So wo menewam yɛ wo yaw bere nyinaa nso? So wo nne yɛ dede? Eyi betumi ayɛ LPR (Laryngopharyngeal Reflux)!

So wowɔ hia a ehia sɛ wotew wo menewam bere nyinaa nso? So ɛte sɛ nea akuru bi wɔ wo menewam? So wo nne yɛ soronko kakra na ɛyɛ dede? Yɛn mu pii bu saa nneɛma yi sɛ atiridii anaa akisikuru kɛkɛ. Nanso ebetumi ayɛ biribi soronko wɔ nea wususuw ho. Eyi ne nea yɛfrɛ no LPR, anaa "Silent Reflux" wɔ aduruyɛ mu. Momma yɛnka ho asɛm nnɛ ara kwa.

Dɛn ankasa ne saa LPR yi?

Sɛ yɛbɛka no tiawa a, LPR yɛ yafunu mu yare soronko bi. Acid reflux yɛ bere a yafunu mu acid ne aduan mu nsu san kɔ soro kɔ menewa no mu. Wɔtaa te eyi nka wɔ koko mu, wɔ aduannoa no ase. Yɛfrɛ no komayare.

Nanso wɔ LPR mu no, yafunu mu acid yi kɔ soro mpo na ɛkɔ yɛn ahurututu, nne adaka, ne yɛn anom. Esiane sɛ ɛba twam wɔ aduannoa mu nti, ɛsono sɛnkyerɛnne ahorow no koraa wɔ yafunu mu yare a ɛkɔ so daa no ho. Ɛno nti na nnipa pii nnim mpo sɛ ɛyɛ yafunu mu yare bi. Sɛ́ anka LPR bɛyɛ komayare ne yafunu mu yaw no, ɛka wo nne, wo menewa, ne wo hwene afã horow titiriw. Wɔsan frɛ no "Silent Reflux" efisɛ ɛnkyerɛ yafunu mu yare ho sɛnkyerɛnne a ɛtaa ba no.

Nsonsonoe bɛn na ɛda LPR ne GERD ntam?

Ebia woate asɛmfua GERD. GERD gyina hɔ ma Gastroesophageal Reflux Disease. Ɛkyerɛ tebea bi a ɛma yafunu mu yare a ɛkɔ so daa. Ɛwom sɛ tebea abien no nyinaa fa yafunu mu acid a ɛba ho de, nanso nsonsonoe nketenkete bi wɔ abien no ntam.

Momma yɛnte saa nsonsonoe yi ase yiye kakra.

Dɛn ne LPR ho sɛnkyerɛnne ahorow?

Esiane sɛ ɛsono LPR ho sɛnkyerɛnne kakra nti, ɛtɔ mmere bi a wobetumi adi mfomso aka sɛ ɛyɛ ayamtu, akisikuru, anaa atiridii bɔne. Nsɛnkyerɛnne titiriw a ɛkyerɛ ne sɛ:

• Ɛnne a ɛyɛ dede anaasɛ ɛba fam.
• Nkate a ɛte sɛ biribi te sɛ bɔɔl akɔhyɛ menewam.
• Ɛho hia sɛ wotew wo menewam bere nyinaa .
• Ɔfe a enni sabea a ɛtra hɔ kyɛ.
• Nsuo a ɛboro so wɔ menewa ne hwene mu.
• Ɛyɛ den sɛ wobɛmene aduan.
• Menewam a ɛyɛ yaw a ɛkɔ so .
• Ɛnne a ɛyera anaasɛ ahurututu mu yare.
• Ahomegye yɛ nnyigyei a wɔde bɔ abɛn bere a wɔrehome no.
• Postnosal nsuo a ɛtɔ.
• Ɔhome akwaa a ɛwɔ soro a ɛtaa nya te sɛ atiridiinini ne atiridiinini.
• Akisikuru a efi ase foforo anaasɛ ayamtu a ɛwɔ hɔ dedaw a ɛyɛ kɛse .

Dɛn nti na saa LPR yi ba? Ma yɛnhwɛ ntease ahorow bi.

