Ðe Dɔgbo Kpuie ƒe Dɔléle (SBS) le viwòa ŋua? Mina míaƒo nu tso eŋu bɔbɔe.

Ðe viwò suea yia edzi le dɔ léma? Ðe eƒe lolo dzi ɖena kpɔtɔna evɔ menya gɔ̃ hã o, ne eno notsi alo ɖu nu gɔ̃ hã? Ðe medzina ɖe edzi kura oa? Abe dzila ene la, esɔ be vɔvɔ̃ natsi vevie eye nàtsi dzimaɖi ne èkpɔ nu siawo tɔgbi. Ɣeaɖewoɣi la, ate ŋu anye be atikewɔwɔ ƒe nɔnɔme aɖe le megbe na dzesi siawo si ŋu míese nu tsoe boo o. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu, "Short Bowel Syndrome".

Nukae Nye Dɔgbo Kpuie ƒe Dɔléle (SBS)?

Kpuie ko la, Dɔgbo Kpuie ƒe Dɔléle (SBS) nye nɔnɔme si me viwò ƒe ŋutilã mate ŋu axɔ nunyiame kple tsi si sɔ o. Esia le alea elabena ɖevia ƒe dɔgbo sue ƒe akpa aɖe bu alo mewɔa dɔ nyuie o. Ne míagblɔe tututu la, dɔgboa medidi o. Nɔnɔme sia ate ŋu anɔ anyi le vidzidzi me, alo ate ŋu adzɔ ne woɖe dɔgbo suea ƒe akpa gã aɖe ɖa le atikewɔwɔ me nɔnɔme bubu aɖe ta hã.

Be míase esia gɔme la, mina míalé ŋku ɖe nusi dzɔna le míaƒe dɔgbo suea me ŋu gbã.

Akpa si míaƒe dɔgbo suea wɔna

Bu dɔgbo suea be enye ‘dɔwɔwɔ ƒe ka’ didi aɖe le dɔwɔƒe. Nuɖuɖu si míeɖuna ƒe akpa aɖe ɖuna le dɔgboa me eye wògena ɖe dɔgbo suea me. Emegbe, esi wòle mɔ zɔm to dɔgbo didi sia dzi la, nusianu si le vevie na ŋutilã le nuɖuɖu ma me - si nye protein, carbohydrates (starch kple sugar), ami, vitamin, minerals abe iron, calcium - la xɔa ŋutilãa me. Woɖea gbeɖuɖɔ susɔeawo doa goe to dɔgbo gã la me abe aɖuɖɔ ene.

Míaƒe dɔgbo suea ƒe akpa vevi etɔ̃e li:

• Duodenum: Akpa kpuitɔ kekeake le dɔgboa megbe.
• Jejunum: Titina ƒe akpa aɖe.
• Ileum: Dɔgbo gã la ƒe akpa si didi wu.

Le SBS gome la, ‘dɔwɔwɔ ƒe mɔ̃’ sia medidi o. Bu eŋu kpɔ, nukae adzɔ nenye be woazã mɔ si didi kilometa ɖeka atsɔ axɔ nunyiamewo, eye kasia mɔ ma nanɔ kpuie? Ʋu si woyɔna be nuɖuɖu aƒu du ato mɔ kpui ma dzi eye ɣeyiɣi manɔ esi wòaɖe agba (nunyiame) siwo katã le eme la ɖa o. Nu ma ke dzɔna le SBS hã me. Esi dɔgboa le kpuie ta la, nuɖuɖua dona le ŋutilãa me hafi woɖunɛ nyuie eye ŋutilãa xɔa nunyiameawo. Esia nye nɔnɔme sesẽ aɖe si ate ŋu agblẽ nu le ɖevia ƒe agbenɔnɔ gɔ̃ hã ŋu ne womewɔ atike nɛ o.

Aleke nàwɔ anya ne SBS le ɖevi aɖe ŋu? Nukawoe nye dzesiawo?

Ðevi si ŋu SBS le ate ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema. Dzesi si bɔ wu, vevietɔ le vidzĩwo kple ɖevi suewo gome, enye aɖuɖɔtoe si me tsi le.

Nukatae ɖevi xɔa Dɔgbo Kpuie ƒe Dɔléle?

Susu vevi evee li siwo tae wòle alea ɖo.

1. Nusiwo gbɔ wòtsona wodzina: Woate ŋu adzi ɖevi aɖewo kple dɔgbo sue si le kpuie. Alo ate ŋu anye be dɔgboa ƒe akpa aɖe to wo ŋu, alo dɔgboa metsi bliboe esime wòle tsitsim le vidadaa ƒe dɔme o. Woyɔa nɔnɔme sia be `(Intestinal Atresia)`.

