So yɛreka portal hypertension ho asɛm?

So woate saa tebea yi a wɔfrɛ no `(Portal Hypertension)` ho asɛm pɛn? Ebia wubehu sɛ edin no yɛ nwonwa kakra na ɛyɛ den sɛ wobɛte ase. Nanso eyi yɛ tebea a ebetumi aba yɛn mmerɛbo mu, ehia sɛ wɔhwɛ yiye kakra, na ebetumi ayɛ aniberesɛm. Momma yɛnka eyi ho asɛm nnɛ tiawa, wɔ ɔkwan a wubetumi ate ase so, te sɛ nea obi a ɔbɛn wo rekyerɛkyerɛ mu akyerɛ wo, ɛyɛ?

Dɛn ne portal hypertension?

Sɛ yɛbɛka no tiawa a, ``Portal Hypertension`` yɛ bere a mogya mmoroso a ɛwɔ mogya ntini titiriw (`portal vein`) a ɛne wo mmerɛbo no wɔ abusuabɔ ne ntini nketewa nhyehyɛe (`portal venous system`) a efi mu ba no kɔ soro sen sɛnea ɛte daa no. Fa no sɛ ntini kɛse bi wɔ wo yafunu mu a ɛboaboa mogya fĩ fi akwaa ahorow te sɛ wo yafunu, wo dwensɔtwaa, wo dwensɔtwaa, ne wo dwensɔtwaa mu na ɛde ba wo mmerɛbo mu. Ɛno ne nea yɛfrɛ no ``portal vein`` anaasɛ portal vein. Nhyehyɛe a ntini nketewa pii a ɛka ntini titiriw yi na ɛyɛ no, wɔfrɛ no ``portal venous system`` anaa portal venous system.

Yɛn mmerɛbo yɛ akwaa a ɛho hia paa. Ɛyɛ mmerɛbo no na ɛtew mogya a wɔaboaboa ano no ho, yiyi aduannuru a ɛho hia no mu, na ɛsan de kɔ koma no mu ma ɛkyekyɛ kɔ nipadua no nyinaa mu.

Afei, sɛ biribi nti mogya a ɛkɔ mmerɛbo no mu a ɛfa `(portal vein)` yi mu no siw, anaasɛ saa akwantu no yɛ brɛoo a, nhyɛso a ɛwɔ saa ntini nhyehyɛe no nyinaa mu no kɔ soro nkakrankakra. Te sɛ bere a wɔasiw nsu paipu bi wɔ mfinimfini no, nsu a ɛwɔ paipu no mu no nhyɛso kɔ soro. Ɛno ne nea yɛfrɛ no `(Portal Hypertension)` bere a nhyɛso no kɔ soro no.

Afei yɛn nipadua bɔ mmɔden sɛ ebegyina nhyɛso a ɛkɔ soro yi ano. Enti, efi ase de mogya kɔ ntini afoforo a mpɛn pii no ɛyɛ nketewa mu, baabi a mogya kakraa bi na ɛsen, te sɛ nea ɛretwa ɔkwan kɛse a wɔasiw no ho. Nanso sɛ saa mogya a ɛboro so no kɔ mu a, saa ntini nketenkete no ntumi nni ho dwuma na ɛntrɛw, ɛyɛ akɛse, na wɔn afasu betumi ayɛ mmerɛw kɛse. Ɛtɔ da bi a, saa ntini a ayɛ mmerɛw yi tumi `tu` nsuo kɔ yafunu no mu, anaasɛ ntini no tumi pae na mogya tu mpofirim. Eyi ne ade a asiane wom sen biara.

Hena na ɛda adi sɛ obenya ``Portal Hypertension''?

Wɔ Atɔe Fam aman mu no, nea ɛde tebea yi ba titiriw ne yare bi a wɔfrɛ no mmerɛbo mu yare. Cirrhosis yɛ tebea a bere kɔ so no, mmerɛbo no sɛe, na wɔde akuru (ntini a ɛyɛ den na ɛyɛ nhama) si mmerɛbo mu nkwammoaa a ɛte apɔw ananmu. Saa akuru yi siw mogya a ɛfa mmerɛbo no mu fa portal vein no mu no kwan kɛse. Ɛte sɛ ɔbo a esiw kwan.

Wɔ wiase mmeae afoforo, sɛ nhwɛso no, wɔ Afrika ne Asia aman bi mu no, ɛtaa ba nso esiane ɔyare mmoawa bi a wɔfrɛ no ``schistosomiasis.`` Saa ɔyare mmoawa yi sɛe mogya ntini a ɛwɔ mmerɛbo no mu. Sɛnea Wiase Nyinaa Akwahosan Ahyehyɛde kyerɛ no, nnipa bɛboro ɔpepem 230 na wɔwɔ saa yare yi wɔ wiase nyinaa.

Tebea yi yɛ aniberesɛm dɛn?

Ɛtɔ da bi a nsɛnnennen a `(Portal Hypertension)` de ba no betumi de nkwa ato asiane mu., titiriw mogya a ɛba nipadua no mu. Ɛnyɛ obiara na onya saa nsɛnnennen yi, nanso asiane no kɔ soro bere a nhyɛso a ɛwɔ ntini no mu no kɔ soro no. Dodow a nhyɛso no kɔ soro no, dodow no ara na ɛda adi sɛ ntini no bɛyɛ kɛse, ayɛ mmerɛw, na apaapae.

Nokwarem no, mogya mmoroso a ɛwɔ apon ano ne ne nsɛnnennen no ne ade titiriw a ɛma nnipa a wɔwɔ mmerɛbo mu yare no kɔ ayaresabea na wɔ tebea horow bi mu no, wowuwu.

Dɛn ne `(Portal Hypertension)` ho sɛnkyerɛnne atitiriw 5?

Ɔhaw biako a ɛwɔ eyi ho ne sɛ, wɔ nsɛm pii mu no, ebia abɔnten so sɛnkyerɛnne biara nni hɔ kosi sɛ nsɛnnennen bɛsɔre. Susuw ho sɛ nnipa a wɔwɔ cirrhosis no mu bɛyɛ 90% wɔ portal hypertension a ɛkɔ so wɔ wɔn nipadua mu ansa na wɔada sɛnkyerɛnne ahorow adi. Afei nso, ebia bɛyɛ 40% wɔ ntini a ayɛ kɛse dedaw a wɔfrɛ no varices, a wɔmfa kɔkɔbɔ biara mma.

Mpɛn pii no, sɛnkyerɛnne ahorow a edi kan a ɛda adi no fa ntini foforo a ayɛ kɛse, ɛretu, na mogya retu no ho. Wɔne:

• Mogya a wɔfe (ebia kɔla a ɛte sɛ kɔfe a wɔayam mpo).
• Mogya a ɛwɔ nsu mu (ɛtaa yɛ tuntum tuntum, tarry, anaa ɛtɔ mmere bi a ɛyɛ kɔkɔɔ).
• Yafunu no yɛ kɛse mpofirim na ɛte sɛ nea ayɛ ma, ne mu duru a ɛkɔ soro ntɛmntɛm. (Eyi fi yafunu a nsu ahyɛ mu ma).
• Nan a ɛho ahonhon, titiriw nansoaa (edema) .
• Sɛ wote nka sɛ w’adwene atu afra kakra, w’adwene mu yɛ wo naa, ɛtɔ mmere bi a wo werɛ fi onii ko a woyɛ ne baabi a wowɔ (adwene mu basabasayɛ) .

Dɛn ne nsɛnnennen a ebetumi aba wɔ `(Portal Hypertension)` mu?

Saa tebea yi betumi de nsɛnnennen ahorow aba. Momma yɛnhwɛ wɔn mmiako mmiako:

• ``Ascites``: `` Ascites`` yɛ nsuo a ɛte sɛ nsuo a ɛboaboa ano wɔ yafunu mu firi ntini a ayɛ kɛseɛ na ayɛ mmerɛ mu, a ɛtu kɔ yafunu mu (``peritoneal cavity``). Eyi betumi ama yafunu no ahonhon na ate nka sɛ ahuru, na ebetumi ama wahwere aduan ho akɔnnɔ na ayɛ den sɛ ɔbɛyam. Wɔ tebea horow bi a emu yɛ den mu no, saa nsu yi nso tumi kɔ soro kodu moma so, na ɛma ɛyɛ den sɛ wɔbɛhome. Ɛsan nso ma asiane a ɛwɔ hɔ sɛ obi benya ɔyare mmoawa wɔ yafunu no mu (``peritonitis``) no yɛ kɛse.

