Ebia na yafunu mu yaw bere tenten esiane abo a ɛwɔ akisikuru mu nti. Bere a awiei koraa no wɔyɛɛ wo oprehyɛn de yii wo akisikuru no, ebia wususuwii sɛ woayi wo ho afi ɛyaw yi ho koraa. Nanso sɛ woda so ara wɔ yafunu mu yaw a emu yɛ den saa ara wɔ oprehyɛn no akyi nso ɛ? Ɛyɛ ahometew ankasa. Nnipa pii hyia osuahu a ɛte sɛɛ. Enti ɛnnɛ yɛrebɛka tebea bi a ebetumi ama yafunu mu yaw a ɛyɛ nwonwa yi aba bere a wɔayi akisikuru no mpo akyi ho asɛm. Ɛno ne Sphincter of Oddi Dysfunction .
Sɛ yɛbɛka no tiawa a, dɛn ne Sphincter of Oddi Dysfunction?
Sɛ yɛbɛte eyi ase a, momma yenni kan nhwɛ sɛnea yɛn aduan no di dwuma. Ɛyɛ mmerɛw yiye. Sɛ yedi aduan a, yɛn nipadua no ma nsu titiriw abien a ɛboa ma ɛyam.
1. Bile: Eyi yɛ mmerɛbo no na ɛyɛ. Wɔde sie wɔ akisikuru no mu. Ɛboa wɔ srade a wɔyam no mu.
2. Pancreatic juice: Eyi yɛ nea pancreas na ɛyɛ. Enzyme a ɛwɔ mu no boa ma protein ne carbohydrates a ɛwɔ aduan mu no yam.
Saa nsu abien yi nyinaa kɔ yɛn dwensɔtwaa ketewaa no mu, na ɛhɔ ne aduan bom ma wie aduan a wɔyam no.
Afei ade a ɛho hia ni. Baabi a saa nsu abien yi hyɛn dwensɔtwaa ketewa no mu no, nam ketewaa bi a ɛte sɛ ɔpon bi wɔ hɔ . Ɛte sɛ nea wɔde valve ayɛ. Eyi ne nea yɛfrɛ no Sphincter of Oddi . Mpɛn pii no, sɛ ɛho hia sɛ woyam aduan a, ɔpon yi bue, nsu no kɔ mu, na afei ɛto mu bio.
Sphincter of Oddi Dysfunction yɛ bere a saa apon yi ntumi nyɛ adwuma yiye. Ɛne sɛ, nam asinasin yi mmue bere a ɛsɛ sɛ ebue na ɛyɛ den. Afei bile a efi mmerɛbo no mu ne nsu a efi dwensɔtwaa mu no ntumi nkɔ dwensɔtwaa ketewa no mu na ɛkyere. Ɛte sɛ kar akwan a ayɛ ma. Sɛ nsu no kyekyere saa a, nhyɛso a ɛwɔ akwan ho a saa nsu no fi mu ba no kɔ soro, na ɛma yafunu mu yɛ den kɛse.
Wɔtaa hu tebea yi wɔ nnipa a wɔayɛ wɔn oprehyɛn ayi wɔn akisikuru no mu. Enti, ɛtɔ mmere bi a wɔfrɛ no post-cholecystectomy syndrome .
Dɛn ne tebea yi ahorow atitiriw?
Sphincter of Oddi Dysfunction betumi aka wo wɔ akwan titiriw abien so.
- Biliary Dyskinesia: Eyi yɛ tebea a ɛma mogya ntini no siw. Ɔhaw no wɔ ɔkwan a bile no fa so no mu.
- Pancreatitis: Eyi ne bere a dwensɔtwaa mu nsu siw, na ɛma dwensɔtwaa no hohoro na ɛyɛ hyew.
