So woyɛ obi a wowɔ asikreyare? Enti, ɛtɔ mmere bi a wote nka sɛ wo ho atɔ wo bere a woadi aduan kakraa bi mpo a? Anaasɛ wotaa te nka sɛ wo ho yɛ wo yaw, wo koma yɛ wo yaw, na ɛtɔ mmere bi a wofe? Wɔ saa nneɛma yi nyinaa mu no, ebia worepere sɛ wubedi asikre dodow a ɛwɔ wo mogya mu no so. Nnipa pii susuw sɛ eyinom yɛ yafunu mu haw ahorow a ɛfata ara kwa. Nanso eyi betumi ayɛ asikreyare ankasa ho haw. Ɛno na yɛrebɛka ho asɛm nnɛ.
Dɛn ne Asikreyare Gastroparesis?
Sɛ yɛbɛka no tiawa a, eyi ne bere a ntini a ɛwɔ wo yafunu (yafunu) mu no ntumi nyɛ adwuma yiye. Mpɛn pii no, sɛ yedidi a, yafunu mu ntini no twetwe na ɛpia aduan no kɔ dwensɔtwaa ketewa no mu. Nanso wɔ gastroparesis mu no, saa adeyɛ yi kɔ so brɛoo paa, anaasɛ ɛtɔ mmere bi a egyae koraa. Enti aduan no tra yafunu no mu nnɔnhwerew pii.
Wobetumi ahu tebea yi wɔ asikreyare a ɛto so 1 ne nea ɛto so abien nyinaa mu. Nanso, ɛtaa ba nnipa a wɔanya asikreyare bɛboro mfe 10 na wɔanya nsɛnnennen afoforo a efi asikreyare mu ba (sɛ nhwɛso no, ntini a ɛsɛe).
Dɛn nti na eyi reto yɛn?
Nea enti titiriw a ɛte saa ne sɛ asikre dodow a ɛwɔ mogya mu no kɔ so yɛ kɛse bere tenten a wontumi nni so . Asikreyare a yentumi nni so tumi sɛe yɛn nipadua mu ntini ahorow.
Fa no sɛ "controller" panyin bi wɔ hɔ a ɔhwɛ yɛn yafunu dwumadi so. Ɛno ne Vagus ntini no . Sɛ Vagus ntini yi sɛe esiane asikre a ɛdɔɔso nti a, yafunu no nnya sɛnkyerɛnne a ɛbɛma aduan no mu ada mpan yiye. Ebetumi asɛe ntini a ɛwɔ yafunu no mu ne nkwammoaa titiriw (pacemaker cells) a ɛboa ma aduan no kɔ mu no nso. Sɛ saa nneɛma yi nyinaa bom a, aduan kɔhyɛ yafunu no mu na gastroparesis ba.
Dɛn ne eyi ho sɛnkyerɛnne atitiriw?
Hwɛ sɛ wowɔ saa sɛnkyerɛnne ahorow yi anaa. Nanso kae sɛ, nsusuw sɛ wowɔ saa yare yi esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa abien nti. Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ma ɛno.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Koma a ɛyɛ yaw/Reflux | Aduan a asikre wom a ɛwɔ yafunu no mu no san ba soro kɔ menewa no mu. |
| Abofono | Ɔhaw a ɛte sɛ nea wofe bere nyinaa. |
| Ɔfe a wɔfe | Wɔ tebea horow a emu yɛ den mu no, wobetumi afe aduan a wɔanwene a wodii nnɔnhwerew kakraa bi ansa na ɛreba. Ebinom fam no, eyi betumi asi da biara da. |
| Ɛyɛ den sɛ wobedi asikre dodow so | Esiane sɛ wontumi nhu bere pɔtee a aduan kɔ dwensɔtwaa mu nti, asikre dodow betumi akɔ soro na akɔ fam mpofirim. |
| Sɛ wote nka sɛ wo ho ayɛ wo ma bere a woadi kakra mpo a | Esiane sɛ yafunu no adi kan akora aduan so nti, wote nka sɛ woyɛ ma bere a woadi kakraa bi mpo akyi. |
| Yafunu mu a ɛyɛ hyew | Sɛ wote nka sɛ wo ho ayɛ wo hyew, te sɛ nea mframa ahyɛ yafunu no ma. |
| Aduan ho akɔnnɔ a ɛyera ne mu duru a ɛso tew/ɛkɔ soro | Wonte nka sɛ wubedidi efisɛ wo yafunu yɛ ma bere nyinaa. Eyi betumi ama obi mu duru so atew. |
Tebea horow bɛn na eyi betumi ayɛ nea asiane wom?
Sɛ wɔansa gastroparesis yiye a, nsɛnnennen bi betumi aba.
- Aduan a ɛsɛe: Sɛ aduan tra yafunu mu kyɛ dodo a, ebetumi asɛe na ama mmoawa anyin.
- Bezoar a ɛba: Aduan a wɔannye no betumi aboaboa ano na ayɛ ade a ɛyɛ den wɔ yafunu no mu. Wɔfrɛ eyi sɛ bezoar . Eyi betumi asiw yafunu no kwan na asiw aduan a ɛnkɔ dwensɔtwaa mu no ano koraa.
- Asikreyare a ɛyɛ den sɛ wobedi so: Eyi ne ɔhaw kɛse. Wonom insulin ansa na woadi. Nanso aduan no kɔ dwensɔtwaa mu na asikre no kɔ mogya no mu wɔ nnɔnhwerew pii akyi. Afei asikre dodow no kɔ soro na ɛba fam mpofirim. Ɛyɛ den yiye sɛ wobedi eyi so.
- Nsu a ɛho tew esiane ɔfe nti: Sɛ wotaa fe a, nsu betumi ahwere wo nipadua na nsu atɔ wo. Eyi yɛ tebea a asiane wom.
Sɛ wofe a emu yɛ den na wo yafunu mu yɛ wo yaw kɛse a, kɔ Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU) ntɛm ara.
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Ebia wo duruyɛfo besusuw sɛ eyi bere a watie wo yare no ho sɛnkyerɛnne ahorow na wayɛ wo nipadua mu nhwehwɛmu awie no. Afei wobetumi ayɛ nhwehwɛmu ahorow pii de akyerɛ sɛ wɔahu yare no, te sɛ:
- Upper Endoscopy: Wɔde afiri teateaa bi a mfoninitwa afiri abata ho hyɛ menewa no ase de hwehwɛ yafunu no mu. Eyi boa ma wɔhwɛ sɛ yafunu no mu nneɛma foforo biara asiw anaa.
- Barium X-ray: Sɛ wɔnom nsu bi a wɔfrɛ no barium wie a, wɔyɛ X-ray de hwɛ sɛnea yafunu no mu da hɔ ntɛmntɛm.
- Scintigraphy: Eyi ne sɔhwɛ titiriw no. Wodi aduan kakraa bi (mpɛn pii no ɛyɛ ɛmo) a wɔde aduru bi a ɛma anyinam ahoɔden afra, na afei wo scan wo yafunu dɔnhwerew biara bɛyɛ nnɔnhwerew 4 hwɛ sɛnea aduan no mu dodow a ɛho ayɛ fĩ afi wo yafunu mu.
- Sɔhwɛ afoforo: Bio nso, sɔhwɛ titiriw te sɛ yafunu mu manometry ne wireless motility capsule wɔ hɔ. Wo duruyɛfo na obesi nhwehwɛmu a ɛfata wo ho gyinae.
Ayaresa ne sɛnea wɔhwɛ so
Ɛwom sɛ wontumi nsa yafunu mu yare no koraa de, nanso wobetumi adi sɛnkyerɛnne ahorow no ho dwuma na wɔatra ase sɛnea ɛsɛ.
1. Nea edi kan koraa: hwɛ asikre dodow a ɛwɔ wo mogya mu no so!
Eyi ne ade a edi kan na ɛho hia sen biara wɔ ayaresa mu. Asikre dodow a ɛwɔ wo mogya mu a wobɛhwɛ so no betumi aboa ma ntini a ɛsɛe no so atew. Wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia ɛsɛ sɛ wosakra insulin dodow anaa bere a wode di dwuma no. Ɛho hia nso sɛ wohwɛ asikre dodow a ɛwɔ wo mogya mu daa.
2. Nnuru a wɔde di dwuma
Ebia wo duruyɛfo bɛkyerɛw nnuru bi ama wo na aboa ma wo yare no ho sɛnkyerɛnne no afi hɔ.
- Nnuru a ɛboa ma yafunu no da mpan (e.g. Metoclopramide, Domperidone).
- Nnuru a wɔde sa akisikuru ne ɔfe (e.g. Ondansetron, Prochlorperazine).
- Ɛtɔ mmere bi a, wɔde aduru a ekum ɔyare mmoawa a wɔfrɛ no erythromycin nso ma bere tiaa bi na ama yafunu no ayɛ adwuma kɛse.
Kɔkɔbɔ: Mfa nnuru yi nni dwuma da a wonkɔ oduruyɛfo nkyɛn. Nnuru bi betumi anya ɔhaw ahorow. Enti, di wo duruyɛfo akwankyerɛ akyi bere nyinaa.
3. Ayaresa a wɔde sa yare a emu yɛ den
Wɔ nsɛm a emu yɛ den yiye a wontumi mfa ayaresa afoforo nni dwuma mu no, ebia ɛho behia sɛ wɔfa akwan titiriw a wɔfa so sa yare.
- Yafunu mu anyinam ahoɔden a wɔde kanyan obi:Afiri ketewaa bi a wɔde oprehyɛn bata yafunu no ho de anyinam ahoɔden nsɛnkyerɛnne kɔma de siw akisikuru ne ɔfe ano.
- Feeding tube: Wɔyɛ oprehyɛn de tube (jejunostomy tube) fa yafunu no were mu de kyerɛ aduan kwan kɔ dwensɔtwaa ketewa no mu, na wɔfa yafunu no ho. Wɔyɛ eyi wɔ tebea horow a emu yɛ den sen biara mu nkutoo.
Sɛnea wobɛsesa w’aduan
Nea ɛho hia sen nnuru mpo ne sɛ wobɛsakra w’adidi. Sɛ wudi afotu yi akyi a, ebetumi aboa wo ma woanya ahotɔ kɛse.
| Nneɛma a ɛsɛ sɛ woyɛ (Do's) . | Ɛnsɛ sɛ woyɛ saa |
|---|---|
| Sɛ́ anka wubedi nnuan mprɛnsa da biara no, di nnuan nketenkete 5-6 . | Kwati nnuan a ngo ne srade pii wom (nnuan a wɔayam, curries a srade wom). |
| Fa nsu ne nnuan a wɔayam (e.g., apɔw-mu-teɛteɛ mmom sen apɔw-mu-teɛteɛ, soups) di kan. | Tew nnuan a ahoɔdennuru pii wom (aburow a ɛyɛ bruu, oats, nhabannuru bi, nnuaba) so. Eyinom gye bere tenten ansa na wɔatumi ayam. |
| Di nhabannuru ne nnuaba a wɔanoa yiye . | Kwati nsu anaa nsu foforo a wobɛnom bere a woredidi no. Nom simma 30 ansa na woadi anaa bere a woadi awie. |
| Tena ase kakra bere a woadi awie no. Mma nna fam bere a woredidi no . | Kwati anonne a carbonated (soda) ne nsa koraa. |
| Yɛ apɔw-mu-teɛteɛ bi, te sɛ nantew a emu nyɛ duru, bere a woadi awie no. | Kwati sigaretnom . Ɛtew yafunu no dwumadi so bio. |
Nkrasɛm a Wɔde Kɔ Fie
- Asikreyare Gastroparesis yɛ ɔhaw a ɛtaa ba wɔ asikreyare a wontumi nni so yiye mu.
- Nsɛnkyerɛnne titiriw ne akisikuru, ɔfe, ɔte nka sɛ obi ayɛ ma bere a wadi kakraa bi mpo akyi, ne sɛnea ɛyɛ den sɛ obetumi adi asikre dodow a ɛwɔ mogya mu no so.
- Anamɔn a ɛho hia sen biara a wobɛfa so adi tebea yi ho dwuma ne sɛ wobɛma asikre dodow a ɛwɔ wo mogya mu no akɔ so yiye.
- W’aduan a wobɛsakra no ho hia yiye. Sɛ wudi nnuan nketenkete a srade ne ahoɔdennuru nnim a, ebetumi ama woanya ahotɔ kɛse.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mma w’ankasa nsi gyinae na akyinnye biara nni ho sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ afotu.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho