Ðe dzi gbãna na wò zi geɖea? Mina míaƒo nu tso (Dzimeve) sia ŋu!

Ðe nèse dzobibi le wò akɔta titina kpɔa? Ewɔna na wò abe dzobibi aɖe le wò akɔta enea? Ame geɖe yɔnɛ be "dzimeve," gake le nyateƒe me la, menye dzidɔe wònye o. Aɖi si le wò dɔgbo me si le dodom ɖe wò nuɖuɖu ƒe pɔmpi (nutome) me gbɔe wòtsona. Nuɖuɖu ƒe pɔmpi sia toa wò akɔta tututu, eye wòte ɖe wò dzi ŋu. Esia tae woate ŋu abui vodadatɔe ɣeaɖewoɣi be enye dzidɔ. Le ame aɖewo gome la, enye nusi dzɔna ɣeaɖewoɣi, gake le ame bubuwo gome la, enye kuxi ɣesiaɣi. Ne edzɔna enuenu la, ate ŋu anye nɔnɔme aɖe si woyɔna be GERD (Gastroesophageal Reflux Disease) ƒe dzesi. Mina míaƒo nu tso esia ŋu geɖe wu, alo?

Nuka tututue nye dzimeve?

Kpuie ko la, dzimevee nye ne dɔgbo me acid trɔ yi dzi yi nuɖuɖutome. Lãmetsi ɣi aɖe le míaƒe dɔgbo ŋu be wòakpɔ eta tso aɖi siawo si me. Gake ametakpɔkpɔ ma tɔgbe mele míaƒe nuɖuɖutome o. Eyata ne dɔgboa me aɖi ɖo nuɖuɖutome la, etɔa dzo lãmeka siwo le ƒuƒlu siwo le afima, si wɔnɛ be dɔdzẽ nɔa ame ŋu.

Ame geɖe to dzimeve le woƒe agbemeɣeyiɣi aɖe me. Ɣeaɖewoɣi la, ate ŋu adzɔ le nuɖuɖu si me nu ʋeʋĩ alo ami le ŋutɔ ɖuɖu vɔ megbe, alo ne nyaƒoɖeamenu geɖe le dɔgboa ŋu, abe le fufɔɣi ene. Gake ne dzimeve sia dzɔna enuenu, gbesiagbe la, ate ŋu anye dɔléle si nɔa anyi didi si woyɔna be `GERD (Gastroesophageal Reflux Disease) ƒe dzesi. Le dukɔ abe Amerika ene me la, wogblɔna be `GERD` le ame siwo ade 20% ŋu.

Amekae xɔa akɔtadɔ sia wu?

Le nyateƒe me la, amesiame ate ŋu axɔ esia, gake le ame aɖewo gome la, afɔkua lolo vie wu.

• Le amesiwo lolo akpa gome: Eyae nye amesiwo ƒe ŋutilã ƒe lolome ƒe dzesi (BMI) wu 30.
• Le amesiwo lolo akpa gome la: Ne `BMI` ƒe xexlẽme wu 25.
• Amesiwo noa atama kple amesiwo doa go atama si wozãna tsã hã ate ŋu axɔe.

Aleke akɔtadɔléle sena le eɖokui me ɣemaɣi?

Ne míagblɔe tututu la, akɔtave nye dzobibi si dona tso wò akɔta ƒe eme, abe acid reflux ene. Wò nuɖuɖutome le wò akɔta titina. Eyata vevesese sia dzea egɔme tso afima. Gake ɣeaɖewoɣi la, vevesese sia ate ŋu akaka ɖe wò akɔta katã, vaseɖe wò ŋɔti me gɔ̃ hã. Ate ŋu atso dzobibi si nu mesẽ o dzi va ɖo vevesese sesẽ dzi.

Ɣekaɣie nèsea veve sia wu?

Ðewohĩ wò hã èto esia me kpɔ. Ɣeaɖewoɣi la, èsena le ɖokuiwò me be yeƒe akɔta le veve sem wu.

