So mogya wɔ nsu mu? Nsuro, momma yɛnka eyi ho asɛm (Blood in Stool) .

Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wuhu mogya wɔ wo nsu mu anaa tiafi krataa so no. Nanso mma wo ho nnyɛ wo hu. Ɛnyɛ bere nyinaa na eyi kyerɛ sɛ obi anya yare a emu yɛ den. Ɛtɔ mmere bi a, ntease tiawa bi nti na ebetumi asi. Momma yɛnka ne nyinaa ho asɛm pefee.

Mogya a ɛwɔ nsu mu no te dɛn? Dɛn na wubetumi ahu afi kɔla no mu?

Mogya a ɛba wo nsu mu no betumi ada adi wɔ kɔla ahorow mu. Mma ɛnyɛ wo nwonwa, mogya yi kɔla betumi ama yɛanya baabi a mogya no fi reba no ho adwene bi.

Sɛ yɛbɛka no tiawa a, kɔla no sesa gyina baabi a mogya no fi so.

Ɛtɔ da bi a, ebia woremfa w’ani renhu mogya a ɛretu wo, nanso ebia wobɛhu mogya no bere a wode afiri a wɔde hwɛ nneɛma nketenkete hwɛ no bere a woreyɛ nsu mu nhwehwɛmu nkutoo. Wɔfrɛ eyi ``asumansɛm mogya'' anaa "mogya a wɔde asie."

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Bere a mpɛn pii no eyi betumi afi ade ketewaa bi a ɛde ba no, nsɛm bi wɔ hɔ a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, mfa ntwentwɛn so:

• Sɛ wokɔ so nya mogya wɔ wo nsu mu bɛboro adapɛn 3 a .
• Sɛ wowɔ ɛyaw a emu yɛ den wɔ akyi berɛmo mu a.
• Sɛ wote biribi nka wɔ wo nsam, te sɛ yafunu a ɛyɛ wo yaw anaasɛ wo kɔndua .
• Sɛ wote nka sɛ mogya retu wo pii a .
• Sɛ wo nsuo su (nsuo a ɛkɔ soro, ɛyɛ teateaa, ne tenten a ɛkɔ soro) asesa bɛboro adapɛn 3 a .
• Sɛ wunni adwene biara wɔ nea enti a mogya retu wo (i.e. a wonni nea wonim sɛ ɛde ba, te sɛ akisikuru anaa akisikuru).
• Sɛ mogya a ɛretu no de sɛnkyerɛnne afoforo te sɛ atiridiinini, awɔw, akisikuru, ɔbrɛ, anaa ɔfe ka ho a .

Wɔ mmere a ɛte sɛɛ mu no, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ afotu.

Dɛn na ɛde mogya ba nsu mu?

Mogya a ɛwɔ wo nsu mu no kyerɛ sɛ opira, atetew, anaa mogya retu wɔ wo aduan mu wɔ baabi. Ma yɛnhwɛ nneɛma a ɛtaa de ba no bi.

Nneɛma a ɛtaa de ba

• Akisikuru: Ade titiriw a ɛde mogya ba nsu mu ne akisikuru. Eyi fi mogya ntini a ɛwɔ akyi berɛmo no mu anaa akyi a ɛho ahonhon. Ebetumi afi nneɛma te sɛ nhyɛso a ɛba bere a obi rekɔ dwensɔtwaa mu (akisikuru) anaa nneɛma a emu yɛ duru a wɔma so no mu aba. Saa ntini a ahonhon yi betumi apae na mogya atu. Ɛyaw ne ɛyaw a ɛwɔ akyi berɛmo no ho nso yɛ eyi ho sɛnkyerɛnne.
• Anal Fissure: Eyi yɛ tetew ketewaa bi a ɛba honam ani a atwa akyi berɛmo no ho ahyia no mu, te sɛ nea ɛpaapae yɛn anofafa mu. Saa tetew yi betumi aba bere a wɔde nsu a ɛyɛ den na ɛyɛ kɛse fa mu no. Ebetumi ayɛ yaw paa.
• Inflammatory Bowel Disease (IBD): Eyi yɛ tebea a ɛtra hɔ kyɛ. Sɛ woanya yafunu mu yaw, wo mu duru so atew, na woayɛ mogyatɔw adapɛn pii a, ebia wowɔ IBD. Ulcerative Colitis ne Crohn yare ne ahorow abien titiriw no.
• Diverticular Disease: Eyinom yɛ nkotoku nketewa a epue fi dwensɔtwaa kɛse no fasu mu. Ɛwom sɛ mpɛn pii no, asiane biara nni wɔn ho de, nanso ɛtɔ mmere bi a mogya betumi atu wɔn anaasɛ wɔanya ɔyare mmoawa.
• Yafunu anaa dwensɔtwaa mu akuru (Peptic Ulcer): .Akuru a ɛba yafunu anaa dwensɔtwaa ketewa no mu. Ɔyare mmoawa a wɔfrɛ wɔn Helicobacter pylori (H. pylori) ne nnuru a wɔde kum ɛyaw te sɛ aspirin ne ibuprofen a wɔde di dwuma bere tenten ne nneɛma atitiriw a ɛde ba.
• Yafunu mu yare: Ɔyare a ɔyare mmoawa anaa ɔyare mmoawa (e.g., aduan mu awuduru) de ba no betumi ayɛ mogya na ɛde sɛnkyerɛnne te sɛ akisikuru ne ɔfe ka ho.

Nneɛma afoforo nti

• Polyps anaa Kokoram: Polyps yɛ nneɛma a ɛtaa nyin a ɛba akyi berɛmo no mu. Wotumi mogya tu, na ahorow bi betumi adan kokoram bere a bere kɔ so no. Kokoram a ɛwɔ akyi berɛmo mu yɛ ade a anibere wom a ɛde mogya ba nsu mu.
• Ɔhaw a Ɛwɔ Esophageal: Mogya a ɛbɛtɔ dodo betumi aba esiane mogya ntini a ɛwɔ esophagus (afiri a yɛfa mu mene aduan) no mu a ɛho ahonhon anaasɛ ɛtetew nti.
• Nyarewa a wonya fi nna mu (STIs): Nyarewa bi a wonya fi nna mu nso tumi ma mogya tu wɔ akyi berɛmo mu.

Nneɛma a ɛde mogya ba mmofra nkumaa nsu mu

Nea ɛka nneɛma a ɛde ba a ɛka mpanyimfo ho no, nneɛma pii wɔ hɔ a ɛde ba a ɛfa mmofra ho pɔtee.

• Akisikuru: Eyi ne ade a ɛtaa ma mogya ba abofra nsu mu. Akisikuru betumi ama akyi berɛmo mu apaapae na ama mogya atu.
• Aduan a Ne Ho Yɛ Den: Akokoaa betumi anya akisikuru, titiriw nufusu a wɔayam anaa nnuan bi a ɛna a ɔma nufu di (te sɛ nantwi nufusu, soya, atoko), a ebetumi ama wanya akisikuru na mogya atɔ no.
• Yafunu mu akuru: Mmofra nso betumi anya yafunu mu akisikuru esiane mmoawa (H. pylori) no nti.
• Meckel ’s diverticulum: Eyi yɛ tebea a wɔde awo obi. Ntini kotoku foforo a ɛba dwensɔtwaa no fasu mu na ebetumi atu mogya a ɛnyɛ yaw. Wobetumi de oprehyɛn asa.

Ɔkwan bɛn so na oduruyɛfo no hu yare no?

Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo nsɛm kakraa bi. Nsɛm a wode bɛma wɔ mogya a ɛretu, kɔla, ne sɛnkyerɛnne afoforo ho no bɛboa ma wɔahu yare no. Afei, wɔbɛyɛ nipadua mu nhwehwɛmu (a akyi berɛmo mu nhwehwɛmu ka ho). Sɛnea ɛbɛyɛ na wɔahu nea ɛde ba ankasa no, wobetumi akamfo nhwehwɛmu a edidi so yi mu biako anaa nea ɛboro saa akyerɛ:

• Endoscopy (EGD): Wɔde afiri ketewaa bi a wɔde mfoninitwa afiri fa ano hyɛ aduan mu, yafunu, ne dwensɔtwaa ketewa no mfiase mu nhwehwɛmu.
• Colonoscopy: Wɔde afiri a wɔde mfoninitwa afiri a wɔde fa akyi berɛmo no mu hyɛ dwensɔtwaa kɛse no nyinaa mu. Wobetumi nso afa ntini ketewaa bi akɔyɛ mu nhwehwɛmu (biopsy).
• Nsuo mu Nhwehwɛmu: Wɔfa nsuo mu nsuo bi na wɔhwɛ sɛ mogya a ahintaw, mmoawa a wɔde nyarewa ba, ne nea ɛkeka ho.
• Mfoniniyɛ mu nhwehwɛmu: Wobetumi ayɛ biribi te sɛ yafunu mu CT scan nso.

Dɛn ne ayaresa ahorow no?

Mpɛn pii no, sɛ mogya no fi ade ketewaa bi te sɛ akisikuru anaa akisikuru a, tebea no a wɔbɛsa no bɛma mogya no ankasa agyae. Ayaresa no gyina nea ɛde mogya no ba pɔtee so.

Nneɛma a wubetumi ayɛ wɔ fie

Saa nneɛma yi betumi aboa wɔ tebea horow te sɛ akisikuru ne akyi berɛmo mu mpaapaemu ho:

• Nnuan a ahoɔdennuru wom pii a wobedi (atoko, nhabannuru, nnuaba, aburow a wɔayam). Eyi bɛma akisikuru so atew.
• Nsu pii a wɔnom da biara .
• Sɛ woguare sitz . Eyi hwehwɛ sɛ wobɛtra ahina a nsu a ɛyɛ hyew wom mu simma 10-15. Eyi bɛma ɛyaw ne ɔfe so atew.
• Fa nnuru a wɔde yɛ akisikuru di dwuma sɛnea oduruyɛfo kyerɛ no.

Aduruyɛ mu ayaresa

Ɛsono sɛnea wɔde sa yare no gyina nea ɛde ba no so.

• Nnuru a ekum ɔyare mmoawa a wɔde sa ɔyare mmoawa.
• Nnuru a ɛtew yafunu mu acid so ma yafunu mu akuru.
• Nnuru a wɔde ko tia ɔyare mmoawa ma tebea horow te sɛ IBD.
• Oprehyɛn a wɔde yi polyps anaa kokoram fi hɔ.
• Sɛ wɔantumi ansiw mogya a ɛretu no ano a, wobetumi de nnuru ahyɛ baabi a mogya no retu no, de anyinam ahoɔden anaa laser ahyew no, anaasɛ wɔatwitwa bere a wɔreyɛ endoscopy no.