So wo dwensɔtwaa nso taa yɛ wo hyew na ɛyɛ wo yaw? Momma yɛnka eyi ho asɛm (Inflammatory Bowel Disease - IBD)!

So wowɔ sɛnkyerɛnne ahorow te sɛ yafunu a ɛtaa yɛ basaa, yafunu a ɛyɛ wo yaw a ɛtra hɔ nna pii, anaasɛ yafunu a ɛyɛ wo yaw na ebia mogya a ɛba wo nsu mu? Ɛtɔ mmere bi a yesusuw sɛ eyinom yɛ yafunu mu yare a ɛfata ara kwa, nanso sɛ nneɛma yi kɔ so a, ebetumi ayɛ tebea bi a wɔfrɛ no inflammatory bowel disease ( IBD ) ho sɛnkyerɛnne . Mma wo ho nnsuro sɛ wote saa din yi a. Ɛnnɛ, yɛbɛka nea IBD yɛ, nea enti a ɛba, nea ne sɛnkyerɛnne ahorow, sɛnea yedi ho dwuma, ne sɛnea yebetumi ne tebea yi atra ase yiye wɔ ɔkwan tiawa a wubetumi ate ase so ho asɛm.

Dɛn ankasa ne `(IBD)`?

Sɛ yɛbɛka no tiawa a, IBD yɛ ɔfe a enni sabea a ɛba wo aduan mu, titiriw wo dwensɔtwaa mu. “Nea enni sabea” kyerɛ sɛ ɛyɛ tebea a ɛtra hɔ kyɛ, ɛnyɛ yare a ɛkɔ bere tiaa bi akyi ara kwa. Sɛ wote asɛmfua “ ɔfe, ” a, ɛsɛ sɛ wokae sɛ te sɛ bere a yɛtwa yɛn honam ani, ɛyɛ kɔkɔɔ, ɛho ahonhon, na ɛyɛ yaw no, saa ara na ɛkɔ so wɔ dwensɔtwaa no mu.

IBD betumi de sɛnkyerɛnne ahorow a emu yɛ den a ɛba mpofirim te sɛ yafunu mu yaw ne akisikuru aba. Yɛfrɛ eyinom “ogyaframa.” Nanso IBD nka wo gut kɛkɛ. Ebetumi aka w’akwahosan nyinaa, w’adwene mu yiyedi, ne wo da biara da asetra.

Sɛ wote sɛ IBD yɛ nkwa nna nyinaa tebea a mprempren enni ano aduru a, ebia wobɛte awerɛhow ne ehu nka. Ɛno yɛ nea ntease wom. Nanso nea ɛho hia ne sɛ, ayaresa ahorow a etu mpɔn wɔ hɔ a wɔde siw saa sɛnkyerɛnne ahorow yi ano. Na nneɛma pii wɔ hɔ a wubetumi ayɛ de aboa w’asetra ma ayɛ nea ɛfata sɛnea wubetumi a womma IBD nsɛe w’asetra.

Dɛn ne IBD ahorow atitiriw?

Wɔ `(IBD)` ase no yɛka nyarewa ahorow abien ho asɛm titiriw:

IBD abu so dɛn?

Nnipa ɔpepem pii wɔ wiase nyinaa wɔ dwensɔtwaa mu yare a ɛma obi ho hyehye no (IBD). Tebea no betumi aka obiara, efi mmofra nkumaa so kosi mpanyimfo a wɔadi boro mfe 65. Nanso, wɔtaa hu no wɔ mmerante ne mmabaa a wɔadi fi mfe 15 kosi 35 mu.

Dɛn ne `(IBD)` ho sɛnkyerɛnne?

IBD ho sɛnkyerɛnne betumi ayɛ mmerɛw ama nnipa binom, na emu yɛ den ama afoforo. Ɛnyɛ bere nyinaa na saa sɛnkyerɛnne ahorow yi ba, ɛba na ɛkɔ. Sɛ sɛnkyerɛnne ahorow no ba a, nnuruyɛfo bɛka sɛ worenya "IBD flare" anaa "flare-up." Sɛ sɛnkyerɛnne ahorow no kɔ wɔ ayaresa akyi a, wɔfrɛ no "remission."

Nsɛnkyerɛnne a wɔtaa hu:

• Ɛyaw a ɛba yafunu no ase, te sɛ nea yafunu no yɛ yaw bere a wɔde wɔn nsa ka no (yafunu mu akisikuru ).
• Mogya a ɛwɔ nsu mu. Ebia eyi bɛyɛ ketewaa bi anaasɛ ɛda adi pefee.
• Atiridiinini a enni sabea : Ɛsɛ sɛ wokɔ tiafi mpɛn pii da biara.
• Ɔbrɛ kɛse a wɔte nka (` Ɔbrɛ` ). Nipadua no brɛ araa ma entumi nyɛ hwee.
• Wo mu duru a wɔanhyɛ da : Wo mu duru so tew bere a wo mu duru so tew a wommɔ mmɔden sɛ wubedi w’aduan so no.

Dɛn ne nneɛma a ɛde IBD ba? Dɛn nti na eyi ba?