2. Abe amekoko ƒe nugbegblẽ le ame ŋu ene: Ele be woawɔ dɔ na ɖevi aɖewo ƒe dɔgbo sue ƒe akpa aɖe le atikewɔwɔ me nɔnɔme bubuwo ta. Susu siwo gbɔ amekoko sia ƒomevi tsona zi geɖe dometɔ aɖewoe nye:

• Necrotizing enterocolitis: Dɔlékui sesẽ aɖe, vevietɔ le vidzĩ siwo wodzi kaba me, si me dɔgboa ƒe akpa aɖewo kuna le esi ʋu ƒe sisi dzi ɖe kpɔtɔ ta.
• Gastroschisis: Nɔnɔme si me dɔgbowo dona le ŋutilãa godo esime vidzĩa le tsitsim le vidzidɔa me.
• Volvulus: Nɔnɔme si me dɔgbowo trɔna ɖe wo nɔewo ŋu eye ʋu meganɔa sisim o.
• Crohn ƒe dɔlélea:Nuɖuɖumeŋusẽ ƒe dɔléle si nɔa anyi didi.
• Intussusception: Nɔnɔme si me dɔgboa ƒe akpa aɖe gena ɖe akpa bubu me.

Nukawoe nye kuxi siwo ate ŋu ado tso SBS me?

SBS menye nɔnɔme bɔbɔe aɖeke o. Ne womekpɔ ɖevia dzi nyuie o la, kuxi vovovowo ate ŋu ado mo ɖa.

• Tsikuɖiɖi: Tsi ate ŋu alé ŋutilãa me ɖe asi ɣesiaɣi elabena mete ŋu xɔa tsi agbɔsɔsɔme si hiã o.
• Nunyuimakpɔɖui: Lolo dzi ɖeɖe kpɔtɔ kple tsitsi ƒe kuxi le nunyiame si hiã ƒe anyimanɔmanɔ ta.
• Vitamin kple mineral ƒe anyimanɔmanɔ: Vitamin veviwo (A, D, E, K, B12) kple mineral (calcium, magnesium, zinc) ƒe anyimanɔmanɔ na ŋutilã.
• Diaper-ʋuʋudedi sesẽ: Aɖuɖɔ si me acid le dodo enuenu ate ŋu ana ŋutigbalẽ si le diaper-ƒea nabiã vevie eye wòaxɔ abi.
• Aklãdɔ: Aklã ate ŋu agblẽ nu le eŋu, vevietɔ ne èxɔ nunyiame si wotsɔa dɔgbo wɔe (TPN) ɣeyiɣi didi aɖe.
• Ayiku me kpewo: Le nuwo abe calcium ene ƒe xɔxlɔ̃ ƒe masɔmasɔ ta.
• Dɔlékuiwo ƒe tsitsi fũ le dɔgbo suea me: Dɔgboa ƒe dɔwɔwɔ ƒe gbegblẽ ate ŋu ana dɔlékui siwo gblẽa nu le ame ŋu natsi fũ akpa.

Eyata ne SBS ƒe dzesiwo le viwò ŋu, vevietɔ le dɔgbo ƒe dɔwɔwɔ vɔ megbe la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ enumake .

Nukawoe nye atike siwo wozãna na SBS?

Ðevi si ŋu SBS le dada nye ƒuƒoƒo ƒe agbagbadzedze. Ame geɖe, siwo dome ɖeviwo ƒe dɔdalawo, amekolawo, kple nuɖuɖuŋutinunyalawo hã le, wɔa dɔ aduadu tsɔ wɔa atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na viwòa. Taɖodzinu vevitɔ si le atikewɔwɔ ŋue nye be woaɖu dzesiawo dzi esime wole nunyiame si hiã la nam ɖevia.

1. Nunyiame ƒe Tɔtrɔwo

Esiae nye atikewɔwɔa ƒe akpa vevitɔ kekeake.

• Total Parenteral Nutrition (TPN): Le dɔgbo ƒe dɔwɔwɔ vɔ megbe alo ne dɔgboa mete ŋu xɔa nunyiamewo kura o la, wotsɔa nunyiame siwo katã ɖevia hiã (protein, ami, carbohydrates, vitamin, kple mineral) naa ɖevia to tsi tɔxɛ aɖe, abe saline ene, to ʋuka me. Esia toa nuɖuɖumeŋusẽ ŋu keŋkeŋ eye wònaa nunyiame kpena ɖe ʋua ŋu tẽ. Esia nye atikewɔwɔ si xɔa ɖevia ɖe agbe.
• Nunyiame si le dɔgboa me / Tube Feeding:Ne ɖevia ƒe dɔgbowo le dɔ wɔm vie la, wonaa tsi tɔxɛwo to mɔ̃ si wotsɔ to ŋɔti me yi dɔgboa me alo to mɔ̃ si wotsɔ amekoko do ƒome kple dɔgboa tẽ me. Esia ate ŋu ana ɖevia nakpɔ nunyiame bubuwo tsɔ kpe ɖe nuɖuɖu siwo woɖuna to nu me ŋu.
• Tɔtrɔ le nuɖuɖu me: Esi vidzĩa dze nu ɖuɖu gɔme vivivi la, ɖɔkta kple nunyiameŋutinunyala awɔ nuɖuɖu ŋuti ɖoɖo tɔxɛ aɖe. Le eme la, .
• Vivivi la, woabia tso asiwò be nàna nuɖuɖu yewo zi geɖe gbesiagbe.
• Egblɔ be woaɖe nuɖuɖu siwo me ami, sukli, kple fibre sɔ gbɔ ɖo dzi akpɔtɔ.
• Egblɔ be enaa nuɖuɖu siwo me protein kple carbohydrates sɔ gbɔ ɖo.
• Wokafui be woana vitamin kple mineral siwo hiã abe kpeɖeŋutɔ ene.

2. Atikewo zazã

Wozãa atike vovovowo tsɔ léa dzesiawo nu eye wònana nunyiame ƒe xɔxlɔ̃ nanyo ɖe edzi.

• Atike siwo ɖea dɔgbo me acid dzi kpɔtɔna (`Proton pump inhibitors`).
• Dɔlékuiwutikewo kpɔa dɔlékuiwo ƒe tsitsi le dɔgboa me dzi.
• Atike siwo ɖea aɖuɖɔtoe dzi kpɔtɔna eye wòɖea nuɖuɖu ƒe zɔzɔ to dɔgboa me dzi kpɔtɔna.
• Lãmetsiŋusẽ ƒomevi siwo naa nunyiame ƒe xɔxlɔ̃ nyona ɖe edzi.

3. Amekoko

Le nɔnɔme sesẽ aɖewo me la, ate ŋu ahiã be woagawɔ dɔ na ɖevia be wòana ɖevia ƒe dɔgbowo nawɔ dɔ nyuie wu. Le kpɔɖeŋu me, dɔgbo didi ƒe mɔnuwo li. Le nɔnɔme siwo nu sẽ ŋutɔ me, afisi atike bubu aɖeke mewɔa dɔ le o la, ate ŋu ahiã be woado dɔgbo na ame.

Mɔkpɔkpɔ nyui si le dɔgboa ƒe tɔtrɔ ɖe nɔnɔmewo ŋu me

Esiae nye mɔkpɔkpɔ gãtɔ kekeake na ɖeviwo kple dzila siwo ŋu SBS le. Míaƒe ŋutilã wɔ nuku ŋutɔ. Ne woɖe dɔgboa ƒe akpa aɖe ɖa vɔ la, dɔgboa ƒe akpa susɔea dzea tɔtrɔ gɔme le ɣeyiɣi aɖe megbe. Woyɔa esia be `Dɔgbo ƒe Trɔtrɔ`.

Esiae nye nusi dzɔna:

• Dɔgbo susɔea ƒe gli ememetɔ ƒe lolome dzina ɖe edzi.
• Akpa suesuesue siwo le abe asibidɛ ene (villi) siwo xɔa nunyiamewo la didina eye woƒona.
• Dɔgboa ƒe didime dzina ɖe edzi.
• Alesi nuɖuɖu zɔna kabakabae la dzi ɖena kpɔtɔna, si wɔnɛ be ɣeyiɣi geɖe wu nɔa nunyiamewo ŋu.

Le tɔtrɔ ɖe nɔnɔmeawo ŋu ƒe ɖoɖo sia ta la, ɖevi geɖe te ŋu trɔna vivivi tso nunyiame si wotsɔa dɔgbo wɔe (TPN) dzi yia nu me nana wo dzi. Atike yeyewo abe teduglutide ene li fifia siwo ate ŋu ana tɔtrɔ ɖe nɔnɔme sia ŋu nawɔ kaba.

SBS nye mɔzɔzɔ sesẽ aɖe. Gake ne wowɔ atike na ɖevi siawo nyuie, wokpɔ nunyiame nyuie, eye dzilawo lɔ̃ wo hetsɔ wo ɖokui na la, woate ŋu anɔ agbe nyui si me dzidzɔ le hã. Ele vevie ŋutɔ be nànɔ kadodo me kple wò ɖɔkta kple atikewɔlawo ƒe ƒuƒoƒoa eye nàwɔ ɖe woƒe aɖaŋuɖoɖowo dzi.