So woahyɛ no nsow pɛn sɛ bere a wokɔ tiafi no, wo nsu mu yɛ tuntum sen sɛnea wotaa yɛ no? Ebia mpo ɛwɔ tarry consistency. Ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu biribi a ɛte sɛɛ no. Nanso ɛnyɛ bere nyinaa na ɛyɛ biribi a ɛsɛ sɛ wosuro. Ɛtɔ da bi a, biribi a yɛdii anaa aduru bi a yɛnom na ɛde ba. Nanso, ebetumi nso akyerɛ sɛ ɔhaw bi wɔ yɛn nipadua mu. Enti momma yɛnte eyi ase.
Dɛn nti na nsu a ɛwɔ nsu mu dan tuntum? Dɛn ne nneɛma atitiriw a ɛde ba?
Sɛ yɛbɛka no tiawa a, yebetumi akyekyɛ nneɛma a ɛde nsu tuntum ba no mu akuw atitiriw abien. Biako ne nneɛma a ɛtaa de ba a ɛnyɛ biribiara a ɛsɛ sɛ ɛhaw yɛn ho. Ɔfoforo no ne nneɛma a anibere wom a ɛde ba a akyinnye biara nni ho sɛ ɛsɛ sɛ yɛdwen ho na yɛhwehwɛ aduruyɛ mu afotu wɔ ho.
Hwɛ pon a ɛwɔ ase ha no , na wubenya eyi ho adwene pa.
| Ntease ahorow a ɛnsɛ sɛ wosuro, mpɛn pii | Nneɛma a anibere wom a ɛde dadwen ba (mogya a ɛtɔ wɔ akwaa no mu) . |
|---|---|
| Iron a wɔde ma: Iron a wɔnom ma mogya a ɛtɔ kɔ nipadua mu no betumi ama obi anya nsu tuntum anaa ahabammono tuntum. Eyi yɛ ɔhaw a ɛtaa ba. | Peptic Ulcer: Mogya a efi akuru a ɛwɔ yafunu anaa dwensɔtwaa ketewaa mu mu ba. |
| Nnuru bi: Nnuru a bismuth subsalicylate (e.g. Pepto-Bismol) wom a wɔde sa yafunu a ɛyɛ yaw. | Esophageal tears (Mallory-Weiss Tear): Esophageal tears ba esiane ɔfe anaa ɔfe a ɛboro so nti, na ɛma mogya tu. |
| Nnuan a ɛyɛ tuntum: Blueberries, strawberry, beets, nnuan a wɔde kɔla tuntum a wɔde ayɛ, mogya soseji, ne nea ɛkeka ho. | Esophageal Varices: Ntini a ɛwɔ aduan mu a ɛho ahonhon na ɛpaapae, na wɔtaa hu wɔ mmerɛbo mu yare ho. |
| Fango a wɔde yɛ adwuma:Biribi a wɔde ma sɛ ayaresa wɔ awuduru ho nsɛm mu. | Gastritis/Esophagitis: Eyinom afasu a ɛyɛ hyew kɛse. |
| Kokoram: Kokoram a ɛba wɔ aduan mu ntini a ɛwɔ soro, te sɛ aduan mu, yafunu, anaa dwensɔtwaa mu. |
Tebea a ɛho hia sen biara a ɛsɛ sɛ wohaw wo ho: Mogya a Ɛtu wɔ Mu
Eyi nti na ɛsɛ sɛ ɛhaw yɛn kɛse bere a yɛn nsu a ɛyɛ tuntum no. Titiriw sɛ wo nsu mu yɛ tuntum, ɛyɛ tarry, na hua a ano yɛ den sen sɛnea ɛtaa ba a , ɛtaa yɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya retu wo wɔ wo aduan mu fã a ɛwɔ soro (i.e., wɔ aduannoa mu, yafunu, anaa dwensɔtwaa ketewa no fã a edi kan).
Wɔ aduruyɛ mu no, wɔfrɛ tebea yi Melena . Eyi ba bere a mogya a ɛwɔ nipadua no mu no ne aduan mu nsu fra na nnuru sesa, na ɛma ɛyɛ tuntum no.
Susuw ho hwɛ, sɛ mogya no ba wɔ aduan a wɔyam no fã a ɛwɔ fam te sɛ dwensɔtwaa kɛse no a, mogya no nni bere a wɔde bɛyam, enti epue a nsu no yɛ kɔla kɔkɔɔ foforo . Nanso sɛ mogya no tu wɔ soro a, mogya no atwa kwan tenten na wɔayam ansa na apue. Ɛno nti na ɛdan tuntum no.
Yafunu mu akisikuru (Bleeding Ulcer) .