• Ne èmlɔ anyi, vevietɔ ne èmlɔ anyi kaba le nuɖuɖu vɔ megbe.
• Ne èle bɔbɔm ɖe ŋgɔ.
• Ne èɖu fiẽnu le megbe ŋutɔ.
• Ne èɖu nuɖuɖu siwo me ami le, esiwo me ami ʋeʋĩ le, alo esiwo me nu ʋeʋĩ le.

Ɣeyiɣi didi kae kɔmeve ate ŋu anɔ anyi?

Esia ate ŋu axɔ tso miniti ʋɛ aɖewo va ɖo gaƒoƒo ʋɛ aɖewo.Zi geɖe la, ne nuɖuɖu mamlɛtɔ si nèɖu la do le wò dɔgbo me ko la, dɔdzẽ sia nu fa. Esia le alea elabena naneke megali si atrɔ ava ƒodoa me o. Le nusi nèɖu nu la, ate ŋu axɔ gaƒoƒo eve va ɖo atɔ̃ hafi wòaɖu. Ate ŋu axɔ ɣeyiɣi didi hafi woaɖu nuɖuɖu siwo me ami le eye ami le.

Dzesi bubu kawoe dona tso akɔta ƒe ʋuʋu me?

Ɣeaɖewoɣi la, ate ŋu asesẽ be nànya ne angina alo akɔtave bubu aɖe le ŋuwò. Ne mèka ɖe vevesese si me tom nèle dzi o la, anyo wu be nàƒo nu kple ɖɔkta. Ele vevie hã be nàdi dzesi bubu siwo kpena ɖe vevesesea ŋu. Dzesi bubu siawo ate ŋu akpe ɖe ŋuwò nàde vovototo dzidɔ kple akɔtadɔ bubu dome.

Dzesi siwo gbɔna ate ŋu akpe ɖe dzimeve si acid reflux hena vɛ ŋu:

• Aɖuɖɔɖɔɖɔ enuenu.
• Vivi vivi aɖe si le nu me.
• Xeɖeɖe.
• Nuɖuɖu ƒe gege ɖe ŋɔti me.

Ame aɖewo hã ate ŋu aɖe dzesi siwo mebɔ o abe:

• Dɔgbo ƒe yɔyɔ, ʋuʋudedi.
• Hiccups ƒe ʋuʋu.
• Kɔdzidede si nɔa anyi ɖaa.
• Asrã ƒe dzidziɖedzi.
• Vemexɔabi.
• Dzoxɔxɔ le lãkusi me (`Laryngitis`).
• Nu mimi sesẽ alo nane si le ŋɔti me ƒe seselelãme.
• Akɔtave si metso dzidɔ gbɔ o, abe `(Angina)` ene.

Nukatae míexɔa akɔtadɔ sia?

Zi geɖe la, dzitodzito do ƒome kple nɔnɔme aɖe abe GERD ene ne dɔgbo me tsiwo, siwo nye acid kple enzymes, trɔna yia dzi yia nuɖuɖutome. Abe alesi megblɔe va yi ene la, ametakpɔnu aɖe le dɔgboa ŋu, gake nuɖuɖutome ya mele eme o. Afisi míaƒe nuɖuɖutome do ƒome kple dɔgboa le la, ʋuka aɖe si woyɔna be Lower Esophageal Sphincter (LES) li. Eƒe dɔe nye be wòaxe mɔ na nusiwo le dɔgboa me be woagatrɔ ava dzi o. Gake ɣeaɖewoɣi la, ne ʋuƒo sia gbɔdzɔ alo metu nyuie o la, dɔgboa me nuwo ate ŋu adze dodo gɔme.

Susu geɖe li siwo tae Lower Esophageal Sphincter ate ŋu agbɔdzɔ alo aɖiɖi akpa:

