Ðe suklidɔ le ŋuwòa? Ne nenemae la, ke ɖewohĩ ènya alesi wòsena le eɖokui me be yevuvu, alo aɖuɖɔtoe, le susu aɖeke manɔmee. Togbɔ be esia ate ŋu anye ŋukpe vie eye nuƒoƒo tso eŋu madze ame aɖewo ŋu o hã la, enye dɔléle si bɔ si va kpena ɖe suklidɔ ŋu. Le nyateƒe me la, suklidɔléla siwo ade ɖeka le atɔ̃ ɖesiaɖe me ate ŋu axɔ aɖuɖɔtoe enuenu. Eyata mina míaƒo nu tso esia ŋu gaglãa egbea.
Ƒomedodo kae le suklidɔ kple aɖuɖɔtoe dome?
Kpuie ko la, suklidɔ ate ŋu akpɔ ŋusẽ ɖe alesi míaƒe nuɖuɖumeŋusẽ wɔa dɔe dzi. Afɔku sia lolo ŋutɔ le amesiwo ŋu suklidɔ le ɣeyiɣi didi aɖe eye womekpɔa woƒe sukli ƒe agbɔsɔsɔ dzi nyuie o la gome.
Ɣeaɖewoɣi la, tsɔ kpe ɖe aɖuɖɔtoe sia ŋu, vevietɔ le zã me la, àte ŋu akpɔ nɔnɔme aɖe si woyɔna be ``Fecal Incontinence``. Esia dzɔna elabena suklidɔ gblẽa nu le lãmekawo ŋu (``ahɔhɔ̃mekawo ƒe dɔléle``) eye anal sphincter lãmeka si kpɔa dɔgbo ƒe ʋuʋu dzi (``anal sphincter``) mexɔa dzesi nyuiwo o.
Ðo ŋku edzi be menye wò vodadae nye esia o. Kuxi aɖe si dzɔna abe dɔléle si woyɔna be suklidɔ ƒe akpa aɖe ene koe wònye. Eyata ele vevie ŋutɔ be nàƒo nu tso esia ŋu kple wò ɖɔkta ŋukpe manɔmee.
Nukawo koŋue hea aɖuɖɔtoetetedɔ vɛ le suklidɔ ta?
Susu geɖewo tae wòle alea ɖo. Na míalé ŋku ɖe vevitɔwo ŋu. Mafia esia wò le kplɔ̃ si gɔme sese le bɔbɔe dzi.
| Susu | Numeɖeɖe bɔbɔe |
|---|---|
| Autonomic Neuropathy ƒe Dɔléle | Sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me le ɣeyiɣi aɖe megbe ate ŋu agblẽ nu le lãmeka siwo kpɔa míaƒe nuɖuɖumeŋusẽ dzi la ŋu. Esia ate ŋu atrɔ alesi nuɖuɖu zɔna kabakaba to dɔgboa me, si ana aɖuɖɔtoe alo dɔgbo natsi. |
| Suklidɔ ƒe atikewo | Vevietɔ, atike si nye metformin, si woŋlɔna na suklidɔ zi geɖe la, ate ŋu ana ame aɖewo ƒe dɔgbo natsi eye aɖuɖɔtoe nado. |
| Nuvivinu Siwo Wowɔna | Zi geɖe la, suklidɔlélawo zãa esiawo ɖe sukli teƒe. Nuɖuɖu siwo me ‘sukli aha’ abe sorbitol kple mannitol ene le ɖuɖu fũ ate ŋu ana aɖuɖɔtoe nadze ame dzi. |
| Celiac Dɔléle | Suklidɔléla siwo ŋu suklidɔ le (vevietɔ ƒomevi 1) ate ŋu axɔ celiac dɔléle (gluten allergy) geɖe wu. Ame siawo ate ŋu akpɔ aɖuɖɔtoe ne woɖu nane si me gluten le, abe luwɔ ene, sue aɖe gɔ̃ hã. |
| Dɔlékuiwo ƒe tsitsi le dɔgboa me | Ɣeaɖewoɣi la, ne wodzi nuɖuɖumeŋusẽ ƒe ɣeyiɣi ɖe edzi, si fia be nuɖuɖu nɔa dɔgboa me ɣeyiɣi didi akpa la, dɔlékui siwo womedi o ate ŋu atsi eye woahe aɖuɖɔtoe vɛ. |
| Exocrine Dɔgbo ƒe Dɔmawɔmawɔ nyuie | Míaƒe dɔgbo wɔa enzyme siwo kpena ɖe mía ŋu míeɖua nuɖuɖu. Suklidɔ ate ŋu ado kplamatse dɔ sia, si ana aɖuɖɔtoe nado eye wòana nuɖuɖu megaɖua nu nyuie o. |
Aleke nɔnɔme sia kpɔa ŋusẽ ɖe dzinyee?
Esia mesɔ na amesiame o.
- Ame aɖewo ate ŋu ayi edzi anɔ aɖuɖɔtoe lém.
- Ame bubuwo ate ŋu axɔ aɖuɖɔtoe ɣleti geɖe eye emegbe kuxi aɖeke maganɔ wo ŋu o hena ɣeyiɣi aɖe.
- Nusi ame geɖe tonae nye aɖuɖɔtoe kple dɔgbo ƒe tɔtrɔ . Kwasiɖa ɖeka la, àse le ɖokuiwò me be yevuvu, eye le kwasiɖa si kplɔe ɖo me la, màte ŋu ayi tsileƒe nyuie o. Esia ate ŋu anye fuɖename ŋutɔŋutɔ.
Aleke ɖɔktaa wɔa nu ɖe esia ŋui?
Ne ègblɔ dzesi siawo na wò ɖɔkta la, adze agbagba gbã be yeanya ne suklidɔ alo nu bubu aɖe gbɔe aɖuɖɔtoea tso. Woabia nyawo wò eye woate ŋu aɖo wò ɖe dɔgboŋutinunyala gbɔ.
Nu vevi geɖe ŋue atikewɔwɔa nɔa te ɖo.
1. Vevietɔ wu: Kpɔ sukli si le ʋu me dzi
Esiae nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake.Zi alesi nèkpɔa sukli ƒe agbɔsɔsɔ le ʋu me dzi nyuie la, zi nenemae màte ŋu agblẽ nu le wò lãmekawo ŋu boo o. Esia ate ŋu akpe ɖe ame ŋu wòaɖu suklidɔ ƒe kuxi geɖe dzi, siwo dome aɖuɖɔtoe hã le.
2. Tɔtrɔ siwo va le nuɖuɖu me
Wò ɖɔkta alo nuɖuɖuŋutinunyala awɔ nuɖuɖu ŋuti ɖoɖo si sɔ na wò. Woagblɔ na wò be nàtsɔ wò susu aɖo nuwo abe:
- Ðu nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu (e.g., bli dzẽ, nuku blibowo, oats, atikutsetsewo, amagbewo). Gake ele be nàɖɔ ŋu ɖo le carbohydrates hã ŋu.
- No tsi geɖe . Aɖuɖɔtoe nana tsi geɖe buna le ŋutilãa me.
- Kpɔ nyuie le amagbe aɖewo (abe kabɔb kple seƒoƒotsihe ene) ŋu elabena woate ŋu ana ame aɖewo nafu.
3. Atikewo zazã
Ne esesẽ be nàɖu esia dzi to nuɖuɖu kple sukli dzi ɖuɖu ɖeɖeko dzi la, wò ɖɔkta ate ŋu aŋlɔ atike na wò.
- Atike siwo wozãna na aɖuɖɔtoe si bɔ: Atikewo abe loperamide (e.g., Imodium®) ate ŋu akpe ɖe ame ŋu wòatɔ te aɖuɖɔtoe hena ɣeyiɣi aɖe. Gake mele be woazã esiawo ɖaa atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o .
- Fiber kpeɖeŋutɔ: Nuwo abe Metamucil® ene kpena ɖe aɖuɖɔ ŋu wòlolona.
- Atike tɔxɛwo na aɖuɖɔtoe si suklidɔ hena vɛ: Wò ɖɔkta ateŋu aŋlɔ atikewo abe `Octreotide acetate`, si wodona na aɖuɖɔtoe si lãmekawo ƒe gbegblẽ hena vɛ, alo atike tɔxɛ bubuwo.
- Dɔdamɔnu bubuwo: Woate ŋu ana dɔlékuiwutikewo ne dɔlékuiwo gbɔe wòtso, eye woate ŋu ana atikewo nenye be dɔgboa ƒe enzyme ƒe anyimanɔmanɔ gbɔe wòtso.
Aleke woawɔ anɔ agbe nyuie kple nɔnɔme sia?
Togbɔ be dɔgbo me kuxi siawo siwo dona tso suklidɔ me ate ŋu ado dziku vie hã la, àte ŋu akpɔ wo gbɔ ahanɔ agbe le lãmesẽ me. Ele vevie ŋutɔ be nàwɔ ɖe aɖaŋuɖoɖo siawo dzi.
- Wɔ ɖe wò suklidɔ ƒe ɖoɖoa dzi pɛpɛpɛ. No atike siwo wò ɖɔkta ŋlɔ na wò ɖe game dzi, ɖu wò nuɖuɖu dzi, eye nàde kame.
- Tsɔ nuku blibowo kple nuɖuɖu siwo me fibre sɔ gbɔ ɖo kpe ɖe wò nuɖuɖu ŋu.
- No tsi kplu 8-10 ya teti gbesiagbe.
- Dzudzɔ atamanono kple ahanono alo seɖoƒe na wo . Esiawo gagblẽa nu le lãmekawo ŋu.
- Ne aɖuɖɔtoetetedɔ le ŋuwò enuenu , aɖuɖɔtoe kple dɔmeɖui nɔa tɔtrɔm , alo dɔgbo ƒe vevesese bubuwo la, mègaŋe aɖaba ƒu edzi gbeɖe o . Kpɔ egbɔ be yeƒo nu tso eŋu na wò ɖɔkta.
Gbedasi si Wotsɔ Yi Aƒeme
- Aɖuɖɔtoe bɔ ɖe suklidɔ me. Mègakpe ŋu alo avɔ̃e o.
- Esia ƒe atike nyuitɔ kple vevitɔe nye be nàlé wò ʋumesukli ƒe agbɔsɔsɔ dzi nyuie.
- Atike aɖewo siwo nènona, abe Metformin, vividoɖeameŋunu siwo wowɔ, kple nuɖuɖu aɖewo hã ate ŋu ahe esia vɛ.
- Ne aɖuɖɔtoetetedɔ gakpɔtɔ li, eɖɔlia kple aɖuɖɔtoe, alo ne èle aɖuɖɔ tom evɔ mènya gɔ̃ hã o la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta eye yeaɖo aɖaŋu nyui na ye.
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