So wo nso worehyia ɔhaw wɔ tiafi a wobɛkɔ mu nnansa yi? Momma yɛnka akisikuru ho asɛm!

Ɛtɔ mmere bi a, ɛsɛ sɛ wode bere pii tra tiafi? So wote nka sɛ wo yafunu ayow? Anaasɛ wote nka sɛ biribi akɔhyɛ wo yafunu mu bere a woakɔ tiafi mpo awie no? Eyi yɛ ɔhaw a nnipa pii wɔ na ɛde ɔhaw bi ba. Nanso biribiara nni hɔ a enti ɛsɛ sɛ yɛn ani wu anaasɛ yesuro sɛ yɛbɛka ho asɛm. Ɛnnɛ, yɛbɛka tebea yi a wɔfrɛ no constipation, anaa `(Constipation)` ho asɛm kɔ akyiri.

Dɛn ne akisikuru?

Sɛ yɛbɛka no tiawa a, sɛ wote nka sɛ ɛsɛ sɛ wokɔ aguaree a ennu mprɛnsa dapɛn biara a, wɔfrɛ no aduruyɛ mu sɛ akisikuru. Nanso, mpɛn dodow a wɔkɔ aguaree no betumi ayɛ soronko wɔ onipa biara ho. Nnipa binom kɔ mpɛn pii da biara, na afoforo nso kɔ pɛnkoro anaa mprenu pɛ dapɛn biara. Ɛmfa ho sɛnea wo su a wotaa yɛ no te biara no, ɛyɛ soronko ma wo, na ɛyɛ ade a ɛfata. Ɔhaw no sɔre bere a wotwe wo ho fi saa nhyehyɛe a ɛyɛ daa no ho no. Ɛmfa ho sɛnea wokɔ tiafi no, ade biako da adi pefee: dodow a wotwɛn bere tenten sɛ wobɛkɔ aguaree no, dodow no ara na ɛyɛ den sɛ wobɛfa nsu mu. Nsɛnkyerɛnne atitiriw pii wɔ hɔ a ebetumi aboa wo ma woahu akisikuru:

• Wo nsuo ayow na ɛyɛ den te sɛ ɔbotan.
• Sɛ merekɔ tiafi a, mete yaw, na ɛyɛ den sɛ mɛtow me ho.
• Bere a makɔ aguaree mpo akyi no, mete nka sɛ me yafunu nnyaa mpan koraa.

Nokwarem no, tebea a wɔfrɛ no akisikuru yi abu so kɛse. Ɛnyɛ wo nko ara, nnipa ɔpepem pii a wɔwɔ wiase nyinaa na ɔhaw yi rehu amane. Enti, ɛho hia sɛ yebu eyi sɛ ɛyɛ ade a ɛfata na yɛyɛ nneɛma a ɛho hia.

Ɔkwan bɛn so na saa akisikuru yi ba?

Ɛyɛ mmerɛw yiye. Akisikuru ba bere a wo dwonku (anaasɛ wo dwensɔtwaa kɛse) twetwe nsu pii fi wo nsu mu no. Eyi ma wo nsu mu yɛ nwunu, ɛyɛ den, na ɛyɛ den sɛ wobɛfa mu. Sɛ yɛbɛkyerɛkyerɛ mu kakra a, bere a aduan a yedi no fa yɛn aduan mu no, yɛn dwensɔtwaa no twetwe aduannuru nkakrankakra. Nneɛma a wɔsɛe no a ɛka fi aduan a wɔayam no mu no ne nea ɛyɛ nsu a ɛyɛ fĩ. Saa nwura yi fi dwensɔtwaa ketewa no mu kɔ dwensɔtwaa kɛse no mu. Dwotwaa kɛse no twe nsu a efi saa nwura yi mu ma ɛyɛ den. Sɛ wo ho ayɛ wo hyew a, w’aduan gye bere tenten ansa na woatumi afa wo aduan mu sen sɛnea ɛsɛ sɛ ɛyɛ. Eyi ma wo dwensɔtwaa kɛse no nya bere pii de twe nsu. Nea afi mu aba? Wo nsu mu yɛ nwunu, ɛyɛ den, na ɛyɛ den sɛ wobɛfa mu.

Dɛn na ɛde akisikuru ba?

Nneɛma pii betumi de akisikuru aba. Nneɛma bi a ɛwɔ yɛn asetra kwan mu, nnuru a yɛnom, ne ayaresa tebea horow bi betumi aka no.

Asetra mu nneɛma

Yɛn da biara da nneyɛe bi betumi ayɛ ade titiriw a ɛde akisikuru ba. Hwɛ sɛ eyinom fa wo nso ho anaa:

• Aduan a ahoɔdennuru nnim a yebedi : Sɛ nnuan a yedi no nni ahoɔdennuru a ɛdɔɔso a, nsu renhyehyɛ yiye na ɛrentwam ntɛm.
• Nsu a wɔnom so tew (nsu a ɛho ntew): Sɛ nipadua no nnya nsu a ɛdɔɔso a, nsu a ɛwɔ nsu mu no yɛ nwunu.
• Apɔw-mu-teɛteɛ a wonnya: Sɛ apɔw-mu-teɛteɛ so tew a, dwensɔtwaa dwumadi nso so tew.
• Nsakrae a ɛba da biara da suban mu: Saa tebea yi betumi aba bere a akwantu, adidi, anom, anaa nna bere sesa no.
• Nneɛma te sɛ nufusu ne kyiisi a wodi dodo: Sɛ nnipa binom di eyinom pii a, wɔn akisikuru .
• Adwennwen : Mma ɛnyɛ wo nwonwa, adwennwen nso ka eyi.
• Bere a ɛsɛ sɛ wokɔ aguaree no a wobɛtwe wo ho: Eyi yɛ mfomso a nnipa pii di. Ɛho hia sɛ woyɛ bere a ɛho hia no.

Nnuru a wɔde di dwuma

Nnuru bi a wonom nso betumi ama woanya akisikuru.

• Nnuru a ano yɛ den bi a wɔde kum ɛyaw , sɛ nhwɛso no nea ɛwɔ `(Codeine)`, `( Oxycodone - te sɛ Oxycontin®)` ne `( Hydromorphone - te sɛ Dilaudid®)`.
• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) , te sɛ Ibuprofen (Advil®, Motrin®) ne Naproxen (Aleve®).
• Nnuru a ekum adwenemhaw , te sɛ `(Fluoxetine - te sɛ Prozac®)` anaa `(Amitriptyline - te sɛ Elavil®)`.
• Wɔkyerɛw nnuru bi a ekum asikre, titiriw nea calcium anaa aluminium wom (te sɛ `Tums®`), ma yafunu mu yare .
• Nnuru a wɔde dade ayɛ.
• Nnuru a ɛko tia histamine , sɛ nhwɛso no `(te sɛ Diphenhydramine - Benadryl®)`.
• Mogya mmoroso nnuru bi , sɛ nhwɛso no `(Calcium channel blockers)` ne `(Beta-blockers)`.
• Nnuru a wɔde sa adwenemyareɛ binom , te sɛ `(Clozapine - Clozaril®)` ne `(Olanzapine - Zyprexa®)`.
• Nnuru a wɔde ko tia akisikuru , sɛ nhwɛso no `(Phenytoin)` ne `(Gabapentin)`.
• Nnuru bi a wɔde sa ɔfe , te sɛ Ondansetron - Zofran®.

Nnuru pii te sɛ eyinom betumi ama obi anya akisikuru. Sɛ wowɔ nsɛmmisa bi fa aduru a worenom anaa tebea yi ho a, bisa wo duruyɛfo anaa nnuruyɛfo.

Ayaresa mu tebea afoforo

Aduruyɛ mu tebea horow bi nso betumi de akisikuru aba.

• Endocrine tebea horow, sɛ nhwɛso no, hypothyroidism, asikreyare, uremia (nwura a ɛboaboa ano wɔ mogya mu esiane asaabo a entumi nyɛ adwuma yiye nti), ne hypercalcemia (calcium dodow a ɛkɔ soro wɔ mogya mu).
• Kokoram a ɛwɔ akyi berɛmo mu.
• Ɔyare a Ɛma Ɛyɛ Abufuw (IBS).
• Diverticulitis (nyarewa a ɛba nkotoku nketewa a ɛwɔ dwensɔtwaa kɛse no mu).
• Ntini a ɛwɔ akyi berɛmo no mu mmerɛwyɛ (outlet dysfunction constipation). Saa ntini ahorow yi boa ma wɔpam nsu.
• Obstructed defecation syndrome (tebea a ɛma wosiw nsu a wɔde gu mu).
• Intestinal pseudo-obstruction (dwensɔtwaa no dwumadi a egyae bere tiaa bi).
• Ntini mu yare , te sɛ akyi berɛmo mu opira, multiple sclerosis, Parkinson yare, ne ɔyare a ɛma obi hwe ase.
• Lazy bowel syndrome (dwensɔtwaa kɛse no mu ntini a ɛyɛ mmerɛw).
• Intestinal a ɛyɛ mmerɛw.
• Nsiesiei mu sintɔ ahorow a ɛwɔ aduan mu nneɛma mu (e.g., `(Fistula)`, `(Colonic atresia)`).
• Akwaa ahorow pii nyarewa , sɛ nhwɛso no `(Amyloidosis)`, `(Lupus)` ne `(Scleroderma)`.
• Nyinsɛn a wɔde di dwuma.

Dɛn ne akisikuru ho sɛnkyerɛnne?

Obi a ɔwɔ akisikuru betumi anya yare no ho sɛnkyerɛnne te sɛ:

• Aguaree a wɔkɔ a ennu mprɛnsa dapɛn biara.
• Nsu no yɛ nwunu, ɛyɛ den, na ɛyɛ kurukuruwa.
• Ɛyɛ den sɛ wobɛpopa na ɛyɛ yaw.
• Ɛte sɛ nea yafunu mu yɛ wo yaw na ɛyɛ mmerɛw.
• Mete nka sɛ me ho ayɛ me yaw, te sɛ nea me yafunu ayɛ ma.
• Bere a makɔ aguaree mpo akyi no, mete nka sɛ me yafunu nnyaa mpan koraa.

Hena na ɛda adi sɛ obenya akisikuru? (Nneɛma a Ɛma Asiane) .

Obiara a wadi mfe biara betumi anya akisikuru bere ne bere mu. Nanso, nnipa binom taa nya saa tebea yi bere nyinaa (`akyidi a enni sabea`). Nneɛma a ɛwɔ eyi so nkɛntɛnso no bi ne:

• Mfe a wɔadi: Mpɛn pii no, nnipa a wɔadi boro mfe 65 no nyɛ adwuma pii te sɛ mmerante ne mmabaa, wɔn nipadua mu nneɛma a ɛsakra nso yɛ brɛoo kakra, na ebia ntini a ɛwɔ aduan mu no ahoɔden a ɛtwetwe no nso so bɛtew.
• Ɔbea a wobɛyɛ, titiriw bere a wonyinsɛn ne awo akyi: Nsakrae a ɛba nipadua mu nkwaadɔm mu no betumi ama obi anya akisikuru. Wɔ nyinsɛn mu no, akokoaa a ɔwɔ awotwaa mu no tumi piapia dwensɔtwaa no na ɔma nsu a ɛkɔ nsu mu no brɛoo.
• Nnuan a ahoɔdennuru pii nnim a wobedi.
• Nnuru bi a wɔde di dwuma.
• Ntini mu nyarewa bi (amemene ne akyi berɛmo mu nyarewa) ne aduan mu nyarewa a ɛwɔ hɔ.

So akisikuru betumi de akwahosan ho haw afoforo aba?

Yiw, sɛ wɔanfa nsu no mu yiye na wɔamfa bere ano a, nsɛnnennen bi betumi aba.

• Ntini a ɛwɔ akyi berɛmo mu a ɛho ahonhon na ɛyɛ hyew (hemorrhoids).
• Anal fissures (mpaapaemu wɔ akyi berɛmo no honam ani) bere a worebɔ mmɔden sɛ wobɛfa nsu a ɛyɛ den mu no.
• Nyarewa a ɛba nsu a ɛwɔ nkotoku nketewa mu (diverticula) a ɛba dwensɔtwaa kɛse no fasu mu (diverticulitis).
• Nsu a ɛboaboa ano kɛse wɔ akyi berɛmo ne akyi berɛmo mu (Fecal impaction).
• Sɛ woyɛ den bere a worekɔ aguaree a , ebetumi asɛe akyi berɛmo mu ntini ahorow. Saa ntini ahorow yi nso boa ma wodi akisikuru no dwumadi so. Sɛ obi twetwe ne ho bere tenten a, ebetumi nso ama nsu a ɛretu afi akisikuru no mu (adwennwen a ɛma obi ntumi nhyɛ nsu mu).

Nea ɛho hia: Mpɛn pii no, akisikuru mma awuduru nkɔ wo nipadua mu na ɛmma woyare. Wo dwonku yɛ ade a etumi kura nwura mu na ɛtrɛw. Nanso, gye sɛ wowɔ tebea a emu yɛ den wɔ akyi berɛmo no mu (te sɛ ``Toxic Megacolon''), awuduru ntumi nkɔ n'afasu mu.

Sɛ wo ne oduruyɛfo kasa fa eyi ho a, dɛn na ɛba?

Sɛ wo ne oduruyɛfo anaa obi foforo biara bɛkasa afa wo tiafi ho su (anaasɛ nea enni hɔ!) ho a, ebetumi ayɛ adwuma a ɛyɛ den. Nanso kae sɛ wo duruyɛfo wɔ hɔ sɛ ɔbɛboa wo. Wɔyɛ nnuruyɛfo a wɔatete wɔn, na wɔne ayarefo abɔ akwahosan ho asɛm biara a wubetumi asusuw ho ho nkɔmmɔ. Oduruyɛfo no bedi kan abisa wo nsɛm afa w’aduruyɛ ho abakɔsɛm, tiafi ho su, asetra kwan, ne da biara da dwumadi ho .

Nsɛmmisa a ɛfa aduruyɛ ho abakɔsɛm ho:

• Nyarewa bɛn na wowɔ mprempren na woanya bere bi a atwam?
• So wo mu duru so atew anaasɛ woayɛ kɛse nnansa yi?
• So wɔadi kan ayɛ wo oprehyɛn bi wɔ aduan mu?
• Nnuru ne nnuru a wɔde ka ho bɛn na wonom na ama wo ho atɔ wo akisikuru anaa nyarewa afoforo?
• So obi wɔ w’abusua mu a wanya akisikuru, aduan mu nyarewa, anaa akyi berɛmo mu kokoram?
• So woayɛ ``(Colonoscopy)''?

Nsɛmmisa a ɛfa tiafi ho:

• Mpɛn ahe na wokɔ tiafi?
• Wo poop no te dɛn? (kɔla, nea ɛkɔ so pɛpɛɛpɛ) .
• So woahu mogya anaa nsensanee kɔkɔɔ wɔ wo nsu mu?
• So woahu mogya wɔ tiafi so nkongua so anaa tiafi krataa so bere a wɔapopa awie no pɛn?

Nsɛmmisa a ɛfa asetra kwan ne suban ho:

• Dɛn na wudi da a wotaa di?
• Nnuaba ne nhabannuru ahe na wudi?
• Nsu dodow ahe na wonom?
• Wo apɔw-mu-teɛteɛ su te dɛn?

Nea ɛka ho no, oduruyɛfo no bɛyɛ nipadua mu nhwehwɛmu. Nea ɛka eyi ho ne sɛ wobɛfa wo hyew, wo koma bɔ, ne wo mogya mmoroso. Ɔde afiri a wɔde tie asɛm betie wo yafunu mu nnyigyei. Ɔde ne nsa bɛka wo yafunu nso ahwɛ sɛ ɛyaw, ɛho wosow, anaa akuru biara wɔ hɔ anaa.

Kae sɛ ebia wo duruyɛfo nso bɛyɛ wo dwensɔtwaa mu nhwehwɛmu. Eyi yɛ sɔhwɛ a wɔyɛ no ntɛm a wobetumi de nsateaa ate nka de ahwɛ sɛ ebia akuru anaa ɔhaw afoforo biara wɔ hɔ anaa.

Nhwehwɛmu bɛn na wɔyɛ de hu nea ɛde akisikuru ba?

Ebia wo duruyɛfo renyɛ nhwehwɛmu biara, anaasɛ ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu ne akwan horow. Eyi begyina wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, w’akwahosan nyinaa, ne nea oduruyɛfo no susuw sɛ ɛde ba no so. Mpɛn pii no, ɛho nhia sɛ wɔyɛ nhwehwɛmu foforo biara na ama wɔahu yare no. Nanso, ebia wo duruyɛfo besi gyinae sɛ ɔbɛyɛ nhwehwɛmu pii a egyina wo sɛnkyerɛnne ahorow so.

• Lab nhwehwɛmu: Mogya ne nsu mu nhwehwɛmu betumi ahu tebea horow te sɛ hypothyroidism, mogya a ɛtɔ kɔ nipadua mu, ne asikreyare. Wobetumi asɔ nsu a wɔde yɛ nsu mu nhwehwɛmu ahwɛ sɛ ebia ɔyare mmoawa, ɔfe, ne kokoram ho sɛnkyerɛnne bi wɔ hɔ anaa.
• Mfoniniyɛ mu nhwehwɛmu: Ebia wo duruyɛfo bɛkra sɛ wɔnyɛ CT scan, MRI scan, anaa yafunu mu ntini a ɛwɔ fam a ɛtoatoa so de hwehwɛ ɔhaw afoforo a ebetumi ama woayɛ akisikuru. Nanso, wɔntaa nhyɛ eyinom.
• Colonoscopy: Oduruyɛfo no betumi ayɛ ``Colonoscopy`` anaa ``Sigmoidoscopy`` - eyi hwehwɛ sɛ ɔde tube a camera (``scope``) wom bɛhyɛ rectum no mu de ahwɛ dwensɔtwaa kɛse no mu. Saa berɛ yi mu no, wɔbɛtumi afa ntini nhwɛsoɔ (``Biopsy``) de ahwɛ sɛ kokoram anaa ɔhaw foforɔ bi wɔ hɔ, na sɛ ɛwɔ hɔ a, wɔbɛtumi ayi polyps biara.
• Colorectal transit nhwehwɛmu: Wɔ nhwehwɛmu ahorow yi mu no, wofa aduru bi a ɛma radioactive kakraa bi, sɛ aduru anaa aduan, na afei wɔhwɛ bere ne ɔkwan a ade no fa so fa wo dwensɔtwaa mu no so.
• Nhwehwɛmu afoforo a wɔyɛ wɔ dwensɔtwaa mu: Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu mfa nhwɛ sɛnea wo dwensɔtwaa ne wo dwensɔtwaa kura nsu mu na ɛpam. Eyinom bi ne X-ray nhwehwɛmu titiriw bi a wɔfrɛ no defecography (a wɔde hwehwɛ sɛ ɔkwan a wɔfa so fi mu no ntumi nyɛ adwuma yiye na ɛyɛ akisikuru), ne sɔhwɛ ahorow a ɛfa sɛ wode balloon ketewaa bi bɛhyɛ w’akyi (balloon expulsion test ne anorectal manometry).

Ɔkwan bɛn so na wobetumi anya ahotɔ afi akisikuru mu?

Wobetumi adi akisikuru a emu nyɛ den kosi nea ɛkɔ fam dodow no ara ho dwuma wɔ fie. Wo ho a wobɛhwɛ no fi ase denam w’adwene a wode besi nea wudi ne nea wonom so na woayɛ nsakrae a ɛho hia no so. Nneɛma a wubetumi ayɛ wɔ fie na ama woanya ahotɔ ntɛm ara:

• Nom nsu nkuruwa abien kosi anan foforo da biara. Kwati anonne a caffeine wom ne nsa a ebetumi ama nipadua no mu nsu ayow. Afei nso, tew nnuaba anonne ne anonne a ɛyɛ dɛ pii so.
• Kwati nam a wɔayɛ no foforo, nnuan a srade wom, ne carbohydrates a wɔayɛ no yiye te sɛ paanoo fitaa, pasta, ne ɛmo. Di nam a ɛnyɛ den te sɛ akokɔ ne nufusu a srade nnim.
• Fa nnuaba, nhabannuru, atoko, aburow a wɔayam, ne nnuan afoforo a ahoɔdennuru wom ka w’aduan da biara da ho. Tew nnuan a srade pii wom te sɛ nam, nkesua, ne kyiisi so.
• Di prunes, bran cereal, ne nnuaba a ahoɔdennuru wom te sɛ akutu, ananse, strawberry, mango, avocado, ne papaya.
• Fa aduan ho kyerɛwtohɔ sie na kyerɛ nnuan a ɛma wo dwensɔtwaa.
• Dwumadie. Biribi a ɛyɛ mmerɛw te sɛ nantew mpo betumi aboa.
• Ma w’adwene nsi sɛnea wotena tiafi so no so. Sɛ woma wo nan so kakra, wode wo ho to w’akyi, anaasɛ wotena ase a woabɔ wo nan a, ebetumi ama ayɛ mmerɛw sɛ wobɛfa wo nsu mu.
• Bɔ mmɔden sɛ wobɛfa fiber a wɔde ma (te sɛ Metamucil®, MiraLAX®, Citrucel®, anaa Benefiber®) afi nnurutɔnbea. Ɛyɛ papa sɛ wubefi ase ketewaa bi bere a worefi eyinom ase no.
• Sɛ ɛho hia a, fa aduru a ɛma nsu mu yɛ mmerɛw anaa aduru a ɛma obi ho yɛ hyew (te sɛ Docusate) fi nnurutɔnbea. Mineral oil enemas ne nnuru a ɛkanyan akisikuru nso yɛ nea wobetumi apaw. Nnuru ahorow pii wɔ hɔ a wɔde sa akisikuru. Bisa wo nnuruyɛfo anaa oduruyɛfo no ma ɔmmoa wo mma ɔmpaw nea ɛfata ma wo. Mfa nnuru a wɔde kum akisikuru nni dwuma bɛboro adapɛn abien a wonkɔ oduruyɛfo nkyɛn. Nnuru a wɔde siw wo ho a wode bedi dwuma boro so no betumi ama wo yare no ho sɛnkyerɛnne no asɛe kɛse.
• Mfa nneɛma te sɛ atesɛm nkrataa anaa telefon nni dwuma bere a worebɔ mmɔden sɛ wobɛkɔ tiafi no.
• Mma nntwe wo ho bere a wote nka sɛ ɛho hia sɛ wokɔ aguaree no. Saa a wobɛyɛ no betumi asiw sɛnkyerɛnne a efi wo dwensɔtwaa mu kɔ w’amemene mu no ano (ɛka kyerɛ wo sɛ fa wo ho to wo ho).

