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

Ɣeaɖewoɣi la, ne èle ya ƒom, ne èko nu sesĩe vie, alo ne èle kame dem la, ɖe nèkɔa aɖuɖɔ vi aɖe ɖe wò awuwo dzi le vo mea? Alo ɖe nèsena le ɖokuiwò me be ehiã be yeayi nugododeƒe, gake màte ŋu aɖu ɖokuiwò dzi ne èƒu du heʋu ʋɔa oa? Esia nye kuxi si le ame geɖe ŋu, gake ŋu kpea wo be woaƒo nu tso eŋu le hadome. Le nɔnɔme sia ta la, ame geɖewo nɔa aƒeme eye wonɔa adzɔge tso hadomegbenɔnɔ gbɔ le vɔvɔ̃ kple ŋukpe ta. Gake mehiã be wòanɔ nenema o. Mina míaƒo nu tso esia ŋu gaglãa egbea.

Kpuie ko la, nukae nye aɖuɖɔtoeme ƒe dɔmawɔmawɔ nyuie?

Esia le bɔbɔe ŋutɔ. Míeyɔa nɔnɔme sia le atikewɔwɔ me be `(Fecal Incontinence)` alo `(Bowel Incontinence)` ne míete ŋu ɖu aɖuɖɔ ƒe sisi dzi ne míedi o. Efia be míato aɖuɖɔ me ne míedi o, evɔ míanya o. Le ame aɖewo gome la, esia ate ŋu anye nu sue aɖe abe afɔdzideƒe sue aɖe toto ne ya tom ene. Eye le ame aɖewo gome la, ate ŋu anye nɔnɔme sesẽ aɖe abe aɖuɖɔ sesẽ tsɔtsɔ to ame ŋu evɔ womaɖu wo dzi o ene.

Bu eŋu ale: míaƒe ŋutilã ƒe dɔgbowo le abe ƒuƒoƒo ƒe kamedefefe si wowɔ ɖekae nyuie ene. Ele be míaƒe akɔta ƒe lãmekawo, dɔgbo, kple akɔta nawɔ dɔ aduadu be woalé aɖuɖɔ me eye woaɖee ɖa ne ehiã. Ele be lãmeka siawo hã nado ka kple lãmekawo be woaɖo dzesi ɖe míaƒe ahɔhɔ̃ be ehiã be míayi nugododeƒe. Ne nane gblẽ le esia wɔwɔ me la, míate ŋu ava nɔ míaƒe dɔgbo ƒe ʋuʋu dzi ɖum mlɔeba.

Nɔnɔme sia ƒomevi vevi evee li.

Ðokuidzimademade ƒomevi vevi eve li. Na míalé ŋku ɖe nusiwo wonye ŋu.

Aleke gbegbee nɔnɔme sia bɔ ŋutɔŋutɔe?

Ebɔ wu alesi nèsusui. Numekukuwo ɖee fia be dɔléle sia gblẽa nu le ame ɖeka le etɔ̃ ɖesiaɖe me ŋu. Nyateƒeae nye be nugododeyi menye nusi míewɔna gaglãa o. Esia tae ame geɖe kpea fu le kuxi sia me le ŋukpe kple ŋukpe ta. Eyata ɖo ŋku edzi be menye wò kuxia koe nye esia o.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Ne aɖuɖɔtoe le wo ŋu ko hafi ame aɖewo ate ŋu akpɔ aɖuɖɔ sia ƒomevi si me mekɔ o. Gake le ame bubuwo gome la, enye nusi wokpɔna gbesiagbe. Dzesi vevi aɖewoe nye esi:

• Aɖuɖɔtoe ƒe yiyi le manyamanya me esime ya le to yim.
• Aɖuɖɔ si le dodom ne èle kame dem, le zɔzɔm, alo le kame dem.
• Sese le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ, gake màte ŋu aɖu edzi o vaseɖe esime nèɖo nugododeƒe.
• Aɖuɖɔ didi le wò awu te ne èwu aɖuɖɔ ɖeɖe nu le mɔ si sɔ nu gɔ̃ hã.
• Mate ŋu aɖu aɖuɖɔtoe dzi keŋkeŋ o.

Nukae ate ŋu anye nusi gbɔ esia tso?

Nusiwo koŋ gbɔ esia tsonae nye aɖuɖɔtoe, dɔmeɖui, kple lãmekawo alo lãmeka siwo kpena ɖe ame ŋu be woaɖu dɔgbo ƒe ʋuʋu dzi ƒe gbegblẽ. Tsɔ kpe ɖe eŋu la, nuwo abe amekoko si wowɔ va yi ene hã ate ŋu awɔ akpa aɖe le esia me.

• Aɖuɖɔtoe: Esesẽna na lãmekawo be woalé aɖuɖɔ si me tsi le me wu aɖuɖɔ sesẽwo. Aɖuɖɔtoetetedɔ ɣeyiɣi didi ate ŋu ana lãmeka siwo le dɔgboa kple aɖuɖɔtoe me nagbɔdzɔ.
• Dɔmeɖui: Dɔmeɖui enuenu hã ate ŋu ana lãmeka siawo nagbɔdzɔ. Kutrikuku be woaɖe aɖuɖɔ hã ate ŋu agblẽ nu le lãmekawo ŋu. Ɣeaɖewoɣi ne aɖuɖɔ sesẽ aɖe tsi ƒunukpeƒe la, tsi ate ŋu ado go.
• Lãmetsiwo ƒe gbegblẽ: Esia ate ŋu adzɔ ɖe nyɔnuwo dzi, vevietɔ le vidzidzi sesẽ me. Ne wozã aŋetu tsɔ dzi vi alo woɖe episiotomy la, lãmeka siwo ƒo xlãe ate ŋu agblẽ. Azɔ hã, amekoko na ʋumenugbagbeviɣidɔ alo ʋusisidɔ ate ŋu agblẽ nu le lãmekawo ŋu.
• Lãmetsiŋusẽ ƒe gbegblẽ: Nu mawo ke siwo gblẽa nu le lãmekawo ŋu, abe vidzidzi sesẽ alo amekoko ene, ate ŋu agblẽ nu le lãmekawo hã ŋu. Esia nye nyateƒe vevietɔ ne lãmeka siwo fia be nàɖe aɖuɖɔ la gblẽ. Nɔnɔmewo abe suklidɔ kple lãmekawo ƒe dɔlélewo ene hã dzia afɔkua ɖe edzi.
• Anal elasticity dzi ɖe kpɔtɔ:Zi geɖe la, míaƒe dɔgbo ƒe gliwo te ŋu te ŋu léa aɖuɖɔ. Gake ne le susu aɖe ta, le kpɔɖeŋu me, dɔléle aɖe abe ``Crohn ƒe dɔléle`` alo keklẽŋusẽ ƒe atikewɔwɔ na kansa, ezu abi la, elasticity sia bu. Emegbe womegate ŋu léa aɖuɖɔa o eye wòdzea sisi gɔme.
• Pelvic Organ Prolapse (POP): Ne lãmeka siwo le akɔta ƒe do me gbɔdzɔ la, ŋutinuwo abe dɔgbo, nyɔnu ƒe vidzidɔ, vidzidɔ, kple tsinyegoe mete ŋu léa wo ɖe te nyuie o. Esia ate ŋu ana woaɖiɖi ɖe anyi. Nɔnɔme sia ate ŋu atso dɔgboa ƒe gege ɖe aɖuɖɔ me (aɖuɖɔtoe ƒe gege) alo dɔgbo ƒe tutu ɖe nyɔnu ƒe megbegli me (rectocele) hã gbɔ.

Amekae le afɔku me wu le esia ta?

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

Kuxi kawoe ate ŋu ado mo ɖa le nɔnɔme sia ta?

Ŋutilã si ƒo xlã aɖuɖɔtoea ate ŋu agblẽ ne aɖuɖɔ si le dodom. Ate ŋu ana ame nabiã, avuvu, eye wòaxɔ abi. Le ɣeyiɣi aɖe megbe la, ŋutigbalẽ me abi (abi) hã ate ŋu adze ame dzi.

Aleke ɖɔkta awɔ anya dɔléle siae?

Le esia ta la, àte ŋu ayi dɔgboŋutinunyala alo dɔgbomedɔdala gbɔ. Abia nya wò tso wò dzesiwo ŋu. Emegbe, woawɔ ŋutilãmedɔ kple dɔgbo dodokpɔ. Ele vevie be nàgblɔ wò dzimaɖitsitsiwo katã faa ahaɖi anukware le ɣeyiɣi sia me.

Be nànya nusi tututu gbɔ wòtso la, ahiã be nàwɔ dodokpɔ siwo gbɔna hã:

• Anorectal manometry: Dodokpɔ si me wodzidzea lãmeka siwo le dɔgboa kple aɖuɖɔtoe me ƒe ŋusẽ.
• Endorectal ultrasound alo MRI: Eléa ŋku ɖe lãmeka kple lãkusi siwo ƒo xlã dɔgboa ƒe wɔwɔme ŋu be yeakpɔe ɖa be nu gblẽ le eŋu hã.
• Anal sphincter electromyography (EMG): Dodokpɔ si wowɔna tsɔ léa ŋku ɖe lãmekawo ƒe gbegblẽ ŋu.
• Endoscopy: Wotsɔa mɔ̃ sue aɖe si me fotoɖemɔ̃ (scope) le dea dɔgboa me be woatsɔ ado dɔgboa ƒe eme kpɔ be kuxi aɖeke, dɔdzẽ, dɔdzẽ, alo abi aɖeke mele eŋu hã o.

Aleke wowɔa nu ɖe ​​eŋu hekpɔa egbɔe?

Dɔdamɔnuawo toa vovo le nusi gbɔ dɔlélea tso kple eƒe sesẽ nu. Ɣeaɖewoɣi la, woate ŋu aɖu edzi to agbenɔnɔ ƒe tɔtrɔ ɖeɖeko me.

