So wonom nsa pii? Ma yensua nea ɛto mmerɛbo no ho ade! (Mmerɛbo mu Yare a Ɛnam Nsã) .

So wunim sɛ nsa a yɛnom de gye yɛn ani, de gye yɛn ani, na ɛtɔ mmere bi a esiane yɛn su ara kwa no betumi asɛe yɛn nipadua mu akwaa bi a ɛho hia paa nkakrankakra? Yiw, mereka mmerɛbo ho asɛm. Nnipa binom susuw sɛ sɛ wɔnom nsa kakra a, ɛrempira hwee, nanso so ɛte saa ankasa? Ma yɛnhwɛ nea ɛba mmerɛbo no so esiane nsa yi nti.

Dɛn ne Mmerɛbo mu Yare a Ɛnam Nsã So?

Sɛ yɛbɛka no tiawa a, sɛ wokɔ so nom nsa pii a, srade fi ase boaboa ano wɔ wo mmerɛbo mu na ɛsɛe no, na ɛno ne nea yɛfrɛ no `Mmerɛbo mu Yare a Ɛnam Nsã Ho` . Eyi yɛ mmerɛbo mu yare bi a wɔfrɛ no `steatotic mmerɛbo mu yare` ankasa. Bere bi a atwam no, nnuruyɛfo nso frɛɛ saa tebea yi `asanom mmerɛbo mu yare`.

Nea ɛba ne sɛ, sɛ wonom nsa pii sen sɛnea wo mmerɛbo betumi ayɛ ho adwuma a, srade a ɛboro so no boaboa ano wɔ wo mmerɛbo mu nkwammoaa mu. Fa no sɛ adwumayɛbea bi a nneɛma ahyɛ mu ma. Wɔfrɛ saa tebea yi `steatosis` , a ɛyɛ srade a ɛboaboa ano wɔ mmerɛbo mu.

Saa yare yi wɔ akwan abiɛsa so...

Sɛ nsa de ba mmerɛbo no so no nyɛ nea emu yɛ den prɛko pɛ. Wobetumi ahu nneɛma atitiriw abiɛsa:

1. mmerɛbo mu yare a ɛma obi ho yɛ hyew a nsa de ba: Eyi ne ɔfã a edi kan. Nea ɛkɔ so wɔ ha ne sɛ, sɛ wokɔ so nom nsa pii a, mmerɛbo no boaboa srade pii ano sen sɛnea ebetumi adi ho dwuma. Mpɛn pii no, yare no ho sɛnkyerɛnne atitiriw biara nni hɔ wɔ saa bere yi mu.

2. Hepatic steatosis a nsa de ba: Saa srade a ɛboaboa ano yi ma mmerɛbo no ho hyehye, anaasɛ ɛhoa. Eyi yɛ aniberesɛm kakra. Saa ɔfe yi betumi asɛe mmerɛbo no kɛse na akyiri yi ebetumi de tebea bi a asiane wom a wɔfrɛ no cirrhosis aba .

3. Akisikuru a ɛbata nsa ho: Eyi ne adeyɛ a asiane wom sen biara. Ɛha na mmerɛbo mu nkwammoaa wuwu na akuru ntini si ananmu. Saa akuru yi ma mmerɛbo no hwere tumi a ɛde yɛ adwuma no koraa. Eyi yɛ ɔsɛe a ɛtra hɔ daa , a ɛkyerɛ sɛ wontumi nsan nkɔ akyi.

Dɛn ne sɛnkyerɛnne ahorow no? Woyɛ dɛn hu no?

Awerɛhosɛm ne sɛ, nnipa pii a wɔwɔ saa yare yi nkyerɛ yare no ho sɛnkyerɛnne biara wɔ mfiase. Ɛtɔ mmere bi a ade a edi kan a wuhu ne sɛ wobɛte ɔbrɛ nka bere nyinaa . Nanso bere a yare no mu yɛ den no, ebia wubehu sɛnkyerɛnne ahorow te sɛ:

• Huraeɛ
• Nsuo a ɛboaboa ano wɔ yafunu mu (nnuruyɛfo frɛ eyi `ascites` ) anaasɛ nan a ɛho ahonhon (a wɔfrɛ no `edema` ) .
• Akɔnnɔ
• Ɔfe, ebia mogya a wɔfe
• Aniwa ne honam ani yɛ kɔkɔɔ (wɔfrɛ eyi jaundice ) .
• Mu duru a ɛso tew

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi, titiriw sɛ woyɛ ɔsadweam a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn, efisɛ sɛ wobu w’ani gu tebea no so a, ebetumi ayɛ asiane.

