Ne wò ɖɔkta gblɔ na wò be ehiã be woawɔ dɔ na wò le dɔgboa me la, esɔ be nàse vɔvɔ̃ kple dzimaɖitsitsi geɖe. Ne èse ŋkɔ abe "proctocolectomy" ene la, ate ŋu adze abe ɖe wòsesẽ wu ene. Gake mègatsi dzi o. Esia nye amekoko si xɔa ame ɖe agbe si ate ŋu akpe ɖe ŋuwò nànɔ agbe nyuie wu to wò dzesi siwo le ŋuwò fifia dzi ɖeɖe kpɔtɔ me. Míaƒo nu tso nusianu ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.
Nuka tututue nye Proctocolectomy?
Kpuie ko la, proctocolectomy nye amekoko be woaɖe wò dɔgbo kple wò dɔgbo ƒe akpa mamlɛtɔ ɖa.
Mina míagaɖe nya sia me vie. Dɔgbo gã la nye míaƒe nuɖuɖumeŋusẽ ƒe akpa didi aɖe si le abe mɔ̃ ene. Akpa vevi etɔ̃ le eŋu:
1. Dɔgbome: Esiae nye akpa gãtɔ kekeake. Exɔa tsi tso gbeɖuɖɔ siwo susɔ tso nuɖuɖu siwo míeɖuna me eye wòtrɔa wo wozua nu sesẽ aɖe, si woyɔna be aɖuɖɔ.
2. Aɖuɖɔtoe: Esia nye dɔgbo ƒe akpa kpui si kplɔa dɔgboa ɖo. Afi mae wodzraa aɖuɖɔ ɖo hena ɣeyiɣi aɖe hafi woɖenɛ doa goe.
3. Aɖuɖɔtoe: Ʋuƒo si me aɖuɖɔ dona le ŋutilãa me.
Eyata le proctocolectomy me la, woɖea dɔgbo kple dɔgbo siaa, alo woƒe akpa aɖe. "Procto" gɔmee nye aɖuɖɔtoe. "Colectomy" fia be woaɖe dɔgboa ɖa.
Nukatae wòhiã be woawɔ dɔ sia ƒomevi na wò?
Susu geɖewo li siwo ta woate ŋu awɔ dɔ gã sia tɔgbe ɖo. Nusi koŋ tae nye be dɔléle si le dɔgboa me xea mɔ na ŋutilã ƒe akpa ma be wòagawɔ dɔ nyuie o alo be dɔlélea dea ame ƒe agbe afɔku me.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Dɔgbo ƒe Dɔléle Siwo Dzea Dzodzoe | Ne dɔgboa ƒe akpa si le eme le abi xɔm ɣesiaɣi eye wòle dzo dam le nɔnɔmewo abe Ulcerative Colitis kple Crohn ƒe dɔléle ene ta la, ate ŋu ahiã be woawɔ dɔ nɛ ne womate ŋu atsɔ atike aɖu nɔnɔmea dzi o. |
| Dɔdzẽ si le dɔgboa me kple nɔnɔme siwo do ŋgɔ na kansa | Be woatɔ te dɔgbo me kansa lãmenugbagbeviwo ƒe kaka alo le nɔnɔmewo abe Familial Adenomatous Polyposis (FAP) , si nye domenyiŋusẽfianu si nana polyp alafa geɖe siwo ate ŋu atrɔ azu kansa wu la ene. |
| Susu bubuwo tae | Kuxiwo abe dɔgbo ƒe lãkusi ƒe kuku le ʋu ƒe sisi ta (ischemia), dɔgbo ƒe dɔmawɔmawɔ nyuie, abixɔxɔ sesẽ le dɔgboa ŋu, alo diverticulitis . |
Aleke nèɖea aɖuɖɔ le amekoko vɔ megbe?
Esiae nye nyabiase gãtɔ kekeake si le ame geɖe si. Ne woɖe dɔgbo kple dɔgboa ɖa la, mɔ si sɔ si dzi aɖuɖɔtoe tona la buna. Emegbe aleke nèwɔna ɖea aɖuɖɔ? Esia ƒe ŋuɖoɖo nɔ te ɖe proctocolectomy ƒomevi si nèwɔ dzi. Wò ɖɔkta anɔ te ɖe wò atikewɔwɔ ƒe nɔnɔme dzi atso nya me le mɔnu si sɔ wu ŋu.
Mɔnu vevi geɖewo li:
1. Ileostomy ƒe dɔwɔwɔ
Esia bia be nàtsɔ wò dɔgbo suea ƒe akpa mamlɛtɔ si woyɔna be ileum aƒo ƒu kple ʋuƒo sue aɖe (stoma) si wowɔ le wò ƒodo ƒe ŋutigbalẽ me. Emegbe wotsɔa ostomy kotoku aɖe dea ʋuƒoa ŋu be wòaƒo aɖuɖɔ nu ƒu. Esia ate ŋu anɔ anyi ɖaa alo anɔ anyi ɣeyiɣi kpui aɖe . Vaseɖe esime wò ŋutilã nahaya ko hafi wowɔa ɣeyiɣi kpui aɖe ko. Woate ŋu atrɔ esia emegbe to amekoko bubu me.
2. Ileoanal Pouch (kotoku ememetɔ wɔwɔ) .
Esia nye dɔdamɔnu si doa dzidzɔ na ame ŋutɔ. Wogayɔnɛ be Restorative Proctocolectomy. Woɖea wò dɔgbo sue (ileum) ƒe akpa aɖe eye wowɔa kotoku sue aɖe tso eme. Bu eŋu be enye wò ŋutilã ƒe akpa yeye aɖe si ate ŋu alé wò aɖuɖɔ hena ɣeyiɣi aɖe, abe wò aɖuɖɔtoe ene. Emegbe, wogatsɔa kotokua doa ka kple wò akɔta. Le dɔ sia wɔwɔ vɔ megbe la, àte ŋu ayi nugododeƒe eye nàɖe aɖuɖɔ le mɔ si sɔ nu le ɣeyiɣi aɖe megbe. Woyɔa esia wɔwɔ ƒe mɔnu si bɔ wu be J-kotoku .
3. Subtotal Proctocolectomy (woɖea akpa aɖe ɖa) .
Le esia me la, wogblẽa dɔgbo gã la ƒe akpa aɖe ɖi. Ne anya wɔ be woawɔe la, woate ŋu agbugbɔ dɔgboa ƒe akpa si susɔ la aɖo akɔta alo dɔgboa ƒe akpa mamlɛa (anastomosis). Gake ɣeaɖewoɣi la, ahiã be woaʋu ƒodoa hena ɣeyiɣi kpui aɖe eye woatsɔ aɖuɖɔkotoku (colostomy) ade eme vaseɖe esime teƒe si wodo ka ɖo la nahaya.
Nu vevitɔe nye be wò ɖɔkta nadzro mɔnu siawo dometɔ si nyo na wò me kpli wò. Eyata, dzro nyabiase alo dzimaɖitsitsi ɖe sia ɖe si le asiwò me kple wò ɖɔkta.
Nusiwo dzɔna do ŋgɔ na amekoko, le amekokoa wɔwɔ me, kple emegbe
Hafi woawɔ dɔ nɛ
Ne menye amekoko kpatae o la, ke ɣeyiɣi asu asiwò nàtsɔ adzra ɖo.
- Kwasiɖa ʋɛ aɖewo do ŋgɔ: Wò ɖɔkta aɖe amekokoa, afɔku siwo le eme, kple tiatia siwo nàte ŋu awɔ la me na wò.
- Kwasiɖa eve do ŋgɔ: Ne èle ʋumenugbagbeviɣitikewo zãm la, woagblɔ na wò be nàdzudzɔ wo alo ɖe wo dzi akpɔtɔ. Woaɖo aɖaŋu na wò be nàɖu nuɖuɖu si me fibre sɔ gbɔ ɖo eye nàno tsi geɖe.
- Gaƒoƒo 24 do ŋgɔ: Woana dɔgbo ƒe dzadzraɖo wò be wòakɔ wò dɔgbowo ŋu keŋkeŋ. Woagblɔ na wò hã be tsi koe nàɖu na ŋkekea. Woate ŋu ana dɔlékuiwutikewo hã wò be nàxe mɔ ɖe dɔlékuiwo xɔxɔ nu le amekoko vɔ megbe.
Le amekokoɣi
Woadɔ wò le atike si naa alɔ̃dɔdɔ ame me, ale be màse naneke le ɖokuiwò me o. Woate ŋu awɔ amekokoa le mɔ vevi eve nu:
- Amekoko le Gaglãgbe: Mɔnu si wozãna tsã, si wowɔna to lãɖeɖe gã aɖe me le ƒodo me.
- Laparoscopic Surgery: Wogayɔnae be "keyhole" surgery, wowɔa esia to lãɖeɖe sue ʋɛ aɖewo wɔwɔ le ƒodoa me eye wotsɔa fotoɖemɔ̃ kple dɔwɔnu tsɛwo dea wo me. Mɔnu sia wɔnɛ be wòhayana kabakaba eye vevesesea nu mesẽna o.
