Yɛn aduan mu ɔbran a ɔyɛ komm: Momma yensua Duodenum ho ade

So woasusuw nea ɛto aduan a yedi bere a ɛhyɛn yɛn yafunu mu akyi no ho pɛn? Ɛhe na saa aduan no kɔ wɔ yafunu akyi? Ɛnnɛ yɛrebɛka gyinabea bi a ɛho hia paa wɔ saa akwantuo no mu ho asɛm. Oyi yɛ ɔbran ketewaa bi a ɔyɛ adwuma kɛse komm wɔ yɛn aduan mu. Momma yenhu no nkɔ akyiri.

Sɛ yɛbɛka no tiawa a, dɛn ne duodenum ?

Duodenum yɛ wo dwensɔtwaa ketewa no fã a edi kan . Ɛwom sɛ wɔfrɛ no "dwensɔtwaa ketewa" de, nanso nokwarem no, ɛyɛ yɛn aduan mu nneɛma a ɛware sen biara. Ɛha na wɔkyekyɛ aduannuru (proteins, srade, vitamin , ne nea ɛkeka ho) a ɛwɔ aduan a yedi mu no mu ma ɛyɛ nsu a nipadua no betumi atwe.

Dwonku ketewa no te sɛ afiri ketewa bi a ne nsɛso te sɛ nkyerɛwde ‘C’. Aduan a efi yafunu mu di kan hyɛn dwensɔtwaa ketewa yi mu. Dwonku ketewa no afã abien a edi hɔ ne jejunum ne ileum.

Dɛn ne okyinnsoromma yi dwumadi atitiriw?

Adwuma titiriw a yafunu no yɛ ne sɛ ɛbɛtoa aduan a wɔyam a efi ase wɔ ano ne yafunu mu no so na afi ase agye aduannuru akɔ mogya no mu. Fa no sɛ ansa na aduan bɛduru yafunu mu no, aduane ne nnompe ne yafunu mu acid afra ma ayɛ nsuo a ɛyɛ den, anaasɛ momma yɛnka sɛ "aduan akutu" (`chyme`). Wɔdan saa aduan akutu no ma ɛbɛyɛ aduannuru a nipadua no betumi de adi dwuma wɔ yafunu no mu.

Nneɛma atitiriw a ɛkɔ so wɔ okyinnsoromma yi mu ni:

Okyinnsoromma yi kɛse ne ne gyinabea te dɛn?

Duodenum yɛ dwensɔtwaa ketewa no fã a ɛyɛ tiaa sen biara . Ne tenten bɛyɛ nsateakwaa 10. Ɛno nnu anammɔn biako kakra. Latin asɛmfua "duodenum" kyerɛ "nsateaa 12." Ɛno kyerɛ sɛ ne tenten te sɛ nsateaa 12 a wɔde asisi nkyɛnkyɛn.

Fa no sɛ, wo dwensɔtwaa ketewa no nyinaa tenten bɛyɛ anammɔn 22. Ɛno tenten bɛyɛ sɛ tɛnis abɔnten so. Nanso ɛyɛ ɔfã ketewaa bi a ne tenten yɛ nsateakwaa 10 a ne tenten yɛ saa nkutoo mu na aduannuru a ɛho hia yi nyinaa ba.

Esophagus no wɔ yafunu no ase. Ɛbɔ ne ho akɔneaba wɔ ‘C’ kwan so kɔ nifa ne akyi, kɔ fam, na afei ɛkɔ benkum. Wo dwensɔtwaa no fã a ɛtrɛw sen biara no wɔ saa kurukuruwa a ɛte sɛ ‘C’ yi mu.

Okyinnsoromma yi afã anan no

Wobetumi akyekyɛ okyinnsoromma yi mu ayɛ no afã atitiriw anan, na wɔato din sɛnea ɛwɔ ne sɛnea ɛte.

1. Superior segment: Eyi ne ɔfã a ɛwɔ soro sen biara a ɛne yafunu no di nkitaho. Ne tenten bɛyɛ nsateakwaa 2. Esiane sɛ ɛyɛ mmerɛw sɛ yafunu mu acid bɛba nti, ɛda adi sɛ akuru wɔ dwensɔtwaa ketewa no mu wɔ ɔfã yi mu kɛse.

2. Ɔfã a ɛsiane: Sɛnea edin no kyerɛ no, eyi ne ɔfã a ɛte sɛ ‘C’ a ɛkɔ fam. Ne tenten bɛyɛ nsateakwaa 4. Ntini a efi dwensɔtwaa , akisikuru , ne mmerɛbo mu no kɔ ɔfã yi. Bile ne enzymes a efi saa akwaa yi mu bom sɛe srade , protein, ne carbohydrates.

3. Ɔfã a ɛda fam:Eyi nso tenten bɛyɛ nsateakwaa 4. Efi nifa kɔ benkum, na ɛwɔ mogya ntini atitiriw pii a ɛwɔ yɛn nipadua mu no atifi.

4. Ascending segment: Eyi ne dwensɔtwaa ketewa no fã ketewaa bi. Ne tenten nnu nsateakwaa biako kakra. Ɛtrɛw kɔ soro na ɛne dwensɔtwaa ketewa no fã a edi hɔ (jejunum) no di nkitaho.

Ɔkwan bɛn so na wɔhyehyɛ okyinnsoromma yi fasu?

Awotwaa no fasu no yɛ nneɛma atitiriw anan.

• Mucosa: Eyi ne ade a ɛwɔ mu paa. Ɛwɔ nsensanee nketenkete a ɛte sɛ nsateaa (microvilli). Eyinom ma dwensɔtwaa no ani kɛse, na ɛma wotumi twetwe aduannuru pii.
• Submucosa: Mogya ntini ne ntini a ɛka bom wɔ saa ɔfa yi mu. Brunner ntini a ɛma ade bi a ɛtew aduan a efi yafunu mu ba no acid so nso wɔ mu.
• Muscularis: Eyi yɛ ntini a ɛyɛ mmerɛw. N’adwuma titiriw ne sɛ ɛbɛfrafra na ama aduan akɔ n’anim.
• Serosa: Eyi ne ade a wɔde kata akyi a ɛbɔ ho ban sen biara.

Nyarewa ne ɔhaw ahorow a ebetumi aba a ɛfa okyinnsoromma yi ho

Esiane sɛ ɛbɛn yafunu no nti, sɛ yafunu no mu asikre kɔ soro a, ɛda adi sɛ ɛwo no bɛsɛe. Saa acid yi betumi ama yafunu ne aduan mu akuru aba. Nneɛma atitiriw abien a ɛde eyi ba ne ɔyare mmoawa a wɔfrɛ no `H. pylori` ne nnuru a wɔde kum ɛyaw a wɔfrɛ no `NSAIDs` (nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) a wɔde di dwuma dodo (e.g. aspirin, ibuprofen) .

Sɛ kuru bi a wɔansa no sɛe awotwaa no fasu kɛse na ɛsɛe mogya ntini bi a ɛwɔ n’akyi a, ebetumi ama mogya atu kɛse. Eyi yɛ tebea a egye ayaresa ntɛm ara.

Nyarewa pii a ɛka dwensɔtwaa ketewa no nso betumi aka dwensɔtwaa no.

• Crohn yare: Tebea a ɛma dwensɔtwaa ketewa no ho hyehye na ɛhoa.
• Celiac yare: Tebea a ɛde aduan mu haw ba bere a wodi nnuan a gluten wom no.
• Duodenal cancer: Kokoram a efi ase wɔ duodenum nkwammoaa mu.
• Duodenitis: Duodenum a ɛyɛ hyew.
• Dwonku ketewa a ɛsiw: Ɛyɛ dwensɔtwaa ketewa no a esiw koraa anaa ne fã bi, a akyi berɛmo no ka ho. Eyi nso yɛ aduruyɛ mu asɛm a egye ntɛmpɛ.

Nsɛnkyerɛnne a ɛtaa ba a ɛkyerɛ sɛ ɔhaw bi wɔ hɔ

Sɛ ɔhaw bi wɔ hɔ a, sɛnkyerɛnne ahorow no betumi ayɛ soronko a egyina yare no so. Nanso, sɛnkyerɛnne ahorow a wɔtaa hu wɔ aduan mu haw ahorow mu ni.

• Yafunu mu yaw
• Yafunu a ɛho ayɛ kurukuruwa ne yafunu a ɛyɛ mmerɛw
• Ayamtim
• Ayamtuo
• Akisikuru ne ɔfe
• Yafunu mu yaw bere a woadi awie (Indigestion) .
• Mogya a wɔfe anaa mogya a wɔde fa nsu mu (eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya retu afi kuru bi mu) .

Sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ afotu .

Akwan a wɔfa so hwɛ awotwaa no akwahosan

Wo duruyɛfo no bɛkra sɛ wɔnyɛ nhwehwɛmu a ɛho hia a egyina wo sɛnkyerɛnne ahorow so. Ebi ne:

• Ɔhome mu nhwehwɛmu a ɛkyerɛ sɛ obi anya H. pylori yare no.
• Scans: Sɔhwɛ te sɛ `Ultrasound`, `X-rays`, `CT scan` anaa `MRI` de hwehwɛ akuru ne ɔfe wɔ awotwaa no mu.
• Endoscopy: Wɔde afiri ketewaa bi a mfoninitwa afiri abata ho fa ano no mu de hwehwɛ aduan no mu.
• Biopsy: Sɛ akuru bi a ɛnyɛ ne kwan so wɔ hɔ a, woyi ntini ketewaa bi fi mu na wɔsɔ hwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa.

Ayaresa a wɔtaa de sa awotwaa mu nyarewa

Tebea no na ɛkyerɛ ayaresa.

• Nnuru a ekum ɔyare mmoawa: Wɔde ma mmoawa a wɔde nyarewa ba te sɛ H. pylori.
• Steroid nnuru (Corticosteroids): Sɛnea ɛbɛyɛ a wɔbɛtew ɔfe a ɛboro so so.
• Nnuru a ɛtew yafunu mu acid so: Nnuru te sɛ `Proton pump inhibitors (PPIs)`, `H2 blockers` ne `antacids`.
• Oprehyɛn: Ebia ɛho behia sɛ wɔyɛ oprehyɛn wɔ kokoram tebea horow anaa nhyehyɛe mu ɔhaw afoforo ho.