So wowɔ akisikuru ho haw nso? (Gallbladder Disease) Momma yenhu eyi ho asɛm pɛpɛɛpɛ!

So woanya ɛyaw a ano yɛ den wɔ wo yafunu nifa atifi, titiriw wɔ wo nifa mpampam ase pɛn? Anaasɛ wote nka sɛ wo yare kɔ wo yafunu mu anaasɛ wote nka sɛ wo ho yɛ wo yaw bere a woadi aduan a srade wom awie no? Eyinom betumi ayɛ ɔhaw bi a ɛwɔ wo akisikuru mu ho sɛnkyerɛnne . Enti ɛnnɛ, momma yɛnka gallbladder yare ho asɛm.

Dɛn ne Akisikuru Yare?

Sɛ yɛbɛka no tiawa a, akisikuru yɛ tebea biara a ɛka wo akisikuru akwahosan. So wunim sɛ akisikuru yɛ akwaa ketewaa bi a ɛwɔ yɛn aduan mu ? Ɛte sɛ bag ketewa bi. Ne dwumadi titiriw ne sɛ ɛbɛkora nsu a yɛn mmerɛbo no yɛ no bi so na afei, bere a yɛadi awie no, aboa ma yɛayam aduan a yedi no, denam nkakrankakra a ɛde saa mogya no kɔ dwensɔtwaa ketewa no mu no so . Eyi nam nhyehyɛe bi a ɛfa bile ntini a ɛte sɛ nsu nhama so na ɛba.

Susuw ho hwɛ, sɛ ɔyare mmoawa anaasɛ asiw wɔ akisikuru anaa ntini a ɛka ho no mu a, ebetumi aka akisikuru no. Efisɛ akisikuru no nam saa bile ntini yi so ne akwaa afoforo pii te sɛ mmerɛbo ne dwensɔtwaa no di nkitaho. Enti sɛ yare bi wɔ akisikuru mu a, ebetumi aka akwaa afoforo nso.

Dɛn ne aduruyɛ mu tebea atitiriw a ɛka akisikuru no?

Aduruyɛ mu tebea horow pii wɔ hɔ a ebetumi aka akisikuru no. Momma yɛnhwɛ emu atitiriw no.

1. Akisikuru (Akisikuru / Cholelithiasis) .

Eyi ne tebea a ɛtaa ba wɔ akisikuru mu. Nanso ɛnyɛ obiara na ɔwɔ akisikuru ho haw. Akisikuru mu abo ba bere a nneɛma a ɛwɔ akisikuru no mu, titiriw srade, boaboa ano wɔ akisikuru no mu na ɛyɛ akuru nketenkete no. Saa akuru yi betumi ayɛ kɛse na bere kɔ so no. Ebia nnipa binom rennya yare no ho sɛnkyerɛnne biara na ebia wonnim mpo sɛ wɔwɔ akisikuru mu abo. Nanso, ɔhaw ahorow fi ase bere a abo yi siw bile a ɛsen wɔ akisikuru anaa bile ntini mu no kwan no.

Fa no sɛ ɔbo a akɔhyɛ nsu afiri mu. Afei nsu no rensen. Saa ara na sɛ akisikuru no ntumi nkɔ a, ɛyaw ne sɛnkyerɛnne afoforo fi ase da adi.

2. Akisikuru a ɛyɛ hyew (Cholecystitis) .

Inflammation of the gallbladder, or cholecystitis, is another common symptom of gallbladder disease. Eyi yɛ sɛnkyerɛnne a ebetumi de ɔhaw afoforo nso aba. Cholecystitis betumi afi akisikuru mu yare, akisikuru mu abo, akisikuru a entumi nyɛ adwuma yiye, anaasɛ, ɛntaa nsi koraa no, kokoram. Mpɛn pii no, nea ɛde ba ne abo a ɛwɔ akisikuru a esiw mogya a ɛsen no kwan.Sɛ ɔfe kɔ so kyɛ a, akuru betumi aba wɔ akisikuru ntini no mu, na awiei koraa no ɛbɛma ntini no awuwu (gangrene), na ebia mpo akisikuru a ɛwɔ akisikuru no mu.

3. Biliary dyskinesia a ɛma obi ho yɛ hyew

Wɔsan frɛ eyi `(Functional gallbladder disorder)`. `(Biliary dyskinesia)` yɛ ɔhaw a ɛfa gallbladder no kankan ho, anaasɛ tumi a ɛpia bile fi adi na ɛkɔ bile ducts no mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, eyi betumi afi mfiridwuma mu ɔhaw bi a ɛwɔ akisikuru no ntini anaa ntini ahorow mu. Eyi te sɛ nea ɛba bere a akisikuru bi akɔhyɛ mu no. Nsu no mfi akisikuru no mu na ɛboaboa ano, na ɛma akisikuru no hohoro na bere kɔ so no, ɛyɛ hyew.

4. Ntini a ɛma akisikuru (Gangrene) wu .

Gangrene yɛ ɔhaw a emu yɛ den a ɛde cholecystitis a enni sabea ba. Sɛ akisikuru no kɔ so hohoro na ɛtrɛw a, awiei koraa no, ntini no sɛe na efi ase wu. Ɛda adi sɛ saa ntini a awu yi bɛpaapae. Sɛ akisikuru fasu mu paapae a, ɔyare no betumi atrɛw akɔ yafunu no afã afoforo, na ɛde tebea bi a asiane wom a wɔfrɛ no peritonitis aba. Ɛno nti na ɛnsɛ sɛ yɛfa cholecystitis adewa no.

5. Kokoram a ɛwɔ akisikuru mu

Kokoram a ɛwɔ akisikuru mu yɛ yare a ɛntaa nsi nanso emu yɛ den . Mpɛn pii no, akisikuru ho sɛnkyerɛnne nna adi kosi sɛ yare no bɛtrɛw, enti sɛ asiane ketewaa bi wɔ hɔ sɛ obi benya akisikuru a, nnuruyɛfo bɛyɛ nneɛma bi de asa. Polyp dodow no ara a ɛwɔ akisikuru mu no nyɛ asiane biara. Nanso, sɛ wowɔ polyp kɛse bi wɔ wo gallbladder mu a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ yi fi hɔ na ama ayɛ ɔfã a ahobammɔ wom.

6. Nyarewa a ɛwɔ ntini a ɛma mogya tu (Cholangiopathy) .

`(Cholangiopathy)` kyerɛ yareɛ biara a ɛba wɔ bile ntini mu. Ɛtaa fi ase denam mogya ntini a ɛyɛ hyew so `(Cholangitis).` Nea ɛde ba no betumi ayɛ bere tiaa mu ɔyare mmoawa, akisiw, anaasɛ yare a nipadua no tumi ko tia nyarewa te sɛ `(Primary biliary cholangitis).` Sɛ mogya ntini no mu ɔfe no kɔ so kyɛ a, mogya ntini no betumi ayɛ akuru na ayɛ teateaa (Biliary stricture). Afei bile no nsen yiye, na efi ase san kɔ akyi kɔ akisikuru ne mmerɛbo no mu.

Akisikuru mu yare abu so dɛn?

Wɔkyerɛ sɛ akisikuru ka nnipa bɛyɛ 15% . Nanso, wɔn a wɔwɔ saa abo yi mu 20% pɛ na wonya nsɛnnennen anaa sɛnkyerɛnne ahorow. Nyarewa afoforo a ɛwɔ akisikuru mu a ɛne akisikuru mu abo nni abusuabɔ no ntaa mma koraa.

Hena na ɛda adi sɛ obenya akisikuru mu yare? (Nneɛma a ɛde asiane ba) .

Sɛ wowɔ akisikuru mu abo a, ɛda adi sɛ wubenya akisikuru mu yare. Momma yɛnhwɛ nneɛma atitiriw a ɛde asiane ba:

• Aduan a srade pii wom:Wɔde srade a ɛboro so a ɛboaboa ano wɔ akisikuru mu na ɛba akisikuru mu abo dodow no ara. Enti, nnipa a wɔtaa di nnuan a ngo ne srade pii wom no wɔ asiane kɛse mu.
• Mu duru boro so ne kɛseyɛ mmoroso: Bere a wo mu duru yɛ kɛse no, wo nipadua no ma srade pii ba, titiriw sɛ wo nipadua mu duru (BMI) boro 30 a.
• Bɛboro mfe 60: Asiane a ɛwɔ hɔ sɛ obenya akisikuru mu abo no yɛ kɛse bere a obi nyin no. Ebia eyi te saa efisɛ nneɛma a ɛboro so nya bere pii de boaboa ano wɔ bile no mu bere a bere kɔ so no.
• Ɔbea a wobɛyɛ: Mmea betumi anya akisikuru mmɔho abien sen mmarima. Estrogen a ɛboro so wɔ nipadua no mu (titiriw bere a wɔyem) no ma srade a ɛwɔ nipadua no mu no yɛ kɛse na ɛma akisikuru no mu yɛ brɛoo.
• Abusua abakɔsɛm a ɛfa akisikuru ho: Bɛyɛ 25% a ɛba akisikuru mu yareɛ no betumi ayɛ awosu mu. Nyansahufo ahu awosu mu nkwaadɔm bɛyɛ 12 a ɛka eyi ho.
• Sɛ́ wofi Amerika Indiafo anaa Mexico Amerikafo abusua mu: Nnipa a wofi saa mmusuakuw yi mu no wɔ hokwan 30% kosi 70% sɛ wobenya akisikuru mu abo. Aduan ne awosu mu nneɛma nyinaa betumi aboa ma eyi aba.
• Asikreyare: Nnipa a wɔwɔ asikreyare no betumi anya akisikuru mmɔho abien kosi mprɛnsa. Ebia eyi fi srade a ɛwɔ nipadua no mu a ɛkɔ soro.
• Crohn yare: Nnipa a wɔwɔ Crohn yare no betumi anya akisikuru mu abo mmɔho abien efisɛ wɔn akisikuru ntumi nnye bile nkyene a ɛboa ma srade a ɛwɔ nipadua no mu no tew.
• mmerɛbo mu yare: Eyi ne mmerɛbo mu yare no fã a etwa to. Wɔ tebea yi mu no, nsu a ɛsen fi mmerɛbo no mu kɔ akisikuru no mu no brɛ ase, na bile tumi boaboa ano.
• Sickle cell yare: Saa tebea yi ma bilirubin boaboa ano wɔ akisikuru no mu, na ɛma akisikuru mu abo a ɛyɛ kɔla yɛ kɔkɔɔ, na mpɛn pii no wonhu no kɛse.
• Aduan a wɔde ma wɔ awotwaa mu nyinaa: Wɔ nnipa a wɔma wɔn aduannuru a ɛyɛ nsu denam ntini bi mu esiane aduruyɛ mu tebea horow bi nti no, asiane wɔ hɔ sɛ bile bɛboaboa ano wɔ akisikuru no mu esiane aduan mu dwumadi a ɛso atew nti.
• Nnuru bi a ɛma mogya mu srade so tew: Ɛwom sɛ saa nnuru yi brɛ mogya mu srade ase de, nanso ɛma srade boaboa ano wɔ akisikuru no mu nso.

Dɛn ne "5 Fs" a ɛwɔ gallbladder yare mu?

"5 Fs" no yɛ ɔkwan tiawa a nnuruyɛfo fa so kae asiane ahorow a ɛtaa ba ma akisikuru mu yare. F anum no gyinaa hɔ maa: Ɔbea a ne ho yɛ fɛ (a ne honam ani yɛ fitaa), Ɔbea (ɔbea), Srade (ɔyɛ kɛse mmoroso), Ɔwo (mmea a wɔadi mfe a ɛbɛwo), ne Aduanan (a wɔadi mfe aduanan).Ɛwom sɛ eyinom gyina akontaabu so de, nanso akyinnyegye wɔ eyi ho nnɛ. Efisɛ eyi te sɛ nea wode adaka bi ahyɛ ɔfã pɔtee bi mu. Sɛ nnuruyɛfo hwehwɛ sɛnea ɛte ne sɛnkyerɛnne pɔtee bi bere a wɔrehu sɛ obi anya akisikuru a, ebia wɔbɛpa ayarefo a wɔnfata, na ebia wɔbɛpa nyarewa afoforo wɔ ayarefo a ɛfata no mu.

Nanso, nneɛma a wɔaka ho asɛm wɔ "5 Fs" yi mu no yɛ asiane ahorow a ɛtaa ba ankasa.

• "Fair" no gyina nokwasɛm a ɛyɛ sɛ aborɔfo taa nya gallstone yare no so. Ebia eyi fi awosu mu nkɛntɛnso ne Atɔe Famfo aduan nso.
• "Ɔbea" kyerɛ "ɔbea" efisɛ mmea betumi anya saa yare yi mmɔho abien.
• "Srade" yɛ asɛmfua a wɔde frɛ nnipa a wodi nnuan a srade pii wom na ebia wɔwɔ asikreyare.
• "Fertile" te saa efisɛ mmea a wɔanyinsɛn anaasɛ wɔanyinsɛn no nya nkɛntɛnso kɛse wɔ hormone estrogen no so.
• "Aduanan" kyerɛ sɛ asiane no kɔ soro bere a obi nyin no, enti nnipa a wɔadi boro mfe aduanan no taa nya saa tebea yi.

Ɔkwan bɛn so na akisikuru yare ka wo nipadua?

Sɛ akisikuru no ntumi nyɛ n’adwuma yiye a, bile fi ase boaboa ano wɔ mogya no mu sen sɛ ɛbɛkɔ dwensɔtwaa ketewa no mu akɔboa ma wɔatumi ayɛ aduan. Esiane sɛ bile a ɛwɔ dwensɔtwaa ketewa no mu ho hia ma srade a wobɛyam nti, ebia ɛbɛyɛ den ama wo sɛ wobɛyam nnuan , titiriw nnuan a srade wom. Afei nso, esiane sɛ bile boa ma awuduru fi mmerɛbo no mu nti, sɛ bile boaboa ano wɔ mogya no mu a, wubetumi ayare. Akisikuru a ɛyare nso betumi ama obi ate ɛyaw kɛse .

Wobetumi de oprehyɛn asa akisikuru pii. Woyi akisikuru no, anaasɛ woyi akisikuru no. Nnuruyɛfo a wɔyɛ oprehyɛn de ntini a ɛma mogya tu no fi mmerɛbo no mu kɔ dwensɔtwaa ketewa no mu tẽẽ, na wɔfa akisikuru no ho. Saa kwan yi so no, wubetumi akɔ so ayɛ aduan sɛnea ɛsɛ na woatra ase yiye a wunni akisikuru. Nanso, ɔsɛe a akisikuru betumi de aba nipadua no afã afoforo so no betumi anya nkɛntɛnso a ɛtra hɔ kyɛ sɛ wɔanhu na wɔansa no ntɛm a.

Dɛn ne nsɛnnennen a ebetumi afi akisikuru mu yare mu aba?

Gallbladder yare betumi aka wo bile ducts, mmerɛbo, anaa dwensɔtwaa.

1. Cholangitis a ɛma obi ho kyere no

Gallbladder yare betumi ama obi ho ayɛ hyew, anya ɔyare mmoawa, ne/anaasɛ ntini a ɛma mogya tu no asiw (cholangitis). Eyi betumi aba titiriw sɛ akisikuru bi fi akisikuru no mu kɔ ntini a ɛma mogya tu no mu a. Sɛ ade biako si a, nneɛma afoforo di akyi. Bere kɔ so no, eyi betumi ama akuru ayɛ ntini a ɛma mogya tu no, ayɛ teateaa, na ɛde ɔhaw ahorow a ɛtra hɔ kyɛ aba wɔ bile ntini no mu.

2. mmerɛbo mu yare a ɛma obi ho kyere no

Sɛ bile san kɔ mmerɛbo no mu esiane ɔhaw ahorow a ɛwɔ akisikuru, bile ntini, anaa n’abien nyinaa mu nti a, ebetumi ama mmerɛbo no ahonhon na awiei koraa no akuru. Wɔfrɛ eyi sɛ akisikuru . Eyi betumi asɛe mmerɛbo no dwumadi bere tenten. Cirrhosis nso betumi de nsɛnnennen aba akwaa afoforo mu.

3. Dwensɔtwaa mu yare

Sɛ akisikuru bi fi akisikuru no mu kɔ akisikuru kwan no mu na esiw baabi a dwensɔtwaa no fi ase a, ebetumi ama akisikuru no asan akɔ soro akɔ dwensɔtwaa no mu ne dwensɔtwaa no mu. Eyi yɛ ade a ɛtaa de dwensɔtwaa mu yare ba . Sɛ dwensɔtwaa mu yare mu yɛ den anaasɛ ɛkyɛ a, ebetumi asɛe dwensɔtwaa no bere tenten.

Dɛn ne akisikuru ho sɛnkyerɛnne?

Wobetumi akyekyɛ akisikuru ho sɛnkyerɛnne ahorow mu akuw pii.

1. Yafunu mu yaw (Biliary colic) .

Eyi yɛ ɛyaw a efi yafunu no mu, `(Biliary colic)`. Mpɛn pii no, eyi ne sɛnkyerɛnne a edi kan a wɔte nka sɛ ɔhaw bi wɔ akisikuru no mu a. Edin no ankasa kyerɛ sɛ ntini a ɛma mogya tu no nso ka ho. Nokwarem no, wɔne wɔn ho wɔn ho wɔ abusuabɔ, sɛ́ ɛyɛ tẽẽ anaasɛ ɛnte saa. Sɛ akisikuru anaa ntini a ɛma mogya tu no siw a, nhyɛso a ɛwɔ abien no nyinaa mu no kɔ soro. Mpɛn pii no, nea ɛde ba ne akisikuru. Nanso, ɛho ahonhon esiane ɔyare mmoawa nti, bile ntini a ɛyɛ teateaa `(Biliary stricture)`, anaasɛ ɔhaw bi a ɛwɔ gallbladder no mu a ɛda mpan ho no, nhyɛso no betumi akɔ soro. Ɛyaw no ne saa nhyɛso yi hyia.

• Ebia edi kan fi ase sɛ ɛyaw a ɛyɛ kusuu a ɛyɛ yaw a ɛba na ɛkɔ , titiriw bere a wɔadi adidi akyi bere a akisikuru no twetwe no.
• Wote ɛyaw yi nka wɔ wo yafunu no atifi nifa so, wo nifa mpampam ase , baabi a wo gallbladder wɔ no.
• Wobetumi ate nka nso wɔ yafunu no mfinimfini, anaasɛ ɛyaw no betumi atrɛw akɔ mmati nifa so.
• Ɛtaa ba sɛ ɛyaw yi de akisikuru ne ɔfe ka ho .
• Mpɛn pii no, ɛyaw yi kɔ so nnɔnhwerew kakraa bi. Ɛba bere ne bere mu, ɛwom sɛ ɛnyɛ bere nyinaa de. Eyi kyerɛ akisikuru a ɛba bere a akisikuru no twetwe na ɛso tew bere a akisikuru no ho dwo no, nanso enni mũ na ɛba bere ne bere mu.

2. Cholecystitis a emu yɛ den

Cholecystitis a emu yɛ den a ebetumi afi akisikuru a ɛkɔ so siw, ɔyare mmoawa, anaasɛ akisikuru a ɛwɔ akisikuru mu aba no betumi ayɛ kɛse asen ɛyaw a ɛwɔ biliary colic mu.

• Ebia atiridii ne awɔw bɛka akisikuru ne ɔfe ho .
• Ɛyaw no kɔ so daa, ɛtɔ mmere bi a emu yɛ den araa ma ɛhwehwɛ sɛ wotu kwan kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ .
• Bere a akisikuru no twetwe, te sɛ adidi akyi no, koma no bɔ kɛse anaasɛ mogya mmoroso betumi akɔ fam mpofirim.
• Sɛ bile a akyere no fi ase boaboa ano wɔ mogya no mu a, abɔnten so sɛnkyerɛnne te sɛ jaundice (ani ne honam ani yɛ kɔkɔɔ), nsu a ɛyɛ tuntum, ne nsu a ɛyɛ fitaa betumi ada adi.

3. Cholecystitis a enni sabea

Nsɛnkyerɛnne a enni sabea, a ɛkyerɛ sɛ ɛtra hɔ kyɛ, no mu nyɛ den pii te sɛ yare no ho sɛnkyerɛnne a emu yɛ den. Ebia wɔrenhu wɔn bere tenten. Ebia wubenya aduan mu yare nkutoo. Sɛ nhwɛso no, akisikuru, adidi akyi a ɔte nka sɛ ɛyɛ ma, mframa a ɛbɔ bere nyinaa, akisikuru, anaa akisikuru.Nneɛma a ɛtete saa. Esiane sɛ nneɛma afoforo pii betumi de saa sɛnkyerɛnne ahorow yi aba nti, ɛnyɛ nea wosusuw sɛ ɛyɛ akisikuru ho haw. Sɛ wowɔ kokoram wɔ akisikuru mu mpo a, ɔfe a ɛtra hɔ kyɛ a jaundice a emu nyɛ den betumi aba a ɛyaw biara nni ho. Esiane sɛ saa sɛnkyerɛnne ahorow yi mu nna hɔ, ne ɛyaw a emu yɛ den a enni hɔ nti, wontumi nhu ahurututu mu yare a enni sabea na asɛe ade bere tenten.

Dɛn na ɛde akisikuru ba?

Abo a ɛwɔ akisikuru mu ne ade a ɛtaa de akisikuru mu haw ahorow ba. Nanso, ɛnyɛ bere nyinaa na wɔde ɔhaw ba. Sɛ wɔyɛ saa a, mpɛn pii no esiane sɛ esiw bile a ɛsen wɔ akisikuru, bile ntini, anaa n’abien nyinaa kwan nti. Nea ɛka ho no, ɛntaa mma sɛ bile betumi ayɛ kɛse wɔ bile ntini no mu esiane sɛ akisikuru no yɛ brɛoo ma ɛda mpan nti, anaasɛ esiane aduruyɛ mu tebea foforo nti. Saa bile a ɛsan kɔ akyi yi ne ade a ɛtaa de cholecystitis ba. Nanso ɛtɔ mmere bi a, ɔyare mmoawa a ɛyɛ soronko nso betumi de ɔfe aba. Ɔfe no ma akisikuru no hohoro, na ɛma nhyɛso a ɛwɔ mu no yɛ kɛse. Eyi nso betumi ama bile akɔ akyi sɛ nea ɛto so abien.

Ɔkwan bɛn so na wobetumi ahu akisikuru yare?

Sɛnea ɛte wɔ yare foforo biara ho no, wo duruyɛfo bedi kan abisa w’ayaresa ho abakɔsɛm ne wo sɛnkyerɛnne ahorow . Wɔbɛhwɛ wo nsɛnkyerɛnneɛ a ɛho hia (koma a ɛbɔ, mogya mmorosoɔ, nipadua mu hyeɛ - so atiridiiɛ wɔ hɔ, ne nea ɛkeka ho). Afei wɔbɛyɛ nipadua mu nhwehwɛmu, ahwɛ sɛ ebia jaundice ne yafunu no ho ahonhon ho sɛnkyerɛnne bi wɔ hɔ anaa. Ebia wɔde wɔn nsa bɛka baabi a akisikuru no wɔ no. Sɛ akisikuru no te nka sɛ ɛyɛ mmerɛw a, ɛkyerɛ sɛ ɛho ahonhon. Sɛ́ ebia ɛyaw wɔ hɔ bere a woka beae no betumi aboa ma woahu nsonsonoe a ɛda ɔfe a emu yɛ den a ɛfa akisikuru ho ne ɔfe a enni sabea a ɛfa kokoram ho ntam. Afei wɔbɛkra sɛ wɔnyɛ mogya mu nhwehwɛmu ne mfoniniyɛ mu nhwehwɛmu.

Dɛn ne nhwehwɛmu ahorow a wɔde hu yare no?

• Mogya dodow a edi mũ: Eyi hwɛ mogya mu nkwammoaa fitaa dodow. Sɛ wɔdɔɔso a, ɛkyerɛ sɛ ɔyare mmoawa anaa ɔfe bi wɔ hɔ.
• Mmɛn dwumadi ho nhwehwɛmu: Saa mogya mu nhwehwɛmu yi boa ma wohu sɛ mmerɛbo ntini no asiw.
• Pancreas dwumadi ho nhwehwɛmu: Saa mogya mu nhwehwɛmu yi boa ma wohu pancreatic duct a asiw.
• Yafunu mu ultrasound: Eyi yɛ akyi mfoniniyɛ sɔhwɛ a ɛnyɛ yaw a ebetumi ahu nneɛma te sɛ ɔfe, akisikuru, anaa akisikuru wɔ akisikuru anaa bile ntini mu.
• HIDA scan (HIDA scan / Cholescintigraphy scan): Saa mfoniniyɛ sɔhwɛ yi susuw sɛnea akisikuru no fi akisikuru no mu kɔ dwensɔtwaa ketewa no mu ne sɛnea bile no fa bile ntini no mu.
• Endoscopic Retrograde Cholangiopancreatography (ERCP) a Wɔde Hwɛ Akyi a Wɔde Hwɛ Akyi Mu (ERCP):Eyi yɛ sɔhwɛ a wɔde endoscopy (afiri teateaa a mfoninitwa afiri wom) ne X-ray bom. Wobetumi de endoscope a wɔde hyɛ menewa no ase no ahwɛ akwaa a ɛwɔ yafunu no mu. X-ray soronko (fluoroscopic X-rays) betumi akyerɛ ntini a ɛma mogya tu no pefee. Sɛ wohu sɛ biribi asiw kwan bere a wɔreyɛ nhwehwɛmu no a, ebia oduruyɛfo no betumi asa denam nnwinnade nketewa a ɔde bɛfa endoscope no mu no so.
• Endoscopic Ultrasound (EUS): Eyi nso de ultrasound mfiridwuma ne endoscopy bom. Wɔde afiri bi a wɔde hwɛ ultrasound abata endoscope no ano. Wɔde eyi fa menewa mu na ɛma wotumi hu yafunu mu akwaa ahorow, titiriw mogya ntini, dwensɔtwaa, akisikuru, ne mmerɛbo no yiye. Sɛ wohu biribi a ɛnteɛ a, ebia ɛho behia sɛ wɔyɛ nhwehwɛmu anaa ayaresa afoforo.

Ɔkwan bɛn so na wɔsa akisikuru mu nyarewa?

• Nnuru a wɔde kum ɛyaw: Wɔ ɛyaw a emu yɛ den te sɛ ``Biliary colic'', aka "gallbladder attack" mu no, ebia ɛho behia sɛ nnuru a wɔde kum ɛyaw a oduruyɛfo akyerɛw ama no na ama wɔadi ɛyaw no so. Wo duruyɛfo begyina w’ayaresa ho abakɔsɛm ne wo sɛnkyerɛnne ahorow so akyerɛ nnuru a ɛfata sen biara.
• Nnuru a ekum ɔyare mmoawa: Sɛ wowɔ ɔyare mmoawa bi a, wo duruyɛfo bɛkyerɛw nnuru a ekum ɔyare mmoawa de asa. Mpɛn pii no, eyi yɛ ayaresa a edi kan ansa na wɔayɛ oprehyɛn ara kwa.
• Endoscopic intervention: Ansa na wobɛyɛ oprehyɛn no, ebia wo duruyɛfo betumi de endoscope adi akisikuru nketenkete ho dwuma. Endoscopic retrograde cholangiopancreatography (ERCP) ne/anaasɛ endoscopic ultrasound (EUS) betumi aboa ma wɔahu nneɛma a asiw, akisikuru, ne abo. Wɔ sɔhwɛ ahorow yi mu no, wobetumi de nnwinnade a ɛwɔ endoscope no awiei adi dwuma de ayi abo a ɛwɔ akisikuru no mu, de stent ahorow ahyɛ mu na ama bile ntini no abue, na wɔafa ntini ahorow (biopsies).
• Oprehyɛn: Aduru biako pɛ a ɛtra hɔ daa na etu mpɔn sen biara ma akisikuru a ɛkɔ so daa ne cholecystectomy . Eyi yɛ ayaresa a wɔtaa de di dwuma. Wubetumi atra ase yiye a wunni akisikuru. Nnipa pii betumi ama wɔayi wɔn akisikuru denam laparoscopic oprehyɛn ( oprehyɛn a wɔyɛ denam ntwitwiridii nketenkete kakraa bi pɛ so). Wɔ nsɛm a emu yɛ den te sɛ ɔyare mmoawa anaa akisikuru mu kokoram mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn a wɔabue ano.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ hɔ sɛ menya akisikuru mu yare no so?

Yɛrentumi nni asiane ahorow nyinaa so. Nanso, wubetumi ama wo gallbladder ayɛ yiye denam aduan pa ne asetra kwan a wobɛkɔ so akura mu so . Ɛnnɛ Atɔe Famfo aduan mu srade ne srade dɔɔso, na ahoɔdennuru sua, na ɛboa ma woyi srade a ɛboro so fi nipadua no mu. Bɔ mmɔden sɛ wubedi nnuaba ne nhabannuru a ahoɔdennuru wom pii, na tew nnuan a srade wom a wɔayɛ no foforo so . Apɔw-mu-teɛteɛ a wobɛyɛ daa nso ho hia.Ɛboa ma asiane so tew efisɛ ɛma akwaa a ɛwɔ wo aduan mu no tumi keka ne ho - kyerɛ sɛ, ɛtwetwe daa - tu mpɔn.

Sɛ mewɔ akisikuru yare a, dɛn na metumi ahwɛ kwan?

Awiei koraa no, akisikuru mu haw dodow no ara ba awiei wɔ oprehyɛn (akisikuru a woyi fi hɔ) mu. Nanso sɛ ɛba saa a, ɛnyɛ wo nko ara, nnipa pii fa eyi mu. Nnipa dodow no ara ho tɔ wɔn ntɛmntɛm na wonnya ɔhaw biara a ɛtra hɔ kyɛ wɔ oprehyɛn akyi . Ebia wubenya bere tiaa mu aduan mu yare bi bere a wo ho retɔ wo no. Esiane sɛ wo nipadua no nni akisikuru mu bio nti, ebia ebehia sɛ wotew nnuan a srade wom a wudi so kakra kosi sɛ wo nipadua no bɛyɛ nsakrae wɔ mu. Asram kakraa bi akyi no, nnipa dodow no ara tumi san kɔ aduan a ɛfata, nanso ahoɔden wom so.

Gallbladder yare betumi ayɛ nea emu yɛ den a wunhu mpo. Edu bere a wubenya yare no ho sɛnkyerɛnne no, ebia na ɛyɛ aniberesɛm dedaw. Nea eye ne sɛ, ɛnyɛ den sɛ wobetumi ayɛ akisikuru dodow no ara ho adwuma denam oprehyɛn ketewaa bi so. Ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛfo afotu, sɛ mpo sɛnkyerɛnne ahorow no mu nyɛ den a. Ebia wobɛte ɛyaw a emu nyɛ den a ɛba bere ne bere mu a ebia ɛbɛyɛ te sɛ nea ɛno ankasa fi hɔ. Nanso ebetumi ayɛ ɔhaw a ɛkɔ so daa, na ɛkɔ so nkakrankakra. Ntwɛn nkosi sɛ wubenya kɔkɔbɔ sɛnkyerɛnne a emu yɛ den a ɛkyerɛ sɛ ahurututu mu yare a emu yɛ den anaasɛ akisikuru a enni sabea asɛe no bere tenten. Wo duruyɛfo betumi ahu na ebia ayi akisikuru mu abo a ɛde ɔhaw ba afi hɔ bere a wɔreyɛ nhwehwɛmu a wɔyɛ daa wɔ ayarefo a wɔda abɔnten no.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Gallbladder yare yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye wɔ ho. Sɛ wowɔ sɛnkyerɛnne ahorow a wɔaka ho asɛm wɔ asɛm yi mu no bi, titiriw sɛ wo yafunu mu yɛ wo yaw bere a woadi nnuan a srade wom akyi anaasɛ ɛyaw a ɛkɔ so tra wo yafunu nifa atifi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn . Sɛ wohu ntɛm a, ayaresa no yɛ mmerɛw kɛse na wobetumi asiw nsɛnnennen ano. Aduan pa a wubekura ne asetra kwan a ɛyɛ nnam ne akwan a eye sen biara a wobɛfa so abɔ wo ho ban afi nyarewa a ɛtete saa ho.

` Akisikuru, akisikuru, akisikuru, srade, jaundice, aduan a wɔyam, oprehyɛn