Ðewohĩ àsusui be dɔgbo me abi le ame aɖewo ŋu, si fia be dɔgbo ƒe abi le wo ŋu, eye atike ka kee woɖano alo aleke kee wokpɔ ŋusẽ ɖe woƒe nuɖuɖu dzi o, mahaya gbeɖe o. Ame aɖewo li siwo dzea ŋgɔ nɔnɔme sesẽ mawo siwo nana wosea veve atraɖii, ʋu dona le wo me, eye ɣeaɖewoɣi la, dɔgbo me dona gɔ̃ hã. Le ame siawo tɔgbi gome la, ne atikewɔmɔnu bubuwo katã do kpo nu la, míele nu ƒom egbea tso amekoko tɔxɛ aɖe si ɖɔktawo kafui ŋu. Woyɔa esia be vagotomy.
Kpuie ko la, nukae nye vagotomy?
Bu eŋu ale: Vagus lãmeka la le abe telefonka gã aɖe si le míaƒe ahɔhɔ̃ kple nuɖuɖumeŋusẽ dome, si me dɔgbowo hã le, dome ene. Lãmetsi siae ɖoa dzesi ɖe míaƒe dɔgbo be "wòaɖe acid ɖa fifia." Togbɔ be aɖi sia hiã ne míele nu ɖum hã la, ɣeaɖewoɣi la, aɖi sia ƒe dzidziɖedzi ye nye nusi koŋ gbɔ dɔgbo ƒe abi vɛ.
Vagotomy nye telefonka ƒe akpa si nye vagus nerve, si ɖoa dzesiwo ɖe dɔgboa be wòawɔ acid, si wɔnɛ be dzesi ma tɔa te la ɖeɖe eɖoɖo koŋ. Esia ɖea dɔgbo me acid ƒe wɔwɔ dzi kpɔtɔna ŋutɔ. Esia nye atike si me kɔ vie gake wòwɔa dɔ ŋutɔ na amesiwo ŋu dɔgbomedɔléle sesẽtɔ kekeake le.
Nukae dzɔna ne wotso vagus nerve la? - Wole ƒomevi vevi eve me
Vagus nerve la le abe ati ene. Ati gã aɖe le esi, eye alɔ vovovowo dona tsoe. Dɔwɔwɔ si amekokoa wɔna ɖe ame dzi la toa vovo le afisi wotso lãmeka sia le nu. Wole ƒomevi vevi eve me.
| Amekoko ƒomevi | Nusi dzɔna kple ŋusẽ si wòkpɔna ɖe ame dzi |
|---|---|
| Truncal Vagotomy ƒe dɔwɔwɔ | Esia bia be woalã vagus nerve ƒe "ati gã" la. Esia ɖea dɔgbo me acid ƒe wɔwɔ dzi kpɔtɔna, gake ate ŋu akpɔ ŋusẽ ɖe ŋutinu bubu siwo xɔa dzesiwo tso lãmeka sia gbɔ, abe aklã, aɖuɖɔtoe, dɔgbo, kple dɔgbo ene ƒe dɔwɔwɔ hã dzi. Esia ate ŋu ahe nuɖuɖumeŋusẽ ƒe kuxiwo vɛ. |
| Vagotomy si Tiatia ŋutɔ | Esia nye mɔnu aɖe si le tẽ ŋutɔ. Le afisia la, wometsoa lãmeka bliboa o. Lãmetsiŋusẽ ƒe alɔ sue ŋutɔ siwo tsɔa dzesiwo yia lãmenugbagbevi siwo wɔa acid (parietal cells) le dɔgboa me koe wotiaa hetsoa wo ɖa. Esia mekpɔa ŋusẽ ɖe ŋutinu bubuwo dzi o. Gake esia nye dɔwɔwɔ si sesẽ vie na amekolaa eye ebia mɔ̃ɖaŋununya ŋuti sidzedze geɖe wu. |
Nɔnɔme kawo mee wokafui be woawɔ dɔ sia le?
Woate ŋu atsɔ atikewo ada dɔgbo ƒe abi akpa gãtɔ. Gake le nɔnɔme sesẽwo kple esiwo nu sẽ, abe esiwo gbɔna ene me la, woate ŋu akafu amekoko sia be woatsɔ axe mɔ ɖe abiawo ƒe gbugbɔgadzɔ nu:
- Ʋuʋudedi ƒe Abi: Ne womate ŋu atsɔ mɔnu bubuwo aɖu ʋu ƒe dodo dzi o la, ate ŋu ahiã be woawɔ dɔ na ame be wòada abi la.
- Abi si me do le: Ne abi la na do do ɖe dɔgboa ƒe gli ŋu la, ele be woatsɔ amekoko kpata axee. Ne menye nenema o la, dɔlékuiwo ate ŋu age ɖe dɔgboa me eye woahe dɔlékui sesẽ aɖe vɛ. Le nɔnɔme sia tɔgbe me la, ele be woakplɔ wò ayi ETU (Emergency Treatment Unit) enumake.
- Dɔgbo ƒe Dodoƒe ƒe Mɔxexe: Abi siwo tso abi siwo woxɔ ɣeyiɣi didi me ate ŋu axe mɔ na nuɖuɖu ƒe zɔzɔ tso dɔgboa me yi dɔgbo suea me. Le go sia me la, ele be woaɖe abi ƒe lãkusia ɖa to amekoko me.
Vevietɔ la, zi geɖe la, womewɔa vagotomy ɖeɖeko o. Zi geɖe la, wowɔa esia kpe ɖe amekoko bubu ŋu be woatsɔ aɖɔ kuxi siwo míeyɔ ɖe etame la dometɔ ɖeka ɖo.
