So wo nso wuhyia ɔhaw ne ɛyaw bere a wokɔ tiafi no? So wote nka sɛ wo yafunu mu da mpan koraa bere a woafa nsu mu mpo akyi? So wo nsu ayow na ɛyɛ den te sɛ abotan? Eyinom ne akisikuru ho sɛnkyerɛnne atitiriw a yɛn nyinaa nim. Eyi yɛ tebea a ɛnyɛ dɛ koraa ankasa.
Mpɛn pii no, nsakrae nketenkete a yɛbɛyɛ wɔ yɛn asetra kwan mu no betumi adi akisikuru ho haw no ho dwuma. Sɛ nhwɛso no, nnuan a ahoɔdennuru wom pii a wobedi (atoko, nhabannuru, nnuaba, aburow a ɛyɛ bruu), nsu a ɛdɔɔso a wobɛnom da biara, ne apɔw-mu-teɛteɛ betumi ama nsakrae kɛse aba. Nanso, sɛ woda so ara wɔ ɔhaw yi bere a woayɛ eyinom nyinaa akyi a, ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wode aduru a wɔde siw wo ho bedi dwuma sɛ ade a edi hɔ.
Dɛn ne nnuru a wɔde sa yare yi? Henanom na wohia wɔn?
Sɛ yɛbɛka no tiawa a, nnuru a wɔde kum akisikuru yɛ nnuru a ɛboa ma ɛyɛ mmerɛw sɛ wobɛfa nsu mu bere a woayɛ akisikuru no. Mpɛn pii no, wobetumi anya wɔ nnurutɔnbea biara a wɔtɔn wɔ aduruyɛdan mu. Ebia wɔde din ahorow bɛto so, te sɛ nnuru a wɔde kum akisikuru , nnuru a ɛma nsu mu yɛ mmerɛw, anaa nnuru a wɔde nhama yɛ.
Mpɛn pii no, tebea horow pii wɔ hɔ a ebia obi behia aduru a wɔde sa akisikuru:
- Akisikuru a ɛba bere ne bere mu: Wɔ akisikuru a ɛba bere ne bere mu a ɛnkɔ yiye bere a woayɛ nsakrae wɔ w’asetra mu mpo akyi no ho.
- Ayaresa mu tebea horow a enni sabea: Nnipa binom betumi anya akisikuru esiane ayaresa tebea horow a ɛtra hɔ kyɛ te sɛ Crohn yare anaasɛ akisikuru a ɛma obi ho kyere no nti.
- Ahosiesie a wɔyɛ ma aduruyɛ mu nhwehwɛmu: Ɛtɔ mmere bi a, ansa na wɔbɛyɛ nhwehwɛmu a ɛfa dwensɔtwaa ho te sɛ endoscopy anaa colonoscopy no, wɔma nnuru a wɔde tew dwensɔtwaa no ho koraa (bowel cleanse).
Nanso kae sɛ nnuru a wɔde kum akisikuru mfata obiara a ɔwɔ akisikuru. Sɛ woyɛ ɛna a onyinsɛn a, mfa nni dwuma da a wonkɔ wo duruyɛfo nkyɛn. Afei nso, mma mmofra nkumaa nnuru a wɔde kum akisikuru a mmofra oduruyɛfo nkamfo kyerɛ. Sɛ worenom nnuru a wɔde sa yare foforo a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ansa na wode adi dwuma, efisɛ nnuru bi a ɛma obi ho kyere no betumi ne saa nnuru no adi nkitaho.
Nnuru ahorow a wɔde siw akisikuru ano ne sɛnea ɛyɛ adwuma
Nnuru a ɛma obi nya akisikuru ka yɛn aduan mu nneɛma wɔ akwan horow so na ɛma ɛyɛ mmerɛw sɛ yɛbɛfa nsu mu. Nsu ahorow bi twe nsu fi nsu mu, na ɛma ɛyɛ mmerɛw. Afoforo nso kanyan ntini a ɛwɔ dwensɔtwaa no mu no na ɛboa ma ɛtwetwe nsu no kɔ fam. Momma yɛnhwɛ nnuru atitiriw a wɔde sa akisikuru.
