Èle agbagba dzem be yeato Aɖuɖɔ mea? Srɔ̃ Nu Tso Aɖuɖɔtoe si Woxe Mɔ Na Ŋu Kple Nirogi Lanka

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yele agbagba dzem be yeato aɖuɖɔ me ne èyi nugododeƒea? Ðe nèsena le ɖokuiwò me be yeƒe dɔgbowo le ʋuʋum atraɖii, èsena le ɖokuiwò me be yeƒe dɔgbowo xe, alo nèsena le ɖokuiwò me be yemekɔ yeƒe dɔgbowo me keŋkeŋ oa? Ðewohĩ èyia ŋkeke geɖe siwo me aɖuɖɔtoe aɖeke mele o kuraa? Ɣeaɖewoɣi la, esia menye dɔmeɖui si bɔ ko o. Le Nirogi Lanka la, egbea míele nu ƒom tso atikewɔwɔ ƒe nɔnɔme aɖe si woyɔna be Obstructed Defecation Syndrome (ODS) ŋu. Togbɔ be ŋkɔa aɖi nya sesẽ hã la, ne míagblɔe bɔbɔe la, efia mɔ̃ alo dɔwɔwɔ ƒe mɔxenu si nana aɖuɖɔtoe ƒe nuwɔna sesẽna alo medea blibo o.

Nukae Nye Aɖuɖɔtoe si Woxe Mɔ Na ƒe Dɔléle?

Kpuie ko la, Abstructed Defecation Syndrome (ODS) nye nɔnɔme si me nèsena le ɖokuiwò me be yeaɖe aɖuɖɔ, gake le ŋutilã me la, màte ŋu akɔ wò dɔgbo me nyuie o. Nu geɖe li siwo gbɔ wòtsona, tso xɔtuɖoɖo (mɔ̃ɖaŋu) nya siwo le akɔta ƒe akpa si le akɔta ƒe akpa si le akɔta la me dzi va ɖo dɔwɔwɔ alo susu me nyawo dzi.

Ne èle esia me tom la, àte ŋu ade dzesi nu siwo gbɔna:

• Seselelãme si nɔa ame me ɣesiaɣi be ehiã be yeayi, gake yemate ŋu ato aɖuɖɔ me o.
• Aɖuɖɔtoe si mebɔ o, si dzɔna ɣeaɖewoɣi ŋkeke ʋɛ aɖewo ko.
• Seselelãme si yia edzi be womeɖea amewo ɖa keŋkeŋ o, le ɣeyiɣi aɖe zazã ɖe nugododeƒe megbe gɔ̃ hã.

Esia tae nèkpɔa dɔmeɖui enuenu ɖo . Le go aɖewo me la, aɖuɖɔ si xaxa ɖe eme ate ŋu ado le eme le mɔ si dzi womate ŋu aɖu o nu; woyɔa esia be (Fecal Incontinence) . Àte ŋu akpɔe be yezãa ɣeyiɣi si gbɔ eme le nugododeƒe, yele lalam be woaɖe aɖuɖɔ, alo yele teteɖeanyi me vevie. Le ɣeyiɣi aɖe megbe la, teteɖeanyi atraɖii kple aɖuɖɔ sesẽ si ƒu la ƒe toto ate ŋu agblẽ nu le lãmeka kple lãmeka siwo kpɔa gome le ʋuʋu ƒe ɖoɖoa me, si ana wò nɔnɔmea nagagblẽ ɖe edzi. Bu eŋu abe ʋɔtru si xaxa ene; ne èyi edzi le tutum kple ŋusẽ la, àde afɔku me be yeagblẽ nu le hingeawo ŋu. Gɔmeɖose ma ke ku ɖe afisia le Nirogi Lanka.

Aleke nɔnɔme sia kpɔa ŋusẽ ɖe wò ŋutilã dzii?

ODS menye dɔléle ɖeka ko o ke boŋ enye nya si wozãna tsɔ ƒoa nu tso nɔnɔme vovovo siwo hea dɔmeɖui kple dɔgbo ƒe ʋuʋu sesẽna ŋu. Nusi ɖe dzesi le nya siawo katã ŋue nye dɔmeɖui ƒe dzesi siwo nɔa anyi didi ƒe anyinɔnɔ.

Hafi ɖɔktawo nate ŋu akpɔ dɔgbo ƒe dɔmawɔmawɔ nyuie atraɖii la, ele be nàkpɔ dzesi siwo gbɔna la dometɔ eve ya teti ɣesiaɣi hena ŋkeke 90 :

• Teteɖeanyi le aɖuɖɔtoe siwo wu 25% me.
• Seselelãme si nye be womeɖea ʋua keŋkeŋ o le aɖuɖɔtoe siwo wu 25% me.
• Aɖuɖɔ sesẽ alo ƒunukpeƒewo toto wu ɣeyiɣia ƒe 25%.
• Alesi wòhiã be woawɔ asi ƒe afɔɖeɖe (abe asibidɛwo zazã ene) be wòakpe ɖe ame ŋu le dɔgbo ƒe ʋuʋu si wu 25% me.
• Aɖuɖɔtoe si mede zi etɔ̃ o ƒe dodo kwasiɖa sia kwasiɖa.

Ðo ŋku edzi be zi geɖe la, tsikpe gã la ƒe nugbɔ koe dzesi siawo nyea, elabena ate ŋu anye be dɔléle aɖewo siwo le wo te siwo ŋu womede dzesii haɖe o.

Dɔmeɖui si nɔa anyi didi ate ŋu ahe kuxiwo ƒe tsatsam vɛ afisi wòsesẽna be woade vovototo nusi gbɔ wòtso le gɔmedzedzea me kple nusiwo wògblẽna emegbe dome. Ame siwo ʋuʋu sesẽ le hã ate ŋu ado go nɔnɔme siwo gbɔna:

• Akɔta ƒe dɔmawɔmawɔ nyuie: Esia dzɔna ne lãmeka kple lãmeka siwo le wò akɔta ƒe akpa si le anyime (ƒodo ƒe akpa si le anyime) mete ŋu wɔa dɔ nyuie o hena dɔgbo ƒe ʋuʋu nyuie. Kpɔe ɖa le susu me be ƒuƒoƒo aɖe le agbagba dzem be yewoawɔ dɔ ɖekae le afisi amesiame wɔa nu le eɖokui si le—egblẽa nu le ɖoɖo bliboa ŋu.
• Lãmenugbagbeviwo ƒe gege ɖe lãme: Ne akɔta ƒe ŋutinuwo abe tsinyegoe, vidzidɔ, alo dɔgbo ene trɔ tso woƒe nɔƒe si sɔ, si ate ŋu azi ŋutinu bubuwo dzi alo ate kpɔ be yewoado le ŋutilãa me.
• Rectal hyposensation: Ŋutete si dzi ɖe kpɔtɔ be wòase le eɖokui me be aɖuɖɔ le aɖuɖɔtoea me alo be ɣeyiɣia de be woaɖe aɖuɖɔ, si sɔ kple aɖuɖɔtoe si wokpɔna ne abɔ kple afɔ dɔ alɔ̃.
• Dzimaɖitsitsi le aɖuɖɔ me: Le vevesese si aɖuɖɔ sesẽwo dodo hena vɛ ta la, àte ŋu aƒo asa na dɔgbo ƒe ʋuʋu le nyanya me alo le manyamanya me, abe alesi ame ate ŋu avɔ̃ be yeaka asi anyigba xɔdzo ŋu le dzobibi megbe ene.

Aleke gbegbee nɔnɔme sia bɔe?

Xexeame katã me tɔwo ƒe 18% lɔƒo—alo ame 18 le ame 100 ɖesiaɖe me —xɔ dɔgbo gbadzaa ƒe ʋuʋu ƒe dɔléle siawo. Ebɔ ɖe nyɔnuwo kple ame siwo xɔ ƒe titina koŋ dome . Taflatse nyae be menye wò ɖeka koe le kuxi siawo gbɔ kpɔm o.

Nukawoe nye dzesi siwo fia be esesẽna be woaɖe amewo le aƒea me?

Ne nɔnɔme sia le ŋuwò la, zi geɖe la, àte ŋu akpɔe be:

• Didi vevie be woazã nugododeƒe, gake ŋutetemanɔamesi be woato aɖuɖɔ me.
• Sesẽ alo vevesese ɖedzesi aɖe le aɖuɖɔtoe me.
• Seselelãme si nɔa ame me ɣesiaɣi be yemeʋu le teƒea bliboe o, aleke kee nèɖadze agbagbae o.
• Seselelãme be xexe alo xexe le akɔta ƒe mɔa me.

Esia awɔe be àte ŋu akpɔe be:

• Teteɖeanyi fũ akpa be aɖuɖɔ nado.
• Ɣeyiɣi didi aɖe zazã atsɔ anɔ lalam le nugododeƒe.
• Asibidɛwo zazã atsɔ akpe asi ɖe amewo ɖeɖe le teƒea ŋu. (Taflatse mègakpe ŋu na wò o; esia nye nɔnɔme sia dzi kpɔkpɔ ƒe akpa si wonya nyuie.)
• Ŋuɖoɖo ɖe aɖuɖɔtoe alo enemas ŋu be wòaʋã aɖuɖɔtoe.

Nya evelia siwo ado tso nɔnɔme sia me ate ŋu anye:

• Dɔmeɖui si nɔa anyi didi.
• Fecal incontinence (si si dona le lãme na ame si dzi womeɖu o).
• Dzimaɖitsitsi si nɔa anyi ɖaa.
• Dzimaɖitsitsi alo blanuiléle, si dzɔna zi geɖe le ŋusẽ gã si wòkpɔna ɖe wò gbesiagbegbenɔnɔ ƒe nyonyome dzi ta.

Nyatoƒoetoto siwo bɔ siwo ŋu dɔnɔwo ka nya ta le dometɔ aɖewoe nye:

• Seselelãme be vuvu alo vevesese le dɔgboa ƒe akpa si le dɔgboa me.
• Ƒodo ƒe vevesese kple eƒe kekeme.
• Anal vevesese.
• Aɖuɖɔtoe, ɖeɖiteameŋu atraɖii, kple nuɖuɖu ƒe dzodzro.

Nukatae nyemate ŋu awɔ aɖuɖɔtoe si sɔ o? Nukawoe gbɔ wòtsona?

Susu geɖewo li siwo tae ODS tsona. Esiawo ate ŋu anye lãmenugbagbeviwo alo mɔ̃wo , abe ŋutilã ƒe nɔnɔme madeamedziwo alo ŋutilã me xexe le dɔgboa ƒe mɔ me ene. Le go bubu me la, dɔwɔwɔ ƒe nusiwo gbɔ wòtso hã li , siwo ku ɖe alesi wò ahɔhɔ̃ kple lãmekawo wɔa ɖoɖo ɖe dɔa ŋui ŋu.

Zi geɖe la, nusiwo gbɔ wòtsona ƒomevi evea siaa ƒe ƒuƒoƒo nɔa anyi, eye ɖeka ate ŋu ana evelia nagado gã ɖe edzi.

