Tsileƒe yiyi ate ŋu asesẽ ŋutɔ ɣeaɖewoɣi, alo? Enye nusi sɔ be vɔvɔ̃ naɖo, vevietɔ ne èkpɔ ʋu vi aɖe le wò aɖuɖɔ me, alo ne ele be nàku kutri hafi aɖe aɖuɖɔ. Ate ŋu anye ŋukpe vie be míaƒo nu tso nusiawo ŋu na ame bubuwo. Gake nusiawo nye nu vevi siwo do ƒome kple lãmesẽ. Egbea míele nu ƒom tso nɔnɔme aɖe si mebɔ o si ate ŋu ahe dzesi siawo vɛ ŋu, gake ame geɖe mesee kpɔ o. Emae nye Solitary Rectal Ulcer Syndrome (SRUS) ƒe dɔléle .
Nukae nye Solitary Rectal Ulcer Syndrome (SRUS) ƒe dɔléle si nye Solitary Rectal Ulcer Syndrome?
Kpuie ko la, SRUS nye dɔléle si nɔa anyi didi, si menye kansa o, si nana abi ɖeka alo esi wu nenema dzɔna le míaƒe dɔgbo me. Fifia ɖewohĩ ànɔ ɖokuiwò biam be, "Nukae nye dɔgbo sia?" Aɖuɖɔtoe nye míaƒe dɔgbo gã (dɔgbo) ƒe akpa mamlɛtɔ, afisi aɖuɖɔ nɔa anyi hena ɣeyiɣi aɖe hafi wòdona le míaƒe ŋutilã me.
Gake ŋkɔ sia ate ŋu aflu ame vie. Togbɔ be wozã nya "ɖekaɖeka" hã la, ɣeaɖewoɣi la, abi ate ŋu anɔ anyi wu ɖeka. Azɔ hã, menye ɣesiaɣie esiawo nyea abi o. Ɣeaɖewoɣi la, ɖeko woate ŋu anye lãkusi siwo me abi le, siwo biã. Ɣeaɖewoɣi la, woate ŋu akpɔ nɔnɔme sia le dɔgboa ƒe akpa aɖe si le aɖuɖɔtoea tame tututu gɔ̃ hã.
Ðɔktawo kple numekulawo gale nu geɖe srɔ̃m tso nɔnɔme sia ŋu. Wogale numekuku wɔm le nusiwo gbɔ wòtsona kple atike nyuitɔwo kekeake ŋu.
Aleke gbegbee nɔnɔme sia bɔe?
Le nyateƒe me la, SRUS nye nɔnɔme si mebɔ kura o. Edzea ame ɖeka le 100,000 ɖesiaɖe me. Ebɔ ɖe amesiwo xɔ tso ƒe 30 va ɖo ƒe 40. Gake ate ŋu adzɔ ɖe ɖevi suewo kple ame tsitsiwo hã dzi.
Ðe nɔnɔme sia nye nu sesẽa? Ðe wòle be míavɔ̃a?
Esia ate ŋu anye biabia gbãtɔ si ava susu me na wò. Nya nyuiae nye be zi geɖe la, abi siawo mesẽna o. Ema fia be womezua kansa o.
Gake nu vevitɔ le afisiae nye be kuxi si gbɔ abi siawo tso ate ŋu anye nusi ŋu wòle be woalé ŋku ɖo. Esia tae wòle vevie be nàkpɔ ɖɔkta be woakpɔ dɔlélea nyuie ne dzesi siawo le ŋuwò.
Mele be nàŋe aɖaba aƒu dzesi sia tɔgbe dzi gbeɖe o. Menye nu nyui aɖeke be nàsusui ko be, "Adzo le ŋkeke ʋee aɖewo megbe o." Elabena ʋu si dona le dɔgboa me ate ŋu atso nɔnɔme siwo nu sẽ wu SRUS gbɔ.
Nukae nye SRUS ƒe dzesiwo?
Zi geɖe la, dzesi siawo dzena vivivi. Woate ŋu ana tsileƒe yiyi nanye nusi me dzidzeme mele o ŋutɔ. Mina míalé ŋku ɖe dzesi veviawo ŋu.
