Èse le ɖokuiwò me be yeɖi ƒo le nuɖuɖu vi aɖe ɖuɖu vɔ megbe gɔ̃ hã? Esia ate ŋu anye gastroparesis!

Ðe nèsena le ɖokuiwò me be yeɖi ƒo le nuɖuɖu sue aɖe ɖuɖu vɔ megbea? Alo ɖe nèsena le ɖokuiwò me be yeƒe dzi dze eme ŋutɔ le gaƒoƒo geɖe ɖuɖu vɔ megbea? Ne èle ʋuʋum ɣesiaɣi, nèsena le ɖokuiwò me be yeɖi ƒo, eye nuɖuɖu sesẽna na wò la, ke ele be nànya nɔnɔme sia si ŋu míele nu ƒom tsoe egbea si woyɔna be gastroparesis godoo. Esia aɖi nya vevi aɖe, gake mina míaƒo nu tso eŋu bɔbɔe.

Kpuie ko la, nukae nye gastroparesis?

Nya gastroparesis gɔmee nye "dɔgbo ƒe dɔmawɔmawɔ nyuie" alo "dɔgbo ƒe lãmetutudɔ." Ne míagblɔe tututu la, enye nɔnɔme si gblẽa nu le wò dɔgbo ƒe lãmekawo kple lãmekawo ŋu. Zi geɖe la, ne míele nu ɖum la, lãmeka siwo le dɔgboa me la ƒoa ƒu, si fia be woʋãna abe ƒutsotsoewo ene, wotsakaa nuɖuɖua hegbãnɛ hetutunɛ blewuu yia dɔgbo suea me. Woyɔa nuwɔna sia be peristalsis.

Gake le amesi ŋu Gastroparesis le gome la, lãmekawo kple lãmeka siwo le dɔgboa me mewɔa dɔ nyuie o. Eyata exɔa ɣeyiɣi didi hafi nuɖuɖu ʋuna tso dɔgbo me yia dɔgbo suea me, eye ɣeaɖewoɣi la, meʋuna kura o. Abe ʋu si tsi ʋuwo me ene la, nuɖuɖua tsia dɔme. Esiae hea dzesi mawo katã siwo meɖea dzi ɖi o siwo míeyɔ va yi la vɛ.

Ne nɔnɔme sia gakpɔtɔ li la, kuxi bubuwo ate ŋu ado mo ɖa. Nuɖuɖumadzroame ate ŋu ana nunyiame ƒe veve nasu ame si , eye ate ŋu asesẽ be woaɖu sukli ƒe agbɔsɔsɔ le ʋu me dzi . Ɣeaɖewoɣi la, nuɖuɖu ƒe akpa siwo womeɖu o la ƒoa ƒu ɖe dɔgboa me, eye wowɔa nu sesẽ aɖe. Woyɔa esia be ``Bezoar'' le atikewɔwɔ me.

Ðe nɔnɔme sia ƒomevi vovovowo lia?

Ẽ, zi geɖe la, ɖɔktawo daa nɔnɔme sia ɖe hatsotso siwo me wòtso nu.

• Suklidɔ si do ƒome kple Gastroparesis: Esiae nye ŋkɔ si woyɔna na nɔnɔme sia ne edzɔ abe suklidɔ ƒe nugbegblẽ le ame ŋu ene.
• Dɔgbo ƒe ʋuʋu le amekoko megbe: Dɔgbo ƒe ʋuʋu sia ƒomevi dzɔna abe dɔwɔwɔ na dɔgboa ƒe kuxi ene.
• Idiopathic Gastroparesis: Nukutɔe la, zi geɖe la, womate ŋu akpɔ nusi koŋ gbɔ nɔnɔme sia tso o . Dɔnɔ siwo ade enelia kple afã dzena le hatsotso sia me.

Le amesiawo dome la, nusi gbɔ wòtsona si bɔ wu eye wonya nyuie wue nye suklidɔ , si nye amesiwo ade dɔgbo ƒe dɔmawɔmawɔ nyuie ƒe akpa etɔ̃lia.

Nukae nye amesi ŋu dɔgbo ƒe dɔléle le ƒe dzesiwo?