Dɛn nti na saa yare yi ba? Dɛn ne ade titiriw a ɛde ba?

Nea ɛde eyi ba titiriw ne nsa a wɔnom kɛse bere tenten . Saa yare yi taa ba nnipa a wɔanom nsa pii mfe anum kosi du no so.

Seesei ebia woresusuw sɛnea ‘anom mmoroso’ te ho. Ɛsono kakra a egyina ɔbarima ne ɔbea nna so:

• Wɔ mmarima fam no: Wɔkyerɛ asanom bebrebe ase sɛ nsa abiɛsa anaa nea ɛboro saa a wɔnom (mpɛn pii no beer a emu nyɛ duru) da biara, anaa nsa 21 anaa nea ɛboro saa dapɛn biara. Wɔ anonne a ano yɛ den te sɛ bobesa, whisky, anaa nsa fam no, anonne dodow no sua mpo.
• Wɔ mmea fam no: Wobu anonne mprenu anaa nea ɛboro saa da biara, anaa nsã 14 anaa nea ɛboro saa dapɛn biara sɛ anonne a ano yɛ den.

Nhwehwɛmu ada no adi sɛ wɔn a wɔnom nsa pii no mu 90% nya mmerɛbo mu yare a srade wom (`steatosis`). Saa srade yi yɛ awuduru ma mmerɛbo no. Ebetumi de ɔfe, `cirrhosis`, ne mmerɛbo mu kokoram mpo aba. Nanso, ɛnyɛ obiara na onya yare yi a emu yɛ den.

Henanom na wɔwɔ asiane kɛse mu sɛ wobenya saa yare yi?

Asiane titiriw ne sɛ wubenya tebea bi a wɔfrɛ no Alcohol Use Disorder (AUD) . Ɛne sɛ, anyɛ yiye koraa no, nsa a wɔnom boro so mfe anum a ɛtoatoa so. `AUD` yɛ tebea a wuntumi nni wo nsanom so, wopɛ sɛ wokɔ so nom, na ɛyɛ den ma wo sɛ wubegyae.

Nea ɛka ho no, saa mmerɛbo mu yare yi nso betumi afi nsa pii a wɔnom prɛko pɛ (`Binge drinking` - kyerɛ sɛ, nsa pii a wɔnom wɔ bere tiaa bi mu). Sɛ wowɔ mmerɛbo mu yare foforo (te sɛ hepatitis B anaa C) dedaw a, sɛnea nsa sɛe wo mmerɛbo no yɛ kɛse mpo.

Nsɛnnennen bɛn na asiane wom a ebetumi aba esiane yare yi nti?

Sɛ cirrhosis a nsa de ba no mu yɛ den a, ebetumi de nsɛnnennen a ebetumi de nkwa ato asiane mu aba. Nhwɛso kakraa bi ni:

• Venous varices ne mogya a ɛtɔ wɔ aduan mu ( Gastrointestinal varices anaa gastrointestinal bleeding ), sɛ nhwɛso no, mogya a wɔfe.
• Mmɛn a ɛsɛe amemene no ( Hepatic encephalopathy ). Eyi betumi ama obi ada dodo awiabere, adwene atu afra, na wada koma mpo.
• Mmɛn mu kokoram ( Hepatocellular carcinoma ).
• Asaabo a entumi nyɛ adwuma yiye ( hepatorenal syndrome ).
• Ɔhome a entumi nyɛ adwuma yiye ( .`hepatopulmonary syndrome` ( mmerɛbo mu ahurututu mu yare).
• Mmoawa a ɛwɔ yafunu mu ( Spontaneous bacterial peritonitis) .

Eyinom yɛ tebea horow a asiane wom ankasa, enti ɛho hia yiye sɛ wohwɛ yiye wɔ nsa ho.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo nipadua mu. Obebisa w’akwahosan ho abakɔsɛm. Nea ɛho hia paa ne sɛ wubebisa nsa dodow a wonom. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ sɛ wubebua asɛmmisa yi. Ebia worempɛ sɛ wobɛka wo nsanom ho asɛm. Nanso, nsɛm pɔtee a wode bɛma no bɛboa oduruyɛfo no ma wahu yare no pɛpɛɛpɛ. Mesrɛ wo, ka nokware. Ɛnyɛ oduruyɛfo no na ɔrebu wo atɛn, ɔwɔ ha sɛ ɔrebɛboa.

Bio nso, oduruyɛfo no betumi ayɛ nhwehwɛmu ahorow te sɛ:

• Mogya dodow a edi mũ (CBC ): Ɔhwɛ sɛ mogya a ɛtɔ kɔ nipadua mu (mogya dodow a ɛba fam) anaa mogya mu nkwammoaa a ɛba fam.
• `CT scan` , `MRI test` anaa `Ultrasound` nhwehwɛmu: Eyinom betumi ahwɛ mmerɛbo no tebea, sɛ srade aboaboa ano, anaasɛ `cirrhosis` ho sɛnkyerɛnne bi wɔ hɔ anaa.
• Mmerɛbo dwumadi ho nhwehwɛmu: Eyinom betumi ahu sɛ mmerɛbo no asɛe anaa.
• Nsã mu biomarker nhwehwɛmu: Eyinom betumi ahu sɛ nsa wɔ wo mogya anaa wo nsu mu. Nsã ho biomarker nhwehwɛmu ahorow bi tumi hu sɛ wonom nsa pii bere a woanom nsa akyi asram pii mpo.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Ayaresa titiriw a etu mpɔn sen biara a wɔde sa mmerɛbo mu yare a ɛma mogya tu anaa mmerɛbo mu yare a ɛma obi nya nsa ne sɛ wobegyae nsanom koraa. Eyi betumi aboa ma wɔasan asɛe mmerɛbo no.

Yenim sɛ eyi yɛ mmerɛw sɛ yɛbɛka, nanso ɛyɛ den sɛ yɛbɛyɛ. Saa mmerɛbo mu yareɛ yi taa ba nnipa a wɔwɔ nsanom ho haw (`Alcohol Use Disorder - AUD`). Sɛ wowɔ `AUD` a, wo duruyɛfo betumi akyerɛ wo ayaresa ahorow yi:

• Suban ho ayaresa: Wɔ eyi mu no, wubetumi ne afotufo a wɔyɛ nneɛma a ɛma obi yɛ ade tra so anaa adwene ho animdefo ayɛ adwuma. Wɔbɛboa wo ma woasesa wo asanom suban. Wɔnam ayaresa ahorow so boa eyi.
• Nnuru: Nnuru bi wɔ hɔ a ɛma ɔpɛ a obi wɔ sɛ ɔbɛnom nsa no so tew na ɛtew sɛnkyerɛnne a ɛkyerɛ sɛ obi agyae nsa no so.

Nsã a ɛma obi ho kyere noƐsono sɛnea wɔsa yare no a egyina w’akwahosan tebea so. Sɛ nhwɛso no, aduru biako pɛ a wɔde sa akisikuru ne mmerɛbo a wɔde bɛma obi foforo. Nanso, ɛnyɛ obiara a ohia mmerɛbo a ɛte apɔw na obetumi anya bi. Nneɛma bi wɔ hɔ a ɛsɛ sɛ wodi ho dwuma. Sɛ wowɔ mmerɛbo mu yare a, bisa wo duruyɛfo sɛ ebia mmerɛbo a wɔde bɛma wo no fata wo anaa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wonom nsa pii daa anaasɛ worehyia ɔhaw wɔ wo nsa a wobɛnom so a, ɛho hia sɛ wo ne oduruyɛfo kasa. Nnuruyɛfo nim sɛ ɛnyɛ mmerɛw bere nyinaa sɛ wobɛkyɛ wo ho nsɛm, te sɛ nsa a wonom. Wɔbɛka wo haw ahorow ho asɛm na wɔasusuw w’akwahosan ho a wɔremmu wo atɛn.