Dɔ bubu siwo wowɔna le ɣeyiɣi ɖeka me kple vagotomy
1. Ne woɖe dɔgboa ɖa: Esia bia be woaɖe dɔgboa ƒe akpa aɖe ɖa. Wowɔa esia ne abi sesẽwo le eŋu alo ne ɖikeke aɖe li be abiawo ate ŋu anye kansa. Ne woɖe dɔgboa ƒe akpa si le ete la, gastrin, si nye lãmetsi aɖe si kpena ɖe ame ŋu wòwɔa acid hã ƒe wɔwɔ dzi ɖena kpɔtɔna. Gake esi ema ɖeɖe mesɔ gbɔ o ta la, wowɔa vagotomy hã le ɣeyiɣi ma ke me be abiawo nagagadzɔ o.
2. Le Pyloroplasty me: Ne èle Truncal Vagotomy wɔm, si fia be woatso lãmeka vevitɔa la, ahiã godoo be woawɔ pyloroplasty ƒe dɔ sia hã. Elabena, ne wotso vagus nerve la, dzesi si gblɔna na pylorus be wòaʋu eye wòatu la buna. Emegbe nuɖuɖua tsina. Wowɔa pyloroplasty amekoko be agbo ma nanɔ ʋuʋu ɖi, ale be nuɖuɖua nato eme bɔbɔe.
Nukae dzɔna do ŋgɔ na amekokoa kple le amekokoa wɔɣi?
Le wò nɔnɔmea nu la, woate ŋu awɔ atike aɖewo hafi awɔ dɔ na wò be wòakpe ɖe ŋuwò nàgakpɔ lãmesẽ. Le kpɔɖeŋu me, woate ŋu ana tsi si wodona na wò le ʋuka me ne tsi vɔ le lãme na wò le aɖuɖɔtoe ta, alo woate ŋu ado ʋu na wò ne abi si le dodom le ŋuwò. Wona dɔlékuiwutikewo hafi wowɔa dɔ nɛ. Wowɔa amekoko sia le atike si naa alɔ̃dɔdɔ ame katã me.
Woate ŋu awɔ amekokoa abe amekoko le gaglãgbe , si bia be woatso ƒodoa, alo amekoko to dɔgbo me , si me woatsɔ fotoɖemɔ̃ kple dɔwɔnuwo ade nu suesuesue geɖe me. Wò amekolae atso nya me le esia ŋu.
Nukae dzɔna le amekoko vɔ megbe? Viɖewo kple afɔku siwo le eme
Viɖe vevitɔ si le amekoko sia ŋue nye be ate ŋu atɔ te abi sesẽ siwo le fu kpem ɣeyiɣi didi aɖe eye womeda gbe le wo ŋu to atikewo me o la ƒe gbugbɔgadzɔ keŋkeŋ kloe.
Gake abe amekoko ɖesiaɖe ene la, afɔku kple nugbegblẽ aɖewo le amekoko sia ŋu .
| Afɔku/nuwɔna ƒe nugbegblẽ le ame ŋu ƒomevi | Nuɖᴐɖᴐ |
|---|---|
| Afɔku siwo le amekoko me | Nu gblẽ le ŋutinu siwo ƒo xlãe, ʋukawo, alo lãmekawo ŋu, dɔlékuiwo xɔxɔ, ʋudodo, ʋu ƒe sisi. |
| Dɔmetɔtrɔ | Esia nye nɔnɔme si bɔ, vevietɔ le truncal vagotomy megbe. Aɖuɖɔtoe ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ gbɔe wòtsona. Zi geɖe la, enɔa anyi ɣeyiɣi kpui aɖe ko. |
| Dumping Syndrome ƒe Dɔléle | Esia tso amekoko si nye pyloroplasty gbɔ. Nuɖuɖu toa dɔgboa me kabakaba evɔ menɔa dɔgboa me o, si ate ŋu ana ame natsi ƒodo, dɔgbo nase veve, eye aɖuɖɔtoe. Woate ŋu aɖu esia dzi ne ètrɔ wò nuɖuɖu. |
| Gallstones ƒe kpewo | Le truncal vagotomy megbe la, gallbladder ƒe dɔwɔwɔ dzi ɖeɖe kpɔtɔ ate ŋu ana ʋumenugbagbeviɣidɔ naƒo ƒu eye kpewo nado. |
Ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo le amekokoa megbe. Ate ŋu axɔ kwasiɖa ʋɛ aɖewo hafi nàte ŋu aɖu nu le mɔ si sɔ nu. Àdze egɔme kple nuɖuɖu siwo me tsi le eye vivivi la, àyi nuɖuɖu sesẽwo dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Vagotomy nye amekoko si wowɔna abe mɔnu mamlɛtɔ ene na dɔgbo me abi sesẽwo (peptic ulcers) siwo wometsɔ atike da dɔe o.
- Taɖodzinu vevitɔe nye be woaɖe acid ƒe wɔwɔ dzi akpɔtɔ to lãmeka ƒe dzesi siwo wɔa acid le dɔgboa me la ɖeɖeɖa me.
- Amekoko sia ƒomevi vevi evee li (wotsoe eye wotiae ŋutɔ), eye woƒe nugbegblẽ le ame ŋu kple eƒe nugbegblẽ le ame ŋu to vovo.
- Zi geɖe la, wowɔa esia kpe ɖe amekoko bubuwo ŋu (gastrectomy, pyloroplasty) tsɔ daa abi ƒe kuxiwo.
- Ne wokafu amekoko sia ƒomevi na wò alo ame aɖe si nènya la, kpɔ egbɔ be yeƒo nu tso viɖe siwo le eme, afɔku siwo le eme, kple eƒe nugbegblẽ le ame ŋu ŋu na wò ɖɔkta eye nàbia wò nyawo katã.
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