So wo taa nya yafunu mu haw nso? Afei momma yensua Hydrogen Breath Test yi ho ade!

So wotaa nya yafunu a ɛyɛ wo yaw, wote nka sɛ wo ho ayɛ wo ma anaasɛ wo yafunu yɛ wo yaw? So wote yafunu mu yaw bere a wudi nnuan bi, titiriw bere a wonom nufusu no? Mpɛn pii no, ɛnyɛ mmerɛw sɛ wubehu nea ɛde ɔhaw a ɛte saa ba ankasa. Wɔ mmere a ɛtete saa mu no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ hydrogen home nhwehwɛmu yi. Nokwarem no, eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye a ɛnyɛ yaw. Momma yɛnka eyi ho asɛm nkɔ akyiri nnɛ, ɛyɛ?

Dɛn ne Hydrogen Hom Sɔhwɛ yi?

Sɛ yɛbɛka no tiawa a, ɛkyerɛ hydrogen mframa dodow a ɛwɔ wo home mu bere a worehome no. Eyi betumi aboa ma woahu ɔhaw ahorow bi a ɛwɔ wo dwensɔtwaa mu, te sɛ dwensɔtwaa mu mmoawa a ɛdɔɔso dodo (SIBO), dwensɔtwaa a ɛyɛ abufuw (IBS), ne lactose a wontumi nnyina ano. Sɔhwɛ yi ahorow wɔ hɔ, na emu biara hwɛ sɛnea wo nipadua no di asikre ahorow ahorow yiye . Sɛ wo duruyɛfo de eyi fi mu ba yi a, obetumi akyerɛ nea ɛde wo yafunu mu haw ahorow no ba, anaasɛ obebu nneɛma afoforo a ɛde ba no afi hɔ.

Nyarewa bɛn na wobetumi de nhwehwɛmu yi ahu?

Nneɛma pii nti na hydrogen dodow a ɛwɔ yɛn dwensɔtwaa mu no betumi ayɛ kɛse wɔ ɔkwan a ɛnteɛ so. Nanso oduruyɛfo bi bɛka akyerɛ wo sɛ yɛ nhwehwɛmu yi titiriw bere a nneɛma atitiriw abien nti na wususuw ho:

1. Asikre bi a wontumi nnye: Wɔsan frɛ eyi `(Carbohydrate malabsorption)`. Sɛ nhwɛso no, asikre te sɛ `(Lactose)`, `(Fructose)`, `(Sucrose)` anaa `(Sorbitol)` yɛ den ma nnipa binom sɛ wɔbɛyam. Eyinom mu no, `(Lactose intolerance )` na ɛtaa ba. Wo de susuw ho hwɛ, sɛ nnipa binom nom nufusu a, wɔn yafunu yɛ wɔn yaw, ɛnte saa? Ɛno yɛ biribi a ɛte saa.

2. Small Intestinal Bacterial Overgrowth (SIBO): Eyi ne bere a mmoawa a ɛsɛ sɛ ɛwɔ yɛn dwensɔtwaa kɛse mu, a wɔkyerɛ sɛ ɛboa yɛn no, sɛ́ anka ɛbɛtra hɔ no, tu kɔ dwensɔtwaa ketewa no mu na wonyin boro so wɔ hɔ. Afei ɛnyɛ papa sɛ wɔbɛba hɔ.

Afei hwɛ, obi a ɔwɔ `(IBS - Irritable Bowel Syndrome)` anaa tebea bi a ɛma ne yafunu taa yɛ basaa no, nneɛma abien a yɛaka ho asɛm wɔ atifi hɔ no betumi ayɛ nea ɛde ba. Enti, sɛ wosusu sɛ wowɔ `(IBS)` a, ɛsɛ sɛ wohwɛ saa nneɛma yi nso mu.

Ɔkwan bɛn so na hydrogen home sɔhwɛ yi yɛ adwuma? Ɛyɛ nwonwa, ɛnte saa?

So gas akɔ wo yafunu mu pɛn, ate sɛ wo ho yɛ wo yaw, wote ɛyaw nka bere a mframa no di akɔneaba wɔ wo yafunu mu, na ɛyɛ den ma wo sɛ wobɛfa mu pɛn? Saa mframa no mu dodow no ara yɛ hydrogen. Sɛ woreyɛ hydrogen wɔ wo nipadua mu a, ade biako pɛ na enti ɛte saa: ɛyɛ nea anaerobic gut bacteria a ɛwɔ wo dwensɔtwaa mu no rebubu asikre ne carbohydrates a wudi no. Yɛfrɛ saa adeyɛ yi sɛ fermentation.

