So wote nka nso sɛ woayɛ ma bere a woadi aduan kakraa bi mpo awie no? Anaasɛ wotaa te nka sɛ wo ho yɛ wo yaw anaasɛ wuhyia ɔhaw ahorow a ɛma wo ho yɛ wo hyew? Ebia nea enti a ɛte saa ne nsakrae a ɛba ntɛmntɛm a aduan fi wo yafunu mu, kyerɛ sɛ, wo yafunu mu. Enti ɛnnɛ, momma yɛnka aduruyɛ mu nhwehwɛmu titiriw bi a wɔyɛ de hu eyi pɛpɛɛpɛ ho asɛm. Eyi ne nea yɛfrɛ no `(Gastric Emptying Study)`.
Sɛ yɛbɛka no tiawa a, dɛn ne saa Yafunu mu Nneɛma a Ɛda Hɔ Ho Adesua yi?
Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye. Ɛsusuw bere tenten a egye ansa na aduan (anaa anonne) bi a wudi no fa wo yafunu mu na afei ɛda mpan koraa. Saa adeyɛ a ɛma aduan ne nsu fa wo yafunu mu yi, wɔfrɛ no ``Gastric Motility''. Nnuruyɛfo yɛ nhwehwɛmu yi de hwɛ sɛ wo yafunu no retu sɛnea ɛsɛ anaa. Sɛ sɛnea aduan no da mpan no yɛ ntɛmntɛm anaasɛ ɛyɛ brɛoo sen sɛnea ɛte daa a, ebetumi ayɛ aduruyɛ mu tebea bi ho sɛnkyerɛnne.
Ɔkwan titiriw a wɔfa so yɛ eyi ne sɔhwɛ a wɔfrɛ no `(Gastric Emptying Scintigraphy - GES)`. Sɛ oduruyɛfo bi ka sɔhwɛ yi ho asɛm kyerɛ wo a, eyi ne nea ɔtaa kyerɛ. Eyi yɛ `(Imaging Test)` a ɛyɛ `(Nuclear Medicine)` su, kyerɛ sɛ, scan. Nea ɛba wɔ eyi mu ne sɛ wɔhwehwɛ radioactivity a ɛwɔ wo nipadua mu no na wɔyɛ mfonini ahorow. Mma ɛnhaw wo, eyi nyɛ asiane mma wo. Sɛnea ɛbɛyɛ a wo yafunu bɛka scan no ho no, wɔde radioactive ade ketewaa bi a ɛnyɛ asiane biara `(Radioactive Tracer)` ka aduan a wudi no ho.
So akwan foforo wɔ hɔ a wɔfa so yɛ sɔhwɛ yi?
Yiw, akwan foforo pii wɔ hɔ a wɔfa so de ka titiriw no ho:
- Gastric Motility Breath Test (GEBT): Eyi kyerɛ mframa dodow a wohome ne sɛnea w’aduan fa wo dwensɔtwaa mu. Wɔma wo aduane a carbon molecule soronko bi a wɔfrɛ no ``Carbon-13'' wom. Sɛ ɛfa wo dwensɔtwaa mu a, ɛma mframa bɔne a wotumi susuw wɔ wo home mu ba.
- SmartPillTM Wireless Motility Capsule: Eyi hwehwɛ sɛ wobɛmene ɛlɛtrɔnik mfiri ketewaa bi a ɛte sɛ aduru a wɔde kum ɔyare mmoawa. Bere a ɛnam wo digestive system mu no, ɛde data kɔ ``Receiver`` bi a wohyɛ. Wɔde aduru no kɔ wo nsu mu wɔ da koro anaa nnanu mu. Afei, sɛ wode ``Receiver`` no ma wo duruyɛfoɔ a, ɔbɛtumi ahwɛ data no na wanya wo tebea no ho adwene.
Dɛn na yebetumi asua afi sɔhwɛ yi mu?
Saa sɔhwɛ yi kyerɛ wo titiriw sɛ ebia wo yafunu mu da mpan ntɛmntɛm dodo anaasɛ brɛoo dodo . Ebetumi ahu baabi a ahoɔhare yi brɛ ase wɔ wo yafunu mu nso. Eyi betumi aboa kɛse ma woate nea ɛde wo yafunu mu haw ahorow bi ba no ase.
| Nsɛnkyerɛnne a ebetumi ama oduruyɛfo bi ahyɛ sɛ ɔnyɛ nhwehwɛmu yi | |
|---|---|
| Te a wɔte nka sɛ woayɛ ma | Sɛ́ wobɛte nka sɛ woayɛ ma kɛse bere a woadi aduan kakraa bi mpo akyi, anaasɛ saa atenka no a wubenya bere tenten bere a woadi awie no. |
| Akisikuru ne ɔfe | Akisikuru a ɛtaa ba ne/anaasɛ ɔfe. |
| Yafunu mu yaw | Ɛyaw a ɛba yafunu no atifi. |
| Yafunu a wɔhyɛ no ma | Gas ne ahurututu a wɔte nka. |
| Nneɛma afoforo a ɛwom | Aduan ho akɔnnɔ a ɛyera, mu duru a ɛso tew, asikre dodow a ɛkɔ soro na ɛso tew mpofirim wɔ mogya mu, adwenemhaw, koma bɔ ntɛmntɛm, ne acid a ɛsan kɔ nipadua no mu a enni sabea. |
Sɛ wokɔ so nya sɛnkyerɛnne ahorow te sɛ eyinom a, akyinnye biara nni ho sɛ eye sɛ wo ne wo duruyɛfo bɛkasa.
Nyarewa bɛn na wobetumi de nhwehwɛmu yi ahu?
Sɛ yafunu no mu da mpan nkakrankakra a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ yafunu no asiw anaasɛ tebea bi a ntini ne ntini a ɛwɔ yafunu no mu no ntumi nyɛ adwuma yiye. Wɔfrɛ eyi wɔ aduruyɛ mu sɛ `Gastroparesis` .
Afei nso, sɛ yafunu no mu da mpan ntɛmntɛm dodo a, yɛfrɛ no `Dumping Syndrome` . Eyi nso yɛ ɔhaw a ɛba ntini ne ntini ahorow no so. Saa tebea yi abu so wɔ nnipa a wɔayɛ wɔn yafunu oprehyɛn mu. Nanso, sɛ wɔnyɛɛ wo oprehyɛn a, ebetumi nso ayɛ aduruyɛ mu tebea foforo a ɛda adi ho sɛnkyerɛnne.
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?
Eyi ho hia paa. Oduruyɛfo no bɛma wo akwankyerɛ a ɛho hia ansa na wɔayɛ nhwehwɛmu no. Ɛsɛ sɛ woka nnuru a wonom ne nyarewa foforo biara a wowɔ nso kyerɛ no.
| Nea Ɛsɛ sɛ Woyɛ ne Nea Ɛnsɛ sɛ Woyɛ Ansa na Sɔhwɛ no Aba | |
|---|---|
| Aduan ne anonne | Anyɛ yiye koraa no, nnidi anaa nnom biribiara nnɔnhwerew 4 ansa na wɔayɛ sɔhwɛ no. Esiane sɛ wɔtaa yɛ sɔhwɛ no anɔpa nti, wɔbɛka akyerɛ wo sɛ mmuada fi anadwo a edi kan no. |
| Sɛ wowɔ asikreyare a | Sɛ wofa insulin ma asikreyare a, fa wo insulin ne glucose mita bra. Wɔbɛsusuw asikre dodow a ɛwɔ wo mogya mu ansa na wɔayɛ nhwehwɛmu no na sɛ ɛho hia a, wɔbɛma insulin de asiw ano. |
| Sigaretnom | Nnom sigaret ansa na woayɛ sɔhwɛ no. Ebetumi akyɛ wo yafunu a ɛda mpan no ase. |
| Nnuru bi | Ɛdenam wo duruyɛfo afotu so no, ebia ebehia sɛ wugyae nnuru bi (sɛ nhwɛso no, nnuru a wɔde kum ɛyaw, nnuru a ekum adwenemhaw, ne nnuru bi a wɔde sa yafunu mu yare) nna kakraa bi. |
| Mmere titiriw | Sɛ woanyinsɛn anaa worenom nufu a, hwɛ hu sɛ wobɛka eyi ho asɛm akyerɛ wo duruyɛfo. Wɔnyɛ sɔhwɛ no wɔ saa nsɛm yi mu esiane nneɛma a ɛwɔ radioactive no nti. |
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye.
1. Aduan: Nea edi kan no, wɔbɛma wo aduan titiriw bi a wɔasiesie. Eyi taa yɛ nkesua fitaa a wɔde radioactive ade ``(Sulphur Colloid)`` afra, paanoo a wɔayam a wɔde jam ayɛ, ne nsu kuruwa. WeiƐsɛ sɛ wudidi wie wɔ simma 10 ntam .
2. Scanning: Afei mfiridwumayɛfo no de wo bɛkɔ scanner no nkyɛn. Wɔbɛka akyerɛ wo sɛ sɛ ɛbɛyɛ yiye a, gyina hɔ, anaasɛ sɛ ɛnte saa a, da fam. Wɔde mfoninitwa afiri a ɛhwɛ nneɛma so no bɛto wo yafunu so na wɔayɛ bɛyɛ simma biako wɔ bere koro mu.
3. Bere: Wɔyɛ scan a edi kan no bere a woadi awie pɛɛ. Afei, wɔbɛsan ayɛ wo scan wɔ dɔnhwerew biako, nnɔnhwerew abien, ne nnɔnhwerew anan mu. Wubetumi afi dan no mu bere a wɔreyɛ saa scan ahorow yi, nanso ɛsɛ sɛ wosan ba bere ano.
Saa sɔhwɛ yi nyinaa taa gye nnɔnhwerew 2 kosi 4 . Bere a ɛsen biara a egye na yafunu mu da mpan taa yɛ nnɔnhwerew 4, enti ɛsɛ sɛ wotwɛn saa bere tenten no. Sɛ ɛda mpan ansa na ɛno aba a, sɔhwɛ no bɛba awiei ntɛm.
Worente ɛyaw anaa ahotɔ biara nka wɔ sɔhwɛ yi mu. Worenka radioactive nneɛma a ɛwɔ aduan no mu no nhwɛ anaasɛ worente hua.
Ɔkwan bɛn so na yɛbɛte sɔhwɛ no mu aba no ase?
Wo duruyɛfo bɛkyerɛkyerɛ amanneɛbɔ a wo nsa bɛka wɔ nhwehwɛmu no akyi no mu. Ɛkyerɛ aduan dodow a na aka wɔ wo yafunu mu wɔ nnɔnhwerew 1, 2, ne 4 mu.
| Gyinabea | Nsunsuansoɔ |
|---|---|
| Nea efi mu ba a ɛyɛ daa | |
| Dɔnhwerew 1 akyi | Ɛsɛ sɛ aduan no bɛboro 30% kɔ so tra yafunu no mu. |
| Nnɔnhwerew 2 akyi | Anyɛ yiye koraa no, ɛsɛ sɛ aduan no mu 40% yɛ nea hwee nni mu. |
| Nnɔnhwerew 4 akyi | Anyɛ yiye koraa no, ɛsɛ sɛ aduan no mu 90% yɛ nea hwee nni mu (ɛsɛ sɛ wogyaw nea ennu 10%). |
| Nea Efi Mu Ba a Ɛnyɛ Ne kwan so | |
| Aduan a wɔde gu mu nkakrankakra (Gastroparesis) . | - se aduane no boro 60% ka ho wo yafunu mu wo nnɔnhwereɛ 2 akyi a. - se aduane no boro 10% ka ho wo yafunu mu wo nnɔnhwereɛ 4 akyi a. |
| Dumping Syndrome a Wɔde Tow Nneɛma Mu | - se aduane no mu boro 70% ye hunu wo dɔnhwerew 1 akyi. |
Wɔ sɔhwɛ yi akyi no, radioactive nneɛma a ɛhyɛn wo nipadua mu no bɛfa nsu ne nsu mu afi hɔ koraa wɔ nna abien ntam. Nsu pii a wobɛnom bɛboa ma adeyɛ yi ayɛ ntɛmntɛm.
Nkrasɛm a Wɔde Kɔ Fie
- `Gastric Emptying Study` yɛ sɔhwɛ a ɛnyɛ den na ɛnyɛ yaw a ɛkyerɛ bere a egye ansa na aduan ada mpan afi wo yafunu mu.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ nea ɛtaa ho popo, akisikuru, ne yafunu a ɛyɛ wo yaw a, nhwehwɛmu yi betumi aboa ma woahu nea ɛde ba.
- Eyi boa ma wohu tebea horow te sɛ `Gastroparesis` (aduan a wɔkyɛ) ne `Dumping Syndrome` (aduan a wɔtwe fi mu ntɛmntɛm).
- Ɛho hia yiye sɛ wubedi oduruyɛfo no akwankyerɛ akyi (mmuadadi, nnuru bi a wubegyae) pɛpɛɛpɛ ansa na wɔayɛ nhwehwɛmu no.
- Bisa wo duruyɛfo no ma ɔnkyerɛkyerɛ nea efii nhwehwɛmu no mu bae no mu wɔ ɔkwan a wubetumi ate ase so.
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