Mɔ̃ɖaŋununya siwo gbɔ wòtsona:

• Perineal hernia: Esia dzɔna ne ŋutinu siwo le wò ƒodo alo akɔta ƒe nuto me tu to akɔta ƒe anyigba dzi yi anyime.
• Pelvic organ prolapse: Nɔnɔme si me ŋutinu aɖe si le wò akɔta me ɖiɖina tso eƒe dzɔdzɔmenɔnɔme, si tea wò dɔgbo alo aɖuɖɔtoe me. Kpɔɖeŋu aɖewoe nye:
• Aɖuɖɔtoe ƒe gege: Ne wò dɔgbo ƒe akpa aɖe do to aɖuɖɔtoea me.
• Rectal intussusception: Ne aɖuɖɔtoea ƒe akpa si le etame la le didiƒekpɔmɔ̃ kpɔ alo ƒu du yi akpa si le ete.
• Rectocele: Ebɔ ɖe nyɔnuwo me, afisi gli si le aɖuɖɔtoe kple nyɔnu ƒe vidzidɔ dome gbɔdzɔna, si wɔnɛ be dɔgboa dona ɖe nyɔnuwo ƒe vidzidɔ me. Zi geɖe la, esia léa aɖuɖɔ ɖe teƒe si wòdo la.
• Solitary rectal ulcer syndrome: Abi ɖeka alo esi wu nenema ƒe dzɔdzɔ le dɔgboa me, eye zi geɖe la, eƒe teteɖeanyi si nɔa anyi didi gbɔe wòtsona.

Nusiwo Gbɔ Dɔwɔwɔ tsona:

• Anismus (dyssynergic defecation): Be aɖuɖɔ nato la, ele be wò akɔta kple wò akɔta ƒe lãmekawo naɖe dzi ɖi, eye wò ƒodo ƒe lãmekawo natu. Le anismus gome la, lãmeka siawo mete ŋu wɔa dɔ ɖekae o; le esi teƒe be woaɖe dzi ɖi la, woblaa wo sesĩe—abe alesi wodzea agbagba be yewoaʋu ʋɔ aɖe esime ame aɖe le ehem tso akpa kemɛ ene.
• Aɖuɖɔtoe ƒe seselelãme si mebɔ o: Zi geɖe la, edzroa wò be yeato aɖuɖɔ me ne yeƒe dɔgbo yɔ fũ. Lãmetsiŋusẽ ƒe gbegblẽ ate ŋu aɖe seselelãme sia dzi akpɔtɔ, si fia be wò ahɔhɔ̃ mexɔa dzesi si hiã be wòakɔ wò dɔgbowo me gbeɖe o.
• Tagbɔdɔléle: Nɔnɔmewo abe dzimaɖitsitsi, blanuiléle, vɔvɔ̃, OCD, kple nuɖuɖukuxiwo ate ŋu akpɔ ŋusẽ ɖe dɔgboa ƒe dɔwɔwɔ dzi vevie. Esia nye alesi wò susu ƒe nyonyo do ƒome kplikplikpli kple wò ŋutilã ƒe lãmesẽ ƒe kpɔɖeŋu si me kɔ.

Nɔnɔme siawo dometɔ ɖesiaɖe ate ŋu anye nu vevitɔ si gbɔ ODS tsona, alo ŋusẽkpɔɖeamedzi evelia si dona tso eme.

Tsɔ kpe ɖe eŋu la, nu siwo gbɔna ate ŋu ahe nɔnɔme siawo vɛ:

• Fufɔfɔ kple vidzidzi.
• Amekoko siwo wowɔ va yi le akɔta.
• Ŋutilã me nuveviwɔame alo ŋlɔmiwɔwɔ.

Aleke ɖɔktawo wɔa anya dɔléle sia le Nirogi Lanka?

Le wò aɖaŋuɖoɖo xɔxɔ me la, wò ɖɔkta adze egɔme kple wò dzesiwo me dzodzro tsitotsito. Woate ŋu azã dzesidegbalẽvi aɖe atsɔ akpɔ alesi wò dɔlélea nu sẽe.

