Ðe aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie hã doa mo ɖaa? (Fecal Incontinence) - Mègakpe ŋu o, mina míaƒo nu tso eŋu!

Ðe nèkɔa aɖuɖɔ vi aɖe ɖe wò awuwo dzi le vo me ɣeaɖewoɣi ne èle nu kom sesĩe, dea kame, alo nègbɔa ya ko? Esia nye kuxi si le ame geɖe ŋu, gake ŋu kpea wo be woaƒo nu tso eŋu le dutoƒo. Ame geɖe kpea fu le wo ɖokui si evɔ womegblɔnɛ na ame aɖeke o. Gake le nyateƒe me la, menye naneke si ŋu wòakpe ŋu le o. Esia nye atikewɔwɔ ƒe nɔnɔme. Eyata mina míaƒo nu tso eŋu gaglãa egbea.

Nukae Nye Aɖuɖɔtoe ƒe Dɔmawɔmawɔ?

Kpuie ko la, aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie nye wò aɖuɖɔ aɖewo alo wo katã ƒe bu le lɔlɔ̃nu faa me esime mèdi be wòanɔ nenema o. Le ame aɖewo gome la, esia ate ŋu anye nu sue aɖe abe alesi woato yame vie ene. Le ame bubuwo gome la, ate ŋu asẽ abe aɖuɖɔtoe blibo si dzi womate ŋu aɖu o ene.

Míaƒe ŋutilã ƒe dɔgbo kple tsinyegoe dzi kpɔkpɔ ƒe ɖoɖoa sesẽ ŋutɔ. Bu eŋu abe tsi ƒe pɔmpi ene. Ele be lãmeka siwo le míaƒe akɔta, dɔgbo, kple aɖuɖɔtoe me katã nawɔ dɔ ɖekae nyuie. Ele be lãmeka siawo hã naxɔ dzesi siwo sɔ tso ahɔhɔ̃a gbɔ. Ne gbɔdzɔgbɔdzɔ sue aɖe alo nu gblẽ le nuɖoanyi sia ƒe akpa aɖe la, nutete sia ƒomevi ate ŋu adzɔ.

Esia ƒomevi vevi evee li.

Woate ŋu ama nɔnɔme sia ɖe akpa vevi eve me. Be nàse esia gɔme nyuie la, kpɔ kplɔ̃ si le ete.

Nukawo koŋ gbɔe nɔnɔme sia tso?

Susu ɖeka aɖeke meli si tae wòle alea ɖo o. Nu geɖe ate ŋu anɔ eme.

• Aɖuɖɔtoe si nɔa anyi didi: Ame si ŋu dɔgbo le atraɖii ate ŋu adze agbagba be yeaɖe aɖuɖɔ, si agblẽ nu le lãmekawo kple lãmeka siwo kpɔa aɖuɖɔtoewo dzi ŋu. Azɔ hã, aɖuɖɔ sesẽ siwo xaxa ɖe eme ate ŋu ado go.
• Aɖuɖɔtoe: Aɖuɖɔtoe siwo me mekɔ o dzi ɖuɖu sesẽna wu aɖuɖɔ sesẽwo. Aɖuɖɔtoetetedɔ enuenu ate ŋu ana lãmeka siwo le dɔgboa me nagbɔdzɔ le ɣeyiɣi aɖe megbe.
• Lãmetsiwo ƒe Gbegblẽ: Vevietɔ nyɔnuwo ate ŋu agblẽ nu le lãmekawo ŋu ne ele be woazã dɔwɔnuwo abe aŋenu ene le vidzidzi sesẽ aɖe me alo woɖe woƒe lãmekawo ɖa. Nusiwo gblẽ le ame ŋu sia ate ŋu atso amekoko na nɔnɔmewo abe ʋusɔgbɔdɔ ene hã me.
• Lãmetsiŋusẽ ƒe Gbegblẽ: Nuwo abe vidzidzi kple amekoko ene ate ŋu agblẽ nu le lãmekawo kple lãmeka siwo kpɔa ŋusẽ ɖe wo dzi ŋu. Nɔnɔmewo abe suklidɔ kple lãmekawo ƒe dɔlélewo ene hã ate ŋu ana lãmeka siawo nagbɔdzɔ.
• Aɖuɖɔtoe ƒe gli ƒe teteɖeanyi dzi ɖeɖe kpɔtɔ: Ele be dɔgbo ƒe gli siwo léa aɖuɖɔ ɖe te la nate ŋu abla ŋutɔ. Gake nɔnɔmewo abe Crohn ƒe dɔléle alo keklẽŋusẽ ƒe atikewɔwɔ na kansa ate ŋu ana abi nanɔ ame ŋu eye eƒe teteɖeanyi sia ate ŋu abu. Emegbe ne aɖuɖɔa yɔ vie gɔ̃ hã la, ate ŋu asesẽ be woalée ɖe eme ahatsi dzodzodzoe.
• Pelvic Organ Prolapse (POP): Ne lãmeka siwo léa ŋutinu siwo le míaƒe akɔta (abe vidzidɔ, tsinyegoe, kple dɔgbo ene) gbɔdzɔ la, ŋutinu mawo ɖiɖina. Ne dɔgboa ɖiɖi alea la, ate ŋu ahe kuxiwo vɛ le dɔgboa dzi ɖuɖu me.

