So wo yafunu nso taa yɛ wo yaw? Eyi betumi ayɛ yafunu mu yare!

Fa no sɛ woadi aduan a ɛyɛ dɛ awie nkyɛe, na wote nka sɛ wo yafunu rehyew, na wo koko mu ayɛ wo den. Anaasɛ ɛtɔ da bi a, wote yafunu mu yaw bere mpo a wo yafunu da mpan ansa na woadi. So nneɛma a ɛte sɛɛ taa to wo? Ɛwom sɛ nnipa pii susuw sɛ ɛyɛ ‘yafunu mu yare’ de, nanso eyi betumi ayɛ tebea bi a wɔfrɛ no yafunu mu yare ankasa, a wɔfrɛ no yafunu mu yare wɔ aduruyɛ mu. Momma yɛnka eyi ho asɛm nnɛ ara kwa, nea ɛyɛ, nea enti a ɛba, ne nea ɛsɛ sɛ yɛyɛ.

Sɛ yɛbɛka no tiawa a, dɛn ne yafunu mu yare?

Yafunu mu yare yɛ bere a yɛn yafunu a ɛbɔ yɛn ho ban, anaa yafunu mu ntini no ho yɛ hyew, epira, anaasɛ ɛsɛe. Eyi betumi aba wɔ akwan titiriw abien so.

• Acute Gastritis: Eyi ne nea ɛba mpofirim na ɛyɛ yiye wɔ nna kakraa bi mu. Mpɛn pii no, ɔyare mmoawa, nnuru a ano yɛ den, anaa nsa a wɔnom boro so na ebetumi afi mu aba.
• Yafunu mu yare a enni sabea: Eyi yɛ ɔkwan a efi ase nkakrankakra na ɛtra hɔ kyɛ. Nnipa pii a wɔwɔ wiase no wɔ yafunu mu yare a ɛte sɛɛ. Nea ɛde eyi ba titiriw ne ɔyare mmoawa bi a wɔfrɛ no Helicobacter pylori (Helicobacter pylori anaa H. pylori) .

Dɛn ne yafunu mu yare atitiriw?

Wɔkyekyɛ yafunu mu yare nso mu sɛnea ɛka yafunu no fasu te.

Nea ɛka ho no, nnuruyɛfo nso kyekyɛ yafunu mu yare mu sɛnea nea ɛde tebea no ba no te. Sɛ nhwɛso no, yafunu mu yare a nsa na ɛde ba, yafunu mu yare a nnuru bi de ba, ne yafunu mu yare a ɔyare mmoawa de ba.

Dɛn nti na yenya yafunu mu yare? Dɛn na ɛde ba?

Yafunu mu yare yɛ sɛnea nipadua no yɛ n’ade bere a yɛn yafunu mu ntini no yɛ mmerɛw anaasɛ ɛsɛe no. Ntease pii betumi ama eyi aba.

• Nnuru a wɔde kum ɛyaw a wɔde di dwuma bere nyinaa: Nnuru a wɔde kum ɛyaw te sɛ aspirin ne ibuprofen (NSAIDs - Nonsteroidal anti-inflammatory drugs) a wɔde di dwuma bere tenten no yɛ ade titiriw a ɛde ba.
• Nsã, tawa, ne nnubɔne: Asanom, sigaretnom, ne nnubɔne te sɛ cocaine a wɔnom boro so.
• H. pylori mmoawa a wɔde nyarewa ba: Eyi ne ade a ɛtaa de ba wɔ wiase.
• Adwene anaa nipadua mu nhyɛso a emu yɛ den: Adwennwen a nneɛma te sɛ oprehyɛn kɛse a wɔyɛ, akwanhyia a emu yɛ den, anaa yare de ba.
• Nyarewa afoforo: Mmoawa bi ne mmoawa a wɔsɛe nnɔbae nso betumi de aba.
• Bile reflux: Bile, nsu a ɛboa ma wɔyam aduan no san kɔ yafunu no mu.
• Autoimmune response: Yɛn nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no di mfomso tow hyɛ yafunu no mu nkwammoaa so.
• Kokoram ayaresa ahorow bi, sɛ nhwɛso no, mframa a wɔde sa yare ne nnuru a wɔde sa yare.

Esiane sɛ yafunu no fasu no fi awosu mu yɛ teateaa bere a obi nyin nti, nnipa a wɔn mfe akɔ anim no wɔ asiane kɛse mu kakra sɛ wobenya yafunu mu yare.

Dɛn ne yafunu mu yare ho sɛnkyerɛnne?

Gastritis ho sɛnkyerɛnne nyɛ pɛ wɔ obiara fam. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara koraa. Nanso, eyinom ne sɛnkyerɛnne ahorow a ɛtaa ba.

Oduruyɛfo, wobɛyɛ dɛn ahu yafunu mu yare?

Bere a watie wo yare no ho sɛnkyerɛnne na wahwɛ wo mu awie no, sɛ wo duruyɛfo susuw sɛ wowɔ yafunu mu yare a, ɔbɛkamfo nhwehwɛmu yi biako anaa nea ɛboro saa akyerɛ wo.

• Upper Endoscopy: Eyi ne ɔkwan a ɛyɛ pɛpɛɛpɛ sen biara. Wɔde afiri teateaa bi a mfoninitwa afiri abata ho fa ano no mu na ɛhwɛ yafunu no mu ɔfasu no tẽẽ. Etumi hu pefee sɛ ebia ɛho ahonhon anaasɛ akuru wɔ hɔ anaa. Sɛ ɛho hia a, wobetumi ayi ntini ketewaa bi afi hɔ akɔhwɛ mu. Wɔfrɛ eyi biopsy .
• Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu betumi aboa ma woahu sɛ mogya a ɛtɔ wo mu (mogya a enni mu), na woahu sɛ wowɔ H. pylori yare no anaa.
• Nsu mu nhwehwɛmu: Wɔyɛ nhwehwɛmu yi de hwɛ sɛ mogya nketenkete bi wɔ nsu mu anaa.
• Ɔhome mu sɔhwɛ: Eyi yɛ sɔhwɛ titiriw foforo a wɔde hu H. pylori mmoawa no.

Dɛn ne ayaresa ahorow a wɔde sa yafunu mu yare?

Ayaresa no gyina nea ɛde yafunu mu yare ba ne sɛnea tebea no mu yɛ den so.

Ɛtɔ mmere bi a, yafunu mu yare a emu yɛ den no ankasa gyae bere a wagyae sigaretnom, anom nsa, anaa wanom nnuru a ɛde ɔhaw no aba no. Nanso, yafunu mu yare a enni sabea hwehwɛ sɛ wɔsa yare.

Nnuru atitiriw pii wɔ hɔ a wɔde ma.

• Nnuru a ɛko tia acid: Eyinom ma yafunu mu acid yɛ nea ɛnyɛ adwuma na ɛma ahotɔ ntɛmntɛm.
• H2 blockers: Eyinom brɛ yafunu mu acid a ɛba no ase.
• Proton pump inhibitors (PPIs): Eyinom yɛ nnuru a esiw yafunu mu acid a ɛba no kwan yiye.
• Nnuru a ekum ɔyare mmoawa: Sɛ H. pylori mmoawa no na ɛde wo yafunu mu yare no ba a, wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa ama wo.
• Nneɛma a wɔde kata yafunu no ani: Eyinom ma wonya biribi a ɛbɔ yafunu no fasu a apira no ho ban, na ɛboa ma ɛsa.

Nsɛnnennen a ebetumi aba sɛ yafunu mu yare kɔ so a

Mpɛn pii no, wobetumi asa yafunu mu yare, nanso sɛ ɛkɔ so a wɔannya ayaresa a, nsɛnnennen bi betumi aba.

• Peptic ulcers: Akuru a ɛyɛ yaw ba na mogya betumi atu.
• Mogya a ɛtɔ kɔ nipadua mu: Mogya a ɛtɔ kɔ nipadua no mu betumi aba esiane mogya a ɛkɔ so tɔ anaasɛ aduannuru te sɛ dade a nipadua no nnye no so tew nti.
• Atrophic Gastritis: Yafunu mu yare a ɛtra hɔ kyɛ betumi ama yafunu no fasu ayɛ teateaa, na ɛtew tumi a ɛtwetwe aduannuru te sɛ vitamin B12 no so.
• Yafunu mu kokoram ho asiane: Eyi ho yɛ na koraa. Nanso, yafunu mu yare a ɛtra hɔ kyɛ a wɔansa, titiriw yafunu mu yare a H. pylori yare no de ba no ma yafunu mu kokoram ho asiane no yɛ kɛse kakra. Ɛno nti na sɛ wowɔ sɛnkyerɛnne bi a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn na wohwehwɛ ayaresa.