So wotaa nya akisikuru? Anaasɛ wotaa hu amane wɔ nneɛma te sɛ akisikuru, yafunu mu yaw, ne akisikuru? Ɛnnɛ yɛrebɛka akwaa bi a ɛho hia paa wɔ yɛn nipadua mu a ebetumi de ne ho ahyɛ ɔhaw ahorow yi pii mu ho asɛm. Ɛno ne yɛn dwensɔtwaa kɛse, anaa ɔfã a yɛfrɛ no akyi berɛmo no. Eyi te sɛ yɛn nipadua no nwura ho nhyehyɛe no ti.
Dɛn ne dwensɔtwaa kɛse no? Dwumadi bɛn na ɛyɛ?
Sɛ yɛbɛka no tiawa a, dwensɔtwaa kɛse no ne wo aduan mu nneɛma a etwa to. Sɛ aduan a yedi no yam wɔ dwensɔtwaa ketewa no mu na aduannuru no kɔ nipadua no mu wie a, nsu a aka no kowie dwensɔtwaa kɛse no mu.
Enti adwuma titiriw a dwensɔtwaa kɛse no yɛ ne sɛ ɛbɛtwe nsu ne nkyene a efi nwura a ɛyɛ nsu yi mu asan akɔ nipadua no mu , na ama nea aka no adan nsu a ɛyɛ den. Ɛte sɛ nea worefa nsu a wɔde gu nwura a aka afi adwumayɛbea bi mu, ayi nsu a ɛwɔ mu no afi mu, na woayɛ nsu a ɛyɛ den. Afei dwensɔtwaa kɛse no kyerɛ adeyɛ no kwan kosi baabi a ɛbɛma nsu a wɔawie no afi nipadua no mu.
Ɛhe na eyi wɔ nipadua no so? Ɛsõ dɛn?
Dwonku kɛse no wɔ yɛn yafunu (yafunu) mu te sɛ ahama a ɛtwa dwensɔtwaa ketewa no ho hyia. Efi ase wɔ yɛn nifa so, wɔ yɛn asen dompe so pɛɛ, kɔ soro, dan kɔ benkum, yɛn mpampam nifa, fa yɛn yafunu mu, na ɛba fam wɔ yɛn benkum so.
Ɛware sen sɛnea wususuw. Mpɛn pii no ne tenten bɛyɛ anammɔn 6 (mita 1.8) . Ɛno bɛyɛ sɛ obi tenten te sɛ ɔha biara mu, ɛnte saa? Na ne kɛse bɛyɛ nsateakwaa 3.
Dɛn ne dwensɔtwaa kɛse no afã atitiriw?
Wɔakyekyɛ dwensɔtwaa kɛse no mu ayɛ no afã atitiriw abiɛsa: akyi berɛmo, akyi berɛmo, ne akyi berɛmo. Nanso, wɔakyekyɛ dwensɔtwaa kɛse no mu bio ayɛ no afã nketewa anum. Ma yɛnhwɛ nea ɛkɔ so wɔ afã horow yi mu biara mu ntɛm.
| Ɔfa | Dwumadie |
|---|---|
| 1. Ntini a ɛwɔ akyi | |
| Cecum na ɔkyerɛwee | Eyi ne dwensɔtwaa kɛse no mfiase. Nsu a ɛyɛ nwura a efi dwensɔtwaa ketewa no mu no di kan boaboa ano wɔ ha. Nkekaho a yɛn nyinaa nim no nso abata ɔfã yi ho. |
| Colon a ɛforo kɔ soro | Saa ɔfã yi kɔ soro fi nifa so. Ɛha yi, efi ase twetwe nsu ne anyinam ahoɔden a efi nwura no mu. Afei ɛpia nwura no kɔ soro na ɛkɔ nkyɛn. |
| Transverse Colon | Eyi ne dwensɔtwaa kɛse no fã a ɛware sen biara. Etu mmirika fi nifa kɔ benkum fa yafunu no mu. Ɛte sɛ bridge a ɛde nwura kɔ ɔfã a edi hɔ no. |
| Colon a ɛsiane | Eyi kɔ fam wɔ benkum so. Ɛha nso, nsu kɔ so twetwe na wɔdan nneɛma a wɔsɛe no ma ɛbɛyɛ nsu a ɛyɛ den. |
| Sigmoid Colon a ɛwɔ akyi | Ɛnya ne din fi ne ‘S’ nsusuwii mu. Eyi ne dwensɔtwaa kɛse no fã a etwa to. Ɛha yi, nsu a ɛyɛ den koraa na ɛbɛyɛ nea yɛtaa hu no. |
| 2. Akyi berɛmo | |
| Rectum a ɛwɔ akyi berɛmo mu | Eyi ne baabi a wɔde nsukorade sie bere tiaa bi ansa na afi nipadua no mu. Ɛyɛ bere a nsukorade du ha na yɛte ɔpɛ a ɛne sɛ "yɛbɛkɔ tiafi." |
| 3. Anus a ɛwɔ akyi | |
| Anus a ɛwɔ akyi | Eyi ne ɔkwan a etwa to a wɔfa so fi nipadua no mu a nsu fa mu fi mu. Ntini (sphinctres) nkaa abien na ɛwɔ ha. Baako bue a yentumi nni so, na biako nso yetumi di so. Ɛno nti na yebetumi akɔ tiafi bere biara. |
Dɛn ne nyarewa ne tebea horow a ɛtaa ba a ɛka dwensɔtwaa kɛse no?
Nyarewa ne akwahosan tebea ahorow betumi aka yɛn dwensɔtwaa no. Ebi abu so kɛse, bere a afoforo nso yɛ aniberesɛm kakra. Wɔn mu kakraa bi ni:
- Akisikuru: Ɛyɛ den sɛ wobɛfa nsu mu anaasɛ worenfa nsu mu nna pii.
- Atiridiinini: Nsu a ɛtaa ba a nsu wom.
- Hemorrhoids: Mogya ntini a atwa akyi berɛmo no ho ahyia no hohoro.
- Anal fissures: Mpaapae a ɛba honam ani a atwa akyi berɛmo no ho ahyia no mu.
- Kokoram a ɛwɔ akyi berɛmo mu ne akyi berɛmo mu polyps: Eyinom yɛ tebea horow a emu yɛ den.
- Irritable Bowel Syndrome (IBS): Yafunu mu yaw, ɔfe, akisikuru, ne akisikuru a ɛsesa.
- Ɔyare a Ɛma Ɔhaw (IBD): Tebea horow te sɛ Crohn yare ne akisikuru a ɛma obi ho yɛ hyew .
- Nsu a wontumi nni so (Fecal incontinence).
Dɛn ne sɛnkyerɛnne ahorow a ebetumi akyerɛ sɛ obi wɔ akyi berɛmo mu haw?
Wo nipadua no rema wo nsɛnkyerɛnne bere nyinaa. Sɛ ɔhaw bi wɔ wo dwensɔtwaa mu a, ebia wubenya yare no ho sɛnkyerɛnne te sɛ eyinom. Sɛ woanya saa sɛnkyerɛnne ahorow yi biako anaa nea ɛboro saa bere tenten a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn .
| Nsɛnkyerɛnne a ɛkyerɛ | Asɛm a Ɛsɛ sɛ Wosusuw Ho |
|---|---|
| Nsakrae a ɛba tiafi ho su mu | So worehyia ɔhaw wɔ aguaree a wokɔ te sɛ kan no? So wuntumi nkɔ nna pii (akisikuru)? Anaasɛ wotaa kɔ wo dwensɔtwaa mu (akisikuru)? |
| Nsakrae a ɛba nsu mu | So mogya wɔ nsu mu? So kɔla no asesa (tuntum, ɛyɛ mmerɛw)? So sɛnea ɛte no asesa (ɛyɛ teateaa yiye)? Eyinom betumi ayɛ nsɛnkyerɛnne a ɛho hia. |
| Yafunu mu yaw, yafunu a ɛyɛ den, ne yafunu a ɛyɛ mmerɛw | So wotaa te nka sɛ wo ho nyɛ wo dɛ, ɛyɛ wo yaw, anaasɛ wo yafunu mu ayɛ wo yaw? Eyinom betumi afi aduan mu haw ahorow bi. |
| Ɔbrɛ a ɛboro so a ntease biara nnim | Ɛwom sɛ nneɛma pii wɔ hɔ a ɛde ɔbrɛ a ɛboro so ba de, nanso tebea yi nso betumi afi dwensɔtwaa mu haw ahorow, titiriw ɔhaw ahorow a ɛfa aduannuru a wɔtwe ho. |
Aduruyɛ mu nhwehwɛmu a ɛhwɛ sɛnea akyi berɛmo no te
Sɛ wowɔ atifi hɔ sɛnkyerɛnne ahorow no anaasɛ ɛsɛ sɛ wogyina mfe a woadi so hwehwɛ kokoram mu a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔnyɛ nhwehwɛmu yi bi.
- Colonoscopy: Nsuo a ɛyɛ tratraa a wɔde mfoninitwa afiri fa akyi berɛmo no mu de hwehwɛ dwensɔtwaa kɛseɛ no nyinaa mu.
- Flexible sigmoidoscopy: Wɔhwehwɛ dwensɔtwaa kɛse no fã a etwa to nkutoo mu.
- Nsu mu nhwehwɛmu: Sɛnea ɛbɛyɛ a wobehu mogya a ahintaw anaa ɔyare mmoawa wɔ nsu mu.
- Barium enema: X-ray nhwehwɛmu a wɔde nsu titiriw bi hyɛ akyi berɛmo mu.
- Endoscopic ultrasound a wɔde hwɛ nipadua no mu.
Ɛho hia yiye sɛ wo ne wo duruyɛfo susuw nhwehwɛmu ahorow yi mu nea ɛfata wo kɛse ne bere a ɛsɛ sɛ wɔyɛ no ho.
Mɛyɛ dɛn atumi ama me dwensɔtwaa no anya apɔwmuden?
Nea eye ne sɛ, nsakrae nketenkete a yɛbɛyɛ wɔ yɛn asetra kwan ne yɛn adidi mu no betumi aboa ma yɛakura yɛn akyi berɛmo mu akwahosan pa mu.1. Di nnuan a ahoɔdennuru wom pii: Fiber te sɛ mpopaho wɔ yɛn dwensɔtwaa mu. Ɛkanyan ntini ahorow a ɛwɔ dwensɔtwaa no mu no dwumadi na ɛboa ma nsu a ɛyɛ mmerɛw sɛ ɛbɛfa mu. Fa nneɛma te sɛ nhabannuru, nhabannuru, nnuaba, ne aburow a wɔayam (aburow a ɛyɛ bruu, atta esiam) ka w’aduan ho.
2. Paw srade pa: Srade a ɛyɛ dɛ a wodi dodo, a ɛwɔ nam kɔkɔɔ (nantwinam, mprako nam) mu no betumi ne akyi berɛmo mu nyarewa ahorow abata ho. Mmom no, paw mpataa a srade wom (salmon, mackerel), avocado, ne ngodua ngo.Srade a enni ahoɔden te sɛ omega-3 boa ma mmoawa a mfaso wɔ so nyin wɔ dwensɔtwaa no mu.
3. Nom nsu pii: Yɛn dwensɔtwaa hia nsu pii na ama yɛatumi ayɛ n’adwuma yiye. Nsu ho hia ma ahotew, srade, ne aduannuru a ɛtwetwe. Fa yɛ wo su sɛ anyɛ yiye koraa no wobɛnom nsu lita 2-3 da biara.
4. Nya Kokoram Ho Nhwehwɛmu: Kokoram a ɛwɔ akyi berɛmo mu yɛ yare a sɛ wohu ntɛm a, wobetumi asiw ano koraa anaasɛ wɔasa. Ntwɛn nkosi sɛ yare no ho sɛnkyerɛnne bɛda adi. Ɛsɛ sɛ obiara susuw eyi ho bere a wadi mfe 45-50 akyi . Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa nhwehwɛmu a ɛfata wo ne bere a ɛsɛ sɛ wufi ase ho.
Nsakrae a ɛba wo dwensɔtwaa mu ne yafunu a ɛnyɛ dɛ no betumi ayɛ ɔkwan a wo dwensɔtwaa no fa so ne wo kasa. Enti mmu w’ani ngu wɔn so. Asetra mu nsakrae a ɛnyɛ den betumi aboa ma wo dwensɔtwaa no akɔ so ayɛ yiye, na sɛ wowɔ nsɛm bi a ɛhaw wo a, sɛ wokɔ ayaresabea ntɛm a, ebetumi aboa ma woasiw tebea horow a emu yɛ den kɛse ano.
Nkrasɛm a Wɔde Kɔ Fie
- Wo dwensɔtwaa kɛse no yɛ ade a etwa to ne nea ɛho hia sen biara wɔ aduan mu: ɛtwe nsu fi nwura mu na ɛyɛ nsu a ɛyɛ den.
- Mmu w’ani ngu akisikuru, akisikuru, akisikuru, anaa nsakrae a ɛba bere tenten wɔ tiafi mu no so da.
- Nnuan a fiber wom (atoko, nhabannuru, nnuaba), srade pa, ne nsu pii a wobɛnom da biara da ho hia yiye ma wo dwensɔtwaa akwahosan.
- Wo ne wo duruyɛfo nkasa mfa nhwehwɛmu a wɔde hwehwɛ kokoram a ɛwɔ akyi berɛmo mu a ɛfata wo mfe ho. Ebetumi aboa ma woagye wo nkwa.
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