So wo yafunu nifa nso yɛ wo yaw? Momma yensua akisikuru ho ade.

Fa no sɛ woredi aduan a ɛyɛ dɛ na mpofirim ara wote ɛyaw a ano yɛ den wɔ wo yafunu nifa atifi. Ɛtɔ da bi a, ɛyɛ te sɛ akisikuru ne ɔfe. Eyi betumi afi abo a ɛwɔ akisikuru mu, a ɛba wo akisikuru mu no. Nnipa pii nnim eyi. Enti momma yɛnka gallstones ho asɛm nkɔ akyiri kakra nnɛ, okay?

Dɛn ne abo a wɔde yɛ akisikuru yi?

Sɛ yɛbɛka no tiawa a, gallstones yɛ bile asinasin a ɛyɛ den a ɛte sɛ abo a ɛba wo gallbladder anaa bile ducts mu. "Gall" kyerɛ sɛ bile. Enti "Gallstones" yɛ "gallstones." Wo gallbladder te sɛ kotoku ketewaa bi a ɛboaboa bile ano na ɛkora so. Ɛkora bile so ma wɔde di dwuma akyiri yi. Yɛn mmerɛbo na ɛyɛ saa bile yi, na afei ɛfa bile ntini no mu kɔ akwaa ahorow a ɛwɔ yɛn mmerɛbo nhyehyɛe no mu no mu. Ɛtɔ mmere bi a nnuruyɛfo frɛ tebea yi "cholelithiasis." "Chole" kyerɛ bile, na "lithiasis" kyerɛ sɛ abo a ɛba. Saa akisikuru yi ba bere a nneɛma bi a ɛwɔ bile no mu boaboa ano na ɛyɛ den bere kɔ so no. Eyi taa ba bere a wɔde nneɛma atitiriw a ɛwɔ batter no mu biako pii ka ho no.

Saa akisikuru yi betumi ayɛ aniberesɛm dɛn?

Sɛ wowɔ gallstones (cholelithiasis) a, ɛnyɛ nea ɛde ɔhaw biara brɛ wo. Nnipa pii wɔ bi na wonnim mpo. Nanso sɛ abo yi fi ase fa wo bile ntini mu na ɛkyere baabi a, ebetumi ayɛ asiane. Sɛ wɔyɛ saa a, wobetumi asiw wo bile ntini no ano, na ɛde ɛyaw a emu yɛ den ne nsɛnnennen a emu yɛ den aba. Ɔhaw no ne sɛ saa abo yi yɛ akɛse. Wofi ase sɛ anhwea nnua, na bere a bile no kɔ so sen fa wɔn so no, nneɛma pii kɔhyɛ mu, na ɛma ɔbo no yɛ kɛse. Ɛtɔ mmere bi a, saa abo yi betumi ayɛ kɛse araa ma esiw bile a ɛsen no kwan, titiriw sɛ ɛkyere baabi teateaa te sɛ bile kwan a.

Eyinom abu so dɛn?

Wobu akontaa sɛ mpanyimfo a wɔwɔ United States no mu bɛyɛ 10% wɔ akisikuru, na wɔn mu 75% yɛ mmea. Nanso, wɔn a wɔahu sɛ wɔwɔ saa yare yi mu 20% pɛ na wonya yare no ho sɛnkyerɛnne anaasɛ wohia ayaresa. Yebetumi ahu tebea yi kɛse anaa ketewaa bi wɔ yɛn man Sri Lanka mu.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi ayɛ akisikuru?

Mpɛn pii no, akisikuru mma ɛnyɛ yare no ho sɛnkyerɛnne kosi sɛ ɛbɛkɔhyɛ akisikuru no mu na ama akisikuru no asiw. Saa akwanside yi na ɛde sɛnkyerɛnne ahorow no ba. Nsɛnkyerɛnne a ɛtaa ba ne yafunu atifi yaw ne akisikuru. Ebia eyinom bɛba na wɔakɔ, anaasɛ ebia ɛkɔ so daa. Sɛ akwanside no mu yɛ den anaasɛ ɛkyɛ a, wubetumi anya sɛnkyerɛnne afoforo te sɛ:

• Fifiri a ɛba .
• Abɔde a ɛyɛ hyew.
• Koma a ɛbɔ a ɛkɔ soro .
• Sɛ wɔde wɔn nsa ka a, ɛyaw ne ɛyaw.
• Jaundice (wo honam ani ne w’ani a ɛyɛ kɔkɔɔ) .)`.
• Nsu a ɛyɛ tuntum ne nsu a ɛyɛ kɔla a ɛyɛ hann.

Ɛyaw a efi akisikuru mu ba no te dɛn?

Ɛyaw a ɛwɔ akisikuru a ɛtaa ba mu no yɛ ɛyaw a emu yɛ den mpofirim. Ebetumi ayɛ te sɛ nea wo yafunu reyɛ apae. Wɔsan frɛ eyi "akisikuru ntua" anaa "akisikuru ntua." Ebia wobɛte ɛyaw yi nka kɛse bere a woadi awie no. Nea enti a ɛte saa ne sɛ wo gallbladder no reyɛ ketewaa, na ɛde nhyɛso kɛse ba wo biliary system no so. Ɛtɔ da mpo a, ebia wobɛsɔre afi nna mu a ɛyaw yi. Ɛyaw a ɛkɔ soro nkakrankakra, ɛkɔ ne sorokɔ, na afei ɛso tew nkakrankakra no, wɔfrɛ no "biliary colic." Ɛba bere ne bere mu. Etumi di simma pii kosi nnɔnhwerew pii. Mpɛn pii no, ɛyaw no fi hɔ bere a ɔbo no tu anaasɛ nhyɛso no so tew no. Nnipa a ɛyaw yi ka sɛ emu yɛ den yiye, ɛyɛ sekan, ɛpiapia, anaa ɛpia . Ebetumi ayɛ den araa ma wuntumi nnyina hɔ.

Ɛhe na ɛyaw a ɛwɔ akisikuru mu no wɔ?

Wo biliary tract no wɔ wo yafunu no atifi nifa so, wɔ wo nifa mpampam ase pɛɛ. Nnipa dodow no ara te ɛyaw a ɛwɔ akisikuru mu no nka wɔ ha. Nanso ɛtɔ mmere bi a ɛyaw no tumi trɛw kɔ mmeae afoforo. Nnipa binom te ɛyaw a ɛwɔ wɔn nsa nifa, mmati, anaa wɔn akyi wɔ mmati ntam. Nnipa binom te ɛyaw a ɛwɔ akisikuru mu wɔ wɔn yafunu anaa wɔn koko mfinimfini. Eyi betumi ama adwene atu afra kakra, efisɛ ɛyaw no betumi ayɛ te sɛ tebea afoforo. Nnipa binom di mfomso bu akisikuru mu yaw sɛ ɛyɛ yafunu mu yare anaa komayare. Ebia afoforo besusuw sɛ ɛyɛ komayare, a ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ.

So ɛsono akisikuru ho sɛnkyerɛnne wɔ mmea fam?

Dabi, mpɛn pii no, sɛnkyerɛnne ahorow no yɛ pɛ. Nanso mmaa taa nya "referred pain" - kyere se, eyaw a wote no wo baabi foforo a ennye baabi a efii ase. Enti ebia wɔbɛte ɛyaw a ɛwɔ akisikuru mu wɔ wɔn nsa, mmati, koko anaa akyi no nka. Mmea nso taa te ɛyaw a enni sabea. Enti ebia wɔremfa wɔn adwene nsi ɛyaw a ɛba na ɛkɔ, te sɛ "biliary colic" so kɛse. Nea ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn sɛ wote ɛyaw a emu yɛ den anaasɛ ɛsan ba bio a, sɛ ɛkɔ mpo a. Sɛ woanya "gallstone attack" pɛnkoro a, ɛda adi sɛ wubenya foforo.

Dɛn na ɛde ɛyaw a ɛyɛ akisikuru yi ba?

Gallstone ɛyaw yɛ bere a gallstone bi akɔhyɛ wo bile duct mu, na ɛma wo siw. Sɛ ɛyɛ akwanside kɛse a, wobɛte nka ntɛm ara. Sɛ ɛyɛ ade ketewaa bi a akisikuru ayɛ mu ma a, ebia worenhu kosi sɛ wo gallbladder no bɛkyekyere na ɛde nhyɛso kɛse aba nhyehyɛe no so. Saa akisikuru yi fi adidi, titiriw aduan a emu yɛ duru na srade wom .Sɛ wudidi a, akisikuru no twetwe denneennen. Fa no sɛ wudi biryani pa, aburow a wɔayam, anaa aburow a wɔde chili sauce a wɔde ngo ayɛ a, ɛnde yɛn dwensɔtwaa ketewaa no hu ngo dodow a ɛwɔ saa aduan no mu na ɛka mogya dodow a ehia na akisikuru no aboa ma ayam no kyerɛ. Nea ɛbɛyɛ na wɔayɛ eyi no, akisikuru no piapia bile dodow a wɔhwehwɛ no na ɛde kɔ ntini a ɛma mogya tu no mu. Ɛno na ɛyaw no fi saa ɔbo a akyea no mu.

Dɛn ne kɔkɔbɔ nsɛnkyerɛnne a ɛho hia a ɛkyerɛ sɛ obi ayɛ akisikuru?

Ebia "Biliary Colic" nkutoo ne kɔkɔbɔ sɛnkyerɛnne a wunya. Ɛba bere a akisikuru bi siw bile ntini no bere tiaa bi, afei ɛkyinkyin na efi ase sen bio no. Sɛ awiei koraa no ɛyaw no fi hɔ mpo a, ɛho hia sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne yi.

Sɛ akisikuru bi asiw wo biliary system no kwan pɛnkoro a, ɛda adi kɛse sɛ ɛbɛsan asi bio.

Ebia ɔbo no redi akɔneaba wɔ beae koro no ara a akɔhyɛ, na ɛreyɛ kɛse na ɛreyɛ kɛse. Anaasɛ ebia abo a ɛwɔ akisikuru pii wɔ hɔ. Da bi, akisikuru bi betumi akɔka na atra hɔ. Ɛno betumi ayɛ nea egye ntɛmpɛ.

Dɛn ne nsɛnnennen a ebetumi afi akisikuru mu aba?

Sɛ ɔbo a ɛwɔ akisikuru mu siw bile a ɛsen fa biliary nhyehyɛe no mu a, ebetumi aka akwaa biara a ɛwɔ saa nhyehyɛe no mu. Nsu a entumi nkɔ mu no betumi asan akɔ ntini a ɛma mogya tu ne akwaa ahorow no mu, na ɛde ɔfe a emu yɛ den ne mmoawa a wɔde nyarewa ba . Saa tebea horow yi betumi de nkwa ato asiane mu sɛ emu yɛ den a. Ebia nsɛnnennen no bi ne:

• Cholecystitis : Akisikuru a ɛba akisikuru mu.
• Pancreatitis : Ɔyare a ɛba dwensɔtwaa mu .
• Cholangitis: Ntini a ɛma mogya tu no ho hyehye .
• Hepatitis: Mmɛn mu yare a ɛyɛ hyew.
• Jaundice: bile a ɛboaboa ano wɔ mogya no mu (honam ani yɛ kɔkɔɔ).
• Septicemia: Mmoawa a wɔhyɛn mogya mu.

So akisikuru ma obi brɛ na ne ho popo?

Adwene a ɛyɛ basaa ne ɔbrɛ yɛ mogya mmoroso ho sɛnkyerɛnne. Eyinom nyɛ akisikuru ho sɛnkyerɛnne a ɛtaa ba. Nanso, mogya mmoroso a ɛba fam betumi aba sɛ ɔhaw ahorow a efi akisikuru mu abo mu ba. Sɛ wowɔ ɔfe a emu yɛ den anaa ɔyare mmoawa wɔ wo biliary system mu a, wo koma bɔ betumi akɔ soro na wo mogya so atew.

Dɛn na ɛde akisikuru ba?

Gallstones ba bere a bile mu nneɛma atitiriw no biako dɔɔso dodo no. Saa ade a ɛboro so yi kɔtra akisikuru anaa ntini a ɛma mogya tu no mu, na ɛyɛ den nkakrankakra ma ɛbɛyɛ abo. Abo a srade srade wom ne nea abu so sen biara. Ɔkwan foforo no ne "pigment" abo, a ɛyɛ bilirubin abo. Nneɛma ahorow betumi aka saa adeyɛ yi, a nea ɛka ho ne:

• Srade a ɛwɔ wo mogya mu dodo: Wo mmerɛbo gye srade fi wo mogya mu de yɛ bile. Sɛ srade dɔɔso wɔ wo mogya mu a, nneɛma a ɛwɔ wo mogya mu no dodow sesa. Ɛsɛ sɛ srade ne acid kari pɛ na ama biribiara a ɛwɔ wo bile mu no akura mu. Sɛ wowɔ biribiara dodo a, wɔde sie.
• Bilirubin a ɛdɔɔso: Bilirubin yɛ ade a efi mogya mu nkwammoaa kɔkɔɔ dedaw a ɛpaapae mu ba. Sɛ wowɔ mogya mu yare bi (a ɛma mogya mu nkwammoaa kɔkɔɔ sɛe dodo), anaasɛ wo mmerɛbo asɛe na ɛyɛ den ma wo sɛ wobɛdan bilirubin dodow a ɛfata ayɛ no bile a, ebia bilirubin dɔɔso wɔ wo nipadua mu.
• Bile acid a ɛnnɔɔso (wɔsan frɛ no bile salts): Nyarewa bi ma nipadua no ntumi nnye bile acid yiye (bile acid malabsorption) na ɛkɔ nsu mu. Sɛ bile acid dɔɔso dodo a, mmerɛbo no nni bile acid a ɛdɔɔso a ɛbɛma ayɛ bile. Sɛ bile acid nnɔɔso a, srade (cholesterol) dodow a ɛwɔ bile no mu no kɔ soro.
• Cholestasis anaa gallbladder stasis: "Stasis" kyerɛ tebea a ɛnyɛ adwuma. Sɛ wo bile ducts anaa gallbladder no ntumi mfa bile nkɔ biliary system no mu yiye a, ɛda adi sɛ bile bɛboaboa ano na ayɛ abo. Eyi betumi ayɛ ɔhaw wɔ ntini ahorow no anaa nnuru a ɛkyerɛ sɛ wɔyɛ adwuma no ho.

Dɛn ne asiane ahorow a ɛma obi nya akisikuru (Cholelithiasis)?

Nyarewa ne tebea ahorow betumi aka wo bile mu nsu anaasɛ wo srade, bilirubin, ne bile acid dodow. Nanso ɛnyɛ obiara a ɔwɔ akisikuru na ɔwɔ aduruyɛ mu tebea bi a ɛhyɛ ase. Nneɛma a ɛde asiane ba a ɛtaa ba no bi abu so, te sɛ wo mfe a woadi, wo awosu, wo hormone dodow, ne wo mu duru a ɛsakra. Nneɛma a ɛde asiane ba no bi ne:

• Mfe a obi adi: Egye bere ansa na akisikuru mu abo ayɛ na ayɛ kɛse araa ma atumi asiw kwan. Mmarima taa nya bi bere a wɔadi mfe 60. Mmea taa nya bi wɔ wɔn awo mfe mu, bere a wɔadi mfe 20 kosi 50.
• Nkwammoaa: Mmea betumi anya akisikuru mmɔho abiɛsa. Asiane yi kɔ soro na ɛso tew bere a wɔn nkwaadɔm a wɔfrɛ no estrogen ne progesterone no dɔɔso no. Estrogen ma srade a ɛwɔ nipadua no mu no yɛ kɛse, na progesterone ma mogya a ɛwɔ akisikuru no mu no kyɛ.
• Muduro:Bere a nipadua mu srade kɔ soro no, estrogen a wɔyɛ nso kɔ soro, na ɛma estrogen dodow ne srade dodow kɔ soro. Ɔkwan foforo so no, sɛ obi mu duru so tew mpofirim, sɛ nhwɛso no, bere a wɔayɛ no oprehyɛn a ɛma ne mu duru so tew akyi no nso betumi ama obi ayɛ akisikuru. Sɛ nipadua mu srade so tew mpofirim a, srade pii boaboa ano wɔ akisikuru no mu.
• Awosu mu nneɛma: Sɛ wufi (Native American) anaa (Mexican) mu a, ebia w’awosu mu nneɛma bɛma woanya asiane kɛse sɛ wubenya akisikuru esiane srade a ɛdɔɔso wɔ wo mogya mu nti. Sɛ obi a ɔwɔ w’abusua mu anya akisikuru a, ɛda adi sɛ wubenya bi, a abusuakuw a wofi mu mfa ho.

Wobɛyɛ dɛn ahu sɛ wowɔ akisikuru anaa?

Sɛ wowɔ akisikuru ho sɛnkyerɛnne a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu ne mfoniniyɛ mu nhwehwɛmu. Mogya mu nhwehwɛmu betumi ahu ɔfe, ɔyare mmoawa, anaa jaundice, na ebetumi ama woahu akwaa ahorow a ɛka no nso. Mfoninitwa nhwehwɛmu betumi aboa ma woahu baabi a ɛwɔ wo biliary system no mu a asiw no wɔ.

Nhwehwɛmu bɛn na wɔde hu akisikuru?

Nea edi kan no, wo duruyɛfo bɛyɛ yafunu mu ultrasound. Ɛyɛ sɔhwɛ a ɛyɛ ntɛm na ɛnyɛ den a enhia ahosiesie titiriw biara. Ultrasound betumi ahu abo dodow no ara a ɛwɔ akisikuru no mu ne ne mpɔtam. Nanso, sɛ gallstone bi akɔhyɛ baabi foforo wɔ biliary system no mu a, ɛho behia sɛ wɔyɛ nhwehwɛmu foforo na ama wɔahu. Sɔhwɛ afoforo a wobetumi ayɛ no bi ne:

• MRCP (Magnetic Resonance Cholangiopancreatography) a wɔde yɛ nhwehwɛmu .
• HIDA scan `(HIDA scan)`
• Endoscopic ultrasound a wɔde hwɛ nipadua no mu
• ERCP (endoscopic retrograde cholangiopancreatography) a wɔde hwɛ nipadua no mu .

Dɛn ne ayaresa a wɔde sa akisikuru?

Sɛ wunnyaa ɔhaw biara wɔ akisikuru ho da a, ebia wunhia ayaresa mma wo. Nanso sɛ gallstones resiw wo bile duct a, wo duruyɛfo bɛbɔ mmɔden sɛ obeyi afi hɔ—ɛnyɛ nea asiw no nko, na mmom ne nyinaa. Efisɛ sɛ wunya gallstone a, ɛda adi sɛ wubenya bio. Nnipa dodow no ara a wohia ayaresa wɔ akisikuru mu no, wɔyɛ wɔn oprehyɛn de yi fi hɔ. Oprehyɛn nkutoo ne ɔkwan a wɔfa so hwɛ hu sɛ akisikuru mu abo remfa ɔhaw mma bio. Nanso sɛ wuntumi nyɛ wo oprehyɛn anaasɛ wompɛ sɛ wɔyɛ wo oprehyɛn a, ayaresa afoforo wɔ hɔ a wubetumi asɔ ahwɛ, a nnuru ne oprehyɛn afoforo ka ho.

Oprehyɛn a wɔyɛ ma abo a ɛwɔ akisikuru mu

Cholecystectomy nkutoo ne ano aduru a wotumi de ho to so, a ɛtra hɔ kyɛ ma akisikuru mu abo.Eyi yɛ oprehyɛn a wɔtaa yɛ wɔ wiase nyinaa, na wɔtaa de laparoscopic (denam ntwitwiridii nketenkete kakraa bi ne mfoninitwa afiri so na ɛyɛ). Wubetumi atra ase yiye a wunni akisikuru. Eyi ne bere a bile a efi mmerɛbo no mu kɔ wo dwensɔtwaa ketewaa no mu tẽẽ. Ɛtɔ mmere bi a, ebia nnipa binom a wohia ayaresa wɔ akisikuru ho no nni apɔwmuden a ɛbɛma wɔayɛ wɔn oprehyɛn de ayi wɔn akisikuru. Wɔ tebea horow a ɛtete saa mu no, "cholecystostomy" yɛ ɔkwan a wobetumi afa so. Eyi yɛ adeyɛ ketewaa bi a nea ɛka ho ne sɛ wɔde catheter bi hyɛ akisikuru no mu na woyi bile ne abo no fi hɔ.

Aduruyɛ mu ayaresa (nnuru) a wɔde sa akisikuru

Nnuruyɛfo ntaa nkyerɛw nnuru a wɔde sa akisikuru efisɛ entumi nyɛ adwuma yiye. Nnuru te sɛ Ursodiol ne Chenodiol yɛ adwuma ma srade abo nketewa a ɛnyɛ den nkutoo. Ebetumi agye asram kosi mfe pii ansa na apete, na ebetumi nso asan aba bio. Eyi nyɛ ɔkwan a mfaso wɔ so a wɔfa so sa akisikuru ma nnipa dodow no ara. Nanso, wɔ nsɛm kakraa bi mu no, nnuru betumi aboa sɛ bere tiaa mu anaasɛ wɔde siw ano. Sɛ wonyɛ obi a ɔyɛ papa sɛ wɔbɛyɛ no oprehyɛn wɔ akisikuru mu a, wo duruyɛfo no ne wo besusuw wɔn nyansahyɛ ahorow ho.

Me tebea no bɛyɛ dɛn bere a wɔasa me gallstones (Cholelithiasis) akyi no?

Wɔ oprehyɛn akyi no, enhia sɛ nnipa dodow no ara sa akisikuru mu abo bio. Nsɛnnennen ntaa mma, nanso nnipa binom betumi anya tebea horow te sɛ atiridiinini a enni sabea. Eyi te saa efisɛ mprempren bile resen akɔ dwensɔtwaa no mu bere nyinaa, ɛnyɛ bere a ɛho hia nkutoo. Wobetumi de nnuru a wɔfrɛ no "bile acid binders" adi eyi ho dwuma.

Mɛyɛ dɛn asiw akisikuru ano?

Ɔkwan biara nni hɔ a ɛyɛ nokware a wɔbɛfa so asiw akisikuru ano koraa. Nanso wubetumi ayɛ nneɛma bi de atew asiane a ɛwɔ hɔ nyinaa so. Sɛ nhwɛso no, wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya ɔbo a ɛwɔ srade a ɛtaa ba no so denam srade dodow a ɛwɔ w’aduan mu a wobɛtew so. Nanso, eyi rensiw "pigment" abo a ɛbɛba no kwan. Sɛ wo mu duru boro so anaasɛ woyɛ kɛse mmoroso a, sɛ wo mu duru so tew kakra a, ebetumi atew asiane a ɛwɔ hɔ sɛ wubenya srade abo so. Nanso, sɛ wo mu duru so tew mpofirim a, ebetumi ama asiane a ɛwɔ hɔ no ayɛ kɛse. Sɛ wowɔ anidaso sɛ wobɛtew wo mu duru so ntɛmntɛm denam ɔkwan anaa ayaresa bi so a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ di kan nnom nnuru a ɛbɛma woatumi asiw akisikuru ano.

So akisikuru no ankasa kɔ?

Akisikuru ntumi nkɔ bere a wɔansa no yare. Ɛtɔ mmere bi a, akisikuru betumi atwam afi wo nipadua mu ne wo nsu a ɛwɔ wo nsu mu, nanso ɛnyɛ ne nyinaa. Sɛ wo duruyɛfo yi akisikuru bi fi wo bile ntini biako mu mpo a, ebia abo bɛda so ara aka, na ebia wubenya foforo. Wo gallbladder a wubeyi no nkutoo ne ɔkwan biako pɛ a wobɛfa so asiw wɔn kwan daa.

Ɔkwan bɛn so na abo a ɛwɔ akisikuru mu no tom bere a wɔde nsu gu mu?

Ɔbo a ɛwɔ akisikuru a akɔhyɛn mogya ntini a wɔtaa de di dwuma no mu no, sɛ wɔansiw a, ebetumi akɔ dwensɔtwaa no mu na ɛne nsu no akɔ. Ɛno yɛ anigye, nanso ɛnyɛ akisikuru nyinaa na ɛbɛyɛ saa, na wuntumi nhyɛ no mma ɔnyɛ saa. Ɔkwan biara nni hɔ a wobɛfa so ahyɛ wo gallstones no akɔ bile duct a ɛtaa ba no mu, na biribiara nni hɔ a ɛkyerɛ sɛ ɛbɛfa dwensɔtwaa no mu dwoodwoo. Ebia wɔbɛkɔ so atra duct no mu na wɔanyin ayɛ akɛse. Mpɛn pii no, asiane wom sɛ wobenya akisikuru wɔ mogya ntini a ɛtaa ba no mu wɔ nea edi kan no mu.

Sɛ akisikuru bi twam a, ɛte dɛn?

Ebia worente nka sɛ akisikuru bi retwam wɔ wo nipadua mu. Ɛsɛ sɛ ɔbo a ɛwɔ akisikuru mu no sua sen milimita 5 na atumi afa mogya ntini a wɔtaa de di dwuma no mu. Ɛno nyɛ kɛse sɛnea ɛbɛyɛ a wobɛte nka wɔ wo dwensɔtwaa mu, nanso ebia wobɛte ɛyaw bi nka bere a ɛfa mogya ntini a ɛtaa ba no mu no.

Ɔkwan bɛn so na abo a ɛwɔ akisikuru mu pue wɔ tiafi mu?

Ebia ɔbo a ɛwɔ akisikuru a ɛyɛ ketewaa a ebetumi afa mogya ntini a ɛtaa ba no mu no bɛyɛ ketewaa dodo sɛ wubehu wɔ wo nsu mu, sɛ wohwehwɛ mpo a. Nanso sɛ wuhu akisikuru bi wɔ tiafi mu a, ɛbɛyɛ sɛ abotan ketewaa bi. Ebia ne nsusuwii nyɛ pɛpɛɛpɛ, na ɛyɛ ahinanan kakra. Dodow no ara yɛ kɔkɔɔ, nanso ebi betumi ayɛ bruu.

So wobetumi de nsu a wɔde gu akisikuru mu no ama akisikuru?

Worentumi mfa akisikuru mu abo nkɔ wo nsu mu efisɛ akisikuru nni ɔkwan biara a ɛbɛfa so akɔ wo nsu mu. Wɔfrɛ abo a ɛwɔ nsuo mu no sɛ asaabo mu abo. Akisikuru ne asaabo mu abo yɛ pɛ, nanso ɛsono akwan horow so. Nsu a ɛyɛ yaw no yɛ asaabo mu abo ho sɛnkyerɛnne, na ɛnyɛ akisikuru mu abo.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn wɔ akisikuru ho?

Sɛ mpofirim ara wote ɛyaw a ɛyɛ sekan wɔ wo yafunu anaa wo mmati nifa so, titiriw bere a woadi awie a, ebetumi ayɛ akisikuru. Hwehwɛ ayaresa ntɛm ara. Ntwɛn mma ɛnkɔ, efisɛ ebia ɛrenkɔ. Oduruyɛfo betumi aboa wo ma woahu nea ɛde wo yaw no ba bere a ɔma ɛyaw no so tew nso. Sɛ wususuw sɛ woanya biliary colic bere bi a atwam, sɛ ayera mpo a, kɔ oduruyɛfo nkyɛn. Wobetumi ayɛ wo biliary system no scan de ahwɛ sɛ abo wɔ akisikuru mu anaa. Sɛ ɛte saa a, ebia wɔbɛkamfo akyerɛ sɛ wɔnsa wɔn yare ansa na wɔde ɔhaw pii aba. Sɛ wɔansa a, akisikuru mu abo betumi akɔ so ayɛ na anyin. Akisikuru abu so, na nnipa dodow no ara nhyia ɔhaw biara da. Sɛ wɔwɔ beae biako a, ebia wunnim mpo da sɛ wɔwɔ hɔ. Nanso sɛ wofi ase tu kɔ baabiara a, wɔbɛyɛ asiane. Saa nneɛma nketenkete a ɛte sɛ abotan yi betumi asɛe ade kɛse sɛ ɛkyere wo nsu a ɛyɛ mmerɛw no mmeae a ɛyɛ den no a.

Sɛ wotwɛn sɛ "gallstone attack" bɛka akyerɛ wo sɛ wowɔ gallstones a, ebetumi ayɛ osuahu a ɛnyɛ dɛ koraa. Ebia wobɛhaw kɛse mpo bere a wuhu sɛ ayaresa a wɔkamfo kyerɛ ne oprehyɛn no. Nanso, oprehyɛn a wɔde yi akisikuru no yɛ adeyɛ a wɔtaa yɛ a nea efi mu ba no ye paa. Ebia w’amanehunu no nyinaa bɛba awiei wɔ nnɔnhwerew kakraa bi akyi wɔ sɛnkyerɛnne a edi kan no akyi.

Fa nkrasɛm kɔ fie

Enti, akisikuru yɛ biribi a wotumi de sie komm, nanso sɛ efi ase haw wo a, ebetumi ayɛ wo yaw kɛse. Ade a ɛho hia sen biara ne sɛ, sɛ wunya ɛyaw a ɛyɛ soronko, a emu yɛ den wɔ wo yafunu nifa atifi, wo ho yɛ wo yaw, anaa sɛnkyerɛnne afoforo a, mmu w’ani ngu so. Titiriw sɛ wɔba bere a wɔadi aduan a srade wom akyi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu. Sɛ wohu ntɛm a, ebetumi asiw nsɛnnennen akɛse ano. Kɔ so nya apɔwmuden!

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