So wo ba taa nya yafunu mu yaw? Wontumi nhu nea enti a ɛte saa? (Yafunu mu Ɛyaw a Ɛyɛ Dwumadi) .

So wo ba kumaa no ka bere nyinaa sɛ, "Maame, me yafunu yɛ me yaw?" Ebia sɛ woka saa a, wote ehu kɛse nka, ɛnte saa? Sɛ wokɔ oduruyɛfo nkyɛn na wɔka sɛ, "Eyi ne nea enye," anaa biribi foforo a, ɛhaw adwene kɛse mpo. Saa na yɛbɛka yafunu mu yaw a abofra no te nka ankasa ho asɛm, ɛwom mpo sɛ wontumi nhu nea ɛde ba pefee de. Nnuruyɛfo frɛ eyi ``Functional Abdominal Pain.'' Ɛtɔ da bi a wɔsan frɛ no ``Centrally Mediated Abdominal Pain Syndrome.'' Momma yɛnka eyi ho asɛm tiawa, wɔ yɛn kasa mu. Dɛn ne Yafunu mu Ɛyaw a Ɛyɛ Dwumadi? Sɛ yɛbɛka no tiawa a, ``Functional Abdominal Pain'' yɛ bere a abofra bi wɔ yafunu mu yaw, na oduruyɛfo bi hwehwɛ mu, nanso ontumi nhu honam fam ade pɔtee bi a ɛde ba (sɛ nhwɛso no, dwensɔtwaa mu akuru, nwansena, ɔyare mmoawa). Nanso, eyi nkyerɛ sɛ abofra no redi atoro. Ɛyaw no wɔ hɔ ankasa. Fa no sɛ, nnuruyɛfo hwehwɛ sɛnkyerɛnne ahorow pii te sɛ eyinom na ama wɔahu tebea yi:

• Anyɛ yiye koraa no ɛsɛ sɛ yafunu mu yaw yi ba mpɛn anan ɔsram biara .
• Anyɛ yiye koraa no ɛsɛ sɛ ɛkɔ so saa asram abien .
• Mpɛn pii no, ɛyaw yi ntra hɔ ntra dɔnhwerew biako.
• Ɛte sɛ nea yafunu mu yaw yi ne adidi, mmirikatu a wɔde di akɔneaba, anaa tiafi a wɔkɔ no nni abusuabɔ titiriw.
• Abofra a ɔwɔ saa tebea yi nyin bɛyɛ tenten paa na ɔwɔ apɔwmuden. Wɔntaa nhu sɛ obi mu duru so tew.
• Nanso, ɛtɔ mmere bi a, ɛyaw yi betumi ayɛ kɛse bere a adwennwen anaa dadwen wɔ hɔ no .

Asɛmpa no ne sɛ mmofra dodow no ara a wɔwɔ ``Functional Abdominal Pain'' no ho tɔ wɔn wɔ adapɛn anaa asram kakraa bi mu. Ɛntaa mma sɛ ɔhaw kɛse bi a ɛtra hɔ kyɛ bɛba.

Nsɛnkyerɛnne foforo bɛn na ɛwɔ hɔ a yafunu mu yaw ka ho?

Ade titiriw ne yafunu mu yaw a wokae no. Nanso, abofra no nso betumi anya ɔhaw afoforo te sɛ:

• Akisikuru: Eyi kyerɛ sɛ wobɛte nka sɛ wobɛfe anaasɛ wo yafunu redan.
• Tiyɛ: Ɛtaa ba sɛ mmofra binom ti yɛ wɔn yaw ka yafunu a ɛyɛ yaw ho.
• Adwene a ɛyɛ mmerɛw: Nkate a ɛma obi ho yɛ hare na ne ti twitwiw .
• Ɔbrɛ a ɛtra so a wobɛte nka: Ebia wobɛte nka sɛ woabrɛ araa ma wuntumi nyɛ hwee.

Saa sɛnkyerɛnne ahorow yi mma abofra biara so wɔ ɔkwan koro so. Ebia mmofra binom yafunu a ɛyɛ basaa nkutoo, bere a afoforo nso betumi anya yare no ho sɛnkyerɛnne foforo yi biako anaa nea ɛboro saa.

Dɛn nti na saa Yafunu mu Ɛyaw a Ɛyɛ Dwumadi yi ba? Dɛn na ɛde ba?

Nokwarem no, nnuruyɛfo da so ara nnim nea ɛde Functional Abdominal Pain ba no yiye ɔha biara mu nkyem 100 . Nanso, nsusuwii ahorow pii wɔ hɔ. Wosusuw sɛ ɛne nkate bi a ɛwɔ amemene ne akyi berɛmo, ntini a ɛkyerɛ yɛn amemene ne yɛn dwensɔtwaa ntam no wɔ abusuabɔ . Sɛ yɛbɛka no tiawa a, mmofra binom dwensɔtwaa te nka kɛse sen onipa a ɔte ase wɔ nneɛma nketenkete mpo a ɛkanyan wɔn (sɛ nhwɛso no, bere a wɔatrɛw yafunu anaa akyi berɛmo no mu kakra). Esiane saa visceral hypersensitivity yi nti, mmofra yi betumi ate ɛyaw bere mpo a wɔnte hwee nka no. Sɛnea ntini mu nsɛnkyerɛnne yi yɛ adwuma no betumi ayɛ soronko kakra. Wɔtaa hu saa tebea yi wɔ mmofra a wɔadi fi mfe 4 kosi 16. Ɛtɔ mmere bi a, ɛyaw a ɛte sɛɛ nso betumi afi ase bere a wɔadi kan anya dwensɔtwaa mu yare akyi. Ɛne sɛ, bere a yafunu mu mmoawa bi kɔ na wɔasa akyi mpo no, ebia dwensɔtwaa no nkate bɛkɔ so ayɛ kɛse bere tiaa bi. Afei nso, adwennwen nya eyi so nkɛntɛnso kɛse. Fa no sɛ, sɛ nsakrae kɛse baa ofie tebea mu (ofie foforo a wotu kɔtra hɔ, sukuu a wɔsakrae, abusua mu haw ahorow, awofo a wɔtetew wɔn ho, ne nea ɛkeka ho) a, ebia yafunu mu yaw yi ne nsɛm a ɛhaw adwene a ɛte saa wɔ abusuabɔ . Mmofra bi wɔ hɔ, wɔyɛ nkate kakra, wɔn ho yeraw wɔn ntɛmntɛm. Mmofra a wɔte saa nso taa nya saa tebea yi.

Ɔkwan bɛn so na oduruyɛfo hu eyi pɛpɛɛpɛ sɛ Functional Abdominal Pain?

Sɛ woka yafunu mu yaw a ɛte sɛɛ ho asɛm kyerɛ wo ba a, ade a edi kan a oduruyɛfo bɛyɛ ne sɛ ɔbɛhwɛ sɛ aduruyɛ mu tebea foforo biara a emu yɛ den biara nni hɔ. Eyi betumi ayɛ:

• Bisa wo ba ne wo ho sɛnkyerɛnne ahorow no ho asɛm: Bisa wo ba no ne wo ho sɛnea ɛyaw no te, bere tenten a atra hɔ, ne ɔhaw afoforo a ɛbata ɛyaw no ho. Titiriw no, hwehwɛ mu duru a ɛso tew, nkɔso a entumi nyɛ yiye, atiridiinini, nipadua mu yaw, ɔfe a ɛkɔ so, mogya a ɛwɔ nsu mu , ne "frankaa kɔkɔɔ" sɛnkyerɛnne te sɛ ntini mu yare.
• Nipadua mu nhwehwɛmu: Wɔhwehwɛ abofra no mu yiye. Wɔde nsa ka yafunu no na wɔhwɛ nneɛma afoforo a ɛnteɛ.
• Nhwehwɛmu atitiriw: Mpɛn pii no, wɔyɛ mogya mu nhwehwɛmu mpɛn pii na wɔyɛ nsu mu nhwehwɛmu de hwehwɛ asumansɛm mu mogya. Eyinom betumi ama yɛanya adwene bi sɛ ebia ɔfe wɔ dwensɔtwaa no mu anaa.
• Adwennwen ho asɛm a wubebisa:Yɛsan bisa nsakrae a aba abofra no asetra mu nnansa yi, ɔhaw ahorow a ɛwɔ sukuu mu, ne nneɛma a ɛde adwennwen ba wɔ fie tebea mu nso ho asɛm. Efisɛ, sɛnea yɛadi kan aka no, adwennwen betumi aka eyi.

Adeɛ a ɛho hia ne sɛ, sɛ abofra no nni "kɔkɔbɔ nsɛnkyerɛnneɛ" a yɛadi kan aka ho asɛm no mu biara, sɛ nipadua mu nhwehwɛmu no yɛ nea ɛfata, na sɛ mogya ne nsuo mu nhwehwɛmu no yɛ nea ɛfata a ɔhaw kɛseɛ biara nni mu a, ɛnde wɔ nsɛm dodoɔ no ara mu no ɛho nhia sɛ wɔyɛ nhwehwɛmu akɛseɛ foforɔ a ɛyɛ den (e.g., `(Endoscopy)`, `(Ultrasound Scan)`). Oduruyɛfo bi bɛka sɛ `(Functional Abdominal Pain)` wɔ hɔ bere a wɔapow nneɛma afoforo a anibere wom a ɛde ba no akyi nkutoo.

Dɛn ne ayaresa ahorow a wɔde sa eyi? Ɛbɛyɛ dɛn na me ho atɔ me?

Sɛ ɛba Functional Abdominal Pain a wɔbɛsa so a, ɔkwan biako biara nni hɔ a wɔfa so sa obiara. Ayaresa no betumi ayɛ soronko wɔ abofra biara mu, a egyina sɛnea sɛnkyerɛnne ahorow no te so. Nnuruyɛfo betumi de akwan yi biako anaa nea wɔaka abom asa:

• Nsakrae a ɛba wɔ aduan mu:
• Ebia wɔbɛtu fo sɛ wɔntew nnuan bi te sɛ kabege, broccoli ne cauliflower, ne bankye so .
• Eye sɛ wobɛto nneɛma te sɛ nnuan a srade wom, nnuan a wɔayam, ne nnuan a wɔde di ntɛmntɛm ano hye .
• Nsã a carbon wom te sɛ soda, anonne a ɛyɛ dɛ, ne nnuan a ɛyɛ nnuhwam nso betumi ayɛ ɔhaw ama mmofra binom.
• Wobetumi nso asɔ mmofra binom ahwɛ tebea horow te sɛ ``Lactose intolerance'' na wɔaka akyerɛ sɛ sɛ ɛho hia a, wɔnto nufusu ne nufusu mu nnuan ano hye.
• Nnuru (nnuru): .
• Nnuru bi wɔ hɔ a wobetumi de ama de atew yafunu mu yaw ne akisikuru so.
• Sɛ wote nka sɛ acid a ɛwɔ yafunu no mu no dɔɔso dodo kakra a, wobetumi de nnuru a ɛtew so (e.g., antacids, proton pump inhibitors ) ama wo bere tiaa bi.
• Ɛtɔ mmere bi a, oduruyɛfo bi nso betumi akyerɛw nnuru a ɛba fam a ɛka ntini ahorow (te sɛ Amitriptyline) na aboa ma ɛyaw ho nkate so atew. Nanso, wɔde ahwɛyiye de eyinom ma.
• Sɛ ɛyaw no mu yɛ den a, wobetumi ahyɛ wo fo sɛ fa aduru a wɔde kum ɛyaw a ɛnyɛ den (e.g. paracetamol) di dwuma bere tiaa bi.
• Afotu anaa Ahomegye Ho Akwan:
• Eyi yɛ ade a ɛho hia paa. Afotu anaa adwene mu ayaresa betumi aboa kɛse ma abofra no adwennwen ne ne dadwen so atew na wasua sɛnea wobedi nkate a ɛtete saa ho dwuma.
• Ahomegye apɔw-mu-teɛteɛ, adwene mu adwennwen, ne ahomegye ho akwan te sɛ yoga betumi ayɛ ɔkwan pa a wobɛfa so aboa ma wɔadi ɛyaw so.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn bio?

