So wo dwensɔtwaa mu mogya rekɔ fam? So eyi yɛ ischemic colitis?

So wo yafunu ayɛ wo yaw mpofirim, na mogya kakra agu wo nsu mu pɛn? Anaasɛ wo yafunu yɛ ma na sɛ woka a, ɛyɛ yaw? Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa abien a, ebetumi afi tebea bi a wɔfrɛ no ischemic colitis, a yɛrebɛka ho asɛm nnɛ no. Nsuro, sɛ edin no te sɛ nea ɛyɛ den kakra mpo a. Momma yɛnka eyi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw a obiara betumi ate ase so.

Dɛn ne ischemic colitis? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, ischemic colitis yɛ wo dwensɔtwaa kɛse, anaa ɔfã a yɛfrɛ no akyi berɛmo no, a ɛyɛ hyew esiane mogya a ɛkɔ so a ɛso tew nti (wɔfrɛ eyi ischemia). Wunim, nkwammoaa ne ntini biara a ɛwɔ yɛn nipadua mu no hia mframa pa na ama atumi atra ase na ayɛ adwuma. Mogya no na ɛde mframa pa yi kɔ wɔn nkyɛn. Enti, sɛ mogya a ɛkɔ dwensɔtwaa kɛse no mu so tew esiane biribi nti a, ennya mframa pa a ɛdɔɔso. Ɛno na ntini a ɛwɔ saa dwensɔtwaa no mu no sɛe na ɛyɛ hyew, a ɛkyerɛ sɛ ɛho ahonhon, ɛyɛ kɔkɔɔ, na ɛyɛ yaw. Ɛte sɛ dua bi a ɛreyow bere a enni nsu a ɛdɔɔso.

Saa ɔfe yi yɛ ɔkwan a yɛn nipadua fa so bɔ mmɔden sɛ ebesiesie nneɛma a asɛe no ankasa. Ɛno nti na yɛn yam yɛ yɛn yaw, yɛn yafunu yɛ yɛn yaw, yɛn ho yɛ yɛn yaw, na ɛtɔ mmere bi a mogya tu yɛn no. Ischemic Colitis ka wo dwensɔtwaa kɛse a ɛyɛ mmerɛw a wɔfrɛ no mucosa no titiriw. Te sɛ yɛn anom honam ani hwɛbea a ɛyɛ mmerɛw no, saa ara na dwensɔtwaa no mu nso yɛ nea akataso no kata so. Nanso, sɛ mogya a entumi nkɔ (ischemia) yi mu yɛ den anaasɛ ɛkyɛ a, ebetumi asɛe dwensɔtwaa no afã horow a emu dɔ nso.

Nsonsonoe bɛn na ɛda akisikuru a ɛyɛ daa ne ischemic colitis ntam?

Ebia woate asɛmfua ``colitis.'' ``Colitis'' kyerɛ ɔfe a ɛba akyi berɛmo mu ara kwa. ``Ischemic colitis'' yɛ ɔfe foforo, nanso ɛnyɛ nea ɛtaa ba kakra. Sɛ nnipa dodow no ara te ``colitis,'' a, wosusuw dwensɔtwaa mu nyarewa a ɛtra hɔ kyɛ (IBDs) te sɛ ``Ulcerative Colitis'' anaa ``Crohn's Disease.'' Saa tebea horow yi fi ase wɔ akyi berɛmo no mu.

Nanso, `(Ischemic Colitis)` yɛ biribi soronko. Efi ase ankasa sɛ ɔhaw a ɛwɔ wo mogya a ɛkɔ wo mogya mu no ho. Ɛne sɛ, ebetumi afi ɔhaw bi a ɛwɔ wo koma, mogya ntini mu. Ebetumi afi mogya mmoroso a ɛba fam, anaasɛ ebetumi afi mogya ntini mu yare bi. Sɛ mogya a ɛkɔ ntini a ɛde mogya kɔ akyi berɛmo no mu no so tew a, nea efi mu ba ne akyi berɛmo no mu ntini a ɛyɛ hyew. Sɛ ɛnte saa a, ɛnyɛ yare pɔtee bi a ɛba akyi berɛmo mu.

Hena na ɛda adi sɛ obenya ischemic colitis (Ischemic Bowel Disease) kɛse?

Saa tebea yi taa ba nnipa a wɔadi boro mfe 60. Afei nso, .Nnipa a wɔwɔ ntini mu yare nso wɔ asiane kɛse mu sɛ wobenya eyi.

Nea ɛka ho no, asiane afoforo pii wɔ hɔ. Ma yɛnhwɛ nea wɔyɛ:

• Asikreyare a Ɛto so Abien: Efisɛ asikreyare tumi sɛe mogya ntini.
• Asaabo a entumi nyɛ adwuma yiye ne wɔn a wɔreyɛ dialysis ayaresa: Asaabo mu yare nso ka mogya a ɛkɔ nipadua no mu.
• Mogya mmoroso a ɛba fam: Sɛ mogya mmoroso so tew a, mogya dodow a ɛsen kɔ akwaa ahorow no mu nso so tew.
• Hypoalbuminemia yɛ protein albumin a ɛwɔ mogya no mu a ɛso tew.
• Peripheral artery disease: Ntini a ɛma mogya kɔ akwaa no mu no a ɛyɛ teateaa anaasɛ esiw.
• Ischemic cardiomyopathy: Nyarewa a mogya a ɛkɔ koma ntini no mu a ɛso tew de ba.
• Mogya a ɛtwetwe: Asiane a ɛwɔ hɔ sɛ mogya a ɛbɛtɔ wɔ mogya ntini mu no yɛ kɛse.
• Akisikuru a enni sabea a fecal impaction: Eyi betumi ama nhyɛso aba dwensɔtwaa no so na asiw mogya kwan.
• Nnubɔne te sɛ cocaine a wɔde di dwuma.
• Yafunu mu aortic aneurysm a obi wɔ.

Sɛ wowɔ saa nneɛma a ɛde asiane ba yi a, ɛbɛyɛ papa sɛ wobɛhwɛ yiye kakra.

Ɔkwan bɛn so na ischemic colitis ka wo nipadua?

Wɔ nnipa dodow no ara fam no, eyi yɛ bere tiaa mu ɔhaw ara kwa. Ɛne sɛ, ɛka akyi berɛmo no fã ketewaa bi pɛ na ɛsa yare wɔ nna kakraa bi mu. Ɛwom sɛ ɔfe no betumi ama obi ayɛ basaa na wate yaw bere tiaa bi de, nanso sɛ wodi nea ɛde mogya no so tew no ho dwuma yiye a, ɛkame ayɛ sɛ tebea yi nso bɛtu mpɔn ara kwa.

Nanso, ɛtɔ mmere bi a eyi betumi ayɛ ɔhaw a emu yɛ den kɛse.

• Nnipa binom betumi anya ``Ischemic Colitis'' a ɛba mpɛn pii wɔ beae koro no ara. Sɛ eyi ba a, akuru betumi aba saa beae no na dwensɔtwaa no betumi ayɛ teateaa (stricture). Eyi ma ɛyɛ den sɛ aduan ne anonne bɛfa mu ntɛm.
• Bio nso, sɛ `ischemia` a ɛyɛ mogya a ɛkɔ so tew no mu yɛ den sɛnea ɛsɛ a, dwensɔtwaa mu ntini no betumi awu (gangrene). Eyi yɛ tebea a ɛyɛ hu paa. Sɛ ɛba saa a, .
• Tokuru (tokuru) betumi aba wɔ dwensɔtwaa no mu.
• Nsɛnnennen a ɛde nkwa to asiane mu te sɛ ɔyare mmoawa a emu yɛ den ne sepsis (mogya mu awuduru) betumi aba.
• Wɔ tebea a ɛte saa mu no, ɛsɛ sɛ wɔyɛ oprehyɛn a egye ntɛmpɛ .

Dɛn ne ischemic colitis ho sɛnkyerɛnne ahorow?

Sɛ ɛba saa a, wubetumi anya sɛnkyerɛnne ahorow a edidi so yi mu biako anaa nea ɛboro saa:

• Yafunu mu yaw ne akisikuru: Eyi ne sɛnkyerɛnne titiriw. Ebetumi afi ase mpofirim.
• Yafunu mu ahonhon na ɛyɛ mmerɛw: Ebia wobɛte ɛyaw nka bere a wode wo nsa ka wo yafunu no.
• Ɔyare a ɛma obi dwensɔtwaa ne ntɛmpɛ a ɔde tow nsu: Ɛsɛ sɛ ɔtaa kɔ tiafi.
• Mogya a ɛwɔ nsu mu: Mogya a ɛwɔ nsu mu, ɛtɔ mmere bi a ɛyɛ kɔkɔɔ tuntum anaa tuntum.
• Atiridii a ɛba fam: Ebia wobɛte atiridii kakra nka.
• Akisikuru anaasɛ aduan ho akɔnnɔ a ɛyera: Nkate a ɛne sɛ ɔmpɛ sɛ odidi anaa ɔnom .

Fa no sɛ, sɛ mpofirim ara wufi ase nya yafunu mu akisikuru a emu yɛ den na mogya fa mu a, nsusuw sɛ ɛyɛ yafunu mu mmoawa bi kɛkɛ. Kɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn ne nneɛma a ɛde ischemic colitis ba?

Nokwarem no, nneɛma pii betumi ama mogya a ɛkɔ akyi berɛmo no mu no so tew. Mpɛn pii no, eyi yɛ bere tiaa mu de. Ɛtɔ da bi a, ebia na nea ɛde ba no afi hɔ bere a wobehu yare no. Sɛ woanya ``ischemic colitis'' pɛnkoro pɛ na wo ho atɔ wo a, ebia wo duruyɛfo rentumi nka nea ɛde ba ankasa nkyerɛ wo. Nanso, wobetumi agyina w’ayaresa ho abakɔsɛm ne ayaresa tebea afoforo so asusuw ho.

Ne titiriw no, nyarewa a ɛka wo mogya a ɛkɔ wo mogya mu, te sɛ komayare ne mogya ntini mu yare no betumi atew mogya a ɛkɔ ntini a ɛde mogya kɔ dwensɔtwaa mu no so. Ɛtɔ mmere bi a mogya a atɔ no betumi asiw ntini bi ano, anaasɛ biribi a ɛwɔ abɔnten betumi amia ntini bi.

Ntini atitiriw abien na ɛde mogya kɔ yɛn dwensɔtwaa mu - mesenteric ntini a ɛwɔ soro ne nea ɛwɔ fam . Saa ntini ahorow yi te nka yiye wɔ biribiara a ɛma mogya ntini no mu yɛ den (vasoconstriction) ho. Sɛ nhwɛso no, awɔw a ano yɛ den, nyarewa a ɛma mogya mmoroso, ne nnuru bi (vasoconstrictors) betumi aka eyi. Saa ntini ahorow yi yɛ wɔn ade wɔ mogya mmoroso a ɛba fam ho denam nea ɛtwetwe denneennen no so. Nyansahufo susuw sɛ eyi yɛ ade a ɛbɔ yɛn nipadua ho ban. Ɛne sɛ, sɛ nipadua no hwere mogya a, ɛtew mogya dodow a ɛkɔ mmeae te sɛ dwensɔtwaa mu de dan mogya kɔ akwaa a ɛho hia te sɛ amemene ne koma mu no so. Sɛ wɔkanyan saa "mmuae a egye ntɛmpɛ" yi a, dwensɔtwaa no betumi ahwere mogya.

Ɛtɔ mmere bi a nnuruyɛfo kyekyɛ eyi mu akuw abien:

1. Nneɛma a ɛde ba: Eyi kyerɛ sɛ ntini bi siw kwan (e.g. mogya a ɛtɔ).

2. Nneɛma a ɛnyɛ nea ɛde ba: Eyi kyerɛ sɛ mogya a ɛkɔ so no so tew esiane ade foforo a ɛde ba nti (e.g. mogya mmoroso a ɛba fam, ntini ahorow a ɛyɛ teateaa) sen sɛ ntini bi besiw.

Ade a ɛto so abiɛsa nti a ɛte saa ne opira bere a wɔreyɛ oprehyɛn no.Ɛwom sɛ eyi ntaa nsi de, nanso asiane wɔ hɔ sɛ AAA besiesie bere a wɔreyɛ oprehyɛn de asiesie yafunu mu aortic aneurysm (AAA) a apaapae no. Sɛ eyi ba a, ebetumi ayɛ aniberesɛm asen nneɛma afoforo a ɛde ba bere tiaa mu na ebetumi de nkwa ato asiane mu. Saa tebea yi ba wɔ AAA oprehyɛn bɛyɛ 2% kosi 3% mu, na saa ayarefo no mu bɛyɛ 50% wuwu.

Ɔkwan bɛn so na wohu sɛ obi anya ischemic colitis?

Saa yare yi ho sɛnkyerɛnne (te sɛ yafunu mu yaw ne akisikuru) abu so yiye, a ɛkyerɛ sɛ yafunu mu nyarewa afoforo nso betumi de saa sɛnkyerɛnne ahorow yi aba. Enti, ɛsɛ sɛ nnuruyɛfo hwɛ hu sɛ ayaresa tebea foforo biara nni hɔ ansa na wɔatumi aka no pintinn sɛ eyi yɛ ``Ischemic Colitis''.

• Ebia wɔbɛyɛ wo mfoninitwa nhwehwɛmu (e.g., CT scan) wɔ wo dwonku mu.
• Wobetumi ayɛ mogya mu nhwehwɛmu de ahwɛ sɛ ɔyare mmoawa ne nneɛma afoforo bi wɔ hɔ anaa. Mpɛn pii no, akisikuru ma mogya mu nkwammoaa fitaa dodow kɔ soro.

Sɛ wo duruyɛfo susuw sɛ wowɔ Ischemic Colitis a, ɔkwan a eye sen biara a wobɛfa so asi so dua sɛ woahu ne sɛ wobɛhwɛ wo colonoscopy. Nea ɛka eyi ho ne sɛ wode afiri ketewaa bi a kanea wom bɛhyɛ wo akyi berɛmo mu de ahwɛ wo dwensɔtwaa mu. Sɛ wowɔ Ischemic Colitis a, nhwehwɛmu no betumi ahwehwɛ tebea no ho sɛnkyerɛnne. Sɛ ɛho hia a, wobetumi ayi ntini ketewaa bi (biopsy) afi wo dwensɔtwaa mu bere koro no ara mu na wɔde akɔma afiri a wɔde yɛ nhwehwɛmu akɔyɛ nhwehwɛmu foforo.

Ɔkwan bɛn so na wɔsa ischemic colitis?

Ayaresa no gyina sɛnea yare no mu yɛ den ne sɛ ebia wowɔ nsɛnnennen afoforo (e.g., ɔyare mmoawa a ɛwɔ yafunu mu).

• Wɔ nsɛm a emu yɛ den anaa nea emu yɛ den mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn ntɛm ara .
• Nanso, wobetumi de aduruyɛ adi nsɛm pii ho dwuma.
• Wɔbɛma wo nsu a wɔde fa IV mu (te sɛ nkyene) a ɛfa ntini bi mu .
• Wɔbɛma nnuru a ekum ɔyare mmoawa a ɛtrɛw de asiw ɔyare mmoawa ano anaasɛ wɔde asa.
• Wobetumi de oxygen ayaresa nso ama na ama koma no ayɛ adwuma na ama mogya akɔ soro.
• Oduruyɛfo no begyae nnuru biara a wosusuw sɛ ɛde tebea no ba (Ischemic Colitis).
• Ade a ɛho hia sen biara ne sɛ "wobɛhome wɔ dwensɔtwaa mu." Eyi kyerɛ sɛ woremfa wo aduan mu nneɛma nni dwuma kosi sɛ wo dwensɔtwaa bɛsa. Wɔbɛma wo aduan a ɛyɛ nsu anaasɛ IV aduannuru .

Ayaresa afoforo a ebia ɛho behia:

• Yafunu a wɔde nasogastric tube gyae: Wɔde saa kwan yi yi mframa, nsu, anaa aduan fi yafunu no mu sɛ dwensɔtwaa no fã bi siw esiane ischemic colitis nti a.
• Mogya ntini mu ayaresa:Sɛ ntini bi asiw a, ebia ebehia sɛ oduruyɛfo no yɛ oprehyɛn yi fi hɔ, ɔtetew mogya a atɔ mu, anaa ɔde stent bi si mogya ntini bi a ayɛ teateaa mu.
• Colectomy: Sɛ akyi berɛmo no mu ntini awuwu (gangrene) anaasɛ akyi berɛmo no fasu mu apaapae (apaapae) a, ɛho behia sɛ wotwa ɔfã a asɛe no. Ebia oprehyɛn yi nso bɛhwehwɛ sɛ wɔde colostomy bag (beae a ɛda nsow wɔ yafunu no honam ani ma nsu a ɛkɔ mu) bɛhyɛ mu bere tiaa bi anaasɛ ɛbɛtra hɔ daa.

Dɛn na ɛsɛ sɛ obi a ɔwɔ ischemic colitis hwɛ yiye wɔ adidi ho?

Sɛ wo ho retɔ wo wɔ Ischemic Colitis ho a, mfiase no wo duruyɛfo betu wo fo sɛ mmuada . Ɛno akyi no, wubetumi de nkakrankakra akɔ nsu a wɔde di dwuma so , na afei woadan akɔ aduan a ɛyɛ mmerɛw so .

Kwati nnuan a ahoɔdennuru pii wom wɔ saa bere yi mu. Ɛnyɛ adwene pa sɛ wobɛyɛ wo dwensɔtwaa adwuma dodo kosi sɛ ɛbɛsa. Mpɔtam hɔ hia mogya a ɛsen ne mframa pa pii na ama wɔatumi ayam aduan. Wo dwensɔtwaa a wode bɛhome no ma wo nipadua no nya hokwan san de saa mogya no ba.

Sɛ wowɔ tebea bi a ɛtra hɔ kyɛ a wɔfrɛ no ``chronic'' ``Ischemic Colitis'', anaasɛ wowɔ yare foforo a enni sabea a ɛma wunya bi a, wo duruyɛfo bɛma wo aduan ho akwankyerɛ titiriw a ɛsɛ sɛ wudi akyi bere tenten.

So wobetumi asiw ischemic colitis ano?

Esiane sɛ nneɛma pii wɔ hɔ a ebetumi ama tebea yi aba nti, ebia ɛrentumi nyɛ yiye sɛ yɛbɛkwati ne nyinaa koraa. Nanso, ɛho hia yiye sɛ wudi ayaresa tebea biara a wowɔ dedaw (titiriw koma, mogya ntini, ne asaabo mu nyarewa) ho dwuma .

• Kwati sigaretnom ne nnubɔne a wɔde di dwuma.
• Aduan a ɛma koma nya ahoɔden a wobedi no betumi asiw tebea horow yi ano na ankɔ so ansɛe anaasɛ ennya ɔhaw ahorow.
• Ɛtɔ mmere bi a, Ischemic Colitis (a wɔsan frɛ no "runner's colitis") betumi afi apɔw-mu-teɛteɛ a emu yɛ den mu aba . Nea enti a ɛte saa ne sɛ koma no ntumi nkɔ mogya a ɛdɔɔso. Sɛ woyɛ obi a otumi gyina boasetɔ so a, nsu a wobɛkɔ so anya no betumi aboa ma woasiw eyi ano.

Dɛn ne nea ɛbɛba wɔ ischemic colitis ho? (Nsusuwii) .

Asɛmpa no ne sɛ nnipa dodow no ara (bɛyɛ 75%) a wonya acute ischemic colitis no wɔ tebea bi a emu nyɛ den koraa, bere tiaa mu de. Ɛka dwensɔtwaa no fã biako mu ntini nkutoo na sɛ wɔde sa yare a wɔtaa de di dwuma a, ɛsa koraa.

Nnipa kakraa bi pɛ na wonya nsɛnnennen a ɛsɛ sɛ wɔyɛ oprehyɛn. Nsɛnnennen a ɛte saa taa ba nnipa a wɔwɔ ayaresa mu tebea afoforo te sɛ komayare anaa asaabo mu yare dedaw no so. Wɔ saa nkurɔfo yi fam no, oprehyɛn yɛ asiane na ɛyɛ den sɛ wɔn ho bɛtɔ wɔn. Sɛnea akontaabu kyerɛ no, saa kuw yi wɔ asiane kɛse sɛ wobenya nneɛma bɔne a ebefi mu aba ne owu (bɛyɛ 40%). Nanso saa asiane no mfi tebea `(Ischemic Colitis)` nkutoo.

Saa yareɛ a wɔfrɛ no `(Ischemic Colitis)` yi ɛtɔ da bi a ɛtumi gye berɛ kakra ansa na nnuruyɛfoɔ ahunu, ne wɔn a wɔnya bi nso. Efisɛ, sɛ woka sɛ yafunu mu yaw a, obiara nsusuw ntɛm ara sɛ eyi yɛ koma ne ntini mu haw. Nanso, sɛ wohu yare no yiye a, wubetumi ahwɛ kwan sɛ wo ho bɛtɔ wo koraa na wo ho atɔ wo ntɛm, sɛ ɛsɛ sɛ wotra ayaresabea hɔ kakra mpo a. Nanso, ɛtɔ da bi a `(Ischemic Colitis)` betumi ayɛ kɛse, enti mmu w'ani ngu wo sɛnkyerɛnne ahorow no so. Sɛ wɔantu mpɔn a, ka kyerɛ wo duruyɛfo ntɛm ara.

Enti, nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Okay, nneɛma kakraa bi a yɛaka ho asɛm sɛnea ɛbɛyɛ a wo ti bɛbɔ wo ho ban ni:

• Mma w’ani ngu yafunu mu yaw a emu yɛ den mpofirim so, titiriw sɛ nsu a mogya wom ka ho a. Ebetumi ayɛ tebea bi a wɔfrɛ no ``Ischemic Colitis'' ho sɛnkyerɛnne.
• Ɛho hia paa sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm. Dodow a wohu yare no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wɔbɛsa na wɔasiw nsɛnnennen ano.
• Sɛ wowɔ nneɛma a ɛde asiane ba te sɛ asikreyare, komayare, anaa mogya mmoroso a, di so yiye.
• Fa asetra kwan a ahoɔden wom tom. Kwati sigaretnom ne nnubɔne a ɛho nhia. Di aduan pa.
• Nsuro, na mmom hwɛ yiye. Ischemic Colitis yɛ tebea a mpɛn pii no wobetumi asa. Nanso, ɛsɛ sɛ wɔde adwene a ɛho hia ma.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, hwɛ hu sɛ wo ne w’abusua oduruyɛfo bɛkasa. Obetumi de afotu a eye sen biara ama wo.

` Ischemic Colitis, Ɔfe a ɛwɔ akyi berɛmo mu, Mogya a ɛkɔ fam, Yafunu mu yaw, Mogya nsuo, Colonoscopy