Èbu nusi dzɔna ɖe nuɖuɖu si míeɖuna ne ege ɖe míaƒe dɔme vɔ megbe ŋu kpɔa? Ele abe mɔzɔzɔ didi aɖe ene. Mɔzɔzɔ sia ƒe teƒe mamlɛtɔ si wotɔ ɖoe nye aɖuɖɔtoe. Ŋutinu sia le mí katã si le míaƒe ŋutilã me, gake enye nyati si ŋu kpena vie si ŋu míelɔ̃a nuƒoƒo tsoe fũ o, gake enye ŋutinu vevi aɖe ŋutɔ na míaƒe lãmesẽ. Eyata egbea, mina míaƒo nu tso eŋu gaglãa kple anukwareɖiɖi.
Nuka tututue nye dɔgbo?
Kpuie ko la, dɔgboe nye wò dɔgbo gã la ƒe akpa mamlɛtɔ. Míaƒe dɔgbo gã la nye akpa didi aɖe si le abe mɔ̃ ene. Esia ƒe sentimeta 6 mamlɛawoe nye dɔgbo. Ne nuɖuɖu si míeɖuna la ɖu vɔ la, woƒoa gbeɖuɖɔ susɔeawo nu ƒu ɖe afisia hafi dona le ŋutilãa me. Ele abe bɔsɖoƒe si amewo ƒoa ƒu ɖo hafi bɔs dzo ene. Ne aɖuɖɔ ƒo ƒu ɖe afisia la, míaƒe lãmekawo ɖoa dzesi aɖe ɖe ahɔhɔ̃a, gblɔna be, "Ehiã be mayi nugododeƒe fifia."
Vovototo kae le dɔgbo kple dɔgbo dome?
Togbɔ be wo ame evea siaa nye nuɖoanyi ɖeka ƒe akpa aɖewo hã la, vovototo sue aɖewo le wo dome.
- Colon: Esia didi ŋutɔ. Togbɔ be nuɖuɖu gbegblẽwo to eme hã la, nuɖuɖumeŋusẽ ƒe akpa aɖewo gakpɔtɔ yia edzi, abe tsi kple nunyiamewo ƒe gege ɖe ŋutilãa me ene.
- Aɖuɖɔtoe: Ne gbeɖuɖɔ siwo dona tso dɔgbo gã la me ɖo afisia la, etrɔna zua aɖuɖɔ sesẽ xoxo. Dɔ vevitɔ si dɔgboa wɔnae nye be wòalé aɖuɖɔa hena ɣeyiɣi aɖe eye wòaxɔ tsi ɖesiaɖe si susɔ tso eme la ayi ŋutilãa me. Emegbe wonyae le ŋutilãa me.
Vovototo kae le aɖuɖɔtoe kple akɔta dome?
Woyɔa sentimeta ʋɛ mamlɛ siwo le aɖuɖɔtoea megbe be aɖuɖɔtoe. Afi siae lãmeka vevi ŋutɔ (anal sphincters) siwo kpena ɖe mía ŋu míeɖua aɖuɖɔ ƒe zɔzɔ dzi la le. Lãmetsi siawoe nana míetɔna hetoa aɖuɖɔ me ne míedi.
Nukae nye aɖuɖɔtoea ƒe nɔnɔme kple afisi wòle?
Aɖuɖɔtoea le míaƒe ƒodo te, le akɔta ƒe doa me. Zi geɖe la, eƒe didime anɔ abe sentimeta 10-15 (inch 5-6). Eƒe fli sue eve siwo ƒe nɔnɔme le abe "S" ene hã le esi. Alesi ʋuʋudedi siawo le hã kpena ɖe mía ŋu míeɖua míaƒe dɔgbo ƒe ʋuʋu dzi.
Aɖuɖɔtoea ƒe akpa mamlɛa keke vie wu. Woyɔa esia be `rectal ampulla`. Aɖuɖɔa va ƒoa ƒu ɖe afisia. Ne aɖuɖɔ yɔ akpa sia me la, eƒe gliwo kekena. Emegbe lãmeka siwo le afima (`stretch receptors`) gblɔna na ahɔhɔ̃a be. Ɣemaɣie míesena le mía ɖokui me be ehiã be míayi nugododeƒe .
Nukawoe nye nɔnɔme siwo bɔ siwo gblẽa nu le dɔgboa ŋu?
