So wuhu sɛ wode bere pii tra aguaree nnansa yi? So wo yafunu te nka sɛ ahuru, anaasɛ wowɔ saa atenka a ɛtra hɔ kyɛ a ɛnyɛ dɛ a ɛne sɛ woankɔ wo dwensɔtwaa mu koraa bere a woakɔ mpo no? Akyinnye biara nni ho sɛ ɛnyɛ wo nkutoo —eyi yɛ asɛm a abu so na ɛyɛ abasamtu, nanso ɛho nhia koraa sɛ wobɛte aniwu nka anaasɛ wobɛhaw wo ho wɔ ho. Wɔ Nirogi Lanka no, yɛpɛ sɛ yɛboa wo ma wote akisikuru ase kɔ akyiri sɛnea ɛbɛyɛ a wubetumi adi wo aduan mu akwahosan so.
Dɛn ne Akisikuru?
Wɔ aduruyɛ mu no, wɔtaa kyerɛkyerɛ akisikuru mu sɛ nea ennu mprɛnsa dapɛn biara. Nanso, ma ɛntra w'adwenem sɛ nea "ɛyɛ daa" no gu ahorow kɛse wɔ onipa biara mu. Nnipa binom kɔ mpɛn pii da biara, na ebinom nso betumi akɔ pɛnkoro anaa mprenu dapɛn biara. Ɛmfa ho sɛnea w’ankasa wo nnyigyei te biara no, ɛyɛ ade a ɛfata ma wo . Ɔhaw no sɔre bere a wotwe wo ho fi sɛnea wotaa yɛ no ho kɛse no.
Ɛmfa ho sɛnea woyɛ daa no, ade biako da adi: dodow a wotwɛn bere tenten no, dodow no ara na ɛyɛ den sɛ wobɛfa wo nsu mu. Ebia worenya akisikuru sɛ wuhu nea edidi so yi a:
- Wo nsu a ɛyɛ den, ɛyɛ nwunu, anaasɛ ɛyɛ kurukuruwa.
- Wote ɛyaw anaasɛ ɛyɛ den kɛse bere a worekɔ wo dwensɔtwaa mu no.
- Wowɔ atenka sɛ wo ntumi nkɔ baabiara, a ɛkyerɛ sɛ wo dwensɔtwaa nte nka sɛ ɛda mpan.
Akisikuru abu so kɛse; nnipa ɔpepem pii a wɔwɔ wiase nyinaa hu amane wɔ ho. Ɛyɛ tebea a wotumi di ho dwuma, na anammɔn a ɛfata a wobɛtu no yɛ ade titiriw a ɛbɛma wo ho atɔ wo.
Ɔkwan Bɛn so na Akisikuru Ba?
Sɛ yɛbɛka no tiawa a, akisikuru ba bere a wo dwensɔtwaa (dwensɔtwaa kɛse) twetwe nsu pii fi wo nsu mu no. Eyi ma nsu no yɛ nwunu, ɛyɛ den, na ɛyɛ den yiye sɛ wobɛfa mu.
Sɛnea ɛbɛyɛ a ɛbɛpaapae kɛse no: bere a aduan fa wo aduan mu no, wo dwensɔtwaa twetwe aduannuru no. Nwura a aka no kɔ dwensɔtwaa kɛse no mu, na ɛtwe nsu, na ɛma nwura no dan nsu a ɛyɛ den. Sɛ wo ho ayɛ wo hyew a, nwura no fa aduan mu brɛoo dodo. Eyi ma akyi berɛmo no nya bere pii de twetwe nsu pii, na ɛma nsu a ɛwɔ nsu mu a nsu nni mu na ɛyɛ den sɛ wobetu.
Dɛn na Ɛde Akisikuru Ba?
Akisikuru betumi afi nneɛma ahorow mu, a nea ɛka ho ne asetra kwan a wɔpaw, nnuru bi, ne ayaresa tebea horow a ɛhyɛ ase.
Asetra Kwan Ho Nneɛma
Wo da biara da nneyɛe di dwuma titiriw wɔ wo aduan mu akwahosan mu. Hwɛ sɛ eyinom mu bi fa wo ho anaa:
- Fiber a ɛba fam a wodi: Aduan a fiber nnim ma ɛyɛ den sɛ nsu bɛhyehyɛ yiye na akɔ so yiye.
- Nsu a ɛho ayɛ fĩ: Sɛ wunni nsu a ɛdɔɔso a, wo nipadua no bɔ mmɔden sɛ ɛbɛma nsu a ɛwɔ wo nsu mu no ayɛ mmerɛw.
- Apɔw-mu-teɛteɛ a wonnyɛ: Asetra a wobɛtra ase no betumi ama wo dwensɔtwaa no ayɛ adwuma brɛoo.
- Nsakrae a ɛba wɔ nneɛma a woyɛ daa mu: Akwantu, nna a ɛsakra, anaa nsakrae a ɛba bere a wodidi mu no betumi asɛe wo nhyehyɛe.
- Nufusu a wodi boro so: Wɔ nnipa binom fam no, sɛ wodi kyiisi anaa nufusu pii a, ebetumi ama wɔanya akisikuru .
- Adwennwen : Mmu nkɛntɛnso a w’adwene mu yiyedi nya wɔ wo dwensɔtwaa so no adewa da.
- Ɔpɛ a wobu ani gu so: Sɛ wɔtwentwɛn hia a ehia sɛ wɔde aguaree di dwuma no ase a, ɛyɛ mfomso a wɔtaa di. Tie wo nipadua na kɔ bere a ɔpɛ no sɔre no.
Nnuru a wɔde di dwuma
Nnuru pii a wɔtaa de di dwuma betumi ama obi anya akisikuru:
- Nnuru a ano yɛ den a ɛma ɛyaw ano brɛ ase , te sɛ nea codeine, Oxycodone (sɛ nhwɛso no, Oxycontin®), neNsu mu aduru (sɛ nhwɛso no, Dilaudid®).
- Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) te sɛ Ibuprofen (sɛ nhwɛso no, Advil®, Motrin®) ne Naproxen (sɛ nhwɛso no, Aleve®).
- Nnuru a ekum adwenemhaw , te sɛ Fluoxetine (sɛ nhwɛso no, Prozac®) anaa Amitriptyline (sɛ nhwɛso no, Elavil®).
- Nnuru bi a wɔde ko tia asikre a wɔde di dwuma ma yafunu mu yare, titiriw nea calcium anaa aluminium wom (sɛ nhwɛso no, Tums®).
- Iron a wɔde ma.
- Nnuru a ekum akisikuru , te sɛ Diphenhydramine (sɛ nhwɛso no, Benadryl®).
- Mogya mmoroso nnuru bi , a nea ɛka ho ne nnuru a esiw calcium kwan ne beta-blockers.
- Nnuru bi a ekum adwene mu yare , te sɛ Clozapine (sɛ nhwɛso no, Clozaril®) ne Olanzapine (sɛ nhwɛso no, Zyprexa®).
- Nnuru a wɔde ko tia akisikuru , te sɛ Phenytoin ne Gabapentin.
- Nnuru a wɔde ko tia akisikuru , te sɛ Ondansetron (sɛ nhwɛso no, Zofran®).
Sɛ ɛhaw wo sɛ ebia wo nnuru na ɛde nsɛm yi reba a, yɛsrɛ wo, kɔ wo duruyɛfo anaa nnuruyɛfo nkyɛn ansa na woayɛ nsakrae biara.
Aduruyɛ mu Tebea Afoforo
Ɛtɔ mmere bi a, akisikuru yɛ aduruyɛ mu asɛm bi a ɛda adi ho sɛnkyerɛnne:
- Endocrine tebea horow: Hypothyroidism, asikreyare, uremia, anaa hypercalcemia.
- Kokoram a ɛwɔ akyi berɛmo mu.
- Ɔyare a Ɛma Ɛyɛ Abufuw (IBS).
- Diverticulitis a ɛma obi ho yɛ hyew.
- Pelvic floor dysfunction (Outlet a ɛnyɛ adwuma yiye a ɛma obi ho kyere no).
- Nsu a wɔde gu mu a wɔasiw ano ho yare.
- Intestinal atoro akwanside.
- Ntini mu yare: Akyi berɛmo mu opira, Multiple Sclerosis, Parkinson yare, anaa ɔyare a ɛma obi hwe ase.
- Ɔkwasea dwensɔtwaa mu yare.
- Intestinal a ɛyɛ mmerɛw.
- Nneɛma a ɛnteɛ wɔ nhyehyɛe mu (sɛ nhwɛso no, fistulas, colonic atresia).
- Akwaa ahorow pii nyarewa , te sɛ amyloidosis, lupus, anaa scleroderma.
- Nyinsɛn a wɔde di dwuma.
Dɛn ne Akisikuru Ho Nsɛnkyerɛnne?
Nsɛnkyerɛnne a ɛtaa ba no bi ne:
- Ennu mprɛnsa a wɔde kɔ nipadua no mu dapɛn biara.
- Nsu a ɛyɛ nwunu, ɛyɛ den, anaasɛ ɛyɛ kurukuruwa.
- Ɛyaw anaa ɛyaw a ɛba bere a worekɔ dwensɔtwaa mu no.
- Yafunu mu a ɛyɛ mmerɛw anaasɛ ɛnyɛ dɛ.
- Nkate a ɛma obi ho popo anaasɛ ne ho yɛ no yaw kakra.
- Nkate a ɛne sɛ obi ntumi nkɔ baabiara bere a watu ne dwensɔtwaa akyi.
Henanom na wɔwɔ Asiane kɛse mu? (Nneɛma a Ɛma Asiane) .
Ɛtɔ mmere bi a akisikuru betumi ato obiara wɔ mfe biara mu. Nanso, nnipa binom taa hyia nsɛm a ɛkɔ so daa, a ɛtra hɔ kyɛ, a wonim no sɛ akisikuru a enni sabea . Nneɛma atitiriw pii na ɛma eyi ba:
- Mfe a wɔadi: Sɛ wɔde toto mpanyimfo nkumaa ho a, ankorankoro a wɔadi boro mfe 65 no ntaa ntra ase denneennen, na wɔn nipadua mu nneɛma a ɛsakra no taa brɛ ase. Bio nso, ntini a ɛtwetwe wɔ aduan mu no betumi ayɛ mmerɛw bere a bere kɔ so no.
- Ɔbea a Ɔyɛ, titiriw wɔ nyinsɛn ne awo akyi: Nkwammoaa a ɛsakrasakra no betumi ama obi anya akisikuru. Wɔ nyinsɛn mu no, nhyɛso a akokoaa a ɔrenyin no de ba dwensɔtwaa no so no nso betumi ama dwensɔtwaa no akɔ brɛoo.
- Fiber a ɛba fam a wodi: Aduan a enni aduan mu ahoɔdennuru a ɛdɔɔso.
- Nnuru a wɔde di dwuma: Nnuru bi a wɔkyerɛw ma obi ne nea wɔtɔn.
- Akwahosan tebea horow a ɛhyɛ ase: Ntini mu nyarewa pɔtee bi (a ɛka amemene anaa akyi berɛmo) ne aduan mu nyarewa.
So akisikuru betumi de akwahosan ho haw afoforo aba?
Yiw, sɛ wuntumi mfa nsu nkɔ wo nsu mu yiye na wokɔ so daa a, nsɛnnennen pii betumi asɔre:
- Ntini a ɛwɔ akyi berɛmo mu a ɛho ahonhon na ɛyɛ hyew (Hemorrhoids).
- Nsuo a ɛwɔ akyi berɛmo no mu a ɛnam nsuo a ɛyɛ den a ɛtwam so (Anal fissures).
