Ðe nèle avu wɔm kple dɔgbo ƒe dɔléle alo dɔgbo me abi siwo nɔa anyi ɖaa siwo mahaya o ko, togbɔ be èno wò atikewo hã? Ne abi siawo nu sẽ eye womewɔa nu ɖe atikewɔmɔnu siwo wozãna ɖaa ŋu o la, amekolawo ate ŋu akafu dɔ aɖe koŋ si woyɔna be Vagotomy. Ðewohĩ mèsee kpɔ o, gake enye atikewɔmɔnu vevi aɖe. Mina míama nusi tututu wònye me le nya bɔbɔewo me.
Nuka tututue nye Vagotomy?
Bu wò ŋutilã be ‘telefon ka’ tɔxɛ aɖe le esi si doa ka kple wò ahɔhɔ̃ kple wò nuɖuɖumeŋusẽ. Le atikewɔwɔ me la, woyɔa esia be Vagus Nerve. Lãmetsi siae ɖoa dzesiwo ɖe wò dɔgbo be wòawɔ nuɖuɖumeŋusẽ ne èle nu ɖum. Le ame aɖewo gome la, dɔgboa wɔa acid sɔ gbɔ akpa, si ɖua dɔgboa ƒe akpa si le wo ŋu eye wònana abi nɔa wo ŋu atraɖii . Le Vagotomy me la, amekola aɖe lãa Vagus lãmeka si naa dzesi dɔgboa be wòawɔ acid la ƒe akpa aɖe koŋ. Abe alesi telefonka lãɖeɖe nana dzesia tɔa te ene la, lãmeka sia ɖeɖe ɖea dzesi si woatsɔ awɔ acid dzi kpɔtɔnae. Esia kpena ɖe ame ŋu be aɖi si le dɔgboa me ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna, si wɔnɛ be abi siwo li xoxo la hayana eye wòxea mɔ na yeyewo be woagadzɔ o.
Esia menye dɔgbo ƒe dɔléle si bɔ ƒe atike o. Wobua eŋu be enye mɔnu mamlɛtɔ na dɔgbo me abi sesẽ siwo sesẽ siwo womate ŋu akpɔ to atike ɖeɖeko dzi o.
Nukawoe nye Vagotomy ƒomevi veviwo?
Vagus ƒe lãmeka le abe ati ƒe ke si ƒe alɔwo dona ene. Le afisi wotso lãmekaa le nu la, woma Vagotomy ɖe hatsotso vevi eve me, eye wo dometɔ ɖesiaɖe ƒe ŋusẽkpɔɖeamedzi to vovo.
| Dɔwɔwɔ ƒe Ƒomevi | Numeɖeɖe Blewu |
|---|---|
| Truncal Vagotomy ƒe dɔwɔwɔ | Esia bia be woalã vagus nerve ƒe akɔta vevitɔ. Esi wònye be lãmeka sia naa aklã, aɖuɖɔtoe, dɔgbo, kple dɔgbo hã ta la, alɔ gã la ɖeɖe gblẽa nu le ŋutinu siawo katã ŋu. Togbɔ be eɖea acid dzi kpɔtɔna ŋutɔ hã la, ehea nuɖuɖumeŋusẽ ƒe nugbegblẽ le ame ŋu ƒe afɔku gã aɖe vɛ. |
| Vagotomy si Tiatia ŋutɔ | Le mɔnu sia me la, womegblẽa lãmeka vevitɔa ɖi o. Ke boŋ alɔ suesuesue siwo tsɔa dzesiwo yia lãkusi siwo wɔa aɖi le dɔgboa me koe wotsona. Esia sɔ pɛpɛpɛ wu, ehea nugbegblẽ le ame ŋu ʋɛ aɖewo vɛ, gake ebia amekoko ŋuti nunyala bibi aɖe. |
Ɣekaɣie wokafu amekoko sia?
Togbɔ be dɔgbo me abi akpa gãtɔ wɔa nu nyuie ne wozã atike hã la, wobua amekoko ŋu na nɔnɔme tɔxɛ siwo nu sẽ:
- Ʋuʋudedi Siwo Dzi Womate Ŋu Aɖu O: Ne abi aɖe yi edzi le ʋu dom eye womate ŋu akpɔ edzi to endoscopy dzi o la, ehiã be woawɔ dɔ na ame be woatɔ te ʋu si le dodom la eye woaxe mɔ ɖe eƒe gbugbɔgadzɔ nu.
- Abi Siwo Me Do Le: Esia nye atikewɔwɔ kpata. Ne abi aɖe ɖu nu to dɔgboa ƒe gli me la, acid kple nuɖuɖu ate ŋu age ɖe wò ƒodo me, si ana nàxɔ dɔlékui si ate ŋu awu wò . Ahiã be woawɔ dɔ na wò enumake, eye ne èsusui be esia la, ele be nàɖo ta dɔwɔƒe si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ enumake.
- Dɔgbo ƒe Dodoƒe ƒe Mɔxexe: Le ɣeyiɣi aɖe megbe la, abi siwo tso abi siwo nɔa anyi didi me ate ŋu axe mɔ na wò dɔgbo ƒe dodo, si ana nànɔ ʋuʋum atraɖii . Ðewohĩ ahiã be woawɔ dɔ na ame be woatsɔ aɖe mɔxenu sia ɖa.
Dɔwɔwɔ siwo wowɔna zi geɖe kpe ɖe Vagotomy ŋu
Ƒã hafi wowɔa Vagotomy le ame ɖokui si; zi geɖe la, wotsɔa esia kpena ɖe dɔdamɔnu bubuwo ŋu tsɔ ɖɔa kuxi siwo abiawo hena vɛ ɖo.
1. Dɔgbo ɖeɖe ɖa kple Vagotomy
Le dɔléle sesẽwo me la, woɖea dɔgboa ƒe akpa aɖe ɖa (woɖea dɔgboa ɖa). Zi geɖe la, woɖea akpa si le ete la ɖa elabena ewɔa lãmetsi si nye ‘gastrin,’ si nana acid dona. Akpa sia ɖeɖe ɖa kpena ɖe ame ŋu be woaxe mɔ ɖe abi siwo ava do mo ɖa le etsɔme nu.
2. Pyloroplasty kple Vagotomy
Ne Truncal Vagotomy le ŋuwò la, zi geɖe la, ehiãna be nàwɔ Pyloroplasty. Pylorus nye lãmeka si le abe ʋuƒo ene si le dɔgboa ƒe nuwuwu si wɔa dɔ abe agbonudzɔla ene na nuɖuɖu si ʋuna yia dɔgbo suea me. Esi wònye be Truncal Vagotomy ate ŋu ana lãmeka ƒe dzesi siwo ʋua agbo sia nawɔ dɔ o ta la, Pyloroplasty ƒe ɖoɖoa kpɔa egbɔ be ʋuƒoa nɔa ʋuʋu ɖi, si wɔnɛ be nuɖuɖu toa eme bɔbɔe.
Nusiwo woakpɔ mɔ na do ŋgɔ na amekoko kple le amekokoa wɔɣi
Hafi woawɔ dɔa na wò la, wò atikewɔlawo akpɔ egbɔ be yeli ke. Ne tsi vɔ le ŋuwò le aɖuɖɔtoe ta la, woade tsi wò ʋuka me; ne ʋu le dodom le ŋuwò le esi ʋu le dodom le ŋuwò ta la, woate ŋu ado ʋu na wò. Àxɔ dɔlékuiwutikewo hã be woatsɔ axe mɔ ɖe dɔlékuiwo xɔxɔ nu . Wowɔa amekokoa le atike si wua alɔ̃dɔdɔ me , si fia be àdɔ alɔ̃ eye màse veve aɖeke o.
Amekokomɔnu eve li:
- Amekoko le Gaglãgbe: Mɔnu si wozãna tsã si me woɖea ƒodo gã ɖeka le.
