So wo yafunu mu da mpan yiye bere a woadi awie no? Momma yɛnka Gastric Emptying Study no ho asɛm!

So woasusuw bere tenten a aduan a wudi no tra wo yafunu mu ne sɛnea efi mu ba no ho pɛn? Ɛtɔ mmere bi a, yɛte nka sɛ yɛayɛ ma anaasɛ yɛn ho yɛ yɛn yaw bere a yɛadi awie no. Wɔ mmere a ɛtete saa mu no, wɔfrɛ sɔhwɛ titiriw bi ‘Gastric Emptying Study’ de hwɛ bere tenten a aduan no tra yɛn yafunu mu ne sɛnea epue. Eyi betumi aboa yɛn ma yɛahu sɛ ɔhaw bi wɔ yɛn yafunu, kyerɛ sɛ, yafunu no dwumadi mu anaa.

Dɛn na yebetumi asua afi sɔhwɛ yi mu ankasa?

Fa no sɛ, sɛ wudi aduan bi wie a, so wote nneɛma a ɛte sɛɛ nka:

• Mete nka sɛ meyɛ ma bere tiaa bi , na saa ma no ayɛ ma bere tenten .
• Metaa te nka sɛ me ho popo na mefe .
• Mewɔ ɛyaw wɔ me yafunu atifi .
• Me yafunu te nka sɛ ayɛ ma, te sɛ nea ɛho ayɛ fĩ .
• M’ani nnye aduan ho na me mu duru so tew .
• Mogya mu asikre dodow kɔ soro mpofirim na afei ɛkɔ fam bio .
• Ɛte sɛ nea obi adwene atu afra .
• Ɛte sɛ nea wo koma rebɔ ntɛmntɛm mpofirim .
• Tebea horow te sɛ aduan a wontumi nnya ne yafunu mu yare wɔ hɔ .
• Bere nyinaa a ɛba soro kɔ menewa no mu (chronic acid reflux) .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ebia wo duruyɛfo bɛhyɛ nyansa sɛ wɔnyɛ nhwehwɛmu a ɛbɛma yafunu mu nsu a ɛho ayɛ fĩ. Sɛ yɛbɛka no tiawa a, sɔhwɛ yi kyerɛ sɛ ebia aduan refi wo yafunu mu brɛoo dodo anaasɛ ɛretu ntɛmntɛm dodo . Ebetumi nso ama woanya baabi a ahoɔhare yi brɛ ase wɔ wo yafunu mu ne wo yafunu no afã horow a ɛka no ho adwene nso. Eyi betumi aboa wo ma woate nea ɛde wo yafunu mu (GI) sɛnkyerɛnne ahorow bi ba no ase.

Nyarewa bɛn na eyi hu?

Afei ma yɛnhwɛ nyarewa a sɔhwɛ yi betumi ahu.

• Sɛ wo yafunu mu da mpan nkakrankakra a: Eyi betumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi asiw wo yafunu mu. Anaasɛ, ebetumi ayɛ tebea bi a wɔfrɛ no gastroparesis, a ɛyɛ tebea a ntini ne ntini a ɛwɔ wo yafunu mu no ntumi nyɛ adwuma yiye, na ɛma wo yafunu yɛ mmerɛw . Gastroparesis yɛ ɔhaw a ɛba wo yafunu mu ntini ne ntini ahorow so.
• Sɛ wo yafunu mu da mpan ntɛmntɛm dodo a: Wɔfrɛ eyi dumping syndrome . Eyi nso ne ntini ne ntini a ɛwɔ wo yafunu mu no wɔ abusuabɔ. Wɔtaa hu saa tebea yi bere a wɔayɛ yafunu oprehyɛn akyi. Nanso, sɛ wɔnyɛɛ wo oprehyɛn a, ebetumi ayɛ tebea foforo a ɛhyɛ wo ase ho sɛnkyerɛnne.

Ɔkwan bɛn so na wɔyɛ Gastric Emptying Scintigraphy sɔhwɛ a wɔtaa yɛ no?

Wɔfrɛ ɔkwan titiriw a wɔfa so yɛ Yafunu mu Nneɛma a Ɛda Hɔ Ho Adesua yi sɛ Gastric Emptying Scintigraphy (GES) . Eyi ne din a nnuruyɛfo dodow no ara de di dwuma. Eyi yɛ nuklea aduruyɛ mu mfoniniyɛ sɔhwɛ ankasa . Sɛ yɛbɛka no tiawa a, ɛde mframa a ano yɛ den di dwuma de hwehwɛ wo nipadua mu na ɛyɛ mfonini ahorow.

Fa no sɛ ‘X-ray a ɛwɔ mu-akyi’. X-ray a ɛfata ma mframa a ɛbɔ fa wo nipadua mu fi abɔnten. Nanso wɔ eyi mu no, wɔde radioactive tracer titiriw bi ka aduan a wudi no ho. Sɛ saa tracer yi hyɛn mu a, ɛma gamma mframa . Afei, gamma mfoninitwa afiri bi hu saa mframa yi na ɛdan no mfonini a ɛwɔ afã abien. Eyi ne sɛnea wuhu sɛ aduan a wudi no fa wo yafunu mu.

Ansa na wɔbɛyɛ sɔhwɛ yi no, wɔbɛma wo aduan a wɔahyɛ da ayɛ a ɛyɛ pɛ ma obiara. Fiber, asikre, protein, ne srade dodow bi wɔ mu. Nea enti a ɛte saa ne sɛ saa nneɛma yi nyinaa ka sɛnea yafunu no keka ne ho, kyerɛ sɛ, sɛnea yafunu no tumi keka ne ho . Wɔfrɛ radioactive isotope a wɔde ka aduan yi ho no Sulphur Colloid (99mTc) . Eyi nsɛe nipadua no pii, na ɛno kyerɛ sɛ asiane a ɛwɔ hɔ sɛ awuduru bɛba no sua koraa .

So akwan foforo bi wɔ hɔ a ɛnyɛ eyi?

Yiw, akwan foforo pii wɔ hɔ a wɔfa so hwɛ sɛnea yafunu no yɛ adwuma.

• Gastric Motility Breath Test (GEBT): Nea ɛka eyi ho ne sɛ wobɛsɔ wo home ahwɛ. Aduan titiriw bi a wonom no wɔ carbon molecule bi a wɔfrɛ no Carbon-13 . Sɛ eyi kɔ wo dwensɔtwaa mu a, wɔyɛ mframa soronko bi a wɔfrɛ no carbon dioxide (CO2-13) a wotumi susuw. Wɔsusu saa mframa no wɔ wo home mu de hwɛ sɛnea aduan no retu ntɛmntɛm.
• SmartPillTM Wireless Motility Capsule: Eyi hwehwɛ sɛ wobɛmene ɛlɛtrɔnik afiri ketewaa bi a ɛte sɛ aduru . Bere a ɛnam wo aduan mu nneɛma mu no, ɛde nsɛm kɔ afiri bi a wohyɛ no mu a wɔmfa nhama nkɔ. Wɔde SmartPillTM no kɔ wo nsu mu wɔ da koro anaa nnanu mu. Afei, sɛ wode nea wogye no ma wo duruyɛfo a, wobetumi ahwehwɛ nsɛm a wɔde ama no mu na wɔahu sɛ obi anya yare no.

Dɛn na ɛsɛ sɛ yɛhwɛ ansa na yɛayɛ sɔhwɛ?

Ansa na wobɛyɛ nhwehwɛmu yi no, wo duruyɛfo no bɛka ho asɛm akyerɛ wo. Wobebisa ayaresa tebea foforo biara a wowɔ ne nnuru biara a wonom ho asɛm, efisɛ eyinom betumi aka nea efi nhwehwɛmu no mu ba no.

• Sɛ asikre dodow a ɛwɔ wo mogya mu taa kɔ soro (hyperglycemia) anaasɛ asikre dodow a ɛba wo mogya mu mpofirim (hypoglycemia) a ., ebia sɔhwɛ yi mfata wo.
• Sɛ wonyinsɛn anaasɛ worenom nufu a , ɛbɛyɛ papa sɛ wobɛkwati sɔhwɛ yi . Nea enti a ɛte saa ne nneɛma a ɛwɔ radioactive no.
• Sɛ wowɔ brayɛ , ebia wo duruyɛfo bɛpɛ sɛ woyɛ nhwehwɛmu yi da pɔtee bi wɔ wo brayɛ mu, efisɛ nkwaadɔm mu nsakrae betumi aka sɛnea wo yafunu mu da mpan, na ebetumi asakra nea efi mu ba no.

Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no?

Ɛsɛ sɛ wo yafunu mu da mpan bere a woreyɛ nhwehwɛmu yi. Enti wo duruyɛfo bɛka akyerɛ wo sɛ anyɛ yiye koraa no, nnidi anaa nnom biribiara nnɔnhwerew anan ansa na wɔayɛ nhwehwɛmu no. Mpɛn pii no, wɔyɛ sɔhwɛ yi anɔpa, enti ɛyɛ mmerɛw ma wo sɛ worendidi anaa worennom biribiara anadwo a edi kan no.

• Sɛ wowɔ asikreyare na wode insulin di dwuma a wɔbɛka akyerɛ wo sɛ fa wo insulin ne glucose monitor bra . Ansa na wɔbɛyɛ nhwehwɛmu no, wɔbɛhwɛ asikre dodow a ɛwɔ wo mogya mu, akyerɛw ato hɔ, na sɛ ɛho hia a wɔama wo insulin na ama asan aba dodow a ɛfata.
• Ɛnyɛ papa sɛ wobɛnom sigaret ansa na wɔayɛ sɔhwɛ no, efisɛ eyi betumi atwe yafunu no mu a ɛda mpan no akyɛ.
• Ebia wɔbɛka akyerɛ wo nso sɛ gyae nnuru bi a wobɛnom nna kakraa bi ansa na wɔayɛ nhwehwɛmu no. Nhwɛsoɔ:
• Nnuru a ɛma mogya yɛ mmerɛw
• Nnuru bi a wɔde kum ɛyaw, titiriw opioid
• Nnuru bi a wɔde kum adwenemhaw
• Nnuru a esiw calcium kwan
• Nnuru a wɔde siw acid ano
• Hormone ayaresa a ɛma ɔbea yɛ

Kae sɛ, saa nsɛm a wɔahyehyɛ yi nni mũ, enti ɛho hia yiye sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Okay, afei momma yɛnhwɛ nea ɛba bere a yɛyɛ sɔhwɛ no.

• Nea edi kan no, wɔbɛma wo aduan titiriw a madi kan aka ho asɛm no. Ɛyɛ ɛmo fitaa a wɔayam a wɔde sulfur colloid afra mu , paanoo a wɔayam a wɔde strawberry jam ayɛ, ne nsu kuruwa biako. Ɛho hia yiye sɛ wubewie eyinom nyinaa wɔ simma du mu .
• Sɛ ɛbɛyɛ yiye a, ebehia sɛ wugyina hɔ bere a wɔreyɛ sɔhwɛ no. Sɛ ɛnte saa a, ebia wobɛda. Afei mfiridwumayɛfo no de mfoninitwa afiri anaa mfoninitwa mfiri no besi wo yafunu so.
• Scaner no hwehwɛ wo yafunu mu bere nyinaa bɛyɛ simma biako . Ɛyɛ scan bɛyɛ mpɛn anan anaa anum te sɛ eyi.
• Wɔyɛ scan a edi kan no bere a woadi awie pɛɛ . Sɛ mfiridwumayɛfo no susuw sɛ wo yafunu mu da mpan ntɛmntɛm dodo a, ɔbɛsan ayɛ scan bio wɔ simma 30 akyi . Wɔyɛ scan afoforo noDɔnhwerew biako, nnɔnhwerew abien ne nnɔnhwerew anan akyi.
• Wubetumi asɔre afi dan no mu bere a woreyɛ scan yi, nanso ɛsɛ sɛ wosan ba bere ano.

Bere tenten ahe na sɔhwɛ yi gye?

Mpɛn pii no, Gastric Emptying Scintigraphy no gye bɛyɛ nnɔnhwerew abien kosi anan ansa na wɔawie. Sɛ wɔkyekyem pɛpɛɛpɛ a, nnɔnhwerew abien ne bere a egye ansa na yafunu mu ada mpan. Enti sɛ wo yafunu mu da mpan koraa wɔ saa bere no mu a, wobegyae scanning wɔ saa bere no mu. Nanso sɛ egye bere tenten sen saa a, wotumi scan bɛyɛ nnɔnhwerew anan.

So eyi yɛ yaw? So ɛte sɛ nea ɛnyɛ dɛ?

Nte saa koraa. Worente scan no anaa radioactive nneɛma no nka koraa . Worentumi mfa dɛ anaa ne hua nhu ade a ɛwɔ aduan no mu. Enti mma ɛnhaw wo wɔ ɔhaw biara ho.

Dɛn ne Nsu a Wɔde Ma Yafunu Mu Nhwehwɛmu?

Ɛtɔ mmere bi a nnuruyɛfo bɛhyɛ sɛ wɔnyɛ nsu mu nhwehwɛmu soronko (nsu a wɔde gu mu ho nhwehwɛmu) . Eyi betumi ama woanya wo tebea no ho nsɛm foforo. Esiane sɛ nsu ntumi nkɔ yafunu no mu sɛnea aduan a ɛyɛ den fa so nti, ebia nea ebefi sɔhwɛ yi mu aba no bɛyɛ soronko. Ebia wo duruyɛfo bɛkra sɛ saa nsu mu nhwehwɛmu yi bere koro no ara mu ne aduan a ɛyɛ den nhwehwɛmu no. Anaasɛ, wobetumi ahyɛ sɔhwɛ yi akyiri yi wɔ aduan a ɛyɛ den sɔhwɛ no akyi.

Eyi yɛ sɔhwɛ tiawa . Wɔbɛma wo nsu kuruwa a sulphur colloid ahyɛ mu. Afei mfiridwumayɛfo no bɛtwa mfonini ahorow bɛyɛ abiɛsa wɔ dɔnhwerew biako mu.

So asiane anaa nsunsuanso bɔne bi wɔ Gastric Emptying Scintigraphy sɔhwɛ no mu?

Mframa dodow a wɔde hyɛ wo nipadua mu no sua koraa , na ɛnnɔɔso sɛ ebepira wo. Nanso, sɛ woanyinsɛn a, asiane ketewaa bi betumi aba wo ba a ɔhyɛ yafunu mu no so . Sɛ woyɛ ɛna a woma nufu a, mframa kakraa bi betumi afa wo nufusu mu akɔ wo ba no nkyɛn . Ɛno nti na wɔtwe sɔhwɛ no kɔ akyiri no. Sɛ ɛnte saa a, nsunsuanso bɔne foforo biara nni hɔ a wonim .

Ɛkame ayɛ sɛ saa radioactive ade yi befi wo nipadua mu koraa wɔ wo nsu ne wo nsu mu wɔ bɛyɛ nna abien mu. Nom nsu pii wɔ saa nna no mu, efisɛ eyi bɛboa ma afi wo nipadua mu ntɛm.

Mete me sɔhwɛ mu aba no ase dɛn?

Wo duruyɛfo no bɛhwɛ nea efii nhwehwɛmu no mu bae no mu na wakyerɛkyerɛ mu akyerɛ wo. Nea efii mu bae no kyerɛ bere tenten a egyee ansa na aduan a wudii no faa wo yafunu mu. Wɔbɛkyerɛ baabi a ɛkɔɔ akyiri wɔ dɔnhwerew biako, nnɔnhwerew abien, anaa nnɔnhwerew anan mu. Afei wɔde nea ebefi mu aba no atoto nea wɔkyekyem pɛpɛɛpɛ no ho. Sɛ nea efi mu ba no yɛ ntɛmntɛm anaasɛ ɛyɛ brɛoo sen sɛnea ɛte daa a, ɛkyerɛ sɛ wo yafunu mu da mpan ntɛmntɛm dodo anaasɛ ɛyɛ brɛoo dodo.

Ɛsɛ sɛ nea efi mu ba sɛnea ɛte daa no yɛ dɛn?

Sɛ wopɛ nnuan a ɛyɛ den a:

• Wɔ simma 30 mu no:Anyɛ yiye koraa no, ɛsɛ sɛ aduan no mu 70% da so ara wɔ yafunu no mu.
• Wɔ dɔnhwerew biako mu: Anyɛ yiye koraa no, ɛsɛ sɛ aduan no mu 30% da so ara wɔ yafunu no mu, na anyɛ yiye koraa no, ɛsɛ sɛ 10% da mpan.
• Wɔ nnɔnhwerew abien mu: Anyɛ yiye koraa no, ɛsɛ sɛ aduan no mu 40% yɛ nea hwee nni mu.
• Wɔ nnɔnhwerew anan mu: Anyɛ yiye koraa no, ɛsɛ sɛ aduan no mu 90% yɛ nea hwee nni mu.

Sɛ wɔkyekyem pɛpɛɛpɛ a , bere a wɔde yɛ nsu mu sɔhwɛ no yɛ simma 20 kosi 25 .

Dɛn ne nea efi mu ba a ɛnyɛ ne kwan so?

Ebia wubenya gastroparesis sɛ:

• Sɛ aduan no bɛboro 60% da so ara wɔ yafunu no mu wɔ nnɔnhwerew abien akyi a.
• Sɛ aduan no bɛboro 10% da so ara wɔ yafunu no mu wɔ nnɔnhwerew anan akyi a.

Ebia wowɔ Dumping Syndrome , tebea bi a ɛma yafunu no mu da mpan ntɛmntɛm dodo, sɛ:

• Sɛ aduan no bɛboro 30% da mpan dedaw wɔ simma 30 akyi a.
• Sɛ aduan no bɛboro 70% da mpan dedaw wɔ dɔnhwerew biako akyi a.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae

Gastric Emptying Scintigraphy yɛ ɔkwan a ɛnyɛ den, ɛnyɛ nea ɛkɔ nipadua no mu, na ɛyɛ pɛpɛɛpɛ a wobɛfa so ahwɛ sɛnea wo yafunu no yɛ adwuma, anaasɛ sɛnea wo yafunu no yɛ adwuma .

Ebetumi ada nneɛma pii adi afa sɛnea wo dwensɔtwaa reyɛ adwuma no ho, a ɛnyɛ ɔhaw biara, na ɛwɔ nnɔnhwerew kakraa bi pɛ mu wɔ wo bere mu. Ebia woanya yare no ho sɛnkyerɛnne bere tenten a wuntumi nhu nea ɛde bae, na ebia nea ɛde sɛnkyerɛnne ahorow a ankɔ yiye bere a wɔde sa yare no bae no mu da hɔ mprempren. Saa nhwehwɛmu ahorow yi bɛboa wo duruyɛfo kɛse ma wahu wo tebea pɔtee no. Enti, sɛ oduruyɛfo bi hyɛ nyansa sɛ wɔnyɛ nhwehwɛmu yi a, biribiara nni hɔ a ɛsɛ sɛ yesuro. Wo ne wo duruyɛfo nka ho asɛm yiye, te biribiara ase, na yɛ nhwehwɛmu no.

` Yafunu mu a ɛda mpan, yafunu mu a ɛda mpan ho adesua, yafunu mu nhwehwɛmu, yafunu mu yare, dumping syndrome, aduan a wɔyam, scintigraphy