Nya bubu aɖeke magblɔmagblɔe la, lãmesẽkuxi vovovowo li siwo ate ŋu ado mo ɖa le dɔgboa me. Esiawo dometɔ aɖewo ate ŋu anye esiwo me dziɖeleameƒo le kura eye woase veve. Na míalé ŋku ɖe wo dometɔ ʋɛ aɖewo ŋu.
| Nᴐnᴐme | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Proctitis ƒe dɔléle | Aɖuɖɔtoe ƒe lãkusi ƒe vuvu kple bibi. Esia ate ŋu atso gbɔdɔdɔ ƒe dɔlékui aɖewo (STI) alo nɔnɔme bubu siwo gblẽa nu le dɔgboa ŋu gbɔ. |
| Aɖuɖɔtoe me abiwo | Esiawo nye abi siwo vea ame. Ɣeaɖewoɣi la, woate ŋu ado ʋu. |
| Perianal ƒe ʋuʋudedi | Vevesese, ʋuʋudedi yɔ fũu, siwo dzɔna le ŋutigbalẽ te ƒo xlã aɖuɖɔtoea. |
| Dɔlékui siwo woyɔna be colorectal polyps | Nu suesuesue siwo tsina ɖe dɔgbo alo dɔgbo gã ƒe gli ememetɔ dzi. Amesiawo dometɔ aɖewo ate ŋu azu kansa le ɣeyiɣi aɖe megbe. |
| Aɖuɖɔtoe ƒe gbagbã | Ne lãmeka siwo léa dɔgboa ɖe teƒea gbɔdzɔ la, dɔgboa dona to aɖuɖɔtoea me. |
| Aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi (Fecal incontinence) . | Aɖuɖɔtoewo ƒe ʋuʋu le wo ɖokui si. Esia ate ŋu atso lãmeka alo lãmeka siwo le dɔgboa me ƒe kuxi aɖe gbɔ. |
| Dɔmeɖui kple aɖuɖɔ ƒe ʋuʋu | Aɖuɖɔto me toto sesẽ, aɖuɖɔ ƒe sesẽ abe kpe ene, kple dɔgbo ƒe xexe. |
Dzesi kawoe ɖee fia be dɔgbo ƒe kuxi aɖe le ame ŋu?
Ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ ahadi aɖaŋuɖoɖo ŋukpe manɔmee.
Ðo ŋku edzi be menye ɣesiaɣie dzesi siawo nyea dɔléle sesẽ aɖe ƒe dzesi o. Ke hã, anyo wu be nàƒo nu tso eŋu kple ɖɔkta be nànya nusi tututu gblẽ.
| Dzesi si dzena | Nusiwo ŋu wòle be nàkpɔ nyuie le |
|---|---|
| Ʋu si dona le dɔgboa me | Ʋu ƒe ɖiɖi kpɔkpɔ le awu te, nugododeƒegbalẽ, alo nugododeƒe. |
| Vevesese | Vevesese le aɖuɖɔtoe, akɔta, alo ƒodo ƒe akpa si le ete. |
| Ʋuʋudedi alo dɔléle ƒe dzesiwo | Aɖuɖɔtoea ƒe ʋuʋu, abidede, alo vuvu si nɔa anyi ɖaa. |
| Tɔtrɔ le dɔgbo ƒe nɔnɔmewo ŋu | Tɔtrɔ kpata le amadede, eƒe nɔnɔme (tsi, si le abe kpe ene), alo aɖuɖɔtoe ƒe agbɔsɔsɔme si woɖena gbesiagbe. |
| Seselelãme siwo mebɔ o | Sese le ɖokuiwò me be yeƒe dɔgbo mele ƒuƒlu keŋkeŋ le nugododeƒe yiyi vɔ megbe o (tenesmus) alo aɖuɖɔtoe si sesẽ ŋutɔ eye wòvea ame (dyschezia). |
| Nane si le titim do goe | Seselelãme alo kpɔkpɔ nane abe lãgbalẽgolo aɖe si le dodom tso aɖuɖɔtoea ƒe nuwuwu. |
Aleke ɖɔkta wɔna léa ŋku ɖe dɔgboa ƒe lãmesẽ ŋu?
Ne èyi ɖɔkta si ŋu kuxi sia tɔgbe le gbɔ la, ate ŋu awɔ dodokpɔ vovovowo atsɔ anya dɔlélea. Esiawo nyanya do ŋgɔ ate ŋu akpe ɖe ŋuwò nàɖe wò dzimaɖitsitsi dzi akpɔtɔ.
- Digital Rectal Exam (DRE): Le esia me la, ɖɔktaa tsɔa asibidɛ si ŋu asigɛ le, si ŋu wosi ami ɖo la dea wò dɔgbo me be yeakpɔe ɖa be ƒu alo nusiwo mesɔ o le eme hã.
