So ɛtɔ mmere bi a wote nka sɛ nnompe ayɛ w’ano ma mpofirim, te sɛ nea biribi akɔhyɛ wo menewam, na ɛyɛ dɛ a ɛyɛ nwene? Eyi yɛ biribi a ɛma nnipa pii ho yɛ wɔn yaw. Wɔ nnuruyɛ mu no, yɛfrɛ tebea yi nsu brash . Eyi yɛ sɛnkyerɛnne a wɔtaa hu wɔ GERD (Gastroesophageal Reflux Disease) a ɛyɛ yafunu mu yare a emu yɛ den no ho ankasa. Esiane sɛ nnipa pii nnim eyi ankasa nti, momma yɛnka ho asɛm nnɛ ara kwa.
Dɛn ankasa ne Nsu Brush?
Sɛ yɛbɛka no tiawa a, nsu a ɛyɛ nwini ne bere a wo nnompe no yɛ adwuma boro so mpofirim na ɛma nnompe pii ba w’anom. Eyi ba bere a yafunu mu yare mu yɛ den, a ɛkyerɛ sɛ yafunu mu acid san kɔ soro kɔ wo menewa ne w’ano.
Fa no sɛ, sɛ yafunu mu acid ba a, yɛn nipadua no bɔ mmɔden sɛ ɛbɛma ayɛ nea ɛnyɛ hwee denam nnompe a ɛma ɛyɛ kɛse no so. Eyi nti na nnompe sen kɔ anom mpofirim no. Nnipa binom tumi yɛ nnompe teaspoon abien (mililita 10) simma biara. Sɛ saa nnompe yi ne yafunu mu acid fra a, ɛma ano no yɛ dɛ a ɛyɛ nwanwa, na ɛte sɛ biribi a akɔhyɛ menewam.
Nnipa pii de atiridiinini a nsu wom yi frafra ne ho a ɛsan ba. Nanso eyinom yɛ nneɛma abien a ɛsono emu biara. Regurgitation yɛ aduan a wɔayam no fã bi a efi yafunu no mu san kɔ menewa mu. Nsu mu akisikuru yɛ nnompe a ɛboro so a ɛba.
Nsɛnkyerɛnne afoforo a ebetumi aka nsu a ɛhyew ho
Nsu a ɛma obi dwensɔtwaa yɛ GERD ho sɛnkyerɛnne biako pɛ. Wubetumi nso anya sɛnkyerɛnne afoforo a wɔabobɔ din wɔ ase ha no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Koma a ɛyɛ yaw | Ɛyaw a ɛyɛ hyew wɔ koko mfinimfini a yafunu mu acid de ba. |
| Nsu a ɛsan kɔ nipadua no mu | Yafunu mu acid ne aduan a wɔayam no fã bi a ɛreba aforo akɔ menewa no mu. |
| Ɛyɛ den sɛ wobɛmene aduan | Sɛ́ wobɛte nka sɛ aduan akɔhyɛ menewam. |
| Koko mu yaw a ɛnyɛ komayare | Ɛyaw a ɛba aduan no fã a ɛbɛn koma no mu. |
| Akisikuru ne aduan ho akɔnnɔ a ɛyera | Sɛ wote nka sɛ wobɛfe na aduan ho akɔnnɔ so atew. |
Dɛn nti na yenya nsu mu akisikuru?
Nea ɛde eyi ba titiriw ne GERD. Wɔ yɛn yafunu ne yafunu ntam no, valve bi wɔ hɔ a wɔfrɛ no Lower Esophageal Sphincter (LES) . Ɛte sɛ ɔpon bi. Sɛ yedidi a, ɔpon yi bue ma aduan fa yafunu no mu, na afei ɛto mu denneennen bio na ama yafunu mu asikre ammra.
Nanso sɛ saa valve a wɔfrɛ no LES yi yɛ mmerɛw, epira, anaasɛ ɛnto mu yiye a, acid a emu yɛ den a ɛwɔ yafunu no mu no fi ase pue. Sɛ acid yi bɔ esophagus no a, yɛte ɔhyew nka wɔ yɛn koko mu. Saa adeyɛ yi ne nea ɛde ɔhaw te sɛ komayare ba.
Abenfo da so ara reyɛ eyi ho nhwehwɛmu. Wogye di sɛ acid a ɛhyɛn esophagus no mu no kyerɛ nnompe mu ntini ahorow no ma ɛyɛ nnompe pii. Ebia eyi yɛ ade a nipadua no de bɔ ne ho ban.
Ɔkwan bɛn so na wɔsa eyi?