Bio nso, nnuruyɛfo kyekyɛ yare no mu akuw abiɛsa (Afã I, II, ne III). Eyi ho hia yiye efisɛ wogyina saa ɔfã yi so na ɛkyerɛ ayaresa.
| Yare no su | Nkyerɛmu |
|---|---|
| Ɔfã I. Ɔfa I | Ɔyarefo no yafunu mu yɛ no yaw. Nea ɛka ho no, adanse a emu da hɔ a ɛkyerɛ sɛ ɔhaw yi wɔ hɔ fi mogya mu nhwehwɛmu ne mfoninitwa (ultrasound) mu . (e.g., mmerɛbo mu enzymes a ɛkɔ soro, bile ntini a ɛtrɛw). |
| Ɔfã II | Ɔyarefo no yafunu mu yɛ no yaw, na mogya mu nhwehwɛmu anaa mfoninitwa mu biako pɛ na ɛkyerɛ sɛ biribi a ɛnteɛ. |
| Ɔfã III | Eyi ne ɔkwan a ɛyɛ den sen biara sɛ wobehu. Ɔyarefo no yafunu mu yɛ no yaw, nanso mogya mu nhwehwɛmu anaa scan biara ntumi nhu biribi a enye. Adanse biako pɛ a ɛwɔ hɔ ne ɛyaw a ɔyarefo no te no. |
Dɛn ne yare yi ho sɛnkyerɛnne atitiriw?
Nsɛnkyerɛnne titiriw ne nea ɛtaa ba ne yafunu mu yaw a emu yɛ den, a ɛte sɛ ɛyaw a wonya wɔ akisikuru mu no.
- Ɛyaw no fi ase wɔ yafunu no atifi nifa so .
- Ɛtɔ mmere bi a ɛyaw yi nso tu kwan kɔ mmati nifa anaa akyi .
- Ɛyaw no nyɛ nea ɛkɔ so daa. Ɛno ankasa kɔ wɔ bɛyɛ simma 30 anaa dɔnhwerew biako akyi. Afei ebetumi asan aba bio wɔ da koro anaa dapɛn biako mu.
- Nna bi wɔ hɔ a, ɛyaw no ano nyɛ den, bere a nna foforo nso betumi ayɛ nea wontumi nnyina ano.
Ɛyaw titiriw yi akyi no, sɛnkyerɛnne ahorow a edidi so yi nso betumi aba:
- Akisikuru ne ɔfe
- Atiridii ne awɔw
- Ayamtuo
Nea ɛho hia ne sɛ ɛnyɛ bere nyinaa na saa sɛnkyerɛnne ahorow yi ba. Wɔtaa ba na wɔkɔ.
Hena na ɔwɔ asiane kɛse mu sɛ obenya tebea yi?
Wonnya nhuu nea ɛde eyi ba ankasa, nanso nneɛma bi ma asiane a ɛwɔ tebea yi mu no yɛ kɛse.
| Asiane a ɛde ba | Nkyerɛmu |
|---|---|
| Gallbladder a woyi fi hɔ | Eyi ne asiane titiriw ne nea ɛtaa ba. |
| Mfe a obi adi ne ɔbarima anaa ɔbea | Saa tebea yi taa ba mmea a wɔadi fi mfe 20 kosi 50 so. |
| Oprehyɛn afoforo | Oprehyɛn a wɔde ma obi mu duru so tew (e.g. oprehyɛn a wɔde twa yafunu mu), mmerɛbo a wɔde si ananmu, ne nea ɛkeka ho. |
| Ayaresa mu tebea afoforo | Tebea horow te sɛ dwensɔtwaa mu yare a ɛsan ba bio, hypothyroidism, ne irritable bowel syndrome (IBS). |
| Nnuru bi | Nnuru bi a wɔde kum ɛyaw (titiriw opiate) a wɔde di dwuma bere tenten. |
Ɔkwan bɛn so na wohu yare no?
Sɛ wo duruyɛfo susuw sɛ eyi bere a wate wo yare no ho sɛnkyerɛnne akyi a, ade a edi kan a ɔbɛyɛ ne sɛ ɔbɛhwɛ sɛ biribi foforo biara nni hɔ a ɛde wo yafunu mu yaw a emu yɛ den ba. Nea enti a ɛte saa ne sɛ tebea afoforo te sɛ yafunu mu akisikuru (yafunu mu akuru), akisikuru, ne dwensɔtwaa anaa mogya mu kokoram nso betumi de sɛnkyerɛnne a ɛte saa ara aba. Ɛtɔ da bi a, komayare (angina) yaw nso tumi te sɛ yafunu mu yaw.
Sɛ wosi so dua sɛ saa nneɛma yi nni hɔ wie a, wobetumi ayɛ nhwehwɛmu ahorow a edidi so yi de ahwɛ sɛ Sphincter of Oddi Dysfunction anaa:
- Mogya mu nhwehwɛmu:Hwɛ sɛ mmerɛbo ne dwensɔtwaa mu enzyme dodow akɔ soro anaa.
