So woanya nkotoku nketewa (diverticulosis) wɔ wo dwensɔtwaa mu? Momma yɛnka eyi ho asɛm!

So woate nkotoku nketewa a ɛba wo dwensɔtwaa mu ho asɛm pɛn? Ebia wo duruyɛfo aka ho asɛm akyerɛ wo, anaasɛ ebia obi a wunim no wɔ bi. Eyi ne nea yɛfrɛ no `(Diverticulosis)`. Mma ɛnhaw wo, eyi yɛ tebea a ɛtaa ba a ɛka nnipa pii.

Dɛn ne saa `(Diverticulosis)` yi?

Sɛ yɛbɛka no tiawa a, diverticulosis yɛ nkotoku nketewa anaa kotoku a ɛba wo dwensɔtwaa mu. Fa no sɛ baabi a ɛyɛ mmerɛw wɔ sakre afiri dedaw bi mu, baabi a nkotoku nketewa anaa kotoku ahorow puepue. Bere kɔ so no, wo dwensɔtwaa no mu nneɛma no piapia kɔ mmeae a ɛyɛ mmerɛw wɔ ɔfasu no mu. Bere a yɛyam nnuan ne bere a nneɛma a wɔsɛe no fa akyi berɛmo no mu no, saa nkotoku yi de nkakrankakra ba.

Asɛmfua `(Diverticulosis)` nso fi Borɔfo asɛmfua `divert' mu. Ɛkyerɛ sɛ `sɛ wobɛdan akɔ nkyɛn'. Wɔtoo din efisɛ ɛte sɛ nea ɔkwan a ɛfa dwensɔtwaa no so no dan kɔ saa nkotoku nketewa yi so. Yɛfrɛ kotokuo dodoɔ bi a ɛte saa `(Diverticula)`, ne kotokuo baako `(Diverticulum)`. Eyinom taa nyin wɔ wo dwensɔtwaa kɛse (`(Colon)`) , efisɛ ɛhɔ na aduan a wɔsɛe no wɔ baabi kɛse a ɛbɛma ayɛ den na apia afasu no. Wɔtaa ba titiriw wɔ dwensɔtwaa kɛse no awiei, kyerɛ sɛ, wɔ `(Sigmoid Colon)` mu.

Nsonsonoe bɛn na ɛwɔ `(Diverticulosis)` ne `(Diverticulitis)` ntam?

Afei ebia woresusuw nsonsonoe a ɛda `(Diverticulosis)` ne `(Diverticulitis)` ntam. `(Diverticulosis)` ne tebea a wowɔ pouches (`(Diverticula)`) wɔ wo dwensɔtwaa mu, sɛnea madi kan aka no. Nanso, `(Diverticulitis)` ne bere a wo kotokuo baako anaa nea ɛboro saa ho hyehyeɛ, a ɛkyerɛ sɛ ɛho ahonhon na ɛde ɔyareɛ ba. Mpɛn pii no, eyi fi ɔyare mmoawa (`(Bacterial Infection )`). Ebia nkotoku a wubenya ara kwa no renyɛ ɔhaw kɛse. Nanso, saa nkotoku yi yɛ mmeae pa a mmoawa betumi ahintaw na wɔawo. Enti sɛ wo nya `(Diverticulitis)` a, wobɛtumi anya nsɛnkyerɛnneɛ te sɛ yafunu mu yaw ne atiridiinini.

So Diverticulosis yɛ tebea a emu yɛ den?

Sɛ obi wɔ diverticulosis a, ɛnyɛ asɛm kɛse. Nnipa dodow no ara nni sɛnkyerɛnne anaa nsɛnnennen biara. Nanso, ɛntaa mma koraa sɛ ebetumi ayɛ aniberesɛm. Sɛ nhwɛso no, sɛ wunya ɔyare mmoawa (a wɔfrɛ no diverticulitis) na wɔansa no yiye a, ebetumi de tebea horow a emu yɛ den te sɛ sepsis (mogya mu yare) aba. Afei nso, nnipa kakraa bi pɛ na wobetumi anya mogya afi saa nkotoku yi mu mpɛn pii. Sɛ ɛba saa a, wubetumi ahwere mogya pii afi wo nipadua mu (mogya a ɛyera kɛse ).

Diverticulosis abu so dɛn?

Ɛtaa ba paa wɔ Atɔe Fam aman mu, titiriw bere a yɛrenyin no. Wɔ United States no, nnipa a wɔadi boro mfeɛ aduonum no mu 30%, nnipa a wɔadi boro mfeɛ aduosia 50%, ne nnipa a wɔadi boro mfeɛ aduɔwɔtwe mu 75% wɔ diverticulosis. Mpɛn pii no, ɛwɔ sigmoid colon no mu. Ɛntaa mma nnipa a wonnii mfe 40. Ɛntaa mma wɔ aman te sɛ Afrika ne Asia a wonni nnuan a wɔayɛ no foforo pii sen Atɔe Fam aman nso mu.

Dɛn ne `(Diverticulosis)` ho sɛnkyerɛnne?

Nnipa pii nni sɛnkyerɛnne biara kɛkɛ bere a wɔwɔ `(Diverticulosis)`. Ebia wunnim mpo sɛ wowɔ bi. Nanso, sɛ wowɔ sɛnkyerɛnne te sɛ yafunu ase yaw ne atiridii , ebia efi ɔyare mmoawa bi (`(Diverticulitis)`).

Ɛtɔ mmere bi a, sɛ wowɔ tebea foforo bi wɔ wo dwensɔtwaa mu te sɛ Irritable Bowel Syndrome (IBS) anaa Inflammatory Bowel Disease (IBD) a, saa nkotoku a wɔfrɛ no diverticula yi betumi ayɛ nea ɛyɛ den kɛse wɔ nhyɛso ho. Eyi betumi ama woate nka sɛ obi ayɛ ma na wate yaw bere a aduan a wɔsɛe no fa saa nkotoku yi mu no. Sɛ wowɔ akisikuru , nsu a ɛyɛ den betumi akɔhyɛ nkotoku yi mu, na ama tebea no asɛe kɛse.

Nnipa a wɔwɔ diverticulosis no mu bɛyɛ 10% betumi anya mogya bi afi saa nkotoku yi mu (diverticulum mogyatɔ). Eyi ba bere a mogya ntini bi a ɛwɔ kotoku no mu tetew anaasɛ ɛtetew bere a nsu a ɛyɛ den fa mu no. Mpɛn pii no, eyi gyae bere tiaa bi akyi na ɛnyɛ yaw. Nanso, sɛ ɛba saa a, ebia wubehu mogya foforo wɔ wo nsu mu. Sɛ mogya tu wo saa, sɛ wowɔ sɛnkyerɛnne ahorow a ɛkɔ so, anaasɛ wowɔ nsɛnnennen a efi diverticulosis mu ba a, wɔfrɛ no diverticular disease.

Dɛn ne ade titiriw a ɛde diverticulosis ba?

Nhwehwɛmufo gye di sɛ nea ɛde diverticulosis ba titiriw ne Atɔe Famfo aduan . Ɛne sɛ, aduan a ahoɔdennuru nnim na starch a wɔayɛ no pii wom. Saa aduan a wodi yi ma nsu mu yɛ den na ɛfa dwensɔtwaa no mu nkakrankakra, na dwensɔtwaa no ho ntew yiye. Eyi te saa efisɛ nsu a ɛyɛ den no yɛ kɛse bere a ɛretu no, na ɛno nti na diverticulosis taa ba wɔ dwensɔtwaa kɛse no fã a etwa to (sigmoid colon) no.

So asiane afoforo wɔ hɔ?

Ebia awosu mu nkɛntɛnso nso wɔ hɔ. Ɛmfa ho sɛ Atɔe Famfo di aduan no, abu so wɔ Amerikafo aborɔfo, Europafo, ne Australiafo mu sen abibifo anaa mmusuakuw afoforo mu. Afei nso, nhwehwɛmufo ahu sɛ sɛ nnipa a wɔwɔ Asia aman mu nya diverticulosis a, ɛtaa ba wɔ akyi berɛmo no fã foforo – mfiase mmom sen awiei. Eyi nso abu so wɔ Japanfo a wɔwɔ Hawaii no mu.

Ɔkwan bɛn so na wobetumi ahu `(Diverticulosis)`?

Oduruyɛfo betumi ahu saa polyps yi bere a wɔreyɛ colonoscopy anaa GI X-ray daa no. Wɔtaa hu diverticulosis wɔ saa kwan yi so efisɛ mpɛn pii no ɛmma wonnya yare no ho sɛnkyerɛnne. Nanso sɛ wowɔ sɛnkyerɛnne ahorow a, wo duruyɛfo no bɛbɔ mmɔden sɛ obehu nea ɛde ba no anammɔn biara. Ɔbɛhwehwɛ wo mu denam w’aduruyɛ ho abakɔsɛm, nnuru a wonom, w’aduan, ne wo dwensɔtwaa ho asɛm a obebisa so.

Nhwehwɛmu bɛn na wɔyɛ de hu tebea yi?

Wubetumi ayɛ nea edidi so yi sɛ sɔhwɛ ahorow:

• Nipadua mu Nhwehwɛmu: Oduruyɛfo no bɛhwɛ wo sɛnkyerɛnne ahorow a ɛho hia , ɔde ne nsa bɛka wo yafunu, na watie wo dwensɔtwaa mu nnyigyei. Obetumi nso de nsateaa a wɔde nsateaa ahyɛ mu ahyɛ wo akyi berɛmo mu ( Digital Rectal Exam ).
• Mogya mu Nhwehwɛmu: Woyi mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu mu de kɔ aduruyɛdan mu. Mogya mu nhwehwɛmu betumi ahwɛ sɛ wowɔ ɔyare mmoawa bi anaasɛ mogya retu wo kɛse afi wo mu anaa.
• Nsuo mu Nsɔhwɛ: Wɔfa wo nsuo mu nsuo bi na wɔsɔ hwɛ wɔ aduruyɛdan mu. Nsu mu nhwehwɛmu betumi ahwehwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ ɔyare anaa mogya retu wɔ aduan mu (Gastrointestinal (GI) Bleeding).
• Mfoniniyɛ mu Sɔhwɛ: Oduruyɛfo no de mfoniniyɛ mu nhwehwɛmu te sɛ CT scan, barium enema , sigmoidoscopy a ɛyɛ mmerɛw, anaa colonoscopy bedi dwuma de ahwehwɛ saa akuru yi ne ɔhaw biara a ɛbata ho.

Dɛn ne ayaresa a wɔde sa `(Diverticulosis)`?

Nnipa dodow no ara nhia ayaresa wɔ diverticulosis ho. Nanso, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa fiber pii ka w’aduan ho. Eyi yɛ nea wɔde bedi nea ɛde diverticulosis ba titiriw ho dwuma na wɔasiw nsɛnnennen a sɛnkyerɛnne afoforo te sɛ akisikuru ne akisikuru de ba no ano. Nhama a ɛka ho no boa ma nsu no fa dwensɔtwaa kɛse no mu ntɛmntɛm, na ɛboa ma dwensɔtwaa no ho tew bere a ɛretwam no.

Ebia nnipa bɛyɛ 3% behia ayaresa na ama wɔagyae mogya a ɛkɔ so wɔ diverticular no mu. Wɔtaa yɛ eyi bere a wɔreyɛ colonoscopy no. Sɛ yafunu mu ɔyaresafo (oduruyɛfo a ne ho akokwaw wɔ aduan mu nneɛma mu) hu baabi a mogya retu bere a wɔreyɛ colonoscopy no a, obetumi de nnwinnade afa colonoscope no mu de ahyɛ mogya ntini a apaapae no mu. Sɛnea ɛbɛyɛ foforo no, oduruyɛfo betumi de angiogram ahwehwɛ baabi a mogya retu no na afei ɔde nnuru ahyɛ mogya ntini no mu na ama mogya no agyae.

So wobetumi asiw Diverticulosis ano?

Afifide ne nnuan a ɛyɛ mũ pii a wubedi, apɔw-mu-teɛteɛ daa, ne nsu a ɛdɔɔso a wobɛnom da biara no betumi aboa ma wo dwensɔtwaa akɔ so ayɛ papa na woakɔ so ayɛ daa. Eyi betumi aboa ma wɔasiw diverticulosis ano. Sɛ wowɔ diverticulosis dedaw a, saa nneɛma yi betumi aboa ma woansiw foforo ano. Ɛwom sɛ eyi nyɛ nea ɛyɛ nokware de, nanso mpɛn pii no, saa asetra a ɛfata yi betumi aboa ma wɔasiw nyarewa pii a ɛwɔ akyi berɛmo no ase no ano.

Sɛ tebea yi wɔ hɔ a, dɛn na yebetumi ahwɛ kwan?

Sɛ wunnyaa yare no ho sɛnkyerɛnne anaa nsɛnnennen biara a efi diverticulosis mu da a, ebia worennya bi da. Nanso, sɛ wowɔ tebea afoforo a ɛma diverticulosis yɛ den te sɛ akisikuru, IBS, anaa IBD a, ebia wobɛkɔ asiane kɛse mu sɛ wubenya yare no ho sɛnkyerɛnne ahorow. Nnipa kakraa bi pɛ na mogya tu wɔn mpɛn pii. Ebia nnipa yi behia ayaresa mpɛn pii na ama mogya no agyae anaasɛ wɔadi mogya a ɛretu no so.

