Ðe dɔgbo bubu le dɔgbo bubu mea? Nusianu ku ɖe Intussusception, si bɔ ɖe ɖevi suewo me ŋu

Kpɔe ɖa le susu me be viwò suea le fefem nyuie, emegbe kasia wòƒo eɖokui ɖe bɔl me, he eƒe klowo ɖe eƒe dɔme, eye wòdze avifafa gɔme sesĩe. Aleke kee nèɖadze agbagba be yeafa akɔ nɛ o, avifafaa madzudzɔ o. Gake le abe miniti 15-20 ene megbe la, avifafaa nu tsona eye wògadzea fefe gɔme ake, abe ɖe naneke medzɔ o ene. Ðewohĩ àsusu be dɔgbo ƒe vevesese koe wònye. Gake esia ate ŋu anye dɔléle si nu sẽ wu sã si woyɔna be Intussusception , si hiã be woakpɔ egbɔ enumake. Ele vevie be dzilawo katã nanya esia, elabena atikewɔwɔ kpatae wònye.

Kpuie ko la, nukae nye Intussusception?

Togbɔ be ŋkɔa aɖi nusi wɔ nuku vie hã la, nusi dzɔna le bɔbɔe ŋutɔ. Intussusception nye ne míaƒe dɔgbo ƒe akpa ɖeka, abe didiƒekpɔmɔ̃ ene, mi eƒe akpa bubu. Ele abe soxle si woxatsa ɖe eɖokui me ene. Zi geɖe la, esia dzɔna le dɔgbo suea me.

Ne esia dzɔ la, nuɖuɖu ƒe zɔzɔ to dɔgboa me nu tsona keŋkeŋ kloe, si wɔnɛ be dɔgboa xena . Tsɔ kpe ɖe eŋu la, wotsia ʋuka siwo naa ʋu yia dɔgboa ƒe akpa ma me, si wɔnɛ be ʋu meganɔa sisim o. Ne womedae kaba o la, mɔxenu sia ate ŋu ana dɔgboa navuvu, abi, eye wòahe kuxi sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã vɛ.

Aleke gbegbee nɔnɔme sia bɔe?

Togbɔ be intussusception ate ŋu adzɔ le ƒe ɖesiaɖe me hã la, ebɔ ɖe ɖevi siwo xɔ tso ɣleti 3 va ɖo ƒe 3 me wu . Le nyateƒe me la, dɔgbo ƒe ʋuʋu ye nye nu vevitɔ si nana ɖevi siwo mexɔ ƒe 3 haɖe o ƒe dɔgbo xena.

Ƒã ŋutɔ le ame tsitsiwo gome. Intussusception nyea dɔgbo ƒe mɔxenuwo katã ƒe 1% ko le ame tsitsiwo me.

Aleke woawɔ ade dzesi intussusception ƒe dzesiwo?

Ne èsusu be dɔléle sia le viwòa ŋu la, ele vevie ŋutɔ be nàlé ŋku ɖe dzesi siawo ŋu nyuie.

Dzesi siwo dzena le ɖevi suewo ŋu

Dzesi siwo dzena le ɖeviwo ŋu la to vovo vie. Dzesi vevitɔe nye dɔgbo ƒe vevesese sesẽ si nu sẽna, si nu yina le ɣeyiɣi aɖe megbe.Ne vevesese sia va la, ɖevi suewo tea woƒe klowo ɖe woƒe dɔme hefaa avi sesĩe. Vevesese sia ate ŋu anɔ anyi abe miniti 15-20 ene. Emegbe kasia vevesesea nu yina, eye vidzĩa gadzea nuwɔna si sɔ, eye wògadzea fefe gɔ̃ hã gɔme. Ɣeyiɣi sia si me vevesese mele o ate ŋu anɔ anyi abe miniti 20-30 ene. Emegbe vevesese dziŋɔa gadzea egɔme ake.

Ne vevesese ƒe tsatsam sia yi edzi la, ɖeɖi ate vidzĩa ŋu, ate ŋu adɔ alɔ̃, eye wòazu kuviatɔ . Woate ŋu axɔ asrã hã eye le nɔnɔme sesẽwo me la, wotsia dzodzodzoe.

