So wɔreyɛ wo colonoscopy nso? Afei momma yensua pii fa SUPREP Bowel Preparation ho!

So wo duruyɛfo reyɛ nhyehyɛe sɛ ɔbɛyɛ wo colonoscopy nnansa yi ara? Sɛ saa a, ebia wo duruyɛfo akyerɛkyerɛ mu akyerɛ wo dedaw sɛ ɛsɛ sɛ wohohoro wo dwonku mu yiye ansa na woayɛ saa. Aduru biako a wɔde yɛ eyi ne SUPREP. Nnipa pii suro kakra na wɔn ho yeraw wɔn bere a wɔte saa akyi berɛmo mu ahotew yi ho asɛm no. Ebia wubesusuw sɛ, "Oo, mɛyɛ dɛn ayɛ eyi?" Nanso, sɛ wusua nsɛm no mu nsɛm nketenkete ankasa a, wubehu sɛ eyi nyɛ asɛm kɛse saa. Momma yɛnka eyi ho asɛm nkɔ akyiri na yɛnka no tiawa.

Dɛn ne SUPREP®? Momma yɛnhwehwɛ mu yiye.

Okay, di kan ma yɛnhwɛ nea SUPREP® yɛ. Sɛ yɛbɛka no tiawa a, SUPREP® ne aduru titiriw bi a wɔde tew wo dwensɔtwaa anaa wo dwensɔtwaa kɛse ho yiye. Ɛba wɔ ɔkwan a ɛyɛ nsu mu. Nnuru bi a wɔfrɛ no `(Polyethylene Glycol)` anaa `(PEG)` ne `(Magnesium Sulfate)` na ɛwɔ mu titiriw.

Seesei ebia woresusuw sɛnea eyinom tew yafunu no ho, ɛnte saa? Sɛnea ɛyɛ adwuma ni:

• (Polyethylene Glycol - PEG): Eyi yɛ adwuma te sɛ sponge. Ɛne sɛ, sɛ wofa saa aduru yi a, saa ``(PEG)`` yi twetwe nsuo kɔ wo dwensɔtwaa mu. Afei wo nsu a ɛwɔ wo nsu mu no mu yɛ hare na efi ase twa ntɛmntɛm.
• (Magnesium Sulfate): Eyi yɛ adwuma wɔ ɔkwan soronko so kakra. Ɛkanyan ntini ahorow a ɛhwɛ sɛnea wo dwensɔtwaa no tu no. Sɛ wɔkanyan dwensɔtwaa no a, ɛyɛ adwuma kɛse na nsu no twam ntɛmntɛm.

Enti sɛ wɔka saa dwumadi abien yi nyinaa bom a, biribiara a ɛwɔ wo dwensɔtwaa mu no ho tew yiye na epue. Ɛho hia yiye sɛ wobɛhohoro wo dwensɔtwaa ho wɔ saa kwan yi so ansa na woayɛ wo dwensɔtwaa mu nhwehwɛmu.

Dɛn nti na Bowel Prep ho hia saa?

Ebia woresusuw sɛ, "Dɛn nti na ɛsɛ sɛ Paapa kɔ akyiri saa ansa na watumi asiesie saa dwensɔtwaa yi?" Nea enti a ɛte saa ne sɛ , sɛ wo yafunu mu ɔyaresafo betumi ahu wo dwensɔtwaa kɛse no mu yiye, a biribiara nsiw no kwan a, ɛsɛ sɛ ɛyɛ nea nsu mu da mpan koraa.

Susuw ho saa kwan yi so. Wɔ oduruyɛfo fam no, akyi berɛmo a ɛho tew te sɛ nea wode kar fa kwan so da a owia bɔ kɛse, a sum anaa mununkum nni hɔ. Biribiara mu da hɔ. Nanso sɛ nsu a ɛwɔ akyi berɛmo mu a, ɛte sɛ nea woreka kar afa ahum mu na wuntumi nhu ɔkwan no. Dɛn na ɛba saa bere no? Ebia oduruyɛfo no bɛpa nneɛma nketenkete a ɛwɔ akyi berɛmo no mu, titiriw nneɛma nketenkete a enyin (polyps) a ebetumi adan kokoram. Ɛno nti na ɛho hia kɛse sɛ woyɛ saa bowel prep yi yiye no.

Kae: Bowel prep a wɔyɛ no yiye ne ade a edi kan a ɛbɛma wɔayɛ colonoscopy a edi mu!

Ɔkwan bɛn so na wɔde SUPREP® bedi dwuma?

SUPREP® wɔ kit mu. Mpɛn pii no , nnuru a ɛyɛ nsu nkotoku nketewa abien ne ade kɛse bi a wɔde fra aduru no ka saa kit yi ho .

Ɔkwan a wɔfa so siesie aduru no ne sɛ, ɛsɛ sɛ wohwie aduru no nsu a efi toa ketewa no mu gu kuruwa kɛse no mu. Afei, ɛsɛ sɛ wode nsu a ɛyɛ nwini hyɛ kuruwa no mu ma kosi sɛ ebedu baabi a wɔde nsu ahyɛ mu ma no. Ansa na wobɛsiesie aduru no, mma wo werɛ mmfi sɛ wobɛkenkan akwankyerɛ a ɛka ho no yiye na woadi akyi pɛpɛɛpɛ. Sɛ woyɛ ɔyarefo a ɔwɔ Cleveland Ayaresabea hɔ a, ɛsɛ sɛ wudi akwankyerɛ no akyi pɛpɛɛpɛ. Sɛ ɛnte saa a, ɛsɛ sɛ wogyae wo colonoscopy no.

Saa nneɛma yi yɛ nea ɛsɛ sɛ woyɛ bere a woresiesie wo ho no!

Sɛ wo colonoscopy no bɛyɛ yiye a, ɛsɛ sɛ wudi anammɔn yi akyi pɛpɛɛpɛ:

• Ɛsɛ sɛ wo dwensɔtwaa mu da mpan koraa sɛnea ɛbɛyɛ a oduruyɛfo no betumi ahu ade yiye. Di wo duruyɛfo akwankyerɛ akyi yiye.
• Nni aduan a ɛyɛ den biara da a edi wo colonoscopy no anim. Nsu a emu da hɔ nkutoo na wubetumi anom. Yɛbɛka nea ɛnonom yɛ ho asɛm akyiri yi.
• Fa wo dwensɔtwaa ahosiesie ho nneɛma fi nnurutɔnbea hɔ anyɛ yiye koraa no nnanu ansa na wɔayɛ wo dwensɔtwaa mu nhwehwɛmu. Ntwɛn nkosi simma a etwa to.

Sɛnea Colonoscopy Kɔ Da Biara

Eyi yɛ asɛm a ɛho hia paa. Sɛ worekɔ ayaresabea/ayaresabea hɔ akɔyɛ colonoscopy , ɛsɛ sɛ wowɔ ɔpanyin ofirikafo a ɔwɔ asɛyɛde ka wo ho. Ɛsɛ sɛ saa onipa no tra wo nkyɛn kosi sɛ wobeyi wo afi ayaresabea bere a wɔayɛ oprehyɛn no awie no.

Nea ɛho hia sen biara: Wɔmma wo nkutoo nkɔ fie wɔ sɔhwɛ no akyi. Sɛ wunni obi a ɔde wo bɛkɔ fie a, ebia ɛho behia mpo sɛ wɔtwa wo sɔhwɛ no mu. Nea enti a ɛte saa ne sɛ aduru a wɔde kum wo bere a woreyɛ nhwehwɛmu no betumi ama wo ho ayɛ wo yaw kakra anaasɛ woada. Ɛyɛ asiane kɛse sɛ wobɛka kar saa bere no.

Ɛsɛ sɛ wohwɛ yiye wɔ aduru a wonom no ho!

Sɛnea ɛbɛyɛ a wubenya ahobammɔ no, ebia ebehia sɛ wugyae nnuru bi anaasɛ wosakra dodow a wɔde ma no nna kakraa bi ansa na wɔayɛ nhwehwɛmu no. Akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo susuw eyi ho.

• Nnuru a ɛma mogya yɛ mmerɛw: Sɛ worenom nnuru yi a, anyɛ yiye koraa no, wo ne wo duruyɛfo nka ho asɛm adapɛn abien ansa na woayɛ nhwehwɛmu no . Nhwɛsoɔ bi ne: `(Clopidogrel - Plavix®)`, `(Warfarin - Coumadin®)`, `(Ticlopidine Hydrochloride - Ticlid®)`, `(Anagrelide - Agrylin®)`, `(Rivaroxaban - Xarelto®)`, `(Dabigatran - Pradaxa®)`, `(Apixaban - Eliquis®)` ne `(Prasugrel - Effient®)`. Sɛ woannyae nnuru yi nom a, asiane wɔ hɔ sɛ mogya bɛtɔ wo bere a wɔreyɛ nhwehwɛmu no.

• Insulin ne asikreyare nnuru: Sɛ worenom asikreyare nnuru a, hwɛ hu sɛ wubebisa wo duruyɛfo sɛnea wobɛsakra wo nnuru dodow wɔ nna a edi wo colonoscopy anim no mu. Da a wobɛyɛ wo nhwehwɛmu no, nnom wo asikreyare aduru no wɔ anadwo fã akyi. Sɛ worenom insulin, te sɛ `(Insulin Glargine injection - Lantus®)`, `(Insulin Lispro - Humalog®)`, insulin a ɛyɛ adwuma bere tenten `(Insulin Isophane - HumulinN®, NovolinN®, ReliOn®)` anaa `(70/30 insulin)` a, ɛsɛ sɛ wofa wo dodow a ɛfata no fã pɛ da a edi wo nhwehwɛmu no anim. Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa eyi nso ho.

• Nnuru a wɔde siw wo mu duru ano: Sɛ worenom nnuru biara a ɛbɛboa wo ma wo mu duru so atew a, ebia ebehia sɛ wosakra saa nnuru no dodow anaasɛ wugyae nna kakraa bi anaa dapɛn biako mpo ansa na wɔayɛ nhwehwɛmu no. Wo ne wo duruyɛfo a ɔkyerɛw maa wo no nkasa na woanya afotu pii. Nnuru bi a wɔde siw wo mu duru ano a ebia ebehia sɛ wugyae nom ne: (Canagliflozin - Invokana®), (Dapagliflozin - Farxiga®, Forxiga®), (Dulaglutide - Trulicity®), (Empagliflozin - Jardiance®), (Ertugliflozin - Steglatro®), (Exenatide - Byetta®, Bydureon®), (Liraglutide - Victoza®, Saxenda®), (Lixisenatide - Adylyxin®), (Semaglutide - Ozempic®, Wegovy®, Rybelsus®) ne (Tirzepatide - Mounjaro®, Zepbound®) ne nea wɔde yɛ aduru a ɛma obi nya ahoɔden.

• Iron pills: Ɛsɛ sɛ wogyae eyinom dapɛn biako ansa na wɔayɛ colonoscopy, efisɛ iron pills betumi ama nsu no ayɛ tuntum na akɔ so atra akyi berɛmo no mu.

Wubetumi anom aspirin, nnuru a ekum ɔyare mmoawa, anaa nnuru a ɛma obi ho yɛ hyew ne nsu a wobɛnom da a wɔbɛyɛ nhwehwɛmu no. Nanso, sɛ wunnim nnuru a wubetumi akɔ so anom ne nea ɛsɛ sɛ wugyae a, yɛsrɛ wo bisa wo duruyɛfo. Ahobammɔ wom sen biara sɛ wobɛyɛ saa.

Nna a ɛsɛ sɛ wohwɛ yiye wɔ aduan ne anonne ho

Nnansa ansa na wɔayɛ colonoscopy no:

Nnansa ansa na woayɛ sɔhwɛ no, ɛsɛ sɛ wugyae nnuan a ahoɔdennuru pii wom yi di:

• Popcorn a wɔde yɛ aduan
• Adua
• Aba - s.e. flax aba, owia aba, quinoa
• Abodoo a wɔde aburow pii ayɛ
• Nnuadewa
• Salad/nhabannuru - titiriw nea wodi no raw ne nhaban momono
• Nnuaba a ɛyɛ foforo ne nea ayow

Sɛ wudi eyinom a, nhama a ɛwɔ mu no bɛbata wo dwensɔtwaa ho, na ama ayɛ den sɛ wobɛhohoro ho.

Da a edi kan ansa na wɔayɛ colonoscopy no:

Saa da yi ho hia paa. Ɛsɛ sɛ wonom nsu a emu da hɔ fi da a edi wo colonoscopy no anim nkutoo.Nni aduan a ɛyɛ den biara.

Wubetumi anom nsu a emu da hɔ kosi nnɔnhwerew abiɛsa ansa na wɔayɛ wo colonoscopy.

Nneɛma a wubetumi anom ne nea wuntumi nnom ni:

Nneɛma a ɛsɛ sɛ wɔnom (Clear Liquids):

• Nsuo
• Tia a wɔmfa nnuru nhyɛ mu (a nufusu nka ho) .
• Kafe a asikre nnim (a nufusu nnim) .
• Clear broth anaa bouillon - a enni nam asinasin anaase nhabannuru asinasin
• Nnuaba nsuo a emu da hɔ (e.g. apɔw-mu-teɛteɛ, bobe nsu - ɛnyɛ kɔla tuntum) .
• Jelly (Jell-O®) - ɛnyɛ kɔkɔɔ, kɔkɔɔ, anaa bruu
• Nsukyenee popsicles a emu da hɔ - nea enni kɔkɔɔ, kɔkɔɔ, anaa bruu
• Agumadi mu anonne a emu da hɔ - nea enni kɔla tuntum

Nneɛma a wuntumi nnom:

• Nufusu ne nufusu a wɔde yɛ nneɛma
• Nsu a ɛyɛ tuntum (sɛ nhwɛso no, kɔkɔɔ, kɔkɔɔ, akutu nnuaba nsu) .
• Nsaden
• Soups a wɔde nneɛma a ɛyɛ den ayɛ
• Nnuan a ɛyɛ den

Afotu tiawa: Sɛ wutumi hu ade wɔ nsu kuruwa mu a, wobu no sɛ "nsu a emu da hɔ." Nanso kwati biribiara a kɔla a ɛhyerɛn te sɛ kɔkɔɔ, kɔkɔɔ, anaa bruu. Saa kɔla ahorow no betumi atra wo dwensɔtwaa mu na ama wo duruyɛfo asi gyinae a ɛnteɛ bere a ɔreyɛ wo nhwehwɛmu no.

Sɛnea wɔnom SUPREP® no pɛpɛɛpɛ

Ɛsɛ sɛ wɔnom SUPREP® no dodow abien a wɔakyekyɛ mu. Ebia wode aduru no bɛto frigye mu ansa na woanom. Nanso, fa nsukyenee, asikre, anaa nneɛma afoforo a ɛma ɛyɛ dɛ nka ho da.

Dose a edi kan (Ɔfã 1): 6:00 PM da a edi kan ansa na wɔayɛ colonoscopy

1. Fa SUPREP® nsuo nkotokuo nketewa mmienu no mu baako na hwie nsuo dodoɔ no nyinaa gu ade kɛseɛ a wɔde fra mu no mu.

2. Afei, fa nsuonwini gu mu kosi sɛ kuruwa no bedu 16-ounce agyiraehyɛde no ho na woakanyan no yiye.

3. Afei nom nsu dodow a woasiesie no nyinaa (nea ɛwɔ kuruwa no mu nyinaa).

4. Afei, wɔ dɔnhwerew a edi hɔ no mu no, nom nsu nkuruwa abien foforo a emu duru yɛ ɔuns 16. Ɛno kyerɛ sɛ ebehia sɛ wonom nsu bɛyɛ lita biako bere a woanom aduru no awie no.

Sɛ wofa eyi wie a, ɛho behia sɛ wokɔ aguaree mpɛn pii. Ɛno yɛ ade a ɛfata, mma ɛnhaw wo wɔ ho. Ɛkyerɛ sɛ aduru no reyɛ adwuma.

Dose a ɛto so abien (Ɔfã 2): Nnɔnhwerew asia ansa na wɔayɛ colonoscopy

1. Fa SUPREP® nsu toa foforo no na hwie nsu dodow no nyinaa gu kuruwa kɛse a wɔde fra mu no mu.

2. Bio, fa nsuonwini gu mu kosi sɛ ebedu ounce 16 agyiraehyɛde a ɛwɔ kuruwa no so no ho na woakanyan no yiye.

3. Nom nsu dodow a woasiesie no nyinaa.

4. Afei, wɔ dɔnhwerew a edi hɔ no mu no, nom nsu nkuruwa abien foforo a emu duru yɛ ɔuns 16.

Wo de ma woWubetumi akɔ so anom nsu a emu da hɔ akosi nnɔnhwerew abiɛsa ansa na wɔafi sɔhwɛ no ase.

Mmere titiriw - ma wo ho ye yeinom nso ho

Nnipa binom dwensɔtwaa brɛoo. Ebia saa nkurɔfo yi behia akwankyerɛ ahorow. Sɛ wowɔ saa tebea horow yi mu biara a, wo ne wo duruyɛfo nkasa na woanya akwankyerɛ a ɛfa wo dwensɔtwaa a wode siesie wo ho:

• Sɛ wowɔ ayaresa tebea afoforo a ɛhwehwɛ sɛ wohwɛ wo yiye a.
• Sɛ colonoscopy a atwam no maa bowel prep aba a enye anaasɛ bowel prep a entumi nyɛ yiye a.
• Sɛ na wowɔ ɔhaw biara a ɛfa aduru a wɔde kum nipadua no ho wɔ nhwehwɛmu bi a atwam mu a.

Na sɛ wo dwensɔtwaa yɛ brɛoo (Motility Issues) nso ɛ?

Ayaresa mu tebea horow ne nnuru bi betumi ama dwensɔtwaa no mu ayɛ brɛoo anaasɛ ama obi ayɛ akisikuru. Sɛ nhwɛso no, nnipa a wɔwɔ tebea horow te sɛ Parkinson yare, multiple sclerosis (MS), anaa wɔn a wɔde mmubuafo akongua di dwuma no betumi anya saa dwensɔtwaa a ɛkɔ brɛoo yi. Afei nso, nnuru te sɛ nnubɔne, gabapentin, ne nnuru a ɛko tia cholinergic betumi aka eyi. Sɛ wowɔ saa tebea horow yi bi a, hwɛ hu sɛ wobɛka w’ayaresa ho abakɔsɛm ne nnuru biara a worenom mprempren ho asɛm akyerɛ wo duruyɛfo. Ebia wɔbɛma wo bere pii de aprapra wo dwensɔtwaa mu na ebia wɔama wo nnuru foforo a wɔde yi wo dwensɔtwaa .

Na sɛ ɛyɛ den sɛ wobɛnom nsu pii prɛko pɛ nso ɛ?

Wɔ nnipa a wɔte saa fam no, wubetumi afi ase anom w’aduru no nnɔnhwerew abien kosi abiɛsa ansa na bere a wɔahyɛ ato hɔ no adu. Saa kwan no so no, wubenya bere pii de anom w’aduru ne nsu nkakrankakra.

Na sɛ mintumi nmene aduru a wɔde tew yafunu ho no koraa nso ɛ?

Sɛ ɛba saa a, ɛda adi sɛ ɛsɛ sɛ wɔsan yɛ wo colonoscopy no ho nhyehyɛe foforo. Efisɛ sɛ woannom aduru no yiye a, wo dwensɔtwaa no renhohoro yiye. Afei worennya nea wohwɛ kwan sɛ ebefi sɔhwɛ no mu aba no.

Na sɛ wɔayɛ wo oprehyɛn a ɛma wo mu duru so tew (Bariatric Surgery) nso ɛ?

Gastric bypass oprehyɛn ka wo yafunu ne wo dwensɔtwaa ketewaa no. Ɛnsakra wo dwensɔtwaa kɛse no tenten. Nanso, ebia ɛbɛyɛ den ama wo sɛ wobɛnom nsu pii prɛko pɛ. Ɛsɛ sɛ nnipa a wɔwɔ saa tebea yi nom nsu kakraa bi bere koro mu. Akyinnye biara nni ho sɛ ɛsɛ sɛ wonom nnuru dodow no nyinaa. Ɛbɛkyɛ kakra.

Na sɛ woreyɛ dialysis nso ɛ?

Sɛ saa a, ansa na wobɛyɛ nhyehyɛe sɛ wɔbɛyɛ wo dwensɔtwaa mu nhwehwɛmu no, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo nephrologist nkyɛn na wunya afotu pɔtee.Mpɛn pii no, wɔma ayarefo a wɔyɛ wɔn dialysis no dwensɔtwaa ahosiesie soronko bi a wɔfrɛ no "Glytely bowel prep." Afei nso, wɔtaa yɛ nhyehyɛe sɛ wɔbɛyɛ wɔn nhwehwɛmu ne dialysis da koro (colonoscopy anɔpa, dialysis anwummere).