Wɔkyerɛ sɛ saa mmoawa yi te wo dwensɔtwaa kɛse (colon) mu ankasa. Ɛhɔ no, wɔboa ma wɔyam aduan. Nanso, asikre ne carbohydrates nyɛ wɔn aduan titiriw.

Wɔ obi a ɔwɔ apɔwmuden aduan mu no, asikre ne carbohydrates a wudi no yam yiye ansa na adu mmoawa a wɔwɔ wo dwensɔtwaa kɛse no mu no ho. Nanso sɛ wɔanwene no yiye a, saa mmoawa no bubu na ɛdan mframa. Hydrogen wɔ saa mframa no mu.

Afei, saa hydrogen mframa a ɛba wo dwensɔtwaa mu yi kɔ wo mogya mu, na saa mogya no kɔ w’ahurututu mu. Ɛhɔ no, sɛ wohome a, saa hydrogen no fi adi. Saa na wo home betumi akyerɛ wo nea ɛrekɔ so wɔ wo yafunu mu. Wɔ hydrogen home sɔhwɛ mu no, wonom asikre bi, na afei wɔsusuw hydrogen dodow a ɛwɔ wo home mu wɔ mmere ahorow mu. Afei, oduruyɛfo no betumi agyina hydrogen dodow ne sɛnea wɔyɛ no ntɛmntɛm so anya sɛnea wo aduan mu nneɛma reyɛ adwuma yiye no ho adwene pa. Ate aseɛ?

So wofa ahome so susuw mframa ahorow afoforo?

Yiw, ɛtɔ mmere bi a wɔsusuw mframa afoforo nso.

• Methane: Esiane sɛ ɛsono obiara awotwaa mu mmoawa kakra nti, ebia nnipa binom benya methane mframa pii sen hydrogen wɔ wɔn home mu. Esiane eyi nti, mprempren ayaresabea ahorow pii susuw hydrogen ne methane nyinaa bere koro mu. Wɔsusuw abien no nyinaa wɔ ɔkwan koro so. Nanso esiane sɛ methane sɔhwɛ no yɛ foforo koraa nti, ebia ɛrenyɛ pɛpɛɛpɛ te sɛ hydrogen sɔhwɛ no.
• Carbon dioxide (CO2): Ɔhome mu sɔhwɛ foforo bi susuw carbon dioxide (CO2) dodow a ɛwɔ wo home mu. Nhwɛso bi ne H. pylori home sɔhwɛ no. Eyi yɛ soronko wɔ hydrogen home sɔhwɛ no ho efisɛ sɔhwɛ no fa ade soronko bi ho. Bere a hydrogen sɔhwɛ no hwɛ sɛnea woyam asikre anaa carbohydrates yiye no, carbon sɔhwɛ no ma wunya nsu a carbon nketenkete wom a wobɛnom. Wɔde nhwehwɛmu abien no nyinaa di dwuma de hu yafunu mu nyarewa ahorow.

So hydrogen home sɔhwɛ yi ahorow wɔ hɔ?

Yiw, sɛ woyɛ sɔhwɛ yi a, wodi kan fa ahome nhwɛsode, na afei wɔde asikre pɔtee bi (sɛ nhwɛso no, lactose, fructose, sucrose, sorbitol, glucose, anaa lactulose) ma nom. Afei, wɔfa ahome nhwɛsode simma 15-30 biara nnɔnhwerew pii. Oduruyɛfo no begyina tebea a worehyia no so apaw asikre ko a wɔbɛma wo nom.

• Lactose, fructose , sucrose, ne sorbitol nhwehwɛmu: Eyinom sɔ sɛnea wubetumi ayam asikre ahorow biara hwɛ. Asikre ahorow biara yɛ den ma nnipa binom sɛ wɔbɛyam esiane nneɛma ahorow nti. Asikre biako pɛ na wɔsɔ hwɛ bere koro mu. Sɛ nea efii nhwehwɛmu no mu bae no kyerɛ sɛ hydrogen dɔɔso a, ɛkyerɛ sɛ saa asikre no ntumi nkɔ wo dwensɔtwaa mu yiye.
• Glucose Test: Eyi ne asikre titiriw a wɔde hu sɛnea ɔyare mmoawa a ɛwɔ dwensɔtwaa ketewaa mu nyin boro so (SIBO). Nea enti a ɛte saa ne sɛ mpɛn pii no, glucose kɔ dwensɔtwaa ketewa no mu ntɛmntɛm yiye. Enti, sɛ mmoawa a mframa nnim no ma glucose yɛ hyew na wɔyɛ hydrogen a, ɛkyerɛ sɛ mmoawa no rekɔ dwensɔtwaa ketewa no mu dodo na wɔreyam ansa na wɔatumi atwe.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Eyi ho hia paa, ɛnte saa? Nnuan, nnuru, ne nneɛma bi a woyɛ betumi aka nea efi hydrogen home sɔhwɛ yi mu ba. Enti, sɛ wubenya nea efi sɔhwɛ no mu aba no mu pɛpɛɛpɛ a, ɛsɛ sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.