Nea ɛde melena ba titiriw ne yafunu mu akuru. Eyinom yɛ akuru a ɛba yafunu anaa dwensɔtwaa ketewa no mu. Sɛ saa akuru yi fi ase mogya a, nsu no dan tuntum. Nneɛma atitiriw abien na ɛde akisikuru ba:
- Mmoawa bi a wɔfrɛ no H. pylori .
- Nnuru a wɔde kum ɛyaw a wɔde di dwuma bere tenten anaasɛ ɛboro so, titiriw NSAIDs (Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) (e.g. Aspirin, Ibuprofen, Diclofenac).
Saa tebea yi ho sɛnkyerɛnne afoforo betumi ayɛ yafunu mu yaw, ahurututu, akisikuru, ne ɛtɔ mmere bi a ɔfe a ɛte sɛ kɔfe a wɔayam.
Esophageal ne Yafunu mu Kokoram
Ɛwom sɛ ɛntaa nsi de, nanso nsu tuntum betumi ayɛ kokoram ho sɛnkyerɛnne a edi kan wɔ aduan mu anaa yafunu mu. Eyi fi mogya a efi kokoram a enyin no mu ba. Wɔ nsu tuntum akyi no, ɛho hia sɛ wohwɛ yiye wɔ sɛnkyerɛnne afoforo te sɛ:
- Ɛyɛ den sɛ wobɛmene
- Mu duru a wɔtew so a ntease biara nnim
- Koko mu yaw anaasɛ ɔfe
- Yafunu a ɛtaa yɛ basaa, akisikuru
- Sɛ wote nka sɛ wo ho ayɛ wo ma bere a woadi kakra mpo a
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa ka nsu tuntum ho a, kɔ wo duruyɛfo nkyɛn ntɛm .
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wunnye nni 100% sɛ wo nsu tuntum no fi dade a wɔde ma a, eye sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu. Ɛho hia titiriw sɛ wobɛhwehwɛ aduruyɛfo afotu ntɛm ara sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a. Ebia ɛho behia sɛ wokɔ Emergency Department (ETU) a ɛwɔ ayaresabea a ɛbɛn wo no.
| Kɔkɔbɔ nsɛnkyerɛnne a ɛsɛ sɛ wɔhwɛ so ntɛm ara | |
|---|---|
| Mogya a wɔde bɛfe | Sɛ wo fe no dan kɔkɔɔ anaa tuntum, te sɛ kɔfe a wɔayam a. |
| Atirimɔdensɛm a emu yɛ den anaasɛ n’adwene a ɛyera | Mogya mmoroso betumi akɔ fam esiane mogya a ɛtɔ wɔ nipadua no mu nti, na ebetumi ama: |
| Ɔhome a ɛyɛ den | Sɛ wote nka sɛ ɛyɛ den sɛ wobɛhome simma kakraa bi a. |
| Yafunu mu yaw a emu yɛ den | Yafunu mu yaw a ɛba mpofirim anaasɛ wontumi nnyina ano. |
| Paleness ne ɔbrɛ a ɛtra so | Sɛ wo honam ani yɛ mmerɛw na wote nka sɛ woabrɛ sen sɛnea wotaa yɛ a. |
Nhwehwɛmu bɛn na oduruyɛfo no bɛyɛ?
Sɛ wokɔ oduruyɛfo nkyɛn a, wobetie wo yare no ho sɛnkyerɛnne no yiye na sɛ ɛho hia a, wɔde wo bɛkɔ akɔyɛ wo nsu mu nhwehwɛmu (Stool for Occult Blood test). Eyi betumi ahu sɛ ebia mogya mu nneɛma bi a aniwa nhu wɔ wo nsu mu anaa. Sɛ wohu sɛ mogya retu a, ebia wɔbɛkamfo biribi te sɛ endoscopy nso akyerɛ na wɔahu nea ɛde ba.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛnyɛ bere nyinaa na nsu tuntum yɛ yare a emu yɛ den ho sɛnkyerɛnne. Iron a wɔde ma anaa nnuan bi nso betumi de eyi aba.
- Nanso, sɛ nsu no yɛ tuntum, ɛyɛ tarry, na ɛyɛ hua a ano yɛ den (Melena) a, ɛyɛ sɛnkyerɛnne a emu yɛ den a ɛkyerɛ sɛ mogya retu wɔ aduan a ɛwɔ soro no mu.
- Wɔ nsu tuntum akyi no, sɛ wowɔ sɛnkyerɛnne afoforo te sɛ yafunu mu yaw, adwenemhaw, mogya a wobɛfe, anaasɛ ɛyɛ den sɛ wobɛhome a, kɔ oduruyɛfo nkyɛn ntɛm .
- Sɛ wunnim nea ɛde ba a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn na woayi w’adwenem naayɛ no afi hɔ, sen sɛ wubesusuw ho. W’akwahosan ne ade a ɛsom bo sen biara.











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