Ayaresa a wɔde sa akisikuru a nsu wom no te sɛ nea wɔde sa GERD no ara pɛ. Mpɛn pii no, yebetumi adi tebea no so denam nsakrae nketenkete a yɛbɛyɛ wɔ yɛn asetra kwan ne yɛn adidi mu, na sɛ ɛho hia a, yɛde nnuru a yɛnom sɛnea oduruyɛfo kyerɛ no so.
Asetra mu nsakrae a ɛsɛ sɛ woyɛ
| Nea ɛsɛ sɛ wɔyɛ | Nkyerɛmu |
|---|---|
| Sigaretnom a wɔbɛkwati | Sigaretnom ma LES valve no yɛ mmerɛw. |
| Mu duru a ɛfata a wobɛkɔ so akura mu | Sɛ obi mu duru boro so a, ebetumi de nhyɛso aba yafunu no so na ama acid a ɛsan kɔ nipadua no mu no ayɛ kɛse. |
| Nsã a wɔnom so tew | Nsã nso betumi ama GERD ho sɛnkyerɛnne no ayɛ kɛse. |
| Aduan a wosiesie | Sɛ́ anka wubedi nnuan akɛse 3 no, eye sɛ wubedi nnuan nketenkete pii da biara. |
| Adidi nkakrankakra | Ma wo aduan mu nhyehyɛe no bere ma ɛnyam aduan yiye. |
| Adidi ansa na wɔada anadwo | Anyɛ yiye koraa no, di anwummere aduan nnɔnhwerew 3 ansa na woada. Mma ntra ase bere a woadi awie no. |
Nnuru (aduruyɛfo afotu nkutoo so) .
Ebia wo duruyɛfo bɛkyerɛw nnuru a wode besiw yafunu mu acid so anaasɛ ɛbɛtew so.
Nea ɛho hia yiye: Ɛsɛ sɛ wode nnuru yi mu biara di dwuma wɔ wo duruyɛfo afotu ase nkutoo. Mma w’ankasa nnom nnuru biara wɔ nnurutɔnbea hɔ. Ɛyɛ oduruyɛfo nkutoo na obetumi ahu aduru ne dodow a ɛfata ama wo.
| Nnuru ahorow a wɔde di dwuma | Dwumadi a ɛyɛ adwuma |
|---|---|
| Nnuru a ɛko tia acid | Eyinom ma wonya ahotɔ ntɛmntɛm (wɔ simma 30 mu). |
| H2 a wɔde siw ano | Ɛwom sɛ eyinom gye bɛyɛ dɔnhwerew biako ansa na ayɛ adwuma de, nanso ahotɔ no di bɛyɛ nnɔnhwerew 10. |
| Nneɛma a wɔde siw proton pɔmpɛ ano (PPIs) . | Eyinom ma wonya ahotɔ bere tenten fi GERD sɛnkyerɛnne ahorow ho na ebetumi agye nnafua 1-4 ansa na ayɛ adwuma. |
Nnuan bɔne bɛn na ɛsɛ sɛ yɛkwati saa tebea yi?
Nnuan pɔtee biara nni hɔ a enye mma nsu mu akisikuru anaa GERD. Nanso, nnuan a ɛma LES valve no dwo anaasɛ egye bere tenten ansa na ayam no betumi ama yare no ho sɛnkyerɛnne no asɛe kɛse. Sɛ worehyia ɔhaw a, bɔ mmɔden sɛ wobɛtew nnuan a ɛwɔ ase ha no so.
- Nnuan a srade wom, srade wom, na ɛyɛ nnuhwam
- Nsã a caffeine wom (sɛ nhwɛso no, chocolate, kɔfe) .
- Nsã a wɔde carbon ayɛ (sɛ nhwɛso no, soda) .
- Citrus nnuaba te sɛ lemon ne orange
- Ayɛyɛde ne galik
- Mint a wɔde yɛ adwuma
Nanso kae sɛ ɛnyɛ obiara na ne ho bɛtɔ no wɔ saa nnuan yi ho. Ɛyɛ papa sɛ wobɛhwɛ yiye kakra na woahu nnuan a ɛma wo ho nyɛ wo dɛ.
Sɛ wuhyia ɔhaw mpofirim a, dɛn na woyɛ na ama woanya ahotɔ ntɛm?
Sɛ wunya saa sɛnkyerɛnne ahorow yi mpofirim na wote nka sɛ wo ho nyɛ wo dɛ a, sɔ nneɛma yi hwɛ:
- Gyina hɔ tẽẽ: Sɛ wosɔre a, tumi a ɛtwe ade ba fam no boa ma acid no san kɔ soro kɔ yafunu no mu.
