Ðe viwò suea ƒe dɔgbo nɔa veve sem enuenua? Mina míasrɔ̃ nu tso Ðeviwo ƒe Dɔgboŋutinunyala aɖe ŋu!

Ðe viwò gblɔna zi geɖe be, "Dada, nye dɔgbo le veve sem"? Ðe wòɖea aɖuɖɔ le notsi nono vɔ megbea? Alo ɖe medi be yeaɖu nu ŋutɔŋutɔ oa? Abe dzila ene la, ne ɖevi sue aɖe ƒe dɔgbo le vevem la, ɖewohĩ èléa blanui ŋutɔ eye vɔvɔ̃ ɖoa wò. Eyata egbea míele nu ƒom tso ɖɔkta aɖe si bi ɖe viwò ƒe nuɖuɖumeŋusẽ, si nye dɔgbo ƒe vevesese ŋu. Ðɔkta siawoe nye amesiwo míeyɔna be Ðeviwo ƒe Dɔgboŋutinunyalawo .

Amekae nye Ðeviwo ƒe Dɔgboŋutinunyala sia? (Amekae nye Ðeviwo ƒe Dɔgboŋutinunyala?)

Kpuie ko la, esia nye ɖɔkta si xɔ hehe tɔxɛ le dɔgbo me kuxiwo dada na ɖevi suewo, si fia be nuɖuɖumeŋusẽ ƒe kuxiwo, dada me. Abe ɖɔkta siwo daa dɔgbo ƒe kuxiwo na ame tsitsiwo ene, gake ɖɔkta siawo koŋ daa kuxi siawo tɔgbe le vidzĩwo, ɖevi siwo le zɔzɔm, kple ƒewuiviwo ŋu.

Viwò ƒe nuɖuɖumeŋusẽ ƒe akpa aɖewoe nye:

• Nu
• Nuɖuɖutome (mɔ̃ si tsɔa nuɖuɖu yia kɔ me) .
• Dɔgbo (afisi wodzraa nuɖuɖu siwo míeɖuna ɖo) .
• Dɔgbo sue aɖe
• Dɔgbo gã aɖe

(Esiae nye nusi míeyɔna zi geɖe be nuɖuɖumeŋusẽ alo ``Gastrointestinal alo GI tract''.)

• Eye dɔgboa hã.
• Aklã
• Aɖuɖɔtoe
• Biliary tract ƒe ʋuka

Ðɔkta bibi siawo dea dzesi kuxi siwo le go siawo katã me hedaa wo. Bu eŋu kpɔ ko, ɣeaɖewoɣi la, ɖevi ƒe dɔgbo ƒe veve ate ŋu anɔ sue ŋutɔ, eye anyo ɖe edzi le ŋkeke eve alo etɔ̃ megbe. Gake ɣeaɖewoɣi la, kuxi siawo ate ŋu asẽ , eye ate ŋu ahiã be woawɔ atike si axɔ ame ɖe agbe. Dɔléle aɖewo li siwo nɔa anyi le eƒe agbemeŋkekewo katã me, gake ne woda dɔ nyuie eye wowɔ dɔ ɖekae kple ɖɔkta la, ɖevia ate ŋu anɔ agbe abe alesi wòle ene kple dɔléle ma. Mlɔeba la, ɖɔkta siawo ƒe agbagbadzedzee nye be yewoana viwòa nanɔ agbe nyui si me dzidzɔ le (`(agbenɔnɔ ƒe nyonyome nyui)`).

Tso esime ɖevi mia nuɖuɖu, ɖunɛ, eye wòɖea aɖuɖɔ mlɔeba la, nusianu si dzɔna la sesẽna ŋutɔ. Ðɔkta bibi siawo nya dɔ sia katã nyuie ŋutɔ. Eya ta woate ŋu ado viwòa kpɔ ahawɔ nu ɖe ​​eŋu le mɔ si asɔ na wò nu. Woate ŋu akpe ɖe ŋuwò hã be nàse viwòa ƒe dɔléle kple nu si nàkpɔ mɔ na le etsɔme la gɔme.

Nuka tututue ɖɔkta siawo wɔna? (Nukae Ðeviwo ƒe Dɔgboŋutinunyalawo wɔna?)

Ðeviwo ƒe dɔgboŋutinunyalawo wɔa nusianu si ame tsitsiwo ƒe dɔgboŋutinunyalawo wɔna. Vovototoae nye be wowɔa dɔ siawo na vidzĩwo, ɖevi siwo le zɔzɔm, kple ɖevi suewo. Woƒe gbesiagbedɔwo ate ŋu anye:

• Woƒoa nu kple dzilawo eye wobiaa ɖevia ƒe dzesiwo kple eƒe atikewɔwɔ ŋutinya.Woabia nyawo wò abe, "Ɣeyiɣi didi kae vidzĩa ƒe dɔgbo le veve sem?", "Ðe wòle ʋuʋum?", "Ðe wòle lolo dzim ɖe edzia?"
• Woate ŋu aɖo wò ɖe nɔnɔmetatawo dodokpɔ tɔxɛwo wɔwɔ me be woanya nusi tututu dɔlélea nye, alo woawo ŋutɔwo ate ŋu awɔ dɔ aɖewo.
• Wodaa dɔléle si wokpɔna. Ate ŋu anye kple atikewo, alo ate ŋu anye atikewɔwɔ bubuwo.
• Wole numekuku bubuwo wɔm tso ɖeviwo ƒe dɔgbo ƒe dɔlélewo ŋu .
• Le etsɔme la, ɖɔktawo afia nu ame bubuwo ahafia mɔ wo.

Dodokpɔ kple atikewɔwɔ ka ƒomevie ɖɔkta siawo wɔna? (Dɔwɔwɔ siwo Ðeviwo ƒe Dɔgboŋutinunyala ate ŋu awɔ)

Ðɔkta bibi siawo ate ŋu awɔ dodokpɔ kple dɔdamɔnu vovovowo. Le kpɔɖeŋu me, wona hehe wo etɔxɛe be woawɔ dodokpɔ aɖe si woyɔna be endoscopy .

Kpuie ko la, endoscopy nye dɔdamɔnu si me wotsɔa mɔ̃ legbe tsɛ aɖe si ŋu fotoɖemɔ̃ le dea ɖevia ƒe ŋutilã me be wòalé ŋku ɖe eme be yeanya nusi gbɔ dzesiawo tso. Ðevia ƒe dzesiwo kple nusi ɖɔktaa di be yeakpɔ lae fiaa afisi mɔ̃a le.

`(Endoscopy)` ƒomevi aɖewoe nye esi:

• Upper endoscopy: Esia bia be woatsɔ mɔ̃ aɖe ade nu me. Enaa ɖevia kpɔa nuɖuɖutome, dɔgbo, kple dɔgbo sue (duodenum) ƒe akpa si le etame.
• Dɔgbomekpɔkpɔ: Esia bia be woade mɔ̃ aɖe to aɖuɖɔtoe me (si le aɖuɖɔtoea me) atsɔ ado dɔgbo gã bliboa (dɔgbome) kpɔ.
• Capsule endoscopy: Esia to vovo vie. Ðevia mia fotoɖemɔ̃ sue aɖe, si le abe vitamin-tike ene. Fotoɖemɔ̃a ɖea dɔgbo suea ƒe foto esime wòle zɔzɔm to ŋutilãa me.

`(Endoscopy)` dodokpɔ siawo nye kpekpeɖeŋu gã aɖe le dɔlélewo didi me. Elabena wote ŋu léa ŋku ɖe ɖevia ƒe nuɖuɖumeŋusẽ ƒe ŋutinuwo me. Ɣeaɖewoɣi le dodokpɔ sia me la, woate ŋu axɔ lãkusi sue aɖe (`(biopsy)`) atsɔ aɖoe ɖa be woagawɔ dodokpɔ bubuwo. Azɔ hã, ɣeaɖewoɣi la, woate ŋu azã `(Endoscopy)` atsɔ ada dɔlélea.

Tsɔ kpe ɖe eŋu la, ɖeviwo ƒe dɔgboŋutinunyalawo ate ŋu awɔ nuwo abe:

• Aklãɖeɖe nye dɔ si wowɔna tsɔ ɖea aklã ƒe akpa sue aɖe be woakpɔe ɖa be aklãdɔ aɖe li hã, nusi gbɔ wòtso, kple alesi gbegbe wògblẽ nu le eŋu.
• Ne nuɖuɖu sesẽ na ɖevia la, woate ŋu ade nuɖuɖu ƒe mɔ̃ (`(nuɖuɖumɔ̃)`) eme be wòana nunyiame si hiã, alo woate ŋu ana nunyiame to ʋuka me ʋuka (`(IV catheter)`) dzi.
• Wɔ dodokpɔ tɔxɛwo (`motility testing`) be nàkpɔe ɖa be lãmeka gbadzawo kple lãmeka siwo le viwò ƒe nuɖuɖumeŋusẽ me le dɔ wɔm nyuie hã.

Ɣekaɣie woatsɔ ɖevi ayi dɔgboŋutinunyala gbɔ? (Nukatae woatsɔ ɖevi ayi dɔgboŋutinunyala gbɔ?)

