Ðe aɖi le wò dɔgbo me veviea? (Toxic Megacolon) Mina míasrɔ̃ nu tso eŋu.

Ðe wò dɔgbo nɔ veve sem vevie, wò vuvu, eye wò lãme meɖea fu na wò atraɖii kpɔa? Ɣeaɖewoɣi la, esia ate ŋu anye kuxi gã aɖe ƒe gɔmedzedze. Egbea míele nu ƒom tso nɔnɔme aɖe si nu sẽ vie, gake woate ŋu adae ne wokpɔe dze sii kaba ŋu. Woyɔa ema be `(Toxic Megacolon)`. Ŋkɔa ɖi vɔvɔ̃ vie, alo? Gake mina míase nya sia gɔme bɔbɔe.

Nukae nye `(Aɖi Megacolon)`? Kpuie ko la,...

Kpuie ko la, `(Toxic Megacolon)` nye nɔnɔme sesẽ aɖe ŋutɔ, si dzɔna kpata, si dzɔna le wò dɔgbo gã (si woyɔna hã be `(Colon)`) me. Etsoa dɔgbo gã la ƒe vuvu alo abixɔxɔ (`(Colitis)`) gbɔ.

Bu eŋu ale: míaƒe dɔgbo gã la le abe mɔ̃ si te ŋu trɔna bɔbɔe ene. Lãmetsi tsɛ aɖe le eme. Zi geɖe la, ne èxɔ dɔdzẽ la, egblẽa nu le lãkusi sia ŋu. Gake ne dɔdzẽa nu sẽ ŋutɔ la, ate ŋu akaka ɖe dɔgboa ƒe akpa siwo goglo wu, si nye lãmeka siwo le dɔgboa ƒe gliwo me.

Nukae dzɔna ne esia dzɔ? Lãmetsi siwo le dɔgboa ƒe gliwo me dzudzɔa dɔwɔwɔ nyuie. Lãmetsi siawoe ƒoa nuɖuɖu kple ya ɖe dɔgboa me. Ne wodzudzɔ dɔwɔwɔ la, nuɖuɖu kple ya gena ɖe dɔgboa me. Emegbe dɔgboa ƒe gliwo gbɔdzɔna, wokekena, eye wokekena. Wogbɔa ya abe ʋuƒo ene. Nusi me afɔku le wue nye be gbeɖuɖɔ siwo ƒoa ƒu alea la wɔa aɖi eye wotoa gli mawo siwo gbɔdzɔ la me yia ʋukawo me. Emegbe aɖi tea ame ƒe ŋutilã bliboa me. Míeyɔa esia be aɖi megacolon alo ``Aɖi Megacolon``.

Vovototo kae le `(Toxic Megacolon)` kple `(Megacolon)` ƒomevi bubuwo dome?

Fifia ɖewohĩ èle eŋu bum be, "Ðe dɔléle bubuwo meli siwo nana dɔgboa vuvu oa?" Ẽ, woli. Ɣeaɖewoɣi la, dɔgbo ate ŋu avuvu le mɔxenuwo ta (`(Mɔxenuwo)`), alo ɣeaɖewoɣi mɔxenu aɖeke manɔmee (`(Aʋatso-mɔxenuwo)`). Wogayɔa esia be `(Megacolon)`.

Ke hã, nu tɔxɛ si le `(Toxic Megacolon)` ŋue nye be, abe alesi míegblɔe va yi ene la, aɖia kaka ɖe ŋutilã bliboa me (`(Systemic Toxicity)`) . Esia medzɔna ɣesiaɣi le `(Megacolon)` ƒomevi bubuwo me o. Vevietɔ la, wokpɔa aɖi ƒe nɔnɔme sia zi geɖe wu le `(Colitis)` si dzɔna kple dɔgbo ƒe dɔdzẽ (`(Colitis)`, si fia be, le dɔlékui vovovowo alo `(Dɔdzẽ)` nɔnɔmewo ta. Ɣemaɣie dzesiwo abe ʋu ƒe sisi, dzi ƒe tsotso kabakaba, kple tɔtɔ dzena.

Nukae nye kuxi sesẽ siwo ate ŋu ado mo ɖa le Toxic Megacolon ta?

Wobua esia be enye atikewɔwɔ kpata , elabena ate ŋu ahe kuxi sesẽ geɖe siwo ate ŋu ade ame ƒe agbe afɔku me vɛ.

