Bere a na mewɔ sukuupɔn mu no, na mewɔ adamfo paa bi a wɔfrɛ no Chamari. Ná Chamari taa nwiinwii wɔ yafunu mu yaw ne komayare ho bere a wadi awie, titiriw bere a wadi Sri Lanka aduan pa a ɛyɛ nnuhwam anaa bere a wadi anwummere aduan awie no. Ná osusuw sɛ ɛyɛ aduan a wɔmfa nni dwuma yiye ara kwa. Nanso bere kɔɔ so no, komayare no mu yɛɛ den araa ma na ɛbɛhaw ne nna mpo anadwo.
"Oduruyɛfo Priya, me moma so hyew anadwo biara. Mewɔ nsu a ɛyɛ dɛ a ɛyɛ anika wɔ m'anom. Mintumi nnya ahoɔden wɔ nnuru a wɔde di dwuma daa mpo mu," Chamari bisaa me da koro.
Mede odwo kyerɛkyerɛɛ mu kyerɛɛ Chamari sɛ: "Chamari, nea woabu w'ani agu so, a wususuw sɛ ɛyɛ aduan a wɔantumi anyɛ no yiye ara kwa, yɛ tebea bi a wɔfrɛ no GERD (Gastroesophageal Reflux Disease) . Eyi yɛ tebea a yafunu mu acid san kɔ soro kɔ menewam. Eyi yɛ yare a abu so kɛse wɔ mmerante ne mmabaa mu nnansa yi. Nanso mma ɛnhaw wo, wobetumi adi so koraa denam asetra kwan mu nsakrae nketenkete ne aduruyɛ a ɛfata."
🚨 Red Flags a ɛhia ayaresa ntɛm ara
Ɛwom sɛ mpɛn pii no acid reflux nyɛ nea ɛde nkwa to asiane mu de, nanso sɛ wuhu sɛnkyerɛnne a emu yɛ den a edidi so yi mu biara a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara:
- Ɛyɛ den kɛse sɛ wobɛmene aduan anaa nnompe anaa ɛyaw bere a ɔremene (Dysphagia/Odynophagia).
- Mu duru a ɛso tew ntɛmntɛm a ntease biara nnim (Unexplained Weight Loss).
- Mogya a wɔtaa fe anaasɛ ɔfe.
- Nsu tuntum (tarry) (a ɛkyerɛ sɛ mogya retu wɔ yafunu anaa aduan mu).
Dɛn nti na GERD ba? Nea enti a ɛte saa no yɛ mmerɛw
Wɔ baabi a yɛn ɛwo ne yafunu no hyia no, ntini bi a ɛte sɛ nkaa a wɔfrɛ no LES (Lower Esophageal Sphincter) . Ɛyɛ adwuma te sɛ "valve" a ebue wɔ ɔkwan biako pɛ so.
Sɛ yedidi a, saa valve yi bue ma aduan no fa yafunu no mu, na afei sɛ aduan no twam pɛ a, ɛto mu denneennen, na ɛmma acid a ano yɛ den a ɛwɔ yafunu no mu no ntumi nsan nkɔ soro nkɔ menewa no mu.
Nanso sɛ biribi nti saa LES valve yi yɛ mmerɛw anaasɛ ɛnto mu wɔ bere a ɛfata mu a, ɛnyɛ den sɛ yafunu mu acid betumi akɔ aduan no mu. Wɔfrɛ eyi sɛ acid reflux .
Nneɛma atitiriw pii nti na saa valve yi yɛ mmerɛw:
1. Hiatal Hernia: Yafunu no fã a ɛwɔ soro no fa tokuru bi a ɛwɔ ahurututu no mu mu pue kɔ koko no mu, na ɛma valve no ntumi nyɛ adwuma yiye.
2. Kɛse mmoroso ne nyinsɛn: Valve no bue mpɛn pii esiane nhyɛso a ɛkɔ soro wɔ yafunu no mu nti.
3. Adidi ho su a ɛnteɛ: Aduan kɛse a wobɛdi prɛko pɛ na woada hɔ ntɛm ara bere a woadi adidi.
4. Nsã, sigaretnom ne nnubɔne:Sigaretnom ma LES valve no dwo, na nnuru a wɔde kum ɛyaw a wɔtɔn te sɛ ibuprofen nso betumi asɛe yafunu no afasu.
Aduruyɛ mu nhwehwɛmu a wɔyɛ de hu acid reflux yare
Nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu a edidi so yi na ama wɔahu tebea no pɛpɛɛpɛ:
- Upper Endoscopy: Wɔde afiri bi a mfoninitwa afiri ketewaa bi wom fa ano no mu de hwehwɛ aduan no afasu mu hwɛ sɛ ebia ɔfe, akuru, anaa kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa.
- Ambulatory pH Monitoring: Sɔhwɛ a wɔde afiri ketewaa bi a ɛkyerɛ acid dodow a ɛsen kɔ menewa no mu wɔ nnɔnhwerew 24 mu na ɛyɛ.
- Esophagram (barium x-ray): Saa sɔhwɛ yi de barium swallow sɔhwɛ di dwuma de yɛ esophagus no x-ray de hu sɛ ɛyɛ teateaa anaasɛ ɛyɛ mmerɛw.
Ɔkwan bɛn so na wobedi acid reflux yare no so?
Sɛ wobetumi anya ahoɔden afi yare yi mu daa a, ɛsɛ sɛ wɔyɛ asetra mu nsakrae ne nnuru a wɔde sa yare nyinaa kari pɛ:
1. Nsakrae a ɛho hia wɔ asetra mu:
- Nnuan nketenkete: Sɛ́ anka wubedi aduan kɛse de ahyɛ wo yafunu ma prɛko pɛ no, di nnuan nketenkete pii mpɛn pii.
- Ɔkwan a ɛda adidi ne nna ntam: Kwati sɛ wobɛda anaa wobɛda anyɛ yiye koraa no nnɔnhwerew 3 wɔ anwummere aduan akyi.
- Mpa no ti a wobɛma so: Sɛ woma mpa no ti so bɛyɛ nsateakwaa 6 a, ɛremma acid renkɔ soro esiane tumi a ɛtwe ade ba fam nti (sɛ wode pillow nkutoo bedi dwuma a, ɛnnɔɔso).
- Mu duru a wɔde siw ano: Tew yafunu mu srade a wompɛ so.
2. Aduruyɛ mu Ayaresa:
- PPIs (Proton Pump Inhibitors): Nnuru te sɛ Omeprazole anaa Esomeprazole brɛ acid a ɛba yafunu mu no ase kɛse.
- H2 Blockers (H2 Receptor Blockers): Nnuru te sɛ Famotidine nso di acid so.
- Nnuru a ekum asikre: Nnuru a ɛyɛ nsu a ɛma obi ho tɔ no ntɛm ara fi koko mu yaw mu.
Nea Wobɛyɛ & Nea Ɛnsɛ sɛ Woyɛ
| ✔️ Nneɛma a ɛsɛ sɛ woyɛ (Yɛ) . | ❌ Ɛnsɛ sɛ woyɛ saa |
|---|---|
| Sɛ wo koko mu yaw kɔ so a, kɔ oduruyɛfo nkyɛn na nya ayaresa ho nhyehyɛe a ɛfata. | Kwati sɛ wubedi tomato, nnuaba a wɔfrɛ no citrus, chocolate, caffeine (tii/kɔfe), ne nnuan a ɛyɛ nnuhwam a srade pii wom. |
| Hyɛ ntade a ɛho ayɛ hare; kwati abɔso a ɛyɛ den, titiriw wɔ yafunu no ho. | Kwati sɛ wobɛda fam anaasɛ wobɛkotow na woayɛ adwuma a emu yɛ duru ntɛm ara bere a woadi awie no. |
| Sɛ wokɔ so nya ɔfe anaa wo menewam a ɛyɛ nwonwa a, ka kyerɛ wo duruyɛfo, efisɛ ebetumi afi acid a ɛsan kɔ nipadua no mu nso. | Mfa PPI nnuru asram pii a wonnya aduruyɛfo afotu (ebetumi aka asaabo no). |
❓ Nsɛmmisa afoforo bi a ebia wowɔ (FAQ) .
Ɔkwan bɛn so na wobetumi ahu nsonsonoe a ɛda komayare ne komayare mu yaw ntam? ▼
Mpɛn pii no, koko mu yaw ba bere a ɔda fam bere a wadidi awie no, na nnuru a ekum asikre ma ɛbrɛ ase. Nanso, komayare yaw yɛ nkate a ɛyɛ den a ɛyɛ duru wɔ koko mu a ɛtrɛw kɔ nsa benkum anaa anom, na ahome a ɛyɛ tiaa ne fifiri ka ho. Sɛ w’adwene mu yɛ wo naa a, ɛsɛ sɛ wɔyɛ ECG ntɛm ara.
Sɛ wɔannya GERD bere tenten a, dɛn na ɛba? ▼
Sɛ wɔansa acid a, ebetumi asɛe aduan no, na ɛde Esophagitis aba. Bere kɔ so no, esophagus no betumi ayɛ teateaa (Esophageal Stricture), na ama ayɛ den sɛ wɔbɛmene, na wɔ tebea horow a emu yɛ den mu no, Barrett's Esophagus a ɛma kokoram ho asiane yɛ kɛse no betumi anya.
So acid a ɛwɔ menewam betumi ama sẽ aporɔw? ▼
Yiw, hydrochloric acid a ano yɛ den a ɛwɔ yafunu no mu no betumi asen akɔ anom anadwo a wɔanhyɛ da, na ama sẽ no mu enamel no apete, na ama sẽ no aporɔw na asɛe.
So oprehyɛn ho hia na ama obi ho atɔ no koraa afi GERD mu? ▼
Dabi, ayarefo bɛboro 90% ho tɔ wɔn bere a wodi aduan pa ne nnuru a wɔde siw acid ano a oduruyɛfo akyerɛw ama wɔn no. Oprehyɛn (e.g. Fundoplication) ho hia ma ayarefo a wɔwɔ akisikuru a emu yɛ den yiye anaasɛ ɛyɛ akisikuru a ɛnyɛ nnuru biara ho adwuma nkutoo.
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