Dzesi siawo mesɔ na ame sia ame o, ɖewo ate ŋu anɔ bɔbɔe ŋutɔ, evɔ bubuwo ya nu sẽ ale gbegbe be womate ŋu awɔ gbesiagbedɔwo o. Mina míalé ŋku ɖe dzesi veviawo ŋu.

Nukawo koŋue hea dɔgbo ƒe dɔléle vɛ?

Abe alesi míegblɔe va yi ene la, zi geɖe la, womekpɔa nusi gbɔ wòtso o. Gake nu ʋɛ aɖewo li siwo ate ŋu ahe esia vɛ. Lãmetsi siwo kpɔa dɔgboa ƒe lãmekawo dzi ƒe gbegblẽ gbɔe nusiawo katã tsona.

Suklidɔ

Esiae nye susu vevitɔ. Ne womekpɔ ŋusẽ ɖe sukli ƒe agbɔsɔsɔ le ʋu me dzi o eye wòsɔ gbɔ ɣeyiɣi didi la, egblẽa nu le lãmeka tsɛ siwo le ŋutilãa me ŋu. Míeyɔa esia be ``Suklidɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle``. Nu gbegblẽ sia gblẽa nu le lãmeka siwo le dɔgboa me hã ŋu. Emegbe dzesi si naa ƒodo ƒe lãmekawo be "woaƒo wo ɖokui ɖe wo nɔewo nu" la mezɔna nyuie o.

Amekoko

Ne wole dɔ wɔm na ƒodo, akɔta, alo nuto siwo ƒo xlãe la, lãmeka si woyɔna be vagus nerve, si nye lãmeka vevi aɖe si kpɔa dɔgboa ƒe dɔwɔwɔ dzi, ate ŋu agblẽ . Nusiwo gblẽ sia ate ŋu ana dɔgbo natsi. Le kpɔɖeŋu me, woate ŋu akpɔ nɔnɔme sia le amekokowo abe `(Gastrectomy)` (dɔgbo ƒe akpa aɖe ɖeɖeɖa) alo `(Cholecystectomy)` (gallbladder ɖeɖeɖa) megbe.

Dɔlékuiwo

Nɔnɔme sia ateŋu adzɔ le dɔlékui aɖewo (abe `Norovirus`, `Rotavirus`) alo dɔlékuiwo ƒe dɔlélewo megbe hã. Togbɔ be womenya alesi tututu esia dzɔna o hã la, wosusui be ate ŋu atso dɔlélea ŋutɔ gbɔ alo míaƒe dɔlélenutsiŋutete si gblẽa nu le lãmekawo ŋu vodadatɔe esime míele avu wɔm kple dɔlékuia gbɔ.

Atike Aɖewo

Atike aɖewo siwo nènona hã ate ŋu agblẽ dɔgboa ƒe dɔwɔwɔ me hena ɣeyiɣi aɖe. Ele be nàɖɔ ŋu ɖo le atike siawo ŋu vevietɔ ne dɔgbo ƒe dɔléle le ŋuwò xoxo.

• Vevesesenutsitike sesẽwo - `(Opioids)`
• Atama - `(Nicotine)`
• Blanuilélenutsitike aɖewo - `(Tricyclic blanuilélenutsitikewo)`
• Atike aɖewo na ʋusɔgbɔdɔ - `(Calcium channel blockers)`
• Suklidɔ ƒe atike aɖewo - `(GLP-1 antagonists)`

Atike ƒomevi bubuwo hã li abe esia ene, eyata ele vevie ŋutɔ be nàgblɔ atike siwo katã nèzãna la na wò ɖɔkta.

Nukawoe ate ŋu ado tso esia me?

Menye dɔgbo ƒe vevesese koe gastroparesis nye o. Ate ŋu ahe kuxi sesẽwo vɛ ne womekpɔ egbɔ nyuie o.

