So wo nso wowɔ atiridiinini bere nyinaa? Momma yɛnka saa ‘Atiridiinini a Enni sabea’ yi ho asɛm!

Yɛn nyinaa anya akisikuru wɔ yɛn asetra mu bere bi, ɛnte saa? Ɛnyɛ dɛ koraa sɛ wubenya nsu a ɛho ayɛ hare na ɛho ahia sɛ wokɔ aguaree mpofirim a wo yafunu mu ayɛ wo yaw. Mpɛn pii no, ɛba da koro anaa nnanu akyi bere a woanya aduan mu awuduru, atiridiinini, anaa atiridiinini no. Nanso, sɛ wowɔ atiridiinini a ɛtra hɔ bɛboro adapɛn anan a , yɛfrɛ no ‘akisikuru a enni sabea’ anaasɛ akisikuru a ɛkɔ so daa.

Dɛn ne akisikuru a ɛkɔ so daa yi? So ɛyɛ aniberesɛm ankasa?

Sɛ yɛbɛka no tiawa a, akisikuru a ɛkɔ so daa yɛ nsu a ɛyɛ mmerɛw na nsu wom a ɛtra hɔ bɛboro adapɛn anan. Nhwehwɛmu bi kyerɛ sɛ nnipa dodow no mu 1% kosi 3% na wɔwɔ saa tebea yi. Nanso, dodow yi betumi adɔɔso koraa efisɛ nnipa pii nhwehwɛ ayaresa mma no gye sɛ wɔwɔ sɛnkyerɛnne afoforo te sɛ yafunu mu yaw anaa mogya a ɛretu wɔn.

Seesei ebia woresusuw ho sɛ, "So ɛyɛ ade a ɛfata sɛ wubenya akisikuru da mũ nyinaa?" Ɛnyɛ ankasa. Eyi nyɛ ade a ɛfata. Ebia wo dwonku, ɔfã a nsu a ɛyɛ fĩ no reyɛ n’ade wɔ biribi a ɛyɛ soronko ho. Wɔ nnipa binom fam no, saa akisikuru yi betumi afi dwensɔtwaa mu yare bi a wontumi nsa, nanso wobetumi adi sɛnkyerɛnne ahorow no so. Nanso, mpɛn pii no, wobetumi de aduru a ɛfata adi nneɛma afoforo a ɛde ba no ho dwuma.

Mpɛn pii no, aduan a ɛyɛ nsu a efi wo dwensɔtwaa ketewaa mu no, wo dwensɔtwaa kɛse no twetwe nkakrankakra na ɛdan nsu a ɛyɛ den. Nanso sɛ wowɔ atiridiinini a, biribi nti wotwa saa adeyɛ yi mu. Nea ɛba ne sɛ wofa nsu a ɛyɛ nsu dodo mu. Eyi kyerɛ sɛ ɛyɛ den ma wo dwensɔtwaa kɛse no sɛ ɛbɛtwe nsu sɛnea ɛtaa yɛ no, anaasɛ ɛretu nsu pii, anaa n’abien nyinaa. Eyi betumi afi ɔhaw bi a ɛwɔ wo dwensɔtwaa kɛse no ankasa ho, anaa biribi a ɛnyɛ ne kwan so wɔ mu.

Dɛn nti na ɔkɔm de yɛn kɔ so? Dɛn ne ade titiriw nti a ɛte saa?

Nyarewa pii betumi ama obi anya akisikuru a ɛkɔ so daa. Nanso ansa na oduruyɛfo bi besusuw yare bi ho no, akyinnye biara nni ho sɛ obebisa wo w’adidi ne nnuru a wonom no ho asɛm. Efisɛ eyinom ne nneɛma a ɛde ba a yɛtaa de ba a yennim, na ɛnyɛ den sɛ yebetumi asiesie .

Sɛnea aduan ne anonne ka

Nnuan ne anonne bi betumi ama obi anya akisikuru. Sɛ wudi no daa, dodow a ɛdɔɔso, anaasɛ wo ho yɛ wo hyew yiye a, ebia ɛno na ɛde wo dwensɔtwaa reba. Sɛ wuhu nnuan ne anonne a ɛde dwensɔtwaa ba na wotew so anaasɛ woyi fi hɔ koraa a, ebetumi aboa. Susuw nneɛma yi ho hwɛ:

• Kafe/Tia: Kɔfe a wobɛnom ma wo dwensɔtwaa yɛ ntɛmntɛm, anaasɛ ‘motility’. Eyi kyerɛ sɛ wɔpia aduan a wɔsɛe no wɔ dwensɔtwaa kɛse no mu no fi adi ntɛmntɛm ansa na ayɛ den dodo. Wonnya nhuu sɛ ebia caffeine a ɛwɔ kɔfe anaa nnuru afoforo mu na ɛde eyi ba. Ebia nnipa binom benya nkɛntɛnso koro no ara a efi tii a caffeine wom a wɔnom mu te sɛ nea efi kɔfe a caffeine nnim a wɔnom mu no. Eyi kyerɛ sɛ, .Nnipa ahorow te nka wɔ nnuru ahorow ho (nufusu anaa asikre a wode bɛhyɛ wo kɔfe/tii mu nso betumi ayɛ ade a ɛde ba). Sɛ wonom eyinom daa a, ebia wubenya ɔhaw ahorow a ɛtra hɔ kyɛ.
• Nsã: Nsã nso ma dwensɔtwaa no yɛ ntɛmntɛm, titiriw bere a yafunu da mpan. Nanso, sɛ wonom nsa pii a, ebia wo yam a wobɛyam no bɛbrɛ ase, na ama wo nsu atɔ wo mu na woayɛ akisikuru. Nanso, sɛ wonom nsa pii daa a, akisikuru betumi afi ade foforo a ɛde ba - ɔfe. Sɛ nsa nti wo dwonku no ho yɛ hyew, ɛho ahonhon, anaasɛ epira a, entumi nnye nsu ne mineral ahorow sɛnea ɛsɛ bio. Sɛ wo dwensɔtwaa no mu nneɛma sɛe a, ebetumi ama nsu mpo atu.
• Asikre bi: Asikre bi yɛ den sɛ wobɛyam, na sɛ wudi pii a, ebetumi ama woanya akisikuru. Ebia wo dwensɔtwaa nni enzyme ahorow a ehia na ama wɔatumi ayam no, anaasɛ ebia wunni emu biara koraa. Nneɛma a wɔde yɛ aduan dɛdɛ te sɛ sorbitol, mannitol, ne lactulose yɛ asikre a nnipa dwensɔtwaa ntumi nnyam no bi. Ɛno nti na wɔmfa calories nka ho no. Sɛ dwensɔtwaa no ntumi nsɛe asikre ahorow yi a, ɛtwe nsu pii kɔ mu de boa ma wɔhohoro fi nipadua no mu. Fructose nso betumi anya saa nkɛntɛnso yi wɔ dodow bi mu. Ɛno nti na nnuan a wɔde atoko srade a fructose pii wom ayɛ no betumi ama obi anya akisikuru no. Nnipa binom betumi anya asikre ahorow pɔtee bi ho akisikuru, anaasɛ wontumi nnye ntom. Lactose a wontumi nnye ntom (ɛyɛ den sɛ wobɛyam nufusu ne nufusu mu nneɛma) ne eyinom mu nea abu so sen biara.
• Aduan a wontumi nnyina ano: Sɛ ɛyɛ den ma wo sɛ wobɛyam aduan pɔtee bi a, ebia wunni saa aduan no ano. Mpɛn pii no, eyi kyerɛ sɛ w’adidi nhyehyɛe no nni enzyme ahorow a ehia na ama woatumi ayam saa aduan no. Nhwɛso ahorow a wɔtaa yɛ ne gluten a wontumi nnye ntom (protein bi a ɛwɔ nnuan te sɛ awi mu), histamine a wontumi nnye ntom, ne asikre (carbohydrate) a wontumi nnye ntom. Nnuan a wɔanwe no yiye na ɛde dwensɔtwaa ba.