• Mogya a ɛba yafunu mu: Ntini a ayɛ kɛse wɔ aduan mu (oesophagus, yafunu, dwensɔtwaa) (varices) no betumi apae na mogya atu. Eyinom mu nea abu so sen biara ne aduan mu ntini a ɛyɛ mmerɛw . Eyinom ne ntini a ɛbɛn honam ani paa na ɛwɔ afasu a ɛyɛ tratraa paa, enti ebetumi apae ntɛm. Ntini a ɛwɔ yafunu no afasu mu nso betumi ahuru (wɔfrɛ eyi portal hypertensive gastropathy) na sɛ emu yɛ den a, mogya betumi atu. Sɛ mogya tu yi kɔ so , mogya a ɛtɔ kɔ nipadua no mu , anaa mogya a enni nipadua no mu betumi aba.

• `Hypersplenism a ɛma obi yɛ ade tra so`: .Sɛ mogya a ɛsen fa akisikuru no mu no so tew a, ahurututu no hohoro a mogya pii wom na ɛma mogya ntini foforo nyin ma mogya a ɛboro so yi fa mu. Akisikuru a ayɛ kɛse no yɛ adwuma boro so na efi ase yi nkwammoaa a ɛho hia kɛse fi nipadua no mogya mu (sɛ nhwɛso no, mogya nkwammoaa , a ɛboa ma mogya tu, ne mogya mu nkwammoaa fitaa , a ɛho hia ma nipadua no mu tumi a ɛko tia nyarewa). Eyi betumi ama mogya a ɛbɛtɔ no so atew (ɛyɛ mmerɛw sɛ mogya bɛtu), na nipadua no mu tumi a ɛko tia nyarewa no ayɛ mmerɛw (ɛyɛ mmerɛw sɛ ɔbɛyare).

• Mogya mu oxygen a ɛba fam: Wɔ nnipa binom mu no, saa ``Portal Hypertension`` yi ma mogya ntini a ɛwɔ ahurututu mu no trɛw sɛnea ɛnteɛ. Afei ahurututu no ntumi mfa mframa pa nkɔ mogya no mu yiye. Nea efi mu ba ne mogya mu oxygen dodow a ɛba fam ``(hypoxemia)`` . Wɔsan frɛ saa tebea pɔtee yi ``(hepatopulmonary syndrome)`` .

• Asaabo a entumi nyɛ adwuma yiye: Mogya ntini a atrɛw a ɛnam portal hypertension so de ba no betumi atew mogya ntini a ɛwɔ nipadua no mmeae afoforo (titiriw nea ɛde mogya kɔ asaabo no mu) no mu. Sɛ eyi ba asaabo no mu a, mogya a ɛkɔ asaabo no mu no so tew, na ɛma asaabo no ntumi nyɛ adwuma yiye . Eyi yɛ ɔhaw a ɛntaa nsi nanso emu yɛ den yiye, a wɔsan frɛ no hepatorenal syndrome .

• Adwene mu yare a ɛnyɛ den: Bere a yɛn nipadua bɔ mmɔden sɛ ɛbɛsakra ne ho akɔ portal hypertension no, ɛma mogya ntini foforo (shunts) a ɛtwa mmerɛbo no ho hyia. Nanso sɛ mogya twa mmerɛbo no ho na ɛkɔ mogya no mu tẽẽ a, wɔmfa awuduru a ɛsɛ sɛ mmerɛbo no tew fi mu no. Afei awuduru yi boaboa ano wɔ mogya no mu na ɛka amemene no dwumadi nkakrankakra. Ebia wubenya bere tiaa mu sɛnkyerɛnne ahorow te sɛ adwene a ɛyɛ basaa, kasa a ɛyɛ mmerɛw, ne adwene a ɛyera. Wɔfrɛ eyi sɛ mmerɛbo mu amemene mu yare .

Dɛn ne nneɛma atitiriw a ɛde Portal Hypertension ba?

Sɛnea yɛadi kan aka ho asɛm kakra no, ntease atitiriw kakraa bi wɔ hɔ:

• mmerɛbo mu yare: Eyi ne nea ɛtaa de ba. Mpɛn pii no, mmerɛbo mu yare a ɛtra hɔ kyɛ no fã a etwa to. Mpɛn pii no, mmoawa a wɔde nyarewa ba te sɛ ɔyare mmoawa a ɛma obi nya mmerɛbo mu yare C, mmerɛbo mu yare a nsa de ba , ne mmerɛbo mu yare a srade wom a ɛnyɛ nsa . Saa akuru yi siw mogya a ɛnam mmerɛbo no mu no kwan.

• `Granulomas a ɛwɔ mmerɛbo mu`:Granulomas yɛ nkwammoaa a ɛyɛ hyew a wɔaboaboa ano a ɛba bere a nyarewa ahorow (e.g., schistosomiasis) ne nyarewa a ɛma ɔhyew ba. Wɔte sɛ akisikuru nketewa na wotumi siw portal venous system no kwan. Mpɛn pii no, wɔyɛ nneɛma a edi mmerɛbo mu ntini a ɛyɛ mmerɛw a ɛba akyiri yi no anim.

• Mogya a ɛtwetwe (Thrombosis): Sɛ mogya a ɛtwetwe (thrombosis) ba baabiara wɔ portal venous system no mu a, ebetumi asiw mogya a ɛkɔ mmerɛbo no mu, fa mmerɛbo no mu, anaasɛ efi mmerɛbo no mu no kwan. Eyi betumi de nneɛma pii aba, a mogya mu nyarewa bi a wonya fi awo mu ka ho.

Wobɛyɛ dɛn ahu sɛ wowɔ `(Portal Hypertension)`?

Sɛ wubehu no yiye sɛ eyi te saa a, ɛsɛ sɛ wususuw nhyɛso a ɛwɔ mmerɛbo no ntini mu no. Nea ɛka eyi ho ne sɛ wɔde afiri ketewaa bi (catheter) bɛhyɛ ntini no mu. Nanso, eyi yɛ sɔhwɛ a emu yɛ den na ɛyɛ den kakra, na ɛnyɛ mmerɛw sɛ wɔbɛyɛ, na ɛnyɛ obiara na ohia.

Nea eye ne sɛ, nnuruyɛfo betumi agyina ayaresabea sɛnkyerɛnne ne sɛnkyerɛnne ahorow so ahu tebea yi (Portal Hypertension). Ɛne sɛ, nea woka ne nea wohu bere a wɔhwehwɛ wo mu no. Scan ne mogya mu nhwehwɛmu betumi asi saa adwenem naayɛ yi so dua.

Nsɛnkyerɛnne bɛn na oduruyɛfo besusuw sɛ ɔwɔ Portal Hypertension?

• Ntini a ayɛ kɛse (varices) (titiriw sɛ wohu bere a wɔreyɛ endoscopy a).
• Akisikuru a ayɛ kɛse (sɛ́ ɛyɛ nea wɔde nsa ka anaasɛ wɔde scan).
• Adanse a ɛkyerɛ sɛ mogya fa aduan mu ntini mu.
• Nsu a ɛwɔ yafunu mu (ascites).
• Nsɛnkyerɛnne a ɛkyerɛ sɛ amemene no dwumadi so atew kakra (sɛnea yɛadi kan aka no, `hepatic encephalopathy` ho sɛnkyerɛnne).
• Sɛ mogya mu nhwehwɛmu kyerɛ sɛ nkwammoaa ahorow bi a ɛwɔ mogya no mu (e.g. mogya nkwammoaa, mogya mu nkwammoaa fitaa) dodow sua a.
• Nsɛnkyerɛnne no bi ne akisikuru a ɛnyɛ den ne mogya a ɛbɛtɔ dodo.

Sɔhwɛ ahorow bɛn na wɔyɛ de si tebea yi so dua?

• Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu betumi ama woahu nneɛma pii afa nea ɛrekɔ so wɔ w’akwaa mu, titiriw wo mmerɛbo ne w’asaabo mu. Nneɛma a ɛma nipadua no yɛ adwuma yiye betumi ahwɛ sɛ ebia ɔhaw biara wɔ w’asaabo ne wo mmerɛbo mu anaa. Mogya dodow a edi mũ (CBC) betumi ahwɛ sɛ ebia akyi berɛmo biara a ɛyɛ adwuma boro so a ɛreyi mogya mu nkwammoaa fitaa anaa mogya mu nkwammoaa kɔkɔɔ pii afi hɔ anaa. Ebetumi nso ahwɛ sɛ ebia mogya mu nyarewa ahorow bi a ebetumi ama mogya mmoroso wɔ apon ano, anaasɛ mogya a ɛtɔ kɔ nipadua mu a mogya a ɛtɔ kɔ nipadua no mu de ba no nso.

• Mfoniniyɛ mu nhwehwɛmu: Ultrasound scan ne CT scan betumi aboa ma wɔahu sɛ ebia cirrhosis wɔ hɔ, ascites wɔ hɔ, akwaa te sɛ akyi berɛmo no ayɛ kɛse, portal venous system no ayɛ kɛse, na ntini foforo ayɛ. Doppler ultrasound ho wɔ mfaso titiriw.Obi betumi atwa mogya a ɛsen fa ntini no mu ho mfonini. Etumi hu pefee sɛ mogya no mu asiw, ne sɛ ebia ntini no trɛw anaasɛ ɛyɛ teateaa wɔ ɔkwan a ɛnteɛ so.

• Endoscopy: Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ mogya retu wo wɔ wo aduan mu (mogya a ɛwɔ wo fe mu, mogya a ɛwɔ wo nsu mu) a, ɛda adi sɛ ɛho behia sɛ wo duruyɛfo yɛ endoscopy. Ɔsoro endoscopy hwehwɛ sɛ wode afiri tenten a ɛyɛ tratraa (endoscope) a mfoninitwa afiri fa mu bɛhyɛ w’anom de ahwɛ wo ɛwo dwensɔtwaa, yafunu, ne wo dwensɔtwaa ketewa (duodenum) no fã a edi kan no mu. Oduruyɛfo no bɛhwehwɛ ntini a ayɛ kɛse a wɔfrɛ no varices, sɛ ebia mogya retu anaa, ne sɛ ebia mmeae bi wɔ hɔ a ɛbɛn mogya a ɛretu anaa. Nea eye sen biara ne sɛ, sɛ wuhu sɛ mogya retu a, mpɛn pii no wobetumi de nnwinnade titiriw bi afa endoscope no mu de asiw mogya no ano.

Dɛn ne ayaresa a wɔde sa `(Portal Hypertension)`?

Sɛ́ ebia wobetumi asa Portal Hypertension koraa anaasɛ wontumi nsa no gyina nea ɛde ba no so. Sɛ nhwɛso no, sɛ ɔyare mmoawa anaa mogya a ɛtɔ na ɛde ba a, ebia wo duruyɛfo betumi de nnuru asa nea ɛde ba no, na wo Portal Hypertension no bɛkɔ yiye nkakrankakra, na ɛtɔ mmere bi mpo a ɛbɛkɔ koraa.

Nanso, sɛ akuru a ɛtrɛw wɔ mmerɛbo no mu, te sɛ akisikuru a, mpɛn pii no, ɛnkɔ. Eyi kyerɛ sɛ akuru no nkɔ. Enti, portal hypertension betumi akɔ so atra hɔ. Mpɛn pii no, ayaresa no atirimpɔw ne sɛ wobedi nsɛnnennen a asiane wom a ɛba wɔ mogya mmoroso a ɛwɔ apon ano no so na wɔatew ɔsɛe a ɛde ba no so. Nnuruyɛfo di kan bɔ mmɔden sɛ wobedi tebea horow a emu yɛ den no so (sɛ nhwɛso no, mogya a ɛtɔ) na afei wɔkɔ ano aduru a wɔde bere tenten yɛ so.

