Ðe aɖuɖɔtoe me kuxiwo hã le ŋuwòa? (Gallbladder Disease) Mina míanya nu tso esia ŋu tututu!

Ðe nèse veve sesẽ aɖe le wò ƒodo ƒe ɖusime ƒe akpa si le etame, vevietɔ le wò ɖusime akɔta ƒe akɔta te kpɔa? Alo ɖe nèsena le ɖokuiwò me be yele dɔ lém vaseɖe yeƒe dɔgbo me alo ɖe nèsena le ɖokuiwò me be yeƒe lãme gbãna le nuɖuɖu si me ami le ɖuɖu vɔ megbea? Esiawo ate ŋu anye dzesi siwo fia be kuxi aɖe le wò aɖuɖɔtoe ŋu . Eyata egbea, mina míaƒo nu tso aɖuɖɔtoedɔléle ŋu.

Nukae Nye Aɖuɖɔtoedɔléle?

Kpuie ko la, aɖuɖɔtoedɔ nye nɔnɔme ɖesiaɖe si gblẽa nu le wò aɖuɖɔtoe ƒe lãmesẽ ŋu. Ènya be aɖuɖɔtoe nye ŋutinu sue aɖe le míaƒe nuɖuɖumeŋusẽ mea ? Ele abe akplo sue aɖe ene. Dɔ vevitɔ si wòwɔnae nye be wòadzra ʋumenugbagbevi dzĩ siwo míaƒe aklã wɔna la dometɔ aɖewo ɖo eye emegbe ne míeɖu nu vɔ la, wòakpe ɖe mía ŋu míaɖu nuɖuɖu si míeɖuna, to ʋumenugbagbeviɣi ma ɖoɖo ɖe dɔgbo suea me vivivi me . Esia dzɔna to ʋumenugbagbeviɣiwo ƒe ɖoɖo aɖe si le abe tsi ƒe pɔmpiwo ene dzi.

Bu eŋu kpɔ ko, ne dɔlékui aɖe le ʋuka me alo ʋuka siwo do ƒome kplii me alo xe la, ate ŋu agblẽ nu le aɖuɖɔtoea ŋu. Elabena aɖuɖɔtoea doa ka kple ŋutinu bubu geɖe, abe aklã kple dɔgbo ene, to ʋumenugbagbeviɣimɔ̃ siawo dzi. Eyata ne dɔléle aɖe le aɖuɖɔtoe me la, ate ŋu adze ŋutinu bubuwo hã dzi.

Nukawoe nye atikewɔwɔ me nɔnɔme vevi siwo gblẽa nu le aɖuɖɔtoe ŋu?

Atikewɔwɔ me nɔnɔme vovovowo li siwo ate ŋu agblẽ nu le aɖuɖɔtoea ŋu. Na míalé ŋku ɖe vevitɔwo ŋu.

1. Aɖuɖɔtoemekpewo (Gallstones / Cholelithiasis) .

Esiae nye dɔléle si bɔ wu le aɖuɖɔtoe me. Gake menye amesiamee ŋu aɖuɖɔtoemekpewo ƒe kuxiwo le o. Aɖuɖɔtoemekpewo dzɔna ne nusiwo le ʋumenugbagbeviɣia me, vevietɔ ʋumemi, ƒo ƒu ɖe aɖuɖɔtoea me eye wozu ƒunukpeƒe suesuesuewo. Kpe siawo ate ŋu alolo ɖe edzi le ɣeyiɣi aɖe megbe. Ðewohĩ dzesi aɖeke manɔ ame aɖewo ŋu o eye womenya gɔ̃ hã be ƒumekpe le yewo ŋu o. Gake kuxiwo dzea egɔme ne kpe siawo xe mɔ na ʋumenugbagbeviɣi ƒe sisi le ʋumenugbagbeviɣi alo ʋuka me.

Bu eŋu abe kpe aɖe si ge ɖe tsido me ene. Ekema tsi la matso o. Nenema ke ne tsinyegoea mete ŋu ʋã o la, vevesese kple dzesi bubuwo dzea egɔme dzena.

2. Aɖuɖɔtoe me dɔdzẽ (Cholecystitis) .

Aɖuɖɔtoe me dɔdzẽ, alo ʋumenugbagbeviɣidɔ, nye aɖuɖɔtoedɔléle ƒe dzesi bubu si bɔ. Esia nye dzesi si ate ŋu ahe kuxi bubuwo hã vɛ. Aɖuɖɔtoedɔléle ate ŋu atso aɖuɖɔtoedɔléle, aɖuɖɔtoe me kpewo, aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie, alo, ƒã ŋutɔ la, kansa gbɔ. Zi geɖe la, nusi gbɔ wòtsonae nye aɖuɖɔtoemekpe siwo xea mɔ na ʋumenugbagbeviɣi ƒe sisi.Ne dɔdzẽ yi edzi ɣeyiɣi didi la, abi ate ŋu adzɔ le aɖuɖɔtoea ƒe lãkusi me, si ana lãmenugbagbeviwo naku mlɔeba (gangrene), eye ɖewohĩ aɖuɖɔtoea gɔ̃ hã nado.

3. Biliary dyskinesia ƒe dɔléle

Wogayɔa esia be `(Functional gallbladder disorder)`. `(Biliary dyskinesia)` nye kuxi si le aɖuɖɔtoe ƒe ʋuʋu ŋu, alo ŋutete si le esi be wòatutu ʋuka ado goe ayi ʋukawo me. Ne míagblɔe tututu la, mɔ̃ aɖe ƒe kuxi aɖe si le aɖuɖɔtoe ƒe lãmekawo alo lãmekawo ŋu ate ŋu atso esia gbɔ. Esia sɔ kple nusi dzɔna ne aɖuɖɔtoe me kpe aɖe tsi. Aɖuɖɔtoea medona le aɖuɖɔtoea me o eye wòƒoa ƒu, si wɔnɛ be aɖuɖɔtoea vuvu eye wòxɔa abi le ɣeyiɣi aɖe megbe.

4. Aɖuɖɔtoemeŋusẽ ƒe ku (Gangrene) .

Gangrene nye kuxi sesẽ aɖe si dona tso ʋumenugbagbeviɣidɔ si nɔa anyi didi me. Ne aɖuɖɔtoea yi edzi le vuvu eye wòkeke la, lãkusia gblẽna mlɔeba eye wòdzea kuku gɔme. Anɔ eme be lãkusi kuku sia agbã wu. Ne aɖuɖɔtoe ƒe gli gbã la, dɔlékuia ate ŋu akaka ɖe ƒodoa ƒe akpa bubuwo, si ahe nɔnɔme si me afɔku le si woyɔna be peritonitis vɛ. Esia tae mele be míabu ʋumenugbagbeviɣidɔ nu tsɛe o.

5. Dɔdzẽ si le tsinyegoe me

Aɖuɖɔtoe me kansa nye dɔléle si mebɔ o gake wòsẽa ŋu ŋutɔ . Zi geɖe la, aɖuɖɔtoemekansa ƒe dzesiwo medzena o vaseɖe esime dɔlélea kaka, eyata ɖɔktawo awɔ afɔɖeɖewo atsɔ adae ne afɔku sue aɖe li be woaxɔ aɖuɖɔtoemekansa. Polyp akpa gãtɔ siwo le aɖuɖɔtoe me mewɔa nuvevi ame o. Gake ne polyp si lolo wu le wò aɖuɖɔtoe me la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàɖee ɖa be wòanɔ akpa si le dedie.

6. Dɔléle siwo le ʋumenugbagbeviɣiwo me (Cholangiopathy) .

`(Cholangiopathy)` fia dɔléle ɖesiaɖe si dzɔna le ʋumenugbagbeviɣiwo me. Zi geɖe la, edzea egɔme kple ʋumenugbagbeviɣidɔ `(Cholangitis).` Nusi gbɔ wòtso ateŋu anye ɣeyiɣi kpui aɖe ƒe dɔlékui, mɔxexe, alo dɔléle si dɔlélenutsiŋutete wɔna abe `(Primary biliary cholangitis).` Ne ʋumenugbagbeviɣidɔa yi edzi ɣeyiɣi didi la, ʋukawo ateŋu axɔ abi eye woaxe (Biliary stricture). Emegbe ʋumenugbagbeviɣia me sina nyuie o, eye wòdzea megbe yina ɖe aɖuɖɔtoe kple aklã me.

Aleke gbegbee aɖuɖɔtoedɔléle bɔe?

Wogblɔ be gallstones gblẽa nu le amewo ƒe 15% lɔƒo ŋu. Gake amesiwo ŋu kpe siawo le dometɔ 20% koe xɔa kuxiwo alo dzesiwo. Aɖuɖɔtoedɔléle bubu siwo medo ƒome kple aɖuɖɔtoemekpewo o la mebɔ kura o.

Amekawoe ate ŋu axɔ aɖuɖɔtoedɔléle wu? (Afɔku siwo ate ŋu ahe ame) .

Ne aɖuɖɔtoemekpe le ŋuwò la, anɔ eme be aɖuɖɔtoedɔ adze dziwò. Mina míalé ŋku ɖe afɔku vevi siwo ate ŋu ado tso eme ŋu:

• Nuɖuɖu si me ʋumemi sɔ gbɔ ɖo:Aɖuɖɔtoemekpe akpa gãtɔ tsoa ʋumemi si sɔ gbɔ si ƒoa ƒu ɖe aɖuɖɔtoea me la me. Eyata amesiwo ɖua nuɖuɖu siwo me ami kple ami sɔ gbɔ ɖo enuenu la le afɔku gã aɖe me.
• Lolo akpa kple lolo akpa: Ne èle lolom ɖe edzi la, wò ŋutilã wɔa ʋumemi geɖe wu, vevietɔ ne wò ŋutilã ƒe lolome ƒe dzesi (BMI) wu 30.
• Ne ame tsi wu ƒe 60: Afɔku si le ame ŋu be wòaxɔ aɖuɖɔtoemekpewo la dzina ɖe edzi ne ame tsi. Esia ate ŋu atso esi ɣeyiɣi geɖe wu sua nu bubuwo si be woaƒo ƒu ɖe ʋumenugbagbeviɣia me le ɣeyiɣi aɖe megbe ta.
• Nyɔnu nyenye: Nyɔnuwo ƒe aɖuɖɔtoemekpewo ate ŋu axɔ zi gbɔ zi eve wu ŋutsuwo. Estrogen si sɔ gbɔ ɖe ŋutilãa me (vevietɔ le fufɔɣi) nana ʋumemi ƒe agbɔsɔsɔ dzina ɖe edzi eye wònana aɖuɖɔtoe me tsi ƒuƒlu nɔa blewu.
• Ƒome ŋutinya si me aɖuɖɔtoedɔléle le: Aɖuɖɔtoedɔléle siwo ade 25% ate ŋu anye domenyiŋusẽfianu. Dzɔdzɔmeŋutinunyalawo de dzesi domenyiŋusẽfianu siwo ade 12 siwo kpɔa gome le esia me.
• Amerika Indiatɔwo alo Mexico Amerikatɔwo ƒe dzidzimevinyenye: Mɔnukpɔkpɔ 30% va ɖo 70% le to siawo me tɔwo si be woaxɔ aɖuɖɔtoemekpewo. Nuɖuɖu kple domenyiŋusẽfianu siaa ate ŋu ana esia nadzɔ.
• Suklidɔ: Amesiwo ŋu suklidɔ le ate ŋu axɔ aɖuɖɔtoemekpe zi gbɔ zi eve va ɖo zi etɔ̃. Esia ate ŋu atso ami ƒe agbɔsɔsɔ si dzi ɖe edzi gbɔ.
• Crohn ƒe dɔléle: Amesiwo ŋu Crohn ƒe dɔlélea le la ate ŋu axɔ aɖuɖɔtoemekpe zi gbɔ zi eve elabena woƒe aɖuɖɔtoe mete ŋu xɔa ʋumemi dze o, si kpena ɖe ame ŋu wòlɔ̃a ʋumemi.
• Aklã me dɔléle: Esiae nye aklãdɔléle ƒe akpa mamlɛtɔ. Le nɔnɔme sia me la, ʋumenugbagbeviɣi ƒe sisi tso aklã me yia aɖuɖɔtoe me dzi ɖena kpɔtɔna, eye ʋumenugbagbeviɣi ate ŋu aƒo ƒu.
• Sickle cell dɔléle: Nɔnɔme sia nana bilirubin ƒoa ƒu ɖe aɖuɖɔtoea me, si wɔnɛ be aɖuɖɔtoe me kpe siwo me amadede le, siwo zi geɖe medzena tututu o la dona.
• Total parental nutrition: Le amesiwo wona tsi nunyiame to vein me le atikewɔwɔ ƒe nɔnɔme aɖewo ta gome la, afɔku li be ʋumenugbagbeviɣi naƒo ƒu ɖe aɖuɖɔtoe me le nuɖuɖumeŋusẽ ƒe dɔwɔwɔ si dzi ɖe kpɔtɔ ta.
• Atike aɖewo siwo ɖea ʋumemi dzi kpɔtɔna: Togbɔ be atike siawo ɖea ʋumemi dzi kpɔtɔna hã la, wonaa ʋumemi hã ƒoa ƒu ɖe aɖuɖɔtoea me.

Nukae nye "5 Fs" siwo le aɖuɖɔtoedɔléle ŋu?

"5 Fs" nye mɔnu kpui aɖe si dzi ɖɔktawo tona ɖoa ŋku afɔku siwo bɔ ɖe aɖuɖɔtoedɔléle me dzi. F atɔ̃awo tsi tre ɖi na: Dzĩ (si ƒe ŋutigbalẽ le ɣie), Nyɔnu (nyɔnu), Dami (lolo akpa), Vidzidzi (nyɔnu siwo xɔ ƒe si woate ŋu adzi vi), kple Blaene (siwo xɔ ƒe blaene).Togbɔ be akɔntabubuwo dzie wotu esiawo ɖo hã la, nyaʋiʋliwo le esia ŋu egbea. Elabena esia le abe aɖaka aɖe dede hatsotso aɖe me ene. Ne ɖɔktawo di dzedzeme kple dzesi aɖewo ne wole aɖuɖɔtoedɔléle aɖe kpɔm la, woate ŋu asusu dɔnɔ siwo mesɔ nɛ o, eye woate ŋu ato dɔléle bubuwo ŋu le dɔnɔ siwo sɔ hã ŋu.

Ke hã, nusiwo woyɔ le "5 F" siawo me la nye afɔku siwo bɔ ŋutɔŋutɔ.

• Wotu "Fair" la ɖe nyateƒe si wònye be yevuwo ate ŋu axɔ gallstone dɔléle wu dzi. Esia ate ŋu atso domenyiŋusẽfianu ƒe ŋusẽkpɔɖeamedziwo kpakple Ɣetoɖoƒetɔwo ƒe nuɖuɖu gbɔ.
• "Nyɔnu" gɔmee nye "nyɔnu" elabena nyɔnuwo ate ŋu axɔ dɔléle sia zi gbɔ zi eve.
• "Ami" nye nya si wozãna na amesiwo ɖua nuɖuɖu siwo me ʋumemi sɔ gbɔ ɖo eye suklidɔ ate ŋu anɔ wo ŋu.
• "Fertile" nye esi nyɔnu siwo fɔ fu alo fɔ fu la kpɔa ŋusẽ gã aɖe ɖe lãmetsi si nye estrogen dzi.
• "Bene" fia be afɔkua dzina ɖe edzi ne ame tsi, eyata amesiwo xɔ wu ƒe blaene la ate ŋu axɔ nɔnɔme sia.

Aleke aɖuɖɔtoedɔléle kpɔa ŋusẽ ɖe wò ŋutilã dzii?

Ne aɖuɖɔtoea mete ŋu wɔa eƒe dɔ nyuie o la, ʋumenugbagbeviɣia dzea ƒoƒo ɖe ʋua me le esi teƒe be wòayi dɔgbo suea me be wòakpe ɖe nuɖuɖu ŋu wòaɖu. Esi wònye be ʋumenugbagbeviɣidɔ si le dɔgbo suea me le vevie na amiwo ɖuɖu ta la, ate ŋu asesẽ na wò be nàɖu nuɖuɖu , vevietɔ nuɖuɖu siwo me ami le. Azɔ hã, esi ʋumenugbagbeviɣi kpena ɖe ame ŋu wòɖea aɖi ɖa le aklãa me ta la, ne ʋumenugbagbeviɣi va ƒo ƒu ɖe ʋua me la, àte ŋu adze dɔ. Aɖuɖɔtoe si ŋu dɔléle le hã ate ŋu ana ame nase veve vevie .

Woate ŋu atsɔ amekoko ada aɖuɖɔtoedɔ geɖe. Woɖea aɖuɖɔtoeawo ɖa, alo woɖea aɖuɖɔtoea ɖa. Amekolawo doa ka kple ʋumenugbagbeviɣimɔ̃wo tso aklãa me yia dɔgbo suea me tẽ, eye wotoa aɖuɖɔtoea ŋu. To mɔ sia dzi la, àte ŋu ayi edzi anɔ nuɖuɖu ɖum le mɔ si sɔ nu eye nànɔ agbe nyuie aɖuɖɔtoe manɔmee. Gake nusiwo aɖuɖɔtoedɔléle ate ŋu agblẽ le ŋutilã ƒe akpa bubuwo ŋu ate ŋu akpɔ ŋusẽ ɖe ame dzi ɣeyiɣi didi ne womekpɔe dze sii hedae kaba o.

Kuxi kawoe ate ŋu ado tso aɖuɖɔtoedɔléle me?

Aɖuɖɔtoedɔ ate ŋu agblẽ nu le wò ʋukawo, aklã, alo dɔgbo ŋu.

1. Aɖuɖɔtoedɔléle

Aɖuɖɔtoedɔ ate ŋu ana ʋumenugbagbeviɣidɔ naxɔ dɔlékuiwo, dɔlékuiwo, kple/alo ʋukawo ƒe xexe (cholangitis). Esia ate ŋu adzɔ vevietɔ ne aɖuɖɔtoe me kpe aɖe ʋu tso aɖuɖɔtoea me yi ʋukawo me. Ne nu ɖeka dzɔ la, nu bubuwo hã kplɔe ɖo. Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana abi nanɔ ʋuka siwo me ʋu sina tona ŋu, ana woaxe, eye kuxi siwo anɔ anyi didi le ʋumenugbagbeviɣidɔ ŋu.

2. Aklã ƒe ʋuka me dɔléle

Ne ʋumenugbagbeviɣia trɔ yi aklãa me le kuxi siwo le aɖuɖɔtoe, ʋumenugbagbeviɣimɔ̃wo, alo evea siaa ŋu ta la, ate ŋu ana aklãa navuvu eye mlɔeba wòaxɔ abi. Woyɔa esia be ʋumenugbagbeviɣidɔ . Esia ate ŋu agblẽ nu le aklãa ƒe dɔwɔwɔ ŋu ɣeyiɣi didi. Cirrhosis ate ŋu ahe kuxiwo vɛ le ŋutinu bubuwo hã me.

