Ɛyɛ ade a ɛfata sɛ yɛn dwensɔtwaa bɛsakra kakra a egyina nea yedi so. Nanso so woahyɛ no nsow pɛn sɛ wo nsu a ɛwɔ wo nsu mu no wɔ srade anaa srade a ɛyɛ nwonwa? So wɔsensɛn nsu mu, wɔn kɔla yɛ mmerɛw, na wɔn hua bɔne a wontumi nnyina ano? Sɛ eyi ansi da koro anaa nnanu, nanso ɛkɔ so a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ biribi asɛe wɔ yɛn nipadua no ho. Ɛnnɛ yɛreka saa tebea yi a wɔfrɛ no ‘oily stools’ anaa ‘steatorrhea’ wɔ aduruyɛ mu ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Steatorrhea?
Steatorrhea yɛ bere a srade pii wɔ wo nsu mu. Sɛ yɛbɛka no tiawa a, sɛ srade a ɛwɔ aduan a wudi mu no ntumi nwe yiye na nipadua no nnye a, srade a ennye no kɔ nsu mu. Wɔfrɛ tebea yi srade a wɔmfa nni dwuma yiye .
Ade a ɛho hia ne sɛ Steatorrhea nyɛ yare, na mmom ɛyɛ tebea foforo a ɛhyɛ ase ho sɛnkyerɛnne.
Nea edidi so yi ne nneɛma a ɛtaa ba wɔ saa nsukorabea yi ho:
- Nkɔanim wɔ ne kɛse mu .
- Sɛ́ wubenya su a ɛyɛ mmerɛw na ɛyɛ nsu.
- Sɛ́ wobɛte sɛ nea srade anaasɛ srade wom.
- Ebia na ɛyɛ ahurututu.
- Ɔbɛyɛ obi a ne ho ayɛ fitaa te sɛ dɔte.
- Hua a enye koraa a wontumi nnyina ano a wubenya .
- Nsu a ɛrehuruhuruw wɔ tiafi kuruwa mu .
- Ɛyɛ den sɛ wobɛhohoro (tiafi kuruwa no su a ɛyɛ nnam).
Sɛ wudi aduan a srade wom bere ne bere mu a, eyi betumi aba. Nanso sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, ɛnyɛ papa sɛ wubebu w’ani agu so.
Dɛn nti na srade pue wɔ yɛn nsu mu? Dɛn na ɛba bere a wɔreyɛ aduan no?
Fa srade a wɔyam no sɛ kuw agumadi. Nnipa atitiriw baasa na wɔyɛ saa agoru yi: mmerɛbo, dwensɔtwaa, ne dwensɔtwaa ketewaa.
1. Mmɛn: Mmɛn no ma nsu bi a wɔfrɛ no "bile." Saa bile yi paapae srade akɛse mu ma ɛyɛ nketewa.
2. Pancreas: Pancreas no yɛ enzymes soronko a ehia na ama srade ayam.
3. Dwensɔtwaa ketewaa: Nsu a efi mmerɛbo mu ne enzymes a efi dwensɔtwaa mu no boaboa ano wɔ dwensɔtwaa ketewa no mu. Ɛha na srade mu paapae koraa na ɛkɔ nipadua no mu.
Steatorrhea ba sɛ biribi ankɔ yiye wɔ saa adeyɛ yi mu a.
- Sɛ dwensɔtwaa no ntumi nyɛ enzymes a ɛdɔɔso a .
- Sɛ mmerɛbo no ntumi nyɛ bile a ɛdɔɔso a .
- Sɛ wɔyɛ eyinom mpo a, sɛ wontumi mfa nkɔ dwensɔtwaa ketewa no mu esiane ntini a asiw nti a.
- Anaasɛ, ɔsɛe bi wɔ dwensɔtwaa ketewa no ankasa mu.Sɛ wuntumi nnye srade a.
Dɛn ne nneɛma atitiriw a ɛde steatorrhea ba?
Ayaresa mu tebea horow pii wɔ hɔ a ebetumi de saa tebea yi aba. Ɛnyɛ den sɛ wobɛte wɔn ase denam wɔn a wobɛkyekyɛ mu sɛnea akwaa a ɛka ho te no so.
| Akwaa/nhyehyɛe a ɛka no | Ayaresa mu tebea horow a ebetumi aba |
|---|---|
| Ɔhaw ahorow a ɛfa dwensɔtwaa ho (Enzyme a wɔyɛ anaasɛ wɔde ma mu a enni hɔ) . |
|
| Mmɛn ne bile duct ho haw ahorow (bile a wɔyɛ anaasɛ wɔde ma a asɛe) . |
|
| Ɔhaw nketewa a ɛba dwensɔtwaa mu (srade a wɔyam anaasɛ ɛtwetwe) . |
|
Ɔkwan bɛn so na oduruyɛfo hu nea ɛde eyi ba?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.Obebisa wo wo yare no ho sɛnkyerɛnne na wahwehwɛ wo mu. Ebia ɔbɛyɛ sɔhwɛ ahorow bi nso de ahu nea ɛde ba ankasa.
- Nsu mu srade mu nhwehwɛmu: Eyi hwehwɛ sɛ wobɛboaboa wo nsu mu nsu bi ano wɔ nna biako kosi abiɛsa mu na woasusuw srade dodow a ɛwɔ mu. Eyi betumi aboa ma woahu srade dodow a woagye afi nnuan a woadi no mu ne dodow a ɛkɔ wo nsu mu.
- D-xylose sɔhwɛ: Eyi betumi aboa ma wɔahu sɛ ebia ɔhaw no wɔ dwensɔtwaa ketewaa no mu anaasɛ dwensɔtwaa/mmebo no mu. Wonom nsu bi a asikre bi a wɔfrɛ no D-xylose wom, na afei wɔsɔ wo nsu (anaasɛ ebia mogya) bi hwɛ wɔ nnɔnhwerew kakraa bi akyi. Sɛ asikre yi wɔ nsu mu a, ɛkyerɛ sɛ dwensɔtwaa no atwe no yiye. Enti ɔhaw no betumi aba dwensɔtwaa anaa mmerɛbo mu. Nanso sɛ asikre nni nsu no mu a, oduruyɛfo no betumi ahu sɛ ɔhaw no fi sɛnea ɛnkɔ dwensɔtwaa no mu yiye.
Bio nso, wobetumi akra sɛ wɔnyɛ endoscopy, scan, anaa mogya mu nhwehwɛmu afoforo a egyina nea ɛde ba no so.
Ayaresa ne aduan a wodi no te dɛn?
Steatorrhea a wɔbɛsa no kyerɛ ankasa sɛ wɔbɛsa tebea a ɛde ba a ɛde ba no. Nhwɛsoɔ:
- Sɛ dwensɔtwaa mu enzymes nnɔɔso a, wɔde enzymes a wɔfrɛ no Pancreatic Enzyme Replacement Therapy (PERT) ma wɔ aduruyɛ mu.
- Sɛ ɔhaw bi wɔ bile a wɔyɛ mu a, wɔma nnuru a ɛfata (e.g. Ursodeoxycholic acid).
Nea ɛka ho no, ɛsɛ sɛ wɔsa nsɛnnennen a ɛba esiane srade a wɔmfa nni dwuma yiye nti nso. Nea ɛho hia titiriw ne vitamin a enni nipadua no mu . Sɛ srade ntumi nkɔ nipadua no mu yiye a, vitamin ahorow a ɛtumi nwura srade mu te sɛ vitamin A, D, E, ne K no ntumi nkɔ nipadua no mu. Enti, ebia oduruyɛfo no bɛkamfo akyerɛ sɛ wɔmfa vitamin ahorow yi nyɛ aduannuru a wɔde ka aduan ho.
Ɔkwan bɛn so na ɛsɛ sɛ wohwɛ aduan so?
Nsakrae pɔtee a ɛsɛ sɛ woyɛ wɔ aduan mu no begyina nea ɛde wo steatorrhea ba no so. Ɛyɛ papa sɛ wo ne wo duruyɛfo susuw eyi ho.
- Sɛ ɛba bere ne bere mu (esiane nnuan a srade wom pii a wudi nti): Tew nneɛma te sɛ bɔta, ngo a emu yɛ duru, akutu ngo, nnuadewa ngo, nam kɔkɔɔ, ne nnuan a wɔayɛ ho adwuma so.
- Sɛ efi ɔhaw bi a ɛfa srade a wɔtwetwe ho (Malabsorption): Ɛha na asɛm no yɛ soronko kakra. Nipadua no hia srade na ama anya ahoɔden a ehia. Enti, ebia oduruyɛfo no betu wo fo sɛ fa nnuan a srade a ahoɔden wom (srade a ɛnyɛ den) wom pii ka ho sen sɛ wode srade bɔne bɛka ho. Nhwɛso ahorow:
- Mpataa a srade wom te sɛ salmon, tuna, ne mackerel
- Avocado a wɔde yɛ nneɛma
- Ngodua ngo
- Nut bɔta a wɔde yɛ nneɛma
- Nnuan a vitamin ahorow a ɛma srade ntumi nwura mu pii wom:
- Vitamin A: mpataa mu ngo, bɔta, nkesua, karɔt
- Vitamin D: mpataa a srade wom, nsenia, owia a wɔde wɔn ho hyɛ mu
- Vitamin E: Owia aba, almond
- Vitamin K: Nnuadewa a ɛyɛ ahabammono tuntum te sɛ spinach ne kale
Nkrasɛm a Wɔde Kɔ Fie
- Steatorrhea (nsu a srade wom) nyɛ yare, na mmom ɛyɛ sɛnkyerɛnne a ɛho hia a ɛkyerɛ sɛ ɔhaw bi wɔ nipadua no mu.
- Nsɛnkyerɛnne titiriw ne sɛ nsu no mu yɛ fitaa, ɛyɛ huam, ɛyɛ srade, na ɛsensɛn nsu no mu.
- Sɛ saa sɛnkyerɛnne ahorow yi kɔ so a, mmu w’ani ngu so na kɔ wo duruyɛfo nkyɛn ntɛm ara na woahu nea ɛde ba.
- Ebia eyi fi yare bi a ɛfa dwensɔtwaa, mmerɛbo, anaa dwensɔtwaa ketewaa ho.
- Ayaresa gyina tebea a ɛwɔ ase no so, na aduannuru a enni nipadua mu te sɛ vitamin A, D, E, ne K a wobedi ho dwuma nso ho hia yiye.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho