Ɛtɔ da bi a, yɛn ani awu wɔ ahome bɔne a yenya bere a yɛrekasa no ho. Sɛ hua no ankɔ ɛmfa ho sɛnea yɛbɛhohoro yɛn sẽ denneennen, de aduru a wɔde hohoro ano, na yɛayɛ nea yebetumi biara de ayi afi hɔ a, ebia ɛnyɛ nea ɛfata. Titiriw sɛ wo home wɔ hua a ɛyɛ nwonwa a ɛyɛ dɛ kakra, te sɛ nnuaba a aporɔw, anaa nkesua a aporɔw a, ebetumi ayɛ mmerɛbo mu haw a emu yɛ den ho sɛnkyerɛnne. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi Fetor Hepaticus . Ɛnnɛ, yɛbɛka ho asɛm tiawa.
Dɛn ne Fetor Hepaticus?
Sɛ yɛbɛka no tiawa a, Fetor Hepaticus yɛ hua pɔtee bi a efi wo home mu ba bere a wo mmerɛbo no ntumi nyɛ adwuma yiye esiane ayaresa tebea bi nti. Mmɛn no ne ade titiriw a ɛma yetumi yiyi yɛn nipadua mu. Ɛyi awuduru fi mogya no mu, te sɛ aduan a yedi ne nnuru a yɛnom.
Nanso sɛ mmerɛbo no yare a, saa kwan a wɔfa so yiyi mu yi nyɛ adwuma yiye. Afei, nnuru bi a awuduru wom a ɛsɛ sɛ woyi fi mogya no mu no boaboa ano wɔ mogya no mu sen sɛ wobeyi afi mu. Afei awuduru a aboaboa ano yi ne yɛn home fi adi. Ɛtɔ da bi mpo a, saa hua yi betumi afi wo fifiri ne wo nsu mu aba.
Nea ɛho hia ne sɛ, eyi nyɛ ɔhome bɔne a anom ahotew a enye de ba ara kwa. Eyi yɛ kɔkɔbɔ sɛnkyerɛnne a ɛho hia yiye a ɛkyerɛ tebea bi a emu yɛ den a ɛwɔ wo nipadua mu.
Dɛn ankasa na eyi hua te? Ɔkwan bɛn so na ɛsono no wɔ hua afoforo ho?
Saa hua yi betumi ayɛ anifere kakra sɛ wobehu, efisɛ sɛnea obiara hu nea ɛyɛ no betumi ayɛ soronko. Nanso sɛnea nnuruyɛfo ka ho asɛm ni:
- Ɛyɛ huam te sɛ nsunsu.
- Ɛwɔ dɛ a ɛyɛ nwonwa a ɛyɛ dɛ.
- Ɛtɔ da bi a, ɛtumi hua te sɛ nsuo.
- Hua a wɔde nkesua a aporɔw ne galik afra.
- Sare a wɔatwa no foforo hua.
Ayaresa mu tebea afoforo betumi ama obi ahome bɔne, nanso Fetor Hepaticus yɛ soronko. Momma yɛnte saa nsonsonoe yi ase yiye.
| Sɛnea hua no te | Nkyerɛkyerɛmu ne aduruyɛ tebea a ɛbata ho |
|---|---|
| Hepatic hua a ɛyɛ hu | Hua a ɛyɛ nwunu, ɛyɛ dɛ, a aporɔw te sɛ ɛmo/ayɛyɛde. WeiƐne mmerɛbo mu yare a emu yɛ den wɔ abusuabɔ. |
| Trimethylaminuria (apataa hua) . | Hua a ɛte sɛ mpataa. Eyi yɛ tebea foforo a ɛma nipadua no yɛ adwuma. |
| Uremic Fetor (ammonia hua) . | Hua te sɛ ammonia anaa bleach. Eyi yɛ asaabo a entumi nyɛ adwuma yiye ho sɛnkyerɛnne . |
| Keto Breath (Nnuaba Hua) . | Acetone hua, te sɛ nnuaba anaa nnadewa a wɔde yiyi nnadewa. Eyi betumi aba wɔ asikreyare ketoacidosis mu. |
Dɛn nti na ɛyɛ huam saa?
Saa hua pɔtee yi fi nnuru a wɔyɛ wɔ yɛn nipadua mu a wɔfrɛ no `Dimethyl sulfide` (garlic hua) ne `methyl mercaptan` (egg/cabbage hua a aporɔw) titiriw. Wɔsan frɛ eyinom sɛ `Volatile Organic Compounds` (VOC).
Mpɛn pii no, eyinom yɛ nneɛma a efi yɛn nipadua mu nneɛma a ɛsakra mu ba. Wɔnam mogya no mu kɔ mmerɛbo no mu, na wɔyiyi mu na woyi fi hɔ. Nanso sɛ mmerɛbo no yare a, entumi yiyi mu na wɔn dodow kɔ soro wɔ mogya no mu. Ɛno na saa hua yi fi ase fi ahome no mu.
Nneɛma atitiriw abien betumi ama eyi aba:
1. Mmerɛbo a Ɛnyɛ Yiye: Mmerɛbo mu nkwammoaa asɛe (e.g. esiane mmerɛbo mu yare nti) na mmerɛbo no ntumi nyɛ ne filtering adwuma no yiye.
2. Portosystemic Shunt a Yɛwɔ: Portal vein ne ntini titiriw a ɛde mogya fi yɛn aduan mu kɔ mmerɛbo mu. Ɛtɔ mmere bi a, wotumi twa saa ntini yi ho hyia na mogya a awuduru wom tumi sen kɔ nipadua no mogya a ɛkɔ nipadua no mu sɛnea ɛsɛ no mu tẽẽ. Nea enti a ɛte saa ne sɛ nipadua no yɛ shunt bi na amma mogya amfa mmerɛbo no mu.
Nsɛnkyerɛnne afoforo bɛn na ɛka Fetor Hepaticus ho?
Sɛ wowɔ Fetor Hepaticus a, sɛnkyerɛnne afoforo betumi aba esiane mmerɛbo mu yare a ɛda adi anaa Portal Hypertension nti. Ɛho hia sɛ wuhu saa sɛnkyerɛnne ahorow yi nso.
| Nsɛnkyerɛnne afoforo a ɛsɛ sɛ yɛhwɛ yiye wɔ ho | |
|---|---|
| Nsɛnkyerɛnne a ɛtaa ba a ɛkyerɛ sɛ mmerɛbo no ayɛ adwuma yiye | |
| Wora ne aniwa a ɛyɛ kɔkɔɔ (Jaundice) . | Wora a ɛyɛ kɔkɔɔ ne aniwa fitaa. |
| Ɛyaw a ɛba yafunu no fã a ɛwɔ soro nifa so | Ɛyaw a ɛba mmerɛbo no fã. |
| Nsakrae a ɛba nsu ne nsu mu | Nsu a ɛyɛ tumm (te sɛ tii) ne nsu a ɛyɛ hare (te sɛ dɔte). |
| Wora a ɛyɛ wo yaw | Ɛyɛ akisikuru wɔ nipadua no nyinaa so a nsensanee anaa akisikuru biara nni ho a wotumi hu. |
| Mogya a ɛretu ne akisikuru | Mogya a ɛtɔ a ennyae ntɛm mpo esiane opira ketewaa bi na nipadua no apirapira a ɛho nhia nti. |
| Portal Hypertension ho sɛnkyerɛnne ahorow | |
| Yafunu ne nan a ɛho ahonhon | Yafunu mu trɛw (yafunu mu nsu a ɛboaboa ano) ne nan ne nansoaa a ɛho ahonhon. |
| Mogya a wɔfe anaa mogya a wɔde fa nsu mu | Eyi yɛ tebea a egye ntɛmpɛ na anibere wom yiye. |
| Nkae ne nneyɛe sesa | Adwene a ɛyɛ basaa, nna a ɛyɛ den, ne adwenem naayɛ a awuduru a ɛwɔ amemene no so de ba. (Hepatic Amemene mu Yare) . |
So eyi yɛ kɔkɔbɔ sɛnkyerɛnne a ɛkyerɛ sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Yiw, akyinnye biara nni ho! Fetor Hepaticus yɛ kɔkɔbɔ sɛnkyerɛnne a anibere wom yiye a ɛsɛ sɛ ɛma wokɔ ayaresabea ntɛm ara, sɛ́ ebia wunim dedaw sɛ wowɔ mmerɛbo mu yare anaasɛ wunnim no.
Saa sɛnkyerɛnne yi kyerɛ sɛ wo mmerɛbo tebea no reyɛ kɛse. Awuduru a ɛreboaboa ano wɔ wo mogya mu no redu baabi a wɔretwe ahome, a ɛkyerɛ sɛ ebia saa awuduru no afi ase renya w’amemene ne wo ntini ahorow so nkɛntɛnso.
Sɛ wɔansa saa tebea yi a, ebetumi de nsɛnnennen a emu yɛ den yiye aba.
- Mogya a ɛtɔ fi aduan mu a wontumi nni so.
- Asaabo a entumi nyɛ adwuma yiye (Hepatorenal syndrome).
- Ɔhome a entumi nyɛ adwuma yiye (Hepatopulmonary syndrome).
- Amemene no dwumadi a ɛnkɔ yiye (Hepatic encephalopathy).
Bere bi a atwam no, na wɔsan frɛ saa tebea yi "awufo home." Ɛno ma yehu sɛnea eyi de nkwa to asiane mu. Nanso mma nsuro. Ɛnnɛ, aduruyɛ anya nkɔanim paa. Ayaresa ahorow te sɛ mmerɛbo a wɔde ma obi foforo ne ayaresa ahorow a eye yiye wɔ hɔ a wɔde siw sɛnkyerɛnne ahorow no so.
Ade a ɛho hia sen biara ne sɛ wobɛkɔ wo duruyɛfo nkyɛn bere a woahu saa sɛnkyerɛnne ahorow yi mu biara ara pɛ. Ɔbɛhwehwɛ wo mu, ayɛ nhwehwɛmu a ɛho hia, na wakyerɛw wo aduru a ɛfata sen biara ama wo.
Nkrasɛm a Wɔde Kɔ Fie
- Fetor Hepaticus yɛ hua a ɛyɛ dɛ na ɛyɛ nwunu a efi ahome mu. Ɛyɛ mmerɛbo mu yare a emu yɛ den ho sɛnkyerɛnne.
- Eyi nyɛ ɔhome bɔne a ɛfata a efi anom ahotew a enye mu ba.
- Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne yi a, bu no sɛ kɔkɔbɔ a anibere wom yiye .
- Yɛsrɛ sɛ kɔ wo duruyɛfo nkyɛn ntɛm ara sɛnea wubetumi a ɛnkyɛ.
- Sɛ wɔahu sɛ wowɔ mmerɛbo mu yare dedaw mpo a, ɛho hia sɛ wosan hwehwɛ aduruyɛfo afotu bio, efisɛ sɛnkyerɛnne foforo yi kyerɛ sɛ wo tebea no mu reyɛ den.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn ne Nkwaboaa a Ɛhohoro?
Eyi nyɛ ade a ɛfata! Eyi ne bere a ɔbarima bi ‘Testicles/Scrotum’ no mu biako anaa abien no nyinaa yɛ kɛse/ɛhohoro mpofirim (Scrotal swelling), ɛtɔ mmere bi a ɛyaw a wontumi nnyina ano (ɛtɔ mmere bi a ɛyaw biara nni mu). Eyi yɛ kɔkɔbɔ sɛnkyerɛnne titiriw a ɛkyerɛ sɛ obi anya akisikuru, nsu a ayɛ kɛse, anaasɛ ɔyare bɔne/kokoram asɛe wɔ awotwaa no mu.
💬 Dɛn ne ade titiriw nti a ɔbarima ne mmadwoa ahonhon/ɛyɛ kɛse mpofirim?
Nneɛma titiriw pii nti na eyi ba: 1) ‘Hydrocele’ - kotoku a nsu ahyɛ mu ma a atwa awotwaa no ho ahyia a ɛtrɛw (ɛnyɛ yaw). 2) Inguinal Hernia - a ɛyɛ akisikuru a ɛwɔ awotwaa mu. 3) 'Epididymitis' - nsuo mu yareɛ/STI a ɛma awotwaa no porɔ (ɛyɛ yaw a atiridii ka ho). 4) Ade a ɛyɛ hu sen biara: Sɛ akuru ketewaa bi a ɛyɛ den te sɛ ɔbotan pue a ɛyaw biara nni mu a, akyinnye biara nni ho sɛ ɛyɛ ‘Testicular Cancer’!
💬 Dɛn ne ‘Testicular Torsion’, ntɛmpɛ a ɛde nkwa to asiane mu a ɛba bere a testicular swelling ba? Dɛn nti na ɛsɛ sɛ wode ahopere kɔ ayaresabea?
Asiane kɛse ne nea anibere wom sen biara ne ‘Testicular Torsion’! Ɛno kyerɛ sɛ bere a woda/redi agoru no, mogya ntini a ɛwɔ awotwaa no mu no twitwiw mpofirim na ɛyɛ nhama. Afei, sekan biako mu no, ɛyaw/ahohoro a wontumi nnyina ano, a ɛteɛm wɔ hɔ! Sɛ eyi ba a, kɔ ayaresabea wɔ nnɔnhwerew 6 ntam na yɛ oprehyɛn de yi kɔndua no, awotwaa no bɛdan tuntum, aporɔw koraa na ɛsɛ sɛ wotwa no daa (Gangrene/Loss of testicle)!
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