Ðe dɔgbo hã le veve sem na wò ne èle nu ɖum? Mète ŋu ke ɖe susu aɖeke ŋu oa? Mina míaƒo nu tso (Functional Dyspepsia) ŋu!

Ðe nèsena le ɖokuiwò me zi geɖe be yeɖi ƒo, dɔgbo biãna, alo ɖeko wòtena ɖe dziwò le nuɖuɖu vɔ megbea? Ɣeaɖewoɣi la, màte ŋu akpɔ susu aɖeke gɔ̃ hã si tae wòle alea ɖo o ɖe? Ne woyi ɖɔkta gbɔ hewɔ dodokpɔ gbogbo aɖewo vɔ gɔ̃ hã la, woate ŋu agblɔ be, "Mèle dɔ lém o." Nuteƒekpɔkpɔ siawo tɔgbe le ame geɖe si. Emae nye nusi míeyɔna be ``Functional Dyspepsia'', nuɖuɖumeŋusẽ ƒe dɔléle si sesẽ be woakpɔ nusi gbɔ wòtso si me kɔ.

Nukae nye `(Dɔwɔwɔ ƒe Dɔmawɔmawɔ nyuie)`? Kpuie ko la,...

Kpuie ko la, ``Functional Dyspepsia`` nye nɔnɔme si me nuɖuɖumadzroame si nɔa anyi didi le ŋuwò, gake womate ŋu akpɔ nusi gbɔ wòtso si me kɔ o. ``Dyspepsia`` nye nya bubu si wozãna na nuɖuɖumadzroame. Enye dzesi siwo dzena ɖekae le nuɖuɖu vɔ megbe kple le nuɖuɖumeŋusẽ me ƒe ɖoɖo aɖe. ``Dɔwɔwɔ`` fia be womateŋu agblɔ be wò nuɖuɖumadzroame ƒe dzesiwo tso ŋutilã me nusiwo gbɔ wòtsona zi geɖe (abe abi alo dɔgbo ƒe dɔléle ene) gbɔ o.

Wò dzesiwo ate ŋu aɖi abe dɔgbo ƒe abi alo dɔgbo ƒe ʋuʋu ƒe dɔléle (GERD) ene . Gake dodokpɔwo ɖee fia be ame ʋɛ aɖewo koe dɔléle siawo le. Nusi woyɔna be Functional Dyspepsia le ame susɔeawo ŋu.

Bu eŋu kpɔ, wò ʋua ƒe mɔ̃ le toɣli ɖem, gake ʋukulaa mete ŋu kpɔ naneke si gblẽ o. Nusianu dzena nyuie le gota, gake nane gblẽ.

Ðe esia ƒomevi vovovowo lia?

Functional Dyspepsia nye dɔléle aɖe wu dɔléle ɖeka. Esia fia be ale si wògblẽa nu le ame ɖesiaɖe ŋu kple dzesi siwo wokpɔna la ate ŋu ato vovo. Ðɔktawo mae ɖe hatsotso vevi eve me:

1. Epigastric pain syndrome: Vevesese sia ƒomevi dzena le dɔgboa ƒe akpa si le etame koŋ eye wòɖi dzimeve . Menye ɣesiaɣie wòdo ƒome kple nuɖuɖu o. Ate ŋu adzɔ ɣeaɖewoɣi ne ƒodo ƒuƒlu. Esia sɔ kple GERD ƒe dzesiwo vie.

2. Nuɖuɖu megbe nuteɖeamedzi ƒe dɔléle: Esia nye nɔnɔme si me dɔgbo ƒe vevesese dzɔna le nuɖuɖu vɔ megbe. Le kpɔɖeŋu me, sese le ame ɖokui me be yeɖi ƒo le nuɖuɖu sue aɖe ɖuɖu vɔ megbe gɔ̃ hã (nuɖuɖu kaba), nuɖuame, ʋuʋudedi, kple dɔgbo veve le nuɖuɖu vɔ megbe. Esia sɔ kple dɔgbo ƒe abi ƒe dzesiwo vie.

Menye amesiamee sɔ ɖe hatsotso eve siawo dometɔ aɖeke me o. Ame aɖewo ate ŋu akpɔ evea siaa ƒe tsakatsaka, alo woate ŋu akpɔ evea siaa ƒe tsakatsaka.

Nukawoe nye esia ƒe dzesi veviwo?