Emegbe amekolaa ɖea dɔgboa ƒe akpa si ŋu dɔlélea le la ɖa nyuie eye wòwɔa dɔ siwo hiã (ileostomy, pouch, alo re-connection) abe alesi míeƒo nu tso eŋu va yi ene.
Le amekoko vɔ megbe
Ahiã be nànɔ kɔdzi abe kwasiɖa ɖeka ene. Le ɣeyiɣi sia me la, woatrɔ vivivi tso nuɖuɖu siwo me tsi le dzi ayi nuɖuɖu sesẽwo dzi. Ne ostomy (akplo) le asiwò la, dɔnɔdzikpɔla si wona hehee etɔxɛe (WOCN - Wound Ostomy Continence Nurse) afia alesi nàzãe eye wòana wò ŋutigbalẽ nanɔ dzadzɛ.
Nukawoe nye kuxi siwo ate ŋu ado tso eme?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku kple kuxi siwo ate ŋu ado mo ɖa, gake zi geɖe la, esiawo nyea ɣeyiɣi kpui aɖe ko.
| Kuxi ƒomevi aɖe | Nuɖᴐɖᴐ |
|---|---|
| Kuxi siwo bɔ le amekoko me | Nusiwo wòwɔna ne wotsɔ atike si wua alɔ̃dɔdɔ, ʋu si dona le ememe, dɔlékuiwo, dɔgbo ƒe xexe, kple bubuawo. |
| Kuxi siwo do ƒome kple ostomy (akplo) . | Ŋutilã me dɔlékui siwo ƒo xlã stoma, siwo gena ɖe stoma la me alo dona ɖe gota.Nɔnɔme aɖe si woyɔna be phantom rectum hã ate ŋu adzɔ. Esiae nye seselelãme si nye be ele be woaɖe aɖuɖɔ togbɔ be woɖe aɖuɖɔtoea ɖa hã. Esia dzi aɖe akpɔtɔ le ɣeyiɣi aɖe megbe. |
| Kuxi siwo do ƒome kple Ileoanal Pouch (kotoku ememetɔ) . | Pouchetis , anastomotic leak, kple aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie. Woate ŋu ada amesiawo dometɔ geɖe. |
Nukawoe nye nɔnɔme kpata siwo hiã be woayi ɖɔkta gbɔ?
Ne ètrɔ gbɔ va aƒeme le amekoko vɔ megbe la, ne dzesi siwo gbɔna dometɔ aɖe dze ŋuwò la, yɔ wò ɖɔkta enumake alo yi kɔdzia ƒe Atikewɔwɔ Kpata (ETU) .
- Ʋuʋudedi, dɔgbo ƒe vevesese, ʋuʋudedi, kple dɔgbo ƒe ʋuʋu (esiawo ate ŋu anye dɔgbo ƒe xexe ƒe dzesiwo).
- Ƒodo ƒe vevesese sesẽ, dzoxɔxɔ, ʋuʋudedi si le dodom tso afisi wotsoe (esiawo nye dɔlékui ƒe dzesiwo).
Mègaŋlɔ be o, ne èse nane si mebɔ o la, mègaŋe aɖaba ƒu edzi o. Anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.
Gbedasi si Wotsɔ Yi Aƒeme
- Togbɔ be proctocolectomy nye amekoko gã aɖe hã la, ate ŋu ada nɔnɔme siwo ate ŋu ade wò agbe afɔku me eye wòana nànɔ agbe si me dzidzeme le wu.
- Mɔ vovovowo li siwo dzi woato aɖe aɖuɖɔ le amekoko vɔ megbe. Ele be ame aɖewo nanɔ agbe kple ostomy kotoku, gake tiatia bubuwo le ame bubuwo si si ana woate ŋu aɖe aɖuɖɔ le mɔ si sɔ nu. Wò ɖɔkta atso nya me le nusi nyo na wò ŋu.
- Exɔa ɣeyiɣi hafi wòhaya. Àte ŋu atrɔ ava nɔ agbe si sɔ me le ɣleti ʋɛ aɖewo megbe. Ele vevie ŋutɔ be nàgbɔ dzi ɖi ahawɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi le ɣeyiɣi sia me.
- Miate ŋu adzro wò vɔvɔ̃, ɖikeke, kple nyabiasewo katã me kple wò ɖɔkta faa. Ana ŋusẽ gã aɖe wò le susu me.
- Togbɔ be agbenɔnɔ kple ostomy kotoku ate ŋu asesẽ le gɔmedzedzea me hã la, ne ènya zu numame na wò ko la, àte ŋu ayi edzi anɔ dɔ wɔm nyuie. Mɔ̃ kple mɔnu geɖewo li egbea siwo akpe ɖe esia ŋu.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment