Ðe mèle nusi nèɖuna la xɔm ɖe eme nyuie oa? Mina míaƒo nu tso esia (Malabsorption) ŋu!

Ðe dɔgbo me kuxiwo nɔa ŋuwò zi geɖea? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe lãme yɔ fũ eye gas le ye ŋua? Alo ɖe aɖuɖɔtoedɔ ɖea fu na wò zi geɖea? Ɣeaɖewoɣi la, míesusuna be nusiawo nye nusiwo sɔ, nusi dzɔna ne nuɖuɖu ʋẽna lilili vie. Gake ne dzesi siawo gakpɔtɔ li la, ate ŋu anye esi wò ŋutilã mele nunyiame siwo wòhiã la xɔm tso nuɖuɖu si nèɖuna me o tae. Le atikewɔwɔ me la, míeyɔa nɔnɔme sia be (Malabsorption).

Nukae nye esia (Malabsorption)?

Kpuie ko la, nuɖuɖu si meɖua nu nyuie o nye nya si wozãna na wò ŋutilã ƒe ŋutete be wòaxɔ nunyiame siwo le nuɖuɖu si nèɖuna me nyuie o. Esia menye dɔléle ɖeka ko o, ke boŋ enye nɔnɔme si ate ŋu atso nu geɖe gbɔ. Bu eŋu kpɔ, ne míele nuɖuɖu ɖum la, hafi wòate ŋu ana ŋusẽ kple nunyiame míaƒe ŋutilã la, ehiã be woaɖui nyuie ahaxɔe ɖe eme, alo?

Míate ŋu ama nuɖuɖu ɖuɖu ƒe ɖoɖoa ɖe akpa etɔ̃ me:

1. Akpa Gbãtɔ: Nuɖuɖu lãlã nyuie eye nàmae wòazu kakɛ siwo woate ŋu aɖu.

2. Akpa evelia: Nunyiame siwo katã ŋutilã hiã la xɔxɔ tso nuɖuɖu si woɖu me.

3. Akpa Etɔ̃lia: Gbeɖuɖɔ siwo susɔ le nu nyuiawo katã ƒoƒo vɔ megbe la ɖeɖe ɖa.

Fifia, ne nuɖuɖumeŋusẽ ƒe kuxiwo le ŋuwò la, kuxia ate ŋu anɔ afɔɖeɖe siawo dometɔ ɖesiaɖe me. Malabsorption nye akpa evelia ƒe akpa aɖe . Esia fia be togbɔ be woɖua nuɖuɖu hã la, nunyiameawo megena ɖe ŋutilãa me o. Esia ate ŋu atso nɔnɔmewo abe enzyme ƒe anyimanɔmanɔ si xea mɔ na ŋutilãa be wòagaɖu nuɖuɖu aɖewo o (le kpɔɖeŋu me, ame aɖewo mete ŋu ɖua notsi o) kple dɔgbo me dɔléle vovovo siwo gblẽa nu le wò nuɖuɖumeŋusẽ ŋu gbɔ.

Nukae dzɔna ne malabsorption li?

Ne nunyiame siwo katã mexɔna nyuie o le ŋuwò la, ate ŋu asesẽ na wò be nàxɔ nunyiamewo katã, alo ate ŋu asesẽ na wò be nàxɔ nunyiame ʋɛ aɖewo koŋ. Nusiwo màte ŋu axɔ o la toa wò aɖuɖɔ me evɔ womeɖua wo o. Nɔnɔmewo abe aɖuɖɔtoe ene hã le ame geɖe siwo ŋu aɖuɖɔtoetetedɔ le ŋu, si ate ŋu ana aɖuɖɔtoeme ƒe kuxi sia nagado gã ɖe edzi. Esia le alea elabena ne aɖuɖɔtoe le ŋuwò la, nuɖuɖu zɔna to wò dɔgbowo me kabakaba akpa, eyata ɣeyiɣi menɔa nunyiamewo ŋu be woaxɔ wo o.

Le ɣeyiɣi kpui aɖe me la, nuɖuɖu siwo meɖua nuɖuɖu nyuie o ate ŋu ana dɔgbo natsi eye wòase veve elabena womate ŋu aɖu nuɖuɖu aɖewo o. Gake le ɣeyiɣi aɖe megbe la, wò ŋutilã adze nunyiame siwo màte ŋu axɔ o la ƒe gbɔdzɔgbɔdzɔwo ɖeɖefia gɔme. Ne nunyiame gãwo mele ŋuwò o – abe protein, ami, kple carbohydrates ene la – àdze nunyuimakpɔɖu ƒe dzesiwo kpɔkpɔ gɔme, abe lãmekawo ƒe gbegblẽ kple dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ ene . Nenema ke ne nunyiame suesuesuewo – abe vitamin kple mineral ene – mesɔ gbɔ na wò o la, ate ŋu agblẽ nu le wò ŋkuwo, ƒuwo, ŋutigbalẽ, kple taɖa ŋu.

Nukawoe nye malabsorption ƒomevi veviwo?

Dɔgbomedɔ aɖewo, abe Celiac Dɔléle kple Dɔgbo ƒe Dɔléle (IBD) ene, ate ŋu ahe kuxiwo vɛ le nunyiame ƒomevi ɖesiaɖe ƒe xɔxlɔ̃ me. Le go bubuwo me la, nunyiame aɖe koŋ xɔxɔ ƒe kuxiwo ate ŋu ado mo ɖa. Wo dometɔ aɖewoe nye esiawo:

Ŋutilãa mexɔa carbohydrates nyuie o.

Ame aɖewo sea veve ɖe carbohydrates (sukli) ɖeka alo esi wu nenema nu. Àte ŋu ade dzesi esia koŋ be gas, ʋuʋudedi, kple vevesese le wò dɔgbo me . Dɔlékui siwo le wò dɔgbo gã me ye ƒoa carbohydrates siwo mexɔna nyuie le wò dɔgbo suea me o. Dɔlékui siawo trɔa wo wozua gas kple ami siwo ƒe kɔsɔkɔsɔ kpuiwo. Ya ma nana gas nɔa wò dɔgbo me, eye ami siwo le kɔsɔkɔsɔ kpuiwo me ate ŋu ana wò aɖuɖɔ nadzi ɖe edzi.

Ami mexɔa ami nyuie le ŋutilãa me o

Esia hã nye nusiwo mebɔ o ƒe ƒomevi si bɔ. Ate ŋu atso nu geɖe gbɔ. Ami si mexɔna ɖe dɔgbo suea me o la toa dɔgbo gã la me, eye wònana ami si le abe aɖuɖɔtoe ene la dona. Míeyɔa esia hã be steatorrhea. Aɖuɖɔ sia ƒomevi nyea ami, tsi le eme, eye wòʋẽna lilili . Ate ŋu anye be eƒe amadede nakɔ eye wòanɔ tsi dzi. Esi ami mexɔa ami nyuie o ta la, vitamin siwo me ami le (vitamin A, D, E, kple K) ƒe xɔxlɔ̃ hã gblẽna.

Bile acid ƒe dɔmawɔmawɔ nyuie

Ɣeaɖewoɣi la, womate ŋu axɔ ami o elabena aɖuɖɔtoe, ʋumenugbagbeviɣimɔwo, alo aklã meɖea ʋu si sɔ gbɔ o. Gake ɣeaɖewoɣi la, nu bubu aɖe gbɔe wòtsona. Emegbe, ʋumenugbagbevi dzĩ siwo mexɔ o la nɔa dɔgbo suea me eye wotoa dɔgbo gã la me. Woyɔa eƒe nugbegblẽ le ame ŋu sia be Bile Acid Malabsorption. Dze siwo susɔ le mɔ sia nu dzia tsi si dona le dɔgbo gã la me ɖe edzi, si wɔnɛ be aɖuɖɔtoe si nɔa anyi didi .

Ametia mexɔa protein nyuie o

Zi geɖe la, negbe ɖe protein ƒomevi aɖe koŋ ƒe mɔmaɖemaɖeɖenuŋu le ŋuwò, si fia be màte ŋu aɖui o la, ƒã hafi protein ɖeɖe xɔxɔ ƒe kuxi nanɔ ŋuwò. Esia ƒe kpɔɖeŋuwoe nye alesi womete ŋu ɖua protein si le notsi me o kple alesi womete ŋu ɖua nuɖuɖu siwo me gluten le o.

Nukae nye dzesiawo ne nu mexɔa nuɖuɖu nyuie o?

Gbã la, adze abe nuɖuɖumaɖumaɖu bɔbɔe ene. Dzesiawo ate ŋu anye:

• Dɔgbo ƒe vevesese.
• Ʋuʋudedi, ƒodo me yɔyɔ.
• Ya (gas) ƒe yiyi enuenu.
• Aɖuɖɔtoe kple ʋuʋudedi.
• Dɔmetɔtrɔ.
• (Steatorrhea) - Aɖuɖɔ si me ami le, si me ami le, si ƒe amadede trɔna ɣeaɖewoɣi, si le tsia dzi.

Le ɣeyiɣi aɖe megbe la, nunyuimakpɔɖu ƒe dzesiwo te dzedze.

Nunyiame veviwo ƒe nunyuimakpɔɖu ate ŋu anɔ ale:

• Lolo dzi ɖeɖe kpɔtɔ le manyamanya me .
• Lãmetsiwo ƒe gbegblẽ, lolo dzi ɖeɖe kpɔtɔ.
• Dɔléle enuenu (le dɔlélenutsiŋutete ƒe anyimanɔmanɔ ta).
• Ŋutilãa trɔna zua blɔ ne exɔ abi sue aɖe gɔ̃ hã.
• Ŋutilã ƒuƒu, ŋutigbalẽ ƒe abi.
• Taɖa ƒuƒu, ɖa ƒe ŋeŋe.
• Tsikuɖiɖi (tsi ƒe anyimanɔmanɔ le ŋutilã me).
• (Edema) - Ŋutilã ƒe vuvu (le tsi ƒe léle ta).
• Ʋusɔgbɔdɔ - blɔ, gbɔdzɔgbɔdzɔ, taɖuame.
• Dzikudodo ɣesiaɣi, ɖekematsɔleme, ɖeɖiteameŋu.
• Dzinukpɔkpɔ nutsitsi alo dzinukpɔkpɔ edziedzi le nyɔnuwo me (Amenorrhea).
• Ðeviwo ƒe tsitsi ƒe megbetsitsi.

Nunyiame suesuesuewo ƒe nunyuimakpɔɖu ate ŋu anɔ ale:

• Nukpɔkpɔ dzi ɖena kpɔtɔna le zã me (Vitamin A ƒe anyimanɔmanɔ).
• Ƒu siwo gbɔdzɔ, ƒu ƒe vevesese (Vitamin D ƒe anyimanɔmanɔ).
• Ʋu si le dodom le aɖuwo me, ʋu si dona le ŋɔti me (Vitamin K ƒe anyimanɔmanɔ).
• Aɖe dzĩ, aɖe ƒe abi (Vitamin B12 ƒe anyimanɔmanɔ).
• Ame ƒe ŋutigbalẽ ƒe amadede dzẽ, gbɔdzɔgbɔdzɔ, taɖuame (vitamin deficiency anemia).

Nukawoe koŋ gbɔe wòtsona be nuɖuɖu meɖua nu nyuie o?

Maabsorption ate ŋu anɔ anyi ɣeyiɣi kpui aɖe, abe ne dɔgbo me dɔlékui alo dɔgbo me dzamezã le ŋuwò ene. Gake atikewɔwɔ me nɔnɔme aɖe si le ŋuwò si me nèle ɣeyiɣi didi aɖee nye sia gbɔe wòtsona be nuɖuɖu meɖua nu nyuie o ɣeyiɣi didi. Nu geɖe li siwo gbɔ nuɖuɖumeŋusẽ ƒe dɔmawɔmawɔ nyuie tsona, gake zi geɖe la, wodzena le hatsotso ʋɛ aɖewo me.

Nusiwo gblẽ le dɔgbo suea ƒe lãkusi ŋu

Wò nunyiame akpa gãtɔ xɔa dɔgbo suea (ɖewo hã xɔa dɔgbo gã la me). Wò dɔgbo ƒe gliwo ƒe ʋuʋudedi kpɔa gome le nuɖuɖumeŋusẽ ƒe dɔwɔwɔ kple nuɖuɖu si me tsi le xɔxɔ ɖe wò ʋukawo me siaa me. Gake lãkusi sia ate ŋu agblẽ to abi (dɔdzẽ) kple abixɔxɔ me. Nusiwo gblẽ sia ate ŋu anye ɣeyiɣi kpui aɖe (si nu sẽ) alo ɣeyiɣi didi (si nɔa anyi didi). Susu geɖewo tae wòle alea ɖo:

• Dɔléle siwo xɔa ame abe Whipple ƒe Dɔléle kple Tropical Sprue ene.
• Dɔgbo ƒe Dɔléle (IBD) abe Ulcerative Colitis kple Crohn ƒe Dɔléle ene.
• Dɔléle siwo dɔlélenutsiŋutete hena vɛ abe Celiac Dɔléle ene.
• Atike aɖewo zazã fũ akpa.
• Ahanono ƒe Dɔléle.
• Kekeli ƒe atikewɔwɔ kple atikewo zazã.
• (Short Bowel Syndrome) - Dɔgbo sue ƒe kpuiƒe.
• (Small Intestinal Bacterial Overgrowth - SIBO) - Dɔlékuiwo ƒe tsitsi fũ le dɔgbo suea me.
• Dɔgbo me acid ƒe wɔwɔ fũ akpa le nɔnɔmewo abe Zollinger-Ellison Syndrome ene me.

Dɔgbo, aɖuɖɔtoe, aklãdɔlélewo

Wò dɔgbo, aklã, kple aɖuɖɔtoe wɔa dɔ aduadu kple wò dɔgbo suea be wòakpe ɖe ŋuwò nàɖu nuɖuɖu. Dɔgboa wɔa nuɖuɖumeŋusẽ veviwo. Aklã kple aɖuɖɔtoewo wɔa ʋumenugbagbeviɣidɔ eye wodzraa wo ɖo. Ʋumenugbagbeviɣi sia le vevie ŋutɔ na amiwo ɖuɖu. Ne woɖu nu la, ŋutinu siawo ɖea woƒe tsiwo ɖea go ɖe dɔgbo suea me. Gake ne ŋutinu siawo mele dɔ wɔm nyuie o le dɔléle aɖewo ta la, dɔgbo sue la mate ŋu aɖu nuɖuɖu nyuie ahaxɔe o. Kpɔɖeŋuwo:

• Dɔgbo ƒe dɔmawɔmawɔ nyuie.
• (Cystic Fibrosis ƒe dɔléle).
• Bile Duct ƒe Ʋuʋudediwo.
• Aɖuɖɔtoedɔlélewo.
• Aklãdɔléle.

Lãmetsiŋusẽ ƒe Dɔlélewo

Woxɔa ami tso wò dɔgbo suea me yia wò ʋukawo me to ʋuka siwo me ʋu sina tona me. Ne ʋuka siawo xe le ʋumenugbagbeviɣidɔ ƒe dɔlélewo ta la, ami ƒe xɔxlɔ̃ ate ŋu agblẽ. Intestinal Lymphangiectasia kple Lymphoma nye esia ƒe kpɔɖeŋu eve.

Nuɖuɖu aɖewo ɖuɖu ƒe ŋutete manɔamesi (Food Intolerances) .

Carbohydrates alo protein aɖewo ƒe ŋutete manɔamesi ate ŋu anye dɔgbomedɔlélewo ƒe nugbegblẽ le ame ŋu. (Eƒe kpɔɖeŋu aɖee nye ŋutete si mele ame si be wòaɖu fructose o). Gake ɣeaɖewoɣi la, wodzia amewo enzyme siwo hiã be woatsɔ aɖu nunyiame aɖewo manɔmee. (Esia ƒe kpɔɖeŋu nyuitɔ enye ŋutete si mele ame si be wòaɖu lactose o - Lactose Intolerance).

Aleke nàwɔ anya ne malabsorption le ŋuwò?

Abe dɔgbomedɔ geɖe ene la, dɔgbo ƒe dɔléle si mebɔ o didi nye nusi yia edzi vivivi vie. Wò ɖɔkta ado wò kpɔ gbã eye wòabu wò atikewɔwɔ ŋutinya kple dzesiwo ŋu. Woate ŋu ake ɖi be dɔgbomedɔléle si nɔa anyi didi le ŋuwò kpɔ alo wowɔ dɔ na wò.

Woate ŋu ake ɖi vevie be nuɖuɖu meɖua nu nyuie o kple nunyuimakpɔɖui ne dzesi aɖewo, abe steatorrhea (aɖuɖɔ si me ami le) si míeyɔ va yi kple aɖuɖɔtoe si nɔa anyi ɖaa, alo ʋusɔgbɔdɔ si dze ƒã kple lãmekawo ƒe gbegblẽ ene, le ame ŋu. Gake le go aɖewo me la, esia medzena gaglãa nenema gbegbe o. Wò ɖɔkta awɔ dodokpɔ siwo sɔ atsɔ anya nusi tututu gbɔ wò vevesesea tso.

