Ðe nugododeƒe yiyi hã sesẽna na wòa? Mina míasrɔ̃ nu geɖe tso Obstructed Defecation Syndrome ŋu!

Ðe wòsena le ɖokuiwò me ɣeaɖewoɣi be esesẽna na wò be nàto aɖuɖɔ me ne èyi nugododeƒea? Ðe nèsena le ɖokuiwò me be yeƒe lãme ƒu, yeƒe lãme sẽ, eye yemewu enu tututu oa? Alo ɖe nèyia nugododeƒe ŋkeke geɖea? Ðewohĩ menye dɔmeɖui dzro aɖe koe esia nye o. Egbea, mina míaƒo nu tso atikewɔwɔ me nya si wozãna na nɔnɔme sia, si nye Obstructed Defecation Syndrome ŋu. Togbɔ be ŋkɔ didi aɖee nye esia vie hã la, ne míagblɔe bɔbɔe la, enye mɔxenu alo vevesese si dzɔna le aɖuɖɔtoe me.

Nukae nye aɖuɖɔtoe ɖeɖe sesẽ sia? (Nukae nye `Aɖuɖɔtoe si Woxe Mɔ na`?)

Kpuie ko la, Obstructed Defecation Syndrome (ODS) nye nɔnɔme si me wòle be nàɖe aɖuɖɔ gake màte ŋu awɔe nyuie o. Susu geɖewo ate ŋu anɔ esia ta. Wo dometɔ aɖewo nye ŋutilã me tɔ, si fia be mɔ̃ siwo xea mɔ na wò ŋutilã me gbɔe wotso. Bubuwo ate ŋu anye susuŋutinunyalawo.

Ame si ŋu dɔléle sia le ate ŋu ato nusiwo gbɔna me:

• Sese le ɖokuiwò me be yemate ŋu ayi nugododeƒe ɣesiaɣi si nèdi o.
• Zi ɖeka koe wòle be mayi nugododeƒe le ŋkeke ʋɛ aɖewo ɖesiaɖe me, si fia be nyemeɖea aɖuɖɔ zi geɖe o.
• Ne èyi nugododeƒe gɔ̃ hã la, ègasena le ɖokuiwò me kokoko be yemeɖe aɖuɖɔ keŋkeŋ o.

Esia wɔnɛ be woƒe dɔgbowo tsia dzodzodzoe . Ɣeaɖewoɣi la, aɖuɖɔ si tsi eme la te ŋu dona vivivi manyamanyae. Wogayɔa esia be `(Fecal Incontinence)`. Ame siawo zãa ɣeyiɣi geɖe ɖe nugododeƒe, henɔa lalam be aɖuɖɔa nado, alo wotea kutri vevie. Le teteɖeanyi alea ɣeyiɣi didi kple aɖuɖɔ ƒuƒu sesẽ si toa ame ŋu ta la, lãmeka kple lãmeka siwo kpɔa gome le aɖuɖɔtoe me la ate ŋu agblẽ. Emegbe nɔnɔmea gagblẽna ɖe edzi. Bu eŋu kpɔ, ne èle agbagba dzem be yeaʋu ʋɔtru aɖe eye wòtsi, ne míetue sesĩe wu la, nuwo abe ʋɔtrua ƒe ʋuƒo ene hã ate ŋu agblẽ, alo? Emae nye nusi dzɔna le afisia.

Aleke nɔnɔme sia kpɔa ŋusẽ ɖe wò ŋutilã dzii?

Menye dɔléle ɖeka koe ODS nye o. Ele abe akɔtakpoxɔnu ene. Le akɔtakpoxɔnu ma te la, nɔnɔme vovovo geɖe li siwo nana ame ƒe dɔgbo dea dɔme eye wòsesẽna na ame be wòaɖe aɖuɖɔ. Nusi bɔ ɖe nusiawo katã ŋue nye dɔmeɖui ƒe dzesiwo.

Hafi ɖɔktawo nate ŋu anya dɔgbo ƒe dɔléle la, ele be dzesi siwo gbɔna la dometɔ eve alo esi wu nenema nanɔ anyi ŋkeke 90 :

• Teteɖeanyi wu zi 25% la, èɖea aɖuɖɔ.
• Seselelãme si nye be womeɖea ame le aɖuɖɔ me bliboe o le aɖuɖɔtoe siwo wu 25% me.
• Aɖuɖɔ sesẽ siwo ƒu la toto wu ɣeyiɣia ƒe 25%.
• Ele be woazã nusiwo le abe asibidɛwo ene atsɔ aɖe aɖuɖɔ si wu 25% le ɣeyiɣia me.
• Aɖuɖɔtoe si mede zi etɔ̃ le kwasiɖa me o.

Gake ɖewohĩ tsikpe gã la ƒe nugbɔ koe dzesi siawo nye. Ðewohĩ nɔnɔme bubu aɖewo hã li siwo ŋu womeke ɖo haɖe o.

Dɔmeɖui si nɔa anyi didi ate ŋu ahe kuxi bubu geɖewo vɛ le ɣeyiɣi aɖe megbe. Ɣeaɖewoɣi la, esesẽna be woanya nusi gbɔ wòtso le gɔmedzedzea me kple nusi gbɔ wòtso emegbe.

Ame siwo aɖuɖɔtoe me toto sesẽna hã ate ŋu ato nɔnɔme bubuwo abe:

• Akɔta ƒe dɔmawɔmawɔ nyuie: Lãmetsi kple lãmeka siwo le wò akɔta ƒe akpa si le (teƒe si le wò ƒodo te) mewɔa dɔ ɖekae nyuie be woato aɖuɖɔ me o. Bu eŋu abe ƒuƒoƒo aɖe si le dɔ wɔm ɖekae ene, gake ame ɖesiaɖe le nu vovovowo wɔm.
• Organ prolapse: Ŋutinu si le akɔta ƒe akpa si le abe tsinyegoe, vidzidɔ, alo dɔgbo ene, si ge tso eƒe nɔnɔme si sɔ me, si tua ŋutinu bubu alo dzea agbagba be yeado le ŋutilãa me.
• Rectal hyposensation: Ŋutete si bu be wòase aɖuɖɔ ƒe anyinɔnɔ alo alesi wòhiã be woaɖe aɖuɖɔ le aɖuɖɔ me. Abe alesi míaƒe asiwo me ʋuʋudedi ƒe seselelãme bu ene.
• Dzimaɖitsitsi le aɖuɖɔtoe me: Ame aɖewo ate ŋu aƒo asa na aɖuɖɔtoe le nyanya me alo le manyamanya me le aɖuɖɔ sesẽ si me vevesese le si wokpɔna ta. Abe alesi ne èka asi nane si le dzo dam ŋu eye nèfiã ɖokuiwò ene la, àte ŋu avɔ̃ be yeagaka asi eŋu ake.

Aleke gbegbee nɔnɔme sia bɔe?

Xexeametɔwo ƒe 18% lɔƒo, alo ame 18 le ame 100 ɖesiaɖe me, le dɔléle sia si bɔ si woyɔna be dɔgbo ƒe dɔmawɔmawɔ nyuie la lém. Ebɔ ɖe nyɔnuwo kple ame siwo xɔ ƒe titina koŋ dome . Eyata nyae be menye wò ɖeka koe le kuxi sia me o.

Nukae nye dɔgbo ƒe dɔmawɔmawɔ nyuie ƒe dzesiwo?

Zi geɖe la, amesi ŋu dɔléle sia le ate ŋu ase le eɖokui me ale:

• Ehiã be mayi nugododeƒe, gake mesena le ɖokuinye me be nyemate ŋui o.
• Esesẽna ŋutɔ be woaɖe aɖuɖɔ, eye ɣeaɖewoɣi la, esesẽna.
• Aleke kee medze agbagbae o, mesena le ɖokuinye me be nyemeto aɖuɖɔ me keŋkeŋ o.
• Ewɔna nam abe ɖe nane tsi aɖuɖɔa ƒe mɔ dzi ene.

Esia ate ŋu abia hã be nàwɔ nu siwo gbɔna:

• Kutrikuku be woaɖe aɖuɖɔ.
• Ele be woalala ɣeyiɣi didi aɖe hafi aɖuɖɔa nado.
• Ɣeaɖewoɣi la, ele be nàzã wò asibidɛwo atsɔ akpe ɖe ɖokuiwò ŋu nàto aɖuɖɔ me. (Mègana ŋu nakpe wò le esia ŋu o, enye nɔnɔmea ƒe akpa aɖe.)
• Atike siwo naa aɖuɖɔtoe alo aɖuɖɔtoewo zazã atsɔ ado aɖuɖɔ ɖa.

