Ðe nènye amesi ŋu suklidɔ lea? Eya ta, ɖe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeɖi ƒo ne èɖu nu sue aɖe gɔ̃ hãa? Alo ɖe nèsena le ɖokuiwò me zi geɖe, dzi ɖua wò, eye wòɖea aɖuɖɔ ɣeaɖewoɣia? Le nu siawo katã ta la, ɖewohĩ èle agbagba dzem be yeaɖu yeƒe ʋumesukli ƒe agbɔsɔsɔ dzi. Ame geɖe susuna be dɔgbo ƒe kuxi siwo sɔ koe esiawo nye. Gake esia ate ŋu anye suklidɔ ŋutɔ ƒe kuxi. Emae nye nusi ŋu míele nu ƒom tsoe egbea.
Nukae Nye Suklidɔ ƒe Dɔgbo ƒe Dɔléle?
Kpuie ko la, esiae nye ne lãmeka siwo le wò dɔgbo (dɔgbo) me mewɔa dɔ nyuie o. Zi geɖe la, ne míele nu ɖum la, lãmeka siwo le dɔgboa me la ƒoa ƒu eye wotua nuɖuɖua ɖe dɔgbo suea me. Gake le gastroparesis me la, nuwɔna sia dzɔna blewu ŋutɔ, alo ɣeaɖewoɣi la, edzudzɔna kura. Eyata nuɖuɖua nɔa dɔgboa me gaƒoƒo geɖe.
Woate ŋu akpɔ nɔnɔme sia le suklidɔ ƒomevi 1 kple ƒomevi 2 siaa me. Gake zi geɖe la, edzɔna ɖe amesiwo ŋu suklidɔ le wu ƒe 10 eye suklidɔ ƒe kuxi bubuwo le wo ŋu (le kpɔɖeŋu me, lãmekawo ƒe gbegblẽ).
Nukatae esia le dzɔdzɔm ɖe mía dzi?
Susu vevitɔ si tae nye be sukli ƒe agbɔsɔsɔ nɔa ʋu me ɣeyiɣi didi aɖe si dzi womeɖuna o . Suklidɔ si dzi womeɖu o ate ŋu agblẽ nu le lãmeka siwo le míaƒe ŋutilã me ŋu.
Tsɔe be "dziɖula" bibi aɖe li si kpɔa míaƒe dɔgbo ƒe dɔwɔwɔ dzi. Emae nye Vagus ƒe lãmeka . Ne Vagus lãmeka sia gblẽ le sukli ƒe agbɔsɔsɔ ta la, dɔgboa mexɔa dzesi be wòakɔ nuɖuɖua me nyuie o. Ate ŋu agblẽ nu le lãmeka siwo le dɔgboa me kple lãmenugbagbevi tɔxɛ (pacemaker cells) siwo kpena ɖe nuɖuɖua ŋu wòtoa eme hã ŋu. Ne susu siawo katã va ƒo ƒu la, nuɖuɖua tsia dɔgboa me eye dɔgbo ƒe dɔmawɔmawɔ nyuie dzɔna.
Nukawoe nye esia ƒe dzesi veviwo?
Lé ŋku ɖe eŋu nàkpɔe ɖa be dzesi siawo le ŋuwò hã. Gake ɖo ŋku edzi be mègatsɔe be dɔléle sia le ye ŋu le esi dzesi siawo dometɔ ɖeka alo eve le ye ŋu ta ko o. Ele be nàkpɔ ɖɔkta godoo ɖe ema ta.
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Dzimeve/Tɔtrɔ ƒe sisi | Nuɖuɖu siwo me aɖi le le dɔgboa me gatrɔna yia dzi vaa ŋɔti me. |
| Xeɖeɖe | Dzimaɖitsitsi si se le eɖokui me abe ʋuʋudedi ene ɣesiaɣi. |
| Ʋuʋudedi | Le nɔnɔme sesẽwo me la, woate ŋu aɖu nuɖuɖu siwo womeɖu o si woɖu gaƒoƒo geɖe do ŋgɔ o. Le ame aɖewo gome la, esia ate ŋu adzɔ gbesiagbe. |
| Sukli ƒe agbɔsɔsɔ dzi ɖuɖu sesẽ | Esi wònye be manya wɔ be woanya ɣeyiɣi si tututu nuɖuɖu gena ɖe dɔgboa me o ta la, sukli ate ŋu adzi ɖe edzi eye wòaɖiɖi kpata. |
| Sese le eɖokui me be yeɖi ƒo le nuɖuɖu vi aɖe ɖuɖu vɔ megbe gɔ̃ hã | Esi dɔgboa dzra nuɖuɖu ɖo va yi ta la, èɖi ƒo ne èɖu nu sue aɖe gɔ̃ hã. |
| Ƒodo ƒe ʋuʋu | Sese le eɖokui me be yevuvu, abe ɖe ya yɔ dɔgboa me ene. |
| Nuɖuɖudzroame ƒe vɔvɔ kple lolo dzi ɖeɖe kpɔtɔ/dzidziɖedzi | Mèsena le ɖokuiwò me be yeaɖu nu o elabena wò dɔgbo yɔa wò ɣesiaɣi. Esia ate ŋu ana ame naɖiɖi. |
Nɔnɔme kawo mee esia ate ŋu anye afɔku le?
Ne womeda dɔgbo ƒe dɔlélea nyuie o la, kuxi aɖewo ate ŋu ado mo ɖa.
- Nuɖuɖu ƒe gbegblẽ: Ne nuɖuɖu nɔa dɔgboa me ɣeyiɣi didi akpa la, ate ŋu agblẽ eye wòana dɔlékuiwo natsi.
- Bezoar ƒe wɔwɔme: Nuɖuɖu siwo womeɖu o ate ŋu aƒo ƒu eye wòazu nu sesẽ aɖe le dɔgboa me. Woyɔa esia be bezoar . Esia ate ŋu axe mɔ na dɔgboa eye wòana nuɖuɖu nagato dɔgboa me kura o.
- Suklidɔ dzi ɖuɖu sesẽ: Esiae nye kuxi gãtɔ kekeake. Ènoa insulin hafi ɖua nu. Gake nuɖuɖua yia dɔgboa me eye sukli la gena ɖe ʋua me le gaƒoƒo geɖe megbe. Emegbe sukli ƒe agbɔsɔsɔ dzina ɖe edzi eye wòɖiɖina zi ɖeka. Esia dzi ɖuɖu sesẽ ŋutɔ.
- Tsikuɖiɖi le aɖuɖɔtoe ta: Ne èɖea aɖuɖɔ enuenu la, tsi ate ŋu abu le wò ŋutilã me eye tsi maganɔ eŋu o. Esia nye nɔnɔme si me afɔku le.
Ne ʋuɖɔɖɔ sesẽ aɖe le ŋuwò eye dɔgboa le veve sem vevie la, yi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Wò ɖɔkta ate ŋu asusu esia ne eɖo to wò dzesiwo eye wòdo wò ŋutilã kpɔ vɔ. Emegbe woate ŋu awɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi, abe:
- Upper Endoscopy: Wotsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le la dea ŋɔti me be woatsɔ ado dɔgboa ƒe akpa si le eme la akpɔ. Esia kpena ɖe ame ŋu be woakpɔe ɖa be nu bubu aɖeke xe mɔ na dɔgboa hã.
- Barium X-ray: Ne wono tsi si woyɔna be barium vɔ la, woɖea X-ray tsɔ léa ŋku ɖe alesi dɔgboa le ƒuƒlu kabakabae ŋu.
- Scintigraphy: Esiae nye dodokpɔ vevitɔ. Èɖua nuɖuɖu sue aɖe (zi geɖe la, azi) si wotsaka kple nusi me keklẽŋusẽ le, eye emegbe nèléa ŋku ɖe wò dɔgbo ŋu gaƒoƒo ɖesiaɖe hena abe gaƒoƒo 4 ene be nàkpɔ nuɖuɖua ƒe agbɔsɔsɔme si kɔ le wò dɔgbo me.
- Dodokpɔ bubuwo: Tsɔ kpe ɖe eŋu la, dodokpɔ tɔxɛwo abe gastric manometry kple wireless motility capsule ene li. Wò ɖɔkta atso nya me le dodokpɔ si sɔ na wò ŋu.
Atikewɔwɔ kple edzikpɔkpɔ
Togbɔ be womate ŋu ada dɔgbo ƒe dɔléle keŋkeŋ o hã la, woate ŋu akpɔ dzesiawo gbɔ eye woate ŋu anɔ agbe si sɔ.
1. Gbãtɔ kple vevitɔ: ɖu wò ʋumesukli ƒe agbɔsɔsɔ dzi!
Esiae nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake le atikewɔwɔ me. Sukli ƒe agbɔsɔsɔ le ʋu me dzi ɖuɖu ate ŋu akpe ɖe ŋuwò nàɖe lãmekawo ƒe gbegblẽ dzi akpɔtɔ. Ƒo nu kple wò ɖɔkta tso nenye be ehiã be nàtrɔ asi le wò insulin ƒe agbɔsɔsɔ alo ɣeyiɣi si nàzã ŋu. Ele vevie hã be nàlé ŋku ɖe sukli si le wò ʋu me ŋu edziedzi.
2. Atikewo zazã
Ðewohĩ wò ɖɔkta aŋlɔ atike aɖewo na wò be wòakpe ɖe ŋuwò nàɖe wò dzesiwo dzi akpɔtɔ.
