Ɣeaɖewoɣi la, esɔ be nàvɔ̃ vie eye nàtsi dzodzodzoe ne ɖɔkta gblɔ na wò be ehiã be woaɖe wò dɔgbo ƒe akpa aɖe le atikewɔwɔ ƒe nɔnɔme aɖe ta. "Ðe mate ŋu anɔ agbe abe alesi wòle ene ne woɖe nye dɔgbo ƒe akpa aɖe ɖaa?" "Ðe nuɖuɖu maɖu oa?" Anɔ eme be biabia geɖe abe esiawo ene le susu me na wò. Esia tae, egbea, míaƒo nu tso ‘dɔgbo suewo ɖeɖeɖa’ alo `(Adɔgbo suewo ɖeɖeɖa)` amekoko sia ŋu le nya bɔbɔewo me.
Kpuie ko la, amekoko sia bia be woatsɔ amekoko aɖe wò dɔgbo suea ƒe akpa aɖe si gblẽ alo dɔléle aɖe ɖa. Míaƒe dɔgbo sue la nye ŋutinu si didi ŋutɔ, si tro, eye wòwɔ nuku ŋutɔ, eye zi geɖe la, eƒe didime nɔa afɔ 20 va ɖo 30. Afi mae ŋutilãa xɔa nunyiame akpa gãtɔ tso nuɖuɖu siwo míeɖuna me. Eyata ne woɖe dɔgbo didi sia ƒe akpa sue aɖe ɖa hã la, zi geɖe la, míaƒe ŋutilã ate ŋu atrɔ ɖe eŋu eye dɔgboa nawɔ dɔ nyuie.
Nukatae wòhiã be woawɔ dɔ sia ƒomevi?
Susu geɖewo li siwo ta woate ŋu aɖe dɔgbo suea ƒe akpa aɖe ɖa ɖo. Zi geɖe la, ɖɔktawo kafua amekoko sia ne wometsɔ atikewo alo nuɖuɖu tɔxɛ aɖeke ɖu dɔlélea dzi o. Gake le nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me abe dɔgbo ƒe xexe ene gome la, ate ŋu ahiã be woawɔ dɔ na ame enumake . Susu vevi siwo ta wowɔ amekoko sia ɖo dometɔ aɖewoe nye esi.
| Susu | Numeɖeɖe Blewu |
|---|---|
| Nudzɔdzɔ siwo mebɔ o | Nɔnɔmewo abe tsitsi siwo menye kansa o le dɔgbo suea me, abe dɔdzẽ, polyps, alo dɔgbo sue me kansa ene. |
| Kuxi siwo do mo ɖa tso wo dziɣi | Nɔnɔmewo abe Meckel ƒe diverticulum alo dɔgboa ƒe tɔtrɔ nyuie, siwo nɔa anyi tso esime wodzii. |
| Dɔlékui siwo xɔa ame ɣeyiɣi didi | Nɔnɔmewo abe Crohn ƒe dɔléle ene nana dɔgboa ƒe gliwo ƒoa ke eye woxena (stricture). |
| Strangulated hernia | Ne dɔgbo ƒe akpa aɖe xa ɖe ƒunukpeƒetetedɔ aɖe me la, ʋu sina yia teƒe ma la nu tsona eye lãmenugbagbeviwo ƒe ku ƒe afɔku nɔa eme. |
| Dɔgbo ƒe mɔxexe | Dɔgbo sue ƒe xexe nye nɔnɔme si me dɔgboa xena keŋkeŋ le susu aɖewo ta. Esia nye nɔnɔme si hiã be woawɔ dɔ na ame kpata. |
| Afɔkuwo | Nusiwo gblẽ le dɔgboa ŋu le afɔku alo abixɔxɔ ta, le kpɔɖeŋu me, do ƒe dodo. |
Mɔnu kawoe wozãna tsɔ wɔa amekokoa?
Woate ŋu awɔ amekoko sia le mɔ vevi etɔ̃ nu. Mɔnu siawo dometɔ ɖeka tiatia nɔ te ɖe wò nɔnɔmea kple amekolaa ƒe aɖaŋuɖoɖo dzi.
