So Acid nkutoo na Ɛde Wo Koma Yɛ Den? Momma Yɛnka Bile Reflux ho asɛm

So wo nso wunya komayare bere nyinaa? Ɛte sɛ nea ogya rehyew, te sɛ nea ɛreba wo menewam. Yɛtaa susuw sɛ eyi yɛ yafunu mu yare anaasɛ acid a ɛsan kɔ nipadua no mu. Ɛno yɛ nokware, na mpɛn pii no ɛno na ɛde ba. Nanso ɛtɔ mmere bi a nea ɛde ɔhyew a ɛyɛ yaw yi ba betumi ayɛ biribi foforo. Ɛno ne bile reflux, anaa sɛnea yɛfrɛ no wɔ aduruyɛ mu no, tebea bi a wɔfrɛ no bile reflux. Momma yɛnka eyi ho asɛm nnɛ ara kwa, wɔ ɔkwan a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne bile reflux?

Susuw yɛn aduan mu nhyehyɛe no ho sɛ ɔkwan biako so. Aduan hyɛn anom, fa aduan mu, kɔ yafunu no mu, na afei ɛkɔ dwensɔtwaa ketewa no mu. Nea ɛbɛyɛ na akwantu yi akɔ so yiye no, valve ahorow (sphincters) wɔ hɔ a ebue na ɛto mu wɔ mmeae ahorow. Eyinom ma aduan ne aduan mu nsu kɔ n’anim na ɛmma ɛnsen nkɔ akyi.

Afei ma yɛnhwɛ nea ‘bile’ yɛ. Bile yɛ nsu a ɛyɛ kɔkɔɔ a ɛyɛ ahabammono a ɛba yɛn mmerɛbo mu na wɔkora so wɔ akisikuru mu. Sɛ yedi nnuan a srade wom a, saa bile yi kɔ dwensɔtwaa ketewa no mu na ɛboa ma yɛyam saa srade no.

Aduan a efi yafunu no mu no fa valve bi a wɔfrɛ no pyloric valve mu kɔ dwensɔtwaa ketewa no mu. Mpɛn pii no, saa valve yi to mu yiye. Nanso sɛ saa valve yi yɛ mmerɛw anaasɛ ɛnto mu yiye a, bile a ɛwɔ dwensɔtwaa ketewa no mu no sen kɔ akyi, kɔ yafunu no mu, baabi a ɛnsɛ sɛ ɛkɔ. Eyi ne nea yɛfrɛ no Bile Reflux. Ɛtɔ da bi a, saa bile yi betumi afi yafunu no mu aba, akosi aduannoa mu.

Nsonsonoe bɛn na ɛda Bile Reflux ne Acid Reflux ntam?

Nnipa pii ma saa abien yi adwene tu fra efisɛ sɛnkyerɛnne ahorow no di nsɛ yiye. Nanso nsonsonoe titiriw bi wɔ abien no ntam. Momma yɛnte eyi ase yiye.

• Acid Reflux/GERD: Eyi ne bere a yafunu mu acid a ano yɛ den sen kɔ aduan no mu. Eyi fi valve a ɛda yafunu ne esophagus (esophageal sphincter a ɛwɔ fam) ntam no a ɛyɛ mmerɛw. Eyi ma yafunu mu acid sen kɔ soro.
• Bile Reflux: Eyi ne bere a bile a efi dwensɔtwaa ketewa no mu no sen kɔ akyi kɔ yafunu no mu. Afei bile no betumi ne yafunu mu acid adi afra na akɔ soro wɔ aduan no mu.

Saa pon yi bɛma nsonsonoe no mu ada hɔ ama wo.

Ɔkwan bɛn so na bile reflux ka nipadua no?

Bile nyɛ acid a ɛwɔ nipadua no mu. Nanso ɛyɛ nnuru a ano yɛ den a wɔayɛ sɛ ɛbɛyam srade. Enti sɛ saa bile yi kɔ yafunu ne aduan mu ntini a ɛyɛ mmerɛw no so, baabi a ɛnyɛ ne de a, ɛsɛe saa afasu no.

Saa ɔsɛe yi de ɔfe ba.

• Sɛ ɛba yafunu mu a: Gastritis
• Sɛ ɛba wɔ esophagus mu a: Esophagitis

Esiane eyi nti, wubetumi anya yafunu mu yaw, wo koko mu yaw, wo menewa mu yaw, ne afei nso wo taa yɛ wo yaw, woantumi adidi, na ɛtɔ mmere bi a wobɛfe bile.

Sɛ tebea yi kɔ so a, nsɛnnennen bɛn na ɛbɛba?

Bile reflux nyɛ biribi a ɛsɛ sɛ wobu no adewa. Sɛ saa tebea yi kɔ so kyɛ a, ebetumi de nsɛnnennen a emu yɛ den aba.

• Yafunu mu Akuru: Sɛ obi kɔ so nya bile a, ebetumi asɛe yafunu no afasu.
• Yafunu mu kokoram ho asiane a ɛkɔ soro: Wɔahu sɛ yafunu mu yare a enni sabea ma yafunu mu kokoram ho asiane yɛ kɛse.
• Barrett’s Esophagus: Esiane sɛ wɔde ne ho hyɛ bile ne acid mu bere tenten nti, nkwammoaa a ɛwɔ esophagus no ase no fi ase sesa. Eyi betumi ayɛ ade a edi kokoram a ɛba wɔ aduan mu.

Nnipa a wɔwɔ acid reflux nso wɔ asiane ahorow yi. Nanso nhwehwɛmu ahorow ada no adi sɛ sɛ wowɔ acid reflux ka bile reflux ho a, asiane a ɛwɔ hɔ sɛ wubenya kokoram yi kɔ soro mpɛn pii . Enti ɛho hia paa sɛ wohu eyi.

Dɛn ne nneɛma atitiriw a ɛde bile reflux ba?

Bile reflux ntaa mma wɔ obi a ɔtaa nya apɔwmuden mu. Nneɛma pɔtee pii wɔ hɔ a ebetumi de eyi aba.

• Oprehyɛn: Oprehyɛn, titiriw yafunu mu oprehyɛn ne cholecystectomy, yɛ ade titiriw a ɛde ba. Sɛ woyi akisikuru no fi hɔ a, wɔmfa bile nsie bio na ɛsen kɔ dwensɔtwaa ketewa no mu. Eyi ma asiane a ɛwɔ hɔ sɛ bile bɛboaboa ano na asan akɔ yafunu no mu no yɛ kɛse.
• Pyloric valve obstruction: Ebia saa valve yi rentumi nyɛ adwuma yiye esiane akuru anaa akuru a ɛwɔ dwensɔtwaa ketewa no mu (duodenal ulcer) nti.
• Impaired Motility: Nnipa binom wɔ aduan mu brɛoo paa. Eyi betumi ama aduan ne bile atra baabi akyɛ dodo, na ama nhyɛso ayɛ kɛse na asan akɔ akyi.

Ɔkwan bɛn so na oduruyɛfo tumi hu yare yi pɛpɛɛpɛ?

Ebia wo duruyɛfo besusuw sɛ eyi bere a woka wo yare no ho sɛnkyerɛnne kyerɛ wɔn no. Nanso ɛho behia sɛ wɔyɛ nhwehwɛmu ahorow bi de hu sɛ ɛyɛ Acid Reflux, Bile Reflux, anaa n’abien nyinaa.