• Kpekpeme dzi ɖeɖe kpɔtɔ kple nunyiame ƒe veve: Ne ame ƒe lãme gbãna enuenu, ʋuɖɔɖɔɖɔɖɔ, kple nuɖuɖumadzroame ate ŋu ana nunyuimakpɔɖu nasu ame si, si ate ŋu ana ame nalolo, tsi vɔ le lãme na ame, eye nunyuimakpɔɖui .
• Suklidɔ dzi ɖuɖu le ʋu me ƒe bu:Esia nye kuxi gã aɖe, vevietɔ na suklidɔlélawo. Esi wònye be ɣeyiɣi si wòxɔna hafi nuɖuɖu dona le dɔgboa me gblẽ ta la, sukli ƒe gege ɖe ʋua me ƒe ɖoɖo hã gblẽna. Sukli ƒe agbɔsɔsɔ ateŋu aɖiɖi akpa kasia (`Hypoglycemia`) alo adzi ɖe edzi zi ɖeka akpa (`Hyperglycemia`). Esia dzi ɖuɖu sesẽ ŋutɔ.
• Bezoar ƒe wɔwɔme: Abe alesi míegblɔe va yi ene la, nuɖuɖu ƒe akpa siwo womeɖu o ate ŋu aƒo ƒu ɖe dɔgboa me eye woawɔ ƒuƒoƒo sesẽ siwo ɖi kpewo. Ne esiawo va lolo la, woate ŋu axe mɔ na nuɖuɖu be wòagato dɔgboa me o. Esia nye nudzɔdzɔ kpata aɖe.

Aleke ɖɔkta awɔ anya dɔléle sia pɛpɛpɛ?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo, atikewɔwɔ ƒe nɔnɔme bubu ɖesiaɖe si le ŋuwò (abe suklidɔ ene), kple amekoko ɖesiaɖe si wowɔ na wò ŋu. Emegbe, awɔ dodokpɔ aɖewo akpɔe ɖa be wò dɔgbo ƒe xexe bubu gbɔe wò dzesiawo tso hã.

1. Kpɔ egbɔ be mɔxenu aɖeke meli o:

• Upper Endoscopy: Wotsɔa fotoɖemɔ̃ sue aɖe dea nu me be wòalé ŋku ɖe dɔgboa me akpɔe ɖa be dɔdzẽ, abi, alo mɔxenu bubuwo hã le eme hã.
• Scan bubuwo: Dodokpɔwo abe CT scan alo MRI ene ate ŋu alé ŋku ɖe ƒodoa ƒe akpa si le eme ŋu.

2. Dɔgbo ƒe dɔwɔwɔ dzidzedze:

• Ne wonya ɖo kpe edzi be mɔxenu aɖeke meli o ko la, wowɔa dodokpɔ tɔxɛwo be woakpɔ alesi dɔgboa ƒuna kabakabae.
• Gastric emptying scintigraphy (GES): Esiae nye dodokpɔ vevitɔ na esia. Le dodokpɔ sia me la, èɖua nuɖuɖu sue aɖe (zi geɖe la, azi) si wotsaka kple nusi me keklẽŋusẽ le. Emegbe le gaƒoƒo geɖe me la, woɖea fotowo tsɔ kpɔa ɣeyiɣi didi si wòxɔna hafi nuɖuɖua dona le dɔgboa me.
• Gbɔgbɔ Dodokpɔ: Àte ŋu akpɔ wò dɔgbo ƒe dɔwɔwɔ ƒe susu ne èna nuɖuɖu si me carbon molecule tɔxɛ aɖe le eye nèdzidze ya si nègbɔna.

Le dodokpɔ siawo megbe la, ɖɔkta ate ŋu agblɔe na wò kple kakaɖedzi nenye be dɔgbo ƒe dɔléle le ŋuwò alo mexɔe o.

Nukawoe nye dɔgbo ƒe dɔmawɔmawɔ nyuie ƒe atikewo?

Womate ŋu atrɔ lãmekawo ƒe gbegblẽ si hea nɔnɔme sia vɛ o. Esia fia be esesẽna be woadae keŋkeŋ. Gake atikewɔmɔnu nyui geɖe li siwo ate ŋu akpe ɖe ame ŋu wòaɖu dzesiawo dzi ahanɔ agbe si sɔ .

Taɖodzinu vevi siwo le atikewɔwɔ ŋue nye:

• Dɔgbo ƒe lãmekawo dodo ɖe ŋgɔ, si nana nuɖuɖu ƒua tsi kabakaba.
• Kpɔ egbɔ be nunyiame kple tsi siwo wò ŋutilã hiã la su esi.
• Dzesiwo abe ʋuʋudedi kple vevesese ene dzi ɖuɖu.
• Ne nane li si gbɔ esia tso (abe suklidɔ ene) la, ele vevie be woaɖu edzi nyuie.

