Toxic Hepatitis: Hwɛ yiye wɔ nnuru, nsa, ne nnuru ho!

Mmɛn yɛ akwaa a ɛho hia na ɛsõ sen biara wɔ yɛn nipadua mu no mu biako. Ɛyɛ adwuma te sɛ adwumayɛbea kɛse bi wɔ yɛn nipadua mu. Mmɛn no yɛ nnwuma a ɛho hia pii, te sɛ awuduru a ɛhyɛn nipadua no mu yiyi, ɛboa ma wɔyam, ne ahoɔden a ɛkora so. Nanso so wunim sɛ nnuru a yɛnom da biara da, nsa a yɛnom, anaa nnuru bi a yɛhyɛn yɛn nipadua mu a yennim no betumi asɛe mmerɛbo a ɛyɛ adwumaden yi, kyerɛ sɛ, ɛbɛyɛ ‘awuduru’? Ɛnnɛ yɛreka tebea a emu yɛ den yi a wɔfrɛ no ‘Toxic Hepatitis’ wɔ nnuruyɛ mu, a ɛyɛ mmerɛbo mu awuduru ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne Toxic Hepatitis?

Toxic Hepatitis, anaa mmerɛbo mu awuduru yɛ bere a awuduru bi, ade bi a epira yɛn nipadua no sɛe mmerɛbo mu nkwammoaa na ɛma mmerɛbo no hohoro. Wɔ aduruyɛ mu no, yɛfrɛ saa ɔfe yi ``ɔfe.`` Saa awuduru yi tumi hyɛn yɛn nipadua mu wɔ akwan horow pii so.

• Ɛdenam mene a yɛbɛmene so: Ɛdenam nnuru a yɛnom no bi a yɛbɛnom dodo, nsa a yɛnom, anaa nnuru foforo a yɛbɛmene so.
• Ɛdenam ɔhome a wɔhome so: Ɛdenam nnuru a awuduru wom a wɔde fra mframa mu wɔ adwumayɛbea ahorow bi, kar dan mu, anaa sotɔɔ ahorow a wɔtɔn paint mu a wɔhome so.
• Ɛdenam honam ani a ɛtwetwe so: Nnuru a ano yɛ den te sɛ nnuru bi a ekum mmoawa betumi akɔ nipadua no mu denam honam ani a ɛka ho so.

Eyi ne ɔkwan a yɛn mmerɛbo no sɛe bere a ɛbɔ mmɔden sɛ ebeyi awuduru a ɛkɔ nipadua no mu no afi hɔ no. Sɛ bere kɔ so sɛ saa ɔsɛe yi ba a, mmerɛbo no betumi ayɛ nea entumi nyɛ adwuma koraa mpo.

So Toxic Hepatitis ahorow atitiriw bi wɔ hɔ?

Yiw, wobetumi akyekyɛ tebea yi mu ayɛ no ahorow atitiriw abien a egyina sɛnea ɛba so.

• Acute Toxic Hepatitis: Eyi yɛ tebea a ɛba mpofirim. Nsɛnkyerɛnne no fi ase da adi wɔ nnɔnhwerew anaa nna kakraa bi akyi bere a wɔanom ade a awuduru wom no. Sɛ nhwɛso no, saa tebea yi betumi aba sɛ wonom aduru bi (dodow boro so) a.
• Hepatitis a Awuduru a Enni Dwuma: Eyi yɛ tebea a ɛkɔ so nkakrankakra bere a bere kɔ so no. Ɛtɔ da a, etumi gye adapɛn, asram, anaa mfe mpo ansa na yare no ho sɛnkyerɛnne ada adi. Nnipa a wɔnom nsa kyɛ no taa nya saa tebea yi.

Afei nso, nkyekyɛmu bi wɔ hɔ a egyina nea ɛde tebea yi ba so. Yebetumi de pon a ɛwɔ ase ha no adi dwuma de ate eyi ase yiye.

Dɛn ne mmerɛbo a ɛsɛe ho sɛnkyerɛnne?

Berɛbo mu yare ho sɛnkyerɛnne titiriw a wonim no yiye ne aniwa ne honam ani a ɛyɛ kɔkɔɔ. Yɛsan frɛ eyi jaundice , na wɔ aduruyɛ mu no wɔfrɛ no ``Jaundice.'' Nea ɛka eyi ho no, sɛnkyerɛnne afoforo dodow bi betumi aba.

• Ɛyaw wɔ yafunu no fã nifa, mpampam ase
• Ɔbrɛ ne ɔbrɛ
• Akɔnnɔ
• Akisikuru ne ɔfe
• Atiridiinini a ɛba fam
• Nsu a ɛyɛ kɔkɔɔ anaa bruu tuntum
• Yafunu mu a ɛtrɛw, anaasɛ ascites
• Ɛyɛ akisikuru (Pruritus) .
• Nsonsonoe anaa nsensanee a ɛyɛ kɔkɔɔ wɔ honam ani

Dɛn ne nneɛma atitiriw a ɛde Toxic Hepatitis ba?