Lé ŋku ɖe dzesi siwo gbɔna hã ŋu.

Ɣeaɖewoɣi la, dzesi siawo ate ŋu adze le kwasiɖa ʋɛ aɖewo megbe tso esime ɖevi xɔ nane abe dɔlékui ƒe dzoxɔxɔ ene. Eyata ne viwòa dze dɔ nyitsɔ laa la, ele be nàke ɖi le esia hã ŋu.

Dzesi siwo dzena le ame tsitsiwo ŋu

Intussusception ƒe dzesiwo to vovo vie le ame tsitsiwo gome. Ƒodo me vevesese ate ŋu ava eye wòadzo abe ɖeviwo ene, alo ate ŋu anɔ anyi ɖaa. Aɖuɖɔtoe, aɖuɖɔtoe, kple aɖuɖɔ si me ʋu le hã bɔ ɖe ame tsitsiwo me. Gake esi dzesi siawo bɔ ɖe dɔgbomedɔ bubu geɖewo me ta la, ame geɖe dzea agbagba be yewoaŋe aɖaba aƒu edzi. Gake afɔku le intussusception me ŋutɔ.

Nukatae esia dzɔna ɖo? Nukawoe nye susu siwo tae?

Zi geɖe la, esesẽna be woake ɖe nusi koŋ gbɔ aɖuɖɔtoe ƒe dɔléle tsona ŋu, vevietɔ le ɖevi suewo gome.

Gake wokpɔe be nu aɖewo ate ŋu akpɔ ŋusẽ ɖe esia dzi.

• Le ɖeviwo gome: Edze abe kadodo aɖe le dɔlékuiwo ƒe dɔléle kple nɔnɔme sia dome ene. Ðevi akpa gãtɔ dzea eŋu le vuvɔŋɔli, esime vuvɔ kple dɔlékuiwo ƒe dɔgbo ƒe dɔléle bɔ. Ate ŋu atso dɔgboa ƒe nusiwo mesɔ o siwo wodzina hã gbɔ, abe nɔnɔme si woyɔna be Meckel ƒe diverticulum alo tsitsi suesuesue siwo le dɔgboa me (polyps) ene.
• Le ame tsitsiwo gome: Nusiwo gbɔ wòtsona le ame tsitsiwo gome dzena ƒã wu. Zi geɖe la, nane abe dɔdzẽ vɔ̃ɖiwo alo tsitsi nyui siwo le dɔgboa me gbɔe intussusception tsona. Ƒã hafi dɔgboa ƒe dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi, abe Crohn ƒe dɔléle ene, hã ate ŋu atsoe.

Kuxi siwo me afɔku le siwo ate ŋu ado mo ɖa ne womekpɔ wo gbɔ o

Esia nye nya si wòle be woagblɔ zi gbɔ zi geɖe. Intussusception ate ŋu ade ame ƒe agbe afɔku me ne womewɔ atike nɛ kaba o.

• Dɔgbo ƒe ʋuʋu: Ne dɔgboa xe la, nuɖuɖu kple nuɖuɖume tsiwo ƒoa ƒu ɖe megbe nɛ, si wɔnɛ be eƒe nyaƒoɖeamenu dzina ɖe edzi. Nyaƒoɖeamenu sia ate ŋu ana dɔgboa navuvu eye mlɔeba wòagbã, eye wòawɔ do.
• Dɔlékui sesẽ (peritonitis): Ne woɖe do ɖe dɔgboa me la, emenuwo sina yia ƒodoa me. Esia ate ŋu ahe dɔlékui sesẽ aɖe si akaka ɖe ƒodo bliboa me, si ahe nɔnɔme aɖe si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be sepsis vɛ.
• Dɔgbo ƒe kuku: Ne wotso ʋu ƒe sisi yi dɔgboa ƒe akpa aɖe la, lãkusi si le akpa ma me la dzea kuku gɔme evɔ womexɔa oxygen o. Ne edzɔ alea la, ɖewohĩ ahiã be woawɔ dɔ na dɔgboa ƒe akpa ma.

Kuxi siawo ate ŋu ado mo ɖa kaba ŋutɔ. Esia tae wòle vevie be woabu esia abe nudzɔdzɔ kpata ene eye woayi kɔdzia ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake .

Aleke ɖɔktawo dea dzesi esia hedaae?

Zi geɖe la, dɔléle sia didi kple edada siaa dzɔna le ɣeyiɣi ɖeka me. Ne wokplɔ ɖevi va kɔdzi kple dzesi siawo la, nu gbãtɔ si ɖɔktawo wɔnae nye ultrasound scan. Esia ateŋu anya kple 100% pɛpɛpɛ nenye be intussusception li alo meli o.

Afɔɖeɖe si kplɔe ɖo kple vevitɔ kekeakee nye mɔnu si woyɔna be Air Enema alo Contrast Enema .

Nukae nye Enema ƒe atikewɔwɔ sia?

Esia menye amekoko o. Le dɔ sia wɔwɔ me la, wotsɔa mɔ̃ sue aɖe toa ɖevia ƒe dɔgbo me, eye wotsɔa ya (Air Enema) alo tsi tɔxɛ aɖe abe `(barium)` (Contrast Enema) toa eme yia dɔgboa me. Nyaƒoɖeamenu si ya alo tsi sia hena vɛ la ƒoa dɔgboa ƒe akpa si nyrɔ ɖe eme la trɔna doa goe, si wɔnɛ be dɔgboa dzɔdzɔe. Ðɔktaa toa X-ray video dzi kpɔa nuwɔna sia katã.

Amekoko

Zi geɖe la, intussusception le ame tsitsiwo me bia be woawɔ dɔ na wo. Azɔ hã, ɖewohĩ ahiã be woawɔ dɔ na ɖevi aɖewo. Esia tso:

• Ne enema-dɔdamɔnua mekpɔ dzidzedze o.
• Ne kuxi aɖe abe do aɖe si le dɔgboa me (do) do mo ɖa xoxo.

Woate ŋu awɔ amekokoa le kɔnu nu, to lãɖeɖe gã ɖeka le ƒodo me (amekoko le gaglãgbe), alo to dɔwɔwɔ si woyɔna be laparoscopy, to lãɖeɖe sue geɖe siwo le ƒodoa me kple fotoɖemɔ̃ ƒe kpekpeɖeŋu me. Le amekokoa me la, ɖɔkta la adze agbagba be yeaɖɔ dɔgboa ƒe akpa si ƒu kplakplakpla la ɖo. Ne esia manya wɔ o, alo ne akpaa gblẽ la, wotsoa akpaa eye wotsɔa akpa eve siwo susɔ siwo le lãmesẽ me la doa ka kple wo nɔewo.

Le amekoko sia me la, ɖeviwo ƒe atikewɔla si naa alɔ̃dɔdɔ akpɔ ɖevia dzi ale be wòagase veve aɖeke o. Eyata mehiã be woatsi dzi ɖe eŋu o.

Aleke vidzĩa ase le eɖokui me le atikewɔwɔ vɔ megbe?

Le enema zazã vɔ megbe la, ɖevia ate ŋu ase le eɖokui me be yeƒe lãme vuvu gaƒoƒo ʋɛ aɖewo. Woate ŋu ana atikewo abe paracetamol ene be woatsɔ aɖu vevesese kple dzoxɔxɔ dzi.

Ne wowɔ dɔ na viwòa vɔ la, ahiã vevesesenutsitikewo. Woana tsi si wodona ɖe ʋuka me wo ŋkeke ʋɛ aɖewo vaseɖe esime woƒe dɔgbowo nahaya. Zi geɖe la, woate ŋu adze nuɖuɖu gɔme ake le ŋkeke ɖeka va ɖo etɔ̃ me. Ate ŋu axɔ kwasiɖa ʋɛ aɖewo hafi viwòa natrɔ ayi eƒe dɔwɔna siwo wòwɔna ɖaa dzi.

Ne woda nɔnɔme sia kaba la, ɖeviwo ƒe hayahaya ƒe agbɔsɔsɔme sɔ gbɔ ŋutɔ. Ke hã, mɔnukpɔkpɔ li 10% - 20% be esia agadzɔ ake. Eyata hafi nàdzo le kɔdzi la, bia wò ɖɔkta nyuie tso dzesi siwo ŋu wòle be nàlé ŋku ɖo ne nɔnɔme sia gadzɔ ake ŋu.