So nnuru a yɛnom no betumi ayɛ nea ɛde ba?

Nnuru pii betumi ama obi anya akisikuru a ɛkɔ so daa sɛ nea efi mu ba. Wobetumi de saa tebea yi aba wɔ akwan horow so. Sɛ́ ebia wubenya no gyina nneɛma pii so, te sɛ nnuru dodow a wonom, w’aduan, ne ayaresa tebea afoforo a wowɔ. Wo duruyɛfo bɛhwɛ w’ayaresa ho abakɔsɛm nyinaa mu ahwɛ sɛ ebia aduru no na ɛde ba anaa. Nnuru bi a ebetumi ama obi anya akisikuru a ɛkɔ so daa no bi ne:

• 'NSAIDs' `(nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa)` - nnuru a wɔde kum ɛyaw, sɛ nhwɛso no aspirin `(aspirin)`, ibuprofen `(ibuprofen)`.
• Proton pump inhibitors (PPIs) - Nnuru a wɔde ma ma yafunu mu yare.
• Nnuru a ekum ɔyare mmoawa - Sɛ nhwɛso no, amoxicillin, cephalexin.
• Nneɛma bi te sɛ senna wɔ nhabannuru ne tii ahorow bi mu.
• Vitamin ne mineral ahorow bi te sɛ vitamin C ne magnesium dodow a ɛdɔɔso a wobɛnom.
• Nnuru a ɛko tia acid a magnesium wom.
• Nnuru a ɛko tia adwenemhaw - titiriw nea ɛyɛ selective serotonin reuptake inhibitors (SSRIs) type, s.e. fluoxetine (Prozac®), aduru a wɔde hyɛ nipadua mu (Zoloft®).
• Beta-blockers - Nnuru a wɔde sa mogya mmoroso.
• Metformin - aduru a wode sa asikreyare.
• Chemotherapy - Kokoram ayaresa.
• Nnuru a wɔde sa akisikuru a wɔde di dwuma ɔkwammɔne so ne nea wɔde di dwuma boro so, titiriw wɔ tebea horow te sɛ bulimia nervosa mu.

So akisikuru ahorow ahorow wɔ hɔ? Dɛn ne nea ɛde ba?

Ɛtɔ mmere bi a nnuruyɛfo kyekyɛ akisikuru mu abiɛsa anaa anan na ama ayɛ mmerɛw sɛ wobehu nea ɛde ba. Saa ahorow yi boa nnuruyɛfo ma wohu su pɔtee a ɛwɔ nsu mu. Saa ahorow yi gyina hɔ ma nneɛma ahorow a ɛtrɛw a ebetumi de aba. Nneɛma atitiriw abiɛsa no ne: akisikuru a ɛma obi ho hyehye no, akisikuru a srade wom, ne akisikuru a nsu wom. Nnipa binom kyekyɛ nsu mu akisikuru mu abien foforo (secretory ne osmotic) na wobu no sɛ ɛyɛ ahorow atitiriw anan.

Nsu a ɛma obi dwensɔtwaa

Nsuo a ɛyɛ dwensɔtwaa ba bere a wo dwensɔtwaa ntumi nnye nsuo ne anyinam ahoɔden a ɛdɔɔso mfi wo nsuo mu, anaa berɛ a ɛyi nneɛma pii fi mu sene sɛ ɛtwetwe no.

• Osmotic constipation fi aduannuru a ɛnyɛ nea ɛyam anaasɛ ɛntwetwe yiye. Eyinom twe nsu pii kɔ akyi berɛmo no mu. (Eyi ne sɛnea nnuru bi a wɔde sa akisikuru yɛ adwuma.)
• Secretory diarrhea kyerɛ atiridiinini a ɛyɛ nsu a nyarewa ahorow de ba.

Nneɛma bi a ebetumi de eyi aba:

• Bile acid diarrhea (eyi ba bere a bile pii boaboa ano wɔ dwensɔtwaa no mu; wɔsan frɛ no bile acid malabsorption (BAM)).
• 'Microscopic colitis' `(Akisikuru nketenkete)`.
• Ntini a asikreyare (asikreyare a ɛma ntini mu yare) sɛe.
• Vagotomy (oprehyɛn a wɔde yi yafunu mu ntini no fi hɔ).
• Hyperthyroidism (thyroid ntini a ɛyɛ adwuma boro so).
• 'Adrenal gland haw' `(Adrenal yare)`.
• Ntini mu ntini mu akisikuru.
• ‘Adwensɔtwaa a Ɛyɛ Abufuw’ (IBS).

Srade a Ɛyɛ Fɛ / Steatorrhea

Ɛtɔ da bi a, wo nsuo tumi yɛ nsuo na ɛtwam sɛ akisikuru ɛnam ngo pii nti. Eyi ba bere a wo nipadua no wɔ ɔhaw wɔ srade a ɛpaapae na ɛtwetwe no yiye, anaasɛ bere a mmoawa a wɔwɔ wo dwensɔtwaa mu yɛ srade pii dodo no. Ebia akisikuru a srade wom ntaa nsi, nanso ebetumi aba pii prɛko pɛ. Ebetumi ayɛ huam a ɛyɛ hu asen sɛnea ɛtaa yɛ, na ebetumi agyaw srade nkekae wɔ tiafi no mu. Ebetumi nso de sɛnkyerɛnne ahorow te sɛ akisikuru, aduan a wontumi nnya aduan, ne mu duru a ɛso tew aka ho.

Nneɛma a ebetumi de aba:

• Malabsorption disorders - Wei kyerε sε aduanenuru no ntumi nnye yie. Nhwɛso ahorow: dwensɔtwaa a entumi nyɛ adwuma yiye (dwensɔtwaa no dwumadi a ɛso tew), celiac yare.
• Nkwammoaa a ɛdɔɔso dodo wɔ dwensɔtwaa mu (SIBO).
• Mesenteric ischemia (mogya ntini a ɛma dwensɔtwaa no siw).
• Gastric bypass oprehyɛn (oprehyɛn a wɔyɛ wɔ aduan mu ntini ho).

Ɔyare a Ɛyɛ Ɔhyew

Saa akisikuru yi ba bere a wowɔ wo dwonku mu ɔfe a wɔfrɛ no colitis no. Ɔfe no ka wo dwensɔtwaa no mu nneɛma. Ɛhonhon, na ɛma entumi nnye aduannuru pii. Atiridiinini a ɛde ɔfe ba no taa ba nanso ɛba na ɛkɔ. Ebetumi nso de yafunu mu yaw, atiridiinini, anaa mogya a ɛwɔ wo nsu mu aka ho. Tebea ahorow a ɛma obi ho hyehye no a ebetumi ama obi anya akisikuru a ɛkɔ so daa no bi ne:

• Nyarewa a ɛkɔ so daa, sɛ nhwɛso no, nyarewa a mmoawa a wɔsɛe nnɔbae de ba, anaasɛ pseudomembranous colitis a mmoawa C. diff de ba.
• Inflammatory bowel disease (IBD) - Eyi kyerɛ dwensɔtwaa mu nyarewa a ɛma obi ho hyehye no. Nhwɛso ahorow: akisikuru a ɛma obi ho kyere no, Crohn yare.
• Ischemic colitis (ɔfe a ɛba esiane mogya a ɛkɔ dwensɔtwaa kɛse no mu a ɛso tew nti).
• Diverticulitis (nkotoku nketewa a ɛwɔ dwensɔtwaa kɛse no mu a ɛyɛ hyew).
• Radiation colitis (akisikuru a ɛwɔ akyi berɛmo mu a efi mframa a wɔde sa yare mu ba).
• Kokoram.