So wowɔ saa nsɛmmisa yi (FAQs) nso?

Asɛmmisa: So wobetumi de SUPREP® afra akutu nsu mu?

Mmuae: Dabi, ɛsɛ sɛ wode nsu nkutoo fra aduru no. Mfa biribi foforo biara nka ho.

Asɛmmisa: Bere tenten ahe na bere a manom SUPREP® akyi no, ebehia sɛ mekɔ aguaree?

Mmuae: Ɛsono nnipa biara. Ɛho behia sɛ wokɔ so kɔ aguaree kosi sɛ wo nsu bɛyɛ nsu koraa (nsu a ɛyɛ dwensɔtwaa).

Asɛmmisa: Sɛ mewɔ akisikuru a, dɛn na ɛsɛ sɛ meyɛ?

Mmuae: Wubetumi anom nnuru foforo bi a wɔde siw wo ho ( laxatives ) nna kakraa bi ansa na da a wobɛtew wo ho no adu. Afei, bere a ahotew no bɛba awiei no, w’akisikuru no so atew kɛse. Wo ne wo duruyɛfo nka eyi nso ho asɛm.

Asɛmmisa: Wobɛyɛ dɛn ahu nea "nsu a emu da hɔ" yɛ ankasa?

Mmuae: Ɛnyɛ den. Sɛ wubetumi de nsu bi ahyɛ ahwehwɛ mu na woahu mu a, wobetumi abu no sɛ "nsu a emu da hɔ." Nanso, sɛnea yɛadi kan aka no, akyinnye biara nni ho sɛ ɛsɛ sɛ wokwati wɔn a wɔn kɔla yɛ den te sɛ kɔkɔɔ, kɔkɔɔ, anaa bruu no.

Asɛmmisa: So metumi de Uber®, Lyft®, taksi, anaa bɔs adi dwuma de akɔ fie?

Mmuae: Ɛsɛ sɛ wo ne ɔpanyin bi ka wo ho bere a worehwɛ wo colonoscopy no. Ɛsɛ sɛ saa onipa no tra wo nkyɛn kosi sɛ wubefi hɔ bere a wɔayɛ oprehyɛn no awie no. Sɛ ɔpanyin a ɔkaa wo ho no nso ne wo rekɔ fie wɔ taksi mu nkutoo a, wubetumi de taksi adwuma adi dwuma de akɔ fie. Wo nkutoo rentumi nyɛ.

Asɛmmisa: So mintumi nna ha kakra na afei me nkutoo aka kar akɔ bere a m’adwene mu da hɔ no?

Mmuae: Oh, dabi, ɛno ntumi nyɛ yiye. Ɛsɛ sɛ wonya ɔpanyin bi a ɔwɔ asɛyɛde ka wo ho bere a woreba sɔhwɛ no. Ɛsɛ sɛ saa onipa no tra hɔ kosi sɛ sɔhwɛ no bɛba awiei na ɔde wo kar kɔ fie. Wɔmma wo kwan sɛ wobɛka kar da mũ no nyinaa.

Awiei koraa no, kae eyi (Take-Home Message) .

Dwonku a wosiesie no yɛ wo colonoscopy no fã a ɛho hia yiye. Di wo duruyɛfo (yafunu mu ɔyaresafo) akwankyerɛ akyi pɛpɛɛpɛ. Sɛ wo dwensɔtwaa mu da hɔ a, ɛnyɛ den sɛ wobetumi ahu polyps ne nneɛma afoforo a ɛnteɛ. Ɛno ho hia paa ma w’ankasa akwahosan.

Sɛ wowɔ nsɛmmisa bi fa SUPREP® a wode bedi dwuma ho a, yɛsrɛ wo bisa wo duruyɛfo ansa na woafi ase anom. Nsuro anaasɛ nnyɛ basaa. Eyi nyinaa yɛ w’ankasa wo yiyedi.

` Colonoscopy, Colon Cleansing, SUPREP, Colon Cleansing, Akwahosan, Aduruyɛ mu Afotu, Digestive System