Le ``Functional Dyspepsia'' me la, àte ŋu akpɔ dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Vevesese le ƒodo ƒe akpa si le etame (epigastric pain): .Vevesese le ƒodo si le etame, le akɔta ƒe akɔta te tututu. Woyɔa nuto sia be ``epigastrium''. Afi siae wò dɔgbo, dɔgbo, dɔgbo sue (dɔgbo suea ƒe akpa gbãtɔ), kple wò aklã ƒe akpa aɖe le.
• Dɔgbo si vuvu: Seselelãme be yeƒe dɔgbo me mekɔ o eye wòyɔ fũ le nuɖuɖu vɔ megbe. Zi geɖe la, esia doa ƒome kple gas, ʋuʋudedi, kple nu bubuwo abe gas ene. Ate ŋu ase le eɖokui me hã abe ɖe wò dɔgbo le hehem ene.
• Nuɖuɖu ƒe vivisese kple nuɖuɖu ƒe dzodzro: Sese le eɖokui me be yeɖi ƒo ne èle nu ɖum, le nuɖuɖu vɔ megbe, alo le nuɖuɖu fũu maɖumaɖu vɔ megbe gɔ̃ hã (nuɖuɖu ƒe dzidzemekpɔkpɔ kaba) . Ɣeaɖewoɣi la, nuɖuɖu ƒe dzodzro ate ŋu adzɔ hafi aɖu nu gɔ̃ hã.
• Dzobibi: Dzobibi le akɔta, si woyɔna hã be "dzimeve" bɔ ɖe nuɖuɖumadzroame ƒe dzesi siawo me. Zi geɖe la, dɔgbo me acid si vaa wò nuɖuɖutome (acid reflux) gbɔe esia tsona. Àte ŋu ase dzobibi hã le wò dɔgbo me.

Tsɔ kpe ɖe esia ŋu la, woate ŋu akpɔ nu bubuwo abe esiawo ene hã:

• Aɖuɖɔtoe si gbɔ eme
• Aɖuɖɔtoe alo nu me ʋuʋu
• Ne IBS (dziku ƒe dɔléle) le ŋuwò la, wò dzesiwo (e.g. dɔgbo ƒe ʋuʋu enuenu alo dɔgbo ƒe ʋuʋu) hã ate ŋu adzi ɖe edzi.
• Nuteɖeamedzi alo seselelãme ƒe vevesese.

Nukatae `(Functional Dyspepsia)` sia dzɔna? Nukawoe gbɔ wòtsona?

Ðɔktawo yɔa "dɔwɔwɔ" ƒe dɔléle be dɔléle si me nusi gbɔ dzesiawo tso tẽ, si dze ƒã o. Susu siwo tae nye esia dometɔ ɖekae nye kadodo kplikplikpli si le wò dɔgbo kple wò ahɔhɔ̃ dome (gut-brain axis) . Edze abe dɔwɔwɔ ƒe kuxi siawo ƒomevi do ƒome kple wò lãmekawo kple alesi nèkpɔa vevesese alo vevesese kple alesi nèsenɛ le ɖokuiwò me ene.

Togbɔ be nu ɖeka aɖeke meli si gbɔ ``Functional Dyspepsia'' tsona o hã la, nu geɖewo ateŋu awɔe be:

• Visceral hypersensitivity: Tsɔe be wò lãmekawo ƒe dɔwɔwɔ le sesẽm akpa vie. Anɔ bɔbɔe be nàwɔ nu ɖe ​​nuteɖeamedzi ŋu le ŋutilã me. Ðewohĩ èle wò lãmekawo me sẽm le manyamanya me, alo wò nuɖuɖumeŋusẽ le blewu le nuteɖeamedzi ta. Àte ŋu ase nu dzɔdzɔe siwo le dzɔdzɔm le wò ŋutinuwo me hã vevie. Esia ate ŋu ana nuɖuɖumeŋusẽ nase le eɖokui me be yemevo o ne ele edzi yim nyuie gɔ̃ hã.
• Nuɖuɖumeŋusẽ ƒe ʋuʋu ƒe kuxiwo:Esia fia be kuxiwo le alesi nuɖuɖu ʋãna kple alesi wòzɔna to wò nuɖuɖumeŋusẽ (GI tract) me ŋu. Esia ate ŋu atso kadodo gbegblẽ si le wò ahɔhɔ̃ kple nuɖuɖumeŋusẽ dome hã gbɔ. Ðewohĩ lãmekawo kple lãmeka siwo le wò nuɖuɖumeŋusẽ me mele dɔ wɔm nyuie o. Esia ate ŋu ana nuɖuɖu natsi teƒe ɖeka, alo ŋutinuawo maɖe dzi ɖi bliboe o eye womaɖe mɔ nuɖuɖu nato eme o.
• Dɔgbo ƒe dɔmawɔmawɔ nyuie: Ne nugbagbevi suesue siwo le wò dɔgbo me (si woyɔna be wò nugbagbevi suesuesuewo) meda sɔ o la, ate ŋu ana dɔgbo ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo nadze. Le kpɔɖeŋu me, dɔlékui si nye H. pylori ate ŋu agblẽ nu le wò dɔgbo ƒe akpa si le lãme na wò ŋu, si ana nàxɔ dɔdzẽ eye wòana wòate ŋu ase veve ɖe dɔgboa me acid nu. Azɔ hã, ne dɔlékuiwo tsi akpa le dɔgbo suea me la, ate ŋu ana ami navuvu eye wòasesẽ na amiwo ɖuɖu.
• Eosinophilic duodenitis: Wokpɔe be ʋumenugbagbevi ɣi ƒomevi aɖe si woyɔna be eosinophils sɔ gbɔ ɖe dɔgbo sue (duodenum) ƒe akpa gbãtɔ me fũu akpa le ame aɖewo siwo ŋu functional dyspepsia le. Esia ate ŋu ana ame naxɔ abi ɣeyiɣi didi (duodenitis). Eosinophil siawo li be woakpɔ tawò tso wò dɔlélenutsiŋutete, dɔlékuiwo, kple nulɔdɔwo me. Esia ate ŋu atso dɔlékui aɖe si woxɔ va yi alo nuɖuɖu ƒe nulɔdɔ gbɔ.

Nukawoe nye nusiwo ate ŋu ahe nɔnɔme sia vɛ?

Nu bubu geɖewo li siwo dzia afɔku si le ``Functional Dyspepsia`` xɔxɔ me ɖe edzi:

• Susu me dɔlélewo: Susu me nɔnɔmewo abe dzimaɖitsitsi, blanuiléle (seselelãme ƒe dɔmawɔmawɔ nyuie), alo nudzɔdzɔ dziŋɔwo alo ŋlɔmiwɔwɔ si me woto va yi.
• Ƒome ŋutinya: Ƒome ŋutinya si me lãmekawo ƒe dɔwɔwɔ alo GI ƒe dɔwɔwɔ ƒe dɔléle bubuwo abe IBS ene le.
• Nuɖuɖu ƒe seselelãme: Nuɖuɖu aɖewo ƒe seselelãme (e.g., nuɖuɖu siwo le `(FODMAPs)` ƒuƒoƒoa me) alo nuɖuɖu aɖewo ƒe mɔmaɖemaɖeɖenuŋu (e.g., `(lactose intolerance)` - notsi kple nyinotsinuwo ɖuɖu sesẽ).
• Atopy: Esia fia be nulɔdɔ geɖe nanɔ ame ŋu, abe asrã, eczema, kple hay fever ene.

Aleke ɖɔktawo wɔa nya sia tututue?

Ðɔktawo dea dzesi `(Functional Dyspepsia)` ne woɖo kpe wò dzesiwo dzi eye wogbe nu bubu siwo gbɔ wòtso (e.g. `(GERD)`, `(Peptic Ulcer Disease)`). Ɣeaɖewoɣi la, nɔnɔme siawo dometɔ ɖeka ate ŋu anɔ ŋuwò xoxo eye wodae nɛ. Gake ne atikewɔwɔ mawo meɖe wò nuɖuɖumadzroame ƒe dzesiwo dzi kpɔtɔ o la, ekema ele be nàbu `(Functional Dyspepsia)` ŋu kokoko.

``Functional Dyspepsia'' ƒe dzesiwo menɔa anyi ɣesiaɣi o eye ateŋu ava eye wòadzo. Ðɔktawo dea dzesii ne wobu nusiwo gbɔna ŋu:

• Ðe dzesiawo gakpɔtɔ li ɣleti etɔ̃ ya teti ?
• Ðe ɣleti ade ya teti enye sia tso esime dzesiawo dze egɔme zi gbãtɔa?
• Ðe womeɖea dzesi siawo dzi kpɔtɔna to nu mimi, ya si toa ame me (aɖuɖɔtoe), alo aɖuɖɔtoe me oa?
• Ðe dzesi siawo medo ƒome kple vevesese si aɖuɖɔtoe me kpewo (biliary colic) alo aɖuɖɔtoe me vevesese bubuwo hena vɛ oa?