Nɔnɔme sia ate ŋu ahe nu bubuwo abe:

• Miléle.
• `Fecal incontinence` (aɖuɖɔtoe si dzi womeɖu o).
• Nusi mebɔ o ɣesiaɣi.
• Susu me nɔnɔmewo abe dzimaɖitsitsi alo blanuiléle ene, elabena esia kpɔa ŋusẽ gã aɖe ɖe gbesiagbegbenɔnɔ dzi.

Nyatoƒoetoto siwo bɔ wue nye:

• Aɖuɖɔtoea senɛ le eɖokui me be yevuvu alo xɔ abi.
• Ƒodo ƒe vevesese kple eƒe kekeme.
• Anal vevesese.
• Aɖuɖɔtoe, ɖeɖiteameŋu, kple nuɖuɖu ƒe dzodzro.

Nukatae nyemate ŋu ayi nugododeƒe nyuie o? Nukawoe nye susu siwo tae?

Nu geɖe ate ŋu ahe ODS vɛ. Esiawo ate ŋu anye nusiwo wotsɔ lãwo ƒe lãmenugbagbeviwo wɔe alo mɔ̃wo . Eyae nye nuwo abe ŋutilã ƒe nɔnɔme madeamedziwo alo ŋutilã me xexe le aɖuɖɔ ƒe toto me ene. Le go bubu me la, nusiwo gbɔ wòtsona hã li siwo wɔa dɔ . Esiawo do ƒome kple ahɔhɔ̃ kple lãmekawo ƒe dɔwɔwɔ.

Zi geɖe la, nusiwo gbɔ wòtsona ƒomevi evea siaa ate ŋu anɔ anyi ɖekae. Ɣeaɖewoɣi la, nusi gbɔ wòtso ƒomevi ɖeka ate ŋu ahe evelia vɛ.

Mɔ̃ɖaŋununya ƒe susuwo:

• Perineal hernia: Ŋutinu siwo le wò ƒodo alo akɔta ƒe akpa si le wò akɔta la dona to akɔta ƒe anyigba.
• Pelvic organ prolapse: Ŋutinu si le wò akɔta ƒe akpa si ƒua du le eƒe nɔnɔme si sɔ me eye wòtutuna yia wò akɔta alo aɖuɖɔtoe me. Le kpɔɖeŋu me:
• Aɖuɖɔtoe ƒe gege: Aɖuɖɔtoea ƒe akpa aɖe dona to akɔta ƒe ʋuʋu me.
• Rectal intussusception: Aɖuɖɔtoea ƒe akpa si le etame la mu yia eme abe didiƒekpɔmɔ̃ ene.
• Rectocele (akɔta ƒe gli si gbɔdzɔ): Le nyɔnuwo gome la, gli si le aɖuɖɔtoe kple nyɔnu ƒe vidzidɔ dome la gbɔdzɔna, si wɔnɛ be akɔta dona ɖe nyɔnu ƒe vidzidɔ me. Esia ate ŋu ana aɖuɖɔ natsi teƒe si do ɖe gota.
• Solitary rectal ulcer syndrome: Abi ɖeka alo esi wu nenema ƒe dzɔdzɔ le dɔgboa me. Esia ate ŋu atso teteɖeanyi enuenu gbɔ.

Susu siwo tae wowɔa dɔ ɖo:

• Anismus (dyssynergic defecation): Be aɖuɖɔ nate ŋu ato la, ele be lãmeka siwo ƒo xlã aɖuɖɔtoea naɖe dzi ɖi. Ele be ƒodo ƒe lãmekawo hã natu wo. Dɔ sia mewɔa ɖeka nyuie o, eye le esi teƒe be lãmekaawo naɖe dzi ɖi la, wosẽna. Ele abe agbagbadzedze be yeaʋu ʋɔ aɖe ahadoe sesĩe wu ene.
• Rectal hyposensitivity: Ele be nàte ŋu ase le ɖokuiwò me be yeƒe dɔgbo yɔ fũ kple aɖuɖɔ. Ne lãmekawo gblẽ la, ate ŋu aɖe seselelãme sia dzi akpɔtɔ, si ana ahɔhɔ̃a nagaɖo dzesiwo ɖa be wòagblɔ na wò be nàɖe aɖuɖɔ o.
• Tagbɔdɔlélewo: Dzimaɖitsitsi, blanuiléle, vɔvɔ̃ aɖewo, OCD (nuléle ɖe nu ŋu vevie), kple nuɖuɖukuxiwo katã ate ŋu akpɔ ŋusẽ ɖe esia dzi. Esia nye alesi susu me nyawo ate ŋu akpɔ ŋusẽ ɖe ŋutilãa dzii ƒe kpɔɖeŋu nyui aɖe.

