Wotumi te nka sɛ wo to ho hye wo anaa ɛyɛ wo hene dodo? (Pruritus Ani) Ma yɛnka ho asɛm!

Dɛn Pɔtee Ne To Ho Hene (Pruritus Ani)?

Sɛ yɛka no tiawa a, to ho hene (Pruritus Ani) yɛ tebea a ɛma onipa to ho, anaa honam a atwa to no ho ahyia no yɛ no hene dodo. Wɔ nnuruyɛ mu no, wɔbu eyi sɛ honam ani yareɛ (dermatological condition). Mpɛn pii no, hene yi yɛ kɛse wɔ anadwo anaa sɛ wodi agyanan (kɔ baabi) wie a. Ɛyɛ tebea a ɛhaw adwene paa, efisɛ sɛ woprapra ho a, ɛyɛ a na ɛkanyan hene no ma no yɛ kɛse mmom sen sɛ ɛbɛtew so.

Hene Yi Ahodoɔ Titiriw Ne Nea Ɛwɔ He?

Wɔakyekyɛ to ho hene yi mu nkorabata abien:

1. Primary (Idiopathic) Pruritus Ani: Yɛntumi nhunu nea ɛde hene yi ba pɔtee. Eyi ne nea etaa si paa.
2. Secondary Pruritus Ani: Ɛwɔ nneɛma pɔtee bi a ɛde ba. Nhwɛsoɔ ne mmoawa a wɔtumi de yareɛ ba (infections), nipadua no nyinaa yareɛ (systemic diseases), nneɛma a yɛde yɛ yɛn ho a ɛne yɛn honam nhyia (contact dermatitis), ne honam ani yareɛ afoforo.

Hena Na Ɛtaa Ka No Paa?

Sɛ yɛka nokware a, to ho hene yi betumi aka obiara. Nanso, nhwehwɛmu kyerɛ sɛ mmarima a wɔadi mfe 40 kosi 70 ntam na ɛtaa ka wɔn paa. Eyi nkyerɛ sɛ mmaa ntumi nnya bi, nanso ɛtaa si mmarima mu kɛse.

Ɛyɛ Yareɛ A Ɛtaa Si Ana?

Wɔkyerɛ sɛ, nnipa dodoɔ bɛyɛ 1% kosi 5% na wɔwɔ to ho hene haw yi. Afei nso, ɛtumi ka mmarima mpɛn anan (4 times) sen mmaa.

Ɔkwan Bɛn So Na To Ho Hene Ka Nipadua No?

Nea ɛhaw adwene paa ne sɛ, ɛyɛ a na wopɛ sɛ woprapra wo to ho kɛse. Nanso, asɛm no ne sɛ, sɛ woprapra ho a, ɛde ahotɔ bere tiaa bi pɛ na ɛba.

Nokwarem no, sɛ woprapra wo to ho a, ɛma honam no yɛ mmerɛw na ɛsan yɛ hene kɛse. Eyi betumi ama hene no ayɛ kɛse mmom sen sɛ ɛbɛtew so.

Wo to ho honam yɛ mmerɛw paa, nanso wo nwerɛ yɛ den. Enti sɛ wode wo nwerɛ prapra ho a, ebetumi apira honam no, atwa, anaa ama mmoawa akɔ mu (infection). Sɛ saa "hene-prapra kyinhyia" (itch-scratch cycle) yi kɔ so a, ebetumi de yaw, ɔhyew, ne ɔhaw kɛse aba.

Dɛn Ne To Ho Hene (Pruritus Ani) Nsɛnkyerɛnne?

Sɛ wowɔ tebea yi a, wubetumi ahu nsɛnkyerɛnne yi:

• Hene kɛse (Itchiness)
• Ɔhyew ne ɔhaw wɔ honam no ani (Irritation)
• Ɔhyew a ɛte sɛ nea ɛrehyew wo (Burning)
• Yaw (Soreness)
• Akuru a efi prapra mu ba (Excoriations)
• Wo to ho honam a ɛyɛ den anaa ɛyɛ kusuu (Thick or leathery skin - perianal area)

Adɛn Nti Na Yɛn To Ho Yɛ Hene? Nea Ɛde Ba Ne Dɛn?

Nneɛma pii betumi de to ho hene aba. Ma yɛnhwɛ emu biara.

Honam Mmerɛwyɛ Ne Ahonidi

Wo to ho honam (perianal area) yɛ mmerɛw paa.

• Samina a hwa wɔ mu, paoda, ne nku (lotions, creams) betumi ama honam no ne no anhyia (allergic reaction).
• Afei nso, sɛ wode taaweɛ anaa krataa a ɛyɛ den popa wo to ho, anaa wode nsuhyew hohoro ho a, ebetumi apira honam no.

Sɛ wodi agyanan wie a, ɛho hia paa sɛ wopopa wo to ho yiye. Sɛ wampopa ho yiye na ebin nkaeɛ bi bɔ wo to ho honam mu a, ebetumi de hene aba. Dodow a wokɔ agyanan ne sɛnea w'aginan (stool) te nso betumi aka tebea no. Nhwɛsoɔ ne sɛ, sɛ wowɔ ayamtim (constipation) anaa ayamtu (diarrhea) a, ebetumi de hene kɛse aba.

Aduane Ne Nsa (Diet)

Nneɛma a wodi ne nea wonom nso betumi de hene yi aba.

• Nufusu nnuane (Dairy products)
• Nsa a gas wɔ mu (Carbonated drinks)
• Nsa a caffeine wɔ mu (Nhwɛsoɔ: kɔfe, tii, soda)
• Nnuane a nnyewyewɛ/acid wɔ mu dodo (Nhwɛsoɔ: ntoosi, aborɔbɛ, mako, gyeene)

Ntadeɛ

Ntade a wohyɛ nso betumi de haw aba. Pii a ɛyɛ den (tight underwear) betumi ama ahuhuro ne fifiri atena wo to ho, na eyi ama hene no ayɛ kɛse.

Yareɛ Foforo Bi

Kooko (Hemorrhoids)

Kooko yɛ mogya ntini a ahon wɔ to no mu anaa ne ho. Kooko a ɛwɔ akyi (external hemorrhoids) betumi ama apopayɛ ayɛ den sɛ wodi agyanan wie a. Kooko a ɛwɔ mu (internal hemorrhoids) nso betumi ama mogya aba, anaa ebin asi agu wo ho. Eyi nyinaa betumi de hene aba.

Yeast Infections (Candida)

Candida yɛ mmoawa bi a wɔde yeast infections ba. Eyi betumi afi ase wɔ ɔbea anaa ɔbarima asense mu anaa to ho. Ebetumi ama honam no kɔla asesa, ahon, anaa aporo.

To Ho Mpaepaemu (Anal fissures)

Eyi yɛ ntwatwa anaa mpaepaemu a ɛba to no ano. Nea ɛtaa de ba ne sɛ biribi apira hɔ (trauma). Nhwɛsoɔ ne ayamtim, ahenne a emu yɛ den, ayamtu a ɛkyɛ, anaa ɔbarima ne ɔbarima anaa ɔbea nna (anal sex).

HPV Ne To Ho Ntonkuma (HPV and Warts)

Human Papillomavirus (HPV) yɛ ɔyare mmoawa bi a ɛtaa ka nna akwaa ne to ho. HPV de nna mu ntonkuma (genital warts) ba. Eyi yɛ nna mu yareɛ. Ebetumi ama ntonkuma asisi wo nna akwaa anaa to ho, na ɛde mogya, ɔhaw, ne ɔhyew aba.

Nsonom Nwa (Pinworms / Threadworms)

Nsonom nwa, titiriw Pinworms yɛ nwa nketewa bi a wɔyɛ fitaa anaa nso-fitaa. Wɔyɛ mmoawa a wɔtumi tena onipa mu mmoa so (parasites). Wɔtaa tena nsono mu ne to mu. Wɔto nkesua wɔ to ho anadwo, na eyi na ɛma to ho yɛ hene kɛse paa no. Ɛtaa si mmofra mu kɛse.

Wɔyɛ Dɛn Hu Sɛ Wowɔ Yareɛ Yi? (Diagnosis)

Sɛ wokɔ dɔkota nkyɛn a, ɔbɛyɛ honam ani nhwehwɛmu (physical examination). Ɔbɛhwɛ wo to ho yiye sɛ ebia honam kɔla asesa, ntwatwa, anaa ntonkuma bi wɔ hɔ anaa.

Afei nso, dɔkota no betumi abisa wo nsɛm te sɛ:

• Worenom nnuru bi seesei?
• Mprɛn ahe na wokɔ agyanan?
• Wo ebin (stool) yɛ dɛn?
• Aduane bɛn na wotaa di?
• Nsa bɛn na wotaa nom?
• Samina bɛn na wode guare?
• Taaweɛ anaa krataa bɛn na wode popa wo to?
• Wotaa hyɛ pi a ɛyɛ den?
• Wowɔ nnuane bi a ɛne wo honam nhyia?

