Dusukunnabana min bɛ to ka kɛ wa? A bɛ se ka kɛ kɔnɔbolibana ye (GERD)!

N tun bɛ inivɛrisite la tuma min na, n teri sɛbɛ dɔ tun bɛ yen min tɔgɔ ye ko Chamari. Chamari tun bɛ to ka ŋunan kɔnɔdimi ni dusukunnabana na dumuni kɛlen kɔfɛ, kɛrɛnkɛrɛnnenya la Sri Lanka dumuni sumalen ɲuman dunni kɔfɛ walima sufɛdumuni kɔfɛ. A tun b’a miiri ko dumunikɛbaliya dɔrɔn de don. Nka waati tɛmɛnen kɔ, dusukundimi juguyara fo a tun bɛ a ka sunɔgɔ yɛrɛ tiɲɛ su fɛ.

"Dɔgɔtɔrɔ Priya, jeninida bɛ n disi la su o su. Ji bɛ bɔ n da la min ka di. N tɛ se ka kɛnɛya hali ni fura basigilen ye," Chamari ye n ɲininka don dɔ.

N y'a ɲɛfɔ Chamari ye ni hakilisigi ye ko: "Chamari, i tun bɛ ka min ɲɛmajɔ, k'a miiri ko dumunikɛbaliya gansan dɔrɔn don, o ye bana ye min bɛ wele ko GERD (Gastroesophageal Reflux Disease) . Nin ye bana ye min kɔnɔ kɔnɔbara asidi bɛ segin ka woyo ka taa san fɛ ka don dawolo la. Nin ye bana ye min ka teli kosɛbɛ funankɛninw na nin donw in na. Nka aw kana aw hakili ɲagami, a bɛ se ka kunbɛn pewu ni ɲɛnamaya kɛcogo caman yeli ye ani furakɛli kɛcogo ɲuman."

🚨 Darapo bilenman minnu ka kan ka taa dɔgɔtɔrɔso la joona

Hali ni a ka ca a la asidi seginni tɛ mɔgɔ ka ɲɛnamaya bila farati la, aw ka kan ka taa dɔgɔtɔrɔso la joona ni nin taamasiɲɛ juguman ninnu dɔ ye aw ye:

• Dumuni munumunu gɛlɛya jugumanba walima daji walima dimi ni a bɛ munumunu (Dysphagia/Odynophagia).
• Kisɛya teliya la kun tɛ (Unexplained Weight Loss).
• A bɛ to ka fɔɔnɔ walima joli bɛ fɔɔnɔ.
• Nɔgɔ nɛrɛma (tarry) (joli taamasiɲɛ ye kɔnɔbara walima dumunikɛminɛnw na).

Mun na GERD bɛ kɛ? O kunw ka nɔgɔn

An ka dumunikɛminɛn ni kɔnɔbara cɛtigɛyɔrɔ la, farikolo yɔrɔ dɔ bɛ yen min bɛ i n’a fɔ bololanɛgɛ min bɛ wele ko LES (Lower Esophageal Sphincter) . A bɛ Kɛ i n'a fɔ "valve" min bɛ Dabɔ sira kelen dɔrɔn fɛ.

Ni an bɛ dumuni kɛ, nin dawolo in bɛ da wuli walasa dumuni ka tɛmɛ kɔnɔbara la, o kɔ, a bɛ datugu kosɛbɛ ni dumuni tɛmɛna, o bɛ asidi barikama minnu bɛ kɔnɔbara la, olu bali ka segin ka woyo ka taa san fɛ ka don dawolo la.

Nka ni kun dɔw la nin LES dawolo in barika dɔgɔyara walima ni a ma datugu a waati bɛnnen na, kɔnɔbara asidi bɛ se ka don dumunikɛminɛn kɔnɔ nɔgɔya la. o bɛ wele ko asidi kɔsegin .

Kunba damadɔ bɛ yen minnu b’a to nin bɔgɔdaga in bɛ barika dɔgɔya:
1. Hiatal Hernia : Kɔnɔbara sanfɛla bɛ bɔ disi la ka tɛmɛ dingɛ dɔ fɛ min bɛ ɲɛgɛnɛsira la, o bɛ kɛ sababu ye ka ɲɛgɛnɛsiralabanaw baara ka ɲɛ.
2. Fasa ni kɔnɔmaya : A dawolo bɛ da wuli ka caya ka a sababu kɛ degun caya ye kɔnɔbara la.
3. Dumunikɛcogo jugu: Dumuni caman dunni siɲɛ kelen ani ka i da o yɔrɔnin bɛɛ dumuni kɛlen kɔfɛ.
4. Dɔlɔ, sigarɛtimin ani dɔrɔguta:Sigarɛtimin bɛ LES dawolo lafiya, wa dimimadafura minnu tɛ sɔrɔ dɔgɔtɔrɔso la i n’a fɔ ibuporofɛni, olu fana bɛ se ka kɔnɔbara kogow tiɲɛ.

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Dɔgɔtɔrɔso sɛgɛsɛgɛliw walasa ka asidi kɔsegin bana sɛgɛsɛgɛ

Dɔgɔtɔrɔw bɛ nin sɛgɛsɛgɛli ninnu fɔ walasa ka bana in dɔn ka ɲɛ:

• Sanfɛla Endoskopi (Endoscopie supérieur): Tubabufura dɔ bɛ don da kɔnɔ min kɔnɔna na, kamera fitini bɛ a la walasa ka dumunikɛminɛn kogow sɛgɛsɛgɛ ni funu, joginda walima kansɛri taamasiɲɛw tɛ a la.
• Ambulatory pH Monitoring : Sɛgɛsɛgɛli min bɛ kɛ ni minɛn fitinin ye min bɛ asidi hakɛ jateminɛ min bɛ don galaka kɔnɔ sanga 24 kɔnɔ.
• Dumunikɛyɔrɔ (barium x-ray): Nin sɛgɛsɛgɛli in bɛ kɛ ni bariyɔmu munumunu sɛgɛsɛgɛli ye walasa ka dumunikɛminɛnw ta walasa ka a dɔgɔyali walima a sɔgɔsɔgɔninjɛ dɔn.

Asidi kɔsegin bana bɛ se ka kunbɛn cogo di?

Walasa ka kɛnɛya ka bɔ nin bana in na kudayi, ɲɛnamaya kɛcogo caman yeli ni fura tali fila bɛɛ ka kan ka kɛ ɲɔgɔn fɛ: