So wo yafunu mu yɛ wo yaw anaa wo koma yɛ wo yaw bere tiaa bi? Anaasɛ wowɔ yafunu mu akisikuru a ɛkɔ so san ba bere a woanom nnuru mpo awie no? Wɔ mmere a ɛte sɛ eyinom mu no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ wɔnyɛ mogya mu nhwehwɛmu titiriw bi. Ɛno ne nea Gastrin Sɔhwɛ no yɛ. Momma yɛnka eyi ho asɛm wɔ ɔkwan a emu da hɔ na ɛnyɛ den so nnɛ.
Momma yenni kan nhwɛ, dɛn ne Gastrin?
Sɛ yɛbɛka no tiawa a, gastrin yɛ hormone bi a wɔyɛ wɔ yɛn yafunu mu. Nkwammoaa soronko bi a wɔfrɛ no G-cells a ɛwɔ yɛn yafunu afasu mu na ɛyɛ. Ɛnyɛ yafunu mu nko na saa nkwammoaa yi wɔ, na mmom ɛwɔ yɛn dwensɔtwaa ketewa no atifi nso.
Enti adwuma titiriw a gastrin hormone yi yɛ ne sɛ ɛbɛkanyan yafunu mu acid a ɛba yafunu no mu. Ɛte sɛ nea obi de sɛnkyerɛnne bi rema sɛ, "Okay, fi ase yɛ acid mprempren." Saa yafunu mu acid yi ho hia ma aduan a yedi, titiriw protein ne amino acid, a yɛbɛyam na yɛatwe. Susuw ho hwɛ, yɛn yafunu no ma nsu a acid wom yi bɛyɛ lita 2 kosi 3 da biara!
Dɛn nti na oduruyɛfo bi bɛkamfo nhwehwɛmu yi akyerɛ?
Sɛ wo duruyɛfo no adwenem yɛ no naa wɔ wo gastrin dodow ho, kyerɛ sɛ, sɛ osusuw sɛ ɛdɔɔso dodo anaasɛ ɛba fam dodo a, ebia ɔbɛkamfo nhwehwɛmu yi akyerɛ. Efisɛ nsakrae a ɛba gastrin dodow mu no betumi ayɛ ɔhaw bi ho sɛnkyerɛnne wɔ yɛn aduan mu.
Mpɛn pii no, sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, wɔde wo kɔ sɔhwɛ yi mu:
- Yafunu mu yaw a ɛtaa yɛ .
- Atiridiinini a ɛkɔ so daa .
- Peptic ulcers a ɛsan ba ɛmfa ho nnuru a wɔde ma no.
Bio nso, ɛtɔ mmere bi a wɔyɛ sɔhwɛ yi wɔ obi a wɔayɛ no oprehyɛn ayi akisikuru a ɛma gastrin de kyerɛ sɛ ebia akisikuru no asan aba anaa.
Yɛyɛ dɛn siesie yɛn ho ansa na sɔhwɛ no aba?
Eyi te sɛ mogya mu nhwehwɛmu afoforo bi , na egye ahosiesie kakra.
- Nnɔnhwerew 12 mmuadadi : Ɛyɛ papa sɛ worenwe biribiara nnɔnhwerew 12 ansa na wɔayɛ sɔhwɛ no. Nanso, ɛnyɛ hwee sɛ wobɛnom nsu.
- Nsã nni hɔ: Ɛsɛ sɛ wokwati nsa a wobɛnom koraa anyɛ yiye koraa no nnɔnhwerew 24 ansa na woanom.
- Wɔde kɔma oduruyɛfo no wɔ aduruyɛ hoKa sɛ: Eyi ne ade a ɛho hia sen biara. Akyinnye biara nni ho sɛ ɛsɛ sɛ woka nnuru a worenom nyinaa kyerɛ wo duruyɛfo, a nnuru a wɔkyerɛw ma wo, nnuru a wɔtɔn, vitamin, nnuru a wɔde ka aduan ho, nhabannuru, ne nnuru biara a mmara mma ho kwan a worenom ka ho. Ebia wo duruyɛfo betu wo fo sɛ gyae nnuru bi a wobɛnom nna kakraa bi ansa na woayɛ nhwehwɛmu no.
Nea ɛho hia sen biara ne sɛ, nnyae wo nnuru no biara anaasɛ nnsesa dodow a wode bedi dwuma a wommisa wo duruyɛfo.
| Nneɛma a ebetumi aka sɔhwɛ no mu aba | |
|---|---|
| Sɛɛgyiri | Sɛ woadi kan ayɛ anaasɛ wɔayɛ nhyehyɛe sɛ wɔbɛyɛ wo oprehyɛn wɔ yafunu mu akisikuru (peptic ulcer) ho a. |
| Adidie | Sɛ wudi nnuan a protein wom pii (e.g. nam, mpataa, nkesua). |
| Ayaresa mu tebea afoforo | Sɛ wofa insulin ma asikreyare a. |
| Nnuru a wɔde yɛ nnuru | Calcium nnuru, nnuru a ekum yafunu mu yare, ne nnuru afoforo a ɛka yafunu mu acid a ɛba. |
| Nsã a wɔnom | Sɛ wonom anonne a caffeine wom (kɔfe, tii, anonne a ɛyɛ dɛ bi). |
| Nnuru afoforo | Nnuru bi a wɔde sa adwenemhaw. |
Dɛn na yebetumi asua afi nea afi mu aba no mu?
Sɛ wo nsa ka sɔhwɛ no mu aba (amanneɛbɔ) a, ansa na wobɛbɔ mmɔden sɛ wobɛkyerɛ gyinapɛn ahorow no ase no, fa kɔ wo duruyɛfo nkyɛn. Saa gyinapɛn ahorow yi betumi ayɛ soronko kakra wɔ lab biara mu. Afei nso, oduruyɛfo bi de wɔn bɛtoto nneɛma te sɛ wo mfe a woadi ne wo yare no ho sɛnkyerɛnne ho na ama watumi aka asɛm bi.
Mpɛn pii no, apɔwmuden dodow te sɛ nea edidi so yi:
| Mfe a wɔadi | Gastrin dodow a ɛfata (pg/mL) . |
|---|---|
| Mpanyimfo | 0 - 180 pg/mL (ebetumi akɔ soro kakra bere a obi nyin no) . |
| Mmɔfra | 0 - 125 pg/mL na ɛyɛ adwuma |
*pg/mL gyina hɔ ma picograms wɔ mogya mililita biara mu, a ɛyɛ picogram dodow a ɛwɔ mogya mililita biako mu. Eyi yɛ ade a wɔde susuw ade.*
Na sɛ gastrin dodow dɔɔso sen sɛnea ɛte daa nso ɛ?
Nneɛma pii betumi ama gastrin dodow akɔ soro.
- Zollinger-Ellison (ZE) yare: Eyi yɛ tebea a ɛntaa nsi. Ɛfiri akisikuru bi a ɛma gastrin ba wɔ baabi wɔ aduane mu. Wɔfrɛ saa akisikuru yi gastrinomas. Wɔtaa nyin wɔ dwensɔtwaa ketewaa no fã a edi kan (duodenum) anaasɛ dwensɔtwaa no mu. Nea ɛka ho no, saa akisikuru yi ma gastrin a ɛma yafunu mu acid boro so ba. Eyi na ɛde akisikuru ne yafunu mu akuru ba.
- Nneɛma afoforo a ɛtaa de ba: Nanso nneɛma abien a ɛtaa ma gastrin dodow kɔ soro ne nnuru a ɛtew acid a yɛnom ma reflux/komayare ne tebea bi a wɔfrɛ no chronic atrophic gastritis. Eyinom abien nyinaa sɛe yafunu no mu nneɛma na ɛtew acid a ɛba no so. Eyi ma yafunu no mu acid (pH) so tew na ɛyɛ alkaline kɛse. Wɔ mmuaema mu no, amemene no susuw sɛ, "Okay, yɛreyɛ acid pii, ɛsɛ sɛ yɛyɛ pii." Enti ɛbɔ mmɔden sɛ ɛbɛyɛ acid pii denam hormone gastrin a ɛma ɛyɛ pii no so. Ɛno nti na gastrin dodow kɔ soro no.
- Wɔ oprehyɛn akyi:Sɛnea yɛadi kan aka no, sɛ gastrin dodow kɔ soro bere a wɔde oprehyɛn ayi gastrinoma bi na wɔasan asɔ ahwɛ akyi a, ɛkyerɛ sɛ ebia akisikuru no asan aba bio. Sɛ dodow no so antew wɔ oprehyɛn akyi a, ebetumi akyerɛ sɛ oprehyɛn no ankɔ yiye.
Na sɛ gastrin dodow sua sen sɛnea ɛte daa nso ɛ?
Eyi yɛ tebea a ɛntaa nsi koraa. Mpɛn pii no, gastrin dodow a ɛba fam no nyɛ ade a ɛhaw adwene. Nanso, sɛ ɛte saa a, ebia yafunu no rentumi nnye aduannuru a ɛwɔ aduan mu no yiye. Ebia asiane a ɛwɔ hɔ sɛ obi benya aduan mu yare nso bɛkɔ soro kakra.
Mpɛn pii no, sɛ gastrin dodow no yɛ nea ɛfata anaasɛ ɛba fam a, biribiara nni hɔ a ɛsɛ sɛ ɛhaw wo ho.
Nkrasɛm a Wɔde Kɔ Fie
- Gastrin nhwehwɛmu yɛ mogya mu nhwehwɛmu a ɛnyɛ den a ɛkyerɛ sɛnea gastrin, hormone bi a ɛhwɛ ma yafunu mu acid yɛ no dodow.
- Oduruyɛfo betumi akamfo nhwehwɛmu yi akyerɛ sɛ wo taa yɛ wo yafunu mu yaw, wo ho yɛ wo yaw, anaa wo yafunu mu akisikuru a ɛnsa a.
- Ɛsɛ sɛ wudi mmuada nnɔnhwerew 12 ansa na woayɛ sɔhwɛ no. Ɛho hia nso sɛ wobɔ wo duruyɛfo amanneɛ wɔ nnuru a worenom nyinaa ho.
- Nneɛma ahorow betumi ama gastrin dodow akɔ soro, efi nnuru bi a wonom so kosi kokoram tebea horow a ɛntaa nsi so.
- Ɛmfa ho nea ebefi wo nhwehwɛmu amanneɛbɔ no mu aba biara no, wo duruyɛfo nkutoo na obetumi ama woahu yare no pɛpɛɛpɛ denam nea ɔde bɛtoto w’asɛm no ho sɛnkyerɛnne ne w’akwahosan ho abakɔsɛm ho no so.
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