3. Dɔgbo ƒe dɔléle

Ne aɖuɖɔtoe me kpe aɖe tso aɖuɖɔtoea me yi ʋuka me eye wòxe le afisi dɔgboa dze egɔme tsoe la, ate ŋu ana ʋumenugbagbeviɣia nagatrɔ ayi dɔgboa ƒe ʋuka kple dɔgboa me. Esia nye nusi gbɔ dɔdzẽ tsona zi geɖe . Ne dɔdzẽ nu sẽ alo edidi la, ate ŋu agblẽ nu le dɔgboa ŋu ɣeyiɣi didi.

Nukae nye aɖuɖɔtoedɔléle ƒe dzesiwo?

Woate ŋu ama aɖuɖɔtoedɔléle ƒe dzesiwo ɖe hatsotso vovovowo me.

1. Dɔgbo ƒe vevesese (Biliary colic) .

Esia nye vevesese si tsoa ƒodo ƒe eme, `(Biliary colic)`. Zi geɖe la, esiae nye dzesi gbãtɔ si wokpɔna ne kuxi aɖe le aɖuɖɔtoea ŋu. Ŋkɔa ŋutɔ ɖee fia be ʋuka siwo me ʋu sina tona hã kpɔa gome le eme. Le nyateƒe me la, wodo ƒome kple wo nɔewo, eɖanye tẽ alo le mɔ si mele tẽ o nu o. Ne tsinyegoe alo ʋumenugbagbeviɣiwo xe la, nyaƒoɖeamenu si le wo ame evea siaa me dzina ɖe edzi. Zi geɖe la, nusi gbɔ wòtsona nyea aɖuɖɔtoemekpe. Ke hã, vuvu le dɔlékuiwo ta, ʋumenugbagbeviɣiwo ƒe tsitsi `(Biliary stricture)`, alo kuxi aɖe le tsinyegoe me tsi ƒuƒlu ƒe ɖoɖoa ŋu la, nyaƒoɖeamenua ate ŋu adzi ɖe edzi. Vevesesea sɔ kple nyaƒoɖeamenu sia.

• Ate ŋu adze egɔme gbã abe vevesese si nu mesẽ o si vaa ame gbɔ eye wòdzona ene , vevietɔ le nuɖuɖu vɔ megbe ne aɖuɖɔtoea vuvu.
• Èsea veve sia le wò ƒodo ƒe ɖusime ƒe akpa si le etame, le wò ɖusime akɔtaƒu te , afisi wò aɖuɖɔtoe le.
• Woate ŋu asee le ƒodoa titina hã, alo vevesesea ate ŋu akeke ɖe ɖusime abɔta.
• Ebɔ be vevesese sia kpena ɖe ʋuʋudedi kple ʋuʋudedi ŋu .
• Zi geɖe la, vevesese sia nɔa anyi gaƒoƒo ʋɛ aɖewo. Menye ɣesiaɣie wòdzɔna o, gake edzɔna ɣeaɖewoɣi. Esia fia xexe si dzɔna ne aɖuɖɔtoea ƒo eye wòɖiɖina ne aɖuɖɔtoea ɖe dzi ɖi, gake mede blibo o eye wòdzɔna ɣeaɖewoɣi.

2. Aɖuɖɔtoedɔléle sesẽ

Aɖuɖɔtoedɔléle sesẽ, si ate ŋu atso mɔxexe ɖe ʋuka me atraɖii, dɔlékuiwo, alo dɔdzẽ si le aɖuɖɔtoe me gbɔ ate ŋu asẽ wu vevesese si le ʋumenugbagbeviɣidɔ me.

• Asrã kple vuvɔ ate ŋu akpe ɖe ʋuʋudedi kple ʋuʋudedi ŋu .
• Vevesesea nɔa anyi ɖaa, eye ɣeaɖewoɣi la , esẽna ale gbegbe be wòhiãna be woazɔ mɔ ayi xɔ si me wowɔa dɔ kpata le .
• Ne aɖuɖɔtoea le tetem, abe le nuɖuɖu vɔ megbe ene la, dzia ƒe tsotso ate ŋu adzi ɖe edzi alo ʋu ƒe sisi ate ŋu aɖiɖi zi ɖeka.
• Ne ʋumenugbagbeviɣi si xaxa la dze ƒoƒo ɖe ʋua me gɔme la, gotagome dzesiwo abe jaundice (ŋku kple ŋutigbalẽ ƒe ɣie), aɖuɖɔ si do viviti, kple aɖuɖɔ si me mekɔ o ate ŋu adze.