- Aɖuɖɔ dodokpɔ: Woɖea wò aɖuɖɔ ƒe kpɔɖeŋu aɖe heléa ŋku ɖe eŋu le nudokpɔƒe be ʋu, dɔlékuiwo, alo kuxi bubuwo le eŋu hã.
- Proctoscopy / Flexible sigmoidoscopy: Esia bia be woade mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe si me fotoɖemɔ̃ si wotsɔ bla ɖe dɔgboa me eye woakpɔ eme to screen dzi. Ne ehiã la, woate ŋu axɔ lãkusi ƒe kpɔɖeŋu (biopsy) le ɣeyiɣi sia me. Ðewohĩ wò ɖɔkta aɖo aɖaŋu na wò be nàdzra dɔgboa ɖo hafi nàwɔ dɔa.
- Barium enema: Esia nye X-ray dodokpɔ tɔxɛ aɖe. Wotsɔa tsi tɔxɛ aɖe dea dɔgboa me eye woɖea dɔgboa ƒe X-ray nɔnɔmetatawo.
- Anorectal manometry: Esia dzidzea alesi lãmekawo kple lãmeka siwo le aɖuɖɔtoe me le dɔ wɔm nyuie.
Nukae míate ŋu awɔ be dɔgboa nanɔ lãmesẽ me?
Nu bɔbɔe aɖewo li míate ŋu awɔ atsɔ axe mɔ ɖe dɔléle geɖe nu.
- Nuɖuɖu si naa lãmesẽ: Ƒo nuɖuɖu siwo me fibre sɔ gbɔ ɖo (atikutsetsewo, amagbewo, mɔli, nuku blibowo) geɖe. No tsi geɖe. Esia ate ŋu akpe ɖe ame ŋu be wòaxe mɔ ɖe dɔgbo ƒe dɔléle nu. Dɔmeɖui nye nusi gbɔ dɔgbomedɔ geɖe tsona.
- Gbɔdɔdɔ ƒe nuwɔna siwo le dedie: Gbɔdɔdɔ ƒe dɔlékui aɖewo (STI) ate ŋu akpɔ ŋusẽ ɖe aɖuɖɔtoe hã dzi, eyata ele vevie be woawɔ gbɔdɔdɔ dedie.
- Mègadzo le atikewɔwɔ me dodokpɔwo dzi o: Vevietɔ le ƒe 45-50 xɔxɔ vɔ megbe la, wɔ dodokpɔwo abe ``(Colonoscopy)`` ne wò ɖɔkta kafui. Esia ate ŋu ade dzesi nuwo abe polyps ene ahaɖe wo ɖa hafi woazu kansa.
- Mègaŋe aɖaba ƒu dzesiawo dzi o: Ne vevesese atraɖii, dɔgbo ƒe nɔnɔmewo ƒe tɔtrɔ, alo vevesese bubu aɖe le ŋuwò la, mègalala ko nàkpɔe ɖa be "enyo" hã o. Kpɔ ɖɔkta kaba ale si nàte ŋui.
Aɖuɖɔtoe nye tɔdzisasrã vevi aɖe le míaƒe nuɖuɖumeŋusẽ kple aɖuɖɔtoe ƒe ɖoɖoa dome. Togbɔ be kuxi siwo do ƒome kplii ate ŋu ana ame ƒe dzi nadze eme hã la, atike nyuiwo li na wo. Eyata ɖe ŋukpea ɖa, bu wò lãmesẽ ŋu eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo si hiã.
Gbedasi si Wotsɔ Yi Aƒeme
- Aɖuɖɔtoe nye míaƒe nuɖuɖumeŋusẽ ƒe akpa vevi aɖe si le vevie. Ele vevie ŋutɔ be míalé be na eƒe lãmesẽ.
- Mègaŋe aɖaba ƒu dzesiwo abe ʋu si le aɖuɖɔ me, vevesese atraɖii, alo dɔgbo ƒe nɔnɔme ƒe tɔtrɔ kpata ene dzi gbeɖe o.
- Mègahe ɖɔkta yiyi ɖe megbe le esi ŋu kpea wò alo nèvɔ̃na be yeaƒo nu tso kuxi sia tɔgbe ŋu ta o. Atikewɔwɔ kaba ate ŋu axe mɔ na nɔnɔme sesẽwo.
- Nuɖuɖu si da sɔ si me fibre sɔ gbɔ ɖo ɖuɖu, tsi geɖe nono, kple kamedede edziedzi ɖea vi ŋutɔ na dɔgbo ƒe lãmesẽ.
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