So wunim sɛnea Liver Fibrosis ka w’amemene akwahosan?

So ɛtɔ da bi a wote nka sɛ wo werɛ fi biribiara, wuntumi mfa w’adwene nsi baabi biako, na wote nka sɛ woyɛ ɔkwasea dodo sɛ wode w’amemene bɛyɛ biribiara? Yɛtaa susuw sɛ adwuma a wɔyɛ boro so anaa adwennwen a ɛwɔ asetra mu na ɛde eyi ba. Nanso so woasusuw pɛn sɛ wo mmerɛbo akwahosan nso betumi ayɛ nea enti a ɛte saa? Nnansa yi nhwehwɛmu ada no adi sɛ sɛe mmerɛbo no ka yɛn amemene no dwumadi tẽẽ. Ɛnnɛ, momma yɛnka saa abusuabɔ a ɛyɛ nwonwa yi ho asɛm.

Nea edi kan no, ma yɛnhwɛ, dɛn ne mmerɛbo yi? Dɛn ne n’adwuma?

Susuw ho hwɛ, mmerɛbo ne adwumayɛbea kɛse a adagyew nnim sen biara wɔ yɛn nipadua mu. Nokwarem no, ɛyɛ akwaa a ɛsõ sen biara wɔ yɛn nipadua mu. Adwuma a ɛyɛ no nyɛ ade ketewaa bi.

• Mogya a wɔtew ho: Ɛboa ma woyi awuduru fi nnuan, anonne, ne nnuru a yɛnom mu na eyi fi nipadua no mu.
• Ɛboa ma wɔyam: Mmɛn no ma nsu bi a wɔfrɛ no "bile," a ɛboa ma wɔyam nneɛma te sɛ srade.
• Ahoɔden a yɛde sie: Asikre a ɛboro so a yenya fi aduan a yedi mu no, wɔkora so sɛ glucose na ɛba bere a yehia ahoɔden no.
• Protein a wɔyɛ: Saa adwumayɛbea yi yɛ protein ahorow a ehia na ama mogya atɔ na wɔako atia nyarewa.

Sɛ yɛbɛka no tiawa a, sɛ mmerɛbo no gyae adwumayɛ a, yɛn nipadua nyinaa dwumadi bɛsɛe.

Enti dɛn ne mmerɛbo mu fibrosis?

Eyi yɛ mmerɛw yiye sɛ yɛbɛte ase. Sɛ wowɔ kuru bi wɔ wo honam ani a, sɛ ɛsa wie a, akuru bi da so ara wɔ hɔ, ɛnte saa? Saa ara na ɛto mmerɛbo no. Sɛ mmerɛbo no kɔ so sɛe esiane nneɛma ahorow nti, bere a ɛrebɔ mmɔden sɛ ɛbɛsa mmeae a asɛe no a, ntini a ɛyɛ den, akuru no ba wɔ hɔ. Ade a edi kan a akuru ntini a ɛwɔ mmerɛbo mu ba ne nea yɛfrɛ no mmerɛbo mu ntini a ɛyɛ mmerɛw, anaa mmerɛbo mu ntini a ɛyɛ den .

Dɛn ne nneɛma atitiriw a ɛma mmerɛbo no sɛe na ɛma ntini no mu yɛ den?

Nneɛma pii nti na wohu wɔ nnipa pii mu wɔ yɛn man yi mu. Ɛho hia paa sɛ yehu eyinom.

Okay, afei ka kyerɛ me, abusuabɔ bɛn na ɛda mmerɛbo ne amemene no ntam yi?

Asɛm no ni. Nhwehwɛmu a aba nnansa yi no ada no adi sɛ bere a mmerɛbo mu ntini mu yare no kɔ so no, obi adwene mu dwumadi so tew. Dɛn ne saa adwene mu dwumadi yi?

• Working Memory: Tumi a obi tumi kae nsɛm pii bere koro mu na ɔyɛ adwuma bi.
• Prospective Memory: Tumi a wotumi kae sɛ wobɛyɛ biribi akyiri yi (e.g., kae sɛ wobɛfa nneɛma a wobɛtɔ afi sotɔɔ mu anwummere).
• Ahoɔhare a Wɔde Di Dwuma: Bere a egye na obi ahu, ate ase, na wayɛ ho biribi.

Nhwehwɛmufo hui sɛ nnipa a wɔwɔ mmerɛbo mu ntini a ɛyɛ mmerɛw no nso so tew nneɛma a ɛyɛ fitaa a ɛhwɛ nkae ne nsusuwii so.

Enti ɔkwan bɛn so na eyi ba?

