Ne ele be woawɔ dɔ na wò dɔgbo gã la le atikewɔwɔ ƒe nɔnɔme aɖe ta la, ahiã be nàtsɔ gotagome kotoku (stoma) aɖe abla ɖe ʋuƒo tɔxɛ aɖe (stoma) si wowɔ ɖe wò ƒodo ƒe ŋutigbalẽ me ŋu be gbeɖuɖɔ (aɖuɖɔ) nado le wò ŋutilã me. Agbenɔnɔ kple gotagome kotoku sia gbesiagbe ate ŋu anye nusi me dziɖeleameƒo kple nuteɖeamedzi le na ame aɖewo ŋutɔ. Gake ènya be mɔnu bubu aɖe li si woate ŋu azã ɖe esia teƒea? Egbea míele nu ƒom tso kotoku (kotoku) tɔxɛ aɖe si wowɔna le ŋutilãa me ŋu.
Nukae nye Kock Pouch sia?
Kpuie ko la, Kock Pouch nye kotoku sue aɖe si amekola aɖe wɔna le wò ŋutilã me, eye wòzãa wò ŋutɔ wò dɔgbo sue ƒe akpa aɖe. Enye atike bubu si woate ŋu azã ɖe gotagome ileostomy kotoku teƒe.
Le ileostomy si bɔ me la, wotsɔa dɔgbo suea ƒe nuwuwu vaa ŋutigbalẽa ƒe gowo dzi le ƒodoa me, si wɔnɛ be stoma dona. Esi wònye be aɖuɖɔ dona to ʋuƒo sia me ɣesiaɣi ta la, ele be woado gotagome akplo ɣesiaɣi be woatsɔ aƒoe nu ƒu.
Gake le Kock Pouch me la, esi kotoku sia le ŋutilãa me ta la, aɖuɖɔa medona zi ɖeka o. Ke boŋ eƒoa ƒu ɖe kotokua me. Àte ŋu akɔ kotoku sia me zi geɖe gbesiagbe, ɣesiaɣi si nèdi, to mɔ̃ sue aɖe (catheter) dede to `stoma` me. Wogayɔa esia be "Continence Ileostomy" . Esia fia be àte ŋu akpɔ aɖuɖɔ ƒe zɔzɔ dzi. Amekola aɖe si ŋkɔe nye Nils Kock ye to mɔnu sia vɛ zi gbãtɔ. Esia tae woyɔnɛ be Kock Pouch ɖo.
Bu alesi gbegbe wòanye gbɔdzɔe ne èkpɔ ŋusẽ ɖe alesi nètsɔa wò gbeɖuɖɔwo ƒua gbee dzi ɣesiaɣi, evɔ mahiã be nàtsɔ akplo si le egodo ɖe asi o ŋu kpɔ. Emae nye viɖe vevitɔ si le Kock Pouch ŋu.
Aleke wowɔa Kock Pouch ƒe amekokoe?
Amekoko sia sesẽ vie. Wò amekola awɔe ale:
- Gbã la, tsɔ wò dɔgbo sue (ileum) ƒe nuwuwu abe sentimeta 18 ene eye nàkloe wòazu "U" ƒe nɔnɔme.
- Evelia, woʋua akpa si woxatsa la ɖe titina eye wotsɔa goawo ƒoa ƒu hetsɔa wo lɔ̃a wo nɔewoe. Esia wɔnɛ be kotoku aɖe nɔa anyi. Wogblẽa dɔgboa ƒe akpa sue aɖe ɖe eƒe nuwuwu.
- Etɔ̃lia kple vevietɔ wu la, wozãa dɔgbo si susɔ la tsɔ wɔa mɔ ɖeka ƒe ʋuƒo si te ɖe kotokua ƒe nu ŋu. Esia le vevie ŋutɔ elabena ʋuƒo siae xea mɔ na gbeɖuɖɔ alo ya si dona le stoma la me ne kotokua yɔ.
- Mlɔeba la, wotsɔa ʋuƒoa ƒe nuwuwu kpena ɖe stoma si wowɔ le ƒodoa me la ƒe eme. Le amekokoa ƒe nuwuwu la, ɖɔktawo léa ŋku ɖe eŋu be ʋukaa le dɔ wɔm nyuie hã.
Nukae dzɔna le amekokoa megbe? Ɣeyiɣi didi kae wòxɔna hafi wòhayana?
Le amekokoa megbe la, ànɔ kɔdzi abe ŋkeke etɔ̃ va ɖo atɔ̃ ene. Le ɣeyiɣi sia me la, woatsɔ mɔ̃ vovovowo ade eme be wòakpe ɖe ŋuwò nàhaya kaba.
- IV-ka (mɔ̃ si wotsɔ dea ʋuka me) be woatsɔ ana dze
- Abi ƒe tsiwo dona
- Vevesesenutsitike ƒe mɔ̃ aɖe (Pain pump) .
- Aɖuɖɔtoe me ʋuka
Ahiã be nàna catheter la nanɔ teƒea kwasiɖa ʋɛ aɖewo. Esia ana tsi si le kotoku yeye si wowɔ me la nado eye wòana abi la nahaya nyuie. Dɔnɔdzikpɔla aɖe afia alesi nàlé be na catheter la wò le aƒeme.
Kwasiɖa ʋɛ aɖewo le wò aƒeme yiyi megbe la, ɖɔktaa aɖe mɔ̃a ɖa. Le ema megbe la, dɔnɔdzikpɔla aɖe afia alesi nàtsɔ catheter si wozãna edziedzi, si nàzã tso fifia dzi, aɖe tsi le akploa me la wò.