• Sigaret ƒe dzudzɔ gbɔgbɔ (atamanono).
• Nyaƒoɖeamenu geɖe wu le ƒodo me le nusiwo abe ame ƒe kpekpeme si gbɔ eme, awu siwo me kɔ dodo, kple fufɔfɔ ene ta.
• Nɔnɔme aɖe si woyɔna be `Hiatal Hernia`. Esia nye ne dɔgboa ƒe akpa aɖe tu to ʋukaa me yi dzi.
• Nuɖuɖu gã aɖe ɖuɖu zi ɖeka ate ŋu akeke dɔgboa eye wòana nuɖuɖua nanɔ dɔgboa me ɣeyiɣi didi.
• Nuɖuɖumadzroame kple gas. Ne gas ƒe kuɖɔwo zɔ mɔ yi dzi le GI-mɔ̃a dzi.
• Mlɔ anyi kaba akpa le nuɖuɖu vɔ megbe.
• Nuɖuɖu aɖewo: nuwo abe kɔfi, tsokolet, limes, mint, tomatos-mi ene.
• Atike aɖewo: abe fufɔfɔtikewo kple ʋusɔgbɔdɔ ƒe atike aɖewo ene.

Zi geɖe la, nu siawo dometɔ siwo wu ɖeka ƒoa ƒu hena acid reflux kple dzimeve.

Nukatae akɔtadɔ dzena zi ɖeka evɔ dzesi aɖeke menɔa eŋu tsã o?

Ne akɔtave meve wò kpɔ o eye wòdze egɔme kasia, eye mèwɔ tɔtrɔ gã aɖeke le wò nuɖuɖu alo agbenɔnɔ ŋu nyitsɔ laa o la, ate ŋu atso susu bubuwo gbɔ. Esiawo nye nusiwo va nɔa ŋgɔ yim vivivi le ɣeyiɣi aɖe megbe.

• Tsitsi: Ne míele tsitsim la, míaƒe lãmekawo gbɔdzɔna. Lãmetsi mawo dometɔ ɖekae nye nuɖuɖutome ƒe akpa si le ete.
• Kpekpeme dzina ɖe edzi: Ame akpa gãtɔ ƒe lolome dzina ɖe edzi vivivi. Gake dzesi siwo fia be ame ƒe lolome dzi ɖe edzi (abe ʋu ƒe sisi ene) ate ŋu adze kpata, ne wonya tso dzidzenu aɖe koŋ dzi ko.
• Atikewo: Ne èdze atike yeye zazã gɔme nyitsɔ laa alo nètrɔ atikewo la, bia wò ɖɔkta nenye be atike ma le acid reflux dzim ɖe edzi.

Ðe dzimeve tsoa acid reflux si míeyɔ va yi gbɔ ɣesiaɣia?

Zi geɖe la, dzimeve nyea nuɖuɖutome ƒe kuxi. Nusi koŋ gbɔ wòtsonae nye acid reflux. Gake nɔnɔme bubu geɖewo li siwo hã ate ŋu ana dzi naxɔ ame. Le kpɔɖeŋu me:

• Nuɖuɖutome ƒe abi: Abi nye abi siwo vea ame siwo dona tso nuɖuɖumeŋusẽ ƒe lãkusi ƒe vuvu me. Nuɖuɖutome ƒe abi mebɔ o wu abi siwo le dɔgboa alo dɔgbo me. Ne wodzɔ la, zi geɖe la, acid ƒe ʋuʋu gbɔe wòtsona. Gake menye acid reflux koe gbɔ wòtso o. Atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAID) abe aspirin kple ibuprofen ene zazã fũ akpa hã ate ŋu ahe abi vɛ.
• Nuɖuɖutomedɔléle: Ne nuɖuɖutome xɔ dzo vevie la, àte ŋu ase dzobibi. GERD, dɔlékuiwo, fungi dɔlékuiwo, kple atike aɖewo ate ŋu ahe esia vɛ. Eosinophilic esophagitis, si nye nuɖuɖutome ƒe nulɔdɔ hã ate ŋu ana akɔta nase veve.
• Functional heartburn/reflux hypersensitivity: Esiawo nye dɔgbo kple ahɔhɔ̃ ƒe kadodo ƒe dɔlélewo. Eyae nye be kuxi aɖe le alesi wò lãmekawo ɖoa dzesiwo ɖa tso wò nuɖuɖumeŋusẽ me yia wò ahɔhɔ̃ me. Dzimeve si wɔa dɔ la sea le eɖokui me abe dzimeve si wozãna edziedzi ene. Gake dodokpɔwo meɖea acid ƒe ʋuʋu, dzobibi, alo dzikudodo aɖeke fiana o. Nusiwo me acid mele o ƒe gege ɖe wò ŋɔti me gbɔe wòtsona be reflux hypersensitivity. Visceral hypersensitivity hã ate ŋu ana dɔdzẽ sia nadzɔ.