Esiawo dometɔ ɖesiaɖe ate ŋu anye nu vevitɔ si gbɔ ODS tsona, alo ŋusẽkpɔɖeamedzi evelia si ODS hena vɛ.

Azɔ hã, nu siwo gbɔna ate ŋu ahe nɔnɔme siawo vɛ:

• Fufɔfɔ kple vidzidzi.
• Amekoko siwo wowɔna le akɔta ƒe akpa si le akɔta.
• Nuveviwɔame alo ŋlɔmiwɔwɔ si afɔku aɖe hena vɛ.

Aleke tututu ɖɔktawo dea dzesi dɔléle siae?

Ne èyi ɖɔkta gbɔ la, woabia wò dɔlélea ƒe dzesiwo gbã. Woate ŋu azã dzesidegbalẽvi hã atsɔ adzidze wò dzesiawo ƒe sesẽme.

Togbɔ be dzesi siawo ate ŋu akpe ɖe ŋuwò nànya ne wò dɔgbo ƒe dɔlélea nɔa anyi didi hã la, hafi wò ɖɔkta nate ŋu anya ODS nyuie la, ahiã be wòakpɔ egbɔ be menye nu bɔbɔe siwo gbɔ wòtso (abe nuɖuɖu ƒe tɔtrɔ hena ɣeyiɣi aɖe ene) gbɔe wòtso o. Esia abia be nàŋlɔ wò atikewɔwɔ ŋutinya ahawɔ dodokpɔ geɖe.

Dodokpɔ kawoe wowɔna tsɔ dea dzesi nɔnɔme sia?

Ne wò ɖɔkta se wò dzesiwo gɔme vɔ la, ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ siawo tɔgbe be nàsrɔ̃ nu geɖe:

• Digital Rectal Exam: Zi geɖe la, esiae nye dodokpɔ gbãtɔ si wowɔna. Ðɔktaa azã asibidɛ si ŋu asigɛ le, si ŋu wosi ami ɖo atsɔ ado aɖuɖɔtoea kpɔ. Esia ate ŋu ana nàkpɔ alesi aɖuɖɔtoea loloe, nusi gbɔ vevesesea tso, ne ŋutinuawo mu, kple alesi lãmekaawo le dɔ wɔm nyuie. Esia adze abe ɖe mefa vie o ene, gake enye dodokpɔ vevi aɖe ŋutɔ.
• Defecography (X-ray alo MRI of the bowel movement): Esia bia be nàɖe foto wò dɔgbo ƒe akpa si le eme. Ðɔktaa ade nu tɔxɛ aɖe (abe barium ene) wò dɔgbo me. Emegbe, woabia tso asiwò be nàto eme abe ɖe nèle aɖuɖɔ dom ene. Wowɔa esia le nɔnɔmetataɖeƒe tɔxɛ aɖe si ame ŋutɔ ate ŋu awɔ le. Ðɔktaa alé ŋku ɖe wò ŋutinu ememetɔwo ŋu le kɔmpiuta dzi. Esia ate ŋu akpe ɖe ŋuwò nànya wò dɔgbo ƒe nɔnɔme, wò lãmekawo ƒe dɔwɔwɔ, kple mɔxenu ɖesiaɖe si ate ŋu axe mɔ na wò aɖuɖɔtoe.
• Anorectal Manometry: Dodokpɔ sia dzidzea alesi wò lãmekawo kple lãmekawo wɔa dɔ ɖekae nyuie be wòakpe ɖe ŋuwò nàto aɖuɖɔ me. Wotsɔa mɔ̃ tsɛ aɖe (catheter) si me ʋuƒo sue aɖe le la dea wò akɔta, eye wotsɔa tsi dzodzoe yɔa ʋuƒoa me. Wotsɔa mɔ̃a ƒe nuwuwu kemɛ doa ka kple mɔ̃ aɖe si dzidzea lãmekawo ƒe dɔwɔwɔ. Esia ate ŋu adzidze wò akɔta ƒe nyaƒoɖeamenu, seselelãme, kple eƒe dɔwɔwɔ ɖekae.

Àte ŋu ase le ɖokuiwò me be vɔvɔ̃ ɖo vie alo màvo le ɖokuiwò me o ne èse dodokpɔ siawo ŋu nya. Gake woate ŋu akpe ɖe ŋuwò ŋutɔ le nusi tututu gbɔ wò nɔnɔmea tso didi me. Bia wò ɖɔkta nya ɖesiaɖe si anɔ asiwò.

