Tsɔe be èyi nugododeƒe eye nèdo go ƒuƒlu keŋkeŋ. Gake le aɖabaƒoƒo ʋɛ aɖewo megbe la, ègasena le ɖokuiwò me be yeƒe lãme kpekpe ake, abe ɖe wòhiã be nàgaɖe aɖuɖɔ ake ene. Aleke kee nèɖadze agbagbae o, naneke medoa go o. Ðe nɔnɔme sia si me dziɖeleameƒo mele kura o hã le fu ɖem na wòa? Esiae míeyɔna be Tenesmus le atikewɔwɔ me. Menye vevesese dzro aɖe koe esia nye o, ke boŋ enye dzesi be nane gblẽ le wò ŋutilã me.
Nuka tututue nye tenesmus?
Kpuie ko la, tenesmus nye didi si nɔa ame me ɖaa be yeaɖe aɖuɖɔ, ne èkɔ wò dɔgbo alo tsinyegoe me gɔ̃ hã. Àte ŋu ase ƒodo me veve, ƒodo nate ɖe dziwò, wòalolo, alo àdi be yeaɖe aɖuɖɔ kpata gɔ̃ hã.
Nɔnɔme sia ate ŋu adzɔ le mɔ vevi eve nu:
1. Rectal Tenesmus: Esia do ƒome kple aɖuɖɔtoe. Efia be ne èɖe aɖuɖɔ vɔ hã la, egasena le ɖokuiwò me be ele be yeaɖe aɖuɖɔ.
2. Vesical Tenesmus: Esia do ƒome kple aɖuɖɔtoe. Efia be le aɖuɖɔtoe vɔ megbe gɔ̃ hã la, tsinyegoea gakpɔtɔ yɔ fũ eye wòsena le eɖokui me be ele be yeagaɖe aɖuɖɔ ake.
Nu vevitɔe nye be tenesmus menye nɔnɔme si sɔ o. Enye atikewɔwɔ me nɔnɔme bubu aɖe si gbɔ wòtso ƒe dzesi. Eyata manyo be míaŋe aɖaba aƒu edzi o.
Nukawoe hea dɔgbo ƒe tenesmus vɛ?
Nu vevi eve li siwo gbɔ tenesmus tsona siwo do ƒome kple aɖuɖɔ. Esiawoe nye dɔdzẽ kple dɔmeɖui. Mina míalé ŋku ɖe esiawo ŋu ɖe vovo.
| Susu ƒe hatsotso | Numeɖeɖe kple kpɔɖeŋuwo |
|---|---|
| Nutete | Nɔnɔme sia ate ŋu ado mo ɖa ne wò dɔgbo ƒe akpa si le anyime (aɖuɖɔtoe kple aɖuɖɔtoe) vuvu eye wòsea veve. Esia ate ŋu ana nàse le ɖokuiwò me be yeɖi ƒo ne èto aɖuɖɔ me, eye ate ŋu aʋã lãmeka siwo ɖoa dzesiwo ɖe wò ahɔhɔ̃ be nàyi edzi anɔ aɖuɖɔ me hã. Susu vevi siwo tae:
|
| Miléle | Ne aɖuɖɔ sesẽwo xa ɖe dɔgboa me le dɔgbo ƒe ʋuʋu ta la, eʋãa dɔgboa ƒe gliwo ɣesiaɣi. Esia nana wosena le wo ɖokui me ɣesiaɣi be ehiã be yewoakɔ dɔgboa me, togbɔ be dɔgboa mele ƒuƒlu o hã. Nusiwo hea dɔmeɖui vɛ:
|
Nukawoe hea aɖuɖɔtoe me tenesmus (vesical tenesmus) vɛ?
Susu ma ke si ta nèsena le ɖokuiwò me be ehiã be yeagaɖe aɖuɖɔ ne yewu aɖuɖɔ vɔ megbe hã nye nyateƒe. Nɔnɔme sia ate ŋu atso aɖuɖɔ si susɔ ɖe tsinyegoea me alo dɔdzẽ alo dɔlékui si le tsinyegoea me gbɔ.
| Susu ƒe hatsotso | Numeɖeɖe kple kpɔɖeŋuwo |
|---|---|
| Aɖuɖɔ si susɔ le tsinyegoea me | Ne womate ŋu akɔ tsinyegoea keŋkeŋ le susu aɖe ta o la, aɖuɖɔ si susɔ la doa ŋusẽ tsinyegoea ƒe lãmekawo eye wònana wosena le wo ɖokui me be ehiã be yeayi aɖuɖɔ tom. Susu siwo tae:
|
| Aɖuɖɔtoe me dɔdzẽ/dɔlékui | Ne tsinyegoea vuvu eye wòsea veve la, lãmekawo ate ŋu aʋã, si ana woase le wo ɖokui me alea. Susu siwo tae:
|
Ðe kadodo aɖe le nuteɖeamedzi kple nɔnɔme sia domea?
Ẽ, kadodo aɖe le eme. Menye nuteɖeamedzi alo dzimaɖitsitsi gbɔe tenesmus tsona o. Gake ne dɔléle aɖe le ŋuwò xoxo si hea esia vɛ la, nuteɖeamedzi ate ŋu ana wòagagblẽ ɖe edzi. Ðo ŋku edzi be ne nu te ɖe mía dzi la, míaƒe lãmekawo ƒe dadasɔ trɔna, si wɔnɛ be esesẽna be míaɖu míaƒe lãmekawo dzi. Esia ate ŋu ana lãmekawo ƒe ʋuʋu le wo ɖokui si si dzɔna le Tenesmus me nadzi ɖe edzi. Azɔ hã, nɔnɔme sia ƒe amesinɔnɔ ate ŋu ate ɖe ame dzi ŋutɔ.
Aleke wowɔa atike na tenesmus?
Ne dzesi siawo le ŋuwò la, nu gbãtɔ si wòle be nàwɔe nye be nàyi ɖɔkta gbɔ . Ðɔktaa ado wò kpɔ eye wòadze agbagba anya nusi tututu gbɔ wò dzesiawo tso. Woate ŋu awɔ dodokpɔ siwo gbɔna:
- Digital Rectal Exam: Asi me dodokpɔ le aɖuɖɔtoe ŋu.
- Anoscopy/Flexible Sigmoidoscopy: Dodokpɔ le dɔgboa kple dɔgbo ƒe akpa si le ete ŋu to mɔ̃ si me fotoɖemɔ̃ le zazã me.
- Colonoscopy: Dɔgbo bliboa me dzodzro.
Ne wonya ke ɖe nusi gbɔ wòtso ŋu ko la, wonɔa te ɖe nusi gbɔ wòtso la dzi nyaa atikewɔwɔ.
- Dɔléle si gbɔ wòtso dada: Woate ŋu ana dɔlékuiwutikewo ɖe dɔlékui aɖe ta, eye woate ŋu ana dɔlékuiwutikewo na dɔmeɖui sesẽ. Nɔnɔme aɖewo ate ŋu ahiã be woawɔ dɔ na wo.
- Dɔdzẽ dada: Woate ŋu ana atikewo abe corticosteroids ene be woatsɔ aɖe dɔdzẽ dzi akpɔtɔ.
- Atikewɔwɔ na dɔgbo ƒe dzesiwo: Woate ŋu ana atike siwo ɖea vevesese kple dɔdzẽ dzi kpɔtɔna abe atike siwo wotsɔ dea dɔgbo me ene.
- Atikewɔwɔ si wotu ɖe lãmekawo dzi: Woate ŋu ana atike siwo kpɔa lãmekawo ƒe tete le wo ɖokui si dzi (anticholinergics) alo (antispasmodics) .
- Kansa ƒe dzesiwo dzi kpɔkpɔ: Tenesmus si kansa hena vɛ dada sesẽ. Ɣeaɖewoɣi la, vevesesenutsitikewo alo amekoko ate ŋu ahiã.
Ɣekaɣie wòle be nàyi ɖɔkta gbɔ enumake?
Ƒo nu tso nɔnɔme sia ŋu na wò ɖɔkta ɣesiaɣi. Gake ne dzesi sesẽ siwo gbɔna dometɔ aɖe le ŋuwò la, mègaŋlɔ be be yeadi atikewɔlawo ƒe aɖaŋuɖoɖo enumake o .
Ne dzesi siawo dometɔ aɖe le ŋuwò: dzoxɔxɔ , ʋuʋudedi kple ʋuʋudedi , vevesese sesẽ , alo ʋu le wò aɖuɖɔ/aɖuɖɔ me , di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Ne ehiã la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).
Agbenɔnɔ kple vevesese sia ƒomevi ate ŋu asesẽ ŋutɔ. Mègana ŋu nakpe wò be nàƒo nu tso eŋu na ɖɔkta o. Mègakpe fu le ɖoɖoezizi me o. Tenesmus nye dɔléle aɖe si wòle be woadae ƒe dzesi. Ne nɔnɔme si gbɔ wòtso la nɔa anyi didi eye womate ŋu adae o (abe IBD ene) hã la, ne wodae nyuie la, àte ŋu aɖu dzesi siawo siwo meɖea dzi ɖi o dzi eye nànɔ agbe si sɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Tenesmus menye dɔléle o, ke boŋ enye dɔléle bubu si le ete ƒe dzesi.
- Maseɖeamedzi sia ate ŋu adzɔ ne woɖe aɖuɖɔ (rectal) alo aɖuɖɔɖɔɖɔ (vesical).
- Ele vevie be woadi nusi tututu gbɔ wòtso ahadae. Eyata mègaŋe aɖaba ƒu dzesi siawo dzi o.
- Ne dzesiwo abe dzoxɔxɔ, vevesese sesẽ, alo ʋu le wò aɖuɖɔ/aɖuɖɔ me le ŋuwò la, yi wò ɖɔkta gbɔ enumake.
👩🏽 ⚕️ Nyabiase bubuwo (FAQs)
💬 Ðe Disopyramide / Norpace capsules nye atike sesẽ ŋutɔ na dɔléle aɖea?
Esia menye atike dzro aɖe ko o! Esia nye atike sẽŋu aɖe (Class 1A Antiarrhythmic) wɔna tɔxɛ aɖe si wozãna tsɔ ɖua Ventricular Arrhythmias / V-Tach / PVCs siwo dea ame ƒe agbe afɔku me dzi, siwo nyea ʋuʋu kpata, si dzi womate ŋu aɖu o, si mesɔ o/kabakaba le dzia ƒe ‘xɔ siwo le ete (Ventricles), si nana dɔnɔa gena ɖe alɔ̃ me eye wòkuna, eye wògbugbɔa dzia ɖoa te be!
💬 Ne wò dzi le ƒoƒom abe tagbɔsesẽ ene la, aleke atikekui sia (Disopyramide) kpena ɖe ŋuwò be wò dzi ƒe ʋuʋu fa?
Hafi dzia nate ŋu akpɔ elektrikŋusẽ eye wòaƒo kabakaba la, ele be ‘sodium’ ƒe akpa suesuesuewo nage ɖe lãmenugbagbeviawo me! Ne atikekui sia ge ɖe dzia me la, exea mɔ na sodium ƒe mɔwo katã (Moderate Sodium channel blocker). Tsɔ kpe ɖe eŋu la, enaa ɣeyiɣi si wòxɔna hafi dzia ƒe elektrik lãmenugbagbeviwo xɔa dzo eye wogbugbɔ ɖoa wo nɔƒe la didi eye wòhenɛ ɖe megbe (Repolarization / Potassium blockade)! Le nuwɔna siawo evea siaa me la, elektrikŋusẽ ƒe dzesi siwo katã nye tagbɔsesẽ la nu tsona eye dzia nɔa blewu.
💬 Nukae nye anticholinergic kple 'black box warnings' siwo ŋu wòle be amesiwo le atike sia (Norpace) nom nanya nu tsoe?
Kuxi gãtɔ si le esia ŋue nye be enaa ŋutilã bliboa ƒe tsiwo ƒuna (Severe Anticholinergic effect)! Eyata aɖe/nu ƒuna eye eƒe asiléle sesẽna, aɖuɖɔ tsia tsinyegoe me (Urinary retention), ŋkuwo me mekɔna o eye dɔmeɖui sesẽ dzɔna. Afɔku bubu si wua ame enye be egbɔdzɔa dzia ƒe ‘Negative inotropic effect’ la ŋutɔ! Eyata ne amesi ŋu dzidɔ (Heart Failure) no esia la, dzia ate ŋu atɔ eye wòaku (Proarrhythmic effect).
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