Fa no sɛ apon abien a ɛho hia wɔ ɔkwan a efi yɛn yafunu mu kosi yɛn menewam no so. Eyinom ne ntini nkaa a ɛwɔ yɛn ɛwo kotoku no atifi ne ase no. Wɔte sɛ valve ahorow. Yɛfrɛ eyinom `(esophageal sphincters)`.

1. Lower Esophageal Sphincter (LES): Eyi wɔ esophagus ne yafunu no ntam. Ne dwumadi titiriw ne sɛ ɛbɛma yafunu mu acid ansan ankɔ soro akɔhyɛ aduan mu.

2. Ntini a Ɛwɔ Atifi Mu (UES): .Eyi wɔ aduannuru ne menewa ntam. Ɛmma biribiara a akɔhyɛn menewa mu no ntumi nkɔ menewa no mu.

Sɛ LPR bɛba a, ɛnsɛ sɛ saa valve abien yi nyinaa to mu yiye. Yafunu mu yare a ɛfata ba bere a ɛwo akyi berɛmo mu ntini a ɛwɔ fam (LES) no yɛ mmerɛw no. Nanso, sɛ LPR bɛba a, ɛsɛ sɛ ɛwo ntini a ɛwɔ soro (UES) no nso to mu yiye na ɛyɛ mmerɛw. Eyi ne bere a yafunu mu acid betumi akɔ soro akɔhyɛ aduan no mu.

Enti dɛn nti na saa apon yi yɛ mmerɛw?

Ntease pii betumi ama eyi aba. Ebi yɛ bere tiaa mu de, na afoforo nso nyin bere kɔ so.

1. Nneɛma a ɛma esophageal sphincter (LES) a ɛwɔ fam no yɛ mmerɛw .

• Nnuru bi: Nnuru bi te sɛ calcium channel blockers ma mogya mmoroso, benzodiazepines a ɛma adwene mu dwo, ne nonsteroidal anti-inflammatory drugs (NSAIDs).
• Nnuan ne anonne ahorow bi: kɔfe, chocolate, nsa, mint, galik, ne ayɛyɛde.
• Asetra mu su ahorow:
• Anyɛ yiye koraa no, wobɛda hɔ nnɔnhwerew 3 bere a woadi awie no.
• Adidi pii a wodi bere koro mu.
• Ntade a ɛyɛ den anaa abɔso a ɛtwetwe yafunu no a wɔhyɛ.
• Tebea afoforo:
• Hiatal hernia: Yafunu no fã bi pue kɔ koko no mu.
• Nyinsɛn: Esiane nsakrae a ɛba nkwaadɔm mu ne nhyɛso a ɛkɔ soro wɔ yafunu no so nti.
• Kɛse mmoroso: Nhyɛso a ɛkɔ soro wɔ yafunu mu.
• Sigaretnom: Nnuru a ɛwɔ tawa mu no ma ntini a ɛyɛ den yi dwo.

2. Nneɛma a ɛma ɔsoro pon no yɛ mmerɛw (UES) .

Bere a acid ahorow no afa ɔpon a ɛwɔ fam no mu akɔ soro na aba soro akyi no, ɛsɛ sɛ wosiw kwan sɛ ɛnfa ɔpon a ɛwɔ soro yi mu nkɔ menewa no mu. Nanso saa nneɛma yi nso betumi ama ayɛ mmerɛw.

• Da: Sɛ yɛda anadwo a, saa apon abien yi nyinaa gye yɛn ahome kakra.
• Burping: Sɛ wobɔ a, saa valve abien yi nyinaa bue, na ɛma acid kakraa bi kɔ wo menewam ka mframa a ɛrehuru no ho.
• Kotow kɔ n’anim, apɔw-mu-teɛteɛ, nnwom: Saa dwumadi ahorow yi tumi ma nhyɛso a ɛwɔ yafunu no mu no yɛ kɛse na ɛde nhyɛso ba awotwaa no atifi.
• Sigaretnom ne nsa a wɔnom: Eyinom nyinaa bue apon abien no nyinaa.

Dɛn ne nsɛnnennen a ebetumi afi LPR mu aba?

Sɛ wɔansa LPR yiye a, bere kɔ so no, nsɛnnennen bi betumi aba.

• Nsõ a ɛboro so ne ɔyare mmoawa a ɛtaa ba: Yafunu mu acid a ɛsan kɔ menewa mu no sɛe ɔkwan a wɔtaa fa so yi nsu fi menewa ne hwene mu no. Sɛ nsu a ɛyɛ nwini boaboa ano a, mmoawa betumi aboaboa ano, na ɛde ɔyare mmoawa a wɔtaa nya.
• Ɛnne ne menewa mu haw a enni sabea: Saa menewa ne nne ntini a ɛho ahonhon bere tenten yi betumi ama ayɛ den sɛ ɔbɛkasa na wamene. Bere kɔ so no, akuru nketenkete (nne ntini mu akuru) nso betumi ayɛ nne nhama no so.
• Ɔhome nhyehyɛe mu nsɛnnennen:Acids a ɛkɔ menewam no betumi, ɛtɔ mmere bi a yennim, de yɛn home akɔ ahurututu mu, titiriw bere a yɛda anadwo no. Eyi betumi de ahurututu mu yare ne ɔhome mu haw afoforo aba.

Mɛyɛ dɛn ahu no yiye sɛ eyi yɛ LPR?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no, titiriw sɛ wuntumi nhu nea ɛde ba a, ɛbɛyɛ papa sɛ wobɛkɔ aso, hwene, ne menewa ho oduruyɛfo (ENT Surgeon) nkyɛn. Oduruyɛfo no betie wo yare no ho sɛnkyerɛnne na wahwɛ wo menewa mu.

Sɔhwɛ atitiriw pii wɔ hɔ a wɔyɛ ma eyi:

• Flexible Laryngoscopy: Adeyɛ a wɔde mfoninitwa afiri ketewaa bi a wɔde abata afiri a ɛyɛ mmerɛw a ɛyɛ tratraa ho fa hwene no mu na ɛkɔ menewa no mu de hwehwɛ ahurututu ne menewa no mu. Eyi yɛ sɔhwɛ a ɛnyɛ den a mpɛn pii no wobetumi ayɛ wɔ oduruyɛfo adwumayɛbea.
• Upper Endoscopy: Eyi hwehwɛ sɛ wode afiri bi a mfoninitwa afiri wom bɛhyɛ w’anom de ahwɛ wo menewa ne yafunu mu. Eyi betumi aboa ma woahu nea ɛde wo LPR no ba.
• Esophageal pH test: Sɔhwɛ a ɛkyerɛ acid dodow a ɛwɔ wo menewa ne wo menewam wɔ nnɔnhwerew 24 mu.
• Esophageal Manometry: Sɔhwɛ a wɔde susuw ntini a ɛwɔ aduan mu no dwumadi ne ahoɔden.

Dɛn ne ayaresa ahorow a wɔde sa LPR?

Ade titiriw a wɔde wɔn adwene si so wɔ LPR ayaresa mu ne sɛ yɛbɛsakra yɛn asetra kwan ne yɛn adidi.

Asetra kwan ne adidi su a wɔbɛsakra

Nneɛma pii wɔ hɔ a w’ankasa wubetumi ayɛ de adi LPR so. Eyinom ne nneɛma a ɛho hia sen biara.

Nnuru a wɔde sa yare

Bere a woreyɛ nsakrae wɔ w’asetra mu no, ebia wo duruyɛfo bɛkyerɛw nnuru bi ama wo na aboa ma woasa nea asɛe wo menewa ne wo menewam no.

• Proton Pump Inhibitors (PPIs): Eyinom yɛ adwuma denam acid a ɛba yafunu no mu a ɛtew so. Ebia ebehia sɛ wɔde eyinom di dwuma asram pii.
• H2 Blockers: Eyinom yɛ nnuru foforo a ɛtew acid a ɛba so.
• Alginates: Saa nnuru yi ma biribi a ɛbɔ yafunu no ho ban, na ɛmma acid ntumi nkɔ soro.

Sɛɛgyiri

Ɛntaa mma sɛ wɔyɛ oprehyɛn wɔ LPR ho. Sɛ biribi pɔtee bi de ba, te sɛ hiatal hernia, anaasɛ sɛ ayaresa afoforo adi nkogu nkutoo a, wosusuw oprehyɛn ho.