3. Aɖuɖɔtoedɔléle si nɔa anyi didi

Dzesi siwo nɔa anyi didi, si fia be wonɔa anyi didi, mesẽna boo o wu dzesi siwo nu sẽ. Ðewohĩ womade dzesi wo o ɣeyiɣi didi aɖe. Ðewohĩ nuɖuɖumeŋusẽ ƒe vevesese koe nàte ŋu akpɔ. Le kpɔɖeŋu me, fuɖename, sese le eɖokui me be yeɖi ƒo le nuɖuɖu vɔ megbe, gas atraɖii, lãmetutudɔ, alo aɖuɖɔtoe.Nu mawo tɔgbe. Esi wònye be nu bubu geɖewo ate ŋu ahe dzesi siawo vɛ ta la, womebunɛ kokoko be enye aɖuɖɔtoe me kuxi o. Ne aɖuɖɔtoe me dɔdzẽ le ame ŋu gɔ̃ hã la, abi ate ŋu anɔ anyi ɣeyiɣi didi kple ʋumenugbagbeviɣidɔ si nu mesẽ o eye vevesese aɖeke manɔ eme o. Le dzesi siawo ƒe nɔnɔme si me mekɔ o, kple vevesese sesẽ ƒe anyimanɔmanɔ ta la, womate ŋu akpɔ dɔdzẽ si nɔa anyi didi o eye wòagblẽ nu le ame ŋu ɣeyiɣi didi.

Nukawoe hea aɖuɖɔtoedɔléle vɛ?

Aɖuɖɔtoemekpewoe nye nusi gbɔ aɖuɖɔtoe me kuxiwo tsona wu. Ke hã, womehea kuxiwo vɛ ɣesiaɣi o. Ne wowɔe la, zi geɖe la, esi woxea mɔ na ʋumenugbagbeviɣi ƒe sisi le ʋuka me, ʋumenugbagbeviɣimɔ̃wo, alo evea siaa tae. Tsɔ kpe ɖe eŋu la, ƒã hafi ʋumenugbagbeviɣidɔ ate ŋu aƒo ƒu ɖe ʋumenugbagbeviɣiwo me le esi ʋuka me tsi ƒuƒlu blewu ta, alo le atikewɔwɔ ƒe nɔnɔme bubu aɖe ta. Ʋumenugbagbeviɣidɔ sia si trɔna yi megbee nye nusi gbɔ ʋumenugbagbeviɣidɔ tsona wu. Gake ɣeaɖewoɣi la, dɔlékui aɖe si to vovo hã ate ŋu ahe dɔdzẽ vɛ. Dzoxɔxɔa nana aɖuɖɔtoea vuvu, si wɔnɛ be nyaƒoɖeamenu si le eme dzina ɖe edzi. Esia ate ŋu ana ʋumenugbagbeviɣidɔ hã nagbugbɔ awɔ dɔ abe nu evelia ene.

Aleke woawɔ anya aɖuɖɔtoedɔléle?

Abe alesi wòle le dɔléle bubu ɖesiaɖe gome ene la, wò ɖɔkta abia wò atikewɔwɔ ŋutinya kple dzesiwo gbã . Woalé ŋku ɖe wò dzesi veviwo ŋu (dzi ƒe tsotso, ʋu ƒe sisi, ŋutilã ƒe dzoxɔxɔ - ɖe dzoxɔxɔ aɖe li, kple bubuawo). Emegbe woawɔ ŋutilãmedɔ, akpɔe ɖa be ʋumenugbagbeviɣidɔ kple ƒodoa ƒe vuvu ƒe dzesiwo le eŋu hã. Woate ŋu aka asi teƒe si aɖuɖɔtoea le. Ne aɖuɖɔtoea se le eɖokui me be yevuvu la, efia be evuvu. Ne veve le ame ŋu ne èka asi teƒea ŋu la, ate ŋu akpe ɖe ŋuwò nàde vovototo dɔdzẽ sesẽ si do ƒome kple aɖuɖɔtoemekpewo kple dɔdzẽ si nɔa anyi didi si do ƒome kple kansa dome. Emegbe woaɖe gbe be woawɔ ʋudodokpɔ kple nɔnɔmetatawo dodokpɔ.

Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?