- Scans: Wɔde scan te sɛ yafunu mu ultrasound, CT scan, ne MRCP di dwuma de hwɛ sɛ ebia bile duct anaa pancreatic duct no ahonhon/atrɛw anaa.
- Endoscopy: Wɔde afiri bi a mfoninitwa afiri wom fa ano no mu de hwehwɛ yafunu ne dwensɔtwaa ketewa no mu.
ERCP sɔhwɛ
Wɔ tebea horow bi mu no, titiriw sɛ wosusuw sɛ ɛyɛ ɔkwan I anaa II a, wɔyɛ nhwehwɛmu titiriw bi a wɔfrɛ no ERCP (Endoscopic Retrograde Cholangiopancreatography) . Wɔ eyi mu no, wɔde mfoninitwa afiri bi a ɛte sɛ endoscope hyɛ Oddi ntini no mu, na wɔde afiri ketewaa bi hyɛ mu de susuw nhyɛso a ɛwɔ saa ntini no mu (manometry). Afei eyi betumi ahu pɛpɛɛpɛ sɛ ebia ɛrebue anaasɛ ɛreto mu yiye.
Nanso, saa ERCP sɔhwɛ yi yɛ asiane sɔhwɛ ketewaa bi. Nnipa a wɔwɔ bi no mu kakraa bi betumi anya dwensɔtwaa mu yare wɔ nhwehwɛmu no akyi. Enti, oduruyɛfo no kamfo nhwehwɛmu yi kyerɛ bere a wasusuw hia a ehia ne asiane a ɛwɔ mu ho yiye awie no.
Ɔkwan bɛn so na wɔsa?
Ayaresa a wobɛpaw no gyina Sphincter of Oddi Dysfunction ko (ɔfã) a wowɔ so.
- Wɔ Ɔfã III fam no: Ɛyɛ den sɛ wobehu eyi, enti mpɛn pii no wɔnkamfo oprehyɛn nkyerɛ. Oduruyɛfo no bɛkyerɛw nnuru a wɔde kum ɛyaw ne nnuru a ɛma obi ho kyere no na ama watumi asiw ɛyaw no ano.
- Wɔ Ɔfã I & II ho: Sɛ ɛyaw no mu yɛ den na ɛyɛ den sɛ wode nnuru bedi so a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔmfa ayaresa bi a wɔfrɛ no sphincterotomy nka ERCP ho .
Dɛn ne saa Sphincterotomy yi?
Eyi hwehwɛ sɛ wɔde adwinnade ketewaa bi a wɔde fa mfoninitwa afiri no mu bere a wɔreyɛ ERCP nhwehwɛmu no twitwa ntini ketewaa bi a wɔfrɛ no Sphincter of Oddi. Afei, wobue ɔkwan a ɛyɛ den no daa. Afei, aduan mu nsu no sen kɔ dwensɔtwaa ketewa no mu a biribiara nsiw kwan. Ɛkame ayɛ sɛ eyi ma ɛyaw no fi hɔ koraa.
Nanso eyi nso yɛ ayaresa a ɛde asiane bi ba. Asiane nso wɔ hɔ sɛ obi benya dwensɔtwaa mu yare. Enti, wɔde saa ayaresa yi di dwuma bere a ayaresa afoforo ntumi mmae no.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ woda so ara wɔ yafunu mu yaw bere a wɔayi wo gallbladder akyi a, mmu w’ani ngu so. Ebetumi ayɛ Sphincter of Oddi Dysfunction.
- Ɛwom sɛ saa tebea yi nyɛ nea ɛde nkwa to asiane mu de, nanso ɛyaw no betumi asɛe wo da biara da asetra kɛse.
- Ɛnyɛ bere nyinaa na sɛnkyerɛnne ahorow no wɔ hɔ, ɛyɛ saa yare yi su sɛ ɛbɛba na akɔ bere ne bere mu.
- Wo duruyɛfo no nam nhwehwɛmu so bɛkyerɛ yare no ko (I, II, anaa III) a wowɔ na ɔde ayaresa a ɛfata sen biara bɛma wo.
- Nnipa binom tumi de nnuru nkutoo di wɔn yaw ho dwuma. Ebia afoforo behia ayaresa te sɛ sphincterotomy.
- Ansa na wobɛsa wo yare biara no, wo ne wo duruyɛfo nka mfaso ne ɔhaw ahorow no ho asɛm pefee.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho