Ðe nèse veve kpata le wò ƒodo me kpɔa? Ðeko wòle abe ɖe nàte ŋu atsɔ wò asibidɛ afia asie ene. Míevɔ̃na zi geɖe le ɣeyiɣi siawo tɔgbe me, alo? Susu ɖeka si tae nye nɔnɔme aɖe si womenya nyuie o, gake enyo be woanya nu tso eŋu. Woyɔa esia be Epiploic Appendix. Togbɔ be ŋkɔa aɖi nusi wɔ nuku vie hã la, mina míaɖe eme bɔbɔe.

Eyata nukae nye Epiploic Appendix?

Kpuie ko la, Epiploic Appensides nye vevesese si dzea wò ƒodo me zi ɖeka. Ŋkɔa gɔmee nye " inflammation of an epiploic appendix." Enyo, fifia èle eŋu bum be nukae nye "epiploic appendages" siawo hã. Woawoe nye ami sue siwo le míaƒe dɔgbo ƒe gota gome. Bu wo abe weintsetse sue siwo le weintsetse aɖe ŋu ene.

Eyata nukae adzɔ ne ami sue sia (epiploic appendage) trɔ zi ɖeka (torsion)? Emegbe wotsoa ʋu si yina nɛ. Kpɔe ɖa le susu me be tsido aɖe si wotro sesĩe ŋutɔ le teƒe ɖeka. Ekema tsi la matso eme o, alo? Nenemae wòdzɔna ne wotro akpa sia si me ami le. Ne wotso ʋua ƒe sisi la, akpa ma doa abi, si fia be evuvu, biãna, eye wònana wòsea veve. Emae nye vevesese si nèsena le wò dɔgbo me.

Zi geɖe la, vevesese sia vaa ame dzi kpata ŋutɔ. Àte ŋu anya afisi tututu wòle veve sem le. Gake esi nɔnɔme sia mebɔ o ta la, ɖɔktawo gɔ̃ hã ate ŋu atɔtɔe ɣeaɖewoɣi kple nɔnɔme bubu siwo nana ƒodo me vevesese si bɔ wu. Le kpɔɖeŋu me:

• Appendicitis - Esia fia be ƒunukpeƒetetedɔ ƒe dɔdzẽ.
• Cholecystitis - Esia fia be aɖuɖɔtoe me dɔdzẽ.
• Diverticulitis - Esia nye kotoku sue siwo le dɔgbo gã la ƒe gli me ƒe dɔdzẽ.

Aleke gbegbee Epiploic Appendigitis bɔe?

Esesẽ be woagblɔ alesi tututu esia bɔe, elabena zi geɖe la, ate ŋu adzɔ be womakpɔe o. Numekulawo bu akɔnta be amesiwo woxɔ ɖe kɔdzi le ƒodo ƒe vevesese kpata ta la dometɔ siwo ade 1% ate ŋu axɔ nɔnɔme sia. Azɔ hã, amesiwo wokpɔ be diverticulitis alo appendicitis le wo dometɔ siwo ade 5% me la, nusi woyɔna be epiploic appendicitis le wo ŋu ŋutɔŋutɔ. Ema fia be ɣeaɖewoɣi, togbɔ be míasusu be enye nu vevi aɖe hã la, nusi gbɔ wòtso ate ŋu anye nu bɔbɔe aɖe abe esia ene.

Ðe Epiploic Appendits nye dɔléle sesẽ aɖea?

Nu vevitɔe nye esi: Zi geɖe la, menye nɔnɔme sesẽ aɖekee nyea epiploic appendics o.Gake abe alesi míegblɔe va yi ene la, kuxiae nye be woate ŋu atɔtɔe kple nɔnɔme sesẽ bubuwo. To vovo na nɔnɔme bubuwo la, zi geɖe la, esia nu tsona atike aɖeke koŋ mawɔmawɔe. Ami si me ami le (epiploic appendage) la ƒuna le ɣeyiɣi aɖe megbe, ezua calc, eye mlɔeba la, edzena le dɔgboa me. Vuvu kple vevesese siaa nu yina.

Eyata ɖo ŋku edzi be esia menye naneke si ŋu wòle be woavɔ̃ ɖo o. Gake ne dɔgbo le veve sem na wò la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

Nukae hea esia vɛ?