Sɛnea yɛadi kan aka ho asɛm no, nneɛma pii nti na ɛte saa. Momma yɛnhwɛ wɔn mu nkɔ akyiri kakra.

Nnuru ne vitamin ahorow (Nnuru a ɛma mmerɛbo mu awuduru) .

Eyi yɛ ade a wɔtaa hu.

• Nnuru a wɔde kum ɛyaw: Nnuru bi a wɔde kum ɛyaw, titiriw nea wobetumi atɔ wɔ aduruyɛdan mu, sɛ nhwɛso no, `(Acetaminophen)` (a wohu wɔ nnuru te sɛ `Panadol` mu wɔ Sri Lanka) ne `(NSAIDs)` (Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) (e.g. `Ibuprofen`, `Diclofenac`) betumi asɛe mmerɛbo sɛ wɔnom boro so a no dodow a wɔkamfo kyerɛ no ho.
• Nnuru a wɔkyerɛw ma: Nnuru bi te sɛ nnuru a ɛma mogya mu srade so tew, nnuru a wɔde sa akisikuru, ne nnuru a ekum ɔyare mmoawa nso betumi aka nnipa binom mmerɛbo. Nanso nnyae wo nnuru nom esiane eyi nti. Sɛ wowɔ biribi a ɛhaw wo a, wo ne wo duruyɛfo nka ho asɛm.
• Nnuru a wɔde nhabannuru ne Ayurvedic yɛ: Adwene bi wɔ ɔmanfo mu sɛ ‘Sinhala nnuru’ anaa ‘amammerɛ mu nneɛma’ nsɛe hwee. Nanso ɛno nyɛ nokware koraa. Ebia nneɛma bi a epira mmerɛbo no wɔ nhabannuru bi mu. Enti, asiane wom sɛ wɔde eyinom bedi dwuma a wonnya oduruyɛfo a ɔfata afotu.
• Vitamin: Vitamin ahorow bi te sɛ vitamin A a obi di dodo nso betumi ayɛ awuduru ama mmerɛbo no.

Sua Acetaminophen awuduru ho ade pɔtee

`Acetaminophen` yɛ aduru a yɛtaa de di dwuma ma atiridii ne nipadua mu yaw. Wɔ Sri Lanka no, ɛwɔ din te sɛ `Panadol` ne `Paramol` ase. Ɛwom sɛ eyi yɛ aduru a ahobammɔ wom koraa de, nanso sɛ wɔnom boro so a, ebetumi asɛe mmerɛbo kɛse.

Fa no sɛ obi nom Panadol nnuru abien ma ne ti yɛ no yaw. Nnɔnhwerew kakraa bi akyi no, wɔfa packet foforo fi nnurutɔnbea hɔ ma atiridii. Wonnim sɛ saa packet no nso wɔ Acetaminophen. Saa kwan yi so no, wobetumi aboro dodow a wɔde ma da biara da a wonnim.

Mpɛn pii no, ɛnsɛ sɛ ɔpanyin nom acetaminophen bɛboro miligram 4,000 (ɛno yɛ 8 500mg tablets) wɔ nnɔnhwerew 24 mu. Sɛ wowɔ mmerɛbo mu yare dedaw a, ɛsɛ sɛ dodow yi sua mpo. Sɛ wonom nnuru pii wɔ akwanhyia mu, sɛ wunnya yare no ho sɛnkyerɛnne biara mpo a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so (ETU) ntɛm ara. Sɛ ɛho hia a, wubetumi nso afrɛ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Ɔman Ayaresabea hɔ no akɔhwehwɛ afotu.

Nsã a wɔnom (Mmerɛbo mu yare a awuduru wom a nsa de ba) .

Nsã a wɔnom boro so yɛ ade titiriw a ɛma mmerɛbo sɛe. Nsã yɛ awuduru a ɛkɔ mmerɛbo mu nkwammoaa mu tẽẽ. Sɛ wɔnom nsa bere tenten a, srade boaboa ano wɔ mmerɛbo no mu, na afei ɛyɛ hyew, na awiei koraa no, mmerɛbo no betumi ayɛ akuru koraa na entumi nyɛ adwuma (Cirrhosis).

Hena na ɔwɔ asiane kɛse mu sɛ obenya saa tebea yi?

Ɛwom sɛ obiara betumi anya `Toxic Hepatitis` de, nanso nnipa binom wɔ asiane kɛse mu.

