Ɛnnɛ yɛrebɛka akwaa bi a yɛn nyinaa ani wu kakra sɛ yɛbɛka ho asɛm, nanso ɛyɛ adwuma a ɛho hia paa wɔ yɛn nipadua mu. Ɛno ne akyi berɛmo no. Ebia woanya ɛyaw wɔ saa beae yi, wo ho ayɛ wo yaw, anaa mogya kakra bere a worekɔ wo dwensɔtwaa mu no. Nnipa pii bu wɔn ani gu saa sɛnkyerɛnne ahorow yi so efisɛ wɔte nka sɛ ɛyɛ nwonwa sɛ wɔbɛka ho asɛm. Nanso nokwarem no, ɛnyɛ papa sɛ yebebu yɛn ani agu so. Enti, ɛnnɛ yɛde aniwu yi bɛto nkyɛn na yɛaka akyi berɛmo ne akwahosan ho haw ahorow a ɛbata ho no ho asɛm pefee.
Sɛ yɛbɛka no tiawa a, dɛn ne saa akyi berɛmo yi?
Rectum yɛ yɛn dwensɔtwaa kɛse no fã a etwa to. Sɛ yɛbɛka no pɛpɛɛpɛ a, sɛntimita abiɛsa kosi anan a etwa to no. Sɛ yɛyam aduan a yedi no wie a, nwura a aka, kyerɛ sɛ, nsuo, fi nipadua no mu fa saa akyi berɛmo yi mu. Fa no sɛ ɛyɛ ɔpon a yɛn nipadua fa mu pam nwura.
Ntini nkaa wɔ akyi berɛmo no ho. Yɛfrɛ saa sphincters yi . Saa ntini ahorow yi ma akyi berɛmo no to mu denneennen. Bere a ɛho hia sɛ yɛma yɛn dwensɔtwaa nkutoo na saa ntini ahorow yi dwo na ɛma nsu fa mu.
Nsonsonoe bɛn na ɛda akyi berɛmo ne akyi berɛmo ntam?
Ɛwom sɛ nnipa pii susuw sɛ abien yi yɛ biako de, nanso eyinom yɛ afã abien ankasa.
- Rectum: Eyi ne dwensɔtwaa kɛse no fã a edi akyi berɛmo no anim. Ne tenten bɛyɛ nsateakwaa anum kosi asia. Wɔboaboa nsu mu nsu ano na wɔkora so wɔ ha ansa na afi nipadua no mu. Ɛte sɛ ‘dan a wɔtwɛn’ ketewaa bi a wɔde nsu gu mu.
- Anus: Sɛ anus no yɛ ma a, ntini ahorow de sɛnkyerɛnne bi kɔ yɛn amemene no mu sɛ "ɛsɛ sɛ yɛpopa mprempren." Afei poop no fa akyi berɛmo no mu fi adi. Eyi ne ‘ɔpon a wɔde fi adi’ a etwa to.
Ntini a ɛwɔ akyi berɛmo no mu no nyɛ nea yɛpɛ, a ɛkyerɛ sɛ yɛn ankasa nya sɛnkyerɛnne bi bere a ayɛ ma no. Nanso ntini a atwa akyi berɛmo no ho ahyia no fi yɛn pɛ mu, na ɛno nti na yetumi kura yɛn dwensɔtwaa mu kosi sɛ ebehia sɛ yɛkɔ tiafi no.
Nyarewa a ɛtaa ba a ebetumi aba wɔ akyi berɛmo mu
Anus no yɛ beae a ɛyɛ mmerɛw yiye. Enti, nyarewa ahorow betumi aba ha. Sɛ yɛanka saa nneɛma yi ho asɛm esiane aniwu nti a, ɛbɛma yare no asɛe kɛse. Ma yɛnhwɛ nea nyarewa a abu so yi yɛ.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu ara kwa |
|---|---|
| Akisikuru a ɛma obi ho yɛ hyew | Eyi yɛ ɔhaw a nnipa pii wɔ. Sɛ yɛbɛka no tiawa a, ɛyɛ mogya ntini a ɛwɔ akyi berɛmo anaa akyi berɛmo mu a ɛho ahonhon. Eyinom betumi afi nneɛma te sɛ nhyɛso a ɛba bere a obi retu ne dwensɔtwaa, akisikuru, ne nyinsɛn mu aba. Wobetumi de aba wɔ nipadua no mu anaa akyi. |
| Anal mu mpaapaemu | Tetew anaa mpaapaemu ketewaa bi a ɛba akyi berɛmo no honam ani. Eyi taa ba bere a obi retu dwensɔtwaa a ɛyɛ den no. Nsɛnkyerɛnne titiriw ne ɛyaw a emu yɛ den ne mogya kakraa bi a ɛba bere a ɔretu dwensɔtwaa no. |
| Anal yeast yare mmoawa | Nyarewa bi a ntontom bi a wɔfrɛ no Candida de ba. Ebetumi ama akisikuru ne ɛyaw a emu yɛ den aba akyi berɛmo ne mmeae a atwa ho ahyia (perianal region). |
| Nyarewa a wonya fi ɔbarima ne ɔbea nna mu wɔ akyi (Anal STIs) . | Ɔbarima ne ɔbea nna a wɔmmɔ ho ban wɔ akyi berɛmo mu no betumi ama obi anya nna mu nyarewa ahorow (STDs) a ɛka akyi berɛmo no. Nhwɛso ahorow bi ne Chlamydia, Genital herpes, Anal warts (HPV), Syphilis, Gonorrhea, ne HIV. |
| Anal abscess / Anal akisikuru | Sɛ ntini ketewaa bi a ɛwɔ akyi berɛmo no mu siw na ɛde ɔyare mmoawa ba a, ɛyɛ akisikuru a akisikuru ahyɛ mu ma (akisikuru). Sɛ saa akisikuru yi kɔ wie a, ɛtɔ mmere bi a ɔkwan bi a ɛte sɛ ɔkwan (fistula) fi ntini no mu kɔ honam ani akyi. Ebia eyi behia oprehyɛn. |
| Sɛnea wontumi nni dwensɔtwaa so (Anal incontinence) . | Sɛ sphincter ntini a atwa akyi berɛmo no ho ahyia no yɛ mmerɛw a, nsu betumi apue bere a wɔmpɛ no. Eyi betumi afi nneɛma te sɛ onyin ne ɔsɛe bere a wɔrewo no mu aba. |
| Kokoram a ɛwɔ akyi berɛmo mu | Eyi yɛ soronko wɔ kokoram a ɛwɔ akyi berɛmo mu ho. Kokoram a ɛba akyi berɛmo mu no taa yɛ squamous cell carcinoma su. Eyi ho yɛ na koraa, nanso ɛnsɛ sɛ wobu ani gu so. |
Kɔkɔbɔ nsɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Mpɛn pii no, nkurɔfo twentwɛn wɔn nan ase sɛ wɔbɛkɔ oduruyɛfo nkyɛn efisɛ ɛyɛ wɔn aniwu sɛ wɔbɛka nsɛm a ɛtete saa ho asɛm. Nanso, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu.
Kae sɛ eyinom yɛ nneɛma a ɛfata ma nnuruyɛfo. Ɛnyɛ wo na wɔrebu wo atɛn. W’akwahosan ne ade a ɛho hia sen biara.
| Nsɛnkyerɛnne a ɛkyerɛ | Nea ɛsɛ sɛ wuhu fa eyi ho |
|---|---|
| Anal yaw a ɛyɛ yaw | Mma w’ani ngu ɛyaw so bere a wote ase, worebɔ wo ho ban, anaa mpo wugyina hɔ ara kwa no. Eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ akyi berɛmo mu apaapae, akisikuru, anaa ɔyare mmoawa. |
| Mogya a ɛba wɔ akyi berɛmo mu | Mogya kɔkɔɔ a ɛyɛ hare a ɛwɔ tiafi krataa no so, anaa mogya tuntum a wɔde afra nsu mu no betumi ayɛ nea ɛde ba. Ebetumi ayɛ biribi a ɛnyɛ den te sɛ akisikuru, anaasɛ ebetumi ayɛ tebea bi a emu yɛ den kɛse te sɛ kokoram ho sɛnkyerɛnne. Enti sɛ mogya retu wo a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. |
| Anal a ɛyɛ mmerɛw | Ɛyaw a ɛkɔ so daa a wontumi nnyina ano no betumi ayɛ ɔyare mmoawa, honam ani yare, anaa akisikuru ho sɛnkyerɛnne. Ebetumi nso afi ahotew a enye anaa samina pii a wɔde di dwuma no mu. |
| Anal tumors, akisikuru, anaa akuru | Ɛho hia sɛ wode akisikuru, akisikuru, ntini, anaa mpaapaemu biara a ɛyɛ soronko kyerɛ oduruyɛfo wɔ honam ani a atwa akyi berɛmo no ho ahyia no mu. |
| Nsu a ɛba akyi a ɛnyɛ ne kwan so | Sɛ nsu a ɛnyɛ nsu, ɛte sɛ nsu, anaa akisikuru gu wo ntade ase a, ebetumi ayɛ ɔyare mmoawa anaa ayaresa tebea foforo ho sɛnkyerɛnne. |
| Nsakrae a ɛba wɔ dwensɔtwaa mu | Ebia ɛyɛ den sɛ wobɛfa nsu mu, wuntumi nni so, anaa nsakrae a ɛba ɔkwan a wofa so te nka sɛ ɛsɛ sɛ woto wo nsu mu no fi ɔhaw bi a ɛwɔ ntini anaa ntini a ɛwɔ akyi berɛmo no mu. |
Nhwehwɛmu bɛn na nnuruyɛfo yɛ?
Sɛ wokɔ oduruyɛfo nkyɛn a, ebia wɔbɛkra sɛ wɔnyɛ nhwehwɛmu dodow bi a egyina wo yare no ho sɛnkyerɛnne so. Sɛ wudi kan hu eyinom ho asɛm a, ebetumi aboa ma wo suro no ano abrɛ ase.
- Digital Rectal Exam: Eyi yɛ sɔhwɛ a abu so yiye. Oduruyɛfo no de nsateaa a wɔde nsateaa ahyɛ mu a wɔde srade ahyɛ mu bedi dwuma de ahwɛ wo akyi berɛmo ne wo akyi berɛmo mu. Eyi betumi aboa ma wɔahu tebea horow te sɛ akisikuru ne akisikuru.
- Anoscopy: Wɔde adwinnade ketewaa bi a wɔde mfoninitwa afiri ahyɛ mu (scope) hyɛ akyi berɛmo no mu de hwehwɛ emu.
- Barium enema: Eyi yɛ X-ray nhwehwɛmu. Wɔde nsu titiriw bi (barium) fa akyi berɛmo no mu, na wonya X-ray mfonini a emu da hɔ a ɛfa akyi berɛmo ne akyi berɛmo no ho.
- Anorectal manometry: Sɔhwɛ a ɛkyerɛ sɛnea ntini a ɛwɔ akyi berɛmo no mu no yɛ adwuma ne sɛnea ɛte nka. Wɔyɛ eyi titiriw ma nnipa a ɛyɛ den ma wɔn sɛ wobedi wɔn dwensɔtwaa so.
Ɔkwan bɛn so na wobɛkɔ so akura akyi berɛmo mu akwahosan mu?
Nneɛma a ɛnyɛ den bi wɔ hɔ a yebetumi ayɛ de ahwɛ mpɔtam ha akwahosan so.
- Di nnuan a ahoɔdennuru pii wom: Wobetumi asiw akisikuru ano denam nnuan a ahoɔdennuru pii wom te sɛ kale, banana, akutu, nhaban momono, aburow a wɔayam, ne nnuaba a wubedi so . Sɛ nsu a ɛkɔ nipadua no mu no fa ntɛmntɛm a, ɛnsɛe akyi berɛmo no kɛse.
- Hwɛ ahotew so: Fa nsu hohoro yiye bere a woatu wo ho ban awie no. Nanso mfa samina a ano yɛ den anaa nsa a wɔde popa nneɛma a ɛyɛ nsu nni dwuma. Wobetumi ama honam ani a ɛwɔ beae a ɛyɛ mmerɛw yi ayow na ɛde ɔyare mmoawa aba.
- Ɔbarima ne ɔbea nna a ahobammɔ wom: Sɛ worenya nna wɔ akyi a, ɛho hia yiye sɛ wode akwan a ɛbɔ wo ho ban te sɛ kɔndɔm ne srade di dwuma.
- Nom nsuo a ɛdɔɔso: Anyɛ yie koraa no, sɛ wonom nsuo lita 2-3 da biara a, ɛbɛma wo nsuo ayɛ mmerɛw na aboa ma atwam ntɛmntɛm.
- Mma w’ani ngu yare no ho sɛnkyerɛnne ahorow so: Sɛ wowɔ sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no bi a, nfɛre na kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ obi nya ayaresa ntɛm a, ebetumi asiw ɔhaw akɛse ano.
Awiei koraa no, akyi berɛmo no yɛ yɛn nipadua no fã a ɛho hia yiye. Ɛyɛ ɔpon a ɛda yɛn mu wiase ne akyi wiase no ntam. Enti, sɛ yɛbɛhwɛ so na yɛahu nsakrae biara a ɛbɛba wɔ hɔ no ho hia yiye ma yɛn akwahosan nyinaa.
Nkrasɛm a Wɔde Kɔ Fie
- Mmu w’ani ngu sɛnkyerɛnne biara a ɛkyerɛ sɛ ɛyɛ wo yaw wɔ akyi berɛmo mu, ɛyɛ wo yaw, mogya a ɛretu, anaasɛ akisikuru ho.
- Ɛwom sɛ ebia mogya a ɛwɔ nsu mu no fi akisikuru de, nanso ebetumi ayɛ tebea bi a emu yɛ den ho sɛnkyerɛnne nso, enti hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.
- Sɛ́ wubesiw akisikuru ano denam aduan a ahoɔdennuru wom a wubedi ne nsu a ɛdɔɔso a wobɛnom so no ho hia yiye ma akyi berɛmo akwahosan.
- Mfɛre da sɛ wo ne oduruyɛfo bɛkasa afa ɔhaw bi a ɛte sɛɛ ho. W’akwahosan ho hia sen biribi foforo biara.
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