| Dzesi si dzena | Kpuie ko la,... |
|---|---|
| Ʋu si le dodom le aɖuɖɔtoe me | Ʋu dzĩ si le keklẽm, si le dodom kple aɖuɖɔa alo le nugododeƒe yiyi vɔ megbe. Ɣeaɖewoɣi la, ʋu ate ŋu aƒo ɖi tissue paper la. |
| Tsi si le abe mucus ene si dona kple aɖuɖɔ | Seselelãme be tsi si le abe ʋuʋudedi ene, ne aɖuɖɔ le eme alo mele eme o. |
| Ʋuʋu be woaɖe aɖuɖɔ (Straining) . | Ebia ɣeyiɣi didi, agbagbadzedze geɖe, kple agbagbadzedze geɖe hafi woate ŋu ato aɖuɖɔ me. |
| Aɖuɖɔtoe si mede blibo o | Sese le ɖokuinye me be aɖuɖɔ gakpɔtɔ li le nugododeƒe yiyi vɔ megbe, abe "Nyemewu enu haɖe o" ene. |
| Anal vevesese alo vevesese | Vevesese alo vevesese le aɖuɖɔtoe kple nuto siwo ƒo xlãe me, vevietɔ ne èle nugododeƒe yim. |
| Akɔta ƒe Blibo | Sese le eɖokui me be yeƒe ƒodoa le kpekpem eye yeyɔ fũ. |
Nukutɔe la, ame siwo ade ɖeka le ene ɖesiaɖe me (25%) siwo ŋu SRUS le la mekpɔa dzesi aɖeke o. Woke ɖe eŋu le vo me le dodokpɔ me le susu bubu aɖe ta.
Nukatae nɔnɔme sia dzɔna ɖo?
Womenya nusi tututu gbɔ nɔnɔme sia tso haɖe o. Gake ɖɔktawo xɔe se be edo ƒome kple nɔnɔme geɖe siwo ate ŋu agblẽ nu le dɔgboa ƒe gli ememetɔ ŋu. Esia fia be ate ŋu atso atikewɔwɔ me nɔnɔme bubu si gbɔ wòtso gbɔe abi siawo tso.
Nɔnɔme geɖewo li siwo wokpɔna zi geɖe le SRUS ŋu:
- Rectal Prolapse: Esiae nye esime dɔgboa dona to aɖuɖɔtoea me. Bu eŋu abe soxle ƒe tɔtrɔ tso eme yi gota ene. Ʋuʋudedi kple nyaƒoɖeamenu si dzɔna ne lãkusia le dodom ate ŋu ahe abi vɛ.
- Rectal Intussusception: Esia nye ne aɖuɖɔtoe ƒe akpa ɖeka tu ɖe dɔgboa ƒe akpa bubu, abe didiƒekpɔmɔ̃ ene. Esia ate ŋu agblẽ nu le lãmenugbagbeviwo ŋu hã.
- Aɖuɖɔtoe si nɔa anyi didi: Ne esesẽna na mí be míato aɖuɖɔ me la, míetena ɖe mía dzi ɣeyiɣi didi. Nyaƒoɖeamenu sia si gbɔ eme ate ŋu agblẽ nu le dɔgboa ƒe lãkusi siwo le tsɛ la ŋu. Ame aɖewo dzea agbagba be yewoatsɔ yewoƒe asibidɛwo aɖe aɖuɖɔ ɖa ne etsi. Esia hã nye nu vevi aɖe si hea abi siwo woxɔna le dɔgboa me vɛ.
- Aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie: Kuxiwo ate ŋu ado mo ɖa le dɔgboa ŋu le nɔnɔme siwo me màte ŋu aɖu wò dɔgbo ƒe ʋuʋu dzi o hã me.
Nufiafia veviawo dometɔ ɖekae nye be ne míaƒe akɔta ƒe lãmeka siwo kpena ɖe mía ŋu míetoa aɖuɖɔ me mewɔa dɔ nyuie o la, aɖuɖɔtoe ƒe ɖoɖoa meva nɔa ɖoɖo nu o eye abi siawo tɔgbe dzɔna.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èyi ɖɔkta si si dzesi siwo nèyɔ ɖe etame le gbɔ la, abia wò gbã tso wò dzesiwo kple wò nugododeƒe ƒe nɔnɔmewo ŋu (e.g., ɖe nèxɔa ɣeyiɣi didi hafi nèɖea aɖuɖɔa?). Emegbe, woawɔ dodokpɔ aɖewo atsɔ akpɔe ɖa be abi siawo le ŋuwò hã.
Dodokpɔ veviwo
- Endoscopy: Esiae nye dodokpɔ si bɔ wu. Le dodokpɔ sia me la, wotsɔa mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ le la dea aɖuɖɔtoea me be woakpɔ abi alo tɔtrɔ bubu ɖesiaɖe si le eme le screen dzi. Dodokpɔ sia ƒomevi vovovowoe li:
- Anoscopy: Edoa aɖuɖɔtoe kple dɔgbo ƒe akpa mamlɛtɔ kpɔna.
- Flexible Sigmoidoscopy: Doa aɖuɖɔtoe kple dɔgboa ƒe akpa si le ete.
- Colonoscopy: Edoa dɔgbo bliboa kpɔna.