• Wɔ mmea fam no: Esiane sɛ ɛsono sɛnea mmea nipadua no tumi yɛ nneɛma foforo sen mmarima de nti, asiane kɛse wom kakra sɛ nnuru ne nsa bi bɛsɛe wɔn mmerɛbo.
• Wɔn a wɔnom nsa boro so no fam.
• Wɔn a wɔwɔ mmerɛbo mu yare foforo dedaw (e.g. Hepatitis B, Hepatitis C, Fatty Liver).
• Wɔn a wɔde nnuru pii di dwuma bere koro mu no fam.
• Wɔn a wɔde nnuru yɛ adwuma (e.g. paint adwumayɛbea, plastic adwumayɛbea, dry cleaning services).
• Wɔ nnipa a wɔwɔ awosu mu nyarewa bi (e.g. `Alpha-1 antitrypsin a enni hɔ`, `Hemochromatosis`).

So eyi betumi ayɛ nea asiane wom? Dɛn ne nsɛnnennen no?

Yiw, sɛ wɔansa Toxic Hepatitis ntɛm ara na wɔannyi ade a epira no mfi hɔ a, ebetumi de nsɛnnennen a emu yɛ den aba. Ɔhaw titiriw a ɛde ba ne mmerɛbo mu akisikuru.

Cirrhosis yɛ tebea a ɛma mmerɛbo mu nkwammoaa a ɛte apɔw sɛe na wɔde akuru ntini si ananmu. Eyi sɛe mmerɛbo no dwumadi a ɛfata koraa. Awiei koraa no, eyi ma mmerɛbo no nyɛ adwuma yiye . Wɔ tebea horow a ɛtete saa mu no, ebia ɔkwan biako pɛ a wobetumi afa so agye nkwa ne mmerɛbo a wɔde bɛma obi foforo .

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan abisa wo nsɛm pii afa wo yare no ho sɛnkyerɛnne, nnuru a wonom, sɛ ebia wonom nsa, ne adwuma a woyɛ ho. Afei ɔbɛhwehwɛ wo nipadua mu. Ebia ɔbɛyɛ nhwehwɛmu ahorow bi nso de akyerɛ sɛ wahu yare no.

• Mogya mu nhwehwɛmu:
• Mmerɛbo Dwumadi Ho Nhwehwɛmu: Eyinom betumi ahwɛ mmerɛbo mu enzyme dodow ahwɛ sɛ mmerɛbo no asɛe anaa.
• Comprehensive Metabolic Panel `(CMP)`: Saa sɔhwɛ yi boa ma wonya nteaseɛ a ɛkɔ akyiri wɔ nipadua no mu nneɛma a ɛsakra ne akwaa dwumadie ho.
• Nsã anaa nnubɔne afoforo dodow a wɔsɔ hwɛ.
• Sɔhwɛ afoforo:
• Scans: CT scan anaa MRI scan betumi de aniwa ahwɛ sɛnea mmerɛbo no te.
• Berɛbo mu Nhwehwɛmu: Wɔ tebea horow bi mu no, wɔde ade ketewaa bi yi ntini ketewaa bi fi mmerɛbo no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Eyi betumi aboa ma wɔahu baabi pɔtee a nneɛma asɛe no.

Ɔkwan bɛn so na wɔsa? So wobetumi asa eyi?

Ayaresa a eye sen biara a wɔde sa `Toxic Hepatitis` ne sɛ wobɛkwati ade a ɛresɛe mmerɛbo no ntɛm ara. Ayaresa no gyina baabi a mmerɛbo no asɛe no kodu so.

• Nnuru a epira no a wubegyae: Sɛ wo duruyɛfo susuw sɛ aduru anaa vitamin pɔtee bi resɛe mmerɛbo a, obetu wo fo sɛ gyae nom ntɛm ara.
• Nsã a wobegyae koraa.
• Nsakrae a ɛba adwumam:Sɛ nnuru na ɛde tebea yi ba a, ebia ɛho behia sɛ wohyɛ nneɛma a ɛbɔ wo ho ban (akataso, nsateaa) wɔ adwumam anaasɛ wɔde wo kɔ adwuma foforo mu.
• Sɛ wɔde acetaminophen di dwuma boro so a: Wɔde aduru titiriw bi a wɔde kum ɔyare mmoawa ma wɔ ayaresabea. Sɛ wɔde ma ntɛm a, eyi betumi asiw mmerɛbo no a ɛsɛe ade kɛse no ano.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?

Sɛ sɛnkyerɛnne ahorow a emu yɛ den a edidi so yi mu biara ba a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mmerɛbo no ayɛ adwuma yiye koraa. Enti , kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no nkyɛn a ntwentwɛn wo nan ase.

• Mogya a wɔfe.
• Nsu tuntum a wɔde tarry ayɛ.
• Nsonsonoe a ɛte sɛ akuru a ɛba nipadua no nyinaa so mpofirim.
• Kɔkɔɔ a emu yɛ den (Jaundice).
• Anomrexia a emu yɛ den.
• Delirium, adwenem naayɛ tebea.
• Ɛyɛ den sɛ wobɛnantew.