So wo ba ketewa no su bere nyinaa sɛ, "Maame, me yafunu yɛ me yaw"? So ɛnyɛ adidi a ɛfata? So mu duru a ɔbɛma ayɛ kɛse no nyɛ sɛnea wɔhwɛ kwan wɔ ne mfe ho? Sɛ́ ɔwofo no, ɛbɛyɛ sɛ nneɛma a ɛte sɛɛ ho asɛm haw wo paa. Mpɛn pii no, ɔhaw bi wɔ abofra no aduan mu ntini a ɛwɔ ɔhaw ahorow yi akyi. Enti ɛnnɛ yɛrebɛka oduruyɛfo titiriw bi a obetumi aboa wo ne wo ba wɔ bere a ɛte sɛɛ mu ho asɛm. Ɛno yɛ mmofra yafunu ne akyi berɛmo ho oduruyɛfo.
Hena ne Mmofra Yafunu Ho Ɔbenfo yi?
Sɛ yɛbɛka no tiawa a, eyi yɛ oduruyɛfo a ɔwɔ nimdeɛ ne ntetee soronko wɔ nyarewa a ɛfa yɛn mma aduan mu, efi mmofra a wɔawo wɔn foforo so kosi mmofra nkumaa so.
Sɛ yɛka aduan mu nneɛma ho asɛm a, ɛfa akwaa pii ho. Susuw ho hwɛ, efi bere a aduan a yedi no fi yɛn anom, kosi bere a wɔyam ne bere a woyi fi yɛn nipadua mu no, nneɛma pii ka saa adeyɛ yi ho. Saa nnuruyɛfo atitiriw yi wɔ nhyehyɛe yi fã biara ho nimdeɛ a emu dɔ wɔ mmofra mu.
Ɛno kyerɛ sɛ:
- Ano, aduannuru, yafunu, dwensɔtwaa ketewa, ne dwensɔtwaa kɛse (eyi ne nea yɛtaa frɛ no yafunu mu nhyehyɛe - `Yafunu mu` anaa `GI kwan`).
- Dwensɔtwaa, mmerɛbo, akisikuru, ne ntini a ɛma mogya tu.
Ɛtɔ da bi a, nneɛma te sɛ yafunu a ɛyɛ yaw wɔ mmofra mu no betumi ayɛ nketenkete na ayɛ yiye wɔ nna kakraa bi mu. Nanso ayaresa tebea horow bi betumi ayɛ nea emu yɛ den kɛse. Ebi betumi ayɛ nkwa nna nyinaa. Nanso ɛho hia sɛ yɛkae sɛ sɛ wɔsa abofra no yare yiye na wɔne nnuruyɛfo kuw yi yɛ adwuma a, obetumi adi saa tebea horow no so na wakɔ so ayɛ wɔn da biara da asetra sɛnea ɛsɛ na watra ase pa .
Dɛn ankasa na saa animdefo yi yɛ?
Saa nnuruyɛfo yi te sɛ yafunu mu yafunu ho animdefo a wɔsa mpanyimfo yare ara pɛ. Nsonsonoe a ɛwɔ mu ne sɛ wɔde saa nnwuma yi ma nkokoaa, mmofra a wɔretu mmirika, ne mmofra nkumaa. Enti, wɔwɔ ntease pa wɔ mmofra nipadua, wɔn adwene, ne ɔkwan titiriw a ɛsɛ sɛ wɔfa so di wɔn ho dwuma no ho.
Ebia wɔn da biara da nnwuma bi ne nneɛma te sɛ:
- Yɛbɛkasa akyerɛ wo ne wo ba na yɛabisa wo ba no sɛnkyerɛnne ne nyarewa biara a ebia w’abusua wɔ ho asɛm kɔ akyiri.
- Wɔde wo kɔ mfoninitwa nhwehwɛmu ahorow mu na ama woahu nea yare no yɛ ankasa.
- Wɔde ayaresa a ɛho hia ma de di tebea no ho dwuma.
- Daakye, nnuruyɛfo bɛkyerɛkyerɛ afoforo na wɔatete wɔn wɔ asɛm yi ho.
Nea ɛho hia paa ne sɛ, ɛnyɛ abofra no nipadua nko na nnuruyɛfo yi bɔ mmɔden sɛ wɔbɛma awerɛkyekye, na mmom w’adwene nso sɛ ɔwofo. Sɛ yɛte sɛ abofra bi yare a, ehu ka yɛn dɛn? Enti wɔte biribiara ase na wɔyɛ adwuma denam wo nso a wɔkyerɛkyerɛ so.
Sɔhwɛ titiriw te sɛ endoscopy
Nhwehwɛmu ne ayaresa titiriw pii wɔ hɔ a saa animdefo yi betumi ayɛ. Eyinom mu biako a ɛho hia sen biara ne nhwehwɛmu a wɔfrɛ no endoscopy .
Ebia sɛ wote saa din yi a, ehu ka wo kakra. Nanso eyi yɛ sɔhwɛ a ahobammɔ wom yiye a wɔyɛ wɔ aduru a wɔde kum nipadua no mu sɛnea ɛbɛyɛ a abofra no rente ɛyaw biara. Nea ɛba ne sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw (endoscope) a mfoninitwa afiri ketewaa bi abata ho no kɔ abofra no nipadua mu na wɔhwɛ aduan a wɔyam no mu wɔ screen so. Beae a wɔde saa afiri yi bɛhyɛ mu no gu ahorow a egyina sɛnkyerɛnne ahorow no so.
| Endoscopy no su | Nipadua akwaa ahorow a wɔrehwehwɛ mu |
|---|---|
| Endoscopy a ɛwɔ soro | Wɔde afiri no fa ano no mu na wɔhwehwɛ aduannuru, yafunu, ne dwensɔtwaa ketewa no mfiase. |
| Colonoscopy a wɔde hwɛ nipadua no mu | Wɔde afiri no fa akyi berɛmo no mu na wɔhwehwɛ akyi berɛmo no nyinaa mu. |
| Capsule endoscopy a wɔde hwɛ nipadua no mu | Nea ɛka eyi ho ne sɛ wobɛmene aduru ketewaa bi a mfoninitwa afiri wɔ mu. Ɛtwa mfonini bere a ɛnam dwensɔtwaa mu na ɛde kɔma yɛn no. Eyi ma yetumi hwehwɛ dwensɔtwaa ketewa no mu kɔ akyiri. |
Saa endoscopic nhwehwɛmu ahorow yi boa kɛse wɔ nyarewa a wohu no pɛpɛɛpɛ mu. Afei nso, sɛ ɛho hia a, wobetumi afa ntini ketewaa bi (biopsy) bere a wɔreyɛ nhwehwɛmu no na wɔde amena ma wɔakɔyɛ nhwehwɛmu foforo. Ɛtɔ da bi a, wobetumi de saa kwan yi nso adi dwuma de ayɛ ayaresa.
Nea ɛka ho no, saa nnuruyɛfo atitiriw yi:
- Sɛ wosusuw sɛ mmerɛbo mu yare a, wɔfa mmerɛbo no fã ketewaa bi na wɔhwehwɛ mu (liver biopsy).
- Sɛ abofra no ntumi nnidi yiye a, wobetumi de afiri a wɔde ma aduan ahyɛ mu na ama wanya aduannuru a ɛho hia.
- Wɔyɛ nhwehwɛmu titiriw (Motility testing) de hwɛ sɛ ebia ɔhaw bi wɔ ɔkwan a ntini ne ntini a ɛwɔ aduan mu no yɛ adwuma no mu anaa.
Wubetumi nso ayɛ nneɛma te sɛ.
Dɛn nti na wɔde abofra bɛkɔ oduruyɛfo titiriw bi nkyɛn te sɛ eyi?
Mpɛn pii no, ade titiriw nti a w’abusua mmofra oduruyɛfo de wo ba kɔ oduruyɛfo titiriw nkyɛn ne sɛ wo ba no nwiinwii sɛ ne yafunu taa yɛ no yaw. Wɔsan frɛ eyi sɛ ``Functional abdominal pain''. Yafunu mu yaw a ɛkɔ so yi betumi asiw wo ba no sukuu dwumadi ne agodie kwan. Esiane sɛ nneɛma pii betumi de aba nti, saa animdefo yi betumi aboa wo ma woahu nea ɛde ba ankasa.