1. Amekoko to dɔgboa me: Esia mebia be woatso ƒodoa ƒe akpa gã aɖe o. Ke boŋ woɖea nu suesuesue ʋɛ aɖewo ŋutɔ eye wotsɔa fotoɖemɔ̃ kple amekokodɔwɔnuwo dea wo me. Viɖe si le mɔnu sia ŋue nye be ehayana kabakaba eye mevea ame boo o.
2. Robot-dɔwɔwɔ: Esia sɔ kple amekoko to dɔgbo me, gake le afisia la, amekolaa kpɔa robot-mɔ̃ ƒe abɔwo dzi, eye wòwɔa amekokoa wòdea pɛpɛpɛ wu eye wònɔa bɔbɔe wu .
3. Amekoko le gaglãgbe: Esiae nye mɔnu si wozãna tsã. Le afisia la, woɖea nu gã aɖe le ƒodoa me eye wogena ɖe dɔgboa me. Wozãa mɔnu sia ne mɔnu eve bubuawo mesɔ o.
Nukae dzɔna le amekokoa wɔɣi?
Ele vevie be susu aɖe nanɔ asiwò le esia ŋu.
Gbã la, woana alɔ̃dɔdɔ wò bliboe, eyata màse naneke le amekokoa wɔɣi o.
Emegbe amekolaa tsɔa mɔnu siwo míeyɔ va yi dometɔ ɖeka tsoa dɔgboa ƒe akpa si gblẽ la gbɔ. Emegbe, wotsɔa dɔwɔnu tɔxɛwo (clamps) léa akpaa ɖe axa eveawo eye wolãa akpa si gblẽ la heɖenɛ ɖa.
Afɔɖeɖe si kplɔe ɖoe nye vevitɔ kekeake.
- Anastomosis ƒe dɔwɔwɔ:Zi geɖe la, wotsɔa dɔgbo ƒe akpa eve siwo le lãmesẽ me siwo susɔ le akpaa ɖeɖe vɔ megbe ƒe nugbɔwo nu ƒu ɖekae eye wogbugbɔa wo lɔ̃na ɖekae. Wozãa aŋenu tɔxɛwo alo nusiwo wotsɔ blaa nu tɔxɛwo tsɔ wɔa esiae. Woyɔa nuwɔna sia be anastomosis.
- Ileostomy: Gake ɣeaɖewoɣi la, manya wɔ be woatsɔ dɔgboa ƒe akpa eve siwo susɔ la aƒo ƒui o. Le kpɔɖeŋu me, ne dometsotso si le akpa eveawo dome lolo akpa, alo ne dɔlékui aɖe xe mɔ na wo be woagaka ɖe wo nɔewo dzi enumake o la, ɖɔktaa awɔ nu bubu. Le go sia me la, wowɔa ʋuƒo (stoma) ale be dɔgbo suea ƒe nuwuwu nadze ƒodoa ƒe ŋutigbalẽ dzi. Aɖuɖɔa dona to ʋuƒo sia me eye wòƒoa ƒu ɖe akplo tɔxɛ aɖe (ostomy kotoku) si wotsɔ bla ɖe ŋutigbalẽa ŋu me. Woyɔa esia be ileostomy. Esia ate ŋu anɔ anyi ɣeyiɣi kpui aɖe alo anɔ anyi ɖaa.
Nukae dzɔna le amekokoa megbe? Ɣeyiɣi didi kae wòaxɔ hafi ahaya?
Ele be nànɔ kɔdzi ŋkeke ʋɛ aɖewo le amekokoa megbe.
- Nuɖuɖu: Le gɔmedzedzea me la, esi wòhiã be dɔgboa nagbɔ ɖe eme ta la, wometsɔa nu naa nuɖuɖu o. Ke boŋ wotoa mɔ̃ (tube feeding) dzi naa nunyiame. Ne ɖevia le hayahayam vivivi la, woate ŋu adze tsi kple nuɖuɖu falɛfalɛwo ɖuɖu gɔme to nu me, abe alesi ɖɔkta gblɔe ene.
- Azɔlizɔzɔ: Ne èle kɔdzi, kpakple ne èyi aƒeme vɔ la, ele vevie ŋutɔ be nàfɔ tso aba dzi azɔ atsa vie be ʋu nagaxe o .
- Ɣeyiɣi si wòahaya: Ate ŋu axɔ ɣleti geɖe hafi ahaya keŋkeŋ, gake ame akpa gãtɔ te ŋu trɔna yia gbesiagbedɔwo wɔwɔ me le kwasiɖa ʋɛ aɖewo ko me.
Afɔku kple nugbegblẽ kawoe le amekoko sia me?
Abe amekoko ɖesiaɖe ene la, afɔku aɖewo le eme, eye ele vevie be nànya wo.
| Afɔku / Nusiwo wògblẽna le ame ŋu | Nuɖᴐɖᴐ |
|---|---|
| Anastomotic ƒe tsi si le dodom | Tsi si dona tso sutures/staples la me. Esia nye nɔnɔme si me afɔku le ŋutɔ eye ate ŋu ade ame ƒe agbe afɔku me. |
| Dɔmetɔtrɔ | Aɖuɖɔtoe ate ŋu adzɔ kwasiɖa ʋɛ aɖewo le amekokoa megbe esime ŋutilãa le tɔtrɔm ɖe nɔnɔme yeyea ŋu. |
| Inguinal hernia ƒe ʋuʋu | Dɔgboa ƒe akpa aɖewo siwo wole tutum do goe to afisi wotsoe le amekokoa me. |
| Afɔku bubuwo | Dɔlékuiwo, ʋu ƒe sisi, ʋusɔgbɔdɔ si nɔa anyi didi, kple ŋutinu siwo te ɖe wo ŋu abe aklã alo dɔgbo ene ƒe gbegblẽ. |
Ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ enumake!
Ne èyi aƒeme le amekoko vɔ megbe la, ele be nàlé be na wò ŋutilã ŋutɔ. Ne èkpɔ dzesi siwo gbɔna dometɔ aɖe la, yɔ wò ɖɔkta alo yi kɔdzi enumake .
- Aɖuɖɔtoe ɖeɖe sesẽ alo aɖuɖɔtoe maɖemaɖe ŋkeke geɖe.
- Aɖuɖɔtoe kple ʋuʋudedi ale gbegbe be mete ŋu tsɔa nuɖuɖu alo tsiwo toa nu me naɖiɖi o.
- Aɖuɖɔ alo ʋu si dona le amekokoa ƒe lãɖeɖe me.
- Vevesese sesẽ si nu metsina le atike nono vɔ megbe gɔ̃ hã o.
- Dɔlékui ƒe dzesiwo, abe dzoxɔxɔ, abibibi kple dzoxɔxɔ ƒo xlã afisi wotsoe ene.
Ðo ŋku edzi be ne dzesi siawo le sesẽm na wò la, mègagblẽ ɣeyiɣi o eye nàyi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Gbedasi si Wotsɔ Yi Aƒeme
- `Small Bowel Resection` nye amekoko be woaɖe dɔgbo suea ƒe akpa si ŋu dɔléle alo esi gblẽ la ɖa. Mègavɔ̃ esia o.
- Esi míaƒe dɔgbo sue la didi ta la, zi geɖe la, ŋutilãa te ŋu wɔa dɔ nyuie ne woɖe eƒe akpa sue aɖe ɖa gɔ̃ hã.
- Exɔa ɣeyiɣi aɖe hafi wòhayana keŋkeŋ tso amekoko me. Le ɣeyiɣi ma me la, wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi nyuie.
- Nya nu tso afɔku ƒe dzesi siwo ate ŋu ado mo ɖa (asrã, vevesese sesẽ, ʋuʋudedi, ʋuʋudedi si le dodom tso afisi wotsoe) le amekoko vɔ megbe. Ne ède dzesi esiawo dometɔ aɖe la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
- Ne nyabiase bubu aɖewo gale asiwò ku ɖe esia ŋu la, ƒo nu tso eŋu kple wò ɖɔkta faa.
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