• Ʋu ƒe xexlẽme blibo: Esia léa ŋku ɖe ʋumenugbagbevi ɣiwo ƒe agbɔsɔsɔ ŋu. Ne wosɔ gbɔ la, efia be dɔlékui alo dɔdzẽ aɖe le ame ŋu.
• Aklã ƒe dɔwɔwɔ dodokpɔ: Ʋudodokpɔ siawo kpena ɖe ame ŋu wòdea dzesi nusiwo xe le ʋumenugbagbeviɣiwo me.
• Dɔgbo ƒe dɔwɔwɔ dodokpɔ: Ʋudodokpɔ siawo kpena ɖe ame ŋu wòdea dzesi dɔgboa ƒe ʋukawo ƒe xexe.
• Ƒodo me ultrasound: Esia nye gotagome nɔnɔmetata dodokpɔ si me vevesese aɖeke mele o, si ate ŋu ade dzesi nuwo abe vuvu, xexe, alo dɔdzẽ le aɖuɖɔtoe alo ʋumenugbagbeviɣiwo me.
• HIDA scan (HIDA scan / Cholescintigraphy scan): Nɔnɔmetatawo dodokpɔ sia dzidzea ʋumenugbagbeviɣi ƒe ʋuʋu tso aɖuɖɔtoe me yi dɔgbo suea me kple ʋumenugbagbeviɣi ƒe sisi to ʋumenugbagbeviɣiwo me.
• Endoscopic Retrograde Cholangiopancreatography (ERCP) ƒe dɔwɔwɔ le lãme na ame:Esia nye dodokpɔ si me wotsɔa endoscopy (mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le) kple X-ray tsakana. Woate ŋu azã endoscope, si wotsɔ dea ŋɔti me, atsɔ akpɔ ŋutinu siwo le ƒodoa me. X-ray tɔxɛwo (fluoroscopic X-rays) ate ŋu aɖe ʋuka siwo me ʋu sina tona la afia nyuie. Ne wokpɔ mɔxenu aɖe le dodokpɔa wɔɣi la, ɖɔkta ate ŋu adae to dɔwɔnu suewo tsɔtsɔ to dɔlékuiwutikea me.
• Endoscopic Ultrasound (EUS): Esia hã ƒoa ultrasound mɔ̃ɖaŋununya kple endoscopy nu ƒu. Wotsɔa ultrasound-mɔ̃ aɖe dea endoscope la ƒe nugbɔ. Wotsɔa esia dea ŋɔti me eye wònana wokpɔa ƒodo ƒe ŋutinuwo, vevietɔ ʋumenugbagbeviɣiwo, dɔgbo, aɖuɖɔtoe, kple aklã, nyuie ŋutɔ. Ne wokpɔ nusiwo mesɔ o la, ahiã be woawɔ dodokpɔ alo atike bubuwo.

Aleke wodaa aɖuɖɔtoedɔlélewoe?

• Vevesesenutsitikewo: Le vevesese sesẽwo abe ``Biliary colic'', aka "gallbladder attack" ene me la, vevesesenutsitike siwo ɖɔkta ŋlɔ na ate ŋu ahiã be woatsɔ aɖu vevesesea dzi. Wò ɖɔkta anɔ te ɖe wò atikewɔwɔ ŋutinya kple dzesiwo dzi anya atike si sɔ wu.
• Dɔlékuiwutikewo: Ne dɔlékui aɖe le ŋuwò la, wò ɖɔkta aŋlɔ dɔlékuiwutikewo na wò atsɔ adae. Zi geɖe la, esia nyea atikewɔwɔ gbãtɔ ko hafi woawɔ dɔ nɛ.
• Endoscopic intervention: Hafi woawɔ dɔ na wò ɖɔkta ate ŋu azã endoscope atsɔ ada aɖuɖɔtoe me kuxi suesuesuewo. Endoscopic retrograde cholangiopancreatography (ERCP) kple/alo endoscopic ultrasound (EUS) ate ŋu akpe ɖe ame ŋu woade dzesi nusiwo xe, dɔdzẽ, kple kpewo. Le dodokpɔ siawo me la, woate ŋu azã dɔwɔnu siwo le dɔlékuiwutikea ƒe nuwuwu atsɔ aɖe aɖuɖɔtoemekpewo ɖa, atsɔ ʋukawo ade ʋukawo me be ʋumenugbagbeviɣiwo nanɔ ʋuʋu ɖi, eye woaɖe lãmenugbagbeviwo ƒe kpɔɖeŋuwo (biopsies).
• Amekoko: Aɖuɖɔtoedɔléle si nɔa anyi ɖaa ƒe egbɔkpɔnu ɖeka kolia si nɔa anyi ɖaa eye wòwɔa dɔ wue nye ʋumenugbagbeviɣidɔ ɖeɖeɖa . Esia nye atikewɔwɔ si bɔ. Àte ŋu anɔ agbe nyuie ne aɖuɖɔtoe mele asiwò o. Ame geɖe ate ŋu aɖe woƒe aɖuɖɔtoe to amekoko to dɔgbo me ( amekoko si wowɔna to lãɖeɖe sue ʋɛ aɖewo ko me). Le nɔnɔme sesẽwo abe dɔlékui alo aɖuɖɔtoe me kansa ene me la, ate ŋu ahiã be woawɔ dɔ na ame le gaglãgbe.

Aleke mawɔ aɖe afɔku si le eme be maxɔ aɖuɖɔtoedɔléle dzi akpɔtɔ?