Ðe akɔtadɔ sia nu sẽa?

Togbɔ be dzimeve ɣeaɖewoɣi ate ŋu ana ame ƒe dzi nadze eme hã la, megblẽa nu boo aɖeke o. Le nyateƒe me la, esɔ be acid aɖewo nado ɖe wò ŋɔti me, eye ame akpa gãtɔ medea dzesii gɔ̃ hã o. Ne èwɔe nenema la, ate ŋu anye esi wò nuɖuɖutome le acid geɖe xɔm wu alesi wòate ŋui tae. Ne edzɔna ɣeaɖewoɣi la, ele abe abi sue aɖe si hayana kaba ene. Gake ne edzɔna edziedzi la, ɣeyiɣi si le wò nuɖuɖutome ƒe lãkusi me mesɔ gbɔ be wòahaya o.

Ne nuɖuɖutome ƒe lãkusi yi edzi le abi xɔm la, ate ŋu ahe kuxi siwo anɔ anyi ɣeyiɣi didi, abe:

• Nuɖuɖutome ƒe ʋuʋu: Ne nuɖuɖutome ƒe lãkusiwo yi edzi le fu ɖem la, abi ƒe lãkusiwo dzea wɔwɔ gɔme le ɣeyiɣi aɖe megbe. Nuɖuɖutome le abe mɔ̃ didi aɖe ene. Dzoxɔxɔ kple abi sia ate ŋu ana nuɖuɖutome natsi (a stricture). Esia ate ŋu ana nu mimi nasesẽ eye nuɖuɖu natsi nuɖuɖutome.
• Dɔgbo ƒe ʋuʋu: Ɣeaɖewoɣi la, le esi teƒe be abi nanɔ lãkusia ŋu la, etrɔna wòzua abe dɔgboa ƒe akpa si le eme ene . Woyɔa esia be dɔgbo ƒe metaplasia elabena lãkusia trɔna wòdzena abe dɔgboa ƒe lãkusi ene. Ne esia dzɔ le nuɖuɖutome la, wogayɔnɛ be Barrett ƒe Nuɖuɖutome. Wobua esia be enye nɔnɔme si do ŋgɔ na kansa.
• Nuɖuɖutome kansa: Ame ʋɛ aɖewo koe nuɖuɖutome kansa dzɔna le alafa memamã me. Ke hã, mɔ aɖe li si me kɔ tso dɔdzẽ si nɔa anyi ɖaa (`Esophagitis`) dzi va ɖo lãmenugbagbeviwo ƒe tɔtrɔ (`Barrett ƒe Nuɖuɖutome`) dzi va ɖo kansa gbɔ. Afɔkua dzina ɖe edzi le alesi wò dɔdzẽa nu sẽe kple ɣeyiɣi didi si womewɔ atike nɛ o nu.

Acid reflux, si nana dzi gbãna, ate ŋu afia kuxi bubu siwo le wò nuɖuɖumeŋusẽ me hã. Le kpɔɖeŋu me, ɖewohĩ acid sɔ gbɔ ɖe wò dɔgbo me akpa. Esia ate ŋu ahe kuxiwo abe dɔgbo ƒe dɔléle kple dɔgbo ƒe abi ene vɛ. Acid reflux ate ŋu ana wò asrã alo gbɔgbɔtsixe ƒe nɔnɔme bubu siwo nɔa anyi didi hã nagblẽ ɖe edzi. Ne acid sia ge ɖe wò ŋɔti me la, ate ŋu ana nàvuvu, abi, eye wòatsi.

Aleke nàwɔ anya kple kakaɖedzi be sinus dɔlékui aɖe le ŋuwò?

Dzimeve nye seselelãme aɖe si le asiwò. Ðɔkta akpa gãtɔ ate ŋu ade dzesii ne èɖɔe na ɖɔkta. Ne edzɔna ɣeaɖewoɣi eye mesẽna akpa o la, ɖewohĩ màhiã dodokpɔ gã aɖeke o. Gake ne wosusu be dɔléle aɖe si nɔa anyi didi le ŋuwò la, woate ŋu awɔ dodokpɔwo akpɔe ɖa be nane gblẽ le wò nuɖuɖutome hã ŋu. Ɣemaɣi la, woate ŋu aɖo wò ɖe dɔgboŋutinunyala gbɔ.

Dodokpɔ aɖewo siwo wowɔna tsɔ léa ŋku ɖe wò nuɖuɖutome ŋue nye esi:

• Endoscopy (`Endoscopy si le etame` / `EGD ƒe dɔwɔwɔ`):Endoscopy nye dodokpɔ si léa ŋku ɖe wò ŋutilã ƒe ememe ŋu. Esia bia be nàtsɔ mɔ̃ didi aɖe si me fotoɖemɔ̃ sue aɖe (endoscope) le la ato wò ŋutilã me. Endoscopy si le etame doa wò nuɖuɖumeŋusẽ ƒe akpa si le etame, tso wò nuɖuɖutome to wò dɔgbo me va ɖo wò dɔgbo suea tame. Wotsɔa mɔ̃ sia toa wò ŋɔti me (wonaa atike wò be wòatsi dzodzodzoe). Ate ŋu alé ŋku ɖe nɔnɔmewo abe nuɖuɖutome ƒe dɔléle, nuɖuɖutome ƒe ʋuʋu, kple Barrett ƒe nuɖuɖutome ene ŋu.
• Nuɖuɖutome ƒe pH dodokpɔ: Esia bia be nàtsɔ atike sue aɖe si me ka mele o ade wò nuɖuɖutome. Edzidzea wò nuɖuɖutome ƒe pH, alo acidity, le ɣeyiɣi aɖe megbe. Woate ŋu awɔ esia le endoscopy si le etame alo to nasogastric tube me. Woɖoa nyatakakaawo ɖe mɔ̃ aɖe si xɔa nyatakaka si nèdona ɖe wò akɔta. Woabia tso asiwò be nàŋlɔ wò dzesiwo ɖi eye nàtsɔ wo asɔ kple nyatakakaawo. Le ɣeyiɣi aɖe megbe la, ɖɔktaa aɖe atikekui la ɖa eye wòadzro nyatakakaawo me.

Nukawoe nye aklãdɔléle ƒe atikewo?

Àte ŋu akpɔ gbɔdzɔe tso dzitodzito me ɣeaɖewoɣi ne èzã aƒeme atikewo, atike siwo womeƒlena le atikedzraƒe o (OTC), kple agbenɔnɔ ƒe tɔtrɔ. Gake ne dzimeve nanɔ ŋuwò enuenu la, ahiã be nàno atike siwo woŋlɔ na wò. Atike siawo wɔa dɔ to acid si dona tso dɔgboa me yia nuɖuɖutome dzi ɖeɖe kpɔtɔ me. Gake kuxi si le Lower Esophageal Sphincter ŋu ​​nye nusi gbɔ atike siawo mekpɔna o. Ne atikewo mewɔ dɔ o la, ɖewohĩ ahiã be woawɔ atike bubuwo na wò.

Atike ƒomevi geɖe siwo wozãna na akɔtadɔ:

• Atike siwo tsia acid nu: Atike siwo tsia acid nu (abe Tums® kple Rolaids® ene) naa acid si le wò dɔgbo me la meganɔa anyi o. Esia fia be ne acid la ge ɖe wò ŋɔti me nyateƒe hã la, magblẽ nu le wò nuɖuɖutome ŋu o. Nu bubu siwo ate ŋu akpe ɖe ame ŋu wòaɖe dzesiawo dzi akpɔtɔ ate ŋu anɔ wo me ɣeaɖewoɣi. Le kpɔɖeŋu me, Simethicone ate ŋu akpe ɖe ame ŋu wòaɖe dɔgbo ƒe vevesese dzi akpɔtɔ, eye Magnesium ate ŋu akpe ɖe ame ŋu wòaɖe dɔgbo ƒe dɔmawɔmawɔ nyuie dzi akpɔtɔ. Antacids nyo na dzitodzito ɣeaɖewoɣi. Gake woate ŋu agblẽ nu le wo ŋu ne wono wo edziedzi.
• Alginates: Alginates nye dzɔdzɔme sukli si le ƒumegbewo me. Wotsia tsia dzi le aɖi dzi eye wowɔa mɔxenu ŋutɔŋutɔ aɖe le aɖi kple nuɖuɖutome dome, si kpena ɖe eŋu be megatrɔ yia kɔ me o. Ne màte ŋu ano antacids le nɔnɔme bubu aɖe ta o la, àte ŋu ano alginates ɖeɖeko. Alo atike aɖewo li siwo me alginates le kpe ɖe antacids ŋu be woƒe dɔwɔwɔ nanyo ɖe edzi.
• Histamine ƒe dɔlélenutsiŋutete (H2 mɔxenuwo):Atike siawo wɔa dɔ to atike siwo nye histamine siwo naa dzesi ŋutilãa be wòawɔ acid la xexe me. Woate ŋu aƒle H2 mɔxenu aɖewo le atikedzraƒe o, gake bubuwo ya nye esiwo woŋlɔ na wo ko. Togbɔ be woate ŋu ano wo enuenu wu atike siwo wua acid hã la, womewɔa dɔ ɣeyiɣi didi ɣesiaɣi o. Ne wò ŋutilã va zu numame na wo la, womate ŋu awɔ dɔ nyuie o.
• Proton Pump Inhibitors (PPIs): Esiawo nye atike ƒomevi aɖe si ŋu ŋusẽ le wu si xea mɔ na acid. Wokpena ɖe lãmekawo ƒe dɔyɔyɔ hã ŋu. Ne wò dzimeve sesẽ, alo ne dzesiwo li be lãmekawo gblẽ le wò nuɖuɖutome la, wò ɖɔkta ate ŋu aŋlɔ esiawo na wò abe atike gbãtɔ ene. Wowɔa dɔ nyuie 90% le acid reflux dzi ɖeɖe kpɔtɔ me. Ne nuɖuɖutome ƒe abi le ŋuwò la, woawo koe nye atike si akpe ɖe wo ŋu woahaya.

Atike bubu siwo woate ŋu azã ɖe sinusitis ŋu:

• Ne dɔlékui aɖe li la, dɔlékuiwutikewo alo dɔlékuiwutikewo.
• Da dɔdzẽa ŋutɔ kple `(Topical Steroids)` alo `(Dupilumab)`.
• Ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atike siwo ƒe agbɔsɔsɔme le sue kple atike siwo kpena ɖe wo ŋu na aklãdɔléle si le dɔ wɔm.
• Ne hiatal hernia gbɔe wò akɔtave le la, ehiã be woawɔ dɔ nɛ atsɔ aɖɔe ɖo (hernia repair surgery).

Le GERD si mewɔa nu ɖe ​​atike ŋu o – alo abe atike bubu si wozãna ɖe atike si wozãna ɣeyiɣi didi teƒe ene gome la – wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dɔ abe esia ene:

• Nissen Fundoplication: Esia nye amekoko sue aɖe si nana dometsotso si le dɔgboa kple nuɖuɖutome dome la sesẽna. Ewɔa dɔ ŋutɔ le GERD kple eƒe dzesiwo dada me.
• `Transoral Incisionless Fundoplication`: Esia nye amekoko ma ke si míeyɔ ɖe etame amekoko manɔmee, gake to `endoscope` dzi.
• `LINX device`: Esia nye amekoko bubu si me womewɔa nu boo aɖeke le o. Le esia me la, wotsɔa `LINX device`, si nye magnet-kplu sue aɖe, dana ɖe dɔgbo kple nuɖuɖutome ƒe ƒoƒoƒe. Esia kpena ɖe ame ŋu be acid megagena ɖe ŋɔti me o.

Ðe akɔtadɔléle dada adaea?

Dzimeve nye dɔléle si woate ŋu ada. Nu nyuitɔ kekeakee nye be àte ŋu akpɔ egbɔ to tɔtrɔ sue aɖewo wɔwɔ le wò nuɖuɖu kple agbenɔnɔ ŋu me, eye nàna atike siwo wua acid nanɔ asiwò be nàzãe ɣeaɖewoɣi. Ne ehiã la, atike siwo wozãna ɣeyiɣi didi hã ate ŋu awɔ dɔ ŋutɔ le acid reflux dzi ɖuɖu me. Dɔwɔwɔ ƒe kuxiwo gbɔ kpɔkpɔ ate ŋu asesẽ vie wu. Gake ne wodze agbagba ɣesiaɣi eye wozã atikewo ƒo ƒu la, woate ŋu anyo ɖe edzi le ɣeyiɣi aɖe megbe.

Agbenɔnɔ ƒe tɔtrɔ kawoe míate ŋu awɔ atsɔ aɖu dɔdzẽ dzi?

Be nàkpe ɖe ŋuwò nàxe mɔ ɖe acid ƒe sisi nu la, te nu siawo kpɔ:

• Ðu nu suesuesue geɖe le ŋkekea me katã. Ne nu ʋɛ aɖewo koe le asiwò nàɖu zi ɖeka la, aɖi si wò dɔgbo wɔna hã dzi ɖena kpɔtɔna.
• Ðe wò alidziblanua ɖa. Ƒodo ƒe nyaƒoɖeamenu ate ŋu ana acid nagbugbɔ. Lolo dzi ɖeɖe kpɔtɔ hã ate ŋu akpe ɖe ŋuwò.
• Mègamlɔ anyi kple ƒodo si yɔ fũ o. Lala gaƒoƒo etɔ̃ va ɖo atɔ̃ ya teti hafi mlɔ anyi.
• Mlɔ wò miame. Esia nana wò Lower Esophageal Sphincter nɔa wò dɔgbo me nuwo tame, abe yaƒoƒo ƒe kotoku ene. Ne èmlɔ wò axadzi alo ɖusime la, ʋuƒo ma gena ɖe emenuwo me.
• Ƒo asa na nuɖuɖu siwo ʋãa ame. Lé ŋku ɖe nuɖuɖu siwo nana wò akɔtavea nu sẽna ɖe edzi ŋu.
• Dzudzɔ atamanono. Akɔtave nye susu siwo ta wòdzudzɔ atamanono dometɔ ɖeka ko. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò le esia me.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Kpɔ ɖɔkta le nɔnɔme siwo gbɔna me:

• Ne akɔta le veve sem zi ɖeka ya teti le kwasiɖa me.
• Ne dzesi siwo mebɔ o le ŋuwò.
• Ne nu mimi sesẽ na wò alo màte ŋu akpɔ nuɖuɖumeŋusẽ si sɔ o.
• Ne èxɔ ƒe 60 kple edzivɔ.
• Ne akɔta le veve sem abe ``Angina'' (tight, constricting).
• Ne wò atikewɔwɔ mena gbɔdzɔe wò o.

Mlɔeba la, ele nam be magblɔ be...

Kɔmeve ɣeaɖewoɣi bɔ. Ame akpa gãtɔ ate ŋu akpɔ wo gbɔ to tɔtrɔ bɔbɔe ʋɛ aɖewo me. Ke hã, ne wole asiwò ɣesiaɣi la, ɖewohĩ ahiã be woakpɔ egbɔ le atikewɔƒe. Mègaŋe aɖaba ƒu ŋɔti me vevesese atraɖii dzi o. Zi geɖe la, ne èse veve le wò kɔ me la, efia be ele nu gblẽm le eŋu. Esia ate ŋu agblẽ nu ŋutɔŋutɔ le ɣeyiɣi aɖe megbe. Azɔ hã, ŋɔti me veve atraɖii ate ŋu anye dzesi be kuxi bubuwo li siwo hiã be woawɔ atike na wo. Eyata ƒo nu kple ɖɔkta tso ŋɔti me vevesese atraɖii ŋu.

` Dzimeve, GERD, Acid Reflux, Nuɖuɖutome, Ƒodo, Akɔta ƒe Dzoxɔxɔ