Dɛn ne nsunsuanso bɔne a ebetumi afi mu aba bere a yɛkɔ so didi no?

Fa no sɛ, mpɛn pii no ɛsɛ sɛ wokɔ aguaree ntɛm, anaasɛ ɛyɛ den ma wo sɛ wobɛkura wo dwensɔtwaa mu. Saa tebea yi ka wo da biara da asetra he? Ɛyɛ ahometew kɛse sɛ bere nyinaa ɛsɛ sɛ wususuw aguaree a ɛbɛn wo no ho.

Ɛyɛ den sɛ wode saa su yi besie afoforo bere tenten. Ebetumi aka wo ho mu ahotoso ne w’asetra pa. Sɛ wowɔ adwuma bi, titiriw nea ɛfa nnipa pii ho a, ebetumi aka ɛno nso.

Wɔ nipadua mu no, akisikuru a ɛkɔ so daa no betumi de wo ato asiane mu sɛ nsu a ɛbɛtɔ wo ne nea efi mu ba no. Bere a akisikuru kɔ so no, wo nipadua no hwere nsu pii, ne electrolytes, nneɛma a ɛho hia a ɛwɔ nipadua mu nsu mu.

Electrolyte a ɛso tew no betumi de ɔhaw kɛse aba. Ebetumi aka wo koma, w’ahurututu, w’amemene, ne wo ntini ahorow. Nsu a ɛho nhia nso betumi de nhyɛso aba w’asaabo so, na ɛde asaabo mu yare aba.

Dɛn na wubetumi ayɛ wɔ fie ama eyi?

Ebia wubehia aduruyɛ mu afotu ne ayaresa na ama woagyae eyi. Nanso, nneɛma kakraa bi wɔ hɔ a wubetumi asɔ ahwɛ ansa na saa bere no adu:

• Susuw w’aduan ho yiye. Susuw ho sɛ ebia biribi a wudi anaa wonom daa na ɛde wo dwensɔtwaa no ba. Sɛ wonom kɔfe, tii, nsa, anaa biribiara a wɔde nneɛma a wɔde yɛ aduan dɛdɛ (te sɛ diet soda) wom a, bɔ mmɔden sɛ wubedi kan atwitwa saa nneɛma no. Sɛ wowɔ akisikuru a srade wom a, bɔ mmɔden sɛ wubeyi nnuan a srade wom afi w’aduan mu na woahwɛ sɛ ɛno boa anaa. Lactose a wontumi nnyina ano abu so kɛse, titiriw wɔ nnipa a wofi Afrika anaa Asia mu. Wubetumi nso asɔ ahwɛ sɛ wubetwitwa nufusu mu. Wubetumi nso asɔ aduan a ɛyɛ katee a wɔde yi fi hɔ ahwɛ, te sɛ aduan a FODMAP nnim, na woahu nea ɛyɛ w’aduan ho akisikuru no ankasa.
• Sɛ wonom nnuru biara daa a, bisa wo duruyɛfo sɛ ebia emu bi na ɛde wo dwensɔtwaa reba anaa. Sɛ saa a, bisa sɛ wubetumi asɔ ɔkwan foforo a wobɛfa so ahwɛ anaasɛ wubegyae nom kakra.
• Hwɛ hu sɛ wobɛkɔ so anya nsu bere a woanya akisikuru no. Sɔ hydration solution, agumadi mu anonne, anaa electrolyte a wɔde afra nsu mu hwɛ. Nsu kɛkɛ a wobɛnom no remma wunnya electrolytes.

Mɛyɛ dɛn ayi yafunu a ɛyɛ me yaw bere nyinaa yi afi hɔ? So ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ woasɔ nsakrae a ɛnyɛ den wɔ w’aduan ne nnuru mu ahwɛ na wo dwensɔtwaa no ankɔ a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Wo duruyɛfo no bɛhwɛ nneɛma a ebetumi ama woanya akisikuru a ɛkɔ so daa no mu yiye na wahu ayaresa a ɛfata. Tebea a ɛde ba no a wobɛsa no betumi aboa ma wo dwensɔtwaa no asiesie, anaasɛ ebia ɛrentumi nyɛ yiye sɛ wobɛsa tebea a ɛde ba no tẽẽ. Sɛ saa a, ebia wo dwensɔtwaa no behia ayaresa pɔtee bi.

Ebia ayaresa no bi ne:

• Opiate antidiarrheals: Eyinom ma wo dwonku no dwumadi brɛ ase na ɛma wotumi twetwe no yɛ kɛse. Mpɛn pii no, Loperamide ne nea edi kan a wɔpaw. Ɛnyɛ nea ɛma obi yɛ ade tra so na wobetumi anya bi a wɔmfa nnuru nhyɛ mu (OTC).
• Wɔkyerɛw nnuru a wɔde kyekyere bile acid ma wɔn a wɔwɔ bile acid akisikuru.
• Clonidine a wɔde sa akisikuru a asikreyare de ba.
• Eluxadoline a wɔde sa akisikuru a IBS (dwensɔtwaa a ɛyɛ abufuw) de ba.
• Nnuru a ekum ɔyare mmoawa anaa nnuru a ekum ɔyare mmoawa.
• Fiber a wɔde ma te sɛ psyllium betumi aboa ma nsu a ɛwɔ nsu mu no ayɛ den na ama nsu a ɛkɔ mu no ayɛ brɛoo.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa?

Ɛnyɛ adwene bɔne da sɛ wobɛkɔ oduruyɛfo nkyɛn sɛ wowɔ akisikuru a ɛkɔ so daa a. Sɛ wunsusuw sɛ wubetumi asiesie denam biribi a wubetwa afi w’aduan mu so a, ɛda adi sɛ wubehia ayaresa. Sɛ ɛkɔ so bere tenten a, asiane kɛse wom sɛ wubenya nsɛnnennen afoforo, a ebia ebehia sɛ wɔsa wo yare nso. Sɛ wowɔ sɛnkyerɛnne afoforo te sɛ eyinom a, kɔ ayaresabea ntɛm ara:

• Huraeɛ
• Yeaw
• Mogya a ɛwɔ nsu mu
• Mu duru a wɔtew so a wɔanhyɛ da
• Paleness a ɛyɛ mmerɛw
• Mmerewa anaa ɔbrɛ a ɛboro so

Awiei koraa no, ɛsɛ sɛ meka sɛ...

Ɛwom sɛ dwensɔtwaa abu so de, nanso ɛtaa kɔ ntɛm a wonnya ayaresa. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wɔne oduruyɛfo susuw akisikuru a ɛkɔ so ɔsram biako anaa nea ɛboro saa ho. Ɛtɔ mmere bi a, nea ɛde ba no betumi ayɛ biribi a ɛnyɛ den na ɛnyɛ den sɛ wobesiesie. Wɔ tebea afoforo mu no, ebia wubehu sɛ wowɔ aduruyɛ mu tebea bi a ɛda adi a ɛhwehwɛ sɛ wɔsa wo yare a emu yɛ den. Nanso, mmu w’ani ngu saa sɛnkyerɛnne yi so. Wo duruyɛfo betumi aboa wo.

` Atiridiinini, Atiridiinini a Ɛkɔ So, Atiridiinini, Nnuan a Wɔyam, Nkwammoaa mu Nyarewa, Akwahosan, Atiridiinini a Enni Sabea