So ɛyaw a emu yɛ den a ɛba yafunu no fã nifa so no yɛ biliary colic? Momma yɛnhwehwɛ nea ɛyɛ pɛpɛɛpɛ!

So woanya yafunu mu yaw kɛse ankasa pɛn, wɔ wo mpampam a ɛwɔ soro no ase pɛɛ, bere a woadi aduan a srade wom akyi bere tiaa bi? Ebia na akisikuru ka ho, na na emu yɛ den araa ma wuntumi nhinhim mpo. Eyi ne nea nnipa pii frɛ no ‘akisikuru mu ɛyaw’ kɛkɛ. Wɔ aduruyɛ mu no, yɛfrɛ tebea yi Biliary Colic. Ɛnyɛ yare ankasa, na mmom ɛyɛ tebea bi a ɛda adi ho sɛnkyerɛnne. Enti ɛnnɛ, momma yɛnka ho asɛm.

Dɛn ne Biliary Colic?

Sɛ yɛbɛka no tiawa a, Biliary Colic yɛ bere tiaa mu yafunu mu yaw a emu yɛ den a biribi a esiw wo biliary tract - kyerɛ sɛ, wo gallbladder ne bile ducts na ɛde ba. Fa no sɛ ɔbo ketewaa bi a ɛkyekyere nsu paipu mu. Sɛ yɛdan faucet no a, nsuo no nhyɛsoɔ kɔ soro na ɛma nhyɛsoɔ kɛseɛ ba wɔ akwansideɛ no akyi, ɛnte saa? Ɛno ne nea ɛrekɔ so wɔ ha.

Bile, nsu a yɛn mmerɛbo yɛ no, sie bere tiaa bi wɔ akisikuru no mu. Sɛ yedi nnuan, titiriw nnuan a srade wom a, ɛfa bile ntini no mu kɔ dwensɔtwaa ketewa no mu. Eyi boa ma srade a wɔyam no yɛ yiye. Abo a ɛwɔ akisikuru mu titiriw na ɛde eyi ba. Sɛ ɔbo bi kɔhyɛ bile duct no mu anaa baabi a efi akisikuru no mu ba a, nhyɛso no kɔ soro bere a akisikuru no twetwe, na ɛde ɛyaw a emu yɛ den ba.

Dɛn ne ɛyaw yi su ne beae a ɛwɔ?

Biliary colic ɛyaw yɛ soronko kakra wɔ yafunu mu yaw afoforo ho. Ɛwɔ su ahorow pii.

Ɛhe na wote ɛyaw no nka?

Mpɛn pii no, wɔte ɛyaw no nka wɔ yafunu no atifi nifa so, wɔ mparow no ase pɛɛ. Ɛhɔ na akisikuru no wɔ. Ɛtɔ da bi a, ɛyaw no tumi trɛw kɔ mmati nifa anaa akyi.

Nsɛnkyerɛnne afoforo a ɛka ɔfe no ho

Biliary Colic ɛyaw betumi de sɛnkyerɛnne ahorow a edidi so yi aka ho:

• Akisikuru ne ɔfe
• Yafunu mu a ɛyɛ mmerɛw
• Fifiri a ɛba dodo (Sweating) .

Nsonsonoe a ɛda Biliary Colic ne tebea afoforo a emu yɛ den ntam

Sɛ ɛyaw a ɛwɔ biliary colic mu no ano ntew wɔ nnɔnhwerew kakraa bi mu a, ebetumi ayɛ tebea a emu yɛ den kɛse te sɛ cholecystitis (akisikuru a ɛyɛ hyew) anaa cholangitis (akisikuru a ɛyɛ hyew). Ɛho hia sɛ wuhu nsonsonoe a ɛda eyinom ntam.

Dɛn na ɛde eyi ba?

Sɛnea yɛadi kan aka no, nea ɛde ba titiriw ne akisikuru , nanso nneɛma afoforo nso betumi de aba.

• Gallstones: Eyi na ɛde ba wɔ 90% mu. Ɔbo bi kɔhyɛ bile duct mu bere tiaa bi, na ɛma nhyɛso ne ɛyaw kɔ soro. Ɛyaw no fi hɔ bere a ɔbo no di akɔneaba anaasɛ bere a akisikuru no gyae twetwe no.
• Biliary Stricture: Sɛ́ ebia efi oprehyɛn bi a atwam anaasɛ ɔyare a ɛma obi ho hyehye no bere tenten no, ntini a ɛma mogya tu no betumi ayɛ akuru na ayɛ teateaa, na asiw bile no kwan.
• Biliary Dyskinesia: Ɛtɔ mmere bi a, akisikuru no ntumi nkɔ yiye, anaasɛ Oddi sphincter no mmue yiye. Saa ɔhaw ahorow yi nso betumi ama bile ayɛ kɛse na ama nhyɛso akɔ soro.

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɔbɛhwɛ wo na wayɛ nhwehwɛmu te sɛ ultrasound scan de ahu nea ɛde ba ankasa. Ayaresa no begyina nea ɛde tebea no ba ne sɛnea emu yɛ den so.

1. Nnuru a wɔde kum ɛyaw: Wɔde nnuru a wɔde kum ɛyaw te sɛ NSAIDs (Nonsteroidal anti-inflammatory drugs) ma de siw ɛyaw ano.

2. Adidi Nhyehyɛe: Ɛho hia yiye sɛ wokwati nnuan a ngo ne srade pii wom (nnuan a wɔayam, nam a srade wom, nufusu mu nnuan, kyiisi, bɔta) . Efisɛ saa nnuan yi kanyan akisikuru no ma ɛtwetwe. Sɛ wɔtew eyinom so a, wobetumi adi ɛyaw a ɛsan ba no so kɛse.

3. Nnuru a ɛma aboɔ tew: Wɔde nnuru te sɛ Ursodeoxycholic acid ma na ama srade abo nketenkete bi apete. Nanso, eyi mfata obiara.

4. Endoscopy/ERCP: Sɛ ɔbo bi akɔhyɛ bile duct mu a, wobetumi de ɔkwan bi a wɔfrɛ no ERCP (Endoscopic Retrograde Cholangiopancreatography) ayi ɔbo no denam afiri a wɔde mfoninitwa afiri ahyɛ mu a wɔde bɛhyɛ ano na wɔde nnwinnade titiriw bi afa mu no so.

5. Oprehyɛn: Sɛ nea ɛde biliary colic ba titiriw ne akisikuru mu abo, na tebea yi san ba bio a, ano aduru a eye sen biara na ɛtra hɔ daa neCholecystectomy a wɔde twa akisikuru. Mprempren wɔtaa fa safe tokuru mu oprehyɛn a wɔfrɛ no laparoscopic oprehyɛn so na ɛyɛ eyi. Eyi ma akuru no nyɛ kɛse na ɛsa ntɛmntɛm. Ɛnyɛ ɔhaw sɛ wobɛtra ase sɛnea ɛsɛ a wunni akisikuru.