Sɛ wo duruyɛfoɔ ka kyerɛ wo sɛ wowɔ mmerɛbo mu yareɛ bi a wɔfrɛ no PBC, anaa `Primary Biliary Cholangitis` a, ebia wobɛte ehu ne dadwen kɛseɛ nka. "Dɛn na ɛbɛto me mmerɛbo? So ɛsɛ sɛ wɔyɛ me mmerɛbo foforo?" Ebia woresusuw ho. Nanso mma ɛnhaw wo. Nokwarem no, ɛnyɛ obiara a ɔwɔ PBC na ohia mmerɛbo foforo. Wɔ asɛm yi mu no, yɛbɛka bere a ɛho hia sɛ wɔde mmerɛbo foforo ma, nea enti a ɛte saa, ne sɛnea wo duruyɛfo si gyinae yi ho asɛm.
Nea edi kan no, ma yɛnhwɛ nea enti a ɛnyɛ PBC ɔyarefo biara na ohia mmerɛbo foforo.
Sɛ yɛbɛka no tiawa a, PBC yɛ yare a ɛkɔ so brɛoo paa . Titiriw sɛ wokyere no ntɛm na wudi wo duruyɛfo akwankyerɛ akyi a, ebetumi agye mfe 15 kosi 20 ansa na yare no akɔ so akodu baabi a emu yɛ den. Nnipa pii betumi de nnuru a ɛfata adi wɔn yare no ho sɛnkyerɛnne ahorow ho dwuma na wɔatra ase sɛnea ɛsɛ mfe pii a wonnya ɔhaw kɛse biara.
Ɛno kyerɛ sɛ biribiara nni hɔ a enti ɛsɛ sɛ wusuro sɛ wɔbɛma wo mmerɛbo foforo esiane sɛ wowɔ PBC nti. Ɛho hia ma nnipa kakraa bi a wɔwɔ yare a emu yɛ den yiye a enni sabea nkutoo.
Fa no sɛ, sɛ wohu sɛ wowɔ yare no akyiri kakra, anaasɛ wowɔ yare no bi a ano yɛ den a ɛtrɛw ntɛmntɛm a, ɛno na ɛsɛ sɛ wususuw mmerɛbo a wɔde bɛma wo ho.
Enti, bere bɛn na ɛsɛ sɛ wususuw mmerɛbo a wɔde bɛma obi foforo ho?
Wo duruyɛfo ne nnuruyɛfo kuw no bɛhwɛ nneɛma pii de asi gyinae sɛ ebia ɛsɛ sɛ wɔde mmerɛbo foforo ma anaa. Eyi nyɛ gyinaesi a wosisi pɛnkoro. Wɔbɛkɔ so ahwɛ wo tebea no so na wɔaba awiei.
Ma yɛnhwɛ nea saa ntease atitiriw no wɔ wɔ pon a ɛwɔ ase ha no so.
| Nea enti a wɔde wɔn kɔ baabi foforo sɛ wɔmfa mmerɛbo foforo mma | Dɛn na eyi kyerɛ? |
|---|---|
| Ayaresa a entumi nyɛ adwuma yiye | Sɛ wontumi mfa nnuru a wɔde ma wo, sɛ nhwɛso no , Ursodeoxycholic acid (UDCA) ne Obeticholic acid (OCA) , nni yare no ano a, na wo mmerɛbo no sɛe kɔ so. |
| Mmerɛbo a Ɛnyɛ Den | Sɛ mmerɛbo no mu akuru kɛse (wɔfrɛ eyi cirrhosis ) na mmerɛbo no ntumi nyɛ n’adwuma atitiriw te sɛ mogya no ho tew ne protein a nipadua no hia a, . |
| Nsɛnnennen afoforo a anibere wom a ɛba | Sɛ PBC de akwahosan ho haw afoforo a emu yɛ den a ɛde nkwa to asiane mu ba, te sɛ mogya a ɛretu wɔ wo aduan mu (GI tract) anaa mmerɛbo mu kokoram a, ebia ebehia sɛ wususuw ho sɛ wobɛma wo nipadua foforo. |
| Nsɛnkyerɛnne a wontumi nnyina ano | Ɛtɔ mmere bi a, sɛ mmerɛbo no ntumi nyɛ adwuma mpo a, sɛ wontumi mfa nnuru nni sɛnkyerɛnne ahorow te sɛ ɛyaw a wontumi nnyina ano anaa ɔbrɛ a ɛtra so a, wobetumi akamfo akyerɛ sɛ wɔmfa mmerɛbo no nsi ananmu na ama asetra atu mpɔn. |
Nsɛnkyerɛnne a oduruyɛfo no de n’adwene si so kɛse
Nneɛma atitiriw yi akyi no, wo duruyɛfo no bɛhwehwɛ nneɛma afoforo. Nhwɛsoɔ:
- So w’ani ne w’ani reyɛ kɔkɔɔ (jaundice)?
- So nsu hyɛ yafunu no ma (ascites)?
- So worefe mogya?
- So nkae ne nhumu a ɛyɛ mmerɛw (Hepatic encephalopathy)?
Saa sɛnkyerɛnne ahorow yi kyerɛ sɛ ɛyɛ den ma mmerɛbo no sɛ ɛbɛyɛ n’adwuma yiye. Wɔ mmere a ɛtete saa mu no, sɛ wo yare no ho sɛnkyerɛnne no mu nyɛ den mpo a, ebia wo duruyɛfo besi gyinae sɛ ɔde wo bɛkɔ akɔyɛ mmerɛbo foforo.
Ɔkwan bɛn so na ɔkwan a wɔfa so de obi kɔ baabi foforo sɛ wɔmfa mmerɛbo foforo mma no ba?
Wo oduruyɛfo a ɔhwɛ wo so nyinaa de wo bɛkɔ hepatologist , oduruyɛfo a ne ho akokwaw wɔ mmerɛbo ne akisikuru mu nyarewa ho. Sɛ ɔhwehwɛ wo tebea no mu yiye na ohu sɛ ɛho hia sɛ wɔma wo mmerɛbo foforo a, wɔde wo bɛkɔ ayaresabea titiriw bi a wɔyɛ mmerɛbo foforo oprehyɛn.
Eyi yɛ adeyɛ a ɛware kakra.
1. Kuw a wɔyɛ nnuruyɛfo atitiriw no a wobehyia: Kuw kɛse bi a nnuruyɛfo a wɔyɛ oprehyɛn, mmerɛbo ho abenfo, ayarehwɛfo, ne asetra mu nsɛm ho adwumayɛfo ka ho bɛhwehwɛ wo mu.
2. Nhwehwɛmu: Wɔyɛ nneɛma pii te sɛ mogya mu nhwehwɛmu ne scan de hwɛ sɛ wo nipadua betumi agyina oprehyɛn kɛse a ɛte saa ano anaa.
3. Wɔde wo bɛto wɔn a wɔretwɛn no mu: Sɛ biribiara fata a, wɔde wo bɛto ɔman no mu nnipa a wɔtwɛn no mu sɛ wobɛtwɛn mmerɛbo.
Ebetumi agye asram pii, ɛtɔ mmere bi a ɛkyɛn saa ansa na obi anya mmerɛbo. Wonya mmerɛbo fi obi a wawu a ɔde ma, anaasɛ obi a ɔte ase, te sɛ abusua muni bi, a ɔde wɔn mmerɛbo no fã bi ma.
Nea ɛho hia ne sɛ esiane sɛ wo duruyɛfo de wo akɔma sɛ wɔmfa wo nipadua foforo mma nti, ɛnkyerɛ sɛ ɔkyena wɔbɛyɛ wo oprehyɛn no. Ɛkyerɛ kɛkɛ sɛ woatu anammɔn a edi kan a wode besiesie wo ho ama no daakye, sɛ ɛho hia a.
Dɛn na ɛsɛ sɛ meyɛ?
Ade a ɛho hia paa sɛ woyɛ ne sɛ woremmɔ hu na wo ne wo duruyɛfo no bɛkɔ so adi nkitaho bere nyinaa.
- Kɔ ayaresabea ahorow wɔ bere ano: Ntwa ayaresabea biara. Ɛho hia sɛ wohwɛ wo tebea no so.
- Fa w’aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ: Nom w’aduru no bere a ɛfata ne dodow a ɛfata.
- Asetra a ahoɔden wom: Gyae nsa nom koraa. Di aduan a ɛkari pɛ. Kɔ wo duruyɛfo nkyɛn kɔhwehwɛ afotu foforo wɔ eyi ho.
- Bisa nsɛm: Wo ne wo duruyɛfo nkasa mfa wo suro, w’adwenem naayɛ, ne nneɛma a ɛhaw wo ho pefee. Nsuro sɛ wubebisa nsɛm te sɛ, "Oduruyɛfo, m'amanneɛbɔ ahorow te dɛn? So ɛsɛ sɛ misusuw ho sɛ mɛma obi foforo akɔ nipadua foforo mu?"
PBC a wobɛtra ase no betumi ayɛ den, nanso kae sɛ, ɛdenam nnɛyi ayaresa a ɛkɔ akyiri so no, nnipa pii betumi adi tebea no ho dwuma yiye na wɔabɔ bra pa.
Nkrasɛm a Wɔde Kɔ Fie
- Ɛnyɛ obiara a ɔwɔ PBC na obehia mmerɛbo foforo. Mpɛn pii no, eyi yɛ yare a ɛkɔ so yɛ den yiye.
- Ɛsɛ sɛ wosusuw mmerɛbo a wɔde bɛma obi foforo ho bere a ayaresa no antumi anyɛ yiye, sɛ mmerɛbo no ntumi nyɛ oprehyɛn koraa (mmerɛbo a entumi nyɛ adwuma yiye), anaasɛ sɛ ɔhaw afoforo a emu yɛ den ba a.
- Wo duruyɛfo titiriw na osi gyinae a etwa to wɔ sɛ ebia wubehia sɛ wɔde wo nipadua foforo ma anaasɛ ɛnte saa ho, na egyina wo mogya mu nhwehwɛmu, wo yare no ho sɛnkyerɛnne, ne w’akwahosan nyinaa so.
- Ade a eye sen biara a wubetumi ayɛ ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi, anom wo nnuru sɛnea wɔakyerɛw ama wo no, na woakɔ ayaresabea ahorow.
- Wo ne wo duruyɛfo nka nsɛmmisa anaa dadwen biara a wowɔ wɔ wo tebea no ho ho nkɔmmɔ pefee.
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