- Gyae ntade a ɛyɛ den: Kwati sɛ wobɛhyɛ ntade a ɛyɛ den (belts, pants a ɛyɛ den) bere a woada . Nhyɛso no betumi ama acid dodow a ɛreba no ayɛ kɛse.
- Fa aduru a ekum asikre sɛnea wo duruyɛfo akyerɛ wo no: Sɛ wo duruyɛfo adi kan akamfo akyerɛ wo a, wubetumi anya ahotɔ ntɛm afi nnuru a ekum asikre mu.
Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi (komayare, aniwa a ɛyɛ nsu) bɛboro adapɛn abien a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Ɛwom sɛ aniwa a nsu wom ankasa nyɛ asiane de, nanso sɛ wɔansa GERD tebea a ɛwɔ ase no a, ebetumi asɛe wo menewam bere tenten.
Ɛwom sɛ komayare, koko mu yaw, ne nsu a ɛsan kɔ nipadua no mu yɛ GERD ho sɛnkyerɛnne a ɛnyɛ dɛ de, nanso mpɛn pii no wobetumi de asetra mu nsakrae ne nnuru adi ho dwuma yiye. Enti mma wo ho nnyɛ wo hu. Wo ne wo duruyɛfo nkasa mfa ayaresa nhyehyɛe a eye sen biara ma wo ho.
Nkrasɛm a Wɔde Kɔ Fie
- Aniwa a nsu wom yɛ GERD (acute gastroesophageal reflux disease) ho sɛnkyerɛnne.
- Ade titiriw nti a ɛte saa ne yafunu mu acid a ɛba soro wɔ aduan no mu.
- Wobetumi adi tebea yi so kɛse denam nsakrae nketenkete a wɔbɛyɛ wɔ asetra ne adidi mu no so.
- Sɛ yare no ho sɛnkyerɛnne kɔ so boro adapɛn abien a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.
- Mfa nnuru nni dwuma sɛnea wuhu a wunni aduruyɛfo afotu.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn ne Ɔhaw a Wɔmene / Dysphagia?
Ɛyɛ ade a ɛfata sɛ ɛyɛ den sɛ wubedidi bere a wo menewa yɛ wo yaw no. Nanso ‘Dysphagia’ yɛ bere a aburow, paanoo, anaa nsu a woredi no akɔhyɛ wo menewa/wo koko mfinimfini sen sɛ ɛbɛkɔ wo menewam. Eyi ma wowe w’aduan pii, na wufi ase fe/fefe bere a woredidi no. Eyi yɛ kɔkɔbɔ sɛnkyerɛnne a ɛyɛ hu yiye a ɛkyerɛ kokoram anaa ntini mu yare a ɛyɛ hu wɔ yafunu/anom.
💬 Dɛn ne nneɛma titire a ɛma aduane/nonneɛ kɔto menewa anaa moma so (Dysphagia)?
Nneɛma atitiriw 4 a ɛde eyi ba ne nea ɛyɛ hu sen biara ne: 1) ‘Esophageal Cancer / Tumor’ - Kokoram a ɛba wɔ esophagus no mu (tube a ɛkɔ yafunu no mu) na esiw tube no! (Nea edi kan no ɛbɛyɛ den sɛ wobɛmene aduan, afei ɛbɛyɛ den sɛ wobɛmene nsu). 2) Gas/Gastritis (GERD) ma esophagus no pira (esiane acid reflux nti) na ɛma tube no yɛ teateaa/siw (Strictures). 3) Mmene ntini a ɛyɛ mmerɛw/hwere esiane stroke anaa Parkinson’s nti.
💬 Adɛn nti na ɛsɛ sɛ obi a ɔmene ade ntɛmntɛm te sɛ nea ɔhome no, kɔ oduruyɛfo nkyɛn/kɔ ayaresabea ntɛm ara bere a ɛyɛ den ma no sɛ ɔbɛmene aduan (Dysphagia)?
Eyi nyɛ yare a ɛhwehwɛ sɛ wɔsa no fie (ɛsɛ sɛ wɔyɛ endoscopy). Asiane a ɛsen biara! Nea ɛka ho ne sɛ ɛyɛ den sɛ wobɛmene, 1) ‘Ne mu duru so tew a wontumi nkyerɛkyerɛ mu a ntease biara nnim’, 2) Ɛyaw a wontumi nnyina ano wɔ menewa/koko mu (Odynophagia) bere a woredidi, 3) Aspiration pneumonia (aduan a wɔde kɔ ahurututu mu bere a wɔremene), ɛyɛ kokoram/yare a edi awu 100%! Ɛsɛ sɛ wɔde wo kɔ ayaresabea ntɛm ara!
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