So wobetumi asan Diverticulosis no?

Sɛ wonya nya diverticula wie a, mprempren ɔkwan biara nni hɔ a wobɛfa so ayi afi hɔ. Nnipa dodow no ara nni ɔhaw biara wɔ wɔn ho, nanso sɛ wɔhaw wo a, ebehia sɛ wosakra w’asetra kwan ma ɛne no hyia.

Meyɛ dɛn hwɛ me ho bere a mewɔ diverticulosis no?

Sɛ́ ebia wowɔ diverticulosis ho sɛnkyerɛnne anaasɛ wunni bi no, sɛ wowɔ saa tebea yi a, ɛkyerɛ sɛ wubetumi anya mfaso afi fiber pii a wode bɛka w’aduan ho no mu . Ɔkwan a eye sen biara a wobɛfa so ayɛ eyi ne sɛ wubedi aburow a wɔayam, nnuaba, ne nhabannuru pii. Nnipa binom de fiber a wɔde ma te sɛ psyllium di dwuma. Nea ɛho hia sen biara ne sɛ wobɛnom nsu pii bere a worefa fiber no sɛnea ɛbɛyɛ a ɛbɛfa wo dwensɔtwaa mu yiye. Sɛ ɛnte saa a, akisikuru betumi ayɛ kɛse.

Sɛ wowɔ diverticular disease (a wɔsan frɛ no diverticulosis) a, ɛsɛ sɛ wohwɛ wo sɛnkyerɛnne ahorow no so na ama woatumi adi so. Sɛ nhwɛso no, hwɛ sɛ ebia nnuan bi ma wo yare no ho sɛnkyerɛnne no mu yɛ den anaa, anaasɛ nnuru bi a wonom no ka wo yare no ho sɛnkyerɛnne. Sɛ mogya retu wo wɔ wo menewam, sɛ ɛno ankasa gyae mpo a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Eyi bɛboa wɔn ma wɔahwɛ ahu sɛ worenhwere mogya pii.

So diverticulosis betumi aba wɔ akyi berɛmo no akyi?

Diverticula betumi aba wo aduan mu baabiara, a dwensɔtwaa ketewaa, yafunu, ne aduannoa mpo ka ho. Nanso, eyinom ho yɛ na koraa. Mpɛn pii no, ɛba sɛ tebea foforo bi a ɛde ɔhaw ba, te sɛ ɔhaw a ɛma obi tumi keka ne ho a ɛma ɛyɛ den sɛ aduan bɛfa aduan mu. Meckel diverticulum yɛ awo mu dɛmdi a ɛba wɔ dwensɔtwaa ketewa no mu.

Wɔ nnipa dodow no ara fam no, diverticulosis nyɛ biribi a ɛsɛ sɛ wɔhaw wɔn ho wɔ ho. Mpɛn pii no, oduruyɛfo na ohu bere a wɔreyɛ nhwehwɛmu a wɔyɛ no daa no. Sɛ woadi boro mfe 40 a, ɛnyɛ asɛm kɛse. Afei nso, sɛ ɛmma yare no ho sɛnkyerɛnne mma a, wubetumi ayɛ w’ankasa wo ho. Nanso sɛ wowɔ sɛnkyerɛnne bi a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho. Ebetumi ne tebea foforo bi wɔ abusuabɔ, anaasɛ wubetumi anya ɔyare mmoawa.

Nkrasɛm a yɛpɛ sɛ yɛde kɔ fie fi saa asɛm yi mu ne

Okay, enti mewɔ anidaso sɛ wowɔ ntease pa wɔ ``(Diverticulosis)'' a yɛkaa ho asɛm nnɛ no ho.

Ade a ɛho hia paa sɛ yɛkae ne sɛ, bere a eyi to nnipa pii no, dodow no ara tumi tra ase a ɔhaw biara nni ho.

• Fa nnuan a ahoɔdennuru wom (nhabannuru, nnuaba, aburow a wɔayam) ka w’aduan ho.
• Nom nsu pii.
• Twe apɔw-mu-teɛteɛ mpɛn pii.
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ yafunu mu yaw, atiridiinini, anaa mogya wɔ wo nsu mu a, hwɛ hu sɛ wobɛhwehwɛ aduruyɛfo afotu.

Ɛnyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛfata sɛ wohwɛ so!