Míate ŋu aɖu afɔkuwo katã dzi o. Gake àte ŋu ana wò aɖuɖɔtoe nanɔ lãmesẽ me ne èlé nuɖuɖu kple agbenɔnɔ nyui me ɖe asi . Egbegbe Ɣetoɖoƒetɔwo ƒe nuɖuɖu me ami kple ʋumemi sɔ gbɔ ɖo, eye fibre mesɔ gbɔ ɖe eme o, si kpena ɖe ame ŋu wòɖea ami si sɔ gbɔ ɖe ŋutilãa me ɖa. Dze agbagba nàɖu atikutsetse kple amagbe siwo me fibre sɔ gbɔ ɖo wu, eye nàɖe nuɖuɖu siwo me ami le, siwo ŋu wotrɔ asi le la dzi akpɔtɔ . Kamedede edziedzi hã le vevie.Ekpena ɖe ame ŋu wòɖea afɔku dzi kpɔtɔna elabena enaa ŋutinu siwo le wò nuɖuɖumeŋusẽ me ƒe ʋuʋu - si fia be woƒe ʋuʋu edziedzi - nyona ɖe edzi.

Nukae mate ŋu akpɔ mɔ na ne aɖuɖɔtoedɔ le ŋunye?

Aɖuɖɔtoe me kuxi akpa gãtɔ wu enu mlɔeba kple amekoko (aɖuɖɔtoe ɖeɖeɖa). Gake ne edzɔ alea la, menye wò ɖeka koe o, ame geɖe toa nusia me. Ame akpa gãtɔ hayana kaba eye womekpɔa nugbegblẽ le ame ŋu ɣeyiɣi didi aɖeke le amekoko vɔ megbe o . Àte ŋu akpɔ nuɖuɖumeŋusẽ ƒe vevesese aɖe hena ɣeyiɣi aɖe esime nèle hayahayam. Esi wò ŋutilã megale aɖuɖɔtoe me o ta la, ɖewohĩ ahiã be nàɖe nuɖuɖu siwo me ami le ɖuɖu dzi akpɔtɔ hena ɣeyiɣi aɖe vaseɖe esime wò ŋutilã natrɔ ɖe eŋu. Le ɣleti ʋɛ aɖewo megbe la, ame akpa gãtɔ ate ŋu atrɔ ayi nuɖuɖu si sɔ, gake le lãmesẽ me, dzi.

Aɖuɖɔtoedɔléle ate ŋu anye nu sesẽ evɔ mànya gɔ̃ hã o. Kaka dɔlélea ƒe dzesiwo nadze le ŋuwò la, ate ŋu anye nu sesẽ xoxo. Dzɔgbenyuietɔe la, woate ŋu ada aɖuɖɔtoemekpe akpa gãtɔ bɔbɔe ne wowɔ dɔ sue aɖe nɛ. Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo, ne dzesiawo mesẽ o gɔ̃ hã. Ðewohĩ ʋuka me vevesese si nu mesẽ o anɔ ŋuwò ɣeaɖewoɣi si adze abe ɖe wòdzo le eɖokui si ene. Gake ate ŋu anye kuxi si nɔa anyi ɖaa, si yia edzi ɖaa. Mègalala vaseɖe esime nuxlɔ̃amedzesi sesẽwo nadze le ŋuwò be ʋumenugbagbeviɣidɔ sesẽ alo nusiwo gblẽ le ŋuwò ɣeyiɣi didi tso ʋumenugbagbeviɣidɔ si nɔa anyi didi gbɔ o. Wò ɖɔkta ate ŋu ake ɖe aɖuɖɔtoemekpe siwo ŋu kuxiwo le ŋu eye ɖewohĩ aɖee ɖa le dodokpɔ siwo wowɔna edziedzi le kɔdzi me.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Aɖuɖɔtoedɔléle nye nusi ŋu wòle be míakpɔ nyuie le. Ne dzesi siwo ŋu míeƒo nu tsoe le nyati sia me dometɔ aɖe le ŋuwò, vevietɔ ne dɔgbo le veve sem le nuɖuɖu siwo me ami le ɖuɖu vɔ megbe alo le veve sem atraɖii le ɖusime ƒodo ƒe akpa si le etame la, ele be nàkpɔ ɖɔkta godoo . Ne wokpɔe kaba la, atikewɔwɔ le bɔbɔe wu eye woate ŋu axe mɔ ɖe kuxiwo nu. Nuɖuɖu nyui me léle ɖe asi kple agbenɔnɔ si me dzo le nye mɔ nyuitɔ kekeake siwo dzi nàto akpɔ ɖokuiwò ta tso dɔléle mawo me.

` Gallbladder, gallstones, cholecystitis, ʋumemi, ʋumenugbagbeviɣidɔ, nuɖuɖumeŋusẽ, amekoko