Ðe wòsesẽna na wò hã be nàɖe aɖuɖɔa? Mina míasrɔ̃ nu tso Defecography dodokpɔa ŋu!

Ðe nugododeƒe yiyi sesẽna na wòa? Alo ɖe wò dɔgbowo léle ɖe eme sesẽna na wò ɣeaɖewoɣia? Alo ɖe nèsena le ɖokuiwò me be yeƒe dzi dzea eme le mɔ wɔnuku aɖe nu, si mènya o ne èyi nugododeƒea? Ne kuxi siawo dometɔ aɖe le ŋuwò la, wò ɖɔkta adi be woawɔ dodokpɔ tɔxɛ aɖe si woyɔna be defecography be yeanya nusi gbɔ wòtso. Kpuie ko la, wowɔa esia be woatsɔ alé ŋku ɖe alesi lãmekawo kple ŋutinu bubu siwo le wò ŋutilã me wɔa dɔe ne èɖe aɖuɖɔ.

Nukae Nye Defecography?

Enyo, mina míalé ŋku ɖe nusi defecography nye ŋu nyuie. Le nyateƒe me la, esia nye keklẽŋusẽ dodokpɔ. Eléa ŋku ɖe alesi lãmekawo kple ŋutinu siwo le wò ŋutilã me le dɔ wɔm ne èɖe aɖuɖɔ, alo abe alesi ɖɔktawo yɔnae ene la, "ɖe aɖuɖɔ." Wowɔa esia to "Fluoroscopic X-ray" dodokpɔ tɔxɛ alo "MRI - Magnetic Resonance Imaging" dodokpɔ zazã me. To mɔ̃ɖaŋununya siawo dzi la, ɖɔktawo ate ŋu akpɔ alesi wò ŋutilã ƒe akpa vovovowo le ʋuʋum kple alesi wole dɔ wɔm ne èɖe aɖuɖɔ.

Fifia ɖewohĩ ànɔ ɖokuiwò biam be ɖe wòle be yeaɖe aɖuɖɔ ŋutɔŋutɔ hena dodokpɔ sia wɔwɔ hã. Ao, mèwɔe nenema o. Atikewɔlawo atsɔ atike tɔxɛ aɖe si le abe aɖuɖɔ ene pɛpɛpɛ ade wò dɔgbo me. Woyɔa esia be "barium" ƒe ʋeʋẽ. "Barium" sia nye "contrast agent," nusi nana wò ŋutilã ƒe eme dzena nyuie le "X-ray" alo "MRI" me. Emegbe àtsɔ atike sia ana esime nèbɔbɔ nɔ nugododeƒe tɔxɛ aɖe si le scanner la me. Nu vevitɔe nye be menye nugododeƒea ƒe keklẽŋusẽdɔdalaa le ŋku lém ɖe ŋuwò o, ke boŋ wò ememe ƒe nɔnɔmetata siwo le kɔmpiutaa ƒe screen dzi lae le ŋku lém ɖe ŋuwò. Eyata naneke meli si ŋu wòakpe ŋu ɖo o.

Ɣekaɣie dodokpɔ sia hiã?

Taɖodzinu vevitɔ si le dodokpɔ sia ŋue nye be wòana wò ɖɔkta nanya nu geɖe tso nusiwo le edzi yim le ememe ne èle aɖuɖɔ ɖem ŋu. Esia akpe ɖe wo ŋu woake ɖe nusi tututu gbɔ wò kuxia tso ŋu eye woakpɔ atike nyuitɔ. Dodokpɔ sia kpena ɖe ɖɔktawo ŋu be woanya nu tso nuwo abe:

• Alesi wò akɔta ƒe lãmekawo ƒoa ƒui heɖea dzi ɖi.
• Alesi wò akɔta wɔa dɔe ne èle dɔgboa ƒom.
• Alesi wò dɔgbo, dɔgbo, nyɔnu ƒe vidzidɔ, kple tsinyegoe ʋãnae ne èle aɖuɖɔ ɖem.
• Ðe ŋutinu aɖe si le wò ŋutilã me trɔ alo trɔ eƒe nɔƒea?
• Ðewohĩ ne èle ɖoɖo wɔm be yeawɔ dɔ na ye la, nu ka ƒomeviwo ŋue wòle be nàɖɔ ŋu ɖo etɔxɛe?

Dɔléle kawoe woate ŋu ade dzesii to dodokpɔ sia me?

Ne dzesi siwo womenya o siwo ku ɖe wò dɔgbo ƒe ʋuʋu ŋu le ŋuwò ɣeyiɣi didi aɖe la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ aɖuɖɔtoeme dodokpɔ be nànya nusi gbɔ wòtso. Le kpɔɖeŋu me:

• Anal vevesese.
• Dɔmeɖui (si fia be aɖuɖɔtoe ɖeɖe sesẽna).
• Aɖuɖɔtoe ƒe toto dzi ɖuɖu ƒe ŋutetemanɔamesi (Fecal incontinence).
• Amewo ɖeɖe ɖa bliboe nye seselelãme be womeɖe aɖuɖɔa ɖa keŋkeŋ o.

Wozãa dodokpɔ sia hã tsɔ ɖoa ​​kpe atikewɔwɔ ƒe nɔnɔme aɖe dzi ne ɖɔktaa susui. Nɔnɔme mawo dometɔ aɖewoe nye:

• Akɔta ƒe dɔmawɔmawɔ nyuie: Kpuie ko la, lãmeka kple lãmeka siwo le wò akɔta mewɔa dɔ nyuie o eye wowɔa dɔ nyuie ne èle aɖuɖɔ ɖem.
• Lãmenugbagbeviwo ƒe gbagbã: Esia nye ne ŋutinu aɖe si le wò ŋutilã me gbɔdzɔ eye wòge le teƒe si wòle, alo ŋutinu ɖeka tu ɖe bubu me. Kpɔɖeŋu aɖewoe nye:
• Aɖuɖɔtoe ƒe gbagbã.
• Rectocele nye dɔgbo ƒe dodo ɖe nyɔnu ƒe vidzidɔ me.
• Enterocele nye dɔgbo suea ƒe dodo ɖe aɖuɖɔtoe me.

Amekae le dodokpɔ sia wɔm?

X-ray kple MRI dodokpɔ mawo katã nye esiwo keklẽŋusẽŋutinunyala siwo xɔ hehe etɔxɛe, siwo xɔ ɖaseɖigbalẽ, ye wɔa wo. Vevietɔ, eŋutinunyala bibi aɖe si se dɔgboa kple eƒe ʋuʋu siwo do ƒome kplii (Anorectal Motility) gɔme nyuie ye wɔa aɖuɖɔtoe.

Aleke wowɔa dodokpɔ siae?

Woate ŋu azã fluoroscopic X-ray alo MRI atsɔ awɔ aɖuɖɔtoe. Mɔnu eveawo siaa ate ŋu alé ŋku ɖe alesi wò ŋutilã ƒe ememe dɔwɔwɔwo wɔa dɔe ne èɖe aɖuɖɔ. X-ray mɔnue wozãna wu, gake le ame aɖewo gome la, keklẽ sue si X-ray dona ate ŋu agblẽ nu le ame ŋu, eyata MRI sɔ wu.

Bu eŋu abe video dzi X-ray ene. Le esi teƒe be woaɖe foto le teƒe aɖe la, woɖoa X-ray ƒe keklẽ si yia edzi ɖaa to ŋutilãa me. Emegbe àte ŋu akpɔ nɔnɔmetata siwo le ʋuʋum ɖe wo nɔewo yome le screen dzi le ɣeyiɣi ŋutɔŋutɔ me. Ema fia be mehiã be nàlala be woawɔ fotoawo o, àte ŋu akpɔ wò ŋutinuwo ƒe dɔwɔwɔ abe video ene.

MRI (Magnetic Resonance Imaging) dodokpɔ wɔa dɔ to radio ƒe ƒutsotsoewo kple magnet-ŋusẽ zazã me. Wotsɔa elektrikŋusẽ aɖe toa gaƒoɖokuiwo me le mɔ̃a katã me tsɔ wɔa magnet-ŋusẽ. Esia nana haidrodzin atɔm siwo le wò ŋutilã me la ʋãna. Ne wotrɔ yi woƒe nɔƒe gbãtɔ la, mɔ̃a xɔa dzesi si woɖena to radio ƒutsotsoewo dzi eye wòɖenɛ fiana abe nɔnɔmetata ene le kɔmpiuta dzi.

Nukae dzɔna do ŋgɔ na dodokpɔa?

Wò ɖɔkta aŋlɔ wò atikewɔwɔ ŋutinya bliboa tsitotsito, si me amekoko ɖesiaɖe si wowɔ na wò, atikewɔwɔ ƒe nɔnɔme siwo le ŋuwò, atike siwo nèno, kple nusiwo wotsɔ de wò lãme na wò hã le. Emegbe, woabia wò tsitotsito tso nusi tututu dzɔna ne èɖe aɖuɖɔ ŋu.

Eyome, míana alesi wowɔa dodokpɔ siae ŋuti numeɖeɖe bliboe wò. Míaɖe alesi wòle be nàwɔ nu aduadu be nàkpɔ dodokpɔa me tsonu siwo me kɔ wu hã me. Elabena dodokpɔ sia ƒe dzidzedzekpɔkpɔ nɔ te ɖe miaƒe nuwɔwɔ aduadu dzi koŋ.

Ɣeaɖewoɣi la, woate ŋu ana enema wò be nàzã le aƒeme be wòakpe ɖe ŋuwò nàkɔ wò dɔgbo ŋu hafi nàdoe kpɔ. Woate ŋu abia tso asiwò hã be nàtrɔ wò nuɖuɖu, atikewo, kple tsi si nènona hafi dodokpɔa nadze egɔme. Mɔfiame siawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ, eyata ele vevie be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ.

Aleke nèdzrana ɖo le dodokpɔŋkekea dzi?

Eɖanye Fluoroscopic X-ray Defecography alo MRI Defecography wɔm nèle o, dodokpɔ siawo evea siaa bia be nàzã atike si naa ŋutinu ememetɔ siwo ɖɔktaa di be yeakpɔ la nadze nyuie. Esia fia be ele be woado vovototodedeameme ƒe atike sia ɖe wò ŋutilã me hafi adoe kpɔ.

Be woakpɔ wò nuɖuɖumeŋusẽ ƒe akpa mamlɛtɔ – dɔgbo, dɔgbo kple aɖuɖɔtoe – nyuie la, atikewɔlawo ƒe ƒuƒoƒoa ade nusi wotsɔ dea vovototo nu me (Barium Sulfate) ɖe nuɖuɖu me eye woatsɔe ade wò dɔgbo me. Woyɔa esia be barium enema. Gake ɣeaɖewoɣi la, ɖɔkta ate ŋu adi be yealé ŋku ɖe ŋutinu bubu siwo gbɔ enema la mate ŋu aɖo o ŋu.

Le kpɔɖeŋu me, ne ehiã be nàkpɔ wò dɔgbo sue la, woate ŋu ana atike si to vovo na ema wò be nàno. Ðewohĩ ahiã be nàno esia gaƒoƒo ʋɛ aɖewo do ŋgɔ na dodokpɔa, elabena exɔa ɣeyiɣi hafi atike la to wò nuɖuɖumeŋusẽ me. Ɣebubuɣi la, ne ehiã be nàkpɔ gli si le wò vidzidɔ kple dɔgbo dome la, woate ŋu atsɔ barium-mi asisi ɖe wò vidzidɔ ŋu.

Aleke nuteƒekpɔkpɔa le le aɖuɖɔtoe dodokpɔ me?

Ne èdo kɔdziwu vɔ la, woakplɔ wò ayi dodokpɔxɔa me. Afima la, àmlɔ kplɔ̃ dzi. Emegbe, atikewɔlawo ƒe ƒuƒoƒoa atsɔ tu si wotsɔna ƒoa nui atsɔ barium-mi ade wò dɔgbo me. Enema sia ate ŋu ana nàse le ɖokuiwò me be yeƒe lãme yɔ vie alo yeƒe lãme vuvu vie. Ne wò dɔgbo yɔ la, le dzɔdzɔme nu la, àse le ɖokuiwò me be yeaɖe aɖuɖɔ. Emegbe èle klalo na dodokpɔa.

Ne èle X-ray-mɔ̃ alo MRI-mɔ̃ si le ʋuʋu ɖi me la, kplɔ̃ si dzi nèle la le tsitrenu, eye nugododeƒe tɔxɛ aɖe le ete. Zi geɖe la, ènɔa anyi ɖe nugododeƒea. Wotrɔ asi le mɔ̃ siawo evea siaa ŋu be woate ŋu axe mɔ na xɔmenuwo, eye teƒe geɖe anɔ wo me eye ya nate ŋu age ɖe eme. Gake ne èle MRI-mɔ̃ si wozãna tsã, si le abe mɔ̃ ene vie me la, ele be nàmlɔ kplɔ̃a dzi gbadzaa, eye emegbe nàɖe aɖuɖɔ ɖe ame tsitsiwo ƒe aklala me. Woate ŋu atsɔ avɔ si ŋu gaƒoɖokuiwo le hã atsyɔ dziwò.

Ame aɖewo ate ŋu ase le wo ɖokui me be yewovɔ̃na na xɔmenuwo ne yewole MRI-mɔ̃ si wozãna tsã la me. Ne edzɔ alea la, woate ŋu ana atike si naa ame ƒe dzi dzea eme be wòakpe ɖe ŋuwò nàɖe dzi ɖi. Mɔ̃a klẽ nyuie eye ya le eme. Àte ŋu aƒo nu kple mɔ̃ɖaŋudɔwɔla la hã to intercom dzi. MRI-mɔ̃ siwo le ʋuʋu ɖi kple esiwo wozãna tsã siaa naa gbeɖiɖi sesẽ aɖe si nye "tock tock, click click" ne woɖe nɔnɔmetataawo. Woana tomeka alo toɖoɖomɔ̃ wò hafi woawɔ dɔa na wò.

Kekeliŋutinunyala si wɔa dodokpɔdɔwɔnuawo ŋudɔ ana mɔfiamewo wò tso mɔ̃a godo. Ne wole nɔnɔmetataawo ɖem la, woagblɔ na wò be nàte wò lãmekawo, alé wo ɖe asi, eye nàɖe dzi ɖi. Ne èle tutum la, ele be nàzã ŋusẽ si sɔ ale be mɔ̃ɖaŋudɔwɔla la nate ŋu akpɔ alesi wò lãmekawo le dɔ wɔm nyuie. Ele be nànɔ anyi kpoo ŋutɔ hã esime wole nɔnɔmetataawo ɖem atraɖii – zi geɖe la, mede aɖabaƒoƒo ɖeka o.

Dodokpɔ bliboa xɔa abe miniti 30 va ɖo 60 ene. Ate ŋu ase le eɖokui me be ɖeɖi tea ye ŋu vie eye ɖewohĩ wòanye ŋukpe gɔ̃ hã, gake menye dodokpɔ si me vevesese le o.

Nukae dzɔna le dodokpɔa megbe?

Ne dodokpɔa wu enu la, woakplɔ wò ayi tsileƒe aɖe si nàte ŋu akɔ ɖokuiwò ŋu le. Anɔ eme be àkpɔ nu ɣi aɖe si le abe chalk ene si woyɔna be ``Barium'' wòado le wò aɖuɖɔ me abe ŋkeke eve ene. Àgate ŋu adze wò dɔwɔna kple nuɖuɖu ƒe nɔnɔme siwo nèwɔna ɖaa gɔme enumake.

Ðe afɔku alo nugbegblẽ le dodokpɔ sia ŋua?

Wobua keklẽ sue si X-ray dona be ele dedie, nenye be mèdoa goe enuenu o ko. MRI-dɔdamɔnu mehea afɔku alo nugbegblẽ aɖeke vɛ o. Ne èfɔ fu la, zi geɖe la, wokafui be nàƒo asa na dodokpɔ eveawo siaa alesi nàte ŋui, togbɔ be afɔku si le fugboea ŋu be wòagblẽ nu le eŋu la le sue ŋutɔ hã.

Nukawoe dona tso eme? Gɔmesese kae le Xawa ŋu?

Kekeliŋutinunyala la aɖo nyatakaka tsitotsito ɖe wò ɖɔkta vevitɔ. Agblɔ emetsonuwo na wò. Nyatakakaa aɖee afia nenye be kuxi aɖewo li siwo bɔ ɖe aɖuɖɔtoe me. Ana nànya hã nenye be wò ɖɔkta si kpɔa dɔnɔwo gbɔ gbã la ɖe gbe be woawɔ dodokpɔ aɖewo koŋ.

Tsɔe be wò ɖɔkta ɖe gbe be woawɔ aɖuɖɔtoe dodokpɔ sia ƒomevi, si fia be ɖewohĩ kuxi sia le fu ɖem na wò ɣeyiɣi didi aɖee nye esia. Eyata nyatakaka siwo tso wò aɖuɖɔtoe dodokpɔ me le vevie be wò ɖɔkta nawɔ atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake si ana wò aɖuɖɔtoe ŋuti nuteƒekpɔkpɔ nanyo ɖe edzi.

Tsɔ gbedasi yi aƒeme

Ẽ, dodokpɔ sia adze nusi wɔ nuku vie, eye ɖewohĩ maɖe dzi ɖi gɔ̃ hã. Gake ɖo ŋku edzi be akpe ɖe ŋuwò nàke ɖe nusi tututu gbɔ wò kuxia tso ŋu eye nàdze edada si sɔ gɔme. Mlɔeba la, dodokpɔ sia ate ŋu ahe gbɔdzɔe gã aɖe vɛ na wò. Eyata ne wò ɖɔkta kafu dodokpɔ sia la, ele vevie be nàƒo nu tso eŋu nyuie eye nàna woawɔe ne ehiã.

`Dɔmeɖui, Difficography, Aɖuɖɔtoe dodo sesẽ, Barium, X-ray, MRI, Pelvic floor