Nu vevi eve li siwo gbɔ Epiploic Appendigitis tsona: Nu gbãtɔ siwo gbɔ wòtsona kple nu evelia siwo gbɔ wòtsona.

Nu vevi siwo gbɔ wòtsona

Esiawo nye nusiwo dzea egɔme tso ami ma (appendage) me tututu.

• Torsion: Zi geɖe (anɔ abe 75%) la, ami si woyɔ la ƒe ʋuʋu gbɔe nɔnɔme sia tsona. Le tɔtrɔ sia ta la, ʋu si yia eme la nu tsona keŋkeŋ kloe, eye lãkusiawo kuna le ʋu ƒe sisi ta . Woyɔa esia be (Infarction) le atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya me.
• Ʋuka me ʋu ƒe sisi: Ƒã ŋutɔ hafi ʋu ƒe sisi ate ŋu adzɔ le ʋuka aɖe me le ami siawo me, si axe mɔ na ʋu ƒe sisi .

Nu evelia siwo gbɔ wòtso

Esiawoe nye esiwo mebɔ boo o. Nusi dzɔna enye be kuxi aɖe le teƒe bubu gblẽa nu le ami kakɛ sia ŋu.

• Dɔlékui si kaka tso teƒe bubu: Le kpɔɖeŋu me, ne dɔlékui aɖe le ƒodoa ƒe teƒe bubu la, ate ŋu akaka ɖe ami ƒuƒu sia me.
• Lãmetsi siwo ƒo xlãe ƒe vuvu si nana ami ƒe ƒuƒoƒoa vuvu: Ɣeaɖewoɣi la, ne ami si ƒo xlãe la vuvu la, ate ŋu ana ami ƒe ƒuƒoƒoa nado eye wòahe kuxiwo vɛ.

Amekae le afɔku me wu le esia ta?

Numekuku aɖewo ɖee fia be ame aɖewo ate ŋu axɔ Epiploic Appendigitis wu. Na míakpɔ amesiwo wonye ɖa.

• Ame siwo lolo akpa : Esia ate ŋu atso esi ami ƒe lãmenugbagbevi siawo ate ŋu alolo ɖe edzi le amesiwo ƒe ŋutilã me ami sɔ gbɔ hã gome .
• Ame siwo ŋu ʋuʋudedi le: Aɖuɖɔtoe nye ŋutinu alo lãkusi aɖe si do ɖe gota to teƒe si gbɔdzɔ le ŋutilã ƒe do me.
• Ame siwo ŋu diverticulosis (kotoku sue siwo le dɔgbo gã me): Afɔkua hã lolo wu le nɔnɔme sia me.
• Ame siwo dea kame vevie: Ɣeaɖewoɣi la, nu siawo tɔgbe ate ŋu adzɔ ne ède kame sesĩe wu alesi nèsusui gɔ̃ hã.
• Ame siwo xɔ ƒe titina (siwo xɔ tso ƒe 40-50): Ame siwo le ƒe sia me kpɔa nu geɖe wu vie.
• Ŋutsuwo ƒe akpa dzi:Wogblɔna be esia bɔ ɖe ŋutsuwo dome wu nyɔnuwo.

Gake menye amesiamee esia dzea egɔme le esi afɔku siawo le wo ŋu ta ko o , eye ate ŋu adzɔ le amesi si nusiawo dometɔ aɖeke mele o hã me.

Nukae nye esia ƒe dzesiwo?

Dzesi vevitɔe nye vevesese le dɔgboa ƒe akpa ɖeka. Esia ate ŋu adze egɔme kpata eye wòanɔ anyi kwasiɖa geɖe. Epiploic appendages le míaƒe dɔgbo ƒe akpa si le anyime. Eyata vevesese sia dzena zi geɖe le dɔgboa ƒe akpa si le anyime. Ame etɔ̃ le ene ɖesiaɖe me gblɔ be yewole veve sem le dɔgboa ƒe akpa si le anyime. Eye afã kple edzivɔ gblɔ be ele miame.

Woɖɔ vevesese sia ale:

• Sharp: Abe hɛ ƒoƒo ene.
• Ɣesiaɣi: Eyia edzi, tɔtrɔ le eŋu alo matrɔmatrɔe o.
• Intense: Esẽ ale gbegbe be esesẽna be woado dzi.