Togbɔ be dɔwɔnu siawo kpena ɖe ame ŋu wòdea dzesi dɔmeɖui si nɔa anyi didi hã la, ODS didi bia be woaɖe nusiwo gbɔ wòtso bɔbɔe wu abe nuɖuɖu ƒe tɔtrɔ hena ɣeyiɣi aɖe ene ɖa. Wò ɖɔkta alé ŋku ɖe wò atikewɔwɔ ŋutinya ŋu nyuie eye wòaɖo aɖaŋu na wò be nàwɔ dodokpɔ aɖewo koŋ.

Dodokpɔ siwo wowɔna tsɔ dea dzesi dɔlélea:

• Digital Rectal Exam: Esia nye dodokpɔ gbãtɔ si wowɔna ɖaa. Ðɔktaa zãa asibidɛ si wotsɔ ami blae, si ŋu asigɛ le, léa ŋku ɖe dɔgboa ŋu be yeakpɔe ɖa be xexe, vevesese, ŋutinuwo ƒe gege, kple lãmekawo ƒe dɔwɔwɔ hã. Togbɔ be ate ŋu ase le eɖokui me be yemele dedie o hã la, enye afɔɖeɖe vevi aɖe si woatsɔ anya dɔlélea.
• Defecography: Dɔwɔwɔ sia ɖea wò dɔgbo ƒe dɔwɔwɔ fiana tso ememe. Wodea nusi naa vovototodedeameme (abe barium ene) wò dɔgbo me, eye woabia tso asiwò be nàɖee le xɔ si me ame aɖeke mele o, si me ame aɖeke mele o me. Esia wɔnɛ be ɖɔktawo te ŋu kpɔa alesi aɖuɖɔtoea ƒe nɔnɔme le le susu me eye wodea dzesi mɔ̃ɖaŋununya ƒe mɔxenu alo lãmekawo ƒe dɔwɔwɔ ɖekae ƒe nya ɖesiaɖe le ɣeyiɣi ŋutɔŋutɔ me.
• Anorectal Manometry: Dodokpɔ sia dzidzea alesi wò lãmekawo kple lãmekawo wɔa ɖeka nyuie le aɖuɖɔtoe me. Wotsɔa ka tsɛ aɖe si me ʋuƒo sue aɖe le dea dɔgboa me. Tsi dzodzoe yɔa balloon la me fũ, eye catheter la ŋlɔa alesi wò lãmekawo wɔa nui, si naa nyatakaka siwo sɔ pɛpɛpɛ tso alesi wò lãmekawo sena le ɖokuiwò me, nyaƒoɖeamenu, kple dɔwɔwɔ ɖekae ŋu.

Enye dzɔdzɔme nu be woatsi dzodzodzoe le dodokpɔ siawo ŋu, gake wole vevie be woate ŋu akpɔ dɔlélea nyuie. Taflatse bia nya ɖesiaɖe si le asiwò la wò ɖɔkta faa.

Nukawoe nye atikewɔmɔnu siwo woate ŋu azã?

Esi wònye be ODS sesẽ eye wòto vovo ta la, atikewɔwɔ le Nirogi Lanka nye esi me wowɔa nusianu le eye womewɔa nu ɖe ​​ame ŋu nyuie o . Ƒã hafi amekoko koe nyea egbɔkpɔnu; ne eɖɔ ŋutilã ƒe dɔwɔwɔ ƒe nya aɖe ɖo gɔ̃ hã la, ɖewohĩ makpɔ dzesiawo katã gbɔ o, elabena nu bubu siwo gbɔ wòtso ate ŋu anɔ anyi kokoko.

Zi geɖe la, aɖaŋuɖoɖo gbãtɔwo dometɔ aɖewoe nye:

• Nuɖuɖu me fibre dzi ɖeɖe kpɔtɔ: Taɖodzinu na gram 30–40 gbesiagbe to aŋgba damawo, amagbewo, atikutsetsewo, kple nuku blibowo dzi.
• Tsi ƒe dzidziɖedzi: No tsi lita 2 ya teti gbesiagbe.
• Dɔgbo dzi kpɔkpɔ: Aɖuɖɔtoemefamɔ̃wo, aɖuɖɔtoemetikewo, aƒemenuzazãwo, alo dɔgbometikewo zazã, ne wò ɖɔkta kpɔe be ehiã.
• Yoga kple ɖiɖiɖeme: Mɔnu siwo fiaa mɔ ame kpena ɖe ame ŋu wòɖea akɔta ƒe tete ɖa eye wòkpɔa nuteɖeamedzi dzi.

Le amesiwo ŋu lãmekawo ƒe dɔwɔwɔ alo susumenuwo le gome (siwo nye dɔléleawo ƒe akpa eve le etɔ̃ me lɔƒo):

• Biofeedback therapy: Ewɔa dɔ ŋutɔ na nɔnɔmewo abe Anismus kple akɔta ƒe dɔmawɔmawɔ nyuie. Atikewɔwɔ sia naa nyatakaka siwo le ɣeyiɣi ŋutɔŋutɔ me ku ɖe alesi wò lãmekawo wɔa dɔe ŋu, si wɔnɛ be nèsrɔ̃a alesi nàɖu wo dzi le nyanya me ahawɔ ɖoɖo ɖe wo ŋu.
• Tagbɔdɔdada: Woate ŋu akafu aɖaŋuɖoɖo be woatsɔ akpɔ dzimaɖitsitsi, blanuiléle, alo vɔvɔ̃ si do ƒome kple dɔgbo ƒe ʋuʋu gbɔ.

Le ŋutilã ƒe wɔwɔmenyawo gome: Ne atikewɔwɔ siwo me womezãa nusiwo gblẽa nu le ame ŋu o mewɔa dɔ o la, wò ɖɔkta ate ŋu adzro amekoko ƒe tiatia siwo nàwɔ atsɔ akpɔ ŋutilã ƒe gbɔdzɔgbɔdzɔ tɔxɛ aɖewo gbɔe me.

• Posterior colporrhaphy for Rectocele: Dɔwɔwɔ si wowɔna tsɔ dzraa gli si gbɔdzɔ si le dɔgboa kple nyɔnu ƒe vidzidɔ dome ɖo hedoa ŋusẽe.
• Stapled transanal rectal resection (STARR) na Rectocele kple intussusception: Amekoko ƒe nudede dɔa me si wowɔ be woatsɔ ado ŋusẽ dɔgbo ƒe gli si le ŋgɔgbe.
• Rectopexy for Rectal prolapse: Dɔwɔwɔ si wowɔna tsɔ trɔa aɖuɖɔtoea yia eƒe ŋutilã ƒe nɔnɔme nyuitɔ me eye wònana wòanɔ dedie. Zi geɖe la, esia bia be woazã nusi wotsɔ léa nu ɖe ​​te, eye le go aɖewo me la, woate ŋu aɖe dɔgboa ƒe akpa aɖe ɖa.

Taflatse miɖo ŋku edzi be wobua amekoko ɣesiaɣi be enye tiatia mamlɛtɔ. Wò ɖɔkta awɔ wò nɔnɔme tɔxɛa me dzodzro tsitotsito hafi aɖo aɖaŋu na wò be nàwɔ atikewɔmɔnu si sɔ na wò wu.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Zi geɖe la, atikewɔwɔ siwo me woɖea mɔ ɖe nu ŋu le hea ŋgɔyiyi alo gbɔdzɔe vɛ na dɔnɔ siwo ade 30%. Togbɔ be ahiã be nàlé agbenɔnɔ ƒe tɔtrɔ siwo anɔ anyi ɣeyiɣi didi (abe nuɖuɖu, tsidede, kple kamedede ene) kple atikewɔwɔ siwo wozãna le aƒeme (abe atikewo alo enemas ene) me ɖe asi hã la, afɔɖeɖe siawo ate ŋu ana gbɔdzɔe ɖedzesi aɖe si anɔ anyi ɖaa.

Atikewɔwɔwo abe biofeedback kple ŋutilãmedɔdada ene bia ɣeyiɣi kple ɖokuitsɔtsɔna, gake woate ŋu ana emetsonu siwo anɔ anyi eteƒe nadidi, siwo anɔ anyi didi. Amekoko me tsonu toa vovo tso ame ɖeka gbɔ yi bubu gbɔ, eye nyatakakawo ɖee fia be amekoko wɔa dɔ wu ne wotsɔe kpe ɖe atikewɔwɔmɔnu bubuwo ŋu.

Aɖuɖɔtoe me ʋuʋu sesẽ nye nɔnɔme si hiã be woakpɔ egbɔ kaba. De dzesi nusi tututu gbɔ wòtso ate ŋu asesẽ, elabena aɖuɖɔtoe ɖeɖeɖa ƒe ɖoɖoa lɔ ɖoɖo vovovowo ƒe kadodo sesẽ aɖe ɖe eme—siwo dome ahɔhɔ̃ hã le.

Dzɔgbenyuietɔe la, ODS ƒe atikewɔwɔ geɖe ɖea vi na ame ɖekaɖeka siwo ŋu dɔmeɖui si nɔa anyi didi hã. Àte ŋu adze agbenɔnɔ si me lãmesẽ le ƒe tɔtrɔwo kple aƒeme beléle na ame ƒe mɔnuwo zazã gɔme egbea; ke hã, ɖoɖowɔwɔ ɖe aɖaŋuɖoɖo kple eŋutinunyala bibi aɖe ŋu be woakpɔ dɔlélea nyuie le vevie. Wò ɖɔkta ate ŋu ado atikewɔwɔ me nya siwo gbɔ wòtso la kpɔ eye wòadzro atikewɔwɔ ƒe ɖoɖo si wowɔ na wò ŋutɔ me kpli wò ne wonya ɖo kpe dɔlélea dzi ko.

Mlɔeba la, ɖo ŋku nya vevi siawo dzi !

Be míagbugbɔ aƒo nu tso nusiwo me míedzro le Nirogi Lanka ŋu la:

• Obstructed Defecation Syndrome (ODS) nye dɔléle si me nu geɖe le si nu geɖe siwo tsia tre ɖe wo nɔewo ŋu ate ŋu ahe vɛ.
• Ne esesẽna na wò atraɖii, teteɖeamedzi le ŋuwò, alo nèsena le ɖokuiwò me be yemeɖe yeƒe aƒea me keŋkeŋ o la, mègaŋe aɖaba ƒu dzesi siawo dzi o.
• Ne dzesi siawo le ŋuwò la, mègakpe ŋu alo atsi dzimaɖi o; di atikewɔlawo ƒe aɖaŋuɖoɖo. Ne wokpɔ dɔlélea nyuie eye wodae nyuie la, àte ŋu akpɔ gbɔdzɔe.
• Agbenɔnɔ ƒe tɔtrɔ bɔbɔewo (nuɖuɖu si me fibre sɔ gbɔ ɖo, tsi nyui nana ame, kple kamedede edziedzi) ate ŋu ana vovototo gã aɖe nava.
• Ðewohĩ ahiã be woawɔ atike tɔxɛwo abe biofeedback alo amekoko ƒe nudede nyawo me ene, eye wò ɖɔkta adzro eme kpli wò.
• Menye wò ɖeka koe le esia me o. Ame geɖe doa go kuxi siawo. Nɔ susu nyui me eye nàwɔ ɖe wò atikewɔla bibiwo ƒe mɔfiamewo dzi.

Míele lãmesẽ nyuitɔ dim na wò!

Nya veviwo: Aɖuɖɔtoe, Aɖuɖɔtoe ƒe ʋuʋu sesẽ, Abstructed Defecation Syndrome, Aɖuɖɔtoe ƒe dɔléle, Akɔta ƒe dɔmawɔmawɔ nyuie, Teteɖeanyi, Dɔgbo ƒe atikewɔwɔ