Hwɛ yiye wɔ nnuru ne nnuru a wɔde ka aduan ho ho.

Wɔ akwan a wɔfa so hwɛ wo ho akyi no, wo duruyɛfo no nso bɛhwɛ nnuru ne nnuru a wɔde ka ho a wonom (sɛ wonom bi a). Eyinom bi betumi ama obi anya akisikuru. Sɛ saa a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ sesa dodow a wɔde ma no, dan kɔ aduru foforo so, anaasɛ gyae nnuru a wɔde ma no. Mma nnyae wo nnuru anaa nnuru a wɔde ka ho no nom da a wo ne wo duruyɛfo nni kan nkasa.

Aduru a wɔkyerɛw ma obi a ɔde sa akisikuru

Nnuru ahorow pii wɔ hɔ a nnuruyɛfo kyerɛw ma wɔn de sa akisikuru:

• `(Lubiprostone (Amitiza®))`
• `(Prucalopride (Prudac®, Motegrity®))`
• `(Plecanatide (Trulance®))`
• `(Lactulose (Cephulac®, Kristalose®))`
• `(Linaclotide (Linzess®))`

Wo duruyɛfo no begyina nea ebefi wo nhwehwɛmu ahorow no mu aba so apaw aduru a ɛfata wo sen biara.

Sɛɛgyiri

Wɔntaa nhia oprehyɛn mfa sa akisikuru. Nanso, sɛ wo dwensɔtwaa no fi ɔhaw bi a ɛwɔ wo dwensɔtwaa mu a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo oprehyɛn. Nhwɛsoɔ:

• Intestinal a ɛyɛ mmerɛw.
• Dwensɔtwaa no fã bi a ɛyɛ teateaa (Intestinal stricture).
• Anal mu mpaapaemu.
• Rectal prolapse yɛ akyi berɛmo no fã bi a ɛpuepue kɔ ɔbea no awotwaa mu.

Wobetumi de oprehyɛn ayɛ tebea horow bi a ɛma obi nya akisikuru a ɛnyɛ adwuma yiye. Wobetumi aka eyi ho asɛm bere a wɔayɛ sɔhwɛ ahorow akyi nkutoo. Afei nso, sɛ wo akyi berɛmo mu nhwehwɛmu da no adi sɛ wowɔ kokoram wɔ wo dwensɔtwaa, wo menewam, anaa wo akyi berɛmo mu a, ebia ebehia sɛ wɔyɛ wo oprehyɛn.

Wobɛyɛ dɛn asiw akisikuru ano?

Wobetumi de afie mu nnuru koro no ara a wɔde sa akisikuru no nso adi dwuma de asiw ano sɛ anyɛ ɔhaw a enni sabea:

• Di aduan a ɛkari pɛ a ahoɔdennuru pii wom. Nnuaba, nhabannuru, atoko, nnuaba, ne paanoo ne aburow a wɔde aburow ayɛ no yɛ ahoɔdennuru fibea pa. Fiber ne nsu boa ma nsu fa wo dwensɔtwaa mu. Nnuaba dodow no ara wɔ fiber wɔ wɔn were mu. Nnuaba a wotumi ne aba no di (te sɛ strawberry) no wɔ fiber pii. Bran nso yɛ fiber fibea pa. Di bran cereal, anaa fa bran ka nnuan te sɛ soup ne yogurt ho. Ɛsɛ sɛ nnipa a wɔn akisikuru di fiber gram 18 kosi 30 da biara. (Sɛ wowɔ diverticulitis a, ebia wo duruyɛfo betu wo fo sɛ kwati nnuaba a aba wom.)
• Nom nsu nkuruwa 8 a emu duru yɛ ɔuns 8 da biara. (Hyɛ no nsow: Ebia nnipa binom benya akisikuru bere a wɔnom nufusu no.) Nsã a caffeine wom te sɛ kɔfe, tii, ne anonne a ɛyɛ dɛ betumi ama wo ho ayɛ wo hyew. Ebia wobɛpɛ sɛ wugyae eyinom nom kosi sɛ wo tiafi ho su bɛsan ayɛ sɛnea na ɛte kan no.
• Yɛ apɔw-mu-teɛteɛ daa. Ɛho nhia sɛ ɛyɛ pii, nantew kɛkɛ mpo boa kɛse.
• Wobetumi de nnuru a wɔde ka aduan ho te sɛ magnesium adi dwuma de ayɛ akisikuru. (Ɛnyɛ obiara na ɛsɛ sɛ ɔnom magnesium. Bisa wo duruyɛfo ansa na woanom.)
• Sɛ ɛho hia sɛ wokɔ aguaree a, yɛ. Ntwentwɛn wo nan ase.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Wɔ tebea a ɛte saa mu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn:

• Sɛ akisikuru yɛ ɔhaw foforo ma wo a.
• Sɛ wuhu mogya wɔ wo nsu mu a.
• Sɛ wo mu duru so tew a wunhyɛ da a.
• Sɛ wote ɛyaw kɛse bere a worekɔ tiafi no a.
• Sɛ wo akisikuru no kyɛ bɛboro adapɛn abiɛsa a.
• Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ `outlet dysfunction constipation`.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• Dɛn nti na me ho ayɛ me yaw?
• Dɛn na metumi ayɛ/afa na ama manya ahotɔ ntɛm ara afi akisikuru mu?
• Ofie ayaresa bɛn na wokamfo kyerɛ?
• Dɛn na ɛsɛ sɛ midi na menom na wɔasiw akisikuru ano?
• Ɔkwan foforo bɛn so na metumi asiw akisikuru ano?

Kae sɛ, ka wo tiafi ne nsɛm a ɛhaw wo anaa nsɛmmisa biara a ebia wowɔ ho asɛm pefee kyerɛ wo duruyɛfo. Tiafi a yɛbɛkɔ no yɛ biribi a ɛsɛ sɛ yɛn nyinaa yɛ. Akisikuru betumi ayɛ bere tiaa mu tebea, ɔhaw a ɛtra hɔ kyɛ, anaa tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne. Enti nya ahobammɔ. Kɔ oduruyɛfo nkyɛn, titiriw sɛ wuhu nsakrae bi wɔ sɛnea wokɔ tiafi mu, anaasɛ wote nka sɛ wo dwensɔtwaa redi w’asetra so a.

Kae ade a ɛho hia sen biara (Take-Home Message) .

Enti, akisikuru yɛ tebea a ɛka nnipa pii, nanso mpɛn pii no wotumi di ho dwuma wɔ fie. Nneɛma titiriw ne sɛ wobɛnom nsu pii, adi aduan a ahoɔdennuru pii wom, wobɛteɛteɛ w’apɔw mu, na woantwentwɛn wo nan ase sɛ wobɛkɔ aguaree. Ɛtɔ da bi a, ebetumi afi nnuru a yɛnom anaa ayaresa tebea afoforo mu aba. Enti, sɛ wowɔ ɔhaw yi a ɛkɔ so, anaasɛ wowɔ sɛnkyerɛnne biara a asiane wom te sɛ mogya a ɛretu a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn na nya afotu. Biribiara nni hɔ a ɛsɛ sɛ wofɛre anaasɛ wusuro, efisɛ w’akwahosan ne ade a ɛho hia sen biara!

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` Akisikuru, akisikuru, nsu a ɛyɛ dry, ɛyɛ den sɛ wobɛkɔ tiafi, fiber, aduan a wɔyam, akwahosan