So wotaa te nka sɛ woyɛ ma bere a woadi aduan awie, wo yafunu yɛ wo yaw, na wo nsu a ɛyɛ huam a srade wom? Ebia wo mu duru so retew nso a ntease biara nnim. Eyinom nyɛ sɛnkyerɛnne ahorow a ɛsɛ sɛ wobu ani gu so. Ɛnnɛ yɛreka tebea bi a wɔfrɛ no Exocrine Pancreatic Insufficiency, anaa EPI tiawa a ebetumi de saa sɛnkyerɛnne ahorow yi aba ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne EPI?
Okay, momma yɛmfa no saa kwan yi so. Yɛwɔ akwaa bi a wɔfrɛ no pancreas wɔ yɛn yafunu mu. N’adwuma titiriw ne sɛ ɛbɛyɛ enzymes , nnuru soronko bi a ɛboa yɛn ma yɛyam aduan a yedi no. Saa enzymes yi kɔ yɛn dwensɔtwaa ketewa no mu na ɛpaapae aduan a yedi, titiriw ngo ne srade, ma yɛn nipadua no tumi twetwe.
Afei, nea ɛto obi a ɔwɔ EPI ne sɛ dwensɔtwaa no ntumi nyɛ enzymes a ɛdɔɔso. Dɛn na ɛba saa bere no? Aduan nyɛ nea wɔayam no yiye. Nipadua no nnye aduannuru a ehia, titiriw srade ne vitamin ahorow a ɛtumi nwura srade mu (te sɛ vitamin A, D, E, ne K). Eyi de ɔhaw ahorow te sɛ yafunu a ɛyɛ yaw ne mu duru a ɛso tew ba.
Nanso mma ɛnhaw wo. Mprempren ayaresa a eye paa wɔ hɔ a wɔde sa eyi. Sɛ wunya ayaresa a ɛfata a, wubetumi asan atra ase sɛnea ɛsɛ.
Dɛn ne nneɛma a ɛde EPI ba?
Nea ɛde EPI ba titiriw ne ɔsɛe bi a ɛba dwensɔtwaa no so. Eyi betumi de nneɛma pii aba.
- Pancreatitis a ɛtaa ba: Nnuruyɛfo frɛ eyi pancreatitis a enni sabea . Nea ɛkɔ so wɔ ha ne sɛ enzymes a wɔyɛ wɔ dwensɔtwaa no mu no fi ase yɛ adwuma wɔ dwensɔtwaa no mu ansa na adu dwensɔtwaa ketewa no mu. Eyi sɛe dwensɔtwaa no ankasa. Asiane yi yɛ kɛse wɔ nnipa a wɔnom nsa pii mu. Afei nso, nneɛma te sɛ mogya mu srade a ɛdɔɔso (Triglycerides) ne nipadua mu ahoɔden a ɛko tia nyarewa a ɛyɛ mmerɛw nso betumi aka eyi.
- Oprehyɛn: Ɛtɔ mmere bi a, saa tebea yi betumi aba esiane oprehyɛn a wɔyɛ wɔ dwensɔtwaa, yafunu, anaa dwensɔtwaa mu nti.
- Nyarewa a wonya fi awo mu: Nyarewa bi a wonya fi awo mu nso betumi de EPI aba.
- Cystic Fibrosis: Nnipa a wɔwɔ saa yare yi ma nsu a ɛyɛ den na ɛyɛ nnam wɔ wɔn nipadua mu. Saa nsu a ɛyɛ nwini yi siw dwensɔtwaa mu ntini no kwan, na ɛmma enzyme ahorow ntumi mfi mu.
- Shwachman-Diamond Syndrome: Eyi nso yɛ awosu mu yare. Wɔ saa tebea yi mu no, nkwammoaa a ɛma enzyme ahorow wɔ dwensɔtwaa mu no yera.
- Nyarewa afoforo: Nnipa binom nso wɔ asiane mu sɛ wobenya EPI esiane nyarewa afoforo a ɛwɔ aduan mu te sɛ Crohn yare ne Celiac yare nti.
Wobɛyɛ dɛn ahu sɛ wowɔ EPI anaa? Dɛn ne sɛnkyerɛnne ahorow no?
Wɔ mfiase no, ebia sɛnkyerɛnne biara nni hɔ, nanso bere a dwensɔtwaa no sɛe na tumi a etumi twetwe srade no so tew no, sɛnkyerɛnne ahorow no fi ase da adi nkakrankakra.
Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛ mu afotu bere a woahu saa sɛnkyerɛnne ahorow yi ara pɛ, sen sɛ wubesusuw sɛ, "Ɛyɛ yafunu mu yaw ara kwa."
Wɔakyerɛw sɛnkyerɛnne ahorow a ɛtaa ba wɔ pon a ɛwɔ ase ha no so.
| Nsɛnkyerɛnne no su | Nkyerɛmu |
|---|---|
| Digestive system ho sɛnkyerɛnne ahorow |
|
| Nsɛnkyerɛnne a efi vitamin a enni nipadua mu ba |
Ɔkwan bɛn so na oduruyɛfo no hu yare yi pɛpɛɛpɛ?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm na afei wahyɛ sɛ wɔnyɛ nhwehwɛmu mpɛn pii mfa nkyerɛ sɛ woahu yare no.
Nsɛmmisa a ɛsɛ sɛ wobisa oduruyɛfo no
- So wowɔ ɛyaw wɔ wo yafunu atifi?
- So nsu a ɛwɔ nsu mu no hua bɔne anaasɛ ɛyɛ srade? So ɛyɛ den sɛ wobɛhohoro?
- So wowɔ akisikuru anaasɛ wo ho ayɛ wo hyew?
- So wo mu duru so atew nnansa yi?
Sɔhwɛ ahorow a ebia wɔbɛkamfo akyerɛ
Sɔhwɛ ahorow ahorow wɔ hɔ a wɔde yɛ eyi.
| Sɔhwɛ su | Dɛn na eyi sɔ hwɛ? |
|---|---|
| Mogya mu Nhwehwɛmu | Ɛhwɛ nipadua no mu vitamin dodow ne sɛ ebia dwensɔtwaa no reyɛ enzymes anaa. Ebetumi nso ahwɛ sɛ nneɛma afoforo a ɛde ba te sɛ celiac yare. |
| Nsuo mu Sɔhwɛ | Nnafua 3 nsu mu nhwehwɛmu kyerɛ srade dodow a ɛwɔ nsu mu. Fecal elastase-1 nhwehwɛmu nso hwɛ sɛ enzyme bi a ɛho hia a dwensɔtwaa no yɛ no dodow te. |
| Mfoninitwa Sɔhwɛ ahorow | Eyinom boa ma wohu sɛ ebia dwensɔtwaa no ayɛ hyew anaa.
|
Dɛn ne ayaresa ahorow no?
Ayaresa titiriw a etu mpɔn sen biara a wɔde sa EPI ne Pancreatic Enzyme Replacement Therapy (PERT) . Sɛ yɛbɛka no tiawa a, ɛyɛ nnuru a wobɛnom de asi enzymes a wo dwensɔtwaa no nnyɛ no ananmu.
- Sɛnea wɔnom PERT nnuru: Ɛsɛ sɛ wɔnom saa nnuru yi bere a wɔredidi . Sɛ wɔnom ansa na wɔadi a, enzyme ahorow no afi yafunu no mu ansa na aduan no adu. Sɛ wɔnom bere a wɔadi adidi awie a, enzyme ahorow no bɛba akyiri dodo bere a aduan no afi ase reyɛ ayam no. Enti, ɛsɛ sɛ wɔnom saa nnuru yi ka nnuan atitiriw ne nnuan nketenkete ho .
- Nnuru a ɛtew yafunu mu acid so: Ɛtɔ mmere bi a, yafunu mu acid a ɛdɔɔso betumi asɛe saa enzyme nnuru yi ansa na atumi ayɛ adwuma. Sɛnea ɛbɛyɛ a wobegyae eyi no, wo duruyɛfo betumi akyerɛw aduru bi te sɛ `Proton pump inhibitors` (e.g. omeprazole) anaa `H2 blockers` (e.g. famotidine).
- Nnuru a wɔde kum ɛyaw:Sɛ ɛyaw wɔ hɔ a, wubetumi anom aduru a wɔde kum ɛyaw a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so te sɛ Paracetamol wɔ wo duruyɛfo afotu so. Sɛ ɛyaw no mu yɛ den a, wobetumi akyerɛw nnuru a ano yɛ den ama obi. Nanso, nnuru a ɛtete saa no betumi ama obi ayɛ ɔsadweam, enti ɛsɛ sɛ wɔde ahwɛyiye kɛse di dwuma na wɔde aduruyɛfo afotu ma.
Bio nso, ɛho hia paa nso sɛ wɔsa yareɛ a ɛwɔ aseɛ (e.g. Chronic Pancreatitis, Cystic Fibrosis) a ɛde EPI tebea no baeɛ no.
Wobɛyɛ dɛn atumi ahwɛ wo ho?
Nea ɛka nnuruyɛ ho no, w’asetra kwan ne w’adidi nso ho hia yiye wɔ tebea yi a wubedi so no mu.
- Di nnuan nketenkete pii: Sɛ́ anka wubedi nnuan akɛse abiɛsa da biara no, di nnuan nketenkete bɛyɛ mpɛn asia da biara. Eyi bɛma ayɛ mmerɛw sɛ wobɛyam.
- Kwati nsa ne sigaretnom: Nsã ma ɛyɛ den ma nipadua no sɛ ɛbɛtwe srade na ɛsɛe dwensɔtwaa nso. Sigaretnom nso pira dwensɔtwaa no.
- Fa vitamin: Esiane sɛ nipadua no nnye no yiye nti, ɛho behia sɛ wofa vitamin te sɛ vitamin A, D, E, ne K fi akyi. Eyi nti, wo duruyɛfo bɛkyerɛw vitamin ne dodow a ɛfata ama wo.
- Hwehwɛ afotu fi aduannuru ho ɔbenfo hɔ: Ɛho hia yiye sɛ wohwehwɛ afotu fi aduan ho ɔbenfo hɔ na ama woasiesie aduan a ahoɔden wom a ɛfata wo.
EPI nyɛ tebea a ɛsɛ sɛ wohaw wo ho wɔ ho. Sɛ wonya ayaresa ne asetra kwan a ɛfata a, akyinnye biara nni ho sɛ wubetumi adi so na woatra ase sɛnea ɛsɛ. Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkɔ so adi nkitaho na woadi n’akwankyerɛ akyi pɛpɛɛpɛ.
Nkrasɛm a Wɔde Kɔ Fie
- EPI yɛ aduan mu yare a ɛba bere a dwensɔtwaa no ntumi nyɛ enzymes a ɛdɔɔso no.
- Yafunu mu yaw, nsu a srade wom, akisikuru, ne mu duru a ɛso tew ne sɛnkyerɛnne atitiriw. Mma w’ani ngu eyinom so.
- Wobetumi de mogya, nsu, ne scan nhwehwɛmu ahu yare no pɛpɛɛpɛ.
- Wobetumi de enzyme nnuru a wɔfrɛ no PERT asa tebea yi yiye.
- Ɛho hia paa sɛ wobɛkwati nsa ne sigaretnom koraa na wodi aduan a ɛkari pɛ.
- Sɛ ɔhaw bi sɔre a, wo ne wo duruyɛfo nkasa mmom sen sɛ w’ankasa wubesi gyinae.
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