Dɛn ne Crohn Yare no? Momma yensua ho biribiara kɛkɛ

Yafunu a ɛtaa yɛ wo yaw, wo ho popo a ɛtra hɔ nna pii, aduan ho akɔnnɔ a ɛyera, wote nka sɛ woayɛ mmerɛw... So woahu amane wɔ saa nneɛma yi ho akyɛ? Ɛtɔ mmere bi a yesusuw eyinom sɛ yafunu mu yaw a ɛnyɛ den, nanso ebetumi ayɛ akwahosan tebea a emu dɔ, a ɛtra hɔ kyɛ. Ɛnnɛ yɛrebɛka Crohn Yareɛ, tebea a ɛwɔ nkwa nna nyinaa mu nanso wɔhwɛ so yie no ho asɛm.

Dɛn ankasa ne Crohn Yare no?

Sɛ yɛbɛka no tiawa a, Crohn yare no yɛ ɔfe a enni sabea a ɛba aduan mu ntini (dwensɔtwaa) mu. Ɛyɛ tebea a nipadua no tumi ko tia nyarewa . Eyi kyerɛ sɛ yɛn nipadua no ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ n’ankasa nkwammoaa a ɛwɔ apɔwmuden so, titiriw nea ɛwɔ dwensɔtwaa mu no. Fa no sɛ, sɛ́ anka yɛn man no asraafo bɛtow ahyɛ atamfo a wofi amannɔne so no, wɔreto ahyɛ yɛn ankasa nkurɔfo so. Saa yare yi ne yare foforo a ɛte saa ara, Ulcerative Colitis, ka nyarewa kuw a wɔfrɛ no Inflammatory Bowel Disease (IBD) ho. Crohn yare no na ɛtaa ka dwensɔtwaa ketewaa ne dwensɔtwaa kɛse no.

So Crohn yare ahorow bi wɔ hɔ?

Yiw, saa yare yi betumi aka yɛn aduan a yɛde di dwuma no fã biara, efi anom kosi awotwaa mu. Nanso, wɔakyekyɛ mu ahorow pii a egyina beae a ɛka no so. Sɛnea ɛbɛyɛ a ɛbɛyɛ mmerɛw no, momma yɛnhwɛ no saa kwan yi so.

Dɛn ne yare yi ho sɛnkyerɛnne?

Nsɛnkyerɛnne no betumi afi ase mpofirim anaasɛ akɔ so nkakrankakra. Nnipa binom wɔ saa sɛnkyerɛnne ahorow yi bere nyinaa, bere a afoforo nso betumi ate nka sɛ wɔba na wɔkɔ. Wɔfrɛ bere a sɛnkyerɛnne ahorow no yɛ adwuma no "flare-up."

Nneɛma atitiriw a ɛfa aduan mu nneɛma ho

• Yafunu a ɛtaa yɛ no yaw anaa ɛyaw.
• Atiridiinini a ɛkɔ so (diarrhea).
• Aduan ho akɔnnɔ a ɛyera ne mu duru a ɛso tew .
• Mogya a ɛba nsu mu bere a worekɔ tiafi (rectal bleeding).
• Ano mu akuru anaasɛ anom yaw.
• Atiridii ne ɔbrɛ a wontumi nkyerɛkyerɛ mu.
• Nyarewa anaa akisikuru a ɛwɔ akyi berɛmo no ho.

Nsɛnkyerɛnne a ɛka nipadua no afã afoforo

Ɛnyɛ dwensɔtwaa mu nkutoo na Crohn yare no wɔ. Ɛtɔ mmere bi a, sɛnkyerɛnne ahorow betumi ada adi wɔ nipadua no afã afoforo nso.

• Nkwaa mu yaw (Arthritis).
• Honam ani akisikuru.
• Aniwa a ɛyɛ hyew (e.g. ` Uveitis` , `Episcleritis`).
• Asaabo mu abo.
• Nnompe a ɛyɛ mmerɛw (` Osteoporosis` ).
• Nkuruwankuruwa nketenkete a ɛsensɛn honam ani a atwa akyi berɛmo no ho ahyia (` skin tags` ).

Dɛn ne nsɛnnennen a ebetumi de Crohn yare no aba?

Sɛ wɔanhwɛ yare yi so yiye a, nsɛnnennen bi betumi aba, na ebia ebehia sɛ wɔsa yare foforo anaa oprehyɛn mpo. Nea ɛka ho no, Crohn yare no nso betumi ama asiane a ɛwɔ hɔ sɛ obi benya kokoram ne mogya a ɛbɛtɔ no ayɛ kɛse kakra.

Ɔkwan bɛn so na oduruyɛfo hu yare yi?

Sɛ wo yafunu mu yɛ wo yaw bere nyinaa, wo ho popo, anaasɛ wo mu duru so tew a, ɛsɛ sɛ wudi kan kɔ w’abusua oduruyɛfo nkyɛn.Aane. Sɛ ɛho hia a, ɔde wo bɛkɔ yafunu mu ɔyaresafo nkyɛn. Oduruyɛfo no bebisa wo yare no ho sɛnkyerɛnne, w’abusua aduruyɛ ho abakɔsɛm, na wayɛ wo nipadua mu nhwehwɛmu. Afei, obetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu pii mfa nkyerɛ sɛ wɔahu yare no.

• Mogya mu nhwehwɛmu: Hwɛ sɛ ɔfe anaa ɔyare mmoawa bi wɔ nipadua no mu, anaasɛ mogya a ɛtɔ kɔ nipadua no mu anaa.
• Nsu mu nhwehwɛmu: Hwɛ sɛ nyarewa afoforo wɔ hɔ na susuw sɛnea dwensɔtwaa mu hyew te (Calprotectin sɔhwɛ).
• Mfoninitwa: CT anaa MRI scan betumi aboa ma wɔahu baabi a ɔfe no akodu ne sɛ ebia nsɛnnennen bi wɔ hɔ anaa.
• Endoscopy: Wɔde afiri teateaa bi a mfoninitwa afiri abata ho kɔ nipadua no mu de hwehwɛ dwensɔtwaa no mu.
• Colonoscopy: Wɔhwehwɛ dwensɔtwaa kɛse no mu denam afiri bi a wɔde fa akyi berɛmo no mu so.
• Upper endoscopy: Yafunu ne dwensɔtwaa ketewaa no fã a ɛwɔ soro no mu nhwehwɛmu denam afiri bi a wɔde fa ano no mu so.
• Wɔ saa sɔhwɛ ahorow yi mu no, wobetumi afa ntini ketewaa bi (`biopsy`) de ayɛ nhwehwɛmu.

Dɛn ne nnuru a wɔde sa Crohn yare no?

Botae atitiriw abien na ɛwɔ ayaresa mu: biako ne sɛ ɛbɛtew ɔfe a ɛwɔ dwensɔtwaa mu no so na ama yare no agyae. Ɔfoforo no ne sɛ wobesiw ogyaframa ano.

• Nnuru: Nnuru ahorow bi wɔ hɔ a ɛtew ɔfe so na ɛhwɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi so. Wɔde nnɛyi nnuru te sɛ `Corticosteroids`, `Immunomodulators`, `Biologics` ne `JAK-inhibitors` di dwuma ma eyi. Ɛsɛ sɛ wode nnuru yi nyinaa di dwuma wɔ wo duruyɛfo afotu nkutoo so .
• Aduandi: Wɔ tebea horow bi mu no, aduan titiriw anaa aduannuru a wɔde ma wɔ awotwaa mu betumi aboa ma wɔadi yare no so.
• Oprehyɛn: Ebia ɛho behia sɛ wɔyɛ oprehyɛn wɔ nsɛnnennen te sɛ dwensɔtwaa a ɛsiw ne fistulas ho.

Dɛn na wobetumi ayɛ de asiw ogyaframa ano?

• Kwati sigaretnom koraa: Ade a eye sen biara a obi a ɔwɔ Crohn yare no betumi ayɛ ne sɛ obegyae sigaretnom. Sigaretnom ma yare no mu yɛ den na ɛma asiane a ɛwɔ hɔ sɛ obenya nsɛnnennen no yɛ kɛse.
• Kwati nnuru bi a wɔde kum ɛyaw:Nnuru bi a wɔde kum ɛyaw, te sɛ `NSAIDs` (e.g. Ibuprofen, Diclofenac), betumi ama tebea no asɛe kɛse. Bisa wo duruyɛfo ansa na woanom aduru biara.
• Hwɛ w’aduan so: Nnuan bi (sɛ nhwɛso no, nnuan a srade pii wom, nufusu mu nnuan, anonne a carbonated) betumi ama yare no ho sɛnkyerɛnne no ayɛ kɛse. Fa aduan ho kyerɛwtohɔ sie na hwɛ nnuan a ɛyɛ adwuma ne nea ɛnyɛ adwuma. Ɛyɛ papa sɛ wubedi nnuan nketenkete pii da mũ no nyinaa sen sɛ wubedi nnuan akɛse.
• Di adwennwen ho dwuma: Adwennwen betumi ama yare no asɛe kɛse. Ɛho hia sɛ wugye w’ahome sɛnea ɛsɛ, teɛteɛ w’apɔw mu, na wohwɛ w’adwene mu akwahosan so.

Mmere bɛn na eye sen biara a wubetumi akɔ oduruyɛfo nkyɛn?

Sɛ wowɔ Crohn yare a, kɔ wo duruyɛfo nkyɛn ntɛm ara sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa a:

• Mogya a ɛwɔ nsu mu.
• Yafunu mu akisikuru a emu yɛ den a wontumi nni so.
• Ɔhohoro a ɛyɛ den a wontumi nni so.
• Ɔfe a ɛkɔ so daa.
• Mu duru a wɔtew so dodo a ntease biara nnim.
• Atiridiinini a ɛtra hɔ nna pii.
• Mframa a wontumi ntwa mu (ebia ɛbɛyɛ sɛnkyerɛnne a ɛkyerɛ sɛ dwensɔtwaa no asiw).

Wɔ tebea a ɛte saa mu no, ɛho hia sɛ wokɔ ayaresabea a ɛbɛn wo no Ayaresa a Ɛho Hia Ntɛmntɛm (ETU) sɛ ɛho hia a.