So wotaa nya komayare anaa wo koko mu yaw? Wosusu sɛ wowɔ nea yɛn nyinaa frɛ no "gastritis"? Sɛ wowɔ atenka sɛ aduan ntumi nnyae na wo yafunu mu yɛ wo yaw bere nyinaa a, nea enti a ɛte saa no mu biako betumi ayɛ nnuru a ɛyɛ ɔbɔfo a wɔyɛ wɔ yɛn nipadua mu. Ɛnnɛ yɛrebɛka hormone bi a wɔfrɛ no Gastrin ho asɛm, a ebia woante ho asɛm, nanso ɛho hia yiye ma yɛn aduan mu nhyehyɛe.
Sɛ yɛbɛka no tiawa a, dɛn ne Gastrin?
Gastrin yɛ hormone a ɛboa ma wo aduan mu nhyehyɛe yɛ adwuma yiye. Seesei ebia woresusuw nea saa hormone yi yɛ ho. Fa no sɛ ɔbɔfo ketewaa bi a ɔwɔ yɛn nipadua mu. Saa nkwaadɔm yi fa mogya no mu kɔ nipadua no nyinaa mu, na ɛka kyerɛ akwaa biara sɛ, "Ɛyɛ, afei woyɛ adwuma yi" ne "Afei gyae adwuma yi yɛ." Enti gastrin nso yɛ ɔbɔfo a ɔho hia a ɔde akwankyerɛ ma yɛn dwensɔtwaa.
Nkwammoaa soronko bi a wɔfrɛ no G-nkwaboaa a ɛwɔ yɛn yafunu (yafunu) no fã a ɛwɔ fam no afasu mu titiriw na ɛyɛ gastrin hormone yi . Nea ɛka ho no, yɛn dwensɔtwaa ketewaa (duodenum) ne dwensɔtwaa no fã a edi kan no na ɛyɛ kakraa bi.
Nneɛma atitiriw bɛn na gastrin yɛ wɔ yɛn nipadua so?
Gastrin yɛ nnwuma pii a ɛho hia yiye wɔ yɛn aduan mu. Momma yɛnhwɛ nea wɔyɛ.
- Yafunu mu acid a yɛyɛ: Sɛ yɛn yafunu betumi ayɛ aduan a yedi no a, ehia acid bi. Wɔfrɛ eyi hydrochloric acid. Gastrin ne nea ɛma yafunu no nya sɛnkyerɛnne sɛ, "Okay, fi ase yɛ acid mprempren." Saa acid yi fi ase bubu protein ahorow a ɛwɔ aduan no mu no.
- Ɛma yafunu mu ntini twetwe: Sɛ aduan hyɛn yafunu no mu a, ehia sɛ wɔde fra yiye, de asikre fra, na ɛpaapae. Eyi hwehwɛ sɛ ntini a ɛwɔ yafunu no afasu mu no kɔ anim ne akyi na ɛtwetwe. Wɔfrɛ eyi yafunu mu ntini a ɛma obi tumi keka ne ho. Gastrin ne nea ɛma saa ntini ahorow yi yɛ adwuma.
- Ɛboa ma ɛbɔ yafunu no fasu ho ban: Acid a ɛwɔ yafunu no mu no mu yɛ den yiye. Enti sɛnea ɛbɛyɛ na saa acid a ano yɛ den no ansɛe yafunu no afasu no, ɛsɛ sɛ wɔyɛ nkwammoaa a ɛwɔ ɔfasu no mu no foforo bere nyinaa. Eyi ne nea yɛfrɛ no yafunu mu ntini. Gastrin nso boa saa nkwammoaa yi ma wonyin foforo.
- Ɛboa dwensɔtwaa ne akisikuru: Gastrin ne hormone foforo a ɛne cholecystokinin bom de nsɛnkyerɛnne kɔ yɛn dwensɔtwaa ne akisikuru mu ma ɛma wɔn aduan mu nsu no fi adi.
Yɛn amemene ne yɛn dwensɔtwaa rekasa bere nyinaa. Susuw ho hwɛ, sɛ wususuw aduan a ɛyɛ dɛ ho, anaasɛ wote hua mpo a, wo nnompe gu, ɛnte saa? Saa ara nso na amemene no nso de sɛnkyerɛnne bi kɔ yafunu no mu, na ɛka sɛ, "Aduan ayɛ krado, fi ase yɛ gastrin."
Sɛ gastrin dodow kɔ soro a, dɛn na ɛba?
Wɔka sɛ biribiara a wɔdɔɔso dodo no nyɛ papa. Ɛno nso abu so wɔ gastrin ho. Sɛ gastrin dodow a ɛwɔ mogya no mu kɔ soro sen sɛnea ɛho hia a, yɛfrɛ no hypergastrinemia . Sɛ eyi ba a, dɛn na ɛba?
Sɛ yɛbɛka no tiawa a, sɛ gastrin kɔ soro a, yafunu mu acid a ɛba nso kɔ soro. Ɛte sɛ nea woama ɔhyew a ɛwɔ fononoo so no akɔ soro dodo. Saa acid a ɛboro so yi fi ase sɛe yafunu no mu nneɛma. Eyi te saa efisɛ:
- Peptic Ulcer Disease: Saa acid a ano yɛ den yi betumi ahyew yafunu anaa dwensɔtwaa ketewa no afasu, na ɛde akuru aba.
- Gastroesophageal reflux disease (GERD) ba bere a yafunu mu acid a ɛboro so tumi san kɔ soro kɔ aduan no mu, na ɛde sɛnkyerɛnne te sɛ komayare ne menewa mu yaw ba no.
Sɛ wotaa yɛ wo komayare, na ɛnkɔ bere a woanom nnuru mpo akyi a, ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu mfa nhwɛ sɛnea wo gastrin no te.
Dɛn ne aduruyɛ mu tebea horow a ɛma gastrin dodow kɔ soro?
Nneɛma ahorow betumi ama gastrin dodow a ɛkɔ soro no aba. Ɛtɔ mmere bi a, ebetumi akɔ soro bere a yafunu no mu asikre no, na ɛtɔ mmere bi a gastrin tumi kɔ soro bere mpo a acid no sua no. Sɛ wopɛ sɛ wote eyi ase a, hwɛ pon a ɛwɔ ase hɔ no.
| Gyinabea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Nsɛm a gastrin ne yafunu mu acid nyinaa kɔ soro | |
| Gastrinomas a ɛma obi ho yɛ hyew | Eyinom yɛ akisikuru a ɛma gastrin a ɛba dwensɔtwaa anaa dwensɔtwaa ketewaa mu. Wobetumi ayɛ kokoram anaasɛ ɛnyɛ kokoram. Wɔfrɛ saa tebea yi Zollinger-Ellison yare . |
| Asaabo a entumi nyɛ adwuma yiye | Sɛ asaabo no ntumi nyɛ adwuma yiye a, ɔkwan a wɔfa so yi gastrin fi nipadua no mu no sɛe, na ɛma gastrin dodow a ɛwɔ mogya no mu no kɔ soro. |
| Nsɛm a gastrin kɔ soro na yafunu mu acid so tew | |
| Atrophic yafunu mu yare | Wɔ saa tebea yi mu no, nkwammoaa a ɛma acid wɔ yafunu no mu no sɛe. Sɛ acid a ɛba no so tew a, nipadua no susuw sɛ ehia acid pii, enti ɛma gastrin pii. Eyi betumi afi ɔyare mmoawa a wɔfrɛ no H. pylori anaasɛ ɔhaw ahorow a nipadua no tumi ko tia nyarewa no mu aba . |
| Nnuru a ɛtew acid so | Yɛtaa nom nnuru a wɔde sa yafunu mu yare te sɛ H2 blockers anaa proton pump inhibitors (PPIs) na ama yafunu mu acid a ɛba no agyae. Sɛ acid nni nipadua no mu a, ɛsɔ nipadua no hwɛ sɛ ɛbɛma gastrin pii ayɛ. |
Sɛ mewɔ sɛnkyerɛnne ahorow te sɛ eyinom a, dɛn na ɛsɛ sɛ meyɛ?
Sɛ wotaa hu sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa a, ɛsɛ sɛ ɛhaw wo.
- Yafunu mu yaw anaasɛ sekan a wɔde bɔ obi
- Koma a ɛtaa yɛ no yaw ne aduan a ɛnyɛ yiye
- Aduan anaa yafunu mu acid a ɛreba soro akɔ menewa mu
- Menewa a ɛyɛ yaw bere tenten ne nea ɛyɛ dede
- Atiridiinini a enni sabea (akisikuru) .
- Ɔhaw afoforo a ɛwɔ aduan mu
Nea ɛho hia sen biara ne sɛ, sɛ woanya saa sɛnkyerɛnne ahorow yi bere tenten a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu, sen sɛ wobɛnom nnuru afi nnurutɔnbea hɔ ara kwa.
Wo duruyɛfo bɛhyɛ sɛ wɔnyɛ wo mogya mu nhwehwɛmu mfa nhwɛ wo gastrin dodow, sɛ ɛho hia a. Ebia ɔbɛkamfo nso sɛ wɔnyɛ endoscopy, a nea ɛka ho ne sɛ wode mfoninitwa afiri bedi dwuma de ahwɛ wo yafunu mu. Sɛ wohu nea ɛde ba wie a, wobetumi afi ayaresa a ɛfata ase.
Ɛbɛyɛ ahotɔ kɛse sɛ wubehu nea enti a yafunu mu haw ahorow yi ba no. Hormone gastrin yɛ ahodwiriwde no fã biako pɛ. Sɛ wonya ayaresa a ɛfata a, wubetumi ayi saa ɔhaw ahorow yi afi hɔ na woatra ase a ahotɔ wom.
Nkrasɛm a Wɔde Kɔ Fie
- Gastrin yɛ hormone a ɛho hia ma yɛn aduan mu nneɛma. Ɛboa ma yafunu mu acid yɛ na ɛyam aduan.
- Sɛ gastrin dodow kɔ soro dodo a, yafunu mu acid betumi akɔ soro, na ɛde tebea horow te sɛ yafunu mu akuru ne yafunu mu akisikuru (GERD) aba.
- Mma w’ani ngu sɛnkyerɛnne ahorow te sɛ yafunu a ɛtaa yɛ wo yaw, wo koko mu yaw, ne aduan a wontumi nnya so.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, nnyɛ wo ho aduru, nanso akyinnye biara nni ho sɛ kɔ oduruyɛfo a ɔfata nkyɛn kɔhwehwɛ afotu.
- Wobetumi de mogya mu nhwehwɛmu a ɛnyɛ den asusuw gastrin dodow, enti ɛho nhia sɛ wohaw wo ho.
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