| Laxative type | Sɛnea ɛyɛ adwuma | Nhwɛso ahorow |
|---|---|---|
| Nnuru a ɛma obi ho yɛ hyew (Fiber supplements) . (Osu a ɛma nhwiren no kɛse yɛ kɛse) . | Eyinom de nhama a ɛtumi nwura mu ka nsuo no ho, na ɛtwe nsuo fi nipadua no mu, na ɛma ɛyɛ kɛseɛ na ɛyɛ mmerɛw. Bere a nsu no reyɛ kɛse no, dwensɔtwaa no kanyan na ɛboa ma nsu no fa mu. Eyinom ne nea ɛyɛ mmerɛw sen biara. | Ɔde ne nsa kyerɛɛ ne so, na ɔde ne nsa kyerɛɛ ne so bio. |
| Nnuru a Wɔde Yɛ Nnuru a Wɔde Yɛ Osmotic Laxatives (Su a ɛtwe nsu kɔ dwensɔtwaa mu) . | Wɔtwe nsu fi nipadua no afã afoforo na wɔde kɔ akyi berɛmo no mu. Saa nsu a aboaboa ano yi ma nsu no yɛ mmerɛw na ɛma ɛyɛ mmerɛw sɛ ɛbɛfa mu. | Polyethylene glycol (MiraLAX®), Magnesium hydroxide (Phillips’® Nufusu a wɔde Magnesia ayɛ), Glycerin |
| Nnuru a Ɛma Nsu a Wɔde Yɛ Nsu a Ɛyɛ Dwo (Stool softener type) . | Eyinom ma nsu ne srade dodow a nsu no twe no yɛ kɛse, na ɛma ɛyɛ mmerɛw. | Docusate (Colace®) a ɛwɔ hɔ no. |
| Nnuru a Wɔde Srade Nnuru a Wɔde Yɛ Ahorow (Srade a wɔde yɛ srade ahorow) . | Eyinom yɛ adwuma te sɛ ade a wɔde kata dwensɔtwaa kɛse no mu, na ɛma wote nka sɛ ɛyɛ hwerɛma. Ne saa nti, nipadua no twetwe nsu kakraa bi wɔ nsu mu, na ɛma nsu no yɛ mmerɛw. | Mineral ngo a wɔde yɛ nneɛma |
| Nnuru a Ɛkanyan Awotwaa (Osu a ɛkanyan dwensɔtwaa no) . | Wɔkanyan ntini ahorow a ɛhwɛ ntini a ɛwɔ akyi berɛmo no so no, na ɛma dwensɔtwaa no keka ne ho (peristalsis) na ɛpia nsu a ɛwɔ akyi no kɔ fam. Wɔkamfo eyinom kyerɛ bere a ahorow afoforo ntumi nyɛ adwuma no. | Bisacodyl (Dulcolax®), Senna, na ɛyɛ aduru a wɔfrɛ no Senna |
Nnuru a wɔde sa yare a oduruyɛfo kamfo kyerɛ
Sɛ nnuru a wɔde sa akisikuru a wɔtɔn no nnuruyɛ mu mmoa mma wo akisikuru a enni sabea a, ebia wo duruyɛfo bɛkyerɛw wo aduru titiriw bi. Eyi ho hia titiriw ma nnipa a wɔwɔ tebea horow te sɛ IBS (Irritable Bowel Syndrome) anaa wɔn a wɔn akisikuru esiane nnuru a wɔde kum ɛyaw (opioids) a wɔde di dwuma nti. Nnuru te sɛ Lactulose (Duphalac®), Linaclotide (Linzess®), ne Lubiprostone (Amitiza®) hyɛ saa kuw yi mu.
Ɔkwan bɛn so na wɔde aduru a wɔde kum akisikuru bedi dwuma yiye?
Sɛnea ɛbɛyɛ na woanya aduru a wɔde sa akisikuru so mfaso kɛse na woatew nsunsuanso bɔne so no, ɛho hia sɛ wokenkan ade a wɔde ahyɛ mu no yiye na wode di dwuma sɛnea wɔakyerɛ no. Mfa nea ɛboro dodow a wɔkamfo kyerɛ no da esiane sɛ wopɛ sɛ wo ho tɔ wo ntɛmntɛm nti. Saa a wobɛyɛ no betumi de asiane aba.
Nnuru a wɔde sa yare a ɛma obi ho kyere no wɔ akwan horow so:
- Nnuru a wɔde yɛ nnuru: Nnuru anaa aduru a wɔde hyɛ nipadua mu a wɔde ano mene.
- Powders: Powders a wɔde gu nsu anaa nsu foforo mu na wɔnom.
- Nsu/Syrups: Nnuru a ɛyɛ nsu a wotumi susuw na wɔnom.
- Suppositories: Nnuru nketenkete a ɛtumi nwura mu a wɔde hyɛ akyi berɛmo no mu.
- Enemas: Nsuo nketewa a ɛde nsu hyɛ akyi berɛmo no mu.
Suppositories ne enemas a wɔtaa de hyɛ akyi berɛmo no mu no ma ahotɔ ntɛmntɛm wɔ simma anaa nnɔnhwerew kakraa bi mu. Nanso, wɔde asiane kɛse nso ba sɛ wobenya nneɛma bɔne te sɛ yafunu a ɛyɛ yaw ne akisikuru. Ebia nea ɛyɛ mmerɛw te sɛ nea ɛyɛ kɛse no begye nna kakraa bi ansa na ayɛ adwuma, nanso enni nsunsuanso bɔne kakraa bi.
Momma yɛnhwɛ nsunsuanso bɔne ne asiane ahorow nso.
Sɛ wɔde nnuru a ɛma obi ho yɛ hyew di dwuma wɔ ɔkwan a ɛnteɛ so anaasɛ ɛkyɛ a, ebetumi de ɔhaw ahorow aba.
- Nsu a ɛtɔ: Sɛ wode nneɛma a ɛtwe nsu fi nipadua no mu redi dwuma a, sɛ woannom nsu a ɛdɔɔso bere koro mu a, ebia nsu bɛtɔ wo nipadua mu.
- Electrolyte a ɛnkari pɛ: Nipadua no nkyene ne nsu a ɛkari pɛ no betumi asɛe.
- Akisikuru a enni sabea: Nea ɛyɛ nwonwa no, sɛ wɔkɔ so de nnuru a ɛkanyan dwensɔtwaa di dwuma a, ebetumi ama dwensɔtwaa mu ntini ayɛ mmerɛw, na ama ayɛ den sɛ obi bɛkɔ dwensɔtwaa mu a wɔmfa nnuru nni dwuma.
- Yare bi a ɛda adi a wobɛkwati:Nnuru a wɔde sa akisikuru ma obi nya ahotɔ bere tiaa bi pɛ fi akisikuru ho sɛnkyerɛnne no ho. Wɔnsa nea ɛde ba no. Ebia aduruyɛ mu tebea bi a emu yɛ den na ɛde wo akisikuru no aba. Nnuru a wɔde sa yare a wɔde di dwuma no betumi akyɛ saa tebea no a wobehu no ase.
Enti, sɛ wo ho yɛ wo yaw bere nyinaa na aduru a wotɔ fi nnurutɔnbea hɔ no mmoa a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn a wontwentwɛn wo nan ase na woahu nea ɛde ba. Sɛ wo yafunu mu yɛ wo yaw kɛse anaasɛ wo ho tɔ wo kɛse a, kɔ ayaresabea a ɛbɛn wo no dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara.
Nkrasɛm a Wɔde Kɔ Fie
- Anamɔn a edi kan a ɛsɛ sɛ wosɔ hwɛ ma akisikuru nyɛ sɛ wobɛsɔ nnuru a wɔde sa akisikuru ahwɛ, na mmom sɛ wobɛyɛ asetra mu nsakrae te sɛ aduan a ahoɔdennuru pii wom a wobedi, nsu pii a wobɛnom, ne apɔw-mu-teɛteɛ.
- Nnuru a wɔde sa yare no yɛ nea wɔde di dwuma bere tiaa bi. Sɛ wɔde di dwuma bere tenten a, ebetumi ama ɔhaw no ayɛ kɛse.
- Ansa na wode aduru biara a wɔde sa akisikuru bedi dwuma no, kenkan akwankyerɛ a ɛka ho no yiye na di akyi. Mma ntra dodow a wɔkamfo kyerɛ no.
- Mfa nnuru a wɔde kum akisikuru mma mmofra da a wunnyaa mmofra oduruyɛfo afotu. Ɛsɛ sɛ ɛnanom a wɔyem ne wɔn a wɔma wɔn nufu nso hwehwɛ aduruyɛ mu afotu.
- Sɛ wo akisikuru no kɔ so anaasɛ ɛtaa ba a, mma w’ani nnye ho, na kɔ oduruyɛfo nkyɛn ntɛm na woanya nea ɛde ba ne ayaresa a ɛfata.
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