Sɛ dɔkota no ntumi nhunu nea ɛde hene no ba, anaa nnuru a ɔde ma wo no nyɛ adwuma a, ɔbetumi akyerɛ wo kwan akɔ honam ani yareɛ ho ɔbenfo (dermatologist) nkyɛn.

Nhwehwɛmu Bɛn Na Wɔyɛ? (Tests)

Sɛ wɔpɛ sɛ wɔhu sɛ ebia Pinworms (nsonom nwa) na ɛde hene no ba a, wɔyɛ Tape test (Nkyekyereɛ nhwehwɛmu).

Nwa yi tu anadwo. Sɛ wususuw sɛ wo ba wɔ bi a, wubetumi ade tape (nkyekyereɛ krataa) fam ne to ano anadwo ansa na wada. Anɔpa a wasɔre no, yi hwɛ sɛ nwa anaa nkesua bi abata ho anaa.

Wɔsa To Ho Hene (Pruritus Ani) Yi Yareɛ Dɛn?

Mpɛn pii no, aduruyɛ a edi kan ne sɛ wobɛyɛ ahonidi pa (good anal hygiene). Sɛ wodi agyanan wie a, hohoro wo to ho yiye, ma hɔ nwo, na wode paoda a nnuru nnim gu hɔ kakra.

Sɛ wowɔ Secondary Pruritus Ani a, ɛkyerɛ sɛ biribi foforo na ɛde ba, enti dɔkota bɛsa yareɛ pɔtee no.

Nnuru ne akwan a wɔfa so sa no bi ne:

Nku ne ngo a wɔsra (Creams and ointments)

Wubetumi atɔ Hydrocortisone nku wɔ farmaasi. Eyi ka corticosteroid nnuru ho, a ɛtew yaw ne hene so. Wubetumi asra mpɛn abien anaa abiɛsa da biara wɔ baabi a ɛyɛ wo hene no.

Nhwehwɛmu bi kyerɛ sɛ nku a Capsaicin wɔ mu nso yɛ adwuma yiye ma wɔn a wɔn hene no akyɛ (chronic).

Nnuru a ekum mmoawa (Antibiotics and antifungal medications)

Sɛ dɔkota no susuw sɛ mmoawa (infection) bi na ɛde hene no ba a, ɔbetumi ama wo antibiotics anaa antifungal medications.

Methylene blue paneɛ (Methylene blue injection / Anal tattooing)

Sɛ nnuru afoforo nyinaa nyɛ adwuma a, dɔkota betumi de Methylene blue paneɛ abɔ wo to ho honam ase. Eyi ma ntini (nerves) a ɛde yaw ne hene ba no gyae adwuma.

Nneɛma Bɛn Na Wubetumi Ayɛ Wɔ Fie De Aboa Wo Ho? (Home Remedies)

Yiw, nneɛma bi wɔ hɔ a wubetumi ayɛ wɔ fie de atew hene yi so:

• Fa taaweɛ a kɔla ne hwa nnim popa wo to: Taaweɛ bi wɔ hwa ne kɔla (dyes and scents) a ebetumi ama honam ayɛ hene. Hwehwɛ nea wɔakyerɛw so "dye-free," "unscented," "unbleached," anaa "hypoallergenic".
• Kwatyia samina, sradeɛ, ne dɛnkyɛn a ɛyɛ den: Eyi betumi de ɔhaw aba.
• Hyɛ kɔten (cotton) pi: Kɔten pi gye fifiri yiye. Hwɛ sɛ wo pi no fata wo, na sesa no daa. Fa samina a hwa nnim si wo ntadeɛ.
• Kwatyia nnuane ne nsa bi: Nufusu, nsa a gas wɔ mu, nsa a caffeine wɔ mu, ne nnuane a nnyewyewɛ wɔ mu betumi de hene aba. Nanso, nnyae eyi nyinaa prɛko pɛ. Gyae baako hwɛ nna kakra, na wubehu nea pɔtee a ɛde hene no ba.

Dɛn Na Ɛsɛ Sɛ Mehwɛ Kwan?

Sɛ wodi ahonidi ho mmara so na wonya nnuru pa a, wobɛtumi ahu ayaresa ntɛm. Mpɛn pii no, dapɛn bako kosi abiɛsa ntam na nsɛnkyerɛnne no fi ase kɔ. Nanso, sɛ tebea no yɛ den a, ebetumi agye bere kakra.