- Amekoko to Laparoscopic Surgery: Wogayɔnae be ‘keyhole surgery,’ esia bia be woatso nu suesuesuewo, fotoɖemɔ̃, kple dɔwɔnu tɔxɛwo. Zi geɖe la, hayahaya kabakaba eye abi si le eŋu la mesɔ gbɔ o.
Wò amekola aɖo aɖaŋu na wò be mɔnu si nyo na wò.
Hahaya Kple Afɔku Siwo Ate Ŋu Ate Ŋu Ado
Àte ŋu akpɔ mɔ be yeanɔ kɔdzi ŋkeke ʋɛ aɖewo vaseɖe esime yeasu te be yeaʋu ayi teƒe bubu. Zi geɖe la, eƒe hayahaya blibo xɔa kwasiɖa geɖe. Àdze egɔme kple nuɖuɖu siwo me tsi le eye vivivi la, àtrɔ ayi nuɖuɖu si sɔ dzi.
| Afɔkuwo & Nusiwo dona tso eme | Nuɖᴐɖᴐ |
|---|---|
| Amekoko ƒe Afɔkuwo | Afɔku siwo ate ŋu ado tso eme dometɔ aɖewoe nye ŋutinu alo ʋuka siwo ƒo xlãe ƒe gbegblẽ, dɔlékuiwo xɔxɔ, ʋu ƒe dodo, alo ʋu ƒe sisi. |
| Dɔmetɔtrɔ | Wokpɔnɛ zi geɖe le Truncal Vagotomy megbe le tɔtrɔ siwo vaa lãmeka ƒe dzesi siwo yia aɖuɖɔtoe me ta. Zi geɖe la, esia nyea ɣeyiɣi kpui aɖe ko. |
| Dumping Syndrome ƒe Dɔléle | Pyloroplasty, afisi nuɖuɖu gena ɖe dɔgbo suea me kabakaba akpa, si hea ʋuʋudedi, ʋuʋudedi, kple aɖuɖɔtoe me le nuɖuɖu vɔ megbe kpuie gbɔe wòtso. Zi geɖe la, woate ŋu akpɔ esia gbɔ to tɔtrɔ le nuɖuɖu ŋu me. |
| Gallstones ƒe kpewo | Ne aɖuɖɔtoe ƒe dɔwɔwɔ dzi ɖe kpɔtɔ le amekoko megbe ate ŋu ana kpe nado. |
Woate ŋu akpɔ eƒe nugbegblẽ le ame ŋu ƒe akpa gãtɔ gbɔ. Nu vevitɔ kekeake si woatsɔ ayie nye be le ame geɖe gome la, amekoko sia koe naa gbɔdzɔe si nɔa anyi ɖaa tso abi siwo me vevesese le siwo nɔa anyi ɖaa me.
Nu Vevi Siwo Wotsɔna Yia Nu
- Vagotomy nye amekoko na dɔgbo me abi sesẽ siwo sesẽ, siwo mete ŋu hayana to atikewo zazã me o.
- Dɔdamɔnua doa kplamatse Vagus lãmeka ƒe dzesi be wòawɔ dɔgbo me acid si sɔ gbɔ.
- Wo dometɔ vevi eveawoe nye Truncal kple Highly Selective Vagotomy.
- Zi geɖe la, wowɔa esia kpe ɖe dɔdamɔnu bubuwo abe dɔgbo ɖeɖeɖa alo dɔgbo ƒe ʋuʋu ene ŋu.
- Togbɔ be nugbegblẽ le ame ŋu abe aɖuɖɔtoe alo aɖuɖɔtoedɔléle ene ate ŋu adzɔ hã la, zi geɖe la, woate ŋu akpɔ wo gbɔ.
- Dzro amekoko ƒe tiatia siwo nàwɔ me nyuie kple wò amekola bibi ɣesiaɣi be nàkpɔe ɖa be mɔ nyuitɔe nye esia na wò lãmesẽ hã.
Vagotomy, Vagus nerve, Dɔgbo ƒe abi, Dɔgbo ƒe dɔléle, Dɔgbo me acid, Amekoko, Truncal Vagotomy, Pyloroplasty
