So aduan san ba wo menewam bere a woadi awie no? Momma yɛnka Rumination Syndrome yi ho asɛm!

Sɛ wudidi wie a, so wote nka nso sɛ aduan no san ba wo menewam ansa na ayam koraa? Sɛ ɔfe a ɛyɛ wo yaw nni hɔ a, so ɛba kakra kɛkɛ, na ɛtɔ mmere bi a wosan we bio na womene? Anaasɛ epue a wunhu? Eyi yɛ ɔhaw a ɛhyɛ abufuw ankasa ma nnipa binom. Ɛnnɛ yɛrebɛka saa tebea yi a wɔfrɛ no Rumination Syndrome ho asɛm. Nsuro, adeɛ a ɛho hia paa ne sɛ wobɛhunu yei.

Dɛn ne Rumination Syndrome?

Sɛ yɛbɛka no tiawa a, Rumination Syndrome yɛ bere a aduan a yedi no san fi yafunu no mu ba ano ansa na ayɛ nea ɛfata. Wɔ nnuruyɛ mu no, wɔsan frɛ eyi sɛ regurgitation. Nnipa binom we na wɔmene aduan a ɛsan ba soro kɔ menewam no, bere a afoforo nso teɛteɛm gu mu. Mpɛn pii no, eyi ba bere a wɔadi awie pɛɛ, anaasɛ wɔ simma kakraa bi mu.

Nea ɛho hia sen biara ne sɛ, sɛ eyi ba a, wonte ɛyaw anaa akisikuru biara te sɛ ɔfe a ɛde yafunu mu yaw ba. Ɛte sɛ nea aduan no reba kɛkɛ a wɔmmɔ mmɔden kɛse. Susuw ho sɛnea abofra kumaa yɛ bere a wɔde nufusu bi ahyɛ wɔn menewam no.

Ade foforo nso ne sɛ, mpɛn pii no, aduan a ɛba menewam te sɛ eyi no nni dɛ a ɛyɛ nwene anaasɛ ɛyɛ nwononwono. Nea enti a ɛte saa ne sɛ, aduan no nnya mfii ase mfa yafunu mu acid no ntumi nwene no yiye. Ɛne sɛ, aduan no nnya nkɔɔ aduan a wɔyam no mu koraa.

Saa aduan a ɛsan kɔ menewa mu yi, a ɛtɔ mmere bi a wɔfrɛ no ``regurgitation,'' betumi ayɛ reflex adeyɛ a ɛba ara kwa na wontumi nni so. Nanso, wɔ nnipa binom fam no, bere kɔ so no, eyi betumi abɛyɛ adeyɛ a wɔhyɛ da yɛ anaa wɔn su. Nanso ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae ne sɛ ɛnyɛ yafunu mu yaw, yare bi te sɛ yafunu mu yare, anaa yafunu mu yare foforo biara a emu yɛ den na ɛma eyi.

Hena na ɛda adi sɛ obenya saa tebea yi?

Nnuruyɛfo nim bere tenten sɛ saa tebea yi a wɔfrɛ no Rumination Syndrome no ba mmofra nkumaa ne wɔn a wɔn nkɔso ayɛ basaa no so. Nanso nokwarem no, ebetumi aka obiara a wadi mfe biara . Ɛno kyerɛ sɛ mmofra nkumaa, mpanyimfo nkumaa, ne mpanyimfo nyinaa betumi anya saa tebea yi.

Nhwehwɛmu ada no adi sɛ mmofra ne mpanyimfo a wɔadwennwen anaa wɔn ho yeraw wɔn titiriw no wɔ asiane kɛse mu sɛ wobenya rumination syndrome. Enti, ɛda adi sɛ wubehyia eyi bere a wowɔ adwennwen, awerɛhow, anaa dadwen pii mu no .

Dɛn ne eyi ho sɛnkyerɛnne?

Okay, enti yɛbɛyɛ dɛn ahu Rumination Syndrome yi? Dɛn ne eyi ho sɛnkyerɛnne? Momma yɛnhwɛ.

• Nsɛnkyerɛnne titiriw ne aduan a ɛtaa san kɔ nipadua no mu, na ɛno akyi no, wɔsan ka anaasɛ wɔmene, anaasɛ wɔteɛteɛm gu mu. Eyi taa ba bere a wɔadi adidi biara akyi.
• Yafunu mu a ɛyɛ yaw.Sɛ obi te nka sɛ ne ho ayɛ no ma, ne ho bɛhoro, na ɛtɔ mmere bi a, aduan a ontumi nnya ne yafunu mu yɛ no yaw betumi aba.
• Nsõ ho haw ahorow. Ahome bɔne ne sẽ a ɛporɔw betumi aba efisɛ aduan kɔhyɛ menewam bere nyinaa. Nea enti a ɛte saa ne sɛ ebia acid bi wɔ aduan a efi yafunu mu no mu.
• Mu duru a ɛso tew. Esiane sɛ aduan a wudi no ntumi nnye wo nipadua no yiye nti, bere kɔ so no, ebia wo mu duru so bɛtew. Eyi betumi aka mmofra nyin titiriw.
• Anofafa a ayow na apaapae.

Sɛ wo ba no wɔ saa tebea yi a, ebia ɔbɛyɛ nneɛma te sɛ n’akyi a ɔde bɛbɔ ne ho na wabɔ ne ho ban. (Nanso, saa sɛnkyerɛnne yi nso betumi ayɛ gastroesophageal reflux ho sɛnkyerɛnne, a ɛyɛ bere a yafunu mu acid ba menewa no mu, enti ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn.) Nkokoaa nso betumi ayɛ nnyigyei a ɛyɛ hu.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Wonnya nte nea ɛde Rumination Syndrome ba ankasa ase yiye. Nanso, nnuruyɛfo gye di sɛ ebetumi aba bere a nnipa binom wɔ adwenemyare anaasɛ wohyia nsɛm a ɛhaw adwene wɔ wɔn asetra mu no. Eyi kyerɛ sɛ ebia ɛfa adwenemyare ho .

Sɛ wɔde mfiri kyerɛkyerɛ mu a, sɛnea ɛkɔ so wɔ yɛn nipadua mu no, ebetumi ayɛ biribi te sɛ eyi:

1. Sɛ yedidi a, yafunu no trɛw, a ɛkyerɛ sɛ ɛyɛ kɛse.

2. Afei, yafunu mu nhyɛso kɔ soro.

3. Bere koro no ara mu no, esophageal sphincter a ɛwɔ fam a ɛyɛ adwuma te sɛ valve a yɛn esophagus (afiri a ɛde aduan fi ano kɔ yafunu mu) kɔ yafunu no mu no dwo.

Sɛ saa nsɛm yi si nnidiso nnidiso a, aduan a wɔanwene wɔ yafunu no mu no fi ase ``san kɔ'' san kɔ aduan no mu, kyerɛ sɛ, ɛkɔ ano.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Okay, afei momma yɛnhwɛ sɛnea oduruyɛfo bi hu eyi, kyerɛ sɛ, sɛnea wosi gyinae sɛ "Eyi ne Rumination Syndrome."

Mpɛn pii no, wobetumi ahu eyi denam aduruyɛ ho abakɔsɛm ne nipadua mu nhwehwɛmu a wo duruyɛfo bɛyɛ so. Titiriw no, sɛ anyɛ yiye koraa no, woasan de aduan agu mu asram 3, nanso woanfe a, adanse a ɛdɔɔso wɔ hɔ a ɛkyerɛ sɛ ebia wowɔ Rumination Syndrome.

Sɛnea Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) a wogye tom wɔ aduruyɛ mu kyerɛ no, sɛ obi betumi ahu sɛ ɔwɔ saa tebea yi a, ɛsɛ sɛ wodi gyinapɛn ahorow a edidi so yi so:

• Anyɛ yiye koraa no, aduan kɔ so ba menewa no mu ɔsram biako. Wɔwe aduan a ɛba no, wɔmene, anaa wɔpam.
• Ɛnsɛ sɛ yafunu mu tebea anaa aduruyɛ mu tebea foforo (sɛ nhwɛso no, tebea horow a wɔfrɛ no gastroesophageal reflux anaa pyloric stenosis) na ɛde saa aduan a ɛsan ba yi ba.
• Saa adidi mu haw yi nkutoo ntumi mma ne adidi mu haw foforo, te sɛ anorexia nervosa, bulimia nervosa, adidi boro so ho haw, anaa aduan a wɔkwati/ anohyeto a wɔde di aduan.
• Sɛ adidi mu haw no ne adwenemyare foforo (te sɛ adwene mu dɛmdi) reba a, ɛsɛ sɛ sɛnkyerɛnne ahorow no mu yɛ den araa ma ɛfata sɛ wɔde kɔ ayaresabea.

Nea ɛka ho no, nnuruyɛfo nso betumi ayɛ nhwehwɛmu ahorow bi de ahu sɛ ebia aduruyɛ mu tebea foforo na ɛde saa sɛnkyerɛnne ahorow yi reba anaa. Nhwɛsoɔ:

• Gastric emptying test: Eyi kyerɛ bere tenten a egye ansa na aduan afi yafunu mu akɔ dwensɔtwaa ketewa no mu.
• Upper endoscopy: Wɔ saa adeyɛ yi mu no, oduruyɛfo de afiri teateaa bi a mfoninitwa afiri ketewaa bi a wɔfrɛ no endoscope wom hyɛ wo menewa mu de hwɛ wo menewam ne wo yafunu mu. Eyi betumi aboa ma wɔahwɛ sɛ akuru anaa ɔhaw afoforo biara wɔ mu anaa.
• X-ray: Wɔtwe mfonini ahorow a ɛfa aduannoa mu ne yafunu no ho.

Dɛn ne ayaresa no?

Okay, enti dɛn ne ayaresa ahorow a wɔde sa Rumination Syndrome? So eyi yɛ biribi a wontumi nsa? Daabi.

Ayaresa titiriw a etu mpɔn sen biara a wɔde sa eyi ne ``suban mu ayaresa.'' Sɛ yɛbɛka no tiawa a, ɛfa wo suban a wobɛsakra na ama aduan no asiw wo menewam. Suban ho ayaresa a nnuruyɛfo taa kyerɛw ma eyi ne ``diaphragmatic breathing.'' Nnipa binom nso frɛ eyi ``yafunu mu home.''

Dɛn ne ahome a wɔde diaphragmatic home?

Diaphragm yɛ ntini kɛse bi a ɛte sɛ dome a ɛwɔ yɛn koko ne yɛn yafunu ntam. Ɛyɛ ntini titiriw a ɛyɛ adwuma bere a yɛhome no. Diaphragmatic breathing botae ne sɛ ɛbɛma wo diaphragm no adwo, de adi dwuma yiye bere a worehome no, na aboa ma ayɛ den. Eyi boa ma wodi aduan a ɛkɔ wo menewam no so.

Sɛnea wobɛyɛ no ni:

1. Da baabi a ɛyɛ tratraa (te sɛ fam) anaasɛ da mpa so. Kotow wo nkotodwe na fa pillow gu wo ti ase. Sɛ wopɛ a, wubetumi nso de pillow ahyɛ wo nkotodwe ase de agyina wo nan so.

2. Fa wo nsa biako to wo moma so na fa wo nsa biako no to wo mpampam ase kakra, kyerɛ sɛ, fa wo yafunu so. Eyi bɛboa wo ma woate nka sɛ wo yafunu no retu na wo yafunu no akɔ soro na ɛrehwe ase bere a worehome no.

3. Afei, fa wo hwene mu home. Bere a woyɛ saa no, ɛsɛ sɛ nsa a ɛwɔ wo yafunu so no sɔre. Ɛne sɛ, ɛsɛ sɛ wo yafunu trɛw. Bɔ mmɔden sɛ wode nsa no bɛto wo moma so wɔ baabi biako sɛnea wubetumi, a worenhinhim. Yɛkyerɛkyerɛ eyi kyerɛ mmofra nkumaa sɛ, "Monhome te sɛ opera odwontofo."

4. Afei, fa w’anofafa kotoku mu kakra (te sɛ nea worebɔ abɛn) na fa w’anom home. Bere a woreyɛ eyi no, kyekye wo yafunu mu ntini no mu den na ma ɛnkɔ mu Eyi kyerɛ sɛ ɛsɛ sɛ nsa a ɛwɔ wo yafunu so no kɔ fam. Saa bere yi de, ma nsa no ntra wo moma so sɛnea wubetumi biara.

Mpɛn ahe na ɛsɛ sɛ meyɛ saa ahomegye apɔw-mu-teɛteɛ yi?

Yɛ saa apɔw-mu-teɛteɛ yi mprɛnsa kosi anan da biara, bɛyɛ simma 5 kosi 10 bere koro mu. Ebia ɛbɛyɛ den kakra mfiase no, nanso ɛbɛyɛ mmerɛw bere a wɔde sua ade. Sɛ wopɛ sɛ woma apɔw-mu-teɛteɛ yi yɛ den kakra a, wubetumi ayɛ bere a wokura biribi te sɛ nhoma wɔ wo yafunu mu no.

Ade a ɛho hia sen biara ne sɛ wode saa ‘yafunu mu home’ yi bedi dwuma bere a woadi adidi biara akyi, anaasɛ mpo bere a worenom aduan kakra, sɛ ɛho hia a. Eyi bɛboa kɛse ma aduan no ankɔ wo menewam.

Nsɛnnennen bɛn na eyi betumi de aba?

Sɛ wɔansa Rumination Syndrome no yiye a, ebetumi asɛe yɛn esophagus (afiri a ɛde aduan fi ano kɔ yafunu mu) no. Efisɛ sɛ yafunu mu nneɛma ba bere nyinaa a, ɛnyɛ papa mma aduan a wɔde di dwuma no.

Sɛ ɛno da nkyɛn a, nsɛnnennen afoforo betumi aba. Wɔne:

• Fɛre, ɔhaw a ɛba sɛ obi wɔ ɔmanfo mu. Eyi nso betumi aka adwene no.
• Aduan pa a wonnya. Efisɛ nipadua no nnye aduan no yiye.
• Sɛ wontumi nnyin yiye. Eyi betumi anya mmofra nyin so nkɛntɛnso kɛse, titiriw.
• Electrolyte a ɛnkari pɛ wɔ nipadua no mu. Ɛne sɛ, nkyene ahorow a nipadua no hia a ɛnkari pɛ.
• Nsu a ɛho ntew. Nsu a enni nipadua no mu.
• Aduan a wɔde kɔ mframa afiri anaa ahurututu mu. Eyi yɛ asiane kakra efisɛ ebetumi ama obi anya ahurututu mu nyarewa.
• Ahome a ɛyɛ tiaa.
• Ahurututu mu nyarewa te sɛ ahurututu mu yare.
• Wɔ nsɛm a ɛntaa nsi koraa, a emu yɛ den mu no, owu mpo betumi aba. (Eyi ho yɛ na yiye, nanso eye sɛ wobɛma wohu).

So akwan bi wɔ hɔ a yebetumi afa so asiw eyi ano?

Bere a ɛyɛ den sɛ yɛbɛka sɛ ebia wobetumi asiw ano koraa no, ebia asiane no betumi atew. Titiriw no, ɛdenam akwan pa pii a wobesua a wobɛfa so adi tebea horow a ɛhaw adwene ho dwuma so no, .Wei kyerε sε, εdenam ``positive coping strategies`` a wכde di dwuma so no, εbεtumi atew asiane a εwɔ mu sɛ obi benya ``Rumination Syndrome`` no so akodu baabi. Adwene mu akwahosan pa a wobɛkɔ so akura mu no ho hia yiye.

So yebetumi ne tebea yi atra ase? Dɛn ne daakye?

Yiw, nnipa pii tra ase wɔ apɔwmuden koraa, a ɛfata a wɔwɔ Rumination Syndrome. Sɛ wɔsa wo yare na wɔhwɛ so yiye a, mpɛn pii no ennya wo da biara da dwumadi ahorow so nkɛntɛnso kɛse. Enti, sɛ wuhu sɛ wowɔ bi a, mma w’abam mmu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wo anaa wo ba wɔ Rumination Syndrome ho sɛnkyerɛnne, a ɛno ne nea yɛadi kan aka ho asɛm, titiriw sɛ aduan reba wo menewam bere nyinaa a, akyinnye biara nni ho sɛ kɔ w’abusua oduruyɛfo anaa mmofra oduruyɛfo nkyɛn. Ɛno ne ade a eye sen biara a ɛsɛ sɛ woyɛ. Wobetumi ahwehwɛ wo mu yiye na wɔatu wo fo wɔ nea ɛde eyi ba ne nea ɛsɛ sɛ woyɛ ho.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wowɔ saa tebea yi a, wubetumi abisa nsɛm te sɛ eyinom bere a worekɔ oduruyɛfo nkyɛn no. Eyi bɛboa wo ma woanya eyi ho ntease a emu da hɔ:

• "Oduruyɛfo, tebea yi a wɔfrɛ no Rumination Syndrome no mu yɛ den dɛn?"
• "Dɛn ne ade ankasa nti a ɛte saa?"
• "Ayaresa bɛn na ɛfata me? Dɛn na ɛsɛ sɛ meyɛ?"
• "So aduru bi wɔ hɔ ma eyi? Anaasɛ ɛyɛ ahomegye apɔw-mu-teɛteɛ ara kwa?"
• "So eyi bɛka me da biara da asetra?"

Nea etwa to no, nneɛma bi a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, yɛaka Rumination Syndrome ho asɛm pii. Nea etwa to no, nneɛma bi a ɛho hia a ɛsɛ sɛ wokae ni:

Rumination Syndrome yɛ tebea a ɛma aduan san ba menewam bere a wɔadi akyi bere tiaa bi, ansa na wɔayam. Eyi nyɛ ɔfe. Ebetumi aba nnipa a wɔadi mfe biara mu, na ɛtɔ mmere bi a ebetumi abata adwennwen ho.

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Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a , mma w’ani nnwu anaa nsuro. Hwɛ oduruyɛfo ntɛm ara sɛnea wubetumi na nya afotu. Suban ho ayaresa te sɛ diaphragmatic home apɔw-mu-teɛteɛ betumi aboa ma wɔadi eyi so kɛse.

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Aduruyɛ mu afotu ne ayaresa a ɛfata a wobɛhwehwɛ no ne ɔkwan a eye sen biara a wobɛfa so adi tebea yi ho dwuma. Ɛnyɛ wo nkutoo na wowɔ hɔ, na mmoa wɔ hɔ a wobetumi anya.

` Rumination Syndrome, aduan a ɛba soro wɔ menewa mu, regurgitation, digestive system, adwennwen, diaphragmatic home, suban ho ayaresa