Momma yensua biribiara fa mmerɛbo ho: akwaa bi a ɛyɛ nwonwa wɔ yɛn nipadua mu!

So woasusuw akwaa nwonwaso yi a ɛwɔ wo nipadua mu, mmerɛbo no ho ankasa pɛn? Ebia ɛnte saa. Nanso so wunim, saa mmerɛbo yi te sɛ ɔbran kɛse bi a ɔyɛ nnwuma pii a ɛho hia yiye a ɛho hia ma yɛn nkwa. Enti ɛnnɛ, momma yɛnka mmerɛbo yi ho asɛm, nea ɛto so, ne sɛnea yɛbɛhwɛ so.

Dɛn ne mmerɛbo no? Momma yensua no tiawa

Sɛ yɛbɛka no tiawa a, mmerɛbo ne yɛn nipadua no mu akwaa ne ntini a ɛsõ sen biara . Ne kɛse bɛyɛ sɛ bɔɔl, te sɛ ɔpon, ne nsusuwii yɛ ahinanan kakra, na ne kɔla yɛ kɔkɔɔ-biribiri. Nanso, ne kɛse betumi ayɛ soronko a egyina wo tenten ne wo mu duru so. Sɛ wɔkyekyem pɛpɛɛpɛ a, ɔpanyin mmerɛbo mu duru bɛyɛ kilogram 1.4.

Mpɛn pii no, mmerɛbo no wɔ yɛn nipadua no nifa, mpampam ase. Nanso ɛntaa mma koraa, wɔ nnipa binom mu, kyerɛ sɛ, wɔ tebea bi a wɔfrɛ no `(Situs Inversus)` mu no, mmerɛbo no betumi akɔ benkum so. So ɛnyɛ nwonwa?

Wɔfrɛ mmerɛbo no akwaa ne ntini nyinaa. Nea enti a ɛte saa ne sɛ mmerɛbo no yɛ protein ne hormone ahorow a nipadua no hia. Enti wubetumi ate sɛnea eyi ho hia no ase. Yɛfrɛ nyarewa a ɛfa mmerɛbo ho no “mrɛbo mu” tebea horow. Wɔfrɛ oduruyɛfo a ne ho akokwaw wɔ mmerɛbo mu “hepatologist.”

Nnwuma bɛn na mmerɛbo no de ma yɛn nipadua?

Wiɛ, ɛkame ayɛ sɛ adwuma a mmerɛbo no yɛ no nni awiei. Nanso momma yɛnhwɛ dwumadi ahorow a ɛho hia sen biara, a ɛho hia sen biara no mu kakraa bi:

• Mogya a wɔtew ho: Fa no sɛ mmerɛbo no yɛ ade a ɛma mogya a ɛwɔ wo nipadua mu no ho tew. Ɛyi nneɛma a epira fi aduan a yedi, mframa a yɛhome, ne ɛtɔ mmere bi a nnuru a yɛnom no mu.`(wuduru)` tumi hyɛn mu. Mmɛn no yɛ adwuma kɛse de yi awuduru a ɛte saa fi mogya no mu na ɛma nipadua no ho tew. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛte sɛ beae titiriw a wɔde tew nneɛma ho wɔ yɛn nipadua mu.
• Mogya mu nkwammoaa kɔkɔɔ dedaw a wobeyi afi hɔ : Mogya mu nkwammoaa kɔkɔɔ a ɛwɔ yɛn mogya mu no nso wɔ nkwa nna pɔtee bi. Sɛ wɔyɛ nkwakoraa ne mmerewa na wontumi nyɛ adwuma yiye a, ɛsɛ sɛ woyi fi hɔ. Saa adwuma no nso, mmerɛbo no na ɛyɛ.
• Bile a Wɔyɛ: Mmɛn no ma nsu bi a wɔfrɛ no "bile" a ɛboa ma yɛyam aduan a yedi, titiriw nnuan a srade wom. Saa bile yi ne nea ɛpaapae srade mu nketenkete na ɛma ɛyɛ mmerɛw sɛ nipadua no bɛtwe.
• Nnuannuru a ɛma nipadua no yɛ adwuma: Mmerɛbo no na ɛyɛ nea ‘ɛsakra’ protein, carbohydrates, ne srade a ɛwɔ aduan a yedi mu sɛnea ɛbɛyɛ a nipadua no betumi de adi dwuma. Ɛte sɛ adwumayɛbea bi a ɛdannan nneɛma a wɔde yɛ aduan fi aduan mu ma ɛbɛyɛ ahoɔden ne adansi nneɛma a nipadua no betumi de adi dwuma.
• Ɛboa ma mogya tu: Sɛ wopira wɔ baabi a, ɛsɛ sɛ wo mogya tu na ama mogya atɔ . Mmɛn no yɛ nneɛma a ɛho hia a ehia ma ɛno no bi.
• Mogya dodow a ɛwɔ nipadua no mu a yɛbɛhwɛ so: Mmerɛbo no nso boa ma yɛhwɛ mogya dodow so denam mogya dodow a ɛwɔ yɛn nipadua mu nyinaa fã bi a ɛkora so na ɛgyae bere a ɛho hia no so.
• Ahoɔden ne vitamin a wɔkora so: Mmɛn te sɛ adekoradan a ɛwɔ yɛn nipadua mu. Ɛkora glucose a ɛboro so so sɛ ahoɔden fibea a wɔfrɛ no glycogen, na ɛma yetumi de di dwuma akyiri yi bere a yehia ahoɔden no. Ɛsan nso sie vitamin ahorow te sɛ vitamin A , D, E, K, ne B12, ne mineral ahorow te sɛ dade ne kɔbere.

