuxi bubuwo le eŋu hã, eye woateŋu aɖe polyp ɖesiaɖe, ne woli la, ɖa.
• Dɔgbo ƒe dɔwɔwɔ ŋuti numekukuwo: Le dodokpɔ siawo me la, ènoa atike si me keklẽŋusẽ le ƒe agbɔsɔsɔ sue aɖe, abe atikekui ene alo kple nuɖuɖu, eye emegbe woléa ŋku ɖe ɣeyiɣi kple mɔ si dzi atike la zɔna to wò dɔgbowo me ŋu.
• Dɔgbo ƒe dɔwɔwɔ dodokpɔ bubuwo: Wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔwo atsɔ akpɔ alesi wò aɖuɖɔtoe kple aɖuɖɔtoe léa aɖuɖɔe heɖenɛ ɖa. Esiawo dometɔ aɖewoe nye X-ray dodokpɔ tɔxɛ aɖe si woyɔna be defecography (si wozãna tsɔ dia doa ƒe dɔmawɔmawɔ nyuie kple dɔmeɖui), kple dodokpɔ siwo me wotsɔa ʋuƒo sue aɖe dea wò aɖuɖɔtoe me (dodokpɔ si nyea ʋuƒo si woɖena ɖa kple anorectal manometry).

Aleke woawɔ akpɔ gbɔdzɔe tso dɔmeɖui me?

Woate ŋu akpɔ dɔmeɖui si nu mesẽ o va ɖo esi mesẽ o ƒe akpa gãtɔ gbɔ le aƒeme. Ðokuidzikpɔkpɔ dzea egɔme tso susu tsɔtsɔ ɖe nusiwo nèɖuna kple nunono ŋu kple tɔtrɔ siwo hiã wɔwɔ dzi. Nusiwo nàte ŋu awɔ le aƒeme hena gbɔdzɔe enumake:

• No tsi kplu eve va ɖo ene kpee gbesiagbe. Ƒo asa na aha siwo me caffeine le kple aha sesẽ siwo ate ŋu ana tsi nagbɔdzɔ le ŋutilãa me. Azɔ hã, ɖe atikutsetsenono kple aha siwo me vivi le ŋutɔ dzi kpɔtɔ.
• Ƒo asa na lã siwo ŋu wotrɔ asi le, nuɖuɖu siwo me ami le, kple carbohydrates siwo ŋu wokɔ abe abolo ɣi, pasta, kple mɔli ene. Ƒo lã siwo me ami mele o abe koklolã kple nyinotsi siwo me ami mesɔ gbɔ ɖo o ene.
• De atikutsetsewo, amagbewo, mɔliwo, nuku blibowo, kple nuɖuɖu bubu siwo me fibre sɔ gbɔ ɖo wò gbesiagbenuɖuɖu me. Ðe nuɖuɖu siwo me ami sɔ gbɔ ɖo abe lã, azi, kple cheese ene dzi kpɔtɔ.
• Ðu prunes, bran cereal, kple atikutsetse siwo me fibre sɔ gbɔ ɖo abe amititsetse, ananas, strawberry, mango, avocado, kple papaya ene.
• Wɔ nuɖuɖu ŋuti nuŋlɔɖigbalẽ eye nàde dzesi nuɖuɖu siwo nana nètsia dɔme.
• Kamedede. Nu bɔbɔe aɖe abe azɔlizɔzɔ ene gɔ̃ hã ate ŋu akpe ɖe ŋuwò.
• Lé ŋku ɖe alesi nènɔa anyi ɖe nugododeƒea ŋu. Ne èkɔ wò afɔwo ɖe dzi vie, èbɔbɔ ɖe megbe, alo nènɔ anyi ɖe afɔ siwo wotso ɖe wo nɔewo ŋu la, ate ŋu ana wòanɔ bɔbɔe be nàto aɖuɖɔ me.
• Tee kpɔ nàno fibre kpeɖeŋutɔ (abe Metamucil®, MiraLAX®, Citrucel®, alo Benefiber® ene) tso atikedzraƒe. Anyo wu be nàdze egɔme tso sue ne èle esiawo gɔme dzem.
• Ne ehiã la, tsɔ atike si naa aɖuɖɔtoe fafɛ alo atike si naa aɖuɖɔtoe (abe Docusate ene) le atikedzraƒe. Mineral oil enemas kple atike siwo doa ŋusẽ aɖuɖɔtoe hã nye tiatia siwo woate ŋu atia. Aɖuɖɔtoemetike ƒomevi geɖe li. Bia wò atikewɔla alo ɖɔkta be wòakpe ɖe ŋuwò nàtia esi sɔ na wò. Mègazã atike siwo naa aɖuɖɔtoe me wu kwasiɖa eve ne mèbia ɖɔkta o. Atike siwo naa aɖuɖɔtoewo zazã fũ ate ŋu ana wò dzesiwo nagagblẽ ɖe edzi.
• Mègazã nuwo abe nyadzɔdzɔgbalẽ alo telefon ene ne èle agbagba dzem be yeayi nugododeƒe o.
• Mègahe ɖe megbe ne èse le ɖokuiwò me be ehiã be yeayi tsileƒe o. Esia wɔwɔ ate ŋu axe mɔ na dzesi si tso wò dɔgbo me yi wò ahɔhɔ̃ me (agblɔ na wò be nàɖe aɖuɖɔ).

Kpɔ nyuie le atikewo kple kpeɖeŋutɔtikewo ŋu.

Tsɔ kpe ɖe ɖokuiwò dzi kpɔkpɔ ƒe afɔɖeɖewo ŋu la, wò ɖɔkta alé ŋku ɖe atike kple kpeɖeŋutɔ siwo nènona hã ŋu (ne èno ɖeke). Esiawo dometɔ aɖewo ate ŋu ana ame nazu dɔmeɖui. Ne nenemae la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàtrɔ atikeawo ƒe agbɔsɔsɔme, atrɔ ɖe atike bubu ŋu, alo nàdzudzɔ atike si wotsɔ kpe ɖe eŋu la zazã. Mègadzudzɔ wò atikewo alo kpeɖeŋutɔtikewo nono gbeɖe ne mèƒo nu kple wò ɖɔkta gbã o.

Atike si woŋlɔ na ame be wòaxe mɔ na dɔmeɖui

Atike ƒomevi vovovowo li siwo ɖɔktawo ŋlɔna na ame be woatsɔ ada dɔmeɖui:

• `(Lubiprostone (Amitiza®)) ƒe lãgbalẽ
• `(Prucalopride (Prudac®, Motegrity®)) ƒe atike si wotsɔna ƒoa ƒui
• `(Plecanatide (Trulance®)) ƒe lãgbalẽ
• `(Lactulose (Cephulac®, Kristalose®)) ƒe lãmesẽnyawo gbɔ kpɔkpɔ
• `(Linaclotide (Linzess®)) ƒe atike si wotsɔna ƒoa ƒui

Wò ɖɔkta anɔ te ɖe wò dodokpɔwo me tsonu dzi atia atike si sɔ na wò wu.

Amekoko

Ƒã hafi wòhiãna be woawɔ dɔ na ame be woatsɔ ada dɔmeɖui. Gake ne wò dɔgbo ƒe wɔwɔme ƒe kuxi aɖe gbɔe wò dɔgbo le la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò. Le kpɔɖeŋu me:

• Dɔgbo ƒe mɔxexe.
• Dɔgbo ƒe ʋuʋu.
• Anal ƒe ʋuʋudedi.
• Aɖuɖɔtoe ƒe gege nye dɔgbo ƒe akpa aɖe ƒe dodo ɖe nyɔnu ƒe vidzidɔ me.

Woate ŋu atsɔ amekoko ada nɔnɔme aɖewo siwo hea dɔgbo ƒe dɔmawɔmawɔ nyuie vɛ. Dodokpɔwo vɔ megbe ko hafi woate ŋu aƒo nu tso esia ŋu. Azɔ hã, ne dɔgbomekpɔkpɔ ɖee fia be kansa le wò dɔgbo, dɔgbo, alo dɔgbo me la, ate ŋu ahiã be woawɔ dɔ na wò.

Aleke nàwɔ axe mɔ ɖe dɔmeɖui nu?

Woate ŋu azã aƒeme atike mawo ke siwo wozãna tsɔ daa dɔmeɖui hã atsɔ axe mɔ ɖe enu be wòagazu kuxi si nɔa anyi didi o:

• Ƒo nuɖuɖu si da sɔ si me fibre sɔ gbɔ ɖo. Atikutsetsewo, amagbewo, mɔliwo, nukuwo, kple abolo kple nuku siwo wotsɔ nuku blibo wɔe nye fibre dzɔtsoƒe nyuiwo. Fiber kple tsi kpena ɖe ame ŋu be aɖuɖɔ toa wò dɔgbo me. Fibre le atikutsetse akpa gãtɔ ƒe ŋutigbalẽ me. Atikutsetse siwo woate ŋu aɖu kple nukuawo (abe strawberry ene) la me fibre sɔ gbɔ ɖo. Bran hã nye fibre dzɔtsoƒe nyui aɖe. Ðu bran cereal, alo nàtsɔ bran akpe ɖe nuɖuɖuwo abe mɔli kple yogurt ene ŋu. Ele be amesiwo ŋu dɔgbo le naɖu fibre gram 18 va ɖo 30 gbesiagbe. (Ne diverticulitis le ŋuwò la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàƒo asa na atikutsetse siwo me nukuwo le.)
• No tsi si ƒe kpekpeme nye ounce 8 kplu 8 gbesiagbe. (De dzesii: Ame aɖewo ate ŋu ase dɔmeɖui ne wole notsi nom.) Nunono siwo me caffeine le abe kɔfi, tii, kple aha fafɛ ene ate ŋu ana tsi nagbɔdzɔ le mewò. Ðewohĩ àdi be yeadzudzɔ nusiawo nono vaseɖe esime wò nugododeƒe ƒe nɔnɔmewo nagatrɔ ava nɔ abe tsã ene.
• De kame edziedzi. Mehiã be wòasɔ gbɔ o, azɔlizɔzɔ ko gɔ̃ hã kpena ɖe ame ŋu ŋutɔ.
• Woate ŋu azã kpeɖeŋutɔ abe magnesium ene na dɔmeɖui. (Menye amesiamee wòle be wòano magnesium o. Bia wò ɖɔkta hafi nànoe).
• Ne ehiã be nàyi tsileƒe la, wɔe. Mègahe ɖe megbe o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Le nɔnɔme sia tɔgbe me la, ele be nàkpɔ ɖɔkta godoo:

• Ne dɔmeɖui nye kuxi yeye na wò.
• Ne èkpɔ ʋu le wò aɖuɖɔ me.
• Ne èɖe wò lolo dzi kpɔtɔ le manyamanya me.
• Ne èle veve sem vevie ne èle nugododeƒe yim.
• Ne wò dɔmeɖui xɔ wu kwasiɖa etɔ̃.
• Ne dzesiwo le ŋuwò be `outlet dysfunction constipation`.

Nya kawoe wòle be nàbia ɖɔkta?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe:

• Nukatae nye dɔgbo le ƒoƒom?
• Nukae mate ŋu awɔ/awɔ be makpɔ gbɔdzɔe enumake tso dɔmeɖui me?
• Aƒeme atikewɔwɔ kawoe nèkafu?
• Nukae wòle be maɖu ahano be nyemagaxɔ dɔmeɖui o?
• Aleke magawɔ axe mɔ ɖe dɔmeɖui nu?

Ðo ŋku edzi be nàgblɔ wò ɖɔkta faa eye nàgblɔe anukwaretɔe tso wò nugododeƒe ƒe nɔnɔmewo kple nusiwo ŋu nètsi dzi ɖo alo nyabiase ɖesiaɖe si anɔ asiwò ŋu. Nugododeƒe yiyi nye nusi wòle be mí katã míawɔ. Dɔmeɖui ate ŋu anye ɣeyiɣi kpui aɖe ƒe nɔnɔme, kuxi si anɔ anyi eteƒe nadidi, alo nɔnɔme si nu sẽ wu ƒe dzesi. Eyata nɔ dedie. Kpɔ ɖɔkta, vevietɔ ne ède dzesi tɔtrɔ le wò nugododeƒe ƒe nɔnɔme ŋu, alo ne èse le ɖokuiwò me be yeƒe dɔgbowo le yeƒe agbe dzi ɖum.

Ðo ŋku nu vevitɔ kekeake dzi (Take-Home Message) .

Eyata, dɔmeɖui nye dɔléle si dzea ame geɖe dzi, gake zi geɖe la, woate ŋu akpɔ egbɔ le aƒeme. Nu vevitɔwoe nye be nàno tsi geɖe, aɖu nuɖuɖu si me fibre sɔ gbɔ ɖo, nàde kame, eye màhe tsileƒe yiyi ɖe megbe o. Ɣeaɖewoɣi la, ate ŋu atso atike siwo míenona alo atikewɔwɔ ƒe nɔnɔme bubuwo gbɔ. Eyata, ne kuxi sia le ŋuwò si yi edzi, alo ne dzesi aɖewo siwo me afɔku le abe ʋu le dodom ene le ŋuwò la, yi ɖɔkta gbɔ godoo eye nàxɔ aɖaŋuɖoɖo. Naneke meli si ŋu ŋukpe alo vɔvɔ̃ ɖo o, elabena wò lãmesẽe nye nu vevitɔ kekeake!

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` Aɖuɖɔtoe, dɔmeɖui, aɖuɖɔ ƒuƒu, nugododeƒe yiyi sesẽ, fibre, nuɖuɖumeŋusẽ, lãmesẽ