• Ɔsram biako a atwam ni: Sɛ worenom nnuru a ekum ɔyare mmoawa anaa probiotics a, ɛsɛ sɛ wugyae nom efisɛ ebetumi asesa mmoawa a ɛkari pɛ wɔ wo dwensɔtwaa mu.
• Dapɛn biako ansa na: Sɛ wonom sigaret a, wɔbɛka akyerɛ wo sɛ gyae. Ɛho behia nso sɛ wugyae nnuru a wɔde kum akisikuru, nnuru a wɔde ma fiber, antacids , ne prokinetics nom.
• Da a edi kan no: Nnuan a ahoɔdennuru nnim na ɛnyɛ den sɛ wobɛyam nkutoo na wubetumi adi. Afotu a wɔde ma wɔ eyi ho no betumi ayɛ soronko kakra. Nanso mpɛn pii no ɛka sɛ kwati ngo ne srade, nnɔkɔnnɔkɔwade, nnuhuam, nufusu, ne aburow (gye paanoo fitaa ne aburow fitaa). Mpɛn pii no, ɛnyɛ hwee sɛ wubedi mpataa anaa akokɔ a wɔanoa anaasɛ wɔde nkyene ne ɛmo ayɛ.
• Da a wɔbɛyɛ sɔhwɛ no: Wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew 12. Eyi kyerɛ sɛ wuntumi nnidi anaa nnom biribiara. Wɔbɛka akyerɛ wo nso sɛ kwati apɔw-mu-teɛteɛ anaa nna nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no.

Dɛn na ɛsɛ sɛ wohwɛ kwan wɔ sɔhwɛ no mu?

Nea edi kan no, wɔfa wo home bi. Wohome kɔ afiri a wɔde hwɛ ahome mu. Mpɛn pii no ɛyɛ bag a wɔde mframa gu mu a wɔde tube abata ho. Afei, wɔma wo anonne a asikre wom. Sɛ wonom wie a, wo home simma 15 kosi 30 biara wɔ nnɔnhwerew kakraa a edi hɔ no mu. Wubetumi ahwɛ TV anaa akenkan nhoma bi bere a wɔrefa nhwɛsode no. Nanso ɛnyɛ adwene pa sɛ wobɛyɛ dwumadi biara a emu yɛ den bere a wɔreyɛ sɔhwɛ no. Wobetumi nso aka akyerɛ wo sɛ kyerɛw yafunu mu yaw biara a wote bere a woanom anonne a asikre wom no akyi - te sɛ yafunu mu akisikuru , yafunu a ɛyɛ wo yaw, anaa gas.

So asiane anaa nsunsuanso bɔne bi wɔ sɔhwɛ yi mu?

Nokwarem no, Hydrogen Breath Test no nyɛ sɔhwɛ a ɛnyɛ nea wɔde hyɛ nipadua mu. Ɛno kyerɛ sɛ ɛnyɛ asiane pii. Nanso, ɛbɔ mmɔden sɛ ebehu nea ɛde wo aduan mu haw ahorow no ba denam nea ɛbɛkanyan wo kakra no so. Enti, sɛ wonom saa nsu a asikre wom no wie a, ebia wo yafunu mu yɛ wo yaw kakra. Sɛ yɛbɛka no tiawa a, sɛnkyerɛnne ahorow a wokɔɔ oduruyɛfo nkyɛn – wo ho a ɛyɛ wo yaw, yafunu mu yaw, ne ebia gas mpo – betumi ate nka bere a wɔreyɛ nhwehwɛmu no. Ɛno yɛ nea ɛsɛ sɛ wɔhwɛ kwan.

Nanso mma ɛnhaw wo! Sɛ wuhu nea ɛde wo yare no ba ankasa na wufi ayaresa a ɛfata ase wie a, wo yare no so bɛtew kɛse.

Mete me sɔhwɛ mu aba no ase dɛn?

Wɔde afã horow ɔpepem biara (ppm) susuw hydrogen dodow a ɛwɔ wo home mu. Hydrogen dodow a ɛwɔ obi a ɔwɔ apɔwmuden mu sɛnea ɛsɛ no nnu 16 ppm. Sɛ wo dodow a edi kan no boro 16 ppm da a wobɛyɛ sɔhwɛ no a, wobetumi aka akyerɛ wo sɛ di aduan koro no ara a wodii ansa na woreyɛ sɔhwɛ no akyi na woayɛ sɔhwɛ no da foforo.

