So woasusuw nea ɛto aduan a yedi bere a ɛhyɛn yɛn yafunu mu akyi no ho pɛn? Ɛte sɛ akwantu tenten bi. Ade a etwa to a wogyina wɔ akwantu yi mu ne akyi berɛmo. Yɛn nyinaa wɔ saa akwaa yi wɔ yɛn nipadua mu, nanso ɛyɛ asɛmti a ɛyɛ aniwu kakra a yɛmpɛ sɛ yɛbɛka ho asɛm pii, nanso ɛyɛ akwaa a ɛho hia yiye ma yɛn akwahosan. Enti ɛnnɛ, momma yɛnka ho asɛm pefee na yɛmfa nokwaredi.
Dɛn ankasa ne akyi berɛmo no?
Sɛ yɛbɛka no tiawa a, akyi berɛmo no ne wo dwensɔtwaa kɛse no fã a etwa to. Yɛn dwensɔtwaa kɛse no yɛ ɔfã tenten bi a ɛte sɛ nsukorade. Eyi mu nsateakwaa 6 a etwa to ne akyi berɛmo no. Sɛ yɛyam aduan a yedi no wie a, wɔboaboa nwura a aka no ano wɔ ha ansa na afi nipadua no mu. Ɛte sɛ bɔs gyinabea a nkurɔfo hyiam ansa na bɔs bi afi hɔ. Sɛ nsu a ɛyɛ fĩ boaboa ano wɔ ha a, yɛn ntini ahorow no de sɛnkyerɛnne bi kɔ amemene no mu, na ɛka sɛ, "Ɛsɛ sɛ mekɔ tiafi mprempren."
Nsonsonoe bɛn na ɛda akyi berɛmo ne akyi berɛmo ntam?
Ɛwom sɛ abien no nyinaa yɛ nhyehyɛe koro no fã de, nanso nsonsonoe kakra wɔ mu.
- Colon: Eyi ware yiye. Bere a aduan a wɔsɛe no fa mu mpo no, aduan a wɔyam no bi da so ara kɔ so, te sɛ nsu ne aduannuru a ɛtwe kɔ nipadua no mu.
- Rectum: Sɛ nwura a efi dwensɔtwaa kɛse no mu du ha a, adan nsu a ɛyɛ den dedaw. Dwumadi titiriw a akyi berɛmo no yɛ ne sɛ ɛbɛkura nsuo no mu kakra na atwe nsuo biara a aka afiri mu akɔ nipadua no mu. Afei wɔpam no fi nipadua no mu.
Nsonsonoe bɛn na ɛda akyi berɛmo ne akyi berɛmo ntam?
Wɔfrɛ sɛntimita kakraa a etwa to wɔ akyi berɛmo no akyi no akyi berɛmo. Ɛha na ntini a ɛho hia yiye (anal sphincters) a ɛboa yɛn ma yɛhwɛ sɛnea nsu no fa so no wɔ. Saa ntini ahorow yi na ɛma yegyina na yɛfa nsu mu bere a yɛpɛ.
Dɛn ne sɛnea akyi berɛmo no te ne baabi a ɛwɔ?
Akyi berɛmo no wɔ yɛn yafunu ase, wɔ akyi berɛmo no mu. Ɛtaa tenten bɛyɛ sɛntimita 10-15 (nsateakwaa 5-6). Ɛsan nso wɔ nsensanee nketewa abien a ɛte sɛ "S". Ɔkwan a saa curves yi fa so no nso boa yɛn ma yedi yɛn dwensɔtwaa so.
Akyi berɛmo no fã a etwa to no trɛw kakra. Wɔfrɛ no `rectal ampulla`. Nsuo no ba na ɛboaboa ano wɔ ha. Sɛ wɔde nsukorade hyɛ ɔfã yi ma a, n’afasu no trɛw. Afei ntini a ɛwɔ hɔ (`stretch receptors`) ka kyerɛ amemene no sɛ. Ɛno na yenya atenka sɛ ɛsɛ sɛ yɛkɔ tiafi .
Dɛn ne tebea horow a ɛtaa ka akyi berɛmo no?
Sɛ yɛanka ho asɛm bio a, akwahosan ho haw ahorow bi wɔ hɔ a ebetumi asɔre wɔ akyi berɛmo no mu. Eyinom bi betumi ayɛ nea ɛnyɛ dɛ koraa na ɛyɛ yaw. Ma yɛnhwɛ emu kakraa bi.
| Tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Proctitis a ɛma obi ho yɛ hyew | Akisikuru a ɛwɔ akyi berɛmo no mu a ɛho ahonhon na ɛyɛ kɔkɔɔ. Eyi betumi afi nna mu nyarewa (STI) bi anaa tebea afoforo a ɛka dwensɔtwaa no mu aba. |
| Akuru a ɛwɔ akyi berɛmo mu | Eyinom yɛ akuru a ɛyɛ yaw. Ɛtɔ da a, mogya tumi tu wɔn. |
| Perianal akisikuru a ɛwɔ nipadua no mu | Nkuruwankuruwa a ɛyɛ yaw a akisikuru ahyɛ mu ma a ɛba honam ani a ɛtwa akyi berɛmo no ho hyia no ase. |
| Colorectal polyps a ɛwɔ akyi berɛmo mu | Nnyigyei nketenkete a ɛba wɔ akyi berɛmo anaa dwensɔtwaa kɛse no mu ɔfasu so. Eyinom bi betumi abɛyɛ kokoram bere a bere kɔ so no. |
| Rectal a ɛhwe ase | Sɛ ntini a ɛkura akyi berɛmo no mu no yɛ mmerɛw a, akyi berɛmo no pue fa akyi berɛmo no mu. |
| Nsu a wontumi nni so (Fecal incontinence) . | Nsu a wɔde gu nipadua no mu a wɔmpɛ. Eyi betumi afi ɔhaw bi a ɛwɔ ntini anaa ntini a ɛwɔ akyi berɛmo no mu no mu aba. |
| Akisikuru ne fecal impaction | Ɛyɛ den sɛ wobɛfa nsu mu, nsu a ɛyɛ den te sɛ abo, ne akyi berɛmo a esiw. |
Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi wɔ ɔhaw bi a ɛwɔ akyi berɛmo mu?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛho hia paa sɛ wobɛkɔ oduruyɛfo nkyɛn na woakɔhwehwɛ afotu a ɛnyɛ wo aniwu.
Kae sɛ ɛnyɛ bere nyinaa na saa sɛnkyerɛnne ahorow yi yɛ yare a emu yɛ den ho sɛnkyerɛnne. Nanso, ɛbɛyɛ papa sɛ wo ne oduruyɛfo bɛkasa afa ho na ama woahu nea ɛhaw wo ankasa.
| Nsɛnkyerɛnne a ɛkyerɛ | Nea ɛsɛ sɛ wohwɛ yiye wɔ ho |
|---|---|
| Mogya a ɛba akyi berɛmo mu | Mogya nkekae a wubehu wɔ ntade ase, tiafi krataa, anaa tiafi mu. |
| Yeaw | Ɛyaw a ɛba akyi berɛmo, akyi berɛmo, anaa yafunu ase. |
| Ɛyaw anaa sɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa | Ɛyaw, ɛyɛ kɔkɔɔ, anaasɛ ɛho ahonhon a ɛkɔ so wɔ akyi berɛmo no ho. |
| Nsakrae a ɛba wɔ dwensɔtwaa mu | Nsakrae a ɛba mpofirim wɔ kɔla, sɛnea ɛte (nsu, te sɛ ɔbo), anaa dwensɔtwaa dodow a ɛkɔ da biara mu. |
| Nkate horow a ɛyɛ soronko | Sɛ wote nka sɛ wo yafunu mu da mpan koraa bere a woakɔ tiafi akyi (tenesmus) anaasɛ woakɔ wo dwensɔtwaa mu a ɛyɛ den yiye na ɛyɛ yaw (dyschezia). |
| Biribi a ɛrehuruw afi mu | Sɛ́ wobɛte nka anaasɛ wubehu biribi te sɛ nam a ɛyɛ kurukuruwa a efi akyi berɛmo no awiei reba. |
Ɔkwan bɛn so na oduruyɛfo hwɛ sɛnea akyi berɛmo no akwahosan te?
Sɛ wokɔ oduruyɛfo nkyɛn a ɔwɔ ɔhaw bi te sɛ eyi a, ebia ɔbɛyɛ nhwehwɛmu ahorow de ahu yare no. Sɛ wudi kan hu eyinom ho asɛm a, ebetumi aboa ma wo dadwen so atew.
- Digital Rectal Exam (DRE): Wɔ eyi mu no, oduruyɛfo no de nsateaa a wɔde nsateaa ahyɛ mu a wɔde srade ahyɛ mu hyɛ wo akyi berɛmo mu de hwɛ sɛ ebia akuru anaasɛ biribi a ɛnteɛ biara wɔ mu anaa.
- Nsu mu nhwehwɛmu: Wɔfa wo nsu mu nsu bi na wɔhwɛ wɔ aduruyɛdan mu sɛ ebia mogya, mmoawa, anaa ɔhaw afoforo bi wɔ hɔ anaa.
- Proctoscopy / Flexible sigmoidoscopy: Eyi hwehwɛ sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri a wɔde abata akyi berɛmo no mu bɛhyɛ mu na wɔafa screen so ahwɛ emu. Sɛ ɛho hia a, wobetumi afa ntini bi (biopsy) saa bere yi. Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ ɛsɛ sɛ wosiesie wo dwensɔtwaa ansa na woayɛ oprehyɛn no.
- Barium enema: Eyi yɛ X-ray nhwehwɛmu titiriw bi. Wɔde nsu titiriw bi hyɛ akyi berɛmo no mu na wɔtwa akyi berɛmo no X-ray mfonini.
- Anorectal manometry: Eyi kyerɛ sɛnea ntini ne ntini a ɛwɔ akyi berɛmo no mu no reyɛ adwuma yiye.
Dɛn na yebetumi ayɛ na ama yɛn akyi berɛmo no akɔ so ayɛ yiye?
Nneɛma nketenkete bi wɔ hɔ a yebetumi ayɛ de asiw nyarewa pii ano.
- Aduan a ahoɔden wom: Di nnuan a ahoɔdennuru wom pii (nnuaba, nhabannuru, atoko, aburow a wɔayam). Nom nsu pii. Eyi betumi aboa ma wɔasiw akisikuru ano. Akisikuru ne ade a ɛde akyi berɛmo mu nyarewa pii ba.
- Ɔbarima ne ɔbea nna a ahobammɔ wom: Nna mu nyarewa (STI) bi nso betumi aka akyi berɛmo no, enti ɛho hia sɛ wode nna a ahobammɔ wom di dwuma.
- Mma ntwa aduruyɛ mu nhwehwɛmu so: Titiriw bere a woadi mfe 45-50 akyi no, yɛ nhwehwɛmu te sɛ ``(Colonoscopy)`` sɛ wo duruyɛfo kamfo kyerɛ a. Eyi betumi ahu nneɛma te sɛ polyps na ayi afi hɔ ansa na abɛyɛ kokoram.
- Mmu w’ani ngu yare no ho sɛnkyerɛnne ahorow so: Sɛ wote ɛyaw a ɛkɔ so daa, wo dwensɔtwaa mu nsakrae, anaasɛ wo ho nyɛ wo dɛ foforo a, ntwɛn kɛkɛ na hwɛ sɛ "ɛyɛ yiye." Hwɛ oduruyɛfo ntɛm ara sɛnea wubetumi.
Akwantuo no yɛ ɔkwan a ɛho hia a ɛda yɛn aduane mu nhyehyɛeɛ ne ɔkwan a yɛfa so yi nsuo gu mu ntam. Ɛwom sɛ ɔhaw ahorow a ɛbata ho no betumi ayɛ nea ɛnyɛ dɛ de, nanso ayaresa pa wɔ hɔ ma wɔn. Enti fa aniwu no to nkyɛn, susuw w’akwahosan ho na hwehwɛ aduruyɛ mu afotu a ɛho hia.
Nkrasɛm a Wɔde Kɔ Fie
- Akwantuo no yɛ yɛn aduane mu nneɛma a ɛho hia na ɛho hia. Ɛho hia paa sɛ wohwɛ n’akwahosan so.
- Mmu w’ani ngu sɛnkyerɛnne ahorow te sɛ mogya a ɛwɔ nsu mu, ɛyaw a ɛkɔ so daa, anaa nsakrae a ɛba mpofirim wɔ dwensɔtwaa mu no so da.
- Mma ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn esiane sɛ w’ani wu anaasɛ wusuro sɛ wobɛka ɔhaw bi a ɛte sɛɛ ho asɛm nti. Sɛ obi nya ayaresa ntɛm a, ebetumi asiw tebea horow a emu yɛ den ano.
- Aduan a ɛkari pɛ a ahoɔdennuru wom a wobedi, nsu pii a wɔnom, ne apɔw-mu-teɛteɛ daa so wɔ mfaso kɛse ma akyi berɛmo akwahosan.
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