Wubetumi abisa oduruyɛfo no nsɛm te sɛ eyinom:

• So metumi adan tebea yi?
• So me tebea no bɛkɔ so asɛe?
• So nnuru bi wɔ hɔ a ɛnsɛ sɛ menom esiane sɛ nsa asɛe me mmerɛbo nti? (Nneɛma bi te sɛ nnuru a wɔde kum ɛyaw betumi apira mmerɛbo no.)

Sɛ mewɔ saa yare yi a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Ɛsono obiara tebea. Wobetumi asa mmerɛbo mu yare a ɛma obi ho yɛ hyew a nsa de ba no koraa wɔ bɛyɛ adapɛn asia mu bere a woagyae nsa nom akyi. Eyi kyerɛ sɛ wo mmerɛbo no betumi asan anya apɔwmuden bio.

Nanso sɛ wowɔ cirrhosis a, ɛsono tebea no. Sɛ wugyae nsanom a, wubetumi asiw yare no ano na ansɛe na ama wo nkwa nna akyɛ. Nanso wɔrentumi nsan mmerɛbo no a ɛsɛe daa no. Aduru biako pɛ ne mmerɛbo a wɔde bɛma obi foforo.

Obi a ɔwɔ saa yare yi nkwa nna yɛ dɛn?

Obi a yare no ano nyɛ den no betumi atra ase sɛnea ɛsɛ sɛ ogyae asanom koraa te sɛ obi a onni yare no ara pɛ. Nanso ɛno gyina onipa no a obegyae asanom so koraa.

Obi a ɔwɔ akisikuru nkwa nna yɛ tiaa mpo. Sɛ wɔkyekyem pɛpɛɛpɛ a, nkwa nna a wɔhwɛ kwan bere a wɔahu sɛ obi anya yare no akyi no yɛ mfe abien kosi dunum, nanso eyi gyina nneɛma pii so, a nea ɛka ho ne sɛnea yare no mu yɛ den, nsɛnnennen a ɛde ba, ne nsa a obi gyae. Sɛ wowɔ mmerɛbo mu yare a ɛte sɛɛ a, wo duruyɛfo ne wo nsɛm a eye sen biara. Obehu mmerɛbo mu yare ko a wowɔ ne sɛnea ɛka wo.

Awiei koraa no, ɛsɛ sɛ meka eyi...

Ebetumi ayɛ den sɛ wubegye atom sɛ wonom nsa pii daa. Ebetumi ayɛ den kɛse mpo sɛ wobɛka dodow ne mpɛn dodow a wonom nsa akyerɛ oduruyɛfo. Nanso saa nsɛm no a wɔbɛkyɛ no ho hia. Ɛyɛ nea ɛboa wo duruyɛfo ma ohu sɛnea nsa asɛe wo mmerɛbo no pɛpɛɛpɛ.

Sɛ wuhu yare no ntɛm na wugyae nsa nom a, wubetumi asiw yare no ano.Ebetumi asan asan asɛe mmerɛbo no a nsa de aba no.

Nnuruyɛfo nim sɛ asanom a wobegyae no nyɛ mmerɛw. Wɔwɔ hɔ sɛ wɔbɛboa wo, na ɛnyɛ sɛ wobebu wo atɛn. Ade a edi kan a ɛsɛ sɛ woyɛ na ama wo ho atɔ wo ne sɛ wobɛka w’ano pefee wɔ nsa a wonom no ho. Enti, nsuro anaa ɛnwu sɛ wo ne oduruyɛfo bɛkasa afa ho. Wo mmerɛbo bɛda wo ase! Kae sɛ mmoa a wobɛsrɛ no yɛ ahoɔden ho sɛnkyerɛnne, na ɛnyɛ mmerɛwyɛ.

` Nsã, mmerɛbo mu yare, mmerɛbo mu yare, mmerɛbo mu yare a ɛne nsa wɔ abusuabɔ, cirrhosis, steatosis, nsa a wɔtwe fi nipadua mu, mmerɛbo mu srade, mmerɛbo mu ngo, nsanom