Ayaresa a edi kan a wɔde ma mogya a efi aduan mu no gyae:

• Endoscopic therapy: Oduruyɛfo no nam endoscopy so sa mogya a ɛba mpofirim. Saa akwan yi bi ne sclerotherapy (aduru titiriw bi a wɔde gu ntini a mogya tu no mu ma ɛyɛ ketewaa na ɛhyɛ mogya no so) ne banding ( wɔde rɔba nhama nketenkete kyekyere ntini a mogya tu no ma mogya no gyae).
• Nnuru: Ebia wo duruyɛfo bɛkyerɛw nnuru ama wo, a ɛka endoscopic therapy ho anaasɛ ɛsono emu biara, na ama nhyɛso a ɛwɔ wo ntini a ɛwɔ wo ntini mu no so atew na atew asiane a ɛwɔ hɔ sɛ mogya bɛtɔ bio no so. Nnuru a wɔfrɛ no beta-blockers betumi aboa ma wɔatew apon no mu nhyɛso so, bere a vasoconstrictors betumi aboa ma ntini a ayɛ kɛse no ayɛ teateaa na ama mogya a ɛtɔ no so atew.

Ayaresa a edi kan a wɔde sa nsɛnnennen afoforo:

• Sɛ `(hepatopulmonary syndrome)` (oxygen a enni mogya no mu) wɔ hɔ a, wɔma oxygen `(Oxygen therapy)` .
• Dialysis sɛ hepatorenal syndrome (asaabo a entumi nyɛ adwuma yiye) wɔ hɔ a.
• Sɛ wowɔ hepatic encephalopathy (amemene no dwumadi ho haw) a, nnuru bi wɔ hɔ a ebetumi aboa.
• Paracentesis yɛ nsu a ɛboro so a woyi fi yafunu no mu esiane ascites (nsu a ɛboaboa ano wɔ yafunu mu) nti na wɔfa saa nsu no bi de hwɛ sɛ peritonitis (yafunu mu ɔyare mmoawa) anaa.

Ayaresa a ɛto so abien (sɛ mogya tu anaa nsɛnnennen afoforo kɔ so a):

Ɛtɔ mmere bi a, sɛ wɔantumi ansiw mogya a ɛretu no ano anaasɛ nsɛnnennen afoforo kɔ so a, nnuruyɛfo de wɔn ho bɛto ayaresa a ɛto so abien so. Akwan titiriw abien ne ``shunt`` oprehyɛn. Wɔde eyinom sesa ɔkwan a mogya fa so wɔ ``portal venous system`` no mu na ɛtew nhyɛso so.

• Transjugular intrahepatic portosystemic shunt (TIPS): Eyi yɛ adeyɛ a ɛnyɛ oprehyɛn. Ɔde X-ray mfonini ahorow di dwuma no, radiologist a ɔde ne ho gye mu de stent (a ɛyɛ ahama ketewaa bi) gu wo mmerɛbo mu. Wɔde ade na ɛyɛ ɔkwan bi a wɔfa so fa mmerɛbo no mu na wɔde portal vein no bata ntini bi a ɛwɔ mmerɛbo no mu (hepatic vein) ho tẽẽ. Afei mogya no sen fa ɔkwan no mu, na ɛma nhyɛso so tew. Wɔde stent no si hɔ sɛnea ɛbɛyɛ a ɔkwan a wɔfa so fa mu no bɛkɔ so abue. Eyi yɛ adeyɛ a etu mpɔn yiye, nanso bere kɔ so no, stent no betumi asiw, na ebia ɛho behia sɛ wosan siesie bio (adeyɛ a wɔsan yɛ bio).

• Distal splenorenal shunt (DSRS): Eyi yɛ oprehyɛn a wɔyɛ. Wɔ nnipa binom fam no, ebia ɛbɛyɛ ɔkwan a eye sen TIPS. Nanso, ɛsɛ sɛ wunya apɔwmuden a ɛbɛma woatumi ayɛ wo oprehyɛn na wo ho atɔ wo. Nanso, ebetumi ayɛ nea etu mpɔn kɛse wɔ yare no ano aduru mu bere tenten. Nea ɛka saa adeyɛ yi ho ne sɛ wubeyi wo splenic ntini no afi wo mmerɛbo mu na wode abɔ asaabo benkum ntini no ho. Eyi ma mogya a ɛkɔ mmerɛbo ne akyi berɛmo nyinaa mu no so tew wɔ ɔkwan a wɔpaw so.

Awiei koraa no, wɔ wɔn a wɔwɔ mmerɛbo mu yare a emu yɛ den yiye a wontumi mfa ayaresa afoforo nsiw ano no fam no, wobetumi asusuw mmerɛbo a wɔde bɛma obi foforo ho.

Ɔhwɛ a wɔde di akyi bɛn na ebehia?

Wɔ saa ayaresa ahorow yi nyinaa akyi no , ɛho hia sɛ wɔkɔ so tra nnuruyɛfo hwɛ ase. Ɛsɛ sɛ wohwɛ wo tebea no yiye. Ɛho behia sɛ wokɔ wo duruyɛfo nkyɛn daa wɔ afe a edi kan wɔ ayaresa akyi no hwɛ sɛ ebia ayaresa no da so ara yɛ adwuma ne sɛ ebia ɔhaw foforo bi asɔre anaa. Ɛno akyi no, anyɛ yiye koraa no, ebehia sɛ wokɔ wo duruyɛfo nkyɛn mprenu afe biara ma wɔyɛ wo mmerɛbo mu nhwehwɛmu ne mogya mu nhwehwɛmu de hwɛ sɛnea wo mmerɛbo no yɛ adwuma. Eyi te sɛ nea wɔayɛ kar bi ho adwuma, ɛsɛ sɛ wokɔ so hwɛ so.

Dɛn na metumi ahwɛ kwan wɔ tebea yi ho?

Wo nkɔmhyɛ ne sɛnea wo ho bɛtɔ wo no begyina sɛnea wo portal hypertension no mu yɛ den, sɛ ebia wowɔ mogya a ɛretu, ne sɛ ebia wowɔ nsɛnnennen afoforo so.Nokwarem no, asiane a ɛwɔ hɔ sɛ mogya a edi kan a obi bewu no betumi ayɛ kɛse akodu 40%. Sɛ wosan tu mogya bio wɔ ayaresa akyi a, asiane a ɛwɔ hɔ sɛ wubewu wɔ mogya a edi hɔ no mu no bɛn 30%. Asiane no yɛ kɛse sɛ wo cirrhosis no mu yɛ den a. Nanso sɛ woda so ara tumi di mmerɛbo mu yare no ho dwuma wɔ ne mfiase, na sɛ wunya ayaresa ntɛm a, wubetumi atew asiane a ɛwɔ hɔ no so.

Mɛyɛ dɛn asiw `(Portal Hypertension)` ano?

Ɔkwan pa a wobɛfa so asiw saa ``(Portal Hypertension)`` yi ano ne sɛ wobɛbɔ mmɔden sɛ wobɛma mmerɛbo mu yare a ɛtra hɔ kyɛ no agyae sɛ ɛbɛyɛ yiye a. Worentumi nni nea ɛde ba nyinaa so, nanso sɛ wohu ntɛm a, wobetumi adi nneɛma a ɛtaa de ba no bi so.

• Mpɛn pii no, mmerɛbo mu yare a nsa a wɔnom de ba, anaa mmerɛbo mu yare a efi nipadua mu nneɛma mu yare (e.g., mmerɛbo mu yare a srade wom a ɛnyɛ nsa) de ba no, mpɛn pii no wobetumi ama atu mpɔn denam aduan ne asetra mu nsakrae a ɛfata (te sɛ apɔw-mu-teɛteɛ) so.
• Wɔde nnuru foforo a ekum ɔyare mmoawa tumi sa hepatitis C koraa. Enti, ɛho hia yiye sɛ anyɛ yiye koraa no, woyɛ hepatitis C ho nhwehwɛmu pɛnkoro wɔ w’asetra mu.

Meyɛ dɛn hwɛ me ho bere a me ne `(Portal Hypertension)` te?

Ebia eyi bɛyɛ akwantu a emu yɛ den, nanso ɛnyɛ wo nkutoo.

• Kɔ so ne w’aduruyɛfo kuw no nni nkitaho, a wo nnuruyɛfo ne ayarehwɛfo ka ho. Tie nea wɔka no yiye na di akyi.
• Kɔ kɔhwɛ wo bere ano, nom wo nnuru sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ, bere a wɔbɛka akyerɛ wo no. Mma da koro mpo nmpa wo ti so.
• Bere nyinaa kɔ wo duruyɛfo nkyɛn ansa na woanom aduru foforo biara (sɛ́ ɛyɛ yare foforo anaa vitamin bi).
• Gyae nsa nom koraa, anaa tew so sɛnea wubetumi biara. Eyi yɛ mfaso akɛse a ɛwɔ mmerɛbo no so no mu biako.
• Ebia ebehia sɛ wudi aduan a sodium kakraa bi nnim akyi , titiriw sɛ worehu sɛ wo ho ayɛ wo hyew a. Anaasɛ ebia ebehia sɛ wudi aduan ho nhyehyɛe bi a wɔayɛ ama wo pɔtee akyi. Ɛyɛ adwene pa sɛ wobɛhwehwɛ afotu afi aduannuru ho ɔbenfo hɔ.
• Ebia wowɔ tebea afoforo a ɛfa ho (sɛ nhwɛso no, asikreyare, srade a ɛdɔɔso). Boa ma wodi wɔn so denam aduan ne asetra mu nsakrae so.

Esiane sɛ saa tebea yi a wɔfrɛ no ``Portal Hypertension,'' ka akwaa pii nti, sɛ wɔsa no a, ebetumi ayɛ te sɛ nea wɔredum ogya a ɛrehyew wɔ mmeae ahorow. Ebia ɛbɛyɛ wo nwonwa, na ehu mpo, sɛ wubehu sɛ mmerɛbo mu yare betumi aka ntini a ɛwɔ wo yafunu, wo menewam, w’ahurututu, ne w’asaabo mu. Eyi betumi ayɛ ahodwiriw kɛse, titiriw sɛ wunnyaa mmerɛbo mu yare ho sɛnkyerɛnne biara da a. Nanso adeɛ a ɛho hia paa ne sɛ, sɛ wohu no ntɛm na wo sa no yie a, wobɛnya mfasoɔ kɛseɛ wɔ ``Portal Hypertension,'' ne ne nsɛnnennen a wobɛdi so. Enti nsuro, na sɛ w’adwene mu yɛ wo naa a, kɔ oduruyɛfo nkyɛn kɔhwehwɛ afotu.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Okay, enti ɛfiri deɛ yɛaka ho asɛm no mu no, mewɔ anidasoɔ sɛ woanya nteaseɛ pa wɔ `(Portal Hypertension)` ho. Nneɛma atitiriw a ɛsɛ sɛ wokae ni:

• Portal hypertension yɛ nhyɛso a ɛkɔ soro wɔ ntini a ɛne mmerɛbo no di nkitaho no mu. Eyi betumi ayɛ tebea a emu yɛ den .
• Nea ɛtaa de ba ne mmerɛbo mu akisikuru. Enti, mmerɛbo no ho banbɔ ho hia paa.
• Mpɛn pii no, ebia sɛnkyerɛnne ahorow no renna adi wɔ mfiase. Enti, sɛ wowɔ asiane ahorow (sɛ nhwɛso no, mmerɛbo mu yare a enni sabea, mmerɛbo mu yare) a, kɔ aduruyɛ mu nhwehwɛmu daa.
• Sɛ wuhu sɛnkyerɛnne ahorow te sɛ mogya a wobɛfe, nsu tuntum, anaa yafunu a ɛtrɛw , kɔ oduruyɛfo nkyɛn ntɛm ara.
• Ayaresa ahorow wɔ hɔ, nanso eye sɛ wubehu ntɛm na woafi ase sa yare.
• Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ, nom wo nnuru no yiye, na yɛ nsakrae a ɛho hia wɔ w’asetra mu.

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Kɔ so nya apɔwmuden!

` Portal Hypertension, Mmerɛbo, Portal Ntini Nhyɛso, Cirrhosis, Hematemesis, Ascites, Mmerɛbo mu Yare, (Akisikuru), (Nsonsonoe), (Ascites)