So wotaa nya hiccups? (Hiccups) Momma yɛnhwehwɛ nea eyi yɛ ankasa!

Sɛ yɛne nnipa kuw bi rebɔ nkɔmmɔ fɛfɛɛfɛ, anaasɛ yɛredi aduan a ɛyɛ dɛ a, mpofirim ara yɛte "hiccup!" nnyigyei, ɛnte saa? Ɔfoforo... foforo... ɛtɔ da bi a ɛba araa ma yentumi nnyae. Eyi ne nea yɛfrɛ no hiccups. Eyi yɛ ahometew ankasa. Ɛwom sɛ mpɛn pii no n’ankasa kɔ wɔ simma kakraa bi mu de, nanso wɔ nnipa binom fam no, ebetumi ayɛ tiyɛ kɛse a ɛtra hɔ nna pii. Enti ɛnnɛ, momma yɛnka saa hiccups yi mu asɛm no ho asɛm nkɔ akyiri kakra .

Dɛn ankasa ne saa hiccups yi?

Sɛ yɛbɛka no tiawa a, hiccups yɛ adeyɛ a wontumi nni so a ɛkɔ so wɔ yɛn nipadua mu. Sɛ yɛbɛte eyi ase pɛpɛɛpɛ a, momma yensua yɛn nipadua no afã abien ho ade kakra.

Biako ne diaphragm no . Eyi yɛ ntini kɛse bi a ɛyɛ tratraa a ɛte yɛn koko ne yɛn yafunu ntam, te sɛ ntama. Saa ntini yi kɔ soro ne fam wɔ ɔkwan a ɛkɔ so daa so bere a yɛrehome na yɛrefi mu no. Sɛ yɛhome a, ɛkɔ fam, na mframa hyɛ yɛn ahurututu mu ma. Sɛ yɛhome a, ɛkɔ soro, na ɛhyɛ mframa fi yɛn ahurututu mu.

Ɔfã foforo ne ɛnne nhama a ɛwɔ yɛn menewam no. Sɛ yɛkasa a, nnyigyei no fi eyinom mu.

Afei hwɛ nea ɛba bere a wowɔ hiccups no. Nneɛma abien sisi prɛko pɛ:

1. Esiane biribi nti, wo diaphragm no kɔ fam mpofirim a wuntumi nni so bere a worehome no. Wohome ntɛmntɛm mpofirim.

2. Ansa na ahome a wɔhome no betumi adu ahurututu no mu no, baabi a ɛda ɛnne nhama a ɛwɔ menewa no mu (a wɔfrɛ no ``glottis'') ntam no to mu mpofirim.

Ɛno na saa ɛnne nhama no to mu, na saa "hic" nnyigyei soronko no fi adi. Enti hiccups yɛ bere a saa adeyɛ yi si mpɛn pii no.

Mpɛn pii no, hiccups no ankasa kɔ a wonnya ayaresa biara. Nanso, wɔ nnipa binom fam no, etumi tra hɔ nna anaa adapɛn pii. Sɛ wowɔ hiccups a ɛkyɛ boro nna abien ( nnɔnhwerew 48) a, ebetumi ayɛ biribi a anibere wom na akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Edin afoforo a wɔde frɛ hiccups

Wɔ aduruyɛ ho nyansahu mu no, wɔsan frɛ eyi `(Singultus)`. Nnipa binom nso frɛ no `(Hiccough)` wɔ Borɔfo kasa mu.

So hiccups ahorow bi wɔ hɔ?

Yiw, nnuruyɛfo kyekyɛ hiccups mu ahorow atitiriw pii a egyina bere tenten a ɛtra hɔ so. Ɛho hia sɛ wuhu eyi efisɛ ebetumi aboa wo ma woate sɛnea tebea no mu yɛ den no ase.

Dɛn na ɛde hiccups ba?

Wiɛ, eyi yɛ den kakra, efisɛ nneɛma a ɛde akisikuru a ɛyɛ daa a ɛkɔ wɔ simma kakraa bi mu no yɛ soronko koraa wɔ nneɛma a ɛde akisikuru a emu yɛ den a ɛtra hɔ nna pii ba no ho.

Sɛ yɛbɛka no tiawa a, ntini ahorow (`(Vagus nerve)` ne `(Phrenic nerve)`) wɔ hɔ a ɛhwɛ yɛn diaphragm so. Sɛ biribi nti saa ntini ahorow yi bo fuw a, mpofirim ara na ahurututu no fi ase twetwe. Ɛno na ɛde hiccups ba.

