So wo poop yɛ tuntum? Momma yɛnka Melena ho asɛm!

Sɛ wokɔ tiafi na wuhu sɛ wo nsukorabea no kɔla tuntum a ɛyɛ nwonwa sen sɛnea wotaa yɛ no a, obiara suro kakra, ɛnte saa? Nneɛma pii ba w’adwenem. "So eyi yɛ biribi a asiane wom? Dɛn nti na eyi reto me?" Ɛyɛ ade a ɛfata sɛ wubesusuw nneɛma ho. Eyi yɛ sɛnkyerɛnne a ɛnsɛ sɛ wobu ani gu so ankasa, na ebetumi ayɛ nea ɛho hia kɛse. Enti ɛnnɛ yɛbɛka saa nsu tuntum yi ho asɛm, a ɛno ne nea yɛfrɛ no Melena wɔ aduruyɛ mu.

Dɛn ne Melena?

Sɛ yɛbɛka no tiawa a, melena yɛ nsu tuntum a ɛyɛ tarry a mogya a ɛba wo aduan mu fã a ɛwɔ soro, kyerɛ sɛ , yafunu anaa dwensɔtwaa ketewa no atifi na ɛde ba .

Fa no sɛ, ɛwom sɛ mogya yɛ kɔkɔɔ de, nanso bere a efi yafunu mu kɔ dwensɔtwaa mu no, ɛne nnuru a ɛma aduan mu yɛ adwuma wɔ yɛn nipadua mu no yɛ adwuma. Sɛnea dade asinasin bi yɛ nkannare bere a ɛda owia mu no, bere a mogya yi fa aduan mu bere tenten no, ne kɔla sesa na ɛyɛ tuntum, ɛyɛ nnam, na ɛyɛ tar. Ɛno na yɛfrɛ no melena.

Nsonsonoe bɛn na ɛda melena ne nsu tuntum a ɛyɛ daa ntam?

Ade a ɛho hia sɛ yɛte ase wɔ ha ne sɛ ɛnyɛ bere biara a wo nsu bɛdan tuntum no, ɛyɛ mogya a ɛretu nti. Nnuan ne nnuru bi nso betumi ama wo nsu a ɛyɛ tuntum. Ɛyɛ bere a oduruyɛfo bi hwehwɛ wo nsu mu na ɔkyerɛ sɛ mogya wɔ mu nkutoo na wɔfrɛ no melena.

Momma yɛnkyerɛ nsonsonoe a ɛda nsonsonoe yi mu pefee.

Na sɛ mogya fi ɔfã a ɛwɔ fam no reba nso ɛ?

Ebia wubesusuw nea enti a ɛnyɛ mogya a ɛretu nyinaa yɛ tuntum no ho. Nea enti a ɛte saa ne baabi a mogya no fi. Sɛ mogya no fi baabi a ɛba fam wɔ aduan mu te sɛ dwensɔtwaa kɛse no mu a, ennye bere tenten ansa na mogya no afi adi. Ɛno nti na epue wɔ asɛnka agua no mu sɛ kɔla kɔkɔɔ a ɛhyerɛn no .

Dɛn ne nneɛma atitiriw a ɛde Melena ba?

Nneɛma pii wɔ hɔ a ebetumi ama mogya atɔ yafunu no atifi, na ebinom yɛ aniberesɛm.

• Peptic ulcer disease: Eyi ne nea ɛtaa de ba. Saa akuru yi betumi aba bere a tebea a wɔfrɛ no gastritis no mu yɛ den no.
• Yafunu anaa aduannuru mu ɔfe a emu yɛ den (gastritis anaa esophagitis): Yafunu no fasu anaa esophagus (aduan paipu) hohoro na ɛyɛ hyew.
• Acute hemorrhagic erosive gastropathy: Nnuru bi te sɛ nnuru a wɔde kum ɛyaw, anaa nsa a wɔnom boro so betumi ama yafunu no fasu asɛe na mogya atu.
• Gastrointestinal perforation: Ɛyɛ tokuru a ɛba aduan mu esiane akwanhyia anaa biribi foforo nti.
• Varicose veins a ɛwɔ esophagus anaa yafunu mu: Varicose veins a ɛwɔ esophaguus ne yafunu mu, titiriw wɔ nnipa a wɔwɔ mmerɛbo mu yare mu no betumi ahonhon na apaapae, na ama mogya atu kɛse.
• Ɛfe a ɛtetew esiane ɔfe a ɛboro so nti: Sɛ obi kɔ so fe na ɔde ahoɔden boro so a, ɛwo no betumi atetew na mogya atu.
• Kokoram tebea horow: Kokoram tebea horow a ɛwɔ yafunu, aduan mu, anaa dwensɔtwaa mu nso betumi ama mogya atu.
• Atiridii a ɔyare mmoawa de ba te sɛ Ebola: Ɛwom sɛ eyinom ntaa mma wɔ Sri Lanka de, nanso nyarewa bi a emu yɛ den a mmoawa de ba nso betumi ama mogya atu wɔ nipadua no mu.

Nneɛma afoforo nti a nsu betumi ayɛ tuntum a mogya ntu

Ansa na wobɛbɔ hu no, susuw ho sɛ ebia saa nneɛma yi nso rema wo nsu mu ayɛ tuntum anaa.

• Dade a wɔde hyɛ nipadua mu: Ɛtaa ba sɛ nsu a wɔde gu nipadua mu no dan tuntum bere a wɔrenom dade aduru a wɔde sa mogya a ɛtɔ kɔ nipadua mu no. Eyi yɛ ade a ɛfata na ɛnyɛ biribiara a ɛsɛ sɛ ɛhaw yɛn ho.
• Nnuru bi: Nnuru bi a bismuth subsalicylate wom a wɔde sa yafunu mu haw ahorow nso betumi ama obi anya nsu tuntum.
• Fango a wɔde yɛ adwuma:Saa aduru yi a wɔde ma bere a wɔanom awuduru no nso ma nsu no dan tuntum.
• Nnuan a ɛyɛ tuntum: Sɛ wudi nnuan a ɛyɛ tuntum pii te sɛ mogya soseji, blueberries, ne bobe a ɛyɛ kɔkɔɔ a, nso betumi asesa wo nsu mu kɔla.

Dɛn nti na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn na nhwehwɛmu bɛn na wɔyɛ?

Sɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ wowɔ Melena a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ oduruyɛfo nkyɛn, sen sɛ wobɛbɔ wo tirim kɛkɛ wɔ fie. Oduruyɛfo no bebisa wo nsɛm, ayɛ nhwehwɛmu a ɛho hia, na wahu nea ɛde ba.

Ansa na wobefi ayaresa ase no, ɛho hia sɛ wohu nea ɛde mogya no ba ankasa. Wobetumi ayɛ eyi denam sɔhwɛ ahorow te sɛ:

• Fecal Occult Blood Test: Eyi tumi hu sɛ ebia mogya kakraa bi wɔ nsu no mu a aniwa ntumi nhu anaa.
• Mogya mu nhwehwɛmu: Ebetumi ama woahu mogya dodow a wo nipadua no ahwere ne nea ɛde mogya no retu.
• Scans: Nhwehwɛmu te sɛ CT scan anaa CT angiogram betumi aboa ma wɔahu baabi a mogya no retu.
• Upper endoscopy (EGD test): Eyi ne nhwehwɛmu a ɛho hia sen biara na wɔtaa yɛ. Wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri abata ho no fa ano no mu na wɔhwehwɛ aduannuru, yafunu, ne dwensɔtwaa ketewa no mfiase mu. Eyi betumi aboa ma woahu baabi pɔtee a mogya no wɔ, ɛtɔ mmere bi a wobɛsa no ntɛm ara, na woafa ntini ketewaa bi akɔyɛ nhwehwɛmu (`biopsy`).

Asiane ho sɛnkyerɛnne ahorow a ɛhwehwɛ sɛ wɔde obi kɔ ayaresabea ntɛm ara

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi ka nsu tuntum ho a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara, efisɛ eyinom betumi ayɛ mogya a ɛretu kɛse ho sɛnkyerɛnne.

• Mogya a wɔfe (kɔkɔɔ anaa bruu a ɛyɛ foforo te sɛ kɔfe a wɔayam).
• Adwene a ɛyɛ basaa, te nka sɛ ne ti yɛ hare, na ɔtotɔ piti.
• Koma a ɛbɔ ntɛmntɛm na ɛyɛ den sɛ ɔbɛhome.
• Nsu tuntum a wɔde di dwuma nna pii a ɛtoatoa so.