Sɛ yɛbɛka no tiawa a, mmerɛbo a asɛeWɔyɛ nneɛma a ɛma obi ho hyehye no. Sɛnea sɛ ogya tɔ yɛn nipadua no fã biako a, wusiw a efi mu ba no trɛw kɔ nipadua no mu nyinaa na ɛka akwaa afoforo no, saa ara na saa nnuru yi fa mogya no mu kɔ amemene no mu. Sɛ wodu amemene no mu a, ɛsɛe nkwammoaa a ɛyɛ mmerɛw a ɛwɔ hɔ no na ɛde ɔfe ba amemene no mu. Ɛno na ɛma obi ntumi nkae ade na ɛyɛ den sɛ obesusuw nneɛma ho.

Mɛyɛ dɛn ahu sɛ mewɔ Liver Fibrosis anaa? Dɛn ne sɛnkyerɛnne ahorow no?

Eyi ne ade a asiane wom sen biara na ɛsɛ sɛ yɛn nyinaa hu.

Nsɛnkyerɛnne no fi ase da adi bere a mmerɛbo no asɛe kɛse akyi, na ɛno ne bere a edu mmerɛbo no fã a ɛyɛ mmerɛbo no. Eyi ne bere a sɛnkyerɛnne ahorow te sɛ:

• Ɔbrɛ ne ɔbrɛ a ɛboro so
• Aniwa ne honam ani a ɛyɛ kɔkɔɔ (jaundice) .
• Yafunu mu a ɛtrɛw (esiane nsu a ɛkɔ nipadua no mu nti) .
• Nan ne nansoaa a ɛho ahonhon
• Wora a ɛyɛ wo yaw
• Ɛnyɛ den sɛ wobɛpirapira anaasɛ mogya bɛtɔ wo

Enti, nyansa wom sɛ wobɛkɔ ayaresa ntɛm sɛ asiane bi wɔ hɔ a, sen sɛ wobɛtwɛn ma yare no ho sɛnkyerɛnne ada adi.

Enti dɛn na ɛsɛ sɛ yɛyɛ de gye yɛn mmerɛbo ne yɛn amemene nyinaa nkwa?

Eyi ano aduru a eye sen biara ne sɛ wobesiw yare no ano ansa na ayɛ kɛse na wɔahu no ntɛm.

1. Wohu ntɛm na wɔde aduruyɛ ho afotu ma

Sɛ wowɔ nneɛma a ɛde asiane ba te sɛ asikreyare, srade a ɛdɔɔso, kɛseyɛ mmoroso, anaa sɛ wonom nsa a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho . Obetumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu (Liver Function Tests - LFTs) ne ultrasound scans. Ɛtɔ mmere bi a wobetumi akamfo akyerɛ sɛ wɔnyɛ scan titiriw bi a wɔfrɛ no FibroScan na ama wɔahu sɛnea fibrosis a ɛwɔ mmerɛbo no mu no kodu no pɛpɛɛpɛ.

2. Asetra kwan a ahoɔden wom

Eyi ne ade a ɛho hia sen biara. Eyinom ne nneɛma a eye sen biara a yebetumi ayɛ de abɔ yɛn mmerɛbo ho ban.

• Aduan a ahoɔden wom: Tew asikre, anonne a ɛyɛ dɛ, nnuan a srade wom, esiam nnuan, ne nnuan a wɔayɛ no foforo so sɛnea wubetumi. Mmom no, fa nhabannuru a wɔayɛ no foforo, nnuaba, atoko, nnuan a ahoɔdennuru wom, ne protein a ɛnyɛ den te sɛ nam ne mpataa ka w’aduan ho.
• Wo mu duru a wobɛhwɛ so: Bɔ mmɔden sɛ wobɛma wo mu duru ayɛ nea ɛfata ma wo tenten. Kɛse mmoroso yɛ ade titiriw a ɛde mmerɛbo mu srade ba.
• Apɔw-mu-teɛteɛ daa: Fa wo ho hyɛ apɔw-mu-teɛteɛ te sɛ nantew, mmirikatu, anaa sakre so anyɛ yiye koraa no simma 30 da biara.
• Nsã a wobɛkwati:Sɛ wonom nsa a, ɛho hia sɛ wugyae koraa anaasɛ wode di dwuma kakraa bi pɛ.
• Nnom nnuru a wonnya aduruyɛ mu afotu: Nnom nnuru biara, titiriw nnuru a wɔde kum ɛyaw a wo duruyɛfo nkyerɛɛ wo. Nnuru bi betumi apira mmerɛbo no.