Azɔ hã, vevesesea ate ŋu adzi ɖe edzi le ɣeyiɣi siawo tɔgbe me:

• Ne èle kɔdzim
• Ne wole ŋutilãa kekem
• Ne èle gbɔgbɔm sesĩe

Tsɔ kpe ɖe vevesese sia ŋu la, woate ŋu akpɔ dzesi bubu geɖewo:

• Dzɔdzɔenyenye: Tsɔe be ne ame aɖe di be yeaka asi wò dɔgbo ŋu la, àsẽ wò asi ɖe teƒea ŋu le ɖokuiwò si, abe ɖe nètsɔ asi tsyɔ edzi ene. Emae nye nusi míeyɔna be ‘dzɔdzikpɔkpɔ’.
• Rebound tenderness: Ne ɖɔktaa te wò ƒodo eye emegbe wòɖe eƒe asi ɖa kasia la, edzena abe vevesesea dzina ɖe edzi wu tsã ene.
• Nusi woate ŋu akpɔ: Ɣeaɖewoɣi la, ami si me ami le (appendage) ate ŋu avuvu ale gbegbe be ne woka asi eŋu tso gota la, wòase le eɖokui me abe ƒu ene.

Dzesi siawo sɔ kple dɔléle siwo míeyɔ va yi abe appendicitis, cholecystitis, kple diverticulitis ene ƒe dzesiwo. Gake le dɔléle mawo me la, zi geɖe la, dzesi bubuwo abe dzoxɔxɔ, ʋuʋudedi , kple ʋuʋudedi ene gadzena. Eyata ne vevesese sesẽ aɖe le ƒodoa ƒe teƒe ɖeka alea, gake dzesi bubu mawo (abe dzoxɔxɔ kple ʋuʋudedi ene) mele ŋuwò o la, ɖɔkta ate ŋu asusui be Epiploic Appenthes.

Aleke nèwɔna dea dzesi esia?

Kekeliŋutinunyala ate ŋu awɔ ultrasound scan alo CT scan (computed tomography scan).De dzesi nɔnɔme sia be enye Epiploic Appendix.** Zi geɖe la, womekpɔa epiploic appendix si le lãmesẽ me le scan siawo me o. Gake woate ŋu akpɔ amesi ŋu dɔdzẽ le nyuie. Esia le alea elabena dɔdzẽa nana tsi yɔa eme eye wòdzena nyuie le fotoɖeɖea me. Edzena abe nusi le abe oval ene le afisi tututu vevesesea le.

Nukae nye atike nyuitɔ kekeake si woate ŋu azã na esia?

Zi geɖe la, ɖɔktawo dzea egɔme kple atike siwo me steroid mele o (NSAIDs) nana . Esiawo ɖea abi kple vevesese dzi kpɔtɔna. Le kpɔɖeŋu me, ibuprofen. Ne ehiã la, woate ŋu ana vevesesenutsitike bubuwo kpe ɖe eŋu. Ame akpa gãtɔ kpɔa gbɔdzɔe kaba le atike siawo zazã me. Ne esia mekpe ɖe eŋu o la, le go siwo mebɔ o me la, ahiã be woawɔ dɔ na ame be woaɖe akɔta si me dɔdzẽ le la ɖa.

Zi geɖe la, ɣeyiɣi didi kae wòxɔna hafi Epiploic Appendigitis hayana?

Ne womewɔ atike nɛ o gɔ̃ hã la, ƒã hafi Epiploic Appenthes ƒe dzesiwo nɔa anyi wu kwasiɖa ɖeka. Le go aɖewo me la, woate ŋu anɔ anyi kwasiɖa ene. Gake ne wozã atike la, zi geɖe la, dzesiawo nu tsona le ŋkeke ʋɛ aɖewo megbe. Eyata, naneke meli si ŋu woatsi dzi ɖo o.

Ɣekaɣie wòhiã be woawɔ dɔ na ame?

Amekoko na epiploic appenthes ƒã ŋutɔ, ƒã ŋutɔ. Gake ne wò dzesiwo meva nyo ɖe edzi kura o, alo ɖikeke gakpɔtɔ le wò dɔlélea ŋu la, ahiã be wò ɖɔkta nalé ŋku ɖe wò ƒodo me be yeakpɔ nusi tututu gbɔ wò vevesese atraɖii tso.

Wozãa amekoko si me womewɔa nu boo aɖeke le o si woyɔna be laparoscopy tsɔ wɔa esiae. Le dɔ sia wɔwɔ me la, amekolaa ɖea nu sue etɔ̃ alo ene (anɔ abe sentimeta afã ene) ɖe wò ƒodo me eye wòdea fotoɖemɔ̃ sue aɖe si woyɔna be laparoscope to wo me. Amekolaa zãa videokamera tsɔ kpɔa nɔnɔmetataawo le screen dzi eye emegbe wòtoa dɔwɔnu didi siwo le tsɛwo me toa lãɖeɖe sueawo me tsɔ ɖea ƒunukpeƒe si me dɔdzẽ le la ɖa.

Nya mamlɛtɔ kae nègblɔ tso nɔnɔme sia ŋu?

Epiploic appenthes ate ŋu ave ame eye wòado vɔvɔ̃ na ame. Gake le nyateƒe me la, menye naneke si ŋu woatsi dzi ɖo o. To vovo na wò akɔta, ʋuka, alo diverticula la, epiploic appendage mele afɔku me be wòagbã le dɔdzẽ ta o. Zi geɖe la, dɔdzẽa nu fa vivivi, ami si le eme la kuna, eye nusianu nu yina le kwasiɖa ɖeka me.

Ðe kadodo aɖe le Epiploic Appendigitis kple Kansa domea?

Wonya be kadodo aɖeke mele Epiploic Appenfects kple kansa dome o, eyata mègatsi dzi ɖe eŋu o.

Ðe nuɖuɖu aɖewo li woaɖu alo aƒo asa na be woatsɔ axe mɔ ɖe esia nua?

Wonya kadodo aɖeke mele Epiploic Appenthes kple wò nuɖuɖu dome o. Eyata nuɖuɖu aɖeke koŋ meli woaɖu alo aƒo asa na o.

Eyata ne Epiploic Appendigitis le ŋuwò gbeɖeka la, anɔ eme be anye zi gbãtɔ kple zi mamlɛtɔ si nàse nu tso eŋu. Ðewohĩ vevesese si le fu ɖem na wò kpata la ado vɔvɔ̃ na wò, eye àte ŋu ava yi xɔ si me wowɔa dɔ kpata le me mlɔeba, anɔ susum be nu vevi aɖe le dzɔdzɔ ge. Gake Epiploic Appendigitis dada le bɔbɔe ŋutɔ, eye ƒã hafi wòhiãna be woawɔ dɔ nɛ. Ðewohĩ àgbɔ va aƒeme kple ŋutinya wɔnuku aɖe be yeagblɔ na ame bubu ɖesiaɖe si mesee kpɔ o.

Nu vevitɔ kekeake siwo dzi nàɖo ŋkui (Take-Home Message) .

• Epiploic appenthes nye ƒodo me vevesese kpata si tsoa ami sue aɖe si le xɔxlɔ̃m le dɔgbo gã (dɔgbo) ƒe gota si le ʋuʋum, ʋu si meganɔa eme o, eye wòxɔa abi ta.
• Togbɔ be zi geɖe la, woate ŋu atɔtɔ esia kple nɔnɔme bubuwo abe appendicitis , hã la, zi geɖe la, dzesiwo abe dzoxɔxɔ kple ʋuʋudedi ene mesẽna boo o.
• Esia menye nɔnɔme sesẽ o, eye zi geɖe la, ehayana le eɖokui si le kwasiɖa ɖeka alo eve me.
• Vevesesenutsitikewo kple atike siwo me steroid mele o (NSAIDs) koŋue wotsɔ daa dɔe. Ƒã hafi wòhiãna be woawɔ dɔ na ame.
• Gake ne dɔgbo le veve sem vevie kpata la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo, elabena ate ŋu anye dɔléle sesẽ bubu ƒe dzesi.

Eyata mele mɔ kpɔm be èse Epiploic Appenitis gɔme nyuie. Nɔ lãmesẽ me!