• Sɛ wɔreyɛ nhwehwɛmu ahwɛ sɛ carbohydrate ntumi nkɔ nipadua no mu a: Sɛ hydrogen dodow kɔ soro 20 ppm anaa nea ɛboro saa sen dodow a edi kan no a, wobu no sɛ ɛyɛ sɔhwɛ a ɛkyerɛ sɛ ɛyɛ papa.
• Sɛ wɔresɔ SIBO ahwɛ a: Ɛsɛ sɛ hydrogen dodow no kɔ soro `20 ppm` sen dodow a edi kan no wɔ simma 90 mu. Nea enti a ɛte saa ne sɛ afei wɔreyɛ hydrogen no wɔ dwensɔtwaa ketewa no mu, na ɛnyɛ dwensɔtwaa kɛse no mu.

Nea afi hydrogen home sɔhwɛ yi mu aba no yɛ nokware dɛn? So wotumi de ho to wɔn so?

Nsɛnnennen nketenkete kakraa bi wɔ hɔ a ebetumi aka nea efi sɔhwɛ yi mu ba no. Kae sɛ, sɛ woanni akwankyerɛ no akyi pɛpɛɛpɛ ansa na woayɛ nhwehwɛmu no – sɛ nhwɛso no, sɛ wofa nnuru a ekum ɔyare mmoawa anaa nnuru a wɔde siw akisikuru so, anaasɛ woanni mmuada yiye a – ebia wo nhwehwɛmu no mu aba no rennyɛ nokware. Afei nso, nnipa bi wɔ hɔ (sɛ yɛbɛka sɛ, efi 15% kosi 30%) a wɔn awotwaa mu mmoawa no yɛ methane pii sen hydrogen. Sɛ woyɛ wɔn mu biako a, ɛno nso betumi aka nea ebefi mu aba no.

Nanso, sɛ wunya nea eye fi hydrogen home nhwehwɛmu no mu a, wubetumi anya awerɛhyem sɛ hydrogen no na ɛba efisɛ asikre a wɔde ma sɛ wɔmfa nyɛ nhwehwɛmu no nyɛ nea wɔayam no yiye. Sɔhwɛ ahorow a ɛhwehwɛ ɔhaw ahorow a ɛwɔ asikre pɔtee bi a wɔyam mu ne glucose sɔhwɛ a ɛhwehwɛ SIBO no yɛ nea wotumi de ho to so kɛse wɔ tebea horow yi a wobehu mu.

Ɛtɔ da bi a, ebia tebea horow yi nkutoo renkyerɛkyerɛ wo sɛnkyerɛnne ahorow no nyinaa mu. Anaasɛ, bere a woasa saa tebea horow no akyi mpo no, ebia wo yare no ho sɛnkyerɛnne no renyɛ yiye koraa. Sɛ ɛte saa a, ebia ebehia sɛ woyɛ nhwehwɛmu foforo de hwehwɛ nneɛma afoforo a ɛde ba, anaasɛ ebia ebehia sɛ wosɔ aduan ho nhyehyɛe anaa ayaresa afoforo hwɛ.

Awiei koraa no, ade a ɛho hia sen biara

Saa sɛnkyerɛnne ahorow yi a ɛkyerɛ sɛ mframa a ɛwɔ dwensɔtwaa mu no ye koraa. Saa ɔhaw a mframa ne aduan mu haw ahorow de ba yi betumi asiw wo da biara da asetra kwan. Ebetumi nso asiw wo nipadua no kwan sɛ ɛrennya aduannuru a ehia no. Nneɛma pii betumi de saa sɛnkyerɛnne ahorow yi aba. Nanso mpɛn pii no, ɛnyɛ den koraa sɛ wobehu wɔn na wɔasa wɔn yare. Nsɛm kakra mpo betumi aboa kɛse wɔ ɔkwan a ɛbɛma obi ho atɔ no no mu. Akwan a ɛyɛ mmerɛw a wobɛfa so anya nsɛm a ɛtete saa no mu biako ne sɛ wɔbɛyɛ hydrogen home sɔhwɛ. Enti, sɛ wowɔ saa ɔhaw yi a, ɛfata sɛ wo ne oduruyɛfo kasa na wusua ho ade pii.

`Hydrogen Hom Sɔhwɛ, Yafunu mu Ɛyaw, SIBO, Lactose a wontumi nnyina ano, Nnuan a wɔyam mu haw ahorow, Ɔhome mu sɔhwɛ, Gut Bacteria