Tome Amekoko: Srɔ̃ Nu tso Agbenɔnɔ Kple Aɖuɖɔtoe Ŋu

Ðewohĩ ɖɔkta aɖe gblɔ na wò alo ame aɖe si nènya tso ostomy ŋu. Esɔ be nàvɔ̃ vie, nàtsi dzodzodzoe, eye ŋu nakpe wò gɔ̃ hã ne èse be wotsɔ akplo aɖe da ɖe wò ƒodo ƒe axadzi be wòaɖe wò aɖuɖɔ alo aɖuɖɔ. Gake esia ate ŋu aɖe wò agbe, alo ate ŋu ana wò agbe nanɔ bɔbɔe wu. Eyata mina míaƒo nu tso eŋu le nya bɔbɔewo me, alo?

Nuka tututue nye ostomy?

Kpuie ko la, ostomy nye amekoko si naa mɔ bubu aɖe si dzi gbeɖuɖɔ (i.e., aɖuɖɔ alo aɖuɖɔ) ato ado le wò ŋutilã me ne wò mɔ si sɔ si dzi nàto aɖe gbeɖuɖɔ ɖa (i.e., aɖuɖɔ alo aɖuɖɔ) megale dɔ wɔm o. Woate ŋu awɔ dɔ sia ne wò nuɖuɖumeŋusẽ alo aɖuɖɔtoe ƒe akpa aɖe gblẽ, alo ne ehiã be nàna ɣeyiɣi aɖe akpa ma be wòahaya.

Le dɔwɔwɔ sia me la, amekola aɖe wɔa ʋuƒo sue aɖe ɖe wò ƒodo me. Woyɔa esia be ‘stoma’ . Emegbe, woɖea wò nuɖuɖumeŋusẽ alo aɖuɖɔtoe ƒe akpa si le lãmesẽ me si wɔa dɔ la ɖa tso akpa si mewɔa dɔ nyuie o gbɔ eye wòdoa ka kple stoma yeye si wowɔ.

Le amekoko sia megbe la, aɖuɖɔ alo aɖuɖɔ ado tso wò dɔgbo me. Gbeɖuɖɔ sia aƒo ƒu ɖe kotoku sue aɖe si wotsɔ bla ɖe wò stoma ŋu me. Míeyɔa esia be ostomy kotoku . Alesi wowɔe la nɔa anyi ɣeyiɣi kpui aɖe ko ɣeaɖewoɣi, eye ɣeaɖewoɣi la, enɔa anyi ɖaa.

• Ɣeyiɣi kpui aɖe ƒe Ostomy: Wowɔa esia be wòana mɔnukpɔkpɔ wò dɔgbo alo aɖuɖɔtoe be wòahaya le atikewɔwɔ alo amekoko vɔ megbe. Ne akpa mawo gaɖo woƒe nɔnɔme nyuitɔ me ko la, woate ŋu aɖee to amekoko bubu me.
• Ostomy Tegbee: Ehiã be woawɔ ostomy tegbee ne wò nuɖuɖumeŋusẽ alo aɖuɖɔtoe ƒe akpa aɖe gblẽ ale gbegbe be womate ŋu adzrae ɖo o, alo ne ele be woaɖe akpa ma ɖa keŋkeŋ.

Nukatae wòhiã be woawɔ ostomy na ame aɖe?

Susu geɖe li siwo tae nàdi be woawɔ ostomy na ye ɖo. Nɔnɔme sia bɔ wu alesi nàsusui. Mina míalé ŋku ɖe kplɔ̃ si le ete la ŋu nyuie.

Nukawoe nye ostomies ƒomevi veviwo?

Ostomy ƒomevi nɔ te ɖe wò ŋutilã ƒe akpa si wole to yim dzi. Wole ƒomevi vevi etɔ̃ me.