Amekawoe le afɔku gã me be woaxɔ esia?

Togbɔ be nɔnɔme sia ate ŋu adze ame sia ame dzi hã la, ame aɖewo le afɔku me wu.

• Ƒe: Ame siwo xɔ wu ƒe 65 la le afɔku gã aɖe me. Esia le alea elabena lãmekawo gbɔdzɔna le dzɔdzɔme nu ne míele tsitsim. Gake mègasusu be esia nye tsitsi ƒe akpa ‘si sɔ’ o. Ne kuxi sia le ŋuwò la, yi ɖɔkta gbɔ godoo.
• Ŋutsu alo nyɔnu nyenye: Nyɔnuwo le afɔku me wu ŋutsuwo, vevietɔ le vidzidzi kple dzinukpɔkpɔ megbe.
• Atikewɔwɔ ƒe nɔnɔme bubuwo: Ame siwo ŋu atikewɔwɔ ƒe nɔnɔme siawo le hã le afɔku me wu.
• `Alzheimer ƒe dɔléle` kple `Tagbɔdɔléle`
• `Parkinson ƒe dɔléle`
• `Suklidɔ Ƒomevi 2`
• `Sclerosis Geɖe (MS)`
• ``Dɔléle si tsoa dɔgbo me (IBD)''.
• ``Adɔgbo ƒe Dɔléle si Doa Dziku (IBS)''.
• Gbagbãdᴐ

Kuxi bubu kawoe esia ate ŋu ahe vɛ?

Aɖuɖɔɖɔɖɔ le lɔlɔ̃nu faa me ate ŋu ahe ŋutilã kple susu me kuxiwo siaa vɛ.

• Ŋutilã me dɔlékuiwo: Zi geɖe la, ŋutigbalẽ si ƒo xlã aɖuɖɔtoea tsina eye aɖuɖɔ tsyɔa edzi, si ate ŋu ana wòabiã, abi, aɖuɖɔ, eye wòase veve . Ɣeaɖewoɣi la, abi hã ate ŋu adzɔ.
• Susu me ŋusẽkpɔɖeamedzi: Le nyateƒe me la, ame geɖe sea susu me nuteɖeamedzi wu ŋutilã me nuteɖeamedzi. Ŋukpe, dzimaɖitsitsi, kple nuteɖeamedzi ate ŋu ana nàse le ɖokuiwò me be yemate ŋu ado le aƒea me, anɔ ha dem kple xɔ̃wòwo, alo ayi wɔnawo teƒe o. Esia ate ŋu ana nàse le ɖokuiwò me abe ɖe wole ye gblẽm le hadomegbenɔnɔ me ene.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Gbã la, mègakpe ŋu be yeaƒo nu tso nya sia ŋu na wò ɖɔkta o. Esia nye lãmesẽkuxi si bɔ ŋutɔ na wo. Ne èƒo nu tso wò kuxiwo ŋu gaglãa ko hafi nàte ŋu akpɔ atike nyuitɔ.

Ðɔktaa abia nya wò tso wò dzesiwo ŋu eye wòado wò ŋutilã kpɔ. Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔwo hã atsɔ anya nusi tututu gbɔ wòtso.

• Anorectal Manometry: Dodokpɔ si me wodzidzea lãmeka siwo le dɔgboa me ƒe ŋusẽ.
• `Balloon Expulsion Test`: Dodokpɔ si dzidzea alesi aɖuɖɔ ɖeɖeɖa ƒe ɖoɖoa wɔa dɔ nyuie.
• `Endorectal Ultrasound` alo `MRI`: Kpɔ akɔta ƒe lãmekawo ƒe wɔwɔme kple nenye be nane gblẽ.
• `Anal Sphincter Electromyography (EMG):` Dodokpɔ si woatsɔ akpɔe ɖa be lãmekawo gblẽ hã.
• Endoscopy: Dɔgbo ƒe akpa si le eme (Colonoscopy) alo dɔgbo (Proctoscopy) dodokpɔ to mɔ̃ si me fotoɖemɔ̃ le zazã me.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔ ƒe mɔnuwo toa vovo le nusi gbɔ dɔlélea tso kple eƒe sesẽ nu.

Tɔtrɔ siwo va le nuɖuɖu me

Ne aɖuɖɔtoe alo dɔmeɖui gbɔe wò kuxia tso la, tɔtrɔ le wò nuɖuɖu ŋu ate ŋu ana gbɔdzɔe geɖe wò.

• Ne aɖuɖɔtoe le ŋuwò: Ðe caffeine (kɔfi, tii), nuɖuɖu siwo me wodea nu ʋeʋĩiwoe, nyinotsi me nuɖuɖuwo, kple nu vivi siwo wowɔ kple asi dzi kpɔtɔ.
• Ne dɔmeɖui le ŋuwò: Ƒo nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu (atikutsetsewo, amagbewo, nuku blibowo). No tsi kplu 8-10 ya teti gbesiagbe.

Kamedede kple hehexɔxɔ

• Dɔgbo ƒe Hehenasuku:Numame na wò be nàyi nugododeƒe le ɣeyiɣi aɖe koŋ dzi gbesiagbe (e.g. le wò ŋdi kɔfi nono vɔ megbe). Esia naa numame nɔa ŋutilãa me.
• Kegel Kamededewo: Esiawo le vevie ŋutɔ. Àte ŋu abia wò ɖɔkta alo kamededeŋutinunyala alesi nàwɔ kamedede siawo nyuie atsɔ ado ŋusẽ lãmeka siwo le akɔta ƒe akpa si le akɔta.
• Biofeedback: Esia nye mɔnu si zãa dɔwɔnu tɔxɛwo tsɔ dea dzesi lãmeka siwo kpena ɖe ŋuwò nèɖua wò dɔgbo dzi hedoa ŋusẽ wo.

Atikewo (atikewo) .

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã atike siwo nàtsɔ axe mɔ ɖe aɖuɖɔtoedɔ nu alo atike siwo nàzã atsɔ ada dɔmeɖui.

Amekoko

Ne atikewɔwɔ bubuwo medze edzi o la, ate ŋu ahiã be woawɔ dɔ nɛ. Amekoko ƒomevi vovovowo li, abe sphincteroplasty be woatsɔ adzra lãmeka siwo gblẽ ɖo alo sacral nerve stimulation ene. Le nɔnɔme siwo nu sẽ ŋutɔ me la, ate ŋu ahiã be woaɖe ʋumenugbagbeviɣidɔ ɖa.

Nusiwo ŋu wòle be woalé ŋku ɖo ne wole agbe kple nɔnɔme sia

Ne èle atike wɔm la, nu geɖe li nàte ŋu awɔ atsɔ akpɔ nɔnɔme sia gbɔ eye nànɔ agbe nyuie.

• Ta wò ŋutigbalẽ ta:
• Klɔe kple tsi fafɛ si me adzalẽ mele o le aɖuɖɔtoe ɖesiaɖe megbe.
• Le esi teƒe be nàtsɔ nugododeƒegbalẽ atutu eŋu sesĩe la, tsɔ afɔkpa siwo me tsi le klɔe blewu eye nàƒui nyuie.
• De nane abe diaper rash cream (‘barrier cream’) ene be wòakpɔ ŋutigbalẽa ta.
• Le awu siwo me kɔ teƒe la, do awu siwo le ete kple awu siwo wotsɔ avɔ siwo me gbɔgbɔ le, abe kotoklobo ene, wɔ.

• Bu susu ƒe nyonyo ŋu kpɔ:
• Ne èle vɔvɔ̃m be yeado go la, zã nusi wotsɔna ƒoa nu alo awu si wotsɔna ƒua gbe. Esia ana kakaɖedzi nanɔ ŋuwò.
• Hafi nàdo le aƒea me la, yi nugododeƒe eye nàkɔ wò dɔgbowo me.
• Dzra awu kple nututunu xɔdzo bubuwo ɖo ɖe wò akplo me. Ana wò susu nadze akɔ anyi geɖe.
• Kpɔ afisi nugododeƒea le ɖa ɣesiaɣi hafi nàyi. To mɔ sia dzi la, ne nudzɔdzɔ kpata aɖe dzɔ la, màtsi dzi o.