Tɔtrɔ siwo va le nuɖuɖu me

Ne aɖuɖɔtoe alo dɔmeɖui gbɔe nɔnɔme sia tso la, tɔtrɔ gã aɖe le wò nuɖuɖu ŋu ate ŋu ana tɔtrɔ gã aɖe nava.

• Ne aɖuɖɔtoe le ŋuwò la, te ɖa le nusiwo le abe caffeine, aha sesẽ, nuɖuɖu siwo me wodea nu ʋeʋĩiwoe, nyinotsi, kple vividoɖeameŋunu siwo wowɔ kple asi ŋu.
• Ne dɔmeɖui le ŋuwò la, ɖu nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu (atikutsetsewo, amagbewo, mɔli, nuku blibowo) eye nàno tsi kplu 8-10 ya teti gbesiagbe.

Kamedede kple hehexɔxɔ

• Dɔgbo ƒe hehenana: Ne èwɔ dɔ kple ɖɔkta la, èsrɔ̃a alesi nàɖe aɖuɖɔ le ŋkekea ƒe ɣeyiɣi aɖe koŋ me (e.g., le wò ŋdi kɔfi nono vɔ megbe).
• Kegel kamededewo: Kamedede siwo doa ŋusẽ akɔta ƒe lãmekawo. Ele be woawɔ nusiawo gbesiagbe.
• Biofeedback: Mɔnu si dzi woato ado ŋusẽ lãmeka siwo ƒo xlã aɖuɖɔ, ade dzesi wo, ahakpɔ wo dzi, le atikewɔla si wona hehee etɔxɛe ƒe mɔfiafia te.

Atikewo

Wozãa aɖuɖɔtoe kple dɔmeɖui ƒe atikewo hena esia wɔwɔ.

Amekoko

Ne atikewɔwɔ bubuwo mekpɔ dzidzedze o la, woate ŋu abu amekoko ŋu.

• Sphincteroplasty: Wogbugbɔa lãmenugbagbevi siwo gblẽ le akɔta ŋu hedzraa wo ɖo.
• Sacral nerve stimulation: Mɔ̃ sue aɖe dede ŋutigbalẽa te be wòaʋã lãmeka si kpɔa akɔta ƒe lãmekawo kple akɔta ƒe lãmekawo dzi.
• Colostomy: Amekoko si wowɔna ne atikewɔwɔ bubu aɖeke medze edzi o ko. Le esia me la, wowɔa ʋuƒo sue aɖe ɖe ƒodoa me, woɖea dɔgbo gã la toa eme, eye wotsɔa akplo tɔxɛ aɖe dea eme be woatsɔ aƒo aɖuɖɔ nu ƒu.

Aleke nàte ŋu akpɔ ɖokuiwò dzii?

Ne èle agbe kple nɔnɔme sia la, ele vevie ŋutɔ be nàlé be na wò ŋutilã kple susu ƒe nyonyo.

Ta wò ŋutigbalẽ ta

• Ƒo asa na nugododeƒegbalẽ tutu sesĩe. Ke boŋ zã afɔkpa siwo me wodea tsii siwo me ʋeʋẽ lilili mele o.
• Le aɖuɖɔtoe ɖesiaɖe megbe la, klɔe kple tsi dzodzoe adzalẽ manɔmee, tsɔ asi ƒoe eye màtutu eŋu o.
• De mɔxenu ƒe atikewo (e.g. esiwo me zinc oxide le) siwo kpɔa ŋutigbalẽa ta.
• Ƒo asa na awu siwo me kɔ nyuie dodo. Do awu siwo wotsɔ avɔ siwo xɔa tsi abe kotoku ene wɔ.

Susu ƒe nyonyo kple hadomegbenɔnɔ

• Ne èle vɔvɔ̃m be yeado go la, zã aŋekotoku alo awu si wotsɔna ƒua gbe.
• Hafi nàyi mɔzɔzɔ aɖe dzi la, kpɔ egbɔ be yeyi nugododeƒe eye yekɔ yeƒe dɔgbowo me.
• Tsɔ awu kple nugododeƒenuwo ƒe hatsotso bubu ɖe asi le wò akplo me.
• Ɣesiaɣi si nèyi teƒe aɖe la, di afisi nugododeƒea le eye wòanɔ susu me na wò. To mɔ sia dzi la, ne nudzɔdzɔ kpata aɖe dzɔ la, màtsi dzi o.

Wofia mí tso míaƒe ɖevime ke be menyo be míaƒo nu tso nuwo abe aɖuɖɔtoe ene ŋu le dutoƒo o. Esia tae ŋu kpea ame geɖe be yewoaƒo nu tso eŋu ne wole kuxi sia ŋu bum. Gake nyateƒeae nye be dɔgbo ƒe ʋuʋu nye nusi sɔ le míaƒe ŋutilã me. Ne kuxi aɖe le eŋu la, ele vevie be nàƒo nu tso eŋu na ɖɔkta. Eyata mègakpe ŋu o. Kpɔ wò ɖɔkta eye nàƒo nu tso esia ŋu. Akafu atikewɔmɔnu kple mɔnu siwo akpe ɖe ŋuwò nàgakpɔ ŋusẽ ɖe wò dɔgbo dzi ake.