Ðe dzimedzoedodo enuenu kple nuɖuɖu si gena ɖe wò ŋɔti me ƒe kuxia hã le ŋuwòa? Togbɔ be míeyɔa esia be dɔgbo ƒe dɔléle hã la, esia ate ŋu anye dɔléle si nu sẽ wu ɣeaɖewoɣi. Ne kuxia nu fa le atike nono ŋkeke ʋɛ aɖewo megbe, gake egadze ake la, àte ŋu abia ɖokuiwò hã be ɖe esia gbɔ kpɔnu mavɔ aɖeke meli o hã. Ame mawo tɔgbe tae egbegbe atikewɔwɔmɔnu si woyɔna be TIF si ŋu míele nu ƒom tsoe egbea la le vevie.
Kpuie ko la, nukae nye TIF sia?
TIF nye "Transoral Incisionless Fundoplication" ƒe kpukpui. Mina míama nyawo me be míase esia gɔme.
- Transoral: Esia gɔmee nye "to nu me." Esia fia be wowɔa dɔdamɔnua to dɔwɔnuwo dede wò nu me me.
- Wometsoe o: Esia fia be "wometsoe o." Ẽ, èse nya ma nyuie! Atikewɔwɔ sia mebia be woatso wò ƒodo aɖeke o. Eyata mehiã be woatsi dzi ɖe amekoko gãwo ŋu o.
- Fundoplication: Esiae nye nusi wowɔna ŋutɔŋutɔ. Ebia be nàxɔ wò dɔgbo ƒe akpa si le etame (si woyɔna be `fundus`) eye nàxatsae ɖe wò nuɖuɖutome ƒe akpa si le ete, ablae vie.
Kpuie ko la, TIF nye dɔdamɔnu si me womezãa fotoɖemɔ̃ (endoscope) si wotsɔ dea nu me tsɔ doa ŋusẽ ʋuka si le wò dɔgbo ƒe akpa si le etame kple wò nuɖuɖutome dome.
Aleke TIF-dɔdamɔnu nana GERD nyona ɖe edzii?
Be míase esia gɔme la, mina míalé ŋku ɖe nu si tae dzi gbãna na mí ŋu gbã. Afisi míaƒe nuɖuɖutome (nuɖuɖu ƒe pɔmpi) do ƒome kple míaƒe dɔgbo le la, lãmeka ƒe asigɛ aɖe si wɔa dɔ abe ʋuƒo ene la le afima. Ne míemi nu la, eʋuna eye wònana nuɖuɖu toa dɔgboa me, eye emegbe wògatua. Esia xea mɔ na dɔgbo me acid si me acid le la megatrɔna yia dzi yia nuɖuɖutome o.
Gake, ne GERD (Gastroesophageal Reflux Disease) le ŋuwò la, nu ma ŋue míele nu ƒom tsoe, lãmeka siwo wɔa dɔ abe ʋuka ene la gbɔdzɔ. Eyata dɔgbo me acid dona bɔbɔe. Esiae nye nusi nèsena le ɖokuiwò me be yefiã, vivi veve aɖe le wò ŋɔti me.
Dɔléle aɖe si woyɔna be hiatal hernia hã ate ŋu anɔ ame aɖewo ŋu . Esiae nye ne dɔgboa ƒe akpa si le etame la tu to do sue aɖe si le akɔta, si nye gli gã si ma míaƒe akɔta kple dɔgbo dome la me. TIF zazã ate ŋu ana ʋuka sia si gbɔdzɔ la nasẽ eye ate ŋu aɖɔ hiatal hernias suewo hã ɖo.
Amekae TIF-dɔdamɔnu sia sɔ na wu?
TIF menye amesiame tɔ o. Esɔ na:
- Le amesiwo ŋu GERD si sɔ gbɔ va ɖo esi nu sẽ alo hiatal hernia sue aɖe le gome.
- Le amesiwo vɔ̃na be woawɔ dɔ gã aɖe na yewo, alo amesiwo mate ŋui o gome.
- Le amesiwo di be yewoaƒo asa na dɔgbo ƒe dɔléle ƒe atikewo nono le yewoƒe agbemeŋkekewo katã me gome.
Atike si bɔ wu na GERD enye atike ƒomevi aɖe si woyɔna be proton pump inhibitors (PPIs) . Gake ɖewohĩ ame aɖewo mate ŋu ado dzi le atike siawo zazã me le ɣeyiɣi aɖe megbe o. Ðewohĩ ame bubuwo madi be yewoaxɔ wo ɣeyiɣi didi o. Le ame mawo gome la, TIF nye mɔnu nyui aɖe si woate ŋu azã ɖe amekoko kple atike siwo wozãna ɣeyiɣi didi teƒe.
Nukae wòle be woawɔ hafi woawɔ atike na TIF?
Ne ètsɔ ɖe le atikewɔwɔ sia me la, ele be nàƒo nu tso eŋu kple wò ɖɔkta gbã . Dɔgboŋutinunyala alo amekola si wɔa dɔ na amewo katã ate ŋu awɔ esia. Ado wò kpɔ ahatso nya me nenye be esia sɔ na wò ŋutɔŋutɔ. Ahiã be nàna woawɔ dodokpɔ aɖewo.
| Dodokpɔ siwo ate ŋu adzɔ | Kpuie ko la, nukae dzɔna? |
|---|---|
| Nuɖuɖutome ƒe dodokpɔ | Ne èle tsi mimi la, wotsɔa video X-ray (`fluoroscopy`) léa ŋku ɖe nuɖuɖutome ƒe dɔwɔwɔ ŋu. |
| Endoscopy si le etame | Wodea fotoɖemɔ̃ to nu me eye wokpɔa nɔnɔme si le nuɖuɖutome kple dɔgbo me tẽ. |
| Nuɖuɖutome ƒe pH dodokpɔ | Le endoscopy me la, wotsɔa sensor sue aɖe dea wò nuɖuɖutome eye wòdzidzea acid agbɔsɔsɔme si gena ɖe wò nuɖuɖutome le ŋkekea me. |
| Nuɖuɖutome ƒe ʋuʋudedi ŋuti numekuku | Wozãa mɔ̃ sue aɖe (nasogastric tube) si wotsɔ dea ŋɔti me tsɔ dzidzea lãmeka siwo le nuɖuɖutome ƒe nyaƒoɖeamenu kple dɔwɔwɔ. |
Gake ɖo ŋku edzi be ne hiatal hernia gã aɖe le ŋuwò, nu mimi sesẽ na wò, nuɖuɖutome ƒe dɔléle sesẽ si gbãa nu, alo nɔnɔme aɖe si me wotrɔ wò nuɖuɖutome ƒe akpa si le eme tegbee (Barrett ƒe nuɖuɖutome) la, ɖewohĩ TIF-dɔdamɔnu masɔ na wò o.
Nukae dzɔna le atikewɔwɔ me?
Wowɔa atikewɔwɔ sia le atike si naa alɔ̃dɔdɔ ame katã me, si fia be èdɔ alɔ̃ keŋkeŋ. Eyata mèsea naneke le ɖokuiwò me o.
Ðɔktaa tsɔa endoscope, fotoɖemɔ̃, kple TIF-mɔ̃ dea wò nu me. Esi ɖɔkta le nɔnɔmetata siwo le screen la dzi kpɔm la, etsɔa ŋuɖɔɖɔɖo ŋutɔ ƒoa ƒodoa ƒe akpa si le etame la ƒoa xlã nuɖuɖutome eye wòzãa nu suesuesuewo alo nutata (`fasteners`) tsɔ lénɛ ɖe teƒea. Esia le abe ŋusẽdodo teƒe si gbɔdzɔ ene, abe awudziwui ƒe kɔme ene.
Dɔwɔwɔ bliboa xɔa abe miniti 45 va ɖo 60 ene . Le atikewɔwɔ vɔ megbe la, woalé ŋku ɖe ŋuwò eye zi geɖe la, woaɖe mɔ na wò be nàyi aƒeme gbemagbe ke, alo woate ŋu abia tso asiwò be nànɔ kɔdzi zã bliboa.
Le atikewɔwɔ vɔ megbe... vevesese kple hayahayaɣi
Ne ènyɔ la, woana vevesesenutsitike wò to saline solution la dzi. Ðeko ame akpa gãtɔ ƒe vevesese fafɛ si nɔa anyi ŋkeke ɖeka alo eve koe nɔa wo ŋu. Kɔmeve kple akɔtave fafɛ bɔ.
Le ɣeyiɣi si me nàhaya gome la, àte ŋu agadze dɔwɔna siwo nèwɔna ɖaa gɔme le ŋkeke ʋɛ aɖewo megbe. Gake axɔ abe kwasiɖa eve va ɖo ade ene hafi nuɖuɖutome ƒe akpa si le eme nahaya keŋkeŋ. Le ɣeyiɣi sia me la, ahiã be nàtrɔ wò nuɖuɖu.
- Le gɔmedzedzea me la: tsi siwo me kɔ (e.g. mɔlitsi, amititsetse me tsi) .
- Eyome: Tsi ƒuƒu kple nuɖuɖu siwo wotu nyuie
- Le kwasiɖa ʋɛ aɖewo megbe: Àte ŋu azu numame na wò be nàɖu nu edziedzi.
Le ɣeyiɣi sia me la, ele vevie ŋutɔ be nàƒo asa na nuwo abe nu kpekpewo kɔklɔ kple kamedede sesẽ ene abe ɣleti ɖeka ene .
Ðe afɔku aɖewo le esia mea?
Abe alesi wòle le atikewɔwɔ ɖesiaɖe gome ene la, afɔku sue aɖe ŋutɔ ate ŋu anɔ TIF-wo me. Gake alesi wòate ŋu adzɔe be nusiawo nadzɔ la le sue ŋutɔ.
| Kuxi siwo ate ŋu ado mo ɖa (siwo mebɔ kura o) . | |
|---|---|
| Nusiwo gblẽ le nuɖuɖutome alo dɔgbo ŋu | Ʋu ƒe dodo alo do ƒe dodo. |
| Dɔlékuiwo | Nɔnɔmewo abe akɔtadɔléle (mediastinitis) ene. |
| Dzesiwo ƒe tɔtrɔgbɔ | Ne dzesiawo gadze le ɣeyiɣi aɖe megbe la, ahiã be nàtrɔ ɖe atikewɔwɔmɔnu bubu ŋu. |
Vovototo kae le TIF kple amekoko si wowɔna le kɔnu nu (Nissen Fundoplication) dome?
Woyɔa amekoko si wonya nyuie na GERD be Nissen fundoplication . Vovototo vevitɔe nye be ɖɔktaa toa ƒodoa me lãɖeɖe me gena ɖe dɔgboa me. Ɣeaɖewoɣi la, wowɔa esia to dɔgbo me, to lãɖeɖe sue geɖe me.
Vovototo bubue nye be Nissen ƒe dɔdamɔnua xatsa dɔgboa ɖe nuɖuɖutome ŋu sesĩe wu . Esia na wòwɔa dɔ ŋutɔ na GERD sesẽwo. Gake le ame aɖewo gome la, tete sia ate ŋu ahe nugbegblẽ le ame ŋu abe nu mimi sesẽ kple ya toto sesẽ (belching) ene vɛ .
Nusiwo dona tso eme ɣeyiɣi didi abe esiawo ene mebɔ kura le TIF zazã me o. Enaa kuxi si sɔ gbɔ kpɔnu si sɔ. Eyata ate ŋu ana kuxia gbɔ kpɔnu nyui aɖe nanye afɔku siwo le amekokoa me kple ɣeyiɣi didi si woatsɔ ahayae manɔmee.
TIF dɔdamɔnu gakpɔtɔ nye nu yeye, gake emetsonu gbãtɔwo ɖee fia be dzidzedzekpɔkpɔ ƒe agbɔsɔsɔ si ade 80% le ƒe 5 megbe. Dzidzedzekpɔkpɔ fia be dɔnɔwo ƒe lãme sẽ ɣeyiɣi didi eye wote ŋu ɖe atikewo zazã dzi kpɔtɔ alo dzudzɔ wo zazã keŋkeŋ.
Gbedasi si Wotsɔ Yi Aƒeme
- TIF nye egbegbe atike si me womezãa dɔlékuiwo le o na dɔgbo ƒe ʋuʋu si nɔa anyi ɖaa (GERD) kple hiatal hernias suewo.
- Wowɔa esia to fotoɖemɔ̃ si woda to nu me ƒe kpekpeɖeŋu me. Eyata afɔku alo vevesese aɖeke mele amekoko gã aɖe me o.
- Esia nye tiatia nyui aɖe na amesiwo ŋu GERD si sɔ gbɔ ɖo siwo medi be yewoano atike le yewoƒe agbemeŋkekewo katã me alo awɔ dɔ gã aɖe na yewo o.
- Hafi woawɔ atike na wò la, kpɔ egbɔ be yeƒo nu kple yeƒe ɖɔkta be yeakpɔe ɖa be esia sɔ na ye hã.
- Ɣeyiɣi si me nàhaya la le kpuie, gake ele vevie be nàwɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo dzi ahaɖi ɖe eme vaseɖe esime nàhaya keŋkeŋ.
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