Afei ebia woate ase sɛ mmerɛbo no nyɛ akwaa bi kɛkɛ, na mmom ɛyɛ ɔbran kɛse wɔ yɛn nipadua mu!

Dɛn ne mmerɛbo no afã atitiriw?

Wɔakyekyɛ mmerɛbo no mu ayɛ no afã atitiriw abien. Nifa so fã kɛse no ne benkum so fã ketewaa no. Wɔ saa ntini yi mu no, afã nketewa mpempem pii a wɔfrɛ no “lobules” wɔ hɔ.

Mogya ntini ahorow na ɛwɔ saa afã horow yi mu.Ɛtrɛw yiye. Bere a mogya fa eyinom mu no, mmerɛbo no yiyi mogya no mu na eyi awuduru fi mu. Afei wɔayi nwura no gu nsuo ne nsuo mu.

Wɔde dwensɔtwaa ketewa no bata nhama nketewa a wɔfrɛ no “ bile ducts ” a ɛde bile fi mmerɛbo no mu kɔ dwensɔtwaa ketewa no mu no ho.

Nyarewa ne tebea bɛn na ɛka mmerɛbo no?

Nea ɛyɛ awerɛhow no, nyarewa ne akwahosan tebea horow bi wɔ hɔ a ebetumi aka yɛn mmerɛbo a ɛsom bo no. Wɔn mu kakraa bi ni:

• Nyarewa a awuduru a wɔnom boro so de ba: Mmerɛbo mu yare a nsa de ba, a ɛnam nsa a wɔnom boro so na ɛde ba, ne mmerɛbo mu yare a srade wom a srade a ɛboaboa ano wɔ mmerɛbo mu na ɛde ba no ne nea ɛho hia titiriw. Mmerɛbo a srade wom yɛ tebea a abu so wɔ ɔmanfo mu nnɛ.
• Nyarewa a wonya fi awo mu: Nyarewa bi nam yɛn awosu mu nyarewa so. Sɛ nhwɛso no, nyarewa te sɛ ``Hemochromatosis`` a ɛma dade boaboa ano boro so wɔ nipadua no mu, ne ``Wilson yare`` a ɛma kɔbere boaboa ano boro so no betumi asɛe mmerɛbo no.
• Mmɛn mu kokoram: Kokoram betumi aba bere a nkwammoaa a ɛnteɛ nyin ntɛmntɛm na wontumi nni so no.
• Nkwammoaa a ɛko tia nyarewa ho haw: Ɛtɔ mmere bi a, yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ mmerɛbo no so. Tebea horow a ɛte saa no bi ne `(Autoimmune hepatitis)`, `(Primary sclerosing cholangitis)` ne `(Primary biliary cholangitis)`.
• Viral Infections: Ebia woate asɛmfua ``Hepatitis`` ho asɛm. Ɛyɛ mmerɛbo mu ɔfe. Mmoawa na ɛde ba. ``(Hepatitis A)``, ``(Hepatitis B)`` ne ``(Hepatitis C)`` ne nea ɛtaa ba.

Asɛmpa bi wɔ hɔ. Ɛtɔ mmere bi a mmerɛbo mu ntini a asɛe no betumi asan ayɛ foforo, anaasɛ "asan ayɛ foforo." Nanso ɛnyɛ bere nyinaa na ɛba saa. Mmɛn mu nyarewa bi betumi de yare no ho sɛnkyerɛnne a emu yɛ den aba na ɛde nkwa mpo ato asiane mu.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mmerɛbo mu haw bi wɔ hɔ?