Sɛ ɛno da nkyɛn a, nnuruyɛfo yi boa ma wohu ayaresa mu tebea afoforo ahorow na wɔsa. Ma yɛnhwɛ nea ɛtaa ba no bi.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Celiac yare a ɛma obi nya yare | Nipadua no ho nyɛ no den wɔ protein bi a wɔfrɛ no gluten a ɛwɔ nneɛma te sɛ awi esiam mu no ho. |
| Yare a ɛma yafunu mu nsu a ɛsan kɔ nipadua no mu (GERD) . | Yafunu mu acid ba soro wɔ aduan no mu. Eyi betumi ama nneɛma te sɛ komayare ne nufusu a wɔfe. |
| Yare a ɛma obi ho hyehye no (IBD) . | Eyi ma ɔfe ba dwensɔtwaa no mu. Crohn yare ne ulcerative colitis yɛ yare yi ahorow abien. |
| Aduan ho akisikuru anaasɛ aduan a wontumi nnye ntom | Nnuan bi a wontumi nnyina ano. Sɛ nhwɛso no, sɛnea wontumi nwe lactose a ɛwɔ nufusu mu no. |
| Onyin a ɛreyɛ ayɛ basaa | Abofra no mu duru ne ne tenten nkɔ soro sɛnea ne mfe te. |
| GI mogya a ɛretu | Mogya a efi baabi wɔ aduan mu. Mogya a wɔfe anaa mogya a wɔde fa nsu mu. |
| Ɔyare a ɛma obi ho yɛ hyew (IBS) . | Nsɛnkyerɛnne a ɛsakra te sɛ yafunu mu yaw, akisikuru, akisikuru, anaa akisikuru. |
Mmoa a wo ne wo ba no benya afi oduruyɛfo yi hɔ
Wubetumi asusuw saa nnuruyɛfo atitiriw yi ho sɛ mmofra nnuruyɛfo a wɔwɔ ‘tumi soronko’. Wɔn ho akokwaw yiye wɔ mmofra kasa mu, wɔma wɔn ho tɔ wɔn, te sɛ mmofra nnuruyɛfo a wɔyɛ daa no ara pɛ. Wɔn ‘tumi titiriw’ ne sɛ wobetumi ahu aduan mu haw biara a emu yɛ den na wɔasa.
Nea ɛho hia sen biara ne sɛ saa nnuruyɛfo yi wɔ hɔ ma wo. Sɛ́ awofo no, sɛ yɛte sɛ yɛn ba no yare a, ehu ka yɛn na yɛhaw kɛse. Yɛrentumi nsusuw nea ɛbɛba akyi no ho. Nnuruyɛfo yi de nsɛm a ɛnyɛ den bɛkyerɛkyerɛ nea ɛrekɔ so wɔ wo ba no nipadua mu mu akyerɛ wo. Wɔbɔ mmɔden bere nyinaa sɛ wɔbɛma woahu na wɔama w’adwene ho adwo wo wɔ anammɔn biara a wobɛtu mu.
Nkrasɛm a Wɔde Kɔ Fie
- Mmofra yafunu mu ɔyaresafo yɛ oduruyɛfo a wanya ntetee titiriw wɔ nkokoaa ne mmofra aduan mu nyarewa a wɔsa ho.
- Sɛ wo ba no nwiinwii bere nyinaa sɛ ne yafunu yɛ no yaw, onnidi yiye, anaasɛ ne mu duru nyɛ kɛse a, di kan kɔ w’abusua mmofra oduruyɛfo nkyɛn. Ɔde wo bɛkɔ oduruyɛfo titiriw nkyɛn sɛ ɛho hia a.
- Nsuro nhwehwɛmu te sɛ endoscopy. Wɔyɛ no dwoodwoo koraa, wɔ aduru a wɔde kum nipadua no mu, na ɛyaw biara mma abofra no.
- Ɛnyɛ mmofra nko na saa animdefo yi sa, na mmom wɔkyerɛkyerɛ na wɔde nkate fam mmoa ma wo, ɔwofo no nso. Nsuro da sɛ wubebisa wo nsɛm na woama w’adwene mu nna hɔ.
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