Ne míese dɔgbo ƒe veve alo dɔdzẽ la, zi geɖe la, dɔgbo ƒe dɔléle ŋue míesusuna. Gake ɣeaɖewoɣi la, nusi gbɔ vevesese ma tso ate ŋu anye dɔgbo ƒe abi alo dɔgbo ƒe abi (Stomach Ulcer / Gastric Ulcer). Abe alesi ko abi le míaƒe ŋutigbalẽ ŋu ene la, esia nye abi si dzɔna ɖe dɔgboa ƒe gli ememetɔ dzi. Esia nye dɔléle si bɔ ŋutɔ eye woate ŋu adae ahadae. Gake ne womedae nyuie o la, ate ŋu ahe nɔnɔme sesẽwo vɛ. Eyata nukae nye dɔgbo ƒe abi? Nukatae wòdzɔna ɖo? Nukawoe nye dzesiawo? Nukawoe nye atikewɔwɔ kple mɔxexeɖedɔléle nu ƒe mɔnuwo? Míaƒo nu tso nusiawo katã ŋu le nyati sia me.

Nukae nye dɔgbo ƒe abi sia? (Nuƒoƒo kpuie) .

Aleke dɔgbo me abiwo dzɔnae?

Hydrochloric acid kple enzyme siwo kpena ɖe nuɖuɖu ŋu wòɖua nu le míaƒe dɔgbo me. Esiawo sesẽ ŋutɔ. Eyata be woakpɔ dɔgboa ƒe gliwo ta tso aɖi siawo me la, ƒodoa ƒe akpa aɖe si kpɔa ame ta si wotsɔ ʋuʋudedi ɣiwo wɔ la li. Gake ne le susu aɖe ta la, ametakpɔnu sia gblẽ la, aɖi sesẽ ma ate ŋu aɖu dɔgboa ƒe gli. Woyɔa ‘abi si le ʋuʋu ɖi’ si dona to eɖuɖu me be dɔgbo ƒe abi.

Aleke gbegbe wòbɔe?

Le nyateƒe me la, esia nye nɔnɔme si bɔ ŋutɔ. Ebɔ ɖe Sri Lanka hã. Susu vevitɔ si tae nye be nu vevi eve siwo hea dɔgbo ƒe abi vɛ la bɔ ŋutɔ le míaƒe hadomegbenɔnɔ me. Woawoe nye:

1. Vevesesenutsitike siwo womeƒlena le atikedzraƒe o ( NSAIDs ) zazã le afisiafi .
2. Alesi H. pylori dɔlékuiwo bɔe .

Dɔgbo ƒe Abi vs Dɔgbo ƒe Abi

Ŋkɔ eve siawo ate ŋu atɔtɔ ame. "Peptic Ulcer Disease " nye nɔnɔme si me dɔgbo ƒe ʋuka alo dɔgbo sue ƒe akpa gbãtɔ ( duodenum) gblẽa nu le dɔgboa me acid gblẽa nu le.) nye ŋkɔ si bɔ na abi. Eyata, abi siwo dzɔna le dɔgboa me (Gastric Ulcer / Stomach Ulcer) nye dɔgbo ƒe abi ƒomevi aɖe. Woyɔa abi siwo dzɔna le dɔgboa ƒe akpa gbãtɔ be "Duodenal Ulcers". Nusiwo gbɔ wo ame evea siaa tsona kple alesi wodae la ɖi wo nɔewo ŋutɔ.

Dzesiwo Kple Nusiwo Gbɔ Wòtso

Nukae nye dɔgbo ƒe abi ƒe dzesiwo?

• Dzesi vevitɔ: Vevesese si le bibim : Dzesi vevitɔ si ame akpa gãtɔ sena le wo ɖokui me enye vevesese si le bibim alo le ƒodo si le etame (le akɔta titina teti, le akɔta tame, eye wòlolo wu le miame). Esia ate ŋu ase le eɖokui me abe aɖi si le bibim ene, alo abe ɖe wole nane ɖum tso ememe ene (nɔnɔme si ɖua ame). Menye seselelãme dzro aɖe koe seselelãme sia nye o, gake nusi le dzɔdzɔm ŋutɔŋutɔe nye be acid kple enzymewo le abi la ɖum. Vevesese sia ate ŋu asẽ ɖe edzi ne ƒodo ƒuƒlu, vevietɔ le zã me. Ame aɖewo kpɔnɛ be vevesesea dzi ɖena kpɔtɔna ne woɖu nu, gake le ame bubuwo gome (vevietɔ le dɔgbo me abi) gome la, vevesesea ate ŋu asẽ ɖe edzi ne yewoɖu nu.
• Nuɖuɖumadzroame Kple Blibome: Ame geɖe siwo ŋu dɔgbo le la kpɔa nuɖuɖumaɖumaɖu ƒe dzesiwo. Esia nye seselelãme be yeɖi ƒo tsɔ kpe ɖe dzobibi le dɔgboa me ŋu. Àte ŋu ase le ɖokuiwò me be yeɖi ƒo ne ènya dze nuɖuɖu gɔme ko, alo àte ŋu ase le ɖokuiwò me be yeɖi ƒo ɣeyiɣi didi aɖe le nuɖuɖu vɔ megbe.
• Dzesi bubu siwo bɔ: Tsɔ kpe ɖe esiawo ŋu la, dzesi siwo ku ɖe nɔnɔme siwo na wòxɔ abi ŋu ate ŋu anye:
  • Acid reflux kple dzimeve
  • Aɖuɖɔtoe kple ʋuʋudedi
  • Ʋuʋudedi, ʋuʋudedi, kple gas ƒe vevesese
• Abi Siwo Meƒoa Nu O Kple Kuxiwo ƒe Dzesiwo: Nukutɔe la, dɔgbo ƒe abi le ame aɖewo ŋu gake womesea veve alo dzesi aɖeke o. Woyɔa esiawo be "abi siwo meɖoa to o." Ðewohĩ womakpɔe be abi le yewo ŋu o vaseɖe esime kuxi sesẽ aɖe, abe ʋu si le dodom alo do ƒe dodo ene, do mo ɖa. Di atikewɔla enumake ne dzesi siawo dometɔ aɖe le ŋuwò:
  • Ŋutilã ƒe blɔ (Pallor) .
  • Taɖuame, gbɔdzɔgbɔdzɔ alo alɔ̃madɔmadɔ - ate ŋu atso ʋu ƒe sisi gbɔ.
  • Aɖuɖɔ yibɔ, si me aŋɔ le - le ʋu si woɖu ta.
  • Ʋuʋudedi si le abe kɔfi ƒuƒu ene - le ʋu ƒe sisi le dɔgboa me ta.
  • Ƒodo ƒe vevesese sesẽ kpata si medzona o - ateŋu anye do ƒe dzesi.

Aleke gbegbee kuxiawo nu sẽe?

Ne womewɔ atike na dɔgbo ƒe abi o la, ate ŋu ahe kuxi sesẽwo vɛ:

• Ʋuʋudedi: Ʋu ate ŋu anɔ dodom le abi la ŋu atraɖii, vivivi alo zi ɖeka. Ne ʋu le dodom vivivi la, le ɣeyiɣi aɖe megbe la, ŋutilãa ƒe ʋu ate ŋu aɖiɖi, si ana ʋu nasɔ gbɔ ɖe lãme na ame. Ne ʋu le dodom le eŋu vevie la, ŋutilãa ate ŋu atsi dzodzodzoe eye wòaku gɔ̃ hã.
• Abi si me do le: Nudzɔdzɔ kpata si mebɔ o gake wònye nu sesẽ si me abi la gbãa dɔgboa ƒe gli keŋkeŋ hewɔa do. Do sia ate ŋu ana dɔgboa me acid kple dɔlékuiwo nate ŋu age ɖe ƒodoa me, si ana dɔlékui sesẽ aɖe nadze ame dzi (peritonitis). Dɔlékui sia ate ŋu akaka ɖe ʋukawo hã me, si ahe nɔnɔme aɖe si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be sepsis vɛ.

Nukawo koŋue hea dɔgbo ƒe abi vɛ?

Nu vevi eve siwo hea dɔgbo ƒe abi vɛ le Sri Lanka kple xexeame godooe nye:

• H. pylori (Helicobacter pylori) dɔlékui ƒe dɔléle: Esia nye dɔlékui ƒe dɔléle si bɔ ŋutɔ. Wobu akɔnta be dɔlékui sia le xexeamenɔlawo ƒe afã lɔƒo le woƒe dɔgbo me. Le ame akpa gãtɔ gome la, dɔlékui sia mehea kuxi aɖeke vɛ o. Gake le ame aɖewo gome la, dɔlékui sia tsina akpa le dɔgboa me eye wòdzea dɔgboa ƒe ametakpɔnu ɖuɖu gɔme. Esia hea dɔdzẽ si nɔa anyi didi vɛ, si le ɣeyiɣi aɖe megbe la, ate ŋu ana dɔgbo naxɔ abi.
• NSAID vevesesenutsitikewo zazã: NSAID (Nonsteroidal Anti-inflammatory Drugs) nye vevesesenutsitike ƒomevi aɖe si míeƒlena zi geɖe le atikedzraƒe. Kpɔɖeŋu aɖewoe nye Ibuprofen, Naproxen, Diclofenac, Aspirin.Atike siawo tɔgbe le ƒuƒoƒo sia me. (Paracetamol menye atike le ƒuƒoƒo sia me o). Ne NSAID siawo ge ɖe dɔgboa me la, wodoa dziku sue aɖe ɖe dɔgboa ƒe gli ŋu, eye woxea mɔ na atike aɖewo siwo kpɔa dɔgbo ƒe gli ta hedzrana ɖo hã. Zi geɖe la, míaƒe dɔgbo ƒe gli ate ŋu ahaya tso nu suesuesue siwo gblẽ abe esia ene me. Gake ne míeno NSAID siawo zi geɖe akpa la, dɔgbo ƒe gli la mekpɔa ɣeyiɣi si sɔ be wòadzra eɖokui ɖo o. Vivivi la, ametakpɔnu la nu yina eye abi dona.

Nu bubu siwo mebɔ o siwo gbɔ wòtsona

Tsɔ kpe ɖe nu vevi eve siawo siwo gbɔ wòtsona ŋu la, dɔgbo me abi ate ŋu atso nusiwo gbɔna hã gbɔ, ƒã ŋutɔ:

• Dɔlékui bubuwo: Ƒã ŋutɔ la, dɔlékui, dɔlékui, alo fungi ƒe dɔlékui bubuwo ate ŋu adze dɔgboa dzi eye wòahe abi vɛ.
• Zollinger-Ellison ƒe dɔléle: Esia nye nɔnɔme si mebɔ kura o si me dɔgboa wɔa dɔgboa ƒe acid sɔ gbɔ akpa, si gblẽa nu le dɔgboa ƒe lãkusi ŋu.
• Lãmetsiŋusẽ ƒe nuteɖeamedzi sesẽ: Lãmetsiŋusẽ kple atikewo ƒe tɔtrɔ siwo dzɔna ne ŋutilãa le agbagba dzem be yeahaya tso dɔléle si ate ŋu ade eƒe agbe afɔku me (e.g., dzobibi sesẽ, amekoko gã) alo afɔku me ate ŋu ana dɔgboa me acid nadzi ɖe edzi, si ana nusi woyɔna be "nuteɖeamedzi ƒe abi" nadze. Menye susu me nuteɖeamedzi si míedoa goe le gbesiagbegbenɔnɔ mee nye esia o.

Ðe agbenɔnɔ kpɔa ŋusẽ ɖe edzia?

Ame geɖe susuna be nuɖuɖu siwo me nu ʋeʋĩwo le ɖuɖu kple nuteɖeamedzi hea dɔgbo ƒe abi vɛ. Nyateƒeae nye be gbesiagbegbenɔnɔ ƒe nuwɔna (abe nusi nèɖuna kple nusi nènona, nuteɖeamedzi si bɔ ene) mehea dɔgbo ƒe abi vɛ tẽ o. Gake ne ƒodo me abi le ŋuwò xoxo la, nu siawo ate ŋu ana wò dzesiawo nagagblẽ ɖe edzi . Esia le alea elabena wodzia wò dɔgbo ƒe acid ɖe edzi, si wɔnɛ be abi la gagblẽna ɖe edzi.

• Sigaretnono
• Ahanononono
• Nuɖuɖu siwo me wodea nu ʋeʋĩiwoe
• Nuɖuɖu siwo me acid le abe tomatos kple citrus-kutsetsewo ene
• Nunono siwo me caffeine le abe kɔfi kple tii ene

Dɔlélewo Didi Kple Dodokpɔwo

Aleke nèwɔna dea dzesi dɔgbo ƒe abi?

Ne èyi ɖɔkta gbɔ la, woabia wò dzesiwo gbã, nenye be ènoa NSAID edziedzi, kple nenye be H. pylori dɔlékui aɖe nɔ ŋuwò va yi. Ne wò dzesiwo ɖee fia be dɔgbo ƒe abi le ŋuwò la, ahiã be woado wò dɔgbo ƒe akpa si le eme akpɔe ɖa.

Dodokpɔ ka ƒomevie nèwɔna?

Nu vevi eve li siwo wòle be ɖɔktaa nanya:

1. Ðe H. pylori dɔlékui le ŋuwòa?
2. Ðe dɔgbo ƒe abi le ŋuwòa? Aleke wòle?

Mɔ nyuitɔ si dzi woato awɔ nusiawo evea siaa le ɣeyiɣi ɖeka me enye to endoscopy me .

• Upper Endoscopy / EGD dodokpɔ: Esia bia be nàde mɔ̃ didi aɖe si le tsɛ, si te ŋu trɔna bɔbɔe (endoscope) si me fotoɖemɔ̃ kple kekeli le eƒe nuwuwu to wò nu me kple wò ŋɔti me be nàdo wò dɔgbo ƒe eme kple dɔgbo sue la kpɔ. Woana atike si naa ame ƒe dzi dzea eme be wòakpe ɖe ŋuwò nàse le ɖokuiwò me be yeƒe dzi dze eme. Ðɔktaa ate ŋu azã fotoɖemɔ̃a atsɔ alé ŋku ɖe dɔgboa ƒe gli ŋu le screen dzi akpɔe ɖa be abi alo ʋu le dodom hã. Ate ŋu azã dɔwɔnu sue aɖe hã atsɔ aɖe lãkusi sue aɖe (biopsy) tso teƒe alo abi si ŋu ɖikeke le me atsɔ ado H. pylori dɔlékuiwo kpɔ. Ne ʋu le dodom tso abi me la, woate ŋu awɔ atike be woatɔ te ʋua enumake (le kpɔɖeŋu me, woatɔ dzo ʋukaa) le dɔlékuiwo me toto sia me.
• Dodokpɔ Bubuwo: Togbɔ be endoscopy ye nye mɔnu nyuitɔ hã la, woate ŋu azã mɔnu bubuwo ɣeaɖewoɣi:
  • Upper GI X-ray series (Barium Swallow): Le esia me la, womia tsi si woyɔna be barium eye woɖea X-ray nɔnɔmetatawo. Esi wònye be barium la tsyɔa dɔgboa ƒe nutsyɔnu dzi ta la, woate ŋu akpɔ abi ɖesiaɖe le X-ray la dzi. Gake esia mede pɛpɛpɛ abe dɔgbomekpɔmɔ̃ ene o, eye abi suesuesuewo ate ŋu ato wo ŋu.
  • H. pylori dodokpɔwo: Dodokpɔ vovovowo li woatsɔ akpɔe ɖa be dɔlékuiawo le eme hã:
    • Urea Gbɔgbɔ Dodokpɔ: Wona tsi tɔxɛ aɖe wò be nàno, eye emegbe wodoa wò ya si nègbɔna la kpɔna.
    • Ʋudodokpɔ: Esia doa dɔlékuiwutike siwo tsi tre ɖe H. pylori ŋu kpɔna. Gake mate ŋu agblɔe kple kakaɖedzi nenye be dɔlélea le ŋuwò fifia alo wòxɔe tsã o.
    • Aɖuɖɔ ƒe Dɔlékuiwutike Dodokpɔ: Wodoa aɖuɖɔ ƒe kpɔɖeŋu kpɔna be dɔlékui ƒe dɔlékuiwutikewo le eme hã.

Nɔnɔme bubu siwo woate ŋu abu vodadatɔe be wonye dɔgbo ƒe abi

Ne dodokpɔwo ɖo kpe edzi be dɔgbo me abi mele ŋuwò o la, nusi gbɔ wò dzesiawo tso ate ŋu anye nu bubu, abe:

• GERD (Gastroesophageal Reflux Disease): Ne acid si tso dɔgboa me yi edzi gatrɔna yia ŋɔti me (acid reflux) la, ate ŋu ahe dzesiwo abe dzimeve, nuɖuɖumaɖumaɖu, kple ʋuʋudedi ene hã vɛ.
• Functional Dyspepsia: Esia nye nɔnɔme si me nuɖuɖu ƒe dɔmawɔmawɔ nyuie ƒe dzesi siwo nɔa anyi ɖaa (dɔgbo ƒe vevesese, dzimeve, yɔ fũ) evɔ ŋutilã me nusi dze ƒã o. Togbɔ be dzesiawo sɔ kple dɔgbo ƒe abi hã la, abi aɖeke mele dɔgboa ƒe gli ŋu si woate ŋu akpɔ o.
• Dɔgbo me Dɔdzẽ: Esia mebɔ kura o, gake ate ŋu ahe dzesi siwo ɖi dɔgbo ƒe abi (dɔgbo ƒe vevesese, lolo dzi ɖeɖe kpɔtɔ, nuɖuɖu ƒe dzodzro). Esia tae wòle vevie be woaɖe ŋutilã ƒe akpa aɖewo le lãme na ame le endoscopy me.

Dɔwɔwɔ Kple Edada

Aleke woawɔ ada dɔgbo ƒe abi kaba?

Ne wonya ɖe nusi gbɔ abi la tso ɖa ko la, dɔgboa ƒe lãkusi adze hayahaya gɔme vivivi. Le kpɔɖeŋu me, ne NSAID ye na wò abi la, ne èdzudzɔ atikeawo nono la, abi la ate ŋu ahaya atike bubu aɖeke manɔmee. Gake ne H. pylori dɔlékui aɖe le ŋuwò la, ahiã be nàno dɔlékuiwutikewo be woawu dɔlékuiawo. Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu aŋlɔ atike bubu siwo ɖea aɖi si le dɔgboa me dzi kpɔtɔna eye wokpɔa dɔgboa ta vaseɖe esime abi la nahaya. Atike siawo nono nyuie ate ŋu akpe ɖe abi la ŋu wòahaya kabakaba.

Dɔdamɔnu kawoe li?

Zi geɖe la, wozãa atike vovovowo tsɔ daa dɔgbo ƒe abiwo. Atike siawo dometɔ aɖewoe nye:

1. Eɖea acid ƒe agbɔsɔsɔ si le dɔgboa me dzi kpɔtɔna.
2. Etsyɔa abi la dzi, kpɔa eta, eye wòkpena ɖe eŋu wòhayana.
3. Ne dɔlékui aɖe (H. pylori) li la, woaɖee ɖa.

Ƒã hafi ahiã be woawɔ atikewɔmɔnu aɖe be woadzudzɔ ʋudodo alo axe do aɖe.

• Atikewo:
  • Dɔlékuiwutikewo : Ne H. pylori alo dɔlékui bubu aɖe le ŋuwò la, anɔ eme be wò ɖɔkta aŋlɔ dɔlékuiwutike eve alo etɔ̃ na wò le ɣeyiɣi ɖeka me hena ŋkeke 7-14 be wòawu dɔlékuiawo keŋkeŋ. Dɔlékuiwutike siwo wozãna wue nye: Tetracycline, Metronidazole, Clarithromycin, kple Amoxicillin. Ele vevie be nàno atike bliboa si wò ɖɔkta ŋlɔ na wò le ɣeyiɣi bliboa me, ne menye nenema o la, dɔlékuia ate ŋu atrɔ ava.
  • Lãmenugbagbeviwo takpɔnu: Atike siawo wɔa dɔ to ametakpɔnu (awu) wɔwɔ ɖe dɔgboa ƒe gli dzi, si kpɔa eta vaseɖe esime abi la haya. Zi geɖe la, wozãa wo tsɔ daa abi siwo NSAID-tikewo hena vɛ hexea mɔ na wo. Kpɔɖeŋuwo: Sucralfate, Misoprostol, Bismuth subsalicylate.
  • H2 blockers (Histamine receptor blockers / H2 blockers): Woxea mɔ na atike aɖe si woyɔna be histamine, si naa dzesi ŋutilã be wòawɔ acid le dɔgboa me, eye wòɖea acid ƒe wɔwɔ dzi kpɔtɔna. Kpɔɖeŋuwo: Famotidine, Cimetidine, Nizatidine.
  • Proton Pump Inhibitors (PPIs): Esiawo hã nye atike sesẽ siwo ɖea acid ƒe wɔwɔme le dɔgboa me dzi kpɔtɔna. Wokpɔa dɔgboa hã ta eye wònana abiwo hayana kabakaba. Esiawoe nye atike siwo wozãna wu fifia na dɔgbo me abi. Kpɔɖeŋuwo: Omeprazole, Esomeprazole, Lansoprazole, Pantoprazole, Rabeprazole.
• Atikewɔwɔ ƒe Mɔnuwo: Ahiã be ɖɔkta nada abi si sesẽ (ʋu, do) tẽ . Zi geɖe la, woate ŋu awɔ esia le ɣeyiɣi ɖeka me kple endoscopy. Woate ŋu atɔ te abi si me ʋu le dodom le ne wodo atike alo dzo ɖe edzi. Ne do aɖe do la, ahiã be woawɔ dɔ nɛ be woatue.
• Amekoko na abi siwo nɔa anyi ɖaa:Ƒã ŋutɔ la, ame aɖewo ƒe dɔgbo ƒe abi ate ŋu anɔ anyi ne womewɔ atike na wo o, alo woate ŋu ahaya eye woagadze egɔme ake. Esia ate ŋu ana dɔgboa nase veve ɣeyiɣi didi eye abi nanɔ eŋu. Ɣeaɖewoɣi la, abi ƒe lãkusi sia ate ŋu axe mɔ si do tso dɔgboa me yi dɔgboa me. Le nɔnɔme mawo me la, ate ŋu ahiã be woawɔ dɔ na ame, abe:
  • Abi ƒe lãkusi ɖeɖeɖa alo mɔ si xe la ʋuʋu (Pyloroplasty).
  • Vagotomy nye vagus lãmeka si doa ŋusẽ dɔgbo me acid ƒe wɔwɔme la ɖeɖe.

Aleke woawɔ axe mɔ ɖe enu? (Mɔxexe ɖe enu) .

Aleke woate ŋu axe mɔ na dɔgbo ƒe abi be wòagadzɔ alo atrɔ ava o?

Nu aɖewo siwo nàte ŋu awɔ be dɔgbo me abi nagadzɔ o, alo be wòagatrɔ ava ne ehaya o lae nye esi:

• H. pylori dɔlékui ɖeɖeɖa: H. pylori dɔlékui le ame geɖe ŋu gake womenyae o. Àte ŋu anya ne ele asiwò to gbɔgbɔ dodokpɔ bɔbɔe alo aɖuɖɔ dodokpɔ me. Ne èwɔe nenema la, àte ŋu atsɔ dɔlékuiwutikewo aɖee ɖa hafi wòahe kuxi aɖeke vɛ.
• NSAID-tikewo zazã nyuie: Ne ènoa NSAID-tikewo le atikedzraƒe edziedzi hena ŋutilã ƒe vevesese kple taɖuame la, kpɔ egbɔ be mènoe wu agbɔsɔsɔ si wokafu o. Ne èyi edzi le NSAID nom le ɖɔkta ƒe aɖaŋuɖoɖo nu na dɔléle bubu (e.g. ƒunukpeƒetetedɔ), ne anya wɔ la, ɖe agbɔsɔsɔa dzi kpɔtɔ, trɔ ɖe atike bubu ŋu, alo ƒo nu kple wò ɖɔkta tso atike bubu si kpɔa dɔgbo ta (abe PPI ene) nono ŋu le ɣeyiɣi ɖeka me.
• Ðe numame bubu siwo gblẽa nu le ame ŋu dzi kpɔtɔ: Ne H. pylori dɔlékui le ŋuwò alo nèle NSAID-tikewo zãm la, atamanono kple ahanono dzia afɔku si le wò dɔgbo me abi xɔxɔ me ɖe edzi. Eyata ele vevie be nàdzudzɔ numame siawo.

Ɣeyiɣi didi kae wòaxɔ hafi ahaya? (Nukpɔsusu / Nyagblɔɖi) .

Ɣeyiɣi didi kae wòxɔna hafi dɔgbo ƒe abi hayana?

Ne èno wò atikewo abe alesi wogblɔe ene pɛpɛpɛ eye nèƒo asa na nusiwo nana abi la gagblẽna ɖe edzi (NSAID, atamanono, aha sesẽ) la, zi geɖe la, ele be abi la nahaya keŋkeŋ le kwasiɖa ʋɛ aɖewo me . Wò ɖɔkta ate ŋu agbugbɔ awɔ endoscopy alo dodokpɔ bubu aɖe atsɔ akpɔe ɖa be abi la haya keŋkeŋ eye H. pylori dɔlékuia nu yi keŋkeŋ hã.

Nɔnɔme siwo nɔa anyi didi

Ɣeyiɣi kpui aɖe ƒe atikewɔwɔ koe ame akpa gãtɔ hiã. Ke hã, dɔléle siwo nɔa anyi didi ate ŋu anɔ ame aɖewo ŋu si nana dɔgbo naxɔ abi. Le kpɔɖeŋu me, dɔléle aɖe le ame aɖe si ŋu Zollinger-Ellison ƒe dɔléle si ŋu míeƒo nu tsoe va yi la ŋu si me dɔgboa naa acid sɔ gbɔ akpa. Ðewohĩ ahiã be ame siawo nano atikewo (abe PPI ene) ɣeyiɣi didi aɖe.

Nukae nàwɔ ne èsusu be ƒodo me abi le ye ŋu? (Agbenɔnɔ Kple) .

Alesi wòle vevie be woadi atikewɔlawo ƒe aɖaŋuɖoɖo

Ne èsusu be dɔgbo le ye ŋu la, kpɔ egbɔ be yebia atikewɔlawo ƒe aɖaŋuɖoɖo. Atike siwo womeƒlena le atikedzraƒe o abe antacids alo bismuth subsalicylate ene ate ŋu aɖe dzesiawo dzi akpɔtɔ hena ɣeyiɣi aɖe, gake womada abi la o. Ele be woada nusi gbɔ wòtso (H. pylori alo NSAIDs) hafi ada abi la.

Afɔku siwo ate ŋu ado tso eme ne womewɔ atike nɛ o

Ne dzesi sesẽ aɖeke mele ŋuwò o hã la, dɔgbo me abi si womekpɔ atike na o ate ŋu ahe kuxi sesẽwo abe ʋu dodo alo do ƒe dodo ene vɛ. Afɔku hã li be woaxɔ dɔdzẽ le dɔgboa me ne womegblẽ H. pylori dɔlékui si koŋ gbɔ dɔgbo me abi tsona la ɖi o ɣeyiɣi didi aɖe.

Ɣekaɣie wòle be nàdi atikewɔwɔ kpata?

Ne dzesi siawo le ŋuwò la, yi kɔdzi enumake (ETU) :

• Dɔgbo ƒe vevesese si womate ŋu ado dzi atsɔ o.
• Ne ʋu yibɔ le wò aɖuɖɔ me alo ʋu le ʋu me (abe kɔfi ƒuƒu ene).
• Ʋu si le dodom fũu akpa ƒe dzesiwo (ŋutilã si le ɣie, taɖuame si gbɔ eme, alɔ̃madɔmadɔ).

Mlᴐeba

Dɔgbo me abi nye dɔléle si bɔ eye woate ŋu adae. Nusiwo koŋ gbɔ wòtsonae nye H. pylori dɔlékui xɔxɔ kple vevesesenutsitike siwo nye NSAID zazã. Ne dzesiwo abe dɔgbo ƒe ʋuʋu, vevesese, kple nuɖuɖu ƒe dɔmawɔmawɔ nyuie ene le ŋuwò la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo tsɔ wu be nàsusui ko be dɔgbo ƒe dɔlélee. Emegbe, woate ŋu anya nusi gbɔ wòtso, woate ŋu adze atikewɔwɔ nyuitɔ gɔme, eye woate ŋu axe mɔ ɖe kuxi sesẽwo nu. Azɔ hã, atamanono kple ahanono dzi ɖeɖe kpɔtɔ, kple NSAID-tikewo zazã ne ehiã ko, le agbɔsɔsɔ suetɔ kekeake me, hena ɣeyiɣi kpuitɔ kekeake, ate ŋu akpe ɖe ame ŋu be woakpɔ ame ta tso dɔgbo ƒe abi me. Nɔ lãmesẽ me!