Dodokpɔ kawoe wozãna tsɔ dea dzesi nusiwo mexɔa nuɖuɖu nyuie o?

• Gbɔgbɔ Dodokpɔwo: Haidrodzin gbɔgbɔ dodokpɔ ate ŋu akpe ɖe ame ŋu wòanya nɔnɔmewo abe lactose ƒe dɔmawɔmawɔ nyuie, carbohydrate ƒe nuɖuɖumeŋusẽ ƒe kuxi tɔxɛwo, kple SIBO (dɔgbo sue me dɔlékuiwo ƒe tsitsi fũ akpa).
• Aɖuɖɔ dodokpɔ: Aɖuɖɔ dodokpɔ ate ŋu adzidze ami agbɔsɔsɔme si le wò aɖuɖɔ me eye ate ŋu akpe ɖe ŋuwò nànya ami ƒe dɔmawɔmawɔ nyuie. Ate ŋu ade dzesi nuwo abe dɔlékui siwo tso dɔlékuiwo kple dɔgbo ƒe dɔmawɔmawɔ nyuie ene hã.
• Ʋudodokpɔ: Esiawo ate ŋu aɖe nunyiame tɔxɛ aɖewo ƒe veve ƒe dzesi siwo ate ŋu atso ʋumenugbagbeviɣidɔ kple atikewɔwɔ me nɔnɔme tɔxɛwo abe Celiac Dɔléle ene gbɔ afia.
• Fifia Dodokpɔ: Esia nye dodokpɔ tɔxɛ aɖe si wowɔna tsɔ dea dzesi dɔlélea (Cystic Fibrosis).
• Nɔnɔmetatawo Dodokpɔwo: Ðewohĩ wò ɖɔkta adi be yealé ŋku ɖe wò nuɖuɖumeŋusẽ ƒe ŋutinuwo ŋu akpɔe ɖa be dzesi aɖewo le eŋu hã. Esia ate ŋu anye GI X-ray Dodokpɔ, Endoscopic Ultrasound, alo Video Capsule Endoscopy.
• Dɔgbo Suewo ƒe Lãmetsiŋusẽ Ŋuti Numekuku:Ðewohĩ ɖɔktaa adi be yeaɖe lãkusi aɖe tso wò dɔgbo suea me atsɔ adoe kpɔ le dodokpɔxɔ me. Biopsy sia ate ŋu adi kpeɖodzi be wò dɔgbo ƒe lãkusi (mucosa) gblẽ. Woate ŋu axɔ kpɔɖeŋu sia le endoscopy me.

Aleke wokpɔa atike si mexɔa nuɖuɖu nyuie o gbɔe?

Nu geɖe li siwo ate ŋu ana ame ƒe lãme megaxɔa nuɖuɖu nyuie o, eye nusiwo wòate ŋu ahe vɛ la keke ta. Woanɔ te ɖe nu siawo dzi atso nya me le wò atikewɔwɔ ŋu.

Be nàda nusiwo dona tso nuɖuɖu me ɖuɖu nyuie me la, àte ŋu ahiã nunyiametikewo . Woateŋu ana wo abe tsi ene to nu me, to mɔ̃ me (tube feeding), alo ɖe ʋuka me (IV - intravenous). Ðewohĩ ahiã hã be nàno nuɖuɖumeŋusẽ tɔxɛwo. Esia ate ŋu atso esi màte ŋu aɖu nuɖuɖu aɖe o alo esi wò dɔgbo mele dɔ wɔm nyuie o ta. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, woate ŋu ana nane si woyɔna be bile acid sequestrant wò be wòakpe ɖe ŋuwò nàxe mɔ ɖe aɖuɖɔtoetetedɔ nu.

Atikewɔwɔ na nusi gbɔ wòtsona be nuɖuɖu meɖua nu nyuie o ate ŋu asesẽ vie wu. Ne nuɖuɖu ƒe mɔmaɖemaɖeɖenuŋu koe wònye la, ke ɖewohĩ ɖeko wòahiã be nàtrɔ wò nuɖuɖu. Woate ŋu atsɔ dɔlékuiwutikewo ada dɔlékui bɔbɔewo. Gake nɔnɔme siwo nɔa anyi didi la bia be woawɔ atike na wo etɔxɛe wu. Ɣeaɖewoɣi la, womekpɔa atike enumake o, gake agbenɔnɔ ƒe tɔtrɔ ate ŋu akpe ɖe ŋuwò nàɖu dzesiawo dzi.

Ðe woada atike si mexɔa nuɖuɖu nyuie oa?

Esia nɔ te ɖe nusi tututu gbɔ wòtso la nyanya kple edada nyuie dzi. Nusiwo gbɔ wòtsona dometɔ aɖewo dada le bɔbɔe wu bubuwo. Ne wonya kpɔ dɔlélea le ŋuwò ko la, wò ɖɔkta aɖe wò dɔlélea ŋuti nyatakakawo me na wò tsitotsito. Zi geɖe la, agbenɔnɔ ƒe tɔtrɔ ate ŋu akpe ɖe ŋuwò nàda dɔlélea (nuɖuɖu manɔmee) kple eƒe dzesiwo.

Ame geɖe kpɔa nuɖuɖu ƒe dɔmawɔmawɔ nyuie, ʋuʋudedi, gas, kple aɖuɖɔtoedɔ ɣeaɖewoɣi. Ne nane si nèɖuna mewɔ dɔ na wò o la, àte ŋu akpɔ dzesiwo hena ɣeyiɣi aɖe, gake zi geɖe la, wo nu yina le wo ɖokui si. Nuɖuɖumadzroame sia ƒomevi menye nusi ŋu woatsi dzi ɖo o. Gake ne dzesi siawo le ŋuwò edziedzi la, ate ŋu anye nane si nu sẽ wu ƒe dzesi. Aɖuɖɔtoe si nɔa anyi ɖaa nye nusi ŋu wòle be nàtsi dzi ɖo ɣesiaɣi.

Nuɖuɖumakpɔmakpɔ ate ŋu anye nu ɣaɣla si hea nunyuimakpɔɖu vɛ. Esi nunyuimakpɔɖu va doa mo ɖa vivivi ta la, ɖewohĩ màde dzesii o vaseɖe esime wòasẽ ŋutɔ, vevietɔ ne ènye amesi ɖua nu nyuie. Esia nye afɔku na ɖeviwo koŋ. Wohiã nunyiame geɖe hafi woate ŋu atsi ahatsi, eye ɖewohĩ womate ŋu agblɔ woƒe dzesiwo na wò o. Ne viwòa le dzesiwo ɖem fia be eƒe dɔgbo le vevem enuenu, vevietɔ aɖuɖɔ si me mekɔ o la, ele vevie be nàyi ɖɔkta gbɔ akpɔ egbɔ be dɔléle aɖeke mele ye ŋu be yeƒe dɔgbo megale dɔ wɔm nyuie o.

Gbedasi kae míedi be míatsɔ ayi aƒemee tso nyati sia me?

Enyo, eyata fifia míenya be malabsorption nye nya si wozãna zi geɖe na ŋutilã ƒe ŋutete be wòaxɔ nunyiame siwo le nuɖuɖu siwo míeɖuna me o. Nu geɖe ate ŋu ahe esia vɛ, eye dzesiawo ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ.

• Ne dzesiwo abe dɔgbo ƒe veve enuenu, aɖuɖɔtoe, ʋuʋudedi, kple lolo dzi ɖeɖe kpɔtɔ le manyamanya me ene le fu ɖem na wò la, mègabui be enye nuɖuɖumadzroame ko o.
• Numaɖumaɖu ate ŋu ana nunyuimakpɔɖu , si ate ŋu agblẽ nu le ŋutilãa ŋu le mɔ gbegblẽ nu geɖe.
• Ne dzesi siawo yi edzi le wò alo viwòa ŋu la, kpɔ egbɔ be yebia atikewɔlawo ƒe aɖaŋuɖoɖo .
• Ne wokpɔ dɔléle sia nyuie eye wodae nyuie la, zi geɖe la, woate ŋu aɖu nɔnɔme sia dzi.

Ðo ŋku edzi be ele vevie be nàɖo to nya si wò ŋutilã le gbɔgblɔm na wò. Togbɔ be adze nu sue aɖe hã la, ɣeaɖewoɣi ate ŋu anye nu gã aɖe ƒe gɔmedzedze. Eyata beléle na wò lãmesẽe nye nu vevitɔ kekeake.

` Malabsorption, nunyiame ƒe veve, nuɖuɖumeŋusẽ, aɖuɖɔtoe, nunyuimakpɔɖu, vitamin ƒe anyimanɔmanɔ, dɔgbo ƒe vevesese