Yɛbɛka wo dwensɔtwaa ketewa no ho asɛm nnɛ? Eyi yɛ akwaa a ɛho hia paa!

Ɛnnɛ yɛrebɛka yɛn nipadua no fã bi a ɛho hia paa ho asɛm, nanso ɛtɔ da bi a yennwen ho pii. Ɛno ne yɛn dwensɔtwaa ketewa , anaa wɔ Borɔfo kasa mu no, ``Small Intestin''. Ɛyɛ saa ɔfã yi na ɛboa nipadua no ma ɛtwe aduannuru a ehia fi nneɛma a wudi na wonom no mu. Enti, momma yɛnhwɛ nea dwensɔtwaa ketewa yi yɛ ankasa, nea ɛyɛ, nyarewa a ebetumi anya, ne sɛnea ɛbɛma apɔwmuden.

Ɔsom bɛn na dwensɔtwaa ketewa no de ma yɛn nipadua?

Sɛ yɛbɛka no tiawa a, wo dwensɔtwaa ketewa no yɛ adwuma a etu mpɔn yiye wɔ wo aduan mu . Ɛno titiriw na ɛtwe aduannuru ne nsu a wo nipadua hia fi aduan a wudi mu no. Susuw ho hwɛ, sɛ yedi aduan wie a, ɛkɔ yafunu no mu na enya nsu kakra. Afei ɛba saa dwensɔtwaa ketewa yi so. Ɛhɔ na adwuma ankasa no kɔ so.

Dwonku ketewa no yɛ nea edidi so yi titiriw:

• Wɔkyekyɛ aduan mu bio yɛ no nsu: Wɔkyekyɛ aduan a wɔayam no fã bi a efi yafunu mu no mu nketenkete wɔ dwensɔtwaa ketewa no mu na ɛbɛyɛ nsu. Nea ɛbɛyɛ na aboa eyi , wɔde aduan mu nsu ne enzymes ka dwensɔtwaa ketewa no ho. Nsu a efi mmerɛbo mu ne aduan mu enzymes a efi dwensɔtwaa mu no boa wɔ eyi mu.
• Aduannuru ne nsu kɔ nipadua no mu: Dwotwaa ketewa no twe vitamin, mineral, carbohydrates, srade, ne protein a ɛwɔ aduan a ɛyɛ nsu mu no. Wɔde nneɛma nketenkete a ɛte sɛ nsateaa a wɔfrɛ no villi a ɛwɔ ne mu fasu so na ɛyɛ eyi. Eyinom te sɛ brɔs ketewaa bi nhwi. Wɔsan frɛ saa ntini yi mu ɔfasu no mucosa .
• Aduan a wɔpia kɔ anim: Sɛ wɔtwe aduannuru a efi aduan a wɔayam mu wie a, wɔpia afã horow a aka a wɔanwe, anaa nneɛma a wɔsɛe no no kɔ dwensɔtwaa kɛse no mu . Efi hɔ no, wɔde fi nipadua no mu sɛ nsu a ɛyɛ fĩ. Yɛfrɛ saa adeyɛ a ɛma wɔpia aduan kɔ anim yi peristalsis . Ɛyɛ ntini a ɛte sɛ asorɔkye a yentumi nni so, na ɛkɔ dwensɔtwaa no mu.

Ɛhe na dwensɔtwaa ketewaa yi wɔ? Ɛware tenten ahe?

Ebia worebisa wo ho sɛ, ‘Ɛhe na dwensɔtwaa ketewa yi wɔ wo nipadua mu?’ Wo dwensɔtwaa ketewaa no wɔ wo yafunu mu . Ɛne sɛ, wo yafunu mu. Ɛte sɛ afiri tenten bi a ɛyɛ pink anaa kɔkɔɔ, ɛyɛ kurukuruwa yiye na ɛyɛ kurukuruwa. Wo dwensɔtwaa kɛse no atwa saa dwensɔtwaa ketewa yi ho ahyia.

Ɛmfa ho ne din no, eyi ne yɛn aduan mu nhyehyɛe no fã a ɛware sen biara, ``Gastrointestinal Tract.`` Mma ɛnyɛ wo nwonwa, ne tenten bɛyɛ anammɔn 22! Ɛno tenten bɛyɛ dan a wɔkyekyem pɛpɛɛpɛ no mmɔho abien! So wubetumi asusuw ho?

Afei nso, baabi a ɛwɔ soro a wobetumi atwe aduannuru a ɛwɔ mu no sõ yiye. Nea enti a ɛte saa ne sɛ nhama nketenkete ɔpepem pii a wɔfrɛ no villi ne microvilli nketewa mpo a ɛhyehyɛ dwensɔtwaa ketewa no mu ɔfasu no mu. Eyinom ma asase ani a ɛwɔ hɔ a wobetumi atwe aduannuru no kɛse te sɛ tɛnis agodibea! Susuw adwuma pii a wobetumi ayɛ wɔ baabi ketewaa a ɛte saa no ho hwɛ.

Nanso edin ‘ketewa’ no fi ne tɛtrɛtɛ mu. Ne kɛse bɛyɛ sɛntimita 2 pɛ . Ɛno bɛyɛ sɛ wo nsateaa a wode kyerɛ ade no kɛse.

Dɛn ne dwensɔtwaa ketewa no afã horow?

Saa dwensɔtwaa ketewa tenten yi wɔ afã atitiriw abiɛsa. Ɔfã biara wɔ dwumadi pɔtee bi. Momma yɛnhwɛ nea wɔyɛ.

1. Duodenum a ɛwɔ nipadua no mu

• Eyi ne dwensɔtwaa ketewa no fã a edi kan . Ɛhɔ na aduan ne dwensɔtwaa ketewa no hyia bere a afi yafunu no mu awie no.
• Eyi te sɛ afiri ketewa bi a ne tenten bɛyɛ nsateakwaa 10 , a ɛyɛ kurukuruwa kakra wɔ nkyerɛwde ‘C’ nsusuwii mu.
• Wɔyɛ nsu a wɔde yɛ aduan ne enzymes a ehia na wɔde ayam aduan no mu dodow no ara na wɔkora so wɔ ha.
• Nsu a efi wo gallbladder mu ne aduan mu enzymes a efi wo dwensɔtwaa mu no bom wɔ saa ntini yi mu ma ɛboa ma aduan no bubu. Ɛte sɛ aduan a wɔyam no mfinimfini.

2. Jejunum ho nsɛm

• Eyi ne dwensɔtwaa ketewa no mfinimfini fã . Efi ase wɔ baabi a akyi berɛmo no ba awiei.
• Eyi tenten bɛyɛ anammɔn 8 ! Ɛyɛ coiled up na ɛwɔ yafunu no ase fã.
• Saa ɔfã yi yɛ kɔkɔɔ tuntum . Nea enti a ɛte saa ne sɛ, mogya ntini pii wom. Efisɛ ehia sɛ mogya no di akɔneaba yiye na ama atumi atwe aduannuru.
• Ntini a ɛwɔ ɔfã yi ma aduan no kɔ anim ne akyi, na ɛde fra yiye wɔ aduan mu nsu no mu. Kankyee a mekaa ho asɛm a wɔfrɛ no peristalsis no pia aduan no nkakrankakra kɔ ileum no mu.

3. Ileum a ɛwɔ hɔ

• Eyi ne dwensɔtwaa ketewa no fã a etwa to na ɛware sen biara .
• Saa ɔfã yi twetwe aduannuru dodow no ara a nipadua no hia fi aduan a wɔayam mu (vitamin B12, bile nkyene, ne aduannuru a aka a jejunum no nnye).
• Eyi ne nea ɛde nwura a aka fi aduan mu no kɔ dwensɔtwaa kɛse no mu.
• Ɛyɛ ileum mu na aduan di bere tenten sen biara wɔ dwensɔtwaa ketewa no mu, ansa na akɔ dwensɔtwaa kɛse no mu.

Dɛn ne nyarewa a ɛtaa ba a ebetumi aka dwensɔtwaa ketewa no?

Enti, ɛtɔ mmere bi a dwensɔtwaa ketewaa a ɛyɛ adwuma a ɛho hia saa mpo tumi nya nyarewa. Momma yɛnhwɛ tebea horow a ɛtaa ba no bi:

• Celiac yare: Eyi yɛ tebea a nipadua no yɛ n’ade wɔ protein bi a wɔfrɛ no gluten (a wohu wɔ aburow te sɛ awi ne atoko mu) ho. Ɛsɛe dwensɔtwaa ketewaa no ntama.
• Crohn yare no:Eyi yɛ ɔyare a ɛma obi ho hyehye no bere tenten a ebetumi aba wɔ baabiara wɔ aduan mu. Ebetumi aka dwensɔtwaa ketewa no nso.
• Enteritis: Eyi yɛ ɔfe a ɛba dwensɔtwaa ketewa no mu. Ebetumi afi ɔyare mmoawa ahorow (mmoawa, mmoawa) mu aba.
• Yafunu mu ntini mu akisikuru (Gastrointestinal neuroendocrine tumors / Carcinoid tumors): Eyinom yɛ kokoram a enyin brɛoo a efi ase wɔ nkwammoaa a ɛma hormone mu.
• Irritable Bowel Syndrome (IBS): Eyi betumi de sɛnkyerɛnne ahorow te sɛ yafunu mu yaw, akisikuru, akisikuru, anaa akisikuru aba. Ɛka dwensɔtwaa ketewa no dwumadi.
• Malabsorption: Eyi ne sɛnea nipadua no ntumi nnye aduannuru biako anaa nea ɛboro saa yiye. Eyi betumi de nneɛma pii aba.
• Meckel diverticulum: Eyi yɛ awosu mu (ɛwɔ hɔ bere a wɔawo no) a ɛte sɛ kotoku wɔ dwensɔtwaa ketewa no fasu mu. Ebetumi de ɔhaw aba nnipa binom so.
• Peptic ulcer disease: Akuru a ɛwɔ yafunu mu ne dwensɔtwaa ketewa no fã a edi kan (duodenum).
• Scleroderma: Eyi yɛ yare a ɛka ntini a ɛka bom, ɛtɔ mmere bi a ɛma dwensɔtwaa ketewa no ntini yɛ mmerɛw na ɛka ne dwumadi.
• Dwonku ketewa a ɛsiw: Ɛyɛ dwensɔtwaa ketewa no mu kwan a ɛsiw aduane kwan a ɛnfa dwensɔtwaa ketewa no mu. Eyi betumi ayɛ nea egye ntɛmpɛ.
• SIBO (Small Intestinal Bacterial Overgrowth): Mmoawa a wɔtaa tra dwensɔtwaa kɛse no mu no nyin dodo wɔ dwensɔtwaa ketewa no mu. Eyi nso betumi asiw aduannuru a wɔtwe no kwan.

Dɛn ne dwensɔtwaa ketewaa mu haw ho sɛnkyerɛnne?

Dwuma titiriw a dwensɔtwaa ketewa no yɛ ne sɛ ɛbɛtwe aduannuru ne nsu. Enti, sɛ ɛyare a, entumi nyɛ adwuma yi yiye. Afei sɛnkyerɛnne ahorow te sɛ eyinom betumi aba:

• Yafunu mu yaw ne ɛyaw (eyi betumi ayɛ nea ɛkɔ so daa anaasɛ ɛba na ɛkɔ) .
• Ɔhohoro, akisikuru, gas
• Constipation (mma ɛnhaw wo, nnipa binom nso betumi anya atiridiinini, ɛsono sɛnea yare no te)
• Atiridiinini (nsu a ɛkɔ nipadua no mu, ɛtɔ mmere bi a aduan mu nneɛma nketenkete a wɔanwe) .
• Akisikuru ne ɔfe
• Mu duru a ɛso tew a ntease biara nnim (sɛ wo mu duru so tew a wontew w’aduan so anaasɛ womma w’apɔw-mu-teɛteɛ nkɔ soro a, ɛyɛ biribi a ɛsɛ sɛ wohaw wo ho wɔ ho)
• Sɛ wo yafunu mu yaw no mu yɛ den bere a wudi nnuan a srade wom titiriw no a
• Paleness, ɔbrɛ (esiane dade a enni nipadua mu nti) .

Wobɛyɛ dɛn ahu sɛ ɔhaw bi wɔ dwensɔtwaa ketewa no mu?

Sɛ wokɔ so nya sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.. Obetie wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, na wasi nhwehwɛmu a ɔbɛyɛ ho gyinae. Sɛ nhwɛso no, sɛ wo mu duru so retew kɛkɛ a, ɔbɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu. Sɛ wo yafunu mu yɛ wo yaw, wo ho yɛ wo yaw, anaasɛ wo ho yɛ wo yaw a, ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu nhwɛ nea ɛrekɔ so wɔ wo dwensɔtwaa ketewa no mu.

Mogya ne lab nhwehwɛmu de hu ɔhaw ahorow a ɛwɔ dwensɔtwaa ketewaa mu

Eyi betumi ayɛ nneɛma te sɛ:

• Mogya Dodow a Edi Mu (CBC): Eyi betumi ama obi anya nneɛma te sɛ mogya a ɛtɔ kɔ nipadua mu ne ɔyare mmoawa ho adwene.
• Comprehensive Metabolic Panel (CMP): Eyi hwɛ nneɛma te sɛ mmerɛbo ne asaabo dwumadi, ne electrolyte dodow.
• Nsu mu nhwehwɛmu
• Nhwehwɛmu a wɔyɛ de kyerɛ nyarewa pɔtee te sɛ celiac yare ne Crohn yare (e.g., mogya mu nhwehwɛmu a ɛhwehwɛ nipadua mu nkwammoaa pɔtee bi a ɛko tia nyarewa).
• Nsu mu nhwehwɛmu: Eyinom tumi hwɛ sɛ ɔyare mmoawa, mogya tu, ne sɛ ebia wɔregye aduannuru no yiye anaa.

Mfoninitwa sɔhwɛ ahorow de hwɛ dwensɔtwaa ketewaa no

Eyinom betumi ahwɛ dwensɔtwaa ketewa no mu:

• Capsule endoscopy: Eyi hwehwɛ sɛ wɔmene capsule a mfoninitwa afiri ketewaa bi wɔ mu. Ɛtwa mfonini bere a ɛfa dwensɔtwaa no mu no. Eyi betumi aboa ma wɔahu mmeae a ɛwɔ dwensɔtwaa ketewa no mu a ɛyɛ den sɛ wɔde endoscope afoforo behu.
• CT scan (Computed Tomography scan): Eyi ma wotumi twa nipadua no mu mfonini ahorow a wɔatwa no tiaa. Wotumi hu dwensɔtwaa no afasu ne mmeae a atwa ho ahyia no pefee.
• Enteroscopy: Eyi hwehwɛ sɛ wɔde endoscope soronko (afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri ne hann wom) bɛhyɛ ano anaa akyi berɛmo no mu de ahwɛ dwensɔtwaa ketewa no mu kɔ akyiri. Wobetumi nso ayɛ biopsy sɛ ɛho hia a.
• Small bowel X-ray series / Barium follow-through: Wɔmene ade bi te sɛ barium na wɔtwa X-ray mfonini pii bere a ɛfa dwensɔtwaa no mu no.
• Upper endoscopy (OGD): Wɔ saa adeyɛ yi mu no, wɔde endoscope fa ano no mu de hwehwɛ duodenum (dwensɔtwaa ketewaa no fã a edi kan), yafunu, ne aduan mu.

Dɛn ne ayaresa a wɔde sa dwensɔtwaa mu haw ahorow?

Nyarewa pii wɔ hɔ a ɛka dwensɔtwaa ketewa no. Enti, ɛsono ayaresa a wɔde ma no gyina yare no ne sɛnea yare no mu yɛ den so. Ɛtɔ mmere bi a wubetumi adi yare no so denam nea wudi ne nea wonom a wobɛsakra no so . Ɛtɔ mmere bi a ɛsɛ sɛ wonom nnuru . Wɔ tebea afoforo a emu yɛ den mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn .

Nhwɛsoɔ:

• Sɛ wowɔ celiac yare , a, ebehia sɛ wudi aduan a gluten nnim akyi wo nkwa nna nyinaa.
• Wowɔ peptic ulcer yare.Sɛ ɛwɔ hɔ a, oduruyɛfo no bɛkyerɛw nnuru a ɛtew acid so na ɛbɔ dwensɔtwaa no ho ban kosi sɛ ɛbɛsa. Sɛ mmoawa (H. pylori) na ɛde ba a, wɔbɛma wɔn nnuru a ekum ɔyare mmoawa.
• Wɔ tebea horow a ɛma ɔfe te sɛ Crohn yare , ho no, wobetumi ama nnuru a ɛtew ɔfe so na ɛhwɛ nipadua no mu tumi a ɛko tia nyarewa no so.
• Nanso sɛ wo dwensɔtwaa ketewaa bi asiw , ebia ebehia sɛ wɔyɛ wo oprehyɛn de yi nea asiw wo no afi hɔ.

Enti, ɛho hia paa sɛ wudi oduruyɛfo no akwankyerɛ akyi pɛpɛɛpɛ.

Mɛyɛ dɛn atumi ama me dwensɔtwaa ketewa no ayɛ yiye?

Ɔkwan a eye sen biara a wobɛfa so ama wo dwensɔtwaa ketewaa no anya apɔwmuden ne sɛ wobɛma wo aduan mu nneɛma nyinaa ayɛ yiye. Nneɛma bi a wubetumi ayɛ de aboa ni:

• Didi yiye: Di aduan a nnuaba, nhabannuru, ne aburow a wɔayam (te sɛ aburow a wɔayam, buckwheat, ne oats) pii wom. Tow nnuan a srade wom a wɔayɛ ho adwuma no ano hye. Bisa aduannuru ho ɔbenfo bi sɛnea wode prebiotics (a wohu wɔ banana, ayɛyɛde, ne galik mu) ne probiotics (a wohu wɔ yogurt ne nufusu a wɔayam mu) bɛka w’aduan ho. Eyinom boa ma ɛboa mmoawa pa a wɔwɔ wo dwensɔtwaa mu no.
• Nom nsu pii: Nsu ne anonne a carbon nnim, a caffeine nnim (sɛ nhwɛso no, nnuaba nsu, akutu nsu, nhabannuru tii) a wobɛnom da mũ no nyinaa boa wo aduan mu nhyehyɛe a wo dwensɔtwaa ketewaa ka ho no ma ɛyam aduan na eyi nneɛma a wɔsɛe no fi hɔ.
• Da sɛnea ɛsɛ na gye w’ahome: Da a ɛdɔɔso boa ma nkwammoaa a ɛwɔ nipadua no mu siesie na ɛhyɛ nipadua no mu tumi a ɛko tia nyarewa no mu den. Eyi nso ho hia yiye ma dwensɔtwaa ketewa no akwahosan. Bɔ mmɔden sɛ anyɛ yiye koraa no, wobɛda nnɔnhwerew 7-8 da biara.
• Di adwennwen ho dwuma: So wunim sɛ adwennwen betumi ama tebea horow a ɛka dwensɔtwaa ketewaa te sɛ Crohn yare ne dwensɔtwaa a ɛyɛ abufuw (IBS) no asɛe? Enti bɔ mmɔden sɛ wobɛma w’adwene adwo. Nneɛma te sɛ adwennwen, yoga, anigyede bi a wode wo ho bɛhyɛ mu, ne apɔw-mu-teɛteɛ betumi aboa.
• Kɔ so yɛ nnam: Apɔw-mu-teɛteɛ daa ma mogya kɔ wo dwensɔtwaa ne akwaa afoforo a ɛho hia mu yiye, ɛhyɛ ntini ahorow den, na ɛma awotwaa no tumi tu mpɔn – ntini a ɛma aduan fa wo aduan mu no twetwe. Simma 30 pɛ nantew da biara mpo ye.

Awiei koraa no, nea ɛsɛ sɛ yɛkae

Hwɛ, ebia yɛn dwensɔtwaa ketewaa no yɛ ‘ketewa’ wɔ din nkutoo mu, nanso ɔsom a ɛde ma yɛn akwahosan nyinaa no nyɛ ketewaa bi. Ɛyɛ adwuma kɛse de dan aduan a efi yafunu mu ma ɛbɛyɛ aduannuru a ɛyɛ nsu. Eyi gye bere. Aduan bi betumi atra dwensɔtwaa ketewa no mu nnɔnhwerew asia bere koro mu, na wɔakyekyɛ mu wɔ nhyehyɛe kwan so na wɔagye aduannuru. Afei nso, ɛsɛ sɛ ɛne aduan mu akwaa afoforo no yɛ adwuma bom na ama ayɛ adwuma yi.

Nneɛma a ɛnyɛ den te sɛ adidi pa, nsu pii a wobɛnom, nnam a wobɛkɔ so ayɛ, ne adwennwen a wobɛtew so betumi aboa ma wo dwensɔtwaa ketewaa no akɔ so anya apɔwmuden na ayɛ n’adwuma yiye.

Afei nso, sɛ wowɔ sɛnkyerɛnne ahorow te sɛ yafunu mu yaw, akisikuru, akisikuru, anaasɛ wote nka sɛ woayɛ mmerɛw ara kwa a, nsɛe bere na nsuro sɛ wobɛkɔ oduruyɛfo nkyɛn . Saa nsɛnkyerɛnne yi kyerɛ sɛ ebia biribi asɛe wɔ wo dwensɔtwaa ketewa no ho. Sɛ wuhu na wosa no ntɛm a, wubetumi asiw ɔhaw akɛse ano. Ate aseɛ? W’akwahosan ho hia wo te sɛ yɛn nso.

` Nkwammoaa Ketekete, Nnuan a Wɔyam, Aduandi, Yafunu mu yaw, Nnuan a Wɔyam, Akwahosan Asetra