Le gɔmedzedzea me la, ahiã be nàkɔ kotokua me abe zi 8 ene gbesiagbe. Gake mègatsi dzi o. Le ɣleti ʋɛ aɖewo megbe, ne kotokua tsi vie eye wòle hayahayam nyuie la, ahiã be nàkɔe zi eve alo zi ene gbesiagbe.
| Viɖe siwo le Kock Pouch ŋu | Kuxi siwo ate ŋu ado mo ɖa |
|---|---|
| Mehiã be woado seƒoƒokotoku le gota o. | Valve ƒe kuxiwo: Ɣeaɖewoɣi la, valvɔa ate ŋu adzo eye gbeɖuɖɔ ate ŋu ado. Esia ate ŋu abia be woawɔ dɔ bubu atsɔ aɖɔe ɖo. |
| Woate ŋu atsɔ gaze atsyɔ stoma la dzi ale be womakpɔe tso egodo o. | Fistula: Kadodo si mesɔ o (abe mɔ̃ aɖe ene) si le tsinyegoe, ŋutigbalẽ, alo ŋutinu bubu dome. |
| Woƒe ŋusẽ le wo si be woaɖe aɖuɖɔ ɣesiaɣi si wodi. | Pouchitis: Akploa ƒe abi si dɔlékui aɖe hena vɛ. Zi geɖe la, woate ŋu atsɔ dɔlékuiwutikewo adae. |
| Ele bɔbɔe be nàdɔ alɔ̃ le zã me, eye mehiã be nàfɔ hafi akɔ akploa me o. | Ʋuʋua ƒe ʋuʋu (Stricture/Stenosis): Abi ƒe lãkusi ate ŋu ana stoma la natsi, si ana wòasesẽ be woade mɔ̃a me. |
| Agbenɔnɔ ƒe nyonyome kple kakaɖedzi le ame ɖokui ŋu dzina ɖe edzi. | Parastomal Hernia: Hernia si me dɔgboa ƒe akpa aɖe dona to stoma me. Ele be woaɖɔ esia hã ɖo to amekoko me. |
Mina míanya kuxi sesẽ aɖe hã.
Ne ʋuƒoa vuvu eye kotokua ƒe ʋuʋu xe eye womate ŋu atsɔ mɔ̃a ade eme o la, ke enye nusi dzɔ kpata. Ne edzɔ alea la, ele be nàyi kɔdzia ƒe Dɔwɔƒe si Kpɔa Dɔléle Kpatawo Gbɔ (ETU) enumake. Azɔ hã, ne ele be woawɔ dɔ na wò enuenu le kuxi mawo ta la, afɔku li be dɔgbo suea nanɔ kpuie eye nunyiame ƒe gbɔdzɔgbɔdzɔ (Short Bowel Syndrome) nava nɔ ŋuwò.
Vovototo kae le Kock Pouch kple J-Pouch dome?
Ðewohĩ èse J-Pouch hã ŋkɔ kpɔ. Togbɔ be wo ame evea siaa nye kotoku siwo le eme ƒomevi hã la, wowɔa dɔ le mɔ vovovowo nu.
- J-Pouch: Esia bia be nàtsɔ kotoku aɖe akpe ɖe wò akɔta ƒe mɔ ŋu. Esia fia be mèhiã stoma o. Àte ŋu aɖe aɖuɖɔ to wò dɔgbo me kokoko abe alesi nèwɔnɛ ɖaa ene. Ame geɖe lɔ̃a mɔnu sia. Gake ele be wò akɔta kple lãmeka siwo ƒo xlãe nanɔ lãmesẽ me.
- Kock Pouch: Kock Pouch nye tiatia nyuitɔ kekeake na amesi mate ŋu akpɔ J-Pouch o (le kpɔɖeŋu me, ne woɖe aɖuɖɔ hã ɖa) alo na amesi si J-Pouch nɔ gake edo kpo nu.
Ðe wòhiã be matrɔ nye nuɖuɖu le amekoko sia megbea?
Ẽ, nuɖuɖu si da sɔ eye nunyiame le ɖuɖu le vevie ŋutɔ be nàhaya kabakaba. Tsã la, ɖewohĩ èxe mɔ ɖe nuɖuɖu aɖewo nu le wò dɔlélea ta. Fifia àte ŋu akeke nuɖuɖu ma ɖe enu vivivi.
Ne wò aɖuɖɔwo le ʋeʋẽm akpa alo tsi akpa la, àte ŋu aɖɔ esia ɖo ne ètrɔ wò nuɖuɖu. Anyo be nàdi nuɖuɖuŋutinunyala ƒe aɖaŋuɖoɖo na esia. Wò ɖɔkta ate ŋu aɖo wò ɖe ɖeka gbɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Kock Pouch nye mɔnu nyui aɖe si woate ŋu azã ɖe gotagome ileostomy kotoku teƒe. Ate ŋu ana wò agbenɔnɔ kple susu ƒe nyonyo nanyo ɖe edzi ŋutɔ.
- Esia nye kotoku ememetɔ si wowɔna to amekoko me tso wò ŋutɔ wò dɔgbo sue me. Ate ŋu akpe ɖe ame ŋu wòaɖu aɖuɖɔ ƒe zɔzɔ dzi.
- Abe alesi wòle le amekokowo katã gome ene la, afɔku li be kuxiwo ate ŋu ado mo ɖa, si ate ŋu abia be woagbugbɔ amekoko aɖɔ wo ɖo.
- Mɔ nyuitɔ si dzi nàto anya ne dɔdamɔnu sia sɔ na wò kple viɖe kple kuxi siwo le emee nye be nàdzro nu me faa kple wò amekolaa anukwaretɔe. Mègavɔ̃ be yeabia nya aɖeke wò ɖɔkta o.
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