Ɔkwan Bɛn So Na Mebɛhwɛ Me Ho? (Self-care tips)

Sɛ wo to ho yɛ hene a, di afotu yi so:

• Kwati prapra: Hene no betumi ayɛ kɛse anadwo, na wubetumi de wo nwerɛ aprapra ho wɔ nna mu. Enti woda a, hyɛ kɔten nsa-ntadeɛ (cotton gloves) a ɛyɛ mmerɛw na ama woampira wo ho.
• Hwɛ ma wo to ho nyɛ fitaa na nwo daa: Sɛ wodi agyanan anaa woguare wie a, fa nsu pa anaa bidet hohoro ho, na fa taaweɛ anaa bɔɔkɔɔ (baby wipes) popa ho mmerɛw. Afei, ma hɔ nwo. Wubetumi de hair dryer a ɛnyɛ hyew pii nso adi dwuma.
• Fa nneɛma a egye nsu di dwuma: Aburo sam (cornstarch), paoda a nnuru nnim, anaa kɔten betumi agye nsu a ɛwɔ wo to ho no.
• Mpopa ho dennen: Kwati samina sɛ worehohoro wo to ho a. Mfa taaweɛ anaa ntoma mpopa ho dennen.
• Kwatyia nneɛma a hwa wɔ mu: Nku a hwa wɔ mu, paoda, ne nneɛma afoforo betumi de hene kɛse aba.
• Di nnuane a fiber wɔ mu pii: Nnuane pa aboa ma woannyɛ ayamtim anaa ayamtu.
• Fa nku no di dwuma sɛnea wɔakyerɛ: Nsra nku no dodo nsen sɛnea dɔkota no akyerɛ wo. Sɛ hene no ntew so a, gyae na ka kyerɛ dɔkota.

Bere Bɛn Na Ɛsɛ Sɛ Mekɔhunu Dɔkota?

Sɛ wonya ayaresa na hene no ntew so, anaa sɛ ɛyɛ kɛse koraa, anaa wuhu sɛ ebia mmoawa akɔ mu (honam kɔla asesa, ɔhyew, ahon) a, hwehwɛ dɔkota mmoa ntɛm ara. Wubetumi afrɛ gyehwɛfoɔ nɔma (Emergency Number) 112 sɛ eye den paa a.

Nsɛm Bɛn Na Ɛsɛ Sɛ Mebisa Me Dɔkota?

Sɛ wuhyia dɔkota no a, wubetumi abisa nsɛm yi:

• Mewɔ Primary Pruritus Ani anaa Secondary Pruritus Ani?
• Sɛ me yareɛ no yɛ Secondary a, dɛn na ɛde ba?
• Nnuru bɛn na wokyerɛ sɛ mennom anaa mensra?
• Nnuru no wɔ nsunsuansoɔ bɔne (side effects) bi anaa?
• Ayaresa bɛn na metumi ayɛ wɔ fie?
• Wowɔ nku pɔtee bi a wubetumi akyerɛ me?
• Ɛsɛ sɛ mekɔhunu honam ani yareɛ ho ɔbenfo (dermatologist) anaa?

Adɛn Nti Na Me To Ho Yɛ Me Hene Anadwo Paa?

Sɛnea yɛadi kan aka no, mmoawa te sɛ Pinworms tu to nkesua anadwo wɔ to ano. Wɔyɛ adwuma kɛse anadwo, enti ɛma hene no yɛ kɛse anadwo sen awia.

Ɛsɛ Sɛ Misuro To Ho Hene Yi Anaa?

Mpɛn pii no, ɛnhia sɛ wokɔhunu dɔkota. Ahonidi pa ne nnuru a wɔtɔ wɔ farmaasi (OTC medications) betumi ama ahotɔ aba.

Nokwarem no, to ho hene yɛ tebea a ɛnyɛ anigye koraa. Ɛyɛ aniwu na ɛtumi ma obi ho kyere no paa. Nanso, kae sɛ ahotɔ wɔ hɔ ma wo!

Sɛ wodi ahonidi ho mmara so na wonya ayaresa a, wubetumi afi tebea yi mu. Sɛ woyɛ eyi nyinaa na anhu ahotɔ a, kɔhunu dɔkota ntɛm.

Nea Ɛsɛ Sɛ Wokae Titiriw (Take-Home Message)

Nti, mmu to ho hene yi adewa:

• Ahonidi ne ade titiriw. Hwɛ ma wo to ho nyɛ fitaa na nwo daa.
• Hwehwɛ nea ɛde hene no ba. Ebetumi ayɛ aduane, samina, anaa yareɛ foforo.
• Mfa wo nwerɛ mprapra ho! Eyi de haw kɛse bɛba.
• Sɛ fie ayaresa nyɛ adwuma a, nni aniwu, kɔhunu dɔkota. Ɔbɛboa ama woanya ayaresa pa.