Ðe nèsena le ɖokuiwò me hã be yeɖi ƒo ne èɖu nuɖuɖu sue aɖe gɔ̃ hãa? Alo ɖe nèsena le ɖokuiwò me zi geɖe be yeƒe lãme gbãna alo ɖe wòtsia dzimaɖi ƒe kuxiwoa? Ðewohĩ nusi gbɔ esia tsoe nye tɔtrɔ le alesi nuɖuɖu ƒua tsi le wò dɔgbo me, si nye wò dɔgbo me. Eyata egbea, mina míaƒo nu tso atikewɔwɔ ŋuti dodokpɔ tɔxɛ aɖe si wowɔna be woanya esia tututu ŋu. Esia nye nusi míeyɔna be `(Gastric Emptying Study)`.
Kpuie ko la, nukae nye Dɔgbo ƒe Gbeƒãɖeɖe Ŋuti Numekuku sia?
Esia nye dodokpɔ bɔbɔe aɖe ŋutɔ. Edzidzea ɣeyiɣi didi si wòxɔna hafi nuɖuɖu (alo nunono) si nèɖuna toa wò dɔgbo me eye emegbe wòtsia ƒuƒlu keŋkeŋ. Woyɔa nuɖuɖu kple tsiwo tsɔtsɔ to wò dɔgbo me ƒe ɖoɖo sia be ``Gastric Motility''. Ðɔktawo wɔa dodokpɔ sia be yewoakpɔe ɖa be wò dɔgbo le zɔzɔm nyuie hã. Ne alesi nuɖuɖu ƒua gbe kabakaba alo blewu wu alesi wòle dzɔdzɔmee la, ate ŋu anye atikewɔwɔ ƒe nɔnɔme aɖe ƒe dzesi.
Mɔnu vevitɔ si wozãna wu na esiae nye dodokpɔ si woyɔna be `(Gastric Emptying Scintigraphy - GES)`. Ne ɖɔkta aɖe gblɔ dodokpɔ sia ŋu nya na wò la, esiae wòfia zi geɖe. Esia nye `(Imaging Test)` si nye `(Nuclear Medicine)` ƒomevi, si nye scan. Nusi dzɔna le esia mee nye be wokpɔa keklẽŋusẽ si le wò ŋutilã me eye wowɔa nɔnɔmetatawo. Mègatsi dzi o, esia megblẽa nu le ŋuwò o. Be wò dɔgbo nade scan la me la, wotsɔa keklẽŋusẽ sue aɖe ŋutɔ si megblẽa nu le ame ŋu o `(Radioactive Tracer)` dea nuɖuɖu si nèɖuna me.
Ðe mɔ bubuwo li siwo dzi woato awɔ dodokpɔ siaa?
Ẽ, mɔnu bubu geɖewo li tsɔ kpe ɖe vevitɔa ŋu:
- Gastric Motility Breath Test (GEBT): Esia dzidzea ya agbɔsɔsɔme si nègbɔna kple alesi wò nuɖuɖu zɔna to wò dɔgbowo me. Wona nuɖuɖu si me carbon molecule tɔxɛ aɖe si woyɔna be ``Carbon-13'' le la wò. Ne eto wò dɔgbo me la, ewɔa ya si woyɔna be carbon dioxide si woate ŋu adzidze le wò gbɔgbɔ me.
- SmartPillTM Wireless Motility Capsule: Esia bia be woami elektrɔnikmɔ̃ sue aɖe si le abe atikekui ene. Esi wòle mɔ zɔm to wò nuɖuɖumeŋusẽ me la, eɖoa nyatakakawo ɖe ``Xɔxɔla`` si nèdona. Wotsɔa atikekui la ƒua gbe ɖe wò aɖuɖɔ me le ŋkeke ɖeka alo eve megbe. Emegbe, ne ètsɔ ``Amexɔla`` na wò ɖɔkta la, ateŋu alé ŋku ɖe nyatakakaawo ŋu eye wòakpɔ wò nɔnɔmea ƒe susu.
Nukae míate ŋu asrɔ̃ tso dodokpɔ sia me?
Dodokpɔ sia koŋue gblɔna na wò nenye be wò dɔgbo le ƒuƒlu kabakaba akpa alo blewu akpa . Ate ŋu anya afisi duƒuƒu sia le blewu le le wò dɔgbo hã. Esia ate ŋu akpe ɖe ŋuwò ŋutɔ le nusi gbɔ wò dɔgbo me kuxi aɖewo tso gɔmesese me.
| Dzesi siwo ate ŋu ana ɖɔkta naɖe gbe be woawɔ dodokpɔ sia | |
|---|---|
| Seselelãme be yeɖi ƒo | Sese le eɖokui me be yeɖi ƒo ŋutɔ le nuɖuɖu sue aɖe ɖuɖu vɔ megbe gɔ̃ hã, alo seselelãme ma ƒe amesinɔnɔ ɣeyiɣi didi le nuɖuɖu vɔ megbe. |
| Aɖuɖɔtoe kple ʋuʋudedi | Aɖuɖɔtoe kple/alo ʋuʋudedi enuenu. |
| Ƒodo ƒe vevesese | Vevesese le ƒodo ƒe akpa si le etame. |
| Dɔgbo me yɔyɔ | Gas kple ʋuʋudedi ƒe seselelãme. |
| Nɔnɔme bubuwo | Nuɖuɖu ƒe dzodzro ƒe vɔvɔ, lolo dzi ɖeɖe kpɔtɔ, sukli ƒe agbɔsɔsɔ si le ʋu me ƒe dzidziɖedzi kple eƒe ɖiɖi kpata, taɖuame, dzi ƒe tsotso kabakaba, kple acid ƒe sisi si nɔa anyi didi. |
Ne dzesi siawo tɔgbe gakpɔtɔ le ŋuwò la, anyo godoo be nàƒo nu kple wò ɖɔkta.
Dɔléle kawoe woate ŋu ade dzesii to dodokpɔ sia me?
Ne dɔgboa le ƒuƒlu blewu la, ate ŋu anye dɔgboa ƒe xexe alo nɔnɔme si me lãmekawo kple lãmeka siwo le dɔgboa me mele dɔ wɔm nyuie o ƒe dzesi. Woyɔa esia le atikewɔwɔ me be `Gastroparesis` .
Azɔ hã, ne ƒodoa ƒu kplakplakpla kabakaba akpa la, míeyɔnae be `Dumping Syndrome` . Esia nye kuxi na lãmekawo kple lãmekawo hã. Nɔnɔme sia bɔ ɖe amesiwo wowɔ dɔ na le dɔgbo me la dome. Gake ne womewɔ dɔ na wò o la, ate ŋu anye atikewɔwɔ me dɔléle bubu si le ŋuwò hã ƒe dzesi.
Aleke wòle be nàdzra ɖo hafi adze dodokpɔa gɔmee?
Esia le vevie ŋutɔ. Ðɔktaa ana mɔfiame siwo hiã la wò hafi nàwɔ dodokpɔa. Ele be nàgblɔ atike siwo zãm nèle kple dɔléle bubu ɖesiaɖe si le ŋuwò hã nɛ.
| Nusiwo Nàwɔ Kple Nusiwo Mègawɔ Do Ŋgɔ Na Dodokpɔa | |
|---|---|
| Nuɖuɖu kple nunono | Mègaɖu nu alo ano naneke gaƒoƒo 4 ya teti hafi dodokpɔa nadze egɔme o. Esi wònye be ŋdi mee wowɔa dodokpɔa zi geɖe ta la, woabia tso asiwò be nàtsi nu adɔ tso zã si do ŋgɔ me. |
| Ne suklidɔ le ŋuwò | Ne èno insulin na suklidɔ la, tsɔ wò insulin kple suklidɔdzidzenu ɖe asi. Woadzidze sukli ƒe agbɔsɔsɔ le ʋu me hafi adoe kpɔ eye woado insulin na wò be wòaɖu edzi ne ehiã. |
| Sigaretnono | Mègano atama hafi dodokpɔa nadze egɔme o. Ate ŋu ahe wò dɔgbo ƒe ƒuƒlu ɖeɖe ɖe megbe. |
| Atike aɖewo | Le wò ɖɔkta ƒe aɖaŋuɖoɖo nu la, ahiã be nàdzudzɔ atike aɖewo (e.g., vevesesenutsitikewo, blanuilélenutsitikewo, kple dɔgbo ƒe dɔléle ƒe atike aɖewo) nono ŋkeke ʋɛ aɖewo. |
| Nudzɔdzɔ tɔxɛwo | Ne èfɔ fu alo nèle no nam la, kpɔ egbɔ be yegblɔ nya sia na wò ɖɔkta. Womewɔa dodokpɔa le nɔnɔme siawo me o le nusi me keklẽŋusẽ le ta. |
Nukae dzɔna le dodokpɔa wɔɣi?
Esia nye ɖoɖo bɔbɔe aɖe ŋutɔ.
1. Nuɖuɖu: Gbã la, woana nuɖuɖu si woɖa etɔxɛe wò. Zi geɖe la, esia nyea azi tutu siwo wotsaka kple nusi me keklẽŋusẽ le ``(Sulphur Colloid)``, abolo kakɛ si me wotsɔ jam ɖo, kple tsi kplu ɖeka. Nu siaEle be nàwu nuɖuɖu nu le miniti 10 me .
2. Scanning: Emegbe mɔ̃ɖaŋudɔwɔla la akplɔ wò ayi scanner la gbɔ. Woabia tso asiwò be nàtsi tre ne anya wɔ, alo nàmlɔ anyi ne menye nenema o. Woaɖo fotoɖemɔ̃a ɖe wò dɔgbo ŋu eye wòalé ŋku ɖe eŋu abe aɖabaƒoƒo ɖeka ene le ɣeyiɣi ɖeka me.
3. Ɣeyiɣi: Wowɔa scan gbãtɔ ne èɖu nu vɔ teti. Emegbe, woagawɔ scan na wò le gaƒoƒo ɖeka, gaƒoƒo eve, kple gaƒoƒo ene megbe. Àte ŋu ado le xɔa me le fotoɖeɖe siawo me, gake ele be nàtrɔ ayi ɖe game dzi.
Zi geɖe la , dodokpɔ sia katã xɔa gaƒoƒo 2 va ɖo 4 . Zi geɖe la, ɣeyiɣi si wòxɔna hafi dɔgbo tsi ƒuƒlu nyea gaƒoƒo 4, eyata ele be nàlala ɣeyiɣi didi ma. Ne ekɔ do ŋgɔ na ema la, dodokpɔa awu enu kaba.
Màse veve alo vevesese aɖeke le dodokpɔ sia me o. Màɖɔ keklẽŋusẽ si le nuɖuɖua me kpɔ alo ase eƒe ʋeʋẽ o.
Aleke míase dodokpɔa me tsonu gɔmee?
Wò ɖɔkta aɖe nyatakaka si nèxɔ le dodokpɔa megbe la me na wò. Efia nuɖuɖu agbɔsɔsɔme si susɔ ɖe wò dɔgbo me le gaƒoƒo 1, 2, kple 4 me.
| Ɖoƒe | Metsonu |
|---|---|
| Emetsonu Siwo Sɔ | |
| Le gaƒoƒo 1 megbe | Ele be nuɖuɖua ƒe 30% kple edzivɔ nanɔ dɔgboa me. |
| Le gaƒoƒo 2 megbe | Ne mede ɖeke o la, ele be nuɖuɖua ƒe 40% nanye ƒuƒlu. |
| Le gaƒoƒo 4 megbe | Ne mede ɖeke o la, ele be nuɖuɖua ƒe 90% nanɔ ƒuƒlu (ele be woagblẽ esi mede 10% o). |
| Emetsonu Siwo Mesɔ O | |
| Nuɖuɖu ƒe ƒuƒlu blewu (Gastroparesis) . | - Ne nuɖuɖua ƒe 60% kple edzivɔ gakpɔtɔ le dɔgboa me le gaƒoƒo 2 megbe. - Ne nuɖuɖua ƒe 10% kple edzivɔ gakpɔtɔ le dɔgboa me le gaƒoƒo 4 megbe. |
| Dumping Syndrome ƒe Dɔléle | - Ne nuɖuɖua ƒe 70% kple edzivɔ ƒuƒlu le gaƒoƒo 1 megbe. |
Le dodokpɔ sia megbe la, woaɖe keklẽŋusẽ si ge ɖe wò ŋutilã me la ɖa keŋkeŋ to aɖuɖɔ kple aɖuɖɔ me le ŋkeke eve me. Tsi geɖe nono akpe ɖe ame ŋu be dɔ sia nawɔ kabakaba.
Gbedasi si Wotsɔ Yi Aƒeme
- `Gastric Emptying Study` nye dodokpɔ bɔbɔe si me vevesese mele o si dzidzea ɣeyiɣi si wòxɔna hafi nuɖuɖu ƒua gbe le wò dɔgbo me.
- Ne dzesiwo abe ʋuʋudedi enuenu, ʋuʋudedi, kple dɔgbo ƒe ʋuʋu ene le ŋuwò la, dodokpɔ sia ate ŋu akpe ɖe ŋuwò nànya nusi gbɔ wòtso.
- Esia kpena ɖe ame ŋu be woade dzesi nɔnɔmewo abe `Gastroparesis` (nuɖuɖu ƒe ƒuƒlu tsɔtsɔ tsi megbe) kple `Dumping Syndrome` (nuɖuɖu ƒe ƒuƒlu kabakaba).
- Ele vevie ŋutɔ be woawɔ ɖe ɖɔkta ƒe mɔfiamewo dzi (nutsitsidɔ, atike aɖewo dzudzɔ) hafi woawɔ dodokpɔa pɛpɛpɛ.
- Bia wò ɖɔkta be wòaɖe dodokpɔa me tsonu me na wò le mɔ si gɔme nàte ŋu ase nu.
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