Nhwehwɛmufo da so ara nnim nea ɛde IBD ba ankasa. Nanso yenim sɛ ɛba bere a yɛn ankasa nipadua mu tumi a ɛko tia nyarewa di mfomso tow hyɛ ntini a ɛwɔ apɔwmuden a ɛwɔ yɛn aduan mu no so no. Ɛte sɛ nea asraafo a wɔrebɔ yɛn man ho ban no di mfomso tow hyɛ wɔn ankasa nkurɔfo so. Saa ntua yi de ɔfe, ɔfe, ne akuru a yɛadi kan aka ho asɛm no ba.

Nhwehwɛmufo reyɛ awosu mu nkwaadɔm pɔtee pii a wosusuw sɛ edi dwuma wɔ eyi mu ho ade. Sɛ nsakrae bi (nsakrae) ba saa awosu mu nkwaadɔm yi mu a, asiane a ɛwɔ hɔ sɛ obi benya IBD no yɛ kɛse. Wɔfrɛ eyinom “awosu mu nkwaadɔm a ɛma obi tumi nya ɔyare no.” Sɛ wunya saa awosu mu nkwaadɔm yi a, nneɛma bi a wɔyɛ no da biara da betumi akanyan IBD ho sɛnkyerɛnne. Nanso kae sɛ, ɛnyɛ saa nneɛma yi na ɛde yare no ba, nea ɛma yare no mu yɛ den na ɛma yare no ho sɛnkyerɛnne no yɛ kɛse.

Nneɛma a ɛtaa kanyan IBD ho sɛnkyerɛnne no bi ne:

• Nnuru bi a ekum ɔyare mmoawa .
• Nnuru bi a wɔde kum ɛyaw, sɛ nhwɛso no ``NSAIDS – nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa`` (e.g. Ibuprofen, Diclofenac).
• Sigaretnom .
• Ɔbrɛ.

Dɛn ne nsɛnnennen a ebetumi afi IBD mu aba?

Sɛ wowɔ IBD a, ɛnyɛ wo aduan mu nhyehyɛe nko na ebetumi aka, na mmom wo nipadua no afã afoforo nso, na ɛde akwahosan ho haw afoforo aba. Ebi betumi ayɛ den araa ma ɛho behia sɛ wɔsa wɔn yare ntɛm ara.

Nsɛnnennen a emu yɛ den a ebetumi aba a ɛfa aduan mu nneɛma ho:

• Kokoram a ɛwɔ akyi berɛmo mu: Nnipa a wɔwɔ IBD no wɔ asiane kɛse sɛ wobenya kokoram wɔ akyi berɛmo mu sen nnipa dodow no ara.
• Dwonku a wɔato mu: Eyi yɛ tebea a ɛma yafunu mu yɛ no yaw kɛse, ne ho popo, na ne ho yɛ no yaw. Eyi yɛ asɛm a egye ntɛmpɛ.
• Megacolon a awuduru wom: Tebea a asiane wom a dwensɔtwaa kɛse no hohoro kɛse na ɛhwere ne dwumadi. Nsɛnkyerɛnne no bi ne mogya a ɛwɔ nsu mu ne yafunu mu yaw a emu yɛ den. Eyi nso yɛ asɛm a egye ntɛmpɛ.

Nsɛnnennen a ɛka nipadua no afã afoforo:

• Anemia ( mogya a enni nipadua mu).
• Mogya a ɛtwetwe.
• Aniwa mu yaw ne ɔyare mmoawa.
• Asaabo mu abo.
• Ano mu akuru.
• mmerɛbo mu nyarewa (e.g. mmerɛbo mu yare).
• Nnuan a wɔmfa nni dwuma yiye ne aduan pa a wonnya nni .
• Nkwaa a ɛho ahonhon ne ɛyaw (`Nkwaa a ɛho ahon`).
• Wora mu akuru ne akisikuru.
• Nnompe a ɛyɛ mmerɛw (nnompe mu yare).

Ɔkwan bɛn so na nnuruyɛfo hu IBD?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo wo yare no ho sɛnkyerɛnne ahorow ho asɛm. Afei, wɔbɛyɛ nipadua mu nhwehwɛmu. Nea ɛka ho no, ebia wɔbɛyɛ nhwehwɛmu pii nso de ahu sɛ wowɔ IBD anaa:

• Mogya dodow a edi mũ (CBC).
• Capsule endoscopy a wɔde hwɛ nipadua no mu.
• Colonoscopy a wɔde hwɛ nipadua no mu.
• CT scan (`Kɔmputa so tomography – CT scan`).
• Endoscopic ultrasound (`EUS – nnyigyei a wɔde hwɛ nipadua no mu`).
• Sigmoidoscopy a wɔde yɛ ade a ɛyɛ mmerɛw.
• MRI scan (Magnetic resonance imaging – MRI nhwehwɛmu).
• Endoscopy a ɛwɔ soro.

Ɔkwan bɛn so na wɔsa `(IBD)`?

IBD ayaresa betumi ayɛ soronko kakra a egyina IBD ko a wowɔ so (Crohn anaa ulcerative colitis). Nanso , ayaresa nyinaa botae titiriw ne sɛ wobedi yare no ho sɛnkyerɛnne ahorow so, de yare no agyae, na wɔakɔ so akura saa yare no mu.

Wo duruyɛfo bɛkyerɛw nnuru a ɛbɛboa ma wo yare no ho sɛnkyerɛnne so atew. Wɔ tebea horow bi mu no, sɛ nnuru nkutoo nnɔɔso a, ebia ɛho behia sɛ wɔyɛ oprehyɛn.