So wowɔ ɔfe a ɛwɔ wo dwensɔtwaa mu? Momma yɛnka akisikuru ho asɛm!

So wotaa yɛ wo yafunu mu yaw, wo ho yɛ wo hyew, anaa wo dwensɔtwaa a emu yɛ den? Ebia woahyɛ no nsow sɛ ɛtɔ mmere bi a nneɛma a ɛte sɛ nsõ anaa mogya kakra mpo wɔ wo nsu mu. Bere a ebia wubesusuw sɛ eyinom yɛ yafunu mu yaw ara kwa no, ebetumi ayɛ tebea bi a wɔfrɛ no yafunu mu yare ho sɛnkyerɛnne . Enti momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛnte saa?

Dɛn ne akisikuru? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, akisikuru yɛ wo dwensɔtwaa , wo dwensɔtwaa kɛse no fã titiriw no a ɛyɛ hyew . Susuw ho hwɛ, akyi berɛmo yɛ aduan a yedi no fã a etwa to a ɛfa yɛn nipadua mu. Enti, sɛ wowɔ ɔfe wɔ wo dwonku mu, a ɛkyerɛ sɛ wo hohoro, wo ho yɛ kɔkɔɔ, anaa wote ɛyaw a, saa aduan akwantu no fã a etwa to no yɛ basaa kakra. Ɛno na wo yafunu mu yɛ wo yaw, wo dwensɔ, na ɛtɔ mmere bi a mogya kɔ wo nsu mu. Ɔfe yɛ sɛnea yɛn nipadua yɛ n’ade wɔ opira anaa ɔyare mmoawa bi a ɛwɔ yɛn nipadua mu ho ankasa.

So akisikuru yɛ yare a emu yɛ den?

Akisikuru ahorow wɔ hɔ, na ɛsono nea ɛde ba nso. Sɛ nhwɛso no, wɔn mu binom, akisikuru a ɛba bere a wowɔ ɔyare mmoawa te sɛ aduan mu awuduru, wo ho tɔ wo wɔ nna kakraa bi mu, na ɛnyɛ den sɛ wobɛsa. Nanso, akisikuru a enni sabea nso wɔ hɔ, a ɛkyerɛ sɛ ɛkɔ so na ɛyɛ den sɛ wɔbɛsa. Yɛfrɛ eyinom (Inflammatory Bowel Diseases - IBD) . Sɛ wɔansa na wɔakɔ so a, akisikuru bɛyɛ nea emu yɛ den kakra. Sɛ ɛba saa a, ebetumi asɛe wo dwensɔtwaa kɛse bere a bere kɔ so no. Ebetumi anya wo da biara da asetra so nkɛntɛnso kɛse nso.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya akisikuru?

Eyinom ne sɛnkyerɛnne ahorow a nnipa pii taa hu:

• Yafunu mu yaw
• Yafunu a ɛho ayɛ kurukuruwa
• Atiridiinini a egye ntɛmpɛ (akisikuru a ɛba mpofirim a wontumi nsa) .
• Nsu anaa mogya a ɛwɔ wo poop mu
• Aduan ho akɔnnɔ a ɛyera
• Mu duru a ɛso tew

Wɔ nsɛm a emu yɛ den mu no, wobetumi ahu nea edidi so yi nso:

• Akisikuru ne ɔfe
• Huraeɛ

Wɔ nsɛm a enni sabea mu no, sɛnkyerɛnne ahorow a edidi so yi nso betumi aba:

• Ɔbrɛ/ɔbrɛ a ɛboro so
• Anemia (mogya a enni nipadua mu) .
• Nsu a ɛho ntew (nsu a wɔde sie) .
• Nnuan a wɔmfa nni dwuma yiye ne aduan pa a wonnya nni

Ɔkwan bɛn so na obi nya akisikuru?

Akisikuru ahorow pii wɔ hɔ, na ɛsono nea ɛde ba biara. Momma yɛnhwɛ nea wɔyɛ.

1. Colitis a Ɛde Nyarewa Ba

Eyi fi ɔyare mmoawa, mmoawa a wɔsɛe nnɔbae, anaa mmoawa a wɔde nyarewa ba. Sɛ nhwɛso no , mmoawa a wɔfrɛ wɔn Salmonella ne E. coli na ɛde ba titiriw. Mpɛn pii no, aduan anaa nsu a ɛho agu fĩ a efĩ wom a wodi na ɛde ba. Mpɛn pii no, ɛyɛ bere tiaa mu de na ɛyɛ yiye wɔ nna kakraa bi mu. Nanso, nyarewa binom hia nnuru a ekum ɔyare mmoawa . Fa no sɛ woakɔ akwantu bi mu na wo yafunu ayɛ wo yaw.

2. Pseudomembranous Colitis a ɛma obi nya akisikuru

Mmoawa bi a wɔfrɛ no (C. diff) anaa (Clostridioides difficile) titiriw na ɛde saa akisikuru yi ba . Nea ɛyɛ nwonwa no, ɛtaa ba bere a wɔde nnuru a ekum ɔyare mmoawa adi dwuma awie no. (C. diff) mmoawa taa wɔ yɛn dwensɔtwaa mu, nanso nnuru bi a ekum ɔyare mmoawa kunkum mmoawa pa afoforo a ɛboa ma wɔtra ase no. (C. diff) mmoawa afei dɔɔso ntɛmntɛm na wɔde tebea yi ba.

3. Akisikuru a ɛma obi ho yɛ no hyew

Eyi te saa titiriw wɔ nkokoaa a wɔma wɔn nufu fam . Eyi fi aduan a wontumi nnyina ano. Mpɛn pii no, nantwi nufusu (a wɔfrɛ no lactose intolerance ) anaa soya nufusu (a wɔfrɛ no soya allergy) na ɛde saa akisikuru yi ba. Protein ahorow bi a ɛwɔ nnuan a ɛnanom a wɔma wɔn nufu di mu no fa nufusu mu kɔ akokoaa no nkyɛn, na ɛde tebea yi ba.

4. Ischemic Colitis a ɛma obi ho yɛ hyew

Eyi yɛ tebea bi a wɔfrɛ no intestinal ischemic syndrome mu nsunsuanso bɔne . Eyi ne bere a wo dwensɔtwaa nnya mogya a ɛdɔɔso . Saa ischemia , anaa mogya a ɛso tew yi fi wo mogya ntini a esiw mu. Sɛ nhwɛso no, ebetumi afi mogya a ɛtwetwe , ntini a ɛtwetwe (mogya ntini a ɛbɔ), anaa atherosclerosis (srade a ɛboaboa ano wɔ wo ntini no afasu so, na ɛma ɛyɛ teateaa/yɛ den) na ɛde aba.

5. Nyarewa a Ɛma Ɔyare a Ɛma Ɔyare (IBD) .

Eyi yɛ nyarewa kuw bi a ɛma wo dwonku mu hyew bere tenten. Nea ɛka ho ne tebea horow te sɛ ulcerative colitis , microscopic colitis, ne Crohn yare . Ɛyɛ den sɛ wobɛkyerɛ ade biako pɛ a ɛde ba. Nnuruyɛfo gye di sɛ eyinom yɛ nyarewa a nipadua no tumi ko tia nyarewa . Ɛno kyerɛ sɛ wo nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ w’ankasa nipadua no ankasa ntini ahorow so. Wosusuw sɛ nyarewa yi wɔ awosu ne nneɛma a atwa yɛn ho ahyia nyinaa .

6. Radiation Colitis a ɛma obi ho yɛ hyew

Mframa a wɔde sa kokoram ahorow biEyi betumi aba sɛ nea efi... Mpɛn pii no eyi yɛ bere tiaa mu de, nanso ebia nnipa binom benya yare no ho sɛnkyerɛnne a ɛkɔ so.

7. Diversion Colitis a ɛma obi dannan ne ho

Eyi yɛ ɔhaw bɔne a ebetumi aba nnipa a wɔayɛ wɔn colostomy (oprehyɛn a woyi dwensɔtwaa kɛse no fã bi na wɔyɛ kotoku bi a wɔde kura nsu mu) so. Ɛba wɔ dwensɔtwaa kɛse no fã a wɔmfa nni dwuma bio no mu. Nnuruyɛfo susuw sɛ esiane sɛ nsu ntumi mfa saa fã no mu nti, ɛnnya aduannuru a ehia na ama ntini no akɔ so ayɛ yiye no bi. Nanso, eyi de sɛnkyerɛnne ahorow ba nnipa kakraa bi pɛ mu.

Dɛn ne nsɛnnennen a ebetumi afi akisikuru mu aba?

Nsɛnnennen taa ba esiane akisikuru a emu yɛ den, ɛtra hɔ kyɛ, a enni sabea nti. Ebi ne:

• Tokuru: Wo dwensɔtwaa afasu yɛ mmerɛw esiane ɔfe a ɛkɔ so nti, na ɛma ɛyɛ mmerɛw sɛ ɛbɛpaapae. Akuru a ɛwɔ wo dwensɔtwaa mu no betumi apaapae koraa mpo. Sɛ eyi ba a, mmoawa a wofi wo yafunu mu betumi akɔ wo yafunu mu na ama woanya ɔyare mmoawa ( peritonitis ). Ɛnyɛ ɛno nko, na mmom mmoawa no nso betumi akɔ wo mogya mu na ama woanya mogya mu awuduru ( septicemia ). Eyi yɛ asiane kɛse, efisɛ septicemia betumi ama obi anya tebea bi a ɛde ne nkwa to asiane mu a wɔfrɛ no sepsis .
• Toxic Megacolon: Severe inflammation can cause the walls of the large intestine to dilate, disrupting normal muscle contractions (peristalsis, the regular movement that pushes food through the intestines). Eyi betumi ama aduan ne mframa akɔhyɛ dwensɔtwaa kɛse no mu, na ama dwensɔtwaa kɛse no asiw . Eyi betumi ama yafunu no mu atrɛw kɛse na ayɛ yaw, na ebetumi ama asiane a ɛwɔ hɔ sɛ dwensɔtwaa mu bɛtow no ayɛ kɛse.
• Asiane a ɛkɔ soro sɛ obi benya kokoram wɔ akyi berɛmo mu: Ɔfe a ɛtra hɔ kyɛ no ma nkwammoaa mu nsakrae ba akyi berɛmo no afasu mu, na ɛtɔ mmere bi a ebetumi adan kokoram nkwammoaa. Asiane yi kɔ soro ntɛmntɛm wɔ mfe du a edi kan a obi anya akisikuru a enni sabea akyi.
• Asiane a ɛkɔ soro sɛ wobenya nyarewa afoforo a ɛma obi ho hyehye no: Nnipa a wɔwɔ dwensɔtwaa mu yare (IBD) no taa nya nyarewa a ɛma obi ho hyehye no wɔ nipadua no afã afoforo. Sɛ nhwɛso no, nnompe mu yare (nkwaa mu ɔfe) ne primary sclerosing cholangitis (mmebo ne mogya ntini a ɛyɛ hyew). Ɛte sɛ nea ɔfe a wontumi nni so wɔ beae biako betumi de ɔhaw a ɛte saa ara aba mmeae afoforo.

Ɔkwan bɛn so na wohu sɛ obi anya akisikuru?

Wo duruyɛfo bedi kan abisa wo wo yare no ho sɛnkyerɛnne, bere a efii ase, nea wudii ne nea wonom saa bere no, ne nnuru biara a worenom mprempren ne ayaresa tebea biara a wɔasa wo nnansa yi. Afei wɔbɛyɛ nipadua mu nhwehwɛmu na wɔahyɛ sɛ wɔnyɛ sɔhwɛ ahorow. Ebia eyinom bi ne mogya mu nhwehwɛmu, nsu mu nhwehwɛmu , ne mfoniniyɛ mu nhwehwɛmu (te sɛ scan) de hwɛ wo dwonku.

Titiriw no, endoscopic nhwehwɛmu (e.g., colonoscopy , flexible sigmoidoscopy ) a wɔde mfoninitwa afiri di dwuma de hwɛ akyi berɛmo no mu no betumi aboa kɛse ma woahu akisikuru ko a wowɔ. Wɔ nhwehwɛmu ahorow yi mu no, nnuruyɛfo betumi afa ntini ketewaa bi afi akyi berɛmo no mu. Wɔfrɛ eyi biopsy . Wobetumi ahwehwɛ saa ntini ahorow yi mu wɔ aduruyɛdan mu de asua nsɛm a ɛho hia pii.

Ɔkwan bɛn so na wɔsa akisikuru?

Akisikuru a wɔde sa yare no gyina nea ɛde ba ne nea ɛde ba so. Ebia eyi bi ne:

• Nnuru: Ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ nnuru a ekum ɔyare mmoawa a wɔde sa ɔyare mmoawa, corticosteroids a wɔde bɛtew ɔfe so, nnuru a ɛsakra nipadua no mu tumi a ɛko tia nyarewa a ɛma wo nipadua no tumi ko tia nyarewa no, ne aminosalicylates a wɔde sa IBD.
• Aduane: Sɛ wowɔ bere tiaa mu akisikuru a ɛba mpofirim a, ebia aduan a ahoɔdennuru kakraa bi nnim , a ɛnyɛ den sɛ wobɛyam no bɛfata. Sɛ wowɔ akisikuru a enni sabea a, wubehia aduan ho nhyehyɛe a wɔayɛ ama wo. Ebia ɛho behia sɛ wuyi nnuan a ɛma wo dwensɔtwaa mu yare no yɛ kɛse fi hɔ na wode nnuan afoforo anaa nnuru a wɔde ka ho ka ho na ama woahwɛ ahu sɛ worenya aduannuru a wuhia.
• Oprehyɛn: Ebia nnipa a wɔwɔ akisikuru ahorow bi te sɛ necrotizing enterocolitis , ischemic colitis, ne inflammatory bowel disease (IBD) no behia oprehyɛn de asa nsɛnnennen. Ɛnyɛ bere nyinaa na oprehyɛn sa tebea horow yi koraa, nanso ebia ɛho behia sɛ wogyae mogya a ɛretu no, wosiesie tokuru bi, anaasɛ woyi biribi a asiw no fi hɔ.

So akisikuru no ho yɛ den?

Mpɛn pii no, akisikuru a emu yɛ den a ɔyare mmoawa a obi anya bere tiaa bi, aduan a ontumi nnyina ano, anaa mframa a ɛbɔ mu ba no ankasa gyae. Ebia nyarewa bi, titiriw nyarewa a efi mmoawa a wɔsɛe nnɔbae mu no behia ayaresa. Nyarewa dodow no ara gyae wɔ dapɛn biako mu, nanso radiation colitis betumi agye asram pii ansa na agyae. Allergic colitis gyae bere a wo ba no nni allergen no koraa no.

Colitis a ɛba sɛ tebea bi a enni sabea ho mmuae a egye ntɛmpɛ no hwehwɛ sɛ wɔsa no yare. Wobetumi asa ischemic colitis a dwensɔtwaa mu ischemic syndrome de ba no denam mogya a wɔbɛsan de akɔ akyi berɛmo no mu nkutoo so. Diversion colitis a ɛwɔ nnipa a wɔayɛ wɔn colostomy mu no, wobetumi asa denam colostomy a wobeyi afi hɔ na wɔasan de akyi berɛmo no adi dwuma koraa (wɔfrɛ eyi anastomosis oprehyɛn - kyerɛ sɛ, wɔsan de akyi berɛmo no afã horow bom). Ebia nnipa binom rentumi nyɛ ano aduru yi.

Akisikuru a enni sabea a dwensɔtwaa mu yare a ɛma obi ho hyehye no (IBD) de ba no yɛ tebea a ɛkɔ so wɔ ne nkwa nna nyinaa mu. Ɛnkɔ koraa, nanso ebia worennya yare no ho sɛnkyerɛnne kakra. Wɔfrɛ eyi sɛ bɔne fafiri . Nea wɔde wɔn adwene si so wɔ IBD ayaresa mu ne sɛ ɛbɛtew wo sɛnkyerɛnne ahorow so na ama saa yare yi akyɛ yi akyɛ sɛnea ɛbɛyɛ yiye biara. Eyi te saa sɛ yare foforo a wontumi nsa na ɛde wo colitis no ba a. Wɔ tebea horow bi mu no, wobetumi de oprehyɛn ayɛ no yare.

Aduan bɛn na ɛboa bere a wo ne akisikuru te ase no?

