Nukae Nye Dɔgbo Sue me Dɔdzẽ?
Kpuie ko la, Dɔgbo Sue me Kansa nye kansa lãmenugbagbeviwo ƒe tsitsi le wò dɔgbo sue me, alo nusi míeyɔna be " dɔgbo sue ". Ènya be dɔgbo sue nye míaƒe nuɖuɖumeŋusẽ ƒe akpa vevi aɖe ŋutɔa ? Nuɖoanyi sia lɔ ŋutinu bubu geɖewo hã ɖe eme, abe aklã kple dɔgbo ene . Dɔgbo suea le míaƒe dɔgbo (GI) me . Eyae nye be ele mɔ si tso nu me, to nuɖuɖutome, yi dɔgbo me, emegbe yi dɔgbo suea me, eye tso afima yi dɔgbo gã (dɔgbo) me. Ne míagblɔe tututu la, dɔgbo sue siae do ƒome kple dɔgbo kple dɔgbo gã la. Dɔgbo suea ƒe akpa vevi etɔ̃e li:- Duodenum : Esiae nye akpa gbãtɔ si te ɖe dɔgboa ŋu wu.
- Jejunum: Esia nye dɔgbo suea ƒe titina.
- Ileum: Esiae nye dɔgbo suea ƒe akpa mamlɛtɔ kple esi didi wu.
Aleke gbegbee kansa sia bɔe?
Le nyateƒe me la, dɔgbo sue me dɔdzẽ nye dɔléle si mebɔ kura o . Le Amerikatɔwo ƒe nyatakakawo nu la, kansa sia ƒomevie nye kansa siwo katã le nuɖuɖumeŋusẽ me ƒe 3% lɔƒo. Dɔgbo me kansa , dɔgbo me kansa, nuɖuɖutome kansa, kple dɔgbo me kansa bɔ wu. Eyata, àte ŋu asusui be esia bɔbɔ vie.Nukae nye dɔgbo sue me dɔdzẽ ƒomeviwo ?
Kansa ƒomevi vovovowo li siwo dzɔna le dɔgbo suea me. Woda nusiawo ɖe hatsotsowo me le lãmenugbagbevi ƒomevi si me kansa la dze egɔme tsoe nu.- Kansa ƒe dɔdzẽ: Esiawo dzea egɔme tso wò ahɔhɔ̃mekawo ƒe lãmenugbagbeviwo me . Lãmenugbagbevi siawo kpena ɖe wò ŋutilã ŋu wòwɔa lãmetsiŋusẽwo eye wòkpɔa nuɖuɖumetsi siwo dona le dɔgbo suea me dzi. Kansa ƒe dɔdzẽwoe nye dɔgbo sue me dɔdzẽwo katã ƒe afã lɔƒo.
- Adenocarcinomas: Esiawo dzea egɔme tso lãmenugbagbevi siwo le lãkusi me siwo le dɔgbo suea ƒe lãkusi me. Woawoe nye dɔgbo sue me dɔdzẽwo katã ƒe akpa etɔ̃lia lɔƒo.
- Sarcomas: Esiawo dzea egɔme tso ƒunukpeƒetetedɔ me.alo kadodoŋusẽ abe lãmeka ene. Sarcoma ƒomevi si bɔ wu si gblẽa nu le dɔgbo suea ŋue nye dɔgbo ƒe stromal tumor (GIST) . Tsã la, woyɔnɛ be leiomyosarcoma.
- Lãmetsiŋusẽ: Esiawo dzea egɔme tso lãmenugbagbevi siwo woyɔna be ʋumenugbagbevi dzĩwo me . Lãmenugbagbevi ɣiwo nye ʋumenugbagbevi ɣi ƒomevi aɖe si le wò ʋumenugbagbeviɣidɔ me . Lãmetsiŋusẽ ƒe dɔwɔwɔ nye míaƒe dɔlélenutsiŋutete ƒe akpa vevi aɖe ŋutɔ. Ekpena ɖe ŋutilãa ŋu wòwɔa avu kple lãmenugbagbevi siwo gblẽa nu le ame ŋu kple dɔlékui siwo hea dɔléle vɛ.
Nukawoe nye kansa sia ƒe dzesiwo?
Dɔgbo sue me dɔdzẽ ƒe dzesiwo ate ŋu ato vovo. Wonɔa te ɖe dɔdzẽ ƒomevi kple afisi wòle dzi. Ɣeaɖewoɣi la, dɔdzẽ ate ŋu anɔ anyi gake mahe dzesi aɖeke vɛ o (dzesi aɖeke mele eŋu o) . Le kpɔɖeŋu me, zi geɖe la, dɔdzẽ ƒe dɔdzẽ meɖea dzesi aɖeke fiana o. Wokpɔa wo le vo me ɣeaɖewoɣi le nɔnɔmetatawo dodokpɔwo me hena nɔnɔme bubu aɖe. Dzesi siwo bɔ dometɔ aɖewoe nye:- Dɔgbo ƒe vevesese alo ƒodo ƒe ʋuʋu.
- Kpe si le ƒodo me si se le eɖokui me abe ɖe wole asi lém ene.
- Aɖuɖɔtoe, ʋuʋudedi, kple aɖuɖɔtoe.
- Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee.
- Ʋusɔgbɔdɔ ( ʋu ƒe veve).
- Jaundice ( ŋku alo ŋutigbalẽ ƒe ɣie).
- Aɖuɖɔ si me ʋu le (ate ŋu adze dzĩ alo yibɔ le nugododeƒe).
- Ŋutilã ƒe biã, vevietɔ asiwo kple ŋutilã ƒe akpa si le etame, si trɔna zua aŋutiɖiɖi.
Nukawoe hea dɔgbo sue me dɔdzẽ vɛ?
Dɔgbo suea ƒe dɔdzẽ vɔ̃ɖiwo dona ne kansa lãmenugbagbeviwo ma kabakaba eye wotsi ɖekae va zu ƒuƒoƒo. Le ɣeyiɣi aɖe megbe la, kansa lãmenugbagbevi siawo ate ŋu adzo le dɔdzẽ gbãtɔa gbɔ eye woato ʋukawo alo ʋu me ayi ŋutilã ƒe akpa bubuwo, afisi woate ŋu awɔ dɔdzẽ yeye (dɔdzẽ evelia). Woyɔa nuwɔna sia be metastasis . Kansa lãmenugbagbeviwo dona le domenyiŋusẽfianu ƒe tɔtrɔ ta . Esia fia be tɔtrɔwo dzɔna le lãmenugbagbevi aɖe ƒe DNA me, si wɔnɛ be lãmenugbagbevi la mãna le mɔ si dzi womate ŋu aɖu o nu. Numekulawo menya nusi tututu hea tɔtrɔ siawo vɛ haɖe o.Nukawoe nye nusiwo ate ŋu ana kansa sia nadze ame dzi?
Afɔku si ate ŋu adzɔe nye nusianu si ana mɔnukpɔkpɔ si li be woaxɔ dɔléle aɖe nadzi ɖe edzi. Gake ne afɔku aɖe le ame si la, mefia be kansa adze dziwò o. Nenema ke ne afɔku aɖeke mele asiwò o la, mefia be kansa madze dziwò o. Afɔku geɖe li siwo ate ŋu agblẽ nu le dɔgbo sue me dɔdzẽ ŋu:- Ƒe: Afɔku si le dɔgbo sue me kansa ƒomevi akpa gãtɔ xɔxɔ me dzina ɖe edzi ne ame tsi. Ƒe si woxɔ hafi wokpɔ dɔlélea le mama dedie nu anɔ abe ƒe 65 ene.
- Ŋutsu alo nyɔnu nyenye: Ŋutsuwo ate ŋu axɔ kansa sia vie.
- Ameƒomevinyenye: Nyatakaka siwo tso United States ɖee fia be dɔléle sia bɔ ɖe ameyibɔwo dome vie, evɔ ʋumenugbagbeviɣidɔ ya bɔ ɖe yevuwo dome wu.
- Domenyiŋusẽfianu ƒe nɔnɔmewo: Ne dɔléle aɖewo le dziwòlawo, nɔviwòwo, alo viwòwo ŋu la, àte ŋu adze afɔku geɖe wu hã me. Kpɔɖeŋu aɖewoe nye (Ƒomea ƒe Adenomatous Polyposis - FAP) , (Peutz-Jeghers ƒe dɔléle) , (Domenyiŋusẽ ƒe Nonpolyposis Colorectal Cancer - HNPCC) , kple (Lynch ƒe dɔléle) .
- Dɔdzẽ ƒe nɔnɔmewo: Dɔléle siwo nana dɔgboa xɔa abi ɣeyiɣi didi, abe Crohn ƒe dɔléle kple Celiac dɔléle ene, ate ŋu ana afɔkua nadzi ɖe edzi.
- Dɔlélenutsiŋutete ƒe dɔlélewo alo dɔlélenutsiŋutete si gbɔdzɔ: Dɔléle siwo nana dɔlélenutsiŋutete gbɔdzɔna, abe HIV/AIDS , Crohn ƒe dɔléle , kple Celiac dɔléle ene, ate ŋu ana wò afɔkua nadzi ɖe edzi. Azɔ hã, atikewɔwɔwo abe keklẽŋusẽdɔdamɔnu ene ate ŋu ana dɔlélenutsiŋutete nagbɔdzɔ, si ana dɔgbo sue me kansa xɔxɔ ƒe afɔkua nadzi ɖe edzi. Atike siwo tea dɔlélenutsiŋutete ɖe to le ŋutinuwo dodo na ame megbe hã ate ŋu ana wò afɔkua nadzi ɖe edzi.
Ne èsusu be afɔku siawo dometɔ aɖe le ye ŋu la, anyo wu be nàƒo nu kple ɖɔkta .
Aleke wokpɔa dɔgbo sue me dɔdzẽ?
Dɔgbo sue me kansa didi ate ŋu asesẽ elabena ƒã ŋutɔ. Azɔ hã, dzesiawo toa vovo le dɔdzẽ ƒe ƒomevi nu. Ðewohĩ ahiã be woado wò kpɔ ahawɔ dɔ na wò geɖe hafi woakpɔ dɔlélea le ŋuwò.Ŋutilãmedodokpɔ kple atikewɔwɔ ŋutinya
Ðɔktaa ado wò kpɔ, alé ŋku ɖe wò lãmesẽ bliboa ŋu, akpɔe ɖa be dɔléle ƒe dzesiwo le ŋuwò hã, eye wòabia wò dɔléle siwo nèkpɔ va yi, atike siwo nèwɔ, kple lãmesẽmenɔnɔ ƒe nɔnɔmewo.Ʋudodokpɔwo
- Ʋu ƒe lãmenugbagbeviwo ŋuti numekukuwo: Esiawo dzidzea nu aɖewo siwo dona ɖe ʋua me tso ŋutinuwo kple lãkusiwo me ƒe agbɔsɔsɔ. Ne atike aɖe ƒe agbɔsɔsɔ si mesɔ o (si sɔ gbɔ alo le sue) li la, ate ŋu afia be dɔléle aɖe le ŋutinu alo lãkusi si naa nu ma me. Le kpɔɖeŋu me, woate ŋu ado aklã ƒe dɔwɔwɔ kpɔ be kansa kaka ɖe aklã me hã.
- Ʋu ƒe xexlẽme blibo (CBC): Dodokpɔ sia naa wò ɖɔkta nyatakaka tso lãmenugbagbevi siwo le wò ʋu me ŋu. Dɔgbo suewo ƒe dɔdzẽ ate ŋu ana ʋu nado, si ate ŋu ana ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi naɖe akpɔtɔ, si ana ʋusɔgbɔdɔ nava.
Nɔnɔmetatawo ɖeɖe
- Endoscopy: Esia bia be woazã dɔwɔnu tsɛ aɖe si le abe mɔ̃ ene (endoscope) atsɔ alé ŋku ɖe dɔgboa (GI) me. Akaɖi kple fotoɖemɔ̃ le mɔ̃ sia dzi.Le etame dɔgbomekpɔkpɔ me la, ɖɔktaa dea dɔgbomekpɔmɔ̃ to nu me eye wòdoa nuɖuɖutome, dɔgbo, kple dɔgbo sue (duodenum) ƒe akpa gbãtɔ kpɔna. Dɔlékuiwutike tɔxɛ aɖe si woyɔna be double-balloon enteroscopy ate ŋu alé ŋku ɖe dɔgbo suea me goglo wu. Le dɔlékuiwo me toto me la, ɖɔkta ate ŋu axɔ lãkusiwo ( biopsies ) eye wòaɖo wo ɖa be woado wo kpɔ. Emegbe wodoa wo kpɔna le nusuekpɔmɔ̃ me be woakpɔe ɖa be dɔléle ƒe dzesi aɖewo le wo ŋu hã.
- Capsule endoscopy (pill camera): Esia bia be woami capsule si me fotoɖemɔ̃ sue aɖe le. Ne atikekui la to ŋutilãa me la, eɖea foto GI-mɔ̃a. Woate ŋu awɔ nɔnɔmetata siawo ƒe kɔpi ɖe kɔmpiuta dzi eye ɖɔkta nakpɔ wo. Togbɔ be ŋkɔa ate ŋu atɔtɔ ame vie hã la, womezãa dɔdamɔnu sia o.
- CT scan (CT scan - CAT scan): Esia nye dɔ si me woɖea ŋutilã ƒe akpa si le eme ƒe foto tsitotsito tso dzogoe vovovowo dzi. Woɖea nɔnɔmetata siawo fiana le kɔmpiuta si wotsɔ do ka kple X-ray mɔ̃ aɖe dzi. Ɣeaɖewoɣi la, woate ŋu ado amadede aɖe ɖe ʋuka me alo anae wòano. Esia wɔnɛ be woate ŋu akpɔ ŋutinuwo alo lãkusiawo nyuie.
- MRI (magnetic resonance imaging): Esia zãa magnet, radio ƒutsotsoewo, kple kɔmpiuta tsɔ wɔa ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetata tsitotsito ɖe wo nɔewo yome. Togbɔ be MRI kple CT scan siaa naa nyatakaka ɖeka tɔgbe tso alesi dɔdzẽ le ŋusẽ kpɔm ɖe lãkusi falɛfalɛwo dzi ŋu hã la, zi geɖe la, wozãa CT scan tsɔ dea dzesi dɔgbo sue me dɔdzẽ.
- Ƒodo ƒe X-ray: X-ray si woɖena le ŋutinu siwo le ƒodoa me ŋu. X-ray nye ŋusẽ ƒe keklẽ si toa ŋutilãa me eye wòdzena ɖe film dzi, si wɔnɛ be ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetata.
- Barium X-ray: Esia bia be nàtsɔ nusi le abe chalk si woyɔna be barium atsyɔ wò GI-mɔ̃a dzi. Barium la nana GI-mɔ̃a dzena le X-ray me. Le GI ƒe akpa si le etame ƒe ƒuƒoƒo me la , woɖea X-ray foto siwo kplɔ wo nɔewo ɖo esime barium la to GI-mɔ̃a me (nutome, dɔgbo, dɔgbo sue). Le GI ƒe hatsotso si le anyime (barium enema) me la, wotsɔa barium si nye tsi dea dɔgboa me. Woɖea X-ray fotowo esime barium la le GI-mɔ̃ si le ete la tsyɔm.