Jaundice yɛ sɛnkyerɛnne titiriw a ɛtaa ba ma obi a ɔwɔ mmerɛbo mu haw.

Jaundice yɛ tebea a ɛma aniwa ne honam ani fitaa dan kɔla. Ade kɔkɔɔ bi a wɔfrɛ no bilirubin a ɛboro so wɔ mogya no mu na ɛde eyi ba. Saa bilirubin yi yɛ bere a mogya mu nkwammoaa kɔkɔɔ dedaw no sɛe na mmerɛbo no yi fi hɔ no. Enti, bilirubin dodow a ɛkɔ soro wɔ mogya mu no yɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia ɔhaw bi wɔ mmerɛbo no mu.

Sɛ ɛno da nkyɛn a, sɛnkyerɛnne ahorow te sɛ eyinom nso betumi aba bere a mmerɛbo mu haw ahorow wɔ hɔ no:

• Nsuo a ɛboaboa ano wɔ yafunu mu (wɔfrɛ yei `(Ascites)`) .
• Bruising a ɛnyɛ den
• Wora a ɛyɛ wo yaw
• Mogya mmoroso a ɛba fam
• Yafunu mu yaw (yafunu mu yaw) .
• Nan anaa nansoaa a ɛho ahonhon
• Wosow a ɛwosow
• Mmerewa, ɔbrɛ, ɔbrɛ a ɛnkari pɛ, anaasɛ ɔbrɛ a ɔte nka bere nyinaa
• Nkae a ɛyera, adwene a ɛyɛ basaa, anaasɛ baabi a wowɔ ne bere a worenhu

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, mfa nyɛ hwee . Ɛyɛ papa sɛ wobɛhwehwɛ aduruyɛ mu afotu.

Mɛyɛ dɛn atumi ama me mmerɛbo ayɛ yiye?

Nneɛma pii wɔ hɔ a yebetumi ayɛ de abɔ yɛn mmerɛbo a ɛsom bo no ho ban afi nyarewa ho na ama ayɛ adwuma yiye. Hwɛ afotu yi:

• Kwati awuduru: Twe wo ho fi nnuru, sigaretnom, ne nnubɔne a mmara mma ho kwan ho sɛnea wubetumi biara. Eyinom sɛe mmerɛbo no tẽẽ.
• Mfa w’ankasa nneɛma nkyɛ afoforo:Nneɛma te sɛ nnade, ahama, brɔs a wɔde sew sẽ, ne nea ɛkeka ho.. Ɛnyɛ den sɛ mmoawa a wɔde nyarewa ba (titiriw hepatitis B ne C) nam eyinom so de obi ba.
• Sɛ wonom nsa a, to ano hye: Sɛ wususuw sɛ, “Kakra kakra da biara nyɛ hwee” mpo a, saa dodow “ketewa” no betumi aka abom na asɛe wo mmerɛbo. Ɛyɛ papa sɛ wobɛtwe wo ho afi nsa ho sɛnea wubetumi biara.
• Di wo duruyɛfo akwankyerɛ akyi yiye bere a worenom nnuru no: Nnuru bi yɛ nea asiane wom titiriw bere a wɔde ka nsa ho no. Afei nso, nnom nnuru a oduruyɛfo nkyerɛw wo.
• Kura mu duru a ɛfata mu: Nea ɛka eyi ho ne aduan a ɛkari pɛ a ahoɔden wom a wubedi ne apɔw-mu-teɛteɛ daa. Tew nnuan a srade, asikre, ne esiam pii wom a wudi so, na di nnuaba, nhabannuru, aburow a wɔayam, ne fiber pii. Eyi betumi aboa ma wɔasiw tebea horow te sɛ mmerɛbo a srade wom ano.
• Fa nna a ahobammɔ wom di dwuma: Eyi boa ma wobɔ wo ho ban fi nyarewa te sɛ hepatitis B ho.
• Wo ne wo duruyɛfo nkasa fa sɛnea wobɛbɔ wo ho ban wɔ hepatitis ho: Nnuru bi wɔ hɔ a wɔde bɔ wo ho ban wɔ hepatitis A ne B. Sɛ wunya eyinom a, ɛbɛma woanya ahobammɔ kɛse.
• Hohoro wo nsa mpɛn pii: Sɛ wode samina ne nsu hohoro wo nsa yiye, titiriw ansa na woadi na woakɔ tiafi awie a, ebetumi aboa ma woasiw nyarewa pii ano.