Nukawoe nye atike siwo wozãna na esia?

Zi geɖe la, nusiwo gbɔ ODS tsona la sesẽna, eye nu geɖe do ƒome kple wo nɔewo, eyata zi geɖe la, atikewɔwɔa nyea nusianu eye womewɔa nu ɖe ​​ame ŋu nyuie o.Wowɔa esia le mɔ aɖe nu. Anɔ eme be womate ŋu ada esia to amekoko ɖeka ko me o. Ne wokafui be woawɔ dɔ nɛ, eye wòɖɔa ŋutilã ƒe gbɔdzɔgbɔdzɔ aɖe ɖo hã la, menye ɣesiaɣie wòdaa gbe le ame ŋu keŋkeŋ o. Dzesiawo ate ŋu anɔ anyi alo agadze egɔme ake. Elabena nu bubuwo li siwo ŋu wòle be woakpɔ, ɖewohĩ womeke ɖe wo ŋu haɖe o.

Esiawoe nye nu gbãtɔ siwo ɖɔktawo kafu na amesiame:

• Fibre geɖe tsɔtsɔ kpe ɖe wò nuɖuɖu ŋu: Anɔ abe gram 30-40 ene gbesiagbe. Nuwo abe mɔli, amagbewo, atikutsetsewo, kple nuku blibowo ene.
• No tsi geɖe: wòwu lita 2 gbesiagbe.
• Aɖuɖɔ fafɛ alo aɖuɖɔtoemetike , aƒeme enemas , kple tsidede dɔgbo me ne ehiã.
• Yoga kple ɖiɖiɖememɔnu siwo wofia mɔe ate ŋu akpe ɖe ame ŋu wòaɖe dzi ɖi le akɔta ƒe lãmekawo ŋu eye wòaɖe nuteɖeamedzi dzi akpɔtɔ.

Le amesiwo ƒe dzesiwo tso lãmekawo alo susuŋutinunya gbɔ gome (ame siwo ŋu dɔléle sia le ƒe akpa eve le etɔ̃ me lɔƒoe nu mawo tɔgbe gblẽa nu le):

• Biofeedback therapy: Esia ɖea vi ŋutɔ na nɔnɔmewo abe anismus (ŋutete be woaɖe asi le lãmeka siwo ʋuna le akɔta ŋu) kple akɔta ƒe dɔmawɔmawɔ nyuie. Le esia me la, woɖea wò ŋutilã ƒe dɔwɔwɔ (abe lãmekawo ƒe tete ene) fiana wò to mɔ̃ aɖe dzi. Emegbe àte ŋu ana hehe ɖokuiwò be nàɖu dɔwɔna ma dzi le nyanya me.
• Tagbɔdɔdada: Ne ehiã la, di kpekpeɖeŋu tso tagbɔdɔdala alo aɖaŋuɖola gbɔ. Esia ate ŋu ada nɔnɔmewo abe dzimaɖitsitsi, blanuiléle, kple vɔvɔ̃ be yeaɖe aɖuɖɔ ene.

Le ŋutilã me kuxiwo gome (abe ŋutilã ƒe dɔwɔwɔ ƒe kuxiwo abe lãmekawo ƒe gege ɖe lãme ene): Ne atikewɔwɔ bubuwo mekpe ɖe ame ŋu o la, ɖɔktawo ate ŋu aɖo aɖaŋu be woawɔ dɔ nɛ. Amekoko ƒomevi vovovowo li siwo woate ŋu awɔ:

• Posterior colporrhaphy for rectocele: Be woagbugbɔ akɔta ƒe gli si ge la aɖo anyi ahado ŋusẽe.
• Stapled transanal rectal resection (STARR) na rectocele kple intussusception: Amekoko be woado ŋusẽ aɖuɖɔtoe ƒe ŋgɔgbegli.
• Rectopexy: Le dɔgboa ƒe gege me la, wogbugbɔa aɖuɖɔtoea yia eƒe nɔnɔme si sɔ me eye woɖɔnɛ ɖo. Ɣeaɖewoɣi la, wozãa mesh na esia. Ɣeaɖewoɣi la, ahiã be woaɖe dɔgboa ƒe akpa aɖe hã le amekoko sia me.

Ðo ŋku edzi be amekoko nyea mɔnu mamlɛtɔ ɣesiaɣi. Wò ɖɔkta alé ŋku ɖe wò nɔnɔmea ŋu nyuie eye wòakafu atikewɔmɔnu si nyo na wò.

Nukae etsɔme ahe vɛ na amesiwo ŋu dɔléle sia le?

Atikewɔwɔ siwo me woɖea mɔ ɖe nu ŋu le ate ŋu akpe ɖe ame siwo ade 30% ŋu woakpɔ atike alo dzesiawo dzi ɖeɖe kpɔtɔ. Ðewohĩ ahiã be woayi agbenɔnɔ ƒe tɔtrɔ (nuɖuɖu, tsi, kamedede) kple aƒeme atikewɔwɔ (atikewo, enemas) dzi, gake woate ŋu ana gbɔdzɔe ame ŋutɔŋutɔ.

Atikewɔwɔwo abe biofeedback kple susumedɔdada ene xɔa ɣeyiɣi kple ɖokuitsɔtsɔna hafi dona tso eme, gake woƒe viɖewo ate ŋu anɔ anyi eteƒe nadidi. Nusiwo dona tso amekoko me to vovo. Edze abe amekoko wɔa dɔ nyuie wu ne wotsɔe kpe ɖe atikewɔwɔ bubuwo ŋu ene.

Aɖuɖɔtoe dodo sesẽ nye kuxi si ŋu wòle be woalé ŋku ɖo enumake. Gake ate ŋu asesẽ be woanya nusi gbɔ wòtso. Awɔ nuku na wò be ɖoɖo geɖe siwo le míaƒe ŋutilã me – ahɔhɔ̃a gɔ̃ hã – kpɔa gome le aɖuɖɔtoe ƒe dɔwɔwɔ me!

Dzɔgbenyuietɔe la, atikewɔmɔnu geɖe siwo ɖɔktawo kafu na ODS hã ate ŋu aɖe vi na amesiame si dɔmeɖui le edziedzi. Àte ŋu adze egɔme kple agbenɔnɔ ƒe tɔtrɔ, aƒeme atikewo, kple atikewɔwɔ egbea. Gake anyo ɣesiaɣi be nàyi ɖɔkta gbɔ be woadoe kpɔ. Ate ŋu agbe atikewɔwɔ alo ŋutilã me kuxi bubu siwo ate ŋu anɔ wò nɔnɔmea hem vɛ eye wòada esiawo hã. Eye, ne esrɔ̃ nu geɖe tso wò nɔnɔmea ŋu vɔ la, ate ŋu aƒo nu tso wò dɔlélea ŋu na wò.

Mlɔeba la, ɖo ŋku esia dzi !

Enyo, eyata nusiwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe egbea me dometɔ aɖewoe nye esi:

• Aɖuɖɔtoetetedɔ (UDI) nye dɔléle si sesẽ vie si ate ŋu atso nusiwo wu ɖeka gbɔ.
• Ne nugododeƒe yiyi sesẽ na wò, wò dɔgbowo ƒu, eye nèse le ɖokuiwò me be yemeto aɖuɖɔ me o la, mègaŋe aɖaba ƒu edzi ko o.
• Ne dzesi siawo le ŋuwò la, mègakpe ŋu alo navɔ̃ o, yi ɖɔkta gbɔ. Ne èke ɖe nusi gbɔ wòtso ŋu eye nèxɔ atike nyuitɔ la, àte ŋu ado le nɔnɔme sia me.
• Agbenɔnɔ ƒe tɔtrɔ bɔbɔewo (nuɖuɖu siwo me fibre sɔ gbɔ ɖo, tsi, kamedede) ate ŋu ana tɔtrɔ gã aɖe nava.
• Ɣeaɖewoɣi la, atikewɔwɔ tɔxɛwo abe `Biofeedback` alo amekoko ate ŋu ahiã. Wò ɖɔkta aɖo aɖaŋu na wò tso esia ŋu.
• Menye wò ɖeka koe le kuxi sia me o. Nɔnɔme sia ɖea fu na ame geɖe. Eyata sẽ ŋu eye nàwɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi.

Míele lãmesẽ nyui dim na wò!

` Aɖuɖɔtoe, Aɖuɖɔtoewo dodo sesẽ, Aɖuɖɔtoe si woxe mɔ na ƒe dɔléle, Aɖuɖɔtoedɔléle, Akɔta ƒe Gbɔdzɔgbɔdzɔ, Kuɖiɖi, Aɖuɖɔtoe Dada