Ðewohĩ ahiã be viwòa nayi eŋutinunyala bibi aɖe abe esia ene gbɔ be woadoe kpɔ alo awɔ atike nɛ. Nyabiase aɖewo siwo ɖɔkta siawo ate ŋu akpe asi ɖe wo ŋu le lae nye esi:

• Ne ɖevia ɖe dzesi siwo ku ɖe nuɖuɖumeŋusẽ ŋu fia (`(GI dzesiwo)`) . (e.g. dɔgbo ƒe vevesese atraɖii, ʋuʋudedi, aɖuɖɔtoe, dɔmeɖui).
• Le nɔnɔme siwo me ɖevia mexɔa nunyiame siwo le nuɖuɖu si woɖuna me o me.
• Ne womeda dɔlélea nyuie o la , kuxi bubuwo ate ŋu ado mo ɖa .
• Ɣeaɖewoɣi le nɔnɔme siwo me agbe ɖoa afɔku me me .

Vevietɔ la, zi geɖe la, ɖeviwo ƒe dɔdalawo ɖoa ɖeviwo ɖe dɔgboŋutinunyala gbɔ hena ƒodo ƒe vevesese si wɔa dɔ. Ne viwò ƒe dɔgbo le veve sem enuenu si le mɔ xem nɛ be megate ŋu dea suku alo le fefem o la, ate ŋu anye mɔxenu gã aɖe na eƒe gbesiagbedɔwo. Susu geɖewo ate ŋu anɔ anyi siwo gbɔ dɔgbo ƒe vevesese siawo tso. Dɔgboŋutinunyala ate ŋu awɔ dodokpɔwo atsɔ anya nusi tututu le edzi yim.

Dɔléle siwo ɖɔkta siawo daa dɔ na dometɔ aɖewo ɖe? (Nɔnɔme siwo ɖeviwo ƒe dɔgboŋutinunyalawo dea dzesii hedaa wo ƒe kpɔɖeŋuwo)

Ðeviwo ƒe dɔgboŋutinunyalawo daa dɔ geɖe, siwo dometɔ aɖewoe nye:

• Celiac dɔléle: Esia nye protein si woyɔna be gluten (si le lu kple ƒo me) ƒe nulɔdɔ.
• Cyclic vomiting syndrome: Aɖuɖɔtoe ŋkeke geɖe le susu aɖeke manɔmee.
• Eosinophilic esophagitis (EOE): Nuɖuɖutome (nuɖuɖu ƒe pɔmpi) ƒe dɔdzẽ si nulɔdɔ aɖe hena vɛ.
• Nuɖuɖu ƒe nulɔdɔ alo mɔmaɖemaɖeɖenuŋu: Ðevi ƒe nuɖuɖu aɖewo ƒe mɔmaɖemaɖeɖenuŋu.
• Gastroesophageal reflux disease (GERD): Dɔgbo me nusiwo trɔna yia nuɖuɖutome (si sɔ kple dɔgbo ƒe dɔléle).
• Ʋu si dona le nuɖuɖumeŋusẽ me (GI bleeding) .
• Tsitsi ƒe ʋuʋu/lolo ƒe kpododonu .
• Dɔgbo ƒe dɔléle (IBD): Esia lɔ dɔgbo ƒe dɔdzẽ ƒe nɔnɔme siwo nɔa anyi didi siwo woyɔna be Crohn ƒe dɔléle kple dɔgbo ƒe dɔléle si me abi le ɖe eme.
• Irritable bowel syndrome (IBS): Nɔnɔme si me dɔgbowo va sea veve eye wòhea dɔgbo ƒe ʋuʋu, aɖuɖɔtoe, alo dɔgbo ƒe ʋuʋu vɛ.
• Aklãdɔléle .
• GI tract ƒe ʋuʋu ƒe nyawo: Nuɖuɖu ƒe ʋuʋu nyuie to dɔgbowo me.
• Dɔgbo ƒe dɔléle .
• Nunyuimakpɔɖui .
• Lolo akpa kple lolo akpa.
• Dɔgbo kpui ƒe dɔléle: Nɔnɔme si dzɔna ɖe ɖevi siwo woɖe woƒe dɔgbo sue ƒe akpa aɖe ɖa la dzi.

Nukae nye ɖɔkta siawo ƒe nunya kple hehe? (Nukae me ɖeviwo ƒe dɔgboŋutinunyalawo bi ɖe?)

Ðeviwo ƒe dɔgboŋutinunyala nyenye mele bɔbɔe o. Ele be woato hehexɔxɔ kple hehexɔxɔ ƒe ɣeyiɣi didi aɖe me:

• Gbã la, ɖaseɖigbalẽ (anɔ abe ƒe 4 ene).
• Emegbe yi atikewɔsuku eye nàxɔ ɖɔkta ƒe dzeside (anɔ abe ƒe 4 ene).
• Nusi kplɔe ɖoe nye hehe tɔxɛ le ɖeviwo ƒe dɔlélewo ŋu (`(residency program in pediatrics)`) (anɔ abe ƒe 3 ene).
• Ema megbe hafi wowɔa hadomekpekpeɖeŋu le ɖeviwo ƒe dɔgboŋutinunya me (anɔ abe ƒe 3 ene).
• Wo dometɔ aɖewo xɔa hehe si de ŋgɔ wu gɔ̃ hã , le kpɔɖeŋu me le nusiwo nye aklãdɔléle si wodona na ame bubuwo, ahɔhɔ̃mekawo ƒe dɔgbo kple dɔgboŋutinunya, alo lolo akpa ƒe atikewɔwɔ me.

Ne wowɔ esiawo katã vɔ la, ele be woato dodokpɔwo me eye woaxɔ ɖaseɖigbalẽ le ɖeviwo ƒe dɔlélewo kple ɖeviwo ƒe dɔgbomedɔlélewo me le habɔbɔa gbɔ .

Ðeviwo ƒe dɔgboŋutinunyala aɖewo tiae be yewoabi ɖe nu bubuwo me eye yewoasrɔ̃ nu geɖe tso wo ŋu. Kpɔɖeŋuwo:

• Ðeviwo ƒe aklãdɔ kple aklã dodo na ame.
• Dɔgbo ƒe dɔléle si nana ame ƒe lãme xɔa dzo.
• Nunyiame ŋuti nunya.

Àte ŋu abu ɖɔkta siawo be wonye "ɖeviwo ƒe dɔdala siwo si ŋusẽ gãwo le." Abe ɖeviwo ƒe dɔdala siwo wɔa dɔ edziedzi ene la, wobi ɖe nuƒoƒo na ɖeviwo, wo léle ɖe te, kple nana be woƒe dzi dze eme me ŋutɔ. Ŋusẽ tɔxɛ si le wo sie nye woƒe sidzedze deto le ɖeviwo ƒe dɔgbo ƒe kuxiwo kple nuɖuɖumeŋusẽ ƒe kuxiwo ŋu. Woate ŋu akpɔ nusianu gbɔ tso dɔgbo ƒe vevesese atraɖii dzi va ɖo ʋu si dona le ame ŋu si womenya o dzi.

Ðɔkta bibi siawo li na wò hã. Enye nusi sɔ be vɔvɔ̃ nanɔ ŋuwò eye màka ɖe nusi nàkpɔ mɔ na dzi ne viwò ƒe dɔgbo le vevem o. Woaɖe nusi le edzi yim le viwòa ƒe ŋutilã me me na wò eye woana nànya nu le mɔa ƒe afɔɖeɖe ɖesiaɖe me.

Nusiwo dzi wòle be míaɖo ŋkui tso ŋutinya sia me (Take-Home Message) .

Enyo, eyata míeƒo nu tso nu geɖe ŋu egbea. Le nyataƒoƒo me la, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui lae nye esi:

• Ðeviwo ƒe Dɔgboŋutinunyalawo nye ɖɔkta siwo bi ɖe vidzĩwo, ɖevi siwo le zɔzɔm, kple ɖevi suewo ƒe nuɖuɖumeŋusẽdɔlélewo dada me.
• Ne viwòa ƒe dɔgbo me gblẽna enuenu, nuɖuɖumeŋusẽ ƒe kuxiwo le eŋu, alo eƒe tsitsime kuxiwo le eŋu la, mègabu eŋu zi eve be yeayi atikewɔla bibi aɖe abe esia ene o.
• Ðɔkta siawo ate ŋuiDe dzesi dɔlélea nyuie, na atike nyuitɔ, eye nàkpe ɖe ɖevia ŋu wòanɔ agbe nyui.
• Azɔ hã, wowɔa nu xɔlɔ̃wɔwɔtɔe kple ɖeviwo ŋutɔ eye wokpena ɖe wo dzilawo ŋu ŋutɔ.

Eyata le viwòa ƒe lãmesẽnyawo gome la, anyo be nàdi ɖɔkta si bi alea ƒe kpekpeɖeŋu.

` Ðeviwo ƒe Dɔgboŋutinunya, Ðeviwo ƒe Dɔgboŋutinunyala, Ðeviwo ƒe Dɔgbodɔlélewo, Nuɖuɖumeŋusẽ, Endoscopy, Colonoscopy, Ðeviwo ƒe Lãmesẽ