Nneɛma nketenkete a ɛde hiccups a ɛtaa ba

Mpɛn pii no, yentumi nhu ntease a emu da hɔ a enti yɛyɛ hiccups a ɛyɛ daa a yenya no. Nanso, nneɛma a ɛte sɛɛ betumi ama obi ayɛ hiccups:

• Adidi pii anaa adidi ntɛmntɛm dodo.
• Nnuan a ɛyɛ nnuhwam a chili wom a wobedi.
• Nneɛma a ɛyɛ hyew kɛse anaa awɔw kɛse a wobedi/nom.
• Nsã a carbon wom te sɛ soda a wɔnom .
• Mframa pii a wɔmene bere a woredidi anaa wɔrenom (Aerophagia).
• Nneɛma te sɛ tawa anaa wii a wɔnom.
• Nsã a wɔnom.

Tebea horow a emu yɛ den a ebetumi ama obi ayɛ hiccups a ɛtra hɔ nna pii

Fa no sɛ w’adamfo no ayɛ hiccups a ɛkɔ so daa nnansa anaa nnanan. Ontumi nnidi na ontumi nna. Ɔdwene sɛ, "Ɛyɛ hiccups kɛkɛ." Nanso eyi betumi ayɛ tebea foforo a ɛhyɛ ase ho sɛnkyerɛnne. Ayaresa mu tebea horow a emu yɛ den te sɛ:

• Nyarewa a ɛwɔ aduan mu: Tebea ahorow te sɛ yafunu mu yare anaa yafunu mu yare a ɛma obi nya yafunu mu nsu a ɛsan kɔ nipadua no mu (GERD).
• Nyarewa a ɛfa ntini a ɛwɔ nipadua no mfinimfini ho: Tebea horow te sɛ ɔyare a ɛma obi hwe ase, Parkinson yare, anaa ntini a ɛyɛ mmerɛw.
• Nyarewa a ɛfa ahurututu mu: Tebea horow te sɛ ahurututu mu yare, ahurututu mu ntini a ɛma mogya tu.
• Akisikuru anaa kokoram a ɛwɔ nipadua no mu: Kokoram a ɛwɔ kokoram, aduan mu (esophageal cancer), anaa pancreas (pancreatic cancer).
• Ɔhaw ahorow a ɛfa nipadua no mu nneɛma a ɛsakra ho: Uremia anaa hypocalcemia a asaabo a entumi nyɛ adwuma yiye na ɛde ba.
• Nyarewa bi: Nyarewa te sɛ influensa (atiridii), herpes simplex (herpes simplex), anaa shingles (shingles).

Afei nso, nnuru bi betumi ama obi ayɛ hiccups a ɛkɔ so daa. Sɛ nhwɛso no, nnuru bi te sɛ dopamine agonists, benzodiazepines, kokoram nnuru bi, dexamethasone, ne azithromycin betumi ama obi ayɛ hiccups. Sɛ wususuw sɛ aduru bi a worenom na ɛde wo hiccups reba a, wo ne wo duruyɛfo nka ho asɛm.

So ɛyɛ ade a ɛfata sɛ nkokoaa a wɔawo wɔn foforo benya akisikuru?

Aane! Ɛwom sɛ eyi yɛ biribi a ɛnanom pii suro de, nanso ɛtaa ba paa sɛ nkokoaa a wɔawo wɔn foforo no nya akisikuru. Mma ɛnhaw wo wɔ ho. Sɛnea nnuruyɛfo kyerɛ no, nea enti titiriw ne sɛ mframa hyɛ akokoaa no yafunu mu ma. Sɛ akokoaa no nom nufusu a, ebia ɔbɛmene mframa pii. Afei akokoaa no yafunu hohoro na ɛhyɛ ahurututu no abufuw.

Nanso, ɛtɔ mmere bi a nkokoaa mu akisikuru betumi ayɛ tebea bi te sɛ GERD ho sɛnkyerɛnne. Sɛ ɛba saa a, wɔ hiccups akyi no, akokoaa no betumi anya sɛnkyerɛnne afoforo nso, te sɛ ɔfe ne nufusu a ɔfe . Sɛ wo ba no wɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛkɔ mmofra oduruyɛfo nkyɛn.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn wɔ hiccups ho?

Sɛnea yɛadi kan aka no, sɛ wo ho yɛ wo akisikuru bɛboro nna abien ( nnɔnhwerew 48) a ɛtoatoa so a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Oduruyɛfo no bebisa wo nsɛm te sɛ:

• Ɛfa w’ayaresa ho abakɔsɛm ne oprehyɛn a woayɛ nnansa yi ho.
• Ɛfa nnuru a worenom mprempren no ho.
• Ɛfa sɛnkyerɛnne foforo biara a wowɔ a ɛka hiccups ho (e.g. yafunu mu yaw, koko mu yaw, ahome a ɛyɛ den).
• Afei wɔbɛma wo nipadua mu nhwehwɛmu a edi mũ.

Ɛyɛ saa nsɛm yi mu na oduruyɛfo no bɛbɔ mmɔden sɛ obehu nea ɛde wo hiccups ba.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Sɛ wubehu nea ɛde ba ankasa a, ebia ebehia sɛ woyɛ sɔhwɛ ahorow te sɛ eyinom:

• Mogya mu nhwehwɛmu
• Koko so X-ray a wɔyɛ
• Koma mu nnyigyei ho sɔhwɛ (EKG) .
• Upper endoscopy (wɔde mfoninitwa afiri a wɔde hwehwɛ aduan mu ne yafunu mu) .
• Yafunu mu CT scan
• Amemene mu MRI mfoninitwa

Mɛyɛ dɛn agyae saa hiccups a ɛhyɛ abufuw yi?

Sɛ yɛbɛka nokware a, ɔkwan biara nni hɔ a etu mpɔn ɔha biara mu nkyem 100, a nyansahu mu ada no adi wɔ "nkonyaayi" kwan a wɔfa so siw hiccups ano. Mpɛn pii no, hiccups a ɛyɛ daa no ankasa kɔ a yɛnyɛ hwee. Nanso esiane ahometew a wɔde ba bere a wɔyɛ saa nti, yɛsɔ nneɛma ahorow hwɛ, ɛnte saa? Wogye di sɛ saa ofie nnuru yi kanyan yɛn `(Vagus nerve)` anaasɛ ɛma carbon dioxide dodow a ɛwɔ ahurututu mu no kɔ soro.

Nneɛma a wubetumi asɔ ahwɛ wɔ fie

Aduruyɛ mu ayaresa a wɔde sa hiccups a ɛtra hɔ nna pii

Hiccups a ɛtra hɔ bɛboro nna abien nyɛ ɔhaw ara kwa. Wobetumi aka w’asetra. Ebia wobɛte ɔbrɛ kɛse nka bere a wuntumi nnidi, nnom, anaa nna. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo betumi akyerɛw wo nnuru te sɛ:

• `Klorpromazine a wɔde yɛ nnuru`
• `Metoclopramide a wɔde yɛ aduru`
• `Baclofen`
• `Gabapentin`
• Nnuru a ɛtew yafunu mu acid so (Proton pump inhibitors) .

Wɔ tebea horow bi mu no, wobetumi akamfo ayaresa te sɛ ntini a esiw anaasɛ hypnosis mpo akyerɛ.

So wobetumi asiw hiccups ano?

Nea ɛbɛyɛ na woansiw hiccups a ɛtaa ba ano no, yɛ nea woyɛ no ho kyerɛwtohɔ ansa na woanya bi. Sɛ wubetumi akyerɛw agu nhoma a wɔde kyerɛw nsɛm mu a, eye mpo. Afei wobɛtumi ahunu sɛ nhwɛsoɔ bi wɔ hɔ anaa (e.g., sɛ wodi nnuan a ɛyɛ nnuhwam a, nom soda). Nneɛma bi a wubetumi ayɛ de aboa ma woasiw hiccups a ɛba daa ano ni:

• Yɛ brɛoo bere a woredidi na worenom no.
• To anonne te sɛ soda ne nsa ano hye.
• Mma nnidi pii prɛko pɛ, di nkakrankakra.
• Nni nnuan ne anonne a ɛyɛ hyew anaa ɛyɛ nwini paa prɛko pɛ.

Bere a ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU)!

Eyi yɛ biribi a ɛsɛ sɛ wode sie w’adwenem ampa. Ɛwom sɛ hiccups abu so de, nanso ebetumi ayɛ tebea horow bi a emu yɛ den a ɛde nkwa to asiane mu ho sɛnkyerɛnne.

Sɛ wowɔ akisikuru ho sɛnkyerɛnne a edidi so yi mu biara a hiccups ka ho a:

• Anim, nsa, anaa nan (titiriw wɔ nipadua no fã biako) a ɛyɛ mmerɛw anaa ɛyɛ mmerɛw mpofirim.
• Ɛyɛ den sɛ wobɛkasa anaa wobɛte nea afoforo ka ase.
• Ɛyɛ den sɛ wubehu ade wɔ aniwa biako anaa abien no nyinaa mu.
• Tiyɛ a emu yɛ den a ɛba a ntease biara nnim.

Anaasɛ

Sɛ wowɔ hiccups ne mogya a ɛtɔ wɔ ahurututu mu (pulmonary embolism) ho sɛnkyerɛnne yi a :

• Ɔhome a ɛyɛ den mpofirim.
• Koko mu yaw a ano yɛ den (titiriw bere a ɔrehome no).
• Ɔfe a wɔde mogya afra .

Mpɛn pii no, hiccups yɛ ade ketewaa bi a ɛhaw adwene ara kwa. Nanso sɛ ɛkɔ so na ɛrenya w’asetra so nkɛntɛnso a, nsuro sɛ wo ne oduruyɛfo bɛkasa afa ho. Sɛ wuhu nea ɛde ba na wunya ayaresa a ɛfata a, ebetumi aboa wo ma woasan akɔ wo kwan so.