Sɛ oduruyɛfo ahu sɛ wo ba no anya ``Functional Abdominal Pain'' a, mpɛn pii no ɛnyɛ biribiara a ɛsɛ sɛ wohaw wo ho. Nanso, sɛ "kɔkɔbɔ nsɛnkyerɛnne" foforo yi bi pue a, akyinnye biara nni ho sɛ ɛsɛ sɛ wosan kɔ oduruyɛfo nkyɛn ntɛm:

• Sɛ mogya wɔ nsu mu (tuntum anaa kɔkɔɔ).
• Sɛ akisikuru kɔ so bɛboro nna abien a , titiriw sɛ ɛyɛ nsu a.
• Sɛ ɔfe kɔ so bɛboro nna abien , anaasɛ sɛ ɔfe no mu yɛ den a.
• Sɛ mogya wɔ ɔfe no mu (te sɛ kɔfe a wɔayam anaa kɔkɔɔ).
• Sɛ yafunu mu yaw no kɔ so bɛboro dɔnhwerew biako , anaasɛ ɛyaw no reyɛ kɛse a.
• Sɛ wowɔ atiridiinini kɛse (titiriw esiane biribi foforo biara nti).
• Sɛ abofra no akɔnnɔ ahwere aduan na watew aduan a wodi so kɛse anaasɛ ontumi nnidi koraa a.
• Sɛ wote ɛyaw anaasɛ wo ho hyehye wo bere a woretow nsu a .
• Sɛ wowɔ akisikuru na woankɔ tiafi nna pii, na ɛnyɛ dɛ mma abofra no a.
• Sɛ nkwaa no ahonhon na ɛyɛ yaw a.
• Sɛ ɛde ɔhaw ba honam ani a.
• Sɛ abofra no mu duru so retew anaasɛ ɔwɔ ɔhaw bi wɔ ne tenten ho a.

Sɛ wuhu sɛnkyerɛnne bi te sɛ eyi a, nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara, efisɛ ebetumi ayɛ biribi foforo a ɛnyɛ ``Functional Abdominal Pain''.

Ɔkwan bɛn so na yɛn sɛ awofo betumi aboa yɛn ba?

Ɛtɔ mmere bi a mmofra a wɔwɔ Yafunu mu Ɛyaw a Ɛyɛ Dwumadi betumi ate awerɛhow anaa dadwen nka bere a wɔne ɛyaw no tra ase no. Ɛyɛ ade a ɛfata sɛ wodi awerɛhow bere a wɔpa sukuu adwuma na wodi agoru no. Enti, sɛ ɔwofo no, wubetumi afa akwan yi so aboa wo ba:

• Ma wo ba no mfa ne ho nhyɛ da biara da dwumadi ahorow mu: Sɛnea wubetumi biara no, hyɛ wo ba no nkuran ma ɔnyɛ nneɛma sɛnea ɔtaa yɛ, te sɛ nea ɔde no bɛkɔ sukuu, agumadi ne nneɛma a ɔde gye n’ani, ne bere a ɔne ne nnamfo ne n’abusuafo benya. Biribiara a wɔde si hɔ na wɔde sie fie esiane ɛyaw nti no bɛma abofra no asusuw ho kɛse.
• Ma abofra no awerɛhyem sɛ: "Honam fam ade a anibere wom biara nni hɔ a ɛde ɛyaw yi ba. Eyi yɛ biribi a ɛto mmofra pii. Ɛrenkyɛ na ayɛ yiye." Ma abofra no awerɛhyem na ma wɔn ahotoso.
• Nka wo ba no yaw ho asɛm bere nyinaa: Yiw, tie wo ba bere a ɔreka ne yaw ho asɛm no, na kyekye ne werɛ. Nanso mmisa nsɛm te sɛ, "So wo yafunu yɛ wo yaw? Wote nka dɛn mprempren?" da mũ nyinaa. Mmom, fa w’adwene si nea wɔka, wɔn talente, ne wɔn dwumadi ahorow so. Mmofra betumi ate awerɛhow ne yaw kɛse mpo bere a wohu sɛ wɔn awofo haw wɔn ho dodo no.
• Susuw w’adwene mu akwahosan nso ho: Sɛ wote nka sɛ wo ba no tebea ho adwennwen anaasɛ wo ho yeraw wo a, wo ne ɔfotufo bi nkasa na woanya mmoa bi. Ɛnyɛ biribiara a ɛsɛ sɛ yɛfɛre. Sɛ wo ho atɔ wo nkutoo a, wubetumi aboa wo ba.
• Susuw afotu a wode bɛma wo ba ho: Susuw ho sɛ wobɛma wo ba no mmoa afi mmofra fotufo bi hɔ na waboa no ma wadi ne nkate so, asua sɛnea wobedi ɛyaw ho dwuma, na wasua akwan a ɔbɛfa so agye n’ahome.

Enti, dɛn ne ade a ɛho hia sen biara a ɛsɛ sɛ yɛde fi asɛm yi mu kɔ fie? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, enti seesei woanya nteaseɛ pa wɔ deɛ yɛaka ho asɛm (Functional Abdominal Pain) no ho. Nea etwa to no, ma nsɛntitiriw yi ntra w’adwenem:

• Sɛ yɛbɛka no tiawa a, ``Functional Abdominal Pain'' yɛ yafunu mu yaw a ɛba mmofra so na wontumi mfa nhwehwɛmu so nhu sɛ ɛwɔ honam fam ade a ɛda adi pefee, nanso abofra no te nka ankasa.
• Mpɛn pii no, eyi nyɛ yare a emu yɛ den na asiane wom ho sɛnkyerɛnne. Sɛ wo ba no nyin yiye, ne mu duru so ntew, na oduruyɛfo ahwɛ no na wakyerɛ sɛ ɔhaw foforo biara a emu yɛ den biara nni hɔ a, mma ɛnhaw wo a ɛho nhia.
• Adwene mu nneɛma te sɛ adwennwen, dadwen, ne ɔhaw ahorow a ɛwɔ sukuu mu betumi aka ɛyaw yi tẽẽ. Enti, ɛho hia paa sɛ wohwɛ wo ba no adwene mu akwahosan so bere nyinaa na wo ne no kasa.
• Nsakrae nketenkete a wobɛyɛ wɔ w’aduan mu, nnuru a oduruyɛfo akyerɛw ama wo sɛ ɛho hia a wode bedi dwuma, ne titiriw no akwan a wɔfa so gye w’ahome ne afotu a wode bɛma no yɛ tebea yi ho ayaresa pa.
• Sɛ wo ba nya sɛnkyerɛnne foforo a emu yɛ den ("kɔkɔbɔ nsɛnkyerɛnne" a yɛadi kan aka ho asɛm) a na onni kan no nkutoo a, na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn a ɛnkyɛ.
• Sɛ́ awofo no, ade a eye sen biara a mubetumi ayɛ ne sɛ mubenya abotare, ate ase, na mofi ɔdɔ mu aboa mo ba wɔ saa akwantu yi mu. Mmoa a wode bɛma wo no bɛyɛ ahoɔden kɛse ama wo ba!