- Atike siwo kpena ɖe dɔgboa ŋu be ƒuƒlu (e.g. Metoclopramide, Domperidone).
- Atike siwo wozãna na ʋuʋudedi kple ʋuʋudedi (e.g. Ondansetron, Prochlorperazine).
- Ɣeaɖewoɣi la, wonaa dɔlékuiwutike si nye erythromycin hã ɣeyiɣi kpui aɖe be wòana dɔgboa nawɔ dɔ nyuie wu.
Nuxlɔ̃ame: Mègazã atike siawo gbeɖe ne mèbia ɖɔkta o. Atike aɖewo ate ŋu agblẽ nu le ame ŋu. Eyata wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi ɣesiaɣi.
3. Dɔléle sesẽwo dada
Le dɔléle sesẽ ŋutɔ siwo dzi womate ŋu atsɔ atike bubuwo aɖu o me la, ate ŋu ahiã be woazã atikewɔwɔmɔnu tɔxɛwo.
- Elektrikŋusẽ ƒe ʋuʋu le dɔgboa me:Mɔ̃ sue aɖe si wotsɔ amekoko bla ɖe dɔgboa ŋu ɖoa elektrikŋusẽ ƒe dzesiwo ɖa be wòaɖu aɖuɖɔtoe kple aɖuɖɔtoe dzi.
- Nuɖuɖunamɔ̃: Wowɔa dɔ na mɔ̃ aɖe (jejunostomy tube) to ƒodoa ƒe ŋutigbalẽ me be wòahe nuɖuɖu ayi dɔgbo suea me, eye wotoa dɔgboa ŋu. Le nɔnɔme siwo nu sẽ wu me koe wowɔa esia.
Ale si nàtrɔ wò nuɖuɖu
Nusi le vevie wu atikewo gɔ̃ hãe nye tɔtrɔ le wò nuɖuɖu ŋu. Aɖaŋuɖoɖo siawo dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàkpɔ gbɔdzɔe geɖe.
| Nusiwo woawɔ (Do's) . | Mègawɔe o |
|---|---|
| Le esi teƒe be nàɖu nu zi etɔ̃ gbesiagbe la, ɖu nu suesuesue 5-6 . | Ƒo asa na nuɖuɖu siwo me ami kple ami sɔ gbɔ ɖo (nuɖuɖu siwo wofli, curry siwo me ami le). |
| Tsɔ tsi kple nuɖuɖu siwo woɖe tsoe ɖo nɔƒe gbãtɔ (e.g., akɔɖumi ɖe akɔɖu teƒe, mɔli). | Ðe nuɖuɖu siwo me fibre sɔ gbɔ ɖo (bli dzẽ, oats, amagbe aɖewo, atikutsetsewo) dzi kpɔtɔ. Esiawo xɔa ɣeyiɣi didi hafi woɖuna. |
| Ðu amagbewo kple atikutsetse siwo woɖa nyuie . | Ƒo asa na tsi alo tsi bubuwo nono ne èle nu ɖum. Noe aɖabaƒoƒo 30 do ŋgɔ na nuɖuɖu alo le nuɖuɖu vɔ megbe. |
| Nɔ anyi vie le nuɖuɖu vɔ megbe. Mègamlɔ anyi esime nèle nu ɖum o . | Ƒo asa na aha siwo me gas le (soda) kple aha sesẽ nono keŋkeŋ. |
| Wɔ kamedede aɖewo, abe azɔlizɔzɔ fafɛ ene, le nuɖuɖu vɔ megbe. | Ƒo asa na atamanono . Egaɖea dɔgboa ƒe dɔwɔwɔ dzi kpɔtɔna. |
Gbedasi si Wotsɔ Yi Aƒeme
- Suklidɔ ƒe Dɔgbo ƒe Dɔléle nye kuxi si bɔ si dona tso suklidɔ si dzi womeɖu nyuie o me.
- Dzesi vevitɔwoe nye ʋuʋudedi, ʋuʋudedi, sese le eɖokui me be yeɖi ƒo ne eɖu nu sue aɖe gɔ̃ hã, kple esesẽna be wòaɖu sukli ƒe agbɔsɔsɔ dzi le ʋu me.
- Afɔɖeɖe vevitɔ kekeake si nàwɔ atsɔ akpɔ nɔnɔme sia gbɔe nye be nàna wò ʋumesukli ƒe agbɔsɔsɔ dzi nakpɔ nyuie.
- Wò nuɖuɖu tɔtrɔ le vevie ŋutɔ. Nuɖuɖu sue siwo me ami kple fibre mesɔ gbɔ ɖo o ɖuɖu ate ŋu ana gbɔdzɔe geɖe ame.
- Ne dzesi siawo le ŋuwò la, mègawɔ nyametsotso le ɖokuiwò si o eye nàyi wò ɖɔkta gbɔ godoo be wòaɖo aɖaŋu na wò.
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