Atikewo

• Prokinetics ƒe dɔwɔwɔ:Esiawoe nye atike ƒomevi vevi siwo kpena ɖe dɔgboa ƒe lãmekawo ŋu be woatsi. `Metoclopramide` nye atike ɖeka si dzi woda asi ɖo na esia. Gake le eƒe nugbegblẽ aɖewo ta la, ele be woazãe abe alesi ɖɔkta gblɔe ene ko.
• Atike siwo tsia ʋuʋudedi nu: Esiawo kpena ɖe ame ŋu be woaɖu ʋuʋudedi kple ʋuʋudedi dzi .
• Atike bubuwo: Woate ŋu ade atike siwo woatsɔ axe mɔ ɖe akɔta, vevesese, kple suklidɔ nu hã atikewɔwɔ ƒe ɖoɖoa me.

Tɔtrɔ siwo va le nuɖuɖu me

Esia nye atikewɔwɔa ƒe akpa vevi aɖe ŋutɔ.

• Le esi teƒe be nàɖu nu zi etɔ̃ gbesiagbe la, ɖu nu suesuesue 5-6.
• Nuɖuɖu siwo me ami kple fibre sɔ gbɔ ɖo dzi ɖeɖe kpɔtɔ (e.g. nuɖuɖu siwo wofli, amagbe gbogbo aɖewo, atikutsetse ƒe aŋgbawo) elabena esiawo xɔa ɣeyiɣi didi hafi woɖuna.
• Lé ŋku ɖe nuɖuɖu siwo me tsi le alo esiwo wotsaka nyuie (mɔli, mɔli, detsiƒonuwo) ŋu geɖe wu.

Amekoko

Ne atikewɔwɔ bubuawo katã do kpo nu ko hafi wòle be woabu amekoko be enye mɔnu mamlɛtɔ.

• Pyloroplasty: Amekoko si wowɔna tsɔ kekea lãmeka ƒe asigɛ (pylorus) si me nuɖuɖu tona tso dɔgboa me la ɖe enu vie. Fifia woateŋu awɔ esia lãɖeɖe manɔmee to endoscope (`G-POEM` mɔnu) zazã me.
• Gastric Bypass: Amekoko si toa dɔgboa ƒe akpa si mewɔa dɔ nyuie o la ŋu eye wònaa mɔ yeye aɖe si dzi nuɖuɖu tona yia dɔgbo suea me tẽ.

Nuka ŋue wòle be nàkpɔ nyuie le ne èle agbe kple nɔnɔme sia?

Gastroparesis nye dɔléle si nɔa ame ƒe agbemeŋkekewo katã me. Ke hã, anya wɔ be woanɔ agbe kplii nyuie. Ele vevie be nàwɔ tɔtrɔ suesuesuewo le wò agbenɔnɔ me.

• De dzesi nuɖuɖu siwo nyo na wò kple nuɖuɖu siwo gblẽ na wò. Nuɖuɖu ŋuti nuŋlɔɖigbalẽ ŋɔŋlɔ ate ŋu akpe ɖe ŋuwò le esia me.
• Mizɔ azɔli kpui aɖe le nuɖuɖu vɔ megbe. Azɔlizɔzɔ blewu ate ŋu akpe ɖe ame ŋu le dɔgboa ƒe dɔwɔwɔ me.
• Ƒo asa na ahanono, atamanono, kple atike bubuwo zazã keŋkeŋ. Esiawo gagblẽa nu le dɔgboa ƒe dɔwɔwɔ ŋu.
• Nɔ kadodo me kple wò ɖɔkta edziedzi. Gblɔ nɛ ne tɔtrɔ aɖewo va le wò dzesiwo ŋu alo ne wò atikewo le sesẽm na wò.

Gastroparesis ate ŋu anye nɔnɔme sesẽ aɖe, gake ne èwɔ atike nyuitɔ eye nètrɔ agbenɔnɔ la, àte ŋu akpɔ egbɔ nyuie eye nànɔ agbe si sɔ.