Ènya nu tso dɔdzẽ si wowɔna na ame le dɔgboa me ŋua?

Ne èse nya "dɔdzẽ si le dɔgboa me" la, vɔvɔ̃ ɖoa ame aɖewo vie, alo? Gake le nyateƒe me la, esia nye kansa ƒomevi aɖe si bɔ ɖe míaƒe dukɔa me kple xexeame godoo. Esia ƒe atikewɔwɔ vevitɔ si kpɔa dzidzedze wue nye be woaɖe dɔgboa ƒe akpa si me kansa lãmenugbagbeviwo le la ɖa to amekoko me. Eyata egbea, mina míaƒo nu xɔlɔ̃wɔwɔtɔe ŋutɔ, nukawoe nye amekoko siawo ƒomevi, alesi wowɔa woe, kple nu vevitɔ kekeake siwo wòle be nànya le amekoko vɔ megbe.

Gbã la, mina míase amekoko siawo ƒomevi kple gɔmesese si le wo ŋu gɔme.

Amekoko ƒomevi si wowɔna la toa vovo le kansa ƒomevi kple afisi wòkaka ɖo nu. Na míalé ŋku ɖe mɔnu vevi siwo wozãna ŋu.

Nukae nye amekoko to dɔgbo me?

Tsã la, dɔgbo ƒe dɔwɔwɔ bia be woatso nu gã aɖe le ƒodoa ƒe didime nu. Woyɔa esia be "amekoko le gaglãgbe." Le nyateƒe me la, exɔa ɣeyiɣi didi hafi wòdaa gbe eye wòvea ame wu.

Gake fifia mɔ̃ɖaŋununya de ŋgɔ. Le laparoscopic mɔnu me la, amekolaa ɖea nu suesuesue 3 va ɖo 6, siwo ƒe lolome anɔ abe milimeta 5-10 ene, ɖe wò ƒodo me. Wodea fotoɖemɔ̃ (laparoscope) to lãɖeɖeawo dometɔ ɖeka me. Emegbe, woate ŋu akpɔ ŋutinu siwo le ƒodoa me le mɔ si lolo nu, abe le television dzi ene. Wodea dɔwɔnu tɔxɛwo to lãɖeɖe bubuawo me, eye wowɔa amekokoa wòvivina ŋutɔ.

Fifia wozãa mɔnu sia geɖe na nɔnɔmewo abe Crohn ƒe dɔléle, diverticulitis, kple dɔgbo me dɔdzẽ gɔ̃ hã.

Nukawoe nye amekoko ƒomevi vevi siwo wowɔna na dɔgbo me kansa?

Dɔgboa ƒe akpa si woɖena la toa vovo le afisi kansa la le kple afisi wòkaka nu. Na míalé ŋku ɖe amekoko ƒomevi aɖewo ŋu.

• Akpa aɖe ɖeɖe ɖa: Esia bia be woaɖe wò dɔgbo ƒe akpa si kansa le kple ʋuka ʋɛ aɖewo siwo te ɖe ŋuwò la ɖa. Emegbe wò dɔgbo ƒe akpa susɔe siwo le lãmesẽ me la gadea kadodo me. Woyɔa esia be anastomosis . Le amekoko vɔ megbe la, wò dɔgbo ƒe nɔnɔmewo atrɔ ava nɔ eƒe nɔnɔme si sɔ ƒe akpa gãtɔ me.

• Right Colectomy / Ileocolectomy: Esia bia be woaɖe dɔgbo gã la ƒe akpa si le ɖusime ɖa. Ɣeaɖewoɣi la, woɖea dɔgbo sue (ileum) ƒe akpa mamlɛtɔ si lé ɖe eŋu hã ɖa.

• Abdominoperineal Resection: Esia nye amekoko gã aɖe. Woɖea wò dɔgbo, dɔgbo, kple wò dɔgbo ƒe akpa si le anyime (sigmoid colon) ɖa keŋkeŋ. Esia fia be wowɔa ʋuƒo aɖe si nɔa anyi ɖaa le wò ƒodo ƒe ŋutigbalẽ me eye wotsɔa kotoku aɖe dea eme be gbeɖuɖɔ nato eme. Woyɔa esia be colostomy si nɔa anyi ɖaa .

• Total Proctocolectomy: Esiae nye dɔgbo ƒe dɔwɔwɔ si keke ta wu. Le esia me la, woɖea dɔgbo kple dɔgbo siaa ɖa keŋkeŋ.

Mɔnu bubu kawoe do ƒome kple amekoko?

Ɣeaɖewoɣi la, nu bubuwo hã li siwo wòle be woawɔ tsɔ kpe ɖe amekoko vevitɔa ŋu. Ele vevie be nànya nusiawo hã.

Stoma alo Ostomy ƒe dɔwɔwɔ

Kpuie ko la, stoma nye dɔdamɔnu si tsɔa dɔgboa ƒe akpa aɖe doa ka kple ƒodoa ƒe ŋutigbalẽ ƒe akpa aɖe, si wɔnɛ be ʋu yeye aɖe si me gbeɖuɖɔwo ate ŋu ado le.

• Ne ètsɔ dɔgbo gã la ƒe nuwuwu do ƒome kplii la, .Woyɔa esia be colostomy .
• Ne dɔgbo suea ƒe nuwuwu do ƒome la, woyɔnɛ be ileostomy .

Wozãa akplo tɔxɛ aɖe (Stoma Bag) tsɔ ƒoa gbeɖuɖɔwo nu ƒu tso stoma sia me. Ɣeaɖewoɣi la, esiawo nyea ɣeyiɣi kpui aɖe ƒe nu . Eyae nye be, ɖeko wogblẽa wo ɖe teƒea vaseɖe esime amekokoa haya. Le ɣleti ʋɛ aɖewo megbe la, wogawɔa dɔ sue aɖe tsɔ ɖea esia ɖa eye wogatsɔa dɔgboa doa ka kple dɔgboa tso ememe. Gake abe alesi míegblɔe va yi ene la, le amekoko aɖewo me la, ele be woagblẽ nusiawo ɖe wo nɔƒe tegbee .

Akplo siwo le eme (Pouches) .

Ɣeaɖewoɣi ne woɖe aɖuɖɔa ɖa keŋkeŋ vɔ la, wowɔa kotoku sue aɖe ɖe ŋutilãa me tso dɔgbo suea me be woatsɔ aƒo gbeɖuɖɔwo nu ƒu ahadzra wo ɖo. Esia wɔnɛ be mehiã be woatsɔ gotagome kotoku o. Ileal (J) Pouch nye mɔnu sia ƒomevi si ame geɖe lɔ̃a zazã. Gake esiawo nye amekoko siwo sesẽ vie.

Aklã ƒe Amekoko

Dɔgbo me dɔdzẽ ate ŋu akaka ɖe aklã me ɣeaɖewoɣi. Le nɔnɔme ma me la, le alesi kansa la loloe nu la, woate ŋu aɖe aklã me dɔdzẽa hã ɖa le ɣeyiɣi ma ke si me wowɔ dɔ na dɔgboa me.

Hayahaya kple afɔɖeɖe siwo woawɔ le amekoko vɔ megbe

Ame akpa gãtɔ hayana nyuie le amekoko siawo megbe. Ahiã be nàno vevesesenutsitikewo le ŋkeke ʋɛ gbãtɔawo me. Ðewohĩ woagblɔ na wò be nuɖuɖu siwo me tsi le koe nàɖu. Gake àte ŋu aɖu nu nyuie le ŋkeke ʋɛ aɖewo megbe.

Gake abe amekoko ɖesiaɖe ene la, afɔku aɖewo li, abe ʋudodo, dɔlékuiwo xɔxɔ, kple ʋu ƒe sisi le afɔwo me ene.

Ele vevie ŋutɔ be nànɔ kadodo me kple wò atikewɔlawo ƒe ƒuƒoƒoa le amekoko vɔ megbe. Wɔ ɖe woƒe mɔfiamewo dzi pɛpɛpɛ. Woate ŋu akafu atikewɔmɔnu bubuwo abe atikewɔmɔnu ene tsɔ kpe ɖe amekoko ŋu.