• Colostomy: Esia bia be woatsɔ wò dɔgbo gã (dɔgbo) ƒe akpa aɖe aƒo ƒu kple stoma si wowɔ le wò ƒodo me. Aɖuɖɔ dona to esia me.
• Ileostomy: Esia bia be nàtsɔ wò dɔgbo sue (ileum) ƒe nuwuwu aƒo ƒu kple stoma. Esia wɔnɛ be aɖuɖɔ toa eme.
• Urostomy: Le esia me la, wò tsinyegoewo, siwo nye mɔ̃ siwo tsɔa aɖuɖɔ, doa ka kple stoma tẽ, eye wotoa tsinyegoea ŋu. Aɖuɖɔ dona to esia me.

Viɖe kawoe le amekoko me kple afɔku siwo ate ŋu ado tso eme?

Ne ehiã be nàɖe wò nuɖuɖumeŋusẽ alo aɖuɖɔtoe ƒe akpa aɖe ɖa, alo ne ehiã be nàdzudzɔ ezazã la, ostomy ate ŋu anye agbeɖeɖedɔ. Ate ŋu ana amesi le veve sem ɣesiaɣi kple nugododeƒe le nɔnɔme aɖewo siwo nɔa anyi didi ta ƒe agbenɔnɔ hã nanyo ɖe edzi ŋutɔ.

Kuxi siwo bɔ siwo ate ŋu ado mo ɖa dometɔ aɖewoe nye esi:

• Ŋutilã ƒe Dzikudodo: Ŋutilã si ƒo xlã stoma la ate ŋu abiã eye wòado dziku le aɖuɖɔ alo aɖuɖɔ ta. Esia nye kuxi si bɔ. Woate ŋu axe mɔ ɖe esia nu akpa gãtɔ ne wobla akploa nyuie eye wokɔe edziedzi.
• Elektrikŋusẽ ƒe Masɔmasɔ: Míaƒe dɔgbo gã la mee tsi kple nunyiamewo gena ɖe ŋutilãa me le. Esi wònye be wotoa akpa sia ŋu le colostomy alo ileostomy me ta la, tsi ate ŋu adzo le ŋutilãa me alo elektrikŋusẽ ƒe masɔmasɔ nanɔ ŋutilãa me. Wò ɖɔkta aɖe alesi nàwɔ axe mɔ ɖe esia nu me.
• Mɔxexeɖedɔ: Ɣeaɖewoɣi la, dɔgboa ate ŋu axe hena ɣeyiɣi aɖe le abi siwo dona le dɔgboa me le amekoko vɔ megbe alo le nuɖuɖu si womeɖu o ta.
• Parastomal Hernia: Ne ƒodo ƒe gli si ƒo xlã stoma la gbɔdzɔ la, lãkusi si le ƒodoa me ate ŋu atutu ado goe, si ana ƒodoa nazu hernia.
• Stoma si Do: Ɣeaɖewoɣi la, dɔgboa ƒe akpa aɖe te ŋu dona to stoma la me. Zi geɖe la, ɖɔkta ate ŋu agbugbɔe ade eme, gake ƒã hafi wòahiã be woawɔ dɔ nɛ.

Ne èkpɔ nane si le abe esia ene la, nu nyuitɔ si nàwɔe nye be màgatsi dzodzodzoe ahaƒo nu kple wò ɖɔkta o.

Aleke nèléa be na wò ostomy kotokua hetrɔa asi le eŋu?

Ate ŋu axɔ kwasiɖa 8 hafi wò abi nahaya keŋkeŋ le amekoko vɔ megbe. Le ɣeyiɣi sia me la, Wound Ostomy Continence Nurse (WOCN) si wona hehee etɔxɛe afia alesi nàtrɔ wò akploa ahakɔ eŋu.

Ele be ame akpa gãtɔ natrɔ woƒe akplo ŋkeke 3 va ɖo 7 ɖesiaɖe. Ame aɖewo lɔ̃a tɔtrɔ ɖe eŋu gbesiagbe. Nu siawo nenɔ susu me na wò ne èle wò akplo ɖɔlim.