• Gastrointestinal perforation / rupture : Nusi gblɔm mele enye be dɔgboa ƒe gliwo gbɔdzɔna eye wokekena. Ne edzɔ alea la, ate ŋu agbã alo agbã bɔbɔe.
• Ʋu si dona le dɔgboa me vevie kple ʋu ƒe gege : Dɔgboa ate ŋu axɔ abi eye ʋu ate ŋu ado le eme fũ.
• Dɔlékui si tsoa dɔgboa me kple dɔlékuiwutikewo: Ne aɖi siwo tso dɔgboa me ge ɖe ʋukawo me la, dɔlékuia ate ŋu akaka ɖe ŋutilã bliboa me, si ahe nɔnɔme si me afɔku le si woyɔna be dɔlékuiwutikewo vɛ.
• Abdominal compartment syndrome: Ne ƒodoa ƒe nyaƒoɖeamenu dzi ɖe edzi la, ate ŋu agblẽ nu le ŋutinu bubuwo ŋu.

Vevietɔ ŋutɔ: Ne dzesi siawo tɔgbe le ŋuwò la, nu nyuitɔ si nàwɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba.

Aleke Toxic Megacolon ate ŋu ahe ku gɔ̃ hã vɛ?

Esia nye nya vevi aɖe. Abe alesi míegblɔe va yi ene la, dɔgboa ƒe gli siwo gbɔdzɔ eye wokeke la te ŋu vuvu bɔbɔe eye wodo do. Ne do sia tɔgbe do la, ʋu ate ŋu ado le ƒodoa me vevie, eye nuwo abe aɖuɖɔ ene ate ŋu age ɖe ƒodoa me, si ana dɔlékui aɖe nadze ƒodoa me (peritonitis). Dɔlékui sia ate ŋu aƒo ƒu ɖe ʋukawo me kaba eye wòade aɖi ame ƒe ŋutilã bliboa me, si ahe nɔnɔme aɖe si woyɔna be toxic shock vɛ. Azɔ hã, ne nyaƒoɖeamenu si le ƒodoa me dzi ɖe edzi akpa la, ʋu ƒe sisi yi ŋutinu vevi bubuwo (abe ayiku kple lãkusi ene) me ate ŋu agblẽ, eye oxygen maganɔ wo si o eye woado kpo nu. Esiae nye nusi koŋ gbɔ ku tsona.

Nukae nye `(Toxic Megacolon)` ƒe dzesiwo?

Le nɔnɔme sia me la, dzesi vovovowo ate ŋu adze. Wo dometɔ aɖewo ate ŋu ase le wo ɖokui me abe dɔgbo ƒe veve si sɔ ene. Gake ne dzesi siawo wu ɖeka le ŋuwò, alo ne esẽ la, ele be nàtsi dzi.

• Aɖuɖɔtoe (zi geɖe ʋuna) : Aɖuɖɔtoe atraɖii, eye ne ʋu kpe ɖe eŋu la, ema nye dzesi si me afɔku le.
• Ƒodo ƒe vevesese kple vevesese : Vevesese si sena le ɖokuiwò me abe ɖe wole wò ƒodo ƒom ene, eye wòvea ame ne èka asi eŋu gɔ̃ hã.
• Ƒodo si keke : Ƒodoa lolona, ​​abe ɖe ya yɔe ene.
• Flatulence kple gas pain (`(Gas kple gas pain)`) : Gas yɔa dɔgboa me fũ, si nana wòsea veve.
• Aɖuɖɔtoe kple ʋuʋudedi : Sese le ɖokuiwò me be yele dɔ lém vaseɖe yeƒe dɔgbo me, sese le ɖokuiwò me be yeaɖe aɖuɖɔ.
• Taɖuame (`(Taɖuame)`) .
• Tsikuɖiɖi : Tsi ƒe bu le ŋutilã me. Dzesiawo dometɔ aɖewoe nye nu me ƒuƒu kple aɖuɖɔtoe dzi ɖeɖe kpɔtɔ.
• Dzi ƒe tsotso kabakaba : Dzi ƒe tsotso ƒe dzidziɖedzi.
• Dzoxɔxɔ (`(Adzoxɔxɔ)`) .
• Ʋu ƒe sisi (`(Low blood pressure)`) : Ʋu ƒe sisi ƒe ɖiɖi.
• Susu me tɔtɔ : Nu si le dzɔdzɔm gɔme masemase, sese le eɖokui me be yetɔtɔ.
• Ðeɖiteameŋu/malaise : Gbɔdzɔgbɔdzɔ ƒe seselelãme.