Dodokpɔ vevi bubuwo
Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ bubu geɖe atsɔ akpɔ egbɔ be dɔléle sesẽ bubuwo (e.g., Inflammatory Bowel Disease (IBD) alo Colon Cancer ) siwo hea dzesi siwo ɖi SRUS vɛ la mele ŋuwò o.
- Transrectal Ultrasound: Wotsɔa mɔ̃ sue aɖe dea dɔgboa me eye wozãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa dɔgboa ƒe gli ememetɔwo ƒe nɔnɔmetata siwo me kɔ.
- Defecography: Esia nye dodokpɔ tɔxɛ aɖe. Wozãa X-ray alo MRI mɔ̃ tsɔ ŋlɔa alesi aɖuɖɔ toa aɖuɖɔ me. Esia kpena ɖe ame ŋu wònyaa nyuie nenye be nɔnɔme aɖe abe dɔgbo ƒe gege ene li.
- Anorectal Manometry: Dodokpɔ si dzidzea lãmeka siwo le aɖuɖɔtoea me kple esiwo ƒo xlãe ƒe dɔwɔwɔ kple woƒe nyaƒoɖeamenu. Esia ate ŋu akpe ɖe ame ŋu wòanya ne lãmeka siwo kpɔa gome le aɖuɖɔtoe me le dɔ wɔm nyuie.
- Biopsy: Le endoscopy me la, woɖea lãkusi sue aɖe ŋutɔ tso abi la me heɖonɛ ɖe nudokpɔƒe be woadoe kpɔ le nusuekpɔmɔ̃ me. Dodokpɔ sia le vevie be nàka ɖe edzi 100% be menye kansae nye esia o.
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ nɔ te ɖe alesi wò dzesiawo nu sẽe kple nusi gbɔ dɔlélea tso dzi. Zi geɖe la, tɔtrɔ bɔbɔe siwo nàwɔ le wò agbenɔnɔ kple nugododeƒe ƒe nɔnɔmewo ŋu ate ŋu akpe ɖe ŋuwò.
| Atikewɔwɔ ƒe mɔnu | Nuɖᴐɖᴐ |
|---|---|
| Nuɖuɖu kple agbenɔnɔ ƒe tɔtrɔ |
|
| Atikewo |
|
| Biofeedback ƒe Atikewɔwɔ | Esia nye nuwɔna ƒe atikewɔwɔmɔnu. Ebia be woade dzesi akɔta ƒe lãmeka siwo me sẽna le aɖuɖɔtoe me eye woasrɔ̃ wo be woaɖe dzi ɖi le esi teƒe be woasẽ wo. Esia kpena ɖe ame ŋu ŋutɔ le teteɖeanyi ƒe numamea ɖeɖeɖa me. |
| Amekoko | Ne nɔnɔme aɖe abe dɔgbo ƒe gege ene gbɔe abi siawo tso la, ate ŋu ahiã be woawɔ dɔ na ame si woyɔna be rectopexy be woatsɔ aɖɔ nɔnɔmea ɖo. |
Ɣekaɣie nye ɣeyiɣi nyuitɔ si nàyi ɖɔkta gbɔ?
Esia le vevie ŋutɔ. Dzesi aɖewo li siwo dzi mele be míaŋe aɖaba aƒu gbeɖe o.
Ne ʋu le dodom le wò dɔgbo me, ʋu alo ʋuʋudedi le dodom le wò aɖuɖɔ me, alo nèle veve sem atraɖii ne èle tsileƒe yim la, taflatse mègaŋe aɖaba ƒu edzi o, nàsusu be "adzo le ŋkeke ɖeka megbe." Kpɔ egbɔ be yeyi ɖɔkta gbɔ be yeanya nusi tututu gbɔ wòtso.
Gbedasi si Wotsɔ Yi Aƒeme
- Solitary Rectal Ulcer Syndrome (SRUS) nye dɔléle si mebɔ o, si menye kansa o, gake vevesese si wòhena vɛ ate ŋu ade ame ƒe agbe afɔku me.
- Ʋu si dona le dɔgboa me mesɔna gbeɖe o. Ne ède dzesii la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
- Zi geɖe la, ele vevie wu be woada nusi gbɔ abi siawo tso (e.g., dɔmeɖui, dɔgbo ƒe gege) wu be woada abi ŋutɔŋutɔwo ŋutɔ.
- Nu bɔbɔewo abe tsi geɖe nono, nuɖuɖu si me fibre sɔ gbɔ ɖo ɖuɖu, kple asaƒoƒo na teteɖeanyi le tsileƒe ate ŋu awɔ akpa gã aɖe le nɔnɔme sia dzi ɖuɖu me.
- Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ. Wɔ dodokpɔ siwo hiã eye nàxɔ atike si sɔ. Ne èdae dzigbɔɖitɔe la, àte ŋu akpɔ nɔnɔme sia gbɔ nyuie.
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