• Tutu ʋuʋudedi ɖesiaɖe si le stoma la ŋu.
• Zã tsi fafɛ kple adzalẽ fafɛ nàtsɔ akɔ ŋutigbalẽ si ƒo xlã stoma la ŋu nyuie.
• Klɔe nyuie kple tsi be nàɖe adzalẽ ƒe nugbagbevi ɖesiaɖe ɖa.
• Miƒu teƒea nyuie.

Ɣekaɣie wòhiã be nàƒo ka na ɖɔktaa kpata?

Dzesi ka ƒomevie ɖɔktaa de dzesii le amekokoa megbe?Ate ŋu asesẽ be míanya ɣeyiɣi si wòle be míaƒo nu. Ne èse le ɖokuiwò me be nane gblẽ la, mègahe ɖe megbe le nuƒoƒo me o. Yɔ wò ɖɔkta enumake, vevietɔ ne dzesi siawo le ŋuwò.

• Ne ʋeʋẽ gbegblẽ aɖe le dodom tso stoma la me
• Ne ʋu le dodom le stoma la ŋu fũ akpa
• Ne èle dɔlékui ƒe dzesiwo abe dzoxɔxɔ, ʋuʋudedi, ʋuʋudedi ene ɖem fia
• Ne dɔgbo le veve sem vevie si xɔa gaƒoƒo etɔ̃ kple edzivɔ
• Ne ŋutigbalẽa vuvu, biã, alo eƒe ʋuʋu le eŋu
• Ne tsi le wò aɖuɖɔ me wu gaƒoƒo ade

Nya siwo wobiaa ame aɖewo enuenu

Ðe woate ŋu atrɔ amekoko sia? (Ðe woate ŋu atrɔea?)

Ẽ, ɣeaɖewoɣi la, ate ŋu adzɔ. Esia nɔ te ɖe wò lãmesẽ bliboa kple alesi wò dɔgbo alo aɖuɖɔtoe ƒe akpa si gblẽ la haya nyuie dzi. Ne akpa mawo gadze dɔ bliboe ake la, àte ŋu aƒo nu kple wò amekola tso amekoko be woatrɔ ostomy la ŋu.

Aleke nèwɔna yia nugododeƒe kple ostomy kotoku?

Le ostomy wɔwɔ vɔ megbe gɔ̃ hã la, egahiã kokoko be nàzã nugododeƒea. Gake menye na aɖuɖɔtoe kple aɖuɖɔ siaa o. Tsɔe be wowɔ urostomy na wò. Emegbe èɖea aɖuɖɔ ɖe akplo me, gake èyia nugododeƒe be yeaɖe aɖuɖɔ. Ame aɖe si woɖe aɖuɖɔ alo ileostomy le la aɖe aɖuɖɔ ɖe akplo me, gake ayi nugododeƒe aɖaɖe aɖuɖɔ. Èzãa nugododeƒea hã tsɔ kɔa wò ostomy kotokua me.

Ðe wòanya wɔ be woanɔ agbe abe alesi wowɔa ostomy enea?

Blibo. Ostomy wɔwɔ mekpɔa ŋusẽ ɖe wò agbenɔƒe dzi o. Eye mexea mɔ na wò hã be mànɔ agbe si me dzidzeme le, si me dzo le o. Atikewɔwɔ ƒe nɔnɔme si na wòhiã be woawɔ ostomy ate ŋu akpɔ ŋusẽ ɖe wò agbe dzi, gake ostomy ŋutɔ ya mekpɔa ŋusẽ ɖe edzi o. Le nyateƒe me la, ɣeaɖewoɣi la, ostomy ate ŋu ana wò agbenɔƒe nadidi ɖe edzi.

Eɖanye ɣeyiɣi kpui aɖe ƒe dɔ alo ɖaa o, ostomy wɔwɔ nye tɔtrɔ gã aɖe le wò agbe me. Ele vevie be nàxɔ kpekpeɖeŋu ne èle mɔzɔzɔ sia gɔme dzem. Nuƒoƒo na kpekpeɖeŋunahawo kple amesiwo to nuteƒekpɔkpɔ sia me ate ŋu anye ŋusẽtsoƒe gã aɖe.