Ɔhaw bi a nnipa pii wɔ ne saa yafunu mu hyew yi , koko a ɛyɛ hyew yi . Ɛtɔ da bi a, sɛ wodidi wie a, ɛte sɛ nea ɛreba fam wɔ menewam, te sɛ nea ɛyɛ dɛ a ɛyɛ akisikuru. Ɛnnɛ yɛreka tebea bi a ebetumi de eyi aba ho asɛm. Ɛno ne Hiatal Hernia. Ebia woate saa din yi. Ma yɛnhwɛ nea ɛyɛ tiawa.
Sɛ yɛbɛka no tiawa a, dɛn ne hiatal hernia?
Fa no sɛ ɔfasu bi a wɔde ntini ayɛ wɔ yɛn koko ne yɛn yafunu ntam. Yɛfrɛ eyi sɛ diaphragm . Ɛte sɛ ɔfasu bi a ɛtetew adan abien mu. Aduan a yedi no fi menewa mu kɔ yafunu mu wɔ aduan paipu ( esophagus ) no ho. Sɛ aduan paipu yi befi koko mu akɔ yafunu mu a, ɛsɛ sɛ ɛfa saa ahurututu kɛse no mu. Tokuru ketewaa bi wɔ mu. Wɔfrɛ saa tokuru yi hiatus.
Hiatal hernia yɛ bere a wo yafunu no fã bi pia kɔ soro fa tokuru a ɛwɔ wo yafunu mu no mu, kɔ wo moma so. Ɛte sɛ nea sɛ bɔton bi a ɛwɔ atade bi so no yɛ kɛse dodo a, bɔton no pue ntɛmntɛm.
Dɛn ne hiatal hernia ho sɛnkyerɛnne ahorow?
Nea ɛyɛ nwonwa ne sɛ nnipa pii a wɔwɔ hiatal hernia no nkyerɛ sɛnkyerɛnne biara. Nanso, nnipa binom betumi anya saa sɛnkyerɛnne ahorow yi.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Yafunu mu yaw/koko mu yaw | Eyi ne sɛnkyerɛnne a ɛtaa ba. Saa ɔhyew yi fi yafunu mu acid a ɛba soro (Acid Reflux). Yɛsan frɛ tebea yi Gastroesophageal Reflux Disease (GERD) nso. |
| Nneɛma afoforo a ɛwom |
|
| Tebea horow a egye ntɛmpɛ a ɛhwehwɛ sɛ wonya aduruyɛ mu afotu ntɛm ara! | |
| Nsɛnkyerɛnne a Ɛkyerɛ sɛ Ɛyɛ Strangulated Hernia | Eyi yɛ tebea a ɛyɛ hu paa. Yafunu no fã bi betumi akɔhyɛ tokuru no mu, na atwa mogya a ɛkɔ mu no mu. Sɛ eyi ba a, wubetumi anya saa sɛnkyerɛnne ahorow yi:
Sɛ wowɔ saa sɛnkyerɛnne yi bi a, ɛsɛ sɛ wokɔ ayaresabea Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara. |
Dɛn nti na hiatal hernia yi ba?
Ɛtaa yɛ den sɛ wobɛkyerɛ nea ɛde eyi ba pɔtee, nanso misusuw sɛ ebia nneɛma yi na ɛreboa:
- Sɛ́ wubebue kɛse wɔ awo mu: Ebia wɔbɛwo nnipa binom a tokuru bi a wɔfrɛ no hiatus a ɛsõ kakra sen sɛnea ɛte daa.
- Mpanyinyɛ: Bere a worenyin no, ntini a ɛwɔ wo hwene mu no betumi ayɛ mmerɛw.
- Nhyɛso a ɛkɔ soro wɔ yafunu mu: Nneɛma te sɛ ɔfe a ɛkyɛ, nneɛma a emu yɛ duru a wɔma so, ne nhyɛso a ɛyɛ den dodo bere a worekɔ tiafi no betumi ama yafunu mu nhyɛso akɔ soro na apia yafunu no akɔ soro.
- Kɛse mmoroso: Bere a nipadua mu duru kɔ soro no, nhyɛso a ɛba yafunu no so no kɔ soro.
- Opira: Opira biara a ɛba saa beae no.
Hena na ɔwɔ asiane kɛse sɛ obenya saa tebea yi?
- Wɔn a wɔayɛ kɛse mmoroso no fam
- Wɔn a wɔadi boro mfe 50 no fam
- Wɔ ɛnanom a wɔyem fam
- Wɔn a wɔnom sigaret anaa wɔwe tawa no fam
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Ebia wo duruyɛfo behu sɛ wowɔ hernia bere a worehu sɛnkyerɛnne te sɛ yafunu mu yaw nkutoo. Nea ɛbɛyɛ na wɔasi eyi so dua no, wobetumi ayɛ sɔhwɛ ahorow a edidi so yi mu biako anaa nea ɛboro saa:
1. Barium Swallow: Wɔ sɔhwɛ yi mu no, wonom nsu bi a nnuru bi a wɔfrɛ no barium wom na afei woyɛ X-ray. Barium no ma wo menewa ne wo yafunu da adi pefee wɔ X-ray no so.
2. Endoscopy a wɔde hwɛ nipadua no mu:Wɔ eyi mu no, wɔde afiri teateaa bi a mfoninitwa afiri abata ho hyɛ wo menewam na wɔhwehwɛ wo menewam ne wo yafunu mu.
3. Esophageal Manometry: Eyi na ɛkyerɛ nhyɛso a ɛwɔ aduan no mu bere a womene no.
4. pH Test: Wɔde capsule ketewa bi gu feeding tube no mu na wɔsusu wo acid dodow bɛyɛ nnɔnhwerew 48. Ɛho nhia sɛ woyi saa capsule yi, ɛbɛpue n’ankasa na ɛne wo nsuo atɔ mu.
Ɔkwan bɛn so na wɔsa hiatal hernia?
Sɛ́ wubenya ayaresa anaasɛ worennya no gyina sɛ ebia wowɔ sɛnkyerɛnne ahorow ne sɛnea emu yɛ den no so.
Sɛ wunni sɛnkyerɛnne biara a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ ɛnsɛ sɛ woyɛ hwee mprempren na hwɛ tebea no ("Wɔhwɛ twɛn").
Sɛ sɛnkyerɛnne ahorow bi wɔ hɔ a, ayaresa ahorow te sɛ:
Nnuru (nnuru) .
Nnuru ntumi nsa akisikuru, nanso wobetumi atew yare no ho sɛnkyerɛnne so denam yafunu mu acid a wobedi so no so.
- Nnuru a ɛko tia acid: Ɛma yafunu mu acid yɛ mmerɛw.
- Proton Pump Inhibitors anaa H2 Receptor Blockers: Ɛtew acid a ɛba yafunu mu no so.
- Prokinetics: Wɔhyɛ esophaguus ntini mu den na ɛboa ma acid gyae sɛ ɛbɛba.
Sɛɛgyiri
Ɛtɔ mmere bi a, ɛho hia sɛ wɔyɛ oprehyɛn. Eyi te saa bere a:
- Sɛ wontumi mfa nnuru ne asetra mu nsakrae nni sɛnkyerɛnne ahorow no so a.
- Sɛ ɛyɛ den sɛ wobegye aduru no mu nsunsuanso bɔne no atom a.
- Sɛ hernia no yɛ kɛse yiye a.
Mpɛn pii no, eyi nyɛ oprehyɛn a wɔyɛ no ntɛm ara. Wɔtaa fa safe tokuru (laparoscopy) mu na ɛyɛ. Nea ɛka eyi ho ne sɛ wɔbɛtwitwa yafunu no mu nketenkete kakraa bi na wɔde mfoninitwa afiri mmoa ayɛ oprehyɛn no. Eyi ma ɛsa ntɛmntɛm na akuru no nyɛ kɛse. Ɛho behia sɛ wotra ayaresabea hɔ da koro anaa nnanu wɔ oprehyɛn no akyi. Ebetumi agye adapɛn abien kosi asia ansa na ne ho atɔ no koraa.
Asetra mu nsakrae bɛn na ɛsɛ sɛ woyɛ?
Nea ɛde hernia ba titiriw ne mu duru a ɛboro so. Enti, ɛho hia yiye sɛ wudi wo mu duru so.
- Tew dodow a wudi so: Di nkakrankakra, na ɛnyɛ pii prɛko pɛ.
- Tew nnuan a srade pii wom so: Tew nnuan a wɔde cream ayɛ, nnuan a srade wom, ne nnuan a wɔakyekyere (te sɛ chips) so.
- Di anwummere aduan ntɛm: Di anwummere aduan nnɔnhwerew 3-4 ansa na woada. Mfa nna kakra bere a woadi awie no.
- Ma wo ti so kakra bere a woada no: Fa apɔw-mu-teɛteɛ biako anaa abien da. Eyi bɛma acid dodow a ɛreba no so atew.
- Gyae sigaretnom: Sigaretnom ma tebea yi mu yɛ den.
- Hu nnuan a enye mma wo:Sɛ nnuan bi (nnuan a awuduru wom, chocolate, citrus nnuaba, kɔfe) ma yare no ho sɛnkyerɛnne no yɛ kɛse a, kwati.
Ɛnyɛ adwene pa sɛ wobɛnom nnuru a wɔtɔn te sɛ nnuru a ekum asikre. Saa a wobɛyɛ no betumi asɛe w’asaabo. Sɛ ɛyɛ den sɛ wubedi wo sɛnkyerɛnne ahorow no so a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa.
Nkrasɛm a Wɔde Kɔ Fie
- Hiatal hernia yɛ tebea a yafunu no fã bi pia kɔ soro kɔ koko no mu. Eyi yɛ tebea a abu so yiye.
- Nnipa pii nni sɛnkyerɛnne biara. Sɛ wɔyɛ saa a, sɛnkyerɛnne titiriw ne komayare ne acid a ɛsan kɔ nipadua no mu.
- Nsakrae a ɛba asetra mu (mu duru a ɛso tew, aduan a wodi so, sigaretnom a wogyae) betumi adi sɛnkyerɛnne ahorow no so kɛse.
- Sɛ yare no ho sɛnkyerɛnne no haw a, kɔ oduruyɛfo nkyɛn kɔhwɛ no.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ wo koko anaa yafunu mu yaw a emu yɛ den mpofirim, ɔfe, anaasɛ wuntumi ntu nsu a, ɛyɛ ntɛmpɛ. Kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.
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