• Upper Endoscopy: Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri wom fa ano no mu de hwehwɛ aduannuru, yafunu, ne dwensɔtwaa ketewa no mfiase mu. Eyi ma oduruyɛfo no hu afasu a ɛwɔ mu no sɛ ebia asɛe, ɔfe, ne bile a ɛwɔ mu no. Sɛ ɛho hia a, wobetumi afa ntini ketewaa bi (biopsy) de ayɛ nhwehwɛmu. Wɔbɛma wo aduru a ɛma wo ho dwo ansa na wɔayɛ saa, enti worente nka sɛ wo ho nyɛ wo dɛ.
• Esophageal Impedance Test: Saa sɔhwɛ yi betumi ahu pɛpɛɛpɛ sɛ ebia acid anaa nsu a ɛnyɛ acid te sɛ bile no reba esophagus no so anaa. Nea ɛka eyi ho ne sɛ wɔde afiri teateaa bi fa hwene no mu kɔ aduan no mu nnɔnhwerew 24.
• HIDA Scan: Eyi yɛ x-ray nhwehwɛmu titiriw bi a ebetumi ahwɛ sɛnea bile fi mmerɛbo no mu kɔ dwensɔtwaa ketewa no mu, ne sɛ ebia ɛkyɛ anaasɛ ɛsan kɔ saa akwantu no mu anaa.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Bile reflux a wɔbɛsa no yɛ den kakra sen acid reflux. Wo duruyɛfo no begyina wo tebea no so akyerɛ ayaresa a ɛfata sen biara.

Nnuru a wɔde di dwuma

• Ursodeoxycholic acid: Saa aduru yi sesa nnuru a ɛwɔ bile mu, na ɛtew ɔsɛe a ɛde ba nipadua no so no so.
• Bile acid sequestrants: Eyinom kyekyere bile a ɛkɔ yafunu no mu, na ɛtew ne nkɛntɛnso bɔne so.
• Sucralfate: Saa aduru yi yɛ adwuma te sɛ ade a ɛbɔ yafunu ne aduannoa afasu ho ban, na ɛbɔ ho ban fi ɔsɛe a bile de ba no ho.
• Prokinetic agents: Eyinom ma aduan mu nhyehyɛe no yɛ adwuma ntɛmntɛm na ɛma yafunu no mu da mpan ntɛmntɛm.

Sɛɛgyiri

Ebia wɔbɛkamfo oprehyɛn akyerɛ nnipa a wɔwɔ bile reflux a emu yɛ den a wontumi mfa nnuru nsiw ano no. Oprehyɛn ahorow atitiriw abien na ɛwɔ hɔ. Biako ne oprehyɛn a wɔde twetwe mogya dan kɔ yafunu no mu. Ɔfoforo no yɛ oprehyɛn a wɔde ko tia nsu a ɛsan kɔ nipadua no mu a ɛhyɛ ɛwo akyi ntini a ɛwɔ fam a wɔde yɛ acid a ɛsan kɔ nipadua no mu nso den.

So nneɛma bi wɔ hɔ a wubetumi ayɛ wɔ fie?

Eyi yɛ asɛmmisa a ɛho hia paa. Nanso nokwasɛm ne sɛ, nea ɛnte sɛ Acid Reflux no, ɛyɛ den sɛ wɔde nnuru a ekum acid daa anaasɛ nsakrae kɛse a wɔyɛ wɔ aduan mu bedi Bile Reflux so koraa.

Nanso, nneɛma kakraa bi wɔ hɔ a wubetumi abɔ mmɔden sɛ wubenya ahotɔ kakra afi sɛnkyerɛnne ahorow no mu:

• Ma wo ti so bere a woada no: Fa nnua abien gu mpa no ti a ne sorokɔ bɛyɛ nsateakwaa 6 no so wɔ nan no ho. Mma nnyɛ pii wɔ pillow so kɛkɛ, ɛsɛ sɛ wo soro nipadua nyinaa kɔ soro.
• Tew wo mu duru so: Bere a nipadua mu duru kɔ soro no, nhyɛso a ɛwɔ yafunu no mu betumi ayɛ kɛse na tebea horow a ɛma wotumi san kɔ nipadua no mu no betumi asɛe.
• Di nnuan nketenkete mpɛn pii: Sɛ́ anka wubedi aduan akɛse prɛko pɛ no, di nnuan nketenkete mpɛn pii da biara.
• Di anwummere aduan ntɛm: Anyɛ yiye koraa no, di anwummere aduan nnɔnhwerew 2-3 ansa na woada.
• Kwati sigaretnom: Sigaretnom ma nsu a ɛsan kɔ nipadua no mu no yɛ kɛse.
• Kwati sɛ wobɛhyɛ ntade a ɛyɛ den: Ntade a ɛyɛ den betumi de nhyɛso aba yafunu no so.