Amekoko
Ne dodokpɔ bubuwo mena nyatakaka si sɔ be woatsɔ anya dɔlélea o la, wò ɖɔkta ate ŋu atso nya me be yeawɔ dɔ na ye. Dɔwɔwɔ siawo nana wò ɖɔkta te ŋu doa wò ŋutinuwo kpɔna tẽ. Ne lãkusi si ŋu ɖikeke le li la, woɖea ŋutilã ƒe akpa aɖe tsɔ léa ŋku ɖe kansa ƒe dzesiwo ŋu hã. Woate ŋu awɔ dɔ na ame be:- Laparoscopy: Le dɔdamɔnu sia me la, wotsɔa mɔ̃ tsɛ aɖe si le abe didiƒekpɔmɔ̃ ene (laparoscope) dea eme to ʋuƒo sue ɖeka alo esi wu nenema me le ƒodoa me. Laparoscope la wɔnɛ be ɖɔktaa kpɔa ƒodo ƒe ŋutinuwo hena kansa ƒe dzesiwo.
- Laparotomy ƒe dɔwɔwɔ:Le esia me la, ɖɔktaa lãa ƒodo ƒe gli eye wòdoa ƒodo ƒe ŋutinuwo kpɔna be kansa ƒe dzesiwo le wo ŋu hã.
Nukawoe nye dɔgbo sue me dɔdzẽ ƒe afɔɖeɖewo?
Afisi kansa le la gblɔa alesi gbegbe dɔdzẽa loloe, afisi wòle, kple nenye be ekaka (ekaka ɖe teƒe bubuwo). Zi geɖe la, wowɔa dodokpɔ kple dɔdamɔnu siwo dea dzesi afisi dɔgbo sue me kansa le le ɣeyiɣi si me wokpɔe. Dɔgbo sue me kansa ƒomevi si le ŋuwò (carcinoid tumor, adenocarcinoma, sarcoma, alo lymphoma) ye afia alesi wò ɖɔkta zãna tsɔ ɖoa dɔgbo me.Nukawoe nye atike siwo wozãna na esia?
Atike si woawɔ na wò la nɔ te ɖe kansa ƒomevi si le ŋuwò, afisi wòle, afisi dɔdzẽa le, kple lãmenugbagbevi siwo le dɔdzẽa me ƒe nɔnɔmewo dzi. Nusiwo nèlɔ̃na hã kpɔa ŋusẽ ɖe atikewɔwɔ ŋuti nyametsotsowo dzi.Amekoko
Amekokoe nye dɔgbo sue me dɔdzẽ dada wu. Amekoko ate ŋu anye:- Resection: Amekoko be woaɖe ŋutinu si katã alo eƒe akpa aɖe ɖa le afisi kansa la le. Ne kansa la kaka la, ɖɔkta ate ŋu aɖe dɔgbo suea ƒe akpa aɖewo kple ŋutinu siwo te ɖe eŋu. Emegbe woate ŋu awɔ anastomosis (si gbugbɔa dɔgboa ƒe nugbɔ siwo wotso la doa ka kple wo nɔewo). Woate ŋu aɖe ʋuka siwo te ɖe dɔgbo suea ŋu hã ɖa ahado wo kpɔ be kansa la kaka hã.
- Bypass: Ne dɔdzẽ aɖe xe mɔ na dɔgboa gake womate ŋu aɖee o la, amekoko be wòana nuɖuɖu si le dɔgbo suea me nato dɔgboa ŋu.
Atikewo zazã
Atikewo zazã nye atikewo zazã atsɔ atɔ te kansadɔlékuiwo ƒe tsitsi. Wowua lãmenugbagbeviawo alo woxea mɔ na wo be woagama o. Le atikewɔmɔnu si wozãna nu la, atikeawo ate ŋu aɖo kansa lãmenugbagbevi siwo le ŋutilã ƒe akpa aɖe koŋ (nutome atikewɔmɔnu) alo awu kansa lãmenugbagbeviwo le ŋutilã bliboa me (tikewɔwɔ si wowɔna ɖe ɖoɖo nu). Wò ɖɔkta ate ŋu aŋlɔ atike na wò be wòawu kansadɔlékui ɖesiaɖe si ate ŋu asusɔ le amekokoa megbe (dɔdamɔnu kpeɖeŋutɔ) . Ne wò kansa kaka (ekaka ɖe teƒe bubuwo) la, woate ŋu ana atikewɔmɔnu si wozãna ɖe ɖoɖo nu wò.Kekeli ƒe atikewɔwɔ
Kekeli ƒe dɔdamɔnu nye X-ray alo keklẽŋusẽ ƒomevi bubuwo zazã atsɔ awu kansa lãmenugbagbeviwo alo axe mɔ na wo be woagatsi o. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be woatsɔ keklẽŋusẽ awɔ dɔe ne womate ŋu aɖe wò kansa ɖa to amekoko me o. Woate ŋu ana keklẽŋusẽdɔdamɔnu hã abe beléle si naa ame ƒe dzi dzea eme ƒe akpa aɖe ene be wòakpe ɖe ame ŋu wòaɖe dzesiawo dzi akpɔtɔ. Ɣeaɖewoɣi la, wonaa keklẽŋusẽdɔdamɔnu kpe ɖe atikewɔmɔnu (chemoradiation therapy) ŋu be woawu kansadɔlékui ɖesiaɖe si susɔ le amekoko vɔ megbe.Somatostatin ƒe atike siwo sɔ kple wo nɔewo
Ðɔktaa tsɔa somatostatin analogs daa dɔgbo suea ƒe dɔdzẽ ƒe dɔdzẽwo.Atike siawo xea mɔ na wò ŋutilã be wòagawɔ lãmetsiŋusẽ geɖe akpa o. Esia ate ŋu akpe ɖe ame ŋu wòaɖe dɔlélea ƒe dzesiwo dzi akpɔtɔ eye wòaɖu dɔlélea dzi. Atike siawo ƒe kpɔɖeŋu aɖewoe nye lanreotide kple octreotide.Ehiã be woagawɔ numekuku bubuwo tso viɖe siwo le keklẽŋusẽdɔdamɔnu kple atikewɔmɔnu zazã ɖekae me le amekoko le dɔgbo sue me dɔdzẽ ta ŋu.
Atikewɔwɔ si ŋu woɖo taɖodzinu ɖo
Dɔdamɔnu siwo ŋu woɖo taɖodzinu ɖo wɔa dɔ to dzesidede gbɔdzɔgbɔdzɔ siwo le kansa lãmenugbagbeviwo me kple gbɔdzɔgbɔdzɔ mawo zazã atsɔ tsrɔ̃ wo me. Fifia numekulawo le nu srɔ̃m tso atikewɔmɔnu siwo ŋu woɖo taɖodzinu ɖo siwo ate ŋu akpe ɖe ame ŋu le adenocarcinomas, GISTs, kple lymphomas dada me.Dɔlélenutsiŋutete ƒe atikewɔwɔ
Dɔlélenutsiŋutete ƒe dɔdamɔnu wɔa dɔ to ŋusẽdodo wò dɔlélenutsiŋutete kple ŋutete si le esi be wòawɔ avu kple kansa lãmenugbagbeviwo dzi ɖeɖe kpɔtɔ me. Le dzɔdzɔme nu la, wò dɔlélenutsiŋutete wɔa avu kple lãmenugbagbevi siwo mesɔ o kple amedzidzela siwo me afɔku le abe dɔlékuiwo ene. Gake ɣeaɖewoɣi la, kansa lãmenugbagbeviwo te ŋu toa dɔlélenutsiŋutete ƒe ametakpɔnuwo ŋu. Dɔlélenutsiŋutete ƒe dɔdamɔnu nana wònɔa bɔbɔe na dɔlélenutsiŋutete be wòade dzesi kansa lãmenugbagbeviwo ahatsrɔ̃ wo. Le domenyiŋusẽfianu ƒe tɔtrɔ ƒomevi si le wò dɔdzẽ me nu la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã dɔlélenutsiŋutete ƒe dɔdamɔnu.Dɔdamɔnu dodokpɔwo
Dɔdamɔnu dodokpɔwo nye numekuku siwo wowɔna tsɔ nyaa ne kansadɔdamɔnu yeyewo le dedie, wowɔa dɔ nyuie, alo wonyo wu atikewɔmɔnu siwo wozãna ɖaa. Fifia la, wole nu srɔ̃m tso atikewɔmɔnu siwo kpena ɖe ame ŋu, atikewɔmɔnu siwo woɖo taɖodzinu na, kple dɔlélenutsiŋutete ƒe dɔdamɔnu ŋu le dɔdamɔnu dodokpɔwo me. Bia wò ɖɔkta nenye be ènye ame nyui aɖe si woate ŋu ado kpɔ le dɔdamɔnu aɖe me.Nukae nye dɔgbo sue me dɔdzẽ dada ƒe agbɔsɔsɔme?
Agbetsitsi ƒe agbɔsɔsɔme toa vovo le dɔgbo sue me kansa ƒomevi, eƒe afɔɖeɖe, kple afisi dɔdzẽa dze egɔme tsoe le dɔgbo suea me nu. Le kpɔɖeŋu me, amesiwo ŋu wokpɔ adenocarcinomas le eƒe gɔmedzedze ƒe 65% nɔa agbe le ƒe atɔ̃ megbe. Agbɔsɔsɔ sia le ʋɛ wu sã, le 4% me, na kansa siwo le eƒe nuwuwu. Ƒe atɔ̃ ƒe agbetsitsi ƒe agbɔsɔsɔme le kansa ƒe dɔdzẽ siwo le gɔmedzedzea me nye 95%, gake le kansa siwo le nuwuwu gome la, enye 42%.Bia wò ɖɔkta alesi wò kansa ƒe dzesiwo kpɔa ŋusẽ ɖe wò ŋgɔdonya dzii.
Nya kawoe wòle be mabia nye ɖɔkta?
Le ɣeyiɣi sia tɔgbe me la, ɖewohĩ nyabiase geɖe anɔ susu me na wò. Mègavɔ̃ o. Ðo dze kple wò ɖɔkta gaglãa. Nya vevi aɖewo siwo nàte ŋu abiae nye esi:- Dɔdzẽ ka ƒomevie le ŋunye?
- Afɔ ka mee nye kansa le?
- Nu kawoe kpɔa ŋusẽ ɖe mɔnukpɔkpɔ si li be mahaya dzi?
- Atikewɔwɔ kae nèkafu?
- Afɔku kple viɖe kawoe le atikewɔwɔ siawo me?
- Ɣeyiɣi didi kae wòaxɔ hafi ahaya tso nye atikewɔwɔ ƒe ɖoɖoa me?
- Nukae wòle be makpɔ mɔ na be emetsonuwo nanɔ te ɖe nye kansa, lãmesẽ bliboa, kple alesi wowɔa nui ɖe atikewɔwɔ ŋu nu?
Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .
Dɔgbo Sue me Kansa nye dɔléle si ŋu womesea nu tsoe boo o, gake edze be woalé ŋku ɖe eŋu.- Esia mebɔ kura o , gake ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake ne dzesiwo dze.
- Nya nu tso dzesiwo abe dɔgbo ƒe veve, lolo si womate ŋu aɖe o, kple aɖuɖɔ si me ʋu le ene ŋu.
- Ne afɔkuwo le ŋuwò , ƒo nu kple ɖɔkta eye nàwɔ dodokpɔ siwo hiã.
- Dodokpɔ vovovowo li hena dɔlélea didi . Mègatsi dzi o, ɖɔktawo akpe ɖe ŋuwò.
- Atikewɔwɔmɔnu vovovowo li , le wò nɔnɔmea nu.
- Ne wokpɔe kaba la, mɔnukpɔkpɔ si li be wòahaya la lolo ŋutɔ.
Nu vevitɔe nye be ne ɖikeke alo vɔvɔ̃ aɖe le mewò le esia ŋu la, mègakpe fu wò ɖeka o, ke boŋ ƒo nu kple ɖɔkta si dzi nèka ɖo . Woana mɔfiame kple kpekpeɖeŋu si nèhiã la wò. Nɔ lãmesẽ me!
Dɔgbo Sue me Kansa, Kansa, Nuɖuɖumeŋusẽ, Dzesiwo, Kansa ƒe Atikewɔwɔ, Dɔgbo, Dɔgbo Sue me Kansa
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