- Nyarewa a ɛwɔ mmeae nketenkete a ɛte sɛ kotoku a ɛpuepue wɔ akyi berɛmo no fasu mu, baabi a nsu betumi akɔkyere (Diverticulitis).
- Nsu kɛse bi a ayɛ den a ɛbata akyi berɛmo no mu (Fecal impaction).
- Ntini a ɛwɔ akyi berɛmo no mu a ɛsɛe esiane sɛ ɛtaa yɛ den kɛse nti. Saa ntini ahorow yi boa ma wɔhwɛ akisikuru no dwumadi so; nhyɛso a enni sabea betumi ama awiei koraa no ɔde adwennwen aba nsu a wontumi nhyɛ mu.
Hyɛ no nsow a ɛho hia: Mpɛn pii no, akisikuru mma wo nipadua no nyɛ "awuduru" fi nwura a aboaboa ano mu. Wɔayɛ wo dwensɔtwaa no sɛnea ɛbɛyɛ a ɛbɛkura na atrɛw ma afa nneɛma a wɔsɛe no. Gye sɛ wowɔ aduruyɛ mu tebea a emu yɛ den te sɛ Toxic Megacolon , wo dwensɔtwaa fasu no ntumi nkɔ wo nipadua mu.
Sɛ wo ne wo duruyɛfo susuw eyi ho a, dɛn na ɛba?
Sɛ wo ne oduruyɛfo susuw wo dwensɔtwaa ho (anaasɛ nea enni hɔ!) ho a, ebetumi ayɛ fɛre, nanso yɛsrɛ sɛ kae: wo Nirogi Lanka oduruyɛfo no wɔ ha sɛ ɔrebɛboa wo. Wɔyɛ adwumayɛfo a wɔatete wɔn a wɔate na wɔaboa ayarefo wɔ akwahosan ho asɛm biara a wubetumi asusuw ho ho.
Wo duruyɛfo no befi ase denam w’aduruyɛ ho abakɔsɛm, wo dwensɔtwaa, w’asetra kwan, ne da biara da dwumadi ahorow a ɔbɛsan ahwɛ so.
Nsɛmmisa a ɛfa w’ayaresa ho abakɔsɛm ho:
- Dɛn ne w’akwahosan tebea horow a ɛwɔ hɔ mprempren ne nea atwam?
- So woanya mu duru bi a ɛso atew anaasɛ woanya nkɔanim a wontumi nkyerɛkyerɛ mu nnansa yi?
- So woadi kan ayɛ wo aduan mu oprehyɛn bi?
- Nnuru, nnuru a wɔde ka aduan ho, anaa nnuru a ɛma obi ho kyere no bɛn na worenom mprempren?
- So wowɔ abusua abakɔsɛm a ɛfa akisikuru, aduan mu nyarewa, anaa kokoram ho?
- So wɔayɛ wo colonoscopy pɛn ?
Nsɛmmisa a ɛfa wo dwensɔtwaa ho:
- Mpɛn ahe na wokɔ wo dwensɔtwaa mu?
- Dɛn ne sɛnea wo nsu a ɛwɔ wo nsu mu no yɛ pɛpɛɛpɛ na ɛte sɛ nea ɛwɔ hɔ?
- So woahyɛ mogya anaa nsensanee kɔkɔɔ bi nsow?
- So woahu mogya wɔ tiafi kuruwa mu anaa tiafi krataa so bere a woapopa awie no?
Nsɛmmisa a ɛfa w’asetra kwan ne wo suban ho:
- Da a wotaa didi no te dɛn ma wo?
- Nnuaba ne nhabannuru dodow ahe na wudi da biara?
- Nsu dodow ahe na wonom?
- Dɛn ne w’apɔw-mu-teɛteɛ?
Bio nso, wo duruyɛfo no bɛyɛ wo nipadua mu nhwehwɛmu. Nea ɛka eyi ho ne sɛnea wobɛhwɛ wo hyew, wo koma bɔ, ne wo mogya mmoroso. Ebia wɔde afiri a wɔde tie asɛm betie wo yafunu na wɔde wɔn nsa abɔ (mia) wo yafunu no mu ahwɛ sɛ ɛyɛ mmerɛw, ɛho ahonhon, anaasɛ ɛyɛ kɛse anaa.
Yɛsrɛ sɛ ma ɛntra w'adwenem sɛ ebia ɛho behia sɛ wo duruyɛfo yɛ ne menewa mu nhwehwɛmu . Eyi yɛ adeyɛ a wɔyɛ no ntɛm a wɔde nsateaa a wɔde nsateaa ahyɛ mu di dwuma de hwɛ sɛ ebia akisikuru anaa nipadua mu nneɛma a ɛnteɛ biara wɔ akyi berɛmo no mu anaa.
Nhwehwɛmu bɛn na wɔde hu nea ɛde akisikuru ba?
Ebia wo duruyɛfo no renhia sɛ wɔyɛ nhwehwɛmu biara koraa, anaasɛ ebia obegyina wo yare no ho sɛnkyerɛnne, wo abakɔsɛm, ne w’akwahosan nyinaa so ahyɛ sɛ wɔnyɛ wo ayaresa pɔtee bi. Mpɛn pii no, ɛho nhia sɛ wɔyɛ nhwehwɛmu foforo biara, nanso sɛ wo sɛnkyerɛnne ahorow no ma ɛfata a, wobetumi ayɛ nea edidi so yi:
- Lab nhwehwɛmu: Mogya ne nsu mu nhwehwɛmu betumi aboa ma wɔahu tebea horow te sɛ hypothyroidism , mogya a ɛtɔ kɔ nipadua mu , anaa asikreyare . Wobetumi ayɛ nsu a wɔde yɛ nsu mu nhwehwɛmu de ahwɛ sɛ ebia ɔyare mmoawa, ɔfe, anaa ɔyare bɔne ho sɛnkyerɛnne bi wɔ hɔ anaa.
- Mfoniniyɛ mu nhwehwɛmu: Ebia wo duruyɛfo bɛsrɛ sɛ wɔnyɛ no CT scan , MRI scan , anaa yafunu mu ntini a ɛwɔ fam a ɛtoatoa so na ama wɔayi nhyehyɛe mu nsɛm afoforo afi hɔ. Ɛnyɛ bere nyinaa na wɔhyehyɛ eyinom daa.
- Colonoscopy: Wo duruyɛfo betumi de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri wom ayɛ colonoscopy anaa sigmoidoscopy de ahwɛ akyi berɛmo no mu. Wɔ eyi mu no, wobetumi ayɛ biopsy (tissue sample) anaasɛ wɔayi polyps afi hɔsɛ ɛho hia a.
- Colorectal transit nhwehwɛmu: Eyinom hwehwɛ sɛ wobɛnom aduru anaa aduan a radioactive tracer kakraa bi a ahobammɔ wom wom, na ama oduruyɛfo no ahu sɛnea nneɛma fa wo aduan mu ntɛmntɛm na etu mpɔn.
- Nhwehwɛmu afoforo a wɔyɛ wɔ dwensɔtwaa mu: Ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu mfa nhu sɛnea wo dwensɔtwaa ne wo dwensɔtwaa kura nsu mu yiye na wogyae. Nea ɛka eyi ho ne defecography (X-ray titiriw a wɔde hu akisikuru a ɛnyɛ adwuma yiye wɔ outlet) ne nhwehwɛmu ahorow a ɛfa balloon ketewaa bi a wɔde hyɛ akyi berɛmo no mu ( balloon expulsion test ne anorectal manometry ).
Wobɛyɛ dɛn anya ahotɔ afi akisikuru mu?
Wobetumi adi akisikuru a emu nyɛ den kosi nea ɛkɔ fam dodow no ara ho dwuma yiye wɔ fie. Wo ho a wobɛhwɛ no fi ase denam w’aduan a wobɛma w’adwene akɔ so na woayɛ nsakrae a ɛho hia so.
Anamɔn 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, efisɛ ebetumi ama wo ho ayɛ wo hyew. Saa ara na, to nnuaba mu nsu ne anonne a asikre pii wom ano hye.
- Kwati nam a wɔayɛ no foforo, nnuan a srade pii wom, ne carbohydrates a wɔayɛ no yiye te sɛ paanoo fitaa, pasta, ne ɛmo. Nam a ɛnyɛ den te sɛ akokɔ ne nufusu a srade nnim yɛ nea eye sen biara.
- Fa nnuaba, nhabannuru, nhabannuru, aburow a wɔayam, ne nnuan afoforo a ahoɔdennuru wom ka w’aduan a wubedi da biara da ho. Tew nnuan a srade pii wom te sɛ nam kɔkɔɔ, nkesua, ne kyiisi a wudi so.
- Di nnuaba ne nnuan a ahoɔdennuru wom te sɛ prunes, bran cereal, orange, ananse, strawberry, mango, avocado, ne papaya.
- Fa aduan ho kyerɛwtohɔ to hɔ na ama woahu nnuan pɔtee a ɛkanyan wo dwensɔtwaa.
- Yɛ apɔw-mu-teɛteɛ daa. Mpɛn pii no, dwumadi ahorow a ɛnyɛ den te sɛ nantew dɔɔso sɛ ɛbɛboa.
- Ma w’adwene nsi sɛnea wugyina hɔ wɔ tiafi so no so. Sɛ woma wo nan so kakra, wodan wo ho, anaasɛ wode wo ho to fam a, ebetumi ama wo dwensɔtwaa ayɛ mmerɛw.
- Susuw ho sɛ wode fiber a wɔtɔn a wɔtɔn (te sɛ Metamucil®, MiraLAX®, Citrucel®, anaa Benefiber®) bedi dwuma. Ɛyɛ papa sɛ wode nnuru nketenkete befi ase na wode nkakrankakra akɔ soro.
- Sɛ ɛho hia a, fa aduru a wɔde yɛ nsu a ɛyɛ mmerɛw anaa aduru a wɔde yi akisikuru a wɔtɔn a wɔmfa nnuru nhyɛ mu (sɛ nhwɛso no, Docusate) di dwuma. Mineral oil enemas ne nnuru a ɛkanyan akisikuru yɛ akwan afoforo a wobetumi afa so. Nnuru ahorow pii wɔ hɔ a wɔde sa akisikuru; kɔ wo nnuruyɛfo anaa oduruyɛfo nkyɛn na paw nea ɛfata wo yiye. Mfa nnuru a wɔde kum akisikuru nni dwuma bɛboro adapɛn abien a wonkɔ wo duruyɛfo nkyɛn. Ɛtɔ mmere bi a, sɛ wode di dwuma boro so a, ebetumi ama wo yare no ho sɛnkyerɛnne no asɛe kɛse.
- Kwati sɛ wode wo fon bedi dwuma anaa wobɛkenkan atesɛm nkrataa bere a worebɔ mmɔden sɛ wode tiafi bedi dwuma no.
- Mma ɔpɛ a ɛwɔ wo mu sɛ wobɛma wo dwensɔtwaa no nsiw wo ho no ano. Sɛ wubu w’ani gu akɔnnɔ no so daa a, bere kɔ so no, ebetumi ama sɛnkyerɛnne a efi wo dwensɔtwaa mu kɔ w’amemene mu no ayɛ mmerɛw, na ama ayɛ den sɛ wubehu bere a bere aso sɛ wokɔ.