Ebia wo duruyɛfo bɛkyerɛ wo nnuan yi mu biako anaa nea ɛboro saa, a egyina akisikuru ko a wowɔ so:

• Aduan a nkae nnim: Ɛnyɛ den sɛ wobɛyam saa aduan yi, titiriw bere a wo yare no ho sɛnkyerɛnne no mu yɛ den mpofirim anaasɛ emu yɛ den no. Ɛma fiber ne srade ano hye na ɛtwe adwene si nnuan a ɛnyɛ dɛ na wɔanoa no yiye so. Sɛ wowɔ bere tiaa mu ɔyare mmoawa anaasɛ radiation colitis a, ebia wo duruyɛfo bɛkyerɛ sɛ wunni aduan a nkae kakraa bi na ɛwom .
• Aduan a ɛko tia ɔyare mmoawa: Sɛnea ɛbɛyɛ a ɔfe a enni sabea no bɛkɔ fam no, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ kwati nnuan a ɛma ɔfe no yɛ kɛse, titiriw nnuan a ɛyɛ ntɛm na wɔayɛ a asikre ne srade pii wom. Mmom no, wobetumi atu wo fo sɛ di srade a ahoɔden wom pii (sɛ nhwɛso no, ngodua ngo , avocado , nnuaba , mpataa a srade wom ) a ɛtew ɔfe so. Mediterranea aduan yɛ aduan a efi awosu mu ma ɔfe so tew.
• Aduan a wɔde yi fi hɔ: Sɛ wowɔ Inflammatory Bowel Disease (IBD) a, wo duruyɛfo bɛtaa akyerɛ sɛ fa aduan a wɔde yi fi hɔ na ama woahu nnuan a ɛde wo sɛnkyerɛnne ahorow no reba. Wɔ saa kwan yi so no, wugyae nnuan bi a wudi koraa bere tiaa bi, afei wode nkakrankakra san de ba mmiako mmiako na woahu sɛnea wo dwensɔtwaa yɛ n’ade. Bere tiaa mu aduan a wɔde yi fi hɔ yi akyi no, wubetumi de nea woasua no ayɛ aduan a wode siesie wo ho bere tenten a ɛyɛ adwuma ma wo.

Ɛhia:Ɛwom sɛ wonnim nea ɛde akisikuru a enni sabea ba ankasa de, nanso tebea no reyɛ kɛse wɔ Atɔe Fam aman mu. Bere a yennim nea enti ankasa no, nnuruyɛfo susuw sɛ ebia nnɛyi Atɔe Famfo aduan no ka ho. Saa aduan yi a nnuan a wɔayɛ ne srade a ɛyɛ dɛ pii wom a ɛma ɔfe no yɛ kɛse no betumi ama ɔfe a enni sabea a ɛba fam wɔ dwensɔtwaa no mu aba. Sɛ wode nnuan a ɛyɛ pɛ ne srade a ɛnyɛ den ka w’aduan ho a ɛtew ɔfe so a, ebetumi aboa ma woabɔ wo dwensɔtwaa ho ban.

Ade a ɛho hia sen biara a ɛsɛ sɛ wokae (Take-Home Message) .

Colitis nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛho hia sɛ wohu. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ yafunu mu yaw a ɛkɔ so, akisikuru, anaa mogya a ɛwɔ wo nsu mu a, akyinnye biara nni ho sɛ ɛsɛ sɛ wohwehwɛ aduruyɛfo afotu . Sɛ wohu yare no ntɛm na wɔsa no yiye a, ebetumi aboa ma wɔasiw nsɛnnennen pii a ɛba wɔ akisikuru mu no ano. Afei nso, aduan a ɛkari pɛ a ahoɔden wom ne asetra a ahoɔden wom a wobɛkɔ so akura mu no betumi aboa kɛse ma woabɔ wo ho ban afi tebea horow yi ho. Ɛnyɛ wo nkutoo na wowɔ hɔ, na nnipa pii wɔ hɔ a ɛsɛ sɛ wo ne wɔn bɛkasa na woanya mmoa afi wɔn hɔ.

` Colitis, ɔfe a ɛwɔ akyi berɛmo mu, atiridiinini, yafunu mu yaw, IBD, aduan mu nhyehyɛe, akwahosan