Nukae nye nusi koŋ gbɔ `(Toxic Megacolon)` tsona?

Le nyateƒe me la, dɔgbo ƒe dɔléle sesẽ ƒomevi ɖesiaɖe ate ŋu ahe megacolon si me aɖi le vɛ. Gake zi geɖe la, nɔnɔme aɖe si woyɔna be dɔgbo ƒe dɔléle (IBD) gbɔe wòtsona.Dɔgbo ƒe dɔléle (IBD) nye nya si wozãna na dɔgbo ƒe dɔléle ƒomevi geɖe siwo nɔa anyi didi, si fia be wonɔa anyi didi eye wo dada sesẽna. Le kpɔɖeŋu me, Ulcerative Colitis kple Crohn ƒe Dɔléle dze le hatsotso sia me. Ne wometsɔ nuɖuɖu kple atikewo ɖu nɔnɔme siawo dzi nyuie o la, woate ŋu akpɔ ŋusẽ ɖe dɔgboa ƒe akpa siwo goglo wu dzi mlɔeba, si ana woaxɔ Toxic Megacolon.

Nukae nye nu bubu siwo gbɔ Toxic Megacolon tsona?

`(Toxic Megacolon)` nye kuxi si dona tso `(Colitis)` sesẽ me. Eyata nu geɖewo ateŋu ahe `(Colitis)` sia vɛ. Eyae nye be, `(Toxic Megacolon)` ateŋu atso `(Colitis)` nɔnɔme vovovowo gbɔ. Na míakpɔ nusiwo wonye ɖa:

• Ulcerative Colitis : Esiae nye IBD ƒomevi si bɔ wu eye wònye nu vevi aɖe hã si hea Toxic Megacolon vɛ. Zi geɖe la, aɖi si nye Megacolon dzɔna le ƒe ʋɛ gbãtɔ siwo me wokpɔ dɔlélea le vɔ megbe.
• Crohn ƒe Dɔléle : Esia nye IBD ƒomevi bubu. Edzea dɔgbo suea dzi wu, gake ate ŋu agblẽ nu le dɔgbo gã la hã ŋu. Ame siwo ŋu Crohn ƒe Dɔléle le hã le afɔku me be woaxɔ Toxic Megacolon le dɔlélea ƒe gɔmedzedze.
• Ischemic Colitis : Ne wometsɔ ʋu na dɔgboa nyuie o (Intestinal Ischemic Syndrome) la, esia ate ŋu ahe Ischemic Colitis vɛ. Esia dada sesẽ vie, eye ate ŋu ayi ŋgɔ ava zu Toxic Megacolon.
• Radiation Colitis : Kekeli ƒe atikewɔwɔ na dɔlélewo abe kansa ene ate ŋu ahe colitis si nɔa anyi ɣeyiɣi kpui aɖe vɛ abe eƒe nugbegblẽ le ame ŋu ene. Gake le ame aɖewo gome la, ate ŋu anɔ anyi eteƒe nadidi eye wòahe kuxiwo vɛ.
• Dɔlékuiwo ƒe Dɔlékuiwo : Dɔlékuiwo, dɔlékuiwo, alo dɔlékuiwo ƒe dɔlékuiwo ate ŋu ana dɔlékuiwo naxɔ dɔlékuiwo. Dɔlékui ƒomevi aɖewo ate ŋu adze ame aɖewo dzi wu. Nuɖuɖu me aɖi bɔbɔe alo dɔgbo me dzamezã gɔ̃ hã ate ŋu ahe dɔdzẽ sesẽ vɛ na ame aɖewo. Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ koŋue le afɔku me be woaxɔ dɔlékuiwo abe cytomegalovirus ene.
• Pseudomembranous Colitis : Esia nye dɔlékui si nye Clostridium difficile (C. diff) hena vɛ. Woyɔa esia hã zi geɖe be enye afɔku na megacolon si me aɖi le. Zi geɖe la, edzɔna le amesiwo noa dɔlékuiwutikewo hena dɔléle bubu. Esia le alea elabena ne dɔlékuiwutikewo wu dɔlékui nyui siwo le dɔgboa me la, C. diff dɔlékuiawo dzea tsitsi gɔme le wo ɖokui si. C. diff dɔlékui sia ate ŋu asẽ kaba ŋutɔ.

Nukae nye afɔku siwo ate ŋu ana woaxɔ `(Toxic Megacolon)`?

Anɔ bɔbɔe be dɔléle sia nadze ame aɖewo dzi. Amekawoe wonye?

• Ame siwo ŋu `(Dɔléle si Naa Dɔgbo Le (IBD))`.
• Ame siwo ŋu dɔlélenutsiŋutete ƒe dɔlélewo le (i.e. dɔléle siwo me dɔlélenutsiŋutete dzea ŋutilãa ŋutɔ ƒe lãmenugbagbeviwo dzi le) .
• Ame siwo ŋu `(HIV/AIDS)` le.
• Ame siwo wodo ŋutinuwo na alo le dɔlélenutsiŋutete ƒe atikewo zãm.
• Ame siwo ŋu suklidɔ le.
• Ame siwo ŋu ayikudɔ le.
• Ame siwo ŋu lãkusidɔléle si nɔa anyi didi (Chronic Obstructive Pulmonary Disease - COPD) le.
• Ame siwo ŋu dzidɔ le (`(Congestive Heart Failure)`).

Azɔ hã, atike aɖewo siwo nèno ate ŋu ana nɔnɔme sia (Toxic Megacolon) nagado gã ɖe edzi:

• Vevesesenutsitike ƒomeviwo (`(Opioids)`) .
• Atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu (NSAIDs - e.g. Ibuprofen, Diclofenac) .
• Blanuiléle ƒe atike aɖewo (`(Antidepressants)`)
• Atike siwo tsia ʋumenugbagbeviɣidɔ nu
• Atike siwo wua aɖuɖɔtoe (zã esiawo kple ŋuɖɔɖɔɖo, elabena woate ŋu ana nɔnɔmea nagagblẽ ɖe edzi to mɔxexe ɖe dɔgboa ƒe ʋuʋu nu) .
• Bowel prep (atike si wonana tsɔ kɔa dɔgboa ŋu hafi wowɔa dɔgbomekpɔkpɔ) (Esia ate ŋu anye afɔku na amesi ŋu dɔgbo ƒe dɔléle le xoxo)

Aleke wokpɔa Toxic Megacolon ƒe dɔlélea?

Ðɔkta abia nya wò tso wò dɔlélea ƒe dzesiwo, dɔléle ɖe sia ɖe si nèkpɔ va yi, kple atike ɖesiaɖe si nèno ŋu. Nyatakaka sia le vevie elabena dɔléle alo atike aɖewo ate ŋu ana afɔku si le Toxic Megacolon xɔxɔ me nadzi ɖe edzi. Atike aɖewo abe steroid ene hã ate ŋu axe mɔ ɖe Toxic Megacolon ƒe dzesiwo nu. Emegbe ɖɔktaa awɔ wò ŋutilã dodokpɔ.

Le ŋutilãmedodokpɔa me la, wò ɖɔkta akpɔe ɖa be ƒodo vuvu, eƒe lãme le veve sem, eye eƒe lãme mekɔ o hã. Woate ŋu azã nuƒomɔ̃ hã atsɔ aɖo to ne dɔgbo ƒe ʋuʋu dzi ɖe kpɔtɔ. Woalé ŋku ɖe wò dzesi veviwo (ʋu ƒe sisi, dzoxɔxɔ, kple ʋu ƒe sisi) ŋu be aɖi ƒe dzesiwo le eŋu hã, abe dzoxɔxɔ, ʋu ƒe sisi, kple dzi ƒe tsotso kabakaba ene.

Tsɔ kpe ɖe eŋu la, ate ŋu ahiã be woawɔ ʋudodokpɔ kple ƒodo ƒe nɔnɔmetatawo dodokpɔ (e.g., X-ray, ƒodo ƒe ultrasound, alo CT scan) atsɔ aɖo kpe dɔlélea dzi. Nɔnɔmetatawo dodokpɔ siawo léa ŋku ɖe alesi dɔgboa kekee kple ne kuxi bubu aɖewo li hã ŋu. Ʋudodokpɔ ate ŋu akpɔ ʋumenugbagbevi ɣiwo kple ʋumenugbagbevi dzĩwo ƒe xexlẽme, eye ate ŋu anya ne dɔdzẽ sesẽ aɖe le eŋu.

Dzesi geɖewo li wozãna tsɔ dea dzesi `(Toxic Megacolon)`:

• Kpeɖodzi siwo fia be dɔgboa keke wu sentimeta 6.
• Nɔnɔme siwo gbɔna dometɔ etɔ̃ ya teti ƒe amesinɔnɔ:
• Asrã si lolo wu Fahrenheit 100.4 (Celsius 38).
• Dzi ƒe tsotso si wu 120 le miniti ɖeka me.
• Ʋumenugbagbevi ɣiwo ƒe xexlẽme dzi ɖe edzi.
• Ʋusɔgbɔdɔ (ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖeɖe kpɔtɔ).
• Nɔnɔme siwo gbɔna dometɔ ɖeka ya teti ƒe amesinɔnɔ:
• Tsikuɖiɖi (`(Tsikuɖiɖi)`).
• Elektrolyte/tsi ƒe dadasɔmakpɔmakpɔ.
• Susu ƒe nɔnɔme si trɔ.
• Ʋu ƒe sisi le lãme na ame (`(Low blood pressure)`).

Tsɔ kpe ɖe eŋu la, ɖɔkta ate ŋu adi be yeado wò ʋu alo aɖuɖɔ kpɔ be dɔlékui aɖewo koŋ le ŋuwò hã.

Nukae nye atikewɔwɔ na `(Toxic Megacolon)`?

Nɔnɔme sia bia be woawɔ atike nɛ le kɔdzi ŋkeke ʋɛ aɖewo. Taɖodzinu si le atikewɔwɔ gbãtɔ ŋue nye be wòana wò nɔnɔmea nali ke eye wòaɖe dɔgbo ƒe dɔlélea ƒe sesẽ dzi akpɔtɔ. Ne dɔléle aɖe abe sepsis ene le ŋuwò la, àte ŋu ahiã atikewɔwɔ le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ le vevie (ICU). Le kpɔɖeŋu me, yaƒoƒomɔ̃ si wozãna tsɔ naa gbɔgbɔtsixe tsia ame ƒo alo ʋu si woɖena tsoa ayiku me ne ayiku ƒe dɔmawɔmawɔ nyuie.

Ne menye nenema o la, esiawoe nye atike gbãtɔ siwo wozãna zi geɖe na `(Toxic Megacolon)`:

• IV tsiwo : Da tsikuɖiɖi eye nàda elektrik-ŋusẽwo.
• Dɔlékuiwutikewo : Da dɔlékuiwo ne woli alo xe mɔ na dɔlékuiwo ƒe dzɔdzɔ.
• `(Corticosteroids)` : Atike ƒomevi aɖe si wonana tsɔ ɖea dɔdzẽ (ʋuʋudedi) dzi kpɔtɔna.
• Dɔgbo ƒe gbɔɖeme : Dɔgbo me nunyiame / Tube feeding.

Ne corticosteroids mena nɔnɔmea nanyo ɖe edzi o la, ɖɔkta ate ŋu azã atike ƒomevi bubu, abe dɔlélenutsiŋutete ƒe tɔtrɔ ene. Esiawo ate ŋu akpe ɖe ame ŋu be dɔlélenutsiŋutete ƒe dɔwɔwɔ fũ akpa, si ate ŋu ana ame naxɔ abi fũu akpa eye ʋumenugbagbevi ɣiwo nadzi ɖe edzi le lãmenugbagbeviwo me.

Amekoko

Dɔnɔ siwo ade 50% koe woate ŋu atsɔ atike ada gbe le wo ŋu. Ðewohĩ ahiã be woawɔ dɔ na ame bubuwo, vevietɔ ne kuxi siwo ate ŋu ade woƒe agbe afɔku me do mo ɖa. Ne ɖɔktawo le atike wɔm na ame aɖe si ŋu megacolon si me aɖi le la, zi geɖe la, wobiaa amekolawo kaba be woakpe ɖe wo ŋu woawɔ nyametsotsowo. Ɣeaɖewoɣi la, ɖɔkta ate ŋu atso nya me be anyo wu be woaɖe dɔgboa ƒe akpa si gblẽ (si nye colectomy) ɖa be woaxe mɔ ɖe kuxi bubuwo alo afɔkuwo nu.

Ne woɖe colectomy na wò la, zi geɖe la, ahiã be woawɔ ostomy hã na wò. Ostomy nye ʋuƒo si wowɔna le wò ƒodo me be aɖuɖɔ nate ŋu ato eme. Esiae nye ʋɔtru si me aɖuɖɔ tona ne wò dɔgbowo mele dɔ wɔm nyuie o. Le colectomy ƒomevi si nèwɔ nu la, ahiã be woawɔ ostomy na wò hena ɣeyiɣi aɖe alo tegbee. Eɖanye ɣeyiɣi kpui aɖe alo ɣeyiɣi didi o, tɔtrɔ ɖe ostomy ŋu ate ŋu anye tɔtrɔ gã aɖe eye wòasesẽ vie, vevietɔ le nɔnɔme kpata aɖe me. Gake kpekpeɖeŋu si nèhiã be nàto eme la asu asiwò.

Ðe Woate Ŋu Ada Megacolon si Me Aɖi Lea?

Ẽ, ne èdi atike kaba la, mɔnukpɔkpɔ si li be nàtsi agbe la lolo ŋutɔ. Ame siwo woda dɔ na le `(Toxic Megacolon)` ta la dometɔ siwo ade 93% hayana bliboe. Gake ne kuxiwo abe dɔgbo ƒe ʋuʋu ene do mo ɖa la, agbetsitsi ƒe agbɔsɔsɔme anɔ abe 75% ene. Kuxi akpa gãtɔ dzɔna ne wogblẽ `(Toxic Megacolon)` ɖi ɣeyiɣi didi aɖe si womewɔ atike na o. Eyata ele vevie ŋutɔ be nàse wò nɔnɔmea ƒe vevienyenye gɔme eye nàwɔ nu kaba.

Megacolon si me aɖi le nye atikewɔwɔ kpata si ate ŋu adzɔ kpata le vome. Afɔku gã aɖe le ŋuwò ne wokpɔ dɔgbo ƒe dɔléle (IBD) si dzi womeɖu nyuie o le ŋuwò nyitsɔ laa. Gake ate ŋu adzɔ le dɔlékui sesẽ alo dɔgbo ƒe dɔléle sesẽ bubu aɖe hã me. Nya nu tso tɔtrɔ ɖesiaɖe alo wò dzesi siwo nèdzena edziedzi ƒe gbegblẽ ŋu.

Ne dɔgbo ƒe dɔléle sesẽ aɖe le ŋuwò eye nète sese le ɖokuiwò me be yeƒe lãme mekɔ o alo aɖi le ye ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Atikewɔwɔ kabae nye mɔ nyuitɔ si dzi woato axe mɔ ɖe kuxi siwo ate ŋu ade ame ƒe agbe afɔku me nu. Ate ŋu akpe ɖe ŋuwò hã be màgawɔ dɔ na wò o. Ne ele be woawɔ colectomy kple ostomy na wò kpata gɔ̃ hã la, ɖo ŋku edzi be àkpɔ kpekpeɖeŋu siwo katã nèhiã be nàtrɔ ɖe tɔtrɔawo ŋu.

Nu vevitɔ kekeake (Take-Home Message) .

Toxic Megacolon nye dɔléle sesẽ aɖe ŋutɔ, si dzɔna kpata, si dzɔna le dɔgbo gã la me. Dɔgbo ƒe dɔléle sesẽ (dɔgbo ƒe dɔdzẽ/nuveviwɔame) gbɔe wòtsona. Ne dzesiwo abe fuɖename, ƒodo ƒe veve sesẽ, aɖuɖɔtoe si me ʋu le dodom le, dzoxɔxɔ, kple dzi ƒe tsotso kabakaba ene le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Esia nye atikewɔwɔ kpata. Ne èxɔ atike na wò le kɔdzi kaba la, àte ŋu ahaya bliboe. Eyata ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ enumake. Zi alesi nèlala ɣeyiɣi didi la, zi nenemae kuxi geɖe anɔ ŋuwò eye wòanɔ bɔbɔe be nàku. Lé be na wò lãmesẽ.

` Toxic Megacolon, Colitis, Dɔgbo ƒe dɔléle, Dɔgbo ƒe vevesese, Aɖuɖɔtoe, Amekoko, Kpata