Ðe wòsesẽna na wò eye nèsea veve hã ne èyi nugododeƒea? Ðe nèsena le ɖokuiwò me be yeƒe dɔgbo mekɔ keŋkeŋ o ne èto aɖuɖɔ me gɔ̃ hã? Ðe wò aɖuɖɔwo ƒu eye wosesẽ abe kpewo enea? Esiawoe nye dɔmeɖui ƒe dzesi vevi siwo mí katã míenya. Le nyateƒe me la, esia nye nɔnɔme si me dzidzeme mele kura o.
Zi geɖe la, tɔtrɔ suesuesue siwo míawɔ le míaƒe agbenɔnɔ me ate ŋu akpɔ dɔmeɖui ƒe kuxia gbɔ. Le kpɔɖeŋu me, nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu ɖuɖu (mɔli, amagbewo, atikutsetsewo, bli dzẽ), tsinono si sɔ gbesiagbe, kple kamedede ate ŋu ana tɔtrɔ gã aɖe nava. Gake ne kuxi sia gakpɔtɔ le ŋuwò le nusiawo katã wɔwɔ vɔ megbe la, esɔ be nàse le ɖokuiwò me be yeazã atike si naa aɖuɖɔtoewo abe afɔɖeɖe si kplɔe ɖo ene.
Nukawoe nye aɖuɖɔtoemetike siawo? Amekawoe hiã wo?
Kpuie ko la, aɖuɖɔtoemetikewo nye atike siwo kpena ɖe ame ŋu be wòanɔ bɔbɔe be nàto aɖuɖɔ me ne èxɔ dɔgbo. Zi geɖe la, woate ŋu aƒle wo le atikedzraƒe ɖesiaɖe le atikedzraƒe. Woate ŋu atsɔ ŋkɔ vovovowo, abe aɖuɖɔtoemetike , aɖuɖɔ falɛfalɛ, alo fibre kpeɖeŋutɔ ene.
Zi geɖe la, nɔnɔme geɖe li siwo me ame aɖe ate ŋu ahiã aɖuɖɔtoemetike le:
- Dɔmeɖui ɣeaɖewoɣi: Na dɔmeɖui ɣeaɖewoɣi si meganyona ɖe edzi o ne èwɔ tɔtrɔ le wò agbenɔnɔ ŋu gɔ̃ hã.
- Atikewɔwɔ me nɔnɔme siwo nɔa anyi didi: Ame aɖewo ate ŋu axɔ dɔgbo le atikewɔwɔ ƒe nɔnɔme siwo nɔa anyi didi, abe Crohn ƒe dɔléle alo dɔdzẽ si me abi le ene ta.
- Dzadzraɖo ɖe atikewɔwɔ me dodokpɔwo ŋu: Ɣeaɖewoɣi la, hafi woawɔ dodokpɔ siwo ku ɖe dɔgbowo ŋu, abe dɔgbo me nukpɔkpɔ alo dɔgbo me nukpɔkpɔ ene la, wonaa aɖuɖɔtoemetikewo be woatsɔ akɔ dɔgboa ŋu keŋkeŋ (dɔgbo me kɔklɔ).
Gake ɖo ŋku edzi be aɖuɖɔtoemetikewo mesɔ na amesiame si ŋu dɔgbo le o. Ne vidada funɔe nènye la, mègazã wo gbeɖe ne mèbia wò ɖɔkta o. Azɔ hã, mègana aɖuɖɔtoemetike ɖevi suewo ɖeviwo ƒe dɔdala kafui manɔmee o. Ne èle atike nom na dɔléle bubu la, kpɔ egbɔ be yeƒo nu kple wò ɖɔkta hafi zã wo, elabena aɖuɖɔtoemetike aɖewo ate ŋu awɔ dɔ kple atike mawo.
Aɖuɖɔtoemetike ƒomeviwo kple alesi wowɔa dɔe
Atike siwo naa aɖuɖɔtoe kpɔa ŋusẽ ɖe míaƒe nuɖuɖumeŋusẽ dzi le mɔ vovovowo nu eye wònana wònɔa bɔbɔe be míato aɖuɖɔ me. Ati ƒomevi aɖewo xɔa tsi tso aɖuɖɔ me, si wɔnɛ be wòfa. Bubuwo doa ŋusẽ lãmeka siwo le dɔgboa me eye wokpena ɖe ame ŋu wòtutua aɖuɖɔa ɖe anyi. Mina míalé ŋku ɖe aɖuɖɔtoemetike ƒomevi veviawo ŋu.
| Aɖuɖɔtoe ƒomevi | Alesi wòwɔa dɔe | Kpɔɖeŋuwo |
|---|---|---|
| Laxatives (Fiber supplements) siwo wɔa dɔ le agbɔsɔsɔ gã me . (Ame ƒomevi si dzia seƒoƒoawo ƒe lolome ɖe edzi) | Esiawo tsɔa ka si me wodea tsii la dea aɖuɖɔa me, si hea tsi tso ŋutilãa me, si wɔnɛ be wòlolona eye wòfana. Ne aɖuɖɔa le lolom ɖe edzi la, dɔgboa ʋãna eye wòkpena ɖe ame ŋu wòtoa aɖuɖɔa me. Esiawoe nye esiwo fa wu. | Psyllium (Metamucil®), Methylcellulose (Citrucel®), Fybogel, Polycarbophil (FiberCon®) ƒe lãgbalẽ. |
| Osmotic Laxatives ƒe atikewo (Ame ƒomevi si hea tsi yia dɔgboa me) . | Woɖea tsi tso ŋutilã ƒe akpa bubuwo heɖonɛ ɖe dɔgboa me. Tsi sia si ƒo ƒu la nana aɖuɖɔa fa eye wònana wònɔa bɔbɔe be wòato eme. | Polyethylene glycol (MiraLAX®), Magnesium hydroxide (Phillips’® Magnesia ƒe Notsi), Glycerin |
| Aɖuɖɔ Fala Atike Siwo Wotsɔna Ðea Aɖuɖɔe (Aɖuɖɔ fafɛ ƒomevi) . | Esiawo dzia tsi kple ami si aɖuɖɔa xɔna ɖe edzi, si wɔnɛ be wòfa. | Docusate (Colace®) ƒe nyawo . |
| Ami Siwo Wotsɔna Ðea Aɖuɖɔtoe (Ami ƒomevi aɖe) . | Esiawo wɔa dɔ abe nusi wotsɔ bla dɔgbo gã la ƒe eme ene, si wɔnɛ be wòsena le eɖokui me be yele glidzaglidza. Esia wɔe be ŋutilãa mexɔa tsi boo aɖeke ɖe aɖuɖɔa me o, si wɔnɛ be aɖuɖɔa fa. | Mineral ami si wotsɔ wɔa ami |
| Atike Siwo Doa Ŋusẽ Na Ame ƒe Aɖuɖɔtoe (Ame ƒomevi si doa ŋusẽ dɔgbowo) . | Wodoa ŋusẽ lãmeka siwo kpɔa dɔgboa ƒe lãmekawo dzi, si wɔnɛ be dɔgbowo ʋãna (peristalsis) eye wotua aɖuɖɔ ɖe anyi. Wokafu esiawo ne ƒomevi bubuwo mewɔa dɔ o. | Bisacodyl (Dulcolax®), si nye Senna, si woyɔna be Senna |
Aɖuɖɔtoemetike siwo ɖɔkta kafu
Ne aɖuɖɔtoemetike siwo womeƒlena o mekpena ɖe wò dɔmeɖui si nɔa anyi didi ŋu o la, wò ɖɔkta ate ŋu aŋlɔ atike tɔxɛ aɖe na wò. Esia le vevie ŋutɔ na amesiwo ŋu dɔlélewo abe IBS (Irritable Bowel Syndrome) le alo amesiwo ƒe dɔgbo le ƒoƒom le vevesesenutsitikewo (opioids) zazã ta. Atikewo abe Lactulose (Duphalac®), Linaclotide (Linzess®), kple Lubiprostone (Amitiza®) ene le hatsotso sia me.
Aleke woazã aɖuɖɔtoemetike nyuie?
Be nàkpɔ viɖe geɖe tso atike si naa aɖuɖɔtoe me eye wòaɖe eƒe nugbegblẽ le ame ŋu dzi akpɔtɔ la, ele vevie be nàxlẽ nusi wotsɔ de agbalẽvi me nyuie eye nàzãe abe alesi wogblɔe ene. Mègano nusi wu agbɔsɔsɔ si wokafu gbeɖe le esi nèdi be yeƒe lãme nasẽ kaba ta ko o. Esia wɔwɔ ate ŋu ahe afɔku vɛ.
Aɖuɖɔtoemetikewo le nɔnɔme vovovowo me:
- Atikekuiwo: Atikekui alo atikekui siwo womina to nu me.
- Powders: Powder siwo wotsɔa tsi alo tsi bubu aɖe ƒua gbe eye wononɛ.
- Tsi/Tsi: Atike siwo me tsi le siwo woate ŋu adzidze ahano.
- Suppositories: Atike suesuesue siwo me wodea tsii siwo wotsɔ dea dɔgboa me.
- Enemas: Mɔ̃ suesuesue siwo dea tsi dɔgboa me.
Suppositories kple enemas, siwo wotsɔ dea dɔgboa me zi geɖe la, naa gbɔdzɔe kabakaba le aɖabaƒoƒo alo gaƒoƒo ʋɛ aɖewo ko me. Gake afɔku gã aɖe hã le wo si be woaxɔ nugbegblẽ le ame ŋu abe dɔgbo ƒe dɔmawɔmawɔ nyuie kple aɖuɖɔtoe ene. Atike ƒomevi siwo fa wu abe esiwo ƒoa ƒu ene ate ŋu axɔ ŋkeke ʋɛ aɖewo hafi woawɔ dɔ, gake woƒe nugbegblẽ le ame ŋu mesɔ gbɔ o.
Mina míanya nu tso eƒe nugbegblẽ le ame ŋu kple afɔku siwo le eme hã ŋu.
Aɖuɖɔtoemetikewo zazã masɔmasɔ alo ɣeyiɣi didi ate ŋu ahe kuxi vovovowo vɛ.
- Tsikunɔamesi: Ne èle atike siwo hea tsi le ŋutilã me zãm la, ne mèno tsi si sɔ le ɣeyiɣi ɖeka me o la, tsi ate ŋu adzo le wò ŋutilã me.
- Elektrikŋusẽ ƒe masɔmasɔ: Ametia ƒe dze kple tsi ƒe dadasɔ ate ŋu agblẽ.
- Aɖuɖɔtoe si nɔa anyi didi: Nukutɔe la, atike siwo doa ŋusẽ aɖuɖɔtoewo zazã atraɖii ate ŋu ana dɔgboa ƒe lãmekawo nagbɔdzɔ, si wɔnɛ be manya wɔ be woaɖe aɖuɖɔ atike manɔmee o.
- Ƒo asa na dɔléle aɖe si gbɔ wòtso:Ðeko aɖuɖɔtoemetikewo naa gbɔdzɔe ame tso dɔmeɖui ƒe dzesia me hena ɣeyiɣi aɖe. Womedaa nusi gbɔ wòtso o. Ðewohĩ atikewɔwɔ me dɔléle sesẽ aɖe gbɔe wò dɔmeɖui tso. Atike siwo naa aɖuɖɔtoewo zazã ate ŋu ahe nɔnɔme ma didi ɖe megbe.
Eyata ne dɔgbo le ŋuwò ɣesiaɣi eye atike si nèƒlena le atikedzraƒea mekpena ɖe ŋuwò o la, ele be nàyi ɖɔkta gbɔ godoo kaba be nànya nusi gbɔ wòtso. Ne dɔgbo le veve sem vevie alo aɖuɖɔtoe sesẽ aɖe le ŋuwò la, yi kɔdzi si te ɖe ŋuwò ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake.
Gbedasi si Wotsɔ Yi Aƒeme
- Afɔɖeɖe gbãtɔ si wòle be nàte kpɔ ɖe dɔmeɖui ŋu menye be nàte aɖuɖɔtoemedɔlékuiwo kpɔ o, ke boŋ be nàtrɔ agbenɔnɔ abe nuɖuɖu si me fibre sɔ gbɔ ɖo ɖuɖu, tsi geɖe nono, kple kamedede ene.
- Aɖuɖɔtoemetikewo nye esiwo wozãna hena ɣeyiɣi kpui aɖe. Ezazã ɣeyiɣi didi ate ŋu ana kuxia nagado gã ɖe edzi.
- Hafi nàzã aɖuɖɔtoemetike ɖesiaɖe la, xlẽ mɔfiame siwo kpe ɖe eŋu nyuie eye nàwɔ ɖe wo dzi. Mègagbɔ agbɔsɔsɔ si wokafu ŋu o.
- Mègana aɖuɖɔtoemetike ɖeviwo gbeɖe ɖeviwo ƒe dɔdala ƒe aɖaŋuɖoɖo manɔmee o. Ele be vidada siwo fɔ fu kple esiwo le no nam hã nadi atikewɔlawo ƒe aɖaŋuɖoɖo.
- Ne wò dɔdzẽa gakpɔtɔ li alo wòdzɔna enuenu la, mègakpe ŋu na wò o, eye nàyi ɖɔkta gbɔ kaba be nàkpɔ nusi gbɔ wòtso kple atike si sɔ.
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