Ne ɖɔktawo nya ɖo kpe edzi be nuɖuɖumadzroame (dyspepsia) le ŋuwò ko la, woadi nusi gbɔ wòtso ŋutɔŋutɔ (e.g., abi, dɔlékui aɖe). Woate ŋu awɔ dodokpɔwo abe esiawo ene:

• Ʋudodokpɔ: Kpɔe ɖa be dɔlékui kple nɔnɔme siwo bɔ hã.
• Gbɔgbɔ dodokpɔwo: Le kpɔɖeŋu me, urea gbɔgbɔ dodokpɔ ate ŋu akpɔe ɖa be dɔlékui si nye H. pylori le eme hã. Haidrodzin gbɔgbɔ dodokpɔa ate ŋu akpɔe ɖa be dɔlékuiwo le tsitsim le dɔgboa me le mɔ si mesɔ o nu hã.
• Dɔgbo me tsi ƒuƒlu ŋuti numekukuwo: Kpɔ alesi nuɖuɖu ʋuna kabakaba/blewu tso wò dɔgbo me yia dɔgbo suea me ɖa.
• Upper endoscopy: Wodea mɔ̃ tsɛ aɖe to nu me be wòalé ŋku ɖe dɔgboa, nuɖuɖutome , kple dɔgbo suea ƒe akpa gbãtɔ me. Wowɔa esia tsɔ léa ŋku ɖe nusianu si mebɔ o, abe abi ene, ŋu. Ne ehiã la, woate ŋu atsɔ lãkusi sue aɖe (biopsy) atsɔ adoe kpɔ.

Nukae nye esia ƒe atikewɔwɔ?

Ne dodokpɔwo ɖe nusi gbɔ wòtso fia (e.g., dɔlékuiwo ƒe tsitsi fũ, ʋuʋu ƒe kuxi) la, wò ɖɔkta akpɔ ema gbɔ gbã. Ke hã, zi geɖe la, ne èda nusiwo gbɔ wòtso siawo gbɔ vɔ gɔ̃ hã la, wò dzesi siwo nye ``Functional Dyspepsia'' medzona keŋkeŋ o. Eyata wò ɖɔkta aɖo aɖaŋu bubu siwo nàzã atsɔ akpe ɖe ŋuwò nàɖu wò dzesiwo dzi. Zi geɖe la , esia nyea atikewɔwɔ vovovowo ƒe ƒuƒoƒo .

Atike aɖewo siwo wozãna na ``Functional Dyspepsia``:

• Ne dɔlékui aɖe le ame ŋu la , woŋlɔa dɔlékuiwutikewo na ame.
• Prokinetics nye atike siwo doa ŋusẽ nuɖuɖumeŋusẽ ƒe ʋuʋu.
• Atike siwo ɖea dɔgbo me acid dzi kpɔtɔna: proton pump inhibitors (PPIs) (e.g. omeprazole) alo H2 blockers (e.g. Ranitidine).
• Tricyclic antidepressants le agbɔsɔsɔ sue aɖe me be wòana lãmekawo nafa eye woaɖe vevesese dzi akpɔtɔ (togbɔ be esiawo nye atike siwo wonaa blanuiléle hã la, wozãa wo le agbɔsɔsɔ sue me hã na nɔnɔme siawo tɔgbe).

Tsɔ kpe ɖe eŋu la, atikewɔwɔmɔnu siwo kpena ɖe ame ŋu kple esiwo wozãna ɖe eteƒe hã li:

• Numiemiewo ƒe notsi: Le kpɔɖeŋu me, atikekui siwo me peppermint kple caraway oil le, alo gbetike siwo wotsɔ tsaka abe Iberogast® ene (ele be nàbia wò ɖɔkta nenye be esiawo li le Sri Lanka).
• Susu kple ŋutilã ƒe ɖiɖiɖeme ƒe atikewɔwɔwo:Ŋugbledede, yoga, biofeedback (mɔnu si dzi woato anya ŋutilã ƒe dɔwɔwɔwo ahasrɔ̃ alesi woaɖu wo dzi), susumedɔdada.
• Nuɖuɖu ƒe tɔtrɔ: De dzesi nuɖuɖu siwo menyo na wò o eye wole wò dzesiwo gblẽm ɖe edzi to ``Elimination diet`` (nuɖuɖu ƒe hatsotso ɖeka dzudzɔ kple ŋkuléle ɖe eŋu le ɣeyiɣi ɖeka me) wɔwɔ me eye nàtrɔ asi le wò gbesiagbe nuɖuɖu ŋu wòasɔ ɖe enu.
• Atikewɔwɔ: Numekuku aɖewo ɖee fia be mɔnu sia hã naa gbɔdzɔe aɖe ame.

Nukae dzɔna ne `(Functional Dyspepsia)` le ŋuwò? Nukae nàte ŋu akpɔ mɔ na?

Le ame geɖe gome la, Functional Dyspepsia nye dɔléle si nɔa anyi didi si gbugbɔna dzɔna le woƒe agbemeŋkekewo katã me. Ate ŋu axɔ ɣeyiɣi aɖe, kple dodokpɔ kple vodada vi aɖe, hafi nàke ɖe atikewɔmɔnu kple numame siwo awɔ dɔ na wò eye woaɖe wò dzesiwo dzi akpɔtɔ. Àte ŋu akpɔ gbɔdzɔe aɖe, gake ɖewohĩ madzo keŋkeŋ o. Gake vevietɔ wu la, menye nya vevi aɖekee wònye o. Eyata mègatsi dzi o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo ne:

• Ne womedo wò kpɔ be nuɖuɖumeŋusẽ ƒe dɔlélewo le ŋuwò haɖe o.
• Ne wò dzesiwo trɔ alo wòdze ƒã be wova le sesẽm ɖe edzi.
• Ne èɖea aɖuɖɔ enuenu.
• Ne wò kpekpeme le ɖiɖim le susu aɖeke manɔmee.

Esi womekpɔ nusi gbɔ wòtso alo atike si ŋu kakaɖedzi le o ta la, ``Functional Dyspepsia'' ƒe dzesi ateŋu atɔtɔ vie na amesiwo le ŋuɖoɖo dim. ``GI ƒe dɔmawɔmawɔ nyuie'' nye nusi sesẽ vie wu. Wolɔ wò ahɔhɔ̃, wò lãmekawo, wò nuɖuɖu, wò agbenɔnɔ, kple ɣeaɖewoɣi nusiwo gbɔ wò ŋutilã tsona gɔ̃ hã ɖe eme. Esia tae wo dzi kpɔkpɔ ate ŋu asesẽ vie ɖo.

Atikewɔwɔ me dodokpɔwo ate ŋu akpe ɖe ame ŋu woade dzesi nu aɖewo siwo gbɔ wòtso eye woaɖe wo ɖa. Gake mlɔeba la, wò ɖeka koe ate ŋu ase nusi nana wò dzesiwo nyona ɖe edzi kple nusi nana wògagblẽna ɖe edzi la gɔme ŋutɔŋutɔ. Ne èle atikewɔwɔ vovovowo tem kpɔ eye nèle nusiwo hea wò vɛ la kpɔm la, àkpɔ wò ŋutɔ wò mɔ tɔxɛ si dzi nàto anɔ agbe kple Functional Dyspepsia.

Tsɔ gbedasi yi aƒeme

• ``(Functional Dyspepsia)`` nye vevesese ŋutɔŋutɔ si nèsena le ɖokuiwò me. Menye "wò susu me koe wòle" o.
• Wokpɔa esia gbɔ to dzesiawo dzi ɖuɖu me, si ate ŋu akpe ɖe eŋu to agbenɔnɔ ƒe tɔtrɔ, nuɖuɖu, kple ɖewohĩ atikewo zazã me.
• Ele vevie ŋutɔ be nàwɔ dɔ kple ɖɔkta. Ƒo nu tso wò dzesiwo, nusi nèle sesem le ɖokuiwò me, kple nusiwo nète kpɔ ŋu gaglãa.
• Mègana mɔkpɔkpɔ o. Ame geɖe dia mɔ siwo dzi woato anɔ agbe dzidzedzetɔe kple nɔnɔme sia. Menye wò ɖeka koe o!

` Functional dyspepsia, nuɖuɖumadzroame, dɔgbo ƒe vevesese, ʋuʋudedi, akɔta ƒe dɔdzẽ, nuɖuɖumeŋusẽ, nuteɖeamedzi