Ma w’adwene nkɔ nnuru ne nnuru a wɔde ka aduan ho
Wɔ akwan a wɔfa so hwɛ wo ho akyi no, wo duruyɛfo no bɛhwɛ nnuru ne nnuru a wɔde ka ho a worenom no mu, efisɛ ebi betumi ama woanya akisikuru. Sɛ eyi te saa a, wo duruyɛfo betumi ayɛ nsakrae wɔ dodow a wode ma no mu, asesa wo nnuru no, anaasɛ watu wo fo sɛ gyae nnuru a wɔde ma no. Mma nnyae anaa nnsesa wo nnuru anaa nnuru a wɔde ka ho no da a wunni kan ne wo duruyɛfo nkasa.
Nnuru a wɔkyerɛw ma obi a ɔde sa akisikuru
Nnuru pii wɔ hɔ a wɔkyerɛw ma nkurɔfo a ebia nnuruyɛfo bɛkamfo akyerɛ sɛ wɔmfa nsa akisikuru:
- Lubiprostone (Amitiza®) a wɔde yɛ aduru a wɔfrɛ no Lubiprostone (Amitiza®) .
- Prucalopride (Prudac®, Motegrity®) a wɔde yɛ aduru a wɔfrɛ no Prucalopride (Prudac®, Motegrity®) .
- Plecanatide (Trulance®) a wɔde yɛ aduru a wɔfrɛ no Plecanatide .
- Lactulose (Cephulac®, Kristalose®) a ɛwɔ nipadua no mu.
- Linaclotide (Linzess®) a wɔde yɛ aduru a wɔfrɛ no Linaclotide (Linzess®) .
Ɛdenam nea efii wo nhwehwɛmu no mu bae so no, wo duruyɛfo bɛkyerɛw nnuru a ɛfata w’ahiade pɔtee no yiye.
Sɛɛgyiri
Wɔntaa nyɛ oprehyɛn a wɔde hwehwɛ akisikuru. Nanso, sɛ wo dwensɔtwaa no fi ɔhaw bi a ɛwɔ wo dwensɔtwaa mu a, ebia wo duruyɛfo bɛkamfo akyerɛ wo. Nhwɛso ahorow bi ne:
- Intestinal a ɛyɛ mmerɛw.
- Intestinal stricture (dwensɔtwaa a ɛyɛ teateaa).
- Anal mu mpaapaemu.
- Rectal a ɛhwe ase.
Wobetumi de oprehyɛn asiesie tebea horow bi a ɛde outlet dysfunction constipation ba. Wɔtaa ka saa akwan horow yi ho asɛm bere a wɔayɛ nhwehwɛmu a wɔde hu yare no akyi. Bio nso, sɛ wo akyi berɛmo mu nhwehwɛmu da kokoram adi wɔ wo dwensɔtwaa anaa wo akyi berɛmo mu a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.
Ɔkwan bɛn so na wobetumi asiw akisikuru ano?
Akwan a wɔfa so hwɛ wɔn ho a wɔfa so sa akisikuru no yɛ nea wɔde siw ano sɛ anyɛ ɔhaw a enni sabea:
- Kura aduan a ɛkari pɛ a ahoɔdennuru pii wom mu. Nnuaba, nhabannuru, nhaban momono, nnuaba, abodoo a wɔde aburow ayɛ, ne aburow yɛ ahoɔdennuru fibea a eye kyɛn so. Fiber ne nsu boa ma nsu fa wo dwensɔtwaa mu. Nnuaba pii wɔ fiber wɔ wɔn were mu; nnuaba a aba wom (te sɛ strawberry) a wodi nso ma fiber a wodi no yɛ kɛse. Bran yɛ ɔkwan foforo a nhama pii wom—sɔ bran aburow hwɛ anaasɛ fa ka soup ne yogurt ho. Ɛsɛ sɛ ankorankoro a wɔn akisikuru no de wɔn ani si so sɛ wobenya fiber gram 18 kosi 30 da biara. (Sɛ wowɔ Diverticulitis a, ebia wo duruyɛfo betu wo fo sɛ kwati aba bi).
- Fa si w’ani so sɛ wobɛnom nsu nkuruwa awotwe a emu duru yɛ ɔuns 8 da biara. (Hyɛ no nsow: Wɔ ebinom fam no, nufusu betumi aboa ma akisikuru.) Caffeine a ɛwɔ kɔfe, tii, ne soda mu no betumi ama wo ho ayɛ wo hyew. Ebia ɛho behia sɛ woto eyinom ano hye kosi sɛ wo dwensɔtwaa bɛyɛ nea ɛfata.
- Yɛ apɔw-mu-teɛteɛ daa. Ɛho nhia sɛ woteɛteɛ w’apɔw mu denneennen; nantew a ɛkɔ so daa mpo boa kɛse.
- Susuw magnesium a wɔde ma ho hwɛ. (Ɛnyɛ obiara na ɛsɛ sɛ ɔnom magnesium; yɛsrɛ sɛ di kan kɔ wo duruyɛfo nkyɛn).
- Bua ɔpɛ a ɛwɔ hɔ sɛ wobɛkɔ ntɛm ara no. Mma nntwentwɛn wo nan ase.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Yɛsrɛ sɛ kɔ oduruyɛfo nkyɛn wɔ tebea horow a edidi so yi mu:
- Sɛ akisikuru yɛ ɔhaw foforo ma wo a.
- Sɛ wuhu mogya wɔ wo nsu mu a.
- Sɛ worehyia wo mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu a.
- Sɛ wote ɛyaw a emu yɛ den bere a worebɔ mmɔden sɛ wobɛfa nsu mu a.
- Sɛ wo akisikuru no kɔ so bɛboro adapɛn abiɛsa a.
- Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ outlet dysfunction constipation.
Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo
Sɛ wokɔ wo duruyɛfo nkyɛn a, ebia wobɛpɛ sɛ wubisa nea edidi so yi:
- Dɛn nti na merehyia akisikuru?
- Dɛn na metumi ayɛ anaa mayɛ na ama manya ahotɔ ntɛm ara?
- Ofie nnuru bɛn na wokamfo kyerɛ?
- Dɛn na ɛsɛ sɛ midi anaa menom na ama matumi adi eyi ho dwuma?
- Ɔkwan foforo bɛn so na metumi asiw akisikuru ano daakye?
Kae sɛ, ka wo duruyɛfo no pefee na ka nokware wɔ wo aguaree su ne biribiara a ɛhaw wo ho. Nsu a ɛkɔ nipadua no mu yɛ adebɔ mu ade a ɛho hia wɔ asetra mu. Akisikuru betumi ayɛ bere tiaa mu de, nea enni sabea, anaasɛ tebea bi a emu yɛ den kɛse a ɛde ba ho sɛnkyerɛnne. Bɔ w’akwahosan ho ban —sɛ wuhu nsakrae bi wɔ wo dwensɔtwaa mu anaasɛ wote nka sɛ wo dwensɔtwaa na ɛhyɛ w’asetra so a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn.
Nkrasɛm a Wɔde Kɔ Fie
Akisikuru yɛ asɛm a abu so yiye, nanso mpɛn pii no wobetumi de wɔn ho ahwɛ ahu ho dwuma. Nsu a wobɛkɔ so anya, aduan a ahoɔdennuru wom a wubedi, apɔw-mu-teɛteɛ, ne ɔpɛ a wubebu w’ani agu so sɛ wobɛkɔ no yɛ anammɔn a ɛho hia sen biara. Ɛtɔ da bi a, nnuru anaa akwahosan ho tebea afoforo betumi na ɛde ba. Sɛ wo haw no kɔ so anaasɛ wuhu sɛnkyerɛnne ahorow a ɛyɛ hu te sɛ mogya a ɛretu a, yɛsrɛ wo kɔ oduruyɛfo bi nkyɛn wɔ Nirogi Lanka. Biribiara nni hɔ a enti ɛsɛ sɛ yɛhyɛ aniwu anaa ehu; w’akwahosan ne ade a ɛho hia sen biara.
Akisikuru, aduan mu akwahosan, fiber, dwensɔtwaa mu su, yiyedi
